'Never heard of it,' Benskin said.
'It's pretty rare. But I see that old Macready Jones is examining this time, and it's his speciality. He has written a lot of stuff about it in the
'All right,' I said. 'I'll look it up in the library to-morrow.'
My chances of meeting a case of torulosis after qualification were remote, and I wouldn't have recognized it if I had. But to be well informed about torulosis in the next fortnight might make the difference between passing and failure.
Benskin discovered that Malcolm Maxworth was the St. Swithin's representative on the Examining Committee and thenceforward we attended all his ward rounds, standing at the front and gazing at him like impressionable music enthusiasts at the solo violinist. The slightest hint he was believed to have dropped was passed round, magnified, and acted upon. Meanwhile, we despondently ticked the days off the calendar, swotted up the spot questions, and ran a final breathless sprint down the well-trodden paths of medicine, snatching handfuls of knowledge from the sides where we could.
The examination is split into three sections, each one of which must be passed on its own. First there are the written papers, then _viva voce_ examinations, and finally the clinical, when the student is presented with a patient and required to turn in a competent diagnosis in half an hour.
On the morning the examination began the five of us left the Bayswater flat early, took a bus along Oxford Street, and walked towards the examination building in a silent, sickly row. I always found the papers the most disturbing part of the contest. They begin at nine o'clock, an hour when I am never at my best, and the sight of other candidates _en masse_ is most depressing. They all look so intelligent. They wear spectacles and use heavy fountain-pens whose barrels reflect their own mental capacity; once inside they write steadily and sternly, as though they were preparing leaders for the next week's _Lancet;_ and the women students present such an aspect of concentration and industry it seems useless for men to continue the examination at all.
I went with a hundred other students into one of three large, square halls used for the examination. The polished wooden floor was covered with rows of desks set at a distance apart that made one's neighbour's writing completely indecipherable if he had not, as was usually the case, already done so himself. Each desk was furnished with a card stamped with a black examination number, a clean square of pink blotting-paper, and a pen apparently bought second-hand from the Post Office. The place smelt of floor-polish and freshly-sharpened pencils.
A single invigilator sat in his gown and hood on a raised platform to keep an eye open for flagrant cheating. He was helped by two or three uniformed porters who stood by the doors and looked impassionately down at the poor victims, like the policemen that flank the dock at the Old Bailey. The students scraped into their chairs, shot a hostile glance at the clock, and turned apprehensively to the buff question paper already laid out on each desk.
The first paper was on general medicine. The upper half of the sheet was taken up with instructions in bold print telling the candidate to write on one side of the paper only, answer all the questions, and to refrain from cribbing at peril of being thrown out. I brought my eyes painfully to the four questions beneath. At a glance I saw they were all short and pungent.
_Give an account of the sign, symptoms, and treatment of heart failure_ was the first. 'Hell of a lot in that!' I thought. I read the second and cursed. _Discuss the changes in the treatment of pneumonia since 1930._ I felt the examiners had played a dirty trick by asking the same disease two papers in succession. The next simply demanded _How would you investigate an outbreak of typhoid fever?_ and the last was a request for an essay on worms which I felt I could bluff my way through.
Three hours were allowed for the paper. About halfway, through the anonymous examinees began to differentiate themselves. Some of them strode up for an extra answer book, with an awkward expression of self- consciousness and superiority in their faces. Others rose to their feet, handed in their papers, and left. Whether these people were so brilliant they were able to complete the examination in an hour and a half or whether this was the time required for them to set down unhurriedly their entire knowledge of medicine was never apparent from the nonchalant air with which they left the room. The invigilator tapped his bell half an hour before time; the last question was rushed through, then the porters began tearing papers away from gentlemen dissatisfied with the period allowed for them to express themselves and hoping by an incomplete sentence to give the examiners the impression of frustrated brilliance.
I walked down the stairs feeling as if I had just finished an eight-round fight. I reached desperately for my packet of cigarettes. The other candidates jostled round, chattering like children just out of school. In the square outside the first person I recognized was Grimsdyke.
'How did you get on?' I asked.
'So-so,' he replied. 'However, I am not worried. They never read the papers, anyway. I'm perfectly certain of that. Haven't you heard how they mark the tripos at Cambridge, my dear old boy? The night before the results come out the old don totters back from hall and chucks the lot down his staircase. The ones that stick on the top flight are given firsts, most of them end up on the landing and get seconds, thirds go to the lower flight, and any reaching the ground floor are failed. This system has been working admirably for years without arousing any comment. I heard all about it from a senior wrangler.'
Benskin's broad figure appeared among the crowd in the doorway. He was grinning widely and waved cheerily at us.
'You look pretty pleased with yourself,' I said.
'I am, old boy. To-day I tried out Benskin's infallible system for passing exams, and it worked beautifully. What number are you?'
'Three hundred and six.'
'I'm a hundred and ten. All I had to do was walk into the room labelled 'Two to Three Hundred,' wander round a bit while people got settled, and tell the invigilator chap they hadn't given me a place. He apologized at first, then he looked at my card and turfed me out pretty sharply to find the right room. I was pretty humble, of course, and murmured a lot of stuff about my nerves-however, in my wandering round the desks I'd taken damn good care to read all the questions. Now, if you look up the regulations you'll see candidates are admitted up to twenty minutes after the start of the examination, so I had plenty of time to dodge down to the lavatory and look it all up before presenting myself, breathless and distraught, at the correct room. Pretty smart, eh?'
'I hope they can't read your writing,' I said bitterly.
The oral examination was held a week after the papers. I got a white card, like an invitation to a cocktail party, requesting my presence at the examination building by eleven-thirty. I got up late, shaved with a new blade, and carefully brushed my suit. Should I wear a hospital tie? It was a tricky point. Examiners were well known for harbouring an allergy towards certain hospitals, and although my neckwear might convince them I was not from St. Mary's, for instance, or Guy's, my interrogators were quite as likely to be opposed to men from St. Swithin's.
I put on a quiet nondescript tie and a white stiff collar. The dressing-up was important, for the candidate was expected to look like a doctor even if he gave no indication of ever becoming one; one fellow who had once unhappily appeared in his usual outfit of sports coat and flannels was turned over to a porter by the outraged examiner with instructions to 'Show this gentleman to the nearest golf-course.'
It is the physical contact with the examiners that makes oral examinations so unpopular with the students. The written answers have a certain remoteness about them, and mistakes and omissions, like those of life, can be made without the threat of immediate punishment. But the viva is judgment day. A false answer, an inadequate account of oneself, and the god's brow threatens like an imminent thunderstorm. If the candidate loses his nerve in front of this terrible displeasure he is finished: confusion breeds confusion and he will come to the end of his interrogation struggling like a cow in a bog. This sort of mental attitude had already led to the disgrace of Harris, who had been reduced to a state just short of speechlessness by a terrible succession of _faux pas._ The examiner finally decided to try the poor fellow with something simple and handed him a breast-bone that had been partly worn away with the life-long pressure of an enlarged artery underneath. 'Now, my boy,' said the examiner. 'What do you think
