MAI, .SXClakutta) MJWc.CL EVALUATiON O EO)RQ,-(,-Dm-THYLAMINTHOXYPHEVaper rn',M..oM.D., anK.M.Rd-: BOOKS RECEIVED

BOOK-REIEWSPOSTGR-.OAATE NEWS

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THE

POSTGRADUATEMEDICAL JOURNAL

VOLUME 35 NUMBER 41O DECEMBER 1959

CONTENTSPAGE

EDITORIAL 66CLINICAL FEATURES OF MULTIPLE MYELOMA

C. P. Dancaster, B.Sc., M.B., M.R.C.P.E., O. A. N. Hussain, M.D.,and W. P. U. Jackson, M.A., M.D., M.R.C.P. 662

MULTIPLE MYELOMA PRESENTING CLINICALLY AS OBSTRUCTIVE JAUNDICEHarold Davis, M.A., M.B., F.R.C.P., G. A. Caron, M.R.C.P., and Brian McKinney, M.B., B.Ch. 668

TORSION OF THE APPENDIX A. E. Carter, F.R.C.S. 671GALL-STONE ILEUS RECURRENCES AND MULTIPLE STONES R. V. Fiddian, F.R.C.S. 673THE ILEO-CAECAL MASS J. B. M. Roberts, M.B., F.R.C.S. 678CLOSED INJURIES OF THE PANCREAS

H. Ellis, M.Ch., F.R.C.S., andj. M. Mynors, F.R.C.S. 683SARCOIDOSIS OF THE SIGMOID COLONA. Gourevitch, M.C., M.Ch., F.R.C.S., and I.J. Cunningham, B.Sc., M.B., Ch.B., M.R.C.S., L.R.C.P. 689HEPATIC COMA AND THE HEPATO-RENAL SYNDROME

Samir K. Gupta, M.B., B.S.(Calcutta), M.R.C.P.(Edin.), and N. M. Grant, M.B., Ch.B.(Aberdeen) 692A CLINICAL EVALUATION OF THE FUNGICIDAL PROPERTIES OF 5-CHLORO-2

(p-DIETHYLAMINOETHOXYPHENYL) BENZTHIAZOLENapier Thorne, M.D., M.R.C.P., and K. M. Harvey, M.B., Ch.B. 696

BOOKS RECEIVED 700BOOK REVIEWS 702POSTGRADUATE NEWS 709

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

EDITORA. A. G. Lewis, M.D., M.R.C.P.

ADVISORY EDITORIAL BOARDMaurice Davidson, D.M., F.R.C.P. David Levi, M.S., 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. R. J. V. Pulvertaft, O.B.E., M.D., F.R.C.P.J. Hopewell, F.R.C.S. R. Bodley Scott, D.M., F.R.C.P.T. D. Kellock, M.D., M.R.C.P. W. Somerville, M.D., F.R.C.P.L. P. Le Quesne, D.M., F.R.C.S. Prof. R. Woolmer, B.M., B.Ch., F.F.A.Editorial 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.

PUBLISHERSThe Fellowship of Postgraduate Medicine, 6o Portland Place, London, W.x

700

Waok^ f eceLvedThe Editorial Board acknowledge with thanks receipt of the followingvolumes. A selection from these will he made for review.

'The Neurological Examination.' Second edi-tion. By R. N. DeJong, M.D. Pp. xv + 1078,with 368 illustrations. London: Pitman MedicalPublishing Co. Ltd. I959. L7.

'Leukemia.' By W. Dameshek, M.D., and F.Gunz, M.D. Pp. xi + 420, illustrated. NewYork: Grune and Stratton, Inc. 1958. $15.75.

'Illustrated Preoperative and Post-OperativeCare.' By P. Thorek, M.D. Pp. xi + 98,illustrated. London: Pitman Medical PublishingCo. Ltd. 1959. 30s.

'British Medical Bulletin,' Vol. 15, N6. i,Haematology. Pp. xvii + 88, illustrated. London:The British Council. 1959. 20s.

'Operative Surgery.' Progress Volume 1958.General Index. Edited by C. G. Rob, M.C.,M.Chir., F.R.C.S., and Rodney Smith, M.S.,F.R.C.S. Pp. Ioo + indices, fully illustrated.London: Butterworth & Co. Ltd. I95,8. 6os.

'Autopsy Diagnosis and Technic.' Fourthedition. By Otto Saphir, M.D. Pp. xxiv + 549,illustrated; London: Cassell & Co. Ltd. 1958.63s.'The Chemical Prevention of Cardiac Necrosis.'

By Hans Selyc, M.D., Ph.D., D.Sc. Pp. ix + 235,illustrated. New York: The Ronald Press Com-pany. 1958. $7.50.

'Paediatrics Supplement 1958.' Edited byW. Gaisford, M.D., F.R.C.P., and R. Lightwood,M.D., F.R.C.P. Pp. v + 140. illustrated. Lon-don: Butterworth & Co. Ltd. i958. 35s.

'Clinical Obstetrics and Gynaecology.' Vol. i,No. 4. Edited by D. G. Morton, M.D., and J. R.Willson, M.D. New York: Paul B. Hoeber, Inc.I958. $i8 annual subscription.'Manual of Chest Clinic Practice.' By A. J.

Benatt, M.D., Pp. vii + 1oo, illustrated. Edin-burgh: E. & S. Livingstone Ltd. 1959. ios. 6d.

'Barbiturate Therapy.' Fifth edition. Pp. 65.Dagenham: May and Baker, Ltd. 1959.

' Clinical Endocrinology.' Second edition. ByK. E. Paschkis, M.D., A. E. Rakoff, M.D., and A.Cantarow, M.D. Pp. xii + 941, illustrated.London: Cassell & Co. Ltd. 1958.'The Pathology and Management of Portal

Hypertension.' By R. Milnes Walker, M.S.,F.R.C.S. Pp. vii + 113, illustrated. London:Edward Arnold (Publishers) Ltd. 1959. 35S.

'Cancer.' Vol. 5. Edited by Ronald W.Raven, O.B.E., T.D., F.R.C.S. Pp. viii + 406,illustrated. London: Butterworth & Co. Ltd.1959. 85s.

'Treatment of Lung Cavities and EndobronchialTuberculosis.' By B. E. Barsby, M.D. Pp. vi +142, illustrated. Edinburgh: E. & S. LivingstoneLtd. 1959. 2os.'Modern Treatment Yearbook 1959.' Edited

by Sir Cecil Wakeley, Bart., K.B.E., C.B., M.Ch.,F.R.C.S. Pp. xi + 312. London: Bailliire,Tindall &Cox. 1959. 30s.

'Treatment of Cancer and Allied Diseases.'Vol. . Principles of Treatment. Edited by G. T.Park, M.D., and Irving M. Ariel, M.D. Pp. xxi +646, illustrated. London: Pitman Medical Pub-lishing Co. Ltd. 1959. £8.

'Bacteriophages.' By Mark H. Adams. Pp.viii + 592, illustrated. New York: IntersciencePublishers Inc. 1959. 15s.

