NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
82
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
10. These certificates must be sent to the Secretary to the Inspector
General, and if in all respects satisfactory, candidates will be eligible to
appear at a competitive examination.
11. Competitive Examination.—A competitive examination will be
held once a year at the Presidency and chief Military and Civil stations in
Madras, and British Burmah, where there may be a Commissioned Medical
Officer to superintend the examination. Due notice will be given of the dates
of examination, and of the probable number of vacancies to be filled, by ad-
vertisement in the Fort Saint George Gazette.
12. STANDARD OF EXAMINATION.—The following is the standard of
examination :—
A. ENGLISH.—A portion not exceeding thirty lines in length, selected
from a standard English author will be given as an .exercise in dictation.
Ten errors in spelling (exclusive of technical and other unusual words which
will not be counted) will exclude the candidate from further competition.
Bad marks will be assigned to defective hand writing.
(b .) Meaning of words and phrases in grammatical construction of sen-
tences, and in Grammar generally.
B. VERNACULAR.—A colloquial examination in one of the following
Vernaculars, at the option of the candidate :—
Hindustani.
Tamil.
Telugu.
Care will be taken to .ascertain the facility possessed by each candidate
of making himself understood in the vernacular which he has selected.
C. HISTORY.—The leading facts of the Histories of England and of
India.
D. GEOGRAPHY.—General Geography, and the Geography of India in
particular.
E. ARITHMETIC.—The first four rules of Arithmetic, Vulgar and Decimal
Fractions, and Proportion.
F. ALGEBRA.—Algebra, including Addition, Subtraction, Multiplication,
and Simple Equations.
G. EUCLID.—The first book of Euclid.
13. EXAMINATION BY PRINTED PAPERS.—Examinations will be conducted
by means of printed papers, prepared by the Inspector General, Indian Medi-
-cal Department, in communication with the head of the Educational De-
partment.
14. At the end of each day's examination, the papers of each can-
-didate stitched together, and signed by the candidate, will be forwarded
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
83
in sealed covers, superscribed as such, by the superintending officer to the
Secretary to the Inspector General, when steps will be taken, in communi-
cation with the Head of the Educational Department, to have the results
valued, for submission to His Excellency the Commander-in-Chief.
15. Officers appointed to conduct examinations, will see that candidates
execute their papers without aid : they will also read out the passage marked
for dictation and. take steps to test the colloquial knowledge of the Verna-
culars possessed by the candidates. They will also see that candidates write
on one side of the paper only, that different subjects be written on entirely
separate papers, and that at the head of every page the candidate's name and
station be inserted, and finally that the papers are numbered and stitched to-
gether.
16. ATTESTATION.—Candidates who may be successful in obtaining the
highest number of marks in passing the examination as above, will, according
to the number of vacancies to be filled up, be at once attested in accordance.
with para. 4, and will then be admitted on the establishment as " Hospital
Apprentices."
17. Hospital Apprentices, Five years' training.—Hospital Appren-
tices will, if the exigencies of the service permit, be required to serve for a
period of five years in the acquisition of a knowledge of the duties of their pro-
fession. Two years, when practicable, are to be spent in such Military Hospitals
as the Apprentices may be posted to, and the last three years at the Madras
Medical College, and General Hospital.
18. STIPENDS.—For the first two years stipends are allowed to Hospital
Apprentices as follows :
—
1st year Rupees 16 per mensem.
2 n d
, ,
, ,
2 0
, ,
Rations, or compensation of Rs. 10 in lieu, and free quarters or House
rent at Rs. 7½ per mensem, will also be given.
19. Hospital Training.—APPRENTICES AND MEDICAL PUPILS.—The fol-
lowing regulations are to be strictly observed in the training of Hospital Ap-
prentices and Medical Pupils, during their pre-collegiate course.
(a.) All Hospital Apprentices and Medical Pupils shall be attached, when
the exigencies of the public service permit, to Civil or Military Hospitals, or
public Dispensaries at the station where the parents or other relatives of the
candidates may be residing.
(b.) The distribution of Hospital Apprentices and Medical Pupils will be,
arranged on the recommendation of the Inspector General, Indian Medical
Department, by His Excellency the Commander-in-Chief.
(c.) The object in view in placing Hospital Apprentices and Medical
MEDICAL SUBORDINATE DEPARTMENT.
[ SECT. V.
