College news xene in this dispute in so far as it concerns your own Faculty and the future of your specialty. However, there are somc observations that I think it right to make on this occasion on behalf of the College as a
whole.
'The first thing I want to say is that your place in this College is assured for as long as you want it to be. Your surgical and dental colleagues are ready at all times to support you to the full in any matters that concem the advancement of the art and science of anaesthesia and in maintaining your standards of
practice. 'Let us be quite clear that the decision as to wAhether you continue to feel that your future lies here with this Royal College (where your authority and your ability to contribute to our corporate affairs can continue to grow, as it has over the past 30 years) or whether you eventually decide that only in separation from us can you satisfy your own as-
pirations, that is a decision for you. But I do urge every one of you, when you debate this issue, to do so with as much scrupulous attention to the facts as you would use when approaching a serious clinical or scientific problem. From documents that I have read and statements that I have heard I must tell you that there has sometimes been a regrettable lack of such scrupulous attention to facts. And the facts are not inaccessible to anyone prepared to take the trouble to find them out from the appropriate authoritative sources. It is not good enough, and it does no credit to your specialty, to allow the desire to promote a particular policy to suppress the obligation to investigate the evidence dispassionately and scientifically. Despite much that has been said or implied this College has emphatically not treated your Faculty dishonourably, nor has it treated you, its Fellows and Members, as second-class citizens; it has not misappropriated the funds that you have brought into the College, nor has it imposed on you sacrifices of space or resources that have not been borne equally, or even to a greater extent, by others. I know that the vast majority of you do not feel aggrieved, but it must be disturbing for you to hear or to read that you should be, and perhaps not to be very clear in your own minds what degree of truth
24I
there is in the criticisms that are made of the College both publicly and privately. That is why I want you to know that my own attitude to your Faculty, and that of my Council, is one of warm and genuine friendship and respect, as is appropriate to partners of long standing in a corporate body whose aims and ideals we hold in common. 'In that spirit I would like to pay a particular tribute to two of your Board Members who have rendered conspicuous service to the College as a whole. This, Mr Dean, will be your last Annual Meeting in office and I know that everybody here will wish to join me in thanking you for the dignified, scrupulously fair, and enormously conscientious way in which you have carried out your most difficult duties. Not simply by the dedication you have shown to the needs and demands of your Faculty but by the part, and the very full part, you have played in the deliberations of our committees and in the public functions of the College. You have won many friends for yourself and for your Faculty and have added considerably to the national and international prestige of your specialty. You and your charming and talented wife have thoroughly earned a rest from these demanding and arduous duties. 'This will also be the last occasion on which Gordon Robson will appear before you as a VicePresident of the College, since he will shortly complete his two years in office. History has a way of providing the occasion for men of outstanding ability to fulfil their potential and it was more than a happy chance that enabled Council to elect as its VicePresident in I977 a man especially well fitted to fill the place that the new Constitution then made possible. Mr Vice-President, your intimate knowledge of the College in every aspect of its work has made you an invaluable member of the Presidential and Vice-Presidential team which, with the two Deans, has perforce to take many vital decisions and lead Council in many important debates. Your support has been of great assistance to me, inside and outside the College, and your term of service as VicePresident will long be remembered with gratitude and admiration.'
Address by the Dean of the Faculty, Dr J E Riding 'Mr President, Fellows, and Members, 'Last year at this time I spoke at some length on the matter of the need to appreciate the fundamental importance of the preservation of the independence ofof colleges and faculties from outside control or interference. The address was later published in the Annals (September I978, p. 43i) and was noteworthy only in that, so far as I am able to judge, it made absolutely no impact on Fellows. Much as I would like to return to this theme, fur its importance is not now less, there is a topic of more immediate urgency that needs to be aired. 'I refer to the pressure to establish an independent college. I will say again what I have said before, that there is nothing intrinsically wrong, dishonourable, or disloyal about the holding of the view sincerely and honestly that an independent college of
acllegesand ofathe ltesfrvom ofuthesindepeont eor
anaesthetists is desirable at some time in the future or even that it is necessary now. But a campaign is being conducted by the Association of Anaesthetists and one must assume, with the assent of the maa an,oems sue.it h seto h of members of its Council which displays jority been distasteful features and which has distinctly the highly critical of this College and our Faculty. I feel that I owe it to this meeting of Fellows and Members to answer some at least of these criticisms. 'The initiative for the formation of the Faculty
had its roots in the Association and for this many hundreds of anaesthetists are grateful. It does not follow, however, that having taken the predominant role in that initiative 3o years ago it is the function of the Association today to press upon Fellows its views concerning the Faculty's future development. This is a matter for the elected Board of Faculty and its Fellows.
