University of Virginia Library

THIRD YEAR.

Materia Medica.Lectures and recitations six hours weekly and laboratory
work six hours weekly, during the first three-fourths of the fall term.
A thorough
study is made of the sources, preparation, composition, properties and
interactions of medicinal substances to the end that they may be intelligently
prescribed. Special attention is paid to their standardization for purity and
potency. Prescription writing and incompatibility are dealt with in frequent
practical exercises. While the consideration of the more important preparations
of the Pharmacopeia and the New and Non-Official Remedies consumes
the greater portion of the allotted time, the course is concluded with
a critical study of many of the so-called patent medicines. Dr. Waddell,
assisted by Mr. Hiden and Mr. Johnson.

Toxicology.Lectures and recitations six hours weekly and laboratory
work six hours weekly, during the last quarter of the fall term.
A systematic


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review is made of the pharmacological action of such chemic agents as are
particularly liable to cause injury to health or loss of life, special attention
being given to their quantitative effects. Practical instruction is given in
the methods of isolating and identifying. The treatment of poisoning is
dealt with in detail. Dr. Waddell.

Clinical Diagnosis.Eight hours weekly during the second term. Continuation
and completion of the second year course in this subject. The
examination, written and practical at the close of the course covers the
work given in the second and third years. Dr. Bray and Mr. Cardwell.

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
and Dr. Smith.

Dermatology and Syphilology.One hour weekly of lectures during second
and third term in third year, and one hour weekly during the first term of
the fourth year; one hour of ward rounds and six hours of clinic weekly to the
classes in sections throughout the year.
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 met with are discussed. Out patient material
is utilized by third-year students. This subject is completed in the first
term of the fourth year, q. v. Dr. Smith.

Surgery and Gynecology.Four hours weekly of lectures and recitations,
and two hours 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
closely the outlines already described for surgery. The general principles
of gynecology are taken up in lectures and recitations. In addition, the
out-patient department affords practice in palpation, diagnosis and treatment.
Dr. Watts, Dr. Goodwin, Dr. Bigger and Dr. Jones.

Urology and Proctology.—Of the total time assigned to surgery, one lecture
hour weekly for the first and second terms, and six hours weekly in the


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out-patient department for one-fourth 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-fourth of the class at a time obtains
supervised experience in handling clinical cases and performing minor operations.
Ample opportunity is afforded for the observation of cystoscopic,
urethroscopic and proctoscopic procedures. Dr. Neff and Dr. Page.

Orthopedics.Two hours weekly of lectures and recitations during the second
and third terms; with six hours weekly 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. Wiatt.

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

Obstetrics.Five hours weekly of lectures, recitations and manikin demonstrations
during the year,
supplemented by work with patients in the wards of
the hospital. The class is divided into sections of five for manikin instruction
and for examination of patients in the hospital. The manikin course
forms an important part of the work, not only for teaching presentation,
position and posture, but also the mechanism of normal and abnormal labor
and the application of forceps. When the section is taken into the wards of
the hospital, the methods of examination, particularly abdominal palpation,
are practiced on the living subject. Dr. Macon.

Elective Courses.—In the second and third terms each student is required
to take an elective course of approximately five hours weekly. Elective
courses vary from year to year.