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THE

POSTGRADUATEMEDICAL JOURNALVOLUME 31 NUMBER 354 APRIL 1955

CONTENTSPAGE

EDITORIAL 153

DIAGNOSIS AND TREATMENT OF ACUTE ANTERIOR POLIOMYELITISJ. M. K. Spalding, D.M., M.R.C.P. 154

RADIOLOGY OF THE FIRST PART OF THE DUODENUML. S. Carstairs, M.B., B.S., M.R.C.S., L.R.C.P., D.M.R. I62

MAMMARY TUBERCULOSIS. CRITICAL DISCUSSION WITH AN ILLUSTRATIVECASE Duncan M. Forrest, F.R.C.S., and Raymond Parkes, M.B., Ch.B. 172

PSYCHIATRIC ILLNESS AND HEALTH J. P. Crawford, M.D., M.R.C.P., D.P.M. i80

RECENT ADVANCES IN B.C.G. VACCINATION K. Neville Irvine, D.M.Oxon. 184REPORT ON A CASE OF CHRONIC OBLITERATIVE CHOLANGITIS

Maurice Lee, M.B., B.S., F.R.C.S. I88PAROXYSMAL VENTRICULAR TACHYCARDIA OCCURRING IN A NORMAL

HEART David Romney, M.B., B.Ch.(Dub.) I9gRETICULUM-CELL SARCOMA OF SMALL INTESTINE

H. D. W. Powell, M.A., M.B., F.R.C.S. I94MANUFACTURERS' NOTES z 96BOOK REVIEWS 198POSTGRADUATE NEWS 202

All rights reserved. No part of this journal may be reproducedin any form without permission in writing from the publishers.

EDITORProi. C. G. Rob, M.C., M.CHIR., F.R.C.S.

ADVISORY EDITORIAL BOARDJ. W. D. Bull, M.D., F.R.C.P. L. P. Le Quesne, F.R.C.S.Sol. M. Cohen, F.R.C.S. Andrew Monro, M.D., F.R.C.S.Colin Edwards, M.B., M.R.C.P. K. I. Nissen, F.R.C.S.F. Dudley Hart, M.D., F.R.C.P. G. S. W. Organe, M.D., F.F.A.John Howkins, M.D., F.R.C.S., F.R.C.O.G. R. S. Bruce Pearson, D.M., F.R.C.P.:Maurice Davidson, D.M., F.R.C.P. W. Somerville, M.D., M.R.C.P.

Editorial Representative for Australia: Clive Fitts, M.D.(Melb.), F.R.C.P.(London), F.R.A.C.P.Editorial Representative for Ceylon: M. M. A. Cader, M.S.(Lond.)

Editorial Representative for South Africa: Arthur J. Helfet, M.D., F.R.C.S.PUBLISHERS

The Fellowship of Postgraduate Medicine, 60 Portland Place, London, W.I

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x96

e,U

'BREVIDIL'Pharmaceutical Specialities (May & Baker) Ltd.

announce a new presentation of ' Brevidil' M, asolution of suxamethonium chloride in 2 cc.ampoules and Io cc. multi-dose containers. Thisnew preparation is made available to meet the re-quests of those anaesthetists who prefer to use aready prepared solution of this muscle relaxant.May & Baker Ltd., Dagenham, Essex.

A FRESH APPROACH TO THE CONTROLOF UPPER RESPIRATORY TRACT

INFECTIONSMenley & James Ltd., Coldharbour Lane,

London, S.E.5, announce the introduction of' Prinexin.' Hitherto the local use of antibioticsin treating upper respiratory tract infections hasbeen attended by the danger that the patient maybe rendered sensitive, or the bacteria resistant, tothe antibiotic at a time when its use is not essential.He is thereby denied it on some subsequentoccasion when its exhibition may decide betweenlife and death.

' Prinexin' contains gramicidin and polymyxinB, antibiotics that are rarely used systemically. Inconjunction they are effective against the wholerange of virulent organisms of the upper respira-tory tract. They are presented in combinationwith ' Paredrinex,' the remarkably effective andsafe vasoconstrictor.

' Prinexin' is effective in the prevention andtreatment of complications of the common cold;tonsillitis, otitis media, sinusitis, laryngitis, bron-chitis, minor chronic inflammatory conditions suchas catarrh following coryza, and skin conditionswhere the anterior nares are a focus of staphy-lococcal infection. ' Prinexin' is also valuable inreducing bacterial contamination before surgicalintervention.

In 15 ml. bottles with dropper.

BECANTYL(Sodium-2:6-ditertiarybutylnaphthalene mono-

sulphonate)Horlicks Limited Pharmaceutical Division an-

nounce the introduction of Becantyl, a new coughspecific.

Becantyl is a product of original research whichmay be used in the treatment of all types of cough.Whilst Becantyl suppresses cough it has beenshown clinically that it does not affect expectora-tion. The active ingredient of Becantyl, Sodium-2:6-ditertiarybutylnaphthalene monosulphonate, isunrelated to guaiacol or the morphine derivatives.

Becantyl does not cause constipation, anorexia,drowsiness or any undesirable side-effects; beingdevoid of side-effects it may be given to infants,children and the aged. Becantyl is presented in4 fluid oz., 40 fluid oz. and 80 fluid oz. bottles.

Becantyl is the trade mark of Societe desLaboratories Labaz, S.A., of Brussels and thisproduct is now available in Great Britain (ex-cluding Northern Ireland at present).

For further information apply to PharmaceuticalDivision, Horlicks Limited, Slough, Bucks.

'AROXINE''Aroxine ' b1 and 2-Formamido-5-nitrothiazole.

This new compound, which formed the basis of arecent article in the British Medical Journal(January 8, p. 78), was discovered by the Well-come Research Laboratories. A non-arsenicaldrug for the treatment of Trichomonas vaginalisvaginitis, it has been shown to have an in vitroactivity some Ioo times greater than that ofacetarsol; in clinical trials its effect was similar tothat of acetarsol. Burroughs Wellcome & Co.announce that this product, which will be knownas ' Aroxine,' is not yet commercially available.

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April 1955 Manufacturers' Notes 197

CRYSTAPEN ORAL LIQUIDGlaxo Laboratories Ltd. announce the intro-

duction of Crystapen Oral Liquid, containing200,000 units crystalline potassium penicillin Gin each fluid drachm. Although suitable forpatients of all ages, this stable presentation ofpenicillin is intended primarily for youngchildren, to whom its pleasant flavour is readilyacceptable. Its use is indicated in all penicillinsensitive infections except overwhelming or veryresistant infections where injection of sodiumpenicillin is required. Infections of soft tissues;boils, carbuncles, cellulitis, erysipelas, etc.Pneumonia (bacterial), scarlet fever. Tonsillitis,otitis media, Vincent's angina. Prophylactically:before and after surgery, including dental extrac-tion; prevention of relapses of rheumatic fever.

For adults and older children a dose adequateto deal with most cases of the above infections istwo teaspoonfuls (400,000 units) about every sixhours. Young children from one to five yearsmay be given one teaspoonful and infants up toone year half a teaspoonful about every six hours.

Crystapen Oral Liquid is supplied in bottlescontaining 2 fluid oz., each in a carton withplastic spoon measure.

ADRENOXYLHorlicks Limited Pharmaceutical Division an-

nouce the introduction of Adrenoxyl, a newhaemostatic.

Adrenoxyl, a product of original research, hasbeen successfully used in a wide range of medicaland surgical conditions where the control ofcapillary bleeding was desirable, or capillary fra-gility was a feature. It is non-toxic and has noeffect on coagulation or blood pressure.

