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DEPARTMENT OF MEDICINE.
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DEPARTMENT OF MEDICINE.

Edwin Anderson Alderman, Ph.B., D.C.L., LL.D.

President.

Theodore Hough, B.A., Ph.D.

Dean.

                                     
JOHN STAIGE DAVIS, M.A., M.D.  Professor of Practice of Medicine 
WILLIAM ALEXANDER LAMBETH, M.D., Ph.D.  Professor of Hygiene 
WILLIAM DOUGLAS MACON, B.A., M.D.  Professor of Obstetrics 
THEODORE HOUGH, B.A., Ph.D.  Professor of Physiology and Biochemistry 
STEPHEN HURT WATTS, M.A., M.D.  Professor of Surgery and Gynecology 
HALSTED SHIPMAN HEDGES, B.S., M.A., M.D.  Professor of Diseases of the Eye 
HARRY TAYLOR MARSHALL, B.A., M.D.  Walter Reed Professor of Pathology 
ROBERT FRENCH COMPTON, M.D.  Professor of Diseases of the Ear, Nose and Throat 
JAMES CARROLL FLIPPIN, M.D.  Professor of Clinical Medicine 
HARVEY ERNEST JORDAN, M.A., Ph. D.  Professor of Histology and Embryology 
ROBERT BENNETT BEAN, B.S., M.D.  Professor of Anatomy 
JAMES ALEXANDER WADDELL, B.A., M.D.  Professor of Pharmacology, Materia Medica and Toxicology 
WILLIAM HALL GOODWIN, B.A., M.D.  Associate Professor of Surgery and Gynecology 
JOHN HENRY NEFF, M.A., M.D.  Associate Professor of Urology 
WILLIAM EDWARD BRAY, B.A., M.D.  Associate Professor of Clinical Diagnosis and Director of Clinical Laboratories 
CARL CASKEY SPEIDEL, Ph.D.  Associate Professor of Anatomy 
JOHN SEWARD LAWRENCE, B.A., M.D.  Associate Professor of Biochemistry 
ROBERT GRAHAM WIATT, M.D.  Associate Professor of Roentgenology 
WILLIAM SHIRLEY KEISTER,[1] B.A., M.D.  Assistant Professor of Public Health 

INSTRUCTORS.

       

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Dudley Crofford Smith, B.S., M.D.  Dermatology and Syphilology 
Allen Fiske Voshell, B.A., M.D.  Orthopedic Surgery 
William Edward Brown, M.D.  Phthisiotherapy 
Isaac Alexander Bigger, Jr., M.D.  Surgical Pathology 
Henry Beardon Mulholland, M.D.  Medicine 
William Marco Sheppe, M.D.  Pathology and Bacteriology 
Joseph Thomas Jones, M.D.  Surgery 
Robert Massie Page, B.S., M.D.  Surgery 
Frank McCutchan, M.A., M.D.  Diseases of the Eye, Ear, Nose and Throat 
Charles Calhoun Hedges, M.D.  Histology and Embryology 
Frank Helvestine, Jr., M.D.  Pathology and Bacteriology 
Bert Barnet Hershenson, B.S.  Physiology and Biochemistry 

CLINICAL INSTRUCTORS.

       
Thomas Henry Daniel, M.D.  Medicine 
Edward May Magruder, M.D.  Medicine 
Hugh Thomas Nelson, M.D.  Medicine 
Monte Lewis Rea, M.D.  Pediatrics and Dermatology 

STUDENT ASSISTANTS.

                 
Edgar Parmele Cardwell  Clinical Diagnosis 
Robert Battaile Hiden, B.A.  Materia Medica 
Charles Isaac Johnson, B.S.  Materia Medica 
William Barrington Hubbard  Anatomy 
Raymond DeVan Kimbrough  Anatomy 
Hall Holloway Ratcliffe  Pharmacology 
Winston Underwood Rutledge  Pharmacology 
James Wilkinson Jervy, Jr.  Histology and Embryology 
George Gerald Stone, B.A.  Anatomy 

TECHNICIANS.

       
Mrs. Jane Horton  Laboratory Assistant in Clinical Diagnosis 
Mary Constable  Technical Assistant in Pathology 
Joy Austin  Technical Assistant in Surgical Pathology 
Arthur Chancellor Wood  Technical Assistant in Physiology and Biochemistry 

Correspondence with reference to admission to the first year class should
be addressed to Dr. J. A. Waddell, Chairman Committee on Admissions.

For information as to lodgings, board, expenses, etc., and for catalogues
and other printed literature, address the Registrar.

For other information, address the Dean of the Department of Medicine.

The session of 1923-1924 opens on September 13. The registration days
are September 13-15. A fee is required for delayed registration.

ENTRANCE REQUIREMENTS.

The requirement for admission to the first year of the Department of
Medicine is a four-year high-school education or its full equivalent and two
years of work in a college of arts and sciences approved by the Council on
Medical Education of the American Medical Association, as follows:


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I. HIGH SCHOOL REQUIREMENTS.

(a) For admission to the two-year premedical college course, students
shall have completed a four-year course of at least fifteen units in a standard
accredited high school or other institution of standard secondary school
grade, or have the equivalent as demonstrated by examinations conducted
by the College Entrance Examination Board or by the authorized examiner
of a standard college or university which has been approved by the Council
on Medical Education of the American Medical Association.

(b) Credits for admission to the premedical college course may be
granted for the subjects shown in the following list and for any other subject
counted by a standard accredited high school as part of the requirements
for its diploma, provided that at least eleven units must be offered in
groups I-V:

Group I. English. (Three units required)

Literature and Composition.

