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60
"-, 11fE GESERAL PRACTtnO:O\ER A."D STAIT. SERVI CES 6.1 A, ... i_tod in CIIopleT 2. 'beSlotobP becOmei ........... , i._ it> tI>e "",,_ 01 ..... beollll .......... In u,;, <'"'plOT .... <Iis<m> .... ",,""'iOn .1 ,be , ... _10 _"', , ..... 0"'''''''<0, vi>. 'hI F.'B' a><dical ...me. and lb, ma'ern;'1 ,Dd inf •• , CO" ""h .... .,hid! .f< PfOv!&d b)' Ih. 5u.1O .... .... , "'" ",,,,,,. public IletJLII _ """""'S JH">II"'m ......... <lII' uO<l<r- !Ok ... TIre GE."i:RAL MEDICAL SERVICE 6.2 We npnI , .... '" IIIe .. .- r..... a .- ...... 1tt_._""'_Io ' ... ... ..,."'_""'· ........ '1o ' .. baoI. 1, "'_ ,_ aspo<U of It.< _tal 0>«1;';" .... lot "hkb _ '" diIl« •• , .. " be"..." ,_ .. bo p&id 'bel, _ di...,.,yood , ....... ro< ..._ ",.SW, 6.3 ,b __ ... _ M 10. __ TIle" appoan I. bo_nIl .. ,imclioo on .be """ of boIh policm> 0DiI cIoc:tor>. Hcakb _ 110.,-, re«1 ..... '«PJ fo .. """,plain .. r""" .o..od 'bjo 10 on I_lion of pgbJic f<dlq. 0. ..... praallloGo .. 110 .. 1:>«0 by .... <IIcieo., admlDi!tratiol> 01 'be __ -' tbe omoo<lIn< .... -'Ill "'bkh ,11< ,)p.".-.-er ,""" ,be .. mce ""'" _"Do...ry _ r ... dhqolel ___ , .... /dell ..... of tloc ___ I, would be ...... ,..tIIe It tI>o coot .... .. ''Il00,11 1lrem,,1.1>< "'""1 lIc:odIu of lbe 1Cb<me. U .. C--IIatIoaR .... 6.4 Th. .. ber .1 j,.",. or .. rvi<e b<!nJ: ptOVlded by aenual " .... @oun .ro ,h. fit< .1 prncrIb;", .... m>l<h hit"", ,bao .. 'ldpoled. The poIymetlI 01 t.. for .. cb 'tom 01 .. rvke l<8d I. OD Il,. pan <>I <bo 110« ... Wb<. '"'.1>'*0001 •• " is ;..';ub!. ,"',. f ... Un«nlpol- (lOll p«>pI< ..rn ,01. 01 LIt, """.,ion. w ........ rh ... ..... lIIf ....... "'.- ...... ....... ......... Ir'IIoJ' ... I_ •• 111. __ can plo,. put !Iy"".II"""U, emplwiSiol '" ... ",loon LItot.-. 01'1><.,.,. ... is _ 10 ""'_ "''''''''',o!u..,pt<I!_ .. 6.5 n...r. .... 1D<Y!tabI, li1IO ... _ .., Ill< c!!k:oq <If ,ho octiO'lI <all be Id<q '" cH_le allot< ood _ is <lilkW1 '" "

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Page 1: i. - Home - Lenus, The Irish Health Repository ,,, obui.o ~.odri«..A_ .. ' .. _ ..... *

"-, 11fE GESERAL PRACTtnO:O\ER A."D

STAIT. SERVICES

6.1 A, ... i_tod in CIIopleT 2. 'beSlotobP becOmei ........... , i._ it> tI>e "",,_ 01 ..... mWlII~ beollll .......... In u,;, <'"'plOT .... <Iis<m> .... ",,""'iOn .1 ,be , ... _10 _"', ptaOl~ , ..... 0"'''''''<0, vi>. 'hI F.'B' a><dical ...me. and lb, ma'ern;'1 ,Dd inf •• , CO" ""h .... .,hid! .f< PfOv!&d b)' Ih. 5u.1O .... ...., "'" ",,,,,,. public IletJLII _ """""'S JH">II"'m ......... <lII' uO<l<r­!Ok ...

TIre GE."i:RAL MEDICAL SERVICE

6.2 We npnI , .... Io''''''.~'''' '" IIIe .. .- r.....a .-...... 1tt_._""'_Io ' ... ~ ... ..,."'_""'· ........ '1o ' .. baoI. 1, "'_ ,_ aspo<U of It.< _tal 0>«1;';" .... lot "hkb _ '" diIl« •• , .. " be"..." ,_ .. bo p&id 'bel, _ di...,.,yood , ....... ro< ... _ ",.SW, ~ ~y_

6.3 A~tIo<_luoo_bo_"""',-'_, ,b __ ... _ M 10. __ TIle" appoan I. bo_nIl .. ,imclioo on .be """ of boIh policm> 0DiI cIoc:tor>. Hcakb _ 110.,-, re«1 ..... '«PJ fo .. """,plain .. r""" ~.u .o..od 'bjo 10 on dI~,.. I_lion of pgbJic f<dlq. 0. ..... praallloGo .. 110 .. 1:>«0 ~ by .... <IIcieo., admlDi!tratiol> 01 'be __ -' tbe omoo<lIn< .... -'Ill "'bkh ,11< ,)p.".-.-er ,""" ,be d~ .. mce ""'" _"Do...ry _ r ... dhqolel ___ , .... /dell ..... of tloc ___ I, would be ...... ,..tIIe It tI>o coot .... re.~ .. ''Il00,11 1lrem,,1.1>< "'""1 lIc:odIu of lbe 1Cb<me.

U .. C--IIatIoaR ....

6.4 Th. n~ .. ber .1 j,.",. or .. rvi<e b<!nJ: ptOVlded by aenual " .... @oun .ro ,h. fit< .1 prncrIb;", .... m>l<h hit"", ,bao .. 'ldpoled. The poIymetlI 01 • t.. for .. cb 'tom 01 .. rvke ~ l<8d I. ~ ~ OD Il,. pan <>I <bo 110« ... Wb<. _~ '"'.1>'*0001 •• ~ " is ;..';ub!. ,"',. f ... Un«nlpol-(lOll p«>pI< ..rn ,01. ~ 01 LIt, """.,ion. w ........ rh ~~IIo:c ... ~~..-,.""" ..... lIIf ....... "'.-...... ....... <If,~_ ......... Ir'IIoJ' ... I_ ~ •• 111. ~ __ can plo,. put !Iy"".II"""U, emplwiSiol '" ... ",loon LItot.-. 01'1><.,.,. ... is _ 10 ""'_ "''''''''',o!u..,pt<I!_ .. o~

6.5 n...r. .... 1D<Y!tabI, li1IO ... _ .., Ill< c!!k:oq <If ,ho octiO'lI .,~ <all be Id<q '" cH_le allot< ood _ ~ is <lilkW1 '"

"

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ntablloll .. 1\" aJIIiOi'~'a .bm<. A 01<.._ "' "Is,.", '" • I.,u",....,p _ Is ,110 ucl!W ... ~" of ,I><: prw<ti'!oD<, amo:cm<d OD(!

bil dull<> aDd obI;p.1I0M '" h~ po,jrn, "'." tU< I'I'r«<I<o>«. Oy..,-011",1\ ... -.,.,;"". H-. .. r. If ~,~ ...... period. ,be m;,=­polln. of • ponkular <Io<tor ~ Jiplll<:onol} .. ~ "it!> ,be "-<n&<. ,~, ,.;,.at'" ~ 1D_lp""'. Soblequ..,Uy. on ~ 01 ,1>0 pro::dce "'"Y ,.,,01 lI>< pr<1<""" of spocioJ f."""" ... hkh ,00000y .-,-, ,he cIocIor lrom Ih< ~ of "";0<11«.. F ... eump~ •• ""'" c!D<ton •• 1R<t • di<ptoponloao" num"', 01 old penom """" ... 01 .bclr ipOC'.aI ",,,m, ID ,be ...-"" 01 Ih< OF:I- " i. <I,.r lIun , ... ir poll.m of ptXIi« .. <>II1d ... ~u, dill .... '" I""" «>1 ........ w;,h ..,... .. "..... ... " ........ 1<.

U h_,.-,..,.....,Ia~Iupr ... Ioo_ .... ..., IoIp _IU .......... n • ..- for lit .. 101<1_ • Iorp ..... .... of po_ "" •••• ~ IoIp --,.,' lradIUouJ __ 0/ ............... ___ ,.....of-W ........ t1 ... TIte

doel<iO<l ,. allow I.rmor _.-id. m«!lcaI o1Ike" •• """IDu. 10_ l'I'iHnI .. fo ..... ' d.isf'<O<>ry 1'1"."'" Iw ,,1!C!td 10 perp<''''''' 1'0'''"'' ., praru:.. ;,. ... hkb l'"'l""ntIy 1ho .. _. 'o. u.. ..,.,..1· .. , .... -. '0 *';,. _t.>id .. 001>:: .... (,ueb ....... i ... ~ beallb loock aDd «ttil<o.'" of """'*;'110, _ n.ilI<,. tbo.o ,,, obui.o ~.odri«..A_ .. ' .. _ ........... *<. __ o/ _ ..... , .. 10...-....... __ 1 ....... _ of __ .... .-. ..... _ ......... .- 10 'IN _f ... _Ito_ 6.7 WltIIo.- .. ~ sboald ... k .... <rnpo<' it ~ wliI;<ly ,ho, .... , __ Id ...... tiallr 01'., u.. """., pou,,,,,,, 01 pncIi=

TIle a"..."" of 6<t.t±W .. r-tio<> .... ,1Ia< po" ...... -. _,-or, ~ ... 10"03l ~ 6<futil. "«> •• "",,,,".liolU. We had con _ _ .-..I _~. p...! I!"!""",i<; redaelioo 01 ,b<_1o .f """ton ""'" ""~." .-....nJIPP "",...u.tioo .. t<. boI, lbil .... ,..,.;."" _ ...... FinIIy. i, """Id mDOVe !ho rlab, of <boi<t , .... ,hou po'''.'' wbo _ .. ,<US!"""';: '" .... 'b" doe"". nil would be • _ QI 0 1,.._",,101 pri.,ipIe ~."erl}Ul. 'be 1<1><01'1<. S«:oI><IIy !, """,Id ... ' n..,....riIy .. hieve 0 rodll<i.io. in ,b ...... ,.)1 "umber ~f «>MIl .. , ...... Ika,..., 01 ..... <OIIIpluily of th ...... , ... __ ,_ .. 0 • ..w _...-y _Id .. ....-IN .. ,.", ... _l1000 of lit ... __ ,. __ lit< r..: ..... __ tor ... IoIp pMleoo' __ " i> 0111, ... IIon .. <11 .... "'..,;0. Iw been ....:Irnu<1l ,ba, paoi,w. remodlol """" .... be to1<ll. _I ,110 ..... pIefbo of , __ 1000 wc .-..c.-_'M1' .. dod ... __ IN~rr- ___ 1

.... potkltb 011 IItdr -a.. Ii.8 WhiI. "'.,.. ..-. _ diIII..-.J,'" .. ""fTlIIIiq '0 lay doom • ,.,.... .. '0 wha' oboWd CODOliw", ." o-mq. _ ... ,;... 'i .... ..-.: foo' i. _'1 '. _ ...................... ber of _1 .. ,_ f'hio:!a I F~ra1 FU·.itm<, I:OuI<I be u~\eCI dfa;tivcty (0 CIllJ 011' ;., .. hou,. 0IMctaI)r ..... Io ... b 01 lndMdual .......... ,_ wm VII,., «>-...b/'r. WIIi1< (t iI pooIiblo 10 ""' •• p«saipIIoa. or •

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=tiftcate iD ..... ,te, 01 .... or _ miD .... 11 11 _ ...- .. _. __ .. ... kIo.,.- ........... ' ........... --- -. -..-,,",,""'" -'"'" ... 1 ___ .......-10 .... _,'-'1 ...... _botI r ... _ __ ._ ..... 01 r_, .. __ , ....... "114_ .... ~" ..... < ......... ,If._.~_,....,.""'"_tUII I._Io •• _.' .. ~GI~_ ....... _ ... ____ nu. <I0oI ..,. !H. iDtG _, d ... opt'" .r .. , ",rzory ........ disctIosIo .. witb ,11< nu .... le1te" to =-1,...,. aad ... pract;:e ~,_ 11 aloo -""" lha, tilt """tor ..... Ib< "''''''''' 01. 11 ...... """" ... ry • .......... ,~ _IO';"" """"" ., 1tI<<IIspoooI. 11 rollm., tlIol. """'or"'" _ tb<ot Iocill,.".-iII !to ... .....nor o~. no .. "'" 01 ...... 1 ... '_ pO' loon,.

6.~ Wbllt , ... 1.<IIeoliOllS ... ,ha, ,b< .. !I UIII, d""''''''''''''' 1Ie...-..., pobl>: aad pri,..,. PO"'''''' nde, lbe sc:il.m, '~er. 'Ie 1oo'''''''!ruUn<: ... -b." ",," ... y lie , ... cue. TbiJ ",,'" 11< .!Im;n· .. "".od __ Id be_.,.,_,. __ 'looo~ ' .. ' _ .. _ ... "",.Ie po,;.. .. _ equll~ 0( __ '" tIIo _ .... , ... _".....-6.10 w. fully ... _ I. Ill< ptlD<:lp. '''''' potl .... ...",ld lie "r...-ed bocl '" 'hoiJ- Ilmily doctor from IIoipiIOl ",'po';'" <I<pat1""'.'" 10 0<tIer ,. emu", """lino;.,. of eorc. W ...... ....,.. tlIol wi,b """ I:t ....... ho.oIIb _ ha .. ~ Il101 po'lt~ .. "' .... 10.,.. Ih<it maIld"", preocribo:d b7 ,bd, ~I pn<tItiotN:!1l """ ..... l'I"t<lD<I<d ho<plU,. -"'n from WTiu". IIfOOCriptjoDo ror me4icol eotd IIoldm ....... "'poli'.' d<-pIn""" ... .-_ 11 bulle<n fouod ,110, ,loio ....... ,.""'"' .... I" IOm. 1lI11t&D<a. lie • ""'In of1w"d1l!lp ..... 1nmn.1loo lot !IO.IeD ... To otkvlale Ihlt ... ~''''~ __ Id~f'-NoptoI_ks ........ apply 0( ___ ...... ___ nf<nlot;_

Ilo< .. _10 I0I0..-.1 __ -.riIlo _~ • ...,.n.

6.11 Tber< iI • DCa! '" edualt< !IO.ion" '" 11" PfDP'< me 01 """""'. 'lm< at>(! b<a]th ..... ioe< iD "".~ but "-'" <>. ... ,"ull be ... '" to."..re ""'. mdt od""".", _ "'" creole. t.rri<r bot • ..." """'or ..... poljeo, or <fueo<>ro« 110<1< ... I",,,, I:>rl".lna wha, O;>pa.l miDOl" iYJIIptOm' ,. ,he doctor' •• ",~Ilon. nlo edu,,".ion io l1<li <>.rtI<d out",. r<'oenJ proctilioD.,., 'h ..... lve< hi !bcIr practl«s.

M .. _ofEoItY 6.12 Our """"' .... 0<10'1 .... iD reIa.ion '0 "".hocIo of .",,,. ,. tloe -.,.. .... "",,:.aiDed In tloe Ift"I<>tn Clutptft ~ph '-Il~

,,~~ 0( EJIIMoI'I1 6. U Abo<>< lO'lb 01 !be ~lloa .'" ....... titled to I~ ,.,,<nl praCtia....< .. mm ..... dnp ..... ....J1<iDa.. The llI<o ... Um: .. lor .,;,ibili,y ore """ aad 'hen ,n: ~b" ""'DJ _I, .... _!be tintil> IOf ,,-""'" tb. -' (If thox .. mm ca .... "'lOt bMd!hlo. E ... ~ he&I,h boutb bav-o "' •• LOon! iD their '_11.

"

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><>me _1TiIIf <U<I .... , "'" ...w.., _"" OAfil<. The 1Cho_ 10 .. bsi_ tbo ""'" 01 pr<s<:ibod _ iD Ill< Iimi!«l <lltil>i!;IY ... ~ .......... u",I DO /amiIJ Iw '" poJ..,.. lbad to po.- """"b. WblIollli>....,. ..... quI~ -n..1, ... ~ 11<. Wr:abIt bunlea .. ben ~ wllb !be _. r .. ODd Ill< coa Of .. ~ ilOlllO ",_m- ma,ofl.",n.. riJo. W.COII>idc'I """ "",,1baIdd "'""" be. <I< .. ma, la ,ellIlioa "'._ '" coli. doctor. Foil.", or dellJ la OD doiIIf .... , ba,.. -... <Om<-11'1<""" fot Ihe hn.itll of ." illd/Tlclual .ad """' lb< Slat< ",0<11 IIIQte la Ill< 1oq~<nII la Ill< larm of baopOtoI con.

<1.14 Furth<I'm(>I'e. ___ "'*"'01 _Ill ...... _ ''''' ......

ft ... <IIllIK<IId •• 1<1 !Ill: _I' · 10' •• ' ""'" po'IN' '" _ IIDI\. .. _, ",!Ht IIwI ......, ...,.- ...... NO <har", 11 1_ O<! ~im in ""pO<! .f t>io""1 i. ho<pilol ,,·hl1o, ;r bli rn_ a" be lruled ""LIId< bDlpilal. III addillon '" hi< .w.lrnDIX 11< Iw 10 m<el hildoct ....... 1I <l>emin', b~1s. fOlI~"'"",-" wo fHl ,11.1, .\ItIbIIIfy ror HopItaI 0I'n'ka .. 4 ,...a:oI ......aI ..... __ Id ..... _. WItilo we Of'< <;omcIouo thtt' lb. Imp)<me ... _ or '~iI pWpOMl .. WltI bo <.<pen>Ivo, ''''' P:' <>.pi,. .".. 0«<1 "'" _ ..my b< .. hI&b .. .- «ro"ered .. pref<". It illm,."..,", I. bo", la ""ad ,hit, lbo "POOl 01 lb' J">IIIIlI.'"'" ..... oll:a!blo I:><Jucl ... di>prqtanlooal ••• mlxr of old peOple ODd ..... , Olb<n. .. bo _Id be up«tod I. mU. ab:tvc .verqe dellWldtt "" 1<lVK:cs..

TH£ MATERNtn' A"""() ISFAIIo"T CARE SCH£\IE

6.IS n.e Hooltll 10<1. IJISl, ....... 'mporWlt ... uO>!(U lit lbo do:v<lopaotlIl 01 our ItettIllt .. ni<:es ODd k iDIrnduc<4, 'lilO' _. ,11< mlIe<Q~1 ODd 11110" <ate "'-. lbt de .. "" 01 II>e _me .re ~ .. Aw<adix F.

6.16 n.e ... Iw iD ...... "( )-.an t>oe •• marked tIec.r .... III tlte •• m!>er of """'d.illry dem·e~ .. ODd ... u.:r.u. !It >ob""". or ..".,. ,,_ ""~",,toI are no", pta<ljtm." Udllolpltol wee ~ b~ily 10' lh< polie<t •.

6.11 OIttto:ri<ol <kill, IIh '"y ollle, ",m, <all Mlr be "..;,,:Mt\ed .: • hJf!t IoYel by <OIIlWII .... ODd <It<", 10 '0 pbk lor tile ca.w obrIetrioIas. "",,,!\loll ... l<'Ctjl1in& _Iibill,y 1<>, 11>0 dw..ty 01 patientJ mUA DC' OI!Iy .. od<qttattly , .. iMd bot, .odert&i •• -u.uo ".",!tor of dcl. ..... ria eaclt )'N'. In. """,,p pn<tl«. ~ _ weD be 'hII' 0lIO <Io<to, mlP' 1IlIdtttlt. <It< _ .. ,;.:. fo< u.. .. _ _ .

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THE; GE..'1E'.RAL PRACTIT[ONER AND PUBl!C HEAL TIt

6.19 lltahl> Ilo&td< ha,.. ..... tutM)' ~bili', 10< ..... .,nq cd .......... ,.,., _"',. ...... no.,. ....... ;1 ...... ."... f..n.tim< std to ~ Ihac obliptio'" O<KI ~tili>< Il>o .. ~ ~f reo<l1Il PA<'itio>D<",~. u..itc<l "", ....

6.:xI Htoltb boon! cliAn have mock • ~bk «noIJ"ibg,.,. to _the .. ..!:cix. Geo • ..:J pntti.-...... 1>0 oro _ti,~ to "nT'biq ,.."job _" to tnlOtt.", with their rdati<=hip"';lII llleir po.:;o .... ba ... aomotimcs r=ntc<l :lK oolivi!in or """"'" ID .... PIIhli< beahb tcrVio<, This "p&f1i<1<lor1.r 00 111 cu<o ......... cbild .. !d",ed ditOCl I •• 'p«iaIisI dIDio foUowm,s:. "",liDo _"'_ ,~

6.,1 SUdI misuod<n~ ooold be • ..,~ ~ proPO' co .... l ... ,;0., we", 10 lake place on !be _ lor !d.mo! or 11111 •• lUlln&<lo.o .... " \. be und,nolrat b)' ,.,.,..,.,. I"''''"tioo<", While 111< .... mucb ,'''', ;,. ,,,n.ct!v. ID 'Il< ..... ,""', J<DCnI "",OIiliOD<" "",Id be 10-<rcuin&ly lovaIvcd In _,ID, eu.mino'i-. Ill ... "'" «lIlIi<!<rabICI pn<tical dilIIcIiI..,.. ---6.~ ~""1 ____ 1 pmo-... ."" _ !be ",edkol 0I'pIIiA-......... ~ <of 11 ... 10 .. ,ha, reHnI .... -... .... 1d 1o~. lIOn 10"""'" to __ ,'" ...... ..,...., 01 ... _ To acquin> tile: "''';';1< d",1ad ""llh. ~ Irainlq ;,.~. f\o"bof· -. 10 ...una;o ."" 101_ bi> wo.. • re"""" ~ """'Id be .u",in;", .. lii<>0i1, <1:""= to hold .......... 01 .... 6<' .... ntt.l ~1aIri< ""'"'" i><' ..... 1<. eo...oq....dy. ... rocommaod .... , oaly c<D<BI praaiIJoo'" who h,,, ... Ipociat In'«~ ODd """ ..,.,. fulAIIIllo: r<qUl""""." _ be p:,m;ued to partioipo,e. ill rrnoral. ,,,", woWd oaly be pc:aibI< I •• rntlp --Sd, .... I)I.I_I~ ......