Adrenoxyl is presented in ampoules of 2 ml. forintramuscular or subcutaneous injection, and alsoin tablet form for oral administration.Adrenoxyl is the trade mark of Societe des

Laboratories Labaz of Brussels and this productis now available in Great Britain (excludingNorthern Ireland at present).

'MYLERAN'Burroughs Wellcome & Co. announce that

'Myleran' is now available in a strength of o.5mg. in addition to the 2-mg. product alreadyissued. The new strength is intended for extendedmaintenance therapy in chronic myeloid leukaemiaand is issued in bottles of Ioo sugar-coated com-pressed products.

ADRENAL GLANDS(Postgraduate Medical Journal)

Price 3s. 8d. post free

THE ADRENAL STEROIDS ADDISON'S DISEASER. I. S. Bayliss, M.A., M.D., M.R.C.P. G. A. SMART, B.Sc., M.D., F.R.C.P.

CUSHING'S SYNDROMEA. C. Crooke, M.A., M.D.A.C.Crooke,M.A., M.D. SURGERY OF THE ADRENAL GLAND

THE ADRENO-GENITAL SYNDROMEADRENO-GENTAL SYNDROME elwyn Taylor, M.Ch., F.R.C.S.S. Leonard Simpson, M.A., M.D.,F.R.C.P.

HYPOPITUITARISM ACUTE ADRENAL INSUFFICIENCYA. A. G. Lewis, B.Sc., M.D., M.R.C.P. Paul Fourman, M.D., M.R.C.P.

Published byTHE FELLOWSHIP OF POSTGRADUATE MEDICINE

60, Portland Place, London, W.1

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202

POSTGRADUATE NEWSApril I955'

The information contained in this section is published by courtesy of theorganizations concerned and no responsibility for any changes of detailor omisstons can be accepted by the publishers. In all cases, applicationsfor enrolment or further information should be made direct to thesponsors of the course.

FELLOWSHIP OF POSTGRADUATEMEDICINEGeneral Surgery (F.R.C.S.) Evening. April i8 to 22.Connaught Hospital, Walthamstow. 7 to 9 p.m.Limited. Fee ,3 13s. 6d. (No entries accepted untilsyllabus is published and circulated.)Obstetrics and Gynaecology (M.R.C.O.G.). May 4to July I6. All day Wednesdays, and Thursdays.Clinical cases, pathology, written papers. OldchurchHospital, Romford. Limited. Fee £15 15S. od.General Medicine (M.R.C.P.). May 23 to June I8.Daily 5 to 8 p.m. (Saturdays 2 to 4.30 p.m.) Clinicalcases. St. Stephen's Hospital. Limited. Fee 20o.(No entries accepted until syllabus is published andcirculated.)Proctology. June 20 to July 2. St. Mark's Hospital.All day. Limited. Fee £8 8s. od.General Medicine (M.R.C.P.). August I5 to Sep-tember 17. Daily 5.30 to 8.30 p.m. (Saturdays, 2 to4 p.m.). Whittington Hospital, Archway Wing.Limited. Fee £23. (No entries accepted until syllabusis published and circulated.)Surgery (F.R.C.S.), General and Genito-Urinary.September 5 to 21. Mondays and Wednesdays at5.0 p.m. Whittington Hospital, Archway Wing.Limited. Fee £5 5s. od. (No entries accepted untilsyllabus is published and circulated.)Please note that instruction arranged by the Fellowshipof Postgraduate Medicine is open only to members (annualsubscription, from month ofjoining, Ios. 6d.). In the caseof ' limited' courses no entries are accepted in advanceof the detailed syllabuses being published and circulated;postgraduates (whether members or not) are not automatic-ally included in the mailing lists, but must notify theFellowship of Postgraduate Medicine, 60 Portland Place,London, W.i, if they wish to be sent syllabuses as pub-lished, and must specify the subjects in which they areinterested. Information regarding courses can be obtainedfrom the office daily between 0o a.m. and 5 p.m. (Saturdays,to a.m. to 12 noon). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDThe following lectures will be delivered at the College.Admission free.Lister OrationApril5 5 p.m. Mr. V. E. Negus. The comparative anatomy

and physiology of the respiratory tracts in relationto clinical problems.

Hunterian LecturesApril19 5 p.m. Prof. John Foster. Evaluation of the current

treatment of stricture of the valve of Krause.21 5 p.m. Prof. N. R. Barrett. Primary tumours of

rib.28 5 p.m. Prof. W. T. Cooke. Nutritional and

metabolic factors in aetiology and treatment ofregional ileitis.

Arnott DemonstrationApril26 3.45 p.m. Prof. R. J. Last. The form and structure

of muscles.Applications for further information should be made toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, Lincolns Inn Fields, London, W.C.2.

SOCIETY OF APOTHECARIES OF LONDONDiploma in Industrial Health (D.I.H.). Theexaminations are held in July and December each year.Diploma of Mastery of Midwifery (M.M.S.A.). Theexaminations are held in May and November each year.For further information applications should be addressedto the Registrar, Society of Apothecaries, Black FriarsLane, London, E.C.4.

DENTAL BOARD OF THE UNITEDKINGDOMThe Dental Postgraduate Bureau has issued threebooklets, as follows:' Facilities for Dental Postgraduate Study in the UnitedKingdom and Ireland,' containing a list of schools andinstitutions at which postgraduate courses are held orwhich provide facilities for individual students, and analphabetical list of subjects showing where instructionin each can be obtained: 'Scholarships and Student-ships for Advanced Studies and Research in Dentistry,'including many open to British subjects tenable abroad;'Higher Dental Qualifications,' setting out in generalterms the conditions to be satisfied by candidates.Copies of these booklets, particulars of films of interest todentists, and further information can be obtained onapplication to the Director, Dental Postgraduate Bureau,44 Hallam Street, London, W.I.

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Postgraduate News

UNIVERSITY OF LONDON(Institute of Psychiatry)An inaugural lecture on 'Maudsley, Mott and Mannon the chemical physiology and pathology of the mind 'by Prof. H. McIlwain will be given at the MaudsleyHospital, Denmark Hill, London, S.E.S, at 5.30 p.m. onApril 14. Admission free, without ticket.

BRITISH POSTGRADUATE MEDICALFEDERATION (University of London)The Federation provides:(I) Training for prospective specialists, supplementing

the work of the undergraduate medical schools.(2) Advanced revision for practising specialists.(3) Instruction for medical practitioners who, though

not specialists, desire more detailed knowledge ofany branch of medicine.

