NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SECT. II.]
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
21
(c.) A candidate must possess a diploma in Surgery, or a license to
practice, as well as a degree in Medicine, or a license to practice it in Great
Britain or Ireland.
(d.) Degrees, diplomas, licenses, and certificate of their registration,
in accordance with the Medical Act of 1858, must be lodged at the India
Office, for examination and registry, at least one fortnight before the candi-
date appears for examination.
3. On producing the foregoing qualifications, the -candidate will be
examined by the examining board in the following subjects :—
Anatomy and Physiology.
S u r g e r y .
Medicine, including therapeutics, diseases of women and
children, chemistry and pharmacy, and a practical knowledge of drugs. (The
examination in medicine and surgery will be in part practical, and will
include operations on the dead body, the application of surgical apparatus,
and the examination of medical and surgical patients at the bed side.)
DECLARATION AND SCHEDULE OF QUALIFICATIONS.
C h r i s t i a n a n d S u r - n a m e a t f u l l l e n g t h .
T h e d a t e s i f g r a d u - a t i o n s a n d t h e u n i - v e r s i t i e s o r c o l l e g e s a r e t o b e s t a r e t e d .
•
I.
years of age in
last, vide accompanying certificate, a candi-
date for employment as Assistant Surgeon in Her Majesty's Indian
Medical Service, do hereby attest my readiness to engage for that
service, and to proceed on duty immediately on being gazetted.
I declare that I labour under no mental nor constitutional
disease, nor any imperfection or disability that can interfere with
the most efficient discharge of the duties of a Medical Officer.
I have the degree of A. M. or A. B. from the
I have the degree of M. D. or M. B. from the
I have a license to practise Medicine from the.
I have a diploma in Surgery from the
I have a license to practise Surgery from the
(Signature at full length.)
(Date.)
(Place of Residence.)
Candidates, who desire to be examined in natural history, are to
sign the following declaration:—
"It is my intention to undergo the examination in natural
history."
4. The eligibility of each candidate for the Indian Medical department
will be determined by the result of the examinations in these subjects only.
5. Candidates who desire it will be examined in comparative anatomy,
22
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
[SECT. II.
zoology, and botany, with special reference to materia medica, and the num-
ber of marks gained in these subjects will be added to the total number
of marks obtained in the obligatory part of the examination by candi-
dates who shall have been found qualified for admission, and whose position
on the list of successful competitors will thus be improved in proportion
- to their knowledge of these branches of science.
N NoTE .—This paper, when filled up, is to be returned under cover tb the Military
•
Secretary, India Office, London, S. W.
6. Candidates who may desire it may also be examined in the
elements of physics and in physical geography.
7. The examiners in London will prepare a list, in order of merit, with
the marks affixed in the different subjects, for the information of the Profes-
sors in the Army Medical School at Netley. If a candidate is found to be
deficient in any particular subject, this shall be stated, in order that he may
receive special instruction on the point at Netley.
8. Subsequent to passing this examination, every candidate will be
required to attend one entire course of practical instruction at the Army Medi-
cal School, before being admitted to his examination for a Commission. The
course of instruction at Netley is to be of not less than four months' duration.
The subjects specially taught in the Army Medical School are :-
(1.)
Hygiene.
(2.)
Clinical and Military Medicine.
(3.)
Clinical and Military Surgery.
(4.)
Pathology of diseases, and. injuries incident to military service.
9. At the conclusion of the course, candidates will be required to pass
an examination on the subjects taught in the school. The Professors of the
School will conduct the examination. The Director General, Army Medical
Department, or any Medical Officer deputed by him, may be present and take
part in the examination. If the candidate give satisfactory evidence of being
qualified for the practical duties of an Army Medical officer, he will be eligible
for a commission as assistant surgeon. The commissions of assistant surgeons
bear date from the day of joining at the Army Medical School.
10. During the period of his residence at the Army Medical School,
each candidate will receive an allowance of five shillings per diem with quar-
ters, or seven shillings per diem without quarters, to cover all costs of main-
tenance ; and he will be required to provide himself with uniform, (viz., the
regulation undress uniform of an Assistant Surgeon of the British Service,
but without the sword.)
11. All candidates will be required to conform to such rules of disci-
pline as the Senate of the Army Medical School may from time to time enact.
SECT. II.]
