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University of Otago 1869-2019

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University of Otago 1869-2019

Tag Archives: medicine

Learning to lecture

09 Tuesday May 2017

Posted by Ali Clarke in university administration

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1900s, 1910s, 1920s, 1930s, 1940s, 1970s, 1980s, 1990s, classics, economics, education, English, French, geology, Higher Education Development Centre, history, medicine, philosophy, physics, psychology, teaching, technology

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WR Morris lecturing in the ‘old anatomy lecture theatre’ – now the Gowland Lecture Theatre – in the Lindo Ferguson Building, 1949. Anatomical drawings and skeletons were popular visual aids from the medical school’s earliest classes onwards. Image courtesy of the Hocken Collections, University of Otago Medical School Alumnus Association archives, MS-1537/441, S17-550c.

The University of Otago’s founders followed Scottish precedent in their choice of curriculum and also in teaching methods: rather than the Oxbridge-style tutorial, teaching was based on the professorial lecture. That had the advantage of being economical and many subjects got by with just one staff member for the first few decades. The professor did all the teaching, except in the sciences, which were first to acquire assistants, necessary because of the laboratory classes which supplemented lectures. Humanities subjects had no tutorials until the 1940s, though in some cases the classes were small enough that professors became well acquainted with their students. As mentioned in a recent post about the history department, history professor John Elder told a young lecturer whose students showed marked progress after he introduced seminar discussions: ‘These young men like to hear themselves talk but you’re paid to lecture and you’ll therefore lecture. So long as I’m head of this department, there’ll be no discussions’.

Elder was not the only professor suspicious of tutorials. They eventually sneaked into arts subjects as the rehabilitation department funded tutorials for returned servicemen and women in the wake of World War II; they became standard additions to the lecture programme soon after that. Sometimes the impetus for this innovation came from students and sometimes from staff. In 1948 Frank Mitchell, the education professor, reported that ‘this year the Honours students on their own initiative organised tutorials for students taking Education I. I hope that it will soon be possible to conduct regular tutorials for all stages’. In the same year departing philosophy professor David Raphael noted that tutorials were ‘not just a desirable luxury’ in that subject, but ‘essential for adequate training. Philosophy is a way of doing things with one’s mind, not a set of facts to be learned, and consequently the student must be in a position to practise the accomplishment in question’. Tutorials required a bigger investment in staff, but the growing student roll justified that.

Academics of course varied greatly in their teaching styles. Founding classics professor George Sale, notorious for his disdain of students’ abilities, preferred the stick to the carrot. John Murdoch, in reminiscences of his own teaching career, wrote of meeting some of Sale’s honours students after a lecture in 1907: ‘They had just received their corrected Latin proses, and the most successful had gained a mark of “minus 300”. Sale deducted marks, 10, 50, 100 or more for a mistake, according to his estimate of its seriousness’. Murdoch had little respect for the methods of the early 20th century professors: ‘Otago University as I knew it was in effect a glorified coaching school’. Although the academic staff were ‘capable and well-qualified’, suggested Murdoch, their teaching was determined by a system whereby courses were ‘set by regulations applying to all four [University of New Zealand] colleges, and the success of their efforts was gauged by examiners in England’. Such conditions made ‘inspirational teaching almost hopeless if not quite impossible’, at least in English, ‘a notoriously difficult subject to teach’. Future high school principal Muriel May, an Otago student of the 1910s and 1920s, recalled that Thomas Gilray, the English professor, ‘taught by dictating at a relentless pace to his benches of scribbling students in the Lower Oliver classroom …. at the prearranged dates we regurgitated. There were no seminars, no discussions, originality was not fostered nor were personal opinions encouraged’. There were always, of course, some inspiring teachers. May also recalled that George Thompson’s French lectures ‘were invariably stimulating and enjoyable. (Latin students made comparable claims for the classes of Professor Adams.)’ Lecturer Agnes Blackie was in love with physics, which she found ‘brimful of interest’. ‘I can’t imagine a better subject for a lecturer’, she wrote in her reminiscences. ‘Lectures can be illustrated with fascinating demonstrations which bring the subject to life for the students and are fun for the lecturer to operate’.

From the 1950s, with greater local control of the curriculum and the widespread use of tutorials in addition to the traditional lectures, labs, clinical teaching and field trips, academic staff had greater flexibility in teaching. Their adoption of new technologies varied. Visual aids did not have to be high-tech: the beautiful anatomical drawings of John Scott, who was a skilled artist as well as first dean of the medical school, were used at Otago for many decades. Others used glass slides and a ‘magic lantern’ projector to show images. John Mackie recounted its use by Noel Benson in 1929 first-year geology lectures; it was ‘a contraption on a tripod which stood behind the lecture bench. Believe it or not, this projector incorporated an arc-lamp which spluttered, fizzed and made other dangerous noises, although as a source of light it was quite spectacular’. The notoriously absent-minded professor occasionally tripped over its wires ‘and the whole contrivance would crash to the floor’; that happened also on the day he rushed to extinguish the light after discovering students had replaced his first slide with a full-frontal nude. Slides remained a popular teaching tool, though shown through a more compact slide projector from the mid-20th century, with the slides themselves shifting from glass to film negative to digital format.

In 1940 the dean of arts and sciences, Robert Bell, reported that several departments took advantage of a new scheme for borrowing ‘sound-films’, finding them ‘an extremely valuable and effective addition’ to teaching methods. Not every academic liked new technology; John Howells, who retired from the economics department in the 1990s, commented ‘my major advancement in the technology area stopped with the biro pen’. The emergence of the Audio Visual Learning Centre (AVLC) in 1973 ‘was regarded with suspicion by some staff members who had visions of classes being handed over to various mechanical gadgets’, reported the staff newsletter in 1977. By then, the ‘prejudice’ was ‘disappearing’, with 30 departments already using the AVLC. Its use ranged from ‘tape/slide/workbook programmes’ for anatomy courses to a ‘film providing “evidence” for a simulated Supreme Court trial’ for law students. The impetus for the centre came from the medical school, which was concerned about how it would manage its larger intake of students; it provided space for AVLC academic director David Teather and his team, with a production centre in the Adams building and a study centre with library of audio visual resources in the Scott building.

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By the time this photo was taken in 1983, medical school lectures had become much more relaxed and technology enabled the use of film and other audiovisual aids. Please get in touch if you can help identify the lecturer or class! Image courtesy of the Hocken Collections, University of Otago Photographic Unit archives, MS-4368/086, S17-550b.

Academics using the AVLC ‘face some adjustment of their teaching methods and their attitudes’, noted the staff newsletter in 1975. There was already wider consideration of teaching and learning methods in the university, which new technology helped accelerate. In 1971 the lecturers’ association ran a well-attended seminar on teaching methods and suggested the university set up a research centre on higher education. In 1973 Otago appointed Terry Crooks as a lecturer in the education department, with half of his time devoted to research and advice on university teaching. He, the lecturers’ association and AVLC ran occasional sessions on teaching methods; for instance, a 1976 session looked at the use of film in university teaching, with staff discussing Otago-made films they had used in anthropology, physical education and medicine. Psychology lecturer Louis Leland ‘introduced a film which demonstrated the training of laboratory rats’. He made ‘a similar film each year with rats trained by the current year’s students and uses this to demonstrate to the following year’s students that training rats is within their capability’. In 1976 senate established a higher education research and advisory centre (HERAC) committee. HERAC and the AVLC often worked together and in 1978 they merged under a new acronym, this time destined to last: HEDC, or the Higher Education Development Centre.

Although HEDC had few staff in its early years, it performed a significant role; ‘there was growing awareness of the need for stimulating teaching’ reported the director, David Teather, in 1983. A recent two-day seminar on ‘helping students succeed’ had attracted 140 staff and ‘there was now hardly a department which did not make regular use of the resources at HEDC’ for producing teaching aids. That was just as well, since students ‘now came from school expecting to make use of technology in their work’. Computers became a significant part of that technology, and in 1986 Graham Webb joined the HEDC team; his ‘major responsibility’ was ‘to advise staff members on the educational uses of computers on campus’. Otago’s computing services centre also developed a team with expertise in computer-aided learning and in the 1990s HEDC’s audio-visual production section joined them as part of information technology services. HEDC continued to research and disseminate information on tertiary teaching, provide advice and run courses, notably for new academic staff; from 1996 staff could obtain a formal qualification – a postgraduate diploma in tertiary teaching – taught by the centre. The centre also supported Otago staff from other departments working on teaching-related research and new innovations. To help ‘enhance’ learning and teaching, the university offered special grants for research and innovation in teaching.

HEDC assisted with course evaluations, which gave students an opportunity to provide feedback on their teachers and courses. Staff could use them to identify weaknesses in their teaching which required work, or as evidence of their skills when seeking promotion. In an era of growing emphasis on quality assurance, they helped ‘measure’ courses in departments which were up for review. With a growing body of research from staff and postgraduate students on many aspects of higher education, plus a range of courses and support services for academics wanting to make their teaching more effective, Otago had travelled a long way from the days of Sale scoring papers at ‘minus 200’ and Gilray ‘dictating at a relentless pace’.

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A class underway in the late 1980s or early 1990s in the Castle Lecture Theatres. The overhead transparency was a popular teaching tool for many years, later largely overtaken by Powerpoint digital slides. Unfortunately, the resolution of this old negative isn’t good enough to read what’s on the screen – if you can identify the class, lecturer or year, please get in touch! Image courtesy of the Hocken Collections, University of Otago Photographic Unit archives, MS-4185/060, S17-550a.

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.

Of pills and potions and poisons

13 Monday Feb 2017

Posted by Ali Clarke in health sciences

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1870s, 1880s, 1890s, 1900s, 1920s, 1940s, 1950s, 1960s, 1970s, 1980s, 1990s, chemistry, medicine, pharmacology, pharmacy, physiology, toxicology, Wellington

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Making up supplies of the new wonder drug, penicillin, in the pathology department’s sterile solutions unit in 1949. In the 1960s the new pharmacy school took over ‘the factory’. Please get in touch if you can identify the woman in this photo! Image courtesy of the Hocken Collections, Prime Minister’s Department photograph, Box-184-007, S16-102a.

