wait some years for the much bigger
fees which she will get as principal. Ultimately she should make
L1,000 to L2,000 a year.
(b) If she elect to become a general practitioner, her outlay at first
is probably as great as that of the specialist, if not greater, but
the return is quicker, and a great deal depends upon the choice of a
neighbourhood. If she chooses an upper middle class district she
also, like the specialist, must be content to wait, and in fact she is
ill-advised to choose such a neighbourhood unless she can rely on some
good social introductions.
If she choose a district partly middle and partly lower middle class
her return will be infinitely quicker. She may expect to cover her
expenses in the course of two or three years. The work is, however,
incessant and rather harassing. If she select a working-class
neighbourhood and have a dispensary, her return will be still quicker,
such places frequently paying their expenses in the first or second
year. The people are nice to deal with, and the work is interesting,
but it is apt to be very distressing for two reasons--(1) that owing
to the poverty of the patients they can so seldom be attended under
conditions in which they have a fair chance of recovery, and (2) there
is apt to be an appreciable amount of dirt.
The most varying reports are given as to the incomes to be made in
private practice and it is almost impossible to get at the truth,
because it is obviously to everybody's interest to make them appear
as high as possible. A woman's practice also is admittedly rather a
specialist one. She does not get the general local practice of the
ordinary practitioner, but instead certain selected women who want to
consult a member of their own sex. These often live at considerable
distances, thus making the work more difficult to arrange and the
travelling more expensive than in the case of the ordinary medical
man. It is rare for a woman to be able to buy a practice. She must
generally build it up for herself, as it is of little or no use for
her to buy a man's practice, and there are only very few women's
available.
Generally, it may be stated that a woman covers her expenses by about
the third or fourth year after starting, and she may ultimately make,
according to the district and her success, anything between L400 and
L1,500 a year. Frequently two medical women settle together, which
seems to be a very good arrangement.
(c) If she elect to enter
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