6.lJ So>m< ~b1. h_ be •• Ill ........ "poa tho ...... of tho "",\io< .umina'ioa of oct.ool dtl\ol"",. T, ill 00",,1. ,"'"' ""'h .uml!wlou ... _ val..tolc ""'.n po"., ... ach .. OI1d do<tor m .... Thil i> or po.r1iculor lmpon.aD« "b ... ~I ~, .... ,. be .. odo I • .......r ..... ~ 10 __ ,ba, 1'"""[ ... _n ,""Ill 11< 1o<Ol • ..! 10 ,be _1 _I -.-._Il00 .. _. III _, artOI .. · .......... , I.,.ily ~ It!< 10_. k is dlmc:od, •• " ... n. UIIII oIl_n at< ... _ a' tI>o .p:ci4o<I_ ODd ,be prWklZ> <Ol tile: _koo &lid 1DOlo .... II<C of adequaJe record< Is comIder· -~.-1i.2' TlM~, I .. ..... .,.IIo •• __ Id-"1 _ .. 1l~ .... ,-"1 _. WlI." """'~,ioas ... can>od 011'"'

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b .. llh boord <:I1t>b.. both ~ po~ ODd .... lamily __ """,i.., "";!t", -.ion of ~.-~"" , .... ha"" bot. <aN'>«I .. t iDdud'" ~ roJ<,u, do, ... Ill', r<O>IIIn>Ond ,110 .... of 1'"-' ImmwolooLion """"'~ <Udal .. 011 <hlkIt=.

H_I!, Fft .. tIoo 6.2:1 "'-.... "' ..... _ ....... __ ..... _, .. IlrIy 10 ba .. _ ~_ If 1tIo, ... ...nod 00' _. ~ non:tot _ .... _ '" _ooaIII, ..... uoI .... _

"' .... , ~''''''''n. ALl<qt>lt< pr<plnLion _ _iI<m<n' JI>OoId pr««!< Ill, <uopo~ ."., """" r_p ........,. .. -.".iILL --6.26 :-1 .. y ...... en~ pro<e<iu .... I!.o.ve 1>0<0 ......... bUoII"" pon or m«li<sl pnet;oo, 0-1- "",,_noW <Ue. Muob <JLpe';"'eotal _t 10 ...... do., co """" oopIli<ll<atod 1"""'''''0'''' .... }'tI proven. H_.,,,,, •. ",",uA>Ob 1<11<",.. ... undonot." ""'" """-101 ... <1000 _""" ';!IL 11,. FII<'nIl ~" ill. "'" ..... ;. Lb<ir ~ Tht .., ....... -". ~ ..... pi<. 0 OUIIpo;,., .. .-.,. •• «Meal cyloIoJy "" 011 .......... riok. sbouId 110 ..... in =toD«!ooo ';'b .... I«*l p<o<IitioM.... AU oqj)obk Jkillo _ bo """" _ «>=>pc ... t pno<U' ....... ;'vI,"" .. _

Iba <.Dmina,.,.,. wI!ett ~1O.

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~-,

TIlE GL~ERAL PRACITnONER Al,\1) Onr£R HF..ALTIf SERVlCES

1.1 As. role. !he pt,;' •• piao ..... 10 I>oq>iw ""'*'" OIlIy by rcf<'fnl r ...... lbe primary -'h ..moo. "!be .- for .. remol ,re no< "'»,oi",... Th.,.;_~

(I) ref,mollM ,''''''''' Op!.uo.;

(11) rtf<rnI lor <IiopoIti<: ..... tbcn.peu.jo ~ .. ,. .a4loIot:r. <odoo<opy, 1O'fO<)':

(ui) .. ,.,raJ for tlo"" ..... A lat&t prcponlon 0' hooplt.oi a.o!"- .... r"" ooo:ioI .-- llW ;. the <li<beal _ .... , ;,. "';,bio tho ..... "" ...... of tho ,..,. ... pnoo. ti,_ 10., "'" po""'" __ be <ami ,",., ""-. A ...,.., audy etrriod .... in Duodt< __ Illo., 'htI 10 !he ....... ..- ,"" ,,/<moI in """, • lhinl of .,...,. _ned '" ~ _ ia OD ..." ... ..n.l boopiIaI. Mu.y 01 .- <*- <&.11 be .. .....,. in 11,. ootIUIIU"", ,..;,h Il>o _",loo of ... Iali ...... pporud ~ .. od«juaU ounio, ""i<t;

(00) ... Inn!" tho inoio«_ of potioo.. or ttlo,,- R.Iali>~ _U ...... ~. poIle ... _, _ .. f,rn! ror m.'"- or ~MIIOtioa 01 tI>o 04"", .. iti<h Il>ey bo .. ....,.i""',

Co) Iho .ul,_ of .... _. Hi< ~ '"" ..... cri&l11 .. ~"'_ tbe deci>ioIo La ,.,,, ""lie""': tho p«>oimlr.y ollbo ItoopIIaI "'" Iho <IiaoDoo 01 ,he poli<llf. bomo /""" tbo doctor arc other facl ... "bl<b .... y lnlI""o« .... ~

ean.. I ... -.t< ,...,.. 1.1 1I ..... ,._,_tloo ...... _""" ... ~,....t~ __ ........ Ill ... 10 DnIo,........._ , ...... lor_ '" ...... __ t. H< 10 in ullll.lr\l!llr, oo...,i_ fn.t> .. niq,

OM not oI,,"~ reMIl ~ UoItU<l ffOtll hit hmily ODd trio.do.

7.3 """ of the """-, .... to ohio pt<Ib!< .. Id ;" -kio& boopjl-al _.oalIoI>Io -.id< bosJIIW< a1Id portly t>r im~ Ih< primary ~..w. ........,.. pOtti<alul1lbo ... pO"'" 01 ~ 0..,..". oDd

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"""'" bclp><ni= "''ko'" __ , 0( .. _._ ....

.-.... , .... <If ,loo ~ ................... .-... bo Ill. 0 ,-so. 1<1 ..... _ .... , ............. 0 .. I ..... "--..L TbH,: will. b<oM_. "''''''''' 0 <'OUidcBbl< "" .. bo. of potiouu. _ r<qclriq Ioac-Ier1II care ... 1>0 __ be lookod otte. 0' ilc>m<.

1.~ Fro", th< polo' 0' ';'w .f Ill, 0 .. <6..".n.l "",,"1&1. Ibox Iott •• , Oh< cldorl,!OId clisahlocl, bIocl< bed> ODd ddoy Oh< __ " cl 0I1I<t pot!e .... 011 "I< 0<1\<. _ IotJ< imIit.,.,.,. d._od "" ,be can: of ,lie ehrollic <ic:t or< _ ki<al Po< ,be ....... ,be """t· Ioo>d is h<oI'Y. lIlo po,k." (fe""'n,j .... iOIld ,he,.. i> ~"I< 01 ,be "citemal' 01 " bury , ...... , bDqlital

7.5 W. '«I,h .. unoII .ni .. ba,.. 0 1\<"" ,lion« of «hobili ........ ud '"'''''''''I '. Obe """"".ni'r. ,be .lderlr oat! dHUl<d pa<iHo ...

c-......,.1I ..... uti Prtnk N .... ,_

1.6 Tb. It.,,,,,, of lhe c-! .. ,; .... Cou",~ "" ,I\< G.""rol Ho.. p;taI Sonic<> 'nvila&e> lour "I<JOrieo 01 boopl~

(0) ,be «P«taI bc<p!taI;

OI) ,h.lf"<"'l bOopit.Ol;

(cl tI>< "'''''''oni'y baIJ,h <ell"" (fonDCf .....u COO.'J """ lritals):

(d) .... dio<riet •• rsirq _ (fon><r _'*' 1>otp.t.II).

It ,,,,,,.,tI!.od<.! th>' boIb ,I>< - "' .... ....,;'r health ..,.,~ ~ ..... ,be H dUI ..... ,.",.;., """" ~ 01>00101 be mlIocI by ........ pno<titio.ouo on<! ,lW ""_, ..... " oMtIld bOld ""i'l'''''' .lioico ;,. u.... boopi ......

7.1 W. ut I. ,u_1 ....... "" wilh Ib< _,ions rud. to ,"'" R<p>n .. ~ kI 'be Iut.", r<>l< of ,h. iml~.'ioas ffi......r '0 .. (c) ... d (6) of Ih, "",vIout po .. ""ph but .... o..ohappr .bou, '''" tIlIo ~ """"".'"'y heldth """ ... H whX:b bu """'" ,. "...... '0 ... IO",.~ quI .. <Il!I, .... ~ W. _"._ 'loo' .... M_ ~ _ ....... "_Mr ___ M '" nferne! 10

.. "-.. ..,.~0<fIIt0II". 1_8 "".<Io"' .......... 'o ... ""' .. , ............. ' ............ of ........... _ fro. ....... Mr....,...... ID<I«<I. if oD Ih< _;0 ,be b<>tpi'oI or<"""I'~ by ch"",;. cucs.1 .. mdoh' ... ..m bo dim1nisht4. Co:uequ'.'Ir, ... re<orom ..... It\o! " =toin _ po:tioo of ...... ;" ... "",,"";,y ~taIs sbo.ild ...... n-.d lor ... ", -1.9 Local looofIboh .... _ "<If'OI ,..; of u.. I'- "' 0 __ .. ....,.. TIItn: .... ''''' indiopo!&\>k I ..... boo, !l!O<II, Clcn<n, p .... U*"'"' ><be lit .... th< """ ba4 0_ "" """h hmpiLOll ,-.Joc: it nd Ih. IoeoJ populo1ioA itlnriobly I.d tha, 'bo" bospitrJ bu .. "'"" th.", .... n o...l ....... , ... y Ihrea, of "'-tto.

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7.10 To Ill&iDtaiD. bilb _4 01 "..k •• care. '- _ 0II)" Ioo5pMaI _ ... 001.10111..-..1 b!' • IH>tplIOI ........ H ..... 11010 " ..... ...- of , ... ........... _ Itoo, ... _Itoo .. ~ ....... <011 .. _ r<--' ,....utIoDon .. Ito _ , ... prfy\I<&< of <arlIt:I. f ... ,Itdr ............ ''''' ......... ,..,. .. lI"0II __ • _ __ •

!lip. \ lI/tI", ~ ....... --,. lie 0«<If1Ie0I .. . local ..- -*--.. who. la ~..-Id _ 10 ~ '0 ."end rq"O~r th< mee';"" o! t,,", "",,,.i,'«.,.j to hoW 0lil", la """ioo ood O""PI \he _Jo<i', dt<ioIo<>o ol'b< <G .... ~, ... """'" ...... Id indude <h< """"PIi"" of ocw ...-... ",le> r ... ,bo a4m_ .,.j dbo:Itatre of polio.", lor .... danb 01 """"d-k<el'inl .,.j lor boIOdlr ODd <m",""cy "","". \"~'''''I privDqo 001>la ...... ill><lrawo from .. , m<mb<, _"" laiI«! to bo!IOur hi< or b<r .,..."",.t. Eadt """"101 OO<lt .. k, .. _Id <leak i .. """ pt"O«<I"'" .. to ", ... " 01 oIlo:c of choir .... n ODd """"'""r O<Cf<'UJ. do,,,, of tDOCt;"p •• d *" of q ...... m, Tb;" ~t"'" il I .. ""' .... ' ... will ""*" that .. Ia.:cd medical 0lil«" 0«<1 "'" """" b< oppojnted to some: oom­m"Dity bo."h.l~ It will. Ito~'<l. b< ~ ,. <"",r. tbo' .mt!q ...dia! otI'I""" "" 001 suf[" 4oan<lolly ........ 1. of tl>< <lIonlo_

7.1 I E..ery don _ .. be -. to ...." .. tho, [oaI prxtib"""n ".d .;.;'ir>3<011<t11t .......... b<>Ih W""""~r.od to d_ t"F'''''' Iho _D' of iMiv\dlloI potion ... Su<lt _lap .... Id be., mou.at I><t><Il' .. d _". "..,..,. ......... oodinJ 1><, ...... tbt .. no... ~ ..... ad ...... t. bt piD«l from ,1>0 .m.a.", .f. """"''''';1}" boCpiUI;" ,Il00 _""ky k ...... fo< t<Sdl;"._ --7.11 It" "".in 'bot KC<» to ~t&l_ "a .. m";,,, t. ,.,.nl docton tnOnod In ollo:opiw .n'·; .... ""'., &Dd ,hot ... ch"""",_ >I!« •• JOWlI tIOcIor·, de<;',;o" to ,01« up on 'ppo;",nmn 10 10000ml fJtO<1i«.

1.13 TIt< """' ....,.tri<: ..... ,'"' ........... y diood ..... ~_ tb<m ,be .... oYZI 0' <>Id _1< to • J'Io<c did .. , fmm Lhrir __ _ '~r, ... tJ<t><roI rill< __ old ~ «quit"< 00 ... OD.,.,.....

Th< ... ~'" &Dd <. " •• of tlK .. """" '«]u ;.-..! wiII. ",,'onlly,...., lrom ~ to l..s;.;d.d depeMi., "" ~i> oocial """'DUlOneet o<KI n>ObilJly. ul .. I..-iliti" _y be prorided ;" ,~< hom. or iD • .... It<nod .. ¥iroo .... ' (homII. "" po.~'" Il.o", ''''' • ....-pI<~ W. bcli= \loOt iI i> Iho fl>tI<tlD!t ~I Ibo pt\mory It<dtll ........ to J>I"O'Ol •• h;" StIppor1, to • 'or !"" •• , ••• tn. IIwI ~_ 011><,. w;.. •• ;~ .~mbcr 01 ,he .Id.rly will r<qu; ... Ioos-<,,,,, im!;,.,;",w <arc_ For !boo< ....... i,;"I ;"";'.'iott.ol .,..,. lit< ..",.. .. ~";ty 1>oop;1oI, ;., uoociot"", ,.jtb ... ~If ... hom. ODd • " .. lib .... ,..., "" Lhc ....... I<. pro.;.:Ieo "" i<I<oI ooIulioo oIf<ri"l: • dtrrco of ;""pawl ..., ..... 1ioo.in~ .,..,. di!l~, '0 ochi«< iI tb.y .... -""'«I. " .• _ lilt <OO<epI of lilt .... IMpiIoI I • ..... 1PIt~;.",..

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l.I. I~ ..... JuFr <CD ..... 01 p<>pul>' ..... pn"" 1>00,,,"10 ..... ~"~ ......,.. peo'od< lor ,.""~ pnctUi<>n<,. Il>< locifuy of ~ IOf _ pat"n" ill imli,utiom. _ --. _ ... -. • _Il10 __ ponKt>llrly ill _ .. I"" "'" "'<1, idr1ll, .... __ ............ .....-. ~ , ... __ ~ .. ·._"'"'.io ....... _ ....... ~ .... •• '-=l

U5 AD(IIb<r sol.,.", whicll ""Y be opp/lWll< la lI>F 0;''''' ;. ,11< .....- 0/ FocntI pcoditioller ........ <>t" .,muo> ill Of "" tbc ~"of ,.O<nl Of ~ ~ n .. '11'< 01 e.<j:I<>i .... ~, .... h<eo ,rIaI wi,h "'<=SI iD Eaat _01_.

no. -"' pro<tioMt io ,loo "' ...... ....,...... 7.16 "la> ofl<~ boco ",_od 11"" 11 .. , prKtitionu _ be dDUd to oar< lor hI< 0 .... I""i<nb ;0 Ill< .... «10 '" ,..,.raJ bo$fJitsl$. TIt~ implies lI\>., tlI< pcoditloll<r h. within <OS). "'''''h or ,be hospit.l

7.17 f"unb<r""''', ,b. "u",ber or .<t>,.ly nl pa~'D" ill tbc <an of ODy p .... ~, """ .~ both rn __ Ih .. n«d tbc r .. iIl,:" of 011 oat'. boopilal u.d who do not requif< ~ <are. h .. ""Y "'" ,;_ .• " ...... , -n. 7.11 ____ -.... _I -... OU'"' _ ... .. ~ ... "'JOIar _ -. .... __ • __ _ , ......... ,. ~""""I-,,,"IlI< "" .. __ u I ...... ,b. "p/tt' __ wit!l bcop!~ _ ...... Ih< \o"Ilo<I ......... ultttiaol .od ,be break..-iUt ordinH)r ""'tin<. lD Md« to> play. port 10 ,lit 1""plt.aI, b< ..... be abl. to> otpniso ..... lar ."mc!ao<o fr .. "" .. iD' ..... ,. ...... With tbc d<velopm •• , 01 I1""P' ..... """ <ytttOl. <Udt ponkipa'/ao. b«<t_ """h ........ Oiniatl ..... D .. __ Id _Pr .... rk ill !be ... ,.,._, ~ ....... "'" tbcy ... Wo ... k •• =trlbu""" to In.,., ... , .. re.

7.19 Tb<nlo ..... 1O be _for"'" 'JP<' ofcllnlalJ ..... Dt • .Ibl;tc. Tl>o ~ • ., _ be pt1l1W"i1y "" ... ''''''oL "'"lIo0<! "'" ... If 10 _~ •• <oo1rlbu'''''' to Ih<.....-lee ""mm;'"",", of ,I\< lIospiW bu, Wo to lm]>tO'". the practiliooer', «P"''''' oft(! RII PP< ill hi> ~ Such ...m..UII;po. -'d bo ,"",,<ultrly ...... ble i. poydtioUy. paed""tic1 obIu1ria I.IId reDmll modioiD<. TItor <I>ould "'" onItaorll, '"" for Joqcr 'boo • )'<Or. TIt ... io ...., • case. ,. bo mode tor cIhtko! -..UIo!pI cm • coatiou~ -. !be pt1 .. ",,, PIlJ'I'OSt "'_lIidI ;, 10 o:tak. 0 00Il1ribotiD<t '0 I>ospilO1....m ... Soclt _dlo.,<I>1"" ...wd be I*Id "" • __ TIt. pynmi.W """"U~ of ~ .. om", (a relatloely IorJe .... "", 0/ ju .... n "'PJItI<lIn, -" COI>IUl!ant) me&DI ""', _ "' ....... calIOt _

~'"" ... A ~k>l ID "'" ~o .. beT 0/ /<mion -"iItf ill D'tt bospilAk riI ...,. ...... 1IIniof pn>t>kmI. Tb< ,."."" pra<tkicm<t" .. cIl<Il<a1 assi<u.o, alii ... """ to __ nobly upon !. Iti< '!I<doJ lateral u.d """"-. _10 IDC1Ilber of tb< bospi'-i 'eam.

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7.20 c.-J..-___ ......... __ '" __ .... _ 1HIOpUaI ......... .-& __ of , ... _ , ....

pdooopII' __ "_"oaoIa.. .. ,..,w. .. of .. _ • ..-___ .............. This "'".. be port 01 ,I><

mI& of depon ..... " ., ,.nenol pno:tl« ~ "17) ,"" '" addition .. __ I p<oo:titi ...... _Id be "'<100_ &Dd ellCO«l'tI«I ,. >10;, lbar po';"' .. .,bll< they He iD botpitaI &Dd pOlO 11 .. _

IttftIty to ".,...,... witlo Il>elt hoopIuI -.- ..... EdtabmJII __ , !tu -. tha, ~ pra<li'ioaen .. -.cl '" • .....cIi<&I dhilion bo .. I>oeo 0l>Io '. _. -..bIe """In .. ,

"""","'looM.

o..r ....... , Dtpomootrtf

1.~1 ne. Q\l11lI'~' ~nu or _ or ..-., ~ 111,', bad LO WlOorioble "'l"Itotioa. In Pll<ntl. oppolrtlme., .,..."'" wo !nodequa .. Of 1n.1I";! .. ~ Tboo worll1od of _ <I<;>o:<""U Is coo· OOerobly I'"'''' thIJI I, _ be beeouse .f ~...........,. inid,,1 "".naII .,., wtDe<=&I"J fo~ .. ...,wcoo. 7.l:: Uoaocaary laitiol rdernlo IDcltlde .. 'enab '" obtain ",la-<iv<!y .... plc .. , .... ',,,,,., , • • m .... od .. ~ 0.-~1 LO

obtoi ... ,p"r .ppI/aa<c$. It >bould _ be ........,.,. '" rdOf " po'ieot ,. at oU'"1"'tlen' deponmeo' ilL order ,. obWa • bori .... mu! Of '" bo .. lLio u_ p1a<ecl O<L • woitill3 llot. n.. rn.&.q_ of ..... , pnctitioor,,' "', .... """" """"",,rot>ty '. ,be 1>0 .... 0/ "'e_JruI ...... '~_'be_,..,_ ...... ospoci-filly Oof""""'iotI on "" .... , tltenvr.