Group II. Foreign Languages. (Two units required, both of which must be
in the same language)

Latin, Greek, French, German, Spanish, Italian, or other modern foreign
language.

Group III. Mathematics. (Two units required)

Elementary Algebra, Advanced Algebra, Plane Geometry, Solid Geometry,
Trigonometry.

Group IV. History. (One unit required)

Ancient History, Medieval and Modern History, English History,
American History, Civil Government.

Group V. Science.

Botany, Zoölogy, Chemistry, Physics, Physiography, Physiology, Astronomy,
Geology.

Group VI. Miscellaneous.

Agriculture, Bookkeeping, Business Law, Commercial Geography, Domestic
Science, Drawing, freehand and mechanical, Economics and
Economic History, Manual Training, Music—appreciation or harmony.

A unit is the credit value of at least thirty-six weeks' work of four or
five recitation periods per week, each recitation period to be not less than
forty minutes.

II. PREMEDICAL COLLEGE COURSE.

The requirements given below are strictly minimum requirements. Premedical
students are advised to take more than thirty session-hours of college
work, either by spending an additional year in college or by taking thirty-three
or thirty-six session-hours during their two years as college students. Entrance
conditions of any kind whatsoever are absolutely prohibited and no substitution
can be allowed for any required subject.


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In addition to the high-school work specified above, a candidate for admission
to the Department of Medicine must present evidence of the completion
of at least thirty session-hours of collegiate work in a college approved
by the Council on Medical Education of the American Medical
Association. A session-hour is the credit value of one hour a week of
lecture or recitation or two hours a week of laboratory work throughout
a session of at least thirty-two weeks, exclusive of holidays. The subjects
included in the thirty session-hours of college work should be in accordance
with the following schedule:

Required Subjects:

             
Session-hours. 
General Inorganic Chemistry (a) 
Organic Chemistry (b) 
Physics (c) 
Biology (d) 
English Composition and Literature (e) 
Other non-science subjects (f) 

Subjects Strongly Urged:

French or German, Advanced Botany or Advanced Zoölogy, Psychology,
Advanced Algebra, Solid Geometry, and Trigonometry, additional
courses in Chemistry.

Other Suggested Electives:

English (additional), Economics, History, Sociology, Political Science,
Logic, Mathematics, Latin, Greek, Drawing.

REQUIREMENTS IN INDIVIDUAL COLLEGIATE SUBJECTS.

(a) General Inorganic Chemistry. Four session-hours are required, including
two session-hours of laboratory work. In the interpretation of this
rule work in qualitative analysis may be counted as general inorganic chemistry.

(b) Organic Chemistry. Three session-hours are required of which at
least one must be laboratory work. Four session-hours including two session-hours
of laboratory work are recommended as giving better preparation
in organic chemistry.

Students are advised to take, in addition to the required general and
organic chemistry at least four session-hours in qualitative analysis and two
session-hours in quantitative analysis.

(c) Physics. Four session-hours required, of which at least one must
be laboratory work. It is urged that this course be preceded by a course
in trigonometry and solid geometry.

(d) Biology. Four session-hours required, of which two must consist
of laboratory work. The requirement may be satisfied by a course of four
session-hours in general biology or zoölogy, or by courses of two session-hours
each in zoölogy and botany, but not by botany alone.


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(e) English Composition and Literature. The usual introductory college
course of three session-hours, or its equivalent, is required.

(f) Non-Science Subjects. Of the thirty session-hours required as the
measurement of two years of college work, at least nine, including three
session-hours of English, should be in subjects other than the physical,
chemical, or biologic sciences.

Although not required for admission to the medical school, premedical
students are strongly urged to acquire the basic knowledge of French or
German—and preferably of both French and German—which will enable
them with a little practice to read with ease the medical literature published
in these languages. Apart from the cultural value of the study of a foreign
language and the use which may be found for French and German in the
study of medicine, a reading knowledge of one or both of these languages
is required for certain desirable post-graduate scholarships and fellowships.
When the student presents for admission to the premedical college course
2 units of high school work in either language, the usual 3 session-hour
"second year" college course will amply give this basic knowledge. When
he begins the study of the language in college, he should take at least 4, and
preferably 5, session-hours in the language.

College courses in Physical Training and in Military Training or Military
Science will not be counted towards the thirty session-hours required
for admission to medicine; nor will required courses in Bible and Biblical
Literature be counted, unless the course has a credit value of at least three
session-hours for one session.

No entrance conditions whatever can be allowed nor can any substitutions
be made for the required subjects. Premedical students in other colleges
and universities who are considering the possibility of entering upon
their medical studies in this university are urged to have the authorities of
the University of Virginia pass officially upon their academic credit early
in their last premedical college year and in no case later than June 1, of
that year. Deficiencies may be discovered in this way in time to remove
them before the following September. Such students will incur no obligation
to enter this medical school. The prohibition of entrance conditions
in all Class A medical colleges makes it especially important for the student
to be absolutely sure six months or more beforehand that the course he is
taking will admit him to the study of medicine. Many deficiencies can be
made up by work in summer schools.

In planning two years of premedical college work students are advised
to take English, mathematics (solid geometry, plane trigonometry,
and advanced algebra), biology, and general inorganic chemistry the first
year; and organic chemistry, physics, foreign language, and one or more
electives the second year. This arrangement of studies is advised because
mathematics should precede physics and general inorganic chemistry must
precede organic chemistry. Those who take four or more session-hours of
college work in foreign language may find it advisable to take foreign language


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both years and take the mathematics in a summer school following
the first premedical college session.

The right is reserved of rejecting any applicant whose premedical college
record, especially in English and the required science subjects, does not
give reasonable assurance of adequate preparation to carry successfully the
dependent subjects of the medical curriculum.

