Volume 7 - History of Anaesthesia Society
Volume 7 - History of Anaesthesia Society
Volume 7 - History of Anaesthesia Society
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The Royal College <strong>of</strong> Surgeons (RCS) is a direct descendant <strong>of</strong> these two<br />
zompanies, which in 1540 united to form the Company <strong>of</strong> Barber Surgeons.<br />
This received its Charter from King Henry VIII, a ceremony superbly<br />
depicted in the cartoons by Holstein in the Barbers' Hall and the RCS.<br />
'heir first Naster, Tnomas Vicary, is comnmorated today by the annual<br />
Vicary Lecture, usually on a historical topic, Followed by a banquet<br />
held alternately in the KCS and the Barbers' Hall, always a prestigious<br />
occasion.<br />
In the course <strong>of</strong> time the gullds extended their roles, and by the<br />
renaissance period had become similar to modern trades unions in some<br />
respects. They kept their trade secrets to themselves and tried to run<br />
a 'closed shop', but in return for their exclusiveness they took sieps<br />
to ensure that their members were properly trained and licensed to<br />
practice and certainly they took great pride in their work. They also<br />
set fees for their services. The Company <strong>of</strong> Barber Surgeons required<br />
candidates to serve a seven year apprenticeship to an existing menber<br />
before suhittii to an examination at their tlall. They were conscious<br />
<strong>of</strong> the difficulty, In a practical subject, that formal examinations<br />
cannot test everything, whilst they can test knowledge and problemsolvinz<br />
abilities they can do little to assess clinical skills wnich are<br />
best leanled from a wise teacher and practised first under supervision.<br />
Hence they laid stress on apprenticeship training, a philosophy<br />
remarkably similar to that <strong>of</strong> our Colleges today. Only after training<br />
and examination were they then licensed to practice.<br />
Other licensirg bodies existed includiq the Royal College <strong>of</strong> Physicians<br />
set up in 1518, and the <strong>Society</strong> <strong>of</strong> Apothecaries. The latter tawht a<br />
different aspect <strong>of</strong> medicine, namely the dispensing <strong>of</strong> drugs. Their<br />
philosophy was similar in requiring an apprenticeship and an<br />
examination, but they also stipulated a period <strong>of</strong> attachment to a<br />
recopised hospital, perhaps an early example <strong>of</strong> hospital recognition<br />
proc.edures .<br />
In the period leading up to the Royal Charter <strong>of</strong> 18W the dominant<br />
figures in British surgery were the ffunter brothers, John and William.<br />
John (1728-1793) in particular has come to be regarded almost as the<br />
patron saint oE the RCS <strong>of</strong> England, whereas William is perhaps more<br />
renowned in the College in his native city <strong>of</strong> Glasgow. John is widely<br />
regarded as the first to apply scientiEic principles to the practice <strong>of</strong><br />
surgery. His collection <strong>of</strong> writings, drawings and beautifully dissected<br />
specimens forms the basis <strong>of</strong> the flunterian Museum <strong>of</strong> the RCS, still a<br />
fine and very Large collection, in spite <strong>of</strong> its partial destruction by<br />
the air raids oE the second World War. John Hunter is comnmorated in<br />
several ways, by the Museum, by the Hunterian Institute comprising the<br />
research departments <strong>of</strong> the RCS, by the series <strong>of</strong> lectures competed for<br />
by Fellows <strong>of</strong> the RCS and its Faculties, and <strong>of</strong> course by an annual<br />
feast on or near his birthday, when a Hunterian Oration is followed by a<br />
fine banquet .