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Extramural medical education in Edinburgh

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into the School of Medicine of the Royal Colleges, which from 1896 became by far the largest teaching establishment in the extramural school. While most of the classes were held in Surgeons' Hall, there was teaching on smaller sites including The New School in Bristo Street, Park Place School. and 27 Nicolson Square. Clinical teaching was provided at the Royal Infirmary of Edinburgh, Leith Hospital and the Sick Children's Hospital. Clinical teaching continued in local dispensaries enabling students to learn about community care and experience in dispensary practice became part of the medical curriculum in 1890. The
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was chairman of the association and a leading figure in the formation of this new school. In 1894 the Scottish universities agreed that university students could attend half of their classes in the new school as counting towards a degree. From 1896 many of the small medical schools were incorporated
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The associated teaching hospital, opened in 1729, was initially situated opposite the top of Robertson's Close in what is now Infirmary Street. At first this had only six beds increasing to eight. The hospital was awarded a Royal charter in 1736, the first voluntary hospital to achieve this accolade.
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these were only open to communicant members of the Church of England. Courses could take up to 12 years and did not include hospital clinical teaching. The Edinburgh medical school was open to all faiths, lectures were in English and it was cheaper than European universities or Oxford or Cambridge.
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in 1726. Throughout the late 18th and 19th centuries the demand for extramural medical teaching increased as Edinburgh's reputation as a centre for medical education grew. Instruction was carried out by individual teachers, by groups of teachers and, by the end of the 19th century, by private medical
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Extramural teaching continued at Surgeons Hall throughout the century. By 1860 a broadly based curriculum of medical subjects was taught and, after the House of Lord's judgement, these were recognised by universities as counting toward the degrees of MB, CM. Despite the fact that these classes took
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In the first part of the 19th century extramural teaching centred on Surgeons Square. This was bounded on its south side by Old Surgeons' Hall, which was sold to the university in 1832. Extramural teaching took place in the large detached houses on the east and west sides of the square. Number one
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In session 1896-97 there were 931 students, rising to 1317 the following year and remaining over 100 until World War I. At the time of its closure in 1948, about 350 students were enrolled. The School attracted many students drawn from marginal groups or those facing educational barriers, initially
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John Bell's house was on the south east corner of the square but did not have a number. It was built specifically for the teaching of anatomy and surgery and was thought to have been the first house in Edinburgh designed for this purpose. John Bell, had begun to lecture there in 1787 and was joined
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and the new Surgeons' Hall. . Extramural teaching expanded rapidly from 1855 when the university was forced into recognising extramural classes as counting towards its medical degrees. James Syme had written to the Town Council in 1840 requesting such recognition and when the university refused the
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Queen's College was the first association of extramural lecturers and schools. It was known to be active from 1841 to 1842. Classes were held at several different locations, with most at Brown Square and Argyle Square. From 1841 the lectures were recognised by the Universities of London, Oxford,
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and Andrew Sinclair as university professors in 1726 marked the foundation of the university medical school, which was soon teaching a broad medical curriculum and conferred medical degrees by examination. Until this time the only way to obtain a medical degree in the British Isles was from the
543:. Knox catalogued the Barclay collection and the Charles Bell collection as curator of the Surgeons' Hall museum. The greatly enlarged collection was housed from 1832 in the new Surgeons' Hall which had been built to accommodate it. Knox was also a gifted anatomy teacher in marked contrast to 72:
Medical education in Edinburgh is considered to have started in 1505 when the Incorporation of Barber Surgeons gained their Seal of Cause or Charter, which requested that, as was common practice elsewhere in Europe. a condemned man should be dissected each year in order that the surgical
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Yet in the first 25 years of the medical faculty an average of only three students per year opted to progress to graduate MD. Many chose to sit for the qualification of Licentiateship of the RCSEd which became available from 1770, while others went into practice with no formal institutional
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taught anatomy from 1818 and later taught clinical medicine and practice of medicine. He later became president of the RCPE. From 1835 chemistry was taught by Andrew Fyfe who later went on to become professor of chemistry at the University of Aberdeen. From 1845 chemistry was taught here by
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as the RIE still did not accept women for clinical teaching i its wards. By July 1892 the college had sufficient funds and sufficient influence to have two wards in the RIE opened to the women medical students. The college merged with the School of Medicine of the Royal Colleges in 1916.
