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University of Otago 1869-2019

Tag Archives: anatomy

Building a medical campus

13 Monday Mar 2017

Posted by Ali Clarke in buildings, health sciences

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1910s, 1920s, 1940s, 1950s, 1960s, 1970s, anatomy, biochemistry, library, medicine, microbiology, obstetrics and gynaecology, pharmacology, pharmacy, physiology, preventive and social medicine, surgery

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An aerial view showing the medical school and hospital buildings, c.1970. The low-rise 1950s building replaced by the Sayers building can be seen between the Wellcome and Ferguson buildings, with cars parked in front. At the hospital, the clinical services building, opened in 1968, can be seen, but construction is yet to begin on the ward block, which opened in 1980. Several of the buildings in the block east of the hospital are now part of the university: the original Queen Mary maternity hospital now houses the surveying school and marine science department; the 2nd Queen Mary hospital is Hayward College, and the old nurses’ homes are Cumberland College. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Association records, MS-1537/806, S17-517b.

There’s a significant university anniversary this year: it’s a century since the medical school opened its first Great King Street building. Otago medical classes started out in the university’s original building in Princes Street, but soon moved to the purpose-built anatomy and chemistry block (now the geology building) on the new site near the Leith. Opened in 1878, the new premises incorporated a lecture room, dissection room, preparation room, morgue, laboratory, anatomy room and professor’s office for the medical school. The facilities weren’t large – they were designed to cater for classes of a dozen or so – and the building was extended in 1883 and again in 1905, to provide for the expanding school and its first physiology professor. As medical student numbers continued to expand, from 80 in 1905 to 155 in 1914, space became desperately short and the medical faculty won government approval for further extensions to the anatomy and physiology departments, plus a new building to house the pathology and bacteriology (microbiology) departments, along with other subjects being taught in far from ideal conditions in the crowded hospital.

The site of the new building – in Great King Street, opposite the hospital – was controversial. Some university council members wanted all new developments to be on the existing campus, but medical academics wanted to be closer to the hospital, and the chancellor, Andrew Cameron, was on their side. Sydney Champtaloup, professor of public health and bacteriology, revealed the thinking behind the move during the 1914 public appeal for funds for the new building. After completing their studies in anatomy and physiology, which would still be taught at the university, said Champtaloup, ‘students are intimately associated with the Hospital. At present students attend some classes at the University, and have then to proceed to the Hospital for others, and to return to the University later. This involves a great waste of time and energy. All lectures and practical classes for senior students should be held in a suitable building near the Hospital’. He also pointed out that the hospital and university both required bacteriology and pathology labs, and ‘a combination of these requirements in one building makes for efficiency and economy, but that building to meet Hospital requirements must be either in the Hospital grounds or in its close proximity’. Although he didn’t mention it, Champtaloup would have to waste considerable time and energy himself if the new building wasn’t close to the hospital, since he was in charge of its bacteriology services.

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The bacteriology and pathology building, later known as the Scott building, which opened in 1917. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Assocation records, MS-1537/636, S17-517a.

The public appeal raised the goodly sum of £8000 (over $1 million in 2017 values), which included £2000 from William Dawson (a brewer who made a fortune as one of the founders of Speight’s) and £1000 from members of the medical faculty. It was matched by the government, though the project ran considerably over budget thanks to ‘the presence of subterranean water, later found to characterise the whole area’, along with rising prices due to war conditions. The new building, designed by Mason and Wales and built by Fletcher Brothers, opened in 1917. Of brick with Oamaru stone facings, its neoclassical style seemed quite plain to contemporaries; the Evening Star noted some ‘pretty stained glass’ in the entrance hall was ‘one of the few ornamentations’. The building was large and well-lit, with a lecture theatre able to ‘seat 150 students and give everyone plenty of elbow room’ and other smaller lecture rooms; they incorporated facilities for the latest technology, the lantern slide. The pathology department was on the first floor and the bacteriology department on the second floor; there were also rooms dedicated to medical jurisprudence and materia medica (pharmacology), the library, specimen museum and an assortment of staff and student facilities. ‘The roof is used for store rooms, etc.’, reported the Star with some delicacy; that was where animals and food stores were housed.