Pupils to do duty in Hospitals, as a preliminary to their attendance at the
Medical College, is to give them an insight into the practical duties which
the Government expect of medical subordinates.
(d.) Medical Officers, of whatever branch of the service the Hospital
Apprentices or Medical Pupils may be placed under, are enjoined to see that
the lads are taught the reading of prescriptions, the uses, doses, and nature
of pharmacopœial preparations, the mode of dispensing medicines with accu-
racy and neatness, and the preparation and application of minor surgical
appliances, such as blisters, bandages, and also the arts of cupping, leeching
vaccination, &c. With this view the candidates and pupils will be daily
instructed by the senior medical subordinate present.
(e.) The Medical Officer will take care that no candidate or pupil is
entrusted with the sole preparation of medicines for the use of the sick in
Hospital, until he has been examined as to his knowledge of the uses and
doses of drugs, and has been proved competent to the task of dispensing.
(f.) Candidates and Pupils are further to be instructed in the rules and
regulations applicable to the management of the Hospitals they may be doing
duty in; the nature and number of the various diets in use for the sick, and in
the preparation of the various returns, indents, and tabular statements per-
taining to the Department.
(g.) Native Medical Pupils will be required to attend Hospital, neatly and
cleanly dressed, in time for the morning and evening visits of the Medical
Officer. During the day, or a portion of the day, they will be required to
attend at an English school to prosecute their general education for such time
as the Medical Officer may deem fit, and while so engaged will not be employ-
ed on night duty. Native medical pupils will be required to defray their
own school expenses out of the stipends allowed them. The Medical Officer
will specify the name of the school in his monthly report.
( h.) Hospital Apprentices will attend Hospital in time for the morning
and evening visits of the Medical Officer. During the day they will perform
such duties as may be assigned to them, and, if required, they will also be put
on a roster for night duty. It is to be understood, however, that the detail-
ing of a Hospital Apprentice for night duty is not to absolve the medical sub-
ordinates of the Corps, or Hospital, from attendance.
(i.) Elementary text books will be provided for the Hospitals to which
Hospital Apprentices and Pupils may be attached. Medical Officers will be
held responsible that the books are taken due care of, and regularly studied
by the pupils. For this purpose, it is desirable that Medical Officers establish
weekly examinations in such subjects as may have been read, or studied in the
previous week.
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
85
(j .) A separate room shall, if possible, be set apart in each Hospital for
the use of the Apprentices and Pupils.
(k.) A monthly report on the progress of Apprentices and Pupils is to be
made, through the Division, to the office of the Inspector General, Indian
Medical Department. Apprentices and Pupils are warned that, in the event
of the reports of their superiors being of an unsatisfactory nature, shewing
inattention to duties, or inaptitude for improvement, they will be subject to
dismissal, or such other punishment as the nature of the offence may merit.
(l .) Pupils and Apprentices of East Indian or European parentage are
prohibited from marrying, until they have passed through the Medical
College.
(m.) When more than one Apprentice, or native medical pupil is present,
Cir. No. 738, 15th a single Roll, including the names of all attached to the
February 1866.
Hospital, will be sufficient,
20. The roll should be in the following form :—
Report on a paid Medical Candidate (or Pupil) attached to the Hospital
of — at —for the month of — 18 .
Name.
General charac-
ter for sobriety
and zeal in the
performance
of duty.
General state
of health.
Whether progress
in general and
professional
attainments
is satisfactory.
Name of the
School the
Pupil has
attended dur-
ing the month.
Remarks.
Station.
Date
Signature of Medical Officer.
21. Periodical Examinations during pre-colle-
G. O. C. C. No. 112,
of 29th Aug. 1868. giate course.—During their pre-collegiate course, Hospi
-
tal Apprentices will be subject to periodical examinations.
22. First Examination at the close of six months.
Subjects.—The sensible properties, names, uses, and doses of the more
common medicines in the Dispensary.
23. Second Examination at the close of twelve months.
Subjects .—The whole subject of Practical Pharmacy and the reading of
prescriptions.
24. Third examination at the close of eighteen months.
Subjects.—The Pharmacopœia, and the essentials of minor surgery.
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
86
25. Fourth examination at the close of the pre-collegiate course.
Subjects. —Practical Pharmacy, the Pharmacopœia, minor surgery, and
Osteology, i.e., the names of all the bones in the body, and their most marked
processes.
