( 2 )
Assistant Surgeons.
* Appear popular with
the inhabitants and in-
crease their salary by
occasional fees
from
medical attendance.
Hospital Assistants.
8. Of the higher class of medical subordinate Assistant Surgeons,*
their conduct and qualifications have invariably been
very well reported on with very few exceptions ; the
Hospital Assistants in independent charge have given
satisfaction to their superior officers ; on the whole
their conduct and qualifications may be styled good.
Native medical pupils.
9. In the report submitted in 1875, para. 15, page 3, Dr. Cannon
remarks that after closely watching, the experiment of attaching native
medical pupils to civil and regimental hospitals, with a view to their
learning the rudiments of their profession before sending them to the
several medical colleges is an established failure, and this is my own
experience also. Much time would be saved by the lads being sent to a
school to prepare themselves for an entrance examination into the
Medical Department, instead of, as at present, idling their time in a
regimental hospital and taking advantage of their liberty and freedom
from parental control to learn bad habits.
Native pupils conduct.
10. Of the 28 native medical pupils serving in this circle, only nine
are reported as having made " good" progress in English, the remainder as
" fair," three inattentive or lazy; and of those admitted into the service
in May, 1876, three have since been dismissed for bad conduct and other
causes.
Medical staff subor-
dinates.
11. On reference to para. 6, it will be observed that the medical
staff is very large, but does not include such lads as have passed out of
the Balrámpur medical school, and after undergoing a very searching
examination, have been admitted into the local service as passed medical
pupils for employment in Oudh alone. The number of medical subordi-
nates cannot be dispensed with so long as many districts still maintain
several branch dispensaries; for instance, in Bara Banki there are six, and
in Kheri four.
Recommendations.
12. One sadr and two branch establishments would be quite suffi-
cient, provided an experienced Assistant Surgeon was placed in charge
of the sadr, and a thoroughly qualified first class Hospital Assistant to
each of the branch dispensaries. The work would then be more satis-
factorily performed, better supervised, more experienced medical aid
distributed ; and lastly, there would be a great saving to the Government
by the closing of twelve branch establishments, or Rs. 3,510-4-11 an-
nually.
Number of dispen-
saries affording in-door
relief.
13. Twenty-six dispensaries at present afford in-door relief as a
rule, or about 56 per cent. The remainder have each limited accommo-
dation for the reception of any very sudden or serious case, where time
does not admit of sending it into the sadr for treatment.
Classification of dis-
pensaries.
14. All the hospitals and dispensaries of the Province are divided
into three classes and ranked according to the grants-in-aid allotted in
each instance, agreeable to instructions laid down in the Chief Com-
missioner's Digest, page 116, para. 1.
Despensaries remain-
ing open at the close of
the year.
15. At the close of 1876 there were 18 1st, 2nd, and 3rd class in
full and satisfactory working order.