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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..d7b82bc --- /dev/null +++ b/.gitattributes @@ -0,0 +1,4 @@ +*.txt text eol=lf +*.htm text eol=lf +*.html text eol=lf +*.md text eol=lf diff --git a/LICENSE.txt b/LICENSE.txt new file mode 100644 index 0000000..6312041 --- /dev/null +++ b/LICENSE.txt @@ -0,0 +1,11 @@ +This eBook, including all associated images, markup, improvements, +metadata, and any other content or labor, has been confirmed to be +in the PUBLIC DOMAIN IN THE UNITED STATES. + +Procedures for determining public domain status are described in +the "Copyright How-To" at https://www.gutenberg.org. + +No investigation has been made concerning possible copyrights in +jurisdictions other than the United States. Anyone seeking to utilize +this eBook outside of the United States should confirm copyright +status under the laws that apply to them. diff --git a/README.md b/README.md new file mode 100644 index 0000000..3e2f9bd --- /dev/null +++ b/README.md @@ -0,0 +1,2 @@ +Project Gutenberg (https://www.gutenberg.org) public repository for +eBook #52297 (https://www.gutenberg.org/ebooks/52297) diff --git a/old/52297-0.txt b/old/52297-0.txt deleted file mode 100644 index fff6098..0000000 --- a/old/52297-0.txt +++ /dev/null @@ -1,6099 +0,0 @@ -The Project Gutenberg EBook of Medical Women, by Sophia Jex-Blake - -This eBook is for the use of anyone anywhere in the United States and most -other parts of the world at no cost and with almost no restrictions -whatsoever. You may copy it, give it away or re-use it under the terms of -the Project Gutenberg License included with this eBook or online at -www.gutenberg.org. If you are not located in the United States, you'll have -to check the laws of the country where you are located before using this ebook. - - - -Title: Medical Women - Two Essays - -Author: Sophia Jex-Blake - -Release Date: June 10, 2016 [EBook #52297] - -Language: English - -Character set encoding: UTF-8 - -*** START OF THIS PROJECT GUTENBERG EBOOK MEDICAL WOMEN *** - - - - -Produced by MWS, Fay Dunn and the Online Distributed -Proofreading Team at http://www.pgdp.net (This file was -produced from images generously made available by The -Internet Archive) - - - - - - - - - -Transcriber’s Note - - -In this text version of “Medical Women”: words in italics are marked -with _underscores_ and words in small capitals are shown in UPPER CASE. - -Footnotes have been moved to end of each essay. - -Variant spelling and inconsistent hyphenation are retained. - -A very few changes have been made to punctuation for consistency. Other -changes are listed at the end of the book. - - - - - MEDICAL WOMEN - - Two Essays - - BY - - SOPHIA JEX-BLAKE. - - I. - - Medicine as a Profession for Women. - - II. - - Medical Education of Women. - - - EDINBURGH: - - WILLIAM OLIPHANT & Co., 57 FREDERICK STREET. - LONDON: HAMILTON, ADAMS, & Co. - - 1872. - - [_All Rights Reserved._] - - - - -JOHN LINDSAY, PRINTER, 104 HIGH STREET, EDINBURGH. - - - - - Dedicated - - TO - - DR LUCY SEWALL, - - FROM WHOSE DAILY LIFE - I FIRST LEARNED WHAT INCALCULABLE BLESSINGS - MAY BE CONFERRED ON THE SICK AND SUFFERING OF HER OWN SEX - BY A NOBLE AND PURE-MINDED WOMAN - WHO IS ALSO - A THOROUGHLY SCIENTIFIC PHYSICIAN. - - - - -I. - -Medicine as a Profession for Women. - -REPRINTED, WITH LARGE ADDITIONS, FROM “WOMAN’S WORK AND WOMAN’S -CULTURE.” - - -“We deny the right of any portion of the species to decide for another -portion, or any individual for another individual, what is and what is -not their ‘proper sphere.’ The proper sphere for all human beings is -the largest and highest which they are able to attain to. What this is -cannot be ascertained without complete liberty of choice.”--Mrs J. -S. MILL. - - - - -MEDICINE AS A PROFESSION FOR WOMEN. - - “The universe shall henceforth speak for you - And witness, She who did this thing, was born - To do it; claims her license in her work. - And so with more works. Whoso cures the plague, - Though twice a woman, shall be called a leech.” - - “_Aurora Leigh._” - - -It is a very comfortable faith to hold that “whatever is, is best,” -not only in the dispensations of Providence, but in the social order -of daily life; but it is a faith which is perhaps best preserved by -careful avoidance of too much inquiry into facts. The theory, if -applied to past as well as to present times, would involve us in some -startling contradictions, for there is hardly any act, habit, or custom -which has not been held meritorious and commendable in one state of -society, and detestable and evil in some other. If we believe that -there are eternal principles of right and wrong, wisdom and equity, far -above and greater than the “public opinion” of any one age or country, -we must acknowledge the absolute obligation of inquiring, whenever -matters of importance are at stake, on what grounds the popular -opinions rest, and how far they are the result of habit, custom, and -prejudice, or the real outgrowth of deep convictions and beliefs -inherent in the most sacred recesses of human nature. While the latter -command ever our deepest reverence, as the true “vox populi, vox Dei,” -nothing can be more superficial, frivolous, and fallacious than the -former. - -In a country where precedent has so much weight as in England, it -doubly behoves us to make the distinction, and, while gratefully -accepting the safeguard offered against inconsiderate and precipitate -change, to beware that old custom is not suffered permanently to -hide from our eyes any truth which may be struggling into the light. -I suppose that no thinking man will pretend that the world has now -reached the zenith of truth and knowledge, and that no further upward -progress is possible; on the contrary, we must surely believe that each -year will bring with it its new lesson; fresh lights will constantly be -dawning above the horizon, and perhaps still oftener discoveries will -be re-discovered, truths once acknowledged but gradually obscured or -forgotten will emerge again into day, and a constantly recurring duty -will lie before every one who believes in life as a responsible time of -action, and not as a period of mere vegetative existence, to “prove -all things, and hold fast that which is good.” - -The above considerations arise naturally in connexion with the subject -of this paper, which is too often set aside by the general public, who, -perhaps, hardly appreciate its scope, and are not yet fully aroused -to the importance of the questions involved in the general issue. We -are told so often that nature and custom have alike decided against -the admission of women to the Medical Profession, and that there is in -such admission something repugnant to the right order of things, that -when we see growing evidences of a different opinion among a minority -perhaps, but a minority which already includes many of our most earnest -thinkers of both sexes, and increases daily, it surely becomes a duty -for all who do not, in the quaint language of Sharpe, “have their -thinking, like their washing, done out,” to test these statements by -the above principles, and to see how far their truth is supported by -evidence. - -In the first place, let us take the testimony of Nature in the matter. -If we go back to primeval times, and try to imagine the first sickness -or the first injury suffered by humanity, does one instinctively feel -that it must have been the _man’s_ business to seek means of healing, -to try the virtues of various herbs, or to apply such rude remedies as -might occur to one unused to the strange spectacle of human suffering? -I think that few would maintain that such ministration would come -most naturally to the man, and be instinctively avoided by the woman; -indeed, I fancy that the presumption would be rather in the other -direction. And what is such ministration but the germ of the future -profession of medicine? - -Nor, I think, would the inference be different if we appealed to the -actual daily experience of domestic life. If a child falls down stairs, -and is more or less seriously hurt, is it the father or the mother -(where both are without medical training) who is most equal to the -emergency, and who applies the needful remedies in the first instance? -Or again, in the heart of the country, where no doctor is readily -accessible, is it the squire and the parson, or their respective wives, -who are usually consulted about the ailments of half the parish? Of -course it may be said that such practice is by no means scientific, but -merely empirical, and this I readily allow; but that fact in no way -affects my argument that women are _naturally_ inclined and fitted for -medical practice. And if this be so, I do not know who has the right -to say that they shall not be allowed to make their work scientific -when they desire it, but shall be limited to merely the mechanical -details and wearisome routine of nursing, while to men is reserved all -intelligent knowledge of disease, and all study of the laws by which -health may be preserved or restored. - -Again, imagine if you can that the world has reached its present -standing point, that society exists as now in every respect but -this,--that the art of healing has never been conceived as a separate -profession, that no persons have been set apart to receive special -education for it, and that in fact empirical “domestic medicine,” in -the strictest sense, is the only thing of the kind existing. Suppose -now that society suddenly awoke to the great want so long unnoticed, -that it was recognized by all that a scientific knowledge of the -human frame in health and in disease, and a study of the remedies of -various kinds which might be employed as curative agents, would greatly -lessen human suffering, and that it was therefore resolved at once to -set apart some persons who should acquire such knowledge, and devote -their lives to using it for the benefit of the rest of the race. In -such case, would the natural idea be that members of each sex should -be so set apart for the benefit of their own sex respectively,--that -men should fit themselves to minister to the maladies of men, and -women to those of women,--or that one sex only should undertake the -care of the health of all, under all circumstances? For myself, I have -no hesitation in saying that the former seems to me the _natural_ -course, and that to civilized society, if unaccustomed to the idea, the -proposal that persons of one sex should in every case be consulted -about every disease incident to those of the other, would be very -repugnant; nay, that were every other condition of society the same as -now, it would probably be held wholly inadmissable. I maintain that not -only is there nothing strange or unnatural in the idea that women are -the fit physicians for women, and men for men; but on the contrary, -that it is only custom and habit which blind society to the extreme -strangeness and incongruity of any other notion. - -I am indeed far from pretending, as some have done, that it is morally -wrong for men to be the medical attendants of women, and that grave -mischiefs are the frequent and natural results of their being placed -in that position. I believe that these statements not only materially -injure the cause they profess to serve, but that they are in themselves -false. In my own experience as a medical student, I have had far -too much reason to acknowledge the honour and delicacy of feeling -habitually shown by the gentlemen of the medical profession, not to -protest warmly against any such injurious imputation. I am very sure -that in the vast majority of cases, the motives and conduct of medical -men in this respect are altogether above question, and that every -physician who is also a gentleman is thoroughly able, when consulted by -a patient in any case whatever, to remember only the human suffering -brought before him and the scientific bearing of its details; for as -was said not very long ago by a most eminent London surgeon, “Whoever -is not able, in the course of practice, to put the idea of sex out -of his mind, is not fit for the medical profession at all.” It will, -however, occur to most people that the medical man is only one of the -parties concerned, and that it is possible that a difficulty which may -be of no importance from his scientific standpoint, may yet be very -formidable indeed to the far more sensitive and delicately organized -feelings of his patient, who has no such armour of proof as his own, -and whose very condition of suffering may entail an even exaggerated -condition of nervous susceptibility on such points.[1] At any rate, -when we hear so many assertions about natural instincts and social -propriety, I cannot but assert that their evidence, such as it is, is -wholly for, and not against, the cause of women as physicians for their -own sex. - -If we take next the ground of custom, I think the position of those who -would oppose the medical education of women is far less tenable than is -generally supposed; indeed, that a recent writer stated no more than -the truth when he asserted that “the obloquy which attends innovation -belongs to the men who exclude women from a profession in which they -once had a recognised place.”[2] I believe that few people who have -not carefully considered the question from an historical point of view -have any idea of the amount of evidence that may be brought to support -this view of the case.[3] - -Referring to the earliest classical times, we find distinct mention -in the Iliad of a woman skilled in the science of medicine,[4] and a -similar reference occurs also in the Odyssey.[5] Euripides is no less -valuable a witness on this point. He describes Queen Phædra[6] as -disturbed in mind and out of health, and represents the nurse as thus -addressing her: “If thy complaint be anything of the more secret kind, -here are women at hand to compose the disease. But if thy distress is -_such as may be told to men_, tell it, that it may be reported to the -physicians;” thus indicating a prevailing public opinion that there -were natural and rigid limits to the medical attendance of men and -women, and that therefore some women were specially trained to do what -the regular physicians must leave undone. It is at least remarkable -to find such evidence of general feeling on this matter in a state of -society supposed to possess much less delicacy and refinement than our -own. - -We find records of several Grecian women who were renowned for their -medical skill, among whom may be instanced Olympias of Thebes, whose -medical learning is said to be mentioned by Pliny; and Aspasia, from -whose writings on the diseases of women, quotations are preserved in -the works of Aëtius, a Mesopotamian physician.[7] On the authority of -Hyginus rests the history of Agnodice, the Athenian maiden whose skill -and success in medicine was the cause of the legal opening of the -medical profession to all the free-born women of the State.[8] - -In more modern times, when almost all learning was garnered into the -religious houses, which were not only the libraries but the hospitals -of the day, it seems evident that the care of the sick and wounded fell -at least as often to the share of the Nunneries as of the Monasteries, -and probably medical skill, such as it was, found place among the -sisters quite as often as among the brethren of the various religious -Orders. - -The old ballad of Sir Isumbras gives one illustration out of many of -the prevailing state of things, relating how the nuns received the -wounded knight, and how - - “Ilke a day they made salves new, - And laid them on his wounds, - They gafe hym metis and drynkes lythe, - And heled the knyghte wonder swythe.”[9] - -It may be remembered that Sir Walter Scott,[10] after describing how -Rebecca “proceeded, with her own hands, to examine and bind up the -wounds,” goes on to remark, “The youngest reader of romances and -romantic ballads must recollect how often the females, during the -dark ages, as they are called, were initiated into the mysteries of -surgery.... The Jews, both male and female, possessed and practised the -medical science in all its branches.” - -In the fourteenth century, when the Medical School of Salerno enjoyed -high reputation, we find record of a female physician named Abella, who -lived there, and wrote in Latin various works on medicine.[11] - -Early in the next century an Italian lady, Dorotea Bocchi, was actually -Professor of Medicine at the University of Bologna,[12] and among the -traditions of the same University is preserved the name of Alessandra -Gigliani, who, in even earlier times, was a learned student of -anatomy.[13] - -In the sixteenth century, at Alcarez in Spain, lived Olivia Sabuco de -Nantes, who “had a large knowledge of science and medicine,” and whose -medical works were printed at Madrid in 1588.[14] - -It is clear that in Great Britain at an early period women were -commonly found among the irregular practitioners of medicine; and -it is equally clear that their male competitors greatly desired to -deprive them of the right to practise. In 1421 a petition was presented -to Henry V., praying that “no woman use the practyse of fisyk under -payne of long emprisonment.”[15] Within a few years after the first -incorporation of the Colleges of Physicians and Surgeons, an Act[16] -was passed for the relief and protection of “Divers honest psones, _as -well men as women_, whom God hathe endued with the knowledge of the -nature, kind, and operaçon of certeyne herbes, rotes, and waters, and -the using and ministering them to suche as be payned with customable -diseases, for neighbourhode and Goddes sake, and of pitie and -charytie,” because the “Companie and Fellowship of Surgeons of London, -mynding onlie their owne lucres and nothing the profit or ease of the -diseased or patient, have sued, vexed, and troubled,” the aforesaid -“honest psones,” who were henceforth to be allowed “to practyse, use, -and mynistre in and to any outwarde sore, swelling, or disease, any -herbes, oyntements, bathes, pultes or emplasters, according to their -cooning experience and knowledge ... without sute, vexation, penaltie, -or losse of their goods.”[17] - -This provision clearly referred to general practice other than that -of midwifery, which latter branch of the profession was then, as for -centuries both before and after, almost exclusively in the hands of -women. The very word _midwife_, with its Latin synonym “_obstetrix_,” -is sufficiently significant on this point, for in neither language has -it any masculine equivalent, and the clumsy term “Man-midwife” served, -when first needed and used, to mark the general sense of what the -writer in the _Athenæum_ forcibly calls “masculine intrusion into that -which natural instinct assigns to woman as her proper field of labour;” -and this same very suggestive title is the only one which at the -present day in legal phraseology distinguishes the male practitioners -of this branch of medical art. - -From the time of Moses onwards this part of the profession has always -been mainly in the hands of women, and in many countries of Europe -no other usage has ever prevailed. The first regular French medical -society, “La confrairie de St Cosme and St Damien,” included within its -organization the Company of Midwives,[18] and from that time down to -the present it seems in France to have been the custom to give to these -women a regular education, terminating in sufficient examinations, an -example which England would have done well to follow. - -In this country, however, midwives appear to have held a most -respectable position some centuries ago, and a curious idea of their -importance, their duties, and their credit, may be gathered from a -MS. volume (without date) now preserved in the British Museum,[19] -which was evidently written at a time when hardly any but women -were employed in the “mysteries of the profession,” and when it was -a comparatively rare thing, that needed to be specially advised in -certain cases, for them to “make use of (_i.e._, call in) a physitien.” -The writer remarks that “it is meet that the midwife be a woman well -read and well experienced,” and gives a caution that “drunkenness is a -sordid sin in any who use it, but is a blemish worthy greater blame in -ministers, magistrates, midwives, physitiens, and chirurgeons.” - -Mrs Celleor, in her letter previously referred to,[20] tells us that in -1642, “the physitiens and chirurgeons contending about it, midwifery -was adjudged a chirurgical operation, and midwives were licensed at -Chirurgeon’s Hall, but not till they had passed three examinations -before six skilful midwives, and as many chirurgeons;” but for some -reason (connected probably with their occasional baptismal functions) -the midwives were, in 1662, referred for their licence to Doctors’ -Commons, thus losing their official connexion with the medical world. - -How it came that English midwives fell gradually from their high -estate is partly explained by a very public-spirited book (with the -appropriate motto “Non sibi sed aliis”) written by a surgeon in -1736.[21] The writer adverts to the accusations of ignorance then -brought against the midwives, and remarks that “the only method by -which this fatal distemper can be cured, is to put it in the power of -midwomen to qualify themselves thoroughly and at a moderate expense.... -To which method of qualifying themselves I doubt not the midwomen will -object, and say that they would readily be at any reasonable expense -and fatigue to be so thoroughly instructed, but it is not in their -power. The midwomen cannot, and the midmen will not instruct them. The -midmen will object and say that the midwomen want both capacity and -strength (instruct them as ye please). To which I reply (_ore rotundo, -plenis buccis_) that it is not want of capacity, docility, strength, or -activity ... which is evident to a demonstration from the successful -practice of women in the Hôtel Dieu at Paris (the best school for -midwifery now in Europe).... Would not any person then be deservedly -laughed at who should assert that our women are not as capable of -performing their office had they the same instruction as the French -women?” This chivalrous surgeon then proposes that regular provision -should be made for proper instruction, and for examinations by two -surgeons (who have lectured to the women), “and six or seven other -persons appointed by His Majesty, because I don’t think it reasonable -that so many people’s bread should depend on the humour or caprice of -two men only;” adding that “If some such scheme was put in execution, -I’m satisfied that in a very few years there would not be an ignorant -midwife in England, and consequently the great agonies most women -suffer at the very sight of a man would be almost entirely prevented,” -and great expense and much life saved. - -However, we must suppose that these noble words of protest fell upon -deaf ears, and the midwives, being left in their ignorance, their -practice gradually passed into the hands of the medical men, who had -every advantage of learning at their command.[22] - -It is, however, only very recently that men-midwives have been allowed -to attend on royal patients in this country; indeed, I believe that -the Princess Charlotte was the first to establish the precedent, and -that our present Sovereign was the first queen who followed it. In a -very interesting series of papers, by Dr Aveling, recently published -in the _Lancet_,[23] accounts have been given of a number of the royal -midwives whose names have been honourably preserved in history, such as -Alice Dennis, who attended Anne of Denmark, and received a fee of £100 -“for her pains and attendance upon the Queen, as of His Highness’s free -gift and reward, without account, imprest, or other charge to be set on -her for the same.” - -The same writer mentions that Margaret Mercer was sent express from -England in 1603 to attend on “His Majesty’s dearest daughter, the -Princess Electress Palatine.” - -It is also recorded that “Mrs Labany attended Mary of Modena, Queen -of James II., when she was delivered, on June 10th, 1687, of James -Francis Edward, afterwards called the Pretender.”[24] Mrs Wilkins, -another midwife, seems also to have been present on this occasion, and -it is stated that each of these persons received a fee of five hundred -guineas for her services. - -It is well known that Queen Charlotte was always attended by a -woman,[25] and the late Duchess of Kent employed the Frau von Siebold, -of whom mention is made elsewhere.[26] - -Now that public attention is awaking to the subject, and educated -women are once more desirous of undertaking this peculiarly womanly -work, we may indeed anticipate, with the already quoted writer in the -_Athenæum_, that a reactionary movement will soon make itself felt, and -that the usage “which even up to the present time a large proportion -of our English families, especially those of our northern towns and -outlying country districts, have never adopted, will most likely be -discontinued in all classes of English society before the end of the -present century.” - -On the Continent of Europe, owing to their better education, the -midwives retain much of the position that they have for a time lost -in England; and we hear that in Russia “a medical man is very rarely -called in; notwithstanding, fatal cases are of far less frequent -occurrence in Russia than in England;” and the same authority tells us -that ladies practising midwifery are admitted into society as doctors -would be, and are well paid, both by the Government and by private -fees.[27] - -While thus briefly tracing out the history of midwifery in modern -times, and the causes which led to its practice passing from the hands -of women into those of men, I have not paused to mention, in due -chronological order, those women who, in the last three centuries, have -been distinguished for a knowledge of the other branches of Medicine -and Surgery. Of these I will now enumerate a few, though my time and -space are far too limited either to give a complete list, or to relate -any but the most prominent particulars of each case mentioned; but I -can promise that any one who will consult the authorities quoted will -be abundantly repaid by the long and interesting details that I am -forced to pass over in almost every instance. - -In the seventeenth century, in England, one of the women most noted for -medical skill was Lady Ann Halket,[28] born in 1622, daughter of the -then provost of Eton College. “Next to the study of Divinity she seems -to have taken most delight in those of Physick and Surgery, in which -she was no mean proficient; nay, some of the best physicians in the -kingdom did not think themselves slighted when persons of the greatest -quality did consult her in their distempers, even when they attended -them as their ordinary physicians. Many from England, Holland, and -the remotest parts of the kingdom, have sent to her for things of her -preparing; and many whose diseases have proved obstinate under all the -methods of physicians, have at length, by the physicians’ own advice, -been recommended and sent to her care, and have been recovered by her.” - -In 1644 was born Elizabeth Lawrence, afterwards wife of the Rev. -Samuel Bury, of Bristol, who wrote her life,[29] and who bears witness -that “it was not possible there should be a more observant, tender, -indulgent, and compassionate wife than she was; a more sympathising -spirit is very rarely found.” He records that “she took much pleasure -in Anatomy and Medicine, being led and prompted to it partly by her own -ill health, and partly with a desire of being useful.” The difficulties -that she encountered in her studies may be guessed, since “she would -often regret that so many learned men should be so uncharitable to -her sex, and be so loath to assist their feebler faculties when they -were anywise disposed to an accurate search into things profitable -and curious. Especially as they would all so readily own that souls -were not distinguished by sexes. And therefore she thought it would -have been an honourable pity in them to have offered something in -condescension to their capacities, rather than have propagated a -despair of their information to future ages.” Her husband, however, -tells us that “she improved so much, that many of the great masters of -the Faculty have often been startled by her stating the most nice and -difficult cases in such proper terms;” and, remarking that, “How much -knowledge and skill soever she attained in the practice of Physick, -by long observation, conversation, and experience, yet she was very -distrustful of herself,” he adds that the “instances of her successes -in the preservation of human lives were not easily numbered.” - -As a contemporary of these Englishwomen, we find in Germany Elizabeth -Keillen, who published several medical works, and died in 1699. She -is said by Finauer to have had “great knowledge of medicine and -chemistry.” - -In comparatively recent times, Bologna was remarkable as ever for its -liberal encouragement of learned women, and about the middle of the -last century the Chair of Anatomy at that University was filled by -Anna Morandi Mazzolini, whose exquisitely delicate anatomical models, -executed in wax, became the pride of the Museum at Bologna. She first -became interested in the study of Anatomy in consequence of her wish -to help her husband, who was a distinguished anatomist, and a maker -of anatomical designs and models. He fell into ill-health and mental -despondency, and therefore “his wife, loving him dearly, and fearing -that he would desist from his work, gave herself up to his comfort; -and for this purpose became herself an anatomical sculptor, reading -works of anatomy, consulting anatomical tables and preparations, taking -theoretical and practical lessons from her husband, and, marvellous -to say, even dissecting dead bodies with resolute mind, and with -incredible perseverance.... Too long to describe are the works executed -in wax by the able hands of this illustrious woman. They were collected -in five elegant cases in our Anatomical Museum.... The fourth case -encloses delicate illustrations of all the parts belonging to the -senses of sight, smell, hearing, taste, and touch--stupendous works in -which she surpassed herself, and also her husband, and his colleague, -Ercole Lelli.... These models were for some time kept in her own house, -and each one who saw them spread her renown, so that through distant -countries was spread the fame of her works, so that every learned and -distinguished person passing through Bologna was solicitous to visit -and know personally the maker of these wonders.”[30] Signora Mazzolini -also made original discoveries in anatomical science, which obtained -for her many marks of distinction from the learned colleges and -societies of the day. She was offered a Chair at Milan, with increased -revenues, but preferred to remain at Bologna, where she lived till -her death in 1774. Medici, in his records of the Anatomical School of -Bologna, speaks of this lady with profound respect, as distinguished -alike by “rare powers, great erudition, gracious manners, and delicate -and gentle temperament,” and relates that her fame reached the ears of -the Emperor Joseph II., who visited her in 1769, and “having seen her -works and heard her conversation,” loaded her with public honours. Her -example seems to have inspired others of her countrywomen to follow -in the steps of one so honoured, alike in the stern duties of her -profession, and in the sanctities of household life; for in the course -of the next half century several Italian women availed themselves of -the thorough medical education which the Italian Universities never -refused. - -In 1788 Maria Petraccini[31] took a degree in medicine at Florence, -and we find her, a little later, lecturing on anatomy at Ferrara, in -presence of the medical professors. She married Signor Feretti, and has -left several works on the physical education of children. - -Her daughter, Zaffira Feretti, seems to have inherited her mother’s -talents, for she studied Surgery in the University of Bologna, and -there received a medical degree[32] in May 1800. She obtained an -appointment under the Italian Government, and for some time lived in -Ancona acting as Director-General of the midwives in all parts of the -country. She afterwards went to Turkey, and died at Patras in 1817. - -Maria Mastellari seems also to have been a woman of unusual talent, -and “progressed diligently in the most rigid sciences.” She obtained -a medical degree at Bologna in 1799. She subsequently became the wife -of Signor Collizoli-Sega, and is described as possessing a “sweet and -gentle temperament, with special love of silence and quiet. She centred -her interests in her family, which she managed admirably.”[33] - -Still more distinguished in the annals of medicine was Maria delle -Donne, who also studied in the University of Bologna, and “received -the doctoral laurel” in 1806.[34] She “constantly practised both -Medicine and Surgery,” and was appointed by Napoleon Bonaparte to the -Chair of Midwifery at Bologna. The _Gazette Medicale_, quoting from the -“_Raccoglitore Medico_,” gives the following account of her:--“Anna -Maria delle Donne, docteur en médecine, auteur d’élégants vers latins, -professeur d’obstetrique, à l’Université de Bologna, membre de -l’Academie, bénédictine, &c., est décedée le 9 Janvier, 1842. Cette -femme distinguée qui a succedé à Madame Mazzolini et à Madame Bassi, -est une des gloires scientifiques de Bologna. Elle soutint en 1800, -avec un très grand succès, une thèse de Philosophie, de Chirurgie, and -de Medicine. Peu après, à la suite d’un examen public, on lui conféra -le grade de docteur et de consultant. Napoleon en passant à Bologne -fut frappé du savoir de cette dame, et institua pour elle une Chaire -d’Obstetrique, où elle se fit une grande renommée.”[35] - -Nor was Italy alone noted as the birthplace of women skilled in -Medicine. In Germany, early in this century, Frau von Siebold so -greatly distinguished herself in the practice of midwifery that the -degree of M.D. was conferred on her by the University of Giessen;[36] -and her daughter Marianne, afterwards Frau von Heidenreich, studied -in the Universities of both Göttingen and Giessen, and took her degree -in the regular way in 1817. She is spoken of as “one of the most famed -and eminent female scholars of Germany,” and as being “universally -honoured as one of the first living authorities in her special branch -of science.”[37] She died only in 1859. - -In France, the name of Madame Lachapelle[38] was known and honoured as -that of one of the ablest teachers of Midwifery during the latter part -of the last century. She has left several valuable works on subjects -connected with her specialty. Her funeral in 1821 was followed by -all the chief physicians of Paris. Her pupil and successor, Madame -Boivin,[39] was still more distinguished for her medical knowledge and -skill, and for her contributions to anatomical science. Her “Memoire de -l’art des Accouchements” was approved by the highest medical authority, -and was appointed as the text-book for students and midwives by the -Minister of the Interior. She was invested with an Order of Merit -by the King of Prussia in 1814, and in the same year was appointed -co-director (with the Marquis de Belloy) of the General Hospital for -Seine and Oise, and in 1815 was entrusted with the direction of a -temporary Military Hospital, for her services in which latter capacity -she received a public vote of thanks. She was also entrusted with the -direction of the Hospice de la Maternité, and of the Maison Royale de -Santé, and was one of the most distinguished practitioners of the time. -She made original discoveries in Anatomy, invented various surgical -instruments, and obtained prizes for medical theses from the Société de -Medicine. - -Her medical writings were distinguished by “precision et clarté, -jugement sain, erudition choisie, et savoir solide.” In 1846 one of her -books was eulogized by Jourdan as “ouvrage éminemment pratique, et le -meilleur que nous possedions encore sur ce sujet,” with the additional -remark that “tout se réunit pour lui mériter une des premières places -parmi les productions de la littérature medicale moderne.” She was a -member of the Medical Societies of Paris, Bordeaux, Berlin, Brussels, -and Bruges, and was honoured with the degree of M.D. from the -University of Marbourg. She died in 1841. - -These numerous instances of the successful practice of Medicine by -women seem to have been little known, or else forgotten, to judge by -the surprise expressed when, after surmounting many difficulties, -an English lady, named Elizabeth Blackwell, succeeded in obtaining -medical education and the degree of M.D. from a medical school in -America in 1849. The novelty, in truth, was not in the granting -of the medical degree to a woman, but in its being received by an -Englishwoman, for it is hardly gratifying to one’s national pride to -find that England never has accorded such encouragement to female -learning as was found in Italy, Germany, and France; and it is still -more painful to realize that this country, almost alone, stands still -aloof from the movement of liberal wisdom that has now in all these -lands, as well as in Switzerland, and even in Russia, granted to woman -the advantage of University education and degrees. English women are -not behind others in desiring knowledge, but as yet they are forced to -seek it on foreign shores, for hitherto no British University has ever -fully admitted women to its educational advantages; and a few years -ago, that of London, with all its professions of liberality, refused a -woman’s petition even for examination for the degree of M.D.! - -So much for the historical evidence bearing on this question. I am -indeed sorry to have paused so long on this part of the subject, but it -seemed essential to a proper statement of the whole case. - -If, then, nature does not instinctively forbid the practice of the -healing art by women, and if it cannot be denied that some at least of -its branches have long been in their hands, we must go further to seek -on what grounds their admission to the medical profession should be -opposed. - -Probably the next argument will be that women do not require, and -are not fitted to receive, the scientific education needful for -a first-rate Physician, and that “for their own sakes” it is not -desirable that they should pursue some of the studies indispensably -necessary. To this the answer must be, that the wisest thinkers teach -us to believe that each human being must be “a law unto himself,” -and must decide what is and what is not suitable for his needs, what -will and what will not contribute to his own development, and fit him -best to fulfil the life-work most congenial to his tastes. If women -claim that they do need and can appreciate instruction in any or all -sciences, I do not know who has the right to deny the assertion. - -That this controversy is no new one may be proved by reference to a -very curious black-letter volume now in the British Museum,[40] wherein -the writer protests, “I mervayle gretely of the opynyon of some men -that say they wolde not in no wyse that theyr doughters or wyves or -kynneswomen sholde lerne scyences, and that it sholde apayre their -cödycyons. This thing is not to say ne to sustayne. That the woman -apayreth by connynge it is not well to beleve. As the proverbe sayeth, -‘that nature gyveth maye not be taken away.’” - -If it be argued that the study of Natural Science may injure a woman’s -character, I would answer, in the words of one of the purest-minded -women I know, that “if a woman’s womanliness is not deep enough in her -nature to bear the brunt of any needful education, it is not worth -guarding.” It is, I think, inconceivable that any one who considers -the study of natural science to be but another word for earnest and -reverent inquiry into the works of God, and who believes that, in -David’s words, these are to be “sought out of all them that have -pleasure therein,” can imagine that any such study can be otherwise -than elevating and helpful to the moral, as well to the mental nature -of every student who pursues it in a right spirit. In the words of -Scripture, “To the pure, all things are pure,” and in the phrase of -chivalry, “Honi soit qui mal y pense.” - -It has always struck me as a curious inconsistency, that while almost -everybody applauds and respects Miss Nightingale and her followers -for their brave disregard of conventionalities on behalf of suffering -humanity, and while hardly any one would pretend that there was any -want of feminine delicacy in their going among the foulest sights and -most painful scenes, to succour, not their own sex, but the other, -many people yet profess to be shocked when other women desire to fit -themselves to take the medical care of those of their sisters who would -gladly welcome their aid. Where is the real difference? If a woman is -to be applauded for facing the horrors of an army hospital when she -believes that she can there do good work, why is she to be condemned -as indelicate when she professes her willingness to go through an -ordeal, certainly no greater, to obtain the education necessary for a -medical practitioner? Surely work is in no way degraded by being made -scientific; it cannot be commendable to obey instructions as a nurse -when it would be unseemly to learn the reasons for them as a student, -or to give them as a doctor; more especially as the nurse’s duties may -lead her, as they did in the Crimea, to attend on men with injuries and -diseases of all kinds, whereas the woman who practises as a physician -would confine her practice to women only. It is indeed hard to see any -reason of delicacy, at least, which can be adduced in favour of women -as nurses, and against them as physicians. - -Their natural capacity for the one sphere or the other is, of course, -a wholly different matter, and is, indeed, a thing not to be argued -about, but to be tested.[41] If women fail to pass the required -examinations for the ordinary medical degree, or if, after their -entrance into practice, they fail to succeed in it, the whole question -is naturally and finally disposed of. But that is not the point now at -issue. - -That the most thorough and scientific medical education need do no -injury to any woman might safely be prophesied, even if the experiment -had never been tried; but we have, moreover, the absolute confirmation -of experience on the point, as I, for one, will gladly testify from -personal acquaintance in America with many women who have made Medicine -their profession; having had myself the advantage of studying under -one who was characterized, by a medical gentleman known throughout the -professional world, as “one of the best physicians in Boston,” and who, -certainly, was more remarkable for thorough refinement of mind than -most women I know,--Dr Lucy Sewall. - -Of course there may always be unfortunate exceptions, or rather there -will always be those of both sexes who, whatever their profession may -be, will be sure to disgrace it; but it is not of them that I speak, -nor is it by such individual cases that the supporters of any great -movement should be judged. - -The next argument usually advanced against the practice of medicine -by women is that there is no demand for it; that women, as a rule, -have little confidence in their own sex, and had rather be attended by -a man. That everybody had rather be attended by a competent physician -is no doubt true; that women have hitherto had little experience of -competent physicians of their own sex is equally true; nor can it be -denied that the education bestowed on most women is not one likely -to inspire much confidence. It is probably a fact, that until lately -there has been “no demand” for women doctors, because it does not -occur to most people to demand what does not exist; but that very many -women have wished that they could be medically attended by those of -their own sex I am very sure, and I know of more than one case where -ladies have habitually gone through one confinement after another -without proper attendance, because the idea of employing a man was so -extremely repugnant to them. I have indeed repeatedly found that even -doctors, not altogether favourable to the present movement, allow that -they consider men rather out of place in midwifery practice;[42] and -an eminent American practitioner once remarked to me that he never -entered a lady’s room to attend her in confinement without wishing to -apologize for what he felt to be an intrusion, though a necessary and -beneficent intrusion, in one of his sex. - -I suppose that the real test of “demand” is not in the opinions -expressed by those women who have never even seen a thoroughly educated -female physician, but in the practice which flows in to any such -physician when her qualifications are clearly satisfactory. In England -there are at present but two women legally qualified to practise -Medicine, and I understand that already their time is much more fully -occupied, and their receipts much greater, than is usually the case -with medical men who have been practising for so short a period. Dr -Garrett Anderson’s Dispensary for poor women is also largely attended, -and during the five years which have elapsed since it was opened, more -than 40,000 visits have been made to it; 9000 new patients have been -admitted, and 250 midwifery cases have been attended by the midwives -attached to the charity, Dr Garrett Anderson being called in when -necessary. - -When we turn to America, we find that a considerable number of -women have very extensive practice and large professional incomes -(more, indeed, than in some cases seems warranted by their medical -qualifications). The Report of a little hospital, managed entirely -by women, in Boston, U.S., relates that during 1867 the number of -in-patients was 198; of persons visited at their homes, 281; and of -those able to attend at the dispensary, 4,576; all these patients being -women and children only. In fact, the attendance at the Dispensary -became so excessive in proportion to the resources of the charity, -that in 1868 a rule was passed by the Committee requiring each patient -to pay twenty-five cents (or about ninepence) for medicines, at each -visit, except when she brought “a certificate of her poverty, properly -authenticated.” This regulation brought out still more strongly the -distinct _choice_ of poor women in this matter, for, though the General -City Dispensary gave medicines gratuitously, the number of those who -attended at the Woman’s Hospital was much less diminished than was -expected, being still 3,236 in 1868. In New York also, where the -Dispensary managed by women doctors is but one of many, the crowd of -patients is very great, the numbers being, in 1867, no less than 6354, -while 545 persons were attended at their homes either in confinement -or during severe illness. Of course it will be understood that each -patient thus entered on the books implies not one visit, but many, paid -to the Dispensary, or often repeated attendance at the patient’s home. - -Of the Boston Hospital for Women and Children I can speak from -lengthened experience in it as a student. When standing in its -dispensary I have over and over again heard rough women of a very poor -class say, when questioned why they had not had earlier treatment for -certain diseases, “Oh, I _could not_ go to a man with such a trouble, -and I did not know till just now that ladies did this work;” and from -others have repeatedly heard different expressions of the feeling that, -“It’s so nice, isn’t it, to be able at last to ask ladies about such -things?” - -As I am alluding to my own experience in this matter, I may perhaps -be allowed to say how often in the same place I have been struck with -the _contingent_ advantages attendant on the medical care by women of -women. How often I have seen cases connected with stories of shame or -sorrow to which a woman’s hand could far most fittingly minister, and -where sisterly help and counsel could give far more appropriate succour -than could be expected from the average young medical man, however -good his intentions. Perhaps we shall find the solution of some of our -saddest social problems when educated and pure-minded women are brought -more constantly in contact with their sinning and suffering sisters, in -other relations as well as those of missionary effort. - -So far from there being no demand for women as physicians, I believe -that there is at this moment a large amount of work actually awaiting -them; that a large amount of suffering exists among women which never -comes under the notice of medical men at all, and which will remain -unmitigated till women are ready in sufficient numbers to attend -medically to those of their own sex who need them, and this in all -parts of the world. From India we hear urgent demands for “educating -native women of good caste, so as to qualify them to treat female -patients and children.”[43] We are informed that “this is a work -which can only be carried on by women, as the native women in many -cases will rather die than be seen by a man in times of sickness,”[44] -and arrangements have already been made for a systematic “Female -Medical Mission,” though perhaps the standard of medical knowledge -required can, under existing circumstances, hardly be fixed as high -as is desirable. To show, however, the eagerness with which the -native women avail themselves of the aid thus offered, I may mention -that when a lady (who had had some medical training, but possessed -no degree,) was sent out by the Society[45] in December 1870, she, -during the first three months of her stay, had occasion to pay no less -than 313 professional visits to zenanas, and to treat 158 patients at -her dispensary, which was arranged with a view to affording them the -utmost privacy. Subsequently her visits to zenanas averaged as many -as seventeen a day, while nearly twice as many patients came to her -dispensary. Efforts are also being made to train native Hindoo women -for some branches, at least, of the medical profession. Dr Corbyn of -Bareilly, in 1870, wrote as follows:--“I am educating a number of -native girls, and three have already passed as native doctors. They -are of all castes,--Christians, Mahommedans, and Hindoos. My school is -divided into three classes. The first-class pupils can read and write -English and Urdee with accuracy. They are taught medicine, surgery, -midwifery, diseases of women and children (especially the latter -two). The second-class learn anatomy, materia medica, and physiology, -in English and Urdee. The pupils of the other (preparatory) class -are taught English and Urdee. We have a female ward attached to the -dispensary for women and children, and these girls entirely attend to -them, under my and the sub-assistants’ supervision. It is wonderful how -they can manipulate; they have plenty of nerve.”[46] Even more recently -we learn that “the Mahommedan Nawab of Rampoor has presented to the -Bareilly mission a large building for the purpose of a medical school -for women. Several women are now going through a scientific course of -instruction.”[47] - -About eight or ten years ago, “several of the wild tribes of Russian -Asia petitioned the Government to send them out properly qualified -women to act as midwives. Their petition was granted, the Government -undertaking all the expense of the education and maintenance of a -certain number of women for this purpose. After a time one of these -tribes, the Kirgesen, petitioned further, that the women thus sent to -them should also be taught some branches of the art of Medicine. One of -the women, then being trained as a midwife, hearing of this petition, -wrote to the Kirgesen, proposing that she should study Medicine -thoroughly, and go out to them as a qualified doctor. She suggested at -the same time that they should try to get permission for her to enter -the Academy of St Petersburg as a regular medical student. The Kirgesen -welcomed the proposal, and, through an influential Russian general, -obtained an official document, empowering their future doctor to attend -the Academy as a student. They have regularly sent money for her -education and maintenance, and from the first have taken the greatest -interest in her progress and welfare, requiring, among other things, -periodical bulletins of her health. Hearing last summer that she was -not well, they sent money for her to go abroad for her holiday, and -asked for an extra bulletin.”[48] - -I cite the above facts to show that the demand for female physicians is -no artificial or imaginary one, and that it does not spring out of any -fanciful whim of an over-refined social state; but lest it should be -supposed on the other hand to be confined to half-barbarous nations, I -may quote the opinions expressed on this subject two years ago in one -of the most thoughtful of our English journals: “We heartily admit -that the only way to discriminate clearly what practical careers women -are, and are not, fitted for, is to let them try. In many cases, as in -the medical profession, we do not feel any doubt that they will find -a special kind of work for which they are specially fitted, which has -never been adequately done by men at all, and which never would be done -but by women.... We have heard the opinion of one of the most eminent -of our living physicians, that one of the new lady physicians is doing, -in the most admirable manner, a work which medical men would never even -have had the chance of doing.”[49] - -I am told by Catholic friends that a great many cases of special -disease remain untreated in convents, because the nuns, with their -extreme notions of feminine seclusion, think that it would be little -short of profanation to submit to some kinds of medical treatment -from a man.[50] Indeed, it is expressly laid down by a great Catholic -authority, St Alphonsus,[51] that though monks and nuns are required -to place themselves in the doctor’s care when commanded to do so by -their superiors, a special exception is to be made in the case of -nuns suffering from certain maladies, who can only be required to -accept treatment from a skilled woman, if any such be available; as, -under existing circumstances, is so rarely the case. I do not ask any -reader to applaud or even justify these poor nuns, if they, esteeming -themselves “the martyrs of holy purity,” sacrifice life to such -scruples; but I do most emphatically ask, in the name of humanity, -whether the state of things can be defended which may drive women, -from the highest and most holy motives, to submit to the extremity of -physical suffering and even death itself, because it is impossible for -them to obtain the medical services of their own sex, and because they -believe they can best fulfil the spirit of their vows by accepting no -other? - -I am informed by a friend that Archbishop Manning, when expressing to -her his strong interest in the question of the medical education of -women, alluded to facts like those referred to above, as affording one -of the strongest motives for such interest in the minds of Catholics. -Nor, surely, need sympathy in such a case be limited within the bounds -of any religious denomination. - -To pass to the consideration of other cases of a less exceptional -kind, there can, I think, be little doubt that an enormous amount of -preventible suffering arises from the unwillingness of very many girls -on the verge of womanhood to consult a medical man on various points -which are yet of vital importance, and to appeal to him in cases of -apparently slight illness, which yet issue but too often in ultimately -confirmed ill-health. I firmly believe that if a dozen competent women -entered upon medical practice at this moment in different parts of -England, they might, without withdrawing a single patient from her -present medical attendant, find full and remunerative employment in -attending simply to those cases which, in the present state of things, -go without any adequate treatment whatever; for I believe that many -suffering women would be willing to consult one of their own sex, if -thoroughly qualified, when they refuse, except at some crisis of acute -suffering, to call in a medical man.[52] Probably Queen Isabella of -Castile[53] was neither the first nor the last woman whose life was -sacrificed to her modesty. Even if such extreme instances are rare, -I think it cannot be denied that very much needless pain, “and pain -of a kind that ought not to be inflicted,” is caused, especially to -young girls, by the necessity of consulting men on all occasions, and I -believe that those who know most of the facts insist most strongly on -this point. - -I do not know how far the Medical Profession would acknowledge the -truth of the above statement; it is probable that they are really less -competent to judge about it than women are themselves, for, as an -eminent divine remarked that it was considered a point of politeness -not to express theological doubts before a clergyman, it may probably -be thought still more obligatory not to question the adequacy of the -existing medical profession before one of its members. One can hardly -imagine a lady sending for a doctor to tell him why she will _not_ -consult him; it is sufficient to know that many cases of disease among -women go without treatment; it is surely open to any one at least to -suggest the above as one of the possible reasons. - -And indeed, if no such special suffering were often involved in the -idea of consulting a man on all points, it seems self-evident that a -woman’s most natural adviser would be one of her own sex, who must -surely be most able to understand and sympathise with her in times -of sickness as well as of health, and who can often far more fully -appreciate her state, both of mind and body, than any medical man would -be likely to do.[54] - -Nor can I leave the subject without expressing a hope that, when women -are once practising medicine in large numbers, great gain may accrue -to medical science from the observations and discoveries which their -sex will give them double facilities of making among other women. One -of the most eminent of the so-called “ladies’ doctors” of the day -writes:--“The principal reason why the knowledge of diseases of women -has so little advanced, is the hitherto undisturbed belief that one sex -only is qualified by education and powers of mind to investigate and to -cure what the other sex alone has to suffer.” After alluding to women -physicians of both ancient and modern times, Dr Tilt further remarks, -that, “if well educated, they may greatly improve our knowledge of the -diseases of women.”[55] - -Moreover, there is reason to hope that women doctors may do even more -for the health of their own sex in the way of prevention than of cure, -and surely this is the very noblest province of the true physician. -Already it is being proved with what eagerness women will attend -lectures on physiology and hygiene when delivered to them by a woman, -though perhaps not one in ten would go to the same course of lectures -if given by a medical man. I look forward to the day when a competent -knowledge of these subjects shall be as general among women as it now -is rare; and when that day arrives, I trust that the “poor health” -which is now so sadly common in our sex, and which so frequently -comes from sheer ignorance of sanitary laws, will become rather the -exception than, as now too often, the rule. I hope that then we shall -find far fewer instances of life-long illness entailed on herself by -a girl’s thoughtless ignorance; I believe we shall see a generation -of women far fitter in mind and body to take their share in the work -of the world, and that the Registrar will have to record a much lower -rate of infantile mortality when mothers themselves have learned to -know something at least of the elementary laws of health. It has been -well said that the noblest end of education is to make the educator no -longer necessary; and I, at least, shall think it the highest proof -of success if women doctors can in time succeed in so raising the -standard of health among their sister women, that but half the present -percentage of medical practitioners are required in comparison to the -female population. - -Of course I do not expect that every reader will look at this -question from my point of view, or will be able to arrive at the same -conclusions respecting it. But I think that many who have never before -seen the matter in the light in which I have tried to place it, will be -ready to admit that there are at any rate _primâ facie_ grounds for my -argument, and that allowing even for considerable over-statement on my -part, there may still remain subject for serious consideration. - -Even if I am wholly mistaken, and if all that needs doing _can_ in -England be effectually done by men, we have still, I think, no reason -for the exclusion of women from the medical profession;--there is still -no ground on which it can be right to refuse to every patient the -power of election between a physician of her own sex and of the other, -when women as well as men are desirous of qualifying themselves for -this work, seeing that it will after all be always a matter of choice; -for we cannot suppose that the time will ever come when women will be -arbitrarily prevented from employing men, as they now are arbitrarily -prevented from employing women, as their medical attendants. - -The assertion that women _are_ at present “arbitrarily prevented from -employing women as their medical attendants” may sound startling, but -it is at this moment practically true in England, in the most literal -sense. Since medical practice has, for the protection of the public, -been made a matter of legislation, it has been absolutely illegal for -any physician or surgeon to practise as such in this country, unless -registered by the appointed Medical Board, and that Board is not -obliged to register any one who has not a British medical degree. It is -evident, then, that to deny all British medical degrees to women,--not -only to refuse them instruction, but to refuse to examine them if they -have acquired knowledge elsewhere,--_is_ most arbitrarily to prohibit -all women, whatever their qualification, from practising medicine in -the United Kingdom, except under legal pains and penalties. - -Of course no such arbitrary action was even contemplated when the Act -of 1858 was passed; and I think that when once the great practical -injustice of the present state of things is fully understood by the -public, a change is inevitable,--either British medical degrees will -be thrown open to women, as is most desirable, or the legal conditions -of practice will be modified to meet the case of those to whom such -degrees are denied. It is perhaps hardly to be expected, though very -much to be desired, that medical men as a body should themselves take -the initiative in this matter, and throw open the doors to all women -who desire worthily to join their fellowship, for it proverbially -“needs _very_ good men to give up their own monopoly;” but the action -of the general public in the matter can hardly be doubtful except as -a question of time;--no English court could be expected to condemn to -legal penalties a succession of highly-educated ladies who may have -seized, often with great effort, every opportunity open to them to fit -themselves thoroughly for a work which they believe to be especially -their own. - -The recent action taken in the matter by the authorities at -Apothecaries’ Hall is exactly of the kind to outrage an Englishman’s -sense of fairness, and therefore is sure before long to bring its -own redress. As the facts may not be thoroughly understood in the -non-medical world, I will briefly recapitulate them. When Miss Garrett -first began to study medicine in 1860, she tried to obtain admittance -to one School and University after another, and finally found that -Apothecaries’ Hall was the only body which, from its charter, had no -power to refuse to examine any candidate complying with its conditions. -She accordingly went through the required five years’ apprenticeship, -and obtained her diploma in 1865, having gone to very great additional -expense in obtaining privately the required lectures by recognised -Professors,--sometimes paying fifty guineas for a course when the -usual fee, in the classes from which she was debarred, was but three -or four. Not content, however, with indirectly imposing this enormous -pecuniary tax on women, the authorities now bethought them to pass a -rule forbidding students to receive any part of their medical education -privately,--this course being publicly advised by one of the leading -medical journals as a safe way of evading the obligations of the -charter, and yet effectually shutting out the one chance left to the -women![56] - -Of course the efficacy of this measure ceases the moment that any -regular medical school fairly opens its doors to women; but till that -day comes, it presents a formidable, if not insuperable, difficulty. -Commenting on this proceeding, the _Daily News_ remarks:--“We recommend -these facts to the good people who think that coercion, restriction, -and the tyranny of combination, are peculiar to any one class of -society. It will be a great day in England when the right of every -individual to make the most of the ability which God has given him, -free from interested interference, is recognised, and to that goal we -are surely advancing; but our progress is slow, and it is very clear -that it is not only in the lower ranks of the community that the -obstructive trades-union spirit is energetically operating.” - -While such is the state of affairs in England, other European nations -have taken a very different position. We have already seen that the -Italian Universities were, in fact, never closed to women, and that at -Bologna no less than three women held Professors’ chairs in the Medical -Faculty.[57] We have several instances of degrees granted to women in -the Middle Ages by the Universities of Bologna, Padua, Milan, Pavia, -and others; the earliest instance that I have found being that of -Betisia Gozzadini,[58] who was made Doctor of Laws by the University of -Bologna in 1209. In Germany also several such instances have occurred. -At Paris no less than seven degrees in Arts and Sciences have been -granted to women by the University of France within the last ten years, -and a number of women are now studying in the Medical School there. In -answer to my enquiries in 1868, the Secretary to the Minister of Public -Instruction made the following communication:-- - - “_Paris, le 18 Août 1868, - “Ministère de l’Instruction Publique._ - - “MADEMOISELLE,--En réponse à la lettre que vous me faites - l’honneur de m’adresser, en vous recommendant du nom de Lord Lyons, - qui a écrit pour vous à Mons. le Ministre, je m’empresse de vous faire - savoir que le Ministre est disposé à vous autoriser, aussi que les - autres dames Anglaises qui se destineraient à la médecine, à faire vos - études à la Faculté de Paris, et a y subir des examens. - - “Il est bien entendu que vous devez être munie, par voie d’équivalence - on autrement, des diplômes exigés pour l’inscription à la faculté de - médecine. - - “Agreez, Mademoiselle l’assurance de mon respect, - - (Signed) “DANTON.” - -Since this Essay was first published, two women have obtained the -degree of M.D. in Paris, after passing brilliant examinations in each -case. The first graduate was our distinguished countrywoman, Miss -Garrett, who, after passing the five examinations required, received -her degree in June 1870. The _Lancet_ records that “her friends must -have been highly gratified to hear how her judges congratulated her on -her success, and to see what sympathy and respect was shown to her by -all present.”[59] - -The next lady who graduated was Miss Mary C. Putnam of New York, -who, after quietly pursuing her studies (combined with original -researches), like a second Archimedes, during both the sieges of -Paris in 1870–71, took her degree with great honour in August 1871. -The _Lancet_[60] remarked--“Miss Putnam has just been undergoing the -very strict examinations for the doctor’s degree in Paris, and has -passed very creditably. This is the second case in the Paris faculty, -the innovation being made quietly, whilst elsewhere angry discussions -intervene.” - -At Lyons, also, two women have obtained degrees in Arts, in 1861 and -1869 respectively. At Montpellier a degree in Arts was also conferred -on a woman in 1865, and another lady has passed the first two -examinations in the _Ecole de Pharmacie Supérieure_ in that city. - -For several years past the University of Zurich has been thrown open -to women as freely as to men; a Russian woman, named Nadejda Suslowa, -being the first to obtain a degree in Medicine, in 1867. Several more -have since then graduated, and others are at present pursuing their -studies there in the ordinary classes.[61] - -In March 1870 it was announced, on the authority of the _Lancet_, -that the University of Vienna had formally decided to admit women as -students, and to confer on them the ordinary medical degrees.[62] - -A month or two later the Swedish newspapers published in their official -columns a royal decree, granting to Swedish women the right to study -and practise medicine, and ordaining that the professors of the -Universities should make arrangements for teaching and examining them -in the usual way.[63] - -Even Russia seems in advance of England in this matter. In 1869, “the -Medico-Chirurgical Academy of St Petersburg conferred the degree of -M.D. upon Madame Kaschewarow, the first female candidate for this -honour. When her name was mentioned by the Dean, it was received with -an immense storm of applause, which lasted for several minutes. The -ceremony of investing her with the insignia of her dignity being over, -her fellow-students and colleagues lifted her upon a chair, and carried -her with triumphant shouts through the hall.”[64] - -At Moscow, also, “the Faculty of Medicine, with the full concurrence of -the Council of the University of Moscow, have decided to grant to women -the right of being present at the educational courses and lectures of -the Faculty, and to follow all the labours of the Medico-Chirurgical -Academy. The tests of capacity will be precisely the same as for male -students.”[65] Still more recently we hear from St Petersburg that “the -success of the lady physicians is encouraging other ladies to devote -themselves to medicine, and a considerable step has been made in this -direction. ... A person who interests herself in the higher education -of women has requested the Minister of State to accept the sum of -£8000, and to devote it to the establishment of medical classes for -women at the Imperial Academy of Medicine.”[66] - -Nor is the progress of liberality less marked on the other side of -the Atlantic. It is well known that several of the smaller medical -schools in the United States admitted women as soon as they applied -for instruction, but until 1869 no American University threw open -its doors. About the end of that year, however, the State University -of Michigan took the initiative in this matter, and the following -statement was inserted in last year’s official Calendar:--“Recognising -the equality of rights of both sexes to the highest educational -advantages, the Board of Regents have made provision for the medical -education of women, by authorising a course of education for them, -separate, but in all respects equal to that heretofore given to men -only. The conditions of admission, as well as graduation, are the same -for all.” During the first year fourteen women appeared as students in -the Faculty of Arts, three in that of Law, and thirteen were studying -Medicine and Surgery. In the spring of 1871 Miss Sanford received the -first medical degree granted to a woman by an American University; and -it is worth notice that this lady (herself a pupil of Dr Lucy Sewall -of Boston,) took her place among the most distinguished graduates of -the year;--her thesis on “Puerperal Eclampsia” being the one selected -by the Medical Faculty for publication. The number of women studying -at Michigan University during the session 1871–72 was sixty-eight, as -compared with the thirty of the previous year; such rapid increase -being tolerably significant of the avidity with which women embrace -the long-denied opportunities of instruction, and offering sufficient -encouragement to any British University that may resolve to try the -same experiment. - -It will thus be seen that many nations have, from the earliest period, -recognised and acted upon the truth that “Mind is of no sex,” and -that, where this has not been the case in former times, the barriers -are being rapidly and readily thrown down as civilization advances, -till, in truth, Great Britain now stands almost alone in refusing to -admit her daughters to the national universities, and in denying them -the opportunity of proving experimentally whether “the male mind of -the Caucasian race[67]” is indeed so immeasurably superior to its -feminine counterpart. It may be remarked, by the bye, that it is -very curious to notice how the very people who loudly maintain the -existence of this vast mental disparity are just those who strenuously -resist every endeavour to submit their theory to the touchstone of -experience, instead of welcoming the application of those tests that -might be expected so triumphantly to prove their point! But, jesting -apart, the present state of things can hardly be agreeable to English -self-respect; and it is to be hoped that our country will soon descend -from her bad eminence, and no longer be marked out as the one land -where men only can reap benefit from the educational advantages -provided at the expense of the nation at large. It can hardly be an -object of ambition to the learned men of any people to deserve the -woe pronounced of old against those who “have taken away the key of -knowledge, and them that were entering in, they hindered.” - -There seems to be practically no doubt now that women are and will be -doctors. The only question really remaining is, how thoroughly they are -to be educated and fitted to take their share of responsibility in the -care of the life and health of the nation; how far their difficulties -are to be lightened or increased; and whether the state of things shall -continue by which they are driven into unwilling quackery on the one -hand, or made to suffer real oppression from irresponsible authority on -the other. - -Men who, after an irregular education and incomplete training, claim -the name of physicians, are justly stigmatised as quacks, and excluded -from honourable fellowship, for they have refused the straight and -direct path as too laborious, and have sought admittance by crooked -ways. It is right enough to impose heavy penalties on them for -practising without a diploma which it needs only industry on their -part to obtain; but what shall we say when women are refused admission -to every regular Medical School, and then, when they have perhaps -painfully and laboriously gathered their own education, either in -England or abroad, are excluded from the fellowship of the profession, -for the sin of having been unjustly treated! That some women have -succeeded in acquiring most competent medical knowledge and skill can -hardly be denied, except by those who really know nothing of the facts, -or are wilfully blind to them; but in almost every case they have done -so at a cost of money, effort, and personal sacrifice, that can be -expected only from the few. Imagine all medical students met by the -difficulties which female students must encounter;--how many properly -educated doctors should we have? - -Many persons, however, who would gladly see women engage in the -practice of Medicine, yet think it undesirable that they should -obtain their education in the same schools as men; and here another -practical point arises for consideration. If it is indeed true that no -one is fit for the profession of Medicine unless able to banish from -its practice the personal idea of sex, it certainly seems as if all -earnest students seeking the same knowledge for the same ends, ought -to be able to pursue their studies together. We are constantly told -(and I think rightly) that no woman _need_ object, when necessary, -to consult a medical man on any point, because the physician will -see in it simply an impersonal “case,” and will, from his scientific -standpoint, practically ignore all that would be embarrassing as -between persons of opposite sexes. If this is and ought to be true, it -does not seem too much to demand equal delicacy of feeling among those -who will in a year or two be themselves physicians; and, from personal -experience when studying in large American hospitals with students -of both sexes, I believe that no serious difficulty need ever occur, -except in cases of really exceptional coarseness of character on one -side or the other. That such joint study will be for the first few -days novel and embarrassing is of course natural; but I believe that, -as the first novelty wears off, the embarrassment too will disappear -in the interest of a common study, and that no thoroughly pure-minded -woman, with an ordinary amount of tact, need ever fear such association -with students of whom the majority will always be gentlemen. It is of -course a radically different thing to study any or all subjects with -earnest scientific interest, and to discuss them lightly in common -conversation.[68] - -Not only in America has the system of joint education been tried, but -at Paris and at Zurich ladies are at the present moment studying in -the regular Medical Schools, and friends at each place assure me of the -complete success of the experiment, if such it is considered. Dr Mary -Putnam (the first lady ever admitted to the Parisian Medical School) in -1869 wrote thus: “There is not the slightest restriction on my studies -or my presence at the Classes.... I have never found the slightest -difficulty in studying with the young men with whom I am associated, -not only at lectures, but in the hospitals, reading-room, laboratory, -&c. I have always been treated with a courtesy at once frank and -respectful.” A lady studying Medicine at the University of Michigan -in 1870, wrote--“We are very much pleased with the way in which we -have been received here, both by professors and students; they have -treated us in every respect with great courtesy.” Another lady, when -studying at Zurich, reported that “in the Medical School of Zurich, -no advantage which is afforded to the male students is denied to the -women. Every class is open to them, and they work side by side with the -men. The students have invariably been to me most friendly, helpful, -and courteous.” In answer to an official letter of enquiry, the Dean -of the Medical Faculty at Zurich wrote: “Since 1867, ladies have been -regularly admitted as matriculated students, and have been allowed all -the privileges of _cives academici_. As far as our experience has gone, -the new practice has not in any way been found to damage the interests -of the University. The lady students we have hitherto had have all been -found to behave with great good taste, and to be diligent students.” -Such evidence must surely carry more weight than the opinions of those -who merely theorize about probabilities, especially when such theorists -start, as is often the case, with a predisposition to find “lions in -the way.” - -If the admission of women to the regular Medical Schools has been -proved to bring no evil consequences, wherever teachers and professors -have shown good will, it needs strong arguments to justify their -exclusion from advantages which they can hardly obtain elsewhere; for -it has been well remarked, that nothing can be more false than to -confound a “small injustice” with “injustice to a small number.” - -It is simply a mockery, and one calculated to mislead the public, when -a medical journal[69] announces that “We would offer no obstacle -to any steps which women may think would be conducive to their own -benefit. But if it be indispensable that they should study Anatomy -and Medicine, let them, in the interests of common decency, have an -educational institution and licensing body of their own.” And again, -“If women are determined to become Medical Practitioners, they are at -perfect liberty to do so; but it is only consistent with decency that -they should have their own special Schools and examining bodies.” Such -writers know perfectly well that it is utterly impossible for two or -three struggling women students to found “their own special Schools,” -(though, when a sufficient number of women are educated, they may -gladly make such provision for those who will succeed them,) and that, -if in truth women as well as men have a right to claim opportunities of -education, the duty of providing separate instruction for them clearly -falls on the existing Schools, if the authorities refuse to admit them -to share in the general advantages offered. - -For myself, I cannot see why difficulties that have in France and -Switzerland been proved chimerical, should in England be supposed -(without any fair trial) to be insurmountable; as I, for one, cannot -believe that less good and gentlemanly feeling should be expected from -English and Scotch students, wherever their Professors set them an -example of courtesy, than is found among the undergraduates of foreign -Universities. - -But this is a point which I do not greatly care to urge; although -Medical Science can undoubtedly be most favourably studied under those -conditions which only large institutions can command, and which -could for many years be but imperfectly attained in a Medical College -designed for women only. Still there is no doubt that women, thoroughly -in earnest, and with a certain amount of means at their command, -_can_ obtain adequate medical instruction without entering any of the -existing Schools for men, and no doubt arrangements could be made to -secure all that is necessary with much less effort and expense than at -present. We should be very thankful to have the Medical Schools thrown -open to us, to be allowed some share in the noble provision made, -chiefly with public money, for the instruction of medical students; but -this is not absolutely indispensable; we may be refused this, and yet -gain our end, though with greater toil and at greater expense. As time -goes on, and as the number of women attracted by the study of Medicine -increases, it will probably, apart from all extrinsic considerations, -be both natural and convenient that they should have a Medical School -of their own, in which every means of study should be specially -provided for, and adapted to, their needs. It is not, however, I think, -desirable that this should be done until the number of students is -sufficient to guarantee funds for the liberal payment of first-rate -teachers, and the ample provision of all needful facilities. If no -women are to be made competent physicians till they have a school of -their own, there never will be any at all; for those who broadly oppose -the movement will always be able to say, “Women have never proved -that they can use such advantages as will be thus furnished; do not -establish a College for them till they have.” - -So the double argument would run thus: “Do not found a Female Medical -School till we are sure that women can successfully study Medicine; do -not let any woman study Medicine except in a Medical School of their -own.” Between such a Scylla and Charybdis who can steer clear? - -Supposing, however, that this dilemma were escaped, and that adequate -means of instruction were provided, (with men, or apart from them, -I care not,) it would still, I think, be essential, not only to the -interests of women doctors, but to those of the public at large, -that the standard for medical practitioners of both sexes should be -identical; that women should be admitted to the examinations already -established for men, and should receive their medical degree on exactly -the same terms. I do not for a moment desire to see degrees granted -to women by a College of their own, or to see a special examination -instituted for them; for there would be extreme difficulty in measuring -the exact value of any such diplomas, and danger would arise, on the -one hand, of injustice being done to those thoroughly competent, but -possessing “only a woman’s degree,” and, on the other, of the standard -being really lowered, and the medical degree coming to possess an -uncertain and inferior value. - -Of this latter danger we have abundant warning in America, where every -fresh College is allowed the right of “graduating” its own students -on whatever terms it pleases, and where, indeed, one is confounded -by the innumerable diplomas granted by all sorts of Colleges to all -sorts of people, so that one has need to inquire whether the M.D. -attached to a name represents a degree granted by some “Eclectic” or -“Hygeio-therapeutic” College of mushroom growth, or by the Universities -of Harvard and Yale. - -We cannot wish for such a state of things in England. Let British -degrees continue to be of perfectly definite value; make the conditions -as stringent as you please, but let them be such as are attainable by -all students, and are clearly understood by the general public; and -then, for all that would worthily win and wear the desired honours, “a -fair field and no favour.” - -Is there not one of the English, Scotch, or Irish Universities that -will win future laurels by now taking the lead generously, and -announcing its willingness to cease, at least, its policy of arbitrary -exclusion? Let the authorities, if they please, admit women to study in -the ordinary classes with or without any special restrictions (and it -is hard to believe that at least the greater part of the lectures could -not be attended in common); or let them, if they think needful, bid the -women make their own arrangements, and gather their knowledge as they -can;[70] with this promise only, that, when acquired, such knowledge -shall be duly tested, and, if found worthy, shall receive the Hall-mark -of the regular Medical Degree. - -Surely this is not too much to ask, and no more is absolutely -essential. If, indeed, the assertions so often made about the -incapacity of women are true, the result of such examinations (which -may be both theoretical and practical, scientific and clinical,) will -triumphantly prove the point. If the examinations are left in the hands -of competent men, we may be very sure that all unqualified women will -be summarily rejected, as indeed it is to be desired that they should -be. - -If, on the contrary, some women, however few, can, under all existing -disadvantages, successfully pass the ordeal, and go forth with the full -authority of the degree of Doctor of Medicine, surely all will be glad -to welcome their perhaps unexpected success, and bid every such woman, -as she sets forth on her mission of healing, a hearty God-speed! - - -FOOTNOTES: - -[1] See _Note A_. - -[2] _Athenæum_, Sept. 28, 1867. - -[3] In his “Essai sur les Femmes,” Thomas points out that “Chez la -plupart des sauvages ... la médecine et la magie sont entre les mains -des femmes.” - -[4] The passage is thus rendered by Professor Blackie:-- - - “His eldest born, hight Agamede, with golden hair, - A leech was she, and well she knew all herbs on ground that grew.” - - (Iliad, xi. 739). - -In his Notes the translator remarks that “it seems undeniable that -women have a natural vocation for exercising certain branches of -the medical profession with dexterity and tact.... It is gratifying -therefore to find that a field of activity which has been recently -claimed for the sex ... finds a precedent in the venerable pages of -the Iliad.... In fact, nothing was more common in ancient times than -medical skill possessed by females,” in proof of which assertion he -mentions Œnone and others. (Professor Blackie’s “Homer and the Iliad.” -Edmonston & Douglas.) - -[5] Odyssey, iv. 227. - -[6] Hippolytus, 293–7. - -[7] Finauer’s “Allgemeines Verzeichniss gelehrten Frauenzimmer.” - -[8] I subjoin as a curiosity the quaint version of this story that is -given in a letter from Mrs Celleor (a fashionable midwife of the reign -of James II.), published in 1687, and now to be found in the British -Museum. After saying that “Among the subtile Athenians a law at one -time forbade women to study or practise medicine or physick on pain of -death, which law continued some time, during which many women perished, -both in child-bearing and by private diseases, their modesty not -permitting them to admit of men either to deliver or cure them,” she -continues, “Till God stirred up the spirit of Agnodice, a noble maid, -to pity the miserable condition of her own sex, and hazard her life to -help them; which to enable herself to do, she apparelled her like a -man, and became the scholar of Hierophilos, the most learned physician -of the time; and having learned the art, she found out a woman that had -long languished under private diseases, and made proffer of her service -to cure her, which the sick person refused, thinking her to be a man; -but, when Agnodice discovered that she was a maid, the woman committed -herself into her hands, who cured her perfectly; and after her many -others, with the like skill and industry, so that in a short time she -became the successful and beloved physician of the whole sex.” When her -sex became known to the public, “she was like to be condemned to death -for transgressing the law ... which, coming to the ears of the noble -women, they ran before the Areopagites, and the house being encompassed -by most women of the city, the ladies entered before the judges, and -told them they would no longer account them for husbands and friends, -but for cruel enemies that condemned her to death who restored to them -their health, protesting they would all die with her if she were put -to death.... This caused the magistrates to disannul the law, and make -another, which gave gentlewomen leave to study and practise all parts -of physick to their own sex, giving large stipends to those that did it -well and carefully. And there were many noble women who studied that -practice, and taught it publicly in their schools as long as Athens -flourished in learning.” - -[9] “Thornton Romances,” Camden Society. - -[10] “Ivanhoe,” chap. xxviii. - -[11] “Nuovo Dizionario Istorico;” Bassano, 1796. - -[12] Fachini’s “Prospetto Biografico delle Donne Italiane,” Venezia, -1824. - -[13] Medici’s “Scuola Anatomica di Bologna.” - -[14] Finauer. - -[15] _New York Medical Gazette_, April 24, 1869. - -[16] 34 Henry VIII. 8. - -[17] Maitland, in giving an account of the foundation of the -Edinburgh College of Physicians in 1681, begins by saying that “the -Practice of Physick had been greatly abused in Edinburgh by foreign -Impostors, Quacks, Empirics, and illiterate Persons, _both men and -women_.”