The new building was just the beginning. Medical dean Lindo Ferguson had ambitious plans; he imagined the school expanding to take up the entire side of the Great King Street block facing the hospital, replacing its collection of old cottages and shops. Not everybody approved, and there was another battle over the new anatomy and physiology building. In 1919 university council members decided that further extensions to those departments should be on the main university campus, provoking a determined – and successful – campaign by the medical faculty, medical association and ODT to have them change their minds and instead construct a large new building adjoining the 1917 one. Physiology professor John Malcolm countered one of the main objections to the Great King Street site: ‘It had been said that the social life of the university was cut in two through the existing arrangements; and if that were so how about the scientific life of the university? Was it not cut in two as well? The most important was the human life’. After considerable delays in raising funds, in 1927 a splendid new building – ‘one of Dunedin’s most handsome’, declared the ODT – was opened. Designed by Edmund Anscombe in brick and stone facings to complement its neighbour, it provided accommodation for not just anatomy and physiology, but also the ‘sub-departments’ of histology, biochemistry and pharmacology. It had the ‘necessary classrooms, laboratories, and research rooms for a school averaging an annual class of 50 students’.

At the opening of the new block, Ferguson joked that ‘if a dean were content he was not fit to hold his position. No one knew the shortcomings of a school better than the dean, and if the dean thought that enough had been done he should be pole-axed’. He continued to dream of further expansion, and had already foiled suggestions the new dental school building should be immediately next to the medical school; instead its new 1926 building (now the Marples building) was constructed on the next block. Ferguson’s successors took up his scheme and in the midst of World War II work began on yet another large building. It had the prosaic name of ‘the south block’, but later the various buildings were named after the medical deans, according to their chronology, and it became the Hercus building, after third dean Charles Hercus; the earlier buildings were named for the first two deans, John Halliday Scott and Lindo Ferguson.

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The Ferguson building (opened 1927), with the Scott building (1917) and Hercus building (1948) in the distance. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Association records, MS-1537/637, S17-517c.

The south block was in brick and of similar scale to its neighbours, but the similarities ended there; it was a striking example of art deco, designed by Miller White and Dunn. Hercus recounted how the Minister of Education, Rex Mason, ‘turned down our original severely utilitarian plan with the statement, “This is not a factory, but a national building of great importance, and it must bear the marks of its function”’. The new design incorporated various artworks, most notably a sculptured marble panel by Richard Gross above the main Hanover Street entrance; there were also plaster murals inside. Building was a challenge because of wartime labour and supply shortages; four Dunedin building firms – Love, Naylor, Mitchells and McLellans – formed the Associated Builders consortium to complete the project. Some students obtained holiday work helping with the demolition and ground works for the foundations, which were dug down 15 metres, but the foreman ‘had to keep his eye on them because many would jump the fence and be off’. The building opened in 1948 and boasted 210 rooms; it became a new home for the preventive medicine, pathology and bacteriology departments and had two dedicated research floors, one of them for animals.

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The new south block (Hercus building) under construction in the 1940s, looking east along Hanover Street. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Association, MS-1537/631, S15-619f.

The next building development was less imposing and not destined to last for long: a single-storey brick building, completed in 1956 next to the Ferguson building, provided a space for the surgery and obstetrics and gynaecology departments. Next to it, on the corner of Frederick and Great King Streets, appeared in 1963 the Wellcome Research Institute. Funded entirely by the Wellcome Trust, which was created from a pharmaceutical fortune, the new building was a tribute to the important research on hypertension by Otago medical professor Horace Smirk, and provided a space for various research teams. It soon developed the nickname ‘Hori’s whare’, while the dental school was ‘Jack’s shack’ after dental dean John Walsh and the pharmacology department in the old Knox Sunday school was ‘Fred’s shed’ after its professor, Fred Fastier. The Wellcome building was designed by Niel Wales, the latest generation in old Dunedin firm Mason and Wales, which had also been responsible for the Scott building; the new building’s international style, with its simple forms and lack of ornamentation, reflected the architectural fashion of the period.