(4) Instruction for general practitioners.Comprising the Federation at present are the Post-graduate Medical School of London, Institute ofPsychiatry, Institute of Laryngology and Otology,Institute of Ophthalmology, Institute of Child Health,Institute of Obstetrics and Gynaecology, Instituteof Neurology, Institute of Orthopaedics, Instituteof Dental Surgery, Institute of Cancer Research,Institute of Cardiology; associated institutes are theInstitute of Diseases of the Chest, Institute of Derma-tology, Institute of Urology, and Institute of BasicMedical Sciences.Courses for general practitioners will be held as follows:GeneralMay 2 to 7. Woolwich Group.May I6 to 21. St. Stephen's Hospital, S.W.io.Applications for places on the above courses should bemade to the Secretary, British Postgraduate MedicalFederation, and should state if the application is or is notmade under the scheme for N.H.S. practitioners.Extended and Week-end CoursesGeneralApril 13 to June 22 ( I Wednesday afternoons). QueenMary's Hospital for the East End, E.I5.April 14 to June 23 ( i Thursday afternoons). HackneyHospital, E.9.April 14 to June 23 (i i Thursday afternoons). LewishamHospital, S.E.I3.April 14 to June 23 (ii Thursday afternoons). WestHill Hospital, Dartford.April I6 to May 21 (6 Saturday afternoons). Luton andDunstable Hospital.April 18 to May 12 (6 afternoons). King GeorgeHospital, Ilford.April 20 to June 8 (8 Wednesday afternoons). KingstonHospital.April 21 to June 9 (8 Thursday afternoons). LondonUndergraduate and Postgraduate Teaching Hospitals.(Apply Federation.)April 2i to June 30 (i Thursday afternoons). Hamp-stead General Hospital, N.W.3.April 28 to June 2 (6 Thursday afternoons). St. Luke'sHospital, Guildford.PaediatricsApril 2 and 3 (Week-end). University College HospitalPaediatrics and ObstetricsApril 23 and 24 (Week-end). Orsett Branch, Tilburyand Riverside General Hospital.

Applications for places on the above courses should be madeto the hospital concerned.All the courses are available to N.H.S. practitioners,for whom fees and allowances (travelling expenses,locum fees, etc.) are provided for courses equivalent to22 half-day sessions in an academic year, subject tocertain conditions. Other practitioners may attend onpayment of a fee of io guineas for two weeks, 5 guineasfor one week or extended course of i sessions, iiguineas for a weekend course.Applications for further information should be made tothe Secretary, British Postgraduate Medical Federation,2 Gordon Square, London, W.C.I.

POSTGRADUATE MEDICAL SCHOOL OFLONDON (Hammersmith Hospital)The Postgraduate Medical School of London hasUniversity Departments in Medicine, Surgery andPathology. The Depaitment of Obstetrics and Gynae-cology, together with Queen Charlotte's and the ChelseaHospitals, now forms the Institute of Obstetrics andGynaecology. The teaching in the clinical departments,which is of an advanced nature and based on ward work,is continuous and is supplemented by lectures duringthree ten-week sessions starting in January, April andOctober. Suitable students are encouraged to under-take research work. A course for the University Diplomain Clinical Pathology, lasting one year, is available for alimited number of selected students. This commences inOctober. In anaesthetics, short practical courses lastinga fortnight, and longer periods of training for six months,are provided. The Department of Radiology of theHospital provides courses for the Diplomas in MedicalRadiology of the University and Conjoint Board. Thefees vary from £3 for one week to £75 for a year.For further information application should be made tothe Dean, Postgraduate Medical School of London,Ducane Road, London, W. 2.

INSTITUTE OF BASIC MEDICAL SCIENCES(Royal College of Surgeons of England)The Institute co-operates with other specialist Institutesof the Federation in providing facilities for practicalwork and instruction in the basic medical sciences.Twice a year, beginning in February and September,there is a full demonstration and lecture course which isfull-time and extends over a period of three months.Applications for this course are strictly limited, apdthe next course will begin on September 9, 1955. Inaddition, there are two revision courses a year of lec-tures only, which take place at the same time as theother course. Applications for this course can beaccepted up to a week before the course begins. Fees:demonstrations and lectures, £63; lectures only,£36 I5s. od. A two-months' course for Primary F.D.S.candidates is also held twice a year in January andJune. The course is full-time and the fee 3 i i os. od.For further information please apply to the Secretary.Institute of Basic Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH (RoyalCancer Hospital)Postgraduate lectures and courses of instruction are heldin biophysics for students studying for the M.Sc.degree in Biophysics, and for students studying for aDiploma in Medical Radiotherapy.Enquiries should be made to the Dean, Institute of CancerResearch, Royal Cancer Hospital, Fulham Road, London,S.W.3.

April I955

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POSTGRADUATE MEDICAL JOURNAL

INSTITUTE OF CARDIOLOGY(National Heart Hospital)Full time courses of instruction lasting three months areavailable. Fee £z6 5s. od.A limited number can be accepted part-time, whichincludes out-patient sessions and lectures.Special short courses lasting two weeks are given inFebruary, June and November. Fee Lz2 I2S. od.Further details and applications for admission to thesecourses, should be made to the Dean, Institute of Cardi-ology, 35 Wimpole Street, London, W.I.

INSTITUTE OF DISEASES OF THE CHEST(Brompton Hospital and the London ChestHospital)The Institute of Diseases of the Chest (Medical Schoolof the Hospitals for Diseases of the Chest) is situated inthe grounds of the Brompton Hospital, S.W.3.MedicalInstruction in diseases of the chest including tuberculosisis conducted during three terms of ten weeks each year.It consists of clinical work in wards and out-patientdepartments, lectures and demonstrations. A whole-time programme is arranged for not more than 12

graduates each term, preferably those specializing indiseases of the chest. The lectures and demonstrationsare so arranged that the subject of chest disease iscovered during the two terms beginning in October andJanuary. The lectures during the summer term arearranged as a general revision course. A larger numberof graduates can be accepted for part-time study, ifvacancies are available it may be possible to acceptgraduates for shorter periods of part-time study.SurgicalA whole-time course in chest surgery is conductedduring the terms beginning in October and January. Itincludes attendances at out-patient clinics, operatingsessions, ward clinics, case demonstrations and lectures,and is held partly at the Brompton Hospital and partlyat the London Chest Hospital.Fees for whole-time course (Medical or Surgical) are£20 for one term and £35 for two terms, and for part-time courses £14 for one term or £6 for one month.RadiologyPart-time instruction in radiology of the chest for traineeradiologists only is given each term. Fee, £io Ios. od.for' one term.Clinical demonstrations are given on Fridays at5 p.m. Admission free.Special Lectures, open without fee. to medicalpractitioners, will be given on two Wednesdays duringthe' 'stmmer term. Dates and subjects to be announcedlater.ie'fresher Courses for consultants and S.H.M.O.si'ly will be helfd at Brompton Hospital from July I to

r5, and' at London Chest Hospital from October 3 to' 7,I955.For further general information application should beaddressed to the Dean, Institute of Diseases of the Chest,Brompton Hospital, Fulham Road, S.W.3.

INSTITUTE OF: CHILD HEALTH(Hospital for Sick Children, Queen ElizabethHospital for Children, Postgraduate MedicalSThool)The Institute of Child Health is associated with The

Hospital for Sick Children, Great Ormond Street, thePostgraduate Medical School of London at Hammer-smith Hospital, and the Queen Elizabeth Hospital forChildren. In its programme teaching on every aspectof child health is provided. Visits are arranged to thedepartment for the new-born and premature infant atthe Postgraduate Medical School of London, Hammer-smith Hospital, Maternity and Child Welfare Clinics,Nursery Schools, etc. The Institute provides tuitionthroughout the year in three terms of 12 weeks' durationeach. beginning in January, May and September.Three or four guest lectures are given during thesummer term by visiting paediatricians from abroad.The fees are 20 guineas for one term and 35 guineasfor two terms.

Applications should be addressed to the Dean, Instituteof Child Health, Hospital for Sick Children, GreatOrmond Street, London, W.C. .