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who had succeeded his father in the university chair. Barclay had amassed a large collection of comparative anatomy specimens used for teaching and this collection was bought by the RCSEd to form the Barclay collection in their museum. Barclay was succeeded in his anatomy school by
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Knox was exonerated by a committee of 'distinguished citizens' and continued to teach at 10 Surgeons' Square until 1833. At the height of his popularity as a teacher in 1826, Knox attracted over 500 students to his anatomy classes, the largest number ever seen in the British Isles.
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bought the building in 1800 and began to teach anatomy. The house also contained a dissection room. His classes proved extremely popular and by the time he retired in 1825 he was teaching some 300 students per year. After Charles Bell left Edinburgh in 1808 and Alexander Monro
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women and in later years students from the then British Empire and pollical refugees. Many of the students who attended the classes were also registered with the University of Edinburgh and went on to graduate with the degree of MB ChB. The remainder aimed to sit the
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In the last decade of the nineteenth century an Association of Extramural Teachers was formed with a view to consolidating most of the smaller schools into a single institution under the aegis of the two medical Royal Colleges in Edinburgh. Dr (later Sir)
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matter was taken to court and eventually to the House of Lords who found in favour of recognition of extramural classes. This recognition was further expanded in 1858 by the Commissioners appointed as regulators of the university curriculum under the
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on the site of Curryhill House in what is now Surgeons’ Square.  Opened in 1697 this included an anatomical theatre where public anatomy dissections were performed. Among those participating in such dissections in the early 18th century were
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Many of the lecturers in the extramural school taught there in the early part of their careers. Many would go on to become well known in later life in substantive posts or academic chairs. A full list of lecturers was compiled by
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Surgeons' Square on the north side was built as a teaching facility with a lecture theatre. In the latter half of the century teaching also took place in buildings near the university, chiefly in Brown Square, Argyle Square,
475:, the extramural professor of surgery at the RCSEd, bought the house and gave lectures on surgery there from 1818 and later also lectured there on the practice of physic. His lecture course was taken over by his son 722:. The hospital closed in 1852. Minto House was demolished in 1873 and 'new' Minto house was built on the site, becoming numbers 18-20 Chambers Street. Number 20 Chambers Chambers Street also housed a medical school. 508:
Surgeon's Square, Edinburgh in 1828. Thomas Shepherd. (Wellcome L0001728EA). Old Surgeons' Hall is on the left. The building in the centre is number 10 Surgeons' Square, the anatomy school of John Barclay and Robert
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by his brother Charles Bell who succeeded him in 1799. When Charles Bell left for London in 1804 anatomy was taught by John Allan and then, from 1824 by William Cullen grand-nephew of the eminent physician
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From 1896 many of these small medical schools were incorporated into the Medical School of the Royal Colleges, which from 1896 became by far the largest teaching establishment in the extramural school.
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in Holland, returned to Edinburgh with a view to setting up a medical school within the university and with an associated teaching hospital on the Leiden model. With the local support of Lord Provost
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continued thereafter for a further 200 years. Extramural is academic education which is conducted outside a university. In the early 16th century it was under the auspices of the Incorporation (later
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The Argyll Square school was active early in the 1830s and expanded when teaching activity from Brown Square was transferred. It was known mainly as an anatomy school where the subject was taught by
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The building was later used as a museum, as a school, as part of the University Settlement and latterly as a nursery school. It is one of only three buildings still standing in the square in 2020.
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at the university. Knox's classes were made more attractive by offering anatomical dissection under his supervision. As the demand for bodies for dissection exceeded supply, the serial killers
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The Goodenough Report published in 1944 recommended that all undergraduate medical education in the UK should be carried out by universities. In the face of this the school closed in 1948.