7,23 M •• , «POO' "~ .... <ltl<rlt>loed fI>OfO by tn<!itIoo thlJlneoeositT, Tbedocisioo ia "'"", oooeslsmode byjuolorlo>lp/lol "all', Tbe WOI1t "'""'" of...."..,....,. ... ,,,,,<Ionoo 10 th.lt It ""'Y p<'>Ioq ,be pttiods .f illvUidis:m. M ""tendlnl tlIe boopiW M io __ tIbIe witb • ipOO<Iy ..... !"II '" ...... t &Dd fall lLeILI,b, I, "'"Y .... _ '" the POliootl .. t<adiIIIltlo Ml1t <loot", r", om!-_'os, ..... the ""'1"',jen, <I<ponme., '" be _ by. _ .ern-.,Joo fod! UlL>bIe I. di«lLoJ1e the po';"'L ~, ~., .-rei> projocu ... y <It..".;"., justit.olllo _, 0" __

7.:U n.or. Ir .......... _ 'or _ , ....... !._ .. 0( .. ,....-' ...... _ ... blclt .... __ ........... """ '" ttoo ... kl ....... _ .... _,"_0(.,..,1<11, .. 'k 00'",,_ ~., ....... focton ... _ ,Il10 dtri--. ,--7~ ,._ commeo' '"' petip/IenIJ ""..".,;0., ollnIoo 1Lcl<I., Ioooltb «01 ... ",.....,...1 pne<irioaer bospiw. """ boo. !.-.-.w.,

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1,16 TIIo •• _ .... , 10 I ...... of ............. _ 11 ,be

..................... 1ftI'L For "'*"1 01 ,lie elderly •• """",y ,_ ",,","W ffOllO ,lie _.'ry is ... _~ -U &Od • da ... ,;"" prooped. ..... ,. ... m ptlClitiGGots .. , _ opiaso llaoiDJ • funlltt opi4io. for '~io ....-. 1.0. ........ tt,J ..... viii! try ,be _!tu, -W oloo _" .. 9PI'O"'1"nloor for ..tuabI< do"i<>'Iiory _ '" tb .... of. fe .... '-«I~ ... w ...... _ ,h. ~ ,,_ tb. <109;'" of 6o<lor ~ fo: ,lit pO,..."" of f ... '" ,.,., ... 11 .. 1< .. bo "'" ""I"<'$I<d try .... .-roI proe<iIimI< .... <artY ~, ~h dcelieilill'y COII$UIIl!lo\t!..

),2J I. ",<Id"'_ .. h<lber • pe,;p/l,raI <1lII", is Junillabk. ,he oppoM"oj" _'od for lb< uclwl&< 01 _ and t..,...1tdI< _ ,b. """",,, .. , and, ........ ~, _ b<_' .Md 1b~ .,.... ........ ,be ,,,.OO,nc< of ,be ""' .. , pn<1ilioDct,

c-..,o..-t-... 1,ll! There """"'Y """pi •• ponicloloIly"_ .... Of"'" of 10,,, • • i,in ... "" ha .... DO ... ",\or I ... ~y docID ...... who .ely ... tb. "",,,.hy "'pOn." ... 01 hospi .. l> ,. provi<Io ..-ho, .... , ,. oIfm, ",.en! pndi'iooer ............ One .odoolnobl ........ , 01 tbi< .... ,. of oII'oi,. b. hilh ro,. 0I ... 1,,,,,!> lfOIII ..... :'1 '" ."ho, "",",,",\on, dq>o.nm<.'~

1.:>1> At .... -...ont _h okpon ..... ,. 010<> okol wdI> .. oppr«;'bIo .... !>er of ..no... _id.ot< .od W""hreo"" .... atedi<aI ....... • an.. ..... U ........ ".,.k, ., ",Iou«.,. lri,,", 0<61 ..... tJot.-t.ood wI'h.u-~ .. ~lriaI"'~ lot .u •. M"" ,<Aded , ... I ... ,,'''i .... to caooW'Y 6opo.n....,'~ Tb. '0 ..... "'" 01 """po ..... ,be .... " ..... of pn.<\;c. '<&Ill> ~ .... I<c i, I">"'ibk '" peovid< • btlte, ..... it< 10< "'_ &<cidenll. Unlon_,ely. _';ton lor .,..ji<o-kpl mho, ,bt"o di"i<al "'_ radiok:>Jy, is 11'«I""~y --.ry &114 Is .u",,,.oIblo rot .... dooo:i>!oa to mer PO""'.'" FoIJo ...... " .u._ <»Ilk! be ,od .... «I try ",I.rrol t.<k '" ,..en! prortiLiooer 0,11 .. &"00.

MalcnoI!y Sonka 1.30 Domk~iary m1dai1<ry h.o$ _ ~ &Od <bot ... i< DO doubt tb>.l ...... 10"'''' ._ 011 _~ will be conbod io

""!""Oon

7.:11 Gt-., pro.<titioaot _<eftIIy ..... _ bt .......- ., _ .. odf ~ ...... h .... 10 .... «aIIy ........... n.. pn.<\~-' "' ............................ _'""" ........ Irafoolo._ ~ • _ ._ .... 01 6<11_ ... _!or -. Wlocr~ • po_''';'';'''' is _ ...my "aiIobIc. .. pid ' .............

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• porI&bk IlKUba1<,.. oU<n " pn<.1M:abk ooIuLioa IOf po«Jiolri< .... ....-.. _nIo obool<l be ~ ODd ...... 1UI<d by o .-1IIit'" wlDtb ........ hIck • r<OpOm!OIc _I""" ODd u.. .. 10<1 ... 01 po,;"' .. 'ot <Io\iYery l~ _b o..oit> oboulo! be • io"," doci>ion ""' .. U11 .."".1 .... " ..... F"mol p"u:ti<loo. ... Uaico of ,bi> ~iDII ..... I<I ,oIic .. 'he~" "" ,he 1''''.' .... "" .... , 1Ioopi .... by ptO'<idi<lc' ."':WIIe half ... , "" ... lot" .... 1, di>cba.r,. police<>. NO! an 1<"""" prKik>n<:", will .. ;'" 10 _ .... ~. lblo _t bo, ,..;lhin ..... p Ib<t< _, wdI "" en. '" ''''' Wh botb u.. -.ry •• pot'ia><e ODII iD<Iln&tion.

1J2 C-_ ........ -... 10 ... Ido __ ...... ,........ _,~_ -. ,.,.....,...--,. for .'..-01 ... ,........ ........... ......,. .-I .... ..,.. o.tK! ..... t. r)Lol .ado po'!."' .... I"" od,...,,,,,, of _"-"I "" ... " ... ,jon dwill.l ""' .... nry. EJ,;a;q ...-.. 0<1 .. a .. rni', bo<b .. {)I io..-i' obIy load to ... iIL<nU< io early dildlOl'!< "'b ...... s..cb "'b ..... .." 0<11, t.. funy .. pIol"" if ,It< hospi'al stall ""'" kno-.'I«!I!O 01 lb. ho .... i,..., ........ o«.nd if ,"" primary boal,b .. <Vi«: .,." »<"O"i<Io ''''' ....-ry "'PPG" 10 ,he bom<:. ,..........1 .. , ......... <1101<0 10 .................. _ to ........ ,_ . ....... ~~ 13.l 00. of 11" _it! ehlicl>o:Lsol rb< ..... "'-1 XfYiooor ....,. by 1It1 poopk Is tlLc: diSaLltJ of r<Ultt.J ,he _P' """'""" of • _ in ..... ,..,, __ The In<f-...in.I """ra1iA,ioo of mojot """" .... lo.oill .... ",oloqod ilL tIL, r ..... told R,po" ;". ....... 11,. <>«<I I.,.. ~te oom.m.nlty <m<ff<""'Y...-v\o:co. P"""'JI! """ ,lie;"', 8 ... D! CUI md, doe ~ bonree.o life ODd de&!b ia _Jot ....... Kddt .... d ...... ;",; oad "" ... _Ical ~ocios. The primary hnltlt .. ""'" ., ... be otpDi><d ,. """. r", OD<!> .... 'londoo.

7.30 ,,;. clear tIIaI ia many imwI ... It Iw bo<n dll\kull '0 obtaizL tb. prO""" ><fVI«> of. dodO<". 11I<..-pai>a1ioa 01 JtOIlPII on:ot<l tb, """" .... u,' or OlT&n.lln, ,h .. lb ......... ~ al ..... )'J be 0 <i<><,or OIL ..:cidaL, <all. SpodoI ........... r .. ___ 101 be ..-0_ ..,. u.. _ -.... _ , ... Sw. _101 &<Up' __

-,. f ...... 1'")"'" of ...- f .... ~bldo _Id. ..... Io'n &<nO.' , loo ,_ 10"""'"" _ ' ......... 1000 of """",,I ....... . . ..... • to. Iocf>IoIIooo , .... k. ,.,. ... am,; of _ ...... .-paho<y _w -. " lip ........... , .... ,.,., , ............. dol .100 ,_ loa ofllf._"" ...... _ ....

1.J' nro.,·!Lio1 ..ad<o .. "".~ • pOnOouIo1 ""~ ~ ,...,. 1o,..,,1f ia_ )'OOI\,J """"'" "" boiida)ll. "Ib< uodko, """ """'~ hm<i,-.. odvic:e JiwtL ilL ,~. W~t<, W .. y A_;""·. OIUIIpaipo """ -. o.r"".".t<!y. !ut .... 1>< dl'e<t it m.n ..... balidar <IlLber· .0« <loo< _ """"itioo poop/< .., """'1";"'; _ '" b«<IilI,I"~!'IL.

Io,p.. LiI. pardo .." oaly bo. ponwido<I "" t>o.<l>eI _ IIr ta,.. •• "' ...... of poop!< """ ,_ tIf_ It d~ by rb<!r Io<It cf a\dllwlly to _Il0l _".... .... _ 0. "" Con,,,,,,,,

"

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HIe pm! i'un<t.,.., Of< 0AI'ried OIl' try ,I>< police who <an l:Omp<l

.... fm .... " '" '"" .. ,110 ~""',, wb<. oond~iom ore hazatdoooo. Tb<

...... of cIca<h It "'" _)'I oImpl< d""",i<If. \10, I=boIatioa 01

..... :c <OD' ..... ;n 'be ",Iy ,..."....,. "-' 1bo _ 01 dUI ;, "..<ly iDau>a! by =<tItiy iq<st<d ...w.. "- _ JWIm. ....... rb< crl ...... si, ... ..,., frcqto<all)t orio<I ....... k of • ,_I .,,.,. d., '0 OVCfoCJ"niorL I. lbt W>COM<'oow ........... " 10 ~cd oad ..... victim d;" 01 d"""',,.. ""'.;0.1 ~"Ie Of.., ..... or cudio.oseuiar in""""'me," or moltu"",.,.,. We _ .... , .. -....._Id......,. .. ~_, ........... 'htr~ .... ~ __ 1. Wo =-_ 'oo ____ 1M&Id ta~e ,lot .N_ . '-' !loo, , ... ,.till< ........... .,...moI<r ' • ....... _ of .-.cIIo_.

THE OE:'<ERAL PRACTmO:-;at At«O THE PSYCliIATRIC SERVICE

1.36 I. """.')'00" ,be p>y<hiI'ri< oeoiceo 110 .. unduaone con­Od<noblc <hoof". "';,b • _,t ... III;/t of , .. ....- ..... V f""" imt~ .. ,_ ..,. ,,,..,.,.. "*"' 10 tile- oomDlul'1. ThIo boo W '" lbt d .... k>p ..... , 01 .., ..... u",'y ..... """""" orieo'''«I ......... ,I>< I"l"'~~'rl< lIospi'ol qi<b ,_ to ~ ,t.. /:I",", &>«or. A runbe! lUjot _lthWy 1A<!0f. ~ in Dulrlia, "'" boa> lbt ._OD« of • «>MicSerobie "u .. boor 01 p«>p!e wtIo bod 00 fo0>ll1 _ UId ___ of,t.. focillly 01 cIirecl_to tile-

PIl'<ltjo,rl< ..moos.

7.17 While 11. iI 0Ul' to II!IdenwId """ litis .. ~ lbt ..-.. .f< "'" oIwo)~ f .......... TItio iI ponlculorty __ po,k." "'" r _____ tirlos of ~ dnlp

"';,1>0-0, ,I>< _~ollltepcnl prxlj' ....... _"'"1 be fO«d .,j'b .aboocj"'"' ........... <i<s-----la<iu<bq .... ..-. " '- boftI olkIed ,boo, io """" pori< at o.lrIia ~1"OpK: c!rqo boo .. b«a baDIled 011' by poll<DU ,. 1beir aoelfh-'" 1.l1 Tb< ....... aIo:> ....... of relotivo. ""Po« .. -hlclI I."hol< ..s.qua" focilillos 'Ot .~~d ~;"ty 0l>Il ,I>< ,,.., ...... , of I><boow.utol d'-<le ... Ill. ponio<u ..... ~ facilj,,.. . re no< .... obed by ~" 'I\etopeII.tie /:IeIli1lel. dtl< 10 port to. look of ~ 1toiMd penom>d.

7.)9 ne ... "" ... ,. 'h .... p«>b/t<II> is"", ""'1- 11 •• <l .... .,."" .. to .... -.--. of Ntqute --. ,_ ,..... ..-­.... "h .JcIrt .... ,... .... '0 _ ~ _ of Nf ...... -.

"""_""''''' __ of~_ .. _ .... pordo_ ... " ................ --.

HO lllfl .... be .... pIed w!tIo ,100 .... "'PI to ........ tile ...,mol pracUUono. ,. bit plo« .. _lOt 0( tile ...... II,'hiI< _ ...... ''''''~ ..;tIbe"""""""'to ____ "',be poy<Iliotri< .. "'""',"'..,_ ~ __ ......... ..-

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__ loo ....... _ ........ '-, _. Pationu

.-1 .. jo ~ ... jl~ U,. P')'<Itilt~..,...;c. who "'" rOlUld to My< "" I ... ily do<;tor "","Id be InlO<m«J tha, i, .... t~"; ... , ....... to .....,. ..... <01 """tiliooe,. Tb< loll .. ~ "*' .. "'port .. 1 pOn to play u. providiq; «>DUmWq 1Opp>rt: ;. thiI be will be aided b)' \be ...... 0>Id _iaI _,

HI Ao.,.......I .... d"- _Id NI be .....- .. «pi ,._,," 'loo ~ ,...etkloMr. ~.~ _ .. 'IP"_..- 01 "" ....... Wo _11 ... ~ .. kaa«<I bJ ....... Iq: 'loo _t ....,.11 •• ' 0 _ "" ............ ,1101<0 ,,"". /too M IImH"" • ..-, M _ ....... )0) . Poyclllatri< pod"ou;' Ill .. cr-p or. ,.tltled to ",,:<l ... ,Ilel, dnq> I ... of dArz< ..-bile '''endiq the clitUa.. 0. the OLI><t _ tl><r =<1> ..... 1, Utultod ......... to_d/; .1><1, ""'" II provided on the Pfucrip<1on of • J<D<Rl ....... ~ ..... ,. \10., ~..,"" ..... ,<101'< ..... , the kPIa,1on -'Id be <hoItr<d ,~....we _h pO';"."'~ ""'oIn '~,i. _.00 r ... ot <hart<.

7 .• 2 "' .......... ~ • ..,-__ II_pMpMnrdWn, _' ... ..,. .... SIaat •• _ ... _ ... _~ __

1'11" C&tI mo.I:< 0 comid<~ «>Dlrlbodo .. '" mu, .. 1 educolioo. ...... 011 --. ""';t;o"m alii be cfv<.o ,b. _nom!)" to ......... probIe ..... ;,botu ,I>< po'''"'' b<!nl ","",,"'_ Hl \I • ....-_,110' ~-..~ , .... __ )010' _ ~I .. )_"", _~ .-1bI1oa kf_ • _1I_ .. _ . ...- ... ..,..-n<......,..u.JoIo, ........ lwlon, .. mu<>t«I. _ belp ID .HIIIi .. " 0<" I<o>t mj"",

11>< "ulllllu 01 ..... I:<'<tIUY.oo!.m..Ioos. 10 imt&nca .. be .. .cI ......... 11 ooc...ary .... 1<",,,,,1 prtICl;,ione. _ be ., _ ." a<ql:&int ,Ile "",., .... trisI wIt/I ,.., _I ODd _ bKqrou.~ ,,' the poUcnL lb< day boSp,,,.t Is pIoJl-. On In<reulnJly !n>p::>ruUl' ... 10 In tlI< ptO<eIO of m"minI" .... polfc"' to Iba oommwdty.

f....-M_ 7--"1 F .......... modldDo IItOI boa:! OtlIoed .. u.o appIIc>.tioD of mediall ~ to u.o "'" odmID!l1r>'ion 0' Ill< low. All rrnenl pn.ctltio<><n <=>< Into =10<1 "';111 'hil ~ of _ dtlri .. tboir p<Df~ Iiv<s. Fer: BlUr, the ... " ...... ion 01 ",,<!loin< aod .... can b< • .oun:e ,,' lAXltty .nd dlI!kul,y_ Tb< ~tI .. of Ill. oIoaon 10 .... ""VC II«D rclotiV<lr D<J1<aed 10 the 1r>;oltt& of -.on In tIIiI """"'tIl' ODd _ 10 .... fulllI< be the .. bjo;:t 01 _= "'I<otion.

HS Tb<~' • .....,. ..... " 'or ",akini medial .<frice •• .Jl. abl. to ,be Gafclol I/; 1upbu3ed. Wltc. lb<)' rt<luirt _ 10 a <i,,..tio.o _ -rnon'!q the .. led, .... 0' the ..... PO'1IoiosY oen1c< "'" _ .a j, rrom loal 6o<toro wbo .... ull(\e, "" obUptio.o ., pn>rid< It. nu. Is UMotisf""""1 10< _ ,» """'on onc! tbc GonIaI IIiU .lIt! ... _ .. tUL .......... __ U _ ..

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............... Ir!' • , ...... • ~ 10 oocII __ They _1<1 =<~ It! o&ilkMl ". I<d 101' ,..""t; -. • m.\ioIi< ~ f«.

~..tc.- 01 DNtl 1.46 n.. _ 01 .... 111 __ '" ... .,.". ... If --. ...... __ 111 ... _ .... _01_ ~_ .... A hlJhnlO$lSll ..,0_1d ........ 0IIII flJrtl><-r ImJlf"CPl"""""1$.

H7 W. -.le! 0100 =omIIlODd tbt" the r-.., ",,"-_Id 110 modo 10 ''''p~ O<f\iIICOtiotl:-

(0) mt<IIeo.I ~tion 01". ... <>1 deatb _ be"...,. <Om­..-(b) WIdu1.okon tbOalo! ... ob!;r<d .... t~f)' tt.e_ .f t~.

<.</Jtuc. of • m«II<aI on1ificot. 01 _tb 11010 .. ;""'"'" ."" .

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PART 111

EDI..:cATION

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'.

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-., L~DERGRADL'AIT, VOCATIO:-iAL A-XD

CO"1I ... LL ... ·C EDUCATIO:-;

101_

5.1 So tu we bl ... _n><d .,."...Iveo with !be OlfUIioolion of tb, """'"" boahIo ""'" "'""" of tbc fQt..n. W ...... Jlr<»«I Ibc ~ 01 _ ra<lIi ..... o:o-os><nllca ODd .......... won _. ODd ba .. m.ticr.l«Ilbc IiDoo oIoa,z whi<b we ...,..... ...w. to ... <hls..me. 'IcvdoplD lb. rcan _ W. now '''''' to . .. l>Io« of oquaj.lI.o< _tot. hDpo'"Il"" ood "" .,blcb lh. _or _t­wioo of IhMe ~ ..m biqo-tb< oducallo:o ""d tralnl .. of the "oenoI prKtiLio<><r.

l.2 Tb. """tino .... >pUO>ioD of m«Ii<al kDow~ ODd .0<1>-I1iquco _ proI>le .... Tb... .... ,wotold, OD< __ Ibc .. le<.

,j"" of .... tM.siclntormacloc _. <10<= nq-oife> t" kA<7o-, ,/1< _ «><>«nU Ibc COIIWt __ upda!q of his ~

8.3 W ... 1ftIy ....... tile ~ tbot tbc oIIJect of 1M ...... ,.-,._ .. 'o..-...._~IO ...... f ___ (_~IIoIW __ ... _1I ....... II1II .... , ..........., t. .-pIeI ..... , b • ..,. .. _ 10 lie ftl •• 0<C.,t _peroIoed ~ f ............ 01 pa1IetIt>. W • ... __ ot..,.,.ottbc~ofur ...... _ ...... _ .-8-' W ..... 1~ __ ......w.r.1o< ""' ... ...., .... of ....... --"-.. ...... _ hocllo:Eo E"",, __ <01\0>0,_ ....... ....-. -.I ... !IooaIq: ......... 1\". _ t_ .... r-. _to .. _ ..... porb of ..... IIB ....... lo'eerale4 ar ...... ~ oIaIpeoI to oub ... _ to .... .w. • bid> _ of

- .......... I ...... ~alcy.

UNDERGRAOUAT'I! EOUCAno:<

U At _~ . modiaJlhMIm' bao "<011IIII<'" 010,...,. formol ........ of "'t~ "", ... _r......! .-ltb n,. _ qualilka!!oa.

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8<oo4Jy ~ the _ 0I>Mi<t0 01 '''''' pol'l>-lll< pro-dialo:aI _ lII< c&i<aL "The I"",...,. Is ~ _«I '0 ID5tNCtIl>o !l> ,be maiD pbJJlcal ~ .... to.my. pb)'IioioJ1 .• _tIoo.~. mIcrd>loIoU. <I<... ___ Iq ill .->~ oacI !be ....

