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Ail othar original copiac ara fiimad baginning on tha first paga with a printad or iliustratad impras- sion, and anding on tha last paga with a printad or liiuatratad impraaaion. Laa axamplairas originaux dont la couvartura •n papiar ast imprimte sont fiimAs sn commandant par la pramiar plat at an tarminant soit par la darniAra paga qui comporta una amprainta d'imprassion ou d'lllustration, soit par la sacond plat, salon la cas. Tous las autras axamplairas originaux sont filmAs an commandant par la pramiira paga qui comporta una amprainta d'imprassion ou d'lllustration at an tarminant par ia darniAra paga qui comporta una taiia amprainta. Tha laat racordad frama on aach microfleha shall contain tha symbol -^(moaning "CON- TINUED "), or tha symbol ▼ (moaning "END "), whichavar applias. Un das symbolas suivants appi attra sur la darniAra imaga da chaqua microficha, salon la caa: la symbols — »> signifia "A SUiVRE", la symbols V signifia "FIN". Mapa, piataa. charts, ate may ba fiimad at diffarant raduction ratios. Thosa too larga to ba antiraly includad in ona axposura ara fiimad baginning in tha uppar laft hand cornar, iaft to right and top to bottom, as many framaa aa raquirad. Tha following diagrama liiustrata tha mathod: Las cartas, pianchas, tablaaux, ate, pauvant Atra filmAa A daa taux da rAduction diff Arants. Lorsqua la documant ast trop grand pour Atra raproduit an un saui cllchA, ii ast filmA A partir da I'angla supAriaur gaucha, da gaucha A droita. at da haut an bas, an pranint la nombra d'imagas nAcassaira. Las diagrammas suivants iliustrant la mAthoda. 1 2 3 1 2 3 4 5 e tm Leltci I. I 4N EXrOSITIOW OF THE "REASONS" CONTAIN- ED IN THE COUNTER PETITION OF THE MK- UICAL FACULTY OF M'GILI. COLLEGE. To the Honorable the Memberf of the Legislative Council and Legislative Assembly. Gentlemen, A measure will shjr'Jy be submitted fjr your sanction, and seemingly simple although the request appears, which is sought to be obtained by it, it yet involves interests of exceeding magnitude. It is not unknown to your Honorable Houses, that curly in owes its present hi;^h and dignified position, and that it is to the absence of it, or the free trade principle, that that Professional character has elsewlicre been degraded. The fact wiiich I now assert, I shall not leave unsupported by proof, by ample proof, but to adduce it now would be to anticipate my subject. ^Vc may here, u jt irrelevantly, enquire into the | nature of the " Diploma or Certificate," the privi- lege of granting which has been petitioned for. In limine, I observe, that a Diploma and a Certificate are by no means one and the same thing. A Diplo- ma is a Certificate, but a Certificate is not a Diplo- ma ; and I use the terms in the conventional sense ' only issued by two Authorised Bodies in Great Bri- \ tain — the Societies of Apothecaries, of London' December a petition was presented to you, signed ' in which they are employed in England. Certifi- by the lecturers and students of a new School of j cates, according to that meaning, (and it is the | Medicine in this ci'y, in which the petitioners prayed meaning employed by the Bodies themselves) are* not only for an Act of Incorporati'jn, but what was of far greater importance, the permission to grant a diploma, or certificate, to such Students, who, after ! aiid Dublin. They are in reality Licences, or " Ccr- 1 an examination before thcmseWes, shall have becir tificates of qualification to practice," as Apotheca- J found worthy of it. On the 9;h Dcembcr, a coun- , ries, and constitute that authority by which thef ter petition to the above was presented to the Logis- General Practitioners of England, Ireland, and^ lative Council, by the Hon. Mr. Druneau, and to Wales, exercise their rights. Diplomas, again, are i the Legislative Assembly by the Hon- G. Mof- j "letters testimonial," granted only by the Royal i r ATT, cmanat.ng from, and signed by, the Professor and Lecturers in the Faculty of Medicine of M'Gill College. The Faculty of Medicine humbly con- ceiving that tiie delegation of a privilege, such as that sought for, would be injurious to the best inter- ests of the country, deliberately expressed their