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retired from anatomy teaching at the university the same year, Barclay became the most popular anatomy teacher in Edinburgh. His popularity was further enhanced by the unpopularity of
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30 Chambers Street, Edinburgh. The building which housed the College of Medicine for Women was demolished and replaced in 1927 by this building, the former Edinburgh Dental Hospital
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These combined to make Edinburgh popular for those seeking a medical degree, who came initially from within the British Isles but increasingly from the then British Empire.
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began to teach classes in anatomy, physiology, surgery and midwifery at the Anatomical Theatre in Surgeons' Square, which was probably in Old Surgeons' Hall. The surgeon
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assisted Knox with anatomy teaching until 1840 when he was appointed professor of surgery at King's College London and later became sergeant-surgeon to Queen Victoria.
639:, later Professor of Surgery in the university. Syme taught anatomy and surgery and was joined in the school by John Macintosh who taught medicine and midwifery and 922:
had been founded in 1776, the New Town Dispensary in 1815 and there was also clinical teaching at the Provident Dispensary and the Livingstone Memorial Dispensary.
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as a teacher of anatomy in 1647 and he, with Thomas Kincaid, instructed students in botany and pharmacy at the Incorporation's physic garden at Curryhill House. A
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Brown Square was built as a residential development in 1763 and demolished in the late nineteenth century. The Brown Square School of Medicine was established by
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in 1829 and converted into a small surgical teaching hospital with an operating theatre and lecture room. There Syme taught surgery as did his assistants
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Number nine Surgeons' Square, known as John Gordon's house, was situated on the south-west corner of the square just to the west of Old Surgeons' Hall.
771:, a pioneer of medical education for women, founded the school in 1886. Most of its teaching took place in Surgeons' Square, with clinical teaching at 467:, a surgeon at the Royal Infirmary, gave lecture courses here on anatomy and physiology from 1808 until his death in 1818 aged 32 years. His textbook 451:. From 1825 the house was used to store the anatomical collection of Charles Bell, which had been purchased by the RCSEd, and its final use was as a 114:, founded in 1582, did not begin to teach medical topics until the early 18th century, with the appointment of Robert Eliot as Professor of Anatomy. 291:
place at Surgeons' Hall, a variety of medical subjects were taught. This was by far the largest of the extramural schools of medicine in Edinburgh.
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until the latter's appointment to the Chair of Physiology at the University of Edinburgh. Others who lectured here in the 1830s included
887:(11 Argyle Square) - anatomy and surgery; William Campbell (11 Argyle Square) -midwifery; James Marr (3 Surgeons' Square) - midwifery 1748: 798: 792: 197:, a surgeon who became president of the RCSEd lectured on anatomy, surgery and dentistry at Surgeons' Hall from 1772. From 1779 763: 751: 551: 44: 40: 1243: 1094: 190:
qualification. For all these groups the kudos of having studied at Edinburgh could enhance their status and career progress.
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in 1889 at a time when women were not admitted to university medical schools in the UK. Clinical teaching was initially at
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Number ten, in the south-west corner of Surgeons' Square, had been built for use as a lecture theatre for the physician
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The School of Medicine and Pharmacy was located her in the latter years of the century. Lecturers included:
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Cambridge, St Andrews and Aberdeen, the Royal Colleges of Surgeons of England, Edinburgh and Ireland, the
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taught anatomy in the house from 1831 until he was appointed Professor of Anatomy and Physiology at the
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Edinburgh's attraction as a medical teaching centre was further enhanced by the growing reputation of
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under the aegis of the RCSEd and the Royal College of Physicians of Edinburgh (RCPE) and based at
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taught anatomy in his house in the square from 1787 and was joined then succeeded by his brother
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from 1830 until his appointment as Professor of Physic at the University of Glasgow in 1841.
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Surgeons Hall, Edinburgh; the main location for extramural medical teaching. Etching 1840.
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to teach anatomy was granted in 1694 and this led to the Incorporation building the first
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and pharmacy); Dr Matheson (midwifery); Dr Matheson and Alexander Keiller (medicine).