INSTITUTE OF DENTAL SURGERY(Eastman Dental Hospital)The Institute holds courses in orthodontics (full- andpart-time, up to one year), and in periodontology, con-servative dentistry, prosthetics, minor oral surgery andchildren's dentistry (variable length, full- and part-time). Refresher courses are arranged twice yearly forgeneral practitioners. Courses are also held in conjunc-tion with the Faculty of Dental Surgery of the RoyalCollege of Surgeons and are particularly intended forcandidates preparing for the final examination for theFellowship in Dental Surgery of the College. Thesebegin in May and November (lasting for approximatelyeight months), fee ;C60, and in May and October thereare revision courses lasting eight weeks, fee £31 Ios. od.Special arrangements can be made for students requiringcourses of study and research experience not fallingwithin the scope of the courses listed above.For further information apply to the Dean, Institute ofDental Surgery, E(istman Dental Hospital, Gray's InnRoad, London, W.C.I.

INSTITUTE OF DERMATOLOGY(St. John's Hospital for Diseases of the Skin)Hospital Practice. This includes clinical instructionin the Out-Patient Department daily, in the In-PatientDepartment twice weekly, tutorials in clinical dermat-ology and histopathology, attendance in the Departmentof Pathology and other departments of the, hospital.Fees: Two guineas for one week; £25 for one year.Discussion of special cases takes place at io a.m. onmost Saturdays.Laboratory. The facilities for students include tech-nical work in histology, bacteriology and medicalmycology.Museum. A collection of moulages is available. Thereis access to a large collection of histopathological sections.Lectures. A winter course, extending over six months,begins in October and a summer course is held in Mayand June. Both these courses consist of lectures at5.30 p.m. on Tuesdays, Wednesdays and Thursdays.Clinical demonstrations held on Fridays at 5.30 p.m.are. designed for those intending to sit for the M.R.C.P.examination.

Enquiries should be made to the Dean, Institute of Der-matology, St. John's- Hospital for. Diseases of the. Skin,Lisle Street, Leicester Square, London, W.C.2.:

April 1955204

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Postgraduate News

INSTITUTE OF LARYNGOLOGY ANDOTOLOGY(Royal National Throat, Nose and EarHospital)A comprehensive course lasting 32 weeks and designedto cover the whole field of the speciality is held twice ayear beginning in February and September. This con-sists of lectures, demonstrations and attendance on thepractice of the hospital, with facilities for dissection. Aspecial point is made of the anatomy, physiology andpathology related to the subject. There is also anintensive lecture course of four weeks twice yearly inpreparation for practical clinical training and a week'sintensive course in endoscopy for senior students twiceyearly. Advanced students may obtain additional ex-perience by appointment as Out-patient Assistants. AnAdvanced Revision Class (io weeks) for M.S. andF.R.C.S. students is also given twice yearly. Thecomposite fee, including enrolment as a clinical assistant,attendance on the hospital practice and at one of thecomprehensive courses, but excluding dissection, is£52 IOs.

For further information application should be addressedto the Dean, Institute of Laryngology and Otology, 330Gray's Inn Road, W.C.I.

INSTITUTE OF NEUROLOGY(The National Hospital, Queen Square, andthe Maida Vale Hospital for NervousDiseases)''he teaching is mainly by attendance on the hospitalpractice. Some advanced students are appointed asfull-time clinical clerks at the National Hospital, QueenSquare, or to the electro-encephalographic or one of theother special departments, or to the research laboratories.A limited number of part-time clinical clerkships areavailable at the Maida Vale Hospital with opportunityfor examining patients.In addition two full-time courses of ten weeks' durationare given each year, namely in the autumn and springterms. The first portion of the course deals with theanatomy and physiblogy of the nervous system, neuro-pathology and psychology, and consists mainly oflectures and demonstrations. The second portion dealswith clinical neurology, medical and surgical, neuro-ophthalmology, neuro-otology and radiology, and in-cludes lectures and demonstrations. Special lecturesby neurologists from outside London and from abroadare held throughout the courses. Fees, for the tenweeks' full-time course, 20 guineas; for attendinghospital practice, 15 guineas for three months or 28guineas for six months.Part-time teaching is given in the Out-Patient Depart-ment, at the National Hospital, Queen Square, on fivedays a week throughout the year (public holidaysexcepted) and at Maida Vale Hospital.Courses of clinical demonstrations are given on Wednes-days and Saturdays at the National Hospital, QueenSquare. Advertisements concerning these appear fromtime to time in the medical journals.For further particulars please apply to the Dean,. Instituteof Neurology,. Nqtional Hospital, Queen Square, London,W.C.I.

INSTITUTE OF OBSTETRICS AND,GYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Department ofObstetrics and Gynaecology of PostgraduateMedical School)Graduates must hold a registrable medical qualification.The enrolment fee is £3, and the charge for one termof 13 weeks is £36.An intensive course suitable for those preparing forhigher examinations will be held in December and June.General practitioners requiring further experience inobstetrics are accepted during the term at Queen Char-lotte's Hospital, to attend the practice of the hospital fortwo weeks, with opportunity to conduct normal deliveriesand to attend combined classes at the other hospitals.Fee £3 Ios. a week during term. Ministry ofHealth grants are payable to approved general prac-titioners attending for such a period. General prac-titioner refresher courses, lasting one week, are heldtwice a year for which the fee is £5 5s. This courseis recognized by the Ministry of Health, in the case ofapproved practitioners, for the purpose of a grant.Postgraduates may attend the practice of the hospital atthe Hammersmith Hospital during the winter vacation,when a charge of £i a week is made.Hostel accommodation is available at the HammersmithHospital and at Queen Charlotte's Hospital.Applications for further information and for enrolmentforms should be made to the Secretary, Institute of Obstet-rics and Gynaecology, Chelsea Hospital for Women,Dovehouse Street, S.W.3.INSTITUTE OF OPHTHALMOLOGY(Royal London Ophthalmic, Royal West-minster Ophthalmic, Central LondonOphthalmic Hospitals)Courses of lectures and classes beginning March i andOctober I each year to meet the requirements of can-didates entering for the examination for the Diploma inOphthalmology and other ophthalmological examinationswill be given by members ofthe staff of the Hospital andInstitute. Each course is designed to extend over twoterms of approximately I8 weeks each and is normallydivided into two parts.Part I. Anatomy (including embryology and normalhistology), elementary physiology of the eye, optics(elementary and physiological), practical tutorials inrefraction work and clinical subjects.Part II. All clinical branches of the subject, togetherwith bacteriology and pathology. Students can attendthe daily clinical practic- of the two branches of theMoorfields, Westminster and Central Eye Hospital, andhold the appointments of Junior Clinical Assistants andClinical Assistants concurrently with the above courses.A composition fee of £26 5s. od. will admit students,once to the lectures and tutorial classes of any one term,with six months' clinical practice in the hospital.Extra Courses. Slit lamp microscopy (fee £5 5s od.);orthoptic training (one week's intensive course, fee,5 5s. od.); contact lenses (one week's intensive course.fee £xo Ios. od.). Additional courses by arrangement.Hospital Practice only. Fees as follows: 'one month,£2 2S. od.; three months, £5 5s. od.; six months,£io ios. od.Facilities for research.For further information apply to the Dean, Institute ojOphthalmologyl Judd Street, London, W.C.i.

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POSTGRADUATE MEDICAL JOURNAL

INSTITUTE OF ORTHOPAEDICS(Royal National Orthopaedic Hospital)The Institute is concerned with postgraduate educationin orthopaedics and with research. The practice of theHospital (both at the town section in Great PortlandStreet and at the country section at Stanmore) is opento postgraduates, who may join at any time. '

In additionto hospital practice, formal courses of various lengthsare held during academic terms. Senior clinical con-ference, April 6, at 8 p.m.: Lt.-Cdr. G. W. Hyatt on'Tissue homografts.'Facilities for advanced clinical work are available forselected candidates having a suitable scientific orsurgical training.Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, London, W.I.