' Recent Advances in Respiratory Tuberculosis.'Fifth edition. By F. Leaf, M.D., F.R.C.P., andN. Lloyd Rusby, D.M., F.R.C.P. Pp. vii + 284,illustrated. London: J. & A. Churchill Ltd.I959. 35s.'A Short Practice of Surgery.' Eleventh edition.

By Hamilton Bailey, F.R.C.S., and McNeill Love,F.R.C.S. Pp. I389 + xii with 1697 illustrations(285 coloured). London: H. K. Lewis & Co. Ltd.I959. £4. 4s.'Anatomy for Surgeons.' Vol. III. The Back

Limbs. By W. H. Hollinshead, Ph.D. Pp. xii +90o, illustrated. London: Cassel & Co. Ltd.I959. 8 gns.

' Bacterial and Mycotic Infections of Man.'Third Edition. By R. J. Dubos, Ph.D. Pp. xii +820, illustrated. London: Pitman Medical Pub-lishing Co. Ltd. 1959. 63s.

'Pain.' Second edition. By Harold G. Wolff,M.D., and Stewart Wolff, M.D. Pp. x + 121,illustrated. Oxford: Blackwell Scientific Publi-cations. I959. 32s. 6d.'The Rewards of Medicine and Other Essays.'

By Hugh Barber. Pp. vi + 140. London: H. K.Lewis & Co. Ltd. 1959. I5s.'Surgery of the Colon.' By E. S. R. Hughes,

M.D., M.S., F.R.C.S. Pp. viii + 416, illustrated.Edinburgh: E. & S. Livingstone Ltd. 1959. 63s.

'Clinical Neurophysiology.' By John Marshall,M.D., F.R.C.P.Ed. Pp. viii + 296, illustrated.Oxford: Blackwell Scientific Publications. 1959.37s. 6d.'The Innervation of Muscle.' By C. Coers and

A. L. Woolfe, M.D. Pp. xv + I49, illustrated.Oxford: Blackwell Scientific Publications. 1959.42S.

December 1959 Books Received 701

'Therapeutic Electricity and Ultraviolet Radia-tion.' Edited by Sidney Licht, M.D., Pp. xii +373, with 93 diagrams. New Haven: ElizabethLicht. 1959. $1o.

'Bronchography.' By C. Dijkstra, M.D. Pp.ix + 157 with io6 illustrations. Oxford: Black-well Scientific Publications. I959. 45s.

'A System of Orthopaedics and Fractures.' ByA. Graham Apley, F.R.C.S. Pp. vii + 357.London: Butterworth & Co. Ltd. I959. 47s. 6d.

' Viral and Rickettsial Infections of Man.' Thirdedition. Edited by T. M. Rivers, M.D., and F. L.Horsfall, Jr., M.D. Pp. xviii + 967, illustrated.London: Pitman Medical Publishing Co. Ltd.1959. 63s.

'Shakespeare and Medicine.' By R. R. Simpson,

M.B., F.R.C.S. Pp. vii + 267. Edinburgh:E. & S. Livingstone Ltd. I959. 25s.'Orthopaedic Surgery.' Fifth edition. By Sir

Walter Mercer, M.Ch.Orth., F.R.C.S. Pp. xi +1075, illustrated. London: Ed. Arnold(Publishers)Ltd. 1959. 90s.

'British Obstetric and Gynaecological Practice.Obstetrics.' Second edition. Edited by SirEardley Holland, M.D., F.R.C.P., F.R.C.S.,F.R.C.O.G., and Aleck Bourne, M.A., F.R.C.S.,F.R.C.O.G. Pp. xiv + I228, illustrated. London:Wm. Heinemann Ltd. I959. I47s.

' Children in Practice.' By John Peterson. Pp.vii + 227. London: Cambridge University Press.1959. 25s.

HOW TO GET THEREAn Address Book for the Medical profession, showing how to reach thevarious Colleges, Societies, Institutes and Hospitals in or near London

New (Fifth) Edition: 1960 In Production

Published by the

FELLOWSHIP OF POSTGRADUATE MEDICINE

60 Portland Place, London, W,I

709

POSTGRADUATE NEWSDecember 1959

The information contained in this section is published by courtesy of theorganizations concerned and no responsibility for any changes of detailor omissions 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 POSTGRADUATEMEDICINEThe following courses are planned but the dates anddetails are subject to alteration.General Medicine (M.R.C.P.). Week-end. Decem-ber I2 and 13. All day Saturday and Sunday. QueenMary's Hospital for the East End. Limited. Fee£4 4s. od.Clinical Medicine (M.R.C.P.). January 4 to February5, 1960. St. Stephen's Hospital, 5.30 to 7.30 p.m.Limited. Fee £23. (No entries accepted untilsyllabus is published and circulated.)Surgery (F.R.C.S.), General and Genito-Urinary.February I to 17. Mondays and Wednesdays at 5 p.m.Whittington Hospital, Archway Wing. Fee £5 5s.Limited.Obstetrics (D.Obst.R.C.O.G.). February 22 0 27.West Middlesex Hospital. All day. Limited. Fee£6 6s.Please note that instruction arranged by the Fellowshipof Postgraduate Medicine is open only to members (annualsubscription, from month of joining, 2Is.). 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 io a.m. and 5 p.m. (Mondaysto Fridays). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDThe following courses will be held:Basic Medical Sciences. January i8 to April 29,I960. Fees: £73 Ios. od. (full-time course), £42(lectures only).Clinical Surgery. February 15 to April 8, I960.Fee £42.Application for further information should be made toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, Lincoln's 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.

GENERAL DENTAL COUNCILThe 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 Registrar, General Dental Council,37 Wimpole Street, London, W. .

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

the work of the undergraduate medical and dentalschools.

(2) Advanced revision for practising specialists.(3) Instruction for medical and dental practitioners who,

though not specialists, desire more detailed know-ledge of any branch of medicine.

(4) Instruction for general practitioners.Comprising the Federation at present are the Post-graduate Medical School of London, Institute of BasicMedical Sciences, Institute of Cancer Research, Instituteof Cardiology, Institute of Child Health, Institute ofDental Surgery, Institute of Dermatology, Institute ofDiseases of the Chest, Institute of Laryngology andOtology, Institute of Neurology, Institute of Obstetricsand Gynaecology, Institute of Ophthalmology, Instituteof Orthopaedics, Institute of Psychiatry, Institute ofUrology.The following lectures, which are designed especiallyfor research workers and specialists in training, will bedelivered at the Londton School of Hygiene and TropicalMedicine, Keppel Street, W.C i, on Tuesday andThursday afternoons at 5.30 p.m. during the first termof the session I959-60. Admission free.December

i Dr. r. L. Gowans. The Lymphocyte.

POSTGRADUATE MEDICAL JOURNAL

December3 Dame Janet Vaughan. The relation of radiation

dose to radiation.8 Dr. L. G. Lajtha. Autoradiography in bone marrow

studies.io Dr. Sheila T. Callender. Iron absorption.Courses for general practitioners will be as follows:GeneralDecember 5December 7 to 12

I960April 4to 9April 25 to 30April 25 to 29

May 2 to 7

May 2 to 7June 27 to July I

N.W.io.National Temperance Hospital,N.W.I.