--Maitland’s History of Edinburgh, 1753. - -[18] The statutes of 1268 ordained that “les matrones ou sages -femmes sont aussi, de la dite confrairie et subjects ausdits deux -chirurgiens jurez du Roy au Chastelet, qui ont dressé certains statuts -et ordonnances tant pour les droicts de la confrairie que pour leur -estat de sage femme, qu’elles doivent observer et garder.”--Du Breul’s -“Antiquités de Paris,” pub. 1639. - -[19] “The Midwive’s Deputie ... composed for the use of my wife (a -sworne Midwife), by Edward Poeton, Petworth, Licentiate in Physick and -Chyrurgery.” - -[20] “Letter to Dr----” written by Elizabeth Celleor, “from my house in -Arundel Street, Strand, Jan. 16, 1687–8.” - -[21] “A Short Account of the State of Midwifery in London. By John -Douglas, Surgeon. Dedicated to the Right Hon. Lady Walpole.” - -[22] It may be interesting to give the following quotation on this -subject from a popular magazine of thirty years ago:--“The accoucheur’s -is a profession nearly altogether wrested out of the hands of women, -for which Nature has surely fitted them, if opinion permitted education -to finish Nature’s work. But women are held in the bonds of ignorance, -and then pronounced of deficient capacity, or blamed for wanting -the knowledge they are sternly prevented from acquiring.”--_Tait’s -Magazine_, June, 1841. - -[23] _Lancet_, April 13th and 20th; May 4th; June 1st; 1872. - -[24] It will be remembered that an attempt was made to throw doubt on -the birth of this prince, but Dr Aveling remarks that “Dr Chamberlen, -in his letter to the Princess Sophia, showed the absurdity of this -hypothesis”--(_i.e._, of the charge of conspiracy). - -[25] “Delicacy had in those days so far the ascendancy, that the -obstetrical art was principally practised by females, and on this -occasion the Queen was delivered by Mrs Stephen, Dr Hunter being -in attendance among the ladies of the bedchamber, in case of his -professional assistance being required.”--HUISH’S “_Life of -George IV._” - -[26] “It is a curious coincidence, considering the future connection of -the children, that Madame Siebold, the accoucheuse spoken of above as -attending the Duchess of Coburg at the birth of Prince Albert (August -1819), had only three months before attended the Duchess of Kent at the -birth of the Princess Victoria.”--_Early Years of the Prince Consort._ - -[27] “Rites and Customs of the Greco-Russian Church,” by Madame -Romanoff. Rivingtons, 1868. - -[28] Ballard’s “Memoirs of several Ladies of Great Britain.” Oxford, -1752. - -[29] “An Account of the Life and Death of Mrs Elizabeth Bury.” Bristol, -1721. - -[30] “Scuola Anatomica di Bologna,” by Medici. - -[31] Fachini. - -[32] Ibid. - -[33] Ibid. - -[34] Fachini. - -[35] “Gazette Medicale,” du 10 Janvier 1846. - -[36] Klemm, “Die Frauen.” - -[37] _Athenæum_, July 1859. - -[38] Arnault’s “Biographie nouvelle des contemporains.” - -[39] Quérard’s “Littérature Française.” - -[40] “The Boke of the Cyte of Ladyes,” by Christine Du Castel, 1521. - -[41] See _Note B_. - -[42] “There is one subject in which I have long felt a deep, and -deepening concern. I refer to _man-midwifery_.... Nature tells us -with her own voice what is fitting in these cases; and nothing but -the omnipotence of custom, or the urgent cry of peril, terror, and -agony--what Luther calls _miserrima miseria_--would make her ask for -the presence of a man on such an occasion, when she hides herself -and is in travail. And, as in all such cases, the evil reacts on the -men as a special class, and on the profession itself.”--“_Locke and -Sydenham_,” by Dr JOHN BROWN. - -“Nothing probably but the deadening force of habit, combined with the -apparent necessity of the case, has induced us to endure that anomalous -person against whose existence our language itself bears a perpetual -protest--the man-midwife. And this single instance suggests a whole -class of others in which the intervention of a man is scarcely less -inappropriate.”--_Guardian_, Nov. 3, 1869. - -[43] _Delhi Gazette_, 1866. - -[44] “In many parts of India--I think I may say most parts--native -ladies are entirely shut out from any medical assistance, however -great may be their need, because no man who is not one of the family -can enter their apartments or see them; and though thousands thus -die from neglect and want of timely help, yet nothing can be done to -assist them until we have ladies willing and able to act in a medical -capacity.”--_The Queen_, June 8, 1872. - -[45] _Treasurer_, T. B. WINTER, Esq., 28 Montpelier Road, -Brighton. - -[46] _Scotsman_, Oct. 26, 1870. - -[47] _Brit. Med. Journal_, May 25, 1872. - -[48] _Macmillan’s Magazine_, September 1868. - -[49] _Spectator_, April 13, 1867. - -[50] See _Note C_. - -[51] “_Theologia Moralis_,” by St Alphonsus. - -[52] A curious coincidence recently occurred which may illustrate -this feeling. Not long ago I was attacked in the newspapers for -having alluded to this subject, and a certain doctor published three -letters in one week to prove that “ninety-nine out of every hundred -Englishwomen suffering from female diseases freely consulted medical -men.” During that very week no less than three women, in different -classes of society, appealed to me for advice and treatment for -sufferings about which they “did not like to ask a gentleman.” In each -case I advised them to consult a medical man, as I was not yet myself -in practice, and there were no women doctors in Edinburgh; but in each -case I found that their feeling in the matter was too strong to allow -them to do so. - -[53] “Concerning her death, it was magnanimous and answerable to the -courage of heroes,” &c.--_Gallerie of Heroick Women_, written in French -by Pierre le Moyne, and translated by the Marquess of Winchester, 1652. - -[54] See _Note D_. - -[55] “_Handbook of Uterine Therapeutics_,” by Edward John Tilt, M.D. - -[56] See _Note E_. - -[57] Besides these we have, at Bologna,--Maddalena Buonsignori, -Professor of Laws, 1380; Laura Bassi, Professor of Philosophy, 1733; -Maria Gaetana Agnesi, Professor of Mathematics, 1750; Clothilde -Tambroni, Professor of Greek, 1794; and also other instances in various -Italian Universities. - -[58] Ghirardacci, “Historia Bologna,” Bologna, 1605. - -[59] _Lancet_, June 18, 1870. - -[60] _Lancet_, August 26, 1871. - -[61] See _Note F_. - -[62] _Scotsman_, March 22, 1870. - -[63] _Pall Mall Gazette_, August 1870. - -[64] _Medical Gazette_, New York, February 27, 1869. - -[65] _British Medical Journal_, October 1871. - -[66] _British Medical Journal_, May 18, 1872. - -[67] For a _reductio ad absurdum_ of the whole question, let me refer -to Dr Henry Bennet’s letter, containing the above words, in the -_Lancet_ of June 18, 1870. An answer to it occurs in the _Lancet_ of -July 9, 1870, and is referred to in _Note B_. - -[68] See _Note G_. - -[69] _Medical Times and Gazette_, Feb. 23, 1867, and April 24, 1869. - -[70] It would have been perfectly easy in Edinburgh, during 1871–72, to -make complete arrangements for instruction, partly inside and partly -outside the walls of the University, if only the authorities would have -authorised the lady students to organize the necessary classes for -themselves at their own expense. But the obstructive party took refuge -behind the traditional non-possumus, and could not be driven from their -position, though the Lord Advocate of Scotland gave a distinct opinion -to the effect that any needful arrangements might legally be made, and -though the more far-sighted Professors strongly deprecated such an -abnegation of University power for the purpose of subserving a merely -temporary object. In point of fact, the whole history of this struggle -is one long illustration of the good old proverb,--“Where there’s a -will, there’s a way.” - - - - -II. - -Medical Education of Women, - -THE SUBSTANCE OF A LECTURE - -DELIVERED ON APRIL 26TH, 1872, IN ST GEORGE’S HALL, LONDON, - -THE RIGHT HON. THE EARL OF SHAFTESBURY IN THE CHAIR. - - - “You misconceive the question like a man, - Who sees a woman as the complement - Of his sex merely. You forget too much - That every creature, female as the male, - Stands single in responsible act and thought, - As also in birth and death. - - . . . . . - - ----I would rather take my part - With God’s Dead, who afford to walk in white, - Yet spread His glory, than keep quiet here - And gather up my feet from even a step - For fear to soil my gown in so much dust. - I choose to walk at all risks.” - - “_Aurora Leigh._” - - - - -MEDICAL EDUCATION OF WOMEN. - - “When free thoughts, like lightnings, are alive, - And in each bosom of the multitude, - Justice and Truth, with Custom’s hydra brood, - Wage silent war.” - - -Starting, then, with the assumption that women may, with profit to -themselves and to the community, become practitioners of medicine, it -is clear that they must, in the first place, secure such an education -as shall make them thoroughly competent to take their share of -responsibility in the care of the national health; and, secondly, that -they must obtain this education in accordance with the regulations -prescribed by authority, so that they may be recognised by the State -as having conformed to all its legal requirements, and may practise on -terms of perfect equality with other qualified practitioners. - -It is essential to the thorough comprehension of this last point -that the laws regulating medical practice in this country should be -clearly understood, as these can never be lost sight of by those who -are engaged in the battle which we are now waging, and I will, before -proceeding further, endeavour to state clearly the provisions of the -Medical Act of 1858. For the protection of the public against ignorant -and mischievous quacks, the Act provided that no person should be -recognised as a legally-qualified practitioner of medicine in the -United Kingdom unless registered in a Register appointed to be kept for -that purpose. The Act provided that all persons possessing the degree -of M.D. from any foreign or colonial University, and already practising -in this country at the date of the passing of the Act, should be -entitled to be so registered; but that, with this exception, (and a -curious one in favour of those on whom the doctorate had been conferred -by the Archbishop of Canterbury,) no medical practitioners could demand -registration unless holding a licence, diploma, or degree, granted by -one of the British Examining Boards specified in the schedule attached -to the Act. It is, of course, self-evident that these provisions were -intended solely to defend the public against incompetent practitioners, -and, though it is perhaps to be regretted that the Act did not -expressly require the Medical Council to examine, and, on proof of -competency, to register the holders of foreign diplomas, and all others -who had pursued a regular course of medical study, it could not be -anticipated that any great injustice would be done by the omission -of any such a clause; and still less, assuredly, was it intended by -this Act to secure to one sex a monopoly of all medical practice. But, -at the present moment, it is certain that great danger exists that -the Act may be wrested from its original purpose and made an almost -insurmountable barrier to the admission of women to the authorised -practice of medicine; and this because the Act, as it at present -stands, makes it obligatory on all candidates to comply with certain -conditions, and yet leaves it in the power of the Medical Schools, -collectively, arbitrarily to preclude women from such compliance. - -The following clauses of the Act of 1858 will show the absolute -necessity that now exists for the registration of all practitioners of -respectability:-- - - ... “After January 1, 1859, the words ‘legally qualified Medical - Practitioner,’ or ‘duly qualified Medical Practitioner,’ or any words - importing a Person recognised by Law as a Medical Practitioner or - Member of the Medical Profession, when used in any Act of Parliament, - shall be construed to mean a Person registered under this Act.... - - “After January 1, 1859, no Person shall be entitled to recover any - Charge in any Court of Law for any Medical or Surgical Advice, - Attendance, or for the Performance of any Operation, or for any - Medicine which he shall have both prescribed and supplied, unless he - shall prove upon the Trial that he is registered under this Act.... - - “After January 1, 1859, no Certificate required by any Act now in - force, or that may hereafter be passed, from any Physician, Surgeon, - Licentiate in Medicine and Surgery, or other Medical Practitioner, - shall be valid unless the Person signing the same be registered under - this Act. - - “Any Person who shall wilfully and falsely pretend to be, or take or - use the Name or Title of a Physician, Doctor of Medicine, Licentiate - in Medicine and Surgery, ... or any Name, Title, Addition, or - Description implying that he is registered under this Act, or that - he is recognised by Law as a Physician, or Surgeon, ... shall, upon - a summary Conviction for any such offence, pay a sum not exceeding - Twenty Pounds.” - -It is, then, sufficiently plain that any doctor practising in this -country without the required registration, not only places himself in -the position of a quack and a charlatan, but actually incurs legal -penalties for assuming medical titles, however fairly they may have -been won in the most eminent of foreign universities. It is therefore -clear that it becomes a _sine quâ non_ that any women, desiring to -practise medicine in this country, should obtain their education in -such a way as will entitle them to demand registration. - -There are at this moment two Englishwomen whose names appear on the -Register as legally qualified medical practitioners; and it may be -necessary for me now to explain how they came respectively to attain -this position, and how it happens that no more women are able to avail -themselves of the means that were open to them. - -Though several English ladies are recorded in history as having -studied medical science, I am not aware that any of our country-women -ever graduated in medicine before the year 1849, when Miss Elizabeth -Blackwell, after surmounting many difficulties, obtained the degree of -M.D. from a college in the State of New York. Returning subsequently to -England, she took advantage of the clause in the Act of 1858, which I -have already mentioned, and demanded and obtained registration in the -British Register. But the clause referred to was, as I have explained, -retrospective only, and no one can now obtain an American degree, and -in virtue of it claim registration in this country. - -This being the case, when, in the year 1860, Miss Garrett resolved to -begin the study of medicine, with a view to practising in England, it -was necessary that she should obtain her education under the auspices -of some one of the medical corporations empowered to give registrable -qualifications. After trying in vain to obtain admission to one School -and College after another, she finally found entrance at Apothecaries’ -Hall, which was, from its charter, taken, as I suppose, in conjunction -with the provisions of the Apothecaries’ Act of 1815,[71] incapable of -refusing to examine any candidate who complied with its conditions of -study. - -In order to observe the regulations of Apothecaries’ Hall, she was -obliged to attend the lectures of certain specified teachers; and -though she was, in some cases, admitted to the ordinary classes,[72] -in others she was compelled to pay very heavy fees for separate and -private tuition by the recognised lecturers. She had also considerable -difficulty in obtaining adequate hospital teaching, though there was, -in truth, hardly the slightest difference between the advantages -she needed and those now habitually accorded to lady probationers -and trained nurses, who are constantly present with the ordinary -students at the bedside and in the operating theatre.[73] She -obtained admission, however, to the Middlesex Hospital, and might, -I suppose, have studied there as long as she pleased, had she not -been unfortunate enough to acquit herself too well in some of the -_vivâ-voce_ examinations in which she took part with the male students, -thus arousing their manly wrath, which showed itself in a request that -she should be required to leave the Hospital,[74] and this noble and -magnanimous application was actually granted! She, however, completed -her studies elsewhere, and especially at the London Hospital; being, -it is to be presumed, too discreet to enter again on the field of -competition. Thus, at length, she obtained her education, and, in 1865, -received the licence to practise from Apothecaries’ Hall, which enabled -her to place her name upon the British Register. But no sooner had she -thus demonstrated the existence of at least a postern gate by which -women might enter the profession, than the authorities took alarm, and, -with the express object of preventing other women from following so -terrible a precedent, a rule was passed, forbidding students henceforth -to receive any part of their education privately, it being well known -that women would be rigorously excluded from some at least of the -public classes! - -As, then, the different doors by which the two ladies above-mentioned -entered the profession of medicine were both closed after them, it is -evident that, when, three years ago, I looked round for the means of -obtaining medical education in this country, it was necessary that some -new way should be devised. It is true that in several of the European -Universities women were at that moment studying medicine;--indeed, I am -not aware that any of the Italian,[75] French, or German Universities -have ever been closed against women who applied for admission. I might, -no doubt, have obtained, at the world-renowned _Ecole de Médicine_ -in Paris, a medical education at least equal, and, in some respects, -probably superior, to anything that this country affords; and at the -University of Zurich, also, a considerable number of women have, -for some years, been receiving an excellent medical education. But -it seemed to me radically unjust, and most discreditable to Great -Britain, that all her daughters who desired a University education -should be driven abroad to seek it; only a small number of women could -be expected thus to expatriate themselves, and those who did so would -have to incur the great additional difficulty and disadvantage of -studying all the departments of medical science in a foreign language, -and under teachers whose experience had been acquired in a different -climate and under different social conditions from our own. And even if -these difficulties could be overcome, another objection appeared to me -absolutely insuperable. The Act of 1858 distinctly declares that only -British licenses, diplomas, and degrees can now claim registration, and -that without registration no practitioner can be considered as legally -qualified. It is well known with what distinguished honour Miss Garrett -lately passed her examinations in Paris, and with what brilliant -success she gained one of the most valuable medical degrees in Europe, -and yet in the official British Register her name appears only and -solely as that of a licentiate of Apothecaries’ Hall. As no such -license was now open to me and to other women, it was clear that those -of us who went abroad for education might expect, after years of severe -labour, to return to England to be refused official recognition on -the Register, and, in fact, in the eye of the law, to hold a position -exactly analogous to that of the most ignorant quack or herbalist who -might open a penny stall for the sale of worthless nostrums. As such a -position was hardly to my taste, it became necessary to try other means. - -It seemed to me highly desirable that, if women studied medicine at -all, they should at once aim at what is supposed to be a high standard -of education, and that, to avoid the possibility of cavil at their -attainments, they should forthwith aspire to the medical degree of a -British University. - -I first applied to the University of London, of whose liberality one -hears so much, and was told by the Registrar that the present Charter -had been purposely so worded as to exclude the possibility of examining -women for medical degrees, and that under that Charter nothing whatever -could be done in their favour. Knowing that at Oxford and Cambridge the -whole question was complicated with regulations respecting residence, -while, indeed, neither of these Universities furnished a complete -medical education, my thoughts naturally turned to Scotland, to which -so much credit is always given for its enlightened views respecting -education, and where the Universities boast of their freedom from -ecclesiastical and other trammels. In March 1869, therefore, I made -my first application to the University of Edinburgh, and I hope in -the following pages to give a rapid sketch of the chief events of the -subsequent three years in connexion with that University, though time -and space oblige me to make the sketch so brief that I must ask the -reader’s indulgence if, in some points, it is less plain and distinct -than it might be if I could enter more fully into details. - -For the sake of clearness, let me first explain, in few words, who -constitute the different bodies that take a share in the government -of Edinburgh University, taken in the order in which my application -was considered by them. The Medical Faculty of course consists of -Medical Professors only; the Senatus comprises all the Professors -of every Faculty, and also the Principal; the University Court is -composed of eight members only;[76] and lastly, the General Council -of the University consists of all those graduates of Edinburgh who -have registered their names as members. Each of these bodies had to be -consulted, as also the Chancellor, before any important change could be -made. - -When I first went to Edinburgh, I found many most kind and liberal -friends among the Professors. In the Medical Faculty itself, Sir James -Simpson, Professor Hughes Bennett, and Professor Balfour, Dean of the -Medical Faculty, at once espoused my cause; and I need not say that -Professor Masson and other members of the non-medical Faculties were -not a whit behind in kindness and help. I found, on the other hand, -a few determined enemies who would listen to nothing I could urge on -the ground of either justice or mercy, and one or two who seemed to -think that the fact of a woman’s wishing to study medicine at all -quite exempted them from the necessity of treating her even with -ordinary courtesy. The majority, however, occupied a somewhat neutral -position;--they did not wish arbitrarily to stretch their power to -exclude women from education, and yet they were alarmed at what seemed -to them the magnitude and novelty of the change proposed. - -Several Professors were especially timid about the question of -matriculation, and argued that, till they had some evidence of -probable success, it would be premature to let women matriculate, -since, by so doing, they would acquire rights and privileges of the -most extensive kind. To meet this difficulty I gladly accepted a -suggestion made to me privately by the Dean of the Medical Faculty, -that I should, for the present, waive the question of matriculation, -and should, during the summer months, attend his class in Botany and -that of Professor Allman in Natural History, to see whether, as the -_Spectator_ expressed it, “Scotch and English students were really -so much more brutal than Frenchmen and Germans,” or whether a lady -could, without discomfort, attend the ordinary classes. This plan met -with much approval, and some of the Professors’ wives most kindly -offered to accompany me to the classes when the time should come. The -Medical Faculty and Senatus successively sanctioned this tentative -plan, and, after a short stay in Edinburgh, I left for England to make -preparations for returning to spend the summer session as arranged. - -But two or three hostile Professors appealed to the University Court; -some of the students also sent up a memorial against the arrangement -proposed, and the question was reconsidered. - - * * * * * - -I am anxious, as far as possible, to avoid personalities in this -matter, and yet, I think, I cannot properly tell my story without -explaining at the outset that, in my opinion at least, the whole -opposition to the medical education of women has in Edinburgh, been -dictated by one man and his immediate followers. It is hardly necessary -to say that that man is Sir Robert Christison,[77] whose great age and -long tenure of office naturally give him unusual weight, both in the -University and among the medical men of Edinburgh. Having said this, I -need only remark further that Professor Christison has, ever since I -came to Edinburgh, been the only professor and the only medical man who -has had a seat in the University Court, and also the only person who -has all along been a member of every body, without exception, by whom -our interests have had to be decided, viz., of the Medical Faculty, -the Senatus, the University Court, the University Council, and the -Infirmary Board. - -The question then was brought before the University Court in April -1869. The meetings of the Court are held in strict privacy, (against -which the public and the members of the University Council have often -protested,) and I can only state the result of their deliberation. -On April 19th the following resolution was passed:--“The Court, -considering the difficulties at present standing in the way of carrying -out the resolution of the Senatus, as a temporary arrangement in the -interest of one lady, and not being prepared to adjudicate finally on -the question whether women should be educated, in the medical classes -of the University, sustain the appeals, and recall the resolution of -the Senatus.” - -The very palpable invitation to other ladies to come forward, which -appeared on the face of this resolution, bore fruit; for, in the course -of the next month, or two, four more ladies expressed their wish to -be admitted as students, and certain of the University authorities -held out hopes that an application for _separate_ classes would be -successful. Accordingly, in June 1869, I addressed a letter to the -Rector of the University, who is also President of the University -Court, enquiring whether the Court would “remove their present veto -in case arrangements can be made for the instruction of women in -separate classes; and whether, in that case, women will be allowed to -matriculate in the usual way, and to undergo the ordinary Examination, -with a view to obtain medical degrees in due course?” - -I also wrote to the Senatus asking them to recommend the matriculation -of women as medical students, on the understanding that separate -classes should be formed; and, moreover, addressed a letter to the -Dean of the Medical Faculty, offering, on behalf of my fellow-students -and myself, to guarantee whatever minimum fee the Faculty might fix as -remuneration for these separate classes. - -On July 1st, 1869, at a meeting of the Medical Faculty of the -University, it was resolved to recommend to the Senatus:-- - - (1.) That ladies be allowed to matriculate as medical students, and - to pass the usual preliminary examination for registration; (2.) - That ladies be allowed to attend medical classes, and to receive - certificates of attendance qualifying for examination, provided - the classes are confined entirely to ladies; (3.) That the medical - professors be allowed to have classes for ladies, but no professor - shall be compelled to give such course of lectures; (4.) That, in - conformity with the request of Miss Jex-Blake’s letter to the Dean, - ladies be permitted to arrange with the Medical Faculty, or with the - individual professors as to minimum fee for the classes. - -At a meeting of the Senatus Academicus, July 2, 1869, the Report of -the Medical Faculty was read, agreed to, and ordered to be transmitted -to the University Court. At a meeting of the University Court, on 23d -July 1869, “Mr Gordon, on behalf of the Committee appointed at last -meeting to consider what course should be followed in order to give -effect to the resolution of the Senatus, reported that the Committee -were of opinion that the matter should be proceeded with under section -xii. 2, of the Universities Act, as an improvement in the internal -arrangements of the University. Mr Gordon then moved the following -resolution, which was adopted:-- - - “The Court entertain an opinion favourable to the resolutions of the - Medical Faculty in regard to the matriculation of ladies as medical - students, and direct these resolutions to be laid before the General - Council of the University for their consideration at next meeting.” - -This resolution was approved by the General Council on October 29th, -1869, and was sanctioned by the Chancellor on November 12th, 1869. The -following regulations were officially issued at the same date, and -inserted in the Calendar of the University:-- - - (1.) Women shall be admitted to the study of medicine in the - University; (2.) The instruction of women for the profession of - medicine shall be conducted in separate classes, confined entirely - to women; (3.) The Professors of the Faculty of Medicine shall, - for this purpose, be permitted to have separate classes for women; - (4.) Women, not intending to study medicine professionally, may be - admitted to such of these classes, or to such part of the course of - instruction given in such classes, as the University Court may from - time to time think fit and approve; (5.) The fee for the full course - of instruction in such classes shall be four guineas; but in the event - of the number of students proposing to attend any such class being too - small to provide a reasonable remuneration at that rate, it shall be - in the power of the professor to make arrangements for a higher fee, - subject to the usual sanction of the University Court; (6.) All women - attending such classes shall be subject to all the regulations now or - at any future time in force in the University as to the matriculation - of students, their attendance on classes, Examination, or otherwise; - (7.) The above regulations shall take effect as from the commencement - of session 1869–70.[78] - -In accordance with, the above resolutions, four other ladies and myself -were, in October 1869, admitted provisionally to the usual preliminary -examination in Arts, prescribed for medical students entering the -University. Having duly passed, and received certificates to that -effect from the Dean of the Medical Faculty, we, after the issue of -the regulations above cited, all matriculated in the ordinary manner -at the office of the Secretary of the University. We paid the usual -fee, inscribed our names in the University album, with the usual -particulars, including the Faculty in which we proposed to study, and -received the ordinary matriculation tickets, which bore our names, and -declared us to be “_Cives Academiæ Edinensis_.” We were at the same -time registered in due course as students of medicine, by the Registrar -of the Branch Council for Scotland, in the Government register kept by -order of the General Council of Medical Education and Registration of -the United Kingdom, such registration being obligatory on all medical -students, and affording the sole legal record of the date at which they -have commenced their studies. - -It seemed now as if smooth water had at length been reached, after -seven months of almost incessant struggle. The temporary scheme -first suggested had been set aside, but its place had been taken by -one much more comprehensive, which had resulted from five months of -consideration and consultation, and which had ultimately received the -sanction of every one of the University authorities in succession. Not -only were women allowed the privilege of matriculation which we had -been told involved so much; but formal regulations, entitled “For the -Education of Women in Medicine in the University,” had been framed, -and have now for three years formed an integral part of the University -Calendar. - -For six months our hopes seemed realised. We pursued most interesting -courses of study in the University, and found nothing but kindness -at the hands of our teachers, and courtesy from the male students, -whenever we happened to meet them in the quadrangle or on the -staircases. Even Dr Christison was reported to have said in Senatus -that, as the experiment was to be tried, he for one would co-operate to -give it a fair trial. - -Though the lectures were delivered at different hours, the instruction -given to us and to the male students was identical, and, when the class -examinations took place, we received and answered the same papers at -the same hour and on identical conditions, having been told that marks -would be awarded indifferently to “both sections of the class,”--this -latter expression being, by the bye, repeatedly used during the course -of the term by both the Professors who instructed us. - -I am obliged now to mention the results which appeared in the -prize-lists, not with a view to claim any special credit for the -ladies,[79] (whose efforts to obtain education might well make them -more zealous than most of the ordinary students,) but because I believe -that the facts I am about to mention had a real and immediate connexion -with subsequent events.[80] - -In the class of Physiology there had been 127 male students, of whom -25 appeared in the honours list; in the Chemistry class there were 226 -male students, of whom 31 obtained honours; of the 5 women, 4 were in -honours in both classes. One of the ladies obtained the third place -in the Chemistry prize-list; and, as the two gentlemen above her had -already gone through a course of lectures on the same subject, Miss -Pechey was actually first of her year. In the College calendar it was -stated that “the four students who have received the highest marks _are -entitled_ to have the Hope Scholarships,”--such scholarships giving -free admission to the College laboratory, and having been founded by -the late Professor Hope from the proceeds of lectures given to ladies -some fifty years previously.[81] - -It had occurred to us that if any lady won this scholarship she might -be debarred from making full use of it as regards the laboratory, -in consequence of the prohibition against mixed classes, but as it -had been distinctly ordained that we were to be subject to “all the -regulations in force in the University as to examinations,” it had -_not_ occurred to us as possible that the very name of Hope Scholar -could be wrested from the successful candidate and given over her head -to the fifth student on the list, who had the good fortune to be a -man.[82] - -But this was actually done. - -At the same time that the Professor announced to us his intention of -withholding the Hope Scholarship from the student who had won it, on -the ground that, having studied at a different hour, she was not a -member of _The Chemistry Class_, though he, at the same time, gave her -a bronze medal of the University, (to which I should think her claim -must have been neither greater nor less, since these medals were given -to the five students highest on the list,) he offered us written -certificates of having attended a “ladies’ class in the University,” as -of course he saw that to give the ordinary certificates of attendance -on “_The_ Chemistry Class of the University” would be to destroy his -own argument with reference to the Scholarship. As, however, such -certificates were absolutely worthless to us as students of medicine, -we declined them, and appealed to the Senatus to ordain that the -ordinary certificates should be granted to us, as they alone would -qualify for professional examination. At the same time Miss Pechey made -an appeal to have the Hope Scholarship awarded to her in due course. It -is hardly credible that (by very narrow majorities in each case) the -Senatus decided that we were to have exactly the ordinary certificates, -which declared us to have attended _the Chemistry Class_ of the -University of Edinburgh, and yet acquiesced in Miss Pechey’s being -deprived of her Scholarship on the ground that she was not a member of -that class! - -I do not wish to dwell longer on these incidents, but I have narrated -them here because I believe that the above mentioned results of the -class examinations aroused in our opponents a conviction that the -so-called experiment was not going to fail of itself, as they had -confidently hoped, but that if it was to be suppressed at all, vigorous -measures must be taken for that purpose. - -At the previous meeting of the University Council, no Professor had -stood up to oppose the admission of women, though Dr Andrew Wood had -covered himself with glory by protesting that he had too many sons to -provide for, to acquiesce in the education of women for the Medical -Profession![83] At the next meeting, however, of the Council, in -April 1870, Professor Masson moved that, in view of the success that -had hitherto attended the ladies’ studies, the existing regulations -should be so far relaxed as to allow of the attendance of women in the -ordinary classes, where no special reasons existed to the contrary, -that they might be spared the additional expense, inconvenience, and -difficulty, attendant on the formation of separate classes in every -subject. Professor Balfour, Dean of the Medical Faculty, seconded -this motion, and expressed his opinion that arrangements might easily -be made to carry it out. Professors Laycock and Christison, however, -opposed it vigorously, and that in speeches of such a character that -the _Times_[84] remarked in a leading article:--“We cannot sufficiently -express the indignation with which we read such language, and we must -say that it is the strongest argument against the admission of young -ladies to the Edinburgh medical classes that they would attend the -lectures of Professors capable of talking in this strain.”[85] When the -vote was taken, the motion in our favour was lost by forty-seven votes -to fifty-eight, and no change was therefore made in the University -regulations. - -The Professor of Botany kindly made arrangements for giving to us and -other ladies a separate course of lectures, though he much regretted -to be forced to this double, and needless, expenditure of time and -trouble. Dr Allman, the Professor of Natural History, who had in -the previous summer consented to my entering his ordinary class, -stated that his health would not allow him to undertake the labour -of two classes, and, therefore, he could not teach us. We then made -application for instruction to Dr Alleyne Nicholson, the extra-mural -teacher of the same subject, and he at once agreed to our request. -Before making any arrangements, he spoke to the members of his class -at their first meeting, and, mentioning our application, he enquired -whether they would unite with him in inviting us to join their class. -This they unanimously did; and, as we had no objection to offer, the -first “mixed class” was inaugurated, and continued throughout the -summer without the slightest inconvenience.[86] - -In the meantime, we were anxious to make arrangements for the next -winter session, and it was especially necessary that a course of -instruction in Anatomy should be provided, as the subject was one of -the greatest importance, and the University professor flatly refused -either to instruct us himself or allow his assistant to do so in any -way whatever. Under these circumstances we endeavoured to obtain a -competent extra-mural teacher who should form a special class for -our instruction; but I was repeatedly warned that, by this time, the -medical prejudice had been so strongly aroused against us, and the -medical influence was so strongly at work, that we should fail in -our endeavours, as no young medical man dare run the risk of being -ostracised for giving us help. The only extra-mural teacher of Anatomy -who was already recognised by the University was Dr Handyside, who -was one of a band of nine associated lecturers who conjointly rented -a building, called Surgeons’ Hall, for their lectures. Some of these -lecturers were indignant at the way in which we were treated in -the University, and, in July 1870, they, by a majority, passed the -following resolutions:-- - - 1. That it is expedient that lecturers in this Medical School should - be free to lecture to female as well as to male students. - - 2. That no restrictions be imposed on the lecturers as to the manner - in which instruction is to be imparted to women.[87] - -After the passing of this regulation, we applied to Dr Handyside to -know if he could make arrangements for giving us a separate class. He -replied that it would be quite impossible for him to do so consistently -with his duty to his other students, but that if we liked to attend his -course of Anatomy in the ordinary way, he should be happy to receive -us. Dr Heron Watson similarly consented to admit us, to his ordinary -course of Lectures on Surgery, and so our arrangements for winter -lectures were complete. - -The class of Practical Anatomy always meets at the beginning of -October, although the lectures do not commence till the following -month. The more studious and industrious students usually come up at -the earlier date, but those who care less about their work seldom -appear till November, as that is the beginning of the compulsory -session. All through October we studied under Dr Handyside with great -comfort; the students who worked with us, though in another part of -the room, were never uncivil, and in fact we hardly exchanged a dozen -sentences with any of them during the month. Dr Handyside and his -demonstrator both told us that they had never seen so much steady, -earnest work as since we joined the class, and expressed their opinion -that the results were quite as valuable for the male students as for -our ourselves. With November 1st the lectures began, and everything -went on satisfactorily for another ten days. - -About this time, acting on the advice of a medical friend, we made -an application for permission to study in the wards of the Royal -Infirmary, and, somewhat to our surprise, were met by a curt refusal. -As we knew that several of the managers were liberal-minded and just -men, we felt sure that they could not have fully understood the -importance to us of the concession we desired, and, on enquiry, I found -this was the case. One of those who had voted against our admission -confessed to me that he had, in so doing, been guided simply by the -medical members of the Board, and that he was not even aware that we -were matriculated students of the University, and that we could not -complete our education without attending the Infirmary, as there was -no other hospital in Edinburgh of the size prescribed for “qualifying -instruction.” We, therefore, drew up a memorial stating our grounds -of application, and another was also sent in by our two teachers, Dr -Watson and Dr Handyside, urging on the Board the great injustice that -would be done by our exclusion. We also obtained and sent in a written -paper from three of the medical officers of the Infirmary, promising -to give us all needful instruction if we were admitted.[88] When -these documents were presented to the managers, a majority of those -present were in favour of our immediate admission, but, on the ground -of want of notice, our opponents got the matter deferred for a week. -From that time the behaviour of the students changed. It is not for me -to say what means were used, or what strings were pulled; but I know -that the result was, that instead of being, as heretofore, silent and -inoffensive, a certain proportion of the students with whom we worked -became markedly offensive and insolent, and took every opportunity -of practising the petty annoyances that occur to thoroughly ill-bred -lads,--such as shutting doors in our faces, ostentatiously crowding -into the seats we usually occupied, bursting into horse-laughs and -howls when we approached, as if a coalition had been formed to make -our position as uncomfortable as might be. At the same time a students’ -petition against our admission to the Infirmary was handed about, and -500 signatures were obtained, though, if some of the reports I heard -were true, but a very small number out of the 500 had even read the -petition before signing it. Be this as it may, the petition was got -ready for the adjourned meeting, and when that came, every opponent -we had among the managers was at his place, while some of our friends -were unavoidably absent, and the Lord Provost, being in the chair, -was precluded from voting, so that the medical party gained an easy -victory. But when I say the medical party, I ought to explain that -three medical men voted on our side,--a point on which I shall have to -say something subsequently. - -The students were naturally elated at finding so much attention paid -to their petition,[89] especially as I was told that some of the -medical Professors had warmly applauded them for their exertions, and -I suppose the lowest section among them began to wonder whether, if -they had succeeded in keeping us out of the Infirmary, they might not, -by a little extra brutality, drive us away from the lecture-room. Two -days later, came the second competitive examination of the term, and -on this day occurred the riot, when the gates were shut in our faces -by a mob,[90] who stood within, smoking and passing about bottles of -whiskey, while they abused us in the foulest possible language. It -would be difficult to speak in too strong terms of the conduct of those -engaged in this outrage, or of those who were morally responsible for -it; but I am glad to say a word to-day about a part of the story which -has not been made sufficiently public,--viz., the conduct of those of -the students whose indignation against the rioters was even deeper than -our own.[91] One gentleman rushed down from Surgeons’ Hall, and, at -great risk to himself, forced open the gates for our admission, and a -number of others made their way in after us to see that we came to no -harm. When the class, which was interrupted throughout by the clamour -outside, was over, Dr Handyside asked me if we would withdraw through a -back door, but I said that I thought there were quite enough gentlemen -in the class to protect us; and so it proved. As I spoke, a number -came around us and formed a regular body-guard in front, behind, and -on each side, and, encompassed by them, we passed through the still -howling crowd at the gate, and reached home with no other injuries -than those inflicted on our dresses by the mud hurled at us by our -chivalrous foes. Nor was this all. When we arrived at the College next -day, at the same hour, we found quite a formidable array of gentlemen -with big sticks in their hands, who were keeping back a rabble that -looked greatly disgusted, but merely vented their spite in remarkably -bad language as the gentlemen referred to raised their hats as we -approached, and instantly followed us in and took their seats on the -back rows. After the lecture was over they formed round us, as on the -evening before, escorted us home, gave us three deafening cheers, and -dispersed. The explanation of all which was, that, hearing rumours of -renewed rioting, a certain number of manly men among the students had -resolved that the thing should not be, and for the next two or three -days this same stalwart body-guard awaited and attended us daily, till -the rowdies tacitly agreed to lay aside hostilities. Then I myself -asked our volunteer guard to discontinue their most chivalrous escort, -and quiet was restored. - -No further event of importance occurred during the winter, except the -meetings of Infirmary contributors, at the first of which a close -contest took place between managers known to be favourable to us and -those known to be unfriendly. A new Act came into operation at this -date, and all the managers had to vacate their seats unless re-elected. -I can give no more significant proof of the immense amount of pressure -brought to bear by the medical clique than by stating that, of the -three medical men who had voted for us six weeks before, it was found -when the day of election came that two had turned their coats, while -the one who refused to do so was unseated by the medical body that he -had represented! - -At the Contributors’ Meeting on Jan. 2, 1871, at which six managers -were to be elected, the Lord Provost himself proposed the election -of six gentlemen known to be friendly to the admission of ladies to -the Infirmary; but by the very narrow majority of 94 votes to 88, the -managers previously on the Board were returned. No other question was -raised, and those who voted with the Lord Provost did so simply in -consequence of the importance they attached to the exclusion of the -ladies by those managers who now desired re-election.[92] - -At a subsequent meeting, the Rev. Professor Charteris brought forward -a motion expressive of the desire of the contributors that immediate -arrangements should be made for the admission of the ladies, and -this motion was seconded by Sir James Coxe, M. D., but was lost by -a similarly small majority. On this latter occasion, two incidents -occurred that deserve notice. Firstly, a petition in favour of the -ladies’ admission was presented, signed by 956 women of Edinburgh.[93] -Secondly, Mrs Nichol, an elderly lady whose name is venerated -throughout Edinburgh, made, in spite of ill health, the great exertion -of coming forward at that public meeting, to ask one question,--“not,” -as she distinctly said, “in the interests of the lady students, but -on behalf of those women who looked forward to see what kind of men -were they who were to be the sole medical attendants of the next -generation of women, if women doctors are not allowed.” The question -which she said she had been commissioned to ask by more than 1300 -women, belonging to all classes and all parts of the country, was as -follows:-- - - “If the students studying at present in the Infirmary cannot - contemplate with equanimity the presence of ladies as fellow-students, - how is it possible that they can possess either the scientific spirit - or the personal purity of mind which alone would justify their - presence in the female wards during the most delicate operations on, - and examinations of, female patients?” - -This question was received, according to the newspaper report, with -“_Laughter, hisses, and applause_,” but no one opened his mouth to -reply. Perhaps in truth no reply could have been more significant than -the burst of yells and howls which greeted the question from a gallery -filled by students, who indeed so conducted themselves generally as to -elicit a remark to me from a learned Professor, famous for his quaint -sayings: “Well! ye can say now ye’ve fought with beasts at Ephesus!” - -About the same time a petition, signed by twenty-three male -students,[94] was presented to the Infirmary managers, praying that -the lady students should no longer be excluded, but no attention was -paid to the request; and when subsequently a similar application was -made to the Managers by a deputation of very influential citizens,[95] -they again refused, by a majority, to do anything in our behalf. -Professor Balfour moved the appointment of a Committee to enquire into -a scheme for the instruction of ladies proposed by certain of the -medical officers of the Infirmary, but Professor Christison carried -an amendment negativing even this measure; and thus another year of -Hospital instruction was lost. - -With each succeeding Session new students joined our small class, -partly in consequence of the very kind encouragement held out by -Lady Amberley, Dr Garrett Anderson, and other friends, in the way of -Scholarships; for, since public indignation was excited by the refusal -of the Hope Scholarship to Miss Pechey, hardly a term has passed -without some generous offer of valuable prizes for those ladies who -needed such assistance to pursue their studies, and who, by their -success in competitive examinations, showed themselves worthy of them. -Such kindness is the more valuable at a time when, by incessant delays -and constantly-recurring difficulties, every effort is evidently being -made to exhaust alike the patience and the purses of the troublesome -women who desire to complete the work they have begun. - -It is not necessary for me to enter into details respecting the -ladies’ progress in their studies, further than to state that in every -course in which they have competed for prizes, more than half of the -whole class have been in the honours list, and in some cases every lady -student has so appeared;[96] so that any refusal to grant them further -instruction can hardly be based on the plea that they have not done -their best to avail themselves of what was already afforded. - -During the two years, 1869–70 and 1870–71, the five original students -who entered in 1869 had completed the first half of their University -course, partly by attendance on separate classes in the University, and -partly by means of extra-mural lectures. But at the end of these two -years a dead-lock appeared imminent. The rules of the University forbid -any student to take more than four classes outside the walls, and those -four classes we had already taken. Professor Christison and others, -whose classes came next in term, gave a curt refusal to our request -for instruction, although we again offered to guarantee any fee that -might be required. In this dilemma we applied for help to the Senatus, -and suggested that, if no other means could be devised, the difficulty -might be solved in either of two ways--(1) by appointment of special -University lecturers, whose payment we would guarantee; or (2) by the -relaxation in our case of the ordinary regulations, so that we might -take an increased number of extra-mural classes. When these proposals -came before the Senatus, it was decided to take a legal opinion as to -the rights and powers of the University; and an opinion adverse to our -interests having been given, the Senatus decided, on July 28, 1871, by -a majority of one, that they would take no action in the matter. - -In these circumstances, a Committee[97] of friends which had been -formed for our assistance, caused a statement of the facts to be drawn -up and submitted to other Counsel, and obtained from the Lord Advocate -and Sheriff Fraser an Opinion to the following effect:[98]--That it was -quite competent to the University authorities to make any necessary -provision for the completion of the ladies’ education; and that -the Medical Faculty were bound to admit the ladies to professional -examination on the subjects in which they were already qualified to -pass. - -I must explain that the advice of counsel had been asked on this last -point in consequence of a rumour that difficulties might be made -respecting the examination that was now due at the end of two years of -professional study. The first official notice on this subject was, -however, received by us on Saturday, October 14, after the fees for -such examination had been paid, and tickets of admission obtained; the -examination itself being due on the 24th of the same month, and the -ladies concerned having studied for two years with the view of passing -this examination, for which they had more especially been preparing -assiduously for the last six months. - -On the following Monday, October 16, I, moreover, received an official -notice that the Dean of the Medical Faculty had been interdicted by -the Faculty from giving to ladies any papers for the Preliminary -Examination in Arts, which was to take place _on the following day_, -October 17! Three ladies had come up to Edinburgh from different parts -of the country with the express object of passing these examinations, -and, if prevented from doing so, they would be retarded in their -studies to the extent of one year. The excessive shortness of the -notice given made it impossible even to appeal to the Senatus, and -the only course open to me was to submit the facts for the opinion -of counsel. This was done, and we were informed that the course -taken by the Medical Faculty was quite illegal,[99] while an express -invitation to lady students formed part of the official calendar of the -University. This opinion was forwarded to the Dean, whose kindness -to us had been invariable; and, I am sure that he was glad by it to -be released from the painful necessity of obeying the Medical Faculty -in this matter. The ladies were accordingly examined in the ordinary -course. - -But the excitements of the month were not yet at an end. On applying -for matriculation tickets the ladies were informed by the Clerk that -the Principal, Sir Alexander Grant, had written him word that, in -consequence of representations made to him by Professor Christison, he -desired that no ladies should at present be allowed to matriculate. On -this point, and that regarding the Professional Examination, we, of -course, appealed at once to the Senatus. At the meeting at which our -appeal was considered, “the Committee for securing complete Medical -Education for Women in Edinburgh” also presented the opinion obtained -by them from counsel, together with a letter urging that complete -provision should be made for our instruction. At their meeting on -October 21, the Senatus at once decided both points of appeal in our -favour. The Principal’s prohibition, which had never had any legal -weight, was overruled, and the permission to women to matriculate -and pass the Arts Examinations was renewed, and declared to be in -force so long as the present regulations stood in the calendar. The -Medical Faculty also were instructed at once to admit the ladies who -were prepared for it to the Professional Examination on the following -day; and I am happy to say that, in spite of the incessant worry to -which they had been subjected for the past ten days, they all passed -successfully. I am sure that all those who have had to prepare for -severe University examinations will appreciate the difficulties under -which they did so.[100] - -A few days later came a meeting of the University Council, when Dr -Alexander Wood made a gallant attempt to get a vote passed to the -effect that “the University is bound, in honour and justice, to -render it possible for those women who have already commenced their -studies, to complete them.”[101] The _Lancet_ remarked, respecting -this motion:--“This is precisely the ground we have always taken -up about the matter; and we hope that the General Council of the -University will, by the adoption of Dr Alexander Wood’s motion, put -an end to the controversy which had redounded so little to the credit -of that school.”[102] A memorial in favour of the resolution was -also presented, signed by more than nine thousand women, residing -in all parts of the country, and representing almost every rank in -society.[103] Very vigorous opposition to it was, however, made by -Professors Turner, Thomson, and Christison, all of whom were members -of the Medical Faculty, and ultimately an amendment, which proposed to -leave the question to be settled by the Senatus and University Court, -was carried by 107 votes to 97.[104] - -At a meeting of the Senatus held on Oct. 30th, the question of making -further provision for the instruction of women was brought forward, -and a letter was received from the Committee of our friends stating -that, “in the event of special lecturers being appointed by the -University to give qualifying instruction to women, the Committee are -willing to guarantee the payment to them of any sum that may be fixed -by the Senatus for their remuneration, in case the fees of the ladies -are insufficient for that purpose; and that, if necessary, they are -willing further to undertake to provide such rooms and accommodation -as may be required for the delivery of the said lectures, if it should -be found absolutely impossible for the University to provide space -for that purpose.” After a long debate the Senatus decided, by a -majority, that they would not take any steps to enable us to complete -our education. At a meeting a few days later the Senatus further -decided, by fourteen votes to thirteen, to recommend to the University -Court that the existing regulations in favour of female students be -rescinded, without prejudice, however, to the rights of those already -studying. This resolution was, as I said, passed by fourteen votes to -thirteen, and it may be worth while to mention that two of the fourteen -votes were those of Dr Christison and Sir Alexander Grant, who were -themselves members of the University Court to which the recommendation -was to be made. That the proposed measure was not the wish of a real -majority of the Professors was soon made abundantly clear, for a -protest against it was sent up to the Court, signed by eighteen out -of the thirty-five Professors of the University, while two out of the -remaining seventeen were persistently neutral, never indeed having -voted on the question from first to last. In the teeth of this protest -it was, of course, almost impossible that the Regulations could be -rescinded, and so they were once more confirmed by the University Court -on January 3, 1872. - -The next event of importance was the annual re-election of Infirmary -managers, six of whom were to be chosen at the contributors’ meeting at -the beginning of January 1872. As on a former occasion, the election -evidently turned wholly on our admission to, or exclusion from, the -Infirmary wards. The medical party moved the re-election of the former -managers, and they were sure of the support of everybody who did not -consider our admission a vital question. Our friends, on the contrary, -brought forward a list of gentlemen, all of whom were known to be -friendly to our cause. After a very warm debate the list of our friends -proved to be successful, being supported by 177 votes, while 168 were -recorded on the other side. Professor Masson then moved that a Statute -be enacted by the Court of Contributors, giving the same educational -advantages in the Infirmary to female as well as to male students. -The hostile party, finding themselves in a minority, endeavoured to -prevent this being put to the vote on technical grounds which were -subsequently found to be of no legal importance. Failing in this, they -then adopted the remarkably dignified course of decamping in a body, -accompanied, I must confess, by some ironical cheers from those left -behind. In the lull that succeeded Professor Masson brought forward his -motion, which was seconded by the Rev. Dr Guthrie, and passed without a -dissentient voice. This Statute is, therefore, now actually law in the -Infirmary, and considering that managers friendly to us had also been -elected, it might have been thought that our difficulties there were -at end. But now comes the most extraordinary part of the whole story. -On a scrutiny of the votes it was found that with the majority had -voted twenty-eight firms, thirty-one ladies, and seven doctors. On the -other side were fourteen firms, two ladies, thirty-seven doctors, and -three druggists. These figures may seem, indeed, to have a tolerable -moral significance, but it is not with that that I am at this moment -concerned. It occurred to the defeated party that here might be found a -straw for them, drowning, to catch at,--that possibly a legal objection -might be sustained against the votes of firms which were so largely in -our favour, and that, if so, the victory might yet be secured![105] -The result was, that, when the Contributors assembled at the adjourned -meeting,[106] for the purpose of hearing the result of the scrutiny -and the final declaration of the election, the Lord Provost found -himself served with an Interdict forbidding him to declare the new -managers duly elected, on the ground that the votes of firms were -incompetent, and that by means of these the majority had been obtained! - -Instances have occurred before now where personal feelings have -triumphed over public interests, but I do not think that I ever heard -of quite so reckless a course as this, by which the medical clique has -plunged the great Edinburgh Hospital into litigation, and that with -some of its own most generous supporters, rather than allow a dozen -women to obtain in its wards the instruction that the Contributors had -decreed they should receive![107] - -The litigation thus begun is still pending, and the incomplete Board -of Managers have for all these months carried on the business of -the Infirmary without any representatives at all from the Court of -Contributors; and it is probable that they make the very fact of their -deficient numbers the excuse for having up to this moment given no -effect whatever to the Statute unanimously passed in our favour last -January by the Court of Contributors. We applied immediately after -the meeting for tickets of admission, but were told that the managers -must first be consulted, and from that day to this no tickets have -been issued to us, though the statute referred to legally secured that -“henceforth all registered students of medicine shall be admitted to -the educational advantages of the Infirmary, without distinction of -sex.” The matter, however, can now be only one of time; and, since -the law of the Infirmary is at length on our side, our opponents may, -I think, rest assured that our patience in awaiting the end will be -at least equal to theirs. In all such struggles a present triumph -may be snatched by those in brief authority, but the future belongs -inalienably to the cause of justice and liberality. - -In the meantime, I had, on behalf of my fellow-students and myself, -appealed to the University Court to provide us with the means of -completing our education, and our friends of the Committee also -forwarded to the Court a further legal Opinion from the Lord Advocate -and Sheriff Fraser, to the effect,--that the University authorities -had full powers to permit the matriculation of women in 1869; that the -Resolutions then passed amounted to a permission to women to “_study -medicine_” in the University, and that therefore the women concerned -were entitled to demand the means of doing so; and finally, that if -such means were persistently refused, the legal mode of redress lay in -an Action of Declarator.[108] - -On January 8th, 1872, the University Court declared that they could not -make any arrangements to enable us to pursue our studies with a view -to a degree, but that, _if we would altogether give up the question of -graduation_,[109] and be content with Certificates of Proficiency, they -would try to meet our views! - -In reply, I represented to the Court that no “Certificates” were -recognised by the Medical Act, and that any such documents would -therefore be perfectly useless to us. I further urged that as -matriculation fees had been exacted from us, in addition to the fees -for tuition, and as we had been required to pass the Preliminary -Examination “_for the medical degree_,” and as some of our own number -had moreover passed the first Professional Examination, I could not but -believe that we were entitled to demand the means of completing the -ordinary University education, with a view to obtaining the ordinary -degree; such belief being moreover confirmed by the emphatic opinion of -very distinguished counsel. On these grounds I entreated the Court to -reconsider their decision, and made the following suggestion:-- - - “That, as the main difficulty before your honourable Court seems to be - that regarding graduation, with which we are not immediately concerned - at this moment, we are quite willing to rest our claims to ultimate - graduation on the facts as they stand up to the present date; and, in - case your honourable Court will now make arrangements whereby we can - continue our education, we will undertake not to draw any arguments in - favour of our right to graduation from such future arrangements, so - that they may at least be made without prejudice to the present legal - position of the University.” - -I appeal to every intelligent man and woman to say whether these -words, taken in connection with my previous argument, were in the -slightest degree ambiguous, or whether any doubt could really exist -that in them I was pleading for facilities for such an education as -would ultimately enable us to become legal practitioners of medicine, -although I was willing that the actual question of graduation should -remain in abeyance for a few months, till decided by legal authority, -or otherwise. The public evidently so understood my letter, which was -published in the papers, for it was considered that I had substantially -gained my end, when the following reply from the secretary of the Court -was also published:-- - - “I am desired to inform you that you appear to ask no more than was - offered by the Court in their resolution of the 8th ultimo, in which - it was stated that, while the Court were restrained by legal doubts - as to the power of the University to grant degrees to women from - considering ‘the expediency of taking steps to obtain, in favour of - female students, an alteration of an ordinance which might be held not - to apply to women,’ they were ‘at the same time desirous to remove, - so far as possible, any present obstacle in the way of a complete - medical education being given to women; provided always that medical - instruction to women be imparted in strictly separate classes.’ On the - assumption, therefore, that while you at present decline the offer - made by the Court with reference to certificates of proficiency, you - now ask merely that arrangements should be made for completing the - medical education of yourself and the other ladies on behalf of whom - you write, I am to state that the Court are quite ready to meet your - views. If, therefore, the names of extra-academical teachers of the - required medical subjects be submitted by yourself, or by the Senatus, - the Court will be prepared to consider the respective fitness of the - persons so named to be authorised to hold medical classes for women - who have, in this or former sessions, been matriculated students - of the University, and also the conditions and regulations under - which such classes should be held. It is, however, to be distinctly - understood that such arrangements are not to be founded on as implying - any right in women to obtain medical degrees, or as conferring any - such right upon the students referred to.” - -My friends, as I say, congratulated me on this apparently important -concession; but to make assurance doubly sure, I resolved to have -absolute official confirmation of the apparent meaning of the -Resolution, and therefore addressed another letter to the Court, in -which, after thanking them for their apparent good intentions, I -enquired whether I was correct in understanding-- - - “1. That, though you at present give us no pledge respecting our - ultimate graduation, it is your intention to consider the proposed - extra-mural courses as ‘qualifying’ for graduation, and that you will - take such measures as may be necessary to secure that they will be so - accepted, if it is subsequently determined that the University has the - power of granting degrees to women. - - “2. That we shall be admitted in due course to the ordinary - Professional Examinations, on presentation of the proper certificates - of attendance on the said extra-mural classes.” - -In reply, I was calmly informed that the Court meant nothing of the -kind; that they would not agree to count any classes we might take -as qualifying, and that in fact they would not stir a finger in any -way whatever to enable us to become legally qualified doctors, though -they might, if we spent a good many years of labour and a quite -unlimited sum of money in obtaining our education, give us at the end -these wonderful Certificates of Proficiency, which would be worth -exactly--Nothing! - -What had been the meaning of the previous letter of apparent concession -I confess myself quite at a loss to conceive. What advantage could -accrue to us from submitting the names of extramural teachers to -the Court, in which Professor Christison was the only medical man, -I have never been able to guess, since the Court did not intend to -take any means to make their teaching qualify for graduation, and we -hardly needed its sanction in order to make private arrangements for -non-qualifying instruction! One is inclined to wonder whether the -idea was that the University Court possessed some supernatural power, -analogous to that supposed by certain churches to reside in episcopal -laying on of hands, which would in a miraculous way benefit those -lecturers whom they might “authorise” to teach us, though such teaching -was to be given in place and manner wholly unconnected with that -University with which I had supposed their functions to be exclusively -connected. However, I am content to leave this among the unexplained -mysteries, with very hearty thankfulness that, at least, by timely -enquiries, we saved ourselves from a still more hopeless waste of time -and money, which indeed we were on the point of incurring, in reliance -on the good faith of the Court, and the apparent meaning of its -mysterious Resolution.[110] - -Having, however, at length arrived at a certainty that the Medical -Faculty would rest with nothing short of our expulsion, if by any -possibility they could attain that end; that the Senatus, though far -more friendly, had not a sufficient majority of liberal votes to -secure the permanent concession of our claims, however just, in the -teeth of the strong medical opposition; and that the University Court -would offer only such concessions as were quite valueless for our -end, it became clear that it was useless to prolong the series of -supplications which had, for nearly a year, been addressed in vain to -one after another of the the ruling powers of the University. - -On the other hand, we had no less authority than that of the Lord -Advocate of Scotland for believing that we were absolutely entitled -to what we had so humbly solicited, and that a Court of law would -quietly award to us what seemed unattainable by any other means; -we had the very widely spread and daily increasing sympathy of the -community at large, and received constant offers of help from friends -of every kind, who were none the less inclined to befriend us because -our opponents stood in high places, and were utterly relentless in -their aims and reckless in their means. Under these circumstances, we -have done the one thing that remained for us to do, we have brought an -action of Declarator against the Senatus of the University;--praying -to have it declared that the Senatus is bound, in some way or other, -to enable us to complete our education, and to proceed to the medical -degree which will entitle us to take place on the Medical Register -among the legally qualified practitioners of medicine. By this -action it will be decided,--once more to quote our great champion, -the _Scotsman_,--whether, indeed, “a University can, with formal -solemnity, and with the concurrence of all its component parts, decree -the admission of women to study for the profession of medicine, and -then deny them access to those means by which alone they can enter that -profession; whether, indeed, a University is absolved from all duties -towards such of its matriculated students as may have the misfortune -to be women. It will have to be decided whether any corporate body can -make a contract of which all the obligations are on one side, and can -exact fees and demand obedience to regulations, without in its turn -incurring any responsibility; and can at pleasure finally send empty -away those whose presence is inconvenient, without any regard to the -money and time and labour which they have expended in simple reliance -upon its good faith.”[111] - -It is a very great satisfaction to me to find that some of the most -illustrious members of the Senatus have expressed their own opinion on -these points in the most emphatic way, for they have refused utterly -to be parties to the defence of this action, and have entered on the -Record a Minute from which I extract the following passage:-- - -“We dissent from and protest against the Resolution of the Senatus -of March 27, 1872, to undertake the defence of the action. This we -do for the following reasons:--(1.) Because we see no just cause for -opposing the admission of women to the study and practice of medicine, -but on the contrary, consider that women who have honourably marked out -such a course of life for themselves, ought to be forwarded and aided -in their laudable endeavour as much as possible, by all who have the -means, and especially by those having authority in any University or -other Institution for Education; (2.) Because in particular, we feel -such aid and encouragement, rather than opposition and discouragement, -to be due from us to those women who have enrolled themselves in the -University of Edinburgh, and we entirely concur with respect to them, -in the desire expressed by Sir William Stirling-Maxwell, the Rector -of the University, that they should obtain what they ask--namely, -a complete medical education, crowned by a degree; (3.) Because we -have seen no sufficient reason to doubt the legal and constitutional -powers of our University, to make arrangements that would be perfectly -adequate for the purpose, and we consider the public questioning of -such powers, in present circumstances, by the University itself, or -any of its component bodies, unnecessary, impolitic, and capable of -being construed as a surrender of permanent rights and privileges of -the University, in order to evade a temporary difficulty; (4.) Because, -without pronouncing an opinion on the question now raised as to the -legal rights which the pursuers have acquired by matriculation in the -University, admission already to certain examinations, or otherwise, to -demand from the University continued medical instruction and the degree -on due qualification, we yet believe that they have thereby, and by -the general tenor of the proceedings, both of the Senatus and of the -University Court in their case, hitherto acquired a moral right, and -created a public expectation, which the University is bound to meet by -the full exercise of its powers in their behalf, even should it be with -some trouble; (5.) Because, with these convictions, and notwithstanding -our utmost respect for those of our colleagues from whom we may have -the misfortune to differ on the subject, we should individually feel -ashamed of appearing as defenders in such an action, and should account -any such public appearance by us in the character of opponents to women -desiring to enter an honoured and useful profession, a matter to our -discredit.”[112] - -The following are the names of the six Professors who have taken this -memorable stand:--John Hughes Bennett, M.D., Professor of Institutes -of Medicine; David Masson, M.A., Professor of Rhetoric and English -Literature; Henry Calderwood, LL.D., Professor of Moral Philosophy; -James Lorimer, M.A., Professor of Public Law; Archibald H. Charteris, -D.D., Professor of Biblical Criticism and Biblical Antiquities; and -William Ballantine Hodgson, LL.D., Professor of Political Economy.[113] - -And so I have brought down as clearly and as briefly as I have been -able the history of this great struggle to the present moment, for that -it is a great struggle, and one that will astound most of those who may -read these lines some thirty years hence I think no thoughtful person -will deny. - -I should like in conclusion to say a very few words on two only of the -general questions which are bound up with the final solution of the -problem of the Medical Education of Women. - -And, first, as to the difficulties which are, or are not, inherent -in the admission of women to a University, and especially in them -studying in mixed classes. I believe most firmly that if, when we -first applied for admission in Edinburgh, we had simply been given -the ordinary tickets, and, if either no notice had been taken of our -entering the classes, or the other students had been invited, as -they were by Dr Alleyne Nicholson, to join in welcoming us to their -midst, no difficulties would ever have arisen at all; or at least no -difficulties but might have been most easily smoothed away by any -manly teacher with a real reverence for his subject, and a belief in -the profound purity of Science.[114] I am sure that in theory it is -both possible and right for ladies and gentlemen to study in the same -classes any and every subject which they need to learn, and I have -very little doubt that this will ultimately be the usual arrangement -as civilization advances. But I am equally certain that boys of a low -social class, of small mental calibre, and no moral training, are -utterly unfit to be admitted to a mixed class, and I confess that I -was most painfully surprised in Edinburgh to find how large a number -there are of medical students who come under this description. I had -honestly supposed, as I wrote three years ago, that ladies need fear -no discomfort in an ordinary medical class, as “the majority of the -students would always be gentlemen.”[115] I regret that on this point -I have been compelled somewhat to modify my opinion, though I would -fain hope that the circumstances which obliged me to do so were to a -great extent exceptional and local.[116] Nor do I think it possible -that a mixed class can be satisfactorily conducted by any man who is -not capable of inspiring his students with a reverence for purity, -or who does not naturally teach them alike by example and precept, -that the fear of competition is essentially low and mean, and that -the acme of degradation is reached when strength of any kind is used -for the injury or annoyance of the weaker or less protected; and, -this being so, I acquiesce very heartily in the decision that, at -present, wherever professors and students think it necessary, women -shall be taught medicine only in separate classes, though I hope, even -in my life-time, to see the day when such regulations are no longer -required, because students and teachers alike have risen to a higher -moral level.[117] In the meantime, let us but be granted permission -to acquire our knowledge in separate classes, at whatever cost, and -the authorities may be very sure that we shall not trouble them with -requests again to be subjected to the unsavoury companionship of which -we had such full experience in 1870–71.