IIPbunoI ac><-. "The dItIicoI ""riod--!.II< lounII. t!h.b oacI oiltll )'CUS-WbiIe IIIdtldin;" o<aoScmi< lDstroo:til>o. ill ...mty _011 ,. tbe .ppIicoo_ of ,be I>tsl< ode.,;&: ~ 00 ru oo:qoirod '0

!be:!n<Ikt of dlllIc;al_. nu. takes plooc by~' bet..,..,. the m<dicaI _ ODd ~ 'eo.cbi", bOopitab. la "'"

,hree uol .. ,,/ty =" .. ot DIlltIiD. Cor:It. &Dd Gtf>. .. y_ F_", <nmiDJ.''''0l. ,he .. odoo, o~ baA<- quot:aca'ions !l> mod;.; .... "<Z<'Y O»d _eIria oacI .. lbeD reqtll=l to Ipmd .... year .. ,!o­I..,..,.,. ouvI<e H • 1"._,.....,._. _, _ om.,.,. ~nl."') !l> on __ 1Ioopi .... durlrq; _ he .... '" """"",,le oil .-,b. perioch it> ..., ..... mod!ciIIe _ 1Il'l"'l'-

___ objcctl ...

1-.1 It la <lillkult ,. ;m_ "poll the _I,ioa of ,he purpo<e .... oIIJc.<tMo .1 ~I< <daa.tiI>o """. 11)' the R.yoI C ... • ..- ... M<dIoo\ EdIo<:o-,"" =- ill po"-,"pbs ,_ Toqu ... ·

~ W. Q""'" .... pIw!oe 100 ~ , ... , ll>c undcrp..tu&1< cou,.. !l> 1DOdk:mc """'ill be primorily cdDo:t.OODaL ,,, oI:>jed ill to pnocIoo<. "'" a fully qaa1l6od _. \1<1, all «1""'''011 III&n _I><> will I><mm. fully qooliGod br __ le ,rUtlq.­(Patqropb 197.)

"W. Ilk< ,b. vie .. , <be"I .... lb, lbo oim of ....!o..J od...,... ,loo sboaJCI be to produce •• t ~ • _ ~lh '''''' _Mi&I quJII!"",jou He _ill ha ... lint,. t_k<4< of !be >nOdi"" ODd behaoio<tnd I<ieD<es _.,,", 10< bltrI to ........ SWId lbo oclu,tlIo _ of bi> pro_ ".<1 10 permi' ItiJO 10 10 to f~ '<'I,b ...... iciAe. .. ;, ...... Iop fwlh<r. ODd, secot>4Iy,' (Co ..... 111""""<111>0 '0 ~ .... 1I00I oa4 poo;o." <an 10 tII, ... IA ~< .... of o><4i<il>o .Dd ......... , '''1'',1><, .... 'h OD b""""",ioa to IOciaI ODd prev<Jl.;w, ~ w. hope .ha, be will be ... ".... ,~, I ... ob • ~..,. .. ,. _to .. IIlrn • _ 10 """,illue Ie&mIn& "'" ooly dum.. lbo postpdu.ol< U'O-ioina wIIieb, .... hope. be .. ill • ...","" •. bvt 'h""'Jh<K!' his ""',...., .... lif •• " ~ 200,)

U Tb< Idlu", 10 ............ JI<CIk Iw """ ,...., .. r\ooto ... .-. ~ f"1nI1J. "'" aD JeD<BI pnai.ioItm ...... bet!! ~.!)t ....-... lor !be .. wotI: .... ~. F0en! JQ<li« .... foiled. 10 ." .... i" loi>- ","" of ,be bet", 1f8d .. , ...

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~--UO (Iv mediaol o<booob b.o,,""" Uul< pr<>_'- ""bjey. iq ,_ objoo;\ ..... M«Ii<aI atu&DU tbem>el ... or< .~ of "'" dd<ion<io> ..... or< lit.eIy 10 b<wmo ~1 """,I 0001 ~~ .. ,_ ........ III_ ... le 0I~. 0=1< .......

III Medical x_ 110." b«o mor. >UC<:Cclul ID oIloa!i.q: tiel< to u,. '<Oo<hinc of _.""'raJ >ciat<e. ~ .. d I")"<hlo'" lIIu la tbo "",,-;.;u., of .~"l< .. """,re ,. _oral ~"'" UniY<nitl' ColIei<" DllIIIiD Iw k<:tw= la I<'o:tl proctic< bu, ti'lq ..... _ bo;" ""i,eoj 1. <IW,-." ""Y 1<><1 .... iD ...,.,It Y<" .... Some .. udo." <to o\til ,.,..,., prli'tiliot><n "" pOrI 01 the;, """"" iD ~<ry. U"""""Y C'oIIq< Cor~ bu oppoIDl<d • ,«>oral PfO<' l~iooer .. an U1i<t.LoJ.ID .... Depanmm' of SociaIldodlciD< ....... opIloa&I ."..,hmea. scbo"IO ru. ""'" tII. bclp 01 tII, Royal Co!Ic~. 01000<11'.1 P,xU""'n ha< been iD """,,,'ion Ill< tI, l'tMI_ Un;"".· ';'1 Cot~ G.b, .. ,. "" on 0fIIi0<W .lLlcb ... D' ",!;om< .nd " .... ..... d.iII "",, ......... ddi<et<d b)' _raI prx!i';oo.:,.. Tb< CDi· ..... ily 01 Do.blin """'ideo. with !be help 01 ,~. ltGyal 0I1It1< 0' Gtlm'lll p<XIiIloD<n OIl "",_I .,ta<bm<., """'ID< for IInll YI'U "dd<1I'~ Tbi, ~ ..... t t..nn, ... hil;h It.< ,,011<., """",. day with _ ol 11<& ~ ..... t <Ioaon. ReantlJ' • ~ ~ ,_ la> boen awoJ>!l«I to <be c:Iu.:, 01 Social MOIIldoe. Tbt R<»'al Cor"" of 50,...,... In In_ .nU ...... formal prnoIajon for ado­.. boo "' ..... ral !ftCLioo.

" '" _ lie Iaar:bI '12 a-.Io_a.~ .. ol ... ..........--_ .. __ III.Io __ .. -..... ol ~ ___ _ ..... ..,.""""'",110 .......... ......- 01 t ... _ 10 ..... _ to .......... ' IM ._ Ioriq: ... _ !Mq 10 oodety. 1",,'-' <p<cial"",j"" !tu ,."u.My dimi,;,jood lM ... ~ "" ~ MIotimI ~ ..... iDdustd \loO lencIe"C)' for l<a<hin; to be di>ease ori.", .. «l

UJ 11 11_0l0i _ .~_ .. loo ...... !loo GppOrfUIrJ .. _. __ IIoopI<al. N01 ""'" is ,b • .,..,"'''' .1 _ .. 111, _uoity <l"i'" dilIe",,, ''''''' 'w ..rn!<h ....... 10 hMn'tal !out tI, .... "'" • nu",be,.1 d ........ OOUI""'" in .be <Om-""oily .. bicb .... rattly..., ... I>o<pilll

$.14 1.10 ""I, by ... 1q l""i<1111 10 lhe =uclly on<! in Ibeir ..... ~ .... , IlK o,nd.T>d"" Un "" ... 10 .ppt..,lt. .. 111. ,.I .. """hip 1>0""". d ....... ooc:iol lac<on .Dd 1110< in"~ ... l.ot;.,.,.,h ..... f. 1,,,,:ly. Wha. ""'~ ;","tht ~ • ..,entIY lot tip:riQ,J ,. .. :em ~,;,_ ... " ~ equally importo.c.. 10' doot"" .. bc>o.o p<O"

'=-1 If> .. ma, be ope"' 10 l>os\>!toL

Itn In oNe: I. od!;",., ''''" ~i<<ti\ . .., 'I'" oaly lOll" Iimt. be 1_ ".,)hUt • orowdcl ",,11'icWI<1O bu, -' __ ... ... _ la_to! 10 '~ •

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H .... _Id ~ be IH,~,

8.16 T._d".,. .. liI:<Iy '" be """'h -... ... .."i .. iI it.n bcoomo ." 1II''''gal !'On 0/ "'" ..,..,.. rulio<. tl\.llo .. -.." ""'.L ~I lb< ~ __ OoQd, IQ .. Je.e ..... \OII~ .. lb< pt<.

dia;.",) ~ "'" ..... , ..... be .....s., """'" "I .be pUX'" ..... ~ iD 00<ieIy """ of ... .,.. rolo .. lb< re .... 01 iJI..I\dJlb.

8.11 J:. .. ...,. ...tkoI odIooI ,...m. • *PUt_, of ......... ~ ,,~Io~ ..m_la.- at omI_'_Illo" 11>Jt<>""'b on4 <I<v<\opm<"' ""'1 be p.!.,.J 0t>6 n -" "'" be .,. oU_ <IQan~' In lb. Bt>lino:u«, Ulu"",,<ly iI "'0>1110. .. wbOIttitII< oUriocl .... n;, ;. "'" 10 ....... <1> .. "",b ataII 110 •• '"' <010. IDltmc •• 10 <&I'< /01" polXoa bu, 10 ... pba>lf< tl>< l1li_ 01 od"! .. " ',<DO rOt '_M~ ODd f'Oscat<b.

TIotT_u..._ us no. ~ _ 1oa •• __ "',. .... I>Io ... __ .. olIy __ lIIh"'IIJ __ .......... ,....,..... ... __

Iu~ ..... lOo. __ of porIpHnoI __ .. IIkII ..... _

1. __ ........... IIkIII ........ ...."..,. .. ......... Tbest I><ripb<Bl proalcu """'Id '1lCOJDI)UI ,be toll ...... of pci"",ry co,.. .od IIlctutk """" fbnl pn<1l«<. Tb< cti"r" for ,I>< 0<kc1i0I! of p<KtIooo to \IO<om< iDroIved la 'eac!dq ~<> _ I>< " .. na.. '" ~ __ ... """""""l1li for .".._, ltainIq. {ponopaplll.36).

8.19 So,... ospe<U 0/ Il>e ,_,.,. ,""to! pncti<t ........... 0«1 iD 11" loIIowUo. _tiom from .... Woeld H •• Ub Orpniu.tiDo Tubnlcl.l Rtp:rrt 011 .. TraInin, ,be py,,,,:<I .. loe F.m~y Pn<t0:. ",

"'n It< ldul form ,/10 ">cb'" I>tallb «0'" 00IIJI>Is 01 0 .. or ",or< l.m;1y pn"'l<e< lI'b!dI pro,",~, 'uM;""" iD'..,.,od aod ... mp<dloMl." tIOdicoI "... lor • '""'" 01 potiec ..... .. =,~ bUit. Tb< p~';ce _ be Iccoted ..... tl>< tnoo:!i<>oloobool 'or..., _01 ,,_"" III Ibo dlllloalp/lao< 01 I~oir in,:",,,,io •. Tb< f. :nUy docton _Id be wen ~ .. d ,~o!t olliIlool perlm'''''« ibould. be ",ob .. ca. S<Ud up t. Ibo <:1_ 'lid "';,ical "",,,i01 or I>t>!b ".denl> and ope.:Wiu: <lOIf of the ,,&<'It:"g b<><pi:o.I mal! .. ] ""_ . l1>ey ""'"Id be od_,,1y f'O;:!o,oed ""'h ,u'""I><"O""el ... for <ua:pi<, n"" ... ODd med'a] OO<iaT .."t .... u.c! <lIo"~ be p«>li<IocI ,..;t!> otIoquto ,""""",tial _n«, h<I '"0")" JhouId !II.li1I~ doWlod <,"0;<01 ODd _0.1 "'Ofi!L Wb ... ~,., .... 11.., or w.o""ory .~. 'O dill'''''''' ,~",,1J be "...vi<led .. lb. stall of ....,., • unlt Iboal<! be <"JI«'<d '" "",tn"""" III .'1Yb\II ~.!:'.. I~ th od ... "'"""" .f tOO'lo"I<d,. l>y _,in, """""'" """ IDqnirJ -"ieb .. desipod to roi!e .it< _rdl of _~ (\Me l>y 1/,. !u,ITy ~o.. .. c,.~

The ...... rcpon comtn<ZIl> Iba! IU<b • pra<tn would pnrviII< """iIju< "",,",,00;1:" fot d'_"'"'1 to "udeo" ... pndl<ol

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1l.20 Oou oYSI'" 01 mediooaI eo..r., """'" upOo tI>c r ..... _ by the po';' .. 01 bio _r. mU .. the ctn';o" of IeKhiq prKIioes U ""'" .. ,,,,,,,01, dif!Icg»~ T~ pa<ti<a .,.;JJ loo .. 10 t>o d,,-.kopod "" Ill. b.>Io 0/ "'~bk • ...:q prxt'=- Tbio ..u ""' ,I ... ,. t>o "'1, ponicttIarIy IF !be dir«1O< 0/ U:o dopat",,, .. iI_ 10 ptO"," ,n ,b •• reo. Tb. unh'<f>ily ~ p<a<ti« Ihvold. ;,. ~I;o" 10 i", Pn>sr."""' 01 ""'"'rp ..... '<><b.iof, t>o .. "oI.ed 1. 010<&,;0 .. 1 ' ........ 1. "",,110"""1 <d.""""" ODd ill "",or<iI. l< >h<>old t>o «1.::.01, I.n."" .. ~) .'~ff<d- The DO> .. ",i"" «>.;r;h~"Q. ",,,,,:,J bo p"0.k\.d by """"'<> .. h"", pr.mu)' WIle"" io 1""0,0' <Of< .od "'~" ,,,,"ot ~~ol .. tim. 1«:1.",,,, Th., """'Id bo .. ,_,,<J by '",,"-'",0,: ,,,,i,,,,,, "nd """,<C'" ,"",,",km or ancillary n.t.lT. They .hould 11'''''"'' OD op;>Or,.nl" /0' <>p<,:m," 10 ,b. J,h,ery 01 b<ol,h """ od ,b,M 1\0..... ~. in 'he Ini.'ol .1 o,~..- .. .11 ""h .. n.",,' '''','' ..... 'n~ '" '.1 _ket~

"OC~ no)o:~ L EDUCA nON

1l.1' Tb< obje«l .... or ..... <U><i<rJ!WIualo madlal ••. aiclll.", ill ID equip tbo .. -., _ bad<- 0I0dbl """"''''''' ODd " iI _ ope<IIIotIIJ _ta1eII .- UIJ ponlcuIu _ et _., Anoor ....... _ of ... ,.- or • .......-.. lraIII .... !lie ...... ~~,Io __ ... _-......

........ r._".... The 1n"",)Ut <IDeo _"..,.;de ........... ~ ... oDowlllo_~IO_ ... fl:ill~I1111 JeDUOl p<Klioe. Some _ """"'" porIiclpol' "' "",,!lou' "..... ~ ____ but, wIlIlo.- .. _ may bo ucou.." III -. liooy 0'" an... .. te4 _ "'" ........ ~ .­or .-bot """"try. Furthermore, ..,me lriIII doe",.. ""'" ...... "" .. , __ ........ , _ ,. "", •• '" .-. Ih .. ~v'" IltiI COIIotty.r ,.",raJ prKtitio<l<!'I" • time "b", u_1o ",1'll1 .. 1aAd ... benfi 0' ..,...aJ pnctlllooon.

1l.22 Tk..,..._ ILI ..... _ ...... _ IS ............ I" IrOID<e ... <MTJ' .. I Ilk r..onIoa ...... _ ILl __ lad 10 , .. Ioto"~ cue.,...,..""'" _It ...... ___ 110 ... ~IJ t".. .... _NI ILl 11"_ """ 1II<1r rOlD_ M ... 0>p!.-11Il' ",oerol proalllone .. will w\JII 10 .-rIltI:< YOCIItIoaoI trolnbq bo!= .milll' ~p ID prKIi", bo ..... of ... ,nl'll deslt< 10 oq--oip _"'" odoqual<ly with <11< n<=!al)' ~ ODd KIDo. Thq mUSl be .. dsrItd 11101 at <II<.od 0' ,heir ltOioiq I...,. wiII be ohio 10 enter thrir c-.. .rpocitJ1J ODd bo .........r 0' a .-.-ab!,­~r.., me. Onc ~ ID ~Io_ to "'. /u'urc 0f'JUI"'_ of primary bearlll are wW Ioc!Iltol. <JItry 10 ",otmJ ptOCtic< ODd will 1'I"'ri<I< mDI'1O O1UO<tjn "'-"'" ptOIpICI. loe Ilmeno1 prKIi­..,.,." In !be /.,.t<.

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8.Zl 'Ill< • ...u.bIo <VioS<oce "'""'" Iba, ,1>0 ... )<ni" .1 illleflll" ,ba ............ cl..,... 1\Inba- .norMl:i _Ulti.in I>olor< "'HD.I "" In I"'"<'ioe. M...,.f ,!!cm .-p. fDnll<: <nitI.., ID bosp;<aI. The .nilobill.y 01 ..aJ orp.o$:4 tI'OJold,J """OlD<> .~ tbo: __ ol'y to ""'l t.Rd Ieom ia • ""'" practko ~ ~ ..... y to portJeIpote ia ___ "."'iIIa sell."", I>o~

DIlIatIoo- of tnor.Iq _

8.2<1 AD .>amiaalioo of lhc ....ne- vocatioa.ol 1<11,lII0I a.n,.tly ill ........ "" 0_, SsI,'" iII4i<a, .. Iba: pro«K.lh 011 of 11><", on: 01 Ihroo )Un' d."" .... «>mprWq ,..., )"COB "" bospiOt! ....r """ ""1C""nor pra<1ioo.. W. __ • tb,,, tII_r-__ ~., tII .... of tII. ____ ,_10 ,It< ......... .... olred to _ lilt .... of ... 1rWI ..-. W, ha .. mudl rympotlly wltII 11>< v' ..... of tlI< 110)-.1 = •. 01 G.""nor f'I¥<i. ,jog.,. tba, 11>-. )'<In iI ~ I"" FOP<' .raioiq t.Rd r<pzd th ..... D ....... On pta<,ka1 _od .. ~..,. ..... ...." ...... 04 • .-,.... """"" ilIitially ""th • rncI..al • .."r.tioa 1'0" " thr«- to • liV<-)'<&r poornmm<. no. ~ ~ _.,.... of (.) ..... 1"'" IraIaIo" la ....... oH _ la ................ , ... (10) I' _Ill •• la ....... 0.. ,.... 01 ,...nl praotioo tn.iDi<\ll iI tII • ...uu ..... DO<eOO&rJ' '. i>fO"Id< a<kqMle tnloia.r bdo.-. I1WIIIiDI roll ~ty for u.. COl< 01 paII.D1J.

8.25 n.. period 01 ~ ill /tooopjOt! __ D=-riIy pr ..

«<I. lilt, ia lC'onJ pn<ti«. n-. wbo ..... ruorood to boap/laI "''''' ...... time IP"I' ill ]>no<U« aDd tbot Ibq v;... tbo: boopitaI iD • D .... tic:t>. aDII u. oaabI ... ,. plo ...... I ...... lhcir ~.

&.l6 "bal <1«;.;0" <0 ...ue " ~< ill rrnom 11<&<';0. ooocI_ '-"1:. place at tbo ..... 01 tbo: _n:Ji><raUoa year. " I'OCItloml ~_ bo -''''' tbo...,..,...r ~ lWllliIId ..... y timo c!II.riq tbo tr&idm,J p<riocI aDII pvu. <:mIi, to. •• ~cc If be

"'" f..- 0l>0!be. 6io<ipli»<.

Tic 11oopI0t! PoriooI 1.2Y Ooet"" wbo ut "'_ ... '0 p'nicipOte 10 IIO<O.tloml ''''';D"'l oclt."... will ..,.11<1 eltbo, 11 mo.tlIi 01' ''''' ~ ID boq>Iul .!'P<'i.o,........ ouboeqa<Dt '0 ,bej, full .. p"",..... While ,bey _Id I>< ........... to """tt!'«olO to ,Iso wo,k 01 ,be bosri'" ~ .," ,b.ir 'taiDlo.J ptriod thel, lninini: D..m """'Id ., oll ,_ be __ Th!o tboold lncIudc "". OIIly 'i ... 01 10< clay"' ..... ""' ..... and 1«<0<'" bu, also tile pro'<Ioioo. of IIbnry on<! """Y r.oillIin. Tb< """"lIaal CID pioy OD importu. """ ... ",., on<! ..", .... lIor on<! ...,.,1<1 diocua -.1,h the ,""".., hi> 'nlnIDI """ """"tJooa] aspiro.""", 1.1S W ..... _ ..... _____ ...... 1cl1Ie

..... 1CIfy. Aa IdaI C'OIIW >101111 ... ,.,.,.. tt'-...J .. _ ~ ,....1Ib), ~Irkr, __ ... ,,~ .... ..,.~. It _tor __ .. ..,n.- .. -...0,;,. 01'11 ....

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~ ..... ~._"'" 10:,........., ... _,._ .... ,.,.w ot .n... ,...... k .. -. ."" la ......... l0l00 ... 'h 1""<11<01 _kits ....... e ..- ..... , ........ _ ~ K -W r.. ...... " _ ........ , _ .. ~Itd bo_1lol.