The University of Otago’s interest in pills and potions and poisons dates back to its earliest years. In his first annual report on the university laboratory, in 1875, chemistry professor James Black listed all the analyses he had carried out for the public and local officials. They ranged widely, from food and drink he tested for adulteration to coal and minerals and cement he tested for quality. Also on the list were some samples which suggest intriguing mysteries: in June 1874 Dr Niven of Roxburgh sent medicine, pills, a piece of tart and some lung balsam for testing, while in October Dr Cole of Tokomairiro sent urine and other samples to be tested for poison. Toxicology was thus at the very origin of Otago’s work in the pharmacology field.

It was the establishment of the medical school, though, which led to the first employment of a specialist in drugs. In 1883 John Macdonald was appointed lecturer in materia medica, as pharmacology was then known. The first medical school historian, Dudley Carmalt Jones, described Macdonald as ‘a big, handsome Scotsman of a striking presence …. a man who never quarrelled, and never did anything unethical’. As well as teaching students about drugs, he gave clinical teaching as one of the Dunedin Hospital honorary staff, his specialty being skin diseases. Macdonald taught materia medica according to ‘Edinburgh tradition’, with long lists of drug preparations to be memorised. Students also learned the practical skills of pharmacy, including the visual recognition of drugs and the making of pills, ointments and potions. These skills were taught at the hospital by its dispenser. The first to teach medical students their pharmacy skills was Dr John Brown, ‘a dear old eccentric teacher’ who was hospital dispenser for many years. This well-known character was apparently quite lenient with the students, but his successor refused to sign them off as ‘fully competent’, only recording that they had ‘regularly attended’; he also suggested that ‘grave danger’ could be avoided if they learned the theory of materia medica before tackling the making of medicines.

Although the early pharmacology lecturers focused on teaching rather than research, there were some interesting studies taking place around the university. As I wrote in an earlier post on this blog, New Zealand’s first home-grown medical graduate, Ledingham Christie, was awarded an MD degree in 1890 for his research into the toxicity of the tutu plant. In time-honoured mad scientist fashion, after observing the effects of the tutu berry on cats, roosters and rabbits he tested it on himself, taking a month to fully recover! Otago’s first physiology professor, John Malcolm, began working on tutin soon after his 1905 arrival, together with research assistant and hospital physician Frank Fitchett. Their authoritative study On the Physiological Action of Tutin was published in 1909. The following year Fitchett – a local lad who had returned to Dunedin after completing the final years of his medical training in Edinburgh – became pharmacology lecturer. Medical students enjoyed his lectures, even though they took place at 8am, for he filled them with a great fund of entertaining anecdotes from his years of medical practice. In 1920 Fitchett was promoted to be part-time professor of clinical medicine and therapeutics. He visited medical schools in England and Scotland to check out their pharmacology programmes; Otago needed to adapt its teaching to meet the changing requirements of the General Medical Council. Practice in hospital dispensing – ‘condemned’ as unnecessary by the council – was dropped from Otago’s medical syllabus and replaced with a practical class, modelled on Edinburgh’s, in the writing and analysing of prescriptions, and observation of the effects of drugs.

In 1940, after Fitchett retired, Otago had the good fortune to recruit the brilliant Horace Smirk to a new full-time professorial post in medicine. He was a Manchester graduate who worked in London and Vienna before becoming pharmacology professor in Cairo; he continued his pioneering work on drug treatment for high blood pressure in Dunedin. The new professor started out with a boosted staff of lecturers and researchers and within a few years had added further to his team. It was largely in honour of Smirk’s work that Otago received a large grant from the Wellcome Trust in 1961 for a new research building. Smirk had ‘tremendous vitality’, recalls Fred Fastier, one of his pharmacology team (later a professor himself). His colleagues wondered if this had something to do with the enormous quantities of tea he consumed; was his ‘curiously strong brew’ converted into something special ‘by a process apparently acquired in the land of Egypt’? It didn’t, however, work the same way for them.

Meanwhile, the Medical Research Council set up a toxicology research unit at Otago in 1955. Frank Denz was recruited back from England to his home country as first director; with a team including chemist Jack Dacre he began work on food additives such as colouring agents, ‘chosen because they were in extensive use but had not had adequate toxicological assessment’. Denz also taught in the pathology department; after his death in 1960 a very small team carried on with toxicology research. In 1968 the MRC convinced Garth McQueen of the pharmacology department to become director of the unit; he was an Australian who came to Otago in 1954 to work on hypertension with Horace Smirk and stayed on as lecturer in clinical pharmacology. In 1964 McQueen established the New Zealand National Poisons Information Centre, inspired by Dacre’s observations during study leave in the United States. It started out as a one-man operation, run from the Dunedin Hospital Emergency Department, and grew into a busy standalone 24/7 public service with an enormous knowledge base; alongside it McQueen developed New Zealand’s Centre for Adverse Drug Reactions and the Intensive Medicines Monitoring Programme (IMMP). Developed in the wake of the thalidomide tragedy, these, too, provided important public services, recognised with dedicated government funding from 1982 (the IMMP closed in 2013 after losing funding).

Another important 1960s development started out in a very small way: in 1963 six students signed on for a new Otago pharmacy degree. Pharmacists had been pushing for higher education for decades. New Zealand had been registering pharmacists since 1881, requiring them to complete an apprenticeship and pass exams; various private colleges developed. In 1960 the profession finally succeeded in getting a new pharmacy diploma course underway at the Central Institute of Technology (CIT); the Otago degree course was intended for those destined for specialist positions as researchers, lecturers, hospital pharmacists or manufacturing pharmacists. Pharmacy academics were thin on the ground, so the vice-chancellor persuaded pharmacologist and ‘born optimist’ Fred Fastier to administer the new course. Two highly regarded local pharmacists – analytical and consulting chemist Roy Gardner and Dunedin Hospital chief pharmacist John Conroy – ‘came to the rescue’ and became part-time lecturers for the specialist pharmacy subjects. The old Dental School Annexe (next to what is now the Marples Building) was converted to provide specialised labs for the pharmacy programme and sterile solutions unit, which pharmacy took over from the pathology department. The sterile unit – better known as ‘the factory’ – had been manufacturing supplies, including solutions of penicillin and other drugs, for many years to sell around the country; the pathology professor had kept it going in the hope it would prove useful for a future pharmacy department.

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Pharmacy student Alan McClintock and technician Sandra Barkman identifying ‘unknown’ chemical compounds in Rob McKeown’s pharmaceutical chemistry lab, c.1983. Image courtesy of Hocken Collections, University of Otago Photographic Unit records, MS-4368/085, S16-669c.

There was plenty of demand for Otago pharmacy graduates and lots of interest in the course; the annual intake was quickly increased to 20 and in 1975 to 25. In 1971 Harry Taylor, who had been heading the CIT programme, became Otago’s first pharmacy professor. A 1981 retirement tribute noted that Taylor saw pharmacy flourish ‘in the most decrepit building in the university, with his administrative work performed in an office no bigger than a commodious cupboard’, but in 1985 it finally moved into better accommodation in the renovated Adams Building. The pharmacy programme was also renovated under energetic Canadian professor Donald Perrier, who introduced a more clinical focus to the degree, which was popular with students. The class continued to grow, taking its biggest jump in 1991; that year, following a long period of political wrangling, a degree became the minimum standard of entry to the pharmacy profession, the CIT course closed and all New Zealand pharmacy training shifted to Otago (from 1999 pharmacists could also qualify through the University of Auckland). The pharmacy department was upgraded to become the pharmacy school, with Peter Coville – affectionately known as Papa Smurf – as first dean.

While pharmacy developed its own postgraduate programmes and research, staff in pharmacology, psychology and several medical school clinical departments also continued a wide variety of research concerning pills and potions and poisons. Some of these had big consequences. In the 1970s McQueen and Otago paediatricians were among those who revealed the toxicity of popular antiseptic hexachlorophene on premature babies. It was widely used from the 1950s onwards in the fight against staph outbreaks in maternity hospitals, but carried its own dangers. Perhaps the most dramatic finding concerning prescribed drugs came through a group of young researchers at the Wellington campus in the late 1980s. Physicians Julian Crane and Richard Beasley and pharmacologist Carl Burgess, all from the medicine department, were suspicious that a popular asthma drug, fenoterol (marketed here as Berotec), might be contributing to an unexplained epidemic of asthma deaths. They asked epidemiologist Neil Pearce of the Wellington campus’s public health department to join them in a study. The results, published in the Lancet in 1989, were explosive, revealing an association between asthma deaths and fenoterol. As with many epidemiological studies, the findings proved controversial. The drug manufacturer, Boehringer Ingelheim, conducted a remarkable campaign to discredit the study, but they weren’t the only ones to dispute it: other researchers, including some of Otago’s own, also resisted suggestions that fenoterol was dangerous. Further studies confirmed the asthma research group’s findings and government subsidies for fenoterol were withdrawn; it was research which prevented many asthma deaths in New Zealand and around the world. From investigating suspicious lung balsams in the 1870s to uncovering dangerous asthma inhalers in the 1980s, we have many reasons to be grateful to Otago researchers.

Photo mysteries

10 Monday Oct 2016

Posted by Ali Clarke in mystery photographs

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1930s, 1940s, 1950s, 1960s, 1970s, 1980s, 1990s, 2000s, capping, Christchurch, food science, Helensburgh, languages, Maori, medicine, microbiology, physical education, recreation, St Margaret's

This is a plea for help! Today’s post is rather different from previous ones. I’m posting some photographs I’d like to know more about. Some have appeared on the blog previously, while others are new. They’re all interesting images that I’m thinking of including in the University of Otago history book, and it would be great to have more details before they appear in print. Do you recognise any of the people or places or activities, or can you help with missing dates? If so, I’d love to hear from you, either by a comment on this post, or by email or letter (the ‘about’ page has a link to my university staff page with contact details).

I’ve gathered lots of images from archival, personal and departmental collections over the last few years, but I’m still short in some areas. In particular, I’m keen to locate photos relating to activities involving the commerce division/school of business and the humanities division (though I have a good supply of photos for the languages departments). Zoology, maths and psychology are other departments I’d like to find more images for. Where more general images of student life are concerned, I’d love to find a few photos relating to life in student flats and to lodgings and landladies. I have plenty of capping parade photos, but some other photos of student activities would be great. Overall, the 1980s are a bit of a gap in my lists of potential illustrations, so I’m on the lookout especially for anything from that decade, and to a lesser extent the 1960s, 1970s and 1990s. Another major gap is for images relating to the Christchurch, Wellington and Invercargill campuses. If you have any interesting photos you would be willing to lend to the project, please do get in touch!