[118] - -And, lastly, with regard to future legislation respecting medical -practice, I would say but one word. It is clearly right that, for the -protection of the helpless and ignorant, the State should take means -to distinguish between competent and incompetent practitioners of -medicine, and I hope that women as well as men will always be required -very thoroughly to prove their fitness for practice before they are -allowed to undertake it, at least under national sanction. But it -is not in the least for the good of the nation that any monopoly -should be encouraged, whether in matters of teaching, examination, -or practice. Is it not simply shameful that all that I have now been -relating should be _possible_ in this country, and possible because of -a law which appoints but one door to the medical profession,--that of -Registration,--limits Registration to those who have passed through -certain definite Schools, and satisfied certain definite Boards, and -yet allows those Schools and Boards absolute power to shut their -doors on one-half of the human race, and that even in the case of -Universities largely subsidised from public funds, and at a time when -the public are positively clamouring for women doctors for women? We -can see plainly enough why it is (in the lowest sense) the interest -of medical men to exclude women from their profession,--though, thank -God, there are hundreds of medical men who would scorn to put their -interests in one scale when justice weighed down the other,--but it -is _not_ the interest of the public or of the nation to sanction any -such monopoly;[119]--it is their interest to throw open the gates of -competition as widely as possible, insisting only on a uniform standard -of attainment for all, of either sex, who would enter them; for, by -thus increasing the supply of really competent doctors, they give -themselves the best possible opportunities of selection; and, as I have -pointed out elsewhere, they double the chances of growth and advance in -the fields of medical science. - -When this momentous question again comes before Parliament, I trust -that the issues involved will be fully realised; and that, while -providing for the most stringent examination of every candidate, no -arbitrary barrier will be placed in the way of any, and no regulations -be allowed to stand which militate against the good old English motto -for all,--a Fair Field and no Favour! - -FOOTNOTES: - -[71] By this Act a Court of Examiners was appointed and declared to be -“authorised _and required_ to examine all person or persons applying to -them, for the purpose of ascertaining the skill or abilities of such -person or persons in the science of medicine, and his or their fitness -and qualification to practise as Apothecaries;”--it being, however, -stipulated that all candidates, so applying, should have gone through -certain preliminary studies and apprenticeship. - -[72] The classes attended by Miss Garrett, in common with the other -students, were as follows:--Chemistry, Practical Chemistry, Materia -Medica, Botany, Zoology, and Natural Philosophy. - -[73] See _Note H_. - -[74] “A woman must have uncommon sweetness of disposition and -manners to be _forgiven_ for possessing superior talents and -acquirements.”--Miss ELIZABETH SMITH (_Memoir, by H. M. -Bowdler_). - -[75] In the year 1870 the question was formally asked of the Italian -Government whether women were legally entitled to study in the -Universities, and the answer was in the affirmative. - -[76] The University Court consists of the Rector, the Principal, and -the Lord Provost of Edinburgh; with five others appointed respectively -by the Chancellor, the Rector, the Senatus, the Town-Council of -Edinburgh, and the General Council of the University. - -[77] On this point I may quote the following passage from the -_Scotsman_, whose great influence has always been most nobly exerted -in this question on the side of justice and liberality, and to whose -help in arousing the moral sense of the community, we owe a debt that -we can never hope to pay. The words quoted occur in a leading article -referring to a meeting of the General Council, of which mention will -be found elsewhere:--“Even Dr Christison, who is well known to be in -truth the very soul and centre of the opposition, and whose personal -influence alone has probably prevailed to carry it on so long in the -teeth of public opinion, thought it advisable to say at the Council -meeting, that ‘if anything could be done to get the ladies out of their -difficulty, he should be glad to be one to give them assistance.’ This -expression sounds somewhat farcical to those who are aware that the -present dead-lock arises simply from the fact that the ladies’ studies -have now brought them to that point at which Dr Christison’s class -comes next in turn to be attended, and that the Professor, in spite -of his verbal gallantry, has flatly refused either to instruct them -himself or facilitate arrangements by which any one can do so in his -place.”--_Scotsman_, October 31, 1871. - -[78] As some attempts have been lately made to throw doubt on the -validity of the regulations just quoted, and, in fact, on the legality -of the matriculation of women, I think it well to specify distinctly -certain of the persons who were most immediately concerned in the -University action just described. The University Court which drew up -the above regulations, contained among its members Mr Moncreiff, then -Lord Advocate of Scotland, and Mr Gordon, who had held the same office -under a previous Government, besides two other legal members. The -Chancellor who gave his express sanction to all the measures taken, -was Lord Glencorse, (Inglis,) the Lord Justice-General of Scotland. I -leave the public to judge how far it is probable that these gentlemen -conjoined to do an illegal and invalid act on behalf of the University. - -[79] I fully agree in the following remarks made by a local paper when -the results of the next summer term were declared:--“The whole number -of gentlemen who appear in the prize-lists (in Botany) are 32, out of -140 competitors,--_i.e._, about 23 per cent.; of the ladies, _all_. -We believe that these results prove, not that women’s capacities are -better than those of men--a thing that few people would assert--but -that these women who are devoting themselves to obtain, in spite of -all difficulties, a thorough knowledge of their profession, are far -more thoroughly in earnest than most of the men are, and that their -ultimate success is certain in proportion. Nor would we omit the -inference that, this being so, those who wantonly throw obstacles in -the way of this gallant little band incur a proportionately heavy -responsibility, as wanting not only in the spirit of chivalry, but even -in the love of fair play, which we should be sorry to think wanting in -any Briton.”--_Daily Review_, August 5, 1870. - -[80] Compare Miss Garrett’s experience, p. 78. - -[81] I am told that on this occasion the obstructives of the day -actually shut the College gates on the ladies, but that the gallant old -Professor, nothing daunted, admitted them through a ground-floor window -in South College Street! - -[82] See _Note I_. - -[83] The following passage occurs in a leading article on the riot got -up in Philadelphia by male medical students, when in 1869 ladies were -first admitted to the Pennsylvania Hospital:--“Their riotous procedure -is just a manifestation of the same trades-union spirit that will stoop -to any meanness, join in any tyranny, be guilty of any cruelty, rather -than allow interference with what is considered as its ‘vested rights.’ -In last week’s _Lancet_ we find a letter from a medical man, who asks -with _naïve_ surprise whether the advocates of female physicians can -possibly be aware that there are hundreds of medical _men_ not able to -make a comfortable living! We know not which most to admire--the cool -assumption that the medical profession exists only or mainly to fill -the pockets of its members, or the serene assurance that takes it for -granted that no woman has a right to expect to be allowed the chance of -earning a living, till all male competitors are safely and sufficiently -provided for! It is rather amusing to contrast the evidently keen -dread of successful competition which degrades a man thus to plead -_in formâ pauperis_, with the voluble assurances, in this and other -medical papers, that nature has clearly interdicted to women the -practice of medicine, and that here at least they cannot but utterly -fail.”--_Scotsman_, Dec. 4, 1869. - -[84] _Times_, April 25, 1870. - -[85] See _Note J_. - -[86] “In answer to an incorrect statement which appeared in one of the -medical papers respecting his class, Dr Alleyne Nicholson has forwarded -to its editor a letter, from which we extract the following passage:-- -... “The course of lectures on Zoology, which I am now delivering to a -mixed class, is identically the same as the course which I delivered -last winter to my ordinary class of male students. I have not hitherto -emasculated my lectures in any way whatsoever, nor have I the smallest -intention of so doing. In so acting, I am guided by the firm conviction -that little stress is to be laid on the purity and modesty of those who -find themselves able to extract food for improper feelings from such -a purely scientific subject as zoology, however freely handled. ‘To -the pure all things are pure.’” In the moral courage and manly purity -of the above letter we find fresh cause to congratulate the ladies on -the teacher they have secured on a subject which might easily have -been made offensive by a man of prurient mind. As teachers of truly -scientific spirit become more common, we shall, doubtless, hear less -and less of the difficulties of giving instruction to classes composed -of medical students of both sexes.”--_Daily Review_, June 14, 1870. - -[87] I am sorry to say that hardly a year later a majority of these -lecturers were so overborne by the prevailing medical influence, that -they rescinded the above regulations, merely permissive as they were, -and, in spite of the remonstrances of the gentlemen whose classes -we had attended, passed a resolution forbidding any of their number -to instruct lady students, either in mixed or separate classes, -in Surgeons’ Hall. That no doubt whatever might remain as to the -_animus_ which dictated this resolution, they distinctly confined the -prohibition to the case of ladies _who were registered students of -medicine_,--expressly allowing the continued instruction of midwives! -I wish that space would permit of my quoting the remarks made on this -occasion by the _Scotsman_ of July 19, 1871, and by other papers. - -[88] See _Note K_. - -[89] See _Note L_. - -[90] This mob was not wholly or mainly composed of our fellow-students -at Surgeons’ Hall, though a few of them were present. The larger -number, however, belonged to the lowest class of University students, -who had been summoned together by an anonymous missive circulated in -the class-rooms the same morning. - -[91] See _Note M_. - -[92] It is worth remark that, for the first time within memory, lady -contributors used their right of voting on this occasion, and it is -tolerably significant that more than a dozen voted on our behalf, and -not one against us. The number of doctors who voted for us was three or -four; against us, more than twenty. - -[93] The text of the petition was as follows:-- - - “_To the Court of Contributors to the Royal Infirmary._ - - “LADIES AND GENTLEMEN,--We, the undersigned Women of - Edinburgh, not being able to attend the Meeting at which the admission - of Female Medical Students to the Infirmary will be discussed, desire - hereby to express our great interest in the issues involved, and - our earnest hope that full facilities for Hospital study will be - afforded by the Managers to all women who desire to enter the Medical - Profession.” - -[94] See _Note N_. - -[95] Several of the principal citizens, including the senior member -for Edinburgh, had spoken strongly on our behalf at the meetings just -mentioned; indeed it has been remarkable throughout how strongly the -municipal element has been on our side, while the leaders of the -opposition have, with hardly an exception, been medical men, and their -immediate friends and followers. - -[96] See _Note O_. - -[97] See _Note P_. - -[98] See _Note Q_. - -[99] See _Note R_. - -[100] On a subsequent very similar occasion the _Scotsman_ -remarked:--“It may be noticed that this is the third time that -startling announcements have been fired at the lady students on the -very eve of important examinations, possibly with the professional view -of testing the soundness of their nerves.”--_Scotsman_, March 21, 1872. - -[101] The text of the resolution was as follows:--“That in the opinion -of this Council, the University authorities have, by published -resolutions, induced women to commence the study of medicine at the -University; that these women, having prosecuted their studies to -a certain length, are prevented from completing them from want of -adequate provision being made for their instruction; that this Council, -without again pronouncing any opinion on the advisability of women -studying medicine, do represent to the University Court that, after -what the Senatus and Court have already done, they are at least bound -in honour and justice, to render it possible for those women who have -already commenced their studies to complete them.” - -[102] _Lancet_, October 28, 1871. - -[103] I am assured by Mrs Henry Kingsley, who kindly acted as _Hon. -Sec._ to this memorial, that the signatures might have been multiplied -tenfold, had any organized effort been made to obtain them by means of -paid agents taking the papers from house to house. - -[104] “The Edinburgh school has come badly out of its imbroglio with -the lady students. The motion of Dr Alexander Wood, to which we made -reference last week, was negatived by a majority of ten. As we then -pointed out, the issue before the General Council was neither more -nor less than this--to keep faith with the female students whom -the University had allowed to proceed two years in their medical -curriculum. The Council was not asked to commit itself in the slightest -degree to any opinion, favourable or unfavourable, to the admission -of ladies to a medical career. It had only to concede, in common -courtesy, not to say common fairness, the right to which the best legal -advice had clearly shown the female students to be entitled,--the -right to carry on the studies they had been allowed to prosecute half -way towards graduation. Will it be believed? An amendment postponing -the settlement of the difficulty till it had been duly considered by -the authorities of the University was put and carried; as if there -was any more room for “consideration” in the matter! Thus Edinburgh -stands convicted of having acted unfairly towards seven ladies whom -she first accepted as pupils, and then stopped half-way in their -career.”--_Lancet_, Nov. 4, 1871. - -[105] “It mattered nothing that firms had voted ever since the -Infirmary was founded; that contributors qualified only as members of -firms had, as has now been ascertained, sat over and over again on -the Board of Management, and on the Committee of Contributors. It was -of equally slight importance that the firms whom it was now sought to -disqualify had been among the most generous benefactors of the charity, -and that, with the imminent prospect before them of great pecuniary -necessity, it would probably be impossible, without their aid, to carry -out even the plans for the new building. The firms had voted in favour -of the ladies, and the firms must go, if, at least, the law would -(as it probably will not) bear out the medical men in their reckless -endeavour to expel them.”--_Scotsman_, January 29, 1872. - -[106] At this meeting a Committee of Contributors, previously -appointed, reported in favour of the admission of lady students, and -against the exclusion of the votes of firms, and this Report was -approved by 232 votes to 227. On this occasion there voted for the -approval of the Report 41 ladies and 10 doctors; against it, 6 ladies, -44 doctors, and 5 druggists. - -[107] See _Note S_. - -[108] See _Note Q_. - -[109] In support of this suggestion the Court remarked that the -question had been needlessly “complicated by the introduction of the -subject of graduation, which is not essential to the completion of a -medical or other education.” They _forgot_, however, to mention that -though a degree is “not essential” to a medical education, it _is_ -absolutely indispensable to any practical use of it,--that is to say, -to any lawful practice of the medical profession. - -[110] The correspondence above referred to is given in _Note T_. - -[111] _Scotsman_, March 25, 1872. - -[112] _Scotsman_, May 7, 1872. - -[113] Though a majority of the Senatus did decide to defend the action, -I believe that it is understood that such decision did not imply, on -the part of all who acquiesced in it, any moral conviction that we are -not entitled to obtain the desired Declarator, since several other -Professors appear to have agreed in feeling with the six dissentients, -but to have acquiesced in the defence of the action for the sake of -having a formal legal decision given on one side or the other. - -[114] “I am bold enough to say that there is nothing in the art of -healing which may not fitly be spoken of before an audience of both -sexes, provided there be a generally good tone prevailing among them, -and the lecturer be of a pure and manly spirit. Indeed, I will go -farther, and say that his example in treating subjects of the kind -incidental to his work with equal purity and courage will be far -from the least valuable part of his teaching. It will bring home to -the hearts of his hearers, with more force than any other argument, -the truth that every creature, every ordinance of God, is good and -pure.”--_Medical Women_, by Rev. THOMAS MARKBY. London: -Harrison. - -Compare with the above the following statement made by an Edinburgh -medical student in the columns of the _Scotsman_:--“I beg leave to -relate what I myself listened to in a lecture-room of the University, -during the last summer session. On the occasion to which I refer, -the Professor went a long way beyond the requirements of scientific -teaching--into the regions of “spicy” but indelicate narrative--in -order that he might appropriately introduce remarks to the following -effect:--“There, gentlemen, I have minutely described to you those -interesting incidents which it would have been impossible for me to -notice if women were present; and I hope that we may be long spared the -annoyance which their presence here would inflict upon us.” The tempest -of applause that followed showed only too well the harmony which -existed between teacher and pupils on points that would have been far -better left unnoticed.”--_Scotsman_, December 26, 1870. - -[115] See “_Medicine as a Profession for Women_,” p. 62. - -[116] “The truth is, a class of young men, inferior socially to -their predecessors of ten years ago, now resort to the Edinburgh -School, which has lost much of its attractiveness now that London -and other seats of learning are so well appointed and so efficiently -worked.”--_Lancet_, February 17, 1872. - -[117] “_Mundis omnia munda!_ Neither ladies nor lecturers are conscious -of ‘indelicacy’ or ‘breach of decorum.’ Can it be that the unruly -students are ‘nice’ only upon Dean Swift’s principle, because they are -‘nasty?’”--_Globe_, Dec. 10, 1870. - -[118] See _Note U_. - -[119] “The wrong done to individuals by denying them the training -necessary to the pursuit of a branch of knowledge, and the practice of -an art for which they may have a special taste and capacity, is very -great; and it involves a wrong not less signal to society, in limiting -the sources whence good may come to it.” - - _Daily News_, Nov. 1, 1871. - - - - -NOTES. - - -NOTE A, p. 11. - -The following are a few only out of many indications of the existence -of the painful feeling alluded to in the text. The reader will hardly -need to be reminded that this is especially a subject respecting which -a maximum of feeling may well exist with a minimum of expression, for -hardly anything but a sense of duty would make a woman write on such a -question to the newspapers. - - - ... “But there remains to be considered the modesty and delicacy of - the patients,--a question hardly yet mooted; these poor women having, - I suppose, too much of the reality to raise the point. It cannot be - denied that at least one-half of the patients of medical men are - women, or that usually (from natural causes) they require medical - services more certainly and frequently than men; and operations - delicate or indelicate, so called, must be performed, questions, - delicate or indelicate, must be asked, and answered too, if not by the - patient herself, by the nurse, who, I believe, is usually a woman. - - “There is much reason to believe that many women, either owing to the - nature of their malady, or from constitutional nervousness or reserve, - never avail themselves of the services of a medical man without - reluctance. To them it is always a painful effort--the twentieth time - as much as the first. It would, I think, be odd if something of this - kind were not felt very strongly by every woman on some occasions, - and I have seen very experienced mothers quite distressed, if by any - chance, they were deprived of the assistance of ‘the doctor they - were used to.’ The wives of medical men have told me that it was - their one comfort to feel that in their hour of suffering only their - own husband and a good nurse need be with them. I think this is not - unnatural.”--Letter by “MEDICUS,” - - _Pall Mall Gazette_, May 11, 1870. - - - “I happened to be speaking to a young shopwoman--a total stranger to - me--and in the course of conversation advised her to seek medical - advice, when she replied, with a sudden gush of tears in her eyes, - that she _had_ been in the Infirmary, in Dr Matthews Duncan’s wards - for a fortnight, and had during that time suffered so much from the - constant presence of crowds of male students during certain inevitable - but most unpleasant examinations of her person, that, as she herself - forcibly expressed it, ‘it almost drove me mad.’” - _Daily Review_, Nov. 18, 1870. - - - “SIR,--A new obstacle has been thrown in the way of women - acquiring a knowledge of the medical profession. The special obstacle - at present is injury to the delicacy of mind of the male students. - This delicacy, if real, must be a serious drawback to the proper - exercise of their profession in after life. That it is so, many a - suffering woman knows. - - “The question, however, arises--which evil is the greater,--that five - hundred youths, in full health and vigour, should be made a little - uncomfortable by the presence of seven women, or that seven times five - hundred women, unnerved by suffering, should be subjected to the very - trial they shrink from. - - “That women do truly shrink from this trial, the number of wretched, - broken-down sufferers from chronic disease but too clearly proves. It - is only when racked by constant pain that a woman’s natural delicacy - at last gives way, often only to hear said the words (how bitter they - are!) ‘too late.’ - - “The returns of the Registrar-General could easily prove the vast - sacrifice of life, did delicacy not again step in with ‘consumption - and liver complaints,’ as more euphonious terms for the real disorders - of which these are the mere after-results. - - “This objection, looked at fairly, is a case of the delicacy of five - hundred men _versus_ that of all suffering women. - - “I leave the fathers and husbands of Edinburgh to judge righteous - judgment thereon.--I am, &c., A SUFFERER.” - - _Scotsman_, November 21, 1680. - - - “I think most thoughtful women will bear testimony to the amount - of preventible suffering that passes unaided, because the natural - sensibilities of women prevent their resorting with comfort to - treatment by medical men for certain diseases. I can count almost by - dozens the cases which have come under my personal observation of - health ruined, and life’s pleasures and usefulness alike lost with it, - because young girls (and sometimes older women too) will not submit - to receive from a man, however respected, the personal examination - and treatment necessary for their restoration, and because no woman’s - skill has been at their command. Let your readers divest themselves - for a moment of conventional habits of thought, and inquire what would - then be their instinctive opinion of the existing custom which compels - one sex to be dependent on the other for medical treatment of the - most delicate kind. Imagine the case reversed. If henceforth women - alone were to attend on men, what would the world say to that? At any - rate, is it not time that women should at least be allowed a choice in - this matter? And if this be so, it is clear that some women must be - thoroughly educated for the medical profession....--I am, &c., A - WOMAN.” - - _Manchester Examiner and Times_, November 30, 1870. - - - “Mention is rarely made of the many women who are waiting longingly - for the time when it will be possible for them to consult doctors of - their own sex--when they will no longer be forced, at the risk of - their health, and perhaps life, to consult men in circumstances under - which their natural feelings of delicacy revolt; but I am sure that - the number of these is not small, and long suffering as they have - hitherto been, their voice in time will make itself heard, if all - other monitions are disregarded. I am, &c., A WOMAN WHO DESIRES A - WOMAN DOCTOR.” - - _Daily Review_, Dec. 22, 1870. - - - “We often hear of the possible dislike of male patients to the - presence of lady students, but let us also give the weaker sex a - little credit for these same much-talked-of feelings of modesty and - decency. Many a time have I stood by the bedside of poor girls who - seemed ready to sink under the shame of being exposed before a number - of young men--a feeling which could not be overcome even by the agony - of the operations.... A MEDICAL STUDENT.” - - _Scotsman_, Dec. 26, 1870. - - - EDINBURGH, Dec. 28, 1870. - - “SIR,--In the present controversy regarding the extension - to women of facilities for obtaining a complete medical education, - it is reiterated on one side that there is a no demand among women - themselves for doctors of their own sex. In visiting a district - of nine families in a poor quarter of the Old Town, inhabited - principally by Irish, I found four women seriously out of health; - not so seriously, however, but that they might have been cured by - timely medical advice. I urged each of them more than once to go to - the Dispensary, but all persistently refused, each of them saying in - different words that, if ladies were doctors, as they had heard they - were in some places, they would have had medical advice long before. - The feelings of these poor women were so strong on the subject that - I found it was useless to urge them further. It seems only just and - reasonable that qualified female medical attendants should be within - the reach of those who either have a strong preference for it, or who - will not avail themselves of any other.--I am, &c., A DISTRICT - VISITOR.” - - _Scotsman_, Dec. 29, 1870. - - - “As one who, for a short time, was a patient under a late very eminent - doctor of Edinburgh, I say that I believe nothing would again induce - me to do what I then did, in ignorance of what was before me. The - anguish of mind suffered silently by women in such circumstances is - not to be described, and is likely seriously to influence the effect - of the medical treatment. It is surely time for men to cease to speak - of what _women feel_ in this matter. It is impossible for them to - know what women will never tell them--the unwillingness, the delay, - often _too long_, which precedes their stammered request for advice. - What women need is, that some of their own sex should have the power - of qualifying themselves to act as their advisers. Who has a right to - say they shall not, when the voice of their countrywomen calls on them - to do it?--I am, &c., AN ENGLISHWOMAN.” - - _Scotsman_, June 6, 1872. - - -NOTE B, p. 37. - -In answer to the sufficiently arrogant enquiry from Dr Henry -Bennet,--“What right have women to claim mental equality with men?”--I -addressed the following letter to the _Lancet_, and as it seems to me -to sum up our position fairly enough, I here reprint it. - - EDINBURGH, June 21st, 1870. - - “SIR,--I see in your columns of June 18th a letter on ‘Women - as Practitioners of Midwifery,’ and appeal to your sense of fairness - to allow me a fourth part of the space it occupied, for a few words in - reply. - - “It is hardly worth while to discuss the early part of the letter, as - the second paragraph sufficiently disposes of the first. After saying - that women are ‘sexually, constitutionally, and mentally unfitted - for hard and incessant toil,’ Dr Bennet goes on to propose to make - over to them, as their sole share of the medical profession, what he - himself well describes as its ‘most arduous, most wearing, and most - unremunerative duties.’ In the last adjective seems really to lie the - whole suitability of the division of labour, according to the writer’s - view. He evidently thinks that women’s capabilities are nicely - graduated to fit ‘_half-guinea_ or _guinea_ midwifery cases,’ and - that all patients paying a larger sum, of necessity need the superior - powers of the ‘_male_ mind of the Caucasian race.’ Let whatever is - well paid be left to the man, then chivalrously abandon the ‘badly - remunerated’ work to the woman. This is the genuine view of a true - trades-unionist. It is well for once to hear it candidly stated. As I - trust the majority of medical men would be ashamed of avowing such a - principle, and as I am sure it would be indignantly disavowed by the - general public, I do not care to say more on this point. - - “But when Dr Bennet proceeds to dogmatise about what he calls our - claim to ‘mental equality,’ he comes to a different and much more - important question. I, for one, do not care in the least either - to claim or disown such equality, nor do I see that it is at all - essential to the real question at issue. Allow me to state in a few - words the position that I, and, as I believe, most of my fellow - students take. We say to the authorities of the medical profession, - ‘State clearly what attainments you consider necessary for a medical - practitioner; fix your standard where you please, but define it - plainly; put no obstacles in our way; either afford us access to the - ordinary means of medical education, or do not exact that we shall - use your special methods; in either case subject us ultimately to - exactly the ordinary examinations and tests, and, if we fail to acquit - ourselves as well as your average students, reject us; if, on the - contrary, in spite of all difficulties, we reach your standard, and - fulfil all your requirements, the question of ‘mental equality’ is - practically settled, so far as it concerns our case; give us then the - ordinary medical license or diploma, and leave the question of our - ultimate success or failure in practice to be decided by ourselves and - the public.’ This is our position, and I appeal, not to the chivalry, - but to the justice, of the medical profession, to show us that it is - untenable, or else to concede it at once.--I am, Sir, your obedient - servant, SOPHIA JEX-BLAKE.” - - _Lancet_, July 9, 1870. - - -NOTE C, p. 46. - -The statement in the text was made the subject of a newspaper -controversy; and I append the following very valuable evidence which -was thus elicited in support of my assertion:-- - - - “SIR,--Permit me to bear my testimony to the state of the - facts on this question as far as English convents are concerned. I - was for some years medical attendant to a Franciscan convent, and - was frequently consulted by the nuns. They were examined and treated - like other patients, except where certain maladies were concerned, - and then they suffered in silence, or with such relief as could be - given by medicines, after a diagnosis founded on questions and general - symptoms only. I especially remember two cases.... In neither of these - any examination was permitted, or any surgical treatment regarded - as a possibility, in spite of all the representations I could make, - and although, I believe, I possessed the full confidence of the - patients and of the Superior. Whether a female surgeon would have been - allowed to examine and operate I cannot say.--I am, Sir, yours, &c., - F.R.C.S.” - - _Lancet_, May 18, 1872. - - - “SIR,--Kindly permit me to say a few words with regard to Miss - Jex-Blake’s statement, that very many women, and in particular, nuns, - would certainly show a preference for the medical and surgical aid - of one of their own sex, were any choice possible to them. As being - myself a Catholic, and having many near relatives nuns, I can most - confidently confirm this assertion. “I have known, for many years, - and in the closest intimacy, ladies, members of various religious - orders, in this country and in France, and I am quite aware that - recourse to male medical advice, in peculiar cases, is looked upon - in religious houses as something much more painful than any physical - suffering, or even death. - - “My father was medical attendant to a convent of English nuns, and I - think I may safely say that any advice given to nuns in such cases - was entirely at second hand, the doctor’s wife being the favourite - resource in these emergencies.... - - “Then, again, how can any man, medical or not, know what agonies of - shame and outraged modesty women can and do undergo, when submitting - to male medical and surgical treatment? How many women cannot overcome - their repugnance, and die with their special ailments unsuspected, - or discovered too late? On the other hand, how many women are at - great pains to _conceal_ the shrinking which they feel when exposing - their peculiar ailments to even a long-known and valued medical man? - Why should we have these added to our other unavoidable sufferings? - The reality of these feelings is, I am certain, within the personal - knowledge of every one of your female readers. No one wishes to deny - modesty to the stronger sex; but let us suppose them _compelled_ to - reveal all their physical ills to _women_--how would they feel?--I am, - &c., A CATHOLIC WIFE AND MOTHER.” - - _Scotsman_, May 27, 1872. - - -NOTE D, p. 49. - -While reviewing the above for the press (May 1872), the following lines -came under my notice, and I think them the more suitable to quote as -they are from the pen of a woman who has never herself shown the least -inclination for the study of medicine, and who, therefore, speaks -entirely from the abstract point of view:-- - - “Nothing will ever make me believe that God meant men to be the - ordinary physicians of women and babies. A few masculine experts - might be tolerated in special institutions, so that cases of peculiar - danger and difficulty might not be left, as they are now, to the - necessarily one-sided treatment of a single sex; but, in general, if - ever a created being was conspicuously and intolerably out of his - natural sphere, it is in my opinion, the male doctor in the apartment - of the lying-in woman; and I think our sex is really guilty, in the - first place, that it ever allowed man to appear there; and, in the - second, that it does not insist upon educating women of character and - intelligence and social position for that post. - - “Indeed, common delicacy would seem to demand that all the special - diseases of women should be treated principally by women; but this - aside, and speaking from common sense only, men may be as scientific - as they please,--it is plain that thoroughly to know the women’s - organism, what is good for it and what evil, and how it can best be - cured when it is disordered, one must be one’s self a woman. It only - proves how much unworthy passion and prejudice the great doctors - allow to intrude into their adoration of ‘pure science’ and boasted - love of humanity, that, instead of being eager to enlist the feminine - intuitions and investigations in this great cause, as their best - chance of arriving at truth, they are actually enacting the ignoble - part of churls and misers, if not of quacks. For are they not well - enough aware that often their women patients are so utterly beyond - them that they do not know what to do with them! The diseases of - the age are nervous diseases, and women are growing more nervously - high-strung and uncontrollable every day, yet the doctors stand - helplessly by and cannot stop it. When, however, there shall be a - school of doctresses of high culture and thorough medical education - going in and out among the sex with the proper medical authority, they - will see, and will be able to prevent, much of the moral and physical - neglect and imprudence which, now unchecked in school and home, make - such havoc of the vital forces of the present generation.” - - “_Co-operative Housekeeping_,” by Mrs C. F. Pierce. - - -NOTE E, p. 53. - -For the edification of the next generation, to whom all this bigotry -will probably appear almost incredible, I subjoin the passage alluded -to in the text. I am sorry to say it is by no means the worst I might -have quoted from the same paper. - - “For ourselves, we hold that the admission of women into the ranks - of medicine is an egregious blunder, derogatory to the status and - character of the female sex, and likely to be injurious, in the - highest degree, to the interests and public estimation of the - profession which they seek to invade. - - “By insisting on the attendance of all students at the public-class - delivery of anatomical lectures, and in the public-class - dissecting-room, the only possible guarantee of uniformity of teaching - will be obtained, and, at the same time, a difficulty will be placed - in the way of female intrusion which it will not be easy for women of - character, and clearly none else are eligible, to surmount. We hope, - however, that the Court of Examiners will not stop with the erection - of the barrier we suggest, but that they will distinctly refuse to - admit any female candidate to examination unless compelled by a legal - decision from the bench; and we also hope that they will be supported - in such refusal by the Master and Wardens of the Society, as well as - by the profession out of doors.” - - _Medical Times and Gazette_, Feb. 27, 1867. - - -NOTE F, p. 56. - -Since the first admission of women to the University of Zurich in 1867, -five women have taken degrees there in Medicine, but none at present in -any other Faculty. During the present year (1872) there are at Zurich -no less than 51 women studying in the Medical Faculty, and 12 in that -of Arts. - - -NOTE G, p. 62. - - - “Now at last the vexed question of mixed classes will be solved, - and there can be no doubt in the minds of those who have ever been - engaged in scientific study of the favourable result to be expected. - It is curious to note in the history of the present movement how, - one after another, old objections have vanished, and old arguments - have become no longer available. It is pretty certain that this last, - and perhaps greatest, stumbling-block to the minds of many will also - disappear when it is seen with what beneficial results the system of - mixed education is attended. And one great advantage to be expected - is the benefit that will accrue from the higher reverence for science - that must necessarily result from such a system. Once admit the - impropriety of teaching men and women together, and you tax science - with impurity; and while such a feeling is entertained (and it surely - must be lurking in the minds of those who oppose mixed classes), the - study of science, if not absolutely injurious, must be robbed of great - part of its power to elevate the mind and heart.... Science has had to - fight many a hard battle. For a long time it was asserted that science - and religion were antagonistic to each other, but a Faraday has shown - us how the two may go hand in hand, each helping and supporting the - other. Last April we were told that the study of science was linked - with impurity of thought, and we look upon the present action of the - Lecturers of Surgeons’ Hall as a result of the indignant protest which - every pure-minded man of science must have longed to utter against - such a wholly false and calumnious statement. It is as the champions - of science rather than of medical women that these gentlemen must be - regarded. In any case science would have passed through this last - attack, as she has ever done through all similar attacks, victorious - and unscathed and unrestrained in her power to bless and help mankind; - but the lecturers of our city have the no small honour of having - publicly testified their unqualified conviction of the entire purity - of all scientific knowledge and research.... Now that the Lecturers - of Surgeons’ Hall have come forward as a body to affirm the same - principle, we may indeed hail the beginning of the end, and may trust - soon to see the day when the man who condemns the teaching of science - to classes of both men and women will simply stand self-convicted as - wanting alike in true scientific spirit and in genuine purity of mind.” - - _Daily Review_, July 11, 1870. - - - “It seems that two ladies have this week applied for admission as - students to St Thomas’s Hospital in London, and a medical contemporary - makes this fact the excuse for a fresh onslaught on all women who - may, for the sake of a thorough medical education, wish to enter the - existing schools which at present possess a legal monopoly of that - education. The editorial delicacy declares--‘that any women should - be found who desire such fellowship in study is to us inexplicable.’ - This ill-bred sneer directed against ladies as medical students is - peculiarly ill-timed at a moment when the medical profession are - loudly calling on women to come to their aid in the military hospitals - of the Continent, teeming, as we know them to be, with horrors which - certainly far surpass any that ladies are likely to encounter in their - ordinary course of study, and which must inevitably be witnessed in - company ‘with persons of the opposite sex.’ Certainly no reasons of - delicacy at least can justify women’s co-operation in the one case, - and yet demand their exclusion in the other. - - “The truth is, that of course a certain conventional standard of - propriety exists, which it is well and desirable to maintain under - ordinary circumstances, as between persons of opposite sexes; and this - rule forbids the casual discussion of most medical and some scientific - subjects in chance audiences composed of ladies and gentlemen. But a - higher law remains behind--_Salus populi suprema Lex_. If perishing - humanity cries aloud for help, as during the present fearful struggle, - we should think little of the pretended delicacy which could hinder - either men or women from flocking to the rescue, and bid them - pause, ‘in the name of modesty,’ to consider whether, under these - circumstances, drawing-room proprieties would always be observed. So, - too, when the question really at stake is whether all women are to be - deprived of the medical services of their own sex, for fear some men’s - ‘delicacy’ should be shocked by the idea of their studying in the - ordinary class-rooms, it is time to protest that, true science being - of necessity impersonal, is absolutely pure. We remember that, when - an attack was made on Dr Alleyne Nicholson a month or two ago, for - admitting women to his classes, he replied in a letter to one of the - medical papers, that he laid ‘small stress on the purity or modesty of - those who find themselves able to extract food for improper feelings - from a purely scientific subject,’ and we confess that we are inclined - to share his opinion, which we suspect will be that of all the noblest - and most enlightened men of science. - - “A great deal of nonsense has been talked with reference to ‘mixed - classes,’ and as it is probable that the subject may come up again - in a practical shape before long, it is as well to say a few plain - words about the question at issue. First of all, let it be clearly - established that medicine cannot be taught advantageously, nor - indeed legally, in holes and corners to half-a-dozen or even a dozen - students. In the very paper in which appeared the offensive paragraph - to which we have alluded, we find a plea for the consolidation of the - London Medical Schools into a smaller number, because ‘there are not - students enough’ to support them all in perfection, and because two - or three well-paid lecturers with abundant apparatus could teach to - far greater advantage than twice or thrice that number under present - circumstances. If this is true where there are at least several - hundred students to be divided among the eleven existing schools, - how palpably absurd it is to recommend our countrywomen to ‘have - separate places of medical education and examination,’ when the whole - number of ladies desiring to study medicine in England may perhaps - number a score! Our own University professors tell us plainly that - separate classes for half-a-dozen ladies are an impossibility, and - the practical experience of Surgeons’ Hall, pointing in the same - direction, evidently guided its lecturers in their recent vote. The - broad fact, therefore, must be accepted, that either the door must be - shut in the face of all women, and that at a moment when some of them - are proving to a demonstration their remarkable fitness to enter it, - or they must be allowed, as they long ago requested, to enter quietly - and without remark, and take their places with other students, to - learn the common lessons equally necessary for all. - - “And, after all, what are the arguments on the other side? We are - told oracularly that what is proposed is _contra bonos mores_, and are - warned with equal solemnity of the imminent downfall of any school - that dares to break loose from the bondage of Medical Trades-Unionism - and afford to women exactly the same advantages as to other students. - We do not wish to speak solely, or even chiefly, in the interests of - women; we wish to look at the question broadly and with a view to the - possible moral results to the public at large; and from this point of - view we cannot but feel that the more general association of the sexes - in earnest labour, and especially in scientific and medical study, may - be of the greatest importance to the community. Though the traditions - of the Bob Sawyer period are happily passing away, there yet seems to - linger an idea that medical students as a rule adopt a lower moral - standard and are of a more generally reckless character than those - studying for other professions. If this is so, may not the explanation - be found in the sort of half-expressed idea that seems prevalent in so - many people’s minds that there is in medical study something which, if - not actually improper and indelicate, certainly tends that way, and - had better be ignored as much as possible--something at least which - the average public would probably sum up as ‘rather nasty.’ We believe - that it is on this popular idea--which every true physician would - indignantly disclaim--that the opponents of women’s education trade - when they try to enlist public feeling against mixed classes. They - talk in a vague and very offensive way about certain studies which - form a necessary part of medical education, and not being themselves - capable of seeing the true dignity and profound purity of all science, - especially when pursued with the aim of succouring pain and combating - disease, they manage too often to impress the general public with the - idea that by sanctioning the joint study of medicine by men and women - the said public would commit itself to some shocking impropriety, - all the more awful for being quite indefinite--_omne ignotum pro - magnifico_. It is probable that this sort of vague terror is, in fact, - the best weapon yet forged against women students, but, like many - another terror, it is one that vanishes in the clear daylight. Let it - once be broadly understood that science has no hidden horrors, that - the study of God’s works can never be otherwise than healthful and - beautiful to every student who brings to their contemplation a clear - eye and a clean hand, and this weapon of darkness will be shivered for - ever. We believe, indeed, that nothing could be more desirable for the - average young medical student than to find himself associated in daily - study with women whom he cannot but respect; nothing more calculated - to give him an earnest sense alike of the dignity and of the purity - of his vocation than to labour in it side by side with ladies whose - character and whose motives are to him a daily reminder that he and - they alike are set apart both as the votaries of science and the - ministers of suffering humanity.” - - _Daily Review_, October 11, 1870. - - -NOTE H, p. 78. - -The following extracts will show the position and opportunities of -study enjoyed by lady probationers and nurses at London hospitals. The -first is taken from a letter written by a lady who was herself trained -as a surgical nurse in a hospital. She writes:-- - - “In the ordinary course of the day’s work, I went round the wards with - the visiting surgeons, and at the same time as the students, and, in - fact, I should think, enjoyed exactly the same opportunities that - people profess to be so much shocked at your desiring to obtain in - Edinburgh. Part of my time was spent in study in the female and part - in the male wards; and I never found either students or patients see - anything at all exceptional in my presence in the latter, though I - often had to perform services for the male patients which would never - be expected of you as students. When any patients from my wards went - into the theatre, for operation, I, as a matter of course, accompanied - them, and was present during the operation, standing often quite near - the surgeon, however many students might be there at the time. I was, - therefore, constantly associated with the students in the hospital - work, as were all the other ladies studying in the same capacity, and - I never saw any difficulty in this arrangement, nor had any reason to - suppose that the students did.” - -Thinking that a lady’s evidence might be challenged on this matter, I -wrote to one of the principal surgeons of the Middlesex Hospital for -confirmation of her statement, and received the following reply:-- - - “Nurses and lady probationers are present in the wards, and attend the - surgeons in their visits, and are present at operations. The students - never, so far as I observed, took any notice of the question as to - whether the female attendants in the wards were ladies or ordinary - nurses--never, in short, troubled themselves about them.” - -While on the subject, I will quote an extract from a letter received -from Dr Elizabeth Blackwell, the first Englishwoman who ever received a -medical degree. She says:-- - - “I walked St Bartholomew’s Hospital in the years 1850–51. I received - permission to do so from the Governors, and was received by the - medical faculty with a friendly courtesy for which I shall always be - grateful. I always went round with the class of students during the - physician’s visits. The medical class numbered about thirty students. - I spent between five and six hours daily in recording and studying - cases. During the visits, I never received anything but courtesy - from the students. When studying in the wards, I received much kind - assistance from the clinical clerks and dressers. While leaving the - hospital the treasurer said to me--‘When we gave you permission to - enter, we thought we were doing something so unusual that we were - rather anxious about the result, but, really, everything has gone on - so quietly, so exactly as usual, that we had almost forgotten you - were here.’ ... My observation of mixed study is, that a small select - number of women may join an ordinary school with little difficulty, - and that there is even less trouble in arranging hospital visiting - than class-room instruction.” - -The last case that I will cite with reference to hospital instruction -is that of Mrs Leggett, who is now attending as a regular student in -Steevens’ Hospital, Dublin, and who writes:-- - - “I had the unanimous consent of the Board to pursue my medical - studies in Steevens’ Hospital. As to the medical students, they are - always civil. Dr Macnamara, President of the College of Physicians of - Ireland, said it was his opinion that the presence of ladies would - refine the classes.” - -With reference to the attendance of this lady, Dr Hamilton, Medical -Secretary of Steevens’ Hospital, writes-- - - “So far as we have gone, we find the education of mixed classes in one - hospital to work very well.” - - -NOTE I, p. 93. - -The following are a few only out of very many expressions of public -indignation at this episode:-- - - - “One of the most singular of University ‘scandals’ comes to us from - decorous Edinburgh. True, it is the very antithesis of cases--such as - are only too familiar on this side the Border--of debauchery at night, - and a scene in court next morning, but it is not a whit the less - discreditable. The transgressor, however, is not a college student, - but a college professor. The case admits of, we might say demands, - historic treatment. Some years ago, Dr Hope, then Professor of - Chemistry in the University, gave a course of lectures to ladies--at - that time quite an experiment--and was so much gratified, we are - told, at their popularity, that he devoted the proceeds, amounting - to about a thousand pounds, to found what have since been termed - Hope Scholarships. We now get to a very modern period indeed. The - Chemistry class during last winter numbered no less than 236 students, - of whom six were ladies, who had been admitted to study in the - medical classes, ‘in accordance with the decision of the University - authorities at the beginning of the session.’ A few days ago the - results of the examination were made known, when it appeared that one - lady, Miss Mary Edith Pechey, was in the proud position of third in - the list of honours, and another lady, Miss Sophia Jex-Blake, tenth. - Miss Pechey’s success is the more gratifying, inasmuch as she is a - fresh student, while the two gentlemen who stood above her on the - list have attended a previous course of lectures. Dr Crum Brown, the - Professor of Chemistry, in announcing the results, took upon himself - to say that he should pass over Miss Pechey and award one of the Hope - Scholarships to the next male on the list. This is directly in the - teeth of the regulations made and provided for his guidance; according - to which these scholarships are to be awarded to ‘the four students - whose names stand highest in the chemistry class for the session.’ - We understand that Professor Crum Brown justifies his action on the - ignoble plea ‘that the women now studying in the University class do - not form part of the University class, on account of their meeting at - a different hour.’ Great indignation has very naturally been excited - in Edinburgh by this incident, and the question has been referred to - the Senate of the University, who, though a corporate body, will, we - hope, act as honourable men.” - - _Manchester Examiner and Times_, April 6, 1870. - - - “The inferior sex has always been a nuisance and a bore. A wise old - Sultan of Turkey used to ask, whenever anything went wrong, ‘Who was - she?’ One day while the Sultan was making an addition to his palace - (as is the habit of Sultans), a labourer fell from the scaffold and - was killed. ‘Who was she?’ said the Sultan at once. The inferior sex - is always plaguing the superior sex in one way or another, and now - it seems that the inferior sex are winning _our_ scholarships over - our most sacred heads. This is a matter which must be looked to. We - will stand a great deal, but this is going a little too far; we must - agitate; members must pledge themselves on the hustings to a bill - providing that any one of the inferior sex who gains a scholarship - must not have it at any price whatever, or we shall all be undone. We - must have an Act for the repression of women; we are very sorry to - say such terrible words, but the thing must be done: it had better be - done at once while the nation is in a mood for repression. Particular - cases thrust themselves prominently on the national mind, and cause - legislation: the Coercion Bill for Ireland was thrust on to an - unwilling Government by a very few of the later agrarian outrages: the - last ounce breaks the camel’s back. If Miss Edith Pechey chooses to - come in _facile princeps_ at the head of the Chemistry Class of her - year, we of the superior sex must really look to ourselves. We have - the power of legislation still left in our hands, and we warn such - ladies as Miss Edith Pechey and Miss Jex-Blake that we shall use it. - We must have a bill for the protection of the superior sex. - - “We feel sure that the ladies will forgive joking about a very absurd - matter. Ladies should surely understand the power of ridicule. - We think that the ‘_reductio ad absurdum_’ in this matter is the - proper line of argument. The facts of the case seem to be simply - these:--After protracted delays and much discussion, the University - authorities last autumn vouchsafed to ladies the permission to - enter the College as matriculated medical students, with the single - restriction that their instruction should be conducted in separate - classes. On referring to the minutes of the University Court, we - find the following definition of the position to be taken by the new - students:--‘All women attending such classes shall be subject to all - the regulations now, or at any future time, in force in the University - as to the matriculation of students, their attendance on classes, - examination, or otherwise.’ We turn to the Calendar to see what are - the ‘regulations in force in the University’ as to examination in - chemistry, and we find at page 84 the following:--‘The class honours - are determined by means of written examinations held during the - session. The four students who have received the highest marks _are - entitled to have the Hope Scholarships_ to the laboratory of the - University.’ The ladies accepted in good faith the regulations of the - University, and, fired by a laudable ambition to prove themselves - worthy of the privileges now accorded for the first time to women, - worked with an assiduity that may be guessed when it is found that - one of them, Miss Pechey, actually gained the highest number of - marks awarded during the session to any student attending chemistry - for the first time, though she was excelled (by one and two marks - respectively) by two gentlemen who had gone through a previous - course of lectures. But when the day arrived which was to reward all - this work, the Professor announced, without, as it seemed to us, a - shadow of justification, that the four scholarships would be given, - _not_ according to the University regulations to the four students - ‘_entitled to them_,’ but to the three gentlemen who had won the - first, second, and fourth places, and to the one who stood fifth on - the list, this last having earned a most honourable place by his - talents and industry, but _not_ the Hope Scholarship, though now he - has, of course, the right to claim free admission to the laboratory - as it has been promised to him. This, then, is a University episode. - Six students are admitted on the distinct understanding that, with one - exception (dictated, as we think, by a whimsical propriety), they are - to be ‘subject to the regulations of the University;’ no hint is given - to them that this statement is analogous to the one which pithily - describes women’s political condition in England--‘_He_ means _she_ - when it’s a question of hanging; _he_ doesn’t mean _she_ when it’s a - question of voting.’ The ladies are encouraged to exert their utmost - power for work; when the rewards are to come, and it is found that one - of them has earned one of the highest honours attainable by the class, - she is calmly informed that that honour has been given to somebody - else! A neater instance of generosity with other people’s property it - has never been our lot to witness, and we don’t care how long it is - before we repeat the experience. - - “The only excuse that we can with the utmost stretch of charity - imagine in this case would be that Dr Crum Brown thought some - difficulty might arise respecting Miss Pechey’s use of the - scholarship (which gives free admittance to the laboratory), under - the restrictions now imposed on women by the University Court--for - we will not suppose for a moment that the Professor could himself - wish to impede the further progress of a student of such merit. But - if such difficulty occurred it might be an excellent reason for - relaxing those restrictions, when they are seen to deprive a student - of the full reward of her past work, and at the same time to prevent - her prosecuting further the study in which she has so distinguished - herself; but we are quite at a loss to see how any legitimate argument - can be drawn thence to justify Dr Brown in laying violent hands on a - scholarship which has been fairly earned by one person for the purpose - of presenting it to another. It is possible that A’s circumstances - may prevent his deriving full benefit from some of his possessions, - but the law would hardly consider this fact a valid reason for B’s - ‘annexing’ the said possession for the benefit of C. If Dr Brown - chooses to admit a fifth student to the laboratory he can of course do - so, but unless we are greatly mistaken he will probably be informed - by the Law Faculty (whom he might previously have consulted with - advantage) that neither he nor any other person can alter the fact - that Miss Pechey and no one else _is_ third Hope Scholar.” - - _Daily Review_, April 1, 1870. - - - “A very odd and very gross injustice appears to have been attempted - in the University of Edinburgh. In that University the lady medical - students are taught in a separate class,--not from any wish of their - own, but through the delicacy of the professors. In the chemical - class, Miss Edith Pechey gained the third place, and was first of - the first year’s students, the two men who surpassed her having - attended the class before. The four students who get the highest marks - receive four Hope Scholarships,--scholarships founded by Dr Hope some - years ago out of the proceeds of a very popular _ladies’ class_ of - chemistry, with the success of which he had been much gratified. Yet - Miss Edith Pechey was held by the professor not to be entitled to the - third scholarship, and omitting her name, he included two men whom - she had beaten, and who stood fourth and fifth in the examination, - his excuse being that the women are not part of the University class, - because they are separately taught. Yet Dr Crum Brown awards Miss - Pechey a bronze medal, to which only members of the University class - are said to be entitled! It is quite clear that such a decision cannot - stand. To make women attend a separate class, for which they have to - pay, we believe, much higher fees than usual, and then argue that they - are out of the pale of competition because they do so, is, indeed, too - like the captious schoolmaster who first sent a boy into the corner - and then whipped him for not being in his seat.” - - _Spectator_, April 9, 1870. - - - “The letter Miss Pechey addressed to us the other day was written in - an admirable spirit, and must insure her the hearty sympathy of all, - whatever their opinions upon the points in question. She has done her - sex a service, not only by vindicating their intellectual ability - in an open competition with men, but still more by the temper and - courtesy with which she meets her disappointments. Under any view - of the main question, her case is a hard one, for it is clear both - she and the other lady students were led to attend the classes under - the misapprehension of the privileges to which they were admissable. - If the University intended to exclude ladies from the pecuniary - advantages usually attached to successful study, the intention should - have been clearly announced. Miss Pechey, in the spirit of a true - student, says she is abundantly repaid for her exertions by the - knowledge she has acquired; but it is none the less hard that, having - been encouraged to labour for a coveted reward, and having fairly won - it, she should be disqualified by a restriction of which no warning - had been given her.” - - _Times_, April 25, 1870. - - - “There are probably few persons who did not learn with regret the - decision of the Edinburgh Senatus in respect of the Hope Scholarships. - It is not pleasant that such a story of, at least, seeming injustice - should circulate through foreign universities, to the discredit of - our own, for there cannot be much doubt as to the view that will - be taken of the case by those nations--now forming the majority in - Europe--who have admitted women to their medical colleges on terms of - exact fairness and equality with their other students.... A medical - contemporary argues that this affair proves how unwise it was to - admit women to the University of Edinburgh--such admission being, as - is asserted, the natural source of ‘constant squabbles.’ But most - unprejudiced people, judging the case at first sight, would surely - rather see here the evil of a partial, restricted, and permissive - legislation. If women have a claim to medical education at all, they - have exactly the same claim as men; if they are to be received as - students at all, they must certainly be treated with even-handed - justice, and not as social or rather academical _pariahs_, to whom - the bare crumbs of instruction are vouchsafed as a grace and bounty; - while all the honours and rewards are to be reserved to their male - competitors. Looking at the thing for a moment, merely in the - interests of the young men, and as a question of expediency, we cannot - imagine anything much worse for their moral guidance than to find that - women are indeed to compete with them, but so shackled that they can - never win; or rather that, if they do win, the prizes will be snatched - from their grasp and given to men whom they have beaten. We have heard - that, in both classes where the ladies have this year studied, a very - unusual access of zeal and energy has been noticed among the gentlemen - in the other section of the class--a happy effect of such competition, - which has often been observed in the mixed colleges of America, and - which surely need not be neutralised here by the providence of the - Senatus.” - - _Scotsman_, April 15, 1870. - - - “The Senatus has, by a small majority, confirmed Professor Crum - Brown’s decision with regard to Miss Pechey and the Hope Scholarship, - on the grounds previously presumed by us. But these grounds, if so - they may be called, are in our opinion insufficient to deprive Miss - Pechey of the Scholarship. Whatever may be our views regarding the - advisability of ladies studying medicine, the University of Edinburgh - professed to open its gates to them on equal terms with the other - students; and unless some better excuse be forthcoming in explanation - of the decision of the Senatus, we cannot help thinking that the - University has done no less an injustice to itself than to one of its - most distinguished students.” - - _British Medical Journal_, April 16, 1870. - - -NOTE J, p. 96. - -For the credit of the profession, I append also the following indignant -protest from the chief medical paper:-- - - “There are very varying opinions abroad in the medical profession and - among the public, as to the advisability of allowing women to practise - medicine. There are still more serious and widely-spread doubts as - to the possibility of educating ladies in the same lecture rooms and - dissecting rooms with male students. But, until last week, we were not - aware that any one in the profession, or out of it, held that the mere - fact of ladies wishing to be educated in common with men, in order - that they might make sure of receiving the highest and most thorough - scientific training, justified those who held contrary opinions in - loading them with abuse and vulgar insult. It has been reserved for - Dr Laycock, professor in the famous University of Edinburgh, to set - an example which, we trust, even the least courteous and gentlemanly - of first-year’s students will hesitate to follow.... We shall only - remark that if the coarsest of those few students who still keep alive - the bad traditions of the Bob Sawyer period had given utterance to - the insinuations which were used by this distinguished Professor, we - should simply have shrugged our shoulders, and concluded that the - delinquent would be at once expelled with ignominy from his school. - Unfortunately there are no such punishments for highly-placed men like - Dr Laycock, but at the least we can express the deep indignation and - disgust which we are certain every gentleman in the profession must - feel at the outrage of which he has been guilty.” - - _Lancet_, April 30, 1870. - - -NOTE K, p. 101. - -The following are the papers referred to in the text:-- - - -(1.)--_Letter from the Lady Students._ - - “MY LORD AND GENTLEMEN,--We, the undersigned registered - students of medicine, beg to lay before you the following facts, and - to request your kind attention to them:-- - - “On applying in the usual course for students’ tickets of admission to - attend the practice of the Royal Infirmary, we were informed by the - clerk that the Managers were not prepared to issue tickets to _female_ - medical students. We earnestly request you to reconsider this decision - on the following grounds:-- - - “1. That the authorities of the University of Edinburgh and of the - School of the College of Physicians and Surgeons have admitted our - right to study medicine with a view to graduation. - - “2. That an important and indispensable part of medical education - consists in attending the practice of a medical and surgical hospital, - and that the regulations of the Licensing Boards require, as part of - the curriculum of study, two years’ attendance at a ‘general hospital - which accommodates not fewer than eighty patients, and possesses a - distinct staff of physicians and surgeons.’ - - “3. That the only hospital in Edinburgh possessing the required - qualifications is the Royal Infirmary, and that exclusion from that - institution would therefore preclude the possibility of our continuing - our course of medical study in this city. - - “4. That, in the present state of divided opinion on the subject, it - is possible that such a consummation may give satisfaction to some; - but we cannot suppose that your honourable Board would wish to put - yourselves in the attitude of rendering null and void the decisions - of the authorities of the University of which we are matriculated - students, and of the School of the College of Physicians and Surgeons, - where we are now attending the classes of anatomy and surgery. - - “5. That it has been the invariable custom of the Managers to grant - tickets of admission to students of the University and of Surgeons’ - Hall, and that, as far as we are aware, no statute of the Infirmary - limits such admission to students of one sex only. - - “6. That the advertised terms on which the wards of the Infirmary - are open to all registered and matriculated students were such as to - leave no doubt on our minds that we should be admitted; if, therefore, - our exclusion should be finally determined, we shall suffer great - pecuniary loss and damage by this departure of the Managers from their - advertised regulations. - - “7. That if we are granted admission to the Infirmary by your - honourable Board, there are physicians and surgeons on the hospital - staff who will gladly afford us the necessary clinical instruction, - and find no difficulty in doing so. In support of the above assertion, - we beg to enclose the accompanying papers, marked A. and B. - - “8. That we are fellow-students of systematic and theoretical surgery - with the rest of Dr Watson’s class in Surgeons’ Hall, and are - therefore unable to see what legitimate objection can be raised to our - also attending with them his hospital visit. - - “9. That a large proportion of the patients in the Infirmary being - women, and women being present in all the wards as nurses, there can - be nothing exceptional in our presence there as students. - - “10. That in our opinion no objection can be raised to our attending - clinical teaching, even in the male wards, which does not apply with - at least equal force to the present instruction of male students in - the female wards. - - “11. That we are unable to believe it to be in consonance with the - wishes of the majority of the subscribers and donors to the Infirmary - (among whom are perhaps as many women as men) that its educational - advantages should be restricted to students of one sex only, when - students of the other sex also form part of the regular medical - classes. - - “We beg respectfully to submit the above considerations to the notice - of your honourable Board, and trust that you will reconsider your - recent decision, which threatens to do us so great an injury, and - that you will issue directions that we, who are _bona fide_ medical - students, registered in the Government register by authority of the - General Council of Medical Education and Registration of the United - Kingdom, be henceforth admitted to your wards on the same terms as - other students.--We are, my Lord and Gentlemen, yours obediently, - - “SOPHIA JEX-BLAKE, MARY EDITH PECHEY, ISABEL J. THORNE, MATILDA C. - CHAPLIN, HELEN EVANS, MARY A. ANDERSON, EMILY BOVELL.” - - “November 5, 1870, 15 Buccleuch Place.” - - - November 5, 1870. - - _Paper A._--“We, the undersigned physicians and surgeons of the - Royal Infirmary, desire to signify our willingness to allow female - students of medicine to attend the practice of our wards, and to - express our opinion that such attendance would in no way interfere - with the full discharge of our duties towards our patients and other - students.--J. HUGHES BENNETT, GEORGE W. BALFOUR, - PATRICK HERON WATSON.” - - In _paper B_, Dr Matthews Duncan and Dr Joseph Bell expressed their - readiness, if suitable arrangements could be made, to teach the female - students in the wards separately. - - -(2.)--_Letter from, Dr Handyside and Dr Watson._ - - November 5, 1870. - - “MY LORD AND GENTLEMEN,--As lecturers in the Edinburgh - Medical School, we beg most respectfully to approach your honourable - Board, on behalf of the eight female students of this school whom, - we understand, you object to admit to the practice of the Royal - Infirmary. On their behalf we beg to state:-- - - “1. That they are regularly registered students of medicine in this - school. - - “2. That they are at present attending, along with the other students, - our courses of anatomy, practical anatomy, demonstrations of anatomy, - and systematic surgery, in the school at Surgeons’ Hall. - - “3. That as teachers of anatomy and surgery respectively, we find no - difficulty in conducting our courses to such mixed classes composed of - male and female students, sitting together on the same benches; and - that the presence of those eight female students has not led us to - alter or modify our course of instruction in any way. - - “4. That the presence of the female students, so far from diminishing - the numbers entering our classes, we find both the attendance and the - actual numbers already enrolled are larger than in previous sessions. - - “5. That in our experience in these mixed classes the demeanour of the - students is more orderly and quiet, and their application to study - more diligent and earnest, than during former sessions, when male - students alone were present. - - “6. That, in our opinion, if practical bedside instruction in the - examination and treatment of cases is withheld from the female pupils - by the refusal to them of access as medical students to the practice - of the Infirmary, we must regard the value of any systematic surgical - course thus rendered devoid of daily practical illustration, as - infinitely less than the same course attended by male pupils, who have - the additional advantage of the hospital instruction under the same - teacher. - - “7. That the surgical instruction, being deprived of its practical - aspect by the exclusion of the female pupils from the Infirmary, and - therefore from the wards of their systematic surgical teacher, the - knowledge of these female students may very reasonably be expected to - suffer, not only in class-room examinations, but in their capacity to - practise their profession in after life. - - “8. That our experience of mixed classes leads us to the conviction - that the attendance of the female students at the ordinary hospital - visit, along with the male students, cannot certainly be more - objectionable to the male students and the male patients than the - presence of the ward nurses, or to the female patients than the - presence of the male students. - - “9. That the class of society to which these eight female students - belong, together with the reserve of manner, and the serious and - reverent spirit in which they devote themselves to the study of - medicine, make it impossible that any impropriety could arise out of - their attendance upon the wards as regards either patients or male - pupils. - - “In conclusion, we trust that your honourable Board may see fit, on - considering these statements, to resolve not to exclude these female - students from the practice of, at all events, those physicians and - surgeons who do not object to their presence at the ordinary visit - along with the other students. - - “Such an absolute exclusion of female pupils from the wards of the - Royal Infirmary as such a decision of your honourable Board would - determine, we could not but regard as an act of practical injustice - to pupils who, having been admitted to the study of the medical - profession, must have their further progress in their studies - barred if hospital attendance is refused them.--We are, my Lord and - Gentlemen, your obedient servants, - - “P. D. HANDYSIDE, PATRICK HERON WATSON.” - - -At a meeting of the lecturers of the Extra-mural School, held in -Surgeons’ Hall, on Wednesday, Nov. 9, the following resolution was -proposed and carried, a corresponding communication being laid before -the Managers at their meeting on Saturday, Nov. 12, 1870:-- - - “That the extra-mural lecturers in the Edinburgh Medical School do - respectfully approach the Managers of the Royal Infirmary, petitioning - them not to offer any opposition to the admission of the female - students of medicine to the practice of the institution.” - - -The following letter was also submitted at the next meeting:-- - - “15 Buccleuch Place, Nov. 13, 1870. - - “MY LORD AND GENTLEMEN,--To prevent any possible - misconception, I beg leave, in the name of my fellow-students and - myself, to state distinctly that, while urgently requesting your - honourable Board to issue to us the ordinary students’ tickets for the - Infirmary (as they alone will ‘qualify’ for graduation), we have, in - the event of their being granted, no intention whatever of attending - in the wards of those physicians and surgeons who object to our - presence there, both as a matter of courtesy, and because we shall be - already provided with sufficient means of instruction in attending the - wards of those gentlemen who have expressed their perfect willingness - to receive us.--I beg, my Lord and Gentlemen, to subscribe myself your - obedient servant, SOPHIA JEX-BLAKE.” - - “To the Honourable the Managers of the Royal Infirmary.” - - -NOTE L, p. 102. - -As ballads are said to be even more significant than laws of the -popular feeling, I do not apologise for appending the following:-- - - -THE CHARGE OF THE FIVE HUNDRED; - -A LAY OF MODERN ATHENS. - -(_Suggested by a recent Students’ Song, containing the following -verse_:-- - - “_The little band plied the battering ram, - With General Blake at its head, - When ‘specials’ rose five hundred strong, - And raised the siege--they fled, - Brave Boys!_”) - - * * * * * - - ONCE more the trumpets sound to arms! - Once more ring forth war’s wild alarms! - Once more be Scotia’s host poured forth - To guard the bulwarks of the North-- - The foe is o’er the Tweed! - Bring forth the banner Flodden saw, - Rear high the standard of the war! - Let every Gael in battle stand, - To drive the invader from the land-- - Speed to the rescue, speed! - - What mean the rushing footsteps fleet? - What mean the squadrons in the street? - “Five hundred specials” now appearing-- - Five hundred voices hoarsely cheering, - Wild and disorderly! - Strange oaths pollute the evening air, - Foul jests the banners proudly bear; - What mean these bands in fierce array? - Champions of “delicacy” they, - And manly modesty. - - Then marked the bard who stood afar - The gallant leaders of the war-- - The plumèd crest of Andrew Wood, - Who for his sons in battle stood, - A Christison hard by! - A Turner, Laycock, Lister too, - All met for deeds of derring-do; - Gillespie, Douglas (Oh, that shame - Should fall on that time-honoured name!), - Dun-Edin’s chivalry. - - To arms! to arms! the foe is nigh, - “Five hundred specials” do or die! - Admiring Europe’s eyes are cast - On Scotia’s greatest fight, and last, - O’er her Infirmary! - Press on! press on! Immortal gods! - What matter if o’erwhelming odds - Make others blush--_they_ know no shame, - “Brave boys!” led on by chiefs of name - To glorious victory! - - The foe at last! With modest mien - And gentle glance, at length are seen - The seven women, whom to crush - The noble hundreds onward rush, - Undaunted to the fray! - What if in idle tales of yore - The man to guard the woman swore! - Such trash is bygone!--_now_ men stand - To guard their _craft_ from female hand, - In nineteenth century! - - “_Women_ to claim _our_ lordly state!” - Cries Reverend Phin in fierce debate. - “_Women_ to strive _our_ gains to share!” - Shrieks Andrew Wood in wild despair, - “While five fair sons have I!” - “That _English_ girls should thus aspire!” - Quoth Christison in Scottish ire. - “Though their princess to Scotland come, - We’ll drive these errant damsels home, - For hospitality!” - - “Great is Diana!” loudly cry, - Be imprecations heard on high! - Be mud upgathered from the street, - And flung with ribald oaths, to greet - The dreadful enemy! - Seven women yield, they must confess - On t’other side is _major vis_; - Glorious Five hundred, O rejoice! - Swell, each “brave boy” with tuneful voice, - Pæans of victory! - - _Scotsman_, Feb. 10, 1871. - - -NOTE M, p. 103. - -The following letter is an excellent illustration of the indignation -felt by the more manly students at the events referred to:-- - - “EDINBURGH, November 19, 1870. - - “SIR,--As a certain class of medical students are doing their - utmost to make the name of medical student synonymous with all that is - cowardly and degrading, it is imperative upon all those who wish to be - regarded as men, either individually or collectively, to come forward - and express, in the strongest possible terms, their detestation of the - proceedings which have characterised and dishonoured the opposition to - ladies pursuing the study of medicine in Edinburgh. In the name, then, - of all that is courteous and manly, I, as a student of medicine, most - indignantly protest against such scenes as were enacted at the College - of Surgeons on the evenings of Thursday and Friday last, and indeed on - several occasions during the week. - - “I would it were possible to point out to public execration the movers - and actors in such scenes; but it is difficult to decide where the - responsibility begins. - - “Are only the hot-headed youths to be blamed who hustle and hoot at - ladies in the public streets, and by physical force close the College - gates before them? Or are we to trace their outrageous conduct to the - influence of the class room, where their respected professor meanly - takes advantage of his position as their teacher to elicit their mirth - and applause, to arouse their jealousy and opposition, by directing - unmanly inuendoes at the lady students? If such conduct be permissible - on the part of the professors, alas for the school whose teachers have - not even but one halfpennyworth of manliness to their intolerable deal - of nastiness, or boasted philanthropy, as the case may be, and whose - students crowd the academic precincts to hustle, hoot at, cover with - mud, and even to strike at, ladies who have always shown themselves to - be gentle and noble women. - - “The current report is, that these disgraceful outrages were - originally and principally carried out by students of the College - of Surgeons. This is contrary to fact. Certainly the majority of - them conducted themselves in a most contemptible manner, roused, not - by a word or look from the ladies, but by the possibility of being - outstripped by them in the race for honours; and therefore did they - elect to end the rivalry by an appeal to brute force. The truth, - however, is that the rioters were called together by a missive, - circulated by the students in the _Chemistry Class of the University_ - on Friday morning, on the back of which was written, “To be opened by - those who signed the petition to the managers against the admission of - female students.” This missive called upon the petitioners to assemble - at the College of Surgeons before four o’clock, for the purposes - which they so thoroughly carried out. The proceedings of Friday will - therefore enable the public now to judge of the value which the - majority of the managers of the Infirmary ought to have attached to - the prayers of _such_ petitioners. Moreover, the professor who is - to receive the complimentary address which is being got up by the - same memorialists for his exertions in their cause, must feel highly - flattered by the implied association. - - “What now is to be done with this vexed question of female education? - Will it be settled by continuing those brutal exhibitions, or by - asking the ladies to withdraw? Neither course is likely to prove - successful. Another and a more honourable course has been suggested - by some of the original memorialists, who--considering their honour - dearer to them than their sympathies--declare that the blot can - only be wiped away by their joining to aid the ladies who have - been so thwarted and so abused in obtaining the object for which - they have wrought so hard and endured so bravely.