“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.

Medical Women: Two Essays · 第 9 / 12 段