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
23
The persons who shall be pronounced by the examiners to be the
best qualified in all respects, will be appointed to fill the requisite number,
of appointments as assistant surgeons in Her Majesty's Indian army. Their
position on the list of assistant surgeons will be determined by the combined
result of the preliminary and final examinations and so far as the require-
ments of the service will permit, they will have the choice of Presidency in
India, according to their position on that list.
12. Assistant Surgeons who shall neglect or refuse to proceed to India
under the orders of the Secretary of State for India, within two months
from the date of their appointment, will be considered as having forfeited it,
unless special circumstances shall justify a departure from this regulation.
13. The physical fitness of candidates will be determined previous to
examination, at Chelsea Hospital, by a Board of medical officers, who
are required to certify that the candidate's vision is sufficiently good to enable
him to perform any surgical operation without the aid of glasses. A moderate
degree of myopia would not be considered a disqualification, provided it did
not necessitate the use of glasses during the performance of operations, and
and that no organic disease existed.
Every candidate must also be free from organic disease of other
organs, and from constitutional weakness, or other disability likely to unfit
him for military service in India.
14. The Examinations for admission to the Indian medical service are
notified by public advertisement, and will usually take place twice a year, viz.,
in February and in August.
15. Assistant Surgeons are provided with a free passage to India,
on appointment, or a passage allowance will be granted in lieu of free
passage.
16. The pay of an Assistant Surgeon, from the date of passing the final
examination at the Army Medical School, Netley, until the date of his arrival
in India, is ten shillings per diem; Indian pay and allowances, and period of
service for pension reckon from date of arrival in India. The period of ser-
vice at the Army Medical School will reckon as service for the full pay pen-
sion only.
17. ASSISTANT SURGEONS TO REPORT ARRIVAL AND DEPARTURE.—Assistant
surgeons of the Indian Medical Department, on arrival at Madras, are to
report themselves either personally or by letter to the—
Brigade Major, Fort St. George.
Adjutant General of the Army.
Quarter Master General of the Army.
Inspector General, Indian Medical Department.
24
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
[SECT. II.
18.
If the report is made in writing, the place of residence must be
specified, and any change of address during stay in Madras is to be reported.
Departure from the Presidency must be similarly notified to the abovemen-
tioned Departments.
Regulations for the guidance of newly admitted Assistant Surgeons,
Indian Medical Department.
19.
PROBATIONARY DUTY.—In order that assistant surgeons newly ap-
pointed may have opportunities of practically studying the peculiarities of
tropical diseases, they will, on first arrival in Madras, be directed to do duty
under the orders of the Physician or Surgeon of the General Hospital, or under
a medical officer of one of the medical institutions at the Presidency.
20.
Whenever the exigencies of the service will permit, the probationary
course of assistant surgeons shall extend over a period of six months.
21. PARTLY IN MILITARY HOSPITALS.—As Medical officers of the Indian
service are required to afford medical aid to European military and civil servants
of the Government, and as a practical knowledge of the treatment of the
diseases which affect Europeans in India is deemed most essential to the use
-fulness of young assistant surgeons, it is directed that with the sanction of
the Inspector General of Hospitals, British Medical Service a portion of the pro
-bationary course be occupied in attendance upon the practice of a European
Military Hospital at the Presidency, or elsewhere. Assistant surgeons, while
doing duty in Her Majesty's European regimental hospitals, will be subject to
the orders of the Inspector General of Hospitals, British Medical Service.
22.
INSTRUCTIONS FOR PROBATIONERS.—The following detailed instruc-
tions relative to probationary duties are to be strictly observed by all con-
cerned :—
a. Assistant surgeons are directed to apply themselves to the study
of Indian diseases, and their appropriate treatment. They are to observe
carefully the practice of the Surgeons under whom they are placed, and they
will be permitted to treat, under the strict supervision of the Surgeon of the
Hospital, such cases, medical and surgical, as he may entrust to them.
b. It is to be distinctly understood that the sole charge of severe cases
of disease, where the preservation of the patients' life depends on the treatment
pursued, must not, at first, be entrusted to assistant surgeons doing proba-
tionary duty.
c. Assistant surgeons will keep journals of their cases, according to
established form, in their own handwriting. Under ordinary circumstances,
every case entrusted to their charge must be entered in the journal. The
Surgeon in charge of the Hospital will consider it his duty to record in the
SECT. II.]