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sold the bodies of their victims to Knox's anatomy school. After Burke was hanged for
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began over 200 years before the university medical faculty was founded in 1726 and
1905: 1759: 1718: 1590: 1546: 1484: 1468: 1396: 1358: 1342: 1185: 914: 883:, London and the Faculty of Physicians and Surgeons of Glasgow. Lecturers included 768: 709: 433: 347: 1771: 1439: 1066: 952: 842: 667:, both of whom later became professors of anatomy at the University of Aberdeen. 482: 74: 1855:"Dr Sophia Jex-Blake and the Edinburgh School of Medicine for Women, 1886-1898" 1854: 1472: 969: 845:(Anatomy) became Professor of Anatomy at the University of Texas at Galveston. 772: 644: 588: 448: 405: 335: 170:
Old Surgeons' Hall, Surgeons Square, built in 1697. - geograph.org.uk - 1283610
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a local surgeon. John Lizars taught anatomy and surgery and was succeeded by
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was appointed to the staff and established a large teaching practice there.
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who in 1825 built an anatomy school with a lecture theatre for his brother
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In 1878 a medical school was opened with the anatomical teaching done by
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Minto House, a large town house owned by the Elliot family was bought by
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The land at the north side of Surgeons' Square was owned by the engraver
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Story of a Great Hospital: The Royal Infirmary of Edinburgh, 1729-1929
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The Royal College of Surgeons of Edinburgh (RCSEd) Library and Archive
839:- (Surgery) went on to be knighted and elected president of the RCSEd. 712:, later President of the Royal College of Physicians of Edinburgh and 1385:"The shaping of things to come: Scottish medical education 1700–1939" 1786:"Engraving of Brown Square, Edinburgh by W. Forrest after D. Wilson" 1069:, Ion Simson Hall, G Ewart Martin (Diseases of Ear, Nose and Throat) 692:
Alexander Johnstone (botany); J R Paterson (chemistry); E Urquhart (
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History of Scottish medicine to 1860 [electronic resource]
159:(RIE) was built next to Surgeons' Hall. This building designed by 1235:
Medical teaching in Edinburgh during the 18th and 19th centuries
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Medical teaching in Edinburgh during the 18th and 19th centuries
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The Royal College of Surgeons of Edinburgh. Edinburgh 2005 p.28
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apprentices might learn anatomy. The Incorporation appointed
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The former School of Medicine of the Edinburgh Royal Colleges
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Comrie, John D.; Wellcome Historical Medical Museum (1927).
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Comrie, John D.; Wellcome Historical Medical Museum (1927).
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Edinburgh College of Medicine for Women, 30 Chambers Street
750:. In 1895 the anatomy dissecting room was taken over by the 155:
By this time it was too small to meet the demands and a new
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Universities of Oxford or Cambridge. Under the terms of the
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The Journal of the Royal College of Physicians of Edinburgh
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The Journal of the Royal College of Physicians of Edinburgh
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The Journal of the Royal College of Physicians of Edinburgh
56:. From 1896 many of the schools were incorporated into the 1758:. Vol. 1 (online ed.). Oxford University Press. 894: 238: 174: 1531:
The Journal of the Royal College of General Practitioners
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The School of Medicine of the Royal Colleges of Edinburgh
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Edinburgh School of Medicine for Women, Surgeons' Square
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East facade of the Old College, University of Edinburgh
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In the latter half of the century lecturers included:
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Extramural teaching resumed in the late 18th century.