Admission with Advanced Standing.—Students are admitted to advanced
standing in the second and third years under the following conditions:

1. Satisfaction of the requirements for entrance into this department at
the time of entrance of the class to which the applicant seeks admission.

2. The presentation of a certificate of honorable dismissal from the
school last attended.

3. The presentation of the complete record of the student in the school
previously attended, on blanks to be obtained from the Dean of the Department
of Medicine. This record will be submitted to the action of the Faculty
Committee on Advanced Standing, and the admission of the student,
together with the terms of admission, will be determined by this committee.

Students are not received with advanced standing to the fourth year class.

Limitation of Numbers and Reservation of Places in the First-Year Class.
—The number of students in the first-year class is limited to sixty-five. Reservation
of a place, if desired by the applicant, can be made beforehand on
the conditions hereinafter described.

Those intending to enter the Department of Medicine are advised to ascertain
at once by correspondence with the Dean of the Department of Medicine
whether their high-school and college courses entitle them to admission
to the first-year class. For this purpose there may be obtained from
the Dean a blank form on which the necessary information may be entered
in full.

At the time of registration, applicants will be registered in the order in
which they present themselves, until all vacancies are filled. Applicants who
have not made reservations, as described below, are therefore advised to
apply for registration at 9 o'clock of the first day of registration (September
13, 1923).

Any applicant whose record, certified by the proper official of the college
last attended, has been endorsed by the Dean of the Department of
Medicine as entitling him to admission to the first-year class, may at any
time after June 25 and before the registration period in September have
a place reserved for him until 12:00 noon of the first day of registration
by depositing with the Bursar the sum of $50.00 in part payment of the
tuition fee of the first year. A reservation so made can be cancelled only
in exceptional cases. In case a student who has obtained a reservation
fails to register, the deposit of $50.00 will be forfeited to the University unless,
in case of illness or other providential cause, the Dean of the Department
of Medicine directs that it be returned.


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By the deposit, under similar conditions, of the entire fees for the first
year ($235.00) a student may have a place reserved for him until 5 p.m. of
the last day of registration.

Women over twenty years of age are admitted to the medical department
by satisfying the entrance requirements specified above.

FACILITIES FOR AND METHODS OF INSTRUCTION.

There are well-equipped laboratories for the study of organic chemistry,
biochemistry, gross anatomy, histology and embryology, bacteriology
and pathology, physiology, pharmacology, materia medica, and clinical
diagnosis. These laboratories are all presided over by trained teachers, to
whom teaching and investigation are primary considerations. The number
of hours assigned to laboratory subjects is quite large and affords ample
time for thorough study by the best methods. The student is brought into
close contact with teachers who are both willing and able to guide him; he
gains a very large part of his knowledge at first hand and by his own exertions,
and thus acquires the habit of working out things for himself; he
becomes self-reliant, a quality essential to the practice of his difficult profession.
Trained in this manner, he acquires an understanding of the medical
sciences and the ability to apply the facts of these sciences to the subsequent
study of disease. For these reasons the great fundamental sciences
receive the utmost consideration, constituting the entire work of the first
two years.

The methods of clinical instruction are based upon the belief that no
clinical teaching is efficient which is not governed by essentially the same
principles as those which govern the best laboratory teaching. This instruction
is accordingly designed to enforce with the individual student a
careful, thorough, face-to-face study of disease and its management. The
facilities afforded by the University Hospital and Out-Patient Department
are described on a subsequent page. After two sessions devoted to laboratory
training, the student is introduced in the third year to the study of
disease in living persons. In the Out-Patient Department and in the Hospital
he learns the methods of examining patients, of diagnosing their
diseases, and of instituting rational treatment; and he learns these things
in much the same way as he studied in the laboratory, that is to say, by
doing them himself under the direction and criticism of the instructors. This
practical training is accompanied by a systematic study of the various subjects
by means of lectures, textbooks, and recitations. With this preparation
the student is ready to enter upon the hospital work in his fourth year.
Here he has advantages for clinical training similar to those enjoyed by
internes. Each clinical patient on admission to the hospital is assigned to
a student, and that patient is regarded as his "case." The student conducts
a complete examination, records his observations in a scientific manner,
makes a diagnosis, states his view as to the treatment indicated, and keeps
a complete record of the case, all under the advice and criticism of the


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physician or surgeon in charge. He is expected to keep himself informed
of the progress of the case throughout its course. If it is one requiring
surgical treatment, he assists at the operation, and thus is able to follow
all the procedures of the operator at close range. In addition, students
make frequent visits to the wards with the attending physicians and surgeons,
during which visits the nature, treatment, and progress of various
cases are gone over in detail. To carry out this method of clinical instruction
the hospital had last year over 3,800 cases. The patients of the Blue
Ridge Sanatorium afford additional material for clinical instruction. Since
the number of students in each class is relatively small, it is clear that the
department offers capable young men clinical advantages which are distinctly
exceptional.

Opportunities are offered in the third and fourth years for more extended
training in certain subjects with a view toward possible specialization
after graduation.

At the meetings of the Medical Journal Club reviews of important articles
and results of original research are presented by the instructors and
by invited guests. These meetings are open to the students.

REGULATIONS, EXPENSES, ETC.

Regulations.—The records given after the regular examination on a
course, with their explanations, are as follows:

Passed indicates the satisfactory completion of the course and admits to
all dependent subjects.

Conditioned means that to obtain a clear record on the course the student
must pass a special examination. Failure to take or to pass this examination
is equivalent to a record of "failed." The record "conditioned" is
not given in fourth year subjects, except in case of illness or other equivalent
cause approved by the faculty.

A student may be conditioned on any examination because of failure to
maintain a reasonable standard of English composition.

