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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

  1. Machiavelli had written 400 years earlier: ‘Where the end is good, the means will always be justified.’.

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  2. 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.

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  3. Health Service Cost Statements. N.W. Thames R.H.A. for year 31 March 1983.

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  4. Statistics supplied by the Records Office, Hammersmith Hospital.

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  5. 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

  • eBook Packages: Springer Book Archive

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