26. Order of admission to Medical College .—At this final exami-
nation, Hospital Apprentices will be required to give proof of their competence
to make out correctly the usual Hospital "Returns ;" in the preparation of
which they should be specially instructed during the second year of their pre-
collegiate course. The results of these examinations will determine the order
of merit, according to which lads will be drafted into the Medical College on
the following rates of pay :—
3rd Class Student...
... Rupees 20 per mensem.
2nd
Do
. . .
. . .
„
25
, ,
1st
Do
. . .
.
. .
, ,
30
, ,
with rations and quarters, or house-rent as specified in paragraph 18.
27. These periodical examinations will be conducted at the several
stations by written questions prepared by the Principal of the Medical College,
under instructions from the Inspector General, Indian Medical Department.
A Medical Officer of the station will supervise the examinations, and be
guided by the instructions laid down in paragraph 15.
28.
MEDICAL COLLEGE.—Hospital Apprentices, while studying in the
Madras Medical College, will be subject to the orders of the Principal of that
Institution, and to the rules and regulations laid down for students of the
second or Military Department of the College.
29. Passed Hospital Apprentice.—On the completion of the third year
of study at the Medical College, Hospital Apprentices, if, on examination, found
qualified for advancement to the grade of Assistant Apothecary, will be pro-
moted thereto. Should the established strength of the Assistant Apothecary
grade be at the time complete, they will be designated and paid as " Passed
Hospital Apprentices," and be promoted to the grade of Assistant Apothe-
cary as vacancies occur. Passed Hospital Apprentices will revert to Regimen-
tal employ, or join General, or Station Hospitals, until promoted.
30. Passed Hospital Apprentices, when in subordinate medical charge
of a body of troops, will have temporary warrant rank as Assistant Apothe-
caries whilst so employed.
31. Grades of Apothecary Class.—The " Apothecary" class will
consist of
—
(a .) Senior Apothecaries, in the proportion of one-tenth of the effective
establishment of Apothecaries. Until June 1878, the number now allowed
will not, under any circumstances, be reduced.
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
87
(b) Apothecaries.
1st Class (after five years' service as Apothecary.)
2nd Class (below five years' service as Apothecary.)
Assistant
1st Class (after five years' service as Assistant Apo-
thecary.)
(c) Apothecaries. 2nd Class (below five years' service as Assistant Apo-
thecary.)
(d.) Passed Hospital Apprentices.
(e.) Hospital Apprentices.
32.
RANK AS WARRANT OFFICERS.—All these ģrades, with the exception
of the Hospital Apprentices, will hold the rank of Warrant Officers, and
receive warrants, which will give them a rank above. all Non-Commissioned
Officers.
33. Honorary Assistant Surgeons.—The grade of Honorary Assistant
Surgeon will form no portion of the regular Medical Subordinate Establish-
ment, but will be given specially to those deemed worthy of the distinc-
tion. When a medical warrant officer attains this honorary rank, he will
no longer be employed as a medical subordinate with a Regiment, or cor-
responding body of European Troops, but will be supernumerary to the fixed
establishment.
34. It is to be understood that commissions of this nature will not carry
G. 0. G. G., No.
403 of 1864.
pay, or increase of pay on attaining advanced rank. The
remuneration of the individuals must be dependent on
their position in the department, or post in which they may be serving.
35. Strength of Apothecary class.—The strength of the "Apothe-
cary" class will-be fixed on the following basis :
—
The effective strength will comprise the numbers of the several grades
actually necessary for the duties with European Troops regimentally, and in
station hospitals with depots, sanitaria, and medical store depots, as also with
the Indian Marine, and Telegraph departments, together with an additional
margin of fifteen per cent. in each grade to provide for detachments and other
temporary duties, and for absentees on general or sick leave.
36.
APOTHECARIES IN CIVIL EMPLOY SECONDED.—All who may be employed
in civil or miscellaneous duties other than Military, or those above specified
will be extra to the regular establishment, and will be seconded, their names
bei ng bor ne i n t he - Ar my Li s t i n i t al i cs . I n t he event of a s eni or t Apot hecar y
being so seconded, a promotion will be made in his room.