Deficient indicates that part of the work of the course has not been completed.
Upon the satisfactory completion of this work within the time and
in the manner prescribed by the professor in charge, the student receives the
record "passed"; otherwise the record is "failed" on the entire course.

Failed indicates that the course must be repeated; except that when the
laboratory or other practical work has been satisfactorily performed, the
professor in charge may, at his discretion, excuse the student from repeating
the same; and, by special vote of the faculty, the student may be granted
optional attendance upon the course, in whole or in part. In general, a
student who is repeating a course will be required to attend all the exercises
of the course, and will not be excused from any exercise thereof because of
schedule conflicts with more advanced work.


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Absence from a regular examination, when excused because of illness or
other equivalent cause, gives a record of conditioned; if not excused, a record
of failed.

To pass a regular or a special examination, a grade of eighty per cent. is
required. If the grade is less than eighty per cent. but not less than seventy
per cent., the student is entitled to the record conditioned; but the record
conditioned is not given in fourth-year subjects, except under the conditions
noted above.

No student will be admitted to any subject of the second or third year
(save by the consent of the Dean and the professors concerned), if more
than one-third of the work of the preceding year remains unfinished. If at
the beginning of the year his deficiencies have not been made up by the
satisfactory completion of courses at some school approved by the instructors
in charge at this university, he may continue as a student in the Department
of Medicine only by repeating the courses in which he has failed. In
the interpretation of this rule the values of the subjects of the first and second
years are estimated in points as follows:

Anatomy 1, 36 points; Anatomy, 2, 6 points; Histology, 18 points; Embryology,
9 points; Biochemistry, 30 points.

Anatomy 3, 8 points; Physiology, 27 points; Bacteriology, 12 points;
Pathology, 28 points; Pharmacology, 11 points; Clinical Diagnosis, 6
points; Physical Diagnosis, 4 points.

Whenever in the judgment of the faculty a student is receiving too many
records below the grade of passed, the faculty may prescribe special conditions
upon which the student may remain in the Department of Medicine,
or may require his withdrawal therefrom.

Students will not be allowed to undertake the work of the third or
fourth year until they have completed that of the first year, save by special
consent of the Medical Faculty.

A student may not take any course, either in whole or in part (as explained
under the above definition of failed) more than twice. A second
record of failed on the same course involves withdrawal from the Department
of Medicine.

Candidates for the degree of Doctor of Medicine, who have less than one
full year's work to complete, may be required to take such additional work
and to pass such additional examinations as the Medical Faculty may prescribe.
This additional work may be selected from any of the courses given
in the Department of Medicine, even when such prescribed courses have
previously been taken and passed by the candidate in question.

Certificates of Attendance.—Students who attend the whole regular
course of one or more of the four years are entitled to an official statement
under the seal of the University, showing all courses for which the student
was registered each year as a medical student and the record (see above
under "Regulations") with the percentage grade received on each course for
which he was registered. These statements will also contain any special
faculty votes affecting the student's registration in this school.


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Requirements for Graduation.—The degree of Doctor of Medicine is
conferred by the University of Virginia upon candidates who have complied
with the entrance requirements of this department; attended a regular
medical course of four years of at least eight months each, the last two
of which years must have been at this institution; and have satisfactorily
completed all of the subjects included in the medical course.

Examinations.—These are in writing, accompanied in many subjects by
individual practical examinations. Examinations may be held only during
the regular examination periods at the end of each term or during the vacation
periods. No examinations may be given while regular class work is in
progress; provided this rule is not to be interpreted to prohibit unannounced
written tests or regular daily or weekly tests which count on the class standing
of students. The regular examinations are held at stated periods during
the session. In addition, examinations are held each year during the week
immediately preceding the beginning of lectures. To the latter are admitted:

1. Students of the previous session who, from illness or other equivalent
cause approved by the faculty, were unable to present themselves for
examination in any particular subject at the regular time.

2. Students who at the regular examination in any first, second, or
third year subject of the preceding session have attained a grade less than
eighty per cent., but as much as seventy per cent., on one or more subjects,
as explained in a preceding paragraph; or any student who has received the
record conditioned on a course taken in this university.

3. Certain applicants for advanced standing who are admitted to these
examinations by the Committee on Advanced Standing.

The usual period for special or conditioned examinations is in September
during the week of registration; but such examinations may be scheduled,
at the option of the professor in charge, for any other time, provided
regular class work is not in progress and also provided all students entitled
to take examination agree to the change of date. For a special or condition
examination held at any other time than that assigned for all students entitled
thereto a fee of five dollars is charged. This fee must be paid to the
Bursar before the examination is held.

In all courses in which there is practical work, either in the laboratory
or in the outpatient department or wards of the hospital, two records are
returned to the Registrar's office for each student: one of these records is
for the practical laboratory or clinical work—in which the record is P(assed),
D(eficient), or F(ailed), the other record is for the didactic work, including
the final examinations—in which case the record is P(assed), C(onditioned),
D(eficient), or F(ailed), with the approximate percentage grade. To
obtain a clear record on the course a student must have a record of P(assed)
both on practical and on didactic work; in no case will the two grades be
averaged. No record whatever is given on didactic work unless there is a
record of P(assed) on practical work; failure on practical work gives a
record of F(ailed) on the entire course.


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The Fall Examinations for 1923-1924 begin September 10 and close September
15. Students entitled to admission to these examinations will be
informed of the date of examination by the Dean.