The next buildings took the medical campus further into the realms of new architecture. In 1972 the medical library acquired a new home in the Sayers building, named for the fourth dean, Ted Sayers. The building, which replaced the 1950s surgery and O & G construction, also included accommodation for the medical school administration. A year later the multi-storey Adams building (Bill Adams was the fifth dean) emerged behind it, with an entrance from Frederick Street; it provided new space for the preventive and social medicine, pharmacology, pharmacy and surgery departments, along with the university’s higher education development centre. The Sayers building was designed by Alan Neil of Fraser Oakley Pinfold. A 1994 exhibition on University of Otago architecture suggested his ‘use of fair-faced concrete is an essay in Brutalism’. The Adams building was designed by Miller White and Dunn and the design was recycled in the microbiology building, opened in 1974 on Cumberland Street. The 1994 exhibition noted its utilitarian architecture: it ‘appears to have been designed from the inside out’ and ‘no thought appears to have been given to the external appearance .… Built in the tradition of tower blocks in a park-way, it does not invite inspection of detailing’.

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The new Sayers (front) and Adams buildings in the 1970s. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Association records, MS-1537/665, S17-517d.

With the 1970s buildings completed, Lindo Ferguson’s 1910s vision of a medical school encompassing the length of the block was fulfilled. Indeed, the school was already spreading much further afield, with microbiology and biochemistry buildings on the new science campus in Cumberland Street and new developments in Christchurch and Wellington. At its Great King Street home base, the school was a showcase of 20th century architecture, from neoclassicism and art deco to international style and brutalism. Across the street, Dunedin Hospital, whose presence had drawn the medical school to this location, also went through multiple developments. That, however, is a whole other story.

The massage school

29 Monday Feb 2016

Posted by Ali Clarke in health sciences

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1910s, anatomy, massage, physiology, physiotherapy, war

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The women who in 1914 successfully completed the school of massage’s first course were (from left): Elizabeth Washer, Frances Skevington, Edith Thomson, Ellen Smith and Flora Gray. Image courtesy of the Hocken Collections, New Zealand Society of Physiotherapists Otago Branch records, 88-086, S16-503d.

2016 marks 25 years since the Otago Polytechnic and University of Otago launched a new conjoint degree course in physiotherapy, and 20 years since the university became solely responsible for that degree. In transferring to the university from the polytechnic the school of physiotherapy was returning to its origins, for it started out in 1913 as the University of Otago’s school of massage.

The profession of physiotherapy has interesting beginnings. As Louise Shaw explains in her excellent history of the Otago school (In our hands: 100 years of the School of Physiotherapy in Otago 1913-2013), physiotherapy developed in the early 1900s by combining three distinct areas of therapy: massage, physical agents (especially electricity, light and water) and medical gymnastics. A wide range of practitioners offered these treatments. To cite just one example, in 1880s and 1890s Dunedin, John Jenkins offered electrical and magnetic treatment at his Magnetic and Galvanic Healing Institute.

Doctors were wary of these other health practitioners. That was partly because their popular services provided competition to conventional medical practice, but they also held genuine concerns for public well-being, as a few of the practitioners were undoubtedly ‘quacks’ out to make a quick income from dubious treatments. But doctors gradually gained appreciation for the obvious benefits of these treatments, particularly therapeutic massage, which started to become available under medical supervision in the larger hospitals in the 1890s and 1900s.

A number of massage therapists (known as masseurs if male or masseuses if female) in New Zealand had undergone some sort of formal training overseas and had certificates to prove it. Some belonged to the Australasian Massage Association, established in 1906 by the amalgamation of associations in Victoria and New South Wales. The association promoted the professionalisation of massage therapy, including the establishment of diploma courses at Australian universities. Although a few private individuals offered courses in New Zealand, none survived long and there was a need for better training. In 1912 the medical association, keen to improve and/or control standards within this developing field, asked the University of New Zealand senate if it would approve of a massage course at Otago medical school. Early in 1913 the senate let the University of Otago know that ‘owing to the importance of massage in the treatment of certain diseases’ it would approve Otago ‘granting certificates for proficiency in massage’ and the medical school agreed to the scheme, designing a syllabus closely based on the Australian model. In the meantime, in 1912 Auckland Hospital set up a course based on the British model, whereby nurses had their training extended for a year to include training in massage; this programme continued until 1922, awarding over a hundred massage certificates. Nurses at Dunedin Hospital also received some training in massage, though this was not recognised with any certificate. During the same period the Department of Health began moves to set up a register of massage therapists.