opin- ion on the matter ; and however great the obloquy has been which they have since encountered from those most interested in the matter, they at least have the satisfaction of knowing, that the cause which they have sustained — not more their own than that of the profession at large — is approved of by par- ties unconnected with themselves — parties who, un- trammelled and unbiassed by party feelings, have estimated the question oo its own intrinsic merits. The Petition, Gentlemen, embodies two requests : tlie one an Act of Incorporation, the other the privi- lege to grant a Diploma. The Act of Incorporation is one thing — the privilege to grant a Diploma is another. The former is a matter of very little con- sequence, but if the latter be conceded also, it tht;n becomes a serious question. Most important inter- ests immediately become affected — interests apper- taining not only to tht Medical Profession generally but to the community at large. Under the cry of Monopoly has the banner of free trade principles in matters of Medical science been here unfurled, which, whatever may be the opinion entertained of the benefits of their introduction into commercial af- fairs, can be demonstrated to have induced the most pernicious effects in matters of Medical Polity. Monopoly "? I .shall prove, Gentlemen, that it is to lliis very monopoly that the British Medical chara^ ler Colleges of Surgeons of England, Scotland, and Ire land, and the Faculty of Physicians and Surgeons of 4 Glasgow, expressive of the proficiency of the indivi-jl duals who hold them i.i the particular branches spe-H cified. Diplomas arc to Surgery what " degrees" arc to Medicine. A Diploma, however, is not af Degree. Degrees are honours, whether in the Fa- 1 'I culties of Medicine, Divinity, Arts, or Law, and arei conferred by Universities and Universities only. Inf Great Britain, both are Licences ad practicandum,- and the holders practice accordingly, those of the ' first as Surgeons, and those of the second as Physi- cians. It would be folly in me. Gentlemen, to deny the' fact, that by establishing schools, with power to grant Diplomas, with all the flattering seducemcnts connected with short courses and small fees, the pe- cuniary interests of the Universities would not suf-' fer. I cannot for a moment believe that you, as the' Guardians of public good, will suffer to be sacrificed on such grounds, the higher seats of learning in this ' Province, upon the maintenance cf which the respec- tability of the Medical Pjrofession, as well as the best, interests of the public are essentially dependent, but' I shall at once take higher ground, and assuming > as my texts the " Reasons" of the Medical Faculty, . sliall argue the question on its abstract merits. I have the honor to subscribe myself. Gentlemen, Your most obedient servant, A. Hall, M.D ! Montreal. Feb. 13. 1845. '' *'/■■''»■" ' 11 ' >! ■Ill '«.' I; '••'^"' • Letter II. AN EXPOSITION OF THE "REASONS" CONTAIN- ED IN THE COUNTER PETITION OF THE ME- DICAL FACULTY OF M'GILL COLLEGE. Reason, I. — Because under the present circum- stances of the Province with its comparative- ly limited population, the Mfidicnl Schools attached to the two Univenities of King's College and M'Gill College are more than sufficient for every purpose of such Institu- tions. Reason, II — Because the number of young men entering the Medical Profession, although doubtless bearing the same ratio to the aggre- gate population as in other countries, is from the same cause in this Province limited, and thu »t- 4^ ^ u o tr» to ^ ^^ r —> hj •^1 ^ CO CO o • o ^ "oo a s o m ?^ a> ■^ .^ M (;< ><::. .^j m ~J o y< to M ^? >c» CO « v-^-v-*.^ • • 9'^ O 3 s=5-2 »C ^ K3 iii S £.o »> 1— » H-. ¥^ >-' ^ g) i) D D D |S- ^^ »-A K* 12, o \* tn C5 o CI xi P n to O JS ^1 95 C. P to to -< ^ r n ^ w V* **-. 1 00 4^ "bi o o 1 c< O c Ol i;i B 1 -» Ui o to 1.