Expenses.—The fees for instruction are 1, the tuition fee; 2, the university
fee which entitles the student to the use of the Library, Gymnasium,
to medical attention, etc.; and 3, special laboratory fees, as specified below:

                         
FIRST
YEAR 
SECOND
YEAR 
THIRD
YEAR 
FOURTH
YEAR 
Tuition  $160.00  $160.00  $135.00  $135.00 
University fee  40.00  40.00  40.00  40.00 
Laboratory fees: 
Biochemistry  10.00 
Anatomy  17.50  2.50 
Histology and Embryology  7.50 
Physiology  10.00 
Bacteriology and Pathology  12.50 
Pharmacology  5.00 
Clinical Diagnosis  5.00  5.00 
Materia Medica and Toxicology  5.00 
Total  $235.00  $235.00  $185.00  $175.00 

The minimum for necessary living expenses, including room, heat, light,
furniture, service, board, books, and laundry, is estimated at $400.

In the course in Biochemistry, a deposit of $10 is required to cover cost
of breakage.

Voluntary Withdrawal from the University requires the written consent
of the Dean of the University and the dean of the department in which
the student is registered. When a permit is granted upon the University
Physician's certificate that withdrawal is necessary on account of ill health,
which must not be due to dissolute conduct, the fees are returned pro rata.
Under no other circumstances will there be a return of fees.

Combined Degrees in Arts (or Science) and Medicine.—Students who
have credit for the forty-eight session-hours of the group electives required
in this university for the cultural baccalaureate degrees in arts and
science may substitute for twelve session-hours of electives-at-large the
first-year course in the Department of Medicine and receive the degree of
Bachelor of Arts or Bachelor of Science at the end of the year.

The University also offers a course leading to the vocational degree of
Bachelor of Science in Medicine. This course includes two years of group
electives in academic subjects followed by the first two years of the medical
course. Since the academic group-electives satisfy the entrance requirements
of the Medical Department, students who can spend only two years
in college before entering upon the study of medicine are advised to plan
their work so as to secure this degree.


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For further information regarding these degrees, see the General Catalogue
of the University.

The William A. Herndon Scholarships are founded upon the bequest of
Dr. Cumberland George Herndon, a graduate in medicine of this university.
They are awarded by the Medical Faculty after a competitive examination
held during the summer vacation preceding enrollment as a student in the
Medical Department. Candidates must be unable to defray the expenses of
their medical education and must signify their intention of entering the
medical service of the army or navy of the United States. These scholarships
provide for the necessary expenses of the student during the entire
four years of his medical course and are awarded whenever there is a vacancy.
Both Herndon scholarships will be awarded in September, 1923. For
information as to the examinations and other requirements, address the Dean
of the Department of Medicine.

Other Scholarships and Fellowships open to medical students in common
with students in other departments of the University are: The Valentine
Birely Scholarship; the Thompson Brown Scholarship; the Isaac Cary Scholarship;
the William C. Folkes Scholarships; the Bennett Wood Green Scholarships;
the McCormick Scholarship; the Pi Kappa Alpha Scholarship; the
Thomas Fortune Ryan Scholarships; the Virginia Division of the Unit
Daughters of the Confederacy Scholarship; and the John Y. Mason Fellowship.

Loan funds are also available. For full information regarding scholarships,
fellowships, and loan funds, see the General Catalogue of the University.

The Alpha Omega Alpha Society.—On November 15, 1919 a charter
was issued for the establishment in this University of a chapter of the
honor medical society, Alpha Omega Alpha, to which there are chosen
annually one-fifth of each graduating class, on the basis of scholarship,
character, and professional promise. Since publication of the catalogue of
1921-22, the following have been elected to membership: from the class of
1922, Charles Calhoun Hedges, Charles Bruce Morton, B.S., Albert Austin
Pearre, B.S.; from the class of 1923, Monroe Jacob Epting, Jr., B.A., Robert
Battaile Hiden, B.A., and Calwell Jackson Stuart, B.A.


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COURSES OF INSTRUCTION.

In the following description of courses, the number of hours represents
the amount of time each student devotes to the course. In addition to the
hours scheduled in the third and fourth years of the course, each student
devotes a considerable amount of time to practical work which does not
appear in the schedule, but the satisfactory performance of which is essential
to graduation. Thus the taking of histories, the visits to his cases in
the hospital, assisting at operations, attendance upon cases of labor, the employment
of microscopical and chemical methods of diagnosis in the hospital,
require much time which it has not seemed possible to record in a
rigid schedule. It should, however, be stated that each student in the fourth
year gives at least six hundred hours to this required but unscheduled practical
work.

The session, exclusive of the time devoted to examination, is divided
into a fall term of twelve weeks, a winter term of ten weeks, and a spring
term of ten weeks.

FIRST YEAR.

Anatomy 1.Twenty-four hours weekly during the first term and twelve
hours weekly during the second term.
This coures begins with a systematic
study of the bones, on the completion of which a part is assigned to each
student for dissection and study. On the completion of this course each
student has dissected a lateral half of the body. The student obtains his
knowledge at first hand and by his own personal efforts. The work in
gross anatomy is completed by Anatomy 3 of the second year. Dr. Bean, Dr.
Speidel, Mr. Hubbard, Mr. Kimbrough
and Mr. Stone.

Anatomy 2.Six hours weekly during the third term. This course consists
in a laboratory study of the anatomy of the central nervous system carried
out in considerable detail. The gross anatomy of the spinal cord and
brain is first considered, on the completion of which sections of the more
important regions are studied carefully with the aid of the microscope.
Fresh brains and series of sections of the cord and brain are thoroughly
used. A reconstruction of the central nervous system showing the more
important pathways is prepared by each student. Dr. Bean, Dr. Speidel,
Mr. Hubbard, Mr. Kimbrough
and Mr. Stone.

