Fourth Year.
In the fourth year the instruction is carried on by clinics and bed-side
demonstrations in the hospital. In the wards the students are assigned
cases, whose histories they must take, make complete physical and clinical
examinations, urine analyses, blood examinations, etc. In the ward rounds
the diagnosis, operative and other treatment, post-operative care of the
cases, complications, prognosis, etc., are discussed in detail. A large
variety of cases is available, and the close contact of the students with
their cases and with the routine of hospital management offer many of
the opportunities that an internship affords.
In the operating rooms the students, in small groups, take part in the
operations, thus acquiring familiarity with technique, anesthetization, etc.
Those of the class who are not assisting, witness the operations, whose
important features are demonstrated to them.
The work in Gynecology follows closely the outlines already
described for surgery. In the third year the general principles of gynecology
are taken up in lectures and recitations. In addition, the dispensary
affords practice in palpation, diagnosis and treatment.
In the fourth year the students have the same general work as in
surgery, consisting of the examination and recording of cases in the
public wards, attendance on ward rounds, at which the cases are discussed,
and observation and assistance in the operating rooms. Dr.
Watts, Dr. Stone, and Dr. Pendleton.
In addition to the above course, required of all students the following
elective courses are offered:
Surgical Pathology.—Two hours weekly during the first half of the
third year. The work in this course is optional and comprises lectures
upon the pathology of surgical lesions, with especial emphasis upon the
clinical diagnosis of tumors and inflammations, the examination of microscopic
sections, and the study of fresh tissues in the gross, obtained from
the operating room. The purpose of the course is to supplement the general
courses in pathology and surgery, and to acquaint the student with
the appearance of fresh pathological material from surgical cases. Dr.
Stone and Mr.
Bardin.
Operative Surgery.—Five hours a week during the second half of the
third year. This is also an optional course, consisting of lectures upon
the development of operations, descriptions of steps in the more common
operations, and the actual performance by the student of these operations
upon living animals. The course affords experience in the use of anesthesia,
the handling of living tissues, and post-operative treatment. The
students care for the animals from the time they enter the clinic until
they are well. Dr. Stone.
