Medical Women: Two Essays

Part 10

Chapter 103,940 wordsPublic domain

“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.