242
College news
'The Council of the Association would, quite rightly, take offencc if this Board presumed to tell it how to develop its activities, how it should, say, modify its constitution, or presumed to comment on any aspect of its affairs and how it runs them. To my knowledge the Board has always respected the sovereignty of the Association and will, I am confident, continue to do so. I hope that the Association will show the same respect for ours in future. 'In my last newsletter I stated that "the last thing I wish, or intend, to do is to add fuel to the flames of this controversy". I have no wish to do so now, but it is only too evident that the climate has changed. Since that time statements have been made that only by the achievement of independence can the aspirations of anaesthetists be met. 'As Dean I have had, during the last three years, both correspondence and conversation with many Fellows and have to say that I have not been made forcibly aware of deep discontent with the Faculty or of an urgent desire to separate our specialty from the College. 'What troubles me considerably, however, is the nature of the public comment emanating from the Association which might be more understandable if one were not aware that information on almost all aspects of the Faculty and its activities is available to the Association Council. It is distressing to have to admit to doubts about the wisdom of, for example, the document which has been given widespread circulation and is entitled "The Case for a College". Herein it is stated, for example, that "an anaesthetists' academic body should clearly be represented on national bodies in its own right rather than through the Royal College of Surgeons. An independent college of anaesthetists would be free to advise on subjects which are of concem to anaesthetists without any constraint arising due to being part of the Royal College of Surgeons". 'This is quite misleading; the Faculty is represented in its own right now on all relevant national
committees, including the Conferences of Colleges and Faculties, the CHSC, the JCC, the CPME, and the SMAC. At no time has our position within the College in any way limited our freedom to nominate or limited the freedom of the representatives of the Faculty to speak in accordance with our policy on any topic, whether in agreement with the Council policy or not. If oblique reference is being made here to the previous absence of Faculty representation on the General Medical Council, then I would remind you of two things: first, that under the old GMC constitution the GMC claimed no powers in the field of postgraduate education and this was the reason given for excluding the Faculty and new independent colleges that were unrepresented; and second, that no one has done more than this College to ensure that under the new GMC constitution the Faculty will be represented in its own right. 'Later in the same document it is stated that "a college of anaesthetists would be free to run examinations in any field that anaesthetists felt appropriate and in a manner best suited to the specialty". Can Fellows believe that the Faculty is other than free to establish any diploma it likes? May I point
out that only last year the Faculty of Dental Surgery introduced a new Diploma without any question being raised by Council? 'To take another point at random, the proposal is made that an independent college could provide for regional representation and perhaps regional councils. So also could the Faculty if its Board decided that the development of such a system would be beneficial and wise. Surely many anaesthetists must have construed this passage as implying that while the Faculty remains within this College the provision of regional councils has been prevented by the Council. This is not true. 'It is stated that independence cannot exist within the RCS when only three anaesthetists are on the Council. Does independence only exist when there is proportional representation? I can think of no possible advantages residing in proportional representation and indeed of some disadvantages. Independ, ence, it is said, cannot begin to be meaningful for the Faculty unless it has its own budget. Yet the Faculty has always determined its own expenditure; budgetary control, which has certainly not been imposed by Council on the Faculty in recent years, is in the process of being devolved, and forecasts of expenditure for 1979/80 have been prepared and submitted to the Finance and General Purposes Committee, on which I represent the Faculty, in accordance with the spirit of the new Charter. It would be hard to show evidence that the Faculty's activities have been restricted in any way by Council, although the need to be prudent in inflationary times has affected us as it has affected others, not least the new independent colleges. 