Opposing schools of thought

Otago Medicals school's Lindo-Ferguson Building. Photo by Peter McIntosh.
Otago Medicals school's Lindo-Ferguson Building. Photo by Peter McIntosh.
Once again, the defenders of Otago and Southland's health services are doing battle - this time over the future of Dunedin's neurosurgical services. But, is there more at stake? One of the seasoned warriors from battles past thinks there might be. Mark Price reports.

The Otago Medical School is such a part of Dunedin it seems hardly credible, even heretical, to suggest its future in the city might be at risk during the current debate over neurosurgical services.

When the Otago Daily Times put the question of the school's future to Health Minister Tony Ryall's office on July 19, the reply was: "An easy one - it's not on the agenda".

Reassuring, perhaps.

But, what did the National Government's Invercargill member of Parliament Eric Roy mean the week before when he told ODT health reporter Elspeth McLean that at some time in the future there would need to be a debate about where the best place was for a medical school?

Dame Dorothy FraserThat issue, he said, was not "on the table" now but it would be a debate that would eventually have to be faced.

The Roy comment will come as no surprise to Dame Dorothy Fraser when she reads it in here this morning.

She has already considered the worst-case scenario if Dunedin loses out to Christchurch in the debate over neurosurgical services.

"I suppose we could ask the question, I guess, as to whether or not Christchurch's determination to become the only centre for neurosurgery is also based on a growing desire for Christchurch to become a full medical school."

Dame Dorothy speaks with the authority of 29 years' service on the Otago Hospital Board and 12 years as chairwoman. She has also fought the same battle over neurosurgery - in the 1980s.

And, she is well aware of the pressure that has been applied by Christchurch and Wellington to have their own medical schools.

Each of those cities has had a "clinical school" of the Otago Medical School since the early 1970s.

The clinical schools were set up primarily to provide the Otago Medical School with access to more patients, enabling more students to get more clinical experience.

But a clinical school controlled from Dunedin is, obviously, somewhat less than a full medical school controlled by local Christchurch or Wellington interests.