1l.2t The.....,...".., upeneno. is be>< obtaIDod la StljW:>l< .... ice p>ru. la p9Clic<. this ..w be: ...... ,,, arnDF &Dd ~ ~ probebly be: """"""" to ."..,.", """" aow Juniot IooojIIW po>U. 1l0c0u.,; 1a,<Tmhlpo GI Ihon d""'tion """ """""j""" bc ~ bo, .... omatkfaccory Im .. the polo, of "'" 01 • boo, <i<po.rtm<"' "hieb 10 '1")1., to PfO'"i<k. • biJb saodonl or 1I<rnce. Er;>ec1e""" I ... me JpOCioItb .... y bo ~ 'kf"OOl&b daJ .. lcex ocb=<IL

8.JO The: ... k <>f ~ ,bo, ",iWlk """"tal .>pe:!<""" 10 _ _ , .. VO<II'1oDoI tnIDo=_ boa fuD<11oo. od ,I>< CowIdl rOt ro.t..,-..:l""« M«I!col FJ!ucatJoa (parqr:opll "~.6;'5~ I'rorliIod ""', ,b. objo:<:li<os ore clarly uftd<ntoOd aod oettpIod. oolo,lom ""'Y bc • .nc.u. _ II<Dbk

T100 eo-.J Pno<tIoe ....... 8.n l'Io ...... _ ... 'IIIh __ il ... _._ ... _I.-- .... ~ ~ ..... poriod. __ Ill

... pMod ..... -. ................... """""""......-prKtIt<. w. ore a~ ,ba, ,...,....m DOl bo alllfllcicn' Dumber or IUIWIk """I' proc1ic<o in .. ,,'= lot oome ~ ... '0 mee' IlIc: dernan<il. W. _Id upecI. bowcv ... ,bo, ,bi< sit.""" -.1<1 bo r<m<dk<l ""'" <he ynn "" <>01, «eomm<DCIol1om la .. Ill,.". to ,be _ of ....,.,,, pnceKa "'" impIc .... a'od.

8.>:: c.r..ould bu. 10 bc: !U" tha, ..... tb>a.I , .. u.- """Id "'" b< """,i'''' .... ""'td)' ..,.,,_ .. ." .rcn. poir od _ iD the pra.;ci<:e bj bc:d\a -.l , ... Iie>t ,ht ptiA<ipl~.) ot .lIt ........ ,_ 4o11y u.tb. T1Iq would I>< .<peded to ono p&r1 iD Ill. _ work 01 .1>< pn<Ii<:e b." the ...-.. of the pta<Clc& tI>oal<I n«>pII< ,1>0 •• bey .... ttai<>oeo &Dd ..... their ""1cioI ....... _ t>«;",

priooi'l'. n.. tudl« 1I"OOdd I>< <>peeled to aive oomo ~".". lonui hue ......... eocl> _ • ...;,11 opooIal '''jI!Io<io "" ",,=Imleabo ... pncti<:e ~ ..... o4mininro,"" ..... "" ,I>< iaopO<!UOO of .. ' ...... ~lIo.bI ...

8.'» W. _ot tha,., ,be end <>f Ih< ~ PB<1x. )'Oar the voe.o' ..... 1 ,ru.- oIo><IkI __ • k.....-!«lp &D<I I.j>p<"<ciI.h"" of the Im_ 01 "o""'n"';l}" mod;dno IlD<I ,be public heollll .... \"k •. w', lho,,'on. __ thI., be _ <pen<! ""'" tlm • • "odood '0 .... oo",,,,.";'y ca ... ~_ 01 ,be local heoI,h board and _Id ,"""",i~, Ilimooll ~h ,be .. ",rk" """ ~ 01 """""."il}" oocio.I oooooilt. U .... ~, __ IoI ....... """-I ... _I __ TO ........ _ ... 1 .. _cup ............. or 01 ... _ ..-;ty. All .. ~fIdfII --""IIM .. __ ~ 11111 1IIt._

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_ .. ....-..' ... IM .. _oflM....,."' _ _ .... ,_of' ........ oflM_Io ... ..-, .. ---.... ...... ~, Tbo """",tiooaI ,'*"-> io ""J ocIo ..... _Id be ~ to r<p:d tb<1II5dveo .. a poop &od to arnnp poop ~ Tblo <U! ~ """ ktivitits u a Joomol <I..b. Ibtealq to LopoI _

u...m... ><k<,cd 1f<U<t$. This "'" -. --." to bo bodI n1able w .......

CrI''''I"..S._ofT_''''''T-''~ ,,3oIi Tb< cri ........ 11>:1> 11." .. ~y been ...,...... by the &.",.1 CoIIep of G< .. tal PDc<~.,., ... .... ill .. , Opinioa laliofaotOf)' &od .... recom.o>ond lI>oif od<>pIioo. .. ~w.... They ore u loIIowo-

I. A<lcair<lOt-.io.

-~ 101 __ ,,-_."'_01_ .. _ -..---. !I!_"' ____ .. __ II>< ___ ...... ' ___ 01 _ _ ..... . "' .......... _ .. _---

2. Tlmetot.a.or.....m...", ___

-~ 101 __ :

\01_, ..... _"'_ 3. AIli.u./n ~ pat'-', paIt_ ,-INUtn (If ... y).

...u..., .... N "_101 jINICtiu Iutlf. ~ .. !<>,2.

~ Clllolcol"'"".....-. -. .. I..-:!.

,. $jI«i4J "" ...... , ~ ,_ cl atNr paltn#f In ,/or ....,.1<>o.-ltA Jp<dGI .... ,w.u""-m. _, .. Ior:!. ,-­rr.tIt<.....- ____

1. AIIIIiry 10 ...w no.ilabI< ~ -,. w.. tor ~ by -... 01 ~ ~ lot __ plo. ---. .. -,

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2. EzIIp1oyme<>' of oppropriol£ an<Ullry sWI':

l. PnctIoo oqllip!DO<l1 a<>d prooUo«:

1bo _"" .... ipliD& ;" _,~. 10 pt"""" quality 60'1:>---­__ ~tiooUldp«IIIiIco~

\·oa,,1ouI R.p.jn&a I.).! W. _ ...... _"o.a! ~er , ... aa«aI ...... ~ __ IcI ... ...- .. ""Idt. .... _Dt __ .....

• ...,-..11)" ~ '_"" .- -...- - ... ......... ThiI <hoaJ(I I>e t<pt b)' .... M_ RqIo<nllo" CowIcIL

uo w. OODSId<lOd wI1<!het !be", _ I>e periodic: _.,

of • .".,... ,.-.cti'io<Icn 01>0< Ill<)' ..... ......, """"od .., 111< .- rq\>ta". WIille .... ~, tbIo 10 bo __ a 'P"

"'_ .... ecIlteallotI. k~ ... !ta~lOoclo ..... "' pn.e.. .i«. 1_ lb. "'p/I&<iI.-J<I'" ",,!be ~ 0' <k><IOn to IOke pari iD .. b""'<S or .",u!""iIII oduoalion. 0., rt«I ..... ~ • • ;oe.;" .. 10_." 'bi< or< "",,"mod m pora,"pm ~ ... d ~l ,,'Ib;' ~~,

,-a.41 "The ___ ........ ""lIm«l .-, if

~<>d.""iU,..a ..,." .... 1_ ~".,.-AI'~ pncti­,..,...,.. Th. ~pols who .. h ....... ional ._ ,"10 <heir "....:ti< .. .,;~ 'b ..... " .. 1>< ... lh ~ _ .... -..I ",,,,,,I ... noJ ioI=l!s"J< "r -. o'Id k_s<- We .'" • ..arc ","-, ,b. lull I .. pl ........ ' ..... of ... ' ~"""ioas .... 11 _ di!rial" .... The ... ;. probi<m 11 • !&et of 1I~1l-eq>tipp<d PO<tJ' r"""~ ... ,,,'" "" ,0 <n ""<II,;ooo! ......... «>uld be plaoed ooo:h ~" WbiIe lhiII_tiocI.n..., ttI<oeIOII dqIe-b&o<l<4 pn<!iUoun coWd Wl<l<rtl1:. """ teocllinlo Sin<. Ib, """"'" of \he .ntlte ....... tioml Iftiniq octs< ... will &!>et>d .... <be qoaJil1 of I.bc t<IocbiD& the C<!uncll ,'" Poowad .. ,. M<di<aI Ed\I",tIoo oboolW "'*"&C '0<' !be '!"OIniDf 01 _"-

"

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CON'Tl.'1lJiI'<G EllUCATION

n. ..... t .. _".~ _ .. , ....

Ml We .. fm~ "~;"f ,,, ,be CO",jn..m. "'pi<! od,..""" of maIjcaJ "'''.C< M_ ou.It .. ~ _ .... 11"" .............. ~ , ... _okY!9 _.'Iy .. f~ ........... __ ....... 11111 III ponlooolorlf ~ .. . __ ,loo __ joorit)' Of

_, .... "'10_ .. ""'"' __ M_, .... 10' ...... ' _ ..... __ .1<01 ___ ..... ' .... ___ ,

....... _ ........... 1J.k# ,lI<y .... v<ry urnartaNo people. men OD<! ""*- .h<> .-I< .- _1 Ib>cI ..... , tbeir _ 0:\< .. ..,... ... thei, k~ l:>e<omet dalOl! on6 Iholt 0.,,100/< """"" *'>II ........ ,nttiOlOl!.

a..) COII,Inulnf O<!ucouoo III also ~ btea_ II'"'p&J"O!ioo lor . cane, In primary betI.h .... bu boon baphoanl. ~1aJ PP< III ,.... ~r.owl.. at _ ren.ral ~Ion<n- nu. !o pa:tioulv!y 10 In Ill<- II<1<If at JI'l'dlio'" mol ,Ite beIJa,iDural ~ ... 1:iclI .,.. hoeomiq ~y impor ... , fot _ral pnoctiIione" oM ""';eh ",", • ....,,, ........ ll"'r ." •• ll ""ntion In ,b. u_..-'. Cllrri<lllom.

a... A, pr<O<Il' prof...5otwol bodlcs. ..at .. the Royal CoDeres. "",,"'aU. ,be _.iI<d I't'>f."""". moll'Ol""lIlrl' bodies tIlIl """ ...... ket,,_ «e.. for r<oeral pra<t~"""'" MO<!,<IIl oot\oe.;.. flWte " ponicu\arly valuable """,rIbu'ion. Whlle on Ibeo< Il<Ilvilia .... """,me_N, III ......... , ..... tbe ""'ntll """'"'" 10 ...... lsfoctoll' bea .... ,be", III no ""'al< """,Ill'''''' ....... whlt 0Y<fi!I ~ biliIy '0 I"'O"i<Ie «,."low., eeI"CO""" f"" II""'ral pro«_.od ..a'IY et ,,.. "",,,teS boln_ t>tOVi<Ied .... DOl dl=ted optCifto:aII, 1OOIU<Io !be Deeds of r<DttI.l practItiooen..

a..S Tb. _ ...... bi<ll ... looi.1 ___ .... 00< be'" .",adO<! by "nrntl prKtl'iooen III Id\cien, number.. nu. .. probobl, du, lO • ,..riOly "f '""" ... So,.,. C'orntl pro«;'iooe ....... .,. __

""', obey D«d ='lIloinl «IuClllioo.. 'Ibe 0"'''''' ,end to be ''"' ",,",,.lIy 1<".,,«1 "nd .'" .." 10 .fRIII<d .. ,. ft, in '" the: .otmaf _ po''''m ollbe "ot:nI pra<titloner. (le •• ..:I prKtltiooen lint! k c!I/fInth '0 __ '" • ...we u..., '" .. 1<1>11.

$.016 "ut 10 ........ 10 ............. _ .... of _tin .. , «I __ ._Ilt,~ .. iu ...... '_

(.) ftlI!q !be PP' left b\" "-~e traio:iIII;

(b) k«pi ...... ,,"oral prulit»Mr ~p to"'", ... __ ".d ~dopm ..... Ut .... 0'011 IWd ""'" ~1 ~U O<qUolo"4 ,,"'b <k'~lop ... "" io otboro; and

«) ,he J>t'O"IIio<t 01 tho .on of stitDo! .. ilia, ~ tb, iolOlI«l. "",la the _". oo.d _eo fO.rntl """,;0. ........

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n._'''_Of~oiaa_ 8..-! llI< _ ""_ .. , ...... Of _ .......... ..- 11_", 00100 ~ _ ,.,..w practt\Io<I ... ,,",~ """,h 'G learn ,""" ~iDl Hd _iDa ,_ ...... I. i< ""'"' ""ponam tha, ,..,.,w .... :mp .......... r""" , po.tI of _9 pn.otice actM.y. to .... -.., of J"CIOp ~i<et, .... tilliP of 0ri&ht>o<lrlq """""" oI>oaId I>< .~ s..dI ..... ingt~;U !I<'I<f'OIIy ""'" Ill. otlmol", of '" oouide O<pIIioet ..- _ !'Hha ... ..;.,. _ Q< mm. .. , t. ... fu d;acalllk>n.

l.4I T1Mro 10, _ lot,.\ok..n..r 01--. SiAcc '110 ...... oIIjenh~ of <OCtin.1n.i od.,,","" Is .... ~pda',", .1 <km. .. d hIo<Ilo<Ip ~ will I>< n«:etI&ll' ,,, pnn'idt. , ..... ""ok< ." both Albj<ct """ _ .1 ~ .. , .... '" <0'" , ... ,bo .. .,. diB"""", """" ......... 01 _w ...... _ .. who ... .,. .. "'prds .,.. ,~- ... pric-

8.49 The '."".1 ketor<> "m <u<h • ru, ... 01 00' _,10"', «It>C&lIoo COO""'. Is "". 0/ ,u Ieio .Weal ...... """tIoDal metbods. Tbio iot pan"."'y Ut.lf ,. I>< 'h ..... "'!>en ,,,. ket" .. , and his audio..,. tIo .................... """"'ono, ..... y happ<D wh<D a JjlCciali5I '" In.i'ed '" _ .... ,encnl prKIi';O;-n. n.. ."' ....... .... ,..,~ oho<>ld \10 "" __ """ P'fI"p ponl<lpolioD and Involvhl, .be p"">:ipu>,, ,. ,It< ,... .... ULt., poooibl<. III <hII tepId , .. Xltntiol .,.,.".,.. ... 011 ... U .... fUll by tb< mot.mlly boo-pIuo" ,'" porIi<ttI.~y .. 1uoNe_ "'" only tIo '!>e, allow more actiYo porIIcljIoI .... in .... ....,.t 0/ .... tI<j>An .... , "'" 'bey _""" oomiD.~ la!omW _ .. """ dioou...,. 1001 ",,,, __ • ...-t.

""~, .-8.50 Sloe<: ,he «10"'''_ ""I"ire..."" of F1I<nl prKI~1oDm 'V)" «>MI&robly.;, Is I .. ~ '" ..,oetolio< .. '. "'0 ''''''''0' 01 oon,looin, «Iu<IItion -ttidt ..... vuqe practl,,,,,,,,, may r<qtlir< _""11). N."'t1b<I ........ 1<1, obIlp<! to _ GO 00"" """" and """"' &:tU«I ...... ;.1 .. " ..... I." tha, ~ .... Id: loo _ .. U ... _ ....... , ___ .-Id .... , ... '.o ..... d 11 •• ""'.1 ....... .". , .... .,., .. ~. "*boa:,.,. ~. At. "",,'lnuln; «loca-l .... «>una Ore _maIly m<MU=I in __ (0 .. !$ioD ",,101 &0-d ...... , ....... iIl, .• r .. """", or eveninrl: \asI.iq _ \ess ,han 'wo """n) ~-. ...m .. Ier to Ihltt ............ _"'* of ;n ..-. WltII. k iot 'pp&I'<1"I' ",", """"." least. _kI ""I"ir. comIdenbIy more lban 'hltt ~~ conoIdor It Wlr<Sliotic 10 ... ~ "'*' ""y busy ,..,.w P<O<titlono, <a,>Id olI"ord '" ..... iD "'~J f,om bio practioo lor 0 100£<. I'<riod ID atldi'"", '0 l>II.ormar _ t4I for boIida)'5, < ...

8.SI All._.t OOW"J« will "'" lIo< f<II<lOl pnctItloner .......,_ h.;u. 1.,.- 'U"""". I>< ~ 10<"""'" 10 pay f.,.. the .. rvicct 01 • IDeo .. dtuiq .... " obIeoce. nu., C01II\>I.-Iod .. "\<It Il>o .... un! rcluctaJl« 01 JI<OpIe """ ha ..... ,~, ,,,.0<1«1 repIa:l1 at

"

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"""""" will cootl.,.o 'Q d ..... ...,end praetitioDc<> I ..... pgmUal pootlJ"'luot< ,,_ nu. woo.ld b< 0»1<><1_1< ..... on <>01>-

oia=! tha, """,loulq educatioa <at! 1IIIOk •• real """'rlbutioa '0 ~, ,,_ or , .... <&1 pra<ti<o. n.o SUI ..... ___ , 10 _ tIIat __ ..., _IOIP .. ,-It. I, ..w. IMn-1 ...... Il00...-..1<0 ..... _ .. 1 __ ' __ _

tIo.wIq tWcolloo .. 1IIcb ..... 101 ,..- I .... u.. .. ,_a, of a _ ,,_ ... __ .1Iotoucc IOf II _ of ,..."..._ oc.Jr pt< yar. nu. JIOYID<.O' "-Id be ..... ,""" _ <be....,.. lO'" of LlOO 10< pncti<>:.>pemeO .. ",mdt pOOl "'.- """' at< puticlpod.,. iz> ,110 -.. of __ _

II.n W. _«<I w1>t<lI<r _ payment> IboalcI be <OIdInod '" _ ~ "' tb< Id>cme "'" !ch .ho, ,"" woWd be dU­cr!m.Inatol'J ood.-rtblt. TIlt majority of __ potticipo'lq

In 'be oclIem< ., <be "",m<.tl' at< at ,b. ~ 01 .boh caroen GC! ..... lneIlaiblo to pan!clpo.''''

POST(jRADUATE "WlCAL CEN'T'P.ES

1I.~3 Tb< ~ ModXaI Co.", ha ill • rtJotivtly ohO<I ,,,,,,"<I b:am. ". ;'"_. 0:",,,,,, In m<dl.:al ..t"oolloo I. (jlUt BntOJo. $od! <ell'''' ba" be.;omc tbo I",,,, roe • JIW &01 or Gd_ O<tmIY 0IId ho,,, bolP<d 10 briol _ _ 'ot otId<r. ~ bet_" ,b. ,v;"". brm.;hco ol tbo p«>IosoIO<o. Tb. RO}..J eom",l_ on M_I EIi.,,*,1oo tI04 "'11 to f&'! .boo, "' __

"""",...dual< .,«Ii<&l "'"".... moor or _ ho,,, l><eD <>ldollihed in =, }'<O"- ho,~ a bq; part to ploy In _liD­.Iq o4o<atloa. W. think th<t.!IIoaW be __ "'" In ..... di>tri<, bospi:oh. ~ • hue lor ... Area Orpnku &DIll or Oi<tlcol TIltor. OWe 01 ............... ....,1<1 b: to le< ,1\0, ,be" """ . li ... ly proJItUIIm< '" moo, .. ", . od ",be, I""'P ""I,ilic. whicIt woo:d ", •• <&IIy be _ "" ,11< .,."",. Pottaro<l"". ~ ""'''''' oh<> prooi<!e. ""I.,. wbt:", inl"""'" conta<" be,u<o doc1on "' <Ii4<1«" b,-..."b<. 01 O><didDt: <an TqII­

Iorly be mod<.. Tb< JIO'l&I"Od~ n>e<!k:ol «0'" ha ... fu 1""<>'«1 to be ,lie b:s< b::totloo for on up-t<>-dato: m.tdicaI1lInry • ..-bich _ be ,,..ly.,_ for 011 docton In <be ..... ".

!501 ~ .• _ ... , ......... _, .. ____ It!~ ....... iII.B -Jor __ 'bent_, ....... 1 ... __

_ .. 0.1>lIo. _ of .... ~ eOft ... Un 10 too pro.tdocf _ ........ r..-I"" ..... ..,..,.., _ pmat. ___ too ~ , .. _,.-. Ooe<on 'h • ....t .... _id mat •• <>:>II1rlI)o1lool wIIIcb. ....., be ..,. • """"""",od rol!otrlpm. W\tOl """ loo _ l»' IoctoI _ 11 ........ In Cork -. ""'tn"batioas 10-': £20.101 ""'*<do <be ootabtIohmmt "'. cell .... _ ...... -,- ,.

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THE ROL£ OF THE COUNCIL FOR POSTGRADUATE ~1E01CAL EOVCATlON

$.s.s w • ...- "'" ~ ..... _ ... , cl a Coul><il f", """,,...mOl< l>fodiaol Ed ... lioo wblo:II _ to 110 ............ cl _ ......,.-.,llom.