Now, on with the mystery photos …

1. Gentlemen dining

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Image courtesy of the Hocken Collections, Irvine family papers, MS-4207/006, S16-669a.

These gentlemen, about to indulge in a little fine dining at the Christchurch Club, have connections to the early years of the Christchurch Clinical School (now the University of Otago, Christchurch). Those I have identified so far were either senior Christchurch medical men or Otago administrators and members of the Christchurch Clinical School Council. That council was organised in 1971 and met for the first time in 1972. Max Panckhurst, an Otago chemistry professor who was on the council, died in 1976, so the photo must date from before that, and since it also features Robin Williams, who completed his term as Otago Vice-Chancellor in 1973, it probably comes from the early 1970s. Do you know the exact occasion or year?

The men I have identified are, starting from Max Panckhurst, who is closest to the camera with fair curly hair, and working clockwise: LM Berry, Carl Perkins, George Rolleston, Robin Williams, Leslie Averill, Alan Burdekin (Christchurch Club manager,standing), Bill Adams, LA Bennett, Robin Irvine, unknown, unknown, Pat Cotter (partly obscured), D Horne, Don Beaven, unknown, Fred Shannon, Athol Mann, JL Laurenson. Do you recognise anybody else? Or have I got any of these wrong? Some other potential candidates, who were also on the Clinical School Council, are EA Crothall, DP Girvan, TC Grigg and CF Whitty.

2. Burgers

Were you a Burger? After I published a story about Helensburgh House, a student hall of residence in the former Wakari nurses’ home, I met up with Glenys Roome, who had been its warden. She kindly shared some photos, including these three. Helensburgh House ran from 1984 to 1991 – I’d love to identify which year these were taken, and perhaps some names!

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Volleyball

 

3. The missing singer

1952

Photo courtesy of Michael Shackleton.

All but one of the members of the 1952 sextet in this photo are identified – can you help with the full name of the young man third from left? His first name was John. The lineup was, from left: Linley Ellis, Richard Bush, John ?, Keith Monagan, Michael Shackleton, Brian McMahon. The story of the sextet featured in an earlier post.

4. On the rocks

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Image courtesy of the Hocken Collections, Otago University Tramping Club records, 96-063/036, S15-592b.

This is one of my favourite photos – it’s already featured on the blog a couple of times and is sure to end up in the book! In the original tramping club album it is identified as being at Mihiwaka, but somebody kindly pointed out when I posted about the tramping club that this is most likely taken from Mount Cargill. Do you recognise this spot? And can you identify any of the 1946 trampers?

5. Phys-eders

The School of Physical Education, Sport and Exercise Sciences has kindly shared some of their photo collection. The photograph on the beams was taken in the 1970s – were you there, and do you know the exact year? How about the others – any ideas where and when they were taken, or who the people are? I published a post about the early years of the phys ed school in an earlier post, and there are photos on that I’d love to have more information about too, so please take a look!

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6. Te Huka Mātauraka

Students 2002

Photo courtesy of the Māori Centre

This photo was taken outside the Māori Centre, Te Huka Mātauraka, in 2002 and featured in a post about the centre. Can you identify anybody?

7. Microbiologists

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Image courtesy of the Hocken Collections, Department of Physiology records, r.6681, S16-521c.

This photograph is a good example of the value of this blog. In the original, the man is identified as Franz Bielschowsky, of the cancer research laboratory. When I included it in a story featuring Bielschowsky, people informed me that the man here is actually Leopold Kirschner, a microbiologist working in the Medical Research Council Microbiology Unit. It was probably taken in 1949. Typically for that period, the female assistant is not named – do you know who she is? What, exactly, are they doing? I suspect health and safety procedures have changed since then!

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Image courtesy of the Hocken Collections, University of Otago Photographic Unit records, MS-4185/042, S15-500d.

Here’s another microbiology-related photo, taken during the first hands-on science camp in 1990 – it featured in an earlier post about hands-on science. Can you identify any of these high school students? I’m curious to know if any of them ended up as University of Otago students!

8. The St Margaret’s ball

St Mags ball

Image courtesy of Peter Chin.

This photograph, taken at an early 1960s St Margaret’s ball, featured in a story about Chinese students at Otago. At centre front are Jocelyn Wong and Peter Chin – can you identify anybody else? Exactly which year was it?

9. Picnickers

 

Latin picnic

Image courtesy of Alexander Turnbull Library, Ref: 1/2-166716-F. http://natlib.govt.nz/records/22884184

The Latin picnic was a popular event in the early twentieth century. This photo was taken at Whare Flat in 1932 – it featured in an earlier post about writers at the university. People identified so far include Dan Davin, on the far right, with Angus Ross in front of him and Christopher Johnson to Davin’s right. Other students include Frank Hall (back left), Winnie McQuilkan (centre front) and Ida Lawson (in dark jacket behind her). The Classics staff, Prof Thomas Dagger Adams and Mary Turnbull, are at front left. Can you identify anybody else?

10. In the food science lab

I featured these mystery photos quite some time ago on the blog, and people have identified Rachel Noble, a 1980s student, as the woman in the centre of the bottom image. The food scientists tell me these students were in the yellow lab, possibly working on an experimental foods course or the product development course run by Richard Beyer. Can you help with the date, or identify any of the other students?

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Images courtesy of the Hocken Collections, from the archives of the Association of Home Science Alumnae of NZ, MS-1516/082, S13-556b (above) and S13-556c (below).

 

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I have quite a few other photograph puzzles, but will save those for future posts!

Update

Thanks very much to those of you who have identified some of the mystery people already – yay! And thanks for the kind offers of further photographs. For those with photographs, here are a few instructions. If they’re already digital, that’s great. If you are scanning them, it would help if you make them high resolution (say 300dpi), preferably in TIFF format, but JPEGs are okay. If they are hard copy, I’m happy to scan them for you if you’re willing to lend them to me – I promise to return them promptly. I can pick up items if you’re in Dunedin, otherwise you can post them to me (it’s probably easiest if you send them to Ali Clarke, c/o Hocken Collections, University of Otago, PO Box 56, Dunedin 9054). Remember if you’re sending images that you need to be willing for them to appear, potentially, in the new university history book (due out 2019) or on this blog! I’ll send you a form to sign granting permission for their use in university publications. Any published photos will be attributed to you; do let me know if there’s a photographer I should clear copyright with as well. Thanks 🙂

 

The Nobel connection

18 Monday Jul 2016

Posted by Ali Clarke in health sciences

≈ 11 Comments

Tags

1940s, 1950s, biochemistry, medicine, physics, physiology, research

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Staff and senior students of the physiology department in 1951. Front row, from left: Laurie Brock, Ken Bradley, Prof Eccles, Eric Hook, Charlie Morris, Wilfrid Rall. Middle row: Arthur Chapman, Jack Coombs, Yap Tien Beng, Molly Bradley, Graham Jeffries, Pearl Cousins. Back row: Arnold Annand, Ron Stevenson, Dan Whyte. Photo courtesy of the Department of Physiology.

At first glance, the Otago physiology department’s one-page annual report for 1951 appears somewhat mundane. It listed student numbers, staff changes, research topics and publications, but it was a simple factual report and made no comment on the teaching workload (which was heavy), research productivity and quality (high), or the achievements of departing staff (remarkable).

A closer look at the 7 publications listed provides further insight into goings-on in the department. Two appeared in the leading journal Nature: ‘Plasticity of mammalian monosynaptic reflexes’, by departing professor Jack Eccles and senior lecturer Archie McIntyre; and ‘The afferent limb of the myotatic reflex arc’, by McIntyre. Several others appeared in the local publication Proceedings of the University of Otago Medical School, including ‘Action potentials of motoneurones with intracellular electrode’, authored by physiology lecturer Laurie Brock (a recent Otago medical graduate), physics lecturer Jack Coombs (another Otago graduate) and Eccles. That article – just a page and a half long – was the first published report of an important breakthrough in neurophysiology research; it was a significant step in the work that won Eccles a Nobel Prize in 1963.

Eccles, born in Melbourne in 1903, commenced at Otago in 1944, bringing impressive credentials from his years as a physiology researcher in Oxford and Sydney. He replaced John Malcolm, who had been physiology professor since 1905. Malcolm was an active researcher, highly respected for his work in biochemistry and nutrition, but Eccles was to take the research activity of the department to a new level. First, though, he had to reacquaint himself with the whole of physiology in order to teach medical students, something he had not done for some years. Preparing 75 lectures for second-year meds, plus others for first-year meds, along with a completely new laboratory course and discussion groups, meant his research ‘virtually came to an end’ during that first year, Eccles later recalled. He did design some of the medical students’ lab work to assist his research, as Miles Hursthouse explained: the professor ‘conducted many interesting experiments, some of them on us! At our practical sessions we had to endure having needles stuck into a muscle, then contract that muscle while measuring the electrical impulse and rate of propagation’. There weren’t many staff to assist, though Eccles was grateful for those he had, including Norman Edson, appointed associate professor of biochemistry in 1944. Biochemistry was a rapidly-growing field, and in 1949 it split from physiology to become an independent department with Edson as inaugural professor; the two fields continued to work closely together despite the administrative separation.

Though he had little time for research in 1944, it was ‘important in my scientific life above all my post-Sherrington years’, recalled Eccles (Charles Sherrington being the distinguished neurophysiologist who inspired him at Oxford). It was then he met the great philosopher Karl Popper, who was teaching at Canterbury. Hearing of the stir that Popper was creating among the scientists of Christchurch, Eccles and Edson invited him to visit Otago. Eccles was heavily influenced by the ‘inspiring new vision of science that Popper gave us’, most notably by his message ‘that science is not inductive, but deductive’. With Popper’s urging, Eccles set about designing experiments that would test a hypothesis ‘in its most vulnerable aspects in an attempt at falsification’. He was keen to prove his theory that messages crossed the synapses of nerve cells by electrical rather than chemical means.

