Scottish Medical Training

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Scottish Medical Training Timeline of Medical Excellence
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Timeline of Medical Excellence

Scotland's Timeline of Medical Excellence (1495-2014)

Scotland’s long and illustrious history of medical excellence stretches back over 500 years to 1495 with the foundation of the world’s first medical school and continues into the present day with ground-breaking innovations such as the world’s first commercially available prosthetic bionic hand.

Navigate our timeline using the back and forward arrows below.

1495

UK's First Medical School

Kings College

Image courtesy of University of Aberdeen

© University of Aberdeen

Info

Although medical teaching had taken place in St Bartholomews and in Oxford, the first formal medical school was founded in Kings College Aberdeen at the same time as the University.

1505

First Medical Royal College

Royal College Building

For more information: Visit the Royal College of Surgeons of Edinburgh Museums website.

Image courtesy of the City of Edinburgh Archive

© RCSEd

Info

In the late 1400s the roles of surgeons and barbers, both requiring sharp instruments to practise their trade, were indistinctly defined as regards such tasks as bloodletting, lancing, shaving, bandaging and treating wounds in battle. In 1505 the Incorporation of Surgeons and Barbers was founded, later the Royal College of Surgeons of Edinburgh, the first medical Royal College in the world.

1812-14

Chain of Evacuation in War

Sir James McGrigor

For more information: Visit the University of Aberdeen website.

Image courtesy of Wellcome Library, London

© Wellcome

Info

Sir James McGrigor, Army Surgeon, instituted the 'chain of evacuation' still used in combat situations today. This involves the establishment of aid stations through which all injured personnel are channeled with clear routes back behind the lines to a military or field hospital.

1847

Chloroform in Surgery

Simpson Mask and Brandy Decanter

For more information: Visit the Royal College of Surgeons of Edinburgh Museums website.

Image courtesy of the Royal College of Surgeons of Edinburgh

©RCSEd

Info

Sir James Young Simpson introduced choloroform in anaesthesia in childbirth and was a pioneer of anaesthesia in surgery which meant patients could be given complex longer operations. This opened up the craft of surgery to save many more lives. Following a dinner party at his home in Edinburgh, Simpson presented to his guests this chloroform-filled brandy decanter for experimentation purposes.

1853

The Hypodermic Needle

Sir Alexander Wood Syringe

For more information: Visit the Science Museum website.

Image courtesy of RCPE

© Wellcome

Info

Dr Alexander Wood independently invented a version of the hypodermic syringe needle, used across the world. Sadly his wife became the first person in the world to die as an injecting opium addict.

1865

Antiseptic Practice

Lord Joseph Lister in Operating Theatre

For more information: Visit the Royal College of Surgeons of Edinburgh Museums website.

Image courtesy of Royal College of Surgeons of Edinburgh

© RCSEd

Info

Lord Joseph Lister applied carbolic acid to ensure cleanliness of equipment and theatre, and applied it to a wound of a boy injured by a cart. The dramatic reduction in infection was key to the success of surgery as a lifesaving treatment.

1877

Bone Graft Surgery

Sir William MacEwen Surgeon's Tools

For more information: Visit the archives of NHS Greater Glasgow & Clyde website.

Image courtesy of Royal College of Physicians and Surgeons of Glasgow

© RCPSG

Info

Surgical pioneer Sir William Macewen performed the first bone graft and developed the technique of lung removal. He also performed the first successful intracranial surgery using the focal epileptic signs to remove a tumour. Sir William was a student of Lister, and introduced the practice of wearing white coats during surgery.

1896

First X-Ray Department

Frogs Knee

For more information: Visit the University of Glasgow World Changing Achievements website.

Image courtesy of the Scottish Screen Archive

SSArchive permission granted

Info

Dr John McIntyre of Glasgow Royal Infirmary establishes the world's first X-ray department and presents to the Royal Society the first film of X-ray images in the UK.

1923

Insulin

DNA of Insulin

For more information: Visit the Nobel Prize website.

Image courtesy of Wellcome Library, London

© Wellcome

Info

Along with Frederick Banting and Charles Best, Dr John JR Macleod was a Nobel Prize winner for the discovery and purification of insulin, which contributed to the successful treatment of diabetes for the first time.

1928

Penicillin

Penicillin

For more information: Visit the Nobel Prize website and the Fleming Museum website.

Image courtesy of the Fleming Museum

© Fleming Museum

Info

Sir Alexander Fleming, Scottish scientist who discovered a mould which he named 'penicillin' - the first anti-biotic, which revolutionised the treatment of infection.

Penicillin

For more information: Visit the Nobel Prize website and the Fleming Museum website.

Image courtesy of the Fleming Museum

© Fleming Museum

Info

Watch a short video about Alexander Fleming courtesy of the biography.com channel. This video will open in a new browser window.

1949

Nutrition and Poverty

John Boyd Orr

For more information: Visit the Nobel Prize website.

Image courtesy of Wellcome Library, London

© Wellcome

Info

Lord John Boyd Orr, Nobel Peace Prize winner for nutrition and establishing link between poverty, poor nutrition and health. UN campaigner for nutrition across the world.

