University of Virginia Library

Fourth Year.

In the fourth year the same plan is followed in the clinical work;
each of the two sections of the class devotes itself for half the year to
the medical service in the wards of the hospital. Full histories are
taken of every case, thorough examinations made, and management
indicated by the students of each division. The records thus obtained
are kept up by the student assigned to the case, which he is expected
to follow until its discharge. The accuracy and completeness with
which this is done constitutes a large element in the determination
of fitness for graduation.

The subjects treated with the approximate division of time between
them are as follows:

Nervous Diseases and Insanity.—Three lectures and recitations
weekly supplemented by clinical work during the fall term of the fourth
year. In this course is given also instruction in electro-therapeutics.
Dr. Davis.

Pediatrics.—Three lectures and recitations weekly supplemented by
clinical work during the winter term of the fourth year. This course
of lectures is intended to point out in a brief way how disease is modified
by childhood and to indicate how the difficulties of diagnosis and
treatment due to early age may best be encountered. The principles
of infant feeding are emphasized and the student is taught how to prepare
the food. Instruction in the practical details of the subject is
given by work at the Dispensary and in the wards of the Hospital.
Dr. Davis and Dr. Rea.

Dermatology.—A brief course of lectures is given on this subject
embodying a consideration of the commoner diseases met with in medical
practice. At the Dispensary two clinics a week throughout the year
are devoted to the diseases of the skin. The senior class is divided
into sections for the work in this branch. After a brief review of the
anatomic and histologic structure and of the physiology of the skin,
the diseases most commonly met with are discussed.

The clinical material available at the University Dispensary is
utilized to the best advantage to give the students a practical working
knowledge of the diagnosis and treatment of affections of the skin.
Dr. Davis and Dr. Garnett.

Case Teaching, Medical Ethics and Economics, and Insurance
Examinations.—Two hours weekly during the spring term of the fourth
year. Dr. Davis.

Therapeutics.—Two lectures weekly during the second half of the
fourth year, with five hours weekly of ward rounds for one half the
session.

The treatment of internal diseases is discussed in a systematic
course of lectures and practically demonstrated in the wards of the
Hospital. Especial attention is given to the clinical side of the
teaching of this subject, the student being required to suggest treatment
for cases assigned to him and to follow closely and make a
record of the results of the therapeutic agents employed throughout
the course of the disease.

The course includes a discussion of the preparation of food for
the sick; demonstrations of the preparation of stupes, plasters, and
poultices; and the methods of giving therapeutic baths, electrical
treatment, massage, and other therapeutic measures. Dr. Flippin.