105: 1331:"Educating physicians in seventeenth-century England" 1437: 1231: 1747: 52:schools in the city. Together these comprised the 163:could house 228 patients and was opened in 1741. 58:Medical School of the Royal Colleges of Edinburgh 1939: 699: 1301:. Edinburgh: E & S Livingstone. p. 9. 746:, and he in turn was succeeded by the surgeon 1958:Defunct universities and colleges in Scotland 1619:"Edinburgh, Argyle Square, General | Canmore" 619:and supplied Lister with his first sample of 1461:Proceedings of the Royal Society of Medicine 734:, later Professor of Natural History at the 67: 1852: 738:. He was succeeded as anatomy lecturer by 1909: 1722: 1594: 1573: 1550: 1488: 1431: 1362: 1299:Extramural Medical Education in Edinburgh 1113:Extramural Medical Education in Edinburgh 33:Extramural medical education in Edinburgh 1891: 1382: 898: 777: 503: 270: 165: 96: 1755:Oxford Dictionary of National Biography 1749:"Anderson, Thomas (1819–1874), chemist" 1745: 1524: 1296: 895:Extramural teaching in the 20th century 799:Edinburgh College of Medicine for Women 793:Edinburgh College of Medicine for Women 239:Extramural teaching in the 19th century 175:Extramural teaching in the 18th century 54:Edinburgh Extramural School of Medicine 41:Royal College) of Surgeons of Edinburgh 18:Edinburgh Extramural School of Medicine 14: 1940: 1699:"Medical Schools of Scotland, 1860-61" 1645: 764:Edinburgh School of Medicine for Women 752:Edinburgh School of Medicine for Women 670:Lecturers in other subjects included: 513: 1848: 1846: 1834: 1641: 1639: 1520: 1518: 1516: 1454: 1328: 1106:History of Scottish medicine to 1860 598: 570: 458: 1378: 1376: 1374: 1292: 1290: 1288: 1286: 1284: 1282: 1280: 1278: 1276: 1227: 1225: 1223: 1221: 1219: 1217: 1215: 1168: 1166: 1139: 1137: 1135: 1133: 1131: 1129: 1049:, Douglas Miller, Clifford Kennedy, 726:New Minto House, 20 Chambers Street. 673:Thomas Wood (practice of medicine); 1839:. Edinburgh: Edmonston and Douglas. 1115:. Edinburgh: E & S Livingstone. 650: 489:. He was assisted as a lecturer by 442:John Bell's House, Surgeons' Square 106:The Faculty of Medicine established 24: 1843: 1636: 1513: 1079: 873: 684: 677:(surgery); Dr Marr (midwifery); 455:, for the nearby Royal Infirmary. 25: 1969: 1371: 1273: 1266:Macintyre, IMC. and MacLaren IF. 1212: 1163: 1126: 497:and, who lectured on anatomy and 279: 251:Universities (Scotland) Act,1858. 1401:10.1111/j.1365-2929.2006.02393.x 126:, and national support from the 43:(RCSEd) and continued after the 1885: 1828: 1803: 1778: 1739: 1691: 1666: 1611: 1567: 1448: 663:, Alexander Jardine Lizars and 630: 1674:"History of Scottish medicine" 1648:"History of Scottish medicine" 1576:"John Abercrombie (1780–1844)" 1383:Lawrence, Christopher (2006). 1322: 1305: 1260: 742:later Professor of Anatomy at 623:, from which Lister developed 318:Robert Edmund Scoresby-Jackson 227:which had been established by 13: 1: 1654:. Balliere, Tindall & Cox 1119: 302:, Daniel Rutherford Haldane, 1772:UK public library membership 1752:. In Anderson, T. B. (ed.). 1438:Arthur Logan Turner (1937). 1232:Kaufman, Matthew H. (2003). 1085:Kaufman, Matthew H. (2003). 962:A Nimmo Smith (Bacteriology) 700:Minto House, Chambers Street 266:History of Scottish Medicine 157:Royal Infirmary of Edinburgh 7: 1948:Medical schools in Scotland 824:(Midwifery and gynaecology) 501:who lectured on midwifery. 10: 1974: 1853:Somerville, J. M. (2005). 1473:10.1177/003591575304600612 946:Richard James Arthur Berry 790: 761: 375:William Rutherford Sanders 283: 1703:Edinburgh Medical Journal 1347:10.1017/S0269889719000188 1297:Guthrie, Douglas (1965). 