Christopher Orrell

Christopher Orrell, ‘Communicable Knowledge: Medical Communication, Professionalisation, and Medical Reform in Colonial Victoria, 1855–66′ (MA in History & Philosophy of Science, 2020)

This thesis examines the process of medical professionalisation in colonial Victoria from 1855 to 1866. During this eleven-year period the medical profession of colonial Victoria were able to create Australia’s first long lasting medical societies and medical journal, found the first medical school, and receive legislative support of their claims to exclusive knowledge of medicine. The next time an Australian colony would have these institutions created would not be for another 20 years.

The thesis examines these developments through a framework of communication, primarily from the medical community itself. Communication was central to the process that resulted in the creation of the above listed institutions. Here communication is examined as the driving force behind the two processes of professionalisation: the internal, community creating and boundary forming aspect; and the external process through which the community gains external recognition of their claims. For Victorian practitioners during the period of this study the internal process drives the creation of the societies, the journal, and the medical school, whereas the external process is typified by the campaign for ‘Medical Reform’ that sees the community engage in agitation for legislative backing of their conception of medicine as science over other alternate medicines.

Communication was not isolated within the colony. As such, the place of the Victorian medical community as a node within transnational networks of knowledge exchange is examined. As Victoria was better integrated into these networks than its colonial neighbours, an examination of the involvement of said flow of information in the creation of professional communities is considered an important part of this analysis. Behind these processes of community creation, I trace a thread of disunity sparked by professional differences. Highly publicised arguments over differences in medical opinion play out in the colonial press. This comes to a head at the end of the period of study. Despite their focus on communication the medical community ignores the role their public conduct plays in this process. The end result is that, while they were able to create these lasting institutions, their public conduct saw the public’s opinion of them stay low through to the end of the century.

Supervisors: Dr James Bradley, Dr Kristian Camilleri