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THIRD YEAR

Clinical Diagnosis.Six hours weekly during the first and second terms.
In this course the student is made familiar with those laboratory methods
which are helpful in the diagnosis of disease. These include, among others,
the examination of blood, urine, sputum, gastric contents, feces, spinal fluid,
exudates and transudates. Instruction is given in the Clinical Laboratory
in the north pavilion of the hospital, which is well equipped with the most
modern instruments and apparatus. Dr. Bray.

Theory and Practice of Medicine.Three hours weekly of lectures and
recitations throughout the session; six hours weekly in the clinics for one-half
the session.
A systematic course of lectures, supplemented by work in
the out-patient department and hospital. The class is divided into two sections,
each of which devotes itself for half the year to the medical service
in the out-patient department, and also twice a week receives instruction on
selected cases in the wards of the hospital. There is a general medical clinic
once a week in the hospital amphitheater. Dr. Davis, Dr. Flippin, Dr.
Daniel, Dr. Nelson, Dr. D. C. Smith, Dr. Mulholland
and Dr. Wood.

Dermatology and Syphilology.Four hours weekly of lectures during
the third term, supplemented by clinics in the out-patient department.

The importance, etiology, prophylaxis, pathology, clinical history, diagnosis
and treatment of syphilis are discussed. After review of the anatomic
and histologic structure and physiology of the skin the diseases commonly


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met with are discussed. This subject is completed in the fourth year, q. v.
Dr. D. C. Smith.

Surgery and Gynecology.Two hours weekly of lectures and recitations
for the first term, three hours weekly for the second and third terms, and
one hour weekly of surgical clinic throughout the session; with six hours
weekly in the out-patient department, two hours weekly in ward rounds in
the hospital.
The study of surgery begins in the third year and continues
through the fourth year. In the third year the classroom work consists of
lectures and recitations, as arranged in the schedule, in which the principles
and practice of surgery, surgical diseases, surgical diagnosis, etc., are thoroughly
discussed. The out-patient department course in the third year
gives opportunities for diagnosis and treatment of clinical cases under close
personal supervision. Experience in dressings, bandaging, anesthesia and
minor surgery is afforded. Surgical appliances and technique are demonstrated
to the students, divided into small groups. The work in gynecology
follows the outlines already described for surgery. In addition, the outpatient
department affords practice in palpation, diagnosis and treatment.
Dr. Watts, Dr. Goodwin, Dr. Bigger and Dr. R. J. Neff.

Urology and Proctology.— Of the total time assigned to surgery, two
lecture hours weekly for the first term, and six hours weekly in the outpatient
department for one-eighth of the session are devoted to urology and
proctology. In the classroom a general survey of the surgery of the genito-urinary
tract and rectum is made by lectures and recitations. Especial emphasis
is placed upon modern methods of diagnosis and treatment. In the
out-patient department, one-eighth of the class at a time obtains supervised
experience in handling clinical cases and performing minor operations.
Opportunity is afforded for the observation of cystoscopic and proctoscopic
procedures. Dr. J. H. Neff and Dr. Townsend.

Orthopedics.Two hours weekly during the second and third terms,
supplemented by practical work in the out-patient department.
Dr. Voshell.

Roentgenology.Lectures, and practical demonstrations to the class in
sections throughout the year.
The application of the X-rays to medicine
and the interpretation of plates in diagnosis. Dr. Archer.

Phthisiotherapy.Six hours weekly for eight weeks, with each of the
four sections of the class.
The work is given in three two-hour sessions a
week, held at the Blue Ridge Sanatorium, and consists of demonstrations,
ward rounds and assignment of cases for history taking and physical examination.
At the end of each clinic session the case history, physical signs,
X-ray plates and laboratory findings are compared in conference. The
section is also invited to be present at the fluoroscopic examinations on
Friday mornings at the University Hospital. The procedure followed aims
to instruct in the diagnosis and treatment of tuberculosis by systematically
presenting each step separately at first and later combining them all in


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the full consideration of the case, including the management and treatment
of the patient both in institutions and private practice. Dr. Brown.

Obstetrics and Gynecology.Three hours of lectures weekly throughout
first and second terms, covering physiology and pathology of pregnancy,
parturition, and puerperium.
Dr. Calkins and Associates.

Pediatrics.Twenty-three hours during the fall term; thirty hours during
the winter term, supplemented by practical work in the out-patient department,
children's clinic.
Each section of the class gets seventy hours in
the clinic. This is two and one-half hours three times a week for each section.
The observation and recording of symptoms and signs is taught and
a definite amount of diagnosis and treatment. Twelve hours during each
term are devoted to case conference in which an intensive course is given in
record keeping with an explanation of the significance of the signs and
symptoms elicited during examination. Twelve hours during this term
is given to field-work which consists of sending students under the supervision
of the Social Service Worker into the field to observe home conditions
and make a general sociological survey. Students are then sent out
under supervision for an independent report. Dr. Royster and Dr. W. W.
Waddell.

Elective Courses.—In the second and third terms each student may take
an elective course of approximately five hours weekly. Elective courses
vary from year to year, and include both pre-clinical and clinical subjects.