1111:Guthrie, Douglas (1965). 944:Joseph Ryland Whittaker, 1892:Dingwall, H. M. (2010). 1574:Macintyre, Iain (2012). 1329:Barry, Jonathan (2019). 1003:Alexander Pirie Watson, 744:Queen's College, Belfast 471:was published in 1815. 400:Douglas Argyle Robertson 392:, John Wylie (Pathology) 300:William Tennant Gairdner 223:was carried out in the 68:Medical teaching to 1726 27:Medical education system 1746:Rodwell, G. F. (2004). 1525:Thomson, D. M. (1984). 1184:(4359): 121–123. 1944. 1053:(Midwifery/Gynaecology) 1009:Charles Walker Cathcart 990:Douglas Chalmers Watson 978:George Alexander Gibson 932:General Medical Council 920:Royal Public Dispensary 811:Glasgow Royal Infirmary 436:(Medical Jurisprudence) 390:Thomas Grainger Stewart 354:Thomas Grainger Stewart 314:Andrew Douglas Maclagan 225:Royal Public Dispensary 219:Extramural teaching of 112:University of Edinburgh 49:University of Edinburgh 47:was established by the 1911:10.4997/jrcpe.2010.317 1596:10.4997/JRCPE.2012.320 1190:10.1136/bmj.2.4359.121 1043:Benjamin Philip Watson 1017:John William Struthers 966:James Ormiston Affleck 951:Agnes Rose MacGregor, 904: 855:William Ivison Macadam 783: 736:University of Aberdeen 510: 356:(Diseases of children) 308:James Warburton Begbie 304:George William Balfour 276: 171: 102: 1646:Comrie, John (1932). 1457:"James Rae 1716–1791" 982:Robert William Philip 902: 781: 641:John Argyll Robertson 585:Peter David Handyside 507: 402:(Diseases of the Eye) 274: 264:and published in his 169: 100: 1835:Brown, John (1861). 1764:10.1093/ref:odnb/500 1709:(4): 352–353. 1860. 1455:Boyes, John (1953). 1047:James Haig Fergusson 1025:James Methuen Graham 1013:William James Stuart 994:Andrew Rae Gilchrist 940:Lecturers included: 928:Triple Qualification 817:Lecturers included: 520:Andrew Duncan senior 487:University of London 422:James Mathews Duncan 379:James Bell Pettigrew 328:Patrick Heron Watson 1837:Rab and His Friends 1678:Wellcome Collection 1652:Wellcome Collection 1061:Harry Moss Traquair 1057:Arthur H H Sinclair 719:Rab and his Friends 577:William Home Lizars 514:10 Surgeons' Square 499:James Young Simpson 495:John William Turner 469:A System of Anatomy 408:(Medical acoustics) 88:Archibald Pitcairne 45:Faculty of Medicine 37:extramural teaching 1953:Distance education 1444:. Oliver and Boyd. 1335:Science in Context 1151:. 17 February 2015 1029:Walter Quarry Wood 905: 784: 740:Johnston Symington 732:James Cossar Ewart 599:3 Surgeons' Square 571:1 Surgeons' Square 511: 459:9 Surgeons' Square 371:Diarmid Noel Paton 277: 172: 103: 92:Alexander Monteith 1770:(Subscription or 1389:Medical Education 1245:978-0-9503620-8-3 1095:978-0-9503620-8-3 1005:Montagu Cotterill 998:David Murray Lyon 881:Apothecaries Hall 849:Harvey Littlejohn 822:John W Ballantyne 661:Alexander Keiller 625:antiseptic theory 565:William Fergusson 533:Alexander Monro t 522:. The anatomist 418:Alexander Keiller 231:in 1776. 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Index

Edinburgh Extramural School of Medicine
extramural teaching
Royal College) of Surgeons of Edinburgh
Faculty of Medicine
University of Edinburgh
Surgeons' Hall
James Borthwick
Royal Patent
Surgeons Hall
Archibald Pitcairne
Alexander Monteith

University of Edinburgh
John Monro
Leiden University
George Drummond
Earl of Ilay
Alexander Monro primus
Andrew Plummer
John Rutherford
Test Acts
Royal Infirmary of Edinburgh
William Adam

Alexander Monro primus
James Rae
John Aitken
John Bell
Charles Bell
Alexander Monro secundus

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