INSTITUTE OF PSYCHIATRY (Joint BethlemRoyal Hospital and Maudsley Hospital)The Institute is concerned with postgraduate educationin psychiatry and allied subjects, and with research. Acourse of instruction covering up to three years, andstarting in October yearly, is provided for medicalpractitioners who wish to specialize in psychiatry or toprepare for the Diploma in Psychological Medicine.Clinical instruction, which includes case conferences,seminars, and practical experience in case taking, isgiven at associated hospitals in the mornings, andsystematic lectures and demonstrations are arranged forthe afternoons. Students may also enrol for shorterperiods or for single series of lectures.The subjects covered include anatomy and biochemistryof the nervous system, neurophysiology, pathology ofnervous and mental diseases, psychiatry of children andadults, delinquency, principles of psychotherapy,forensic psychiatry and criminology, psychology, mentaltesting and statistics. There is a special six months'course in child psychiatry; comprising clinical instruc-tion and lectures, which starts on October I. Lectureson subjects of special interest are arranged from time totime. The tuition fee for a full year's course is£53 ios. od., including enrolment fee. For shorterperiods the fee varies with the type of course chosen.Selected students are eligible for appointments on thestaff of the Joint Hospital.Facilities for research and supervision of study forhigher degrees can be provided in clinical work and inthe biochemical, physiological, neuro-endocrinological,neuropathological and psychological laboratories.A course for Honouls Graduates in Psychology is avail-able in clinical psychology for the Academic Post-graduate Diploma in Psychology. In conjunction withthe Institute of Neurology, a course in the techniques ofelectroencephalography is provided for doctors whoexpect to take up electroencephalographic appointmentsin hospitals.Further informatzon may be obtained from the Dean,Institute of Psychiatry, Maudsley Hospital, DenmarkHill, London, S.E.5.INSTITUTE OF UROLOGY (St. Peter's, St.Paul's and St. Philip's Hospitals)Week-end 'courses of lectures and demonstrations,beginning on Friday afternoon and ending on Sundayabout tea-time, are given about once a month, asadvertised, Alternately ' Essentials of Urology' and'Advanced Urology.' Fee £5 5s. od. for each course.Lectures for general practitioners on Wednesdays,

throughout the winter months, at 4.30 p.m. for 5 p.m.No fee.Occasional clinical evenings by invitation.Guest lectures are given twice a year at the RoyalCollege of Surgeons.The practice of the hospitals, including the use of theInstitute museum, reading room and library, is open tostudents attending the courses.Applications should be addressed to the Secretary, Instituteof Urology, to Henrietta Street, Covent Garden, London,W.C.2.

EAST HAM CHEST CLINICOut-patient teaching. Mondays at 2.30 p.m.Apply Senior Registrar, East Ham Chest Clinic, KatherineRoad. Forest Gate, London, E.7.

LONDON SCHOOL OF HYGIENE ANDTROPICAL MEDICINE(University of London)Courses of study are arranged for the C.P.H. andD.P.H. (London University); D.T.M. & H. (Eng.);and Academic Diploma in Bacteriology. Short coursesare arranged in the Principles of Medical Statistics andEpidemiology, Statistical Methods and their Applica-tion in Medicine, and Applied Helminthology.For further information and enrolment application shouldbe addressed to the Secretary, London School of Hygieneand Tropical Medicine, Keppel Street, Gower Street,London, W.C.1.

NORTH LONDON POSTGRADUATEMEDICAL INSTITUTECourses in advanced medicine, advanced surgery, andobstetrics and gynaecology. Instruction in pathology,anaesthetics and radiodiagnosis. Clinical instruction atBearsted Memorial Hospital, Chase Farm Hospital,North Middlesex Hospital, The Prince of Wales'sGeneral Hospital and St. Ann's General Hospital.For further information apply to the Dean, the Princeof Wales's General Hospital, London, N.IS.PLAISTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,Plaistow, London, E.13.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in theapplication of homoeopathic principles is given by theTutors, Dr. W. L. Templeton and Dr. D. M. Foubister,at their tutorial clinics in the O.P. Department onMonday at 2 p.m. and Thursday at 1.30 p.m. through-out the year. Open to medical practitioners withoutfee.A set course of Instruction in homoeopathy is given atintervals during the year.For further information application should be made tothe Dean of the Education Course, Royal London Homoeo-pathic Hospital, Great Ormond Street, London, W.C.x.

ST. MARYLEBONE HOSPITAL FORPSYCHIATRY AND CHILD GUIDANCELecturesTand discussions on psychiatry and child

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Postgraduate News

guidance, with special emphasis on treatment, will takeplace on Wednesdays at 5.30 p.m., as follows: Ad-mission free.April6 Dr. F. D. Wride. Psycho-analysis and general

practice.27 Dr. A. McGlashan, M.C. Principles in psycho-

therapy.May4 Dr. Colman Kenton. The management of the

psychiatric emergency.For further information application should be made to theSt. Marylebone Hospital for Psychiatry and ChildGuidance, 48, Cosway Street, Marylebone Road, London,N.W.I.

ST. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentrated weekend course in the rheumatic diseasesis given each year, in March, under the auspices of theFellowship of Postgraduate Medicine.A limited number of postgraduates can attend the out-patient sessions of the unit on Wednesday and Fridaymornings at Io a.m.Applications'for attendance at these sessions should bemade to the Medical Registrar, Rheumatism Unit, St.Stephen's Hospital, Fulham Road, S.W.io.

WEST END HOSPITAL FOR NEUROLOGYAND NEUROSURGERYClinical demonstrations in neurology will be heldon Tuesdays at 5.30 p.m. as follows. Admission free,without ticket.April5 Dr. Colin Edwards. Neurological demonstration.19 Dr. N. G. Hulbert. Neurological demonstration.26 Dr. Gerald Parsons-Smith. Neurological demon-

stration.May3 Mr. I. R. McCaul. ' Intracranial aneurysm.'io Dr. T. Rowland Hill. Neurological demonstration.

EMPIRE RHEUMATISM COUNCILLecture courses in rheumatic diseases are arrangedfor general practitioners and other postgraduatesperiodically.Particulars are obtainable from the General Secretary,Empire Rheumatism Council, Tavistock House (N),Tavistock Square, London, W.C.I.

ROYAL INSTITUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygiene con-ducts recognized courses of instruction (starting annuallyin March and October) for the examinations of theConjoint Board of the Royal College of Physicians ofLondon and the Royal College of Surgeons of Englandfor the Certificate in Public Health. These lead tocourses (beginning in January and August) for theD.P.H. and, similarly (in February and July), for theD.I.H. Students are also prepared for the D.I.H.examinations of the Society of Apothecaries of London.Any of the courses may be taken whole-time or part-time. They consist of both lectures and visits. Can-didates desiring a course for either the D.P.H., or theD.I.H. of the Conjoint Board, are required by them toproduce evidence of being in possession of a recognized

C.P.H. For the C.P.H., lectures are given by specialistson the various sociological aspects, and in the D.P.H.the practical work is carried out at a county borough.The D.I.H. entails visits to all types of factories and tocoal mines, etc. The next course for the C.P.H. willbegin in September, 1955.Prospectuses, enrolment forms and full particulars may beobtainedfrom the Secretary, The Royal Institute of PublicHealth and Hygiene, 28 Portland Place, London, W.I.Telephone: Langham 2731-2.TUBERCULOSIS EDUCATIONAL INSTITUTEThree-day Clinical courses will be held as follows:King George V Hospital for Diseases of the Chest,Godalming, May 4, 5 and 6; September 28, 29 and 30.Sully Hospital, Penarth, Glamorgan, October 19, 20and 21. Red Cross Sanatoria of Scotland (Tor-Na-Dee and Glen-O'-Dee), April 27, 28 and 29. Feeper course, excluding accommodation, £3 3s. od.Further information may be obtained from the Secretary,Tuberculosis Educational Institute, Tavistock HouseNorth, Ta-istock Square, London, W.C.I.