^ r It thus appears that we have already in this couu J ^ with will be u O try, nearly three liinea as many CoUcgety ccnfcr- riiig degrees, in reference to the popiilution. at ob- tains in Germany, France or Great Britain, and that wc have even a greater relative proportion than is met with in the United States, where the free trade principle has run rampant, and where the cry of " no monopoly" has ever been the order of the day. Butindependent of the two Universities, we have three medical boards, one at Toronto, Quebec, and Montreal, which in accordance with the law, have the power of licensing, irrespective of the Universi- ties ; add to these again, the claim of the " New School," with power to grant a diploma; the peti- tion of tlw Marine Hospital of Quebec, and (as the "sunset of LIFE," in the words of thc Scottish seer, " gives mystical lore,") the phediction of Ihe Montreal Medical Gazette, that thc next Session of Parliament will witness the preferment of a claim. 223, which is a very limited number for the sup- port of two schools, admitting tiiem to be equally divided between both, and that all attended the lec- tures, the latter of which is well known not to be the : case. f 2. The inference is a matter of £ a. d. Let use suppose, in the first place, that the students frequentn the two existing Medicrl Schools in equal numbersji in thc proportion of 1 1 1 1> < each. According to the pro-lj posed Medical Bill, the pericd of study will be Iimit-i| ed to four years, with one sessional attendance oni'I certain branches of medical science; con»equently,|j each lecturer will have the fourth part of that num-oi ber annually in attendance on his lectures; givingrl him an annual class of 27. Assuramg £3 to be theil fee, (which is that of M'Gill College) he will reccivet;! annually from hb class the sum of JC81 — and this for,^ a six monlhi' course of 120 lectures. But I haves^* by a third party in this city, for powers similar to | now assumed the best feature of the case : there wilf what the New Schoul is now demanding ; and let me be five schools, and tlie 223 students are to be divid- ask of you, gentlemen, what will be lay what must i ed among the five ; albwing to each the large num- be, the result of all thisl i^'ar^s then confirm thc first Uer of 44. This divided by 4 will give us by tlic ^ reasonable objecticn urged by the Medical Faculty, same rule the annual class of each lecturer, 11 stu- ;|' Reason 2.— This contains an assertion similar | dents ; yielding him, according to the «ame scale ol ; f in character to the preceding, and an inference ; ^^cs, the sum of £33, which is to be his « adequate ,; drawn from it. Wc may therefore consider it under j remuneraUon" for all his toil and trouble, and out ol ' two heads. which all incidental expences connected with his ^ r. The exact number of students in medicine in jdass, are to be defrayed independently of the «ac-. Canada, cannot be determined with any precision. ' quisition of thc necessary materials fur Uie illustra- We may come near the truth by estimating tlieir tion of his lectures." number according to the ratio which they bear to the population of other countries. They " doubtless do I have not in these statements, Gentlemen, strain- ed a point, or tuken the slightest undue advantages baar thc same proportion," and no reason can be ^ appears to me that I have discussed this question asbigned why they should fall short of, or exceed that ftiirly and candidly. The pos.tiye evils which wil." ratio. By an able writer in the last number of the ' ^^ cntaikd, require surely to be well considered be- Quarterly Review, the number ofindividuals licensed fore a ruinous concession be made, to tlie crj annually to practice in Great Britain is computed at \ of " "O monopoly," such " monopoly" having ir fromS'JOtolOOO. Now as fi;ur years is then minimum i truth no existence. One certain effect will fol- period of study, we may fairly estimate thc number of low— so surely as that concessici, L made,— thc lom- medical students at 4000 on the lowest computation- \ P^t^te destruction of the Universities, which I havt In tlie American Almanack for 1844, tlie number of | shjwn to be more than sufficient for every purpos< ; students attending the difierent Schools in the United of such institutions in this Province. Canada L States is given as 3177. The following table then will give us a comparative view of thc number in tliis country, estimated by the mean of the popula- tion of the two countries divided by the mean of the number of students : — Population. Medical. Ratio