—The allotment of the Apothecary class
37. Hospital establishments
.
for Regimental and other Military establishments is as follows :—
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
88
For a European Regiment of Cavalry or Infantry, a large Depot, or
Sanitarium equal to a Regiment,
—
1 Apothecary.
1 Assistant Apothecary.
1 Passed Hospital Apprentice.
1 Hospital Apprentice at least, and more if available.
For a Brigade of Artillery,
—
1 Apothecary.
1 Passed Hospital Apprentice.
1 Hospital Apprentice at least, and more if available.
For a Battery of Artillery, with Head-quarters, or detached, or a small
Depot or Sanitarium,
—
1 Assistant Ápothecary.
For a Garrison or Cantonment Hospital, or Presidency Medical Store
D epot,—
1 Apothecary.
1 Assistant Apothecary.
For the Head-Quarters of the Corps of Sappers and Miners,
—
1 Apothecary or Assistant Apothecary.
For Provincial Medical Store Depots,—
1 Apothecary.
38.
HONORARY RANK ON RETIREMENT.—Members of the "Apothecary"
class, who have completed twenty-five years' service, exclusive of the period
passed in the grade of Hospital Apprentice, will, on retirement, be granted
the honorary rank of Assistant Surgeon, if specially recommended for that
distinction.
39.
SERVICE FOR RETIREMENT—Medical Warrant Officers will not be
entitled to retire until they have served thirty years in the department,
exclusive of the period served as Hospital Apprentice, unless they are reported
by a Medical Committee to be unfit for futher effective duty.
40.
ASSISTANT APOTHECARIES MAY COMPETE FOR SUB-ASSISTANT SURGEON
GRADE.—In order to afford junior members of the " Apothecary" class of
undoubted ability and good character, an opening to further advancement, a
limited number of Assistant Apothecaries, after having served five years in
that grade may, if they are specially recommended as likely to profit by the
measure, and if the exigencies of the service permit, be allowed to attend the
Medical College for a further period, not exceeding two years, to qualify
themselves for the grade of Sub-Assistant Surgeon. On appointment to that
grade, they will be struck off the establishment of the " Apothecary" class, and
join the civil body of Sub-Assistant Surgeons under the usual conditions.
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
89
Hospital Assistant Class.
41. Native Medical Pupils.—The following regulations are sanc-
tioned for the training of Medical Pupils to qualify them for the grade of
Hospital Assistant.
G. 0. C. C. 21st
42. Candidates must not be below fifteen, nor above
November 1868, No.
151.
nineteen years of age, and they must obtain—
(a.)
A testimonial as to character.
(b.)
A certificate of physical fitness for Military service, signed by a
Commissioned Medical Officer of the British, or of the Indian Establishment.
43. These certificates must be lodged with the Secretary to the Inspector
General, Indian Medical Department, at the time of making application, when
the candidate's name, age, parentage, caste, &c., are to be registered in a
book kept for that purpose.
44.
SONS OF SOLDIERS.—In the selection of candidates, other things
being equal, preference will be given to the sons of Native Commissioned and
Non-Commissioned Officers and Soldiers.
45. Competitive Examination.—Candidates who may be approved of,
will have to undergo a competitive examination to determine their fitness to un-
dergo a course of medical study. The examination will be held once a year, and
the number of vacancies to be filled up, and the time and places of examina-
tion, will be notified by public advertisement in the Fort St. George Gazette.
46.
STANDARD OF EXAMINATION.—The following standard of examination
will be adhered to :—
A.
ENGLISH.—A portion not exceeding thirty lines in length, selected
from a standard English author, will be given as an exercise in dictation.
Twenty errors in spelling, exclusive of technical and other unusual words, which
will not be counted, will exclude the candidate from further competition. Bad
marks will be assigned to defective hand-writing.
Candidates will also be examined in the meaning of words and phrases,
in grammatical construction of sentences, and in grammar generally.
NATIVE LANGUAGE.—Candidates will further be required to translate into
English, a short exercise in their own vernacular, and to translate into their
own vernacular, a short exercise in English.
B. HISTORY.—The leading facts of the History of India.
C.
GEOGRAPHY.—The Geography of India.
D. ARITHMETIC.—The first four rules of Arithmetic, and vulgar and
decimal fractions.
E.
TRANSLATION.—To read and write their own vernaculars, with fluency
and accuracy.
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
90
47. Examinations will be conducted, as in the case of candidates for
admission to the grade of Hospital Apprentice, by means of printed papers
prepared by the Inspector General, Indian Medical Department, in com-
munication with the Director of Public Instruction.
