somehow or other, but then I will undertake to say
that I forgot it all a week afterwards. Not one
trace of a knowledge of drugs has remained in my memory
from that time to this; and really, as a matter of
common sense, I cannot understand the arguments for
obliging a medical man to know all about drugs and
where they come from. Why not make him belong
to the Iron and Steel Institute, and learn something
about cutlery, because he uses knives?
But do not suppose that, after all these deductions,
there would not be ample room for your activity.
Let us count up what we have left. I suppose
all the time for medical education that can be hoped
for is, at the outside, about four years. Well,
what have you to master in those four years upon my
supposition? Physics applied to physiology; chemistry
applied to physiology; physiology; anatomy; surgery;
medicine (including therapeutics); obstetrics; hygiene;
and medical jurisprudence—nine subjects
for four years! And when you consider what those
subjects are, and that the acquisition of anything
beyond the rudiments of any one of them may tax the
energies of a lifetime, I think that even those energies
which you young gentlemen have been displaying for
the last hour or two might be taxed to keep you thoroughly
up to what is wanted for your medical career.
I entertain a very strong conviction that any one
who adds to medical education one iota or tittle beyond
what is absolutely necessary, is guilty of a very
grave offence. Gentlemen, it will depend upon
the knowledge that you happen to possess,—upon
your means of applying it within your own field of
action,—whether the bills of mortality of
your district are increased or diminished; and that,
gentlemen, is a very serious consideration indeed.
And, under those circumstances, the subjects with
which you have to deal being so difficult, their extent
so enormous, and the time at your disposal so limited,
I could not feel my conscience easy if I did not,
on such an occasion as this, raise a protest against
employing your energies upon the acquisition of any
knowledge which may not be absolutely needed in your
future career.
* * * *
*
[1] It will, I hope, be understood that I do not include
Therapeutics under this head.
XIII
THE STATE AND THE MEDICAL PROFESSION
[1884]
At intervals during the last quarter of a century
committees of the Houses of the Legislature and specially
appointed commissions have occupied themselves with
the affairs of the medical profession. Much evidence
has been taken, much wrangling has gone on over the
reports of these bodies; and sometimes much trouble
has been taken to get measures based upon all this
work through Parliament, but very little has been
achieved.
The Bill introduced last session was not more fortunate
than several predecessors. I suppose that it
is not right to rejoice in the misfortunes of anything,
even a Bill; but I confess that this event afforded
me lively satisfaction, for I was a member of the Royal
Commission on the report of which the Bill was founded,
and I did my best to oppose and nullify that report.
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