--I am, &c., VIR.” - - _Scotsman_, November 22, 1870. - - -NOTE N, p. 107. - -The following is the petition referred to:-- - - “_To the honourable the Managers of the Royal Infirmary._ - - “MY LORD AND GENTLEMEN,--We, the undersigned Students - of Medicine, moved solely by feelings of honour and justice, - desire to approach your honourable board on behalf of our female - fellow-students, whom, we understand, you object to admit to the - practice of the Infirmary, under any circumstances whatever. - - “We do not pretend to offer any opinion on the question of mixed - classes, or on the medical education of women; but we consider that, - as the University of Edinburgh has admitted those ladies as students - of medicine, and as they have now been engaged for some time in - striving honourably and successfully to gain a knowledge of our - profession, it is great injustice to attempt to bar their further - progress by refusing them permission to attend the practice of the - Infirmary. - - “We also have certain pretensions to feelings of decency and morality, - but we are not aware that the lady students have either attempted or - succeeded in outraging them. On the contrary, our feelings have been - outraged by the unthinking and misguided of those of our own class - who oppose them; for their disgraceful actions we would seek to atone - by asking your honourable Board to make some arrangement by which the - ladies may be admitted to the practice of the wards. - - “As a matter of compromise, we would respectfully request that the - ladies be admitted to the wards of the three medical gentlemen who - are willing to receive them. On our part we beg leave to express - our perfect willingness to attend with them in considering the most - serious and delicate cases in the wards. - - “We feel proud to assert our ability to study those cases from - scientific and philanthropic points of view, with those feelings of - delicacy and kindness which ought to actuate every medical man who has - female patients under his care.” - - -NOTE O, p. 109. - -The results of the winter session 1869–70 have been given in the -text. During the succeeding summer session all the lady students -(six in number) appeared in the prize lists in both classes which -they attended, viz., Botany and Natural History. During the next -winter, 1870–71, the classes taken were Anatomy and Surgery. Out of -seven ladies, three were in honours in Anatomy (one of them in two -departments), and four in Surgery. During the summer of 1871 there were -five lady medical students in the Botany Class, and of these three -appeared in the prize lists,--one of them in two departments. During -the winter 1871–72, nine ladies attended Chemistry, and, of these, -seven appeared in first-class honours, Miss Pechey, in this her second -course, obtaining 100 per cent.; nine also attended Physiology, and, -of these, two obtained first-class and three second-class honours; six -being also in honours in Practical Physiology. - -It must be understood that, in the above statement, I have included -only those ladies who were regular students of medicine; other ladies, -on several occasions, joined the classes, and also appeared in the -prize lists. - - -NOTE P, p. 110. - - “COMMITTEE FOR SECURING A COMPLETE MEDICAL EDUCATION TO WOMEN IN - EDINBURGH. - - “In view of the determined opposition from certain quarters which - has met every effort made by ladies to obtain a medical education - in Edinburgh, it was resolved, in January 1871, that a Committee - should be formed, comprising all those who felt the injustice of the - present arbitrary exclusion of women from the medical profession, and - who desired to co-operate in the following objects:--(1.) To arrive - at a thorough understanding of the real difficulties of the case, - distinguishing clearly between those hindrances which are interposed - by prejudice or self-interest, and the real obstacles (if any) which - are inherent in the question. (2.) To secure the admission of women - to Edinburgh University on the ordinary terms, though not necessarily - in the same classes with men. (3.) To provide the means of qualifying - Hospital instruction in Edinburgh for all ladies who are registered - students of medicine. - - “To these primary objects the circumstances of the case have - subsequently led the Committee to add the following:--(4.) To make - such temporary arrangements as may be required to provide the ladies - with qualifying instruction, in accordance with the present incomplete - regulations of the University, until such time as the authorities - themselves may see fit to make complete and adequate arrangements. - (5.) To co-operate, from time to time, with the lady students, - whenever necessary, and especially to aid them in obtaining such legal - assistance as may be required to ascertain and assert their rights as - matriculated students of the University, and as registered students of - medicine. - - “Of this Committee the Lord Provost of Edinburgh consented to act - as chairman; and the following ladies and gentlemen constituted the - original Executive Committee: The Right Hon. The Lord Provost; Dr - G. W. Balfour; Professor Bennett, M.D.; Dowager Countess of Buchan; - Mrs Hill Burton; Professor Calderwood; Treasurer Colston; Andrew - Coventry, Esq.; James Cowan, Esq.; Mrs Fleeming Jenkin; Mrs Henry - Kingsley; Professor Lorimer; Professor Masson; Miss Agnes M‘Laren; - David M‘Laren, Esq.; Dr Macnair; John Muir, Esq., D.C.L.; Mrs Nichol; - Dr Niven; Alexander Nicholson, Esq.; Admiral Sir W. Ramsay, K.C.B.; Dr - Heron Watson; Miss Eliza Wigham. W. S. Reid, Esq., _Hon. Treasurer_; - Miss L. Stevenson, _Hon. Secretary_.” - - -NOTE Q, pp. 110, 120. - -The case, drawn up by order of the Committee and submitted to Counsel, -contained the facts relating to the Edinburgh lady students, which are -narrated in the text, and further proceeded, as follows:-- - - “ ... It is stated in ‘Maitland’s History of Edinburgh’ that the first - mention of erecting a College in Edinburgh was found in the will of - Robert Reid, Bishop of Orkney, who, dying in 1558, bequeathed eight - thousand Scottish merks towards founding a College ‘for the education - of youth.’ - - “In the subsequent benefactions and charters granted by Queen Mary in - 1566, and by King James in 1582, no stipulation is made as to the sex - of the students for whose benefit the College was to be established; - and in 1583 proclamation was made inviting ‘all who were inclined to - become scholars therein’ to enter their names in a certain book opened - for the purpose. - - “The older University of Glasgow was founded under a Bull granted by - Pope Nicholas V. at the suit of James II. of Scotland, and in this - Bull it was expressly stated that the University of Bologna was to - be followed as a model, and that the doctors, masters, and students - of Glasgow were to enjoy all the privileges and rights possessed by - those of Bologna. There is abundant historic evidence that women were - never excluded from the University of Bologna, but frequently studied - and took degrees there during the Middle Ages, and that no less than - seven women at different times filled professorial chairs in this - University, three of them being in the Medical Faculty, viz.:-- - - “Dorotea Bucca, Professor of Medicine, early in the fifteenth century; - Anna Morandi Mazzolini, Professor of Anatomy, 1750; Maria Della Donne, - Professor of Midwifery, 1810. - - “It appears that the University of Edinburgh was founded generally - on the same model, and the University Calendar states that ‘in 1621 - an Act was passed by the Scotch Parliament which ratified to the - University, in ample form, all the rights, immunities, and privileges - enjoyed by other Universities in the kingdom.’ - - “There does not appear, in any of the statutes or ordinances - subsequently issued, any regulation that male students alone should - attend the University; nor in the recent Act of 1858 is there any such - regulation. As a matter of fact, no applications for admission to the - University of Edinburgh seem to have been made by women until the year - 1869, as above mentioned. - - “In the Universities (Scotland) Act of 1858, section 12, power was - given to the University Court ‘to effect improvements in the internal - arrangements of the University, after due communication with the - Senatus Academicus, and with the sanction of the Chancellor, provided - that all such proposed improvements shall be submitted to the - University Council for their consideration.’ - - “By the same act (section 21), provision was made for ‘providing - additional teaching by means of assistants to the Professors in - any professorships already established or to be established,’ and - several assistants were accordingly appointed by the Commissioners - under the Act; and, subsequently, the Senatus appointed certain other - assistants, and made them allowances out of the University revenues. - None of these assistants have, however, hitherto delivered courses of - lectures qualifying for graduation, though there does not appear to be - any clause in the Act which forbids their doing so. The only course of - instruction qualifying for medical graduation which is given entirely - by an assistant is that of practical chemistry. - - “During the illness or absence of professors, temporary substitutes to - lecture in their stead have frequently been appointed by the Senatus, - with the sanction of the University Court.” - -The following Queries were not all asked in the first instance, but -in part on a subsequent occasion (see p. 120); as, however, they were -all submitted on the same case, and concern the same subject, I give -them here consecutively, arranged in the order in which the Opinions -obtained thereon were presented to the Senatus or University Court:-- - - “_Query_ 1.--In the permission given to women to study ‘for the - profession of medicine’ in the University of Edinburgh (bearing date - November 12, 1869), was it involved in clauses 1, 2, and 6, that they - should be allowed to pass the ordinary professional examinations - and to proceed to the degree of M.D. in the University, subject - only to the restrictions laid down in the said regulations; and is - it therefore incumbent on the Medical Faculty to admit them to the - necessary examinations to the extent of the subjects in which they are - already qualified to pass? - - “_Opinion._--Reading the regulations referred to in connection with - the resolutions of the Medical Faculty which were approved of by the - Senatus, the University Court, and the General Council, we think - that their import and meaning is that, subject to the restrictions - laid down in the regulations, women shall be allowed not merely to - qualify themselves for the ordinary professional examinations with a - view to obtain a medical degree in the University, but also, when so - qualified, to be admitted to these examinations. We are, therefore, of - opinion that it is the duty of the Medical Faculty to admit them to - examination accordingly. - - “_Query_ 2.--If this was not involved, is it in the power of the - Senatus, either alone or in conjunction with the University Court, - to accord the required permission to admit them to professional - examination with a view to graduation? - - “_Opinion._--Upon the ground of keeping faith with the women who have, - in reliance upon the regulations and in compliance with the terms - thereby prescribed, qualified themselves for professional examination - with a view to graduation, we are of opinion that the Senatus is - entitled to direct that they shall be admitted to examination; and - we also think that, without any further direction or authority than - the regulations necessarily imply, the Medical Faculty is entitled to - admit them to examination. - - “_Queries_ 3 and 4.--Is it competent for the Senatus, either directly - or in conjunction with the other University authorities, to appoint - special lecturers to deliver qualifying courses of lectures to women - who are matriculated and registered students of medicine, when such - instruction cannot be obtained from the professors of the special - subjects in question? Is it competent for the Senatus or other - University authorities so far to relax the ordinary regulations with - respect to extra-mural classes as to authorise women to attend outside - the University those courses of lectures which are denied to them by - the Professors within the walls, such courses being held to qualify - for graduation beyond the number of _four_, as contemplated in the - present regulations? - - “_Opinion._--If the existing regulations with respect to graduation in - medicine stand upon statutes passed by the University Commissioners, - whose powers have now expired, it is competent for the University - Court to alter them with the written consent of the Chancellor and - with the approval of Her Majesty in Council. This is provided by - section 19 of the Act of 1858. If they stand on the authority of the - Court, or of any other power in the University itself, we should think - that they may be altered by the University Court under section 12 of - the Act, ‘after due communication with the Senatus Academicus, and - with the sanction of the Chancellor,’ but with the proviso that the - proposed alteration ‘shall be submitted to the University Council for - their consideration.’ In one or other of these ways it appears to - us that any provision which may be deemed necessary, or proper and - reasonable, for enabling women to complete their medical studies, with - a view to graduation, maybe made.” - - “_Query_ 5.--Whether the Senatus, University Court, University Council - and Chancellor, had collectively the power of granting to women the - permission to matriculate as students as they did in 1869, and whether - the regulations issued officially (November 12, 1869) are valid as - regards such matriculation? - - “_Opinion._--We are of opinion that the University Court, in virtue - of the powers conferred upon it by the 12th section (2) of the Act - 1858, have power, after communication with the Senatus, and with the - sanction of the Chancellor, and after the University Council have - considered the subject, to grant permission to women (as they did in - 1869) to matriculate as students, and the resolutions of the Court in - that year are valid. - - “_Query_ 6.--Whether the medical Professors are exonerated from - obligation to teach, in some way or other, all matriculated students, - by the fact, that, in clause 3 of the regulations quoted above, it is - merely stated that they ‘shall be permitted to have separate classes - for women?’ - - “_Opinion._--The University Court having statutory powers to ‘effect’ - improvements in the ‘internal arrangements of the University,’ and it - being within their power, under this enactment, to allow women to be - educated at the University, we are of opinion that this resolution - must be carried out in good faith and obeyed by the Professors. The - third resolution of the University Court of November 1869, which - ‘_permits_’ the Professors to have separate classes for women, in no - way derogates from the resolution of the Court that women ‘shall be - admitted to the study of medicine.’ - - “_Query_ 7.--In case such women as are matriculated students of - medicine in the University are refused instruction by the individual - medical Professors, what is their legal mode of redress, and against - whom should it be directed? - - “_Opinion._--We are of opinion that the University Court can compel, - by action, the medical Professors to obey the resolutions of November, - 1869, by holding separate classes for the education of women. With - respect to the title of the women, we think that those of them who - have matriculated and passed the preliminary examinations have a - title, and may enforce their rights by action. The proper form of - action is, we think, a declarator against the Professors refusing to - obey the resolution of the University Court, with petitory conclusions - to the effect that they should be ordained to hold separate classes - for the instruction of the pursuers, they receiving their due - remuneration. - - “_Query_ 8.--Whether, in the first constitution or charter of the - University, or in any of the subsequent statutes, there is anything - which limits the benefits of the University to male students. - - “_Opinion._--The Charter of Erection and Confirmation of the ‘College - of Edinburgh’ by King James VI., dated 14th April, 1582, granted - certain lands and revenues to the Magistrates and Town Council of - Edinburgh, with a license to employ those revenues, and such others - as well-disposed persons might bestow on them, in the erecting of - suitable buildings for the use of professors and ‘scholars’ of - grammar, humanity, and languages, philosophy, theology, medicine, - and laws, and other liberal sciences. The King, by this charter - (as interpreted by decision of the Courts), delegated to, or - conferred upon, the magistrates and Town Council the character of - patron and founder of this new seminary of education. The powers - of superintendence and control thus conferred upon the Magistrates - and Council remained with them till the Act of 1858 was passed, by - which the more important powers were transferred to the University - Court. The Magistrates and Council never conferred upon the College - any independent constitution, so as to enable the members of it to - exercise any power of internal government. As founders, patrons, and - delegates intrusted by the royal grant, the Magistrates and Council - remained in the full right of management, regulation, and tutelage of - their own institution. - - “An Act of Parliament was passed in 1621 (c. 79), which may be - considered as the charter of erection of the University. It narrates - the charter of 1582, and the licence thereby given to found a College - and choose Professors, and sets forth the King’s zeal for the growth - of learning, and his purpose to grant the College all immunities - enjoyed by other colleges. The statute then confirms the erection of - the College, and ratifies all the mortifications made to the town by - the King or others towards its support. It bestows on the College - the name of ‘King James’ College,’ and grants to the Magistrates ‘in - favour of the said burgh of Edinburgh, patrons of the said College, - and of the College, and of rectors, regents, bursars, and _students_ - within the same, all liberties, freedoms, immunities, and privileges - pertaining to a free College, and that in as ample a form and large - manner as any College has or bruickis within His Majesty’s realm.’ - - “The statute concludes with ordaining a new charter to issue, if need - be, for erecting the College, with all such privileges and immunities. - No such charter was ever issued; but the statute itself may be held - equivalent to a charter. It was a charter in favour of the Magistrates - and Council as founders and patrons, and in no way prejudiced, but on - the contrary confirmed their power of superintendence, control, and - regulation of all matters concerning the internal government of the - University. - - “We are of opinion that, in virtue of the powers they thus possessed, - the Magistrates and Town Council could at any time, during their 266 - years of University rule, have done what the University Court did in - 1869--grant permission to women to be educated at the University. - - “On examining the records, we find that the superintendence of the - patrons was active and constant. They made, at various times during - the two centuries and a half while their jurisdiction lasted, sets - of laws and regulations for the College, which embrace all things - connected with the duties and rights of professors and students, the - series and order of studies, the days and hours of lecture, the books - to be read, the conduct of students in and out of College hours, the - modes of trial and graduation, the attendance of the professors at - their classes, attendance at church, dress to be worn by students, - fees to be paid, &c., &c. “All these regulations proceed on the - footing that only male students attended the University; many of them - were inapplicable to females, and we cannot find any trace of its - being contemplated by the patrons that females might be students. And - we do not find any evidence of a female having attended the University. - - “Therefore, while we are of opinion that the Magistrates and Council - had the power to pass a regulation authorising the attendance of women - at the University, and to compel the professors to teach them, yet as - they never passed any such regulation, no women could have insisted - upon admission to University education as a legal right prior to 1869. - - “The University Court, by sec. 12 (2), are now vested with all the - powers of internal management and regulation formerly possessed by - the Magistrates and Council; they have done what the latter never - did, although they lawfully might. They have, by their resolution of - November 1869, given to women the right to demand, equally with male - students, admission to the University.” - - -NOTE R, p. 111, - - “The extraordinary history of the vicissitudes endured by the lady - students seems at last to have reached its most extraordinary phase. - It appears, as stated in our columns of yesterday, that on Saturday - last the Medical Faculty of the University of Edinburgh--a body which, - collectively, forms one of the law-makers of the College--passed a - vote by a majority whereby they instructed their Dean deliberately - to break a law of the University, or rather expressly ‘interdicted’ - him from complying with it. What makes the matter the more remarkable - is that this special law was in the first instance inaugurated by - themselves, and subsequently approved by the Senatus and other - authorities, and incorporated in the official regulations published - in the ‘Calendar.’ ... It would seem clear enough that a decision - which had been deliberately confirmed by each university authority - successively, and which had thus become law, could not be disturbed - by any one except after an equally formal process of revocation. - It is, however, well known that, though all the bodies enumerated - passed the above regulations by a majority, there was in most cases - a dissatisfied minority, who wished that all privileges should be - withheld from the lady students. It would have surprised no one to - hear that a formal attempt had been made to obtain the withdrawal of - the privileges conferred; but the public were probably sufficiently - astonished to learn yesterday that, though no such open and honourable - attempt had been made, a secret _coup d’état_ was planned, by which it - was apparently hoped, at the very last moment, when no appeal to the - Senatus, or other authorities was possible, to crush the hopes of the - medical ladies, at least for the present year. At the Faculty meeting - to which we have referred, a vote was actually passed to ‘interdict’ - the Dean, whose friendliness to the ladies was well known, from giving - to any women who were about to join the medical class the papers - necessary to enable them to pass the preliminary examination in Arts, - which is indispensable before registration--this examination having - been not only previously allowed, but actually passed by numerous - ladies on no less than four occasions! At this same notable meeting, - a vote was also passed that the Medical Faculty should disregard - alike their own previous resolutions, the official regulations of the - ‘Calendar,’ and the tickets of admission already paid for and obtained - by those other ladies who are now ready to proceed to their first - professional examination; and, accordingly, a letter was sent to each - of these three ladies, informing them that their tickets had been - granted ‘in error,’ and that they could not be examined ‘without the - sanction of the Senatus Academicus,’ as if that sanction had not been - already given in the most emphatic manner! - - “The story is not a pleasant one. That a minority, obliged to - acquiesce in an act of liberality on the part of the majority, - should, when unable to prevail by fair means, endeavour to compass - their end by a side-wind and in an underhand manner, is sufficiently - discreditable; but that, rather than relinquish their own dogged - resolution to obstruct the ladies, these Professors should - deliberately abstain from all previous warning of the means they - intended to employ--should allow many months of severe study to - be passed with a definite aim and hope, and should then silently - dig a pitfall at the very threshold of the door through which the - ladies must pass, and hope, by an arbitrary exercise of authority - against a few wholly unprepared women, completely to destroy their - prospects, for the present year at least--is something almost too - monstrous to be believed, did the circumstances admit of any doubt - in the matter. Whether these medical gentlemen really supposed that, - by their unsupported fiat, they could set aside all the existing - regulations of the University, or whether they trusted to the ladies’ - want of knowledge in legal matters not to challenge their authority, - it is of course impossible to say, but one would rather believe in - the ignorance of law implied by the former alternative, than in the - lamentable want of honourable feeling that would be conveyed in the - latter. Be this as it may, it is not easy to exaggerate the damaging - effect that a story of this kind is likely to have on the minds of the - public. That such a line of conduct _could_ be planned and carried out - by a body of men claiming the name of gentlemen, and belonging to a - profession that calls itself ‘liberal’ and ‘learned,’ is perhaps as - striking a proof as could be given of the fatally blinding influence - of professional prejudice and unreasoning trades-unionism.” - _Scotsman_, Oct. 20, 1872. - - - “We confess that the conduct of the medical faculty amazes us. Can - they suppose that such obstructions are calculated to stop the - movement? Why should they not show a little practical sense, and - choose their fighting-ground with reasonable judgment? A single - Professor, whose classes must be attended according to present - regulations, might have hoped successfully to resist the demand that - he should teach mixed classes. There are many people who do not look - with particular complacency upon the efforts of a few ladies to obtain - a place in the medical profession; but paltry persecutions like these, - and little dodges sprung upon them suddenly, will assuredly turn the - popular tide in their favour. The medical profession seem to think - that they have only got to get behind these too devoted students, - and shout ‘bo!’ loud enough to frighten them out of their five wits. - They might surely have known Miss Jex-Blake better by this time. Are - the Edinburgh Medical Faculty really afraid of the competition of - the ladies? Do they look upon them as ‘knobsticks,’ against whom the - doors must be closed in spite of law, reason, and liberty? They are - welcome to their fears--narrow as they are--and to their opinions on - the question of lady doctors; but we trust that the University of - Edinburgh will see that its regulations are maintained. Having given - permission to females to study medicine under conditions which are - strict enough, and even somewhat hard, the University must prevent - any combination of Professors from taking the matter into their - own hands, and debarring the ladies from the privileges for which - they have so gallantly fought. In the meantime, we congratulate the - five ladies on the prompt spirit in which they have repelled the - insidious attempt of a majority of the medical faculty--we believe - only a very small majority--to cut their studies short. We need not - urge them to persevere, for they seem to have that ‘faculty’ in - predominance, but we think we can assure them that every victory that - they gain, and every defeat that they suffer, adds to the number of - their sympathisers, and breaks down no inconsiderable portion of - the mountain of prejudice that they had to face when they commenced - their career as students. If the Medical Professors want to defeat - them, they must get better advisers, and not court humiliation. Their - present counsellor is like Adversity, ugly and venomous in appearance - only. Without the ‘precious jewel,’ the treasure of ill-judged and - unreasonable persecutions, which he carries in his head, the little - forlorn hope of courageous ladies, whose ranks are thinned from time - to time by marriage and other maladies, would hardly be so likely to - plant their triumphant flag on the top of the Castle rock at last.” - - _Glasgow Herald_, October 20, 1871. - - -NOTE S, p. 119. - -The following verses are no bad indication of the popular feeling -respecting the incidents narrated above, and this is rendered the more -characteristic by the national form in which it finds expression:-- - -THE BARRIN’ O’ OOR DOOR. - -(_A New Version o’ an Auld Sang_,) - -_Dedicated without special permission to Sir Robert Christison, Bart., -and intended to be sung at the next convivial meeting of the “Infirmary -Ring.”_ - -BY GAMALIEL GOWKGRANDIOSE, M.D. - - It fell aboot the New-Year time, - And a gay time it was then, oh! - That the lady students in oor auld toon - Had a fecht wi’ us medical men oh! - _Chorus_--Aboot the barrin’ o’ oor door weel, weel, weel, - The barrin’ o’ oor door weel. - - When first they cam’ tae learn oor craft - We laughed at them in oor sleeve oh! - That women could e’er gang on wi’ sic wark, - What medical man could believe oh! - _Chorus_--For the barrin’, &c. - - So we pouched a’ the fees they gied tae us - For lecture or for Exam. oh! - We fleeced them a’ as clean and as bare - As was ever a sheep or a lamb oh! - _Chorus_--A’ for the barrin’ o’ oor door, &c. - - But when we found they meant to use - The knowledge for which they had paid oh! - And on the trade o’ us medical men - Micht mak’ a furious raid oh! - _Chorus_--We began the barrin’ o’ oor door, &c. - - Hech, sirs, tae drive thae women awa’ - Was a job baith sair and teuch, sirs; - It gied Sir Robert and Andrew Wood - Vexation and bother eneuch, sirs. - _Chorus_--Did the barrin’ o’ oor door, &c. - - Oor students got up a bonny bit mob - To gie the ladies a fright, sirs; - Wi’ physical force, Young Physic did wark, - Tae get us oot o’ oor plight, sirs. - _Chorus_--And help the barrin’ o’ oor door, &c. - - We frightened the douce Infirmary folks - W’ stories o’ classes mixed, sirs; - They werena just true--but what o’ that? - We a’ hae oor ain trade tricks, sirs. - _Chorus_--For the barrin’ o’ oor door, &c. - - Scandals we spread owre a’ the toon - Against the ladies’ guid fame, sirs; - We drove them frae the Infirmary gate, - Though some citizen fools cried “Shame,” sirs. - _Chorus_--For the barrin’ o’ oor door, &c. - - But they lived a’ scurrilous scandals doon - Wi’ true feminine perversity-- - They roused the folk owre a’ oor town - ’Gainst oor clique in the University. - _Chorus_--For the barrin’ o’ oor door, &c. - - A year gaed by, and then they tried - Again tae force their way, sirs, - Into the wards we’ve sworn maun be oors - Until oor dying day, sirs. - _Chorus_--For the barrin’ o’ oor door, &c. - - Sir Robert bullied and cracked his big whip, - And Turner put on the screw, sirs; - Yet we a’ got beaten that New-Year’s Day, - For the ladies’ friends stood true, sirs. - _Chorus_--Oh! the barrin’ o’ oor door, &c. - - Sir Robert looked blue when he heard o’ the vote, - And Turner he tore his hair, sirs; - He forgot there wasna muckle to tear, - Sae deep was his despair, sirs, - _Chorus_--Aboot the barrin’ o’ oor door, &c. - - And Andrew Wood fell into the airms - O’ twa o’ his “five fair sons,” sirs; - “Puir bairns,” quo’ he, “we’ll a’ starve noo, - For oor craft will be over-run, sirs.” - _Chorus_--Oh! the barrin’ o’ oor door, &c. - - And Nicholson whimpered wi’ clerical whine, - And Muirhead shook his fist, sirs, - As he thocht o’ how the Scotsman wad chaff - O’ the class he had that day missed, sirs. - _Chorus_--And the barrin’ o’ oor door, &c. - - Lister wept owre his petulant speech, - When he swore he’d resign his chair, sirs, - If women entered the hospital wards-- - Eh! noo he repented him sair, sirs. - _Chorus_--For the barrin’ o’ oor door, &c. - - But when we cam to oor senses a’, - We planned a bonny bit plan, sirs, - Tae quash the votes o’ thae merchant firms - That supported the ladies’ men, sir. - _Chorus_--For the barrin’ o’ oor door, &c. - - The firms may leave us--we carena a straw-- - The Infirmary may sink, sirs, - If we may but keep females aff oor preserve, - We carena what folk think, sirs. - _Chorus_--O’ the barrin’ o’ oor door, &c. - - The Infirmary meeting against us gaed, - But the Court o’ Session befriends us; - Oot o’ the hospital managing board - Neither women nor traders shall send us! - _Chorus_--For the barrin’ o’ oor door, &c. - - Confusion, then, let each man drink - To the ladies and their supporters, sirs; - For Monopoly’s rights let us a’ fecht or fa’, - Or be brayed up small in oor mortars, sirs! - _Chorus_--Ho! for the barrin’ o’ oor door weel! weel! weel! - The barrin’ o’ oor door weel! - - _Scotsman_, Feb. 13, 1872. - - -NOTE T, p. 125. - -This correspondence is so remarkable that I subjoin it entire. - - -(1) _To the University Court._ - - “15 Buccleuch Place, November 21, 1871. - - “GENTLEMEN,--It is now two years since you passed a series of - resolutions, dated 12th November 1869, to the effect that ‘women shall - be admitted to the study of medicine in the University.’ - - “In the time that has since elapsed, I and those ladies who - matriculated with me at that date, have completed one-half of the - studies necessary for graduation in the University of Edinburgh. - Nearly five months ago, I ventured to point out to the Senatus - Academicus that, unless further arrangements were made, it would be - impossible for us to complete the studies which we have begun with - your express sanction. After pointing out the existing difficulties, I - ventured further to make two suggestions, either of which, if adopted, - might enable us to complete our education in the University. In reply, - however, I was informed that the Senatus, ‘having taken the opinion of - counsel with reference to the proposals contained in the memorial of - date 26th June 1871, find themselves unable to comply with either of - those proposals.’ - - “I understand, however, that since the date referred to, another legal - opinion has been obtained from the Lord Advocate and Sheriff Fraser, - and has been laid before the Senatus, and by them forwarded to your - honourable Court. As, however, the Senatus still appear unwilling to - initiate any measure by which we may be relieved from our present - difficulties, I feel constrained now to appeal to you, in my own name - and that of my fellow-students, to take such action as shall enable us - to complete our studies. - - “I beg to represent to you that we have all paid matriculation fees - for the present year, and are by our tickets declared to be ‘Cives - Academiæ Edinensis,’ and that yet we, who commenced our studies in - 1869, are unable during the present session to obtain any further - classes whatever towards completing our required course of study. - - “We understand from those friends who have taken legal opinion on - the subject--and doubtless such opinion will be laid before you - simultaneously with this letter--that we are entitled to demand from - the University the means of completing our studies, and that, failing - any other alternative measures, we can claim the instruction of the - Medical Professors to the extent needed to complete our curriculum. - - “We beg, therefore, most respectfully to request that, unless any - other mode of supplying our needs seems preferable to you, you will - vouchsafe to ordain that the Professors, whose courses we are bound - by the University regulations to attend, shall give us the requisite - instruction.--I beg to subscribe myself, Gentlemen, your obedient - servant, - - “SOPHIA JEX-BLAKE.” - - -(2.) _Minute of University Court of January 8, 1872._ - - “The University Court have had under consideration the letters of Miss - Jex-Blake and Miss Louisa Stevenson, of 21st November, 1871, and other - relative documents laid before them on behalf of the women who have - been admitted by the regulations of the Court of November 10th, 1869, - to study medicine in the University. - - “In these papers it is stated that certain Professors of the Faculty - of Medicine have declined to give separate classes of instruction to - women; and the Court are asked either (1) to extend, in the case of - female medical students, the privilege granted by ordinance by the - Universities’ Commissioners, to lecturers, not being Professors in - a university, of qualifying for graduation by their lectures, which - privilege is now restricted to four of the prescribed subjects of - study; or (2) To authorise the appointment of special lecturers to - give, in the University, qualifying courses of instruction in place - of those Professors who decline to do so; or (3.) To ordain that the - Professors referred to shall themselves give the necessary courses of - instruction to women. - - “The second course suggested it is not in the power of the Court, or - other University authorities, singly or jointly to adopt. - - “The third course is equally beyond the power of the Court. The Act of - 1858 vests in the Court plenary powers to deal with any Professor who - shall fail to discharge his duties, but no Professor can be compelled - to give courses of instruction other than those which, by the use and - wont of the University, it has been the duty of the holders of his - chair to deliver. - - “The first of the proposed measures would imply an alteration in one - of the ordinances for graduation in medicine (No. 8, clause vi., - 4). Such alteration could be made by the University Court only with - the consent, expressed in writing, of the Chancellor, and with the - approval of Her Majesty in Council. - - “But to alter, in favour of female students, rules laid down for the - regulation of graduation in medicine would imply an assumption on the - part of the Court, that the University of Edinburgh has the power of - granting degrees to women. It seems to the Court impossible to them to - assume the existence of a power that is questioned in many quarters, - and which is both affirmed and denied by eminent counsel. So long - as these doubts remain, it would, in the opinion of the Court, be - premature to consider the expediency of taking steps to obtain, in - favour of female students, an alteration of an ordinance which may be - held not to apply to women. - - “Though the Court are unable to comply with any of the specific - requests referred to, they are at the same time desirous to remove, - so far as possible, any present obstacle in the way of a complete - medical education being given to women,--provided always that medical - instruction to women be imparted in strictly separate classes. - - “The Court are of opinion that the question under reference has been - complicated by the introduction of the subject of graduation, which is - not essential to the completion of a medical or other education. The - University of London, which has a special charter for the examination - of women, does not confer degrees upon women, but only grants them - ‘certificates of proficiency.’ If the applicants in the present case - would be content to seek the examination of women by the University - for certificates of proficiency in medicine, instead of University - degrees, the Court believe that arrangements for accomplishing this - object would fall within the scope of the powers given to them by - section 12 of the Universities’ (Scotland) Act. The Court would be - willing to consider any such arrangements which might be submitted to - them.” - - -(3.) _To the University Court._ - - “15 Buccleuch Place, Edinburgh, January 18, 1872. - - “GENTLEMEN,--I have received from your Secretary a copy - of your minute of the 8th instant, and I beg you to allow me most - respectfully, but at the same time most emphatically, to protest - against the decision therein contained, on the following grounds:-- - - “1. That when women were admitted to study ‘for the profession of - medicine’ in the University of Edinburgh, and were required to pay the - ordinary matriculation fees as _Cives Academiæ Edinensis_, in addition - to those for instruction, it was believed to be involved that, subject - only to the restrictions laid down in the regulations of November 12, - 1869, we should be allowed to complete our education, and should, - as a matter of course, proceed to the degree of M.D., no official - intimation to the contrary being given to us at the time, nor indeed - until now, when we have half completed our University curriculum. You - will allow me to remind you further, that we have very high legal - authority for believing that these expectations were well founded, - and that matriculation does involve necessarily all the privileges of - studentship, including graduation, as was indeed recently admitted - by a legal Professor, who has always been one of our most determined - opponents, when addressing your honourable Court in favour of - rescinding the present regulations. - - “2. That, except with a view to ultimate graduation, it was quite - meaningless to require us to pass, as we did, the preliminary - examination in Arts, which has not any necessary connection with the - study of medicine itself, but is expressly stated to be ‘the first - examination _for the medical degree_.’ - - “3. That we have all along pursued our studies with a view to the - further professional examinations; that, in the resolutions passed - by the Medical Faculty on July 1, 1869, it was distinctly stated - that ‘ladies be allowed to attend medical classes and to receive - certificates of attendance qualifying for examination;’ that, - further, on April 9, 1870, the Senatus Academicus expressly ordained - that exactly the same University certificates of attendance should - be issued to students of both sexes, for the special purpose of - qualifying for professional examination. - - “4. That no kind of official notice was ever given to us that a - doubt existed respecting our admission to the ordinary professional - examinations, until certain of our number had completed their - preparations for the first professional examination, and had paid - their fees for, and received tickets of admission to, the same; and - that, when the matter was brought before the Senatus, it was by - them decided that ladies should be admitted to the examination, and - accordingly the ladies in question were examined in the ordinary - course and passed the examination successfully. - - “5. That under the existing Act of Parliament it is impossible for any - person to practise medicine under legal sanction, without a distinct - ‘qualification’ as defined by the said Act of Parliament. - - “6. That the only ‘qualification’ which it is in the power of the - University of Edinburgh to grant, is the ordinary medical degree, and - that no ‘certificates of proficiency’ would possess the slightest - legal value unless a special Act of Parliament was passed making such - certificates registrable qualifications. - - “7. That the difficulty and expense of procuring such a special Act - of Parliament would be very much greater than that of obtaining the - sanction of the Queen in Council to such minor alterations in the - University Ordinances as are alone necessary to enable us to complete - our education by means of additional extra-mural classes; even if your - honourable Court declines to make the necessary arrangements _within_ - the University. - - “8. That we are informed on high authority that it is at present - within the power of your honourable Court, in conjunction with the - Senatus, to make the necessary arrangements within the University, - without any external sanction; either by ordaining that the present - Professors shall instruct women in separate classes, or by appointing - special lecturers for that purpose. As regards the former course, - I venture to remark that several Professors in the Faculty of Arts - are already delivering two or more lectures daily, and that, as I - presume it was always contemplated that each Professor should instruct - all matriculated students desiring to study his subject, it is - quite conceivable that it might become necessary from the number of - students, or otherwise, for the medical Professors also to be required - to deliver two courses; and that, therefore, it could hardly be - considered a hardship if they should be required to deliver a second - course, with proper remuneration for the same, to those matriculated - students who are forbidden by the University to attend in the ordinary - classes. As regards the second alternative, I believe that it has - never been doubted that the Senatus and University Court, conjointly, - have the power of appointing any number of assistants or special - lecturers in any faculty, if they are required for the efficient - performance of the teaching of the University. - - “9. That as the main difficulty before your honourable Court seems - to be that regarding graduation, with which we are not immediately - concerned at this moment, we are quite willing to rest our claims - to ultimate graduation on the facts as they stand up to the present - date, and in case your honourable Court will now make arrangements - whereby we can continue our education, we will undertake not to draw - any arguments in favour of our right to graduation from such future - arrangements, so that they may at least be made without prejudice to - the present legal position of the University. - - “10. That we are informed by high legal authorities that we are - entitled, as matriculated students, to demand from the University - complete arrangements for our instruction, and that we are further - entitled to bring an action of declarator to obtain the same from the - several Professors if no alternative measures are devised, and that - we shall inevitably be driven to pursue this course, with whatever - reluctance, if your honourable Court persistently refuses to make, in - any form whatever, such arrangements as may enable us to complete our - education, and to obtain a legal qualification to practise. - - “Earnestly commending the above considerations to your most favourable - notice, I have the honour, &c., - - “SOPHIA JEX-BLAKE.” - - -(4.) _From the Secretary of the University Court._ - - “University of Edinburgh, 5th February 1872. - - “MADAM,--I am desired by the University Court to inform you - that your letter, dated the 18th ultimo, has been laid before them and - considered. - - “In reply, I am to say that in several points of your view of the past - history and present position of the question relative to the medical - education of women in Edinburgh the Court are unable to concur. - - “Without going into the discussions which might be raised on these - points, it appears to the Court that it is only necessary for them to - enter upon the subject of your ninth paragraph, in which you say:-- - - “‘That as the main difficulty before your honourable Court seems to be - that regarding graduation, with which we are not immediately concerned - at this moment, we are quite willing to rest our claims to ultimate - graduation on the facts as they stand up to the present date; and in - case your honourable Court will now make arrangements whereby we can - continue our education, we will undertake not to draw any arguments in - favour of our right to graduation from such future arrangements, so - that they may at least be made without prejudice to the present legal - position of the University.’ - - “On this I am desired to inform you that you appear to ask no more - than was offered by the Court in their resolution of the 8th ultimo, - in which it was stated that while the Court were restrained by legal - doubts as to the power of the University to grant degrees to women, - from considering ‘the expediency of taking steps to obtain, in favour - of female students, an alteration of an ordinance which might be - held not to apply to women,’ they were, ‘at the same time, desirous - to remove, so far as possible, any present obstacle in the way of a - complete medical education being given to women: provided always that - medical instruction to women be imparted in strictly separate classes.’ - - “On the assumption, therefore, that while you at present decline the - offer made by the Court with reference to certificates of proficiency, - you now ask merely that arrangements should be made for completing the - medical education of yourself and the other ladies on behalf of whom - you write, I am to state that the Court are quite ready to meet your - views. If, therefore, the names of extra-academical teachers of the - required medical subjects be submitted by yourself, or by the Senatus, - the Court will be prepared to consider the respective fitness of the - persons so named to be authorised to hold medical classes for women - who have in this or former sessions been matriculated students of the - University, and also the conditions and regulations under which such - classes should be held. - - “It is, however, to be distinctly understood that such arrangements - are not to be founded on as implying any right in women to obtain - medical degrees, or as conferring any such right upon the students - referred to. - - “I have, &c., - J. CHRISTISON, Secretary.” - - -(5.) _To the University Court._ - - “15 Buccleuch Place, February 9, 1872. - - “GENTLEMEN,--I beg to thank you sincerely for the resolution - to which you came on Monday the 5th inst., and which, if I understand - it rightly, will, I trust, prove a satisfactory solution of our - present difficulties. - - “We will, if you wish it, very gladly prepare and submit to your - honourable Court a list of extra-academical lecturers and of gentlemen - prepared to qualify as such, who may, with your sanction, instruct us - in the various subjects which we have to study; but before doing so, I - venture to beg for official confirmation of my interpretation of your - late resolution in two essential particulars. - - “I trust that I am correct in understanding-- - - “1. That though you at present give us no pledge respecting our - ultimate graduation, it is your intention to consider the proposed - extra-mural courses as ‘qualifying’ for graduation, and that you will - take such measures as may be necessary to secure that they will be - accepted if it is subsequently determined that the University has the - power of granting degrees to women. - - “2. That we shall be admitted in due course to the ordinary - professional examinations on presentation of the proper certificates - of attendance on the said extra-mural classes. - - “You will, I am sure, understand that, while we are quite willing - to accept present arrangements for instruction without any pledge - that they will confer a right to graduation, it would be useless for - us to attend any classes which would be incapable of qualifying for - graduation, and impossible for us to acquiesce in any agreement which - might prejudice the claim which we believe ourselves to possess to the - ultimate attainment of the medical degree.--I am, &c., - - “SOPHIA JEX-BLAKE.” - - -(6.) _From the Secretary of the University Court._ - - “University of Edinburgh, 24th February 1872. - - “_Madam_,--Your letter dated 9th instant has been considered by the - University Court. In it you say:-- - - “‘I trust that I am correct in understanding--- - - “‘I. That though you at present give us no pledge respecting our - ultimate graduation, it is your intention to consider the proposed - extra-mural courses as ‘qualifying’ for graduation, and that you will - take such measures as may be necessary to secure that they will be so - accepted, if it is subsequently determined that the University has the - power of granting degrees to women. - - “‘II. That we shall be admitted in due course to the ordinary - professional examinations on presentation of the proper certificates - of attendance on the said extra-mural classes.’ - - “In reply, I am desired to point out that no extra-mural courses, - beyond the number of four allowed by the Ordinance of the Universities - Commissioners, could either qualify for graduation, or for the ordinary - professional examinations, except under a change in the ordinance; - which change could be made only by a resolution of the Court sanctioned - by the Chancellor, and approved by the Queen in Council. - - “The Court have already declared, in their resolution of the 8th of - January last, that they cannot even enter on the consideration of the - expediency of such a change in the ordinance until the legality of - female graduation has been determined. - - “It would not only be premature for the Court to express at present - any views or intentions on the points to which you refer, but it would - be clearly contrary to their duty to do so. For, supposing the legal - question to be decided in a way favourable to your wishes, those points - would then doubtless be referred to the Court for their decision, when - various parties would probably desire to be heard with regard to them. - - “I am to add that in your letter of the 18th January, you appeared - merely to ask that the Court ‘will now make arrangements whereby we - can continue our education,’ and that the Court offered, as stated in - my letter of the 5th inst., to meet your views in the only way which - appeared to lie within their competency. The Court are still of opinion - that it is quite impossible for them at present to add anything to that - offer.”--I have the honour, &c., - - J. CHRISTISON, Secretary. - - -NOTE U, p. 133. - -I am anxious to guard myself from being supposed to attribute to -Scotch nationality the exceptionally bad conduct of certain students -in Edinburgh, during 1870–71. I cannot but hope that such behaviour -as I have described would have been impossible in any English Medical -School, but, in so saying, I do not by any means wish to imply that -Scotch students have less good feeling than others, when their -superiors set them an example of courtesy. In point of fact, moreover, -some of those who took most pains to make themselves obnoxious were -not Scotchmen at all, but Englishmen of an extremely low class. Some -Scotch lads no doubt behaved very badly, but, on the other hand, the -guard of honour (see page 104) was almost wholly composed of Scotch and -Irish students, who showed the utmost indignation at the conduct of the -rioters. - - - - -Transcriber’s Note - - -The “Notes” were originally printed in a very compressed format. Some -citations and signatures have been moved to new lines. - -Other changes made by the transcriber are: - - Page To From In - - 37 required re-required the required examinations - 54 Il It Il est bien entendu - 90 University Uni-sity the University authorities - 138 at as regarded as a possibility - 140 Times Tines Medical Times and Gazette - - - - - -End of the Project Gutenberg EBook of Medical Women, by Sophia Jex-Blake - -*** END OF THIS PROJECT GUTENBERG EBOOK MEDICAL WOMEN *** - -***** This file should be named 52297-0.txt or 52297-0.zip ***** -This and all associated files of various formats will be found in: - http://www.gutenberg.org/5/2/2/9/52297/ - -Produced by MWS, Fay Dunn and the Online Distributed -Proofreading Team at http://www.pgdp.net (This file was -produced from images generously made available by The -Internet Archive) - - -Updated editions will replace the previous one--the old editions will -be renamed. - -Creating the works from print editions not protected by U.S. copyright -law means that no one owns a United States copyright in these works, -so the Foundation (and you!) can copy and distribute it in the United -States without permission and without paying copyright -royalties. 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- margin-left: 1.5em; - } - - .poetry .p_ref - { - text-align: left; - text-indent: 0em; - padding-left: 4em; - } -} - -.transnote { - background-color: #E6E6FA; - color: black; - font-size:smaller; - padding:0.5em; - margin-bottom:5em; - font-family:sans-serif, serif; -} - -.transnote h2 { - text-align: left; -} - -.nopagebreak { - page-break-before: avoid; -} - -.covernote { - visibility: hidden; - display: none; -} - -@media handheld { - .covernote { - visibility: visible; - display: block; - } -} - -/*abbrevations, cite */ - -abbr { - text-decoration: none; - border-bottom: none; -} - -.plain { - font-style: normal; -} - - </style> - </head> -<body> - - -<pre> - -The Project Gutenberg EBook of Medical Women, by Sophia Jex-Blake - -This eBook is for the use of anyone anywhere in the United States and most -other parts of the world at no cost and with almost no restrictions -whatsoever. You may copy it, give it away or re-use it under the terms of -the Project Gutenberg License included with this eBook or online at -www.gutenberg.org. If you are not located in the United States, you'll have -to check the laws of the country where you are located before using this ebook. - - - -Title: Medical Women - Two Essays - -Author: Sophia Jex-Blake - -Release Date: June 10, 2016 [EBook #52297] - -Language: English - -Character set encoding: UTF-8 - -*** START OF THIS PROJECT GUTENBERG EBOOK MEDICAL WOMEN *** - - - - -Produced by MWS, Fay Dunn and the Online Distributed -Proofreading Team at http://www.pgdp.net (This file was -produced from images generously made available by The -Internet Archive) - - - - - - -</pre> - - -<h1 class="faux">MEDICAL WOMEN</h1> - -<div class="transnote"> - <h2 class="nopagebreak" title="">Transcriber’s Note</h2> - <p class="covernote">The cover image was created by the transcriber, and is placed in the public domain.</p> - -<p>Footnotes have been moved to end of each essay.</p> - -<p>Variant spelling and inconsistent hyphenation are retained.</p> - -<p>A very few changes have been made to punctuation for consistency. Other -changes are listed at <a href="#End_Transcribers_Note" title="">the end</a> of the book.</p> -</div> - -<div class="chapter"> -<p class="title title1">MEDICAL WOMEN</p> - -<p class="title title2 gothic">Two Essays</p> - -<p class="title title3">BY</p> - -<p class="title title5"><span class="smcap">Sophia Jex-Blake</span>.</p> - -<hr class="short" /> - -<p class="title title3"><a href="#i" title="Essay 1"><abbr title="1">I.</abbr></a></p> - -<p class="title title5 gothic">Medicine as a Profession for Women.</p> - -<p class="title title3"><a href="#ii" title="Essay 1"><abbr title="2">II.</abbr></a></p> - -<p class="title title5 gothic">Medical Education of Women.</p> - -<hr class="short extra_space" /> - -<p class="title"><span class="title4">EDINBURGH:</span><br /> - -WILLIAM OLIPHANT & Co., 57 FREDERICK STREET.<br /> -LONDON: HAMILTON, ADAMS, & Co.</p> - -<p class="title ">1872.</p> -<hr class="tiny" /> - -<p class="title">[<i>All Rights Reserved.</i>]</p> - -<hr class="chap" /> -</div> - -<div class="chapter"> - -<p class="printed_by">JOHN LINDSAY, PRINTER, 104 HIGH STREET, EDINBURGH.</p> -<hr class="chap" /> -</div> - -<div class="chapter"> - -<p class="title title5 gothic">Dedicated</p> - -<p class="title title3">TO</p> - -<p class="title title4"><span class="smcap">Dr Lucy Sewall</span>,</p> - -<p class="dedication title title3">FROM WHOSE DAILY LIFE<br /> -I FIRST LEARNED WHAT INCALCULABLE BLESSINGS<br /> -MAY BE CONFERRED ON THE SICK AND SUFFERING OF HER OWN SEX<br /> -BY A NOBLE AND PURE-MINDED WOMAN<br /> -WHO IS ALSO<br /> -A THOROUGHLY SCIENTIFIC PHYSICIAN.</p> - -<hr class="chap" /> -</div> - -<div class="chapter"> - -<h2 class="essay_title" title="I. Medicine as a Profession for Women."><a name="i" id="i" class="nodec"><abbr title="1">I.</abbr></a><br /> - -<span class="gothic subhead">Medicine as a Profession for Women.</span><br /> - -<span class="subhead1">REPRINTED, WITH LARGE ADDITIONS,<br /> -FROM “WOMAN’S WORK AND WOMAN’S CULTURE.”</span></h2> - -<hr class="short" /> - -<blockquote class="chapter_quote"><p>“We deny the right of any portion of the species to decide for -another portion, or any individual for another individual, what is -and what is not their ‘proper sphere.’ The proper sphere for all -human beings is the largest and highest which they are able to -attain to. What this is cannot be ascertained without complete -liberty of choice.”—Mrs <span class="smcap">J. S. Mill</span>.</p></blockquote> - -<hr class="chap" /> -</div> - -<div class="chapter"> - -<p class="title essay_head">MEDICINE AS A PROFESSION FOR WOMEN.</p> - -<div class="poetry-container chapter_poem"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“The universe shall henceforth speak for you</div> - <div class="p_line_i0">And witness, She who did this thing, was born</div> - <div class="p_line_i0">To do it; claims her license in her work.</div> - <div class="p_line_i0">And so with more works. Whoso cures the plague,</div> - <div class="p_line_i0">Though twice a woman, shall be called a leech.”</div> - <div class="p_ref">“<cite>Aurora Leigh.</cite>”</div> - </div> - </div> -</div> - -<p class="noindent"><span class="smcap">It</span> is a very comfortable faith to hold that “whatever -is, is best,” not only in the dispensations of -Providence, but in the social order of daily life; -but it is a faith which is perhaps best preserved -by careful avoidance of too much inquiry into -facts. The theory, if applied to past as well -as to present times, would involve us in some -startling contradictions, for there is hardly any -act, habit, or custom which has not been held -meritorious and commendable in one state of -society, and detestable and evil in some other. -If we believe that there are eternal principles of -right and wrong, wisdom and equity, far above -and greater than the “public opinion” of any one -age or country, we must acknowledge the absolute -obligation of inquiring, whenever matters of importance -are at stake, on what grounds the popular<span class="pagenum"><a name="Page_6" id="Page_6">{6}</a></span> -opinions rest, and how far they are the result of -habit, custom, and prejudice, or the real outgrowth -of deep convictions and beliefs inherent in the -most sacred recesses of human nature. While the -latter command ever our deepest reverence, as -the true “<span lang="la" xml:lang="la">vox populi, vox Dei</span>,” nothing can be -more superficial, frivolous, and fallacious than the -former.</p> - -<p>In a country where precedent has so much -weight as in England, it doubly behoves us to -make the distinction, and, while gratefully accepting -the safeguard offered against inconsiderate -and precipitate change, to beware that old custom -is not suffered permanently to hide from our eyes -any truth which may be struggling into the light. -I suppose that no thinking man will pretend that -the world has now reached the zenith of truth and -knowledge, and that no further upward progress -is possible; on the contrary, we must surely believe -that each year will bring with it its new -lesson; fresh lights will constantly be dawning -above the horizon, and perhaps still oftener discoveries -will be re-discovered, truths once acknowledged -but gradually obscured or forgotten will -emerge again into day, and a constantly recurring -duty will lie before every one who believes in life -as a responsible time of action, and not as a period -of mere vegetative existence, to <span class="pagenum"><a name="Page_7" id="Page_7">{7}</a></span>“prove all things, -and hold fast that which is good.”</p> - -<p>The above considerations arise naturally in connexion -with the subject of this paper, which is -too often set aside by the general public, who, -perhaps, hardly appreciate its scope, and are not -yet fully aroused to the importance of the questions -involved in the general issue. We are told so -often that nature and custom have alike decided -against the admission of women to the Medical -Profession, and that there is in such admission -something repugnant to the right order of things, -that when we see growing evidences of a different -opinion among a minority perhaps, but a minority -which already includes many of our most earnest -thinkers of both sexes, and increases daily, it -surely becomes a duty for all who do not, in the -quaint language of Sharpe, “have their thinking, -like their washing, done out,” to test these statements -by the above principles, and to see how far -their truth is supported by evidence.</p> - -<p>In the first place, let us take the testimony of -Nature in the matter. If we go back to primeval -times, and try to imagine the first sickness or the -first injury suffered by humanity, does one instinctively -feel that it must have been the <em>man’s</em> -business to seek means of healing, to try the -virtues of various herbs, or to apply such rude -remedies as might occur to one unused to the -strange spectacle of human suffering? I think -that few would maintain that such ministration<span class="pagenum"><a name="Page_8" id="Page_8">{8}</a></span> -would come most naturally to the man, and be -instinctively avoided by the woman; indeed, I -fancy that the presumption would be rather in -the other direction. And what is such ministration -but the germ of the future profession of -medicine?</p> - -<p>Nor, I think, would the inference be different -if we appealed to the actual daily experience of -domestic life. If a child falls down stairs, and is -more or less seriously hurt, is it the father or the -mother (where both are without medical training) -who is most equal to the emergency, and who -applies the needful remedies in the first instance? -Or again, in the heart of the country, where no -doctor is readily accessible, is it the squire and the -parson, or their respective wives, who are usually -consulted about the ailments of half the parish? -Of course it may be said that such practice is by -no means scientific, but merely empirical, and this -I readily allow; but that fact in no way affects -my argument that women are <em>naturally</em> inclined -and fitted for medical practice. And if this be so, -I do not know who has the right to say that they -shall not be allowed to make their work scientific -when they desire it, but shall be limited to merely -the mechanical details and wearisome routine of -nursing, while to men is reserved all intelligent -knowledge of disease, and all study of the laws by -which health may be preserved or restored.</p> - -<p><span class="pagenum"><a name="Page_9" id="Page_9">{9}</a></span></p> - -<p>Again, imagine if you can that the world has -reached its present standing point, that society -exists as now in every respect but this,—that the -art of healing has never been conceived as a separate -profession, that no persons have been set apart -to receive special education for it, and that in fact -empirical “domestic medicine,” in the strictest -sense, is the only thing of the kind existing. -Suppose now that society suddenly awoke to the -great want so long unnoticed, that it was recognized -by all that a scientific knowledge of the -human frame in health and in disease, and a study -of the remedies of various kinds which might be -employed as curative agents, would greatly lessen -human suffering, and that it was therefore resolved -at once to set apart some persons who should -acquire such knowledge, and devote their lives to -using it for the benefit of the rest of the race. In -such case, would the natural idea be that members -of each sex should be so set apart for the benefit -of their own sex respectively,—that men should -fit themselves to minister to the maladies of men, -and women to those of women,—or that one sex -only should undertake the care of the health of -all, under all circumstances? For myself, I have -no hesitation in saying that the former seems to -me the <em>natural</em> course, and that to civilized society, -if unaccustomed to the idea, the proposal that -persons of one sex should in every case be consulted<span class="pagenum"><a name="Page_10" id="Page_10">{10}</a></span> -about every disease incident to those of the -other, would be very repugnant; nay, that were -every other condition of society the same as now, -it would probably be held wholly inadmissable. -I maintain that not only is there nothing strange -or unnatural in the idea that women are the fit -physicians for women, and men for men; but on -the contrary, that it is only custom and habit -which blind society to the extreme strangeness -and incongruity of any other notion.</p> - -<p>I am indeed far from pretending, as some have -done, that it is morally wrong for men to be the -medical attendants of women, and that grave -mischiefs are the frequent and natural results of -their being placed in that position. I believe -that these statements not only materially injure -the cause they profess to serve, but that they are -in themselves false. In my own experience as a -medical student, I have had far too much reason -to acknowledge the honour and delicacy of feeling -habitually shown by the gentlemen of the medical -profession, not to protest warmly against any such -injurious imputation. I am very sure that in the -vast majority of cases, the motives and conduct of -medical men in this respect are altogether above -question, and that every physician who is also a -gentleman is thoroughly able, when consulted by -a patient in any case whatever, to remember only -the human suffering brought before him and the<span class="pagenum"><a name="Page_11" id="Page_11">{11}</a></span> -scientific bearing of its details; for as was said -not very long ago by a most eminent London -surgeon, “Whoever is not able, in the course of -practice, to put the idea of sex out of his mind, is -not fit for the medical profession at all.” It will, -however, occur to most people that the medical -man is only one of the parties concerned, and that -it is possible that a difficulty which may be of no -importance from his scientific standpoint, may yet -be very formidable indeed to the far more sensitive -and delicately organized feelings of his patient, -who has no such armour of proof as his own, and -whose very condition of suffering may entail an -even exaggerated condition of nervous susceptibility -on such points.<a name="Anchor_1" id="Anchor_1" href="#Footnote_1" class="fnanchor" title="Go to footnote 1.">[1]</a> At any rate, when we hear -so many assertions about natural instincts and -social propriety, I cannot but assert that their -evidence, such as it is, is wholly for, and not against, -the cause of women as physicians for their own sex.</p> - -<p>If we take next the ground of custom, I think -the position of those who would oppose the medical -education of women is far less tenable than is -generally supposed; indeed, that a recent writer -stated no more than the truth when he asserted -that “the obloquy which attends innovation -belongs to the men who exclude women from a -profession in which they once had a recognised -place.”<a name="Anchor_2" id="Anchor_2" href="#Footnote_2" class="fnanchor" title="Go to footnote 2.">[2]</a> I believe that few people who have not<span class="pagenum"><a name="Page_12" id="Page_12">{12}</a></span> -carefully considered the question from an historical -point of view have any idea of the amount of -evidence that may be brought to support this -view of the case.<a name="Anchor_3" id="Anchor_3" href="#Footnote_3" class="fnanchor" title="Go to footnote 3.">[3]</a></p> - -<p>Referring to the earliest classical times, we find -distinct mention in the <cite class="plain">Iliad</cite> of a woman skilled -in the science of medicine,<a name="Anchor_4" id="Anchor_4" href="#Footnote_4" class="fnanchor" title="Go to footnote 4.">[4]</a> and a similar reference -occurs also in the <cite class="plain">Odyssey</cite>.<a name="Anchor_5" id="Anchor_5" href="#Footnote_5" class="fnanchor" title="Go to footnote 5.">[5]</a> Euripides is no less -valuable a witness on this point. He describes -Queen Phædra<a name="Anchor_6" id="Anchor_6" href="#Footnote_6" class="fnanchor" title="Go to footnote 6.">[6]</a> as disturbed in mind and out of -health, and represents the nurse as thus addressing -her: “If thy complaint be anything of the -more secret kind, here are women at hand to -compose the disease. But if thy distress is <em>such -as may be told to men</em>, tell it, that it may be -reported to the physicians;” thus indicating a<span class="pagenum"><a name="Page_13" id="Page_13">{13}</a></span> -prevailing public opinion that there were natural -and rigid limits to the medical attendance of men -and women, and that therefore some women were -specially trained to do what the regular physicians -must leave undone. It is at least remarkable to -find such evidence of general feeling on this matter -in a state of society supposed to possess much -less delicacy and refinement than our own.</p> - -<p>We find records of several Grecian women who -were renowned for their medical skill, among -whom may be instanced Olympias of Thebes, -whose medical learning is said to be mentioned by -Pliny; and Aspasia, from whose writings on the -diseases of women, quotations are preserved in -the works of Aëtius, a Mesopotamian physician.<a name="Anchor_7" id="Anchor_7" href="#Footnote_7" class="fnanchor" title="Go to footnote 7.">[7]</a> -On the authority of Hyginus rests the history of -Agnodice, the Athenian maiden whose skill and -success in medicine was the cause of the legal -opening of the medical profession to all the free-born -women of the State.<a name="Anchor_8" id="Anchor_8" href="#Footnote_8" class="fnanchor" title="Go to footnote 8.">[8]</a></p> - -<p><span class="pagenum"><a name="Page_14" id="Page_14">{14}</a></span></p> - -<p>In more modern times, when almost all learning -was garnered into the religious houses, which -were not only the libraries but the hospitals of -the day, it seems evident that the care of the sick -and wounded fell at least as often to the share of -the Nunneries as of the Monasteries, and probably -medical skill, such as it was, found place among -the sisters quite as often as among the brethren -of the various religious Orders.</p> - -<p><span class="pagenum"><a name="Page_15" id="Page_15">{15}</a></span></p> - -<p>The old ballad of Sir Isumbras gives one illustration -out of many of the prevailing state of -things, relating how the nuns received the -wounded knight, and how</p> - -<div class="poetry-container"> - <div class="poetry" lang="enm" xml:lang="enm"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“Ilke a day they made salves new,</div> - <div class="p_line_i0">And laid them on his wounds,</div> - <div class="p_line_i0">They gafe hym metis and drynkes lythe,</div> - <div class="p_line_i0">And heled the knyghte wonder swythe.”<a name="Anchor_9" id="Anchor_9" href="#Footnote_9" class="fnanchor" title="Go to footnote 9.">[9]</a></div> - </div> - </div> -</div> - -<p>It may be remembered that Sir Walter Scott,<a name="Anchor_10" id="Anchor_10" href="#Footnote_10" class="fnanchor" title="Go to footnote 10.">[10]</a> -after describing how Rebecca “proceeded, with -her own hands, to examine and bind up the -wounds,” goes on to remark, “The youngest -reader of romances and romantic ballads must -recollect how often the females, during the dark -ages, as they are called, were initiated into the -mysteries of surgery.... The Jews, both male -and female, possessed and practised the medical -science in all its branches.”</p> - -<p>In the fourteenth century, when the Medical -School of Salerno enjoyed high reputation, we -find record of a female physician named Abella, -who lived there, and wrote in Latin various works -on medicine.<a name="Anchor_11" id="Anchor_11" href="#Footnote_11" class="fnanchor" title="Go to footnote 11.">[11]</a></p> - -<p>Early in the next century an Italian lady, -Dorotea Bocchi, was actually Professor of Medicine<span class="pagenum"><a name="Page_16" id="Page_16">{16}</a></span> -at the University of Bologna,<a name="Anchor_12" id="Anchor_12" href="#Footnote_12" class="fnanchor" title="Go to footnote 12.">[12]</a> and among -the traditions of the same University is preserved -the name of Alessandra Gigliani, who, in even -earlier times, was a learned student of anatomy.<a name="Anchor_13" id="Anchor_13" href="#Footnote_13" class="fnanchor" title="Go to footnote 13.">[13]</a></p> - -<p>In the sixteenth century, at Alcarez in Spain, -lived Olivia Sabuco de Nantes, who “had a large -knowledge of science and medicine,” and whose -medical works were printed at Madrid in 1588.<a name="Anchor_14" id="Anchor_14" href="#Footnote_14" class="fnanchor" title="Go to footnote 14.">[14]</a></p> - -<p>It is clear that in Great Britain at an early -period women were commonly found among the -irregular practitioners of medicine; and it is -equally clear that their male competitors greatly -desired to deprive them of the right to practise. -In 1421 a petition was presented to Henry <abbr title="the Fifth">V.</abbr>, -praying that “no woman use the practyse of fisyk -under payne of long emprisonment.”<a name="Anchor_15" id="Anchor_15" href="#Footnote_15" class="fnanchor" title="Go to footnote 15.">[15]</a> Within a -few years after the first incorporation of the Colleges -of Physicians and Surgeons, an Act<a name="Anchor_16" id="Anchor_16" href="#Footnote_16" class="fnanchor" title="Go to footnote 16.">[16]</a> was passed -for the relief and protection of <span class="pagenum"><a name="Page_17" id="Page_17">{17}</a></span>“Divers honest -psones, <em>as well men as women</em>, whom God hathe -endued with the knowledge of the nature, kind, -and operaçon of certeyne herbes, rotes, and waters, -and the using and ministering them to suche as -be payned with customable diseases, for neighbourhode -and Goddes sake, and of pitie and charytie,” -because the “Companie and Fellowship of Surgeons -of London, mynding onlie their owne lucres -and nothing the profit or ease of the diseased or -patient, have sued, vexed, and troubled,” the -aforesaid “honest psones,” who were henceforth -to be allowed “to practyse, use, and mynistre in -and to any outwarde sore, swelling, or disease, any -herbes, oyntements, bathes, pultes or emplasters, -according to their cooning experience and knowledge -... without sute, vexation, penaltie, or -losse of their goods.”<a name="Anchor_17" id="Anchor_17" href="#Footnote_17" class="fnanchor" title="Go to footnote 17.">[17]</a></p> - -<p>This provision clearly referred to general practice -other than that of midwifery, which latter -branch of the profession was then, as for centuries -both before and after, almost exclusively in the -hands of women. The very word <em>midwife</em>, with -its Latin synonym “<i lang="la" xml:lang="la">obstetrix</i>,” is sufficiently significant -on this point, for in neither language has -it any masculine equivalent, and the clumsy term -“Man-midwife” served, when first needed and -used, to mark the general sense of what the writer -in the <cite>Athenæum</cite> forcibly calls “masculine intrusion -into that which natural instinct assigns to -woman as her proper field of labour;” and this<span class="pagenum"><a name="Page_18" id="Page_18">{18}</a></span> -same very suggestive title is the only one which -at the present day in legal phraseology distinguishes -the male practitioners of this branch of -medical art.</p> - -<p>From the time of Moses onwards this part of -the profession has always been mainly in the -hands of women, and in many countries of Europe -no other usage has ever prevailed. The first -regular French medical society, “<span lang="fr" xml:lang="fr">La confrairie de -St Cosme and St Damien</span>,” included within its -organization the Company of Midwives,<a name="Anchor_18" id="Anchor_18" href="#Footnote_18" class="fnanchor" title="Go to footnote 18.">[18]</a> and from -that time down to the present it seems in France -to have been the custom to give to these women -a regular education, terminating in sufficient -examinations, an example which England would -have done well to follow.</p> - -<p>In this country, however, midwives appear to -have held a most respectable position some centuries -ago, and a curious idea of their importance, -their duties, and their credit, may be gathered -from a <abbr title="manuscript">MS.</abbr> volume (without date) now preserved -in the British Museum,<a name="Anchor_19" id="Anchor_19" href="#Footnote_19" class="fnanchor" title="Go to footnote 19.">[19]</a> which was evidently<span class="pagenum"><a name="Page_19" id="Page_19">{19}</a></span> -written at a time when hardly any but women -were employed in the “<span lang="emodeng" xml:lang="emodeng">mysteries of the profession</span>,” -and when it was a comparatively rare thing, -that needed to be specially advised in certain -cases, for them to “<span lang="emodeng" xml:lang="emodeng">make use of <span lang="en" xml:lang="en">(<i>i.e.</i>, call in)</span> a -physitien</span>.” The writer remarks that “it is meet -that the midwife be a woman well read and well -experienced,” and gives a caution that “<span lang="emodeng" xml:lang="emodeng">drunkenness -is a sordid sin in any who use it, but is a -blemish worthy greater blame in ministers, magistrates, -midwives, physitiens, and chirurgeons</span>.”</p> - -<p>Mrs Celleor, in her letter previously referred -to,<a name="Anchor_20" id="Anchor_20" href="#Footnote_20" class="fnanchor" title="Go to footnote 20.">[20]</a> tells us that in 1642, “<span lang="emodeng" xml:lang="emodeng">the physitiens and -chirurgeons contending about it, midwifery was -adjudged a chirurgical operation, and midwives -were licensed at Chirurgeon’s Hall, but not till -they had passed three examinations before six -skilful midwives, and as many chirurgeon</span>s;” but -for some reason (connected probably with their -occasional baptismal functions) the midwives were, -in 1662, referred for their licence to Doctors’ Commons, -thus losing their official connexion with the -medical world.</p> - -<p>How it came that English midwives fell gradually -from their high estate is partly explained by -a very public-spirited book (with the appropriate -motto “<span lang="la" xml:lang="la">Non sibi sed aliis</span>”) written by a surgeon<span class="pagenum"><a name="Page_20" id="Page_20">{20}</a></span> -in 1736.<a name="Anchor_21" id="Anchor_21" href="#Footnote_21" class="fnanchor" title="Go to footnote 21.">[21]</a> The writer adverts to the accusations -of ignorance then brought against the midwives, -and remarks that “the only method by which -this fatal distemper can be cured, is to put it in -the power of midwomen to qualify themselves -thoroughly and at a moderate expense.... -To which method of qualifying themselves I doubt -not the midwomen will object, and say that they -would readily be at any reasonable expense and -fatigue to be so thoroughly instructed, but it is -not in their power. The midwomen cannot, and -the midmen will not instruct them. The midmen -will object and say that the midwomen want both -capacity and strength (instruct them as ye please). -To which I reply (<i lang="la" xml:lang="la">ore rotundo, plenis buccis</i>) that -it is not want of capacity, docility, strength, or -activity ... which is evident to a demonstration -from the successful practice of women in the -<span lang="fr" xml:lang="fr">Hôtel Die</span>u at Paris (the best school for midwifery -now in Europe).... Would not any person -then be deservedly laughed at who should assert -that our women are not as capable of performing -their office had they the same instruction as the -French women?” This chivalrous surgeon then -proposes that regular provision should be made for -proper instruction, and for examinations by two<span class="pagenum"><a name="Page_21" id="Page_21">{21}</a></span> -surgeons (who have lectured to the women), “and -six or seven other persons appointed by His -Majesty, because I don’t think it reasonable that -so many people’s bread should depend on the -humour or caprice of two men only;” adding -that “If some such scheme was put in execution, -I’m satisfied that in a very few years there would -not be an ignorant midwife in England, and consequently -the great agonies most women suffer at -the very sight of a man would be almost entirely -prevented,” and great expense and much life -saved.</p> - -<p>However, we must suppose that these noble -words of protest fell upon deaf ears, and the midwives, -being left in their ignorance, their practice -gradually passed into the hands of the medical -men, who had every advantage of learning at -their command.<a name="Anchor_22" id="Anchor_22" href="#Footnote_22" class="fnanchor" title="Go to footnote 22.">[22]</a></p> - -<p>It is, however, only very recently that men-midwives -have been allowed to attend on royal -patients in this country; indeed, I believe that -the Princess Charlotte was the first to establish<span class="pagenum"><a name="Page_22" id="Page_22">{22}</a></span> -the precedent, and that our present Sovereign -was the first queen who followed it. In a very -interesting series of papers, by Dr Aveling, recently -published in the <cite>Lancet</cite>,<a name="Anchor_23" id="Anchor_23" href="#Footnote_23" class="fnanchor" title="Go to footnote 23.">[23]</a> accounts have been -given of a number of the royal midwives whose -names have been honourably preserved in history, -such as Alice Dennis, who attended Anne of -Denmark, and received a fee of £100 “for her -pains and attendance upon the Queen, as of His -Highness’s free gift and reward, without account, -imprest, or other charge to be set on her for the -same.”</p> - -<p>The same writer mentions that Margaret -Mercer was sent express from England in 1603 -to attend on “His Majesty’s dearest daughter, the -Princess Electress Palatine.”</p> - -<p>It is also recorded that “Mrs Labany attended -Mary of Modena, Queen of James <abbr title="the Second">II.</abbr>, when she -was delivered, on June 10th, 1687, of James -Francis Edward, afterwards called the Pretender.”<a name="Anchor_24" id="Anchor_24" href="#Footnote_24" class="fnanchor" title="Go to footnote 24.">[24]</a> -Mrs Wilkins, another midwife, seems also to have -been present on this occasion, and it is stated -that each of these persons received a fee of five -hundred guineas for her services.</p> - -<p><span class="pagenum"><a name="Page_23" id="Page_23">{23}</a></span></p> - -<p>It is well known that Queen Charlotte was -always attended by a woman,<a name="Anchor_25" id="Anchor_25" href="#Footnote_25" class="fnanchor" title="Go to footnote 25.">[25]</a> and the late -Duchess of Kent employed the Frau von Siebold, -of whom mention is made elsewhere.