BRISTOLMedical Postgraduate Department of theUniversity of BristolDiploma Courses. These begin in October and areadvertised in the medical press in April. Provided thereare sufficient candidates, instruction is provided in childhealth; radiodiagnosis and radiotherapy (Diplomas ofConjoint Board); Public Health (C.P.H. and D.P.H.,Bristol.Further information, copies of regulations for the BristolDiplomas and application forms for the courses may beobtained from the Director of Medical PostgraduateStudies, The University, Bristol 8.

CAMBRIDGECambridge University Medical SchoolSummary of postgraduate facilities for general prac-titioners from October I, 1954, to July 31, 1955. AtAddenbrooke's Hospital unless otherwise stated.First week in each month. Monday: Abnormalante-natal clinic, 10.30 a.m. (Miss J. Bottomley);Maternity Hospital. Diagnosis and treatment of cancer,2.30 p.m. (Prof. J. S. Mitchell); Psychiatric cases,2.30 p.m. (Dr. D. Russell Davis). Tuesday: Medicalward round, 10.30 a.m. (Dr. L. B. Cole); psychiatry,2 p.m. (Dr. R. A. Noble). Wednesday: Dermato-logical Clinic, I a.m. and 2.30 p.m. (Dr. C. H. Whittle).Thursday: Medical ward round, 10.30 a.m. (Dr. L. B.Cole), Orthopaedic Outpatients, 2.30 p.m. (Mr. T. J.Fairbank), Cardiac Clinic, 2.15 p.m. (Dr. L. B. Cole).Friday: Chest diseases, 2 p.m. (Dr. W. Paton Philipand Mr. C. Parishj, The Clinic, Shire Hall; EndrocrineClinic, 2.30 p.m. (Dr. L. C. Martin). Saturday:Medical ward round, 10.30 a.m. (Dr. L. B. Cole);Opthalmic cases, 10.30 a.m. (Mr. E. G. Recordon).Second week in each month. Monday: Medicalcases, 2.30 p.m. (Dr. L. C. Martin). Tuesday:Diagnostic radiology, 2.30 p.m. (Dr. Donnelly). Medi-cal cases, 10.30 a.m. (Mr. L. B. Cole). Wednesday:Dermatological clinic, 11 a.m. and 2.30 p.m. tDr. C. H.Whittle). Thursday: Plastic surgery clinic, 9.30 a.m.(Mr. L. M. Rouillard); Medical cases, IO.30 a.m.(Dr. L. B. Cole), Cardiac clinic, 2.15 p.m. (Dr. L B.Cole. Friday: Medical cases, 2.30 p.m. (Dr. A. P.Dick); Endocrine clinic, 2.30 p.m. (Dr. L. C. Martin).Saturday: Medical cases, 10.30 a.m. (Dr. L. B. Cole).

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POSTGRADUATE MEDICAL JOURNAL

Third week in each month. Monday: Surgicalcases, 2 p.m. (Mr. B. McN. Truscott). Tuesday:Gynaecological cases, 9.30 a.m. (Mr. O. Lloyd); Medicalcases, 10.30 a.m. (Dr. L. B. Cole); Clinical psychiatry,3 p.m. (Dr. E. Beresford Davies). Wednesday:Urological and general surgical cases, 9.30 a.m. (Mr.J. F. R. Withycombe); Orthopaedic cases, 10.30 a.m.(Mr. R. W. Butler); Dermatological clinic, i a.m. and2.30 p.m. (Dr. C. H. Whittle); Radiological demonstra-tion, 2.30 p.m. (Dr. F. R. Berridge); Clinico-patho-logical conference, 5 p.m. (Dr. A. M. Barrett); LectureTheatre, Dept. of Pathology. Thursday: E.N.T. cases,10.30 a.m. (Mr. A. S. H. Walford); Medical cases,10.30 a.m. (Dr. L. B. Cole); Cardiac clinic, 2.15 p.m.(Dr. L. B. Cole). Friday: Paediatric cases, 2.15 p.m.(Dr. D. M. T. Gairdner); Endocrine clinic, 2.30 p.m.(Dr. L. C. Martin). Saturday: Medical cases, 10.30a.m. (Dr. L. B. Cole).Fourth week in each month. Monday: Generalsurgical cases, 9.30 a.m. (Mr. P. H. R. Ghey); Ophthal-mic cases, 10 a.m. (Mr. G. F. Wright). Tuesday:Demonstration of cases and methods, 10.30 a.m.(Dr. W. A. Fell), Dept. of Physical Medicine; Medicalcases, 10.30 a.m. (Dr. L. B. Cole); Dermatologicalclinic, 2 p.m. (Dr. A. J. Rook). Wednesday: Dermato-logical clinic, i a.m. and 2.30 p.m. (Dr. C. H. Whittle);E.N.T. cases, 2 p.m. (Mr. K. F. Wilsdon). Thursday:Medical cases, 10.30 a.m. (Dr. L. B. Cole); Cardiacclinic, 2.15 p.m. (Dr. L. B. Cole). Friday: Haema-tological clinic, Io a.m. (Staff of Dept. ofMedicine); Endocrine clinic, 2.30 p.m. (Dr. L. G.Martin). Saturday: Medical cases, I0.30 a.m. (Dr.L. B. Cole).Post-mortem demonstrations daily (except Satur-days) at 12.15 p.m.One-day symposia will be held monthly on Saturdays(except in August and September) from I0.30 a.m. to5 p.m. as follows: I955, April I6, Tuberculosis andother diseases of the chest; May 14, Paediatrics;June 25, Laboratory aids to diagnosis and treatment;July I6, Gastroenterology.Further particulars may be obtained on application to theSecretary, Cambridge University Medical School, TennisCourt Road, Cambridge.

CARDIFFThe Welsh National School of MedicineC.P.H. Wales (Certificate in Public Health). Threemonths' full-time course, October to December.D.P.H. Wales (Diploma in Public Health). Twelvemonths part-time course, January to December.T.D.D. Wales (Tuberculous Diseases Diploma).Five to six months' full-time course, January to June.D.M.R.D.Eng. (Diploma in Medical Radio-diagnosis). Eighteen months' full-time course fromOctober.The number of admissions to each of the above courses isstrictly limited and early application should be made tothe Secretary, The Welsh National School of Medicine,34 Newport Road, Cardiff.

DUBLINUniversity CollegeThe followirg courses will be held during the session1954-55:C.P.H, Course and examination. Michaelmas Term.D.P.H. Course. Hilary and Trinity Terms.

Examinations. Summer Term.

D.P.M. Course. Michaelmas, Hilary and TrinityTerms. Examination, summer term.

Further particulars may be obtained on application to theRegistrar Universitv College, Earlsfort Terrace, Dublin.

