Abstract
At most of the 12 voluntary hospitals with medical schools in 1935 London — accommodating about 3000 medical students in training — the consultants who worked and taught there were part-time. The senior surgeon or physician was nominally head of his discipline and jealous of his position. Professors were unusual, even in pathology where the work was also part-time: in the provincial universities full-time pathologists were common. The appointment of four full-time Professors to a hospital in London in 1935 was therefore novel. The three Professors of medicine, surgery and gynaecology were considered to hold ‘clinical’ posts: each had a Reader, two first Assistants, about four housemen and 150 beds.
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Chapter 13
Machiavelli had written 400 years earlier: ‘Where the end is good, the means will always be justified.’.
Machiavelli is supposed to have said that ‘the innovator has for enemies all those who have done well under the old conditions’; the Hammersmith recognized that tradition reinforced complacency and had encouraged the questioning of traditional practices.
Health Service Cost Statements. N.W. Thames R.H.A. for year 31 March 1983.
Statistics supplied by the Records Office, Hammersmith Hospital.
The number of centenarians had increased too, from about 200 in 1954 to 2000 in 1984 (Clarke, C. C. (1984) ‘Hybrids and hybridity’, J. R. Soc. Med., 77, 821-829, according to the records from Buckingham Palace).
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© 1985 MTP Press Limited
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Calnan, J. (1985). Clinical Practice. In: The Hammersmith 1935–1985. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6358-3_13
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DOI: https://doi.org/10.1007/978-94-011-6358-3_13
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-6360-6
Online ISBN: 978-94-011-6358-3
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