(0) .0 ptOlllO<O tbe d.,..lopme:n' of pooolfOlba .. med>:al and dental «1.",,100 ood .rain .... ~ rcpsd ..... ioDol rcqulrcmena. and IQ co-<>rdin.to sucll d<'~lo!>1n<n';

(b) altor <OIl!Iolt>tIoa ... opproprial< •• i,b """" b<:>dio$. to od ... tbo Minister for HeoItb on the matl<n nf<m>d to hi po"",*"" (a) aM .. to lbe ~ prov\IbI _rr._

(e) io -.-'" cues. t. orpnioe ~to """"'­...... traHtbIf r ... -."" ..... 00"_

lSS h;, do .. ffOlD.- "tfM 01 .. I.,...,.. ,Iw t!oao tbe eo..... <il wiIIuve 0 _ reopomibiIiIy lor tbe ~ Imnlrc_ OOIIIin~inI «I ........ of tU brucb<s 01 tbe _ prnr-. 11 ~ .-.u.k. -'11< rerpODI4"biJj'Y III "'pn! to tbo __ of F"CnrJ~

l~ A> "" have aid iD. oarIj,o, _od>..,.,. it will be _ ..". to tn!a. lII\y .... onl ~ """ooUy. A ~ pro-pO""", wlU be ..... in><! iII""h1n8 UQ ~ ~ of """'" .... third I. <>n. ball ...m be o.\aOIIo<I '0 proeo.... _ tbe ", ... 1.<1<, to ",,","Wo. In ....... of ".",bm ODd tcOOIlt<d .be !><od< ()( Fn,roi ptlI",1ce In ",lo.ion t •• Ms ,_UoaaI lroiniq 5Cbemc and to tb. I'fOInmmc of _tio~ cd""",ioa ,,-bi<h .... ",pnI .. <tICntial. "f11 01"""" ocnoiDly .. <cod tb. DC<d> 01 oD othot <b«ipl"", 11'" '''F'~''-

1.110 Tbccc""' "'" """"" •• 00 bocI)' iD. <$tt .... _ coaId .-.ut, tbe complex _ of ",paiJiq ,_ <du<orlonal _

;..;.. to< ~..,.roi P<O<".i<t_ Sic<:« _ uaInlna roe Focnl prKti« w:iII tat. pII.ce .mu!> tbc IooopiW and becau. bos;IItak. 0><d£&I -. ODd 11>0 otbt, 410;;l'iii><0 will 110 ...... im.portaot

~

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""" le> pia, it i> ,,1<1<., <hat • widely tu:.! _ body is .... qtI/r<d. P ... , __ ... .-_ 'Mo .... (_ •• _

v-I_ .. ~I"" _ -. , ... tR, 01 ---. ...! ...-. ..... _ ..... _. ,"",I« ,. ,10< _" ... ,loaf M IJ ~ . •. 6' "' __ 111..,- ..... ' 10'- 01 , ... " ...... '....,..aol _oil" ...... -"'<e. _"" ...... 01 • ...- __ ...... "' .. ..-.'OoI .. _ ... -._ ...... F __ tt 1o_ .... IMIM_ ... ~' ...... ~(_ ...... k. --............ _ .......................... . a~2 50<0.,. <>f 'be .~_ of " •• ..! ~ loWllvcd 0l>II ,h_ -""Wc of the ot~ p<ObIc"", tMt .,;:u oriJe ... ....... _ tIuoI ~ (_oil _ .. .- ,....... _ .... -.. _ Ik.- ndooulllospltolllooanl ...... ...! ........ .... .. '1 .... _ o. 00 .... Co<It """ ~T' To th< .. , ... , ..... , I, 11 ..... .....,.!hot< """,,"n_ """iJ ala> be ;"WII,'ed ;" the troizliq n<ed1 01 ..... , tiD.:!pli .... od tb, """m;""," .""Id lie oppopr;. &Id, ....... ;""«1. O.""nII pnc".i<c Iboold be Ifl'OQ&ly "'~ OD ........ n.. .. 01>00 .... oloo lie m>tOOO"I&tkm ITOt:lI th< <0_"""1 bealth .. mo...

,,<13 Th. CotLD<il __ toW iu tuI: ~nlcu it 0l>II It> """""it · "' ....... """"cd to,. aad. &do ndooul ...mu .. _Ill ...... ~ Dcao ..". .. ndnIy ;" DobllD ODd ptobo!tIy in tlIo 0Ihc, "''"'''' ol!<w>ld be..-bole-<im<. T ......... thot "",,,,!<_, ....... dbtotioa. _ 01 , .. -. _'" ""' .. (IT ...... _ . "'.~tMt ___ ... ,......r~.

Sioet. " 11 «<toiD thot ""'" 01 tbe «1 .... ,_ .octi>·;ty ..-w b< in th. Jkld 01 ", .. nil proaioo. i • ..,11 be oIM<l<n \ho, the _ primarlty _~"oI< 10< Iu otp.n\>Ol"", ODd diteaiott ohottld be ft'Ofll <hat ditdpIlo •. Eod1 wo "'"y DAd Oh<..,ppon 0( ",,,,,,01 ,o •• to! _ice odv ....... bot. «<:nIh.~ lro .. , .. ,,01 PR<"'ion'n io , ... oqioD, _Id ..... t Ott • >eWo.ooI !taW. W< "" .. , io this _KIion, ttOIod the 5U<C<>S of '''' ........ of ,be Nonb<rn 1",1on<! CoItnclI lot Post""",,,,"1< MabcaI Edu..,.h" ... _, .b. d1 ... ","", of !to ... -..imo Dir«:lo<. Dr. J. P. M<J(.~,. """ b.u. t<oeroI p<a<tll~' bocq,-oo<d

'.(\01 T100 0:-_ 10< ,.....,...,. M __ ~ "" fttIootoI --..m __ Ill .. .-- •• , .. _ ........ 01 .-.. c..._ 10< , __ Id ..-, .. • _00II -.-o..lnIItIItf; ... -... _~ ... _III .... __ ... ,, ___ ...-. M wdl .. be"" JOO!I dit>-

Id .... fi .. .....,tIoI t/to.. """"' .. be ....u ,~""" io od..e&lloo&l tccItoiqu ...

MS The Implancn ....... of .-~ is bor.b ........ '" """"''1 ..... of th. Jf<&_ ioopocw>oc 11 ,boy o~ _ Ittopk.

"

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.... lOCl ... -'<I be """""'1IllIiI>a _ '0' ~ 1><>Wt __ it<. Poorly ,rained. _"'i ..... y e<Io>cOIecI mol iooIoted "' ..... pnoctibo:><!$ ........ _y ~ • __ mol _

,h< do~ -. ~pOoI ",,,. .. "~ ~ rauo",,",

_0 .... eo..o......,. I w.IllI !.~ w. _ ,bo, ,",. lOI,j",*", dooeitiotI ""rdioa Ill< _, in _ ~ mcd ... I..!u<& .... for Ill< "*"'-<Iio<ipIUo<oI io ~ "'" w;,h '1>0 c..w..-a Wo _ """ 11 '0 ut>don.ok. lbo tolo .... ha,.. ~ I"" ;, iB .... tioa 10 ..-01 ~_ W. "" •• , -. .. , --...,1«1 ......... _ .... , .... Id oNo 10. ...... , ..... c.. .... .ot ......... !UC ..... 1._ .. .... ' ... __ Iht._bo~Io_ .. _-.... of c-.....tc:: 1I_ .... 0 r .... " ~ ,_ poIoIk ,.,.., ........ 1110_110.-.

8.61 n. ....... 1><. b<noIIlC .. 1Ucll """Id be .... hod r",," ..

"",j'"1< 0( CommtW'y Health. Tbc boopil.ll pnn-ideo • pbYJi<oJ ,_ ood ......... ~ 1..-~ """""" In;\. By _ ..... " ...-<Rl ............... -.~ ..... ~'1_1O_ .. fdaU .. "" ..... pIdo _6oL n.. .. If. _ 10 """"" _ ........ , ... ,.nlnlafly III ,b. _ of _ •• This _Id lad"", "'" ooly 1.1l<!ld pnoctitloa .... directon 01 co"""wol,y caro uti """, . .. unilJ pbrololula bo, ob> .... n ..... ptOf ....... u.d ,lI< YOlWlIU) ,,,,,,,i00i.,,,, 5.68 a-bc .. ,.o ha ... U<>I<d .... impoNao» 01 hoo.!<h ..dua-tioa. n..r. ia, _ .. r. no ........ ...", .."Ippod '0 cl""', "... .... "'" ..- .. provide 0 L ..... ry 01 """,bI. ~ ..... rV.l ... ' ~

5.611 .u """,,"'0 of eo..oolO/lt __ ,.. ..... 0 __

1"".......- __ 1Idp1O lIB .... _111_ •• ..-. UoI""""""ly. "'"' 01 "'" .....,...,,,_ 01 ... , ""oIt11 .. tvIu b ,"" ...-y lot&< """'''''' 01 ""~lOf"J ..... CIlloor bOdMoo .. ..,;~ -.I I ... tills _ ..... ~ .... ol "'" _",le ImpljcatioM, war .. l",*"" .. moh 0 II:m ~n40bool ...... 1:>IiJIl I0><Il • I>ocIy .>«q:ot in tile .. 100 __ tile Coo"'" 1o, l'<>ft-(fOda.l" M_I Edn .. • ,;0" d_ ... 10 _ ... , pn>poWo.

TlfE P.OU! Of THE ROYAl.. COlJ..EOE Of GENERAL PIt~crrnOliElt5

5.70 Tbo Royal CoIIoI" of G=oral I'r.ailx-n b IOpt<Oelt"'" la 1 ... 1aod b1 r"", loaWieo which are ...,...hly _ upon "'" IOW" F<rvio<:e> ..... Jr, .. Moh c-r.cn wIliob """ ... <»<>rdlcIa,j"" I>ocIy ... lr.w..t Eao/I 01 !loo f .... ltloo I< ~ted on c..tk,., Coo~l"'~.

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'-71 -noc-.. .. _IIoo_t.-.lo.etol._tce.I. """" .. ploy. -. imp.rtal" port h _~. ~ ... ____ ."IIdo __ It"' ..... . ~tI-.... .... _""_ .. _ ....... .. ,nctioo ----. tIHo ....... of ___ ... _ ~

......... It _ -. _It'~,..,.. -""'"pori 10 ,...... .-..-... -., ........ --~­_ uoIlIo/f 10 tIHo CoudiIlor ~Io M...al EoI_

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PART IV

CONCLUSION

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aA

;f;\jW ..I MC)

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--, THIC LPILQCIJE

9.1 The: (0<1 Ibal "" bn< • .,... ... ;" ..-hi<!> _.aI prto:ti,,-,>' iDeo .... or<> cIomod in par! _ prinu I .... ucl in pan mm ,11< SIt,. _ probI<tno 10 relation to .... ""- ~f ~ -,,"t· 111<.' .. hi<lI bcoItI> boerdo m.i.rh' be ~«I to make ,....anh tbe fd' ...... (nCIlllooo, O<t?!= The Stat ............. "" _1tIlit)-to provI!Io • If<. 1<.....:1 p<O<1i..,..., >trvi<c 'or IlI<dkoI <ani h::>Id<n oely (r00ah/7 JO<ro 01 tbo populo';""): ,be 1<0000odel have to 11'1 lII<ir _ •. Th. N'te, is fIItth..- oornplicalod by .... ",equal distribution of ~ caN poti ..... ~, 11>< _10,10 .. III _ ...... tbo .... jor\Iy .1 poople .... =<1 '" IDCdicoI <ani>, while In <HlI<n Ib~ II'IOdi<ol card .. t~ OO!>Ililu, .. only • omalI proporJoa 01 th, »O!Ml!atiou. Fur\br""""" .... . 4001"" do _ ptovlok .. me... 1<Pr m«Ilca1 card hoIde ....... hik for ",I<=., .his _ 01 ,he ~Jallo!l __ u.u 'or .... flUL boil; "I tbeir pn<tice.

9.2 ""' .. o.t.ua.o.!i", ,be r .... tIw..1ltIt put of ,. .. <01 pra<1;o. .. 01. priva!e ........ , Ill< sw. hat the __ 7 to ... 'bo' .... _ po<tibi< <WIIW<I of _ ..........., ... oniJalll< to ....

_lu .... '. _. I ....... ..;w 10' ..... in.Ix I>etllb ucI ... 1\. be.,. of i!> _""" 011 _ r-a60 Io....no. .bo. """ ,..w pto<ti!ioo<r .. <OI« is '" tbo """ poaIbIo qouJi,,", It io...­.; ......... ...u --. -.. ot>d ~ ,..;p,ed primary _ care ..me.. """'le! .-.. <be <I<maIId lor b<oopital _

~ tb "'_ ""P""""'- OIrueqDeotIJ. _ wIoety IfI<Ol

"" the prilIW'J' ...... ," "'""" mi!'>t -U J'ieId "'*"<!oI_ io tl>< ~ _10 _'0 .... =-01. b""er ..... """" «> .. ]>t'OII •• ~". ptiowy IIetltb ..... ........,..

9.3 Wit!> Ill< «l1li,"' .... <VOID.;.,., of ... Ie !><aI,,, I<m.x. ;, 10 .1_ ,;ootablo ,ho, •• title ..... , to tbo Jt" ..... II)«ticI.J I<n<\C< .. iD be ""_.1 in • ,wti •• ly obort tIm<. As .. iDd."',. ill Chap''' 6, "" ,.""'"' rucb • <I<.~.t and ..... .-1hII' rucb ... :trr.l""'mrn' ..... 1(I be~' 10 moo, ,.".,," praai'ioom.. CoMtq ... "". """"J' •• pen<I<d.t !hi> ~..m mer.1y UlOOpoto !ry' r.,..)'Mn <Onl"", ....... wllkb • .u." .. ",let _Id 1'«1"1 .. I I<>ullll<not •.

U 1."'1o~ ... ,.aI:.. ____ l\· ... w.00 -'IIdeot_ ~1I..-r",. ___ IO_ "'i' ,._, ... ,_,,_ ..... ....-, ....... --"' _____ )onto __ 10 ...........

:oi<-\I100 _ .--- _ "hi! '" _ ~ ,loo _ .. _,_ ..... _ .. , ... __ flt __

Ioz I ... __ ~. no. ___ "' fit ....,... ..... Ill< --- "

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EXTRACT FROM THE GENEIlAL MEl.IOllA.'IOUM DfSCRlBDlO THE MANN£R IN WHICH

TH£ GENUA!. MEDICAL SERVICE OPERA'la

~......--t.f" _"""_ n. HeaIIlI boudo w\Il be .~ «> &I..e """" ,-.rds the prOo'IJIoo 01 ..... pro<tl<:< prem!o<a or 10< ,he ~'" 0< .ncmloa of tbo: cJdstIna: praetioo pr<mr.o. 01 ponicipOtiq &octors.

n AppIieo' "'" ~ b< -. to tIw> I><ahh __ riI ...... lido< wbo<Uloe' it _Id rive • mm ;" tilt liP' 01

(l) ,be "_bo, of '\iI<1>le fI"'- "" tbo: ~ 1iII.

(b) Ib, ...... ' and "'ut< 01 the ~,ioa oIr...ty oftil. able ,.him iD hio _ioc ......... 0Qd

(.) .... oYOllabilitJ of olumo,/ve I • .,m,ioo lor r<UtaI pnai.­tio<>e .. 0 ..... ,lit OOIItrol 01 tbe bultll boar<!.

' 5. '0 tlIo 0A0t 01 on IIIdiYiduoI poni<ipo'iIll prKti<ioo'" beo)'b boon! ... y ,;... • "..,., ........ MilIJ ,. 2S'IO 01 lilt 0<I0l of tit • • "pro .. " """" ."bjee! to • mui",.m 01 £500. 111< b<altb boon! ""f. _. pw. "*'" ''''''''''':''41 '0 J1j'lb"bjoot t'" mm. "'.", of £750 ,co '" !..4lY\4u", ponIdpo,,", ptoo<t/t ....... ill • M.....- " ora. or "other nuol " ..... ( __ ... in pon.Jnpb 65).

16. I:u .... cost 01 two ponklPO'ilIJ pro<:t!dooen opmq 10 O>OOCIotlotl ""'" tho ...... pr<.u... • bul'h _ ma, rl ....... ' _,." «> l1,'" 01 tbe 0001 '" ,be _CIY'<d _ s.bj<ct to. muimWII 01 17n

TI. I. tbe ..... oI,..,.p pno<ticos. bullll \IO&td may p.. V'o.b 01 SI.No of lilt .... 01 ,lit .~ _ ,.~ject '0 • DlUimu,", 01 l).ooo lor Ill..., doet .... O>creoaoa by £2SI) '" _ 01 _h o&IitioatJ _ '" the pno<tioe .

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1'- A beah.b '-'<I !D&J """""" • pxtllloDc, ....., ... reooi>'<d • IJtUl \0 """"'fI all 0< pOrtioD of ~ ..... '" be voIoowily ..... \0 partlq.t< iD Ill< ocIIcme within _ ,.an of tl>t po}'lDlOll of lI&<

~~

~of_""-

~. Portidpol;q &.:I ... _J b< 0/1,.-..1 facilili<o '0 pnctX.o ;. .oistiIq; b<alI!t <C ....... ~ 0< .u..,. boaltb '-'<I __ .... _,ioa. Wbo .... _, distri<t tD<dlcol <4c<r O<CIlpOcs • dispotIs&ry _ bo wID. bo .- \0 oootlnn '" _"potioo

.. \OOC .. bo portkipo'" '" ,ta. ..... ..rn.:e '" tbo ...... """"""'" Who", • ~ ud. raid<n<C .... "'"" tos<lI> .. ooJy tbo doaor ocatpy!o,c tbo =id<nco wID. ha ... riP' \0 .... \ho, c!bpauvy.

80. No cbarp wID. bo modo ,,, • di>pooary dDcIOr wftlI •• , ...... " rlahl of p&rt\oipWoG ......... boalth =In. diopcmary or other beo.lll> '-'<I prcra"" AD .pp<oprlo,. ....,.,,;.,... "".trlbo,1o<t IOWlrdo ",OnID.I upc .... wID. b< made by odKr prKIiliooen • ...n­"" of -" ft<iliUco bu, thcY woal4 bo p<oY\oSod f.--l-cllarJ< fOl" approved pOrtD<nhlpo or p"OIOp pta";";"

81 Wbo:,.. ~ _loos .. oOC «qIItn.I by. bWlI> bo&rd for tbo _ of tbo a-nI modiaoI ~ " .... J b< ""'" lor ..,.". Olbor _ I""JI<* or c!iopoood of 10 .-. will> .. ,lied

"""""" 81. WIl, .. 'h .. , io • ~ ~ n.,..., tbo beah.b board .... y """,u",. to ,..., it 01" •• , W. ~ .. _, MD il '" • porti<i­pollq pnctitioaa ,,110 io ~ k . , 1110 lime. bu •• .-pt pOrlI&po ill "" ... opoojol .......... ~ wID. _ b< ~ by tbt _ boord.

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_.-H ....... _' ~ -. ~,,-a. -...... "'-, ~------.-I"!I:., _ .. .­.­~,-", -, ~,

'-.......... Hw.". -, =' -

" " .. " , " " " ..

" .. "

" , ,

..

" .. " " " " " , " " " .. .. .. .. .. " .. • ..

!: , , • , . , , , .

.... -= " '" • ,.

" • " " • .. .. " ;~

" • .. • , ,

.. " .. .. .. " m

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-, POSITION REGAROD/G MEDICAL c.uws

ON II DEcrMltER, 1912 --_ .. ,=. ';:--f-~ _.b :r.:=. =-.::=" .=".5'.. {;;T/:-_,.-, __ .. "r.::= .... ~ .-.::.~ "''''' -. -. "",,~. ~" ,,~ "., "., ~,. - ,,- "...,., ,N IH l$" .... ,. - ,~ , .... ' ... "., ".m

~. 'l,lIl ' ... '., 'W ,N mo' ~. - ~, ,~, '" - .~

a=~. ,~

l:~ •• ,,' = '.- , 'I" - ,,~ .- ,~ ,,~ n' ... .. m , .. ~----=-+ ... ,~-

;>7.m ...... _,

"_IOn .... ,, ~ ,~ - ., - ,-- , ..... .. ~ o. m ,-T_"""-· .~ ,,~ - ... ~,

T",., ~. ,., .... .' 0> ~-_no&> __ ' - ~ .~ "., - ~" ~ ~ ~ '-H "'1 >to" - 11 ... ., ., '" n,-m _.

,.." .- •• •• ~ =. ,,~ ,,~ .. . •• .~

..,.".." ....... ' = =, ~. ~, 'N ,.~

~ 11.7,. ... >1,1 ~ - >!.-m 1]., - ~. , .. ~, ').,'lJ ~ - 'om ----- ---~-. ~ - ~

., - ~, ,- '",,1. - "' .. .• " ~;S.A.' ,- .~ •• ,a .p - ,,~

~ ,>-> - 77-''' .- ,,,,,. . , ... ~" ---------, .. - '='1 .. , - --. ~ ,,~ ",. ,"., - ~ - .~ ,,= - •• 1I~r.:: -----

~. ~ "!JI"_ -~~ , .. o.rn

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_. "- "~ ,,~ >'0 ,,-1 ,.~

~ ~ ~, ... ". ''''):> 'u, ~" ". "., , ~"

'.' , ~,. "' .... •• .. ,,~

-~. ~, . -..:;:;o.--;;;-~~ ...............

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_. AGREDIDIT FOR PROVISION OF SERVICES

UNDER $ECl10N SS OF ~ H£ALTlI ACT,lm

I ('olod; Ioucn) .................. ,... . ..... , of (bIock~) -...... - .... ,,, .......... {IIo<..-_ 1IIo....-.~)_IO-*_itl_ wllIolloo __ """WO' ....... __ ... IhiI_ ... per-. ...u4 '" """"'" ....s.r ooctIooo SS of Il1o. _ Aco, lP70 (IImio.aho< n1=od ..... cIiIiWoo _1 r.., _ .... .. _. , ...... , .... " .... HoalUI_~_ .... _1 1I~1or..tiq_ .. .- ....... no. pIoao(o) 01 __ rr- _ I _ ~ .-.......... ...,""'.,. ___ .... _'_Ioo-...n, • ..n.blo -" _ f ... .."...,. ~.tioao .0 fIt1 pla«(1) of .. ___ bc .. ,_:-

(11 PIooo of .,~ ..•.•. " ...... " ............ .. 00,., ODd boun DO<mal/)'.nIW>Io ........ <1'

(b) "'"""01.,_ Do)'l _ .......... rman, ._ .. ..,...,.

IIID _af_ ..... 0.,. _ -. --a,o .-wo ot -..rJ . c-... __ ,. .. __ Io .... IIIcaIiI'.