By 1945 Eccles was busy experimenting alongside his teaching duties. David Cole, future dean of the Auckland medical school, completed a BMedSci degree with Eccles that year, recalling that ‘the ebullient JCE’ had ‘ideas tumbling out of his mind’; students appreciated ‘the invaluable experience of working close to the edge of scientific knowledge’. The professor’s lab was ‘a huge cage of chicken wire’ and ‘almost a caricature of the mad scientist amongst his oscilloscopes, wires and animals’. Another student recalled the day that Eccles ‘arrived in great excitement, having, he said, a testable hypothesis about inhibition which had come to him, like Archimedes, in the bath that morning. He retired to his wire cage for 24 hours or more, being fed sandwiches through the door’.

Neurophysiology experiments required sophisticated and intricate electronic equipment; Eccles acknowledged that such technology ‘rapidly outstripped my understanding …. My indebtedness to my associates is immeasurable’. In his travels around the world, he noted, ‘I have left … a trail of elaborately designed shielded research rooms stripped of equipment!’. To Otago he brought not just specialist electrical equipment, but also a technician, Arthur Chapman. He also made the most of the technical expertise he found in Dunedin. Arnold Annand, whose electrical expertise had been honed during service in the Air Force, joined the physiology department as a technician in 1948, beginning a career of almost 40 years building and maintaining equipment for the university’s health science departments. In 1950 Eccles asked Jack Coombs, a ‘shy genius’ who had been lecturing in the physics department since 1940, to design a machine capable of the electronic stimulation and recording he needed for his experiments. Coombs came up with devices which remained, for many years, ‘the best general research instruments for electrophysiology in the world’, said Eccles. Coombs also participated in the neurophysiology experiments. Eccles attracted PhD students – then a rare breed – to Otago. For instance, Wilfrid Rall, a Yale graduate, came to study with Eccles, remaining on as a lecturer for several years before returning to pioneering neuroscience work in the US. Another important recruit to the department was Archie McIntyre, an old Australian neurophysiology colleague. Eccles convinced McIntyre to join him at Otago, where he became senior lecturer in 1949.

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Eccles at work on an experiment, assisted by Molly Bradley, in 1951. Photo courtesy of the Department of Physiology.

The breakthrough 1951 experiment required the insertion of a tiny electrode, less than a micrometer wide, into a single nerve cell in the spinal cord of an anaesthetised cat; the action potentials of the cell could then be measured. Similar experiments had been carried out on frog muscle fibres, but never successfully on mammals. The day that revealed that synaptic action was chemically mediated, thus disproving Eccles’s theory of electrical transmission, was remarkable not only for that result. The experiment lasted for many hours, but for some time Eccles was left to tend it alone while one of his colleagues, Laurie Brock, delivered the baby of the wife of the third member of the team, Jack Coombs! As an enthusiastic disciple of Popper’s deductive method, Eccles was happy to accept that his theory was false, becoming a ‘belated’ convert to English neuroscientist Henry Dale’s hypothesis of chemical synaptic transmission even in the central nervous system.

Although Eccles was to carry out further ground-breaking experiments in neurophysiology, they didn’t take place in Dunedin. At the end of 1951 he departed for a plum job as founding physiology professor at the John Curtin School of Medical Research, attached to the recently-established Australian National University, Canberra. There he could carry on his research without the distraction of the heavy teaching load which he found a burden at Otago. Jack Coombs (whose younger brother Doug was geology professor at Otago for many years) and Arthur Chapman followed Eccles to ANU, as did some of the specialised equipment. But he left behind a strong legacy of experimental neuroscience at Otago and, by no means least, his much-respected colleague Archie McIntyre, who succeeded him as physiology professor. Under McIntyre’s leadership the department continued to attract talented research students and staff and maintained a strong experimental focus, albeit one less focused on neurophysiology, as new staff with other interests within physiology joined the team.

Ted Jones, who became a prominent neuroscientist in the USA, arrived at Otago as a medical student a few years after Eccles departed. He could not recall ever being told that Eccles had carried out groundbreaking work ‘in one of those rather grubby basement rooms of the Lindo Ferguson building. If Eccles was remembered at all it was for his irascibility, not his scientific achievements’. Perhaps the subsequent award of a Nobel Prize alerted later students to what this man had achieved in the world’s southernmost medical school – certainly it’s something we can celebrate today!

On a foreign field

25 Monday Apr 2016

Posted by Ali Clarke in student life, students' association

≈ 5 Comments

Tags

1930s, Critic, history, international students, medicine, mining, war, writers

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Alexander Maclure (mistakenly named here as Arnold) and other international volunteers arrested while attempting to enter Spain, at an appearance in a French court in 1937. Image from the Workers Weekly, 2 July 1937, courtesy of the Hocken Collections, S16-521d.

I’ve written previously about the university in World War I and World War II, so to mark Anzac Day this year I’m exploring the intriguing and little-known story of an Otago student killed in one of the other conflicts of the 20th century, the Spanish Civil War. Alexander Crocker Maclure was not your average Otago student. For a start, he came from Canada, not a common origin for students at that time. Born in 1912, Alex Maclure grew up in Montreal. After leaving school, where he did well, he headed to remote northern Manitoba, working as a wireless operator at Fort Churchill. He was, it seems, a man of adventure and one keen to escape his roots in Westmount, a wealthy Anglophone enclave of Montreal. His parents loved their oldest son, but had no time for his leftist politics; indeed, his father chaired the council of the Montreal branch of the Royal Empire Society. In 1931 Alex Maclure enrolled at the Otago School of Mines. We can only speculate about why he came here when he could have attended one of Canada’s mining schools. The Otago school had a distinguished international reputation, so perhaps that was the drawcard; perhaps he wanted also to explore a new country.

There were only around 1100 students at Otago when Maclure arrived, and he quickly earned the reputation of being the most politically radical person on campus. That wasn’t an especially big challenge: a study by Sharon Dooley of Otago students in the depression concluded that most were ‘conservative members of the middle class’, preoccupied with completing their qualifications. There were a few, like future history professor Angus Ross, who were shocked by the poverty they witnessed in those difficult times and took an active interest in politics as a result, but Maclure was unusual in being a committed member of the Communist Party (it expelled him more than once for unorthodox views). Maclure was a driving force behind the formation of the first formal left-wing groups on campus. The Public Questions Union, first affiliated to OUSA in 1932, organised regular discussions and mock parliaments; it also served as a ‘front’ for the Independent Radical Club, ‘an influential cell’ of more radical students, with about 30 members by 1935.

Maclure was heavily committed to his political beliefs. He was always up for a discussion and a very good speaker, though his views shocked many. He started out living at the Dunedin YMCA and later lived in digs in Cumberland and Hyde streets. His university enrolment card for 1935 gave his address as ‘no fixed abode’; that may have been when friends recalled him living in a deserted house, unable to afford heating or food. He had little choice but to turn to his parents for financial support. Writer Dan Davin, a student contemporary, later wrote a vivid portrait of Maclure (disguised as McGregor) in his short story ‘The Hydra’, published in The Gorse Blooms Pale in 1947. It revealed the radical as an extremist, who always ‘seemed too vehement, slightly absurd’; other students threw him in the Leith when he advertised the first meeting of the Radical Club. But Davin also expressed some sympathy with Maclure’s views on food riots by the unemployed, and felt uncomfortable at his conviction and fine for scrawling political slogans on Dunedin footpaths. Maclure wrote about politics wherever he could, including in student publications Critic and the Otago University Review. Meanwhile, he slogged his way through the mining course, completing some of the practical component in the West Coast mines. He took a year off his course in 1933 and it is unclear what he did then; perhaps he simply got a job to fund his later studies. He completed his final course work at the school of mines in 1936; he didn’t receive his diploma, but that was only because he had yet to complete the required thesis about his practical work, often submitted by students a year or two after they left the mining school.

Maclure now had other priorities. Like other political junkies he developed a keen interest in events in Spain, where in 1931 a coalition left-right government took over from the previous deeply conservative dictatorship and monarch, and after the 1936 election a coalition leftist government – the Popular Front – won power. Later that year the right-wing military began an uprising, led by General Francisco Franco, and a brutal civil war broke out in earnest; the war was eventually won by Franco in 1939. The fight was confined to Spain, but it had much broader significance as a battle between the extremes of left and right in a region where fascism was on the rise. Hitler and Mussolini committed resources, including troops, to Franco’s cause and, in the absence of any effective intervention from other countries, leftists around the world recruited volunteers to support the republican government’s battle against the right. The International Brigades, as they were known, eventually included around 40,000 volunteers from 50 countries. Soon after the war broke out Alex Maclure helped set up the General Spanish Aid Committee, later absorbed into the Spanish Medical Aid Committee, which became this country’s major relief organisation for the war.

But Maclure wanted to do more than raise funds. Early in 1937 he returned briefly to Canada, where he joined a group of Canadian and American volunteers heading to Spain. He intended to get involved in the blood transfusion unit, but because of his record as a crack marksman (he won prizes for his shooting ability at school) he was posted to a fighting unit of the MacKenzie-Papineau Battalion. The first challenge was to gain entry into Spain, as France closed its border in February 1937. Maclure and some of his companions were captured by French authorities while travelling up the Mediterranean, hidden in the hold of a fishing vessel; together with several others, picked up by border patrols in the Pyrenees; they spent 20 days in a French prison for evading a non-intervention agreement, which supposedly banned all foreign powers from intervening in Spain. The Workers Weekly, the New Zealand communist paper, published a letter from Maclure in jail, as did the Grey River Argus. The prisoners were in high spirits, and received lots of support from French locals. They finally made their way into Spain some weeks later, crossing by foot in darkness over mountain trails.

Maclure’s movements in Spain remain unclear, but he became sergeant in charge of one of the American Division’s machine guns and was reported wounded and missing in August 1937; he died a couple of months later, probably in battle at Fuentes de Ebro, in the Zaragoza (Saragossa) province of northern Spain. News of Maclure’s death reached Dunedin in December 1937; the Workers Weekly proclaimed the heroism of a comrade ‘killed in action defending, with his comrades in the International Brigade, freedom and world peace against the Fascist invaders’. He ‘demonstrated that New Zealand can point to men to whom freedom means more than life itself’. An obituary in the first issue of Critic for 1938 recalled Maclure’s years as an Otago student, noting his ‘considerable’ intellect and his whole-hearted promotion of his Communist beliefs. ‘His enthusiasm, his sincerity, his moral fearlessness earned him the regard of all who respect such qualities’. Critic did not, naturally enough, demonstrate such approval of Maclure’s politics as the Workers Weekly, commenting that ‘there are many who heartily deplore the theories for which Maclure fought’. It did, however, acclaim his sincerity: ‘to whatever creed we cling we can not but feel admiration for the rare and fine qualities in Maclure’s character, qualities that are revealed by his giving up his life for his ideals’.