Histology.Three lectures or recitations and six hours of laboratory work
weekly during the first and second terms.
This course aims to acquaint the
student with the microscopic structure of tissues and organs. Cytogenesis
and histogenesis are briefly considered in the case of many tissues studied.
The relation of histology to physiology and pathology is constantly kept in
view. The student also has opportunity to acquaint himself with the
principles and practice of histological technique.

A record of seventy per cent. in the course is required for admission to
Physiology, and of eighty per cent. for admission to Pathology. Dr. Jordan
and Dr. Hedges.


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Embryology.Nine hours weekly during the third term. The laboratory
work (six hours weekly) with sections and dissections of mammalian
embryos, is supplemented by lectures, recitations, and the study of models.
The course aims to give the student a knowledge of developmental processes,
in the light of which he may the better understand the more abstruse normal
conditions of adult anatomy, as well as many anomalies and variations,
neoplasms and malformations. Dr. Jordan and Dr. Hedges.

Biochemistry.Lectures and recitations, six hours weekly during the second
and third terms; laboratory work, six hours weekly during the second term;
twelve hours weekly during the third term.
The chemical structure and reactions
of carbohydrates, lipins, proteins, and other compounds occurring in
the body. Blood, milk, and bile. The chemical physiology of digestion,
secretion, excretion, internal secretion, intermediary metabolism, and nutrition.
The laboratory work includes the study of carbohydrates, fats, fatty
acids, soaps, proteins, purine compounds, etc.; blood, milk, and bile; the
digestive enzymes and the digestion of foods; and extensive qualitative and
quantitative work on urine. A grade of seventy per cent. on this course is
required for admission to Physiology. Dr. Hough, Dr. Lawrence and Mr.
Hershenson.

SECOND YEAR.

Anatomy 3.Four hours weekly through the first and second terms. This
course is the continuation of Anatomy 1, and consists of the systematic study
of topographic anatomy, with the aid of cross sections of the human body,
special dissections, and wet preparations with a review of the whole body
in relation to the needs of the student in general medicine and surgery. At
the end of this course a practical examination is given, covering the work
of Anatomy 1, 2 and 3. Dr. Bean, Dr. Speidel, Mr. Hubbard, Mr. Kimbrough
and Mr. Stone.

Physiology.Lectures, recitations, and demonstrations, four and a half
hours weekly during the first term, eight and a half hours during the second
term; laboratory work, eleven and a half hours weekly during the first term, two
and a half hours weekly during the second term.
The physiology of muscle
and nerve; blood and lymph; the circulation; respiration; secretion; digestion
and nutrition, and the central nervous system. The work of the laboratory
closely follows the lectures as an integral part of the study of each subject.
Open only to students who have obtained grades of seventy per cent. in
Histology and Biochemistry. An average grade of seventy per cent. and the
satisfactory completion of the laboratory work of this course is necessary for
admission to Pharmacology. Dr. Hough and Mr. Hershenson.

Bacteriology and Pathology.Twelve hours weekly throughout the session
and four additional hours a week the second term.
The work in pathology is
open only to students who have obtained a record of passed in Histology.
Bacteriology and Pathology are taught in a combined course. Emphasis is
laid upon the medical and public health aspects of bacteriology. Autopsies


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and the study of gross and microscopic specimens supply the practical work
accompanying the systematic study of pathology. Opportunity is given
selected students for advanced work. Dr. Marshall, Dr. Sheppe and Dr.
Helvestine.

Pharmacology.Lectures, recitations and demonstrations five hours weekly
and laboratory work six hours weekly, during the third term.
The physical and
chemical characteristics and the mode of action of representative drugs and
other chemic agents are dealt with in both didactic and practical exercises.
Special attention is given to analysing and interpreting the results obtained
in the laboratory. An average grade of seventy per cent. on Physiology together
with the satisfactory completion of the laboratory work of Physiology
is required for admission to the course. Dr. Waddell, assisted by Mr. Ratcliffe
and Mr. Rutledge.

Clinical Diagnosis.Six hours weekly during the third term. 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. This subject is completed in the second term
of the third year. Dr. Bray, assisted by Mr. Cardwell.

Journals.—In connection with the work in Physiology, Bacteriology and
Pathology, the second-year students meet with their instructors for one
hour each week from the first of December to the end of the session for
reports and discussion of the current literature of the above sciences. Three
reports are made at each meeting by the students.

Physical Diagnosis.Four hours weekly during the third term. Instruction
is given in the principles and methods of physical examination. Attention
is especially given to study of the normal subject. Dr. Flippin.

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.

FOURTH YEAR.

Theory and Practice of Medicine.—The same plan is followed in the
clinical work as that already described for the third year, each of the two
sections of the class devoting itself for half the year to the medical service
in the wards of the hospital. Full histories are taken of every case, thorough


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examinations made, and management indicated by the students of each
division. These records are considered in the final grading of the student.
The subjects treated with the approximate division of time among them are
as follows:

Nervous Diseases and Insanity.Three lectures and recitations weekly,
supplemented by clinical work during the first term.
In this course is given
also instruction in electrotherapeutics. Dr. Davis.

Pediatrics.Three lectures and recitations weekly, supplemented by clinical
work during the second term.
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. There is also a baby welfare clinic once
a week in the out-patient department. Dr. Davis and Dr. Rea.

Case Teaching, Medical Ethics and Economics, and Insurance Exam-
inations.
Two hours weekly during the third term. Dr. Davis.

Internal Medicine.Two lectures weekly throughout the session. In this
course the endeavor is made to bring to the attention of the senior student
the more important problems of Internal Medicine. The relationship of
recent investigations in the fields of normal and pathological physiology,
biochemistry, immunology, etc., to internal diseases is especially emphasized.
No text-book is used; students are referred to the files and current issues of
journals and to reference works in the Medical Library as sources of information.
Dr. Flippin.