Massage Institute

The Booths’ ‘Massage Institute’ offered the latest treatments using electicity, galvanism, water, air and massage. Edwin Booth later became a masseur at Dunedin Hospital and served as clinical tutor to the university’s first class of massage students. Advertisement from the Otago Witness, 6 August 1902, courtesy of Papers Past, National Library of New Zealand.

The Otago course got underway in the middle of 1913. The 18-month programme included six months of anatomy, physiology and massage courses followed by a year of public hospital instruction, supplemented by lectures on theoretical and practical medical electricity, applied massage and medical gymnastics. Lizzie Armstrong was appointed as the university’s first massage instructor; she had extensive experience in massage practice and instruction in Sydney and had also travelled to England to observe treatments and training there. She was already a masseuse at Dunedin Hospital; she had offered her services there earlier in 1913, and had been advising the medical school on its new course. Hospital radiologist and medical electrician Percy Cameron was appointed to teach medical electricity, William Newlands as anatomy lecturer, and the home science professor, Winifred Boys-Smith, agreed to teach physiology in a combined massage and home science class. The medical school professors oversaw the anatomy and physiology training. Stuart Moore was later appointed as lecturer in applied massage and medical gymnastics.

Eight students signed up for the university’s first massage course, but it had teething problems, many of them due to hurried planning (or lack of it). Home science students had already completed half their physiology course and an extra tutor had to be appointed for the massage students. Lizzie Armstrong ended up in a prolonged dispute with Edwin Booth, who had been a masseur at Dunedin Hospital since 1908 and was upset at her appointment as instructor, a position which was not advertised. The original idea for the students to complete their hospital training at various centres did not eventuate and, after considerable negotiation, they were allocated between the three Dunedin Hospital massage therapists. By then two students (including the only male) had dropped out of the course. Just one student, a man with several years of practical massage experience, enrolled for the second course, which commenced in May 1914.

In August 1914 instructor Lizzie Armstrong resigned to return to Sydney; soon afterwards she headed to London, offering her skills to the Red Cross for war work. Final exams were brought forward so she could assist with the examination, but the students were left to muddle along without having completed the full required period of practical training. The war also put a stop to the passage through parliament of legislation for the registration of masseurs; it had already been held up due to opposition to a clause that required masseurs to undertake all treatment under the authority of a medical practitioner. Since the government did not yet have the authority to examine or certify massage therapists, the university awarded its own certificate of proficiency to the five women who successfully passed their exams in 1914.

In 1915, apparently to the relief of the university, the Otago Hospital Board took responsibility for the administration of the school of massage. It continued that role until 1976, when physiotherapy education was transferred to Otago Polytechnic. But the university did retain a hand in the training of physiotherapists, as they were increasingly known, through this 60-year period, because it continued to provide their anatomy and physiology courses.

Anybody who serves as guinea pig for a new venture deserves recognition, but I think the five women who completed the first Otago school of massage course really deserved a medal! Two of them, Edith Thomson and Flora Gray, did receive another sort of medal – the British War Medal. Along with Ruby Millar, who completed the hospital-run course in 1916, they served as masseuses with the New Zealand Army Nursing Service during World War I. The injuries of war highlighted the usefulness of physiotherapy, as did the treatment of polio victims (there was an outbreak of polio in Dunedin during the clinical training of the first school of massage class, followed by a national epidemic the following year). The status of the profession was assured when the Masseurs Registration Act was finally passed in 1920.

Recruiting scientists

16 Monday Feb 2015

Posted by Ali Clarke in mystery photographs, sciences

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1980s, 1990s, 2000s, 2010s, anatomy, chemistry, computer science, mathematics, microbiology, neuroscience, physical education

Looking at bacteria on an agar model of a set of teeth during the microbiology project at the first hands-on science camp in 1990. Image courtesy of the Hocken Collections, University of Otago Photographic Unit records, MS-4185/042, S15-500d.

Looking at bacteria on an agar model of a set of teeth during the microbiology project at the first Hands-on science camp, 1990. Image courtesy of the Hocken Collections, University of Otago Photographic Unit records, MS-4185/042, S15-500d.