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
25
probationer's journal such remarks as he may consider necessary on any of the
cases, and to note any errors or omissions in the daily entries. At the end of
every month, the assistant surgeon will make a selection of not less than six
cases, which have been recorded in the journal, and submit them, through
his immediate superior, to the Deputy Inspector General of Hospitals of the
circle, who will transmit them to the Inspector General Indian Medical
Department.
d. The cases so selected should be fully reported, both as to diagnosis
and treatment. They should be copied on sheets of foolscap paper, stitched
together, folded, and docketted like other professional papers. It is especially
directed that each monthly journal shall contain a full commentary on the
cases treated, and that whenever cases have ended fatally, the pathological
conditions of affected organs shall be fully noted.
e. Deputy Inspectors General of Hospitals are enjoined to inspect all
probationary journals with particular care, and to enter their opinions in the
way of comment on such points of practice as may appear to require
notice. If the Deputy Inspector General feels it necessary to enter critical
notes on the journals, they are to be returned to the young medical
officer, before being passed on to the Inspector General's office. Probationary
Assistant surgeons, who may be doing duty at the Presidency, are enjoined
to attend the practice of the Eye-Infirmary, Lying-in, and Lock Hospitals,
especially on the days set apart for operations or examinations.
f. After three months' probationary duty under a medical officer of the
Indian Medical Department, the Assistant Surgeon will, if the exigencies of
the service permit, be transferred to a hospital in which European military
sick are treated. These periods of probationary duty may be shortened or
lengthened, according to the mode in which the assistant surgeon con-
ducts his duties, at the discretion of the Head of the Medical Depart-
ment.
23. To STUDY DEPARTMENTAL REGULATIONS.—During the period of pro-
bationary duty, Assistant Surgeons are expected to make themselves familiar
with the regulations of the Medical Department, and before they are permitted
to enter upon the general duties of the Department, the Inspector General
will cause them to be examined as to their knowledge of the various sections
of the Code.
24. VERNACULAR LANGUAGE.-A knowledge of one of the vernacular lan-
guages, Hindustani, Tamil, or Telugu, is required on the part of Assistant
Surgeons ere they can be nominated to any permanent appointment, Civil
D
26 EXECUTIVE MEDICAL OFFICERS (MILITARY) [SECT. II.
or Military. Until he shall have passed the examination known as the
Lower Standard," an Assistant Surgeon is restricted to
Despatch of Secre.
tary of State No. 235 the unemployed rate of pay of his rank, no matter how
of 1866.
he may be empl oyed. I t i s expect ed, t heref ore, t hat
every Assistant Surgeon will, during his probationary course, acquire the
knowledge of a Native language, so as to pass the examination required by
regulations, before he is entrusted with an independent charge.
25. Promotion to Surgeon.—BRITISH MEDICAL SERVICE.—The pro
- m o t i o n o f E x e c u t i v e m e d i c a l o f f i c e r s o f t h e B r i t i s h S e r v i c e i s r e g u l a t e d b y
Royal Warrant, dated 1st October 1858, and all the arrangements in connec
-tion therewith, are made by the Director General, Army Medical Department.
Royal Warrant, 13th
Jan1860.
26. PROMOTION—INDIAN MEDICAL DEPARTMENT.—No Assi stant Surgeon
shall be eligible for promotion to the rank of Surgeon
until he shall have passed such examin`ation as the Prin-
cipal Secretary of State for India in Council may require,
and shall have served in India, with the commission of Assistant surgeon,
for five years, of which two shall have been passed in, or with, a Regi
-ment.
(N. B.—This regulation regarding two years of regimental duty is to be
G. O. G. G., No.1060 strictly enforced only in the case of Medical Officers
of 1864. who have entered the service after 13th January 1860.)
27. Assistant surgeons of twelve years service, from the date of firstcom-
G . O . G . G . , N o . m i s s i o n ( o f w h i c h t w o y e a r s s h a l l h a v e b e e n p a s s e d i n
1060 of 1864. charge of a Native Regiment), who shall have passed the
prescribed examination in professional subjects, will be promoted to the rank
of Surgeon.