'The President of the Association in a recent interview is reported to have said that £ioo ooo per annum is paid to the RCS by anaesthetists but that it is not used for their benefit. I believe this to be an indefensible statement, not least in the suggestion that the Council and the officers of this College and its Faculties are failing in their duty to ensure that the Faculty is in receipt of moneys that are its due. But further I do not believe that the granting of interviews of this kind in an official capacity assists Fellows to inform themselves and clarify their thoughts about an extremely complex and important problem. 'During the last three years I have deliberately refrained from inflaming discussion of this most serious matter. I have felt very strongly that the welfare and dignity of the Faculty and its Fellows would in no way be helped by immediate and public reaction to every comment that has been made in a variety of media. But I regret that as time has gone on I have become highly sceptical of the frequent assertion of desire by those most critical of the Faculty to avoid a split within our specialty, and there are times when a dignified silence will be seen as an implied agreement that criticisms that have been made have substance. 'Misleading and incompletely informed public comment, and the implication that this properly elected Faculty Board is failing to carry out the duties required of it by its Fellows, and indeed lacks the imagination that can only be found in the minds of those who favour the creation of an in-
College news dependent college, cannot fail to deepen divisions seriously. 'Further, I must repeat the statement made in my last newsletter. It is for the democratically elected Board and for the Board alone to decide on the future of the Faculty. It is worth re-emphasis that this Board was not only fully consulted at every stage in the discussions which led to the granting of the new Charter which now causes, it seems, such bitterness and division, but that Council appointed an anaesthetist to chair the Charter Committee and accepted every proposal that was put forward by that committee to advance the status of the Faculties within the College. If, after the present Charter has been given time to work, the Faculty remains unsatisfied we will have to study the alternatives in great detail with our other partners in the College. 'I do not wish in any way to imply that an independent college can never be established. But the facile assumption that such a body if formed would inevitably, at a stroke, absorb the Faculty, its property, its resources, and its functions and its representative capacities is ill-founded and naive. 'It is my personal view now that there is a danger that if our specialty continues to air its differences in public without moderation and mutual respect we will so seriously damage the confidence in this Faculty of our own Fellows and of our surgical ancl
243
dental Fellows that we may end up with the worst of all possible worlds. The real possibility exists that irreparable harm will be done to the Faculty at a time when there is nothing to put in its place. 'Having said this, I am able to report that the discussions that are of real importance-namely, those within this College and the Faculty-have commenced, and in the months ahead we plan to look constructively and in detail at the whole position as a Board of Faculty. 'As individuals we naturally hold different views and have different feelings; but I am determined, and I believe that my colleagues on the Board are likewise determined, that we shall approach our problems in a mature and adult manner, that we shall look at facts and realities rather than hopes and assertions, and that our attention shall be concentrated, as a Member of the Board put it at a recent meeting, on what should be our sole concernnamely, the unity and effective future development of our specialty in a stable environment. 'In looking to that future I know that everybody here will wish to congratulate Dr J F Nunn on his election this moming as my successor and Dr D D C Howat on his election as Vice-Dean. I hope that they will have a less troubled period of office than their immediate predecessors.'
APPOINTMENTS OF FELLOWS TO CONSULTANT AND SIMILAR POSTS C C WISE FFARCS Consultant Clinical Physiologist, South Glamorgan Health Authority (Teaching). S F J PILLEY FRCS Assistant Professor, Department of Ophthalmology, University of British Columbia, Vancouver, BC. N S BHAT FRCS Consultant Orthopaedic Surgeon to the Ministry of Public Health, Doha Qatar, Arabian Gulf. D J BUCHANAN FRCS Surgeon and Chief Medical Officer, Roan Consolidated Mines, Chibuluma Division, Zambia. J K TUCKER FRCS Consultant Orthopaedic Surgeon, Norfolk and Norwich Hospital. R J FOLEY FRCS Consultant Surgeon, Bedford General Hospital, North Bedfordshire Health District, Bedfordshire AHA. G GARDINER FDSRCS Consultant in Oral and Dental Surgery, Hillingdon and Northwick Park
Hospitals. A R GROVES FRCS Consultant Surgeon, South Birmingham Health District, Birmingham AHA(T) (Accident Hospital, Bums Unit).