Maclure was, to the best of my knowledge, the only Otago student or graduate to serve as a frontline soldier in the Spanish Civil War, but a couple of others did play significant roles in journalism and medicine. Geoffrey Cox completed an MA in history at Otago before heading to Oxford as a Rhodes Scholar in 1932. He stayed on in England, beginning an acclaimed career in journalism as a junior reporter for the News Chronicle. In the early months of the Spanish Civil War, Cox became the paper’s correspondent in Madrid. The original correspondent had been captured, and Cox suggested he was sent because the paper saw him as junior enough to be expendable. His reports from the Spanish capital, then heavily besieged by Franco’s forces, became one of the few sources of information to the outside world. His vividly written eye-witness account of five weeks in Madrid was published in the book Defence of Madrid the following year. His reputation as a correspondent grew as he reported for the Daily Express from Vienna and Paris in the years leading up to World War II, covering the Anschluss and Munich crisis and the invasion of Poland, then the war in Finland and German invasion of the low countries. After the fall of France he signed on with the New Zealand Division and served with distinction. When the war ended he returned to his career as an English newspaper journalist, later becoming a pioneer of television journalism.

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Geoffrey Cox, photographed by S.P. Andrew in 1932. Image courtesy of the Alexander Turnbull Library, reference 1/2-C-22830. Alexander Turnbull Library

Douglas Jolly was another Otago graduate who published a book based on his experiences in the Spanish Civil War, but it had a very different purpose: to equip surgeons for battle. Jolly graduated in medicine in 1930. During his university years, and later, he was heavily involved in the Student Christian Movement, becoming a convinced Christian socialist. When the war broke out in Spain he was in England, close to completing his specialist qualifications as a surgeon. As the republicans lost most of their military medical services with the army rebellion and the Red Cross refused to intervene in an internal conflict, there was a call for international volunteers to support the leftist cause. Jolly immediately abandoned his studies, arriving in Spain in November 1936 with the first contingent of British medics. He was assigned to the XI International Brigade, for whom he formed a 50-bed mobile surgical unit. He gave two years of almost continuous service as a frontline surgeon, only departing when all international volunteers were withdrawn from Spain. He proved an excellent surgeon, ‘courageous and totally reliable’, much respected by all with whom he served. His patients included civilians injured in air raids alongside frontline soldiers, and the settings for the ever-mobile field unit ranged from the basement of a shell-ruined flour mill to railway tunnels and a cave. After the war he campaigned on behalf of post-war refugees, including during a return visit to New Zealand in 1939. When World War II broke out he returned to England and wrote the medical manual Field Surgery in Total War, published in October 1940 to glowing reviews. His advice on abdominal surgery saved many lives, and his systems for dealing with multiple injured patients became the basis for surgical units in World War II, Korea and Vietnam. Doug Jolly also signed on with the Royal Army Medical Corps, serving as a surgeon in North Africa and Italy. His long service on the battlefields of two wars eventually caught up with Jolly; after World War II he lost his enthusiasm and confidence for surgery, spending the rest of his career as medical officer at Queen Mary’s Hospital for amputees in London.

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Marianne Bielschowsky in April 1939. Image courtesy of the Hocken Collections, Bielschowsky papers, MS-1493/036, S16-521d.

The involvement of two later Otago staff members, Franz and Marianne Bielschowsky, in the Spanish Civil War was less intentional than that of the three Otago-educated people already mentioned. They were already living in Spain when war broke out. Franz Bielschowsky, son of distinguished German neurologist Max Bielschowsky, undertook his medical training in a succession of German universities before completing an MD at Berlin and embarking on a career in medical research in Dusseldorf. Early in 1933 he was dismissed from his job because of his Jewish parentage and fled to Amsterdam. In 1934 he relocated to Madrid, where he became a lecturer in the medical faculty; in the following year he was appointed director of the biochemistry department of the new Institute for Experimental Medicine at the Central University of Madrid. Marianne Angermann, a German biochemist who had worked with Franz Bielschowsky in Dusseldorf, joined him at the Institute in Madrid late in 1935; they were to marry in 1937. Angermann and Bielschowsky refused offers to leave Spain when the civil war began; they did not feel vulnerable and respected the support they saw for the republican government. But as the siege of Madrid lengthened, their research work became impossible. Franz joined the republican medical service and worked at a military hospital in Madrid. The Bielschowskys remained in Madrid after the withdrawal of international medical staff in 1938, but fled Spain early in 1939, as Franco’s forces prepared to enter the capital. They were now refugees for a second time, and as war took over Europe they ended up in England. They both obtained work at the University of Sheffield, where Franz’s research took a new direction, investigating the role of hormones in the development of cancers. In 1948 the Bielschowskys arrived in Otago, where Franz had been appointed director of the cancer research laboratory. Like his work in Sheffield it was sponsored by the British Empire Cancer Campaign Society. Franz continued a productive research career at Otago for 17 years, until his sudden death in 1965. Marianne, who worked alongside him, continued her work until her own death in 1977. She was especially known for her development of various special strains of mice, used worldwide for medical research.

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Franz Bielschowsky in 1949, when he was Director of Cancer Research at the University of Otago. Image courtesy of the Hocken Collections, Physiology Department records, r.6681, S16-521c. (I would be delighted to hear from anybody who can identify the woman in this photo).

The Spanish Civil War of the 1930s might be dismissed as foreign by many New Zealanders, but its dramatic progress caught up several people from these distant shores. The involvement of people connected with Otago reflected the international influences – and standing – of this university. There were an international student from Canada whose politics drove him to his death in a fight against fascism, and two New Zealanders – a Cromwell-born doctor and a Palmerston North-born journalist – who took the skills developed at Otago and further honed in England to make their own contributions during that brutal war. Last, but by no means least, came the cultured German scientists whose fortunes became caught up in that war; it was one of the events which led them to eventually settle and make an important contribution in this more peaceful corner of the world.

I am grateful to Wellington historians Simon Nathan and Mark Derby for sharing information about Alexander Maclure. I highly recommend to anybody interested in learning more the book edited by Mark Derby, Kiwi Compañeros: New Zealand and the Spanish Civil War. Mark tells me discussions are underway about a possible memorial to Doug Jolly in his home town, Cromwell.

An update (18 July 2016) – somebody who knew the Bielschowskys has kindly been in touch to alert me that the photo labelled as being of Franz is not actually him! She suggests it may be of Leopold Kirschner. If you recognise this gentleman, I’d love to hear from you.

A further update (20 July 2016) – a couple more people have confirmed that the man in the laboratory photograph is not Franz Bielschowsky, but Leopold (‘Poldi’) Kirschner. Kirschner was a microbiologist and worked in the Medical Research Council’s Microbiology Research Unit. He was another of Europe’s Jewish diaspora.Originally from Austria, he did important work on leptospirosis in Indonesia, but was interned there during the war. He continued the work on leptospirosis at Otago. My sincere thanks to those who helped correct the photo identification. The identity of the woman in the photo remains a mystery – suggestions are welcome!

The ‘latest’ health science – nursing

11 Monday Apr 2016

Posted by Ali Clarke in health sciences

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Tags

1920s, 1970s, 1980s, 1990s, 2000s, 2010s, Christchurch, home science, medicine, mental health, nursing, public health, Wellington, women's studies

Matrons conference

Some of New Zealand’s leading nurses of the 1920s, when the university attempted to set up a nursing diploma. They were photographed at the first conference of hospital matrons, held at Wellington Hospital in 1927. Image courtesy of the Alexander Turnbull Library, S.P. Andrew Ltd collection, reference 1/1-018313-F.

The University of Otago is perhaps most famous for its health science courses, but many people are unaware of its contributions to the largest of the health professions: nursing. There have been many twists and turns in the path to nursing education at Otago, which this blog post attempts to map.

Nurse training in this country started out with ad hoc programmes in various hospitals; it was an apprentice-style system, with nurses learning on the job and providing the bulk of the hospital workforce as they did so. In 1901 New Zealand introduced the registration of nurses. From that date general nurses could become registered after completing the required years of training and passing a state examination. Separate registration was later added for obstetric, psychiatric and psychopaedic nurses, along with another roll for nurses who had completed shorter training programmes, with greater restrictions on their practice (known initially as nursing aids, then community nurses, then enrolled nurses, then nurse assistants, then enrolled nurses again). The hospital-based education of nurses slowly improved, with more time dedicated to teaching from dedicated nurse tutors, but there was no higher education available for those tutors. Advancing education programmes became a priority for those who wished to increase the professional standing of nurses and improve the care they offered.

When Otago’s home science school started out in the 1910s, nurses took notice. In 1912 leading nurse Hester Maclean, who edited the nursing journal Kai Tiaki, published there the response of home science professor Winifred Boys-Smith to Maclean’s enquiries about the potential of the school’s new courses for women who intended to enter the nursing profession. Boys-Smith suggested that the diploma course would be ‘incalculably useful to a girl who wanted to become a really efficient hospital nurse, for it would enable her to obtain a sound and much more advanced knowledge of physiology, sanitary science and household economics, than she could afford the time to gain, while she was training at a hospital’. The courses might also benefit nurses already trained who wished to improve their qualifications: Boys-Smith hoped to attract ‘quite a number of the more intelligent nurses, who wish to make themselves especially efficient for the higher posts which offer’. It is unclear whether or not any nurses or potential nurses enrolled at the home science school at this point, but the courses there did become the core of a new venture a decade later.