<a name="Anchor_26" id="Anchor_26" href="#Footnote_26" class="fnanchor" title="Go to footnote 26.">[26]</a></p> - -<p>Now that public attention is awaking to the -subject, and educated women are once more -desirous of undertaking this peculiarly womanly -work, we may indeed anticipate, with the already -quoted writer in the <cite>Athenæum</cite>, that a reactionary -movement will soon make itself felt, and that the -usage “which even up to the present time a large -proportion of our English families, especially those -of our northern towns and outlying country districts, -have never adopted, will most likely be -discontinued in all classes of English society -before the end of the present century.”</p> - -<p>On the Continent of Europe, owing to their -better education, the midwives retain much of -the position that they have for a time lost in -England; and we hear that in Russia <span class="pagenum"><a name="Page_24" id="Page_24">{24}</a></span>“a medical -man is very rarely called in; notwithstanding, -fatal cases are of far less frequent occurrence in -Russia than in England;” and the same authority -tells us that ladies practising midwifery are -admitted into society as doctors would be, and -are well paid, both by the Government and by -private fees.<a name="Anchor_27" id="Anchor_27" href="#Footnote_27" class="fnanchor" title="Go to footnote 27.">[27]</a></p> - -<p>While thus briefly tracing out the history of -midwifery in modern times, and the causes which -led to its practice passing from the hands of -women into those of men, I have not paused to -mention, in due chronological order, those women -who, in the last three centuries, have been distinguished -for a knowledge of the other branches -of Medicine and Surgery. Of these I will now -enumerate a few, though my time and space are -far too limited either to give a complete list, or to -relate any but the most prominent particulars of -each case mentioned; but I can promise that any -one who will consult the authorities quoted will -be abundantly repaid by the long and interesting -details that I am forced to pass over in almost -every instance.</p> - -<p>In the seventeenth century, in England, one of -the women most noted for medical skill was Lady -Ann Halket,<a name="Anchor_28" id="Anchor_28" href="#Footnote_28" class="fnanchor" title="Go to footnote 28.">[28]</a> born in 1622, daughter of the then<span class="pagenum"><a name="Page_25" id="Page_25">{25}</a></span> -provost of Eton College. “Next to the study of -Divinity she seems to have taken most delight in -those of Physick and Surgery, in which she was -no mean proficient; nay, some of the best -physicians in the kingdom did not think themselves -slighted when persons of the greatest -quality did consult her in their distempers, even -when they attended them as their ordinary -physicians. Many from England, Holland, and -the remotest parts of the kingdom, have sent to -her for things of her preparing; and many whose -diseases have proved obstinate under all the -methods of physicians, have at length, by the -physicians’ own advice, been recommended and -sent to her care, and have been recovered by her.”</p> - -<p>In 1644 was born Elizabeth Lawrence, afterwards -wife of the <abbr title="Reverend">Rev.</abbr> Samuel Bury, of Bristol, -who wrote her life,<a name="Anchor_29" id="Anchor_29" href="#Footnote_29" class="fnanchor" title="Go to footnote 29.">[29]</a> and who bears witness that -“it was not possible there should be a more -observant, tender, indulgent, and compassionate -wife than she was; a more sympathising spirit is -very rarely found.” He records that “she took -much pleasure in Anatomy and Medicine, being -led and prompted to it partly by her own ill -health, and partly with a desire of being useful.” -The difficulties that she encountered in her studies -may be guessed, since <span class="pagenum"><a name="Page_26" id="Page_26">{26}</a></span>“she would often regret -that so many learned men should be so uncharitable -to her sex, and be so loath to assist their -feebler faculties when they were anywise disposed -to an accurate search into things profitable -and curious. Especially as they would all so -readily own that souls were not distinguished by -sexes. And therefore she thought it would have -been an honourable pity in them to have offered -something in condescension to their capacities, rather -than have propagated a despair of their information -to future ages.” Her husband, however, tells -us that “she improved so much, that many of the -great masters of the Faculty have often been -startled by her stating the most nice and difficult -cases in such proper terms;” and, remarking that, -“How much knowledge and skill soever she -attained in the practice of Physick, by long -observation, conversation, and experience, yet -she was very distrustful of herself,” he adds -that the “instances of her successes in the -preservation of human lives were not easily -numbered.”</p> - -<p>As a contemporary of these Englishwomen, we -find in Germany Elizabeth Keillen, who published -several medical works, and died in 1699. She is -said by Finauer to have had “great knowledge -of medicine and chemistry.”</p> - -<p>In comparatively recent times, Bologna was -remarkable as ever for its liberal encouragement<span class="pagenum"><a name="Page_27" id="Page_27">{27}</a></span> -of learned women, and about the middle of the -last century the Chair of Anatomy at that University -was filled by Anna Morandi Mazzolini, -whose exquisitely delicate anatomical models, -executed in wax, became the pride of the Museum -at Bologna. She first became interested in the -study of Anatomy in consequence of her wish to -help her husband, who was a distinguished anatomist, -and a maker of anatomical designs and -models. He fell into ill-health and mental despondency, -and therefore <span class="pagenum"><a name="Page_28" id="Page_28">{28}</a></span>“his wife, loving him -dearly, and fearing that he would desist from his -work, gave herself up to his comfort; and for this -purpose became herself an anatomical sculptor, -reading works of anatomy, consulting anatomical -tables and preparations, taking theoretical and -practical lessons from her husband, and, marvellous -to say, even dissecting dead bodies with resolute -mind, and with incredible perseverance.... Too -long to describe are the works executed in wax -by the able hands of this illustrious woman. -They were collected in five elegant cases in our -Anatomical Museum.... The fourth case encloses -delicate illustrations of all the parts belonging -to the senses of sight, smell, hearing, taste, and -touch—stupendous works in which she surpassed -herself, and also her husband, and his colleague, -Ercole Lelli.... These models were for some -time kept in her own house, and each one who saw -them spread her renown, so that through distant -countries was spread the fame of her works, so -that every learned and distinguished person -passing through Bologna was solicitous to visit -and know personally the maker of these wonders.”<a name="Anchor_30" id="Anchor_30" href="#Footnote_30" class="fnanchor" title="Go to footnote 30.">[30]</a> -Signora Mazzolini also made original discoveries -in anatomical science, which obtained for her -many marks of distinction from the learned -colleges and societies of the day. She was offered -a Chair at Milan, with increased revenues, but -preferred to remain at Bologna, where she lived -till her death in 1774. Medici, in his records of -the Anatomical School of Bologna, speaks of this -lady with profound respect, as distinguished alike -by “rare powers, great erudition, gracious manners, -and delicate and gentle temperament,” and relates -that her fame reached the ears of the Emperor -Joseph <abbr title="the Second">II.</abbr>, who visited her in 1769, and “having -seen her works and heard her conversation,” -loaded her with public honours. Her example -seems to have inspired others of her countrywomen -to follow in the steps of one so honoured, alike in -the stern duties of her profession, and in the -sanctities of household life; for in the course of -the next half century several Italian women availed -themselves of the thorough medical education -which the Italian Universities never refused.</p> - -<p><span class="pagenum"><a name="Page_29" id="Page_29">{29}</a></span></p> - -<p>In 1788 Maria Petraccini<a name="Anchor_31" id="Anchor_31" href="#Footnote_31" class="fnanchor" title="Go to footnote 31.">[31]</a> took a degree in medicine -at Florence, and we find her, a little later, -lecturing on anatomy at Ferrara, in presence of the -medical professors. She married Signor Feretti, -and has left several works on the physical education -of children.</p> - -<p>Her daughter, Zaffira Feretti, seems to have -inherited her mother’s talents, for she studied -Surgery in the University of Bologna, and there -received a medical degree<a name="Anchor_32" id="Anchor_32" href="#Footnote_32" class="fnanchor" title="Go to footnote 32.">[32]</a> in May 1800. She -obtained an appointment under the Italian Government, -and for some time lived in Ancona -acting as Director-General of the midwives in all -parts of the country. She afterwards went to -Turkey, and died at Patras in 1817.</p> - -<p>Maria Mastellari seems also to have been a -woman of unusual talent, and “progressed diligently -in the most rigid sciences.” She obtained -a medical degree at Bologna in 1799. She subsequently -became the wife of Signor Collizoli-Sega, -and is described as possessing a “sweet and gentle -temperament, with special love of silence and -quiet. She centred her interests in her family, -which she managed admirably.”<a name="Anchor_33" id="Anchor_33" href="#Footnote_33" class="fnanchor" title="Go to footnote 33.">[33]</a></p> - -<p>Still more distinguished in the annals of medicine -was Maria delle Donne, who also studied in -the University of Bologna, and <span class="pagenum"><a name="Page_30" id="Page_30">{30}</a></span>“received the -doctoral laurel” in 1806.<a name="Anchor_34" id="Anchor_34" href="#Footnote_34" class="fnanchor" title="Go to footnote 34.">[34]</a> She “constantly practised -both Medicine and Surgery,” and was -appointed by Napoleon Bonaparte to the Chair -of Midwifery at Bologna. The <cite lang="fr" xml:lang="fr">Gazette Medicale</cite>, -quoting from the “<cite lang="it" xml:lang="it">Raccoglitore Medico</cite>,” gives -the following account of her:—“<span lang="fr" xml:lang="fr">Anna Maria -delle Donne, docteur en médecine, auteur d’élégants -vers latins, professeur d’obstetrique, à l’Université -de Bologna, membre de l’Academie, bénédictine, -<abbr title="etcetera">&c.</abbr>, est décedée le 9 Janvier, 1842. Cette -femme distinguée qui a succedé à Madame Mazzolini -et à Madame Bassi, est une des gloires -scientifiques de Bologna. Elle soutint en 1800, -avec un très grand succès, une thèse de Philosophie, -de Chirurgie, and de Medicine. Peu après, à la -suite d’un examen public, on lui conféra le grade -de docteur et de consultant. Napoleon en passant -à Bologne fut frappé du savoir de cette dame, et -institua pour elle une Chaire d’Obstetrique, où -elle se fit une grande renommée.</span>”<a name="Anchor_35" id="Anchor_35" href="#Footnote_35" class="fnanchor" title="Go to footnote 35.">[35]</a></p> - -<p>Nor was Italy alone noted as the birthplace of -women skilled in Medicine. In Germany, early -in this century, Frau von Siebold so greatly distinguished -herself in the practice of midwifery -that the degree of M.D. was conferred on her by -the University of Giessen;<a name="Anchor_36" id="Anchor_36" href="#Footnote_36" class="fnanchor" title="Go to footnote 36.">[36]</a> and her daughter<span class="pagenum"><a name="Page_31" id="Page_31">{31}</a></span> -Marianne, afterwards Frau von Heidenreich, -studied in the Universities of both Göttingen and -Giessen, and took her degree in the regular way -in 1817. She is spoken of as “one of the most -famed and eminent female scholars of Germany,” -and as being “universally honoured as one of the -first living authorities in her special branch of -science.”<a name="Anchor_37" id="Anchor_37" href="#Footnote_37" class="fnanchor" title="Go to footnote 37.">[37]</a> She died only in 1859.</p> - -<p>In France, the name of Madame Lachapelle<a name="Anchor_38" id="Anchor_38" href="#Footnote_38" class="fnanchor" title="Go to footnote 38.">[38]</a> was -known and honoured as that of one of the ablest -teachers of Midwifery during the latter part of -the last century. She has left several valuable -works on subjects connected with her specialty. -Her funeral in 1821 was followed by all the chief -physicians of Paris. Her pupil and successor, -Madame Boivin,<a name="Anchor_39" id="Anchor_39" href="#Footnote_39" class="fnanchor" title="Go to footnote 39.">[39]</a> was still more distinguished for -her medical knowledge and skill, and for her -contributions to anatomical science. Her “<cite class="plain" lang="fr" xml:lang="fr">Memoire -de l’art des Accouchements</cite>” was approved -by the highest medical authority, and was appointed -as the text-book for students and midwives -by the Minister of the Interior. She was -invested with an Order of Merit by the King of -Prussia in 1814, and in the same year was appointed -co-director (with the Marquis de Belloy) -of the General Hospital for Seine and Oise, and<span class="pagenum"><a name="Page_32" id="Page_32">{32}</a></span> -in 1815 was entrusted with the direction of a -temporary Military Hospital, for her services in -which latter capacity she received a public vote -of thanks. She was also entrusted with the -direction of the <span lang="fr" xml:lang="fr">Hospice de la Maternité</span>, and of -the <span lang="fr" xml:lang="fr">Maison Royale de Santé</span>, and was one of the -most distinguished practitioners of the time. -She made original discoveries in Anatomy, invented -various surgical instruments, and obtained -prizes for medical theses from the Société de -Medicine.</p> - -<p>Her medical writings were distinguished by -“<span lang="fr" xml:lang="fr">precision et clarté, jugement sain, erudition -choisie, et savoir solide</span>.” In 1846 one of her -books was eulogized by Jourdan as “<span lang="fr" xml:lang="fr">ouvrage -éminemment pratique, et le meilleur que nous -possedions encore sur ce sujet,” with the additional -remark that “tout se réunit pour lui mériter une -des premières places parmi les productions de la -littérature medicale moderne</span>.” She was a member -of the Medical Societies of Paris, Bordeaux, -Berlin, Brussels, and Bruges, and was honoured -with the degree of M.D. from the University of -Marbourg. She died in 1841.</p> - -<p>These numerous instances of the successful -practice of Medicine by women seem to have been -little known, or else forgotten, to judge by the -surprise expressed when, after surmounting many -difficulties, an English lady, named Elizabeth<span class="pagenum"><a name="Page_33" id="Page_33">{33}</a></span> -Blackwell, succeeded in obtaining medical education -and the degree of M.D. from a medical school -in America in 1849. The novelty, in truth, was -not in the granting of the medical degree to a -woman, but in its being received by an Englishwoman, -for it is hardly gratifying to one’s national -pride to find that England never has accorded -such encouragement to female learning as was -found in Italy, Germany, and France; and it is -still more painful to realize that this country, -almost alone, stands still aloof from the movement -of liberal wisdom that has now in all these lands, -as well as in Switzerland, and even in Russia, -granted to woman the advantage of University -education and degrees. English women are not -behind others in desiring knowledge, but as yet -they are forced to seek it on foreign shores, for -hitherto no British University has ever fully admitted -women to its educational advantages; and -a few years ago, that of London, with all its professions -of liberality, refused a woman’s petition -even for examination for the degree of M.D.!</p> - -<p>So much for the historical evidence bearing on -this question. I am indeed sorry to have paused -so long on this part of the subject, but it seemed -essential to a proper statement of the whole case.</p> - -<p>If, then, nature does not instinctively forbid -the practice of the healing art by women, and if -it cannot be denied that some at least of its<span class="pagenum"><a name="Page_34" id="Page_34">{34}</a></span> -branches have long been in their hands, we must -go further to seek on what grounds their admission -to the medical profession should be opposed.</p> - -<p>Probably the next argument will be that women -do not require, and are not fitted to receive, the -scientific education needful for a first-rate Physician, -and that “for their own sakes” it is not -desirable that they should pursue some of the -studies indispensably necessary. To this the -answer must be, that the wisest thinkers teach -us to believe that each human being must be “a -law unto himself,” and must decide what is and -what is not suitable for his needs, what will and -what will not contribute to his own development, -and fit him best to fulfil the life-work most congenial -to his tastes. If women claim that they -do need and can appreciate instruction in any or -all sciences, I do not know who has the right to -deny the assertion.</p> - -<p>That this controversy is no new one may be -proved by reference to a very curious black-letter -volume now in the British Museum,<a name="Anchor_40" id="Anchor_40" href="#Footnote_40" class="fnanchor" title="Go to footnote 40.">[40]</a> wherein the -writer protests, <span class="pagenum"><a name="Page_35" id="Page_35">{35}</a></span>“<span lang="emodeng" xml:lang="emodeng">I mervayle gretely of the -opynyon of some men that say they wolde not -in no wyse that theyr doughters or wyves or -kynneswomen sholde lerne scyences, and that it -sholde apayre their cödycyons. This thing is not -to say ne to sustayne. That the woman apayreth -by connynge it is not well to beleve. As the -proverbe sayeth, ‘that nature gyveth maye not -be taken away.’</span>”</p> - -<p>If it be argued that the study of Natural -Science may injure a woman’s character, I would -answer, in the words of one of the purest-minded -women I know, that “if a woman’s womanliness -is not deep enough in her nature to bear the -brunt of any needful education, it is not worth -guarding.” It is, I think, inconceivable that any -one who considers the study of natural science to -be but another word for earnest and reverent -inquiry into the works of God, and who believes -that, in David’s words, these are to be “sought -out of all them that have pleasure therein,” can -imagine that any such study can be otherwise -than elevating and helpful to the moral, as well -to the mental nature of every student who pursues -it in a right spirit. In the words of Scripture, -“To the pure, all things are pure,” and in -the phrase of chivalry, “<span lang="fr" xml:lang="fr">Honi soit qui mal y -pense.</span>”</p> - -<p>It has always struck me as a curious inconsistency, -that while almost everybody applauds and -respects Miss Nightingale and her followers for -their brave disregard of conventionalities on behalf -of suffering humanity, and while hardly any one -would pretend that there was any want of feminine -<span class="pagenum"><a name="Page_36" id="Page_36">{36}</a></span>delicacy in their going among the foulest -sights and most painful scenes, to succour, not -their own sex, but the other, many people yet -profess to be shocked when other women desire to -fit themselves to take the medical care of those of -their sisters who would gladly welcome their aid. -Where is the real difference? If a woman is to -be applauded for facing the horrors of an army -hospital when she believes that she can there do -good work, why is she to be condemned as indelicate -when she professes her willingness to go -through an ordeal, certainly no greater, to obtain -the education necessary for a medical practitioner? -Surely work is in no way degraded by being made -scientific; it cannot be commendable to obey -instructions as a nurse when it would be unseemly -to learn the reasons for them as a student, or to -give them as a doctor; more especially as the -nurse’s duties may lead her, as they did in the -Crimea, to attend on men with injuries and -diseases of all kinds, whereas the woman who -practises as a physician would confine her practice -to women only. It is indeed hard to see any -reason of delicacy, at least, which can be adduced -in favour of women as nurses, and against them -as physicians.</p> - -<p>Their natural capacity for the one sphere or -the other is, of course, a wholly different matter, -and is, indeed, a thing not to be argued about,<span class="pagenum"><a name="Page_37" id="Page_37">{37}</a></span> -but to be tested.<a name="Anchor_41" id="Anchor_41" href="#Footnote_41" class="fnanchor" title="Go to footnote 41.">[41]</a> If women fail to pass the required -examinations for the ordinary medical -degree, or if, after their entrance into practice, -they fail to succeed in it, the whole question is -naturally and finally disposed of. But that is not -the point now at issue.</p> - -<p>That the most thorough and scientific medical -education need do no injury to any woman might -safely be prophesied, even if the experiment had -never been tried; but we have, moreover, the -absolute confirmation of experience on the point, -as I, for one, will gladly testify from personal acquaintance -in America with many women who -have made Medicine their profession; having had -myself the advantage of studying under one who -was characterized, by a medical gentleman known -throughout the professional world, as “one of the -best physicians in Boston,” and who, certainly, -was more remarkable for thorough refinement of -mind than most women I know,—Dr Lucy Sewall.</p> - -<p>Of course there may always be unfortunate exceptions, -or rather there will always be those of -both sexes who, whatever their profession may be, -will be sure to disgrace it; but it is not of them -that I speak, nor is it by such individual cases that -the supporters of any great movement should -be judged.</p> - -<p>The next argument usually advanced against<span class="pagenum"><a name="Page_38" id="Page_38">{38}</a></span> -the practice of medicine by women is that there -is no demand for it; that women, as a rule, have -little confidence in their own sex, and had rather -be attended by a man. That everybody had rather -be attended by a competent physician is no doubt -true; that women have hitherto had little experience -of competent physicians of their own sex -is equally true; nor can it be denied that the -education bestowed on most women is not one -likely to inspire much confidence. It is probably -a fact, that until lately there has been “no demand” -for women doctors, because it does not -occur to most people to demand what does not -exist; but that very many women have wished -that they could be medically attended by those of -their own sex I am very sure, and I know of more -than one case where ladies have habitually gone -through one confinement after another without -proper attendance, because the idea of employing -a man was so extremely repugnant to them. I -have indeed repeatedly found that even doctors, -not altogether favourable to the present movement, -allow that they consider men rather out of -place in midwifery practice;<a name="Anchor_42" id="Anchor_42" href="#Footnote_42" class="fnanchor" title="Go to footnote 42.">[42]</a> and an eminent<span class="pagenum"><a name="Page_39" id="Page_39">{39}</a></span> -American practitioner once remarked to me that -he never entered a lady’s room to attend her in -confinement without wishing to apologize for what -he felt to be an intrusion, though a necessary and -beneficent intrusion, in one of his sex.</p> - -<p>I suppose that the real test of “demand” is not -in the opinions expressed by those women who -have never even seen a thoroughly educated -female physician, but in the practice which flows -in to any such physician when her qualifications -are clearly satisfactory. In England there are at -present but two women legally qualified to practise -Medicine, and I understand that already their time -is much more fully occupied, and their receipts -much greater, than is usually the case with -medical men who have been practising for so -short a period. Dr Garrett Anderson’s Dispensary -for poor women is also largely attended, -and during the five years which have elapsed -since it was opened, more than 40,000 visits -have been made to it; 9000 new patients have<span class="pagenum"><a name="Page_40" id="Page_40">{40}</a></span> -been admitted, and 250 midwifery cases have -been attended by the midwives attached to the -charity, Dr Garrett Anderson being called in -when necessary.</p> - -<p>When we turn to America, we find that a considerable -number of women have very extensive -practice and large professional incomes (more, indeed, -than in some cases seems warranted by their -medical qualifications). The Report of a little -hospital, managed entirely by women, in Boston, -U.S., relates that during 1867 the number of in-patients -was 198; of persons visited at their -homes, 281; and of those able to attend at the -dispensary, 4,576; all these patients being women -and children only. In fact, the attendance at the -Dispensary became so excessive in proportion to -the resources of the charity, that in 1868 a rule -was passed by the Committee requiring each -patient to pay twenty-five cents (or about ninepence) -for medicines, at each visit, except when -she brought “a certificate of her poverty, properly -authenticated.” This regulation brought out still -more strongly the distinct <em>choice</em> of poor women in -this matter, for, though the General City Dispensary -gave medicines gratuitously, the number of those -who attended at the Woman’s Hospital was much -less diminished than was expected, being still 3,236 -in 1868. In New York also, where the Dispensary -managed by women doctors is but one of many,<span class="pagenum"><a name="Page_41" id="Page_41">{41}</a></span> -the crowd of patients is very great, the numbers -being, in 1867, no less than 6354, while 545 -persons were attended at their homes either in -confinement or during severe illness. Of course -it will be understood that each patient thus -entered on the books implies not one visit, but -many, paid to the Dispensary, or often repeated -attendance at the patient’s home.</p> - -<p>Of the Boston Hospital for Women and Children -I can speak from lengthened experience in it -as a student. When standing in its dispensary -I have over and over again heard rough women -of a very poor class say, when questioned why -they had not had earlier treatment for certain -diseases, “Oh, I <em>could not</em> go to a man with such -a trouble, and I did not know till just now that -ladies did this work;” and from others have -repeatedly heard different expressions of the feeling -that, “It’s so nice, isn’t it, to be able at last -to ask ladies about such things?”</p> - -<p>As I am alluding to my own experience in this -matter, I may perhaps be allowed to say how often -in the same place I have been struck with the -<em>contingent</em> advantages attendant on the medical -care by women of women. How often I have seen -cases connected with stories of shame or sorrow to -which a woman’s hand could far most fittingly -minister, and where sisterly help and counsel -could give far more appropriate succour than could<span class="pagenum"><a name="Page_42" id="Page_42">{42}</a></span> -be expected from the average young medical man, -however good his intentions. Perhaps we shall -find the solution of some of our saddest social -problems when educated and pure-minded women -are brought more constantly in contact with their -sinning and suffering sisters, in other relations as -well as those of missionary effort.</p> - -<p>So far from there being no demand for women -as physicians, I believe that there is at this -moment a large amount of work actually awaiting -them; that a large amount of suffering exists -among women which never comes under the notice -of medical men at all, and which will remain -unmitigated till women are ready in sufficient -numbers to attend medically to those of their -own sex who need them, and this in all parts of -the world. From India we hear urgent demands -for “educating native women of good caste, so as -to qualify them to treat female patients and -children.”<a name="Anchor_43" id="Anchor_43" href="#Footnote_43" class="fnanchor" title="Go to footnote 43.">[43]</a> We are informed that <span class="pagenum"><a name="Page_43" id="Page_43">{43}</a></span>“this is a -work which can only be carried on by women, as -the native women in many cases will rather die -than be seen by a man in times of sickness,”<a name="Anchor_44" id="Anchor_44" href="#Footnote_44" class="fnanchor" title="Go to footnote 44.">[44]</a> -and arrangements have already been made for a -systematic “Female Medical Mission,” though -perhaps the standard of medical knowledge required -can, under existing circumstances, hardly -be fixed as high as is desirable. To show, however, -the eagerness with which the native women -avail themselves of the aid thus offered, I may -mention that when a lady (who had had some -medical training, but possessed no degree,) was -sent out by the Society<a name="Anchor_45" id="Anchor_45" href="#Footnote_45" class="fnanchor" title="Go to footnote 45.">[45]</a> in December 1870, she, -during the first three months of her stay, had -occasion to pay no less than 313 professional visits -to zenanas, and to treat 158 patients at her -dispensary, which was arranged with a view to -affording them the utmost privacy. Subsequently -her visits to zenanas averaged as many as seventeen -a day, while nearly twice as many patients -came to her dispensary. Efforts are also being made -to train native Hindoo women for some branches, -at least, of the medical profession. Dr Corbyn of -Bareilly, in 1870, wrote as follows:—<span class="pagenum"><a name="Page_44" id="Page_44">{44}</a></span>“I am educating -a number of native girls, and three have -already passed as native doctors. They are of all -castes,—Christians, Mahommedans, and Hindoos. -My school is divided into three classes. The -first-class pupils can read and write English and -Urdee with accuracy. They are taught medicine, -surgery, midwifery, diseases of women and children -(especially the latter two). The second-class -learn anatomy, materia medica, and physiology, in -English and Urdee. The pupils of the other (preparatory) -class are taught English and Urdee. -We have a female ward attached to the dispensary -for women and children, and these girls entirely -attend to them, under my and the sub-assistants’ -supervision. It is wonderful how they can manipulate; -they have plenty of nerve.”<a name="Anchor_46" id="Anchor_46" href="#Footnote_46" class="fnanchor" title="Go to footnote 46.">[46]</a> Even more -recently we learn that “the Mahommedan Nawab -of Rampoor has presented to the Bareilly mission -a large building for the purpose of a medical school -for women. Several women are now going through -a scientific course of instruction.”<a name="Anchor_47" id="Anchor_47" href="#Footnote_47" class="fnanchor" title="Go to footnote 47.">[47]</a></p> - -<p>About eight or ten years ago, <span class="pagenum"><a name="Page_45" id="Page_45">{45}</a></span>“several of the -wild tribes of Russian Asia petitioned the Government -to send them out properly qualified women -to act as midwives. Their petition was granted, -the Government undertaking all the expense of -the education and maintenance of a certain number -of women for this purpose. After a time one -of these tribes, the Kirgesen, petitioned further, -that the women thus sent to them should also be -taught some branches of the art of Medicine. One -of the women, then being trained as a midwife, -hearing of this petition, wrote to the Kirgesen, -proposing that she should study Medicine thoroughly, -and go out to them as a qualified doctor. -She suggested at the same time that they should -try to get permission for her to enter the Academy -of St Petersburg as a regular medical student. -The Kirgesen welcomed the proposal, and, through -an influential Russian general, obtained an official -document, empowering their future doctor to -attend the Academy as a student. They have -regularly sent money for her education and maintenance, -and from the first have taken the greatest -interest in her progress and welfare, requiring, -among other things, periodical bulletins of her -health. Hearing last summer that she was not -well, they sent money for her to go abroad for -her holiday, and asked for an extra bulletin.”<a name="Anchor_48" id="Anchor_48" href="#Footnote_48" class="fnanchor" title="Go to footnote 48.">[48]</a></p> - -<p>I cite the above facts to show that the demand -for female physicians is no artificial or imaginary -one, and that it does not spring out of any fanciful -whim of an over-refined social state; but lest -it should be supposed on the other hand to be -confined to half-barbarous nations, I may quote -the opinions expressed on this subject two years -ago in one of the most thoughtful of our English -journals: <span class="pagenum"><a name="Page_46" id="Page_46">{46}</a></span>“We heartily admit that the only way -to discriminate clearly what practical careers -women are, and are not, fitted for, is to let them -try. In many cases, as in the medical profession, -we do not feel any doubt that they will find a -special kind of work for which they are specially -fitted, which has never been adequately done by -men at all, and which never would be done but -by women.... We have heard the opinion of -one of the most eminent of our living physicians, -that one of the new lady physicians is doing, in -the most admirable manner, a work which medical -men would never even have had the chance of -doing.”<a name="Anchor_49" id="Anchor_49" href="#Footnote_49" class="fnanchor" title="Go to footnote 49.">[49]</a></p> - -<p>I am told by Catholic friends that a great many -cases of special disease remain untreated in convents, -because the nuns, with their extreme -notions of feminine seclusion, think that it would -be little short of profanation to submit to some -kinds of medical treatment from a man.<a name="Anchor_50" id="Anchor_50" href="#Footnote_50" class="fnanchor" title="Go to footnote 50.">[50]</a> Indeed, -it is expressly laid down by a great Catholic authority, -St Alphonsus,<a name="Anchor_51" id="Anchor_51" href="#Footnote_51" class="fnanchor" title="Go to footnote 51.">[51]</a> that though monks and -nuns are required to place themselves in the -doctor’s care when commanded to do so by their -superiors, a special exception is to be made in the -case of nuns suffering from certain maladies, who -can only be required to accept treatment from a -skilled woman, if any such be available; as, under -existing circumstances, is so rarely the case. I do -not ask any reader to applaud or even justify these -poor nuns, if they, esteeming themselves “the -martyrs of holy purity,” sacrifice life to such -scruples; but I do most emphatically ask, in the<span class="pagenum"><a name="Page_47" id="Page_47">{47}</a></span> -name of humanity, whether the state of things can -be defended which may drive women, from the -highest and most holy motives, to submit to the -extremity of physical suffering and even death -itself, because it is impossible for them to obtain -the medical services of their own sex, and because -they believe they can best fulfil the spirit of their -vows by accepting no other?</p> - -<p>I am informed by a friend that Archbishop -Manning, when expressing to her his strong interest -in the question of the medical education of -women, alluded to facts like those referred to -above, as affording one of the strongest motives -for such interest in the minds of Catholics. Nor, -surely, need sympathy in such a case be limited -within the bounds of any religious denomination.</p> - -<p>To pass to the consideration of other cases of a -less exceptional kind, there can, I think, be little -doubt that an enormous amount of preventible -suffering arises from the unwillingness of very -many girls on the verge of womanhood to consult -a medical man on various points which are yet of -vital importance, and to appeal to him in cases of -apparently slight illness, which yet issue but too -often in ultimately confirmed ill-health. I firmly -believe that if a dozen competent women entered -upon medical practice at this moment in different -parts of England, they might, without withdrawing -a single patient from her present medical attendant, -<span class="pagenum"><a name="Page_48" id="Page_48">{48}</a></span>find full and remunerative employment -in attending simply to those cases which, in the -present state of things, go without any adequate -treatment whatever; for I believe that many suffering -women would be willing to consult one of -their own sex, if thoroughly qualified, when they -refuse, except at some crisis of acute suffering, to -call in a medical man.<a name="Anchor_52" id="Anchor_52" href="#Footnote_52" class="fnanchor" title="Go to footnote 52.">[52]</a> Probably Queen Isabella -of Castile<a name="Anchor_53" id="Anchor_53" href="#Footnote_53" class="fnanchor" title="Go to footnote 53.">[53]</a> was neither the first nor the last woman -whose life was sacrificed to her modesty. Even -if such extreme instances are rare, I think it cannot -be denied that very much needless pain, “and -pain of a kind that ought not to be inflicted,” is -caused, especially to young girls, by the necessity -of consulting men on all occasions, and I believe -that those who know most of the facts insist most -strongly on this point.</p> - -<p><span class="pagenum"><a name="Page_49" id="Page_49">{49}</a></span></p> - -<p>I do not know how far the Medical Profession -would acknowledge the truth of the above statement; -it is probable that they are really less -competent to judge about it than women are -themselves, for, as an eminent divine remarked -that it was considered a point of politeness not to -express theological doubts before a clergyman, it -may probably be thought still more obligatory not -to question the adequacy of the existing medical -profession before one of its members. One can -hardly imagine a lady sending for a doctor to tell -him why she will <em>not</em> consult him; it is sufficient -to know that many cases of disease among women -go without treatment; it is surely open to any one -at least to suggest the above as one of the possible -reasons.</p> - -<p>And indeed, if no such special suffering were -often involved in the idea of consulting a man on -all points, it seems self-evident that a woman’s -most natural adviser would be one of her own -sex, who must surely be most able to understand -and sympathise with her in times of sickness -as well as of health, and who can often far more -fully appreciate her state, both of mind and -body, than any medical man would be likely -to do.<a name="Anchor_54" id="Anchor_54" href="#Footnote_54" class="fnanchor" title="Go to footnote 54.">[54]</a></p> - -<p>Nor can I leave the subject without expressing a -hope that, when women are once practising medicine -in large numbers, great gain may accrue to -medical science from the observations and discoveries -which their sex will give them double -facilities of making among other women. One of -the most eminent of the so-called “ladies’ doctors” -of the day writes:—“The principal reason why -the knowledge of diseases of women has so little -advanced, is the hitherto undisturbed belief that -one sex only is qualified by education and powers -of mind to investigate and to cure what the other -sex alone has to suffer.” After alluding to women -physicians of both ancient and modern times, Dr -Tilt further remarks, that, “if well educated, they -may greatly improve our knowledge of the diseases -of women.”<a name="Anchor_55" id="Anchor_55" href="#Footnote_55" class="fnanchor" title="Go to footnote 55.">[55]</a></p> - -<p>Moreover, there is reason to hope that women -doctors may do even more for the health of -their own sex in the way of prevention than of -cure, and surely this is the very noblest province -of the true physician. Already it is being proved -with what eagerness women will attend lectures -on physiology and hygiene when delivered to -them by a woman, though perhaps not one in ten -would go to the same course of lectures if given by -a medical man. I look forward to the day when -a competent knowledge of these subjects shall be -as general among women as it now is rare; and -when that day arrives, I trust that the <span class="pagenum"><a name="Page_50" id="Page_50">{50}</a></span>“poor -health” which is now so sadly common in our sex, -and which so frequently comes from sheer ignorance -of sanitary laws, will become rather the exception -than, as now too often, the rule. I hope that then -we shall find far fewer instances of life-long illness -entailed on herself by a girl’s thoughtless ignorance; -I believe we shall see a generation of women -far fitter in mind and body to take their share in -the work of the world, and that the Registrar will -have to record a much lower rate of infantile mortality -when mothers themselves have learned to -know something at least of the elementary laws -of health. It has been well said that the noblest -end of education is to make the educator no longer -necessary; and I, at least, shall think it the highest -proof of success if women doctors can in time succeed -in so raising the standard of health among -their sister women, that but half the present percentage -of medical practitioners are required in -comparison to the female population.</p> - -<p>Of course I do not expect that every reader -will look at this question from my point of -view, or will be able to arrive at the same conclusions -respecting it. But I think that many who -have never before seen the matter in the light -in which I have tried to place it, will be ready -to admit that there are at any rate <i lang="la" xml:lang="la">primâ facie</i> -grounds for my argument, and that allowing even -for considerable over-statement on my part, there -may still remain subject for serious consideration.</p> - -<p>Even if I am wholly mistaken, and if all that -needs doing <em>can</em> in England be effectually done -by men, we have still, I think, no reason for the -exclusion of women from the medical profession;—there -is still no ground on which it can be -right to refuse to every patient the power of election -between a physician of her own sex and of -the other, when women as well as men are -desirous of qualifying themselves for this work, -seeing that it will after all be always a matter of -choice; for we cannot suppose that the time will -ever come when women will be arbitrarily prevented -from employing men, as they now are -arbitrarily prevented from employing women, as -their medical attendants.</p> - -<p>The assertion that women <em>are</em> at present -“arbitrarily prevented from employing women as -their medical attendants” may sound startling, -but it is at this moment practically true in England, -in the most literal sense. Since medical -practice has, for the protection of the public, been -made a matter of legislation, it has been absolutely -illegal for any physician or surgeon to -practise as such in this country, unless registered -by the appointed Medical Board, and that Board -is not obliged to register any one who has not -a British medical degree. It is evident, then, -that to deny all British medical degrees to<span class="pagenum"><a name="Page_51" id="Page_51">{51}</a></span> -women,—not only to refuse them instruction, -but to refuse to examine them if they have -acquired knowledge elsewhere,—<em>is</em> most arbitrarily -to prohibit all women, whatever their -qualification, from practising medicine in the -United Kingdom, except under legal pains and -penalties.</p> - -<p>Of course no such arbitrary action was even -contemplated when the Act of 1858 was passed; -and I think that when once the great practical -injustice of the present state of things is fully -understood by the public, a change is inevitable,—either -British medical degrees will be thrown -open to women, as is most desirable, or the legal -conditions of practice will be modified to meet -the case of those to whom such degrees are -denied. It is perhaps hardly to be expected, -though very much to be desired, that medical -men as a body should themselves take the initiative -in this matter, and throw open the doors to -all women who desire worthily to join their -fellowship, for it proverbially “needs <em>very</em> good -men to give up their own monopoly;” but the -action of the general public in the matter can -hardly be doubtful except as a question of time;—no -English court could be expected to condemn -to legal penalties a succession of highly-educated -ladies who may have seized, often with great -effort, every opportunity open to them to fit<span class="pagenum"><a name="Page_52" id="Page_52">{52}</a></span> -themselves thoroughly for a work which they believe -to be especially their own.</p> - -<p>The recent action taken in the matter by the -authorities at Apothecaries’ Hall is exactly of the -kind to outrage an Englishman’s sense of fairness, -and therefore is sure before long to bring its own -redress. As the facts may not be thoroughly -understood in the non-medical world, I will briefly -recapitulate them. When Miss Garrett first -began to study medicine in 1860, she tried to -obtain admittance to one School and University -after another, and finally found that Apothecaries’ -Hall was the only body which, from its charter, -had no power to refuse to examine any candidate -complying with its conditions. She accordingly -went through the required five years’ apprenticeship, -and obtained her diploma in 1865, having -gone to very great additional expense in obtaining -privately the required lectures by recognised -Professors,—sometimes paying fifty guineas for -a course when the usual fee, in the classes from -which she was debarred, was but three or four. -Not content, however, with indirectly imposing -this enormous pecuniary tax on women, the authorities -now bethought them to pass a rule forbidding -students to receive any part of their medical -education privately,—this course being publicly -advised by one of the leading medical journals as -a safe way of evading the obligations of the charter,<span class="pagenum"><a name="Page_53" id="Page_53">{53}</a></span> -and yet effectually shutting out the one chance -left to the women!<a name="Anchor_56" id="Anchor_56" href="#Footnote_56" class="fnanchor" title="Go to footnote 56.">[56]</a></p> - -<p>Of course the efficacy of this measure ceases the -moment that any regular medical school fairly -opens its doors to women; but till that day comes, -it presents a formidable, if not insuperable, difficulty. -Commenting on this proceeding, the <cite>Daily -News</cite> remarks:—“We recommend these facts to -the good people who think that coercion, restriction, -and the tyranny of combination, are peculiar -to any one class of society. It will be a great day -in England when the right of every individual to -make the most of the ability which God has given -him, free from interested interference, is recognised, -and to that goal we are surely advancing; -but our progress is slow, and it is very clear that it -is not only in the lower ranks of the community -that the obstructive trades-union spirit is energetically -operating.”</p> - -<p>While such is the state of affairs in England, -other European nations have taken a very different -position. We have already seen that the Italian -Universities were, in fact, never closed to women, -and that at Bologna no less than three women -held Professors’ chairs in the Medical Faculty.<span class="pagenum"><a name="Page_54" id="Page_54">{54}</a></span><a name="Anchor_57" id="Anchor_57" href="#Footnote_57" class="fnanchor" title="Go to footnote 57.">[57]</a> -We have several instances of degrees granted to -women in the Middle Ages by the Universities of -Bologna, Padua, Milan, Pavia, and others; the -earliest instance that I have found being that of -Betisia Gozzadini,<a name="Anchor_58" id="Anchor_58" href="#Footnote_58" class="fnanchor" title="Go to footnote 58.">[58]</a> who was made Doctor of Laws -by the University of Bologna in 1209. In Germany -also several such instances have occurred. -At Paris no less than seven degrees in Arts and -Sciences have been granted to women by the University -of France within the last ten years, and a -number of women are now studying in the Medical -School there. In answer to my enquiries in -1868, the Secretary to the Minister of Public Instruction -made the following communication:—</p> - -<blockquote lang="fr" xml:lang="fr"> -<p class="address_date">“<i lang="fr" xml:lang="fr">Paris, le 18 Août 1868<span class="spread-out_date">,</span><br /> -“Ministère de l’Instruction Publique.</i></p> - -<p>“<span class="smcap">Mademoiselle</span>,—En réponse à la lettre que vous me -faites l’honneur de m’adresser, en vous recommendant du nom -de Lord Lyons, qui a écrit pour vous à <abbr title="Monsieur">Mons.</abbr> le Ministre, je -m’empresse de vous faire savoir que le Ministre est disposé à -vous autoriser, aussi que les autres dames Anglaises qui se -destineraient à la médecine, à faire vos études à la Faculté de -Paris, et a y subir des examens.</p> - -<p>“Il est bien entendu que vous devez être munie, par voie -d’équivalence on autrement, des diplômes exigés pour l’inscription -à la faculté de médecine.</p> - -<p>“Agreez, Mademoiselle l’assurance de mon respect,</p> - -<p class="signed">(<span lang="en" xml:lang="en">Signed</span>)<span class="spread-out"> </span>“<span class="smcap">Danton</span>.”</p> -</blockquote> - -<p>Since this Essay was first published, two women -have obtained the degree of M.D. in Paris, after<span class="pagenum"><a name="Page_55" id="Page_55">{55}</a></span> -passing brilliant examinations in each case. The -first graduate was our distinguished countrywoman, -Miss Garrett, who, after passing the five -examinations required, received her degree in -June 1870. The <cite>Lancet</cite> records that “her friends -must have been highly gratified to hear how her -judges congratulated her on her success, and to -see what sympathy and respect was shown to her -by all present.”<a name="Anchor_59" id="Anchor_59" href="#Footnote_59" class="fnanchor" title="Go to footnote 59.">[59]</a></p> - -<p>The next lady who graduated was Miss Mary -C. Putnam of New York, who, after quietly pursuing -her studies (combined with original researches), -like a second Archimedes, during both -the sieges of Paris in 1870–71, took her degree -with great honour in August 1871. The <cite>Lancet</cite><a name="Anchor_60" id="Anchor_60" href="#Footnote_60" class="fnanchor" title="Go to footnote 60.">[60]</a> -remarked—“Miss Putnam has just been undergoing -the very strict examinations for the doctor’s -degree in Paris, and has passed very creditably. -This is the second case in the Paris faculty, the -innovation being made quietly, whilst elsewhere -angry discussions intervene.”</p> - -<p>At Lyons, also, two women have obtained degrees -in Arts, in 1861 and 1869 respectively. At -Montpellier a degree in Arts was also conferred on -a woman in 1865, and another lady has passed the -first two examinations in the <i lang="fr" xml:lang="fr">Ecole de Pharmacie -Supérieure</i> in that city.</p> - -<p>For several years past the University of Zurich<span class="pagenum"><a name="Page_56" id="Page_56">{56}</a></span> -has been thrown open to women as freely as to -men; a Russian woman, named Nadejda Suslowa, -being the first to obtain a degree in Medicine, in -1867. Several more have since then graduated, -and others are at present pursuing their studies -there in the ordinary classes.<a name="Anchor_61" id="Anchor_61" href="#Footnote_61" class="fnanchor" title="Go to footnote 61.">[61]</a></p> - -<p>In March 1870 it was announced, on the authority -of the <cite>Lancet</cite>, that the University of -Vienna had formally decided to admit women as -students, and to confer on them the ordinary -medical degrees.<a name="Anchor_62" id="Anchor_62" href="#Footnote_62" class="fnanchor" title="Go to footnote 62.">[62]</a></p> - -<p>A month or two later the Swedish newspapers -published in their official columns a royal decree, -granting to Swedish women the right to study -and practise medicine, and ordaining that the -professors of the Universities should make arrangements -for teaching and examining them in -the usual way.<a name="Anchor_63" id="Anchor_63" href="#Footnote_63" class="fnanchor" title="Go to footnote 63.">[63]</a></p> - -<p>Even Russia seems in advance of England in -this matter. In 1869, <span class="pagenum"><a name="Page_57" id="Page_57">{57}</a></span>“the Medico-Chirurgical -Academy of St Petersburg conferred the degree -of M.D. upon Madame Kaschewarow, the first -female candidate for this honour. When her -name was mentioned by the Dean, it was received -with an immense storm of applause, which lasted -for several minutes. The ceremony of investing -her with the insignia of her dignity being over, -her fellow-students and colleagues lifted her upon -a chair, and carried her with triumphant shouts -through the hall.”<a name="Anchor_64" id="Anchor_64" href="#Footnote_64" class="fnanchor" title="Go to footnote 64.">[64]</a></p> - -<p>At Moscow, also, “the Faculty of Medicine, -with the full concurrence of the Council of the -University of Moscow, have decided to grant to -women the right of being present at the educational -courses and lectures of the Faculty, and to -follow all the labours of the Medico-Chirurgical -Academy. The tests of capacity will be precisely -the same as for male students.”<a name="Anchor_65" id="Anchor_65" href="#Footnote_65" class="fnanchor" title="Go to footnote 65.">[65]</a> Still more recently -we hear from St Petersburg that “the -success of the lady physicians is encouraging other -ladies to devote themselves to medicine, and a -considerable step has been made in this direction. -... A person who interests herself in the -higher education of women has requested the -Minister of State to accept the sum of £8000, and -to devote it to the establishment of medical -classes for women at the Imperial Academy of -Medicine.”<a name="Anchor_66" id="Anchor_66" href="#Footnote_66" class="fnanchor" title="Go to footnote 66.">[66]</a></p> - -<p>Nor is the progress of liberality less marked on -the other side of the Atlantic. It is well known -that several of the smaller medical schools in the -United States admitted women as soon as they<span class="pagenum"><a name="Page_58" id="Page_58">{58}</a></span> -applied for instruction, but until 1869 no American -University threw open its doors. About the -end of that year, however, the State University -of Michigan took the initiative in this matter, and -the following statement was inserted in last year’s -official Calendar:—“Recognising the equality of -rights of both sexes to the highest educational -advantages, the Board of Regents have made provision -for the medical education of women, by -authorising a course of education for them, separate, -but in all respects equal to that heretofore -given to men only. The conditions of admission, -as well as graduation, are the same for all.” During -the first year fourteen women appeared as -students in the Faculty of Arts, three in that of -Law, and thirteen were studying Medicine and -Surgery. In the spring of 1871 Miss Sanford -received the first medical degree granted to a -woman by an American University; and it is -worth notice that this lady (herself a pupil of Dr -Lucy Sewall of Boston,) took her place among the -most distinguished graduates of the year;—her -thesis on “Puerperal Eclampsia” being the one -selected by the Medical Faculty for publication. -The number of women studying at Michigan University -during the session 1871–72 was sixty-eight, -as compared with the thirty of the previous -year; such rapid increase being tolerably significant -of the avidity with which women embrace<span class="pagenum"><a name="Page_59" id="Page_59">{59}</a></span> -the long-denied opportunities of instruction, and -offering sufficient encouragement to any British -University that may resolve to try the same experiment.</p> - -<p>It will thus be seen that many nations have, -from the earliest period, recognised and acted -upon the truth that “Mind is of no sex,” and that, -where this has not been the case in former times, -the barriers are being rapidly and readily thrown -down as civilization advances, till, in truth, Great -Britain now stands almost alone in refusing to -admit her daughters to the national universities, -and in denying them the opportunity of proving -experimentally whether “the male mind of the -Caucasian race<a name="Anchor_67" id="Anchor_67" href="#Footnote_67" class="fnanchor" title="Go to footnote 67.">[67]</a>” is indeed so immeasurably superior -to its feminine counterpart. It may be remarked, -by the bye, that it is very curious to -notice how the very people who loudly maintain -the existence of this vast mental disparity are just -those who strenuously resist every endeavour to -submit their theory to the touchstone of experience, -instead of welcoming the application of -those tests that might be expected so triumphantly -to prove their point! But, jesting apart, -the present state of things can hardly be agreeable<span class="pagenum"><a name="Page_60" id="Page_60">{60}</a></span> -to English self-respect; and it is to be hoped that -our country will soon descend from her bad eminence, -and no longer be marked out as the one -land where men only can reap benefit from the -educational advantages provided at the expense -of the nation at large. It can hardly be an object -of ambition to the learned men of any people to -deserve the woe pronounced of old against those -who “have taken away the key of knowledge, and -them that were entering in, they hindered.”</p> - -<p>There seems to be practically no doubt now -that women are and will be doctors. The only -question really remaining is, how thoroughly they -are to be educated and fitted to take their share -of responsibility in the care of the life and health -of the nation; how far their difficulties are to be -lightened or increased; and whether the state of -things shall continue by which they are driven -into unwilling quackery on the one hand, or made -to suffer real oppression from irresponsible authority -on the other.</p> - -<p>Men who, after an irregular education and -incomplete training, claim the name of physicians, -are justly stigmatised as quacks, and excluded -from honourable fellowship, for they have refused -the straight and direct path as too laborious, and -have sought admittance by crooked ways. It is -right enough to impose heavy penalties on them -for practising without a diploma which it needs<span class="pagenum"><a name="Page_61" id="Page_61">{61}</a></span> -only industry on their part to obtain; but what -shall we say when women are refused admission -to every regular Medical School, and then, when -they have perhaps painfully and laboriously -gathered their own education, either in England -or abroad, are excluded from the fellowship of the -profession, for the sin of having been unjustly -treated! That some women have succeeded in -acquiring most competent medical knowledge and -skill can hardly be denied, except by those who -really know nothing of the facts, or are wilfully -blind to them; but in almost every case they -have done so at a cost of money, effort, and personal -sacrifice, that can be expected only from the -few. Imagine all medical students met by the -difficulties which female students must encounter;—how -many properly educated doctors should we -have?</p> - -<p>Many persons, however, who would gladly see -women engage in the practice of Medicine, yet -think it undesirable that they should obtain their -education in the same schools as men; and here -another practical point arises for consideration. -If it is indeed true that no one is fit for the profession -of Medicine unless able to banish from its -practice the personal idea of sex, it certainly -seems as if all earnest students seeking the same -knowledge for the same ends, ought to be able to -pursue their studies together. We are constantly<span class="pagenum"><a name="Page_62" id="Page_62">{62}</a></span> -told (and I think rightly) that no woman <em>need</em> -object, when necessary, to consult a medical man -on any point, because the physician will see in it -simply an impersonal “case,” and will, from his -scientific standpoint, practically ignore all that -would be embarrassing as between persons of -opposite sexes. If this is and ought to be true, -it does not seem too much to demand equal delicacy -of feeling among those who will in a year or -two be themselves physicians; and, from personal -experience when studying in large American hospitals -with students of both sexes, I believe that -no serious difficulty need ever occur, except in -cases of really exceptional coarseness of character -on one side or the other. That such joint -study will be for the first few days novel and -embarrassing is of course natural; but I believe -that, as the first novelty wears off, the embarrassment -too will disappear in the interest of a common -study, and that no thoroughly pure-minded -woman, with an ordinary amount of tact, need -ever fear such association with students of whom -the majority will always be gentlemen. It is of -course a radically different thing to study any or all -subjects with earnest scientific interest, and to -discuss them lightly in common conversation.<a name="Anchor_68" id="Anchor_68" href="#Footnote_68" class="fnanchor" title="Go to footnote 68.">[68]</a></p> - -<p>Not only in America has the system of joint -education been tried, but at Paris and at Zurich<span class="pagenum"><a name="Page_63" id="Page_63">{63}</a></span> -ladies are at the present moment studying in the -regular Medical Schools, and friends at each place -assure me of the complete success of the experiment, -if such it is considered. Dr Mary Putnam -(the first lady ever admitted to the Parisian -Medical School) in 1869 wrote thus: “There is -not the slightest restriction on my studies or my -presence at the Classes.... I have never found -the slightest difficulty in studying with the young -men with whom I am associated, not only at lectures, -but in the hospitals, reading-room, laboratory, -<abbr title="etcetera">&c.</abbr> I have always been treated with a -courtesy at once frank and respectful.” A lady -studying Medicine at the University of Michigan -in 1870, wrote—“We are very much pleased -with the way in which we have been received -here, both by professors and students; they have -treated us in every respect with great courtesy.” -Another lady, when studying at Zurich, reported -that “in the Medical School of Zurich, no advantage -which is afforded to the male students is -denied to the women. Every class is open to -them, and they work side by side with the men. -The students have invariably been to me most -friendly, helpful, and courteous.” In answer to -an official letter of enquiry, the Dean of the -Medical Faculty at Zurich wrote: <span class="pagenum"><a name="Page_64" id="Page_64">{64}</a></span>“Since 1867, -ladies have been regularly admitted as matriculated -students, and have been allowed all the -privileges of <i lang="la" xml:lang="la">cives academici</i>. As far as our -experience has gone, the new practice has not in -any way been found to damage the interests of -the University. The lady students we have -hitherto had have all been found to behave with -great good taste, and to be diligent students.” -Such evidence must surely carry more weight -than the opinions of those who merely theorize -about probabilities, especially when such theorists -start, as is often the case, with a predisposition to -find “lions in the way.”</p> - -<p>If the admission of women to the regular Medical -Schools has been proved to bring no evil -consequences, wherever teachers and professors -have shown good will, it needs strong arguments -to justify their exclusion from advantages which -they can hardly obtain elsewhere; for it has been -well remarked, that nothing can be more false -than to confound a “small injustice” with “injustice -to a small number.”</p> - -<p>It is simply a mockery, and one calculated to mislead -the public, when a medical journal<a name="Anchor_69" id="Anchor_69" href="#Footnote_69" class="fnanchor" title="Go to footnote 69.">[69]</a> announces -that <span class="pagenum"><a name="Page_65" id="Page_65">{65}</a></span>“We would offer no obstacle to any steps -which women may think would be conducive to -their own benefit. But if it be indispensable that -they should study Anatomy and Medicine, let -them, in the interests of common decency, have -an educational institution and licensing body of -their own.” And again, “If women are determined -to become Medical Practitioners, they are -at perfect liberty to do so; but it is only consistent -with decency that they should have their -own special Schools and examining bodies.” Such -writers know perfectly well that it is utterly -impossible for two or three struggling women -students to found “their own special Schools,” -(though, when a sufficient number of women are -educated, they may gladly make such provision for -those who will succeed them,) and that, if in truth -women as well as men have a right to claim -opportunities of education, the duty of providing -separate instruction for them clearly falls on the -existing Schools, if the authorities refuse to admit -them to share in the general advantages offered.</p> - -<p>For myself, I cannot see why difficulties that -have in France and Switzerland been proved -chimerical, should in England be supposed (without -any fair trial) to be insurmountable; as I, for -one, cannot believe that less good and gentlemanly -feeling should be expected from English and -Scotch students, wherever their Professors set -them an example of courtesy, than is found among -the undergraduates of foreign Universities.</p> - -<p>But this is a point which I do not greatly care -to urge; although Medical Science can undoubtedly -be most favourably studied under those conditions -which only large institutions can command,<span class="pagenum"><a name="Page_66" id="Page_66">{66}</a></span> -and which could for many years be but imperfectly -attained in a Medical College designed for -women only. Still there is no doubt that women, -thoroughly in earnest, and with a certain amount -of means at their command, <em>can</em> obtain adequate -medical instruction without entering any of the -existing Schools for men, and no doubt arrangements -could be made to secure all that is necessary -with much less effort and expense than at -present. We should be very thankful to have -the Medical Schools thrown open to us, to be allowed -some share in the noble provision made, -chiefly with public money, for the instruction of -medical students; but this is not absolutely indispensable; -we may be refused this, and yet gain -our end, though with greater toil and at greater -expense. As time goes on, and as the number of -women attracted by the study of Medicine increases, -it will probably, apart from all extrinsic -considerations, be both natural and convenient -that they should have a Medical School of their -own, in which every means of study should be -specially provided for, and adapted to, their needs. -It is not, however, I think, desirable that this -should be done until the number of students is -sufficient to guarantee funds for the liberal payment -of first-rate teachers, and the ample provision -of all needful facilities. If no women are to -be made competent physicians till they have a<span class="pagenum"><a name="Page_67" id="Page_67">{67}</a></span> -school of their own, there never will be any at -all; for those who broadly oppose the movement -will always be able to say, “Women have never -proved that they can use such advantages as will -be thus furnished; do not establish a College for -them till they have.”</p> - -<p>So the double argument would run thus: “Do -not found a Female Medical School till we are sure -that women can successfully study Medicine; do -not let any woman study Medicine except in a -Medical School of their own.” Between such a -Scylla and Charybdis who can steer clear?</p> - -<p>Supposing, however, that this dilemma were -escaped, and that adequate means of instruction -were provided, (with men, or apart from them, I -care not,) it would still, I think, be essential, not -only to the interests of women doctors, but to those -of the public at large, that the standard for medical -practitioners of both sexes should be identical; -that women should be admitted to the examinations -already established for men, and should receive -their medical degree on exactly the same -terms. I do not for a moment desire to see -degrees granted to women by a College of their -own, or to see a special examination instituted for -them; for there would be extreme difficulty in -measuring the exact value of any such diplomas, -and danger would arise, on the one hand, of injustice -being done to those thoroughly competent,<span class="pagenum"><a name="Page_68" id="Page_68">{68}</a></span> -but possessing “only a woman’s degree,” and, on -the other, of the standard being really lowered, -and the medical degree coming to possess an uncertain -and inferior value.</p> - -<p>Of this latter danger we have abundant warning -in America, where every fresh College is -allowed the right of “graduating” its own students -on whatever terms it pleases, and where, indeed, -one is confounded by the innumerable diplomas -granted by all sorts of Colleges to all sorts of -people, so that one has need to inquire whether -the M.D. attached to a name represents a degree -granted by some “Eclectic” or “Hygeio-therapeutic” -College of mushroom growth, or by the -Universities of Harvard and Yale.</p> - -<p>We cannot wish for such a state of things in -England. Let British degrees continue to be of -perfectly definite value; make the conditions as -stringent as you please, but let them be such as -are attainable by all students, and are clearly understood -by the general public; and then, for all -that would worthily win and wear the desired -honours, “a fair field and no favour.”</p> - -<p>Is there not one of the English, Scotch, or Irish -Universities that will win future laurels by now -taking the lead generously, and announcing its -willingness to cease, at least, its policy of arbitrary -exclusion? Let the authorities, if they please, -admit women to study in the ordinary classes<span class="pagenum"><a name="Page_69" id="Page_69">{69}</a></span> -with or without any special restrictions (and it is -hard to believe that at least the greater part of -the lectures could not be attended in common); -or let them, if they think needful, bid the women -make their own arrangements, and gather their -knowledge as they can;<a name="Anchor_70" id="Anchor_70" href="#Footnote_70" class="fnanchor" title="Go to footnote 70.">[70]</a> with this promise only, -that, when acquired, such knowledge shall be duly -tested, and, if found worthy, shall receive the -Hall-mark of the regular Medical Degree.</p> - -<p>Surely this is not too much to ask, and no more -is absolutely essential. If, indeed, the assertions -so often made about the incapacity of women are -true, the result of such examinations (which may -be both theoretical and practical, scientific and -clinical,) will triumphantly prove the point. If -the examinations are left in the hands of competent -men, we may be very sure that all unqualified -women will be summarily rejected, as indeed -it is to be desired that they should be.</p> -<p><span class="pagenum"><a name="Page_70" id="Page_70">{70}</a></span></p> -<p>If, on the contrary, some women, however few, -can, under all existing disadvantages, successfully -pass the ordeal, and go forth with the full authority -of the degree of Doctor of Medicine, surely -all will be glad to welcome their perhaps unexpected -success, and bid every such woman, as -she sets forth on her mission of healing, a hearty -God-speed!</p> - -<hr class="chap" /> - -<div class="footnotes"> - -<h3>FOOTNOTES:</h3> - - <ul> - - <li> - <a name="Footnote_1" id="Footnote_1" href="#Anchor_1" title="Return to text.">[1]</a> - See <i><a href="#Note_A" title="Go to Note A">Note A</a></i>. - </li> - - <li> - <a name="Footnote_2" id="Footnote_2" href="#Anchor_2" title="Return to text.">[2]</a> - <cite>Athenæum</cite>, <abbr title="September">Sept.</abbr> 28, 1867. - </li> - - <li> - <a name="Footnote_3" id="Footnote_3" href="#Anchor_3" title="Return to text.">[3]</a> - In his “<cite lang="fr" xml:lang="fr">Essai sur les Femmes</cite>,” Thomas points out that “<span lang="fr" xml:lang="fr">Chez -la plupart des sauvages ... la médecine et la magie sont entre les -mains des femmes.</span>” - </li> - - <li> - <p><a name="Footnote_4" id="Footnote_4" href="#Anchor_4" title="Return to text.">[4]</a> - The passage is thus rendered by Professor Blackie:—</p> -<div class="poetry-container"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“His eldest born, hight Agamede, with golden hair,</div> - <div class="p_line_i0">A leech was she, and well she knew all herbs on ground that grew.”</div> - - <div class="p_ref">(<cite class="plain">Iliad</cite>, <abbr title="11">xi.</abbr> 739).</div> - </div> - </div> -</div> -<p> -In his Notes the translator remarks that “it seems undeniable -that women have a natural vocation for exercising certain branches -of the medical profession with dexterity and tact.... It is -gratifying therefore to find that a field of activity which has been -recently claimed for the sex ... finds a precedent in the venerable -pages of the <cite class="plain">Iliad</cite>.... In fact, nothing was more common in ancient -times than medical skill possessed by females,” in proof of which -assertion he mentions Œnone and others. (Professor Blackie’s -“<cite class="plain">Homer and the Iliad</cite>.” Edmonston & Douglas.)</p> - </li> - - <li> - <a name="Footnote_5" id="Footnote_5" href="#Anchor_5" title="Return to text.">[5]</a> - <cite class="plain">Odyssey</cite>, <abbr title="4">iv.</abbr> 227. - </li> - - <li> - <a name="Footnote_6" id="Footnote_6" href="#Anchor_6" title="Return to text.">[6]</a> - <cite class="plain">Hippolytus</cite>, 293–7. - </li> - - <li> - <a name="Footnote_7" id="Footnote_7" href="#Anchor_7" title="Return to text.">[7]</a> - Finauer’s “<cite lang="de" xml:lang="de">Allgemeines Verzeichniss gelehrten Frauenzimmer</cite>.” - </li> - - <li> - <a name="Footnote_8" id="Footnote_8" href="#Anchor_8" title="Return to text.">[8]</a> - I subjoin as a curiosity the quaint version of this story that -is given in a letter from Mrs Celleor (a fashionable midwife of the -reign of James <abbr title="the Second">II.</abbr>), published in 1687, and now to be found in -the British Museum. After saying that “<span lang="emodeng" xml:lang="emodeng">Among the subtile -Athenians a law at one time forbade women to study or practise -medicine or physick on pain of death, which law continued some -time, during which many women perished, both in child-bearing -and by private diseases, their modesty not permitting them to -admit of men either to deliver or cure them,</span>” she continues, -“<span lang="emodeng" xml:lang="emodeng">Till God stirred up the spirit of Agnodice, a noble maid, to pity -the miserable condition of her own sex, and hazard her life to -help them; which to enable herself to do, she apparelled her like -a man, and became the scholar of Hierophilos, the most learned -physician of the time; and having learned the art, she found out -a woman that had long languished under private diseases, and -made proffer of her service to cure her, which the sick person -refused, thinking her to be a man; but, when Agnodice discovered -that she was a maid, the woman committed herself into her hands, -who cured her perfectly; and after her many others, with the -like skill and industry, so that in a short time she became the -successful and beloved physician of the whole sex.</span>” When her -sex became known to the public, “<span lang="emodeng" xml:lang="emodeng">she was like to be condemned -to death for transgressing the law ... which, coming to the ears -of the noble women, they ran before the Areopagites, and the -house being encompassed by most women of the city, the ladies -entered before the judges, and told them they would no longer -account them for husbands and friends, but for cruel enemies that -condemned her to death who restored to them their health, protesting -they would all die with her if she were put to death.... -This caused the magistrates to disannul the law, and make another, -which gave gentlewomen leave to study and practise all parts of -physick to their own sex, giving large stipends to those that did -it well and carefully. And there were many noble women who -studied that practice, and taught it publicly in their schools as -long as Athens flourished in learning.</span>” - </li> - - <li> - <a name="Footnote_9" id="Footnote_9" href="#Anchor_9" title="Return to text.">[9]</a> - “<cite class="plain">Thornton Romances</cite>,” Camden Society. - </li> - - <li> - <a name="Footnote_10" id="Footnote_10" href="#Anchor_10" title="Return to text.">[10]</a> - “<cite class="plain">Ivanhoe</cite>,” chap. <abbr title="28">xxviii.</abbr> - </li> - - <li> - <a name="Footnote_11" id="Footnote_11" href="#Anchor_11" title="Return to text.">[11]</a> - “<cite class="plain" lang="it" xml:lang="it">Nuovo Dizionario Istorico</cite>;” Bassano, 1796. - </li> - - <li> - <a name="Footnote_12" id="Footnote_12" href="#Anchor_12" title="Return to text.">[12]</a> - Fachini’s “<cite class="plain" lang="it" xml:lang="it">Prospetto Biografico delle Donne Italiane</cite>,” Venezia, -1824. - </li> - - <li> - <a name="Footnote_13" id="Footnote_13" href="#Anchor_13" title="Return to text.">[13]</a> - Medici’s “<cite class="plain" lang="it" xml:lang="it">Scuola Anatomica di Bologna</cite>.” - </li> - - <li> - <a name="Footnote_14" id="Footnote_14" href="#Anchor_14" title="Return to text.">[14]</a> - Finauer. - </li> - - <li> - <a name="Footnote_15" id="Footnote_15" href="#Anchor_15" title="Return to text.">[15]</a> - <cite>New York Medical Gazette</cite>, April 24, 1869. - </li> - - <li> - <a name="Footnote_16" id="Footnote_16" href="#Anchor_16" title="Return to text.">[16]</a> - 34 Henry <abbr title="the Eighth">VIII.</abbr> 8. - </li> - - <li> - <a name="Footnote_17" id="Footnote_17" href="#Anchor_17" title="Return to text.">[17]</a> - Maitland, in giving an account of the foundation of the Edinburgh -College of Physicians in 1681, begins by saying that “the -Practice of Physick had been greatly abused in Edinburgh by -foreign Impostors, Quacks, Empirics, and illiterate Persons, <em>both -men and women</em>.”—<cite class="plain">Maitland’s History of Edinburgh</cite>, 1753. - </li> - - <li> - <a name="Footnote_18" id="Footnote_18" href="#Anchor_18" title="Return to text.">[18]</a> - The statutes of 1268 ordained that “<span lang="fr" xml:lang="fr">les matrones ou sages -femmes sont aussi, de la dite confrairie et subjects ausdits deux -chirurgiens jurez du Roy au Chastelet, qui ont dressé certains -statuts et ordonnances tant pour les droicts de la confrairie que -pour leur estat de sage femme, qu’elles doivent observer et garder</span>.”—Du -Breul’s “<span lang="fr" xml:lang="fr">Antiquités de Paris</span>,” <abbr title="published">pub.</abbr> 1639. - </li> - - <li> - <a name="Footnote_19" id="Footnote_19" href="#Anchor_19" title="Return to text.">[19]</a> - “<span lang="emodeng" xml:lang="emodeng">The Midwive’s Deputie ... composed for the use of my -wife (a sworne Midwife)</span>, by Edward Poeton, Petworth, <span lang="emodeng" xml:lang="emodeng">Licentiate -in Physick and Chyrurgery</span>.” - </li> - - <li> - <a name="Footnote_20" id="Footnote_20" href="#Anchor_20" title="Return to text.">[20]</a> - “<span lang="emodeng" xml:lang="emodeng">Letter to Dr——</span>” written by Elizabeth Celleor, “<span lang="emodeng" xml:lang="emodeng">from -my house in Arundel Street, Strand</span>, <abbr title="January">Jan.</abbr> 16, 1687–8.” - </li> - - <li> - <a name="Footnote_21" id="Footnote_21" href="#Anchor_21" title="Return to text.">[21]</a> - “<cite class="plain">A Short Account of the State of Midwifery in London.</cite> By -John Douglas, Surgeon. Dedicated to the Right <abbr title="Honorary">Hon.</abbr> Lady -Walpole.” - </li> - - <li> - <a name="Footnote_22" id="Footnote_22" href="#Anchor_22" title="Return to text.">[22]</a> - It may be interesting to give the following quotation on this -subject from a popular magazine of thirty years ago:—“The -accoucheur’s is a profession nearly altogether wrested out of the -hands of women, for which Nature has surely fitted them, if -opinion permitted education to finish Nature’s work. But women -are held in the bonds of ignorance, and then pronounced of -deficient capacity, or blamed for wanting the knowledge they are -sternly prevented from acquiring.”—<cite>Tait’s Magazine</cite>, June, 1841. - </li> - - <li> - <a name="Footnote_23" id="Footnote_23" href="#Anchor_23" title="Return to text.">[23]</a> - <cite>Lancet</cite>, April 13th and 20th; May 4th; June 1st; 1872. - </li> - - <li> - <a name="Footnote_24" id="Footnote_24" href="#Anchor_24" title="Return to text.">[24]</a> - It will be remembered that an attempt was made to throw -doubt on the birth of this prince, but Dr Aveling remarks that -“Dr Chamberlen, in his letter to the Princess Sophia, showed -the absurdity of this hypothesis”—(<i>i.e.</i>, of the charge of conspiracy). - </li> - - <li> - <a name="Footnote_25" id="Footnote_25" href="#Anchor_25" title="Return to text.">[25]</a> - “Delicacy had in those days so far the ascendancy, that the obstetrical -art was principally practised by females, and on this occasion -the Queen was delivered by Mrs Stephen, Dr Hunter being in attendance -among the ladies of the bedchamber, in case of his professional -assistance being required.”—<span class="smcap">Huish’s</span> “<cite>Life of George <abbr title="the Fourth">IV.</abbr></cite>” - </li> - - <li> - <a name="Footnote_26" id="Footnote_26" href="#Anchor_26" title="Return to text.">[26]</a> - “It is a curious coincidence, considering the future connection -of the children, that Madame Siebold, the accoucheuse spoken of -above as attending the Duchess of Coburg at the birth of Prince -Albert (August 1819), had only three months before attended the -Duchess of Kent at the birth of the Princess Victoria.”—<cite>Early -Years of the Prince Consort.</cite> - </li> - - <li> - <a name="Footnote_27" id="Footnote_27" href="#Anchor_27" title="Return to text.">[27]</a> - “<cite class="plain">Rites and Customs of the Greco-Russian Church</cite>,” by -Madame Romanoff. Rivingtons, 1868. - </li> - - <li> - <a name="Footnote_28" id="Footnote_28" href="#Anchor_28" title="Return to text.">[28]</a> - Ballard’s “<cite class="plain">Memoirs of several Ladies of Great Britain</cite>.” -Oxford, 1752. - </li> - - <li> - <a name="Footnote_29" id="Footnote_29" href="#Anchor_29" title="Return to text.">[29]</a> - “<cite class="plain">An Account of the Life and Death of Mrs Elizabeth Bury.</cite>” -Bristol, 1721. - </li> - - <li> - <a name="Footnote_30" id="Footnote_30" href="#Anchor_30" title="Return to text.">[30]</a> - “<cite class="plain" lang="it" xml:lang="it">Scuola Anatomica di Bologna</cite>,” by Medici. - </li> - - <li> - <a name="Footnote_31" id="Footnote_31" href="#Anchor_31" title="Return to text.">[31]</a> - Fachini. - </li> - - <li> - <a name="Footnote_32" id="Footnote_32" href="#Anchor_32" title="Return to text.">[32]</a> - Ibid. - </li> - - <li> - <a name="Footnote_33" id="Footnote_33" href="#Anchor_33" title="Return to text.">[33]</a> - Ibid. - </li> - - <li> - <a name="Footnote_34" id="Footnote_34" href="#Anchor_34" title="Return to text.">[34]</a> - Fachini. - </li> - - <li> - <a name="Footnote_35" id="Footnote_35" href="#Anchor_35" title="Return to text.">[35]</a> - <span lang="fr" xml:lang="fr">“<cite class="plain">Gazette Medicale</cite>,” du 10 Janvier 1846.</span> - </li> - - <li> - <a name="Footnote_36" id="Footnote_36" href="#Anchor_36" title="Return to text.">[36]</a> - Klemm, “<cite class="plain" lang="de" xml:lang="de">Die Frauen</cite>.” - </li> - - <li> - <a name="Footnote_37" id="Footnote_37" href="#Anchor_37" title="Return to text.">[37]</a> - <cite>Athenæum</cite>, July 1859. - </li> - - <li> - <a name="Footnote_38" id="Footnote_38" href="#Anchor_38" title="Return to text.">[38]</a> - Arnault’s “Biographie nouvelle des contemporains.” - </li> - - <li> - <a name="Footnote_39" id="Footnote_39" href="#Anchor_39" title="Return to text.">[39]</a> - Quérard’s “Littérature Française.” - </li> - - <li> - <a name="Footnote_40" id="Footnote_40" href="#Anchor_40" title="Return to text.">[40]</a> - “The Boke of the Cyte of Ladyes,” by Christine Du Castel, -1521. - </li> - - <li> - <a name="Footnote_41" id="Footnote_41" href="#Anchor_41" title="Return to text.">[41]</a> - See <i><a href="#Note_B" title="Go to Note B">Note B</a></i>. - </li> - - <li> - <p><a name="Footnote_42" id="Footnote_42" href="#Anchor_42" title="Return to text.">[42]</a> - “There is one subject in which I have long felt a deep, and -deepening concern. I refer to <em>man-midwifery</em>.... Nature tells -us with her own voice what is fitting in these cases; and nothing -but the omnipotence of custom, or the urgent cry of peril, terror, -and agony—what Luther calls <i lang="la" xml:lang="la">miserrima miseria</i>—would make -her ask for the presence of a man on such an occasion, when she -hides herself and is in travail. And, as in all such cases, the evil -reacts on the men as a special class, and on the profession itself.”—“<cite>Locke -and Sydenham</cite>,” by Dr <span class="smcap">John Brown</span>. -</p> -<p> -“Nothing probably but the deadening force of habit, combined -with the apparent necessity of the case, has induced us to -endure that anomalous person against whose existence our language -itself bears a perpetual protest—the man-midwife. And -this single instance suggests a whole class of others in which the -intervention of a man is scarcely less inappropriate.”—<cite>Guardian</cite>, -Nov. 3, 1869.</p> - </li> - - <li> - <a name="Footnote_43" id="Footnote_43" href="#Anchor_43" title="Return to text.">[43]</a> - <cite>Delhi Gazette</cite>, 1866. - </li> - - <li> - <a name="Footnote_44" id="Footnote_44" href="#Anchor_44" title="Return to text.">[44]</a> - “In many parts of India—I think I may say most parts—native -ladies are entirely shut out from any medical assistance, -however great may be their need, because no man who is not one of -the family can enter their apartments or see them; and though -thousands thus die from neglect and want of timely help, yet -nothing can be done to assist them until we have ladies willing -and able to act in a medical capacity.”