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48
There can be little doubt, moreover, that the policy of the
Central Authorities in endeavouring to turn the Tuberculosis
Officers into a sort of combination of Sanitary Inspector, Panel
Practitioner, and Medical Officer of Health will yield very little
useful result.
The Tuberculosis Officers are appointed primarily for Clinical
work. If they are to be of the greatest use they must be regarded
as consultants by the general practitioners. Not only will this
not result from the policy now being steadily pursued by the
Central Authorities, but it is quite evident that the increasing
spate of forms and reports required of the Tuberculosis Officers
must greatly curtail the time available for clinical work and
research to the great disadvantage of the entire scheme.
Mention of some of the forms that do not relate to the actual
treatment of patients such as case papers, etc., that would
naturally be kept by a physician (but less elaborately than those
kept at the Dispensary) may be of interest:—
Form M.P.M.S.D. 28—Relating to Treatment.
Case Card for Index at Dispensary.
Form 1.— Examinations of Sputa Record.
X-Ray examination sheet record.
Form 2.—Details as to person attending Dispensary—Insured
and uninsured, home consultations, sputum examined,
etc.
Form R. (buff)—Return of work carried out at Dispensary
for six monthly periods. Single foolscap sheet.
Form 8.—Examination of Contact Case.
Form A.—Record of Personal History and Primary Examination,
(double foolscap) with printed diagram.