1_ ........... IhiI __ fl .. lom:._IO",,",,-, ...,. pIa<o(.) of .,_ r>t .... ,. 0< -. of .. ..-- ., .. to ... tonaIly 0II'O<t IlIo .,..,...otienao of .., po:ltall 10 !be .... hi _ I .... prKIidq "" ""ton.,. lato tbo ........... or to rCJi<k l>of<I'I'I _bl. _ '" ,'''' pIoooo cf 0"_"'" llo1od .\I<Wt"

Tb< dol. of .. , birth 11 , .• , of ............... 19 ..

SIpo(IIldI. do,,,, " Ia .... __

n.."",..,.,.-l 01. "'" -.taI.-- I<><!be __ l17_oI_lll_wIllolllo ___ _ of __ btrotrJ occep«d OB boeIoalI of .... _

$Ip<o! .......... ~do,of .. 19

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TER.\1S AND COr<nmoNS OF AGREEMENT WITH REGiSTERED MEDICAL PRAcrmO""ER _1 ..... _--""' ... .....-

I. Tb. III<dieal pnctitioner _ pr<I'I><I<..mea. QI' artaq< 101

,lie pro>Uioo 01 .. n1<n. ;" 0tt0I'I!u", ..nt> .- ...... ID<! ...... d1tlo<tl '01_

101 oil <liltbI< P<J'>O<"I"'_ bo hu o=pt<d fo< iDcluaoo In hi> list of <tiz\bk po ....... l1><I """ hove 00< bec:tt __ 'n 1>.1 .. lr)' a.: board .. hovlq _ '" be ott Ilk fut,

l~) oil .~o1< PO"""" ...., loo, .. boon .,.;pod ,~ b"" lr)'lht \>owl in __ "';'b _pi> 7 ID<! _ ..... "'" ..... __ '0 him by 111. board .. boviq _ '0 be 011 \be 1is1,

(c) oil <liJjbl. PO"""" ._ bo baI occep«d .. 'emporary _to (os &Ih •• d '" ponoptpl> 3) et ...., 1>0. .... _ ....... «1 '" Itim .. temponry raicleDIJ.

Cdl "J <kpeod<m cblkI 01 on di&ible _ iDdudocI ia Ilk 1loI_...". may"", 1<' 1>0", _-.:I ",tb<1loI lr)' ,bo board, "'" 1>:;", ". "'I ... , for """'" " III«Ii<:at pn<HlioMr .... liability ,~ prookIo ..-.. unok, .ab< 63 of ,h. fkoltlt ACI. 1970 In ~ _ lID ~ ""'", made .. 1I~ ,I>: I>owI

L Tb< board .... , ....... on 'IiItOk _ '" be ~ it>1h< 0Itdi<&! pr&<ti,~ ... 1irt ill ~ .. iU> u.;. ~ In oo.r .,... "be«n"_",,, .. <~'bI, _"'.-_. "'" or ......., m«lieol p'K,hioo'" .. ·~o 1>& ... ", ......... '" ...... _ ... '" pr<widc .. ,,1< ... 1l>< bowl >holt ,,,,,..as. ill powe' 0/ ...... 1I1CII' 0IIIr it> ,he .... of a pe<OOl1 ... bo has """""",..r..Dy applkd to oil ,boo< modi<&! p""itioo<n 0, t. "' kasI thr«: .f th.", ... biclt..." i> the 1= Tb< .......... ., 01 • po,io", lr)'1ll. boud >holt be '" ... • ,·..a.0Ie mw;.ol pnotitio<t<r JPR<tisio& ;,. lht a:<a who Iw 'Ol<mt ;"," aD ~tIl •• , lor tlto ~ et ............ "D""" Ill. ,bid <.<eaI1lve omo., io .. tisIkd tbaI Illero " alOQCl ,euoo lot "'" <IoiII,I this. Aloip,m<,". aball be ...... ~ "" the t<qtI .. of 1l>< doe"" .. "'1 <lm< aft., the .<pI .. ,;.,., 0/ ......... 'hI from the date 0/ 0I0ipmc.~ Who", .. OI"""'Dt "';Ill • 1I>Od/QI pt8<!iI'"'''' hu l<mUna<Oti 0< baI ..... _odoll .od« ,.. ..... pI> 1'1 Ill. _ may .,.;p p<t>OIIJ ott tha, prac:~t.Ionct'. !In '" -"'" m<dH>ol prs<tit.lonc, (1)<10, • ......ti<at ...... ~.,.,., """ Iw .. ,uod ;"w ... """''''''"' "';Ill the board) "';tIt tit. -... of tbot ,....,. 1iIiooc, ""tit ... _ ....... Ill> boat modo llitb .-be, modi<al practitic>o« iD. .!Ucoes1ion 10 ,be _,tioaod III«Ii<:at pnoc­:itioD«, 01' 'be __ ha. boat I<nItb!ated. .. tilt .... "'"' .... The. chi<f C>:GCtlme ot'I'ktr :shin amul1 I1 rqaIu ",!m'llJ wilb ,be orpolood _ prQfosslon .. !'dol;"" '" ,lie poIl<y or IlI&

"""'''' ... th. operation or !hlo porqntpIL

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T ... ..,...,.-..

;. A~ <I;pl>l< _ ""'" """"" l<mponrlIy to .ltI<I 11 -.or 10 .!IIa« 001 .. ,,<4 t>y U>o mod;cal ~tioo« 0<1 _ .... bo 11 iadod<d oM .. bo ..... _ ... U>o ...... of IIio .m..l .. _ ..a-. ;n'.<>ol 1<1 .. O>aio 1It< .. 10< • poliood ""<:«<liciI """" _Ibo, IIWl be rq&rded as a tcmpon:y raidonL U hlI .... , at _ pia<:< <,I;.<DdI '0 _ ... 'h>n ,"' .. _nu h~ ,..;,uo« f.., .. n ... nd 01 ,ho. poliood >ball <CUt 1<1 bo roprdcd os 1<mporvy.

EIoott& .. <:, 'ru'_.' 4. Tho m<dleaI praa~;" .. r """'PI' ....,om>MIiI)" ..-lthio ra>oa to ~ ... ·bcn ... ilabk. .ill,1a Ill!. .,... '" proo:U<e ~ --.""" I", ~ &ri!ii", !mm &<dd<nL1 or <>IIKnvioo. of ~ I"'fXOJ _ OIl hill !iJI _'" hi: i:I __ '0 ll'< _ :oct>ieto or _'" tit< PO""" an...to a. blIt surz<tJ' lor _ I<nied. No ""'<It ~~i')· slwtn on.: ........... U>o m<dleaI ~ ..... _ Ill' "'" POI'SOl1', oamo Itt _. 0< hill dopu',. u _ .. ~iIobl< '" "",,>J< IU<It "",-.

, ....... ,.,. ........... S. Tb< "U",)-a 01 """""" ... _ .ome> may bo pIaQocf 0<1 ....

H" of 0 ~''''''' (or. 10 tile <a>e 01 • practltloo<. ~ ha> ~..."" ... h.wo or JDOre hcolt~ bo.",I .. th •• OtO! of the .~ ... bo" .. bid> .. y bo pIo«<l "" "'" l~ for tbooo bo.fds) sboll _ <>««I 1..OOl ....... bore the baud ". tbo IunIs, io •• ~ <ircum>l&:1= ot", """",~.tloo ..-l'h the orpniood modi<oJ pro­louioa. _ "'" ,,, .pply ,hi! liaUL \\'l><f<. modictl pro<tlt_ .. 110 .... ,n"m:I 10,,, on q ........ , boId.1 •• opp>intIIHtDI ono!«. b<af,b ..... r<!. ,11< __ r tp:cl/r • t=\. 100= .... 1.MO for Ihc ~.mb<, " <!laiN< II<"'O'IS on ,~. liOI, Of ..... of lIlO, ..... i.i<><><,.

_,_ .. '" 0«<PIUe< of 0_ (;. A ...... tim, ... ~., 10 ,11< iod ...... 01 an .li,,"tIIe _ ;., bit list .• _ioctl "''''"'".",., _1 '""""" Il>< board '0 ~ 10' "'" _1iEt ...... of ....:h ~ The board <boIf .bo~ "pOD ""'iI) the pol">Oll O«OJ<Iia&lJ ODd "ppr him .n,h mt".....· tioCI '0 _01< ),jm to .fIPl~ tOf in<l ...... itI .... );o! 01 _bet O>«Iical ~" Oo.hI: _ be.,.. a<otp<od by, """""""'" to. """,be. mc&aI pruti<ioa<r.1Uo 11&111< obolI be _ ffOQt tb< .... 01 "'" _ ~, _ '""I_od diooootlotw>«. Tbe board sbaII U<UQ lot "",ion uDCi<. thi:I pon.ptpIt 10 bo /aiI.I&.O/l whin >c«" do, .... ~ .0 be CQOIpktod wltIt all """ .. ,.;.", opood. 11 .• fto, ,!to .. pi ...... 01 ""e _tb I""".be _ lor ........ tialUlllCO, .... 1",-', """'" ha> _ ...... indud<4 itI rho lilt of .-ha IDOI6cal pnctit_. tbo board _ unla! tbore"", 11$­

..... ,1&1 -"'" tot ... dolna "" ..... him '0 orIOthor .....!icol _ruo,,,,, (bci., • medieaI ",,11";._ who ha> .. "rod in.o on qt'<OIDOD' with ,he boM!). Tb< oItiol 01«11"'" oIft<tT slwtn """"'"

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",!Ill .... otpajsod .,o4ic:al p«>I_ ., _Iu 1."fYlIIo iD. rdotio1l 10 ,11< pOIiq of ,be board OD lho op<nllon of <hlo ~

_01-,,-,_ 7_ no. Oltdi<al _'ition" sba.D be • .-JabI. for O3DSU.llOlx", b)' rlidbto pe""'" .t IW ru'Vry or ..,.,. .... 0lI4 fot _~. vbitlllJ lOt • '0101 of 00 """,, durio, .. ell _It, "" e.. do,. or more la tile -.t. He sIIaII ah<> make ... ".b!o ....",._ \0

<UbIe oootacl \0 I>< lIWIe wlUt mm "",1icI< .......o,J """" for """It! ....... ",. ~ ptaotltioa .. ,1Wl "",t. " ... fIoblo (ei,""' ... lb. ~ _11'OqUIR, "' Mo ru'V"Y OI' . t tb< pe""", home ..... t ..... b,,, pIo<c wilhill IIio aru of pnctioo) ta Ill< _ r{>l' """"" be .. obIla<d '0 pt<Wi<Io ,.....,.. all proper ..... ~ tru,."..t 01 • km~ .... on, .!>IIon,'''' by. ~ ~ ..... DO' ~ tPfd*l .m Of .~perioeaot 01 • do,.... or kind _ ,. ..... 1 praelilianen ea..- .......... Wy be upOOIo<! 10 __ Tb< -.J pn<tI_ oIIall __ ;do ......... lbet ......-' U}'

__ .. b.'cll _1 I>< ~ """'" .. o.pH"-'" fOf tb< pro­vhio. of.ervbs uader I«lloa. 6'2 ....... .", 6l of 'l>e HeoIIh "'CI, 1970, Of •• , ... wit!> tb< 00 .... ' 01 ,be -..d. uty .. me.. rdo,lol to 1IIuo • ......", <It votdtIa,.", ,~<Iodlq '<tutu> IIIuowtko.loa. ,. COl< of Iajury.

11. II ,lie nwjicol P<""'~""" <Ofiddon tha, ltI, potI<D, 1><",. ott<_ by mm ulMkr tbo qre<me'lt ""cd< bcspitol or Ipt<ialilt .. niors or ... , _ .......... ""'leb .... y bo ...... 0VlllIIb!< by 111< boon! ODd ... Mcll """'"' ~,Iy be J!vea by bim _ tlI< ..,...ment. be Ibt.II Inform tb< ,,",k'" (Ol tbo plnD' If the potI<D' if. elliId) or the oYOllol>lH<, ~I _h .......sa. ODd shaIl1llMe uran&<­me"" It be CCUJi<Ien It oeca.l'1 for tb< rele"..1 01 ,I>c: PO'""" lor ""'" ornk:e>. Tb< -..d _ t_ ,be mec!iool pncLit_ Iolotm<d .. '0 ..... ...n.bIr r.<lIitics !or ...:It orro!o:o-

9. The _lcol ;n<tl'1oner ,bal! t..mI>II '0 • _ .. _ lit. ba. en .. """ ond , ...... _ lit. b obu,.:d '" p<ooid< oemc.. (or, 10 tbe <Me 01 • chlId. '" b~ 11&=') • <:miIoato ID rdotio<t "'.." m. ... -'<td do",,- lho ... m!Dad". w!>1r.b 10 ~ t<qt>lttd b)' mm or by .1>< por<n' ... he ..... DIOy boo The mt<IiaoI proetitionu mar ,." _ "'" f .. tor "'" ...:It ~" ....... Ilwt • oml/I .. te .--!t<d UDder the Soo;ial Writ"" }.d.

~ ....... 10. SulI)ocI to ..., "'l'!'I<m<:ntary --"' ..- b<t_n ,11< ID<dIeoI proctltiaDer .,., tb< I>::Iud lor tb< ~ .. by .bllOI of preno;o.. ........ _ b)I tbo ",,",do ,110. met!Irol pra<t''''''r oIIall p<ooid< .t>!

... "' ..... 1>< faIlowlq !odI!tIa re. """"" OIl bl< !lit:

fo) 0 "';Ii .. «>Om wiUt • --... _ or comfort, ...mcirn. '" .... 10 ~._"d." tb< __ .,....". 01 hif pR<Ii<e lOT boUt diciblo .,., prin." polio: .... ODd wI,b Meqg •• ooatiq IOOOlIU1IOdatloa.

~

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(b) '1UlpI'J _;... .. am, 10< u.. ..... ulrc1II<Z1 .. 01.....-1 _<al prK<lo:c. wIIIIlWI .... ~ okctrio Ji&bt, boI an4 0014 ",...w..: _, OIl "'",. ... 'Ioa -.I> .. 4 <rill" ..... tiaI DO«!> 01 _ praclicc.

The medical pn<tIlionor sUn """"'" ...... teIep-. <ball bo • ....naht. ,. Ill,. OIl Iho pm:aiMo 01 IIiI ea",.. 0/ praelSco Of, if b. I ... ....., =tres 01 pnctk<, ., loo ... ., the m&lII .,. ..... 01 pnetio<.

I1 The media! prKlitiator _ no! mob ..... "'1' ~ ..

wbicll~. ~ e\4ibl< I""'fOaS &Dd p.ivolO PO'''''''''

12. The ~ ~ .. oboll. If ~ aIIow". modal -... '0 inspo<t ..,. pm. ~, .",. P"''''''' p:OVl<!«I "-, ~In_ ---ll. The a>edlcal pt&Cti, ..... , sUn pm<ribo ouch drup &Dd mod;. 'inn ., ~. <oo,Oi<n "=-r)" 10' "oy p<nbn fo, ,,1>0<0 bo io obIfc<d to PfOY\II< IU>"lceo. Tb, ....dbl pno:ti, ...... may pr ..... il>< .pplian<e>, from _ .. ,.,.,ne. u may loo ..,:!tIod by Iho ),Iinlnu. Tb< """"d _ make • ..n.hIo opoclo.l form> '0 lh< ....dbl pno<I~ tIoaa- kw tb.i:i puI"p)I<. Tb< .-J pr><:Ildonr, man keep the "Q<b 01 thcoo f"""" =duUy oad ,"""",I,-. Ho _ .... ll>c", cdy fer ........ ~ to ~ Po"""!>"'" _ C<>IIIple:o-" fonniD~ .. hbitJ ........

I._ TIIO.....m.r prooaltlooo, _ diopeuo dnip. medicio .... ~ ai9im<oo> f.,.. .. , _ f.,.. ><!>on> b. "' obIiFd ,. proYl<\o xrn.:a &Dd f., wborn, .. oa:ordance with ,I>< ....... '''',.!> din>olod ..,. •• \tinist<r, bo has lialdU" to ....... Tb. IDOdiaJ practitioua_ obIain hi> reqoircmca!> 01 dfqo. o>cdi<ito .. _ opp!i&rocoo fer .hi> 1'0<]>0« '" m&klq a requbi.1oa oa • fonD ...... avaiJablo '" Ibo board f""" • ~ (boIq- • pbarmadn ..t>o bos .. !Cm iD:o OIl qrec:...", with .... board fOT tbo $Opply of d ...... ~ a»CI .ppliucco) ....., has IIiI pr< ...... iD Iho _ pr..oitio<l<,', <»rmaI or<a of "",«loo er, if \110« b IK> ""'" pmo;,.. .. ,bo, ..... from ........... bIy «HI""";"" ",W1 pI>anaaa" oatJid,o 'bo, .... who bas ,.",.., 1010 .. _" with Iho bovd.

IS. The ~ pn.<titioa ... sbaJl lUppIy '.'0)' pmo. for ... _ "" i> ~ '" p<<Mik x,,"'" .. , dn>fS, ~ .. or opplionceI ,~ 0«CSaI)' by Ill, mcd;oal ~, f"" immodioto _;u" .. ,.,. or • ...,Iimioa. The ~ p-u.;-r may ~ druIs. -.. ant! .ppllaoooo. OK<! tor "'" P'UJIOOO by m(Ui>i. ,loa f""" • " ... , 1>Ii>"""""" ""'. bos ... .".. .. no" ... hb the ..... nl lor <bo $Owl, 01 drop. _ici ... and .~

I~, In arr&n.i<m,nu for ~"bi"1 ., di.p<o.ill, drup. m<dici, .. OT .~iu",,- ,11< m<dicaI proctl,r".,... >hall h."" due «pN to 'he _d for O<01OOmy 00' ","11 ha .. prlmaf}' "pN fer 'he I"""",", 01 ,h. PO';"o'~

"

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~O(_...!QL~

,1. Subject ,g iUCb """,i'''''' am di~""" .. ,I>< M~, fo, Iie&Itl! _~ lay dcAm lrom time '0 ,j ... , the medbl~, _Y. _ .. ,he cimo""u,,,, ... of the <u<.., reqairo. """""'" tb< __ of.-he, rep.<re<I ~ pnottltlowt .. rcopocu.", <1itfNo ".,...,. r .... _ he io obIir<d In prmio!< .,,,,1= 1110 -., .... n bo _ to po, I .. <ucb " .. "ultatloo 10 ~ .. il1ll n~ IfII"OI'Od !ry ,11< ~lini<Ior r .. HultII ,-,I. Tho P>ed.ka! p<a<th5oou >ball to::p • ...:on! 01 .""noiu.o= '" 1 ''''''' .pptm'<d Of <Ii=:kd !ry Ill< '>!to;"" In ,<lllioI! 10 hi> ""eodaDt:e on po"""" I<>< trbom be io obIir<d '0 JI"O"Id< .. ni<n ODd IIIIlI onate I.Y iUCb """nl ., .. ~,No .• 'hen required, ror u,­'9'"CIion by , ",0(!b1 0lil«, of tb< bOo,d Of of tile Mlnl>t" IUtIIorioe<I In lbal boball. H. <baI, ol>o> toop adequal. clIaI<:ol

""""'" """ <hoD "' .. ,,!loa tG IbCh r<a>rtb obta>< onkle 5 of tha H .. l!h Sorvl<e< R ....... i<'.". ,91, IS.!. No. '05 d '9111 .. if 'il<!)o _ • ..- tept io oceonlao« .. j,b ">Of< fOJUl>tJoo~

'9 "'"!>al.".,...,. on ,he IIIOdIooI P"""_"iu it< ""oo.l.,,o(! 10 tbo Ila of .. 0Ibe< medieaI prIC';.iona- prm-j,Jiq .. f'Ii<n WICk, '«1""" 51 '" Ill< Htal,h "Cl. 197(1, Ill< I",....,. _!ea! p<a<lilior><' .....u. ",hJ«t to the <=!<D' '" tbo P"'- (or ;. tb< .... of • <:Iilld. 1tIo_,)p"In'h._OIO<ti<llI~,.",lD1lIII)'of 1lI~ _I h ... ..,..nd a>Ddi,;"" of 11>< plIiort~

~~-111. 1110 m<dica! practl, .... , t-h1II l>OmIaIly pnni<Ic ""',,:,"_, tfIio ........... ' bu, mI)' "" 50 I~ • depu,y _ IbaIl bo • rqi>t<r<d mtdi<:ll procti,looer t- beiDI: 1 mcdlcoI lQCIiliooeT .. ~ whom., ~ ... n' Iw boo. 1<111'1"'''''' ",,<\er ~ 23. XI. }l or n. """"'" with tb< COD><nL of ,be <hiel <."""Iv< oI!ktf 01 the boor<ll Subject 10 ~ ll. tlt. _ will DOl 11< rapot>Iibk to< lily PlJIIlenl In ""'" • prKtitk>tter, Tb<_ will. If ttqUmod. co-opent .. In <>tu"'"" , do .... " ...... _ .. tbc need fo< ...... '" """'" IlIrot1ab ~ of the mod!ea! ~" Ibe boor<! will. if _ed. "'"'' Ih. obI;p.tiOIt 10 _. do .... ,'

K ... _

ll. n. _ obalI. iD COlI>idcratlaa of 1110 .. " ..... I" .. ".-ided by tile medical ~t.iao<t '" -'''''''''''' ~-hIt ~ ,,, ... ood ..".. di ...... ood OD f_ of claim> mood< lit Ibe fona ............ Iim<s <IiRct<ot !ry tit< M",""" rot Hcaltb, mU. PO)''''''''' ... """'" rot" pl)"lDOllIJ 10 be IIUtI!< 10 tbe modIca1 p<aet/tioc ... 10 ~ ",h.h _ -'" .. "'1 be .~ 0/ Of d;",,'otI by tbo Minist..­r""", tlme 'n tin><. h)'lll<>!l> of led _ be """'" tIIOGlhl)' ood alIcwanca IIItalI be poltI ~ovt<t!j,. v.b<r< OD "'"""'" of cIalm io iD tIiIpu .. oPPf<ll'l'io. .. PI~IJ OIL _nl _ be mod<

n

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22. Th<modIo:oIpr-o.<td ................ _or_ ... ,Il"-"j-1DaI' er _ration ~r <lib« u..a po~ _ ~ ~21 id ... -..rd I",.......,.,. I'I'<"idod byhim_lhis_ ""'0'. or lor Ln.,~ or for <lib« .. p<moo iD<um4 by """ or for Lhe ... of ""1 pmIIisc$. _1_, or ............. id makiq ,b ... "k<> ,,· .. ;lo\llo. Tho IIl<di<al pnI<Litio!:1« ohalI WIfu<l ... , d<)lUly providi:q .. ....xx. on Im 1><11011 to <O.tILply .... th Lho .....,..;. ..... 01 "' .. ,.,..,.rapb. ll. 1I.'loere .. cldm or daImio for ............ LkIII ... _1«1 by Lb< _ praalOOo" __ to (ndi<o« Lho, 'he .. « 01 .,.-eo by"""'-' tb<..mo.. """ _."""""'" tlM.~ d!alI bo "'_1;p1«I by • _ -... ~ "" beIuolf 01 tb< _ ODd Lhe _ p<k1it>:> .... olIoU _'"" "'....,., to~ It .... o>t4i<.oI oIlI«t .., _ ,110 circo ......... ces moy "' .. 110 «>­ftrTt>ol for e<>aside .. tioo. LO • voo-p _id, of_

(I.) • """,idee of 1110 Mic;"', I., H .. l<b oppo!oL«l oft« CO<!. I1:IIOtIooo wi", tb< irlsII M_I AJocdatlon ..... ModIeoI U .....