of students Students to population. Great Britain 26,835,773 4000 1 (d) 6708 United States 17,063,353 3177 1 ^ 5370 Canada 1,199,704 196 1 ra 6120 Or estimated by the ratio whicii obtains in the United Slates, which is considerably higher than tlial ill Great Britain, tiuir number nill be now an anomaly in the world, as regards the num- ber of her Chartered Medical Schools to herpopi'la' tion. What will she be when such schools arc mul- tiplied % Reason 3. — This is a self-evident proposition or it may be viewed as a corollary to the two pre- cedit.g reasons, and requires no demonstration noi exposition. I have the honor. Gentlemen, To subscribe myself ycurmost cbd't. scrvt., A. Hall, M.D Montreal, February 17, 1345. -V [^«r i Letter i:i. AN KXPOSITION OF THE " REASONS " CONTAIN- ED IN THE COUNTER PETITION OF THE ME- DICAL FACULTY OF M'OILL COLLEGE. Reason, IV. — Because from a desire to swell the list ofstudtnts, and of those who annually receive Diplomas, various temptations indc- I pendent of pecuniary ones nay be held oul, especially those of an inferior standard of qualification and of assurance of license to j practice wlien their curriculum is com- i. pitted. Reason, V. — Because the existing Provincial Medical Boards Cimperfect though the Law be under which they are constituted) are guile adequate to the wants of the public in pre- venting the admission of incompetent persons to pi'actice,while they are not open to the same temptation of grunting liienses to imper- fectly p'-epared students, as rival Schools would be. ASON, VI. — Because if the privilege of granting a Diploma equivalent to a license ad phac- TiCANDUM be accorded, a bad precedent would be established, and a similar boon could not with any projmety be refused to any number of similarly sdf constituted as- socictions, which would assuredly have the effect of lowering the standard of quulifica- , tion and establishing a rivalry, nut us to which School jvould produce thcbist educated jnactitioners, but uhich uould grant iht: greatest number of Diplomas. UE i I I ft! ''o the Honorable the Members of the Legislative Council and the Legislative Asiembhj. i'rENTLEMEN, ,,, , ,. ,,. i f Id continuance of our suljcct,we now arrive at llic [^Fourth Reason" advanced by the Medical Faculty, bd it is one that I npproacli not without feclir.gs of Muctancc. The question which naturally arises is — ^ave practices such as are specified in the Reason '•cvailed anywhere ? And if so, where '{ reply ■\at such proceedings have been practised in the ad- '^ining Slates ; and I shall now substantiate what I 'ive affirmed : ^ About three years ago, an eminent Professor of inatomy, from the United States, visited this city ir the purpose of delivering h popular course of lec- Bres en Anatomy. He stated to mysi If and to liters, that he was desirous of establiahing in the ollege to which he belonged as high a standard of ifcdical attainment as possible, but thai it was itn- [(ssible to accomplish that object, inasmuch as ma- rf were permitted to get possession of biplonias at );e Cnllege, whose qualidcations were7ieyt/subniit- (^ to hiiri. The " Trustees" conceived it fur the glcrest uf the Institution, in a pecuniary way, t3 gant them after the following very characteristic »<»nn(>r: — lie was solicited by the Trustees to sign . \ ihu conclusion of the Session, a nuiuher of blank- Diplomas — he was requested to do this, ni>d trcourto could hardly refuse so innucent a request. Out lliu consequence of his doing so resulted simply in this, the hatching of a fl jck cf M.D.V, wh?, without hav- ing ever sulj.xted themselves to any examination, CiJine forth to tiie world in the full-blown honors of genuinely-made Graduates. Again, I have tj state, upon the auth(,rity of a Graduate in Arts of one of the first American Uni- versities, that it is not an uneonmion practice in one, at leastjof the minor Medical Schools in that country, to add to its (lublislied list of Medical Students, thu names of Students in the Faculty ofJrts, to inuko that list as imposing as possible. 