EDINBURGHEdinburgh Postgraduate Board for MedicineGeneral Surgery. A three months' course of post-graduate surgery suitable for surgeons requiring arefresher course in the current outlook on generalsurgery or for graduates preparing to specialise insurgery, is arranged to start on September 26, 1955.The programme has been re-organised so as to provideco-ordinated clinical and systematic instruction ingeneral surgery wards and specialized surgical units inEdinburgh. Fee C3I Ios. od.Medical Sciences. A three months' course in appliedanatomy, physiology, pathology, bacteriology and bio-chemistry, will begin on June 27, 1955. This course issuitable for postgraduates wishing to take the PrimaryFellowship examination as a final preparation in thesesubjects. Considering basic knowledge is highly de-sirable prior to taking this course. Fee £31x os. od.A ten weeks' course in the Medical Sciences hasbeen organized by the Royal College of.Surgeons ofEdinburgh under the aegis of this Board. This coursewill start on October 24, 1955. Fee £26 5s. od.Internal Medicine. A course lasting 12 weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, begins on September 26, I955.These courses consist of 320 hours' instruction, com-prising lectures, clinical demonstrations and ward visits.Fee £31 Ios. od.Additional instruction in clinical paediatrics is arrangedin conjunction with the course in medicine, for whichthere is a small fee; the numbers are limited.Applications for enrolment should be addressed to theDirector of Postgraduate Studies, Surgeons Hall, Edin-burgh 8, supplying particulars of qualifications andpostgraduate experience.Royal Medical SocietyThe meetings of the Society are held in the Society'sHall on Friday evenings during the Autumn and SpringTerms. Meetings consist of Private Business (at 7 p.m.)and Public Business (at 8 p.m.) in which dissertationsby members or addresses by prominent medical men onsubjects of medical interest are given. Clinical meetingsare held periodically in the Royal Infirmary and filmshows of the latest medical films are given in the Society'sRooms. Prospective members will be welcomed on anyFriday evening in the Society's Hall before publicbusiness.Applications for further information should be addressedto the Secretary, Royal Medical Society. 7 MelbournePlace, Edinburgh, i.

GLASGOWFaculty of HomoeopathyA three months introductory course of lectures andclinical teaching in homoeotherapeutics for registeredmedical practitioners will be held weekly at 6.0 p.m.in the Glasgow Homoeopathic Hospital Dispensary,5 Lynedoch Crescent, Glasgow C.3, beginning March 2.Further instruction for those intending to sit the examina-tion for the Diploma of Membership of the Faculty ofHomoeopathy (M.F.Hom.) is also available.Particulars are obtainable from the Superintendent,Glasgow Homoeopathic Hospital, iooo Great WesternRoad, Glasgow W.2.

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Postgraduate News

LIVERPOOLUniversity of LiverpoolThe following postgraduate courses of instruction areoffered:-Surgery. A full-time course of one year suitable forcandidates who have already completed the PrimaryExamination of the F.R.C.S., or undertaken post-graduate study in anatomy and physiology. On com-pletion of the course students become eligible to takethe Mastership of Surgery (Ch.M.) of this Universityprovided they are graduates of an approved Universityor otherwise comply with the regulations. The fee forthe course is £60. The course begins in September.Orthopaedic Surgery. A full-time 12-month courseleading by examination to a Mastership in OrthopaedicSurgery (M.Ch.Orth.) open to all medical graduates ofapproved Universities (and to graduates in otherfaculties with qualifications in medicine) who hold anF.R.C.S. of one of the British colleges or its equivalent.The fee for the course is £70. The course normallybegins in January.Radiology. A full-time course of two academicyears leading to a D.M.R. (D. or T.) open to medicalgraduates of approved Universities and to medicallyqualified candidates who hold approved higher medicaldiplomas and a degree in a faculty other than medicine.The course allows a candidate to hold suitable approvedhospital appointments during the second year andcovers the regulations required by the Conjoint Board.The fee for the two-year course is £63. The coursebegins in October. The degree of M.Rad. may, afterreport by the Faculty, be conferred on holders of theD.M.R. (D. or T.) of this University under certainconditions.Public Health. A full-time one-year course leading tothe Diploma in Public Health, open to candidates witha medical qualification from an approved medical schoolor licensing body. This qualification should have beenobtained not less than two years before admission tothe course. The fees amount to £73 i3s. All courses ofinstruction begin in October.Tropical Medicine and Hygiene. A full-time three-month course leading to the Diploma in TropicalMedicine and Hygiene (D.T.M. & H.) open to candi-dates with a medical qualification from an approvedmedical school or licensing body. The course begins inSeptember and January. Fee £53 IIs.Anaesthesia. A full-time course of postgraduateinstruction, limited to ten students, begins on October Iand lasts for one year. The course combines instructionin the practical administration of anaesthetics with lec-tures and demonstrations in anatomy, physiology,pathology, physics, pharmacology, medicine and surgery,and anaesthesia. For the purpose of gaining practicalexperience, the students are found suitable appointmentsin recognized General Hospitals within the Liverpoolarea. The fee for the course is £60.Psychiatry. A part-time course begins on Januaiy Iand lasts for two years. It is divided into two partscorresponding to the two parts of the Diploma in Psy-chological Medicine awarded by the Examining Boardin England (R.C.P. Lond. and R.C.S. Eng.). Part Iprovides instruction in (a) anatomy (macroscopic andmicroscopic) and physiology of the nervous system, and(b) psychology. Part II deals with (a) clinical neurologyand neuropathology and (b) psychological medicine,including psychoneuroses, mental deficiency, childpsychiatry, 'forensic psychiatry and social psychiatry.Parts I and II will be held simultaneously. Studentsmay enrol for either part separately but, except in

exceptional circumstances, will not be permitted totake both parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) will be considered individually. Fees£12 I2S. od. per term or £70 for the whole course.

Applications for further information should be addressedto the appropriate department of the University, Liver-pool, 3.

NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. Part-time courses are held for theC.P.H. and D.P.H. The course for the C.P.H. oc-cupies two terms, and three terms for the D.P.H.Two-and-a-half days each week are spent in whole-time study, leaving the remainder of the time free forremunerated employment. The courses are heldbiennially and the next complete course will begin inOctober, I956.Psychological Medicine. Courses for the D.P.M.(Dunelm) are held as follows: Part I, part-time courseextending over three terms and beginning October.Part II, full-time course extending over two terms alsobeginning in October. Part I and Part II may be takentogether.For further information application should be made to theAssistant Registrar, Medical School, King's College,Newcastle-upon- Tyne.OXFORDPostgraduate Medical Education, UnitedOxford HospitalsSummary of ward rounds, clinics, demonstrations, etc.open to general practitioners from September 1954 toJuly 1955.Medicine, ward rounds, Mondays, Tuesdays, Wednes-days, Thursdays and Fridays, Io.15 a.m., Radcliffe In-firmary. Medical. Concilia, Wednesdays, 5 p.m.(alternate weeks), Radcliffe Infirmary. Clinical demon-strations, Thursdays, 2.15 p.m., Radcliffe Infirmary.Clinico-pathology, conferences, Wednesdays, 5 p.m.,Maternity Lecture Theatre, Radcliffe Infirmary (alternateweeks in full term). Chest Diseases, clinical demon-strations, Mondays, Wednesdays and Fridays, 2 and 3p.m., Osler Pavilion. Tuberculosis, ward rounds,Fridays, 2 p.m., Osler Pavilion. Paediatrics, clinicaldemonstrations, Saturdays, 10.30 a.m., Radcliffe In-firmary; out-patients, Thursdays, 2 p.m., RadcliffeInfirmary. Child Welfare, clinics (City) day and timeby arrangement with Dr. Mary Fisher. InfectiousDiseases, clinical demonstrations, day and time byarrangement with Dr. Warin, Slade Isolation Hospital.Psychiatry, clinical demonstrations, Fridays, 4 p.m.,Park Hospital. Geriatrics, clinical demonstrations,Monday, 2.15 p.m., Cowley Road Hospital. Neurology(medical and surgery) out-patients, Tuesdays andWednesdays, 2 p.m., Radcliffe Infirmary. Clinicaldemonstrations, Thursdays, 5 p.m., Radcliffe Infirmary.Venereal Diseases, out-patients, Mondays, 6 p.m.,and Wednesdays, 2.30 and 5.30 p.m., and Saturdays,2.I5 p.m., Radcliffe Infirmary. Skin Diseases, out-patients, Mondays and Fridays, 2 p.m., Radcliffe In-firmary. Surgery, accident service, daily, 10.30 a.m.,Radcliffe Infirmary. Ward rounds, Mondays andFridays, 9.30 a.m., Radcliffe Infirmary, Tuesdays, 9.30a.m., Churchill Hospital. Clinical demonstrations,Tuesdays, 4.30 p.m., Radcliffe Infirmary. PlasticSurgery, out-patients and clinical demonstrations,

