File No. 3513/6–11.

Ambassador Reid to the Secretary of State.

No. 397.]

Sir: With reference to the department’s instruction No. 366 of the 7th of January last, and in continuation of my dispatch No. 332 of March 2, 1907, in regard to the discrimination alleged to be exercised by the medical board of Hongkong against practitioners from the United States, I have the honor to inclose herewith a copy of a note which I have received from the foreign office, dated the 5th instant, giving the reasons of the board for their action.

I have, etc.,

Whitelaw Reid.
[Page 557]
[Inclosure.]

The Minister for Foreign Affairs to Ambassador Reid.

No. 17348.]

Your Excellency: With reference to my note of the 28th of February, I have the honor to inform your excellency that the governor of Hongkong caused inquiry to be made as to the discrimination alleged to be exercised by the medical board of the colony against practitioners from the United States.

The board states that there has never been any discrimination against any nationality and that every case has been considered on its individual merits. The board has always been guided by the terms of the ordinance governing the matter in the colony, which states that every person applying to be put upon the medical register “shall prove to the satisfaction of the board that he is of good character and that he has passed through a course of study and examination as thorough and sufficient as the minimum course of study and examination in any similar case required under the imperial medical acts.”

By the laws of the United Kingdom the only foreign countries whose medical graduates and diplomas are eligible for registration in the British medical register are those which His Majesty in council has held to offer just privileges of practice to British medical practitioners. At present the Kingdom of Italy and the Empire of Japan have alone established such relations of reciprocity with this country. As regards Japan, the General Medical Council has recognized only the medical degrees of the imperial universities of Japan, on the ground that the course of study and examinations for these degrees extends over a period of at least six years, and is more than equivalent to the minimum course required in this country. The like is true of the degrees of the universities of Italy.

The General Medical Council has not recognized the diplomas of nonuniversity schools and colleges in Japan pending the coming into operation of a new law which purports to assimilate them to the university qualifications.

I have the honor to transmit to your excellency herewith certain papers, as marked in the margin, dealing with this question of reciprocity.

Under the imperial medical acts, the General Medical Council of Great Britain and Ireland is constituted the authority which shall decide what course of study and examination is necessary, and since the year 1894 the General Medical Council have made a five years’ course obligatory. The medical board of Hongkong have therefore also demanded evidence of a five years’ course of study from candidates for medical registration in the colony.

There is at present only one Japanese doctor registered in Hongkong—Doctor Majima. The papers first sent in by Doctor Majima only showed a course of four years medical study after registration at the Tokyo University and on that ground the board were of opinion that he could not be registered. It was then proved to the satisfaction of the board by the Japanese consul that in all cases at the University of Tokyo before a student registered and commenced his strictly medical studies he had to spend two years studying preliminary science, including anatomy—that is to say, scientific subjects which are ancillary to the study of medicine proper.

Under the regulations instituted by the General Medical Council of Great Britain and Ireland, the first year of study after registration is given up to the study of precisely the same subjects as are studied at Tokyo during the two years before registration. Thus it appears to the Medical Board of Hongkong that medical students at the Tokyo University have actually to go through a six years’ course as against the five years demanded by the General Medical Council in England.

The medical board state that they would have no hesitation in recommending for registration any candidate of whatever nationality who can show proof of a similar course of study, but that four years’ medical study, unless immediately preceded by at least one year’s study of the sciences ancillary to that of medicine proper, is not sufficient to satisfy the terms of the ordinance.

I have, etc.,

E. Grey.