The 12th of April, 1850, was one of the proudest days of my life. On that day I had the great honour of being admitted a member of the Royal College of Surgeons of London; and whilst yet blushing beneath my new honours, more came pouring upon my head. I went to King’s College on the 27th of the same month to witness the distribution of prizes, and there I had the pleasure of meeting the amiable and learned professor, Doctor Jelf; from him I was surprised and delighted to learn, that, listening to his kind recommendation of my attention to studies and lectures, His Grace the Archbishop of Canterbury had been graciously pleased to confer upon me the honour of being an associate of the college.
Having thus been admitted among the surgical staff of England, I am naturally jealous, as well for the honour and privileges, as for the efficiency of the profession, in this great country; and I think it will not be out of place if I briefly record the opinions entertained by a foreigner on the anomalous and unsatisfactory position which it at present occupies.
Although, then, the medical profession, as a body, is held by the people in very considerable estimation and respect, and although the individual practitioners are received in the families, whose confidence or friendship they have obtained, with the utmost cordiality and unreserve, giving place only to ministers of religion, nevertheless, they have good reason to complain of the manner in which they are treated by the Government, and the little care that is taken of their interests. Being all of them men of somewhat extended education,—with very few exceptions, gentlemen by birth—and very many of them deeply versed in various scientific subjects, it would not be too much to expect that the Government would at least throw around them the shield of its protection, even if it did not stimulate them to increased activity and exertion, by holding out honours and rewards, as prizes for the most distinguished. Yet how stands the fact? The law permits any man to call himself surgeon, and to perform the most capital operations; moreover, the Executive will not take the trouble to publish a list of the authorised practitioners in the three kingdoms. No authentic document exists, enrolling in one compendium the names of all who are entitled to practise in their respective departments, and, consequently, the public are kept in ignorance of those whom in medical matters they may with safety trust. Nor is this all. It absolutely encourages unlicensed and ignorant pretenders, by permitting the sale of quack medicines for a paltry duty on each parcel vended. It derives, indeed, no small revenue from this disgraceful source, not only to the injury of the regular members of the profession, but to the imminent danger of the community also. In legal matters, no man can give you advice without being duly licensed to do so; but in medicine and surgery any man may prescribe the most deadly poison, or amputate a leg without the least authority, and, unless death result from his temerity, without being amenable to any penalty.