Brighton Group.Brighton Group.London Undergraduate and Post-graduate Teaching Hospitals.Fulham and Kensington Group,W.8.King Edward VII Hospital,Windsor.London Undergraduate and Post-graduate Teaching Hospitals.

Obstetrics and GynaecologyFebruary 22 to 27 Institute of Obstetrics and Gynae-

cology, S.W.3.June I3 to I8 Institute of Obstetrics and Gynae-

cology, S.W.3.AnaestheticsMarch 28 to April 9 Postgraduate Medical School of

London, W.12.DermatologyJuly 4 to 8 Institute of Dermatology, W.C.2.Applications for places on the above courses should be madeto the Secretary, British Postgraduate Medical Federation,and should state if the application is or is not made underthe scheme for N.H.S. practitioners.Extended and Week-endGeneralPaediatricsDecember 5 and 6 Children's Hospital, Sydenham.Applications for places on the above extended course shouldbe made to the hospital unless otherwise indicated.All courses are available to N.H.S. practitioners, forwhom fees and allowances (travelling expenses locumfees, etc.) are provided for courses equivalent to 22half-day sessions in an academic year, subject to certainconditions. Grants are also payable in respect ofassistant practitioners who have been qualified for atleast three years and are employed by a principal, whois himself eligible for grant. Travelling and subsistenceexpenses will be allowed and under certain conditionslocum tenens expenses. Trainee general practitioners areNOT eligible for grants.Other practitioners may attend on payment of a fee of

0o guineas for two weeks, 5 guineas for one week orextended course of i sessions, i guineas for a week-end course.Grants are also available, under certain conditions, togeneral practitioners who attend the Institute ofObstetrics and Gynaecology, for short periods duringthe regular terms' courses, when limited hostel accom-modation is available.Applications for further information should be made tothe Secretary, British Postgraduate Medical FederationI8 Guilford Street, London, W.C.I.

POSTGRADUATE MEDICAL SCHOOL OFLONDONThe Postgraduate Medical School is associated with

Hammersmith Hospital. Its teaching is directedprimarily to the training of teachers and specialists ingeneral medicine, general surgery, anaesthetics, path-ology and radiology and is based on advanced clinicalstudies, supplemented by conferences, lectures anddiscussions, with an emphasis on the scientific aspect ofinvestigation and treatment. The organized work of theclinical department is concentrated into three universityio-week terms, starting in January, April and October,leaving the vacations for more intensive research work.Research students are accepted for training and practicein methods of clinical investigation. The ordinarypractice of the hospital is continuous throughout theyear, but those not familiar with the School are advisednot to start work in vacation time. A year's com-prehensive work in anaesthetics is provided suitable forcandidates for the D.A. or F.F.A. The work of theDepartment of Pathology includes a year's course for theuniversity Diploma in Clinical Pathology, for whichI6 students with previous pathology experience areselected. The hospital Departments of Radiology traindoctors for the radiological diplomas. The Departmentof Obstetrics and Gynaecology, together with QueenCharlote's and the Chelsea Hospitals. form theInstitute of Obstetrics and Gynaecology. Many houseofficer and registrar posts are available in the appropriatedepartments.For further information application should be made tothe Dean, Postgraduate Medical School of LondonDucane Road, London, W. 12.

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 January and September,there is a full demonstration and lecture course which isfull-time and extends over a period of fifteen weeks.In addition, 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 be ac-cepted up to six weeks before the course begins. Fees:Demonstrations and lectures, £73 ios. od.; lectures only,,42 os. od. A two-months' course for Primary F.D.S.candidates is also held twice a year beginning in Decem-ber and June. The course is full-time and the fee£36 I5s. od.For further information please apply to the Secretary,Institute of Basic and Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH(Royal Cancer 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.INSTITUTE OF CARDIOLOGY(National Heart Hospital)Courses of instruction lasting i weeks are available inthe autumn and summer terms for both full-time andpart-time students; fees £36 I5s. od. and £I8 I8s. od.respectively. Special short course lasting two weeks isheld in February; fee £18 i8s. od.Enquiries, and applications for admission to courses, should

December I9597Io

Postgraduate News

be addressed to the Dean, Institute of Cardiology, 35Wimpole Street, 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 12graduates 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 large 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.SurgicalWhole-time courses in chest surgery are conductedduring three terms of ten weeks each. They includeattendance at out-patient clinics, operating sessions,ward clinics, case demonstrations and discussions, andlectures, and are conducted partly at the BromptonHospital and partly at the London Chest Hospital. Theyare intended as an introduction to thoracic, cardiac andoesophageal surgery. The fees are the same as those ofthe whole-time medical course.Fees for whole-time course (Medical, Surgical orCardiological) are &zI for one term and 437 for twoterms, and for part-time courses £13 for one term or£6 for one month.RadiologyPart-time instruction in radiology of the chest for traineeradiologists only is given each term. Fee £II for oneterm.Clinical demonstrations are given on Fridays at5 p.m. Open lectures are given on Wednesdays at5 p.m. during University Terms. Admission free.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 MedicalSchool)The Institute of Child Health is associated with TheHospital 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 aspectofchild health and disease is provided. Visits are arrangedto the department for the new-bor and premature infantat the 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.Several guest lectures are given during the summerterm by visiting paediatricians from abroad. The feesare 25 guineas for one term and 45 guineas for twoterms.

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

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.Arrangements exist for selected students to be attachedto the In-Patient Department as supernumerary resi-dential house officers. Senior students are eligible toapply for clinical assistantships in the Out-PatientClinics.Fees. 25 guineas for one term; 60 guineas for one year.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. This year's lecture course commences onOctober 7 and continues until the beginning of July.Those who wish to attend are advised to come full-timefor the whole year. Lectures are at 5.30 p.m. on Tues-days, Wednesdays and Thursdays, unless otherwiseindicated.December

I Dr. R. H. Marten. The sweat retention syndrome.2 Dr. R. W. Riddell. Histopathology of fungous

diseases.8 Dr. W. N. Goldsmith. Acneiform eruptions.9 Dr. H. Haber. Cellular naevi and malignant

melanomate.IO Dr. J. S. Pegum. Lichenoid eruptions.I6 Dr. J. O. Oliver. Modern standards for

sterilisation.Clinical Demonstrations. These are held on Fridaysat 5.30 p.m., designed for those intending to sit for theM.R.C.P. examinations. Fee for course of demonstra-tions is 5 guineas.December4 Dr. I. Muende. Clinical demonstration.ii Dr. L. Forman. ,,

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.

INSTITUTE OF DENTAL SURGERY(Eastman Dental Hospital)The Institute holds courses in orthodontics (full-time,for one year), and in periodontology, conservativedentistry, prosthetic dentistry, minor oral surgery, oralpathology and children's dentistry (variable length, full-and part-time). Refresher courses are arranged twiceyearly for general practitioners. Courses are also heldin conjunction with the Faculty of Dental Surgery ofthe Royal College of Surgeons and are suitable forcandidates preparing for the final examination for theFellowship in Dental Surgery of the College. Thesebegin in April and October (lasting for approximatelyeight months), fee £60, and in April and October thereare revision courses lasting eight weeks, fee 31 I os. 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, Eastman Dental Hospital, Gray's InnRoad, London, W.C.I.