Dermatology and Syphilology.Two lectures weekly during the first
term; ward rounds once weekly for one half the year.
Dr. Smith.

Surgery and Gynecology.Two hours weekly of surgical clinic throughout
the session; five hours weekly of ward classes, supplemented by clinical work
in the wards and operating room for one-half the session with each of the two
sections of the class.

Instruction in surgery is carried on by clinics and bedside demonstrations
in the hospital. In the wards the students are assigned cases, whose
histories they must take. They must also 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 offers many of the opportunities
that an interneship 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.

In gynecology, urology and orthopedics the students have the same
general work as in surgery, consisting of the examination and the recording


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of the 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. Goodwin, Dr. Neff, Dr. Voshell, Dr. Bigger, Dr. Jones and
Dr. Page.

Surgical Pathology.Two hours weekly during one-half the session.
This course is intended to supplement the general courses in pathology and
surgery and consists of lectures upon the pathology of surgical lesions,
demonstrations of fresh tissues obtained from the operating rooms, and examination
of microscopic sections. The student reviews pathological
technique, and frozen section work is emphasized. Dr. Bigger.

Clinical Pathological Conferences.—The pathological material from the
autopsy table is correlated with the clinical findings. The conference is
participated in by the students and internes in charge of the patients, the
physicians in charge and the pathologist. Dr. Marshall and the visiting staff
of the hospital.

Obstetrics.—The student attends, under the guidance of an instructor,
the labor cases in the hospital, and is required to prepare the history of
patients and to follow up the cases through the puerperium. Instruction is
also given in the care of the new-born. In addition the student has the
opportunity of attending patients in the out-patient department, and each
student is expected to attend at least six cases of labor. A clinic for third
year students is held one day in the week in the out-patient department for
recording and examining pregnant women. The patients are instructed in
prenatal care, and students are assigned to each case for attendance during
labor under the guidance of an instructor. Dr. Macon.

Medical Jurisprudence.One lecture weekly during one term of the fourth
year.
The application of medical knowledge and skill to the needs of the
law is presented. References to literature are assigned for the fuller development
of special topics. Dr. Waddell.

Phthisiotherapy.Two lectures weekly for four weeks supplemented by
demonstration clinics at the Blue Ridge Sanatorium.
Dr. Brown.

Diseases of the Eye, Ear, Nose and Throat.Two lectures weekly during
the first two terms, supplemented by regular two- to three-hour clinics twice
weekly throughout the session and clinical lectures to sections of the class as
suitable cases occur.
The class is divided into small sections and each student
is taught the methods of examination and the use of the ophthalmoscope,
head mirror, and of the laryngeal and post-nasal mirrors. In the clinics
each patient is assigned to a student, who must take the history and keep
the record of that patient; the case is then demonstrated by the professor
in charge, and, if possible, each student makes his own examination under
the personal supervision of the attending physician. Clinical cases are
abundant, and during the year the student sees and handles practically all
the common diseases of the eye, ear and upper respiratory tract. Dr. Hedges
and Dr. Compton.


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Hygiene.One hour weekly throughout the session, and thirteen additional
hours in the second term.
The course begins with a historical sketch of the
developments of preventive medicine, including short biographical sketches
of the pioneers of hygiene. With this introduction the story of the natural
history of contagious and infectious diseases, modes of propagation and
methods of prevention engage the attention of the student. With this
preparation, the chemical and bacteriological contamination of food, water,
air and soil is made an important study. Instruction is also begun in the
proper location and construction of habitations, hospitals, schoolhouses, etc.,
with special reference to the modern methods of heating, ventilating and
draining. Notice is taken of the special relations involved in military and
naval hygiene. Dr. Lambeth.


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TABLE OF SCHEDULED HOURS IN EACH SUBJECT.

(Exclusive of examination periods.)

First Year.

             
DIDACTIC  LABORATORY
OR CLINIC 
TOTAL 
Gross Anatomy  66  342  408 
Histology  66  200  266 
Embryology  30  60  90 
Neuro-Anatomy  20  40  60 
Biochemistry  126  180  306 
Total  308  822  1130 

Second Year.

               
Gross and Topographical Anatomy  22  66  88 
Physiology  162  140  302 
Bacteriology  50  100  150 
Pathology  100  180  280 
Pharmacology  50  60  110 
Physical Diagnosis  20  20  40 
Clinical Diagnosis  15  45  60 
Total  419  611  1030 

Third Year.

                 
Materia Medica and Toxicology  66  66  132 
Clinical Diagnosis  20  60  80 
Theory and Practice of Medicine  96  150  266 
Dermatology and Syphilology  20 
Surgery and Gynecology  138  175  353 
Orthopedics  40 
Obstetrics  96  45  141 
Electives  100 
Total  476  496  1072 

Fourth Year.

                     
Nervous Diseases and Insanity  36  250  400 
Pediatrics  30 
Case Teaching, Ethics, etc.  20 
Internal Medicine  64 
Dermatology and Syphilology  24  16  40 
Surgery and Gynecology  96  275  371 
Forensic Medicine  10  10 
Obstetrics (estimated)  40  40 
Eye, Ear, Nose, and Throat  44  80  124 
Hygiene  60  60 
Total  384  661  1045 

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OUTLINE OF HOURS FOR SESSION 1923-1924.