1 have further to state, and it is a matter of noto- riety, thai French Canadian Sludents, who have confessed their inability, when applying lor license at the Me'iical Board in this city, to speak one word of English, have resorted to ajme of tiio American Border Colleges, in which not one word of French is spoken, and that after a sessi >:ial attendance there of a few weeks, they have received thvir degree in Medicine. And lastly, gentlemen, I have to state, onU I do this on the authority of the Secretary of the Mon- treal Medical Board, that since the organization of lh;it board in 1839, of fifteen American Graduate's, applicants for license to practice in this Province, five were rejected; making one-third of the whole number. Of one of these American Graduate^, I was mys. If one of the examinators, uad I can testily to his utter ignorance and inco npettncy. Now, gentlemen, if these things are s?, mny not tlie causes wliieh have led to them be with us, an object of inquiry which deeply concerns us % May we not with every justice and reason, nsk why De- grees, the highest honours in any Faculty, arc con- ferred on individuals utterly unworthy of them ? Must not the preparatory examination,to which these young men were submitted, have been but a mock- ery 1 And is this one iota better than the awarding of similar Degrees to individuals who never passed any examination at all 1 Arc proceedings like tiiesu calculated to elevate the cliaracter of any Profession anywhere '{ Will not that Professional ciiaructcr surely but slowly become degraded,Degrees and Di- plomas become objects of contempt, and instead of communicating to the holder respect and conlldcncc, engender towards him suspicion and distrust 1 Amjng the mullitudu of causes which have con- spired to this result, one of the most prominent, cer- tainly, is i\vi undue pr )poraijn of tliesc Medical Schools to the pipubilion. Each one of iheso Me- dical Schinjls must live : every means, legitimate as well as illegiiimate, honourable as well us disho- nourable arc put into n.qnisiti ,n, on the ploa Ibat llie end nill ScU.clion the nuN nx- I'hcir lixlit of tbtiig Surgery Diploma ubtained which si and will with D( Britain, upon it i Gentlem sonable why ih not be 1 tu come \ possesaet l»vo more <'ornwall 'I'lien ;n(| •I'lvantaj; ")AIPKT1 ''IV ! Sci courto (ut tliu ill lliid, it liav- natiuti, xori of ily of a III tiii- ) in one, iouiilry, Ills, tllU to iiittUo of iioto- ho have r liceiivo jno word ^inoricuii S-VejitA ii ice there ,ir dcjjrco , and I iiave coii- |niiicnt, cer- !sc Medical if llicse Me- jcgiliniate as [11 At dishu- ic jtloa tiiat litlr lii^U of Students are ftctitious'y augmented in r.umbcr, and (Jruduatcs are mad ■, no matter h»\ ; to demcnstratc to the ivcrli), in the one case, the faciUlius which the iiidividuiil schoul possesses for communicating instruction, by its being a favourite rcscrt cf Stu- dents, and in the second, tiie estimation in which their Degree is held, by their large list of Graduates. From this swtepi'ig denunciation, I cheerfully ex- clude five or six of the higher Universities. The time honored character whieh thry have eslii- blishcd for themselves requires no such false allure- ments for its maintenance, but to the; mass of the petty Colleges it strictly applies. 1 desire not to "insinuate" that similar practices would necessarily obtain here, were the Medical Selioiils mulli,ilicd tc ten times their number, but who could demmstrute that they would not. Tliis much surely will be ad- mitted, that we are men of " like passions aiid feel- ings" witii our neighbours, and that by similar ac- tuating causei, we would not be dissimilarly influ- enced. Reason, 5. — It requires no demonstration to prove that tlie Provincial Medical Boards, uninHu- enccd, and unaflccted by the causes which would conspire to grant Diplcimas to improperly educated Sludenls, would act in the most impartial manner. They have notliing cither to gain or lose, hi the passing; or rcj-ction of any Student ; and they are, llierefdre, sufHcienlly " adeciuate to the wants cf ihe public in preventing tlie uduiission of incompetent pers'jns to practice." Reason, G. — We now come to the nature cf the request petitioned fur by the New School. 