The rules for conducting the examination of Hospital Apprentices are
applicable to the examination of Medical Pupils.
48. ATTESTATION.—Candidates who obtain the highest number of marks
in the competitive examination will be admitted upon the establishment, and
will be designated "Native Medical Pupils" : they must be attested in the
usual way.
49. Pre-collegiate course.—Medical pupils will be attached for two
years, if the exigencies of the service permit, to such Military and Civil
Hospitals as the Inspector General may select, and provided they have attained
the required standard in the knowledge of English, will while so attached,
receive the following stipends :—
1st year ...
... Rupees 7 per mensem.
2nd do.
...
.
. .
, ,
8
,,
and free quarters, or Havildar's rate of hutting money (Rupees 4) will be
given. Free passage, or travelling allowance will be given when proceeding
G. O. G. G., No. 203 to join the Hospital to which they may be posted, and
of 1869, Med. Dept.
pay will commence from date of passing the examination.
50.
PRE-COLLEGIATE TRAINING.—During the period they may be attached
to Hospitals, Native Medical Pupils, will be instructed by Medical Officers
in charge, and examined every six months, according to the regulations laid
down for Hospital Apprentices. (See paras, 19—25.)
51. Medical College.—Native Medical Pupils will, if practicable,
undergo a course of two years' training in the junior department of the Medi-
cal College, Madras, and while attached to that Institution will be amenable to
the orders of the Principal of the College. The stipends, while at college, will
be as follows :—
For those qualified
in English.
For those not
qualified.
2nd Class Student
...
Rupees 9
Rupees 7
1st
do.
. . .
,,
10
,,
8
with free quarters, or hutting money,
52. PASSED MEDICAL PUPILS.—Native Medical Pupils will, on completing
their College career, and passing the prescribed examination, receive the
designation and pay of " Passed Medical Pupils," unless or until they are
promoted. to the grade of 3rd Class Hospital Assistant. In such case, they
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
will join a Military or Civil Hospital, as subordinates, until they receive
promotion.
53. Classification of Hospital Assistants.—Medical Subordinates
of the " Hospital Assistant" grade are classified as 1st, 2nd, and 3rd Class
Hospital Assistants, the classes being regulated by length of service.
1st Class Hospital Assistants are those who have completed fourteen
years of service ; 2nd Class, seven years ; and the 3rd Class, includes all those
who have served a shorter period than seven years.
54.
Rank.—Hospital Assistants hold rank below all Native Commis-
sioned, and above all Native Non-Commissioned Officers.
55. Establishment.—The regular establishment of Hospital Assistants
will comprise the number requisite for, and employed on, Military duties, or on
those connected with the Indian Marine and Telegraph Departments, together
with a margin of fifteen per cent. to meet extra and temporary duties and
absentees. All the members of this branch required for civil or miscellaneous
duties will be extra to the regular establishment, and will be seconded, their
names being borne in italics on the list.
56. Military Establishment.—The sanctioned establishments for
Military purposes are as follows :
—
For a Native Regiment of Infantry or Cavalry, or a Native Depôt or
detachment of greater numerical strength than a wing,
—
2 Hospital Assistants.
For a Native Battery of Artillery, a detached company of Sappers, or a
detachment of Native Infantry or Cavalry less than a wing,—
1 Hospital Assistant,
For a station or detail Native Hospital or Lock Hospital,—
1 Hospital Assistant,
For a Regiment of British Cavalry, a Brigade or Division of Royal
Artillery, or a detached Battery of Horse, Field, or Heavy Artillery,
—
1 Hospital Assistant,
57. Promotion to Sub-Assistant Surgeon.—The grade of Sub-
Assistant Surgeon will not be considered as forming a portion of the regular estab-
lishment of the " Hospital Assistant" class ; but when by their conduct and
attainments, they can prove themselves well qualified for advancement, a cer-
tain number of Hospital Assistants may, if specially recommended, be allow-
ed—the exigencies of the service permitting—to attend the Medical College
for a period not exceeding two years, with a view to their qualifying for the
grade of Sub-Assistant Surgeon.
58. Hospital Assistants who have been advanced to the grade of Sub-
A s s i s t a n t S u r g e o n , w i l l b e e n t i t l e d t o r e t i r e a f t e r c o m p l e t i n g t h e r e q u i s i t e