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Gould was a competent leader who resigned the matronship in 1898.
Creal not only used the opportunity to undertake elocution lessons under the Merrick scheme, she was granted 10 weeks paid leave to tour British hospitals and learn as much as possible before returning to the Sydney Hospital, where she resumed the matronship in April 1920.
During Miss Gould's matronship of Sydney Hospital the 'nursing staff, both in training and numbers, has been largely developed'.