that the men who
come up to the University of London are the picked men of the medical
schools of London, and therefore such observations as I may have
to make upon the state of knowledge of these gentlemen, if they be
justified, in regard to any faults I may have to find, cannot be held
to indicate defects in the capacity, or in the power of application of
those gentlemen, but must be laid, more or less, to the account of the
prevalent system of medical education. I will tell you what has struck
me--but in speaking in this frank way, as one always does about the
defects of one's friends, I must beg you to disabuse your minds of
the notion that I am alluding to any particular school, or to any
particular college, or to any particular person; and to believe that
if I am silent when I should be glad to speak with high praise, it is
because that praise would come too close to this locality. What has
struck me, then, in this long experience of the men best instructed in
physiology from the medical schools of London, is (with the many and
brilliant exceptions to which I have referred), taking it as a whole,
and broadly, the singular unreality of their knowledge of physiology.
Now, I use that word "unreality" advisedly: I do not say "scanty;" on
the contrary, there is plenty of it--a great deal too much of it--but
it is the quality, the nature of the knowledge, which I quarrel with.
I know I used to have--I don't know whether I have now, but I had once
upon a time--a bad reputation among students for setting up a very
high standard of acquirement, and I dare say you may think that the
standard of this old examiner, who happily is now very nearly an
extinct examiner, has been pitched too high. Nothing of the kind, I
assure you. The defects I have noticed, and the faults I have to find,
arise entirely from the circumstance that my standard is pitched too
low. This is no paradox, gentlemen, but quite simply the fact.
The knowledge I have looked for was a real, precise, thorough, and
practical knowledge of fundamentals; whereas that which the best of
the candidates, in a large proportion of cases, have had to give me
was a large, extensive, and inaccurate knowledge of superstructure;
and that is what I mean by saying that my demands went too low,
and not too high. What I have had to complain of is, that a large
proportion of the gentlemen who come up for physiology to the
University of London do not know it as they know their ana