Page 8 - Kol Bogrei Habonim - February 14
P. 8

Our family was not well off and we were able to       My article about my work in Boston was
          get grants but we also needed part time jobs.         published in the Lancet medical journal and I
                                                                felt very fortunate to have had such a great
          Medical school was a huge challenge because I         opportunity and experience.
          had to learn how to study since I wasn’t used to
          spending much time at the books in school. I still    After graduation, I had to learn how to function
          lived at home in Hendon and the underground           as a doctor in my internship. Fortunately, most
          train journey to the London Hospital in the East      of my teachers at the London Hospital were kind
          End of London took one hour. I studied in the         and supportive, although the surgeons tended to
          train and I remember reading Gray’s Anatomy           be harder on us. The hours were gruelling and
          with all its gory pictures, which must have           since in those days house officers lived in the
          intrigued the other passengers.                       hospital we had to respond to calls day and
                                                                night, often getting little sleep.
          Somehow I managed to survive and pass the
          exams. The most enjoyable part of medical             Three years later, in 1961, I was invited to return
          school was the annual student show. I gained          to the Boston University Medical School for a
          notoriety with my friends for poking fun at the       year. I had just got married and was excited at
          hospital senior staff and performing skits and        the prospect of a year of teaching and research
          antics.                                               without night call or emergencies and in a city
                                                                that I knew and had enjoyed. My wife and I had
          In my fourth year of medical school, I was            a great time, made many friends and at the end
          fortunate to be awarded a travelling scholarship      of the time we spent two months driving and
          to the United States. I was encouraged by the         camping for over twelve thousand miles across
          Dean of my Medical School to apply since he           the whole of the United States and Canada,
          was an international authority on medical             never expecting to return.
          education and he wanted to see how a British
          student would function in the United States           Back in London I started working at Great
          system. US students had less clinical experience      Ormond Street Children’s Hospital with more
          compared with students in Britain and he sent         responsibility and decided that my career should
          me as a guinea pig.                                   be in academic paediatrics. I felt fortunate to be
                                                                at such a great hospital.
          I was happy to have an expenses-paid two month
          visit to America and I sailed off on the Queen         Four year later, I was offered a position as
          Elizabeth with enthusiasm.                            Assistant Professor at Boston University, which
                                                                I agonized over for a year. Despite the
          The Boston experience involved making home            opposition of our families, my wife and I and
          visits under supervision to poor and doctor-less      our two small daughters moved to Boston. I was
          families living near the medical school. Unlike       promoted to Associate Professor in 1968 and
          the National Health Service in the UK, families       after five years at BU I moved to Harvard
          who could not afford medical care had to rely on      Medical School as a clinical teacher.
          charity or medical students. The patients were
          happy to see young and caring “doctors in             I became responsible for training paediatric
          training” and the students, although anxious,         residents at the Boston Children’s Hospital
          were very keen to do a good job.                      where I taught for the next thirty years.

          I had a firsthand view of poverty in Boston and       In the late nineteen sixties, the urban blight of
          its effect on the health of families who lived in     the inner cities in the United States became
          the shadow of world famous medical centres.           pronounced. Affluent families moved to the




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