A C BROUGHTON FRCS Consultant Surgeon, Pontefract General Infirmary, Pontefract, W Yorkshire. L J WILLIAMS FFARCS Consultant in Anaesthetics SW Cumbria Health District, Cumbria AHA. T DOWSON FRCS Consultant in Ophthalmology, Darlington and SW Durham Health Districts, Durham AHA. N C KEDDIE FRCS Consultant in General Surgery, W Cumrbria Health District, Cumbria AHA. C METCALFE-GIBSON FRCS Consultant in General Surgery, W Cumlbria Health District, Cumbria AHA. P M ATKINSON FRCS Consultant in General Surgery, Darlington Health District, Durham AHA. I L ROSENBERG FRCS Consultant in General Surgery, North Tees Health District, Cleveland AHA. D J DU TEMPLE FRCS, J A HARDING FRCS, and J G HENRY FRCS Consultant Ophthalmic Surgeons to the newly established Westmead Centre (a teaching hospital of the University of Sydney), Westmead, New South Wales.
REPORT of the COURT OF EXAMINERS, 22nd NOVEMBER, 1978 At the recent Final Examination for the Fellowship 37 candidates presented themselves for the Examination in Ophthalmology, io of whom acquitted themselves satisfactorily; 37 candidates presented themselves for the Examination in Otolaryngology, 7 of whom acquitted themselves satisfactoirily; and 36I candidates presented themselves for the Examination in General Surgery, 115 of whom acquitted themselves satisfactorily. *In Ophthalmology. tIn
The following are the names of the I39 candidates who, having complied with the regulations, are therefore entitled to the Diploma of Fellow: *BROWN, Peter Mathieson MRCS (St George's).
*PEARCE, Roger Malcolm MRCS (St Mary's). BURKE, Adrian Matthias MRCS (St Bart's). HUNT, David Maitland MRCS (Guy's). JAMES, Antony MRCS (Guy's).
Otolaryngology. §Woman.
whole.
'The first thing I want to say is that your place in this College is assured for as long as you want it to be. Your surgical and dental colleagues are ready at all times to support you to the full in any matters that concem the advancement of the art and science of anaesthesia and in maintaining your standards of
practice. 'Let us be quite clear that the decision as to wAhether you continue to feel that your future lies here with this Royal College (where your authority and your ability to contribute to our corporate affairs can continue to grow, as it has over the past 30 years) or whether you eventually decide that only in separation from us can you satisfy your own as-
pirations, that is a decision for you. But I do urge every one of you, when you debate this issue, to do so with as much scrupulous attention to the facts as you would use when approaching a serious clinical or scientific problem. From documents that I have read and statements that I have heard I must tell you that there has sometimes been a regrettable lack of such scrupulous attention to facts. And the facts are not inaccessible to anyone prepared to take the trouble to find them out from the appropriate authoritative sources. It is not good enough, and it does no credit to your specialty, to allow the desire to promote a particular policy to suppress the obligation to investigate the evidence dispassionately and scientifically. Despite much that has been said or implied this College has emphatically not treated your Faculty dishonourably, nor has it treated you, its Fellows and Members, as second-class citizens; it has not misappropriated the funds that you have brought into the College, nor has it imposed on you sacrifices of space or resources that have not been borne equally, or even to a greater extent, by others. I know that the vast majority of you do not feel aggrieved, but it must be disturbing for you to hear or to read that you should be, and perhaps not to be very clear in your own minds what degree of truth
24I
there is in the criticisms that are made of the College both publicly and privately. That is why I want you to know that my own attitude to your Faculty, and that of my Council, is one of warm and genuine friendship and respect, as is appropriate to partners of long standing in a corporate body whose aims and ideals we hold in common. 'In that spirit I would like to pay a particular tribute to two of your Board Members who have rendered conspicuous service to the College as a whole. This, Mr Dean, will be your last Annual Meeting in office and I know that everybody here will wish to join me in thanking you for the dignified, scrupulously fair, and enormously conscientious way in which you have carried out your most difficult duties. Not simply by the dedication you have shown to the needs and demands of your Faculty but by the part, and the very full part, you have played in the deliberations of our committees and in the public functions of the College. You have won many friends for yourself and for your Faculty and have added considerably to the national and international prestige of your specialty. You and your charming and talented wife have thoroughly earned a rest from these demanding and arduous duties. 'This will also be the last occasion on which Gordon Robson will appear before you as a VicePresident of the College, since he will shortly complete his two years in office. History has a way of providing the occasion for men of outstanding ability to fulfil their potential and it was more than a happy chance that enabled Council to elect as its VicePresident in I977 a man especially well fitted to fill the place that the new Constitution then made possible. Mr Vice-President, your intimate knowledge of the College in every aspect of its work has made you an invaluable member of the Presidential and Vice-Presidential team which, with the two Deans, has perforce to take many vital decisions and lead Council in many important debates. Your support has been of great assistance to me, inside and outside the College, and your term of service as VicePresident will long be remembered with gratitude and admiration.'