1957

Interferon

Interferon

For more information: View this article by Joseph Sonnabend.

Image courtesy of Wellcome Library, London

© Wellcome

Info

Alick Isaacs was the leader of the team which created 'interferon', still the key successful drug treatment for viral infections.

1960

Kidney Transplant

Cut away image of kidney

For more information: Visit the website of the Renal Unit of the Royal Infirmary of Edinburgh.

Image courtesy of Wellcome Library, London

© Wellcome

Info

In 1960, Sir Michael Woodruff and his team performed the first successful kidney transplant in the UK at the Edinburgh Royal Infirmary. Later, in 1968, the Nuffield Transplantation Surgery Unit was built to his specifications at Edinburgh's Western General Hospital and he was appointed its director.

1966

Ventolin

Marked up ventolin

For more information: View the obituary of Sir David Jack in the Lancet.

Image courtesy of Wellcome Library, London

© Wellcome

Info

Fife born Sir David Jack, who qualified in pharmacology at Glasgow’s Royal Technical College, went on to develop ground breaking drug discoveries in his role as research director at GlaxoSmithKline. He developed salbutamol or Ventolin, the default treatment for asthma. This led him to develop the first inhaled steroid, beclomethasone, still the most widely used inhaled steroid, and the bectotide inhaler. These medical breakthroughs have saved the lives of millions of asthma sufferers worldwide. He also discovered Zantac, used to treat peptic ulcers which has alleviated the suffering of many and rapidly became the fastest-selling drug in the world.

1974

Glasgow Coma Scale (GCS)

Patient on stretcher

For more information: Visit the University of Glasgow World Changing Achievements website.

Image courtesy of NHSScotland photo library

Info

Internationally recognised and used method for assessment of the consciousness of a patient with threatened brain injury.

1979

Tumour Suppressor Gene

Petri dish

For more information: Visit the Cancer Research UK blog.

Image courtesy of Wellcome Library, London

Info

Sir David Lane and his team discovered the p53 tumour suppression gene, which has a key role in the prevention of cancer.

1980

Magnetic Resonance Imaging (MRI)

Scan of brain

For more information: View this article by Professor Mallard.

Image courtesy of Wellcome Library, London

Info

MRI is a medical imaging technique used in radiology to investigate the anatomy and function of the body in both health and disease. MRI scanners use strong magnetic fields and radiowaves to form images of the body. The technique is widely used in hospitals for medical diagnosis, staging of disease and for follow-up without exposure to ionizing radiation. During the 1970s a team led by Scottish professor John Mallard built the first full body MRI scanner at the University of Aberdeen. On 28 August 1980 they used this machine to obtain the first clinically useful image of a patient’s internal tissues using Magnetic Resonance Imaging (MRI), which identified a primary tumour in the patients chest, an abnormal liver, and secondary cancer in his bone.

1988

Beta Blockers

bBlood pressure being taken

For more information: Visit the Nobel Prize website.

Image courtesy of NHS Scotland photo library

Info

Sir James Black, Nobel Prize winner for the discovery of β blockers, for control of hypertension.

1996

Dolly

Dolly and Bonny

For more information: Visit the Roslin Institute website about Dolly.

Image courtesy of Roslin Institute

© Roslin Institute

Info

Sir Ian Wilmut and the Roslin Institute team responsible for the creation of the first cloned animal in Dolly the sheep.

2005

Prosthetic Bionic Hand

Bionic hand

For more information: Visit the Touch Bionics website.

Image courtesy of Touch Bionics

© Touch Bionics

Info

Touch Bionics - The worlds first fully articulating and commercially available prosthetic bionic hand.

2006

Fillaggrin

Man with inhaler

For more information: Visit the University of Dundee website.

Image courtesy of NHS Education Scotland

Info

Irwin Mclean discovered the filaggrin gene, the predisposing gene for atopic eczema, asthma and hay fever.

2013

Stroke Stem Cell Therapy

Elderly lady with a nurse

For more information: Visit the ReNeuron website.

Image courtesy of NHSScotland photo library

Info

Professor Keith Muir of the Southern General in Glasgow reached a successful conclusion of the stage 1 PISCES clinical trial of stem cell therapy for stroke.

2014

Laser Fingerprinting of Meningitis

Fingerprinting of Meningitis

Image courtesy of the University of Strathclyde

Info

Early in 2014, scientists at Strathclyde University developed a new test to speed up the diagnosis of bacterial meningitis. It uses nanoparticles and lasers to "fingerprint" more than one bacterium at a time - and so opens the way for targeted treatment. Unless caught quickly, bacterial meningitis can lead to blood poisoning and brain damage. Bacterial meningitis is most common in children under five and it can often take time to diagnose precisely which bacteria are responsible. The new process - called Surface Enhanced Raman Scattering (SERS) - scatters laser light from a sample that has been combined with silver nanoparticles. It can fingerprint more than one bacterium at a time, allowing treatment to then be targeted. This scientific breakthrough is now primed for adoption by health authorities worldwide.

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