(!p\ • _ oIIIcu oaJna "" bdWI 01 '11< boom (DOl bdq .... __ t 'Oh<> im ...... lOII 'be ci~) -.

(e' _ m«!lcaI ~ l<IecL.d by the Midllw ,""" _ poood _1«1 by [lie lti>I> Me<IlcoI ABocIotlooo ood Lhe M«IiaoI Umoo.

c_ ............ _I<lI~ 24. Wbe<e tbo cbitf '"'«"lILt.< ..,.,. of [be l><>oId """ ........ \0 boJlevt !boo, • m«Iko] prxdtloHr ..... Ialltd ,. comply "lib ""y of tbc 'UlIIJ of 111< ......... ,". "" ",.n _It)' ,he medlcoI pnctU!oner of the --.. lOll ...... bcllt:f by rqisL<m:l pooL ...... Iolo<m I>im [bot

"

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... ...w ooaoid<t ""1 ~tatbts ID nprd \0 \be ... ' ...... ·bi<~

.... , 1>0 .-i...t b)' him from lh< mcdiaol pn<:titioac:r .tliIiD OD< _ of lh< _ 01. lbo D«l&t.lbo. Tbo <hid utCllti", alIk< • ..... DOl =ddor • """'pIol1n r<low., \0 0Jt IDdtoidoal a.;", 1IO· ... '·Il«JII __

(0) ~ iI "..... b)' "" po ..... " b)' 0 .,. .. be< of Ilio fomily or b)' "",,1lIu __ lh< ..m ... ~ ....... ' ., Ibe .... I ... ~ o. where !~. pol;"", iJ I o/IIId, of II!I pu<tl' .., pardiu &lid io iII""';!iq ud ,ipod 'oy ,lit po ___ "" ~ &lid

(b) ~ is modo wilbln oil_to of ...... .".. or oIIqod am' 10 ", .. ,loo \0 _ the 00"'1>101,,, is _or, wb .... lh< oIti<l «_'I>'. ~. haolDz comW,eeI Ibe chUmon of ,Joe board (or III hla obs=:e. 'M <i<>Kba/mWI) &lid 0D<>tb« "",,-,eel me .. ber 01 the ~ ("". 01 ,heoe , ... btloa " f'<lI$Imo:I _ prxtl_.) COII&io!en It ~'c. within _ Ioqtr porb:l .. be may d<1"",,100

Th. cblel ..".,.,,.,. olIIoor moy. 0/,,,, ""","",.wo.. of ""1 ".p'-..... .. ,;..,. wbl<lt the 0I<di<al p;actitIoor< ... , liii1o in reaud I. ,ho "",tt<t-

(0) if be III .. .- ,110, lh< _bl p<aaItIoaer bas '"" COIIIjI!iod _ the , ....... 1 If>< ."...,.,.,.. &lid if ho thin'" 1'It. .... ~or_1lk ........ _.., ....... mecIical pn<:titionor.

(b) .,....n,. lor ,110 "".m! of tbo ... ,"" lor hm:stip.loI> 'try. """'mi' .... ..ablishod ._ articIo 8 01 tbe H01l,b S<mc.. ROfI'lo'1ons, 1971.

---~. Who", , ... chicl .,...,..,;.., 0600, is .tiI£Kd !!wt •• 1>0 cos. of poti<M> ;,. pt-.I Ut jooponIr. lie _y. in """"",,0« wilh .bis po...,..pII. _od Ibe 6pOr1Itioo of • modicll pro<tit;o.,.,', ....... _., t><~ iII,...,;ptioo of • """'plaittl IO>da tbe p««dillf """",,pit. If I, _us '" blm Iba, .. <It _oioo ;, dOoinoblo, too. sbaI1 <OD!Ul, th< <bo.itnIan (0.- ill bio .... ,:1.,,: the vkN:hoinaOJt) &lid """",", """""led m ... "'" of ,lie h01lth board <_ of ,_ ..... \oeloa • "'Pto«<! mecIical ~it ........ ~ II both 00I0CIIr IlIlho ~ __ • ,loo <bief u='"" oIIkcr ohaQ lII'O«<4 _ht!Iy "';th k. It _ dioooo< ,""" Ibe "'-' too. lIII.y .... <any m tit. __ It 011< <OII."n aM Ibe otb.,. ....... he ... , • .., ... , ...... , ItiI ~ lII'O«<4 ...;u, the ~ o/'!., IIK~ f1UllKr WIIRlII';"" .,;:!t Ibe cb&rnnan tOl' '''''~) "'Id Ilto o<bet- ckslpoted ..... l><f .. be _ .. _. Comuha-

tioII """"' IIIio potofBpb obalI be join. o ...... ,h .. iOll .okso tborc io

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T ....... doo of ... "-, 26. The".....,.. jID<tII.,."" ... , unDlo.o,. tM _ .... , "" Sivl., Ill"" """,w: aotie< or .. "" _ _"'" .. OIly ...

• """pIOdlly .... -

%7. n.. .,..., ..... , sIWl loo ,~ IOftbwl,b "horo ,b< modicaI pnctitlon.r', "..". ......... I""" .... ..pur 01 modIeoI p<aai­,ion ... oodor .... M<4l<oI Prod:"""'" ~o;t. In? (Xo. 2S of 19'%7).

2S.. Wl><ro .... _U<, llaolq =pIi«I Mill onicIe 8 of .... HWIlI _ R ...... 1lons, l!m, ....",..,.,.,.. "rmlutlott of IlIo _ .... ,. " .. , t.o.n! .... , urminao< .... _...,., rabjecl '" oppeo.I '0 .... MhIisIOr~"""" Uli<U 8 (I7) 01 .... H ... lIh s.m- Rep1&-Il<><Ia, 1972.. Where .. _ ".. I>mo ..... i:Io,ed ...,., Ill" po ...... pII _ ,be medlca.l pncI"loacr ""' ...... _ 01 ,'"' t.o.n! •• _ ..... board IIIlU oarry OIl' JUCb • ....sew _ may. if i,..,1llilW ~,. declare ,ba, .... modi,,*, pta.OIllioon 11_ ... iuobl, 10 <.'" =10 • MW .,.......", fe>< .... pn>ViIfoo. of .. roi<:eo ..-,. _ion SI of ,be H ... "h Ad, 1970.

~. Subjut 10 ~ 3%. 'h< board "'"1 ,~radu" Ill. _ ma" "bc<' ,~< bood b .,1sIItd, m .. """,pIlance w!oh ~ d<tcrminod !:n- ,be Mlnl>ltr for HealIII, Iha, ,be ..... i<:al pnoo­,itioue, ;, 1tI1\',rlna: ffOal pe,....,..., ln4ntdty 01 mlad .. bod,. An '1'1'<*1 sIWl t;o , ..... Mil"" ... for HealIlI ophdt • <Ioois»:rI 01 .... boo.td 10 ,.",,'nal< ,be ",,",,"""" ......... board oItall <QIIIlIIy ~;1lI ay dirooclloo 10 lho, fCf!O<d ","n br .... MinbIOr

31 The _m ... , IhaII ,ermlnt." on ,b. modl<ol pr&Cli ....... , .-eao:/ll., .... .,. 01 """"'1 ~ The modlaoI pnc1IIio"". If .... Qo.i.-..l by ,I>< t.o.n!. _ "" '.''''''' bno ,h. _mm,. fumidl ""'0 .. oIll1r dot< et birth.

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F ...... _~ ......

n Wbere .... IIl<4bl procdt ....... 10 OIl 0li0::, cl Ib< _ ... 10 entitled \0 bme8, r""" Ill< pruriDom ..,...... \0 by .... MhIi>tcr r", Ho.llb ... re..,.ru 11"'''''' IIoI4Io,f 0lio:: .. cIlI!ria mocIio:oI olllcn. ,11< __ open'" tbio _, mbjocl 10. ud ..

IMX<IrdaDc< .mb . .-~ • <opo; et """ .... _ IhoII run:doh \0 Ill< _ pr.cti';""'" lid"", Ill< _",..., Is .."ered .,~

33. AD a,r<em<"' .. ilb • «J;is«r<d 0I<di.:&l ~" «f,""" '" .. po ..... "" 32 ,,1>0 Is • _., o.IIloor of • h<olth board _ ,,, .. ,,lno:, on his ~ '" tit _b "" oil"",.

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A_' SCAl..E OF FEES AND AllOWAl'CES r AYAIj!..£ tn-"'D£R

Tm! OlOICE OF DOCTOR SO{EIdI!

..... ffOlD. I. Apr:D, lm. Ill< 0001. 0/ r ... JIOl"'oIo '" ponicipotiq pt-"ionm iI. .. lo!Iow£-

-~ '"'---, .. --

JIJ _____ i«

'<1_ ......... -­',.)----"' .. , ..... ~;= '-lO_ , ---.. -- ........ -...... ~. -..... -~,-~,-'--'0-_.-.,,_ ........ -..... ,-~.­~,­:1-, ...... _10-

~.Q'r_

.... &ddi'ioDallOp "" tho DOrnIIl f<e-

R.tol DIspeao!q F.., .... noallt< pe, _ $Op.

• •• "1$

'" ,-" ,." •• ,~

~ • ••. jIl •• .~

~ ,. ..~ .. HO , .. •• ." ..

A putidpoljlll _. "", .. thu.. di:oukI medlcaI oI!I<;er trbo ba r4h" i. <ocnectloo wilb """'_ will .. on on- 0/ £100 po ............ ""'ltIl>odloo. ,_ 1000 .. """ oth<r pnc!\oo .. _ .... ......... po) ........ r .... 1Ier nanl __

Wb ..... doc!o< !b .. ODd pn.ctic:eo io • ""ou. ";111 • popWatioa of IaI , ..... ~ .... wIl .... Ihtro ,. ..... IOWO wltll • popuIatIoa of [,son 0< """'" ..rthio • Ihree-mil< radii» 01 .... , _Ire, the ...,.,..". will be C<I~'tod I. >P<daI nato1 prn:tioo """"""'"

"

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[~ .- Of .... the _ -w. bo po>! roll r .... ID &<IdiLioa • "In.1 ~ ono.......,. of £SOO • _ ~ bo payobio-

(.) 10. _ medicoJ. oIIIccr 1I'Ilb raarut ......... 011<' 10 be paio:I"".r .. _,

(II) to"'1 OIbet panlcipat/oa pnctj, ... ..- ...... , .. tile co .... ... DCtmr:lI, cl 1h< 0<110_. 11 ""Ull<d 10 partJoIpo .. 10 It OD<! ,.bo 10 tile ooIe portidpaliq pn<,IIIOOO1' la II1e "",,In Ioqu..uoa:

(0) ''''''Y "'be< P*I'!<fJ>o.t/oa pnctItlooer if IiI& bNI1h _ _ '0 mot. tbiI paymom "' _ him m "'" ......

"11>< .... dlIIrIo, ~ 0I!0!, Iw "'"'""'-' bo wil be •• ,j,1od 10 tile I .... pi", 1h< oIlooII.D .. 01 £SOO '" !bo """"0, ..wy of h~ e"..!1t{ pool. wIIlelIever io 1110 _u, .

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.... ATERNTTY AND 1."WMo' CARE SERVICES

A luny COCIlJ'I"-" .. ni<e k .nilabk Wldc< Lb< H .... b Am. r .... 01 dwJe. r", """htn 4u,.;q ........ ocy """ r", ... .-. omt Lb< bo~ .. bono. also foOt LII< boby up to III .... b ()( ... Women in Lb< 11111 di'-y 0< liIniled cllcfblli'Y .. ,.totIes .... t/iribIO I ... "'_ ..........

TIlE SERVICE:

A ...,.,.." ."tilkd to ,be ",Moo> ... y -.. b..- _ fr= .. list of "",,<01 ptO<t/<looo" wbo 1>0 ... .",.rod Into .. conttac, with LII< bWth board to prov;de tbctc .. Mi:t:J.

n.. doctor will pro>id<- mcb """emit, .......... he ~ "«<>SalT. "ha .... y In<iod; .... r~

(.) ... m;,ioI .......u.. ...... 'oO be mo.Ie ......... poooIblo '0 <he ........ '" __ ()( ""''''"'''''. bI>I _ 1at ... 1han tbo '_'J'Ci&b'" _k of P<'<S"LoeJ:

(b) <I\"< .. ,e-<WlII .u"""""" in _ to <ll< lDIIiIJ u­.... i".' ... { ..... re p>i5Ibio •• , ...., <HI_ or ,beso c .. mino­atioMJboWd be".,...;.cl (Mt' in'- of <he .... _ _ hi of prqmtDC)');

(c) mcb ",bor U*U'tbtttlotts tlIId ... tb-<'>Oto! ....... tilt m«!I<aI ",-kiooc,~~

(<I) ., .. od&nce., tho «111&.",.., (If .... mcdiaIl IO<tilioa ... _,. it ~, 0< if Ilk ............ coIIod lor ~ • midWc ., .. nditq- 0C1 !be potien');

(c) ."<Odan« <HI .. _.,...........", It! ,,," ..... k 1_. ,110 ""1I,·ery;

(f) _ .. be, c~ ODd post_to! cue witltiD the period of I!J. .-. .fter .... <Iolh'try .. the trotdbl prac. 1I,\or.cr""""'" .~

(J) .. cumi .. ,ion (il>cladiq a bl-..... 1Itl polvic enmio.""" If ..... toot!ioa! ptKt/tIDQer <OO<Itlt:n I, -=-0-) at or .bou, the <JIII 01 ,10; oinIt _k at", the 6clI..,ry;

W ""' tlkiq of .. , spo<im<m rcq-otIred 10< In ..... """; -

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(i) pt<JV!Doo "I' to Ill. oa< of <is .... b in f<osped of ....:It obild ..- be bao oc=d to """'PI ... pOwl. of ....,., mcdlcal "'Id IIItJkaII<nIo:a ~ at __ ...

• _,;0" of <be cllid) &J "'" be oppropriotcI, pvc., by ~

U <lIobobyil to be born .,,,,,,,,,,. _"'1.~iI • ..n. lbi • .".. tIto ~ _ .. rica! r<qUisiteo, kDown .. tile ., ma<er· aily fad: ~ • ..;n be $llpp/i<d, free.

U Ill< bob, iI to be born 10 Il<topiu.l, oll the -=-ary .. me.. wIU bo ptO\.Olo<I free In lho ptlI:iie "Vd ." • bco1t~ bowl ~ Of of • ..,.""....,. bcoIpitol .. ;111 wblo:h lho t:eolth bowl line mA<lo an amtIll''''''''L U, _\'Or, 1h<.>p:<.Ulll ID'>Ibo:r ~rd".to mat. IKr ""'" otrUSI'tI'>eIlts &rid _ prime 0< oom.i?!rue O«OJllZI>Oo!o.lloo., lb. b<allb boArd .nu CO<l,rRKtto -.nIs lho moht­"' ...... cIIo1'Jd.

n- with full 'li,oOilit, ..... btloc! to • <&tI:t _, of £8 fo< .... birth, • f .... "'rPly '" _ •• ".! -..tial .... _ ~ for tile ptt~ aM birth.

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CO)';SULTATtV£ com-:m 0),; GENERAL MEDICAL PRAcncr

). WoWo:I _ fOVOllr (J"",p Pncti<:el (i.e.. thr .. or ..... dooeIon ~r""", ...... "",p«_~

NO:

• Do)'Oll <Omldcr lb ... .-.!<os 0' • taiD<d nnlt< .1>11 lOclal _er ..... !lol 10 .... ro .. ra1 pnetk< 01 ....u:m.'

NO: ...

:-'0:

YES: NO:

1 Do)'Oll fOYOttt COIIlirudty 01 ""'"

YES: . NO:

NO: . . ,

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,.lIIoa.III __ ,......_ .... ...,.... ... I_...-.. IQ<UC< ." __ ... co:.r?

10- y_.......,.,. ... tlot<lo:>ioH>f __ T

SlGSfD:

J "'lcCotmld: (CIIainDu) ,-. ..., MM.._ ,-P. eoua ,""-j r:_, O~ J H 0dItIt \11'",_ J,a....... lot McJ\"~ J. I! MeK~1ah1 R \1<1<_ R M.,wr. o lot. Mj,olIdI H. O"IJrWt>.MorUl , .".,. J , (TSciII JR.~ , . ...­JA._ II.C_ OK. _ "'.-D W.klmll-L}'IICIl

T T,mley (SW.WYl

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BmuOORAPHY

Tit<: 1''''lD'e a-..:J !'r«1& __ Lurltblt t:nJ T"",h;~t-II'lI> li>I><d for Ill< Ro}'>! ColIq< 01 o.:oenol I'nctitioocn by ,be: Br1<l>h MedioolSo,"' ....

R<-, 0{ ",. RQ1<I/ ~ Oft M<dk-oI Ed_Jon. f'ill/! ~ J~. Loodoo. H.MS.O.

PI_", UIIi, R<pon /'o'a. 4. ~ M<dkai C ...... LoodoIt. !I.M ...... 19JO.

W .... bot P/lTI, Oft ~ PHdi«. 15I6f. ~ H.M.5.0.

p,..", SI"" t:nJ F",_ .".~ 0{ a....,.", ~. lDII «I.. 1970-Report "I Ill< RO}'OI CoUea. of c;."."u I'ra<!i''''''''''

TIK Fi</4 of w",t 01 lit<: F~ Do<f", (Omit Report) 1ll63. r.-Ioa. H.MS.O.

M~K __ T. M<tf1clM Ut 101_" S«Wt7. 1!I6S. AIlcn ODd

"'~ ~ "on. p",~ aM ,_ IJocton:."1Id7 of G._

"'-:tiff: Roo~od,. ood Kq:on Poul. II'Ol1.

RoyoI CoIIeJo of O_1'Ol l'ra<!itiocI<n, 6-d</._ 0/ IlK Ra1fI ~ 0/ G<twroI PHdjJ_,. 10 IlK R<>7Oi c.......- ... M<tfjt:t:/ Ell""",...,. R'1">fIS lrom GCIItf8l P'lGIl<:e l"o. 6, 1961.

H<>4lin ;; . Dd Gillio c.. Tit< h«tl« NW'X; RoporU from G<lIOraJ. Practloo No. 10. 1\1611, Ro}'>! Call<t< 01 God.,", "..,illoa ....

0.1'"" ..... 01 Health .. d 5<><i&l Socuri1r. Welsh om«. Tit< Orrarti=itm of Gf<NJp Pr.tdko, lAo<Ioc. H.M.5.0 .• 1971. ,.

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I'lrl>b, P. A.. T'" ~ 0/ ~ dru/. In 1<"<'<>1 ""rlic<. _ of tbo RO}Wl CcrI!eJO of G,nontl P'-,tloo<n. 19J1. 21. Soppy •.

TIM M~iC>tlI/ .. of f~,,",,,, Qr"l'. 1!>7~ppI.,.,.., No. 2 VoI. 13. Jouraal <>f!h< Royal CoIIeJ< of Ci<D<ntl Praruu.-n.

11..,..,.. of eom..- ot l".,wy "" MmM H_". 1965. o.l>I.in. Pr BlloI, 5La!"""'r0/lku

1/..""" ofC ....... _ of I~ ""f,I_"," IIIN#, 1-. DuI>!lD. 1'r911ISUotioa.,.,.~

Ow/l.w of IN FtJJun H"lPiltll s,n."" 11..,..,.. 0/ ,11< eo.....tt_ Ct>wtril "" ,'" Gm.nzI HO<IP/f.s Sm>I«f. 1~. DI1!Ilin. Pr! I~. Sla,.......,. CN!I<e.

TII< ChIU HNlllh -.: IU,..,.. of a Study G_Po 11168. Dublin, Prl 1911. 5:r.lionuy 0!Ik ..

tu""" 01 1I".,.,uwrr_<II c-..tIt, .. "" rh< C.,. of 'IM AtN. Im. DuhlIe. Pr! m. S<atioDef\' 0I!ke.

,.