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reorganisation of the medical profession caused by the Medical Act 1858, which also applied to Ireland, resulted in the exclusion of outsiders. The act did not specifically exclude women but with the emphasis now placed on standardisation of medical qualifications from universities, to which women had no access, it effectively prevented women from making it onto the Medical Register.36 One constant theme throughout the history of the medical profession ‘has been the effort to define who is a member and who is not’.37 The 1858 act attempted to unify the fractured state of the
give them a licence in midwifery and whether such a licence would be registerable under the Medical Act 1858.39 Pechey, born in Colchester, England, was the daughter of a Baptist minister, William Pechey, and his wife, Sarah. Pechey presumably expected that the College would be more likely to award women licences in midwifery than in medicine. In 1874, the council of the KQCPI informed Pechey that ‘women have been examined for a Licence in Midwifery by the King and Queen’s College of Physicians and that the College will be prepared to examine Women for a