Recruiting good students is a priority for every university department. Everybody wants to attract the brightest and the best, but there is no shortage of competition from other subjects and other universities. Attracting interest early is essential, for once students have dropped a subject in school, they are unlikely to consider it as an option for tertiary study. In 1987 Donald McGregor, Dean of Otago’s Faculty of Science, noted “grave and widespread concerns over science and mathematics education in New Zealand”. Students were less well prepared than a few years earlier, many were turning away from science at an early age, and a much smaller proportion of the brightest students were enrolling in tertiary science courses.

Some individual science departments had already established programmes to promote their subjects in schools – for example, in 1985 the Department of Mathematics and Statistics started a junior maths competition and, together with the Department of Computer Science, organised a national computer art competition. Now the Science Faculty set up a Science-Link Committee to foster links with schools and promote science in the community, and also a Science Education Forum for concerned educators to support one another in advancing science and maths education at all levels in Otago. University scientists took part in a wide variety of activities to promote science in schools, ranging from more competitions and science fairs to an adopt-a-scientist programme and a junior chemistry club (for intermediate school children).

One of the boldest new schemes of the Science Education Forum had a national reach and included all of the sciences. Hands-on science brought a group of secondary students of ‘exceptional’ ability to Otago in January 1990 for a week of science activities – Gerry Carrington, convenor of the organising committee, described it as an “outward bound school for scientists”. The first science camp was an enormous success, setting a pattern which has continued ever since. In the mornings students worked in small groups on a challenging project designed by one of the university departments and guided by staff and tutors. The afternoons were taken up by a more relaxed recreation programme, allowing them to explore the Dunedin environs. Participants from out of town – about 100 of the 140 involved that first year – stayed in one of the residential colleges, and organisers arranged sponsorship for those who could not afford the expenses.

Some intense work underway during the anatomy project at hands-on science, 2015. Image courtesy of Hands-on science.

Some intense work underway during the anatomy project at Hands-on science, 2015. Image courtesy of Hands-on science.

After that first year, described by students as “exciting and inspiring”, Hands-on science became a fixture on the university calendar every January, attracting more applications each year. Eventually the roll settled at around 240, with many turned away (there were 520 applicants for this year’s course). As well as their research projects, students listened to inspiring lectures. A programme of “science snacks”, allowing participants to get a briefer taste of a wide variety of science activities, was later added to the afternoon schedule, though there were still a few purely recreational activities on offer, including quizzes, discos and outdoor challenges.

It's not all serious! Students demonstrate the ascent of humanity during Campus Capers, a treasure hunt to familiarise students with the campus, 2013. Image courtesy of Hands-on science.

It’s not all serious! Students demonstrate the ascent of humanity during Campus Capers, a treasure hunt to familiarise students with the campus, 2013. Image courtesy of Hands-on science.

In its first 26 years Hands-on science has proved an effective recruitment tool for the sciences and, more specifically, for the sciences at Otago – around 40% of those attending end up as Otago students. More than half the participants some years are female, so it has helped encourage women into science careers. In more recent years there has also been increasing interest in the programme from Maori, who have been, traditionally, much under-represented in the sciences. Hands-on science has also proved particularly valuable for young people from small towns, giving them an opportunity to meet others with an interest in science.

Unsurprisingly for a programme designed for exceptional students, there have been some remarkable individuals attending Hands-on science. Perhaps the best-known to date is Chris Butcher, one of the engineers who created the Halo computer games. For some, the programme has determined their entire career. Christopher Lind, a 16-year-old from Rangiora, was inspired by Otago’s Brian Hyland, who explained the science of studying the brain and its functions. “I knew right then I wanted to be a neurosurgeon… I thought the brain sounded interesting and brain surgery was a frontier science”, he commented to the Otago Daily Times when he returned to Dunedin for a conference in 2009. Lind graduated in medicine from Otago and is now a neurosurgical professor in Perth, Australia.

With stories like this it is no wonder the people behind Hands-on science felt reason to celebrate last year when they held the 25th programme! Do you have any stories to share of Hands-on science? And can you help identify any of the participants in the photographs?

The physical education project at a recent hands-on science course. Image courtesy of Hands-on science.

The physical education project at a recent Hands-on science course. Image courtesy of Hands-on science.

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