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2IO POSTGRADUATE MEDICAL JOURNAL April 1955

Fridays, 2 p.m., Churchill Hospital. OrthopaedicSurgery, clinical demonstrations, Thursdays andSaturdays, 9 a.m., Wingfield-Morris Hospital. Ob-stetrics, lecture demonstrations, Mondays, Tuesdaysand Fridays, 9.I5 a.m., Maternity Lecture Theatre,Radcliffe Infirmary. Gynaecology, ward rounds,Wednesdays, 10.30 a.m. and 5 p.m., Radcliffe Infirmary.Obstetrics and Gynaecology, concilia, monthly,alternate Thursdays and Fridays, 3 p.m., MaternityLecture Theatre, Radcliffe Infirmary. Ante-natalclinics, out-patients, Mondays, 2 p.m., MaternityHome Radcliffe Infirmary and Churchill Hospital,Thursdays, 2 p.m., Radcliffe Infirmary MaternityHome, Fridays, 9.15 a.m., Maternity Lecture Theatre.Post-natal clinics, out-patients, Tuesdays, Io a.m.,Wednesdays, 2 p.m., Radcliffe Infirmary MaternityLecture Theatre.General practitioners wishing to avail themselves of thefacilities set out in this schedule should apply to theSecretary, Postgraduate Medical Committee, I KebleRoad, Oxford.

CONFERENCES, PRIZES, Etc.Association of Surgeons of Great Britain andIreland. The Annual Meeting will be held in Glasgowon April 14, 15 and I6, I955.For further information applications should be addressedto the Honorary Secretary, Association of Surgeons ofGreat Britain and Ireland, 45 Lincolns Inn Fields,London, W.C.2.

Ophthalmological Society of the United Kingdom.The Annual Congress will be held at the Royal Societyof Medicine, i Wimpole Street, London, W.I, onApril 28, 29, and 30, 1955.For further information applications should be addressedto the Honorary Secretaries, The OphthalmologicalSociety of the United Kingdom, 45 Lincolns Inn Fields,London, W.C.2.British Association of Urological Surgeons, Homeand Overseas. The Annual Meeting will be held inLondon on June 30, July i and 2, 1955.For further information applications should be addressedto the Honorary Secretary, British Association of Uro-logical Surgeons, 45 Lincolns Inn Fields, London, W.C.2.Health Congress. The Royal Sanitary InstituteAnnual Health Congress will be held at Bournemouthfrom April 26 to 29, 1955.For further information applications should be addressed tothe Secretary, Royal Sanitary Institute, 90 BuckinghamPalace Road, London, S.W.x.Queen Square Prize in Neurology. A prize of £Ioowill be awarded annually to the postgraduate student,or ex-student, of the Institute of Neurology whopresents the best written paper describing clinical workcarried out or initiated at the National Hospitals forNervous Diseases. Entries must be submitted not laterthan September 30 each year.Full particulars from the Dean, Institute of Neurology,(Queen Square), The National Hospital, Queen Square,London W.C.I.

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THE FELLOWSHIP OF POSTGRADUATEMEDICINE

6o PORTLAND PLACE, LONDON, W.ITelephone: LANGHAM 4266

PresidentSIR GORDON GORDON-TAYLOR, K.B.E., C.B., M.S., F.R.C.S.

Chairman of Executive CommitteeMAURICE DAVIDSON, D.M., F.R.C.P.

Honorary TreasurerA. A. G. LEWIS, M.D., M.R.C.P.

Honorary SecretariesMAURICE DAVIDSON, D.M., F.R.C.P.

DAVID LEVI, M.S., F.R.C.S.Executive Committee

J. W. D. BULL, M.D., F.R.C.P L. P. LE QUESNE, M.A.(OXON.), F.R.C.S.SOL. M. COHEN, F.R.C.S. ANDREW MONRO, M.D., F.R.C.S.COLIN EDWARDS, M.B., M.R.C.P. K. I. NISSEN, F.R.C.S.F. DUDLEY HART, M.D., F.R.C.P. G. S. W. ORGANE, M.D., F.F.A.JOHN HOWKINS, M.D., F.R.C.S., F.R.C.O.G. R. S. BRUCE PEARSON, D.M., F.R.C.P.

W. SOMERVILLE, M.D., M.R.C.P.Editor: Secretary: Assistant Secretary:

Professor C. G. ROB, M.C., M.CHIR., F.R.C.S. Miss M. L. WORTH Miss J. CLARKEDITORIAL REPRESENTATIVE FOR AUSTRALIA: Clive Fitts, M.D.(Melb.), F.R.C.P.(Lond), F.R.A.C.P.

EDITORIAL REPRESENTATIVE FOR CEYLON: M. M. A. Cader, M.S.(Lond.)EDITORIAL REPRESENTATIVE FOR SOUTH AFRICA: Arthur J. Helfet, M.D., F.R.C.S.

Only qualified medical practitiotners may become Members of the Fellowship of Postgraduate Medicine.Instruction arranged by the Fellowship of Postgraduate Medicine is open only to Members on payment of therequisite fees. Postgraduates (whether Members or not) are not automatically included in the mailing lists, butmust notify the Fellowship of Postgraduate Medicine if they wish to be sent syllabuses as published, and mustspecify the subjects in which they are interested. Information regarding courses can be obtained from the Office,daily between Io a.m. and 5 p.m. (Saturdays io a.m. to 12 noon). Telephone: Langham 4266.

A. I wish to become a Member of the Fellowship of Postgraduate Medicine; annual subscription ios. 6d.(if syllabuses of courses are required, please state subjects of interest).

B. I wish to subscribe to the monthly POSTGRADUATE MEDICAL JOURNAL; annual subscription 36s. postfree. (All subscriptions from month of joining unless otherwise requested. Banker's Order form forsubscriptions to the JOURNAL are obtainable on application.)

Name (in full) ...............................................................

Address ..................................................................

Telephone No. (if any)................Permanent address (if different from above).......................................

Applicants for Membership of the Fellowship must also complete the following:Medical qualifications, University or Medical School and year of graduation

April, I955

MEDICAL STUDENTS: Concession subscription to POSTGRADUATE MEDICAL JOURNAL: i per annum,post free. Special application form obtainable from the Fellowship of Postgraduate Medicine.