In 1922, in response to various concerns about the state of nursing education, and advocacy from the Trained Nurses’ Association, the University of Otago council began planning a five-year nursing diploma. In consultation with the home science and medical schools, it approved a curriculum consisting of two years of university courses, two years of ‘ward work and general hospital training’, and a final year of specialised nursing education. An attractive feature of this programme was that it used existing courses at the home science school and hospital and would not require the council to employ any additional academic staff until the fifth year. Meanwhile, the government’s department of health was keen to see an advanced course for already-trained nurses, and suggested the fifth year of the proposed Otago diploma could become that course; it offered to send two senior nurses overseas to be educated as lecturers for the programme. Janet Moore headed to London and Mary Lambie to Toronto in 1925, with the fifth year/advanced programme scheduled to commence in 1926; meanwhile several women started the first years of the programme through the home science school.

Unfortunately, the scheme then fell apart due to a series of misunderstandings between the university and the health department. Neither had explicitly stated who was to pay the salaries of the specialist nursing lecturers. The university council assumed the health department’s involvement and support meant they would stump up the cash required, while the health department assumed the university would pay its own staff. Those council members who had only supported the project on the basis it would cost the university nothing stubbornly refused to commit any funding, even after the nurses’ association offered to pay a contribution. The health department proved equally stubborn over the matter. Admittedly the university was strapped for cash, but it is sad that a programme that could have changed the course of New Zealand nursing education collapsed over the cost of two salaries. Moore and Lambie approached Victoria College (later Victoria University of Wellington), where they got a more sympathetic response to a proposal for a short diploma course for already-registered nurses. The government proved more willing to offer funding for this course, which commenced in 1928 at Wellington Hospital, jointly supervised by Victoria, the health department and the hospital boards association. For 50 years the School of Advanced Nursing Studies, as it became known, was to provide New Zealand’s only advanced education for nurses. The first two students in Otago’s collapsed programme, who had already completed the first 4 years, went on to complete the new Wellington course. One of them, Winifred Fraser, applied to Otago for a diploma of nursing, becoming the one and only person awarded that qualification. Most of the other women partway through their course switched to home science.

After this unfortunate episode, the University of Otago kept out of nursing education for many decades. Meanwhile, dissatisfaction with New Zealand nursing education remained, with high attrition rates, a failure to keep up with new developments and a continuing focus on student nurses as a labour force rather than learners. In 1970 the government approached the World Health Organisation, which appointed Helen Carpenter (director of the University of Toronto’s nursing school) to review the current system. Her report (An improved system of nursing education for New Zealand) led to major reforms. The education of registered nurses shifted from the health sector to the tertiary education sector. Commencing at Wellington and Christchurch in 1973, technical institutes around the country established nursing schools, and registered nurse programmes at hospitals were gradually phased out (though hospitals continued to train community/enrolled nurses). The technical institutes also later developed advanced diploma courses in various clinical fields, taking over the role of the School of Advanced Nursing Studies.

One of Carpenter’s recommendations was that a proportion of nurses should be educated to a still higher level, through universities. She suggested that Otago’s preventive and social medicine department, along with the education departments at Victoria, Massey and Canterbury, could start by appointing a nurse to their academic staff, with a view to building up nursing research and later courses. Otago’s medical faculty proved largely supportive of the idea, but over the next decade various proposed schemes came to nothing. Meanwhile, Victoria and Massey began offering a few BA papers in nursing studies. Proposals from Otago included a diploma in nursing administration, and later a basic-level bachelor’s degree, but neither made it past the University Grants Committee. In 1979, faced with various proposals for new nursing courses, the UGC appointed a special committee on nursing education, which recommended turning down Otago and Massey’s proposals for basic degrees, and another from Auckland for a post-basic bachelor’s degree. Victoria, it suggested, could develop its existing programme into a full nursing degree, complete with clinical education, while Massey should continue its existing courses. Victoria approached Otago’s Wellington clinical school to see if they might cooperate in an undergraduate nursing degree. That scheme got quite advanced but eventually fell through due to the government’s unwillingness to supply funding. Victoria’s nursing programme went into abeyance for a while in the early 1980s, but it later built up a postgraduate school. There were many differing opinions about university-level nursing education but it was, generally, finance that prevented many a dreamed-of programme from getting going. In Dunedin, any sense of urgency for an undergraduate programme that would lead to nursing registration ended once the Otago Polytechnic opened its nursing school in 1984.

Of course, nurses did enrol in a variety of other University of Otago courses. A good example is nursing academic Beverley Burrell, who trained as a nurse at Dunedin Hospital in the 1970s. After developing an interest in education through the playcentre movement, she enrolled in education courses at the university, going on to complete a BA and MA in women’s studies. There was a close synergy between her nursing experience and her university study.

2012

Robyn Beach leading a class in the ‘nursing – high acuity’ paper in the Centre for Postgraduate Nursing Studies premises in Oxford Terrace, Christchurch, 2012. Image courtesy of the Centre for Postgraduate Nursing Studies.

In the end, it was on the Christchurch campus that Otago finally got a successful programme specifically for nurses off the ground. The medical school there offered a wide range of postgraduate courses, undertaken by a variety of health professionals, including nurses; for instance, many nurses completed public health and mental health postgrad qualifications. With the government injecting money into ongoing clinical training for healthcare workers, and increasing demand for nursing-specific courses, in 1997 the Centre for Postgraduate Nursing Studies opened. Initially hosted by Christchurch’s Department of Public Health and General Practice, it grew quickly and soon became an independent centre. Christchurch nurses had long wanted a local alternative to the postgraduate nursing programmes offered by Massey and Victoria universities, but flexible teaching methods, including block courses and distance education, meant the new Christchurch courses soon had students from all over the South Island, and a few from further afield. Starting out with papers on nursing practice and mental health nursing practice, the centre soon developed a range of papers, some generic and others in specialist fields of practice. Students could complete a postgraduate diploma or master’s degree in health sciences, endorsed in nursing, or various shorter certificate courses in specialist fields; the centre also offered PhDs. From 2006 a new master of health sciences option allowed an alternative to the papers plus thesis requirement: students could now complete papers and a ‘clinically applied research practicum’ for an endorsement in ‘nursing – clinical’. This was an important development because it met the clinically-oriented master’s degree requirement for those who applied to the New Zealand Nursing Council for registration as a nurse practitioner, a new level of practice which included prescribing rights.

NURS424

Beverley Burrell teaching a course for the ‘nursing – leadership and management’ paper in 2011. The class was held in the Philatelic Society rooms, one of many temporary premises used after the usual venues were closed due to earthquake damage. Image courtesy of the Centre for Postgraduate Nursing Studies.

As the nursing centre grew, so did its research. Staff attracted considerable research funding, including from the Health Research Council, and also benefited from Tertiary Education Commission funding targeted at developing research capability in nursing and other health professions which had not done well under the PBRF system. In 2008 Lisa Whitehead received the university’s early career award for distinction in research, recognising her achievements in research on the management of long-term conditions (a field of particular interest for the nursing centre). As its research capability grew, the centre attracted more PhD students from both New Zealand and overseas; by 2012 it had 10 PhD candidates enrolled among its 350 students and had the largest postgraduate programme on the Christchurch campus.

Temp clinical teaching at Addington  Raceway

The Addington Raceway was another stand-in venue for nursing courses following the Christchurch earthquakes. Here it is set up ready for clinical teaching for the ‘health assessment and advanced nursing practice’ paper in 2011. Image courtesy of the Centre for Postgraduate Nursing Studies.

The nursing centre has never been short of initiative and has introduced a variety of new courses to meet needs in the health sector. In 2016 it enrolled the first students in perhaps its most exciting venture to date: a new master of nursing science degree, which allows people with a bachelor’s degree in any discipline to complete the professional education required for registration as a nurse in a concentrated two-year programme. While this type of programme has been available in North America for decades and in Australia for several years, it is the first qualification of its type in New Zealand and required new regulations from the Nursing Council. Finally, some 90 years after the first ill-starred attempt, the University of Otago is offering a course which leads to the registration of nurses!

Boosting human capital

26 Monday Oct 2015

Posted by Ali Clarke in university administration

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1990s, 2000s, 2010s, benefactors, funding, law, leading thinkers, marine science, medicine, peace and conflict studies, science communication, Scottish studies

Professor Jim Mann, director of the Edgar Diabetes and Obesity Research Centre, with donors Jan and Eion Edgar at the official opening. It was the first project funded under the Leading Thinkers scheme. Image courtesy of the Edgar Diabetes and Obesity Research Centre.

Professor Jim Mann, director of the Edgar Diabetes and Obesity Research Centre, with donors Jan and Eion Edgar at the official opening. It was the first project funded under the Leading Thinkers scheme. Image courtesy of the Edgar Diabetes and Obesity Research Centre.

Inspiration for policy and practice at Otago has come from many different places. Canada may not be the first country that springs to mind, but that was where the concept for a significant new initiative for the university was sparked!

In the 1990s and 2000s, as student numbers surged while the government tightened its belt, the university sought to diversify its funding. Unlike some countries, notably the USA, New Zealand did not have a strong tradition of large-scale philanthropy to tertiary education, though there were of course many gifts and bequests which established scholarships, prizes and the like through the years. During the early decades of the twentieth century Otago also benefited from some more substantial donations and bequests which enabled the teaching of new subjects (home science, anthropology and music), a boost to teaching and research in others (physics, chemistry, economics, English, dentistry) and the establishment of several new professorial chairs (physiology, medicine and surgery). Reaching out to Otago’s growing body of alumni was one way to attract a new wave of generosity. Functions for graduates around the world began to take off at the time of the university’s 125th anniversary celebrations in 1994.

In Toronto the dynamic Gill Parata, first head of Otago’s alumni office, met Brian Merrilees, an Otago graduate who had a distinguished academic career as professor of French, also holding various administrative roles at the University of Toronto. He told Gill of the university’s very successful fundraising campaign and arranged for Graeme Fogelberg, Otago’s vice-chancellor, to meet with Toronto’s president and other key figures in the campaign. One aspect of Toronto’s campaign was to raise funds to attract ‘superstar’ academics to the university. Though they suspected the ‘superstar’ idea might not work in New Zealand, the Otago group liked the idea of focussing a fundraising drive on increasing the university’s intellectual capacity; they believed this would have more appeal than bricks and mortar, comments Graeme Fogelberg. Otago’s executive and council liked the concept, and so a scheme for ‘knowledge leaders’, later known as the Leading Thinkers initiative, was born. In 2002 Clive Matthewson, a former member of parliament and cabinet minister, was appointed as Otago’s Director of Development to oversee the project.