December I959 711

POSTGRADUATE MEDICAL JOURNAL

INSTITUTE OF LARYNGOLOGY ANDOTOLOGY(Royal National Throat, Nose and EarHospital)There is daily clinical teaching throughout the yearand the theoretical aspects of the specialty and of thebasic sciences upon which it is founded are covered bycourses of lectures and demonstrations which are heldtwice annually, commencing in February and August.There are facilities for dissection as part of the course;for appointments as clinical assistants in the associatedHospital and for higher posts for advanced students.Twice yearly there are advanced revision classes forM.S. and F.R.C.S. students and practical revisionclasses for Part II D.L.O. students. Short coursesin endoscopy, malignant diseases, aural surgery, thedeaf child and pathology are arranged periodically.For further information application should be addressedto the Dean, Institute of Laryngology and Otology,330 Gray's Inn Road, W.C.I.

INSTITUTE OF NEUROLOGY(The National Hospital, Queen Square, andthe Maida Vale Hospital for NervousDiseases)The 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 ofthe other special departments, or to the research labora-tories. A limited number of part-time clinical clerkshipsare available 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 each course deals with theanatomy and physiology 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, andincludes lectures and demonstrations. Special lecturesby neurologists from outside London and from abroadare held throughout these courses. Fees for the tenweeks' full-time course, £25; for attending hospitalpractice, £I8 for three months or £32 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. Fee for either course, £2 2s. od. Advertise-ments concerning these appear from time to time inthe medical journals.For further particulars please apply to the Dean, Instituteof Neurology, National Hospital, Queen Square, London,W.C.I.

INSTITUTE OF OBSTETRICS ANDGYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Departmentof Obstetrics and Gynaecology of Hammer-smith Hospital)Two terms of 13 weeks each are held, beginning in thefirst week of March and the first week of September

(enrolment fee £3; £36 for the term's course). Generalpractitioners are accepted to attend for short periodsduring term time (fee £3 Ios. od. per week). Generalpractitioner refresher courses lasting one week are held atthe end of February and the end of June (fee £5 5s. od.).Ministry of Health grants are payable for approved prac-titioners attending either for one or two weeks duringterm, or the one week refresher course. An intensivecourse suitable for those preparing for higher examina-tions is held during the first two weeks of December andthe first two weeks of June (fee £14 I4s. od.). A limitednumber of postgraduates can be accepted to attend thepractice of the hospital during the winter vacation (fee£i per week). Laboratory training in pathology, endo-crinology and cytology is available for a limited numberof postgraduates. The Institute has hostel rooms atQueen Charlotte's Hospital and Hammersmith Hospital.Further information and enrolment forms can be obtainedfrom the Secretary, Institute of Obstetrics and Gynaecology,Chelsea Hospital for Women, Dovehouse Street, London,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 of the staff of the Hospital andInstitute. Each course is designed to extend over twoterms of approximately I6 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 practice of the two branches of theMoorfields Eye Hospital and hold the appointments ofClinical Assistants concurrently with the above courses.A composition fee of £31 Ios. 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. Orthoptic training (one week's inten-sive course, fee £5 gs. od.); contact lenses (one week'sintensive course, fee £Io Ios. od.). Additional coursesby arrangement.Hospital Practice only. Fees as follows: One month,£ 2s. od.; three months, £5 5s. od.; six months,,IO Ios. od.Facilities for research.For further information apply to the Dean, Institute ofOphthalmology, Judd Street, London, W.C.I.

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) and aRadiological Museum and the Wellcome Museum ofOrthopaedics are open to postgraduates, who may joinat any time. In addition to hospital practice, formalcourses of various lengths are held during academicterms.

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Postgraduate News

December5 and 6 Weekend course for Registrars.

12 10 a.m. Teaching Ward Round. Mr. K. I.Nissen. Country Section.

I6 8 p.m. Clinical Conference. NeurosurgicalAspects of Orthopaedics. Mr. R.Campbell Connolly. Town Section.

Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, London, W.I.

INSTITUTE OF PSYCHIATRY (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£65 8s. 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 Honours 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 techniquesof electroencephalography is provided for doctors whoexpect to take up electroencephalographic appointmentsin hospitals.Further information 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, fromOctober to April, as advertised. Fee £5 5s. od. for eachcourse.

Lectures for general practitioners are given on Wednes-days, throughout the winter months, at 4.30 p.m. for5 p.m. No fee.December2 Mr. A. R. C. Higham. Enuresis.9 Mr. A. W. Badenoch. Haematuria.16 Mr. Harland Rees. Increased Frequency of

Micturition.

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, io Henrietta Street, Covent Garden, London,W.C.2.

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 Prince ofWales's General Hospital, London, N. 5.

PLAISTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,Plaistow, London, E.I3.ROYAL EYE HOSPITALCourse of Lectures on 'Aspects of Refraction Work'by T. H. Whittington, to be held in the CourageLaboratory of Ophthalmology at the Hospital.January7 5 p.m. Binocular vision in refraction work.8 5 p.m. Hypermetropic patients and their treat-

ment.15 5 p.m. Care and treatment of myopic patients.21 5 p.m. Astigmatism and astigmatic lenses.22 5 p.m. Some defects in binocular vision.28 5 p.m. Ophthalmic lenses and their effects.29 5 p.m. Strabismus in childhood.For further information apply to the Hospital Secretary,The Royal Eye Hospital, St. George's Circus, London,S.E.I.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in the appli-cation of homoeopathic principles is given by theTutor, Dr. D. M. Foubister and Dr. L. R. Twentyman,at their tutorial clinics in the O.P. department onThursday at 9.30 and 1.30 p.m. throughout the year.Open to medical practitioners without fee.A course of lectures is also given from October to Juneunder the auspices of the Homoeopathic Research andEducational Trust. These lectures deal with the sub-jects required for examination for the Diploma of theFaculty of Homoeopathy. Fee for registered medicalpractitioners, £Io Ios. od. per session; medical studentsadmitted without charge.For further information application should be made tothe Dean of the Education Course, Royal London Homoeo-pathic Hospital, Great Ormond Street, London, W.C.I.

ST.IMARY'S HOSPITAL MEDICAL SCHOOLObstetrical and gynaecological conferences will be heldin the Lecture Theatre of the Wright Fleming Institute,W.2, on Tuesdays at 5 p.m.December

I Dr. G. L. Bourne. Anatomy and physiology of theamnion and chorion.

8 Dr. A. Bourne. Nutrition and weight gain inpregnancy.

December I95 9 713

POSTGRADUATE MEDICAL JOURNAL

ST. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentrated week-end course in the rheumaticdiseases is given each year, in March, under the auspicesof the Fellowship of Postgraduate Medicine.A limited number of postgraduates can attend the out-patient sessions of the unit on Wednesday and Fridaymornings at o0 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.

