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Page 189

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 course 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.