—<cite>The Queen</cite>, June 8, 1872. - </li> - - <li> - <a name="Footnote_45" id="Footnote_45" href="#Anchor_45" title="Return to text.">[45]</a> - <i>Treasurer</i>, <span class="smcap">T. B. Winter</span>, <abbr title="Esquire">Esq.</abbr>, 28 Montpelier Road, Brighton. - </li> - - <li> - <a name="Footnote_46" id="Footnote_46" href="#Anchor_46" title="Return to text.">[46]</a> - <cite>Scotsman</cite>, <abbr title="October">Oct.</abbr> 26, 1870. - </li> - - <li> - <a name="Footnote_47" id="Footnote_47" href="#Anchor_47" title="Return to text.">[47]</a> - <cite><abbr title="British Medical">Brit. Med.</abbr> Journal</cite>, May 25, 1872. - </li> - - <li> - <a name="Footnote_48" id="Footnote_48" href="#Anchor_48" title="Return to text.">[48]</a> - <cite>Macmillan’s Magazine</cite>, September 1868. - </li> - - <li> - <a name="Footnote_49" id="Footnote_49" href="#Anchor_49" title="Return to text.">[49]</a> - <cite>Spectator</cite>, April 13, 1867. - </li> - - <li> - <a name="Footnote_50" id="Footnote_50" href="#Anchor_50" title="Return to text.">[50]</a> - See <i><a href="#Note_C" title="Go to Note C">Note C</a></i>. - </li> - - <li> - <a name="Footnote_51" id="Footnote_51" href="#Anchor_51" title="Return to text.">[51]</a> - “<cite lang="la" xml:lang="la">Theologia Moralis</cite>,” by St Alphonsus. - </li> - - <li> - <a name="Footnote_52" id="Footnote_52" href="#Anchor_52" title="Return to text.">[52]</a> - A curious coincidence recently occurred which may illustrate -this feeling. Not long ago I was attacked in the newspapers for -having alluded to this subject, and a certain doctor published -three letters in one week to prove that “ninety-nine out of every -hundred Englishwomen suffering from female diseases freely consulted -medical men.” During that very week no less than three -women, in different classes of society, appealed to me for advice -and treatment for sufferings about which they “did not like to -ask a gentleman.” In each case I advised them to consult a medical -man, as I was not yet myself in practice, and there were no -women doctors in Edinburgh; but in each case I found that their -feeling in the matter was too strong to allow them to do so. - </li> - - <li> - <a name="Footnote_53" id="Footnote_53" href="#Anchor_53" title="Return to text.">[53]</a> - “Concerning her death, it was magnanimous and answerable -to the courage of heroes,” <abbr title="etcetera">&c.</abbr>—<cite>Gallerie of Heroick Women</cite>, written -in French by Pierre le Moyne, and translated by the Marquess of -Winchester, 1652. - </li> - - <li> - <a name="Footnote_54" id="Footnote_54" href="#Anchor_54" title="Return to text.">[54]</a> - See <i><a href="#Note_D" title="Go to Note D">Note D</a></i>. - </li> - - <li> - <a name="Footnote_55" id="Footnote_55" href="#Anchor_55" title="Return to text.">[55]</a> - “<cite>Handbook of Uterine Therapeutics</cite>,” by Edward John Tilt, M.D. - </li> - - <li> - <a name="Footnote_56" id="Footnote_56" href="#Anchor_56" title="Return to text.">[56]</a> - See <i><a href="#Note_E" title="Go to Note E">Note E</a></i>. - </li> - - <li> - <a name="Footnote_57" id="Footnote_57" href="#Anchor_57" title="Return to text.">[57]</a> - Besides these we have, at Bologna,—Maddalena Buonsignori, -Professor of Laws, 1380; Laura Bassi, Professor of Philosophy, -1733; Maria Gaetana Agnesi, Professor of Mathematics, 1750; -Clothilde Tambroni, Professor of Greek, 1794; and also other -instances in various Italian Universities. - </li> - - <li> - <a name="Footnote_58" id="Footnote_58" href="#Anchor_58" title="Return to text.">[58]</a> - Ghirardacci, “<cite class="plain" lang="it" xml:lang="it">Historia Bologna</cite>,” Bologna, 1605. - </li> - - <li> - <a name="Footnote_59" id="Footnote_59" href="#Anchor_59" title="Return to text.">[59]</a> - <cite>Lancet</cite>, June 18, 1870. - </li> - - <li> - <a name="Footnote_60" id="Footnote_60" href="#Anchor_60" title="Return to text.">[60]</a> - <cite>Lancet</cite>, August 26, 1871. - </li> - - <li> - <a name="Footnote_61" id="Footnote_61" href="#Anchor_61" title="Return to text.">[61]</a> - See <i><a href="#Note_F" title="Go to Note F">Note F</a></i>. - </li> - - <li> - <a name="Footnote_62" id="Footnote_62" href="#Anchor_62" title="Return to text.">[62]</a> - <cite>Scotsman</cite>, March 22, 1870. - </li> - - <li> - <a name="Footnote_63" id="Footnote_63" href="#Anchor_63" title="Return to text.">[63]</a> - <cite>Pall Mall Gazette</cite>, August 1870. - </li> - - <li> - <a name="Footnote_64" id="Footnote_64" href="#Anchor_64" title="Return to text.">[64]</a> - <cite>Medical Gazette</cite>, New York, February 27, 1869. - </li> - - <li> - <a name="Footnote_65" id="Footnote_65" href="#Anchor_65" title="Return to text.">[65]</a> - <cite>British Medical Journal</cite>, October 1871. - </li> - - <li> - <a name="Footnote_66" id="Footnote_66" href="#Anchor_66" title="Return to text.">[66]</a> - <cite>British Medical Journal</cite>, May 18, 1872. - </li> - - <li> - <a name="Footnote_67" id="Footnote_67" href="#Anchor_67" title="Return to text.">[67]</a> - For a <i lang="la" xml:lang="la">reductio ad absurdum</i> of the whole question, let me refer -to Dr Henry Bennet’s letter, containing the above words, in the -<cite>Lancet</cite> of June 18, 1870. An answer to it occurs in the <cite>Lancet</cite> of -July 9, 1870, and is referred to in <i><a href="#Note_B" title="Go to Note B">Note B</a></i>. - </li> - - <li> - <a name="Footnote_68" id="Footnote_68" href="#Anchor_68" title="Return to text.">[68]</a> - See <i><a href="#Note_G" title="Go to Note G">Note G</a></i>. - </li> - - <li> - <a name="Footnote_69" id="Footnote_69" href="#Anchor_69" title="Return to text.">[69]</a> - <cite>Medical Times and Gazette</cite>, <abbr title="February">Feb.</abbr> 23, 1867, and April 24, 1869. - </li> - - <li> - <a name="Footnote_70" id="Footnote_70" href="#Anchor_70" title="Return to text.">[70]</a> - It would have been perfectly easy in Edinburgh, during -1871–72, to make complete arrangements for instruction, partly -inside and partly outside the walls of the University, if only the -authorities would have authorised the lady students to organize -the necessary classes for themselves at their own expense. But -the obstructive party took refuge behind the traditional non-possumus, -and could not be driven from their position, though the -Lord Advocate of Scotland gave a distinct opinion to the effect -that any needful arrangements might legally be made, and though -the more far-sighted Professors strongly deprecated such an abnegation -of University power for the purpose of subserving a merely -temporary object. In point of fact, the whole history of this -struggle is one long illustration of the good old proverb,—“Where -there’s a will, there’s a way.” - </li> - </ul> -</div> - -<hr class="chap" /> - -</div> - -<div class="chapter"> - -<p><span class="pagenum"><a name="Page_71" id="Page_71">{71}</a></span></p> - -<h2 class="essay_title" title="II. Medical Education of Women,"><a name="ii" id="ii" class="nodec"><abbr title="2">II.</abbr></a><br /> - -<span class="gothic subhead">Medical Education of Women,</span><br /> - -<span class="subhead1">THE SUBSTANCE OF A LECTURE<br /> -DELIVERED ON APRIL 26TH, 1872, IN ST GEORGE’S HALL, LONDON,<br /> -THE RIGHT HON. THE EARL OF SHAFTESBURY IN THE CHAIR.</span></h2> - -<hr class="short" /> - -<div class="poetry-container"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“You misconceive the question like a man,</div> - <div class="p_line_i0">Who sees a woman as the complement</div> - <div class="p_line_i0">Of his sex merely. You forget too much</div> - <div class="p_line_i0">That every creature, female as the male,</div> - <div class="p_line_i0">Stands single in responsible act and thought,</div> - <div class="p_line_i0">As also in birth and death.</div> - <div class="p_line_i5"><span class="spread-out_poem">......</span></div> - <div class="p_line_i0">—— I would rather take my part</div> - <div class="p_line_i0">With God’s Dead, who afford to walk in white,</div> - <div class="p_line_i0">Yet spread His glory, than keep quiet here</div> - <div class="p_line_i0">And gather up my feet from even a step</div> - <div class="p_line_i0">For fear to soil my gown in so much dust.</div> - <div class="p_line_i0">I choose to walk at all risks.”</div> - - <div class="p_ref">“<cite>Aurora Leigh.</cite>”</div> - </div> - </div> -</div> - -<hr class="chap" /> -</div> - -<div class="chapter"> - -<p><span class="pagenum"><a name="Page_73" id="Page_73">{73}</a></span></p> - -<p class="title essay_head">MEDICAL EDUCATION OF WOMEN.</p> - -<div class="poetry-container"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“When free thoughts, like lightnings, are alive,</div> - <div class="p_line_i0">And in each bosom of the multitude,</div> - <div class="p_line_i0">Justice and Truth, with Custom’s hydra brood,</div> - <div class="p_line_i0">Wage silent war.”</div> - </div> - </div> -</div> - -<p class="noindent"><span class="smcap">Starting</span>, then, with the assumption that women -may, with profit to themselves and to the community, -become practitioners of medicine, it is -clear that they must, in the first place, secure such -an education as shall make them thoroughly competent -to take their share of responsibility in the -care of the national health; and, secondly, that -they must obtain this education in accordance -with the regulations prescribed by authority, so -that they may be recognised by the State as having -conformed to all its legal requirements, and -may practise on terms of perfect equality with -other qualified practitioners.</p> - -<p>It is essential to the thorough comprehension -of this last point that the laws regulating medical -practice in this country should be clearly understood, -as these can never be lost sight of by those -who are engaged in the battle which we are now -waging, and I will, before proceeding further, endeavour -<span class="pagenum"><a name="Page_74" id="Page_74">{74}</a></span>to state clearly the provisions of the -Medical Act of 1858. For the protection of the -public against ignorant and mischievous quacks, -the Act provided that no person should be recognised -as a legally-qualified practitioner of medicine -in the United Kingdom unless registered in -a Register appointed to be kept for that purpose. -The Act provided that all persons possessing the -degree of M.D. from any foreign or colonial University, -and already practising in this country at -the date of the passing of the Act, should be entitled -to be so registered; but that, with this -exception, (and a curious one in favour of those -on whom the doctorate had been conferred by the -Archbishop of Canterbury,) no medical practitioners -could demand registration unless holding -a licence, diploma, or degree, granted by one of -the British Examining Boards specified in the -schedule attached to the Act. It is, of course, -self-evident that these provisions were intended -solely to defend the public against incompetent -practitioners, and, though it is perhaps to be -regretted that the Act did not expressly require -the Medical Council to examine, and, on proof of -competency, to register the holders of foreign -diplomas, and all others who had pursued a regular -course of medical study, it could not be anticipated -that any great injustice would be done by -the omission of any such a clause; and still less,<span class="pagenum"><a name="Page_75" id="Page_75">{75}</a></span> -assuredly, was it intended by this Act to secure -to one sex a monopoly of all medical practice. -But, at the present moment, it is certain that -great danger exists that the Act may be wrested -from its original purpose and made an almost insurmountable -barrier to the admission of women -to the authorised practice of medicine; and this -because the Act, as it at present stands, makes it -obligatory on all candidates to comply with certain -conditions, and yet leaves it in the power of -the Medical Schools, collectively, arbitrarily to -preclude women from such compliance.</p> - -<p>The following clauses of the Act of 1858 will -show the absolute necessity that now exists for the -registration of all practitioners of respectability:—</p> - -<blockquote> - -<p>... “After January 1, 1859, the words ‘legally qualified -Medical Practitioner,’ or ‘duly qualified Medical Practitioner,’ -or any words importing a Person recognised by Law -as a Medical Practitioner or Member of the Medical Profession, -when used in any Act of Parliament, shall be construed -to mean a Person registered under this Act....</p> - -<p>“After January 1, 1859, no Person shall be entitled to -recover any Charge in any Court of Law for any Medical or -Surgical Advice, Attendance, or for the Performance of any -Operation, or for any Medicine which he shall have both prescribed -and supplied, unless he shall prove upon the Trial -that he is registered under this Act....</p> - -<p>“After January 1, 1859, no Certificate required by any -Act now in force, or that may hereafter be passed, from any -Physician, Surgeon, Licentiate in Medicine and Surgery, or -other Medical Practitioner, shall be valid unless the Person -signing the same be registered under this Act.</p> - -<p><span class="pagenum"><a name="Page_76" id="Page_76">{76}</a></span></p> - -<p>“Any Person who shall wilfully and falsely pretend to be, -or take or use the Name or Title of a Physician, Doctor of -Medicine, Licentiate in Medicine and Surgery, ... or any -Name, Title, Addition, or Description implying that he is -registered under this Act, or that he is recognised by Law as a -Physician, or Surgeon, ... shall, upon a summary Conviction -for any such offence, pay a sum not exceeding Twenty Pounds.”</p> - -</blockquote> - -<p>It is, then, sufficiently plain that any doctor -practising in this country without the required -registration, not only places himself in the position -of a quack and a charlatan, but actually -incurs legal penalties for assuming medical titles, -however fairly they may have been won in the -most eminent of foreign universities. It is therefore -clear that it becomes a <i lang="la" xml:lang="la">sine quâ non</i> that -any women, desiring to practise medicine in this -country, should obtain their education in such a -way as will entitle them to demand registration.</p> - -<p>There are at this moment two Englishwomen -whose names appear on the Register as legally -qualified medical practitioners; and it may be -necessary for me now to explain how they came -respectively to attain this position, and how it -happens that no more women are able to avail -themselves of the means that were open to them.</p> - -<p>Though several English ladies are recorded in -history as having studied medical science, I am -not aware that any of our country-women ever -graduated in medicine before the year 1849, when -Miss Elizabeth Blackwell, after surmounting many<span class="pagenum"><a name="Page_77" id="Page_77">{77}</a></span> -difficulties, obtained the degree of M.D. from a -college in the State of New York. Returning -subsequently to England, she took advantage of -the clause in the Act of 1858, which I have -already mentioned, and demanded and obtained -registration in the British Register. But the -clause referred to was, as I have explained, retrospective -only, and no one can now obtain an -American degree, and in virtue of it claim registration -in this country.</p> - -<p>This being the case, when, in the year 1860, -Miss Garrett resolved to begin the study of medicine, -with a view to practising in England, it was -necessary that she should obtain her education -under the auspices of some one of the medical -corporations empowered to give registrable qualifications. -After trying in vain to obtain admission -to one School and College after another, she -finally found entrance at Apothecaries’ Hall, which -was, from its charter, taken, as I suppose, in conjunction -with the provisions of the Apothecaries’ -Act of 1815,<a name="Anchor_71" id="Anchor_71" href="#Footnote_71" class="fnanchor" title="Go to footnote 71.">[71]</a> incapable of refusing to examine any -candidate who complied with its conditions of study.</p> -<p><span class="pagenum"><a name="Page_78" id="Page_78">{78}</a></span></p> -<p>In order to observe the regulations of Apothecaries’ -Hall, she was obliged to attend the lectures -of certain specified teachers; and though she was, -in some cases, admitted to the ordinary classes,<a name="Anchor_72" id="Anchor_72" href="#Footnote_72" class="fnanchor" title="Go to footnote 72.">[72]</a> -in others she was compelled to pay very heavy -fees for separate and private tuition by the recognised -lecturers. She had also considerable difficulty -in obtaining adequate hospital teaching, -though there was, in truth, hardly the slightest -difference between the advantages she needed and -those now habitually accorded to lady probationers -and trained nurses, who are constantly present -with the ordinary students at the bedside and in -the operating theatre.<a name="Anchor_73" id="Anchor_73" href="#Footnote_73" class="fnanchor" title="Go to footnote 73.">[73]</a> She obtained admission, -however, to the Middlesex Hospital, and might, -I suppose, have studied there as long as she -pleased, had she not been unfortunate enough to -acquit herself too well in some of the <i lang="la" xml:lang="la">vivâ-voce</i> -examinations in which she took part with the -male students, thus arousing their manly wrath, -which showed itself in a request that she should -be required to leave the Hospital,<a name="Anchor_74" id="Anchor_74" href="#Footnote_74" class="fnanchor" title="Go to footnote 74.">[74]</a> and this noble -and magnanimous application was actually granted!<span class="pagenum"><a name="Page_79" id="Page_79">{79}</a></span> -She, however, completed her studies elsewhere, -and especially at the London Hospital; being, it -is to be presumed, too discreet to enter again on -the field of competition. Thus, at length, she -obtained her education, and, in 1865, received the -licence to practise from Apothecaries’ Hall, which -enabled her to place her name upon the British -Register. But no sooner had she thus demonstrated -the existence of at least a postern gate by -which women might enter the profession, than the -authorities took alarm, and, with the express -object of preventing other women from following -so terrible a precedent, a rule was passed, forbidding -students henceforth to receive any part of -their education privately, it being well known -that women would be rigorously excluded from -some at least of the public classes!</p> - -<p>As, then, the different doors by which the two -ladies above-mentioned entered the profession of -medicine were both closed after them, it is evident -that, when, three years ago, I looked round -for the means of obtaining medical education in -this country, it was necessary that some new way -should be devised. It is true that in several of -the European Universities women were at that -moment studying medicine;—indeed, I am not -aware that any of the Italian,<a name="Anchor_75" id="Anchor_75" href="#Footnote_75" class="fnanchor" title="Go to footnote 75.">[75]</a> French, or German<span class="pagenum"><a name="Page_80" id="Page_80">{80}</a></span> -Universities have ever been closed against women -who applied for admission. I might, no doubt, have -obtained, at the world-renowned <i lang="fr" xml:lang="fr">Ecole de Médicine</i> -in Paris, a medical education at least equal, -and, in some respects, probably superior, to anything -that this country affords; and at the University -of Zurich, also, a considerable number of -women have, for some years, been receiving an -excellent medical education. But it seemed to -me radically unjust, and most discreditable to -Great Britain, that all her daughters who desired -a University education should be driven abroad -to seek it; only a small number of women could -be expected thus to expatriate themselves, and -those who did so would have to incur the great -additional difficulty and disadvantage of studying -all the departments of medical science in a foreign -language, and under teachers whose experience -had been acquired in a different climate and -under different social conditions from our own. -And even if these difficulties could be overcome, -another objection appeared to me absolutely insuperable. -The Act of 1858 distinctly declares -that only British licenses, diplomas, and degrees -can now claim registration, and that without -registration no practitioner can be considered as -legally qualified. It is well known with what -distinguished honour Miss Garrett lately passed -her examinations in Paris, and with what brilliant<span class="pagenum"><a name="Page_81" id="Page_81">{81}</a></span> -success she gained one of the most valuable medical -degrees in Europe, and yet in the official -British Register her name appears only and solely -as that of a licentiate of Apothecaries’ Hall. As -no such license was now open to me and to other -women, it was clear that those of us who went -abroad for education might expect, after years of -severe labour, to return to England to be refused -official recognition on the Register, and, in fact, -in the eye of the law, to hold a position exactly -analogous to that of the most ignorant quack or -herbalist who might open a penny stall for the -sale of worthless nostrums. As such a position -was hardly to my taste, it became necessary to -try other means.</p> - -<p>It seemed to me highly desirable that, if women -studied medicine at all, they should at once aim -at what is supposed to be a high standard of education, -and that, to avoid the possibility of cavil -at their attainments, they should forthwith aspire -to the medical degree of a British University.</p> - -<p>I first applied to the University of London, of -whose liberality one hears so much, and was told -by the Registrar that the present Charter had -been purposely so worded as to exclude the possibility -of examining women for medical degrees, -and that under that Charter nothing whatever -could be done in their favour. Knowing that at -Oxford and Cambridge the whole question was<span class="pagenum"><a name="Page_82" id="Page_82">{82}</a></span> -complicated with regulations respecting residence, -while, indeed, neither of these Universities furnished -a complete medical education, my thoughts -naturally turned to Scotland, to which so much -credit is always given for its enlightened views -respecting education, and where the Universities -boast of their freedom from ecclesiastical and other -trammels. In March 1869, therefore, I made my -first application to the University of Edinburgh, -and I hope in the following pages to give a rapid -sketch of the chief events of the subsequent three -years in connexion with that University, though -time and space oblige me to make the sketch so -brief that I must ask the reader’s indulgence if, in -some points, it is less plain and distinct than it -might be if I could enter more fully into -details.</p> - -<p>For the sake of clearness, let me first explain, -in few words, who constitute the different bodies -that take a share in the government of Edinburgh -University, taken in the order in which my application -was considered by them. The Medical -Faculty of course consists of Medical Professors -only; the Senatus comprises all the Professors of -every Faculty, and also the Principal; the University -Court is composed of eight members only;<span class="pagenum"><a name="Page_83" id="Page_83">{83}</a></span><a name="Anchor_76" id="Anchor_76" href="#Footnote_76" class="fnanchor" title="Go to footnote 76.">[76]</a> -and lastly, the General Council of the University -consists of all those graduates of Edinburgh who -have registered their names as members. Each -of these bodies had to be consulted, as also the -Chancellor, before any important change could be -made.</p> - -<p>When I first went to Edinburgh, I found many -most kind and liberal friends among the Professors. -In the Medical Faculty itself, Sir James -Simpson, Professor Hughes Bennett, and Professor -Balfour, Dean of the Medical Faculty, at -once espoused my cause; and I need not say that -Professor Masson and other members of the non-medical -Faculties were not a whit behind in kindness -and help. I found, on the other hand, a few -determined enemies who would listen to nothing -I could urge on the ground of either justice or -mercy, and one or two who seemed to think that -the fact of a woman’s wishing to study medicine -at all quite exempted them from the necessity of -treating her even with ordinary courtesy. The -majority, however, occupied a somewhat neutral -position;—they did not wish arbitrarily to stretch -their power to exclude women from education, -and yet they were alarmed at what seemed to -them the magnitude and novelty of the change -proposed.</p> - -<p>Several Professors were especially timid about -the question of matriculation, and argued that,<span class="pagenum"><a name="Page_84" id="Page_84">{84}</a></span> -till they had some evidence of probable success, it -would be premature to let women matriculate, -since, by so doing, they would acquire rights and -privileges of the most extensive kind. To meet -this difficulty I gladly accepted a suggestion made -to me privately by the Dean of the Medical -Faculty, that I should, for the present, waive the -question of matriculation, and should, during the -summer months, attend his class in Botany and -that of Professor Allman in Natural History, to -see whether, as the <cite>Spectator</cite> expressed it, “Scotch -and English students were really so much more -brutal than Frenchmen and Germans,” or whether -a lady could, without discomfort, attend the ordinary -classes. This plan met with much approval, -and some of the Professors’ wives most kindly -offered to accompany me to the classes when the -time should come. The Medical Faculty and -Senatus successively sanctioned this tentative -plan, and, after a short stay in Edinburgh, I left -for England to make preparations for returning to -spend the summer session as arranged.</p> - -<p>But two or three hostile Professors appealed to -the University Court; some of the students also -sent up a memorial against the arrangement proposed, -and the question was reconsidered.</p> - -<hr class="tb" /> - -<p>I am anxious, as far as possible, to avoid personalities -in this matter, and yet, I think, I cannot<span class="pagenum"><a name="Page_85" id="Page_85">{85}</a></span> -properly tell my story without explaining at the -outset that, in my opinion at least, the whole -opposition to the medical education of women has -in Edinburgh, been dictated by one man and his -immediate followers. It is hardly necessary to say -that that man is Sir Robert Christison,<a name="Anchor_77" id="Anchor_77" href="#Footnote_77" class="fnanchor" title="Go to footnote 77.">[77]</a> whose great -age and long tenure of office naturally give him unusual -weight, both in the University and among -the medical men of Edinburgh. Having said this, -I need only remark further that Professor Christison -has, ever since I came to Edinburgh, been -the only professor and the only medical man who -has had a seat in the University Court, and also -the only person who has all along been a member<span class="pagenum"><a name="Page_86" id="Page_86">{86}</a></span> -of every body, without exception, by whom our -interests have had to be decided, viz., of the -Medical Faculty, the Senatus, the University -Court, the University Council, and the Infirmary -Board.</p> - -<p>The question then was brought before the -University Court in April 1869. The meetings -of the Court are held in strict privacy, (against -which the public and the members of the University -Council have often protested,) and I can -only state the result of their deliberation. On -April 19th the following resolution was passed:—“The -Court, considering the difficulties at present -standing in the way of carrying out the resolution -of the Senatus, as a temporary arrangement in -the interest of one lady, and not being prepared -to adjudicate finally on the question whether -women should be educated, in the medical classes -of the University, sustain the appeals, and recall -the resolution of the Senatus.”</p> - -<p>The very palpable invitation to other ladies to -come forward, which appeared on the face of this -resolution, bore fruit; for, in the course of the -next month, or two, four more ladies expressed -their wish to be admitted as students, and certain -of the University authorities held out hopes -that an application for <em>separate</em> classes would be -successful. Accordingly, in June 1869, I addressed -a letter to the Rector of the University,<span class="pagenum"><a name="Page_87" id="Page_87">{87}</a></span> -who is also President of the University Court, -enquiring whether the Court would “remove -their present veto in case arrangements can be -made for the instruction of women in separate -classes; and whether, in that case, women will -be allowed to matriculate in the usual way, and -to undergo the ordinary Examination, with a -view to obtain medical degrees in due course?”</p> - -<p>I also wrote to the Senatus asking them to -recommend the matriculation of women as medical -students, on the understanding that separate -classes should be formed; and, moreover, addressed -a letter to the Dean of the Medical Faculty, offering, -on behalf of my fellow-students and myself, -to guarantee whatever minimum fee the Faculty -might fix as remuneration for these separate classes.</p> - -<p>On July 1st, 1869, at a meeting of the Medical -Faculty of the University, it was resolved to recommend -to the Senatus:—</p> - -<blockquote> - -<p>(1.) That ladies be allowed to matriculate as medical -students, and to pass the usual preliminary examination for -registration; (2.) That ladies be allowed to attend medical -classes, and to receive certificates of attendance qualifying for -examination, provided the classes are confined entirely to -ladies; (3.) That the medical professors be allowed to have -classes for ladies, but no professor shall be compelled to give -such course of lectures; (4.) That, in conformity with the -request of Miss Jex-Blake’s letter to the Dean, ladies be permitted -to arrange with the Medical Faculty, or with the individual -professors as to minimum fee for the classes.</p> - -</blockquote> - -<p>At a meeting of the Senatus Academicus, July<span class="pagenum"><a name="Page_88" id="Page_88">{88}</a></span> -2, 1869, the Report of the Medical Faculty was -read, agreed to, and ordered to be transmitted -to the University Court. At a meeting of the -University Court, on 23d July 1869, “Mr Gordon, -on behalf of the Committee appointed at last -meeting to consider what course should be followed -in order to give effect to the resolution of -the Senatus, reported that the Committee were -of opinion that the matter should be proceeded -with under section <abbr title="12">xii.</abbr> 2, of the Universities Act, -as an improvement in the internal arrangements -of the University. Mr Gordon then moved the -following resolution, which was adopted:—</p> - -<blockquote> - -<p>“The Court entertain an opinion favourable to the resolutions -of the Medical Faculty in regard to the matriculation of -ladies as medical students, and direct these resolutions to be -laid before the General Council of the University for their consideration -at next meeting.”</p> - -</blockquote> - -<p>This resolution was approved by the General -Council on October 29th, 1869, and was sanctioned -by the Chancellor on November 12th, 1869. The -following regulations were officially issued at the -same date, and inserted in the Calendar of the -University:—</p> - -<blockquote> - -<p>(1.) Women shall be admitted to the study of medicine in -the University; (2.) The instruction of women for the profession -of medicine shall be conducted in separate classes, confined -entirely to women; (3.) The Professors of the Faculty -of Medicine shall, for this purpose, be permitted to have separate -classes for women; (4.) Women, not intending to study<span class="pagenum"><a name="Page_89" id="Page_89">{89}</a></span> -medicine professionally, may be admitted to such of these -classes, or to such part of the course of instruction given in -such classes, as the University Court may from time to time -think fit and approve; (5.) The fee for the full course of instruction -in such classes shall be four guineas; but in the -event of the number of students proposing to attend any such -class being too small to provide a reasonable remuneration at -that rate, it shall be in the power of the professor to make -arrangements for a higher fee, subject to the usual sanction of -the University Court; (6.) All women attending such classes -shall be subject to all the regulations now or at any future -time in force in the University as to the matriculation of -students, their attendance on classes, Examination, or otherwise; -(7.) The above regulations shall take effect as from the -commencement of session 1869–70.<a name="Anchor_78" id="Anchor_78" href="#Footnote_78" class="fnanchor" title="Go to footnote 78.">[78]</a></p> - -</blockquote> - -<p>In accordance with, the above resolutions, four -other ladies and myself were, in October 1869, -admitted provisionally to the usual preliminary -examination in Arts, prescribed for medical -students entering the University. Having duly -passed, and received certificates to that effect from<span class="pagenum"><a name="Page_90" id="Page_90">{90}</a></span> -the Dean of the Medical Faculty, we, after the -issue of the regulations above cited, all matriculated -in the ordinary manner at the office of the -Secretary of the University. We paid the usual -fee, inscribed our names in the University album, -with the usual particulars, including the Faculty -in which we proposed to study, and received the -ordinary matriculation tickets, which bore our -names, and declared us to be “<i lang="la" xml:lang="la">Cives Academiæ -Edinensis</i>.” We were at the same time registered -in due course as students of medicine, by the -Registrar of the Branch Council for Scotland, in -the Government register kept by order of the -General Council of Medical Education and Registration -of the United Kingdom, such registration -being obligatory on all medical students, and -affording the sole legal record of the date at which -they have commenced their studies.</p> - -<p>It seemed now as if smooth water had at length -been reached, after seven months of almost incessant -struggle. The temporary scheme first -suggested had been set aside, but its place had -been taken by one much more comprehensive, -which had resulted from five months of consideration -and consultation, and which had ultimately -received the sanction of every one of the University -authorities in succession. Not only were -women allowed the privilege of matriculation -which we had been told involved so much; but<span class="pagenum"><a name="Page_91" id="Page_91">{91}</a></span> -formal regulations, entitled “For the Education -of Women in Medicine in the University,” had -been framed, and have now for three years formed -an integral part of the University Calendar.</p> - -<p>For six months our hopes seemed realised. -We pursued most interesting courses of study in -the University, and found nothing but kindness -at the hands of our teachers, and courtesy from -the male students, whenever we happened to -meet them in the quadrangle or on the staircases. -Even Dr Christison was reported to have said in -Senatus that, as the experiment was to be tried, -he for one would co-operate to give it a fair trial.</p> - -<p>Though the lectures were delivered at different -hours, the instruction given to us and to the -male students was identical, and, when the class -examinations took place, we received and answered -the same papers at the same hour and on identical -conditions, having been told that marks would be -awarded indifferently to “both sections of the -class,”—this latter expression being, by the bye, -repeatedly used during the course of the term by -both the Professors who instructed us.</p> - -<p>I am obliged now to mention the results which -appeared in the prize-lists, not with a view to -claim any special credit for the ladies,<a name="Anchor_79" id="Anchor_79" href="#Footnote_79" class="fnanchor" title="Go to footnote 79.">[79]</a> (whose<span class="pagenum"><a name="Page_92" id="Page_92">{92}</a></span> -efforts to obtain education might well make them -more zealous than most of the ordinary students,) -but because I believe that the facts I am about to -mention had a real and immediate connexion with -subsequent events.<a name="Anchor_80" id="Anchor_80" href="#Footnote_80" class="fnanchor" title="Go to footnote 80.">[80]</a></p> - -<p>In the class of Physiology there had been 127 -male students, of whom 25 appeared in the honours -list; in the Chemistry class there were 226 male -students, of whom 31 obtained honours; of the -5 women, 4 were in honours in both classes. One -of the ladies obtained the third place in the -Chemistry prize-list; and, as the two gentlemen -above her had already gone through a course of -lectures on the same subject, Miss Pechey was -actually first of her year. In the College calendar -it was stated that “the four students who have -received the highest marks <em>are entitled</em> to have -the Hope Scholarships,”—such scholarships giving -free admission to the College laboratory, and having -<span class="pagenum"><a name="Page_93" id="Page_93">{93}</a></span>been founded by the late Professor Hope from -the proceeds of lectures given to ladies some fifty -years previously.<a name="Anchor_81" id="Anchor_81" href="#Footnote_81" class="fnanchor" title="Go to footnote 81.">[81]</a></p> - -<p>It had occurred to us that if any lady won this -scholarship she might be debarred from making -full use of it as regards the laboratory, in consequence -of the prohibition against mixed classes, -but as it had been distinctly ordained that we -were to be subject to “all the regulations in force -in the University as to examinations,” it had <em>not</em> -occurred to us as possible that the very name -of Hope Scholar could be wrested from the successful -candidate and given over her head to the -fifth student on the list, who had the good fortune -to be a man.<a name="Anchor_82" id="Anchor_82" href="#Footnote_82" class="fnanchor" title="Go to footnote 82.">[82]</a></p> - -<p>But this was actually done.</p> - -<p>At the same time that the Professor announced -to us his intention of withholding the Hope -Scholarship from the student who had won it, on -the ground that, having studied at a different -hour, she was not a member of <em>The Chemistry Class</em>, -though he, at the same time, gave her a bronze -medal of the University, (to which I should think -her claim must have been neither greater nor less, -since these medals were given to the five students<span class="pagenum"><a name="Page_94" id="Page_94">{94}</a></span> -highest on the list,) he offered us written certificates -of having attended a “ladies’ class in the -University,” as of course he saw that to give the -ordinary certificates of attendance on “<em>The</em> Chemistry -Class of the University” would be to -destroy his own argument with reference to the -Scholarship. As, however, such certificates were -absolutely worthless to us as students of medicine, -we declined them, and appealed to the Senatus to -ordain that the ordinary certificates should be -granted to us, as they alone would qualify for -professional examination. At the same time Miss -Pechey made an appeal to have the Hope Scholarship -awarded to her in due course. It is hardly -credible that (by very narrow majorities in each -case) the Senatus decided that we were to have -exactly the ordinary certificates, which declared -us to have attended <em>the Chemistry Class</em> of the -University of Edinburgh, and yet acquiesced in -Miss Pechey’s being deprived of her Scholarship on -the ground that she was not a member of that class!</p> - -<p>I do not wish to dwell longer on these incidents, -but I have narrated them here because I believe -that the above mentioned results of the class -examinations aroused in our opponents a conviction -that the so-called experiment was not going -to fail of itself, as they had confidently hoped, but -that if it was to be suppressed at all, vigorous -measures must be taken for that purpose.</p> - -<p><span class="pagenum"><a name="Page_95" id="Page_95">{95}</a></span></p> - -<p>At the previous meeting of the University -Council, no Professor had stood up to oppose the -admission of women, though Dr Andrew Wood -had covered himself with glory by protesting that -he had too many sons to provide for, to acquiesce -in the education of women for the Medical Profession!<a name="Anchor_83" id="Anchor_83" href="#Footnote_83" class="fnanchor" title="Go to footnote 83.">[83]</a> -At the next meeting, however, of the -Council, in April 1870, Professor Masson moved -that, in view of the success that had hitherto attended -the ladies’ studies, the existing regulations -should be so far relaxed as to allow of the attendance -of women in the ordinary classes, where no<span class="pagenum"><a name="Page_96" id="Page_96">{96}</a></span> -special reasons existed to the contrary, that they -might be spared the additional expense, inconvenience, -and difficulty, attendant on the formation -of separate classes in every subject. Professor -Balfour, Dean of the Medical Faculty, seconded -this motion, and expressed his opinion that arrangements -might easily be made to carry it out. -Professors Laycock and Christison, however, opposed -it vigorously, and that in speeches of such -a character that the <cite>Times</cite><a name="Anchor_84" id="Anchor_84" href="#Footnote_84" class="fnanchor" title="Go to footnote 84.">[84]</a> remarked in a leading -article:—“We cannot sufficiently express the indignation -with which we read such language, and -we must say that it is the strongest argument -against the admission of young ladies to the Edinburgh -medical classes that they would attend the -lectures of Professors capable of talking in this -strain.”<a name="Anchor_85" id="Anchor_85" href="#Footnote_85" class="fnanchor" title="Go to footnote 85.">[85]</a> When the vote was taken, the motion -in our favour was lost by forty-seven votes to -fifty-eight, and no change was therefore made in -the University regulations.</p> - -<p>The Professor of Botany kindly made arrangements -for giving to us and other ladies a separate -course of lectures, though he much regretted -to be forced to this double, and needless, expenditure -of time and trouble. Dr Allman, -the Professor of Natural History, who had in -the previous summer consented to my entering -his ordinary class, stated that his health would<span class="pagenum"><a name="Page_97" id="Page_97">{97}</a></span> -not allow him to undertake the labour of two -classes, and, therefore, he could not teach us. -We then made application for instruction to -Dr Alleyne Nicholson, the extra-mural teacher -of the same subject, and he at once agreed to -our request. Before making any arrangements, -he spoke to the members of his class at their first -meeting, and, mentioning our application, he enquired -whether they would unite with him in -inviting us to join their class. This they unanimously -did; and, as we had no objection to offer, -the first “mixed class” was inaugurated, and -continued throughout the summer without the -slightest inconvenience.<a name="Anchor_86" id="Anchor_86" href="#Footnote_86" class="fnanchor" title="Go to footnote 86.">[86]</a></p> -<p><span class="pagenum"><a name="Page_98" id="Page_98">{98}</a></span></p> -<p>In the meantime, we were anxious to make arrangements -for the next winter session, and it -was especially necessary that a course of instruction -in Anatomy should be provided, as the subject -was one of the greatest importance, and the -University professor flatly refused either to instruct -us himself or allow his assistant to do so in -any way whatever. Under these circumstances -we endeavoured to obtain a competent extra-mural -teacher who should form a special class for -our instruction; but I was repeatedly warned -that, by this time, the medical prejudice had been -so strongly aroused against us, and the medical -influence was so strongly at work, that we should -fail in our endeavours, as no young medical man -dare run the risk of being ostracised for giving us -help. The only extra-mural teacher of Anatomy -who was already recognised by the University -was Dr Handyside, who was one of a band of nine -associated lecturers who conjointly rented a building, -called Surgeons’ Hall, for their lectures. -Some of these lecturers were indignant at the way -in which we were treated in the University, and, -in July 1870, they, by a majority, passed the following -resolutions:—</p> - -<blockquote> - -<p>1. That it is expedient that lecturers in this Medical School -should be free to lecture to female as well as to male -students.</p> - -<p><span class="pagenum"><a name="Page_99" id="Page_99">{99}</a></span></p> - -<p>2. That no restrictions be imposed on the lecturers as to -the manner in which instruction is to be imparted to -women.<a name="Anchor_87" id="Anchor_87" href="#Footnote_87" class="fnanchor" title="Go to footnote 87.">[87]</a></p> - -</blockquote> - -<p>After the passing of this regulation, we applied -to Dr Handyside to know if he could make arrangements -for giving us a separate class. He -replied that it would be quite impossible for him -to do so consistently with his duty to his other -students, but that if we liked to attend his course -of Anatomy in the ordinary way, he should be -happy to receive us. Dr Heron Watson similarly -consented to admit us, to his ordinary course of -Lectures on Surgery, and so our arrangements -for winter lectures were complete.</p> - -<p>The class of Practical Anatomy always meets at -the beginning of October, although the lectures -do not commence till the following month. The -more studious and industrious students usually -come up at the earlier date, but those who care<span class="pagenum"><a name="Page_100" id="Page_100">{100}</a></span> -less about their work seldom appear till November, -as that is the beginning of the compulsory -session. All through October we studied under Dr -Handyside with great comfort; the students who -worked with us, though in another part of the room, -were never uncivil, and in fact we hardly exchanged -a dozen sentences with any of them during the -month. Dr Handyside and his demonstrator both -told us that they had never seen so much steady, -earnest work as since we joined the class, and expressed -their opinion that the results were quite as -valuable for the male students as for our ourselves. -With November 1st the lectures began, and -everything went on satisfactorily for another ten -days.</p> - -<p>About this time, acting on the advice of a -medical friend, we made an application for permission -to study in the wards of the Royal Infirmary, -and, somewhat to our surprise, were met by -a curt refusal. As we knew that several of the -managers were liberal-minded and just men, we -felt sure that they could not have fully understood -the importance to us of the concession we desired, -and, on enquiry, I found this was the case. One -of those who had voted against our admission confessed -to me that he had, in so doing, been guided -simply by the medical members of the Board, and -that he was not even aware that we were matriculated -students of the University, and that we<span class="pagenum"><a name="Page_101" id="Page_101">{101}</a></span> -could not complete our education without attending -the Infirmary, as there was no other hospital -in Edinburgh of the size prescribed for “qualifying -instruction.” We, therefore, drew up a memorial -stating our grounds of application, and -another was also sent in by our two teachers, Dr -Watson and Dr Handyside, urging on the Board -the great injustice that would be done by our -exclusion. We also obtained and sent in a written -paper from three of the medical officers of the -Infirmary, promising to give us all needful instruction -if we were admitted.<a name="Anchor_88" id="Anchor_88" href="#Footnote_88" class="fnanchor" title="Go to footnote 88.">[88]</a> When these -documents were presented to the managers, a -majority of those present were in favour of our -immediate admission, but, on the ground of want -of notice, our opponents got the matter deferred -for a week. From that time the behaviour of the -students changed. It is not for me to say what -means were used, or what strings were pulled; -but I know that the result was, that instead of -being, as heretofore, silent and inoffensive, a certain -proportion of the students with whom we -worked became markedly offensive and insolent, -and took every opportunity of practising the -petty annoyances that occur to thoroughly ill-bred -lads,—such as shutting doors in our faces, -ostentatiously crowding into the seats we usually -occupied, bursting into horse-laughs and howls<span class="pagenum"><a name="Page_102" id="Page_102">{102}</a></span> -when we approached, as if a coalition had been -formed to make our position as uncomfortable as -might be. At the same time a students’ petition -against our admission to the Infirmary was -handed about, and 500 signatures were obtained, -though, if some of the reports I heard were true, -but a very small number out of the 500 had -even read the petition before signing it. Be this -as it may, the petition was got ready for the adjourned -meeting, and when that came, every opponent -we had among the managers was at his -place, while some of our friends were unavoidably -absent, and the Lord Provost, being in the chair, -was precluded from voting, so that the medical -party gained an easy victory. But when I say the -medical party, I ought to explain that three -medical men voted on our side,—a point on which -I shall have to say something subsequently.</p> - -<p>The students were naturally elated at finding -so much attention paid to their petition,<a name="Anchor_89" id="Anchor_89" href="#Footnote_89" class="fnanchor" title="Go to footnote 89.">[89]</a> especially -as I was told that some of the medical Professors -had warmly applauded them for their -exertions, and I suppose the lowest section among -them began to wonder whether, if they had succeeded -in keeping us out of the Infirmary, they -might not, by a little extra brutality, drive us -away from the lecture-room. Two days later, -came the second competitive examination of the<span class="pagenum"><a name="Page_103" id="Page_103">{103}</a></span> -term, and on this day occurred the riot, when the -gates were shut in our faces by a mob,<a name="Anchor_90" id="Anchor_90" href="#Footnote_90" class="fnanchor" title="Go to footnote 90.">[90]</a> who stood -within, smoking and passing about bottles of -whiskey, while they abused us in the foulest possible -language. It would be difficult to speak in -too strong terms of the conduct of those engaged -in this outrage, or of those who were morally -responsible for it; but I am glad to say a word -to-day about a part of the story which has not -been made sufficiently public,—viz., the conduct -of those of the students whose indignation against -the rioters was even deeper than our own.<a name="Anchor_91" id="Anchor_91" href="#Footnote_91" class="fnanchor" title="Go to footnote 91.">[91]</a> One -gentleman rushed down from Surgeons’ Hall, and, -at great risk to himself, forced open the gates for -our admission, and a number of others made their -way in after us to see that we came to no harm. -When the class, which was interrupted throughout -by the clamour outside, was over, Dr Handyside -asked me if we would withdraw through a -back door, but I said that I thought there were -quite enough gentlemen in the class to protect -us; and so it proved. As I spoke, a number -came around us and formed a regular body-guard -in front, behind, and on each side, and, encompassed -<span class="pagenum"><a name="Page_104" id="Page_104">{104}</a></span>by them, we passed through the still -howling crowd at the gate, and reached home -with no other injuries than those inflicted on our -dresses by the mud hurled at us by our chivalrous -foes. Nor was this all. When we arrived at the -College next day, at the same hour, we found -quite a formidable array of gentlemen with big -sticks in their hands, who were keeping back a -rabble that looked greatly disgusted, but merely -vented their spite in remarkably bad language as -the gentlemen referred to raised their hats as we -approached, and instantly followed us in and took -their seats on the back rows. After the lecture -was over they formed round us, as on the evening -before, escorted us home, gave us three deafening -cheers, and dispersed. The explanation of all -which was, that, hearing rumours of renewed -rioting, a certain number of manly men among the -students had resolved that the thing should not -be, and for the next two or three days this same -stalwart body-guard awaited and attended us -daily, till the rowdies tacitly agreed to lay aside -hostilities. Then I myself asked our volunteer -guard to discontinue their most chivalrous escort, -and quiet was restored.</p> - -<p>No further event of importance occurred during -the winter, except the meetings of Infirmary -contributors, at the first of which a close contest -took place between managers known to<span class="pagenum"><a name="Page_105" id="Page_105">{105}</a></span> -be favourable to us and those known to be -unfriendly. A new Act came into operation -at this date, and all the managers had to vacate -their seats unless re-elected. I can give no -more significant proof of the immense amount -of pressure brought to bear by the medical clique -than by stating that, of the three medical men -who had voted for us six weeks before, it was -found when the day of election came that two had -turned their coats, while the one who refused to -do so was unseated by the medical body that he -had represented!</p> - -<p>At the Contributors’ Meeting on <abbr title="January">Jan.</abbr> 2, 1871, at -which six managers were to be elected, the Lord -Provost himself proposed the election of six gentlemen -known to be friendly to the admission of -ladies to the Infirmary; but by the very narrow -majority of 94 votes to 88, the managers previously -on the Board were returned. No other -question was raised, and those who voted with -the Lord Provost did so simply in consequence of -the importance they attached to the exclusion of -the ladies by those managers who now desired -re-election.<a name="Anchor_92" id="Anchor_92" href="#Footnote_92" class="fnanchor" title="Go to footnote 92.">[92]</a></p> - -<p>At a subsequent meeting, the <abbr title="Reverend">Rev.</abbr> Professor<span class="pagenum"><a name="Page_106" id="Page_106">{106}</a></span> -Charteris brought forward a motion expressive of -the desire of the contributors that immediate -arrangements should be made for the admission -of the ladies, and this motion was seconded by -Sir James Coxe, M. D., but was lost by a similarly -small majority. On this latter occasion, two -incidents occurred that deserve notice. Firstly, -a petition in favour of the ladies’ admission was -presented, signed by 956 women of Edinburgh.<a name="Anchor_93" id="Anchor_93" href="#Footnote_93" class="fnanchor" title="Go to footnote 93.">[93]</a> -Secondly, Mrs Nichol, an elderly lady whose -name is venerated throughout Edinburgh, made, -in spite of ill health, the great exertion of coming -forward at that public meeting, to ask one question,—“not,” -as she distinctly said, “in the -interests of the lady students, but on behalf of -those women who looked forward to see what -kind of men were they who were to be the sole -medical attendants of the next generation of -women, if women doctors are not allowed.” The -question which she said she had been commissioned -to ask by more than 1300 women, belonging -<span class="pagenum"><a name="Page_107" id="Page_107">{107}</a></span>to all classes and all parts of the country, was -as follows:—</p> - -<blockquote> - -<p>“If the students studying at present in the Infirmary cannot -contemplate with equanimity the presence of ladies as -fellow-students, how is it possible that they can possess either -the scientific spirit or the personal purity of mind which -alone would justify their presence in the female wards during -the most delicate operations on, and examinations of, female -patients?”</p> - -</blockquote> - -<p>This question was received, according to the -newspaper report, with “<em>Laughter, hisses, and -applause</em>,” but no one opened his mouth to reply. -Perhaps in truth no reply could have been more -significant than the burst of yells and howls -which greeted the question from a gallery filled -by students, who indeed so conducted themselves -generally as to elicit a remark to me from -a learned Professor, famous for his quaint sayings: -“Well! ye can say now ye’ve fought with beasts -at Ephesus!”</p> - -<p>About the same time a petition, signed by -twenty-three male students,<a name="Anchor_94" id="Anchor_94" href="#Footnote_94" class="fnanchor" title="Go to footnote 94.">[94]</a> was presented to -the Infirmary managers, praying that the lady -students should no longer be excluded, but no -attention was paid to the request; and when -subsequently a similar application was made to -the Managers by a deputation of very influential -citizens,<a name="Anchor_95" id="Anchor_95" href="#Footnote_95" class="fnanchor" title="Go to footnote 95.">[95]</a> they again refused, by a majority, to do<span class="pagenum"><a name="Page_108" id="Page_108">{108}</a></span> -anything in our behalf. Professor Balfour moved -the appointment of a Committee to enquire into -a scheme for the instruction of ladies proposed by -certain of the medical officers of the Infirmary, -but Professor Christison carried an amendment -negativing even this measure; and thus another -year of Hospital instruction was lost.</p> - -<p>With each succeeding Session new students -joined our small class, partly in consequence of -the very kind encouragement held out by Lady -Amberley, Dr Garrett Anderson, and other -friends, in the way of Scholarships; for, since -public indignation was excited by the refusal of -the Hope Scholarship to Miss Pechey, hardly a -term has passed without some generous offer of -valuable prizes for those ladies who needed such -assistance to pursue their studies, and who, by -their success in competitive examinations, showed -themselves worthy of them. Such kindness is -the more valuable at a time when, by incessant -delays and constantly-recurring difficulties, every -effort is evidently being made to exhaust alike -the patience and the purses of the troublesome -women who desire to complete the work they -have begun.</p> - -<p><span class="pagenum"><a name="Page_109" id="Page_109">{109}</a></span></p> - -<p>It is not necessary for me to enter into details -respecting the ladies’ progress in their studies, -further than to state that in every course in which -they have competed for prizes, more than half of -the whole class have been in the honours list, and -in some cases every lady student has so appeared;<a name="Anchor_96" id="Anchor_96" href="#Footnote_96" class="fnanchor" title="Go to footnote 96.">[96]</a> -so that any refusal to grant them further instruction -can hardly be based on the plea that they -have not done their best to avail themselves of -what was already afforded.</p> - -<p>During the two years, 1869–70 and 1870–71, -the five original students who entered in 1869 had -completed the first half of their University course, -partly by attendance on separate classes in the -University, and partly by means of extra-mural -lectures. But at the end of these two years a -dead-lock appeared imminent. The rules of the -University forbid any student to take more than -four classes outside the walls, and those four -classes we had already taken. Professor Christison -and others, whose classes came next in term, -gave a curt refusal to our request for instruction, -although we again offered to guarantee any fee -that might be required. In this dilemma we -applied for help to the Senatus, and suggested -that, if no other means could be devised, the -difficulty might be solved in either of two ways—(1) -by appointment of special University lecturers,<span class="pagenum"><a name="Page_110" id="Page_110">{110}</a></span> -whose payment we would guarantee; or (2) by -the relaxation in our case of the ordinary regulations, -so that we might take an increased number -of extra-mural classes. When these proposals -came before the Senatus, it was decided to take -a legal opinion as to the rights and powers -of the University; and an opinion adverse to -our interests having been given, the Senatus -decided, on July 28, 1871, by a majority of -one, that they would take no action in the -matter.</p> - -<p>In these circumstances, a Committee<a name="Anchor_97" id="Anchor_97" href="#Footnote_97" class="fnanchor" title="Go to footnote 97.">[97]</a> of friends -which had been formed for our assistance, caused -a statement of the facts to be drawn up and submitted -to other Counsel, and obtained from the -Lord Advocate and Sheriff Fraser an Opinion to -the following effect:<a name="Anchor_98" id="Anchor_98" href="#Footnote_98" class="fnanchor" title="Go to footnote 98.">[98]</a>—That it was quite competent -to the University authorities to make any -necessary provision for the completion of the -ladies’ education; and that the Medical Faculty -were bound to admit the ladies to professional -examination on the subjects in which they were -already qualified to pass.</p> - -<p>I must explain that the advice of counsel had -been asked on this last point in consequence of a -rumour that difficulties might be made respecting -the examination that was now due at the end of -two years of professional study. The first official<span class="pagenum"><a name="Page_111" id="Page_111">{111}</a></span> -notice on this subject was, however, received by -us on Saturday, October 14, after the fees for -such examination had been paid, and tickets of -admission obtained; the examination itself being -due on the 24th of the same month, and the -ladies concerned having studied for two years -with the view of passing this examination, for -which they had more especially been preparing -assiduously for the last six months.</p> - -<p>On the following Monday, October 16, I, moreover, -received an official notice that the Dean of -the Medical Faculty had been interdicted by the -Faculty from giving to ladies any papers for the -Preliminary Examination in Arts, which was to -take place <em>on the following day</em>, October 17! -Three ladies had come up to Edinburgh from -different parts of the country with the express -object of passing these examinations, and, if prevented -from doing so, they would be retarded in -their studies to the extent of one year. The -excessive shortness of the notice given made it -impossible even to appeal to the Senatus, and the -only course open to me was to submit the facts -for the opinion of counsel. This was done, and -we were informed that the course taken by the -Medical Faculty was quite illegal,<a name="Anchor_99" id="Anchor_99" href="#Footnote_99" class="fnanchor" title="Go to footnote 99.">[99]</a> while an express -invitation to lady students formed part of the -official calendar of the University. This opinion<span class="pagenum"><a name="Page_112" id="Page_112">{112}</a></span> -was forwarded to the Dean, whose kindness to us -had been invariable; and, I am sure that he was -glad by it to be released from the painful necessity -of obeying the Medical Faculty in this matter. -The ladies were accordingly examined in the -ordinary course.</p> - -<p>But the excitements of the month were not yet -at an end. On applying for matriculation tickets -the ladies were informed by the Clerk that the -Principal, Sir Alexander Grant, had written him -word that, in consequence of representations made -to him by Professor Christison, he desired that no -ladies should at present be allowed to matriculate. -On this point, and that regarding the Professional -Examination, we, of course, appealed at once to -the Senatus. At the meeting at which our -appeal was considered, “the Committee for securing -complete Medical Education for Women in -Edinburgh” also presented the opinion obtained -by them from counsel, together with a letter -urging that complete provision should be made -for our instruction. At their meeting on October -21, the Senatus at once decided both points of -appeal in our favour. The Principal’s prohibition, -which had never had any legal weight, was overruled, -and the permission to women to matriculate -and pass the Arts Examinations was renewed, and -declared to be in force so long as the present -regulations stood in the calendar. The Medical<span class="pagenum"><a name="Page_113" id="Page_113">{113}</a></span> -Faculty also were instructed at once to admit the -ladies who were prepared for it to the Professional -Examination on the following day; and I -am happy to say that, in spite of the incessant -worry to which they had been subjected for the -past ten days, they all passed successfully. I am -sure that all those who have had to prepare for -severe University examinations will appreciate the -difficulties under which they did so.<a name="Anchor_100" id="Anchor_100" href="#Footnote_100" class="fnanchor" title="Go to footnote 100.">[100]</a></p> - -<p>A few days later came a meeting of the University -Council, when Dr Alexander Wood made -a gallant attempt to get a vote passed to the -effect that “the University is bound, in honour -and justice, to render it possible for those women -who have already commenced their studies, to -complete them.”<a name="Anchor_101" id="Anchor_101" href="#Footnote_101" class="fnanchor" title="Go to footnote 101.">[101]</a> The <cite>Lancet</cite> remarked, respecting -<span class="pagenum"><a name="Page_114" id="Page_114">{114}</a></span>this motion:—“This is precisely the ground -we have always taken up about the matter; and -we hope that the General Council of the University -will, by the adoption of Dr Alexander Wood’s -motion, put an end to the controversy which had -redounded so little to the credit of that school.”<a name="Anchor_102" id="Anchor_102" href="#Footnote_102" class="fnanchor" title="Go to footnote 102.">[102]</a> -A memorial in favour of the resolution was also -presented, signed by more than nine thousand -women, residing in all parts of the country, and -representing almost every rank in society.<a name="Anchor_103" id="Anchor_103" href="#Footnote_103" class="fnanchor" title="Go to footnote 103.">[103]</a> Very -vigorous opposition to it was, however, made by -Professors Turner, Thomson, and Christison, all -of whom were members of the Medical Faculty, -and ultimately an amendment, which proposed to -leave the question to be settled by the Senatus -and University Court, was carried by 107 votes -to 97.<a name="Anchor_104" id="Anchor_104" href="#Footnote_104" class="fnanchor" title="Go to footnote 104.">[104]</a></p> - -<p>At a meeting of the Senatus held on <abbr title="October">Oct.</abbr> 30th, -the question of making further provision for<span class="pagenum"><a name="Page_115" id="Page_115">{115}</a></span> -the instruction of women was brought forward, -and a letter was received from the Committee -of our friends stating that, “in the event of -special lecturers being appointed by the University -to give qualifying instruction to women, -the Committee are willing to guarantee the -payment to them of any sum that may be fixed -by the Senatus for their remuneration, in case -the fees of the ladies are insufficient for that -purpose; and that, if necessary, they are willing -further to undertake to provide such rooms -and accommodation as may be required for the -delivery of the said lectures, if it should be -found absolutely impossible for the University to -provide space for that purpose.” After a long -debate the Senatus decided, by a majority, that -they would not take any steps to enable us to -complete our education. At a meeting a few days -later the Senatus further decided, by fourteen<span class="pagenum"><a name="Page_116" id="Page_116">{116}</a></span> -votes to thirteen, to recommend to the University -Court that the existing regulations in favour of -female students be rescinded, without prejudice, -however, to the rights of those already studying. -This resolution was, as I said, passed by fourteen -votes to thirteen, and it may be worth while to -mention that two of the fourteen votes were those -of Dr Christison and Sir Alexander Grant, who -were themselves members of the University Court -to which the recommendation was to be made. -That the proposed measure was not the wish of -a real majority of the Professors was soon made -abundantly clear, for a protest against it was sent -up to the Court, signed by eighteen out of the -thirty-five Professors of the University, while two -out of the remaining seventeen were persistently -neutral, never indeed having voted on the question -from first to last. In the teeth of this protest -it was, of course, almost impossible that the -Regulations could be rescinded, and so they were -once more confirmed by the University Court on -January 3, 1872.</p> - -<p>The next event of importance was the annual -re-election of Infirmary managers, six of -whom were to be chosen at the contributors’ -meeting at the beginning of January 1872. As -on a former occasion, the election evidently turned -wholly on our admission to, or exclusion from, the -Infirmary wards. The medical party moved the<span class="pagenum"><a name="Page_117" id="Page_117">{117}</a></span> -re-election of the former managers, and they were -sure of the support of everybody who did not consider -our admission a vital question. Our friends, -on the contrary, brought forward a list of gentlemen, -all of whom were known to be friendly to -our cause. After a very warm debate the list of -our friends proved to be successful, being supported -by 177 votes, while 168 were recorded on -the other side. Professor Masson then moved -that a Statute be enacted by the Court of Contributors, -giving the same educational advantages in -the Infirmary to female as well as to male students. -The hostile party, finding themselves in a minority, -endeavoured to prevent this being put to the -vote on technical grounds which were subsequently -found to be of no legal importance. -Failing in this, they then adopted the remarkably -dignified course of decamping in a body, accompanied, -I must confess, by some ironical cheers -from those left behind. In the lull that succeeded -Professor Masson brought forward his motion, -which was seconded by the <abbr title="Reverend">Rev.</abbr> Dr Guthrie, and -passed without a dissentient voice. This Statute -is, therefore, now actually law in the Infirmary, -and considering that managers friendly to us had -also been elected, it might have been thought -that our difficulties there were at end. But now -comes the most extraordinary part of the whole -story. On a scrutiny of the votes it was found<span class="pagenum"><a name="Page_118" id="Page_118">{118}</a></span> -that with the majority had voted twenty-eight -firms, thirty-one ladies, and seven doctors. On -the other side were fourteen firms, two ladies, -thirty-seven doctors, and three druggists. These -figures may seem, indeed, to have a tolerable moral -significance, but it is not with that that I am at -this moment concerned. It occurred to the defeated -party that here might be found a straw -for them, drowning, to catch at,—that possibly a -legal objection might be sustained against the -votes of firms which were so largely in our favour, -and that, if so, the victory might yet be secured!<a name="Anchor_105" id="Anchor_105" href="#Footnote_105" class="fnanchor" title="Go to footnote 105.">[105]</a> -The result was, that, when the Contributors -assembled at the adjourned meeting,<a name="Anchor_106" id="Anchor_106" href="#Footnote_106" class="fnanchor" title="Go to footnote 106.">[106]</a> for the -purpose of hearing the result of the scrutiny and<span class="pagenum"><a name="Page_119" id="Page_119">{119}</a></span> -the final declaration of the election, the Lord -Provost found himself served with an Interdict -forbidding him to declare the new managers -duly elected, on the ground that the votes of -firms were incompetent, and that by means of -these the majority had been obtained!</p> - -<p>Instances have occurred before now where -personal feelings have triumphed over public -interests, but I do not think that I ever heard -of quite so reckless a course as this, by which -the medical clique has plunged the great Edinburgh -Hospital into litigation, and that with -some of its own most generous supporters, rather -than allow a dozen women to obtain in its wards -the instruction that the Contributors had decreed -they should receive!<a name="Anchor_107" id="Anchor_107" href="#Footnote_107" class="fnanchor" title="Go to footnote 107.">[107]</a></p> - -<p>The litigation thus begun is still pending, and -the incomplete Board of Managers have for all -these months carried on the business of the Infirmary -without any representatives at all from -the Court of Contributors; and it is probable -that they make the very fact of their deficient -numbers the excuse for having up to this moment -given no effect whatever to the Statute unanimously -passed in our favour last January by the -Court of Contributors. We applied immediately -after the meeting for tickets of admission, but -were told that the managers must first be consulted, -and from that day to this no tickets have<span class="pagenum"><a name="Page_120" id="Page_120">{120}</a></span> -been issued to us, though the statute referred to -legally secured that “henceforth all registered -students of medicine shall be admitted to the -educational advantages of the Infirmary, without -distinction of sex.” The matter, however, -can now be only one of time; and, since the law -of the Infirmary is at length on our side, our -opponents may, I think, rest assured that our -patience in awaiting the end will be at least equal -to theirs. In all such struggles a present triumph -may be snatched by those in brief authority, but -the future belongs inalienably to the cause of -justice and liberality.</p> - -<p>In the meantime, I had, on behalf of my -fellow-students and myself, appealed to the University -Court to provide us with the means of -completing our education, and our friends of the -Committee also forwarded to the Court a further -legal Opinion from the Lord Advocate and Sheriff -Fraser, to the effect,—that the University authorities -had full powers to permit the matriculation -of women in 1869; that the Resolutions then -passed amounted to a permission to women to -“<em>study medicine</em>” in the University, and that -therefore the women concerned were entitled to -demand the means of doing so; and finally, -that if such means were persistently refused, -the legal mode of redress lay in an Action of -Declarator.<a name="Anchor_108" id="Anchor_108" href="#Footnote_108" class="fnanchor" title="Go to footnote 108.">[108]</a></p> -<p><span class="pagenum"><a name="Page_121" id="Page_121">{121}</a></span></p> -<p>On January 8th, 1872, the University Court -declared that they could not make any arrangements -to enable us to pursue our studies with a -view to a degree, but that, <em>if we would altogether -give up the question of graduation</em>,<a name="Anchor_109" id="Anchor_109" href="#Footnote_109" class="fnanchor" title="Go to footnote 109.">[109]</a> and be content -with Certificates of Proficiency, they would -try to meet our views!</p> - -<p>In reply, I represented to the Court that no -“Certificates” were recognised by the Medical -Act, and that any such documents would therefore -be perfectly useless to us. I further urged -that as matriculation fees had been exacted from -us, in addition to the fees for tuition, and as we -had been required to pass the Preliminary Examination -“<em>for the medical degree</em>,” and as some of -our own number had moreover passed the first -Professional Examination, I could not but believe -that we were entitled to demand the means of -completing the ordinary University education, -with a view to obtaining the ordinary degree; -such belief being moreover confirmed by the -emphatic opinion of very distinguished counsel. -On these grounds I entreated the Court to reconsider -<span class="pagenum"><a name="Page_122" id="Page_122">{122}</a></span>their decision, and made the following -suggestion:—</p> - -<blockquote> - -<p>“That, as the main difficulty before your honourable Court -seems to be that regarding graduation, with which we are not -immediately concerned at this moment, we are quite willing -to rest our claims to ultimate graduation on the facts as they -stand up to the present date; and, in case your honourable -Court will now make arrangements whereby we can continue -our education, we will undertake not to draw any arguments -in favour of our right to graduation from such future arrangements, -so that they may at least be made without prejudice to -the present legal position of the University.”</p> - -</blockquote> - -<p>I appeal to every intelligent man and woman -to say whether these words, taken in connection -with my previous argument, were in the slightest -degree ambiguous, or whether any doubt could -really exist that in them I was pleading for -facilities for such an education as would ultimately -enable us to become legal practitioners of medicine, -although I was willing that the actual question -of graduation should remain in abeyance for -a few months, till decided by legal authority, or -otherwise. The public evidently so understood -my letter, which was published in the papers, for -it was considered that I had substantially gained -my end, when the following reply from the secretary -of the Court was also published:—</p> - -<p><span class="pagenum"><a name="Page_123" id="Page_123">{123}</a></span></p> - -<blockquote> - -<p>“I am desired to inform you that you appear to ask no -more than was offered by the Court in their resolution of the -8th ultimo, in which it was stated that, while the Court were -restrained by legal doubts as to the power of the University -to grant degrees to women from considering ‘the expediency -of taking steps to obtain, in favour of female students, an -alteration of an ordinance which might be held not to apply -to women,’ they were ‘at the same time desirous to remove, -so far as possible, any present obstacle in the way of a complete -medical education being given to women; provided -always that medical instruction to women be imparted in -strictly separate classes.’ On the assumption, therefore, that -while you at present decline the offer made by the Court with -reference to certificates of proficiency, you now ask merely -that arrangements should be made for completing the medical -education of yourself and the other ladies on behalf of whom -you write, I am to state that the Court are quite ready to meet -your views. If, therefore, the names of extra-academical teachers -of the required medical subjects be submitted by yourself, -or by the Senatus, the Court will be prepared to consider the -respective fitness of the persons so named to be authorised to -hold medical classes for women who have, in this or former -sessions, been matriculated students of the University, and -also the conditions and regulations under which such classes -should be held. It is, however, to be distinctly understood -that such arrangements are not to be founded on as implying -any right in women to obtain medical degrees, or as conferring -any such right upon the students referred to.”</p> - -</blockquote> - -<p>My friends, as I say, congratulated me on this -apparently important concession; but to make -assurance doubly sure, I resolved to have absolute -official confirmation of the apparent meaning -of the Resolution, and therefore addressed another -letter to the Court, in which, after thanking them -for their apparent good intentions, I enquired -whether I was correct in understanding—</p> - -<blockquote> - -<p>“1. That, though you at present give us no pledge respecting -our ultimate graduation, it is your intention to consider<span class="pagenum"><a name="Page_124" id="Page_124">{124}</a></span> -the proposed extra-mural courses as ‘qualifying’ for graduation, -and that you will take such measures as may be necessary -to secure that they will be so accepted, if it is subsequently -determined that the University has the power of granting -degrees to women.</p> - -<p>“2. That we shall be admitted in due course to the ordinary -Professional Examinations, on presentation of the proper -certificates of attendance on the said extra-mural classes.”</p> - -</blockquote> - -<p>In reply, I was calmly informed that the Court -meant nothing of the kind; that they would not -agree to count any classes we might take as -qualifying, and that in fact they would not stir a -finger in any way whatever to enable us to -become legally qualified doctors, though they -might, if we spent a good many years of labour -and a quite unlimited sum of money in obtaining -our education, give us at the end these wonderful -Certificates of Proficiency, which would be -worth exactly—Nothing!</p> - -<p>What had been the meaning of the previous -letter of apparent concession I confess myself -quite at a loss to conceive. What advantage -could accrue to us from submitting the names of -extramural teachers to the Court, in which Professor -Christison was the only medical man, I -have never been able to guess, since the Court -did not intend to take any means to make their -teaching qualify for graduation, and we hardly -needed its sanction in order to make private arrangements -for non-qualifying instruction! One<span class="pagenum"><a name="Page_125" id="Page_125">{125}</a></span> -is inclined to wonder whether the idea was -that the University Court possessed some supernatural -power, analogous to that supposed by -certain churches to reside in episcopal laying on -of hands, which would in a miraculous way benefit -those lecturers whom they might “authorise” -to teach us, though such teaching was to be given -in place and manner wholly unconnected with -that University with which I had supposed their -functions to be exclusively connected. However, -I am content to leave this among the unexplained -mysteries, with very hearty thankfulness that, at -least, by timely enquiries, we saved ourselves -from a still more hopeless waste of time and -money, which indeed we were on the point of -incurring, in reliance on the good faith of the -Court, and the apparent meaning of its mysterious -Resolution.<a name="Anchor_110" id="Anchor_110" href="#Footnote_110" class="fnanchor" title="Go to footnote 110.">[110]</a></p> - -<p>Having, however, at length arrived at a certainty -that the Medical Faculty would rest with -nothing short of our expulsion, if by any possibility -they could attain that end; that the Senatus, -though far more friendly, had not a sufficient -majority of liberal votes to secure the permanent -concession of our claims, however just, in the teeth -of the strong medical opposition; and that the -University Court would offer only such concessions -as were quite valueless for our end, it became<span class="pagenum"><a name="Page_126" id="Page_126">{126}</a></span> -clear that it was useless to prolong the series of -supplications which had, for nearly a year, been -addressed in vain to one after another of the -the ruling powers of the University.</p> - -<p>On the other hand, we had no less authority -than that of the Lord Advocate of Scotland for -believing that we were absolutely entitled to -what we had so humbly solicited, and that a Court -of law would quietly award to us what seemed -unattainable by any other means; we had the -very widely spread and daily increasing sympathy -of the community at large, and received constant -offers of help from friends of every kind, who were -none the less inclined to befriend us because our -opponents stood in high places, and were utterly -relentless in their aims and reckless in their -means. Under these circumstances, we have -done the one thing that remained for us to do, -we have brought an action of Declarator against -the Senatus of the University;—praying to have it -declared that the Senatus is bound, in some way -or other, to enable us to complete our education, -and to proceed to the medical degree which will -entitle us to take place on the Medical Register -among the legally qualified practitioners of medicine. -By this action it will be decided,—once -more to quote our great champion, the <cite>Scotsman</cite>,—whether, -indeed, <span class="pagenum"><a name="Page_127" id="Page_127">{127}</a></span>“a University can, with formal -solemnity, and with the concurrence of all its -component parts, decree the admission of women -to study for the profession of medicine, and then -deny them access to those means by which alone -they can enter that profession; whether, indeed, -a University is absolved from all duties towards -such of its matriculated students as may have -the misfortune to be women. It will have to be -decided whether any corporate body can make -a contract of which all the obligations are on one -side, and can exact fees and demand obedience to -regulations, without in its turn incurring any -responsibility; and can at pleasure finally send -empty away those whose presence is inconvenient, -without any regard to the money and time and -labour which they have expended in simple reliance -upon its good faith.”