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.

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 INCORPORATINGTHE ROSS INSTITUTE(University ofLondon)Courses of study are arranged for the D.P.H. (LondonUniversity); D.T.M. & H. (London University);D.T.M. & H. (Eng.); D.A.P. & E. (London University);and Academic Diploma in Bacteriology. Short coursesare arranged in the Principles of Medical Statistics andEpidemiology, Statistical Methods and their Applica-tion in Medicine, Applied Helminthology and Environ-mental Control.For further information and enrolment application shouldbe addressed to the Secretary, London School of Hygieneand Tropical Medicine, Keppel Street, Gower Street,London, W.C.I.

ROYAL INSTITUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygieneconducts recognized courses of instruction (startingannually in March and September) for the examinationsof the Conjoint Board of the Royal College of Physiciansof London and the Royal College of Surgeons ofEngland for the Diploma in Public Health. Studentsare also prepared for the Diploma in Industrial Healthexaminations of the Conjoint Board and of the Societyof Apothecaries of London. Courses, the next whole-time beginning on March i, I960, may be takenwhole-time or part-time. Part-time courses may becommenced at any time, and all courses consist of bothlectures and visits. In the D.P.H. the practical work iscarried out at a county or metropolitan borough.Prospectuses, enrolment forms and full particulars may beobtained from the Dean, The Royal Institute of PublicHealth and Hygiene, 23 Queen Square, London, W.C.I.Telephone: Terminus 4788 and 6206.

INSTITUTE OF ACCIDENT SURGERYA 5-day course on the treatment of recent injuries willbe held at the Birmingham Accident Hospital, BathRow, Birmingham x5.

Monday, December 72.30 p.m. Introduction: Organisation of accident

services. Mr. W. Gissane.3.oo p.m. Appraisal of the severely injured. Mr.

P. S. London.Tuesday, December 89.30 a.m. Haemorrhage and shock.

I. Introduction. Mr. P. S. London.10.00 a.m. II. Correlation of clinical and labora-

tory findings. Dr. E. Topley.10.30 a.m. III. Shock due to burning. Mr. D. M.

Jackson.II.15 a.m. IV. General discussion.12.00 noon The open wound.

I. General principles. Mr. F. G.Badger.

2.30 p.m. II. Burns. Mr. R. O. Walker.3.30 p.m. III. Bacteriological considerations. Dr.

E. J. Lowbury.Wednesday, December 99.30 a.m. Injuries of large joints. Mr. H. Proctor.10.30 a.m. Rehabilitation of the injured shoulder.

Mr. R. B. Brookes.II.I5 a.m. Problems in the union of fracture. Mr.

J. H. Hicks.12.oo noon Fractures in the aged. Mr. W. Gissane.2.30 p.m. Discussion of internal fixation of fractures.3.I5 p.m. Demonstration and discussion of patho-

logical specimens. Dr. S. Sevitt.Thursday, December Io9.30 a.m. Injuries of the chest. Mr. A. L. d'Abreu.

I 1.00 a.m. Thromboembolism. Dr. S. Sevitt.I2.00 noon Injuries of the heel and ankle. Mr. W.

Gissane.2.30 p.m. Analgesia for the surgeon. Dr. D. Bigley.3.30 p.m. Serious injuries of the hand. Mr. P. S.

London.Friday, December ii9.30 a.m. Head injuries. Mr. J. M. Small.

I0.45 a.m. Injuries of the face and jaws. Mr. J. S.Cason.

I2.00 noon Abdominal injuries. Mr. H. Proctor.2.30 p.m. Transplantation of tissues. Mr. W. J.

Dempster.3.30 p.m. Class Conference.The fee for the Course (including lunch and tea) is 8guineas, payable to the Institute of Accident Surgery.Applications to the Secretary, Institute of AccidentSurgery, Birmingham Accident Hospital, Bath Row,Birmingham I5.

BRISTOL UNIVERSITYPostgraduate Diploma Courses. Courses of instruc-tion are provided for the University's Diploma inPublic Health and for the following diplomas of theConjoint Board: child health and radio-diagnosis.Further information, copies of regulations for the BristolDiploma, and application forms for the courses may beobtained from the Medical Postgraduate Dean, TheUniversity, Bristol, 8.

CAMBRIDGECambridge University Medical SchoolSummary of postgraduate facilities for general medicalpractitioners from October i, 1959, to July 31, x960(Bank Holidays excepted), at Addenbrooke's Hospitalunless otherwise stated.Each week. Mondays: 9 a.m. to xI a.m., raalothera-

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Postgraduate News

peutic centre, gynaecological radium treatment (Prof.J. S. Mitchell, jointly with Mr. 0. Lloyd or Miss J.Bottomley); 1o.15 a.m., Maternit) Hospital, MillRoad, abnormal ante-natal clinic (Miss J. Bottomley);10.30 a.m., ward round, medical cases (Dr. A. P.Dick); 2.30 p.m., ward round, medical cases (Dr. L. C.Martin); 2.30 p.m., O.P. clinic 2 Bene't Place, psychi-atric cases or subject (Dr. D. Russell Davis); 2.30 p.m.,Chest Clinic, Castle Hill, diseases of the chest (Dr.M. J. Greenberg). Tuesdays: 9 a.m., RadiotherapeuticCentre (Prof. J. S. Mitchell). Discussion of patientsfollowed by ward round; 9.15 a.m., O.P. department,dermatological clinic (Dr. A. J. Rook); i0 a.m., Pap-worth Hospital, cardiac catheterization and angiography(Dr. D. McC. Gregg); 10.30 a.m., ward round, medicalcases (Dr. L. B. Cole); 2.15 p.m., O.P. department,dermatological clinic (Dr. A J. Rook). Wednesday:9 a.m. to ii a.m., radiotherapeutic centre, discussionof cases under treatment (Prof. J. S. Mitchell); io a.m.,ward round, haematological cases (Dr. F. G. J. Hayhoe);i a.m., O.P. department, dermatological clinic (Dr.C. H. Whittle); 2 p.m., O.P. department, E.N.T.cases (Mr. K. F. Wilsdon); 2.30 p.m., O.P. department,dermatological cases (Dr. C. H. Whittle). Thursdays:9.30 a.m. (Papworth Hospital), Case Conference orClinico-Pathological Meeting; 10.30 a.m., ward round,medical cases (Dr. L. B. Cole); 2.15 p.m., O.P. depart-ment, cardiac clinic (Dr. L. B. Cole); 2.30 p.m., wardround, Papworth Hospital, thoracic medical cases(Dr. M. J. Greenberg); 4 p.m., X-ray department,cardioscopy (Dr. L. B. Cole and Dr. D. McC. Gregg).Fridays: 9.30 a.m., special clinic. neurological out-patients (Dr. M. F. T. Yealland); io a.m., departmentof physical medicine, demonstration of cases andmethods (Dr. W. A. Fell); io a.m., O.P. department,thoracic surgical cases (Mr. C. Parish); io a.m.,ward round, surgical cases (Mr. J. F. R. Withycombe);2.15 p.m., ward round, paediatric cases (Dr. D. M. T.Gairdner); 2.15 p.m., O.P. department, dermatologicalclinic (Dr. A. J. Rook); 2.30 p.m., O.P. department,endocrine clinic (Dr. L. C. Martin); 2.30 p.m., O.P.department, gastro-enterological clinic (Dr. A. P.Dick and Dr. F. R. Berridge); 4.30 p.m., except onthe days of the Clinical and Clinico-Pathologicalmeetings, Radiotherapeutic Centre (Prof. J. S. Mitchellwith Dr. F. R. Berridge), Joint X-ray DiagnosticSession. Saturdays: 10.30 a.m., ward round, medicalcases (Dr. L. B. Cole).Each month. First Monday (by arrangement): 2.30p.m., radio-therapeutic centre, diagnosis and treatmentof cancer (Dr. D. G. Bratherton); 2.30 p.m., X-raydepartment, radiological demonstration (Dr. D. McC.Gregg). First Wednesday: o0 a.m., ward round, Pap-worth Hospital, thoracic surgical unit (Mr. C. Parishand Mr. B. B. Milstein). First Thursday: 2.30 p.m.,orthopaedic O.P. department, orthopaedic cases or sub-ject (Mr. T. J. Fairbank). Second Thursday:9.30 a.m., O.P. department, plastic surgery clinic (Mr.L. M. Rouillard). Third Monday: 2 p.m., ward round,surgical cases (Mr. B. McN. Truscott). Third Tuesday:9.30 a.m., O.P. department, 2 Bene't Place, gynaeco-logical cases (Mr. 0. Lloyd); 3 p.m.. O.P. department,clinical psychiatry (Dr. E. Beresford Davies). ThirdWednesday: 9.30 a.m., O.P. department, urological andgeneral surgical cases (Mr. J. F. R. Withycombe);10.30 a.m., orthopaedic O.P. cases (Mr. R. W. Butler);2.30 p.m., X-ray department radiological demonstration(Dr. F. R. Berridge). Third Thursday: 10.30 a.m.,O.P. department, E.N.T. cases (Mr. A. S. H. Walford).Fourth Monday: 9.30 a.m., ward round, general sur-gical cases (Mr. P. H. R. Ghey); 10 a.m., O.P. depart-ment, ophthalmic cases (Mr. G. F. Wright).