'J'his is the power of ecnferring a " Diploma or Certificate." I ad nit lh;it thuy ask not for power to grant " Degrees," but they do ask fur some- tlihig nearly akin to it, for " Dipljmas are to Surgery what Degrees are to Medicine." Their I Diploma is to be a " certificate of qualification" obtained after an examination before themselveSj which shall be tantamount to a license to practice, and will accordingly be placed on a perfect level with Degrees, from the first Universities in Great Britain, so far as subsequent permissicn to practice up ni it is concerned. Concede this privilege once, (ientlemen, and where are you to step 1 What rea- s)nable objection will yju be enabled to advance why the precedent, once established, should not be accorded to all applicants for it in time to come i Montreal will soo'i b;ast of three schools possessed of similar powers ; Quebec will adi one cr two more to the list : Tcrjiit), Kingston, Brockvillc, Cornwall, will come in with their apjdications. 'I'hen indued v. ill be realized all tlie oveifljwinjj ailvantaj^es which will result, from "healthy loAiPKTiTiON," tl.c result o( the "no nionepoly" cry! SctENCf will inlCLil Iv mimitily iiciiefitcd, by the slrugii,Ies fer existence, and for "fameI which all thess schoels will have to make ! PluccI Gentlemen, by the concession of the Priyih go, upq a level with the Universities, tic schools will drtl the Universities uith them intj the same yawnir gulph of degradation, which will inevitably open wi(| before tiiem. This is a 'esult which will cerlainll follow, and, Gi;iitlunien, 1 ask not too much of youl hi requesting yuu to pause and ponder well the coiiJ sequences of the concessi.n, before irrevocablj rtcordii.g y^ur voles upon the question. Tliis letle has exhibited the con sequences of an undue propoij tion of schools to the pjpulation, upon the Profession in the United States : it rests with yon,Genlltmen, 1 uinintain the respectability of the Proicssion herej i)y av'jiding the causes which have tended to iinpairiiieiit there. I remain, ,^ , , Gentlemen, ■ . Year obtdicnt servant, ■ A. liALL, M.D. Montreal, Feb. 22, 1843. Letter iV> 1/ AN KXPOSITION OF THE " REASONS" CONTAIN- ED IN THE COUNTER PETITION OF THE ME- DICAL FACULTV OF M'GILL COLLEGE. i.lEA90N, VII. — Because, suck evils in UniversUies pussesaiiig Huyut Vfiurlers are efftctualbj ob- viated bij t/ie general supeivisio exeiasid by a Board of (Jovernors, uficse a. aesprin- cipolly coiistst in the appointment ofcjficient Teacacrs, in the eslablibhinent of tlie stand- ard of quaiificalion for graduation, subject to appiovul oy Her Majesty, and in causing the faithful observance of every regulation tending to that object. Reason, VIII. — Because in the Petition of the " College of Medicine" for an Act of Incor- poration, ifc, Sfc, the petitioners have not stated the curriculum which candidates for their D'plomas would have to complete, nor have they pledged themselves to the fulfil- ment of any particular course of study, nor have they specijied the duration of their courses nor their nature. Reason, IX. — Be|Grcat Britain, France, and Germany ; three of the finest enlightened nations on the earth, and in which >(Medical character stands higher, and occupies a ',{more dignifl;;d position than in any otiier. The tvil ticonsequcnces fl jwing kVom an opposite condition of lithings, I have fully exhibited in my 1p ♦ letter. I liwish not to draw the contrast in too strong coLurs, 1/ but I shall leave the inferences deduciable from the u-stutemcnts which have been unfolded, to your own gicalm and dispassionate judgments. it. The general supervision cf a Board of Governors ci cannot but be attended with most nalutary e effects. They constitute a check upon licentious. , and from the examples of Great Britain, France and Germany, I have pictured an opposite state of things, the direct result of a due and regulated proportion. It remains with you now. Gentlemen of the Legisla- tive Council, to decide between the alternatives ; to adopt the European practice, a limitation of Corpo- rate Medical Schools, by which the rcspectab.hty of the Profession will be maintained j or the American one, a multiplication of such schools, by which it will be assuredly lowered. I have the honour to remain. Gentlemen, Your obedient servant, A. Hall, M.D. Montreal, February 25, 1845.