<a name="Anchor_111" id="Anchor_111" href="#Footnote_111" class="fnanchor" title="Go to footnote 111.">[111]</a></p> - -<p>It is a very great satisfaction to me to find that -some of the most illustrious members of the -Senatus have expressed their own opinion on -these points in the most emphatic way, for they -have refused utterly to be parties to the defence -of this action, and have entered on the Record a -Minute from which I extract the following passage:—</p> - -<p>“We dissent from and protest against the -Resolution of the Senatus of March 27, 1872, to -undertake the defence of the action. This we do -for the following reasons:—(1.) Because we see no -just cause for opposing the admission of women -<span class="pagenum"><a name="Page_128" id="Page_128">{128}</a></span>to the study and practice of medicine, but on the -contrary, consider that women who have honourably -marked out such a course of life for themselves, -ought to be forwarded and aided in their -laudable endeavour as much as possible, by all -who have the means, and especially by those -having authority in any University or other -Institution for Education; (2.) Because in particular, -we feel such aid and encouragement, -rather than opposition and discouragement, to be -due from us to those women who have enrolled -themselves in the University of Edinburgh, and -we entirely concur with respect to them, in the -desire expressed by Sir William Stirling-Maxwell, -the Rector of the University, that they should -obtain what they ask—namely, a complete medical -education, crowned by a degree; (3.) Because we -have seen no sufficient reason to doubt the legal -and constitutional powers of our University, to -make arrangements that would be perfectly adequate -for the purpose, and we consider the public -questioning of such powers, in present circumstances, -by the University itself, or any of its -component bodies, unnecessary, impolitic, and -capable of being construed as a surrender of permanent -rights and privileges of the University, -in order to evade a temporary difficulty; (4.) Because, -without pronouncing an opinion on the -question now raised as to the legal rights which -<span class="pagenum"><a name="Page_129" id="Page_129">{129}</a></span>the pursuers have acquired by matriculation in -the University, admission already to certain examinations, -or otherwise, to demand from the -University continued medical instruction and the -degree on due qualification, we yet believe that -they have thereby, and by the general tenor of -the proceedings, both of the Senatus and of the -University Court in their case, hitherto acquired -a moral right, and created a public expectation, -which the University is bound to meet by the -full exercise of its powers in their behalf, even -should it be with some trouble; (5.) Because, -with these convictions, and notwithstanding our -utmost respect for those of our colleagues from -whom we may have the misfortune to differ on -the subject, we should individually feel ashamed -of appearing as defenders in such an action, and -should account any such public appearance by us -in the character of opponents to women desiring -to enter an honoured and useful profession, a -matter to our discredit.”<a name="Anchor_112" id="Anchor_112" href="#Footnote_112" class="fnanchor" title="Go to footnote 112.">[112]</a></p> - -<p>The following are the names of the six Professors -who have taken this memorable stand:—John -Hughes Bennett, M.D., Professor of Institutes -of Medicine; David Masson, M.A., Professor -of Rhetoric and English Literature; Henry Calderwood, -LL.D., Professor of Moral Philosophy; -James Lorimer, M.A., Professor of Public Law;<span class="pagenum"><a name="Page_130" id="Page_130">{130}</a></span> -Archibald H. Charteris, D.D., Professor of Biblical -Criticism and Biblical Antiquities; and William -Ballantine Hodgson, LL.D., Professor of Political -Economy.<a name="Anchor_113" id="Anchor_113" href="#Footnote_113" class="fnanchor" title="Go to footnote 113.">[113]</a></p> - -<p>And so I have brought down as clearly and as -briefly as I have been able the history of this -great struggle to the present moment, for that -it is a great struggle, and one that will astound -most of those who may read these lines some -thirty years hence I think no thoughtful person -will deny.</p> - -<p>I should like in conclusion to say a very few -words on two only of the general questions which -are bound up with the final solution of the problem -of the Medical Education of Women.</p> - -<p>And, first, as to the difficulties which are, or -are not, inherent in the admission of women to a -University, and especially in them studying in -mixed classes. I believe most firmly that if, -when we first applied for admission in Edinburgh, -we had simply been given the ordinary tickets, -and, if either no notice had been taken of our -entering the classes, or the other students had<span class="pagenum"><a name="Page_131" id="Page_131">{131}</a></span> -been invited, as they were by Dr Alleyne Nicholson, -to join in welcoming us to their midst, no -difficulties would ever have arisen at all; or at -least no difficulties but might have been most -easily smoothed away by any manly teacher with -a real reverence for his subject, and a belief in the -profound purity of Science.<a name="Anchor_114" id="Anchor_114" href="#Footnote_114" class="fnanchor" title="Go to footnote 114.">[114]</a> I am sure that in -theory it is both possible and right for ladies and -gentlemen to study in the same classes any and<span class="pagenum"><a name="Page_132" id="Page_132">{132}</a></span> -every subject which they need to learn, and I -have very little doubt that this will ultimately -be the usual arrangement as civilization advances. -But I am equally certain that boys of a low social -class, of small mental calibre, and no moral training, -are utterly unfit to be admitted to a mixed -class, and I confess that I was most painfully surprised -in Edinburgh to find how large a number -there are of medical students who come under -this description. I had honestly supposed, as I -wrote three years ago, that ladies need fear no -discomfort in an ordinary medical class, as “the -majority of the students would always be gentlemen.”<a name="Anchor_115" id="Anchor_115" href="#Footnote_115" class="fnanchor" title="Go to footnote 115.">[115]</a> -I regret that on this point I have been -compelled somewhat to modify my opinion, though -I would fain hope that the circumstances which -obliged me to do so were to a great extent exceptional -and local.<a name="Anchor_116" id="Anchor_116" href="#Footnote_116" class="fnanchor" title="Go to footnote 116.">[116]</a> Nor do I think it possible that -a mixed class can be satisfactorily conducted by -any man who is not capable of inspiring his -students with a reverence for purity, or who does -not naturally teach them alike by example and -precept, that the fear of competition is essentially -low and mean, and that the acme of degradation<span class="pagenum"><a name="Page_133" id="Page_133">{133}</a></span> -is reached when strength of any kind is used for -the injury or annoyance of the weaker or less protected; -and, this being so, I acquiesce very -heartily in the decision that, at present, wherever -professors and students think it necessary, women -shall be taught medicine only in separate classes, -though I hope, even in my life-time, to see the -day when such regulations are no longer required, -because students and teachers alike have risen to -a higher moral level.<a name="Anchor_117" id="Anchor_117" href="#Footnote_117" class="fnanchor" title="Go to footnote 117.">[117]</a> In the meantime, let us -but be granted permission to acquire our knowledge -in separate classes, at whatever cost, and -the authorities may be very sure that we shall -not trouble them with requests again to be subjected -to the unsavoury companionship of which -we had such full experience in 1870–71.<a name="Anchor_118" id="Anchor_118" href="#Footnote_118" class="fnanchor" title="Go to footnote 118.">[118]</a></p> - -<p>And, lastly, with regard to future legislation -respecting medical practice, I would say but one -word. It is clearly right that, for the protection -of the helpless and ignorant, the State should -take means to distinguish between competent and -incompetent practitioners of medicine, and I hope -that women as well as men will always be required -very thoroughly to prove their fitness for practice -before they are allowed to undertake it, at<span class="pagenum"><a name="Page_134" id="Page_134">{134}</a></span> -least under national sanction. But it is not in -the least for the good of the nation that any -monopoly should be encouraged, whether in matters -of teaching, examination, or practice. Is it -not simply shameful that all that I have now been -relating should be <em>possible</em> in this country, and -possible because of a law which appoints but one -door to the medical profession,—that of Registration,—limits -Registration to those who have -passed through certain definite Schools, and satisfied -certain definite Boards, and yet allows those -Schools and Boards absolute power to shut their -doors on one-half of the human race, and that -even in the case of Universities largely subsidised -from public funds, and at a time when the public -are positively clamouring for women doctors for -women? We can see plainly enough why it is -(in the lowest sense) the interest of medical men -to exclude women from their profession,—though, -thank God, there are hundreds of medical men -who would scorn to put their interests in one -scale when justice weighed down the other,—but -it is <em>not</em> the interest of the public or of the nation -to sanction any such monopoly;<a name="Anchor_119" id="Anchor_119" href="#Footnote_119" class="fnanchor" title="Go to footnote 119.">[119]</a>—it is their interest -<span class="pagenum"><a name="Page_135" id="Page_135">{135}</a></span>to throw open the gates of competition as -widely as possible, insisting only on a uniform -standard of attainment for all, of either sex, who -would enter them; for, by thus increasing the -supply of really competent doctors, they give -themselves the best possible opportunities of -selection; and, as I have pointed out elsewhere, -they double the chances of growth and advance -in the fields of medical science.</p> - -<p>When this momentous question again comes -before Parliament, I trust that the issues involved -will be fully realised; and that, while providing -for the most stringent examination of every candidate, -no arbitrary barrier will be placed in the -way of any, and no regulations be allowed to -stand which militate against the good old English -motto for all,—a Fair Field and no Favour!</p> - -<hr class="chap" /> - -<p><span class="pagenum"><a name="Page_136" id="Page_136">{136}</a></span></p> - -<div class="footnotes"> -<h3 class="fn_heading">FOOTNOTES:</h3> - - <ul> - - <li> - <a name="Footnote_71" id="Footnote_71" href="#Anchor_71" title="Return to text.">[71]</a> - By this Act a Court of Examiners was appointed and declared -to be “authorised <em>and required</em> to examine all person or persons -applying to them, for the purpose of ascertaining the skill or -abilities of such person or persons in the science of medicine, and -his or their fitness and qualification to practise as Apothecaries;”—it -being, however, stipulated that all candidates, so applying, -should have gone through certain preliminary studies and apprenticeship. - </li> - - <li> - <a name="Footnote_72" id="Footnote_72" href="#Anchor_72" title="Return to text.">[72]</a> - The classes attended by Miss Garrett, in common with the -other students, were as follows:—Chemistry, Practical Chemistry, -Materia Medica, Botany, Zoology, and Natural Philosophy. - </li> - - <li> - <a name="Footnote_73" id="Footnote_73" href="#Anchor_73" title="Return to text.">[73]</a> - See <i><a href="#Note_H" title="Go to Note H">Note H</a></i>. - </li> - - <li> - <a name="Footnote_74" id="Footnote_74" href="#Anchor_74" title="Return to text.">[74]</a> - “A woman must have uncommon sweetness of disposition -and manners to be <em>forgiven</em> for possessing superior talents and -acquirements.”—Miss <span class="smcap">Elizabeth Smith</span> (<i><cite>Memoir</cite>, by H. M. -Bowdler</i>). - </li> - - <li> - <a name="Footnote_75" id="Footnote_75" href="#Anchor_75" title="Return to text.">[75]</a> - In the year 1870 the question was formally asked of the -Italian Government whether women were legally entitled to study -in the Universities, and the answer was in the affirmative. - </li> - - <li> - <a name="Footnote_76" id="Footnote_76" href="#Anchor_76" title="Return to text.">[76]</a> - The University Court consists of the Rector, the Principal, and -the Lord Provost of Edinburgh; with five others appointed respectively -by the Chancellor, the Rector, the Senatus, the Town-Council -of Edinburgh, and the General Council of the University. - </li> - - <li> - <a name="Footnote_77" id="Footnote_77" href="#Anchor_77" title="Return to text.">[77]</a> - On this point I may quote the following passage from the -<cite>Scotsman</cite>, whose great influence has always been most nobly -exerted in this question on the side of justice and liberality, and -to whose help in arousing the moral sense of the community, we -owe a debt that we can never hope to pay. The words quoted -occur in a leading article referring to a meeting of the General -Council, of which mention will be found elsewhere:—“Even Dr -Christison, who is well known to be in truth the very soul and -centre of the opposition, and whose personal influence alone has -probably prevailed to carry it on so long in the teeth of public -opinion, thought it advisable to say at the Council meeting, that -‘if anything could be done to get the ladies out of their difficulty, -he should be glad to be one to give them assistance.’ This expression -sounds somewhat farcical to those who are aware that -the present dead-lock arises simply from the fact that the ladies’ -studies have now brought them to that point at which Dr Christison’s -class comes next in turn to be attended, and that the Professor, -in spite of his verbal gallantry, has flatly refused either to -instruct them himself or facilitate arrangements by which any one -can do so in his place.”—<cite>Scotsman</cite>, October 31, 1871. - </li> - - <li> - <a name="Footnote_78" id="Footnote_78" href="#Anchor_78" title="Return to text.">[78]</a> - As some attempts have been lately made to throw doubt on -the validity of the regulations just quoted, and, in fact, on the -legality of the matriculation of women, I think it well to specify -distinctly certain of the persons who were most immediately concerned -in the University action just described. The University -Court which drew up the above regulations, contained among its -members Mr Moncreiff, then Lord Advocate of Scotland, and Mr -Gordon, who had held the same office under a previous Government, -besides two other legal members. The Chancellor who -gave his express sanction to all the measures taken, was Lord Glencorse, -(Inglis,) the Lord Justice-General of Scotland. I leave the -public to judge how far it is probable that these gentlemen conjoined -to do an illegal and invalid act on behalf of the University. - </li> - - <li> - <a name="Footnote_79" id="Footnote_79" href="#Anchor_79" title="Return to text.">[79]</a> - I fully agree in the following remarks made by a local paper -when the results of the next summer term were declared:—“The -whole number of gentlemen who appear in the prize-lists (in -Botany) are 32, out of 140 competitors,—<i>i.e.</i>, about 23 per cent.; -of the ladies, <em>all</em>. We believe that these results prove, not that -women’s capacities are better than those of men—a thing that -few people would assert—but that these women who are devoting -themselves to obtain, in spite of all difficulties, a thorough -knowledge of their profession, are far more thoroughly in -earnest than most of the men are, and that their ultimate success -is certain in proportion. Nor would we omit the inference that, -this being so, those who wantonly throw obstacles in the way of -this gallant little band incur a proportionately heavy responsibility, -as wanting not only in the spirit of chivalry, but even in the -love of fair play, which we should be sorry to think wanting in -any Briton.”—<cite>Daily Review</cite>, August 5, 1870. - </li> - - <li> - <a name="Footnote_80" id="Footnote_80" href="#Anchor_80" title="Return to text.">[80]</a> - Compare Miss Garrett’s experience, <a href="#Page_78" title="Page 78"><abbr title="page">p.</abbr> 78</a>. - </li> - - <li> - <a name="Footnote_81" id="Footnote_81" href="#Anchor_81" title="Return to text.">[81]</a> - I am told that on this occasion the obstructives of the day -actually shut the College gates on the ladies, but that the gallant -old Professor, nothing daunted, admitted them through a ground-floor -window in South College Street! - </li> - - <li> - <a name="Footnote_82" id="Footnote_82" href="#Anchor_82" title="Return to text.">[82]</a> - See <i><a href="#Note_I" title="Go to Note I">Note I</a></i>. - </li> - - <li> - <a name="Footnote_83" id="Footnote_83" href="#Anchor_83" title="Return to text.">[83]</a> - The following passage occurs in a leading article on the riot -got up in Philadelphia by male medical students, when in 1869 -ladies were first admitted to the Pennsylvania Hospital:—“Their -riotous procedure is just a manifestation of the same -trades-union spirit that will stoop to any meanness, join in any -tyranny, be guilty of any cruelty, rather than allow interference -with what is considered as its ‘vested rights.’ In last week’s -<cite>Lancet</cite> we find a letter from a medical man, who asks with <i>naïve</i> -surprise whether the advocates of female physicians can possibly -be aware that there are hundreds of medical <em>men</em> not able to make -a comfortable living! We know not which most to admire—the -cool assumption that the medical profession exists only or mainly -to fill the pockets of its members, or the serene assurance that -takes it for granted that no woman has a right to expect to be -allowed the chance of earning a living, till all male competitors -are safely and sufficiently provided for! It is rather amusing -to contrast the evidently keen dread of successful competition -which degrades a man thus to plead <i lang="la" xml:lang="la">in formâ pauperis</i>, with the -voluble assurances, in this and other medical papers, that nature -has clearly interdicted to women the practice of medicine, and -that here at least they cannot but utterly fail.”—<cite>Scotsman</cite>, <abbr title="December">Dec.</abbr> 4, -1869. - </li> - - <li> - <a name="Footnote_84" id="Footnote_84" href="#Anchor_84" title="Return to text.">[84]</a> - <cite>Times</cite>, April 25, 1870. - </li> - - <li> - <a name="Footnote_85" id="Footnote_85" href="#Anchor_85" title="Return to text.">[85]</a> - See <i><a href="#Note_J" title="Go to Note J">Note J</a></i>. - </li> - - <li> - <a name="Footnote_86" id="Footnote_86" href="#Anchor_86" title="Return to text.">[86]</a> - “In answer to an incorrect statement which appeared in one -of the medical papers respecting his class, Dr Alleyne Nicholson has -forwarded to its editor a letter, from which we extract the following -passage:— ... “The course of lectures on Zoology, which I am -now delivering to a mixed class, is identically the same as the course -which I delivered last winter to my ordinary class of male students. -I have not hitherto emasculated my lectures in any way whatsoever, -nor have I the smallest intention of so doing. In so acting, I am -guided by the firm conviction that little stress is to be laid on the -purity and modesty of those who find themselves able to extract -food for improper feelings from such a purely scientific subject as -zoology, however freely handled. ‘To the pure all things are -pure.’” In the moral courage and manly purity of the above -letter we find fresh cause to congratulate the ladies on the teacher -they have secured on a subject which might easily have been made -offensive by a man of prurient mind. As teachers of truly scientific -spirit become more common, we shall, doubtless, hear less and -less of the difficulties of giving instruction to classes composed of -medical students of both sexes.”—<cite>Daily Review</cite>, June 14, 1870. - </li> - - <li> - <a name="Footnote_87" id="Footnote_87" href="#Anchor_87" title="Return to text.">[87]</a> - I am sorry to say that hardly a year later a majority of these -lecturers were so overborne by the prevailing medical influence, -that they rescinded the above regulations, merely permissive as -they were, and, in spite of the remonstrances of the gentlemen -whose classes we had attended, passed a resolution forbidding any -of their number to instruct lady students, either in mixed or -separate classes, in Surgeons’ Hall. That no doubt whatever -might remain as to the <i lang="la" xml:lang="la">animus</i> which dictated this resolution, -they distinctly confined the prohibition to the case of ladies <em>who -were registered students of medicine</em>,—expressly allowing the continued -instruction of midwives! I wish that space would permit -of my quoting the remarks made on this occasion by the <cite>Scotsman</cite> -of July 19, 1871, and by other papers. - </li> - - <li> - <a name="Footnote_88" id="Footnote_88" href="#Anchor_88" title="Return to text.">[88]</a> - See <i><a href="#Note_K" title="Go to Note K">Note K</a></i>. - </li> - - <li> - <a name="Footnote_89" id="Footnote_89" href="#Anchor_89" title="Return to text.">[89]</a> - See <i><a href="#Note_L" title="Go to Note L">Note L</a></i>. - </li> - - <li> - <a name="Footnote_90" id="Footnote_90" href="#Anchor_90" title="Return to text.">[90]</a> - This mob was not wholly or mainly composed of our fellow-students -at Surgeons’ Hall, though a few of them were present. -The larger number, however, belonged to the lowest class of University -students, who had been summoned together by an anonymous -missive circulated in the class-rooms the same morning. - </li> - - <li> - <a name="Footnote_91" id="Footnote_91" href="#Anchor_91" title="Return to text.">[91]</a> - See <i><a href="#Note_M" title="Go to Note M">Note M</a></i>. - </li> - - <li> - <a name="Footnote_92" id="Footnote_92" href="#Anchor_92" title="Return to text.">[92]</a> - It is worth remark that, for the first time within memory, -lady contributors used their right of voting on this occasion, and -it is tolerably significant that more than a dozen voted on our -behalf, and not one against us. The number of doctors who -voted for us was three or four; against us, more than twenty. - </li> - - <li> - <p><a name="Footnote_93" id="Footnote_93" href="#Anchor_93" title="Return to text.">[93]</a> - The text of the petition was as follows:— -</p> -<p> -“<i>To the Court of Contributors to the Royal Infirmary.</i> -</p> -<p> -“<span class="smcap">Ladies and Gentlemen</span>,—We, the undersigned Women of -Edinburgh, not being able to attend the Meeting at which the -admission of Female Medical Students to the Infirmary will be -discussed, desire hereby to express our great interest in the issues -involved, and our earnest hope that full facilities for Hospital -study will be afforded by the Managers to all women who desire -to enter the Medical Profession.”</p> - - </li> - - <li> - <a name="Footnote_94" id="Footnote_94" href="#Anchor_94" title="Return to text.">[94]</a> - See <i><a href="#Note_N" title="Go to Note N">Note N</a></i>. - </li> - - <li> - <a name="Footnote_95" id="Footnote_95" href="#Anchor_95" title="Return to text.">[95]</a> - Several of the principal citizens, including the senior member -for Edinburgh, had spoken strongly on our behalf at the meetings -just mentioned; indeed it has been remarkable throughout how -strongly the municipal element has been on our side, while the -leaders of the opposition have, with hardly an exception, been -medical men, and their immediate friends and followers. - </li> - - <li> - <a name="Footnote_96" id="Footnote_96" href="#Anchor_96" title="Return to text.">[96]</a> - See <i><a href="#Note_O" title="Go to Note O">Note O</a></i>. - </li> - - <li> - <a name="Footnote_97" id="Footnote_97" href="#Anchor_97" title="Return to text.">[97]</a> - See <i><a href="#Note_P" title="Go to Note P">Note P</a></i>. - </li> - - <li> - <a name="Footnote_98" id="Footnote_98" href="#Anchor_98" title="Return to text.">[98]</a> - See <i><a href="#Note_Q" title="Go to Note Q">Note Q</a></i>. - </li> - - <li> - <a name="Footnote_99" id="Footnote_99" href="#Anchor_99" title="Return to text.">[99]</a> - See <i><a href="#Note_R" title="Go to Note R">Note R</a></i>. - </li> - - <li> - <a name="Footnote_100" id="Footnote_100" href="#Anchor_100" title="Return to text.">[100]</a> - On a subsequent very similar occasion the <cite>Scotsman</cite> remarked:—“It -may be noticed that this is the third time that startling -announcements have been fired at the lady students on the very -eve of important examinations, possibly with the professional view -of testing the soundness of their nerves.”—<cite>Scotsman</cite>, March 21, -1872. - </li> - - <li> - <a name="Footnote_101" id="Footnote_101" href="#Anchor_101" title="Return to text.">[101]</a> - The text of the resolution was as follows:—“That in the -opinion of this Council, the University authorities have, by published -resolutions, induced women to commence the study of -medicine at the University; that these women, having prosecuted -their studies to a certain length, are prevented from completing -them from want of adequate provision being made for their -instruction; that this Council, without again pronouncing any -opinion on the advisability of women studying medicine, do -represent to the University Court that, after what the Senatus -and Court have already done, they are at least bound in honour -and justice, to render it possible for those women who have -already commenced their studies to complete them.” - </li> - - <li> - <a name="Footnote_102" id="Footnote_102" href="#Anchor_102" title="Return to text.">[102]</a> - <cite>Lancet</cite>, October 28, 1871. - </li> - - <li> - <a name="Footnote_103" id="Footnote_103" href="#Anchor_103" title="Return to text.">[103]</a> - I am assured by Mrs Henry Kingsley, who kindly acted as -<i><abbr title="Honorary Secretary">Hon. Sec.</abbr></i> to this memorial, that the signatures might have been -multiplied tenfold, had any organized effort been made to obtain -them by means of paid agents taking the papers from house to -house. - </li> - - <li> - <a name="Footnote_104" id="Footnote_104" href="#Anchor_104" title="Return to text.">[104]</a> - “The Edinburgh school has come badly out of its imbroglio -with the lady students. The motion of Dr Alexander Wood, to -which we made reference last week, was negatived by a majority -of ten. As we then pointed out, the issue before the General -Council was neither more nor less than this—to keep faith with -the female students whom the University had allowed to proceed -two years in their medical curriculum. The Council was not -asked to commit itself in the slightest degree to any opinion, -favourable or unfavourable, to the admission of ladies to a medical -career. It had only to concede, in common courtesy, not to say -common fairness, the right to which the best legal advice had -clearly shown the female students to be entitled,—the right to -carry on the studies they had been allowed to prosecute half way -towards graduation. Will it be believed? An amendment postponing -the settlement of the difficulty till it had been duly considered -by the authorities of the University was put and carried; -as if there was any more room for “consideration” in the -matter! Thus Edinburgh stands convicted of having acted unfairly -towards seven ladies whom she first accepted as pupils, and -then stopped half-way in their career.”—<cite>Lancet</cite>, Nov. 4, 1871. - </li> - - <li> - <a name="Footnote_105" id="Footnote_105" href="#Anchor_105" title="Return to text.">[105]</a> - “It mattered nothing that firms had voted ever since the -Infirmary was founded; that contributors qualified only as members -of firms had, as has now been ascertained, sat over and -over again on the Board of Management, and on the Committee -of Contributors. It was of equally slight importance that the -firms whom it was now sought to disqualify had been among the -most generous benefactors of the charity, and that, with the imminent -prospect before them of great pecuniary necessity, it would -probably be impossible, without their aid, to carry out even the -plans for the new building. The firms had voted in favour of the -ladies, and the firms must go, if, at least, the law would (as it -probably will not) bear out the medical men in their reckless -endeavour to expel them.”—<cite>Scotsman</cite>, January 29, 1872. - </li> - - <li> - <a name="Footnote_106" id="Footnote_106" href="#Anchor_106" title="Return to text.">[106]</a> - At this meeting a Committee of Contributors, previously appointed, -reported in favour of the admission of lady students, and -against the exclusion of the votes of firms, and this Report was -approved by 232 votes to 227. On this occasion there voted for -the approval of the Report 41 ladies and 10 doctors; against it, -6 ladies, 44 doctors, and 5 druggists. - </li> - - <li> - <a name="Footnote_107" id="Footnote_107" href="#Anchor_107" title="Return to text.">[107]</a> - See <i><a href="#Note_S" title="Go to Note S">Note S</a></i>. - </li> - - <li> - <a name="Footnote_108" id="Footnote_108" href="#Anchor_108" title="Return to text.">[108]</a> - See <i><a href="#Note_Q" title="Go to Note Q">Note Q</a></i>. - </li> - - <li> - <a name="Footnote_109" id="Footnote_109" href="#Anchor_109" title="Return to text.">[109]</a> - In support of this suggestion the Court remarked that the -question had been needlessly “complicated by the introduction -of the subject of graduation, which is not essential to the completion -of a medical or other education.” They <em>forgot</em>, however, -to mention that though a degree is “not essential” to a medical -education, it <em>is</em> absolutely indispensable to any practical use of -it,—that is to say, to any lawful practice of the medical profession. - </li> - - <li> - <a name="Footnote_110" id="Footnote_110" href="#Anchor_110" title="Return to text.">[110]</a> - The correspondence above referred to is given in <i><a href="#Note_T" title="Go to Note T">Note T</a></i>. - </li> - - <li> - <a name="Footnote_111" id="Footnote_111" href="#Anchor_111" title="Return to text.">[111]</a> - <cite>Scotsman</cite>, March 25, 1872. - </li> - - <li> - <a name="Footnote_112" id="Footnote_112" href="#Anchor_112" title="Return to text.">[112]</a> - <cite>Scotsman</cite>, May 7, 1872. - </li> - - <li> - <a name="Footnote_113" id="Footnote_113" href="#Anchor_113" title="Return to text.">[113]</a> - Though a majority of the Senatus did decide to defend the -action, I believe that it is understood that such decision did not -imply, on the part of all who acquiesced in it, any moral conviction -that we are not entitled to obtain the desired Declarator, -since several other Professors appear to have agreed in feeling -with the six dissentients, but to have acquiesced in the defence -of the action for the sake of having a formal legal decision given -on one side or the other. - </li> - - <li> - <p><a name="Footnote_114" id="Footnote_114" href="#Anchor_114" title="Return to text.">[114]</a> - “I am bold enough to say that there is nothing in the art of -healing which may not fitly be spoken of before an audience of -both sexes, provided there be a generally good tone prevailing -among them, and the lecturer be of a pure and manly spirit. -Indeed, I will go farther, and say that his example in treating -subjects of the kind incidental to his work with equal purity and -courage will be far from the least valuable part of his teaching. -It will bring home to the hearts of his hearers, with more force -than any other argument, the truth that every creature, every -ordinance of God, is good and pure.”—<cite>Medical Women</cite>, by -<abbr title="Reverend">Rev.</abbr> <span class="smcap">Thomas Markby</span>. London: Harrison. -</p> -<p> -Compare with the above the following statement made by an -Edinburgh medical student in the columns of the <cite>Scotsman</cite>:—“I -beg leave to relate what I myself listened to in a lecture-room -of the University, during the last summer session. On the occasion -to which I refer, the Professor went a long way beyond the -requirements of scientific teaching—into the regions of “spicy” -but indelicate narrative—in order that he might appropriately -introduce remarks to the following effect:—“There, gentlemen, -I have minutely described to you those interesting incidents -which it would have been impossible for me to notice if women -were present; and I hope that we may be long spared the annoyance -which their presence here would inflict upon us.” The -tempest of applause that followed showed only too well the harmony -which existed between teacher and pupils on points that -would have been far better left unnoticed.”—<cite>Scotsman</cite>, December -26, 1870.</p> - </li> - - <li> - <a name="Footnote_115" id="Footnote_115" href="#Anchor_115" title="Return to text.">[115]</a> - See “<cite>Medicine as a Profession for Women</cite>,” <a href="#Page_62" title="Page 62"><abbr title="page">p.</abbr> 62</a>. - </li> - - <li> - <a name="Footnote_116" id="Footnote_116" href="#Anchor_116" title="Return to text.">[116]</a> - “The truth is, a class of young men, inferior socially to their -predecessors of ten years ago, now resort to the Edinburgh School, -which has lost much of its attractiveness now that London and -other seats of learning are so well appointed and so efficiently -worked.”—<cite>Lancet</cite>, February 17, 1872. - </li> - - <li> - <a name="Footnote_117" id="Footnote_117" href="#Anchor_117" title="Return to text.">[117]</a> - “<i lang="la" xml:lang="la">Mundis omnia munda!</i> Neither ladies nor lecturers are -conscious of ‘indelicacy’ or ‘breach of decorum.’ Can it be -that the unruly students are ‘nice’ only upon Dean Swift’s -principle, because they are ‘nasty?’”—<cite>Globe</cite>, <abbr title="December">Dec.</abbr> 10, 1870. - </li> - - <li> - <a name="Footnote_118" id="Footnote_118" href="#Anchor_118" title="Return to text.">[118]</a> - See <i><a href="#Note_U" title="Go to Note U">Note U</a></i>. - </li> - - <li> - <p><a name="Footnote_119" id="Footnote_119" href="#Anchor_119" title="Return to text.">[119]</a> - “The wrong done to individuals by denying them the training -necessary to the pursuit of a branch of knowledge, and the -practice of an art for which they may have a special taste and -capacity, is very great; and it involves a wrong not less signal to -society, in limiting the sources whence good may come to it.” -</p> -<p class="right"> -<cite>Daily News</cite>, Nov. 1, 1871. -</p> - </li> - - </ul> - -</div> - -<hr class="double" /> - -</div> - -<div class="chapter"> - -<h2 class="notes_title"><a name="NOTES" id="NOTES">NOTES.</a></h2> - -<hr class="short" /> - -<h3 class="note_heading"><a name="Note_A" id="Note_A" class="nodec">NOTE A</a>, <a href="#Page_11" title="Page 11"><abbr title="page">p.</abbr> 11</a>.</h3> - -<p>The following are a few only out of many indications of the existence of -the painful feeling alluded to in the text. The reader will hardly need -to be reminded that this is especially a subject respecting which a maximum -of feeling may well exist with a minimum of expression, for hardly -anything but a sense of duty would make a woman write on such a question -to the newspapers.</p> - -<blockquote> - -<p><span class="spread-out_dots">..</span>. “But there remains to be considered the modesty and delicacy of the -patients,—a question hardly yet mooted; these poor women having, I suppose, too -much of the reality to raise the point. It cannot be denied that at least one-half of -the patients of medical men are women, or that usually (from natural causes) they -require medical services more certainly and frequently than men; and operations -delicate or indelicate, so called, must be performed, questions, delicate or indelicate, -must be asked, and answered too, if not by the patient herself, by the nurse, who, I -believe, is usually a woman.</p> - -<p>“There is much reason to believe that many women, either owing to the nature -of their malady, or from constitutional nervousness or reserve, never avail themselves -of the services of a medical man without reluctance. To them it is always a -painful effort—the twentieth time as much as the first. It would, I think, be odd if -something of this kind were not felt very strongly by every woman on some occasions, -and I have seen very experienced mothers quite distressed, if by any chance, they -were deprived of the assistance of ‘the doctor they were used to.’ The wives of -medical men have told me that it was their one comfort to feel that in their hour of -suffering only their own husband and a good nurse need be with them. I think this -is not unnatural.”—Letter by “<span class="smcap">Medicus</span>,”</p><p class="notes_ref"><cite>Pall Mall Gazette</cite>, May 11, 1870.</p> - -<p class="new_quote">“I happened to be speaking to a young shopwoman—a total stranger to me—and -in the course of conversation advised her to seek medical advice, when she replied, -with a sudden gush of tears in her eyes, that she <em>had</em> been in the Infirmary, in Dr -Matthews Duncan’s wards for a fortnight, and had during that time suffered so much -from the constant presence of crowds of male students during certain inevitable but -most unpleasant examinations of her person, that, as she herself forcibly expressed -it, ‘it almost drove me mad.’”</p><p class="notes_ref"><cite>Daily Review</cite>, Nov. 18, 1870.</p> - -<p class="new_quote">“<span class="smcap">Sir</span>,—A new obstacle has been thrown in the way of women acquiring a knowledge -of the medical profession. The special obstacle at present is injury to the -delicacy of mind of the male students. This delicacy, if real, must be a serious drawback -to the proper exercise of their profession in after life. That it is so, many a -suffering woman knows.</p> - -<p>“The question, however, arises—which evil is the greater,—that five hundred -youths, in full health and vigour, should be made a little uncomfortable by the -presence of seven women, or that seven times five hundred women, unnerved by -suffering, should be subjected to the very trial they shrink from.</p> - -<p>“That women do truly shrink from this trial, the number of wretched, broken-down -sufferers from chronic disease but too clearly proves. It is only when racked -by constant pain that a woman’s natural delicacy at last gives way, often only to hear -said the words (how bitter they are!) ‘too late.’</p> - -<p>“The returns of the Registrar-General could easily prove the vast sacrifice of life, -did delicacy not again step in with ‘consumption and liver complaints,’ as more -euphonious terms for the real disorders of which these are the mere after-results.</p> - -<p>“This objection, looked at fairly, is a case of the delicacy of five hundred men <i>versus</i> -that of all suffering women.</p> - -<p><span class="pagenum"><a name="Page_137" id="Page_137">{137}</a></span></p> - -<p>“I leave the fathers and husbands of Edinburgh to judge righteous judgment -thereon.—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">A Sufferer</span>.”</p><p class="notes_ref"><cite>Scotsman</cite>, November 21, 1680.</p> - -<p>“I think most thoughtful women will bear testimony to the amount of preventible -suffering that passes unaided, because the natural sensibilities of women prevent their -resorting with comfort to treatment by medical men for certain diseases. I can -count almost by dozens the cases which have come under my personal observation -of health ruined, and life’s pleasures and usefulness alike lost with it, because young -girls (and sometimes older women too) will not submit to receive from a man, however -respected, the personal examination and treatment necessary for their restoration, -and because no woman’s skill has been at their command. Let your readers divest -themselves for a moment of conventional habits of thought, and inquire what would -then be their instinctive opinion of the existing custom which compels one sex to be -dependent on the other for medical treatment of the most delicate kind. Imagine -the case reversed. If henceforth women alone were to attend on men, what would -the world say to that? At any rate, is it not time that women should at least be -allowed a choice in this matter? And if this be so, it is clear that some women must -be thoroughly educated for the medical profession....—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">A Woman</span>.”</p> - -<p class="notes_ref"><cite>Manchester Examiner and Times</cite>, November 30, 1870.</p> - -<p class="new_quote">“Mention is rarely made of the many women who are waiting longingly for the -time when it will be possible for them to consult doctors of their own sex—when -they will no longer be forced, at the risk of their health, and perhaps life, to consult -men in circumstances under which their natural feelings of delicacy revolt; but I am -sure that the number of these is not small, and long suffering as they have hitherto -been, their voice in time will make itself heard, if all other monitions are disregarded. -I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">A Woman who desires a Woman Doctor</span>.”</p><p class="notes_ref"><cite>Daily Review</cite>, <abbr title="December">Dec.</abbr> 22, 1870.</p> - -<p class="new_quote">“We often hear of the possible dislike of male patients to the presence of lady -students, but let us also give the weaker sex a little credit for these same much-talked-of -feelings of modesty and decency. Many a time have I stood by the bedside -of poor girls who seemed ready to sink under the shame of being exposed before a -number of young men—a feeling which could not be overcome even by the agony of -the operations.... <span class="smcap">A Medical Student.</span>”</p><p class="notes_ref"><cite>Scotsman</cite>, <abbr title="December">Dec.</abbr> 26, 1870.</p> - -<p class="notes_place_date new_quote"><span class="smcap">Edinburgh</span>, <abbr title="December">Dec.</abbr> 28, 1870.</p> - -<p>“<span class="smcap">Sir</span>,—In the present controversy regarding the extension to women of facilities -for obtaining a complete medical education, it is reiterated on one side that there is a -no demand among women themselves for doctors of their own sex. In visiting a -district of nine families in a poor quarter of the Old Town, inhabited principally by -Irish, I found four women seriously out of health; not so seriously, however, but -that they might have been cured by timely medical advice. I urged each of them -more than once to go to the Dispensary, but all persistently refused, each of them -saying in different words that, if ladies were doctors, as they had heard they were in -some places, they would have had medical advice long before. The feelings of these -poor women were so strong on the subject that I found it was useless to urge them -further. It seems only just and reasonable that qualified female medical attendants -should be within the reach of those who either have a strong preference for it, or -who will not avail themselves of any other.—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">A District Visitor</span>.”</p> - -<p class="notes_ref"><cite>Scotsman</cite>, <abbr title="December">Dec.</abbr> 29, 1870.</p> - -<p class="new_quote">“As one who, for a short time, was a patient under a late very eminent doctor of -Edinburgh, I say that I believe nothing would again induce me to do what I -then did, in ignorance of what was before me. The anguish of mind suffered silently -by women in such circumstances is not to be described, and is likely seriously to influence -the effect of the medical treatment. It is surely time for men to cease to -speak of what <em>women feel</em> in this matter. It is impossible for them to know what -women will never tell them—the unwillingness, the delay, often <em>too long</em>, which precedes -their stammered request for advice. What women need is, that some of their -own sex should have the power of qualifying themselves to act as their advisers. Who -has a right to say they shall not, when the voice of their countrywomen calls on them -to do it?—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">An Englishwoman</span>.”</p> - -<p class="notes_ref"><cite>Scotsman</cite>, June 6, 1872.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_B" id="Note_B" class="nodec">NOTE B</a>, <a href="#Page_37" title="Page 37"><abbr title="page">p.</abbr> 37</a>.</h3> - -<p>In answer to the sufficiently arrogant enquiry from Dr Henry Bennet,—“What -right have women to claim mental equality with men?”—I<span class="pagenum"><a name="Page_138" id="Page_138">{138}</a></span> -addressed the following letter to the <cite>Lancet</cite>, and as it seems to me to sum -up our position fairly enough, I here reprint it.</p> - -<blockquote> - -<p class="notes_place_date"><span class="smcap">Edinburgh</span>, June 21st, 1870.</p> - -<p>“<span class="smcap">Sir</span>,—I see in your columns of June 18th a letter on ‘Women as Practitioners of -Midwifery,’ and appeal to your sense of fairness to allow me a fourth part of the -space it occupied, for a few words in reply.</p> - -<p>“It is hardly worth while to discuss the early part of the letter, as the second -paragraph sufficiently disposes of the first. After saying that women are ‘sexually, -constitutionally, and mentally unfitted for hard and incessant toil,’ Dr Bennet goes -on to propose to make over to them, as their sole share of the medical profession, -what he himself well describes as its ‘most arduous, most wearing, and most unremunerative -duties.’ In the last adjective seems really to lie the whole suitability of -the division of labour, according to the writer’s view. He evidently thinks that -women’s capabilities are nicely graduated to fit ‘<em>half-guinea</em> or <em>guinea</em> midwifery -cases,’ and that all patients paying a larger sum, of necessity need the superior -powers of the ‘<em>male</em> mind of the Caucasian race.’ Let whatever is well paid be left -to the man, then chivalrously abandon the ‘badly remunerated’ work to the woman. -This is the genuine view of a true trades-unionist. It is well for once to hear it -candidly stated. As I trust the majority of medical men would be ashamed of -avowing such a principle, and as I am sure it would be indignantly disavowed by the -general public, I do not care to say more on this point.</p> - -<p>“But when Dr Bennet proceeds to dogmatise about what he calls our claim to -‘mental equality,’ he comes to a different and much more important question. I, -for one, do not care in the least either to claim or disown such equality, nor do I see -that it is at all essential to the real question at issue. Allow me to state in a few -words the position that I, and, as I believe, most of my fellow students take. We -say to the authorities of the medical profession, ‘State clearly what attainments you -consider necessary for a medical practitioner; fix your standard where you please, -but define it plainly; put no obstacles in our way; either afford us access to the -ordinary means of medical education, or do not exact that we shall use your special -methods; in either case subject us ultimately to exactly the ordinary examinations -and tests, and, if we fail to acquit ourselves as well as your average students, reject -us; if, on the contrary, in spite of all difficulties, we reach your standard, and fulfil -all your requirements, the question of ‘mental equality’ is practically settled, so far -as it concerns our case; give us then the ordinary medical license or diploma, and -leave the question of our ultimate success or failure in practice to be decided by ourselves -and the public.’ This is our position, and I appeal, not to the chivalry, but to -the justice, of the medical profession, to show us that it is untenable, or else to concede -it at once.—I am, Sir, your obedient servant, <span class="smcap">Sophia Jex-Blake</span>.”</p> - -<p class="notes_ref"><cite>Lancet</cite>, July 9, 1870.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_C" id="Note_C" class="nodec">NOTE C</a>, <a href="#Page_46" title="Page 46"><abbr title="page">p.</abbr> 46</a>.</h3> - -<p>The statement in the text was made the subject of a newspaper controversy; -and I append the following very valuable evidence which was -thus elicited in support of my assertion:—</p> - -<blockquote> - -<p>“<span class="smcap">Sir</span>,—Permit me to bear my testimony to the state of the facts on this question -as far as English convents are concerned. I was for some years medical attendant to -a Franciscan convent, and was frequently consulted by the nuns. They were examined -and treated like other patients, except where certain maladies were concerned, -and then they suffered in silence, or with such relief as could be given by medicines, -after a diagnosis founded on questions and general symptoms only. I especially -remember two cases.... In neither of these any examination was permitted, -or any surgical treatment regarded as a possibility, in spite of all the representations -I could make, and although, I believe, I possessed the full confidence of the patients -and of the Superior. Whether a female surgeon would have been allowed to examine -and operate I cannot say.—I am, Sir, yours, <abbr title="etcetera">&c.</abbr>, F.R.C.S.”</p><p class="notes_ref"><cite>Lancet</cite>, May 18, 1872.</p> -<p class="new_quote">“<span class="smcap">Sir</span>,—Kindly permit me to say a few words with regard to Miss Jex-Blake’s -statement, that very many women, and in particular, nuns, would certainly show a -preference for the medical and surgical aid of one of their own sex, were any choice -possible to them. As being myself a Catholic, and having many near relatives nuns, -I can most confidently confirm this assertion.<span class="pagenum"><a name="Page_139" id="Page_139">{139}</a></span> -“I have known, for many years, and in the closest intimacy, ladies, members of -various religious orders, in this country and in France, and I am quite aware that -recourse to male medical advice, in peculiar cases, is looked upon in religious houses -as something much more painful than any physical suffering, or even death.</p> - -<p>“My father was medical attendant to a convent of English nuns, and I think I -may safely say that any advice given to nuns in such cases was entirely at second -hand, the doctor’s wife being the favourite resource in these emergencies....</p> - -<p>“Then, again, how can any man, medical or not, know what agonies of shame -and outraged modesty women can and do undergo, when submitting to male medical -and surgical treatment? How many women cannot overcome their repugnance, and -die with their special ailments unsuspected, or discovered too late? On the other -hand, how many women are at great pains to <em>conceal</em> the shrinking which they feel -when exposing their peculiar ailments to even a long-known and valued medical man? -Why should we have these added to our other unavoidable sufferings? The reality -of these feelings is, I am certain, within the personal knowledge of every one of your -female readers. No one wishes to deny modesty to the stronger sex; but let us -suppose them <em>compelled</em> to reveal all their physical ills to <em>women</em>—how would they -feel?—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">A Catholic Wife and Mother</span>.”</p><p class="notes_ref"><cite>Scotsman</cite>, May 27, 1872.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_D" id="Note_D" class="nodec">NOTE D</a>, <a href="#Page_49" title="Page 49"><abbr title="page">p.</abbr> 49</a>.</h3> - -<p>While reviewing the above for the press (May 1872), the following -lines came under my notice, and I think them the more suitable to quote -as they are from the pen of a woman who has never herself shown the -least inclination for the study of medicine, and who, therefore, speaks -entirely from the abstract point of view:—</p> - -<blockquote> - -<p>“Nothing will ever make me believe that God meant men to be the ordinary -physicians of women and babies. A few masculine experts might be tolerated in -special institutions, so that cases of peculiar danger and difficulty might not be left, -as they are now, to the necessarily one-sided treatment of a single sex; but, in general, -if ever a created being was conspicuously and intolerably out of his natural -sphere, it is in my opinion, the male doctor in the apartment of the lying-in -woman; and I think our sex is really guilty, in the first place, that it ever allowed -man to appear there; and, in the second, that it does not insist upon educating -women of character and intelligence and social position for that post.</p> - -<p>“Indeed, common delicacy would seem to demand that all the special diseases of -women should be treated principally by women; but this aside, and speaking from -common sense only, men may be as scientific as they please,—it is plain that thoroughly -to know the women’s organism, what is good for it and what evil, and how it can best be -cured when it is disordered, one must be one’s self a woman. It only proves how -much unworthy passion and prejudice the great doctors allow to intrude into their -adoration of ‘pure science’ and boasted love of humanity, that, instead of being -eager to enlist the feminine intuitions and investigations in this great cause, as their -best chance of arriving at truth, they are actually enacting the ignoble part of churls -and misers, if not of quacks. For are they not well enough aware that often their -women patients are so utterly beyond them that they do not know what to do with -them! The diseases of the age are nervous diseases, and women are growing more -nervously high-strung and uncontrollable every day, yet the doctors stand helplessly -by and cannot stop it. When, however, there shall be a school of doctresses of high -culture and thorough medical education going in and out among the sex with the -proper medical authority, they will see, and will be able to prevent, much of the -moral and physical neglect and imprudence which, now unchecked in school and -home, make such havoc of the vital forces of the present generation.”</p> - -<p class="notes_ref">“<cite>Co-operative Housekeeping</cite>,” by Mrs C. F. Pierce.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_E" id="Note_E" class="nodec">NOTE E</a>, <a href="#Page_53" title="Page 53"><abbr title="page">p.</abbr> 53</a>.</h3> - -<p>For the edification of the next generation, to whom all this bigotry -will probably appear almost incredible, I subjoin the passage alluded to -in the text. I am sorry to say it is by no means the worst I might have -quoted from the same paper.</p> - -<p><span class="pagenum"><a name="Page_140" id="Page_140">{140}</a></span></p> - -<blockquote> - -<p>“For ourselves, we hold that the admission of women into the ranks of medicine -is an egregious blunder, derogatory to the status and character of the female sex, -and likely to be injurious, in the highest degree, to the interests and public estimation -of the profession which they seek to invade.</p> - -<p>“By insisting on the attendance of all students at the public-class delivery of -anatomical lectures, and in the public-class dissecting-room, the only possible guarantee -of uniformity of teaching will be obtained, and, at the same time, a difficulty will -be placed in the way of female intrusion which it will not be easy for women of character, -and clearly none else are eligible, to surmount. We hope, however, that the Court of -Examiners will not stop with the erection of the barrier we suggest, but that they will -distinctly refuse to admit any female candidate to examination unless compelled by -a legal decision from the bench; and we also hope that they will be supported in -such refusal by the Master and Wardens of the Society, as well as by the profession -out of doors.”</p><p class="notes_ref"><cite>Medical Times and Gazette</cite>, <abbr title="February">Feb.</abbr> 27, 1867.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_F" id="Note_F" class="nodec">NOTE F</a>, <a href="#Page_56" title="Page 56"><abbr title="page">p.</abbr> 56</a>.</h3> - -<p>Since the first admission of women to the University of Zurich in 1867, -five women have taken degrees there in Medicine, but none at present in -any other Faculty. During the present year (1872) there are at Zurich -no less than 51 women studying in the Medical Faculty, and 12 in that -of Arts.</p> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_G" id="Note_G" class="nodec">NOTE G</a>, <a href="#Page_62" title="Page 62"><abbr title="page">p.</abbr> 62</a>.</h3> - -<blockquote> - -<p>“Now at last the vexed question of mixed classes will be solved, and there can be no -doubt in the minds of those who have ever been engaged in scientific study of the -favourable result to be expected. It is curious to note in the history of the present -movement how, one after another, old objections have vanished, and old arguments -have become no longer available. It is pretty certain that this last, and perhaps -greatest, stumbling-block to the minds of many will also disappear when it is seen -with what beneficial results the system of mixed education is attended. And one -great advantage to be expected is the benefit that will accrue from the higher reverence -for science that must necessarily result from such a system. Once admit the -impropriety of teaching men and women together, and you tax science with impurity; -and while such a feeling is entertained (and it surely must be lurking in the minds of -those who oppose mixed classes), the study of science, if not absolutely injurious, -must be robbed of great part of its power to elevate the mind and heart.... -Science has had to fight many a hard battle. For a long time it was asserted that -science and religion were antagonistic to each other, but a Faraday has shown us how -the two may go hand in hand, each helping and supporting the other. Last April we -were told that the study of science was linked with impurity of thought, and we look -upon the present action of the Lecturers of Surgeons’ Hall as a result of the indignant -protest which every pure-minded man of science must have longed to utter -against such a wholly false and calumnious statement. It is as the champions of -science rather than of medical women that these gentlemen must be regarded. In -any case science would have passed through this last attack, as she has ever done -through all similar attacks, victorious and unscathed and unrestrained in her power -to bless and help mankind; but the lecturers of our city have the no small honour of -having publicly testified their unqualified conviction of the entire purity of all scientific -knowledge and research.... Now that the Lecturers of Surgeons’ Hall -have come forward as a body to affirm the same principle, we may indeed hail the -beginning of the end, and may trust soon to see the day when the man who condemns -the teaching of science to classes of both men and women will simply stand self-convicted -as wanting alike in true scientific spirit and in genuine purity of mind.”</p> - -<p class="notes_ref"><cite>Daily Review</cite>, July 11, 1870.</p> - -<p class="new_quote">“It seems that two ladies have this week applied for admission as students to St -Thomas’s Hospital in London, and a medical contemporary makes this fact the excuse -for a fresh onslaught on all women who may, for the sake of a thorough medical education, -wish to enter the existing schools which at present possess a legal monopoly -of that education. The editorial delicacy declares—‘that any women should be found -who desire such fellowship in study is to us inexplicable.’ This ill-bred sneer directed -against ladies as medical students is peculiarly ill-timed at a moment when the -medical profession are loudly calling on women to come to their aid in the military -hospitals of the Continent, teeming, as we know them to be, with horrors which<span class="pagenum"><a name="Page_141" id="Page_141">{141}</a></span> -certainly far surpass any that ladies are likely to encounter in their ordinary course of -study, and which must inevitably be witnessed in company ‘with persons of the -opposite sex.’ Certainly no reasons of delicacy at least can justify women’s co-operation -in the one case, and yet demand their exclusion in the other.</p> - -<p>“The truth is, that of course a certain conventional standard of propriety exists, -which it is well and desirable to maintain under ordinary circumstances, as between -persons of opposite sexes; and this rule forbids the casual discussion of most medical -and some scientific subjects in chance audiences composed of ladies and gentlemen. -But a higher law remains behind—<i lang="la" xml:lang="la">Salus populi suprema Lex</i>. If perishing humanity -cries aloud for help, as during the present fearful struggle, we should think little of -the pretended delicacy which could hinder either men or women from flocking to the -rescue, and bid them pause, ‘in the name of modesty,’ to consider whether, under -these circumstances, drawing-room proprieties would always be observed. So, too, -when the question really at stake is whether all women are to be deprived of the -medical services of their own sex, for fear some men’s ‘delicacy’ should be shocked -by the idea of their studying in the ordinary class-rooms, it is time to protest that, -true science being of necessity impersonal, is absolutely pure. We remember that, -when an attack was made on Dr Alleyne Nicholson a month or two ago, for admitting -women to his classes, he replied in a letter to one of the medical papers, that he laid -‘small stress on the purity or modesty of those who find themselves able to extract -food for improper feelings from a purely scientific subject,’ and we confess that we -are inclined to share his opinion, which we suspect will be that of all the noblest and -most enlightened men of science.</p> - -<p>“A great deal of nonsense has been talked with reference to ‘mixed classes,’ and -as it is probable that the subject may come up again in a practical shape before long, -it is as well to say a few plain words about the question at issue. First of all, let it -be clearly established that medicine cannot be taught advantageously, nor indeed -legally, in holes and corners to half-a-dozen or even a dozen students. In the very -paper in which appeared the offensive paragraph to which we have alluded, we find -a plea for the consolidation of the London Medical Schools into a smaller number, -because ‘there are not students enough’ to support them all in perfection, and because -two or three well-paid lecturers with abundant apparatus could teach to far greater -advantage than twice or thrice that number under present circumstances. If this is -true where there are at least several hundred students to be divided among the eleven -existing schools, how palpably absurd it is to recommend our countrywomen to ‘have -separate places of medical education and examination,’ when the whole number of -ladies desiring to study medicine in England may perhaps number a score! Our own -University professors tell us plainly that separate classes for half-a-dozen ladies are an -impossibility, and the practical experience of Surgeons’ Hall, pointing in the same -direction, evidently guided its lecturers in their recent vote. The broad fact, therefore, -must be accepted, that either the door must be shut in the face of all women, -and that at a moment when some of them are proving to a demonstration their remarkable -fitness to enter it, or they must be allowed, as they long ago requested, to enter -quietly and without remark, and take their places with other students, to learn the -common lessons equally necessary for all.</p> - -<p><span class="pagenum"><a name="Page_142" id="Page_142">{142}</a></span></p> - -<p>“And, after all, what are the arguments on the other side? We are told oracularly -that what is proposed is <i lang="la" xml:lang="la">contra bonos mores</i>, and are warned with equal -solemnity of the imminent downfall of any school that dares to break loose from the -bondage of Medical Trades-Unionism and afford to women exactly the same advantages -as to other students. We do not wish to speak solely, or even chiefly, in the -interests of women; we wish to look at the question broadly and with a view to the -possible moral results to the public at large; and from this point of view we cannot -but feel that the more general association of the sexes in earnest labour, and especially -in scientific and medical study, may be of the greatest importance to the community. -Though the traditions of the Bob Sawyer period are happily passing away, -there yet seems to linger an idea that medical students as a rule adopt a lower moral -standard and are of a more generally reckless character than those studying for other -professions. If this is so, may not the explanation be found in the sort of half-expressed -idea that seems prevalent in so many people’s minds that there is in medical -study something which, if not actually improper and indelicate, certainly tends that -way, and had better be ignored as much as possible—something at least which the -average public would probably sum up as ‘rather nasty.’ We believe that it is on -this popular idea—which every true physician would indignantly disclaim—that the -opponents of women’s education trade when they try to enlist public feeling against -mixed classes. They talk in a vague and very offensive way about certain studies -which form a necessary part of medical education, and not being themselves capable -of seeing the true dignity and profound purity of all science, especially when pursued -with the aim of succouring pain and combating disease, they manage too often -to impress the general public with the idea that by sanctioning the joint study of -medicine by men and women the said public would commit itself to some shocking -impropriety, all the more awful for being quite indefinite—<i lang="la" xml:lang="la">omne ignotum pro magnifico</i>. -It is probable that this sort of vague terror is, in fact, the best weapon yet -forged against women students, but, like many another terror, it is one that vanishes -in the clear daylight. Let it once be broadly understood that science has no hidden -horrors, that the study of God’s works can never be otherwise than healthful and -beautiful to every student who brings to their contemplation a clear eye and a clean -hand, and this weapon of darkness will be shivered for ever. We believe, indeed, -that nothing could be more desirable for the average young medical student than to -find himself associated in daily study with women whom he cannot but respect; -nothing more calculated to give him an earnest sense alike of the dignity and of the -purity of his vocation than to labour in it side by side with ladies whose character -and whose motives are to him a daily reminder that he and they alike are set apart -both as the votaries of science and the ministers of suffering humanity.”</p> - -<p class="notes_ref"><cite>Daily Review</cite>, October 11, 1870.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_H" id="Note_H" class="nodec">NOTE H</a>, <a href="#Page_78" title="Page 78"><abbr title="page">p.</abbr> 78</a>.</h3> - -<p>The following extracts will show the position and opportunities of -study enjoyed by lady probationers and nurses at London hospitals. The -first is taken from a letter written by a lady who was herself trained as a -surgical nurse in a hospital. She writes:—</p> - -<blockquote> - -<p>“In the ordinary course of the day’s work, I went round the wards with the visiting -surgeons, and at the same time as the students, and, in fact, I should think, enjoyed -exactly the same opportunities that people profess to be so much shocked at your desiring -to obtain in Edinburgh. Part of my time was spent in study in the female and -part in the male wards; and I never found either students or patients see anything -at all exceptional in my presence in the latter, though I often had to perform -services for the male patients which would never be expected of you as students. When -any patients from my wards went into the theatre, for operation, I, as a matter of -course, accompanied them, and was present during the operation, standing often quite -near the surgeon, however many students might be there at the time. I was, therefore, -constantly associated with the students in the hospital work, as were all the other -ladies studying in the same capacity, and I never saw any difficulty in this arrangement, -nor had any reason to suppose that the students did.”</p> - -</blockquote> - -<p>Thinking that a lady’s evidence might be challenged on this matter, -I wrote to one of the principal surgeons of the Middlesex Hospital for -confirmation of her statement, and received the following reply:—</p> - -<blockquote> - -<p>“Nurses and lady probationers are present in the wards, and attend the surgeons in -their visits, and are present at operations. The students never, so far as I observed, -took any notice of the question as to whether the female attendants in the wards were -ladies or ordinary nurses—never, in short, troubled themselves about them.”</p> - -</blockquote> - -<p>While on the subject, I will quote an extract from a letter received -from Dr Elizabeth Blackwell, the first Englishwoman who ever received -a medical degree. She says:—</p> - -<blockquote> - -<p>“I walked St Bartholomew’s Hospital in the years 1850–51. I received permission -to do so from the Governors, and was received by the medical faculty with a friendly -courtesy for which I shall always be grateful. I always went round with the class of -students during the physician’s visits. The medical class numbered about thirty -students. I spent between five and six hours daily in recording and studying cases. -During the visits, I never received anything but courtesy from the students. When studying -in the wards, I received much kind assistance from the clinical clerks and dressers. -While leaving the hospital the treasurer said to me—‘When we gave you permission -to enter, we thought we were doing something so unusual that we were rather anxious -about the result, but, really, everything has gone on so quietly, so exactly as usual, -that we had almost forgotten you were here.’ ... My observation of mixed study -is, that a small select number of women may join an ordinary school with little difficulty, -and that there is even less trouble in arranging hospital visiting than class-room -instruction.”</p> - -</blockquote> - -<p><span class="pagenum"><a name="Page_143" id="Page_143">{143}</a></span></p> -<p>The last case that I will cite with reference to hospital instruction is -that of Mrs Leggett, who is now attending as a regular student in Steevens’ -Hospital, Dublin, and who writes:—</p> - -<blockquote> - -<p>“I had the unanimous consent of the Board to pursue my medical studies in -Steevens’ Hospital. As to the medical students, they are always civil. Dr Macnamara, -President of the College of Physicians of Ireland, said it was his opinion that the presence -of ladies would refine the classes.”</p> - -</blockquote> - -<p>With reference to the attendance of this lady, Dr Hamilton, Medical -Secretary of Steevens’ Hospital, writes—</p> - -<blockquote> - -<p>“So far as we have gone, we find the education of mixed classes in one hospital to -work very well.”</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_I" id="Note_I" class="nodec">NOTE I</a>, <a href="#Page_93" title="Page 93"><abbr title="page">p.</abbr> 93</a>.</h3> - -<p>The following are a few only out of very many expressions of public -indignation at this episode:—</p> - -<blockquote> - -<p>“One of the most singular of University ‘scandals’ comes to us from decorous -Edinburgh. True, it is the very antithesis of cases—such as are only too familiar on -this side the Border—of debauchery at night, and a scene in court next morning, but -it is not a whit the less discreditable. The transgressor, however, is not a college -student, but a college professor. The case admits of, we might say demands, historic -treatment. Some years ago, Dr Hope, then Professor of Chemistry in the University, -gave a course of lectures to ladies—at that time quite an experiment—and was so -much gratified, we are told, at their popularity, that he devoted the proceeds, amounting -to about a thousand pounds, to found what have since been termed Hope Scholarships. -We now get to a very modern period indeed. The Chemistry class during last -winter numbered no less than 236 students, of whom six were ladies, who had been -admitted to study in the medical classes, ‘in accordance with the decision of the -University authorities at the beginning of the session.’ A few days ago the results of -the examination were made known, when it appeared that one lady, Miss Mary -Edith Pechey, was in the proud position of third in the list of honours, and -another lady, Miss Sophia Jex-Blake, tenth. Miss Pechey’s success is the more gratifying, -inasmuch as she is a fresh student, while the two gentlemen who stood above -her on the list have attended a previous course of lectures. Dr Crum Brown, the -Professor of Chemistry, in announcing the results, took upon himself to say that -he should pass over Miss Pechey and award one of the Hope Scholarships to the next -male on the list. This is directly in the teeth of the regulations made and provided -for his guidance; according to which these scholarships are to be awarded to ‘the -four students whose names stand highest in the chemistry class for the session.’ We -understand that Professor Crum Brown justifies his action on the ignoble plea ‘that -the women now studying in the University class do not form part of the University -class, on account of their meeting at a different hour.’ Great indignation has very -naturally been excited in Edinburgh by this incident, and the question has been -referred to the Senate of the University, who, though a corporate body, will, we hope, -act as honourable men.”</p><p class="notes_ref"><cite>Manchester Examiner and Times</cite>, April 6, 1870.</p> - -<p class="new_quote">“The inferior sex has always been a nuisance and a bore. A wise old Sultan of -Turkey used to ask, whenever anything went wrong, ‘Who was she?’ One day while -the Sultan was making an addition to his palace (as is the habit of Sultans), a labourer -fell from the scaffold and was killed. ‘Who was she?’ said the Sultan at once. The -inferior sex is always plaguing the superior sex in one way or another, and now it -seems that the inferior sex are winning <em>our</em> scholarships over our most sacred heads. -This is a matter which must be looked to. We will stand a great deal, but this is -going a little too far; we must agitate; members must pledge themselves on the -hustings to a bill providing that any one of the inferior sex who gains a scholarship -must not have it at any price whatever, or we shall all be undone. We must have an -Act for the repression of women; we are very sorry to say such terrible words, but -the thing must be done: it had better be done at once while the nation is in a mood -for repression. Particular cases thrust themselves prominently on the national mind, -and cause legislation: the Coercion Bill for Ireland was thrust on to an unwilling -Government by a very few of the later agrarian outrages: the last ounce breaks the -camel’s back. If Miss Edith Pechey chooses to come in <i lang="la" xml:lang="la">facile princeps</i> at the head of -the Chemistry Class of her year, we of the superior sex must really look to ourselves. -We have the power of legislation still left in our hands, and we warn such ladies as<span class="pagenum"><a name="Page_144" id="Page_144">{144}</a></span> -Miss Edith Pechey and Miss Jex-Blake that we shall use it. We must have a bill for -the protection of the superior sex.</p> - -<p>“We feel sure that the ladies will forgive joking about a very absurd matter. -Ladies should surely understand the power of ridicule. We think that the ‘<i lang="la" xml:lang="la">reductio -ad absurdum</i>’ in this matter is the proper line of argument. The facts of the case -seem to be simply these:—After protracted delays and much discussion, the University -authorities last autumn vouchsafed to ladies the permission to enter the College -as matriculated medical students, with the single restriction that their instruction -should be conducted in separate classes. On referring to the minutes of the University -Court, we find the following definition of the position to be taken by the new -students:—‘All women attending such classes shall be subject to all the regulations -now, or at any future time, in force in the University as to the matriculation of -students, their attendance on classes, examination, or otherwise.’ We turn to the -Calendar to see what are the ‘regulations in force in the University’ as to examination -in chemistry, and we find at page 84 the following:—‘The class honours are determined -by means of written examinations held during the session. The four -students who have received the highest marks <em>are entitled to have the Hope Scholarships</em> -to the laboratory of the University.’ The ladies accepted in good faith the regulations -of the University, and, fired by a laudable ambition to prove themselves -worthy of the privileges now accorded for the first time to women, worked with an -assiduity that may be guessed when it is found that one of them, Miss Pechey, actually -gained the highest number of marks awarded during the session to any student attending -chemistry for the first time, though she was excelled (by one and two marks -respectively) by two gentlemen who had gone through a previous course of lectures. -But when the day arrived which was to reward all this work, the Professor announced, -without, as it seemed to us, a shadow of justification, that the four scholarships would -be given, <em>not</em> according to the University regulations to the four students ‘<em>entitled -to them</em>,’ but to the three gentlemen who had won the first, second, and fourth places, -and to the one who stood fifth on the list, this last having earned a most honourable -place by his talents and industry, but <em>not</em> the Hope Scholarship, though now he has, -of course, the right to claim free admission to the laboratory as it has been promised -to him. This, then, is a University episode. Six students are admitted on the distinct -understanding that, with one exception (dictated, as we think, by a whimsical -propriety), they are to be ‘subject to the regulations of the University;’ no hint is -given to them that this statement is analogous to the one which pithily describes -women’s political condition in England—‘<em>He</em> means <em>she</em> when it’s a question of hanging; -<em>he</em> doesn’t mean <em>she</em> when it’s a question of voting.’ The ladies are encouraged -to exert their utmost power for work; when the rewards are to come, and it is found -that one of them has earned one of the highest honours attainable by the class, she -is calmly informed that that honour has been given to somebody else! A neater instance -of generosity with other people’s property it has never been our lot to witness, -and we don’t care how long it is before we repeat the experience.</p> - -<p>“The only excuse that we can with the utmost stretch of charity imagine in this -case would be that Dr Crum Brown thought some difficulty might arise respecting -Miss Pechey’s use of the scholarship (which gives free admittance to the laboratory), -under the restrictions now imposed on women by the University Court—for we will -not suppose for a moment that the Professor could himself wish to impede the further -progress of a student of such merit. But if such difficulty occurred it might be an -excellent reason for relaxing those restrictions, when they are seen to deprive a -student of the full reward of her past work, and at the same time to prevent her prosecuting -further the study in which she has so distinguished herself; but we are -quite at a loss to see how any legitimate argument can be drawn thence to justify Dr -Brown in laying violent hands on a scholarship which has been fairly earned by one -person for the purpose of presenting it to another. It is possible that A’s circumstances -may prevent his deriving full benefit from some of his possessions, but the -law would hardly consider this fact a valid reason for B’s ‘annexing’ the said possession -for the benefit of C. If Dr Brown chooses to admit a fifth student to the -laboratory he can of course do so, but unless we are greatly mistaken he will probably -be informed by the Law Faculty (whom he might previously have consulted -with advantage) that neither he nor any other person can alter the fact that Miss -Pechey and no one else <em>is</em> third Hope Scholar.”</p><p class="notes_ref"><cite>Daily Review</cite>, April 1, 1870.</p> - -<p><span class="pagenum"><a name="Page_145" id="Page_145">{145}</a></span></p> - -<p class="new_quote">“A very odd and very gross injustice appears to have been attempted in the University -of Edinburgh. In that University the lady medical students are taught in a separate -class,—not from any wish of their own, but through the delicacy of the professors. -In the chemical class, Miss Edith Pechey gained the third place, and was first of the -first year’s students, the two men who surpassed her having attended the class before. -The four students who get the highest marks receive four Hope Scholarships,—scholarships -founded by Dr Hope some years ago out of the proceeds of a very popular -<em>ladies’ class</em> of chemistry, with the success of which he had been much gratified. Yet -Miss Edith Pechey was held by the professor not to be entitled to the third scholarship, -and omitting her name, he included two men whom she had beaten, and who -stood fourth and fifth in the examination, his excuse being that the women are not -part of the University class, because they are separately taught. Yet Dr Crum Brown -awards Miss Pechey a bronze medal, to which only members of the University class -are said to be entitled! It is quite clear that such a decision cannot stand. To make -women attend a separate class, for which they have to pay, we believe, much higher -fees than usual, and then argue that they are out of the pale of competition because -they do so, is, indeed, too like the captious schoolmaster who first sent a boy into the -corner and then whipped him for not being in his seat.”</p><p class="notes_ref"><cite>Spectator</cite>, April 9, 1870.</p> - -<p class="new_quote">“The letter Miss Pechey addressed to us the other day was written in an admirable -spirit, and must insure her the hearty sympathy of all, whatever their opinions upon -the points in question. She has done her sex a service, not only by vindicating their -intellectual ability in an open competition with men, but still more by the temper -and courtesy with which she meets her disappointments. Under any view of the -main question, her case is a hard one, for it is clear both she and the other lady students -were led to attend the classes under the misapprehension of the privileges to -which they were admissable. If the University intended to exclude ladies from the -pecuniary advantages usually attached to successful study, the intention should have -been clearly announced. Miss Pechey, in the spirit of a true student, says she is -abundantly repaid for her exertions by the knowledge she has acquired; but it is none -the less hard that, having been encouraged to labour for a coveted reward, and -having fairly won it, she should be disqualified by a restriction of which no warning -had been given her.”</p><p class="notes_ref"><cite>Times</cite>, April 25, 1870.</p> - -<p class="new_quote">“There are probably few persons who did not learn with regret the decision of the -Edinburgh Senatus in respect of the Hope Scholarships. It is not pleasant that such -a story of, at least, seeming injustice should circulate through foreign universities, to -the discredit of our own, for there cannot be much doubt as to the view that will be -taken of the case by those nations—now forming the majority in Europe—who have -admitted women to their medical colleges on terms of exact fairness and equality with -their other students.... A medical contemporary argues that this affair proves -how unwise it was to admit women to the University of Edinburgh—such admission -being, as is asserted, the natural source of ‘constant squabbles.’ But most unprejudiced -people, judging the case at first sight, would surely rather see here the evil of -a partial, restricted, and permissive legislation. If women have a claim to medical -education at all, they have exactly the same claim as men; if they are to be received -as students at all, they must certainly be treated with even-handed justice, and not as -social or rather academical <i>pariahs</i>, to whom the bare crumbs of instruction are vouchsafed -as a grace and bounty; while all the honours and rewards are to be reserved to -their male competitors. Looking at the thing for a moment, merely in the interests of -the young men, and as a question of expediency, we cannot imagine anything much -worse for their moral guidance than to find that women are indeed to compete with -them, but so shackled that they can never win; or rather that, if they do win, the -prizes will be snatched from their grasp and given to men whom they have beaten. We -have heard that, in both classes where the ladies have this year studied, a very unusual -access of zeal and energy has been noticed among the gentlemen in the other section of -the class—a happy effect of such competition, which has often been observed in the -mixed colleges of America, and which surely need not be neutralised here by the providence -of the Senatus.”</p><p class="notes_ref"><cite>Scotsman</cite>, April 15, 1870.</p> - -<p class="new_quote">“The Senatus has, by a small majority, confirmed Professor Crum Brown’s decision -with regard to Miss Pechey and the Hope Scholarship, on the grounds previously presumed -by us. But these grounds, if so they may be called, are in our opinion insufficient -to deprive Miss Pechey of the Scholarship. Whatever may be our views regarding -the advisability of ladies studying medicine, the University of Edinburgh professed -to open its gates to them on equal terms with the other students; and unless some -better excuse be forthcoming in explanation of the decision of the Senatus, we cannot -help thinking that the University has done no less an injustice to itself than to one of -its most distinguished students.”</p><p class="notes_ref"><cite>British Medical Journal</cite>, April 16, 1870.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_J" id="Note_J" class="nodec">NOTE J</a>, <a href="#Page_96" title="Page 96"><abbr title="page">p.</abbr> 96</a>.