Address by the Dean of the Faculty, Dr J E Riding 'Mr President, Fellows, and Members, 'Last year at this time I spoke at some length on the matter of the need to appreciate the fundamental importance of the preservation of the independence ofof colleges and faculties from outside control or interference. The address was later published in the Annals (September I978, p. 43i) and was noteworthy only in that, so far as I am able to judge, it made absolutely no impact on Fellows. Much as I would like to return to this theme, fur its importance is not now less, there is a topic of more immediate urgency that needs to be aired. 'I refer to the pressure to establish an independent college. I will say again what I have said before, that there is nothing intrinsically wrong, dishonourable, or disloyal about the holding of the view sincerely and honestly that an independent college of
acllegesand ofathe ltesfrvom ofuthesindepeont eor
anaesthetists is desirable at some time in the future or even that it is necessary now. But a campaign is being conducted by the Association of Anaesthetists and one must assume, with the assent of the maa an,oems sue.it h seto h of members of its Council which displays jority been distasteful features and which has distinctly the highly critical of this College and our Faculty. I feel that I owe it to this meeting of Fellows and Members to answer some at least of these criticisms. 'The initiative for the formation of the Faculty
had its roots in the Association and for this many hundreds of anaesthetists are grateful. It does not follow, however, that having taken the predominant role in that initiative 3o years ago it is the function of the Association today to press upon Fellows its views concerning the Faculty's future development. This is a matter for the elected Board of Faculty and its Fellows.
242
College news
'The Council of the Association would, quite rightly, take offencc if this Board presumed to tell it how to develop its activities, how it should, say, modify its constitution, or presumed to comment on any aspect of its affairs and how it runs them. To my knowledge the Board has always respected the sovereignty of the Association and will, I am confident, continue to do so. I hope that the Association will show the same respect for ours in future. 'In my last newsletter I stated that "the last thing I wish, or intend, to do is to add fuel to the flames of this controversy". I have no wish to do so now, but it is only too evident that the climate has changed. Since that time statements have been made that only by the achievement of independence can the aspirations of anaesthetists be met. 'As Dean I have had, during the last three years, both correspondence and conversation with many Fellows and have to say that I have not been made forcibly aware of deep discontent with the Faculty or of an urgent desire to separate our specialty from the College. 'What troubles me considerably, however, is the nature of the public comment emanating from the Association which might be more understandable if one were not aware that information on almost all aspects of the Faculty and its activities is available to the Association Council. It is distressing to have to admit to doubts about the wisdom of, for example, the document which has been given widespread circulation and is entitled "The Case for a College". Herein it is stated, for example, that "an anaesthetists' academic body should clearly be represented on national bodies in its own right rather than through the Royal College of Surgeons. An independent college of anaesthetists would be free to advise on subjects which are of concem to anaesthetists without any constraint arising due to being part of the Royal College of Surgeons". 'This is quite misleading; the Faculty is represented in its own right now on all relevant national
committees, including the Conferences of Colleges and Faculties, the CHSC, the JCC, the CPME, and the SMAC. At no time has our position within the College in any way limited our freedom to nominate or limited the freedom of the representatives of the Faculty to speak in accordance with our policy on any topic, whether in agreement with the Council policy or not. If oblique reference is being made here to the previous absence of Faculty representation on the General Medical Council, then I would remind you of two things: first, that under the old GMC constitution the GMC claimed no powers in the field of postgraduate education and this was the reason given for excluding the Faculty and new independent colleges that were unrepresented; and second, that no one has done more than this College to ensure that under the new GMC constitution the Faculty will be represented in its own right. 'Later in the same document it is stated that "a college of anaesthetists would be free to run examinations in any field that anaesthetists felt appropriate and in a manner best suited to the specialty". Can Fellows believe that the Faculty is other than free to establish any diploma it likes? May I point