2 8 . F I X E D E S T A B L I S H ME N T . —T h e f i x e d e s t a b l i s h me n t o f Me d i c a l o f f i c e r s ,
above the rank of Assistant surgeon, for the Madras Medi-
G . O . G . G . , N o . 5 0 7
of 1864, para. 6.
cal department, is eighty-six, but officers in the depart-
G. O. G. G., No. 1060 ment before 13th January 1860, Who may be promoted
of 1864.
under Clause 26, should they be supernumerary to the
fixed establishment, will be borne on the list as supernumeraries, and no
'Despatch of Secy. of promotion by seniority will take place until such super-
State, No. 24 of 1867. numeraries are absorbed. The establishment of commis
-sioned Medical Officers of all ranks sanctioned for the Indian Medical Depart
-ment, Madras Presidency, is one hundred and eighty-seven.
29. Examination prior to promotion.—The promotion of Assistant
Surgeons, who have entered the service subsequent to
Regulations appli-
cable to European 13th January 1860, will be regulated by length of service
o f f i c e r s i n I n d i a p . 9 1 7 o n l y , s u b j e c t t o t h e c o n d i t i o n s o f t w o y e a r s s e r v i c e w i t h
SECT. II.]
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
2 7
a Native Regiment, and passing a satisfactory examination according to the
following rules :—
Rules for the Examination of Assistant Surgeons previous to Promotion.
(a.) This examination is intended as a test for promotion, and may be
taken at any time after the Assistant surgeon has served five or more years.
(b .) When Assistant Surgeons have served the requisite time, they will
be examined in the following manner :—
A series of printed questions, prepared by the Inspector General Indian
Medical Department, will be sealed and sent to the Principal Medical officers of
stations where Assistant surgeons may be eligible for examination. It will be the
duty of the Principal Medical officer of the station to deliver these sealed ques-
tions to the Assistant surgeons, and to see that they are answered without the
assistance of books, notes, or communication with any other person. The
answers are to be signed, and delivered, sealed, to the Principal Medical officer,
who is to send them, unopened, to the Inspector General of the Presidency,
together with a certificate from the Surgeon of the Regiment, or other supe-
rior Medical Officer, that the Assistant surgeon has availed himself of every
opportunity of practising surgical operations on the dead body.
*
(c.) The Assistant surgeon will also be required to transmit,together with
his answers to the Inspector General, a Medico-topographical account of the
station Where he may happen to be at the time, or of some other station where he
may have been resident sufficiently long to enable him to collect the neces-
sary information for such a report. Failing this, he will send a Medico-statis-
tical report of his Regiment for a period of at least twelve months.
(d .) If the Inspector General Indian Medical Department is satisfied with
the replies to the questions, and with the certificates and Medico-topographical
or statistical report, the Assistant Surgeon will be held qualified for promotion.
Royal Warrant, 13t
h J a n . 1 8 6 0
.
30. Promotion to Surgeon Major, Indian Medical Department.
—A Surgeon who has completed twenty years' service
from date of first commission
, including-all leave of absence
of whatever kind, is promoted to the rank of Surgeon Major
.
G O G G., No 507
of 1864.
31. A Surgeon of less than twenty years' standing may be promoted
to the substantive rank of Surgeon Major as a reward
for distinguished service. " The recommendation detail-
" ing the services for which the officer is proposed for promotion, shall be
" published in the General Orders of the Army, and in the Gazette in which
" such promotion shall appear."
G.O.G.G., No.341 of 1868.
* T h e A s s i s t a n t - S u r g e o n m a y s e e t h i s c e r t i f i c a t e b e f o r e i t i s s e n t t o t h e I n s p e c t o r
General.
28
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
[SECT. II.
32. Staff Surgeons and Assistant Surgeons (British Medical
Director-General's Service).—The sanctioned strength of Executive Medi
-letter, 5th Aug. 1865. cal officers of this class for the Madras Presidency is
Two Staff Surgeons.
Twenty-four Staff Assistant Surgeons.
3 3 . D U T I E S . — S t a f f S u r g e o n s M a j o r , S t a f f S u r g e o n s , a n d S t a f f A s s i s t a n t
Surgeons of the Army Medical Department, will be employed on general ser
- v i c e , a n d w i l l b e a p p o i n t e d t o , t r a n s f e r r e d , o r r e m o v e d f r o m t h e i r s t a t i o n s o r
charges by the Commander-in-Chief, on the recommendation of the Inspector
General, British Medical Service, and they are placed under the orders of
the latter officer, who will employ them where their services are most required.
To DO EXECUTI VE DUTY I N HOSPI TALS. —They wi l l do ex ec ut i v e dut y i n
any General or Depot Hospital to which they may be appointed.