Anaesthetic instruction daily by arrangement with theConsultant Anaesthetists..Post-mortem demonstrations daily (except Saturdays)at 12 noon.Clinical andt clinico-pathological meetings are heldat 4 p.m. on the second Friday of each month duringterm.One-day Symposia will be held on Saturdays at 10.30a.m. as follows:December 5. Dermatology.January 9. General Surgery.Haematology. A symposium will be held on December7, 8, and 9. Lectures and discussions on anaemias,leukaemias and haemorrhagic diseases. Fee £5 5s. od.Further particulars may be obtained from the Secretary,Cambridge University Medical School, Tennis CourtRoad, Cambridge.CARDIFFThe Welsh National School of MedicineD.P.H. Wales (Diploma in Public Health). Part-time course, extending over two academic years.Courses commence in the October in years of even date.D.T.C.D. Wales (Diploma in Tuberculosis andChest Diseases). Five to six months' full-time course,January to June.D.C.H.Eng. (Diploma in Child Health). Foursessions weekly for twelve months, commencing inOctober and April.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 following courses will be held during the sessionI959-60:D.P.H. Course. One academic year of whole-time

study. Examinations June and September.D.P.M. Course. Michaelmas term. Examinations,

Parts I and II, December and June.D.C.H. Course. Hilary term. Examinations Juneand December.

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

EDINBURGHEdinburgh Postgraduate Board for MedicineSurgery. Three months' courses of postgraduatesurgery suitable for surgeons requiring a refreshercourse in the current outlook on general surgery orfor graduates preparing to specialize in surgery, starton March 14, I960, and September 26, 1960. The pro-gramme has been arranged so as to provide co-ordinatedclinical and systematic instruction in general surgicalwards and specialized surgical units in Edinburgh.Fees £37 Izs. 6d.Medical Sciences. A three months' course in appliedanatomy, physiology, pathology, bacteriology and bio-chemistry will begin on June 20, 1960. This courseincludes an adequate amount of practical instruction andis suitable for postgraduates wishing to take the PrimaryFellowship Examination. Fee £37 I2S. 6d., includingmatriculation fee of £2 12S. 6d.Two 12-weeks' courses in the basic medical sciences(anatomy, physiology, pathology, including bacteriology)are arranged by the Royal College of Surgeons under the

December I959 715

POSTGRADUATE MEDICAL JOURNAL

aegis of the Edinburgh Postgraduate Board for Medicine.These courses, comprising lectures, demonstrations andpractical instruction will begin on February i, x96o, andSeptember 26, I960. Fee £35, which does not includematriculation.Internal Medicine. Courses lasting 12 weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, will begin on March 21, 1960, andSeptember 26, 1960. These courses consist of 320 hours'instruction, comprising lectures, clinical demonstrationsand ward visits. Fees £37 12s. 6d.Additional instruction in clinical paediatrics and tropicalmedicine is arranged in conjunction with the course inmedicine, for which there is a small fee; the numbersare limited.The Royal College of Physicians of Edinburgh awardtwo Hill Pattison-Struthers Bursaries each year tograduates attending the Internal Medicine course.Each Bursary amounts to £ioo. Applications must besubmitted to the Secretary, Royal College of Physiciansof Edinburgh, before December 14, 1959, for thoseattending the March,I960, course.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.GLASGOWGlasgow Postgraduate Medical EducationCommitteeThe Committee is prepared to consider applicationsfrom suitably qualified medical practitioners for post-graduate instruction in general medicine, general surgeryand the various specialities. Preference will be given tothose who are proceeding to higher qualifications. Anapplicant who is accepted will be attached to clinicalunits in teaching hospitals in Glasgow for a period ofthree months. Provision will be made to enable thepostgraduate student to obtain intensive clinical experi-ence by sharing in the day-to-day routine of diagnosisand treatment. Emphasis will be placed on clinicalmethods and bedside discussion.A limited number of vacancies are now available. Fee,5 per month.Applicants should write to the Convener of the PostgraduateMedical Education Committee,The University, Glasgow,W.2, stating age, qualifications and professional experienceand enclosing two testimonials from senior clinicians withwhom they have recently been associated.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 i'i-month courseleading by examinati0 n to a Mastership in Orthopaedic·Surgery (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 £90. The course normallybegins in January.Radiology. A full-time course of two academicyears leading to a D.M.R. (D. or T.) open to medical:graduates 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 tuition, examination and diploma feesamount to £73 13s. od. All courses of instruction beginin 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 beginsin September and January. The tuition, examinationand diploma fees amount to66 II9s. od.Anaesthesia. A full-time course of postgraduateinstruction, limited to ten students, begins on OctoberIand 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 £75.Psychiatry. A part-time course begins on January 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 inspecial circumstances, will not be permitted to takeboth parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) will be considered individually. FeesI12 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

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Postgraduate News

MANCHESTERUniversity of ManchesterThe following postgraduate courses are offered:D.P.M. A part-time course beginning in October andextending over nine academic terms.D.P.H. A part-time course begins in October inalternate years and extends over two academic years.The next course will begin in October 1960.D.M.R.D. The next course will begin in October1959. Applicants must fulfil the requirements of theExamining Board in England.D.M.R.T. The next course is expected to begin inFebruary 1960. It is held at the Christie Hospital andHolt Radium Institute. Applicants must fulfil therequirements of the Examining Board in England.Diploma in Statistics. A full-time course beginningin October and extending over at least one academicyear. Candidates must present evidence of suitableprevious training. (Enquiries should be addressed tothe Professor of Mathematical Statistics, The University,Manchester I3.)Further particulars may be obtainedfrom the Dean of theMedical School, The University, Manchester 13.

NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. A part-time course is held for theD.P.H. The course occupies five terms, two-and-a-halfdays each week being occupied in whole-time study,leaving the remainder of the time free for remuneratedemployment. Several suitable part-time hospital postsin the area are available to candidates attending thecourse. The course is held biennially and the nextcomplete course will begin in January I96I.Psychological Medicine. Courses for the D.P.M.(Dunelm) are held as follows: Part I, part-time courseextending over two terms and beginning October.Part II, part-time course extending over four 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 StudiesSummary of ward rounds, clinics, demonstrations, etc.,open to general practitioners during November, 1959, inthe Radcliffe Infirmary, unless otherwise stated.Michaelmas full term, October i to December 5,1959. Medicine. Ward rounds, 1o.I5 a.m., Mon-days and Thursdays (Dr. A. M. Cooke); Tuesdaysand Fridays (Dr. P. C. Mallam); io a.m., Wednesdays(Dr. E. M. Buzzard); Io a.m. Tuesdays and 2 p.m.Fridays (Prof. Sir George Pickering). Clinical demon-strations, 2.15 p.m., Thursdays in full term (Prof.L. J. Witts, Dr. S. C. Truelove, Dr. J. Badenoch,Dr. Sheila Callendar). Medical consilia, 5 p.m.,Wednesdays in alternate weeks in full term (Prof.L. J. Witts and others). Clinical pathology. Con-ferences, 5 p.m. Wednesdays, alternate weeks in fullterm (Dr. A. H. T. Robb-Smith and staff). Chest dis-eases. Clinical demonstrations, by arrangement with Dr.F. Ridehalgh, Osler Hospital. Geriatrics. Clinical de-monstrations by arrangement with Dr. L. Z. Cosin andDr. P. D. Bedford, Cowley Road Hospital. Infectiousdiseases. Clinical demonstrations, by arrangementwith Dr. J. F. Warin, Slade Hospital. Neurology.Clinical demonstrations, 5 p.m., Thursdays in full term(Mr. J. B. Pennybacker, Dr. W. Ritchie Russell, Mr.

W. S. Lewin, Dr. Honor Smith, Dr. C. W. M. Whitty,Dr. J. Spalding); ward rounds, io a.m. Fridays (Dr.Ritchie Russell and Dr. C. W. M. Whitty, ChurchillHospital); O.P., 2 p.m., Tuesdays (Dr. Ritchie Russell,Dr. C. W. M. Whitty, Dr. J. Spalding); 2p.m., Wed-nesdays (Dr. C. W. M. Whitty, Dr. Honor Smith, Dr.J. Spalding). Neurological surgery. O.P., 1.45 p.m.,Wednesdays (Mr. J. B. Pennybacker, Mr. W. S. Lewin).Paediatrics. Ward rounds, 10.30 a.m., Saturdays (Dr.Victoria Smallpeice). Psychiatry. Clinical demon-strations, 4 p.m. Fridays in full term at WarnefordClinic (Dr. R. G. Mclnnes). Skin diseases. O.P,,2 p.m., Mondays and Fridays (Dr. H. R. Vickers).Social medicine. Demonstrations by arrangementwith Dr. Alice Stewart, Department of Social Medicine,8, Keble Road. Venereal diseases. O.P. male5.30 p.m. Wednesdays, 2 p.m. Saturdays (Dr. P. C.Mallam); O.P. female, 6 p.m. Mondays, 2.30 p.m.Wednesdays (Dr. Frances Nichol). Surgery. Wardrounds, 10.30 a.m. Thursdays, Churchill Hospital(Mr. A. S. Till). O.P. fractures, io a.m. Mondaysto Fridays (Mr. J. C. Scott, Mr. R. G. Taylor, Mr.J. D. Morgan). Clinical demonstrations, 4.30 p.m.Tuesdays (in full term). Jaw injuries. Ward rounds9 a.m. Wednesdays (Mr. D. S. Hayton-Williams).Orthopaedic surgery. Clinical discussion, 9 a.m.Thursdays and Saturdays at Nuffield OrthopaedicCentre (Prof. J. Trueta, Mr. J. C. Scott, Mr. R. G.Taylor, Mr. E. W. Somerville, Mr. J. Agerholm,Mr. J. D. Morgan, Mr. J. H. S. Scott). Plasticsurgery. Clinical discussions and O.P., 2 p.m. Fridays,Churchill Hospital (Mr. E. W. Peet); io a.m. Thurs-days, Churchill Hospital (Mr. T. J. S. Patterson);Radiotherapy. Ward rounds, 9.30 a.m. Thurs-days, Churchill Hospital (Dr. Frank Ellis). Obstetrics.Lecture demonstrations, 9.15 a.m. Mondays and Tues-days, 2 p.m. Fridays (Prof. J. C. Moir and staff); wardrounds, 10.30 a.m. Tuesdays (Mr. W. Hawksworth), IIa.m. Fridays (Prof. J. C. Moir). O.P. antenatal, 2 p.m.Mondays (Mr. M. P. Embrey), io a.m. Wednesdays(Mr. W. Hawksworth), 2 p.m. Thursdays (Mr. J. A.Stallworthy), 2 p.m. Fridays (Nuffield Departmentstaff), 2 p.m. Mondays, Churchill Hospital (Mr. J. A.Stallworthy), io a.m. Fridays, Churchill Hospital (Mr.W. Hawksworth). O.P. post-natal, io a.m. TuesdaysNuffield Department Staff); Infant Welfare Clinics,2 p.m. Wednesdays and Thursdays, by arrangementwith Dr. Mary Fisher, City Clinics. Gynaecology.Ward rounds, i i a.m. Tuesdays (Prof. J. C. Moir),10.30 a.m. Wednesdays (Mr. J. A. Stallworthy).Diabetes clinic. O.P., 2 p.m., Mondays and Fridays(Dr. A. M. Cooke). Obesity clinic. O.P., 2 p.m.Mondays (Dr. P. C. Mallam).General practitioners wishing to avail themselves of thesefacilities should notify the Director of PostgraduateMedical Studies, Osler House, 43 Woodstock Road,Oxford (Telephone: Oxford 41021).CONFERENCES, PRIZES, Etc.Upjohn Travelling Fellowships, 1959. Applicationsare invited from members of the College of GeneralPractitioners for not less than 15 travelling fellowshipsof up to 20oo each in value. These fellowships are tpenable general practitioners to carry out a minimum oftwo weeks' postgraduate study at their old teachinghospitals or at any other hospitals, clinics, healthcentres or general practices of their choice in theUnited Kingdom or Eire. They are not available forstudy overseas. The award made to each successfulapplicant is intended to cover his expenses whilepursuing his studies, and to enable him to organize hispractice-including, if necessary, a locum tenens-during his absence.