out that only last year the Faculty of Dental Surgery introduced a new Diploma without any question being raised by Council? 'To take another point at random, the proposal is made that an independent college could provide for regional representation and perhaps regional councils. So also could the Faculty if its Board decided that the development of such a system would be beneficial and wise. Surely many anaesthetists must have construed this passage as implying that while the Faculty remains within this College the provision of regional councils has been prevented by the Council. This is not true. 'It is stated that independence cannot exist within the RCS when only three anaesthetists are on the Council. Does independence only exist when there is proportional representation? I can think of no possible advantages residing in proportional representation and indeed of some disadvantages. Independ, ence, it is said, cannot begin to be meaningful for the Faculty unless it has its own budget. Yet the Faculty has always determined its own expenditure; budgetary control, which has certainly not been imposed by Council on the Faculty in recent years, is in the process of being devolved, and forecasts of expenditure for 1979/80 have been prepared and submitted to the Finance and General Purposes Committee, on which I represent the Faculty, in accordance with the spirit of the new Charter. It would be hard to show evidence that the Faculty's activities have been restricted in any way by Council, although the need to be prudent in inflationary times has affected us as it has affected others, not least the new independent colleges. 'The President of the Association in a recent interview is reported to have said that £ioo ooo per annum is paid to the RCS by anaesthetists but that it is not used for their benefit. I believe this to be an indefensible statement, not least in the suggestion that the Council and the officers of this College and its Faculties are failing in their duty to ensure that the Faculty is in receipt of moneys that are its due. But further I do not believe that the granting of interviews of this kind in an official capacity assists Fellows to inform themselves and clarify their thoughts about an extremely complex and important problem. 'During the last three years I have deliberately refrained from inflaming discussion of this most serious matter. I have felt very strongly that the welfare and dignity of the Faculty and its Fellows would in no way be helped by immediate and public reaction to every comment that has been made in a variety of media. But I regret that as time has gone on I have become highly sceptical of the frequent assertion of desire by those most critical of the Faculty to avoid a split within our specialty, and there are times when a dignified silence will be seen as an implied agreement that criticisms that have been made have substance. 'Misleading and incompletely informed public comment, and the implication that this properly elected Faculty Board is failing to carry out the duties required of it by its Fellows, and indeed lacks the imagination that can only be found in the minds of those who favour the creation of an in-
College news dependent college, cannot fail to deepen divisions seriously. 'Further, I must repeat the statement made in my last newsletter. It is for the democratically elected Board and for the Board alone to decide on the future of the Faculty. It is worth re-emphasis that this Board was not only fully consulted at every stage in the discussions which led to the granting of the new Charter which now causes, it seems, such bitterness and division, but that Council appointed an anaesthetist to chair the Charter Committee and accepted every proposal that was put forward by that committee to advance the status of the Faculties within the College. If, after the present Charter has been given time to work, the Faculty remains unsatisfied we will have to study the alternatives in great detail with our other partners in the College. 'I do not wish in any way to imply that an independent college can never be established. But the facile assumption that such a body if formed would inevitably, at a stroke, absorb the Faculty, its property, its resources, and its functions and its representative capacities is ill-founded and naive. 'It is my personal view now that there is a danger that if our specialty continues to air its differences in public without moderation and mutual respect we will so seriously damage the confidence in this Faculty of our own Fellows and of our surgical ancl
243
dental Fellows that we may end up with the worst of all possible worlds. The real possibility exists that irreparable harm will be done to the Faculty at a time when there is nothing to put in its place. 'Having said this, I am able to report that the discussions that are of real importance-namely, those within this College and the Faculty-have commenced, and in the months ahead we plan to look constructively and in detail at the whole position as a Board of Faculty. 'As individuals we naturally hold different views and have different feelings; but I am determined, and I believe that my colleagues on the Board are likewise determined, that we shall approach our problems in a mature and adult manner, that we shall look at facts and realities rather than hopes and assertions, and that our attention shall be concentrated, as a Member of the Board put it at a recent meeting, on what should be our sole concernnamely, the unity and effective future development of our specialty in a stable environment. 'In looking to that future I know that everybody here will wish to congratulate Dr J F Nunn on his election this moming as my successor and Dr D D C Howat on his election as Vice-Dean. I hope that they will have a less troubled period of office than their immediate predecessors.'