</h3> - -<p>For the credit of the profession, I append also the following indignant -protest from the chief medical paper:—</p> - -<p><span class="pagenum"><a name="Page_146" id="Page_146">{146}</a></span></p> - -<blockquote> - -<p>“There are very varying opinions abroad in the medical profession and among the -public, as to the advisability of allowing women to practise medicine. There are -still more serious and widely-spread doubts as to the possibility of educating ladies in -the same lecture rooms and dissecting rooms with male students. But, until last -week, we were not aware that any one in the profession, or out of it, held that the -mere fact of ladies wishing to be educated in common with men, in order that they -might make sure of receiving the highest and most thorough scientific training, justified -those who held contrary opinions in loading them with abuse and vulgar insult. -It has been reserved for Dr Laycock, professor in the famous University of Edinburgh, -to set an example which, we trust, even the least courteous and gentlemanly of first-year’s -students will hesitate to follow.... We shall only remark that if the -coarsest of those few students who still keep alive the bad traditions of the Bob -Sawyer period had given utterance to the insinuations which were used by this distinguished -Professor, we should simply have shrugged our shoulders, and concluded -that the delinquent would be at once expelled with ignominy from his school. Unfortunately -there are no such punishments for highly-placed men like Dr Laycock, -but at the least we can express the deep indignation and disgust which we are certain -every gentleman in the profession must feel at the outrage of which he has been -guilty.”</p><p class="notes_ref"><cite>Lancet</cite>, April 30, 1870.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_K" id="Note_K" class="nodec">NOTE K</a>, <a href="#Page_101" title="Page 101"><abbr title="page">p.</abbr> 101</a>.</h3> - -<p>The following are the papers referred to in the text:—</p> - -<h4 title="" class="note_heading">(1.)—<i>Letter from the Lady Students.</i></h4> - -<blockquote> - -<p>“<span class="smcap">My Lord and Gentlemen</span>,—We, the undersigned registered students of medicine, -beg to lay before you the following facts, and to request your kind attention to them:—</p> - -<p>“On applying in the usual course for students’ tickets of admission to attend the -practice of the Royal Infirmary, we were informed by the clerk that the Managers -were not prepared to issue tickets to <em>female</em> medical students. We earnestly request -you to reconsider this decision on the following grounds:—</p> - -<p>“1. That the authorities of the University of Edinburgh and of the School of the -College of Physicians and Surgeons have admitted our right to study medicine with -a view to graduation.</p> - -<p>“2. That an important and indispensable part of medical education consists in -attending the practice of a medical and surgical hospital, and that the regulations of -the Licensing Boards require, as part of the curriculum of study, two years’ attendance -at a ‘general hospital which accommodates not fewer than eighty patients, and -possesses a distinct staff of physicians and surgeons.’</p> - -<p>“3. That the only hospital in Edinburgh possessing the required qualifications is the -Royal Infirmary, and that exclusion from that institution would therefore preclude -the possibility of our continuing our course of medical study in this city.</p> - -<p>“4. That, in the present state of divided opinion on the subject, it is possible that -such a consummation may give satisfaction to some; but we cannot suppose that your -honourable Board would wish to put yourselves in the attitude of rendering null and -void the decisions of the authorities of the University of which we are matriculated -students, and of the School of the College of Physicians and Surgeons, where we are -now attending the classes of anatomy and surgery.</p> - -<p>“5. That it has been the invariable custom of the Managers to grant tickets of -admission to students of the University and of Surgeons’ Hall, and that, as far as we -are aware, no statute of the Infirmary limits such admission to students of one sex -only.</p> - -<p>“6. That the advertised terms on which the wards of the Infirmary are open to -all registered and matriculated students were such as to leave no doubt on our minds -that we should be admitted; if, therefore, our exclusion should be finally determined, -we shall suffer great pecuniary loss and damage by this departure of the Managers -from their advertised regulations.</p> - -<p>“7. That if we are granted admission to the Infirmary by your honourable Board, -there are physicians and surgeons on the hospital staff who will gladly afford us the -necessary clinical instruction, and find no difficulty in doing so. In support of the -above assertion, we beg to enclose the accompanying papers, marked A. and B.</p> - -<p>“8. That we are fellow-students of systematic and theoretical surgery with the -rest of Dr Watson’s class in Surgeons’ Hall, and are therefore unable to see what -legitimate objection can be raised to our also attending with them his hospital visit.</p> - -<p>“9. That a large proportion of the patients in the Infirmary being women, and -women being present in all the wards as nurses, there can be nothing exceptional in -our presence there as students.</p> - -<p><span class="pagenum"><a name="Page_147" id="Page_147">{147}</a></span></p> - -<p>“10. That in our opinion no objection can be raised to our attending clinical -teaching, even in the male wards, which does not apply with at least equal force to -the present instruction of male students in the female wards.</p> - -<p>“11. That we are unable to believe it to be in consonance with the wishes of the -majority of the subscribers and donors to the Infirmary (among whom are perhaps -as many women as men) that its educational advantages should be restricted to -students of one sex only, when students of the other sex also form part of the regular -medical classes.</p> - -<p>“We beg respectfully to submit the above considerations to the notice of your -honourable Board, and trust that you will reconsider your recent decision, which -threatens to do us so great an injury, and that you will issue directions that we, who -are <i>bona fide</i> medical students, registered in the Government register by authority of -the General Council of Medical Education and Registration of the United Kingdom, -be henceforth admitted to your wards on the same terms as other students.—We are, -my Lord and Gentlemen, yours obediently,</p> - -<p class="notes_sig">“<span class="smcap">Sophia Jex-Blake</span>, <span class="smcap">Mary Edith Pechey</span>, <span class="smcap">Isabel J. Thorne</span>, <span class="smcap">Matilda C. -Chaplin</span>, <span class="smcap">Helen Evans</span>, <span class="smcap">Mary A. Anderson</span>, <span class="smcap">Emily Bovell</span>.<span class="spread-out_poem">”</span></p> - -<p>“November 5, 1870, 15 Buccleuch Place.”</p> - -<p class="notes_place_date new_quote">November 5, 1870.</p> - -<p><i>Paper A.</i>—“We, the undersigned physicians and surgeons of the Royal Infirmary, -desire to signify our willingness to allow female students of medicine to attend the -practice of our wards, and to express our opinion that such attendance would in no -way interfere with the full discharge of our duties towards our patients and other -students.—<span class="smcap">J. Hughes Bennett</span>, <span class="smcap">George W. Balfour</span>, <span class="smcap">Patrick Heron Watson</span>.”</p> - -<p>In <i>paper B</i>, Dr Matthews Duncan and Dr Joseph Bell expressed their readiness, if -suitable arrangements could be made, to teach the female students in the wards -separately.</p> - -</blockquote> - -<h4 title="" class="note_heading">(2.)—<i>Letter from, Dr Handyside and Dr Watson.</i></h4> - -<blockquote> - -<p>November 5, 1870.</p> - -<p>“<span class="smcap">My Lord and Gentlemen</span>,—As lecturers in the Edinburgh Medical School, we -beg most respectfully to approach your honourable Board, on behalf of the eight -female students of this school whom, we understand, you object to admit to the practice -of the Royal Infirmary. On their behalf we beg to state:—</p> - -<p>“1. That they are regularly registered students of medicine in this school.</p> - -<p>“2. That they are at present attending, along with the other students, our courses -of anatomy, practical anatomy, demonstrations of anatomy, and systematic surgery, in -the school at Surgeons’ Hall.</p> - -<p>“3. That as teachers of anatomy and surgery respectively, we find no difficulty in -conducting our courses to such mixed classes composed of male and female students, -sitting together on the same benches; and that the presence of those eight female -students has not led us to alter or modify our course of instruction in any way.</p> - -<p>“4. That the presence of the female students, so far from diminishing the numbers -entering our classes, we find both the attendance and the actual numbers already enrolled -are larger than in previous sessions.</p> - -<p>“5. That in our experience in these mixed classes the demeanour of the students -is more orderly and quiet, and their application to study more diligent and earnest, -than during former sessions, when male students alone were present.</p> - -<p>“6. That, in our opinion, if practical bedside instruction in the examination and -treatment of cases is withheld from the female pupils by the refusal to them of access -as medical students to the practice of the Infirmary, we must regard the value of any -systematic surgical course thus rendered devoid of daily practical illustration, as infinitely -less than the same course attended by male pupils, who have the additional -advantage of the hospital instruction under the same teacher.</p> - -<p>“7. That the surgical instruction, being deprived of its practical aspect by the exclusion -of the female pupils from the Infirmary, and therefore from the wards of their -systematic surgical teacher, the knowledge of these female students may very reasonably -be expected to suffer, not only in class-room examinations, but in their capacity -to practise their profession in after life.</p> - -<p>“8. That our experience of mixed classes leads us to the conviction that the attendance -of the female students at the ordinary hospital visit, along with the male students, -cannot certainly be more objectionable to the male students and the male patients than -the presence of the ward nurses, or to the female patients than the presence of the -male students.</p> - -<p>“9. That the class of society to which these eight female students belong, together<span class="pagenum"><a name="Page_148" id="Page_148">{148}</a></span> -with the reserve of manner, and the serious and reverent spirit in which they devote -themselves to the study of medicine, make it impossible that any impropriety could -arise out of their attendance upon the wards as regards either patients or male pupils.</p> - -<p>“In conclusion, we trust that your honourable Board may see fit, on considering -these statements, to resolve not to exclude these female students from the practice of, -at all events, those physicians and surgeons who do not object to their presence at the -ordinary visit along with the other students.</p> - -<p>“Such an absolute exclusion of female pupils from the wards of the Royal Infirmary -as such a decision of your honourable Board would determine, we could not but regard -as an act of practical injustice to pupils who, having been admitted to the study of the -medical profession, must have their further progress in their studies barred if hospital -attendance is refused them.—We are, my Lord and Gentlemen, your obedient servants,</p> - -<p class="notes_sig">“<span class="smcap">P. D. Handyside</span>, <span class="smcap">Patrick Heron Watson</span>.”</p> - -</blockquote> - -<p class="new_quote">At a meeting of the lecturers of the Extra-mural School, held in -Surgeons’ Hall, on Wednesday, Nov. 9, the following resolution was proposed -and carried, a corresponding communication being laid before the -Managers at their meeting on Saturday, Nov. 12, 1870:—</p> - -<blockquote> - -<p>“That the extra-mural lecturers in the Edinburgh Medical School do respectfully -approach the Managers of the Royal Infirmary, petitioning them not to offer any -opposition to the admission of the female students of medicine to the practice of the -institution.”</p> - -</blockquote> - -<p>The following letter was also submitted at the next meeting:—</p> - -<blockquote> - -<p class="notes_place_date">“15 Buccleuch Place, Nov. 13, 1870.</p> - -<p>“<span class="smcap">My Lord and Gentlemen</span>,—To prevent any possible misconception, I beg leave, -in the name of my fellow-students and myself, to state distinctly that, while urgently -requesting your honourable Board to issue to us the ordinary students’ tickets for the -Infirmary (as they alone will ‘qualify’ for graduation), we have, in the event of their -being granted, no intention whatever of attending in the wards of those physicians and -surgeons who object to our presence there, both as a matter of courtesy, and because -we shall be already provided with sufficient means of instruction in attending the wards -of those gentlemen who have expressed their perfect willingness to receive us.—I beg, -my Lord and Gentlemen, to subscribe myself your obedient servant, <span class="smcap">Sophia Jex-Blake</span>.”</p> - -<p>“To the Honourable the Managers of the Royal Infirmary.”</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_L" id="Note_L" class="nodec">NOTE L</a>, <a href="#Page_102" title="Page 102"><abbr title="page">p.</abbr> 102</a>.</h3> - -<p>As ballads are said to be even more significant than laws of the popular -feeling, I do not apologise for appending the following:—</p> - -<h4 title="" class="note_heading">THE CHARGE OF THE FIVE HUNDRED;</h4> - -<p class="center"><span class="smcap">A Lay of Modern Athens.</span></p> - -<p class="center smaller">(<i>Suggested by a recent Students’ Song, containing the following verse</i>:—</p> - -<div class="poetry-container"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i0 quote_first">“<i>The little band plied the battering ram,</i></div> - <div class="p_line_i0"><i>With General Blake at its head,</i></div> - <div class="p_line_i0"><i>When ‘specials’ rose five hundred strong,</i></div> - <div class="p_line_i0"><i>And raised the siege—they fled,</i></div> - <div class="p_line_i20"><i>Brave Boys!</i>”)</div> - </div> - -<hr class="tb" /> - - <div class="stanza"> - <div class="p_line_i0"><span class="smcap">Once</span> more the trumpets sound to arms!</div> - <div class="p_line_i0">Once more ring forth war’s wild alarms!</div> - <div class="p_line_i0">Once more be Scotia’s host poured forth</div> - <div class="p_line_i0">To guard the bulwarks of the North—</div> - <div class="p_line_i6">The foe is o’er the Tweed!</div> - <div class="p_line_i0">Bring forth the banner Flodden saw,</div> - <div class="p_line_i0">Rear high the standard of the war!</div> - <div class="p_line_i0">Let every Gael in battle stand,</div> - <div class="p_line_i0">To drive the invader from the land—</div> - <div class="p_line_i6">Speed to the rescue, speed!</div><span class="pagenum"><a name="Page_149" id="Page_149">{149}</a></span> - </div> - <div class="stanza"> - <div class="p_line_i0">What mean the rushing footsteps fleet?</div> - <div class="p_line_i0">What mean the squadrons in the street?</div> - <div class="p_line_i0">“Five hundred specials” now appearing—</div> - <div class="p_line_i0">Five hundred voices hoarsely cheering,</div> - <div class="p_line_i6">Wild and disorderly!</div> - <div class="p_line_i0">Strange oaths pollute the evening air,</div> - <div class="p_line_i0">Foul jests the banners proudly bear;</div> - <div class="p_line_i0">What mean these bands in fierce array?</div> - <div class="p_line_i0">Champions of “delicacy” they,</div> - <div class="p_line_i6">And manly modesty.</div> - </div> - <div class="stanza"> - <div class="p_line_i0">Then marked the bard who stood afar</div> - <div class="p_line_i0">The gallant leaders of the war—</div> - <div class="p_line_i0">The plumèd crest of Andrew Wood,</div> - <div class="p_line_i0">Who for his sons in battle stood,</div> - <div class="p_line_i6">A Christison hard by!</div> - <div class="p_line_i0">A Turner, Laycock, Lister too,</div> - <div class="p_line_i0">All met for deeds of derring-do;</div> - <div class="p_line_i0">Gillespie, Douglas (Oh, that shame</div> - <div class="p_line_i0">Should fall on that time-honoured name!),</div> - <div class="p_line_i6">Dun-Edin’s chivalry.</div> - </div> - <div class="stanza"> - <div class="p_line_i0">To arms! to arms! the foe is nigh,</div> - <div class="p_line_i0">“Five hundred specials” do or die!</div> - <div class="p_line_i0">Admiring Europe’s eyes are cast</div> - <div class="p_line_i0">On Scotia’s greatest fight, and last,</div> - <div class="p_line_i6">O’er her Infirmary!</div> - <div class="p_line_i0">Press on! press on! Immortal gods!</div> - <div class="p_line_i0">What matter if o’erwhelming odds</div> - <div class="p_line_i0">Make others blush—<em>they</em> know no shame,</div> - <div class="p_line_i0">“Brave boys!” led on by chiefs of name</div> - <div class="p_line_i6">To glorious victory!</div> - </div> - <div class="stanza"> - <div class="p_line_i0">The foe at last! With modest mien</div> - <div class="p_line_i0">And gentle glance, at length are seen</div> - <div class="p_line_i0">The seven women, whom to crush</div> - <div class="p_line_i0">The noble hundreds onward rush,</div> - <div class="p_line_i6">Undaunted to the fray!</div> - <div class="p_line_i0">What if in idle tales of yore</div> - <div class="p_line_i0">The man to guard the woman swore!</div> - <div class="p_line_i0">Such trash is bygone!—<em>now</em> men stand</div> - <div class="p_line_i0">To guard their <em>craft</em> from female hand,</div> - <div class="p_line_i6">In nineteenth century!</div> - </div> - <div class="stanza"> - <div class="p_line_i0">“<em>Women</em> to claim <em>our</em> lordly state!”</div> - <div class="p_line_i0">Cries Reverend Phin in fierce debate.</div> - <div class="p_line_i0">“<em>Women</em> to strive <em>our</em> gains to share!”</div> - <div class="p_line_i0">Shrieks Andrew Wood in wild despair,</div> - <div class="p_line_i6">“While five fair sons have I!”</div> - <div class="p_line_i0">“That <em>English</em> girls should thus aspire!”</div> - <div class="p_line_i0">Quoth Christison in Scottish ire.</div> - <div class="p_line_i0">“Though their princess to Scotland come,</div> - <div class="p_line_i0">We’ll drive these errant damsels home,</div> - <div class="p_line_i6">For hospitality!”</div> - </div> - <div class="stanza"> - <div class="p_line_i0">“Great is Diana!” loudly cry,</div> - <div class="p_line_i0">Be imprecations heard on high!</div> - <div class="p_line_i0">Be mud upgathered from the street,</div> - <div class="p_line_i0">And flung with ribald oaths, to greet</div> - <div class="p_line_i6">The dreadful enemy!</div> - <div class="p_line_i0">Seven women yield, they must confess</div> - <div class="p_line_i0">On t’other side is <i>major vis</i>;</div> - <div class="p_line_i0">Glorious Five hundred, O rejoice!</div> - <div class="p_line_i0">Swell, each “brave boy” with tuneful voice,</div> - <div class="p_line_i6">Pæans of victory!</div> - - <div class="p_ref"><cite>Scotsman</cite>, <abbr title="February">Feb.</abbr> 10, 1871.</div> - </div> - </div> -</div> - -<p><span class="pagenum"><a name="Page_150" id="Page_150">{150}</a></span></p> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_M" id="Note_M" class="nodec">NOTE M</a>, <a href="#Page_103" title="Page 103"><abbr title="page">p.</abbr> 103</a>.</h3> - -<p>The following letter is an excellent illustration of the indignation felt -by the more manly students at the events referred to:—</p> - -<blockquote> - -<p class="notes_place_date">“<span class="smcap">Edinburgh</span>, November 19, 1870.</p> - -<p>“<span class="smcap">Sir</span>,—As a certain class of medical students are doing their utmost to make the -name of medical student synonymous with all that is cowardly and degrading, it is -imperative upon all those who wish to be regarded as men, either individually or -collectively, to come forward and express, in the strongest possible terms, their -detestation of the proceedings which have characterised and dishonoured the opposition -to ladies pursuing the study of medicine in Edinburgh. In the name, then, of all -that is courteous and manly, I, as a student of medicine, most indignantly protest -against such scenes as were enacted at the College of Surgeons on the evenings of -Thursday and Friday last, and indeed on several occasions during the week.</p> - -<p>“I would it were possible to point out to public execration the movers and -actors in such scenes; but it is difficult to decide where the responsibility begins.</p> - -<p>“Are only the hot-headed youths to be blamed who hustle and hoot at ladies in -the public streets, and by physical force close the College gates before them? Or are -we to trace their outrageous conduct to the influence of the class room, where their -respected professor meanly takes advantage of his position as their teacher to elicit -their mirth and applause, to arouse their jealousy and opposition, by directing unmanly -inuendoes at the lady students? If such conduct be permissible on the part of -the professors, alas for the school whose teachers have not even but one halfpennyworth -of manliness to their intolerable deal of nastiness, or boasted philanthropy, as -the case may be, and whose students crowd the academic precincts to hustle, hoot at, -cover with mud, and even to strike at, ladies who have always shown themselves to -be gentle and noble women.</p> - -<p>“The current report is, that these disgraceful outrages were originally and principally -carried out by students of the College of Surgeons. This is contrary to fact. -Certainly the majority of them conducted themselves in a most contemptible manner, -roused, not by a word or look from the ladies, but by the possibility of being outstripped -by them in the race for honours; and therefore did they elect to end the -rivalry by an appeal to brute force. The truth, however, is that the rioters were -called together by a missive, circulated by the students in the <em>Chemistry Class of the -University</em> on Friday morning, on the back of which was written, “To be opened by -those who signed the petition to the managers against the admission of female students.” -This missive called upon the petitioners to assemble at the College of Surgeons -before four o’clock, for the purposes which they so thoroughly carried out. The proceedings -of Friday will therefore enable the public now to judge of the value which -the majority of the managers of the Infirmary ought to have attached to the prayers -of <em>such</em> petitioners. Moreover, the professor who is to receive the complimentary -address which is being got up by the same memorialists for his exertions in their -cause, must feel highly flattered by the implied association.</p> - -<p>“What now is to be done with this vexed question of female education? Will it -be settled by continuing those brutal exhibitions, or by asking the ladies to withdraw? -Neither course is likely to prove successful. Another and a more honourable -course has been suggested by some of the original memorialists, who—considering -their honour dearer to them than their sympathies—declare that the blot can only be -wiped away by their joining to aid the ladies who have been so thwarted and so -abused in obtaining the object for which they have wrought so hard and endured so -bravely.—I am, <abbr title="etcetera">&c.</abbr>, <span class="smcap">Vir.</span>”</p><p class="notes_ref"><cite>Scotsman</cite>, November 22, 1870.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_N" id="Note_N" class="nodec">NOTE N</a>, <a href="#Page_107" title="Page 107"><abbr title="page">p.</abbr> 107</a>.</h3> - -<p>The following is the petition referred to:—</p> - -<blockquote> - -<p class="center">“<i>To the honourable the Managers of the Royal Infirmary.</i></p> - -<p>“<span class="smcap">My Lord and Gentlemen</span>,—We, the undersigned Students of Medicine, moved -solely by feelings of honour and justice, desire to approach your honourable board -on behalf of our female fellow-students, whom, we understand, you object to admit -to the practice of the Infirmary, under any circumstances whatever.</p> - -<p>“We do not pretend to offer any opinion on the question of mixed classes, or on -the medical education of women; but we consider that, as the University of Edinburgh -has admitted those ladies as students of medicine, and as they have now been -engaged for some time in striving honourably and successfully to gain a knowledge<span class="pagenum"><a name="Page_151" id="Page_151">{151}</a></span> -of our profession, it is great injustice to attempt to bar their further progress by -refusing them permission to attend the practice of the Infirmary.</p> - -<p>“We also have certain pretensions to feelings of decency and morality, but we are -not aware that the lady students have either attempted or succeeded in outraging -them. On the contrary, our feelings have been outraged by the unthinking and -misguided of those of our own class who oppose them; for their disgraceful actions -we would seek to atone by asking your honourable Board to make some arrangement -by which the ladies may be admitted to the practice of the wards.</p> - -<p>“As a matter of compromise, we would respectfully request that the ladies be -admitted to the wards of the three medical gentlemen who are willing to receive -them. On our part we beg leave to express our perfect willingness to attend with -them in considering the most serious and delicate cases in the wards.</p> - -<p>“We feel proud to assert our ability to study those cases from scientific and -philanthropic points of view, with those feelings of delicacy and kindness which -ought to actuate every medical man who has female patients under his care.”</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_O" id="Note_O" class="nodec">NOTE O</a>, <a href="#Page_109" title="Page 109"><abbr title="page">p.</abbr> 109</a>.</h3> - -<p>The results of the winter session 1869–70 have been given in the text. -During the succeeding summer session all the lady students (six in number) -appeared in the prize lists in both classes which they attended, viz., -Botany and Natural History. During the next winter, 1870–71, the -classes taken were Anatomy and Surgery. Out of seven ladies, three -were in honours in Anatomy (one of them in two departments), and four -in Surgery. During the summer of 1871 there were five lady medical students -in the Botany Class, and of these three appeared in the prize lists,—one of -them in two departments. During the winter 1871–72, nine ladies -attended Chemistry, and, of these, seven appeared in first-class honours, -Miss Pechey, in this her second course, obtaining 100 per cent.; nine also -attended Physiology, and, of these, two obtained first-class and three -second-class honours; six being also in honours in Practical Physiology.</p> - -<p>It must be understood that, in the above statement, I have included -only those ladies who were regular students of medicine; other ladies, on -several occasions, joined the classes, and also appeared in the prize lists.</p> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_P" id="Note_P" class="nodec">NOTE P</a>, <a href="#Page_110" title="Page 110"><abbr title="page">p.</abbr> 110</a>.</h3> - -<blockquote> - -<p class="center">“COMMITTEE FOR SECURING A COMPLETE MEDICAL EDUCATION -TO WOMEN IN EDINBURGH.</p> - -<p>“In view of the determined opposition from certain quarters which has met every -effort made by ladies to obtain a medical education in Edinburgh, it was resolved, in -January 1871, that a Committee should be formed, comprising all those who felt the -injustice of the present arbitrary exclusion of women from the medical profession, and -who desired to co-operate in the following objects:—(1.) To arrive at a thorough -understanding of the real difficulties of the case, distinguishing clearly between those -hindrances which are interposed by prejudice or self-interest, and the real obstacles (if -any) which are inherent in the question. (2.) To secure the admission of women to -Edinburgh University on the ordinary terms, though not necessarily in the same -classes with men. (3.) To provide the means of qualifying Hospital instruction in -Edinburgh for all ladies who are registered students of medicine.</p> - -<p>“To these primary objects the circumstances of the case have subsequently led the -Committee to add the following:—(4.) To make such temporary arrangements as may -be required to provide the ladies with qualifying instruction, in accordance with the -present incomplete regulations of the University, until such time as the authorities -themselves may see fit to make complete and adequate arrangements. (5.) To co-operate, -from time to time, with the lady students, whenever necessary, and especially -to aid them in obtaining such legal assistance as may be required to ascertain and -assert their rights as matriculated students of the University, and as registered students -of medicine.</p> - -<p><span class="pagenum"><a name="Page_152" id="Page_152">{152}</a></span></p> - -<p>“Of this Committee the Lord Provost of Edinburgh consented to act as chairman; -and the following ladies and gentlemen constituted the original Executive Committee: -The Right <abbr title="Honorary">Hon.</abbr> The Lord Provost; Dr G. W. Balfour; Professor Bennett, M.D.; -Dowager Countess of Buchan; Mrs Hill Burton; Professor Calderwood; Treasurer -Colston; Andrew Coventry, <abbr title="Esquire">Esq.</abbr>; James Cowan, <abbr title="Esquire">Esq.</abbr>; Mrs Fleeming Jenkin; Mrs -Henry Kingsley; Professor Lorimer; Professor Masson; Miss Agnes M‘Laren; David -M‘Laren, <abbr title="Esquire">Esq.</abbr>; Dr Macnair; John Muir, <abbr title="Esquire">Esq.</abbr>, D.C.L.; Mrs Nichol; Dr Niven; Alexander -Nicholson, <abbr title="Esquire">Esq.</abbr>; Admiral Sir W. Ramsay, K.C.B.; Dr Heron Watson; Miss -Eliza Wigham. W. S. Reid, <abbr title="Esquire">Esq.</abbr>, <i><abbr title="Honorary">Hon.</abbr> Treasurer</i>; Miss L. Stevenson, <i><abbr title="Honorary">Hon.</abbr> -Secretary</i>.”</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_Q" id="Note_Q" class="nodec">NOTE Q</a>, <a href="#Page_110" title="Page 110"><abbr title="pages">pp.</abbr> 110, 120</a>.</h3> - -<p>The case, drawn up by order of the Committee and submitted to -Counsel, contained the facts relating to the Edinburgh lady students, -which are narrated in the text, and further proceeded, as follows:—</p> - -<blockquote> - -<p>“ ... It is stated in ‘Maitland’s History of Edinburgh’ that the first mention -of erecting a College in Edinburgh was found in the will of Robert Reid, Bishop -of Orkney, who, dying in 1558, bequeathed eight thousand Scottish merks towards -founding a College ‘for the education of youth.’</p> - -<p>“In the subsequent benefactions and charters granted by Queen Mary in 1566, -and by King James in 1582, no stipulation is made as to the sex of the students for -whose benefit the College was to be established; and in 1583 proclamation was made -inviting ‘all who were inclined to become scholars therein’ to enter their names in -a certain book opened for the purpose.</p> - -<p>“The older University of Glasgow was founded under a Bull granted by Pope -Nicholas <abbr title="the Fifth">V.</abbr> at the suit of James <abbr title="the Second">II.</abbr> of Scotland, and in this Bull it was expressly -stated that the University of Bologna was to be followed as a model, and that the -doctors, masters, and students of Glasgow were to enjoy all the privileges and rights -possessed by those of Bologna. There is abundant historic evidence that women -were never excluded from the University of Bologna, but frequently studied and -took degrees there during the Middle Ages, and that no less than seven women at -different times filled professorial chairs in this University, three of them being in the -Medical Faculty, viz.:—</p> - -<p>“Dorotea Bucca, Professor of Medicine, early in the fifteenth century; Anna -Morandi Mazzolini, Professor of Anatomy, 1750; Maria Della Donne, Professor of -Midwifery, 1810.</p> - -<p>“It appears that the University of Edinburgh was founded generally on the same -model, and the University Calendar states that ‘in 1621 an Act was passed by the -Scotch Parliament which ratified to the University, in ample form, all the rights, -immunities, and privileges enjoyed by other Universities in the kingdom.’</p> - -<p>“There does not appear, in any of the statutes or ordinances subsequently issued, -any regulation that male students alone should attend the University; nor in the -recent Act of 1858 is there any such regulation. As a matter of fact, no applications -for admission to the University of Edinburgh seem to have been made by women -until the year 1869, as above mentioned.</p> - -<p>“In the Universities (Scotland) Act of 1858, section 12, power was given to the -University Court ‘to effect improvements in the internal arrangements of the University, -after due communication with the Senatus Academicus, and with the sanction -of the Chancellor, provided that all such proposed improvements shall be submitted -to the University Council for their consideration.’</p> - -<p>“By the same act (section 21), provision was made for ‘providing additional -teaching by means of assistants to the Professors in any professorships already established -or to be established,’ and several assistants were accordingly appointed by -the Commissioners under the Act; and, subsequently, the Senatus appointed certain -other assistants, and made them allowances out of the University revenues. None -of these assistants have, however, hitherto delivered courses of lectures qualifying -for graduation, though there does not appear to be any clause in the Act which forbids -their doing so. The only course of instruction qualifying for medical graduation -which is given entirely by an assistant is that of practical chemistry.</p> - -<p>“During the illness or absence of professors, temporary substitutes to lecture in -their stead have frequently been appointed by the Senatus, with the sanction of the -University Court.”</p> - -</blockquote> - -<p>The following Queries were not all asked in the first instance, but in -part on a subsequent occasion (see <a href="#Page_120" title="Page 120"><abbr title="page">p.</abbr> 120</a>); as, however, they were all<span class="pagenum"><a name="Page_153" id="Page_153">{153}</a></span> -submitted on the same case, and concern the same subject, I give them -here consecutively, arranged in the order in which the Opinions obtained -thereon were presented to the Senatus or University Court:—</p> - -<blockquote> - -<p>“<i>Query</i> 1.—In the permission given to women to study ‘for the profession of -medicine’ in the University of Edinburgh (bearing date November 12, 1869), was it involved -in clauses 1, 2, and 6, that they should be allowed to pass the ordinary professional -examinations and to proceed to the degree of M.D. in the University, subject -only to the restrictions laid down in the said regulations; and is it therefore -incumbent on the Medical Faculty to admit them to the necessary examinations -to the extent of the subjects in which they are already qualified to pass?</p> - -<p>“<i>Opinion.</i>—Reading the regulations referred to in connection with the resolutions -of the Medical Faculty which were approved of by the Senatus, the University -Court, and the General Council, we think that their import and meaning is that, -subject to the restrictions laid down in the regulations, women shall be allowed not -merely to qualify themselves for the ordinary professional examinations with a view -to obtain a medical degree in the University, but also, when so qualified, to be admitted -to these examinations. We are, therefore, of opinion that it is the duty of -the Medical Faculty to admit them to examination accordingly.</p> - -<p>“<i>Query</i> 2.—If this was not involved, is it in the power of the Senatus, either alone -or in conjunction with the University Court, to accord the required permission to -admit them to professional examination with a view to graduation?</p> - -<p>“<i>Opinion.</i>—Upon the ground of keeping faith with the women who have, in reliance -upon the regulations and in compliance with the terms thereby prescribed, qualified -themselves for professional examination with a view to graduation, we are of opinion -that the Senatus is entitled to direct that they shall be admitted to examination; -and we also think that, without any further direction or authority than the regulations -necessarily imply, the Medical Faculty is entitled to admit them to examination.</p> - -<p>“<i>Queries</i> 3 and 4.—Is it competent for the Senatus, either directly or in conjunction -with the other University authorities, to appoint special lecturers to deliver -qualifying courses of lectures to women who are matriculated and registered students -of medicine, when such instruction cannot be obtained from the professors of the -special subjects in question? Is it competent for the Senatus or other University -authorities so far to relax the ordinary regulations with respect to extra-mural -classes as to authorise women to attend outside the University those courses of lectures -which are denied to them by the Professors within the walls, such courses -being held to qualify for graduation beyond the number of <em>four</em>, as contemplated in -the present regulations?</p> - -<p>“<i>Opinion.</i>—If the existing regulations with respect to graduation in medicine stand -upon statutes passed by the University Commissioners, whose powers have now expired, -it is competent for the University Court to alter them with the written consent -of the Chancellor and with the approval of Her Majesty in Council. This is provided -by section 19 of the Act of 1858. If they stand on the authority of the Court, or of -any other power in the University itself, we should think that they may be altered -by the University Court under section 12 of the Act, ‘after due communication with -the Senatus Academicus, and with the sanction of the Chancellor,’ but with the -proviso that the proposed alteration ‘shall be submitted to the University Council -for their consideration.’ In one or other of these ways it appears to us that any provision -which may be deemed necessary, or proper and reasonable, for enabling -women to complete their medical studies, with a view to graduation, maybe made.”</p> - -<p>“<i>Query</i> 5.—Whether the Senatus, University Court, University Council and -Chancellor, had collectively the power of granting to women the permission to -matriculate as students as they did in 1869, and whether the regulations issued officially -(November 12, 1869) are valid as regards such matriculation?</p> - -<p>“<i>Opinion.</i>—We are of opinion that the University Court, in virtue of the -powers conferred upon it by the 12th section (2) of the Act 1858, have power, after -communication with the Senatus, and with the sanction of the Chancellor, and after -the University Council have considered the subject, to grant permission to women -(as they did in 1869) to matriculate as students, and the resolutions of the Court in -that year are valid.</p> - -<p>“<i>Query</i> 6.—Whether the medical Professors are exonerated from obligation to -teach, in some way or other, all matriculated students, by the fact, that, in clause 3 -of the regulations quoted above, it is merely stated that they ‘shall be permitted to -have separate classes for women?’</p> - -<p>“<i>Opinion.</i>—The University Court having statutory powers to ‘effect’ improvements -in the ‘internal arrangements of the University,’ and it being within -their power, under this enactment, to allow women to be educated at the University, -<span class="pagenum"><a name="Page_154" id="Page_154">{154}</a></span>we are of opinion that this resolution must be carried out in good faith and -obeyed by the Professors. The third resolution of the University Court of November -1869, which ‘<em>permits</em>’ the Professors to have separate classes for women, in no -way derogates from the resolution of the Court that women ‘shall be admitted to the -study of medicine.’</p> - -<p>“<i>Query</i> 7.—In case such women as are matriculated students of medicine in the -University are refused instruction by the individual medical Professors, what is -their legal mode of redress, and against whom should it be directed?</p> - -<p>“<i>Opinion.</i>—We are of opinion that the University Court can compel, by action, -the medical Professors to obey the resolutions of November, 1869, by holding separate -classes for the education of women. With respect to the title of the women, we think -that those of them who have matriculated and passed the preliminary examinations -have a title, and may enforce their rights by action. The proper form of action is, -we think, a declarator against the Professors refusing to obey the resolution of the -University Court, with petitory conclusions to the effect that they should be ordained -to hold separate classes for the instruction of the pursuers, they receiving their due -remuneration.</p> - -<p>“<i>Query</i> 8.—Whether, in the first constitution or charter of the University, or in -any of the subsequent statutes, there is anything which limits the benefits of the University -to male students.</p> - -<p>“<i>Opinion.</i>—The Charter of Erection and Confirmation of the ‘College of Edinburgh’ -by King James <abbr title="the Sixth">VI.</abbr>, dated 14th April, 1582, granted certain lands and revenues to the -Magistrates and Town Council of Edinburgh, with a license to employ those revenues, -and such others as well-disposed persons might bestow on them, in the erecting of -suitable buildings for the use of professors and ‘scholars’ of grammar, humanity, and -languages, philosophy, theology, medicine, and laws, and other liberal sciences. The -King, by this charter (as interpreted by decision of the Courts), delegated to, or conferred -upon, the magistrates and Town Council the character of patron and founder of -this new seminary of education. The powers of superintendence and control thus -conferred upon the Magistrates and Council remained with them till the Act of -1858 was passed, by which the more important powers were transferred to the University -Court. The Magistrates and Council never conferred upon the College any -independent constitution, so as to enable the members of it to exercise any power of -internal government. As founders, patrons, and delegates intrusted by the royal -grant, the Magistrates and Council remained in the full right of management, regulation, -and tutelage of their own institution.</p> - -<p>“An Act of Parliament was passed in 1621 (c. 79), which may be considered as the -charter of erection of the University. It narrates the charter of 1582, and the licence -thereby given to found a College and choose Professors, and sets forth the King’s zeal -for the growth of learning, and his purpose to grant the College all immunities enjoyed -by other colleges. The statute then confirms the erection of the College, and -ratifies all the mortifications made to the town by the King or others towards its -support. It bestows on the College the name of ‘King James’ College,’ and grants to -the Magistrates ‘in favour of the said burgh of Edinburgh, patrons of the said College, -and of the College, and of rectors, regents, bursars, and <em>students</em> within the same, all -liberties, freedoms, immunities, and privileges pertaining to a free College, and that -in as ample a form and large manner as any College has or bruickis within His -Majesty’s realm.’</p> - -<p>“The statute concludes with ordaining a new charter to issue, if need be, for -erecting the College, with all such privileges and immunities. No such charter was -ever issued; but the statute itself may be held equivalent to a charter. It was a -charter in favour of the Magistrates and Council as founders and patrons, and in no -way prejudiced, but on the contrary confirmed their power of superintendence, control, -and regulation of all matters concerning the internal government of the -University.</p> - -<p>“We are of opinion that, in virtue of the powers they thus possessed, the Magistrates -and Town Council could at any time, during their 266 years of University rule, -have done what the University Court did in 1869—grant permission to women to be -educated at the University.</p> - -<p>“On examining the records, we find that the superintendence of the patrons was -active and constant. They made, at various times during the two centuries and a half -while their jurisdiction lasted, sets of laws and regulations for the College, which -embrace all things connected with the duties and rights of professors and students, -the series and order of studies, the days and hours of lecture, the books to be read, the -conduct of students in and out of College hours, the modes of trial and graduation, -the attendance of the professors at their classes, attendance at church, dress to be -worn by students, fees to be paid, <abbr title="etcetera">&c.</abbr>, <abbr title="etcetera">&c.</abbr><span class="pagenum"><a name="Page_155" id="Page_155">{155}</a></span> -“All these regulations proceed on the footing that only male students attended -the University; many of them were inapplicable to females, and we cannot find any -trace of its being contemplated by the patrons that females might be students. And -we do not find any evidence of a female having attended the University.</p> - -<p>“Therefore, while we are of opinion that the Magistrates and Council had the -power to pass a regulation authorising the attendance of women at the University, -and to compel the professors to teach them, yet as they never passed any such regulation, -no women could have insisted upon admission to University education as a legal -right prior to 1869.</p> - -<p>“The University Court, by <abbr title="section">sec.</abbr> 12 (2), are now vested with all the powers of internal -management and regulation formerly possessed by the Magistrates and Council; -they have done what the latter never did, although they lawfully might. They have, -by their resolution of November 1869, given to women the right to demand, equally -with male students, admission to the University.”</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_R" id="Note_R" class="nodec">NOTE R</a>, <a href="#Page_111" title="Page 111"><abbr title="page">p.</abbr> 111</a>,</h3> - -<blockquote> - -<p>“The extraordinary history of the vicissitudes endured by the lady students seems -at last to have reached its most extraordinary phase. It appears, as stated in our -columns of yesterday, that on Saturday last the Medical Faculty of the University of -Edinburgh—a body which, collectively, forms one of the law-makers of the College—passed -a vote by a majority whereby they instructed their Dean deliberately to break -a law of the University, or rather expressly ‘interdicted’ him from complying with it. -What makes the matter the more remarkable is that this special law was in the first -instance inaugurated by themselves, and subsequently approved by the Senatus and -other authorities, and incorporated in the official regulations published in the ‘Calendar.’ ... -It would seem clear enough that a decision which had been deliberately confirmed -by each university authority successively, and which had thus become law, -could not be disturbed by any one except after an equally formal process of revocation. -It is, however, well known that, though all the bodies enumerated passed the above -regulations by a majority, there was in most cases a dissatisfied minority, who wished -that all privileges should be withheld from the lady students. It would have surprised -no one to hear that a formal attempt had been made to obtain the withdrawal of the -privileges conferred; but the public were probably sufficiently astonished to learn -yesterday that, though no such open and honourable attempt had been made, a secret -<i>coup d’état</i> was planned, by which it was apparently hoped, at the very last moment, -when no appeal to the Senatus, or other authorities was possible, to crush the hopes of -the medical ladies, at least for the present year. At the Faculty meeting to which we -have referred, a vote was actually passed to ‘interdict’ the Dean, whose friendliness to -the ladies was well known, from giving to any women who were about to join the medical -class the papers necessary to enable them to pass the preliminary examination in -Arts, which is indispensable before registration—this examination having been not -only previously allowed, but actually passed by numerous ladies on no less than four -occasions! At this same notable meeting, a vote was also passed that the Medical -Faculty should disregard alike their own previous resolutions, the official regulations -of the ‘Calendar,’ and the tickets of admission already paid for and obtained by those -other ladies who are now ready to proceed to their first professional examination; and, -accordingly, a letter was sent to each of these three ladies, informing them that their -tickets had been granted ‘in error,’ and that they could not be examined ‘without the -sanction of the Senatus Academicus,’ as if that sanction had not been already given in -the most emphatic manner!</p> - -<p><span class="pagenum"><a name="Page_156" id="Page_156">{156}</a></span></p> - -<p>“The story is not a pleasant one. That a minority, obliged to acquiesce in an act -of liberality on the part of the majority, should, when unable to prevail by fair means, -endeavour to compass their end by a side-wind and in an underhand manner, is sufficiently -discreditable; but that, rather than relinquish their own dogged resolution to -obstruct the ladies, these Professors should deliberately abstain from all previous -warning of the means they intended to employ—should allow many months of severe -study to be passed with a definite aim and hope, and should then silently dig a pitfall -at the very threshold of the door through which the ladies must pass, and hope, by -an arbitrary exercise of authority against a few wholly unprepared women, completely -to destroy their prospects, for the present year at least—is something almost too monstrous -to be believed, did the circumstances admit of any doubt in the matter. -Whether these medical gentlemen really supposed that, by their unsupported fiat, they -could set aside all the existing regulations of the University, or whether they trusted to -the ladies’ want of knowledge in legal matters not to challenge their authority, it is of -course impossible to say, but one would rather believe in the ignorance of law implied -by the former alternative, than in the lamentable want of honourable feeling that -would be conveyed in the latter. Be this as it may, it is not easy to exaggerate the -damaging effect that a story of this kind is likely to have on the minds of the public. -That such a line of conduct <em>could</em> be planned and carried out by a body of men claiming -the name of gentlemen, and belonging to a profession that calls itself ‘liberal’ and -‘learned,’ is perhaps as striking a proof as could be given of the fatally blinding influence -of professional prejudice and unreasoning trades-unionism.”</p> - -<p class="notes_ref"><cite>Scotsman</cite>, <abbr title="October">Oct.</abbr> 20, 1872.</p> - -<p class="new_quote">“We confess that the conduct of the medical faculty amazes us. Can they suppose -that such obstructions are calculated to stop the movement? Why should they -not show a little practical sense, and choose their fighting-ground with reasonable -judgment? A single Professor, whose classes must be attended according to present -regulations, might have hoped successfully to resist the demand that he should teach -mixed classes. There are many people who do not look with particular complacency -upon the efforts of a few ladies to obtain a place in the medical profession; but paltry -persecutions like these, and little dodges sprung upon them suddenly, will assuredly -turn the popular tide in their favour. The medical profession seem to -think that they have only got to get behind these too devoted students, and shout -‘bo!’ loud enough to frighten them out of their five wits. They might surely have -known Miss Jex-Blake better by this time. Are the Edinburgh Medical Faculty -really afraid of the competition of the ladies? Do they look upon them as ‘knobsticks,’ -against whom the doors must be closed in spite of law, reason, and liberty? -They are welcome to their fears—narrow as they are—and to their opinions on the -question of lady doctors; but we trust that the University of Edinburgh will see that -its regulations are maintained. Having given permission to females to study medicine -under conditions which are strict enough, and even somewhat hard, the University -must prevent any combination of Professors from taking the matter into their -own hands, and debarring the ladies from the privileges for which they have so -gallantly fought. In the meantime, we congratulate the five ladies on the prompt -spirit in which they have repelled the insidious attempt of a majority of the medical -faculty—we believe only a very small majority—to cut their studies short. We need -not urge them to persevere, for they seem to have that ‘faculty’ in predominance, -but we think we can assure them that every victory that they gain, and every defeat -that they suffer, adds to the number of their sympathisers, and breaks down no inconsiderable -portion of the mountain of prejudice that they had to face when they -commenced their career as students. If the Medical Professors want to defeat them, -they must get better advisers, and not court humiliation. Their present counsellor -is like Adversity, ugly and venomous in appearance only. Without the ‘precious -jewel,’ the treasure of ill-judged and unreasonable persecutions, which he carries in -his head, the little forlorn hope of courageous ladies, whose ranks are thinned -from time to time by marriage and other maladies, would hardly be so likely to plant -their triumphant flag on the top of the Castle rock at last.”</p> - -<p class="notes_ref"><cite>Glasgow Herald</cite>, October 20, 1871.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_S" id="Note_S" class="nodec">NOTE S</a>, <a href="#Page_119" title="Page 119"><abbr title="page">p.</abbr> 119</a>.</h3> - -<p>The following verses are no bad indication of the popular feeling respecting -the incidents narrated above, and this is rendered the more -characteristic by the national form in which it finds expression:—</p> - -<h4 title="" class="note_heading">THE BARRIN’ O’ OOR DOOR.</h4> - -<p class="center smaller">(<i>A New Version o’ an Auld Sang</i>,)</p> - -<p class="center smaller"><i>Dedicated without special permission to Sir Robert Christison, Bart., and intended to -be sung at the next convivial meeting of the “Infirmary Ring.”</i></p> - -<p class="center smaller"><span class="smcap">By Gamaliel Gowkgrandiose</span>, M.D.</p> - -<div class="poetry-container"> - <div class="poetry"> - <div class="stanza"> - <div class="p_line_i2">It fell aboot the New-Year time,</div> - <div class="p_line_i4">And a gay time it was then, oh!</div> - <div class="p_line_i2">That the lady students in oor auld toon</div> - <div class="p_line_i4">Had a fecht wi’ us medical men oh!</div> - <div class="p_line_i0"><i>Chorus</i>—Aboot the barrin’ o’ oor door weel, weel, weel,</div> - <div class="p_line_i12">The barrin’ o’ oor door weel.</div><span class="pagenum"><a name="Page_157" id="Page_157">{157}</a></span> - </div> - <div class="stanza"> - <div class="p_line_i0">When first they cam’ tae learn oor craft</div> - <div class="p_line_i2">We laughed at them in oor sleeve oh!</div> - <div class="p_line_i0">That women could e’er gang on wi’ sic wark,</div> - <div class="p_line_i2">What medical man could believe oh!</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">So we pouched a’ the fees they gied tae us</div> - <div class="p_line_i2">For lecture or for Exam. oh!</div> - <div class="p_line_i0">We fleeced them a’ as clean and as bare</div> - <div class="p_line_i2">As was ever a sheep or a lamb oh!</div> - <div class="p_line_i4"><i>Chorus</i>—A’ for the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">But when we found they meant to use</div> - <div class="p_line_i2">The knowledge for which they had paid oh!</div> - <div class="p_line_i0">And on the trade o’ us medical men</div> - <div class="p_line_i2">Micht mak’ a furious raid oh!</div> - <div class="p_line_i4"><i>Chorus</i>—We began the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Hech, sirs, tae drive thae women awa’</div> - <div class="p_line_i2">Was a job baith sair and teuch, sirs;</div> - <div class="p_line_i0">It gied Sir Robert and Andrew Wood</div> - <div class="p_line_i2">Vexation and bother eneuch, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—Did the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Oor students got up a bonny bit mob</div> - <div class="p_line_i2">To gie the ladies a fright, sirs;</div> - <div class="p_line_i0">Wi’ physical force, Young Physic did wark,</div> - <div class="p_line_i2">Tae get us oot o’ oor plight, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—And help the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">We frightened the douce Infirmary folks</div> - <div class="p_line_i2">W’ stories o’ classes mixed, sirs;</div> - <div class="p_line_i0">They werena just true—but what o’ that?</div> - <div class="p_line_i2">We a’ hae oor ain trade tricks, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Scandals we spread owre a’ the toon</div> - <div class="p_line_i2">Against the ladies’ guid fame, sirs;</div> - <div class="p_line_i0">We drove them frae the Infirmary gate,</div> - <div class="p_line_i2">Though some citizen fools cried “Shame,” sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">But they lived a’ scurrilous scandals doon</div> - <div class="p_line_i2">Wi’ true feminine perversity—</div> - <div class="p_line_i0">They roused the folk owre a’ oor town</div> - <div class="p_line_i2">’Gainst oor clique in the University.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">A year gaed by, and then they tried</div> - <div class="p_line_i2">Again tae force their way, sirs,</div> - <div class="p_line_i0">Into the wards we’ve sworn maun be oors</div> - <div class="p_line_i2">Until oor dying day, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Sir Robert bullied and cracked his big whip,</div> - <div class="p_line_i2">And Turner put on the screw, sirs;</div> - <div class="p_line_i0">Yet we a’ got beaten that New-Year’s Day,</div> - <div class="p_line_i2">For the ladies’ friends stood true, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—Oh! the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Sir Robert looked blue when he heard o’ the vote,</div> - <div class="p_line_i2">And Turner he tore his hair, sirs;</div> - <div class="p_line_i0">He forgot there wasna muckle to tear,</div> - <div class="p_line_i2">Sae deep was his despair, sirs,</div> - <div class="p_line_i4"><i>Chorus</i>—Aboot the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">And Andrew Wood fell into the airms</div> - <div class="p_line_i2">O’ twa o’ his “five fair sons,” sirs;</div> - <div class="p_line_i0">“Puir bairns,” quo’ he, “we’ll a’ starve noo,</div> - <div class="p_line_i2">For oor craft will be over-run, sirs.”</div> - <div class="p_line_i4"><i>Chorus</i>—Oh! the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div><span class="pagenum"><a name="Page_158" id="Page_158">{158}</a></span> - </div> - <div class="stanza"> - <div class="p_line_i0">And Nicholson whimpered wi’ clerical whine,</div> - <div class="p_line_i2">And Muirhead shook his fist, sirs,</div> - <div class="p_line_i0">As he thocht o’ how the Scotsman wad chaff</div> - <div class="p_line_i2">O’ the class he had that day missed, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—And the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Lister wept owre his petulant speech,</div> - <div class="p_line_i2">When he swore he’d resign his chair, sirs,</div> - <div class="p_line_i0">If women entered the hospital wards—</div> - <div class="p_line_i2">Eh! noo he repented him sair, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">But when we cam to oor senses a’,</div> - <div class="p_line_i2">We planned a bonny bit plan, sirs,</div> - <div class="p_line_i0">Tae quash the votes o’ thae merchant firms</div> - <div class="p_line_i2">That supported the ladies’ men, sir.</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">The firms may leave us—we carena a straw—</div> - <div class="p_line_i2">The Infirmary may sink, sirs,</div> - <div class="p_line_i0">If we may but keep females aff oor preserve,</div> - <div class="p_line_i2">We carena what folk think, sirs.</div> - <div class="p_line_i4"><i>Chorus</i>—O’ the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">The Infirmary meeting against us gaed,</div> - <div class="p_line_i2">But the Court o’ Session befriends us;</div> - <div class="p_line_i0">Oot o’ the hospital managing board</div> - <div class="p_line_i2">Neither women nor traders shall send us!</div> - <div class="p_line_i4"><i>Chorus</i>—For the barrin’ o’ oor door, <abbr title="etcetera">&c.</abbr></div> - </div> - <div class="stanza"> - <div class="p_line_i0">Confusion, then, let each man drink</div> - <div class="p_line_i2">To the ladies and their supporters, sirs;</div> - <div class="p_line_i0">For Monopoly’s rights let us a’ fecht or fa’,</div> - <div class="p_line_i2">Or be brayed up small in oor mortars, sirs!</div> - <div class="p_line_i4"><i>Chorus</i>—Ho! for the barrin’ o’ oor door weel! weel! weel!</div> - <div class="p_line_i7">The barrin’ o’ oor door weel!</div> - - <div class="p_ref"><cite>Scotsman</cite>, <abbr title="February">Feb.</abbr> 13, 1872.</div> - </div> - </div> -</div> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_T" id="Note_T" class="nodec">NOTE T</a>, <a href="#Page_125" title="Page 125"><abbr title="page">p.</abbr> 125</a>.</h3> - -<p>This correspondence is so remarkable that I subjoin it entire.</p> - -<blockquote> - -<h4 title="" class="note_heading">(1) <i>To the University Court.</i></h4> - -<p class="notes_place_date">“15 Buccleuch Place, November 21, 1871.</p> - -<p>“<span class="smcap">Gentlemen</span>,—It is now two years since you passed a series of resolutions, dated -12th November 1869, to the effect that ‘women shall be admitted to the study of -medicine in the University.’</p> - -<p>“In the time that has since elapsed, I and those ladies who matriculated with me -at that date, have completed one-half of the studies necessary for graduation in the -University of Edinburgh. Nearly five months ago, I ventured to point out to the -Senatus Academicus that, unless further arrangements were made, it would be impossible -for us to complete the studies which we have begun with your express -sanction. After pointing out the existing difficulties, I ventured further to make -two suggestions, either of which, if adopted, might enable us to complete our education -in the University. In reply, however, I was informed that the Senatus, ‘having -taken the opinion of counsel with reference to the proposals contained in the memorial -of date 26th June 1871, find themselves unable to comply with either of those -proposals.’</p> - -<p>“I understand, however, that since the date referred to, another legal opinion has -been obtained from the Lord Advocate and Sheriff Fraser, and has been laid before -the Senatus, and by them forwarded to your honourable Court. As, however, the -Senatus still appear unwilling to initiate any measure by which we may be relieved -from our present difficulties, I feel constrained now to appeal to you, in my own -name and that of my fellow-students, to take such action as shall enable us to -complete our studies.</p> - -<p>“I beg to represent to you that we have all paid matriculation fees for the -present year, and are by our tickets declared to be ‘Cives Academiæ Edinensis,’ and -that yet we, who commenced our studies in 1869, are unable during the present -session to obtain any further classes whatever towards completing our required course -of study.</p> - -<p><span class="pagenum"><a name="Page_159" id="Page_159">{159}</a></span></p> - -<p>“We understand from those friends who have taken legal opinion on the subject—and -doubtless such opinion will be laid before you simultaneously with this letter—that -we are entitled to demand from the University the means of completing our -studies, and that, failing any other alternative measures, we can claim the instruction -of the Medical Professors to the extent needed to complete our curriculum.</p> - -<p>“We beg, therefore, most respectfully to request that, unless any other mode of -supplying our needs seems preferable to you, you will vouchsafe to ordain that the -Professors, whose courses we are bound by the University regulations to attend, -shall give us the requisite instruction.—I beg to subscribe myself, Gentlemen, your -obedient servant,</p> - -<p class="notes_sig"><span class="smcap">“Sophia Jex-Blake</span>.”</p> - -<h4 title="" class="note_heading">(2.) <i>Minute of University Court of January 8, 1872.</i></h4> - -<p>“The University Court have had under consideration the letters of Miss Jex-Blake -and Miss Louisa Stevenson, of 21st November, 1871, and other relative documents -laid before them on behalf of the women who have been admitted by the regulations -of the Court of November 10th, 1869, to study medicine in the University.</p> - -<p>“In these papers it is stated that certain Professors of the Faculty of Medicine -have declined to give separate classes of instruction to women; and the Court are -asked either (1) to extend, in the case of female medical students, the privilege granted -by ordinance by the Universities’ Commissioners, to lecturers, not being Professors in a -university, of qualifying for graduation by their lectures, which privilege is now restricted -to four of the prescribed subjects of study; or (2) To authorise the appointment -of special lecturers to give, in the University, qualifying courses of instruction -in place of those Professors who decline to do so; or (3.) To ordain that the Professors -referred to shall themselves give the necessary courses of instruction to women.</p> - -<p>“The second course suggested it is not in the power of the Court, or other University -authorities, singly or jointly to adopt.</p> - -<p>“The third course is equally beyond the power of the Court. The Act of 1858 vests -in the Court plenary powers to deal with any Professor who shall fail to discharge his -duties, but no Professor can be compelled to give courses of instruction other than those -which, by the use and wont of the University, it has been the duty of the holders of -his chair to deliver.</p> - -<p>“The first of the proposed measures would imply an alteration in one of the -ordinances for graduation in medicine (<abbr title="Number">No.</abbr> 8, clause <abbr title="6">vi.</abbr>, 4). Such alteration could be -made by the University Court only with the consent, expressed in writing, of the -Chancellor, and with the approval of Her Majesty in Council.</p> - -<p>“But to alter, in favour of female students, rules laid down for the regulation of -graduation in medicine would imply an assumption on the part of the Court, that -the University of Edinburgh has the power of granting degrees to women. It seems -to the Court impossible to them to assume the existence of a power that is questioned -in many quarters, and which is both affirmed and denied by eminent counsel. So long -as these doubts remain, it would, in the opinion of the Court, be premature to consider -the expediency of taking steps to obtain, in favour of female students, an alteration -of an ordinance which may be held not to apply to women.</p> - -<p>“Though the Court are unable to comply with any of the specific requests referred -to, they are at the same time desirous to remove, so far as possible, any present -obstacle in the way of a complete medical education being given to women,—provided -always that medical instruction to women be imparted in strictly separate classes.</p> - -<p>“The Court are of opinion that the question under reference has been complicated -by the introduction of the subject of graduation, which is not essential to the completion -of a medical or other education. The University of London, which has a -special charter for the examination of women, does not confer degrees upon women, -but only grants them ‘certificates of proficiency.’ If the applicants in the present -case would be content to seek the examination of women by the University for certificates -of proficiency in medicine, instead of University degrees, the Court believe -that arrangements for accomplishing this object would fall within the scope of the -powers given to them by section 12 of the Universities’ (Scotland) Act. The Court -would be willing to consider any such arrangements which might be submitted to -them.”</p> - -<h4 title="" class="note_heading">(3.) <i>To the University Court.</i></h4> - -<p class="notes_place_date">“15 Buccleuch Place, Edinburgh, January 18, 1872.</p> - -<p>“<span class="smcap">Gentlemen</span>,—I have received from your Secretary a copy of your minute of the -8th instant, and I beg you to allow me most respectfully, but at the same time most -emphatically, to protest against the decision therein contained, on the following -grounds:—</p> - -<p><span class="pagenum"><a name="Page_160" id="Page_160">{160}</a></span></p> - -<p>“1. That when women were admitted to study ‘for the profession of medicine’ in -the University of Edinburgh, and were required to pay the ordinary matriculation -fees as <i lang="la" xml:lang="la">Cives Academiæ Edinensis</i>, in addition to those for instruction, it was believed -to be involved that, subject only to the restrictions laid down in the regulations of -November 12, 1869, we should be allowed to complete our education, and should, as a -matter of course, proceed to the degree of M.D., no official intimation to the contrary -being given to us at the time, nor indeed until now, when we have half completed our -University curriculum. You will allow me to remind you further, that we have very -high legal authority for believing that these expectations were well founded, and that -matriculation does involve necessarily all the privileges of studentship, including -graduation, as was indeed recently admitted by a legal Professor, who has always -been one of our most determined opponents, when addressing your honourable Court -in favour of rescinding the present regulations.</p> - -<p>“2. That, except with a view to ultimate graduation, it was quite meaningless to -require us to pass, as we did, the preliminary examination in Arts, which has not any -necessary connection with the study of medicine itself, but is expressly stated to be -‘the first examination <em>for the medical degree</em>.’</p> - -<p>“3. That we have all along pursued our studies with a view to the further professional -examinations; that, in the resolutions passed by the Medical Faculty on July -1, 1869, it was distinctly stated that ‘ladies be allowed to attend medical classes and -to receive certificates of attendance qualifying for examination;’ that, further, on -April 9, 1870, the Senatus Academicus expressly ordained that exactly the same University -certificates of attendance should be issued to students of both sexes, for the -special purpose of qualifying for professional examination.</p> - -<p>“4. That no kind of official notice was ever given to us that a doubt existed respecting -our admission to the ordinary professional examinations, until certain of our -number had completed their preparations for the first professional examination, and -had paid their fees for, and received tickets of admission to, the same; and that, -when the matter was brought before the Senatus, it was by them decided that ladies -should be admitted to the examination, and accordingly the ladies in question were -examined in the ordinary course and passed the examination successfully.</p> - -<p>“5. That under the existing Act of Parliament it is impossible for any person to -practise medicine under legal sanction, without a distinct ‘qualification’ as defined -by the said Act of Parliament.</p> - -<p>“6. That the only ‘qualification’ which it is in the power of the University of Edinburgh -to grant, is the ordinary medical degree, and that no ‘certificates of proficiency’ -would possess the slightest legal value unless a special Act of Parliament was passed -making such certificates registrable qualifications.</p> - -<p>“7. That the difficulty and expense of procuring such a special Act of Parliament -would be very much greater than that of obtaining the sanction of the Queen in Council -to such minor alterations in the University Ordinances as are alone necessary to enable -us to complete our education by means of additional extra-mural classes; even if -your honourable Court declines to make the necessary arrangements <em>within</em> the -University.</p> - -<p>“8. That we are informed on high authority that it is at present within the -power of your honourable Court, in conjunction with the Senatus, to make the -necessary arrangements within the University, without any external sanction; -either by ordaining that the present Professors shall instruct women in separate -classes, or by appointing special lecturers for that purpose. As regards the former -course, I venture to remark that several Professors in the Faculty of Arts are already -delivering two or more lectures daily, and that, as I presume it was always contemplated -that each Professor should instruct all matriculated students desiring to -study his subject, it is quite conceivable that it might become necessary from the -number of students, or otherwise, for the medical Professors also to be required to -deliver two courses; and that, therefore, it could hardly be considered a hardship if -they should be required to deliver a second course, with proper remuneration for the -same, to those matriculated students who are forbidden by the University to attend -in the ordinary classes. As regards the second alternative, I believe that it has -never been doubted that the Senatus and University Court, conjointly, have the -power of appointing any number of assistants or special lecturers in any faculty, if -they are required for the efficient performance of the teaching of the University.</p> - -<p>“9. That as the main difficulty before your honourable Court seems to be that -regarding graduation, with which we are not immediately concerned at this moment, -we are quite willing to rest our claims to ultimate graduation on the facts as they -stand up to the present date, and in case your honourable Court will now make -arrangements whereby we can continue our education, we will undertake not to -draw any arguments in favour of our right to graduation from such future arrangements, -<span class="pagenum"><a name="Page_161" id="Page_161">{161}</a></span>so that they may at least be made without prejudice to the present legal -position of the University.</p> - -<p>“10. That we are informed by high legal authorities that we are entitled, as -matriculated students, to demand from the University complete arrangements for -our instruction, and that we are further entitled to bring an action of declarator to -obtain the same from the several Professors if no alternative measures are devised, -and that we shall inevitably be driven to pursue this course, with whatever reluctance, -if your honourable Court persistently refuses to make, in any form whatever, such -arrangements as may enable us to complete our education, and to obtain a legal -qualification to practise.</p> - -<p>“Earnestly commending the above considerations to your most favourable notice, -I have the honour, <abbr title="etcetera">&c.</abbr>,</p> - -<p class="notes_sig">“<span class="smcap">Sophia Jex-Blake.</span>”</p> - -<h4 title="" class="note_heading">(4.) <i>From the Secretary of the University Court.</i></h4> - -<p class="notes_place_date">“University of Edinburgh, 5th February 1872.</p> - -<p>“<span class="smcap">Madam</span>,—I am desired by the University Court to inform you that your letter, -dated the 18th ultimo, has been laid before them and considered.</p> - -<p>“In reply, I am to say that in several points of your view of the past history and -present position of the question relative to the medical education of women in Edinburgh -the Court are unable to concur.</p> - -<p>“Without going into the discussions which might be raised on these points, it -appears to the Court that it is only necessary for them to enter upon the subject of -your ninth paragraph, in which you say:—</p> - -<p>“‘That as the main difficulty before your honourable Court seems to be that regarding -graduation, with which we are not immediately concerned at this moment, -we are quite willing to rest our claims to ultimate graduation on the facts as they -stand up to the present date; and in case your honourable Court will now make -arrangements whereby we can continue our education, we will undertake not to draw -any arguments in favour of our right to graduation from such future arrangements, -so that they may at least be made without prejudice to the present legal position of -the University.’</p> - -<p>“On this I am desired to inform you that you appear to ask no more than was -offered by the Court in their resolution of the 8th ultimo, in which it was stated that -while the Court were restrained by legal doubts as to the power of the University to -grant degrees to women, from considering ‘the expediency of taking steps to obtain, -in favour of female students, an alteration of an ordinance which might be held not -to apply to women,’ they were, ‘at the same time, desirous to remove, so far as possible, -any present obstacle in the way of a complete medical education being given to -women: provided always that medical instruction to women be imparted in strictly -separate classes.’</p> - -<p>“On the assumption, therefore, that while you at present decline the offer made -by the Court with reference to certificates of proficiency, you now ask merely that -arrangements should be made for completing the medical education of yourself and -the other ladies on behalf of whom you write, I am to state that the Court are quite -ready to meet your views. If, therefore, the names of extra-academical teachers of -the required medical subjects be submitted by yourself, or by the Senatus, the Court -will be prepared to consider the respective fitness of the persons so named to be -authorised to hold medical classes for women who have in this or former sessions been -matriculated students of the University, and also the conditions and regulations under -which such classes should be held.</p> - -<p>“It is, however, to be distinctly understood that such arrangements are not to be -founded on as implying any right in women to obtain medical degrees, or as conferring -any such right upon the students referred to.</p> - -<p class="notes_sig">“I have, <abbr title="etcetera">&c.</abbr><span class="spread-out_sig">,</span> -J. <span class="smcap">Christison</span>, Secretary.”</p> - -<h4 title="" class="note_heading">(5.) <i>To the University Court.</i></h4> - -<p class="notes_place_date">“15 Buccleuch Place, February 9, 1872.</p> - -<p>“<span class="smcap">Gentlemen</span>,—I beg to thank you sincerely for the resolution to which you -came on Monday the 5th <abbr title="instant">inst.</abbr>, and which, if I understand it rightly, will, I trust, -prove a satisfactory solution of our present difficulties.</p> - -<p>“We will, if you wish it, very gladly prepare and submit to your honourable -Court a list of extra-academical lecturers and of gentlemen prepared to qualify as -such, who may, with your sanction, instruct us in the various subjects which we -have to study; but before doing so, I venture to beg for official confirmation of my -interpretation of your late resolution in two essential particulars.</p> - -<p>“I trust that I am correct in understanding—</p> - -<p><span class="pagenum"><a name="Page_162" id="Page_162">{162}</a></span></p> - -<p>“1. That though you at present give us no pledge respecting our ultimate graduation, -it is your intention to consider the proposed extra-mural courses as ‘qualifying’ -for graduation, and that you will take such measures as may be necessary to secure -that they will be accepted if it is subsequently determined that the University has -the power of granting degrees to women.</p> - -<p>“2. That we shall be admitted in due course to the ordinary professional examinations -on presentation of the proper certificates of attendance on the said extra-mural -classes.</p> - -<p>“You will, I am sure, understand that, while we are quite willing to accept present -arrangements for instruction without any pledge that they will confer a right to -graduation, it would be useless for us to attend any classes which would be incapable -of qualifying for graduation, and impossible for us to acquiesce in any agreement -which might prejudice the claim which we believe ourselves to possess to the ultimate -attainment of the medical degree.</p> - -<p class="notes_sig">I am, <abbr title="etcetera">&c.</abbr><span class="spread-out_sig">,</span>“<span class="smcap">Sophia Jex-Blake</span>.”</p> - -<h4 title="" class="note_heading">(6.) <i>From the Secretary of the University Court.</i></h4> - -<p class="notes_place_date">“University of Edinburgh, 24th February 1872.</p> - -<p>“<i>Madam</i>,—Your letter dated 9th instant has been considered by the University -Court. In it you say:—</p> - -<p>“‘I trust that I am correct in understanding—-</p> - -<p>“‘<abbr title="1">I.</abbr> That though you at present give us no pledge respecting our ultimate -graduation, it is your intention to consider the proposed extra-mural courses -as ‘qualifying’ for graduation, and that you will take such measures as -may be necessary to secure that they will be so accepted, if it is subsequently -determined that the University has the power of granting degrees -to women.</p> - -<p>“‘<abbr title="2">II.</abbr> That we shall be admitted in due course to the ordinary professional examinations -on presentation of the proper certificates of attendance on the -said extra-mural classes.’</p> - -<p>“In reply, I am desired to point out that no extra-mural courses, beyond the -number of four allowed by the Ordinance of the Universities Commissioners, could -either qualify for graduation, or for the ordinary professional examinations, except -under a change in the ordinance; which change could be made only by a resolution -of the Court sanctioned by the Chancellor, and approved by the Queen in Council.</p> - -<p>“The Court have already declared, in their resolution of the 8th of January last, -that they cannot even enter on the consideration of the expediency of such a change -in the ordinance until the legality of female graduation has been determined.</p> - -<p>“It would not only be premature for the Court to express at present any views or -intentions on the points to which you refer, but it would be clearly contrary to their -duty to do so. For, supposing the legal question to be decided in a way favourable -to your wishes, those points would then doubtless be referred to the Court for their -decision, when various parties would probably desire to be heard with regard to them.</p> - -<p>“I am to add that in your letter of the 18th January, you appeared merely to ask -that the Court ‘will now make arrangements whereby we can continue our education,’ -and that the Court offered, as stated in my letter of the 5th <abbr title="instant">inst.</abbr>, to meet your views -in the only way which appeared to lie within their competency. The Court are still -of opinion that it is quite impossible for them at present to add anything to that -offer.”</p> - -<p class="notes_sig">I have the honour, <abbr title="etcetera">&c.</abbr><span class="spread-out_sig">,</span> J. <span class="smcap">Christison</span>, Secretary.</p> - -</blockquote> - -<hr class="note" /> - -<h3 class="note_heading"><a name="Note_U" id="Note_U" class="nodec">NOTE U</a>, <a href="#Page_133" title="Page 133"><abbr title="page">p.</abbr> 133</a>.</h3> - -<p>I am anxious to guard myself from being supposed to attribute to Scotch nationality -the exceptionally bad conduct of certain students in Edinburgh, during 1870–71. -I cannot but hope that such behaviour as I have described would have been impossible -in any English Medical School, but, in so saying, I do not by any means wish to -imply that Scotch students have less good feeling than others, when their superiors -set them an example of courtesy. In point of fact, moreover, some of those who -took most pains to make themselves obnoxious were not Scotchmen at all, but Englishmen -of an extremely low class. Some Scotch lads no doubt behaved very badly, -but, on the other hand, the guard of honour (see page 104) was almost wholly composed -of Scotch and Irish students, who showed the utmost indignation at the conduct -of the rioters.</p> - -<hr class="chap" /> -</div> - -<div class="transnote"> -<h2 title=""><a name="End_Transcribers_Note" id="End_Transcribers_Note" class="nodec">Transcriber’s Note</a></h2> - -<p>The “Notes” were originally printed in a very compressed format. Some -citations and signatures have been moved to new lines.</p> -<p>Other changes made by the transcriber are:</p> - -<table summary="Changes made by the transcriber"> -<tr><th class="page">Page</th><th>To</th><th>From</th><th>In</th></tr> -<tr><td class="page"><a href="#Page_37" title="Go to page 37.">37</a></td><td>required</td><td>re-required</td><td>the required examinations</td></tr> -<tr><td class="page"><a href="#Page_54" title="Go to page 54.">54</a></td><td lang="fr" xml:lang="fr">Il</td><td>It</td><td lang="fr" xml:lang="fr">Il est bien entendu</td></tr> -<tr><td class="page"><a href="#Page_90" title="Go to page 90.">90</a></td><td>University</td><td>Uni-sity</td><td>the University authorities</td></tr> -<tr><td class="page"><a href="#Page_138" title="Go to page 138.">138</a></td><td>at</td><td>as</td><td>regarded as a possibility</td></tr> -<tr><td class="page"><a href="#Page_140" title="Go to page 140.">140</a></td><td>Times</td><td>Tines</td><td>Medical Times and Gazette</td></tr> -</table> - -</div> - - - - - - - - -<pre> - - - - - -End of the Project Gutenberg EBook of Medical Women, by Sophia Jex-Blake - -*** END OF THIS PROJECT GUTENBERG EBOOK MEDICAL WOMEN *** - -***** This file should be named 52297-h.htm or 52297-h.zip ***** -This and all associated files of various formats will be found in: - http://www.gutenberg.org/5/2/2/9/52297/ - -Produced by MWS, Fay Dunn and the Online Distributed -Proofreading Team at http://www.pgdp.net (This file was -produced from images generously made available by The -Internet Archive) - - -Updated editions will replace the previous one--the old editions will -be renamed. - -Creating the works from print editions not protected by U.S. copyright -law means that no one owns a United States copyright in these works, -so the Foundation (and you!) can copy and distribute it in the United -States without permission and without paying copyright -royalties. 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