The government was also keen for tertiary institutions to attract more funding from the private sector and established a Partnerships for Excellence scheme, which matched dollar for dollar funds raised for major capital developments. The scheme was targeted at building development; one of its best-known outcomes was the University of Auckland’s large business school, funded by a multimillion-dollar donation from expatriate businessman Owen Glenn. However, after much hard work, in 2003 the Otago team managed to convince a sceptical government that human capital was also worth funding under the scheme. The government agreed to match funds raised over the next 5 years up to a total of $25 million, a goal the university eventually exceeded 6 months ahead of time.

The ‘advancement’ team had already raised funds for some new Otago projects before the government came on board, but projects funded through the official Leading Thinkers scheme eventually totalled 27. It took a gift of $1 million, matched by another $1 million from the government, to fund a permanent chair, and most of the projects enabled the university to establish a professor, often with an associated research centre. The initiative got a great kick-start with a generous donation from the charitable trust of Dunedin businessman Eion Edgar, who happened to be the university’s chancellor; this funded the Edgar Diabetes and Obesity Research Centre. Donations came from a range of individuals, charities, businesses and other organisations. Some provided permanent funding for existing projects with precarious sources of income; for instance, Cure Kids funded a chair in child health research which enabled Otago to retain Stephen Robertson, the gifted paediatrician and clinical geneticist whose post had been based previously on short-term funding. Cure Kids also funded a second chair in paediatric research under the scheme, awarded to Christchurch neonatologist Brian Darlow.

Children in the Apple programme, one of the Edgar Diabetes and Obesity Research Centre's first projects. This seminal study showed that community-based initiatives could successfully reduce the rate of excessive weight gain in primary school-aged children. Image courtesy of the Edgar Diabetes and Obesity Research Centre.

Children in the Apple programme, one of the Edgar Diabetes and Obesity Research Centre’s first projects. This seminal study showed that community-based initiatives could successfully reduce the rate of excessive weight gain in primary school-aged children. Image courtesy of the Edgar Diabetes and Obesity Research Centre.

Not all of the initiatives were in health sciences, indeed, they included all of the university’s academic divisions. And not all related to existing fields of teaching and research at the university: some took it in brand new directions, sparked by the particular interests of the donors. A good example is the Legal Issues Centre and associated chair. This was endowed by philanthropists Grant and Marilyn Nelson through the Gama Foundation, inspired by their frustration with a drawn-out legal case. It aimed to act as a ‘critic and conscience’ of the legal profession and system, and provide insights to ‘reorient the legal system so that it works better for people’. The Gama Foundation also funded a research fellowship in bipolar disorder through the Leading Thinkers scheme. One interesting donor was the Stuart Residence Halls Council, the organisation which founded and ran Arana and Carrington Colleges. Having sold the colleges to the university, it generously donated much of the money back to endow two new chairs, in science communication and Scottish studies. There was just one exception to the rule that the Leading Thinkers scheme was about people. It wasn’t precisely bricks and mortar, but the ocean science research vessel Polaris II certainly wasn’t human! There isn’t space here to describe all of the initiatives, but you can read a little about each in an article published to celebrate the scheme’s tenth anniversary.

The Polaris II, a former fishing vessel purchased and refitted to serve as a reseach vessel for a wide range of marine and environmental science activities. Image courtesy of University of Otago Marketing and Communications.

The Polaris II, a former fishing vessel purchased and refitted to serve as a research vessel for a wide range of marine and environmental science activities. Image courtesy of University of Otago Marketing and Communications.

The Leading Thinkers scheme proved an enormous boon to research, teaching and public engagement at Otago, bringing inspirational scholars of international reputation to the university and helping retain other excellent minds. The dynamism of these people led to impressive results, quickly achieved, and drew other good people, both staff and students, to work with them. Thanks, Canada, for the idea!

Staff and students of the National Centre for Peace and Conflict Studies (plus a few from tourism) at Otakou Marae in 2013. Foundation professor Kevin Clements is the tall figure with white hair in the middle. The centre began in 2009 as a Leading Thinkers initiative and quickly developed a great record of research, teaching and public engagement. By 2014 it had 6 academic staff and 24 PhD students from 19 countries. Image courtesy of the National Centre for Peace and Conflict Studies.

Staff and students of the National Centre for Peace and Conflict Studies (plus a few from tourism) at Otakou Marae in 2013. Foundation professor Kevin Clements is the tall figure with white hair in the middle. The centre began in 2009 as a Leading Thinkers initiative and quickly developed a great record of research, teaching and public engagement. By 2014 it had 6 academic staff and 24 PhD students from 19 countries. Image courtesy of the National Centre for Peace and Conflict Studies.

Preparing for the health professions

31 Monday Aug 2015

Posted by Ali Clarke in health sciences

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1870s, 1880s, 1900s, 1940s, 1960s, 1970s, 1980s, 1990s, 2000s, anthropology, biochemistry, biology, chemistry, dentistry, English, mathematics, medical laboratory science, medicine, pharmacy, physics, physiotherapy

A familiar sight to HSFY students of recent years - popular teacher Tony Zaharic of the biochemistry department. Image courtesy of University of Otago Marketing and Communications.

A familiar sight to HSFY students of recent years – popular teacher Tony Zaharic of the biochemistry department. Image courtesy of University of Otago Marketing and Communications.

Health Sciences First Year (HSFY) is a term very familiar to anybody who has been around the university over the past couple of decades. Students aiming to enter one of Otago’s undergraduate health science degrees – dentistry, medical laboratory science, medicine, pharmacy and physiotherapy – complete this shared course in their first year of university study. Entry to the professional degrees is also available to some graduates, but most come via the HSFY course, which brings a large number of students to Otago. The course has undergone a few changes since it first appeared under this guise in 1998 and it was built on a much older tradition of the ‘intermediate’ year; I thought it would be interesting to look back over the long history of first year health science courses.

When the medical school started out in the 1870s it could only offer the first two years of a medical course and students headed overseas – most often to Edinburgh – to complete their training. Prospective doctors had to register as medical students, which required them to pass a ‘preliminary examination in general education’. Once registered, medical students started out on their two-year course in chemistry, biology, anatomy, physiology, surgery and clinical instruction at the hospital. From 1885 students could complete their entire medical course at Otago. To obtain a New Zealand medical degree, they needed to pass an intermediate exam, followed by three professional exams. The intermediate exam covered a general university science prospectus of biology, physics and chemistry.

The dental school opened in 1907, offering a four-year degree, later extended to five years. Students had to formally register for the course and this required passing the same preliminary exam as medical students. Also like medical students, they took the standard first-year courses in physics and chemistry, but added to the biology requirement was a course in dental anatomy. There was little rest for dental and medical students, for as soon as their first-year exams were over they commenced their specialist courses with a ‘summer term’. For many years there was, however, no competition for places: anybody who could pay the fees, complete the courses and pass the exams could qualify as a doctor or dentist.

In 1941, faced with rising student numbers and significant overcrowding, the Otago medical school for the first time limited entry to its second-year classes, initially to 100 students. Some places were reserved for graduates and people repeating second year, but for most students entry came through obtaining the best exam marks in the intermediate course. No intermediate medical student could afford to rest on their laurels now: competition for entry to medical school varied from year to year but was generally tough. Some of those who did not gain entry to the medical course instead enrolled for dentistry. From 1945 the specialist dental course disappeared from first year and prospective dentists took exactly the same intermediate course as prospective doctors, that is, first-year chemistry, physics and biology (zoology and botany). Unsurprisingly, the dental course then became crowded, exacerbated by an influx of returned servicemen to university. From 1947 entry to second-year classes in the dental school was also limited, initially to 50 places.

Dental students working in the prosthetics lab in 1949. Before reaching this stage they had to overcome the hurdle of an intermediate year. From left: Brian Arkinstall, Jim Armour, Reece Baker, Clive Bayley, Arthur Beattie and Nick Bebich. Image courtesy of Elaine Donaldson.

Dental students working in the prosthetics lab in 1949. Before reaching this stage they had to overcome the hurdle of a competitive intermediate year. From left: Brian Arkinstall, Jim Armour, Reece Baker, Clive Bayley, Rod Beattie and Nick Bebich. Image courtesy of Elaine Donaldson.

The medical school began offering a Bachelor of Pharmacy degree in the 1960s, though most New Zealand pharmacists trained through a technical institute diploma course until 1991, when Otago’s newly independent school of pharmacy became the country’s sole training programme for pharmacists. The intermediate year for pharmacy was the same as that for medicine or dentistry – chemistry, biology and physics.

The intermediate health science courses remained essentially unchanged for many years, though there were of course some changes to the content of the basic science courses, reflecting new scientific developments. Over time, though, questions arose about the suitability of the criteria for entry to health science courses: did New Zealanders want their doctors and dentists selected purely through their ability to obtain top marks in science exams? Academic ability and scientific understanding were clearly important, but the best health professionals also needed some sympathetic understanding of the human condition and good communication skills. Extensive changes to the medical curriculum in the 1970s included modifications to the long-standing biology/chemistry/physics requirement of the intermediate course. From 1973 students took four subjects in their intermediate year: chemistry, biology and any two subjects of their choice from the arts or sciences (those who hadn’t got 50% or more in either maths or physics at bursary level had to include one of those among the two options). While some students stuck with the sciences, others branched out, with anthropology a popular choice. From 1981 students without an arts background were forced to think more laterally, as those without 50% or more in an arts subject at bursary level had to include an arts paper in their medical intermediate programme. The dentistry intermediate also added a fourth subject, taken in any of the arts and sciences, in 1980. Pharmacy retained a more scientific focus for longer. It added a statistics paper to its biology, chemistry and physics intermediate year from 1975. It was not until 1988 that pharmacy intermediates had a wider choice: they could then choose between physics and statistics, freeing them up to take their fourth course from any within the science, arts or commerce offerings.

Concerns remained about the communication skills of the medical profession. In 1993 the English department introduced a new paper primarily designed for health science students (though also open to others): ‘language, style and communication’, an ‘introduction to the fundamentals of effective speaking and writing’. This became a compulsory part of the intermediate years for medicine and pharmacy, unless a student had a good pass in bursary English; dental students were also advised to take an approved English paper from 1995.