TO TAKE CHARGE OF REGIMENTS, IF REQUIRED.—They will take Medical
charge of any Regiment, Brigade, or Battery of Artillery, or Detachment
of a Corps, in the absence of the Surgeon, if required, and perform all the
duties required by the regulations of regimental medical officers.
CHARGE OF INVALIDS, TROOPS, OR SICK ON BOARDSHIP.—They are to do duty
on board transport ships conveying either invalids, sick, or duty men.
34. DURATION OF STAFF DUTY IN INDIA.—Staff duty in India is usually
for a period of five years, unless such period be incompatible with the interests
of the public service.
35. Medical attendance on officers of British Army .—Officers of
Her Majesty's British army are to consider the senior executive Medical Officer
of that army their official medical attendant at any station where they may be
temporarily residing upon general leave, special duty, or for the benefit of
health.
(This regulation, however, does not apply to officers visiting the Presi
- d e n c y , w h o a r e e n t i t l e d t o t h e a t t e n d a n c e o f t h e d i s t r i c t S u r g e o n , o r t o
those who visit established sanitaria on the Neilgherry Hills, to which
officers of the Indian Medical Department are appointed.)
36. EUROPEAN DETAILS.—Details of Her Majesty's British Troops and
families of men detached from their Regiments, will be treated by the senior
Medical officer of that Service present.
37. DEPOTS, BRITISH TROOPS.—The establ i shed Depôts for Bri ti sh Troops
at Poonamallee, Wellington, and Ramandroog, are exclusively under the
charge of Medical Officers of the British Army.
38. Staff or Garrison Surgeons, Indian Medical Department.
Duties of Garrison, Staff, and Depot Surgeons.—It is to be consi-
dered the regular duty of Garrison, Staff, and Depot Surgeons to afford medical
SECT. II]
EXECUTIVE MEDICAL OFFICERS (MILITARY.)
29
aid gratuitously, at their respective stations, to the General, Division, and
Garrison staff, both commissioned and non-commissioned; to all effective
officers residing at the station, and not otherwise provided for ; to all casual
visitors of the same class, and to the families of officers absent on Military
duty or service ; to all European pensioners and their families ; to details of
Native troops, including invalids ; and to all lascars, the corps of dooly
bearers, veterinary pupils, and every description of garrison establishment,
and to all classes of followers, permanently or temporarily receiving pay
from Government.
G. O. G. No. 383,
of 1864.
39. Officers and subordinates of all grades of the Public Works and
Telegraph departments, residing in any Cantonment
under proper authority, are entitled to professional
attendance from the Staff or Garrison Surgeon for themselves, and in the
case of the Warrant and Non-Commissioned officers, for their families ; also
officers and subordinates residing in the immediate vicinity of Cantonments,
though not within the actual boundary, are, when there is no Civil Surgeon
at the station, entitled to similar attendance from the Staff, or Garrison
Surgeon.
40. GARRISON SURGEONS PLACED IN CHARGE OF DEPOTS OF MEDICAL
S T O R E S . — G a r r i s o n S u r g e o n s s h a l l b e p l a c e d i n c h a r g e o f , a n d r e g u l a t e t h e
receipts and issues of, the Depôts of Medical stores for the divisions to
which they are respectively attached, under the inspection and control of
Deputy Inspectors General of the Indian Medical Department.
Medical Stores are maintained at the following Stations, viz. :—
Bangalore... ... ...
Under the charge of Garrison Surgeons.
Bellary... ... ... ...
Cannanore... ... ...
Trichinopoly... ...
Rangoon... ...
Kamptee... ... ... Under the charge of the Staff Surgeon, or
Senior Regimental Surgeon (Indian Medical
Department) at the station.
Secunderabad...
Vizagapatam... ...
41. MEDICAL DUTY OF STATIONS OR CANTONMENTS TO WHICH NO MEDICAL
STAFF OFFICER MAY BE ATTACHED.—At Stations or Cantonments to which no
Medical staff officer may be attached, the duty is to be performed by the
senior regimental officer of the Indian Medical Department present.
42. GARRISON SURGEONS OF TRICHINOPOLY AND BELLARY ALSO CIVIL SUR
-GEONS.—The Garrison Surgeons of Trichinopoly and Bellary perform the
duties of Civil Surgeon of those Districts respectively.