APPOINTMENTS OF FELLOWS TO CONSULTANT AND SIMILAR POSTS C C WISE FFARCS Consultant Clinical Physiologist, South Glamorgan Health Authority (Teaching). S F J PILLEY FRCS Assistant Professor, Department of Ophthalmology, University of British Columbia, Vancouver, BC. N S BHAT FRCS Consultant Orthopaedic Surgeon to the Ministry of Public Health, Doha Qatar, Arabian Gulf. D J BUCHANAN FRCS Surgeon and Chief Medical Officer, Roan Consolidated Mines, Chibuluma Division, Zambia. J K TUCKER FRCS Consultant Orthopaedic Surgeon, Norfolk and Norwich Hospital. R J FOLEY FRCS Consultant Surgeon, Bedford General Hospital, North Bedfordshire Health District, Bedfordshire AHA. G GARDINER FDSRCS Consultant in Oral and Dental Surgery, Hillingdon and Northwick Park
Hospitals. A R GROVES FRCS Consultant Surgeon, South Birmingham Health District, Birmingham AHA(T) (Accident Hospital, Bums Unit).
A C BROUGHTON FRCS Consultant Surgeon, Pontefract General Infirmary, Pontefract, W Yorkshire. L J WILLIAMS FFARCS Consultant in Anaesthetics SW Cumbria Health District, Cumbria AHA. T DOWSON FRCS Consultant in Ophthalmology, Darlington and SW Durham Health Districts, Durham AHA. N C KEDDIE FRCS Consultant in General Surgery, W Cumrbria Health District, Cumbria AHA. C METCALFE-GIBSON FRCS Consultant in General Surgery, W Cumlbria Health District, Cumbria AHA. P M ATKINSON FRCS Consultant in General Surgery, Darlington Health District, Durham AHA. I L ROSENBERG FRCS Consultant in General Surgery, North Tees Health District, Cleveland AHA. D J DU TEMPLE FRCS, J A HARDING FRCS, and J G HENRY FRCS Consultant Ophthalmic Surgeons to the newly established Westmead Centre (a teaching hospital of the University of Sydney), Westmead, New South Wales.
REPORT of the COURT OF EXAMINERS, 22nd NOVEMBER, 1978 At the recent Final Examination for the Fellowship 37 candidates presented themselves for the Examination in Ophthalmology, io of whom acquitted themselves satisfactorily; 37 candidates presented themselves for the Examination in Otolaryngology, 7 of whom acquitted themselves satisfactoirily; and 36I candidates presented themselves for the Examination in General Surgery, 115 of whom acquitted themselves satisfactorily. *In Ophthalmology. tIn
The following are the names of the I39 candidates who, having complied with the regulations, are therefore entitled to the Diploma of Fellow: *BROWN, Peter Mathieson MRCS (St George's).
*PEARCE, Roger Malcolm MRCS (St Mary's). BURKE, Adrian Matthias MRCS (St Bart's). HUNT, David Maitland MRCS (Guy's). JAMES, Antony MRCS (Guy's).
Otolaryngology. §Woman.