1998 brought the biggest change yet to intermediate courses, with a completely revamped programme named Health Sciences First Year. Controversially, the course had to be taken in Dunedin; previously students had been able to complete their intermediate year at any university. Cynics noted that this increased Otago’s student numbers and thereby its funding. This was undoubtedly true, but there were also sound academic reasons behind the change. First, it was difficult to make fair comparisons between applicants who had obtained their grades in intermediate subjects at a variety of institutions. Second, and more important, Otago could now tailor its Stage 1 courses more closely to the needs of the health sciences and transfer some of the overcrowded specialist curriculum into first year. The course included two brand new compulsory papers – foundations of biochemistry, and chemistry: molecular reactivity – together with the biology of cells and biology for health sciences. Students without exemptions also needed to complete introductory physics, introductory biostatistics and the English language, style and communication paper. Students needed a total of 8 papers, leaving them to choose between 1 and 4 other subjects. This course became the common intermediate year for medicine, dentistry, pharmacy, medical laboratory science and physiotherapy degrees. The change was most radical for physiotherapy, which previously had a tightly-structured first year programme with papers specifically designed for the profession (the Bachelor of Physiotherapy degree was jointly taught by the university and Otago Polytechnic from 1991, with the university taking sole responsibility from 1996).

HSFY was modified over the years to cater for changing health priorities and learning needs. Biostatistics morphed into epidemiology, a specialist biological physics paper was added, the compulsory English paper was dropped (except for those who failed a diagnostic test) and in 2007 a new acronym – HUBS – entered the Otago lexicon. ‘Human body systems’ replaced the former biology papers; it was a significant modification aimed at improving students’ self-directed learning skills. Throughout, the HSFY course attracted many enrolments and competition for entry to second-year classes in the professional degrees remained intense. Debate continued – and will probably never end – over selection methods. Grades remain the number one criterion, but some courses now also require prospective students to pass a psychometric test, the Undergraduate Medicine and Health Sciences Admission Test (UMAT), a widely-used tool devised in Australia. At Otago UMAT became part of the admission process for medicine in 2003, for dentistry in 2005 and for medical laboratory science in 2007; the dental school also interviewed prospective students from 2005. For some decades a number of places have been reserved for the best Maori and Pasifika applicants, because New Zealand needs more Pacific Island and Maori health professionals, while more recently the medical and dental programmes have also targeted students from rural backgrounds with a commitment to rural practice, to help overcome serious shortages of rural health practitioners.

Are you a survivor of HSFY or one of the older intermediate courses? Do you have any memories to share?

Among the brightest and the best

03 Monday Aug 2015

Posted by Ali Clarke in commerce, health sciences, humanities, sciences, university administration

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1900s, 1920s, 1930s, 1940s, 1950s, 1960s, 1970s, 1980s, 1990s, 2000s, 2010s, anthropology, botany, economics, geology, law, medicine, physics, Rhodes, scholarships, sports, vice-chancellors, women

James Allan Thomson, New Zealand's first Rhodes Scholar, as he appeared in the Auckland Weekly News, 7 July 1904. Image courtesy of Sir George Grey Special Collections, Auckland Libraries, AWNS-19040707-7-2.

James Allan Thomson, New Zealand’s first Rhodes Scholar, as he appeared in the Auckland Weekly News, 7 July 1904. Image courtesy of Sir George Grey Special Collections, Auckland Libraries, AWNS-19040707-7-2.

The Rhodes Scholarship – one of the most prestigious academic awards in the world – has shaped the lives of some of Otago’s most gifted graduates. The scholarship, which provides for study at Oxford University, has been awarded since 1902 thanks to a generous bequest from Cecil Rhodes. Rhodes, an English clergyman’s son and Oxford alumnus, made his fortune as a mining magnate in southern Africa. He was an ardent promoter of the British Empire and played a large hand in African politics as Prime Minister of Cape Colony in the 1890s. His business ethics and racial views seem highly suspect today, but the purpose of the scholarship he founded – to promote peace and civic leadership by bringing together young people from the British colonies, Germany and the USA to further their education – remains admirable. The scholarships provide tuition and living costs for two or three years of study at Oxford; they are awarded to young people who demonstrate a combination of intellect, moral character, leadership, physical vigour, and an unselfishness which will lead to a commitment to public service.

There have now been 219 Rhodes Scholars from New Zealand. This country was generally allocated one scholarship per year from 1904, with two per year from 1926 until 1993, when the allocation was increased to three. Otago has a proud record of producing 61 of New Zealand’s Rhodes Scholars, and for some years now has been neck-and-neck with the much larger University of Auckland for first place honours. Rhodes Scholars are, by definition, outstanding people. All have interesting stories and it is not possible to recount them all here. Some feature in items produced to celebrate the centenary of the scholarship, including an Otago Magazine article and an exhibition at the University of Otago Library Special Collections.

Otago’s – and New Zealand’s – first Rhodes Scholar was a geologist, Allan Thomson. He taught at Oxford and worked in Australia before returning to New Zealand, where he was a palaeontologist with the Geological Survey before becoming director of the Dominion Museum. He made major contributions to the organisation of science in this country before his life was sadly cut short by tuberculosis (his initial diagnosis prevented him from taking up a position on Robert Falcon Scott’s Terra Nova expedition to Antarctica).

A considerable number of Otago Rhodes Scholars continued their careers beyond these shores. For example, there were several from the 1930s – when there were fewer scholarly opportunities in New Zealand – who became well known: doctor and Olympic champion Jack Lovelock (1931), journalist and war correspondent Geoffrey Cox (1932), Oxford English professor Norman Davis (1934), and writer and publisher Dan Davin (1936). Quite a few, like Davis, continued their academic careers at Oxford and other overseas universities.

Arthur Porritt in 1923, the year he was awarded a Rhodes Scholarship. Image courtesy of the Alexander Turnbull Library, S P Andrew Ltd :Portrait negatives. Ref: 1/1-018584-F.

Arthur Porritt in 1923, the year he was awarded a Rhodes Scholarship. Image courtesy of the Alexander Turnbull Library, S P Andrew Ltd :Portrait negatives. Ref: 1/1-018584-F.

Other scholars brought their overseas experience back to New Zealand. Where leadership is concerned, the best known is Arthur Porritt (1923).  At Oxford he completed the medical studies begun at Otago and went on to a stellar surgical career in England, becoming president of the Royal College of Surgeons and British Medical Association. He was also a stellar athlete; his bronze-medal win at the 1924 Paris Olympics was represented by the fictional Tom Watson in the film Chariots of Fire. From 1967 to 1972 Porritt returned to New Zealand and served as the first locally-born Governor General.

Sir Arthur and Lady Porritt in vice-regal splendour for the opening of parliament in 1968. Image courtesy of the Alexander Turnbull Library, Further negatives of the Evening Post newspaper. Ref: EP/1968/2679/6A-F.

Sir Arthur and Lady Porritt in vice-regal splendour for the opening of parliament in 1968. Image courtesy of the Alexander Turnbull Library, Further negatives of the Evening Post newspaper. Ref: EP/1968/2679/6A-F.

Some Otago Rhodes Scholars returned to their alma mater and took up significant leadership roles. Hubert Ryburn (1921) was a mathematics scholar and Presbyterian minister; he sat on the University Council from 1946 and served as Chancellor from 1955 to 1970. Otago managed to entice another former Rhodes Scholar, Robert Aitken (1924), back to New Zealand to serve as its first full-time administrative head in 1948. Aitken left his position as Regius Professor of Medicine at the University of Aberdeen to become Otago’s vice-chancellor; he left in 1953 for a position as vice-chancellor at Birmingham. A more recent vice-chancellor, David Skegg, was also a Rhodes Scholar (1972). Skegg, who graduated top of his class at the Otago Medical School, relished the opportunity to study at Oxford with distinguished medical epidemiologist Richard Doll. In 1980, at just 32 years, Skegg returned to Otago as Professor of Preventive and Social Medicine, skilfully leading that department until 2004, when he became a popular vice-chancellor. He left that role in 2011, but continues as a highly respected research professor to this day.

David Skegg outside the Bodleian Library at the time of his graduation with an Oxford D Phil. Image courtesy of David Skegg.

David Skegg outside the Bodleian Library at the time of his graduation with an Oxford D Phil. Image courtesy of David Skegg.

Others also returned to Otago, sometimes briefly, and sometimes to make a career. A couple of recent examples are Jesse Wall (2008), now on the law faculty staff, and bioethicist Tom Douglas (2003), who remains at Oxford but visited last year to foster research links with Otago staff.

Athletes Porritt and Lovelock weren’t the only famous sportsmen on Otago’s Rhodes list, which also features two All Black captains, Chris Laidlaw (1968) and David Kirk (1985). For Kirk, like some others, the scholarship provided an opportunity to branch out from his original field of study. He was a medical graduate, but studied PPE (politics, philosophy, economics) at Oxford, returning to a career in politics, then business, in New Zealand and Australia. For Kirk, Oxford also provided a welcome respite from his celebrity status in New Zealand as Rugby World Cup-winning captain.

Cecil Rhodes’s will limited the scholarship to men. By the 1960s this had become a sore point, and from 1968 to 2000 Rhodes Visiting Fellowships were awarded so women who had already embarked on academic careers could also benefit from time at Oxford. Only 32 of these fellowships were awarded, so it is remarkable that 11 went to New Zealand women, two of them from Otago: archaeologist Helen Leach (1980) and lawyer Mindy Chen-Wishart (1992). In 1977 an Act of Parliament overturned the gender restriction and made the original scholarships open to women. Otago’s first woman Rhodes Scholar was law student Christine French (1981); since then women have accounted for just over half of the Otago recipients. The Rhodes Project, established by one of the first American women Rhodes Scholars to promote public understanding of female achievement, provides information about some of the Rhodes Scholar women and their subsequent careers.

Though Otago’s first Rhodes Scholar was a scientist, the list is dominated by arts, law and medical students; the most recent Otago science student to win a Rhodes was Jane Larkindale (1996), who majored in plant biotechnology and physics and is now a research scientist in the USA. Commerce students are even rarer, though Louis Chambers (2013) was a student of economics as well as law. Talented commerce and science students of today might like to consider this a challenge!

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