December 1959 7I7

718 POSTGRADUATE MEDICAL JOURNAL December I959These Upjohn Travelling Fellowships are presentedannually by Messrs. Upjohn of England Ltd. to mem-bers (not associates) of the College of General Prac-titioners practising in the United Kingdom or Eire, whohave not previously been awarded an Upjohn Fellow-ship. They will not be awarded where a Governmentgrant is available for attending a course which wouldcover the field of study.Application forms and full particulars for the x959Upjohn Fellowship may be obtained from the Secretary,The College of General Practitioners, 41 Cadogan Gardens,London, S.W.3.Simpson-Smith Memorial Prize. The Institute ofChild Health is offering a Simpson-Smith MemorialPrize for I959 for the best dissertation or essay on:'Spina Bifida.' Competition for the Simpson-SmithPrize is open to men and women from the BritishCommonwealth or Eire who are engaged in the practiceof surgery. In assessing the merit of the dissertationoriginality in both experimental and clinical observationwill be regarded as of the highest importance. Theprize will consist of a money award of Ioo guineas.For full particulars apply to the Secretary, Institute ofChild Health, the Hospital for Sick Children, GreatOrmond Street, London, W.C.I.Riker Fellowship in Pharmacology. The firstFellowship has been provided since 1954, and com-mencing the next academic year two will be awardedannually. The Fellowships provide a grant of £x,ooofor one year of postgraduate study in pharmacologicallaboratories in Great Britain. Two similar Riker Fellow-ships are available in the United States. The Fellow-ships are awarded and administered by the InternationalCouncil of Pharmacologists in association with theBritish Pharmacological Society and other pharmaco-logical societies affiliated with the International Council.

The Fellowships aim to provide opportunities forgraduates to pursue research abroad, thus one of theconditions of their award is that pharmacologists are noteligible for Fellowships tenable in their country ofresidence.Full particulars from Riker Laboratories Ltd., MorleyStreet, Loughborough, Leicestershire.

ANGLO-FRENCH EXCHANGE BURSARIESApplications are now invited for the bursaries whichwill be awarded in I960 to young British doctors underthe exchange scheme arranged by the French Embassyin London between the Institut National d'Hygiene inParis and the Ciba Foundation in London. The valueof the French grants is 87.0oo francs a month, tax freeand they will be awarded for periods of two to fourmonths to medical men who wish to obtain clinicalexperience or carry out research in France. Since theaim of the exchange is to spread in each country know-ledge of methods, achievements and outlook on theother side of the Channel, preference will normally goto candidates who hold teaching posts or are in positionswhere they can pass on the experience they haveacquired.The British Selection Board is composed as follows:Professor Alexander Haddow, Professor JohnMcMichael, and representatives of the British Council(Dr. Margaret Suttill), the British Postgraduate MedicalFederation (Dr. C. F. Hamilton-Turner), the MedicalResearch Council (Dr. F. J. C. Herrald)-joint secre-taries: Miss A. M. Vidal-Hall (French Embassy) andDr. G. E. W. Wolstenholme (Ciba Foundation).Application forms may be obtained from the Director.The Ciba Foundation, 41 Portland Place, London, W.I,The closing date for applications is January 30, I960.

UNIVERSITYEXAMINATION

POSTAL INSTITUTION17, Red Lion Square, London, W.C.I

G. E. OATES, M.D., M.R.C.P., London

UP-TO- DATE POSTAL COURSESPROVIDED FOR ALL MEDICAL

EXAMINATIONS

INTENSIVE COACHING BY POST FOR THEF.R.C.S., M.R.C.P., D.A., D. and M.R.C.O.G.,D.C.H., F.F.A., D.P.M., D.O., D.L.O., D.P.H.,D.T.M. & H., D.M.R.D. and D.M.R.T. (Part 2),AND OTHER POSTGRADUATE DIPLOMAS

PROSPECTUS, LIST OF TUTORS, Etc.on application to

Dr. G. E. OATES, 17 RED LION SQUARELondon, W.C.I. Tel.: HOLborn 6313

GLASGOW POST-GRADUATE MEDICAL EDUCATION

COMMITTEE

COURSE IN PSYCHOLOGICAL MEDICINE

A two-term part-time course has been organisedto run during the Candlemas (January I I toMarch 19) and Whitsun (April i8 to June 25)terms, I960. The course is designed to supplyformal training for graduates who intend tospecialise in psychiatry, but is open to all regis-tered medical practitioners. The instruction willamount to ten hours per week given on Monday,Tuesday and Thursday afternoons and Saturdaymornings. During the Candlemas term, instruc-tion will be provided in disciplines basic topsychiatry. During the Whitsun term, instruc-tion will be on clinical subjects and students willattend various psychiatric hospitals. The feefor the course is £35.

For further details, application should be madeto the Convenor of the Post-Graduate MedicalEducation Committee, The University, Glasgow,W.2.

THE FELLOWSHIP OF POSTGRADUATEMEDICINE

60 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.E.ecutive Committee

COLIN EDWARDS, M.B., M.R.C.P. K. I. NISSEN, F.R.C.S.F. DUDLEY HART, M.D., F.R.C.P. R. J. V. PULVERTAFT, O.B.E., M.D., F.R.C.P.J. HOPEWELL, F.R.C.S. R. BODLEY SCOTT, D.M., F.R.C.P.T. D. KELLOCK, M.D., M.R.C.P. W. SOMERVILLE, M.D., F.R.C.P.L. P. LE QUESNE, D.M., F.R.C.S. PROF. R. WOOLMER, B.M., B.CH., F.F.A.

Editor: A. A. G. LEWIS, M.D., M.R.C.P. Secretary: Miss P. BARKEREDITORIAL REPRESENTATIVE FOR AUSTRALIA: Clive Fitts, M.D.(MELB.), F.R.C.P.(LOND.), F.R.A.C.P.t 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 practitioners 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,Monday to Friday between io a.m. and 5 p.m. Telephone: Langham 4266.

t . , . , . .- --. ,..-

A. I wish to become a Member of the Fellowship of Postgraduate Medicine; annual subscription 2Is. od.(if syllabuses of courses are required, please state subjects of interest).B. I wish to subscribe to the monthly POSTGRADUATE MEDICAL JOURNAL; annual subscription 63s. postfree. (All subscriptions from month of joining unless otherwise requested. Banker's Order form forsubscriptions to the JOURNAL are obtainable on application.)

Surname (in block letters) ................................................(Dr., Mrs., Miss)

Forename ...............................................................

Nationality..............................

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

December 1959