                       
Term  Year
Hours
per
Week. 
Anatomy  24 
Histology 
33 
Anatomy  12 
Histology 
Biochem.  12 
33 
Biochem.  18 
Embryology 
Neurology 
33 
                           
Term  Year
II 
Hours
per
Week. 
Physiology  16 
Bacteriol.  12 
Anatomy 
32 
Physiol.  11 
Pathol.  16 
Anatomy 
31 
Pathology  12 
Pharmacol.  11 
Clin. Diag. 
Physical Diag. 
33 
     
Term  Year
III 
Mater. Med.
& Toxicol.
Medicine
Surgery
Obstetrics 
2
and
Medicine
Surgery
Obstetrics
Dermatology
and
Syphilolophy
Orthopedics
Electives 

FACILITIES AND OPPORTUNITIES FOR RESEARCH.

The Department of Medicine not only fosters in its methods of instruction
the inductive study by the student himself of the phenomena presented
by the human body in health and disease, but also encourages the spirit of
investigation of unsolved problems of medical science and practice on the
part of the instructors and students. During the past few years there have
appeared annually a number of papers from its laboratories embodying the
results of such investigations, and it is the policy of the department to enlarge
this feature of its work in the future. Students are encouraged to engage
in research as they are prepared for it, usually assisting an instructor
in some special study or else conducting the research under his guidance and
advice. For this purpose the scientific and clinical laboratories offer the
necessary facilities, and heads of departments will always be glad to suggest
and outline problems for investigation by any medical student or by others
possessing the necessary training therefor.

Library.—The medical Library contains upwards of 7,000 volumes. It
is housed in the basement of the Rotunda, and is in charge of a special Librarian.
The more important of its current journals include the following:

American Journal of Anatomy, American Journal of Diseases of Children,


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American Journal of The Medical Sciences, American Journal of Obstetrics,
American Journal of Pharmacy, American Journal of Physiology,
American Journal of Physical Anthropology, Genetics, American Journal of
Psychology, American Journal of Public Health, American Journal of Syphilis,
American Review of Tuberculosis, Annals of Surgery, Archives of Pediatrics,
Archives of Internal Medicine, The American Naturalist, Anatomischer
Anzeiger, Anatomical Record, Annales de L'Institut Pasteur, l'Anthropologie,
Archiv für Gynaekologie, Archives of Dermatology and Syphilology,
Archino italiano di ematologia e sierologia, Archives de Biologie,
Archives of Neurology and Psychiatry, Archiv für die Gesammtes Physiologie,
Biochemical Journal, The Boston Medical and Surgical Journal, The
British Medical Journal, British Journal of Dermatology, Bulletin of the
Johns Hopkins Hospital, Bulletins et Mémoires de la Société D' Anthropologie
de Paris, Comptes Rendus, Endocrinology, Index Medicus, The
Journal of Abnormal Psychology, The Journal of Anatomy and Physiology,
The Journal of The American Medical Association, The Journal of Biological
Chemistry, The Journal of Comparative Neurology, The Journal of Experimental
Medicine, The Journal of Hygiene, The Journal of Immunology,
The Journal of Infectious Diseases, The Journal of Medical Research, The
Journal of Nervous and Mental Diseases, The Journal of Pathology and
Bacteriology, The Journal of Pharmacology and Experimental Therapeutics,
The Journal of Physiology, The Journal of Sociologic Medicine, The Journal
of Urology, The Lancet, The Medical Record, La Médecine, The New York
Medical Journal, Physiological Abstracts, Physiological Reviews, Proceedings
of the Society for Experimental Biology and Medicine, Quarterly Journal
of Experimental Physiology, The Quarterly Journal of Medicine, The Journal
of Industrial Hygiene, Social Hygiene, The Southern Medical Journal,
Surgery, Gynecology and Obstetrics, Transactions of the American Microscopical
Society, Proceedings of the New York Pathological Society, Virginia
Medical Monthly.


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COURSES OF INSTRUCTION IN PUBLIC HEALTH.

A Joint Health Board guided by the State Board of Health is now
functioning in Albemarle County, Charlottesville, and the University. The
county health work is now ending its third year of successful effort. The
authorities in charge of the health work and those in charge at the University
of Virginia are at present engaged in arranging for coöperation of
the University and the Joint Health Board for teaching public health under
University auspices. Full announcement of the courses available will be
made in a separate publication. At present two courses are offered which
are designed particularly to meet the needs of the counties of Virginia and
of the smaller towns.

Course No. 1. Training for Rural Health Officers. Medical graduates
will be received for twelve weeks of intensive training in the practical work
of public health in county and town. These students will be under the
supervision of the Director of the Public Health Unit and will receive training
as apprentices; in addition they may be assigned for special training in
one of the laboratories or hospital branches of the University.

The training will include the usual field work in problems of sanitation,
water supply, farm hygiene, school inspection and follow-up work, rural
health nursing work, the organization and conduct of clinics for the diagnosis
of tuberculosis, baby welfare, dental work, etc., and in the office management
of a health office for a county or town.

Upon successfully completing twelve weeks of training the applicant
will be recommended by the authorities of the University to the State Board
of Health for work as director of a rural health unit.

Classes limited to five. Correspondence and inquiries relative to this
course should be addressed to the Department of Medicine.

Course No. 2. Training for Sanitary Inspectors. High school graduates
of twenty-one years or over and those having equivalent training will
be received for practical instruction with the Health Board. Such applicants
will be taught the fundamental duties of a Sanitary Inspector through
practical training in Albemarle County and Charlottesville. They will be
under the supervision of the Director of the Joint Health Board. After
satisfactorily completing ten weeks of such training the student will receive
from the University a card certifying to the State Board of Health that he
has the training necessary for a rural sanitary inspector.

Classes limited to five. Correspondence and inquiries should be addressed
to the Department of Medicine.


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THE UNIVERSITY OF VIRGINIA HOSPITAL.

Hospital Board: Drs. Hough, Davis, Watts, Hedges, Macon, Marshall,
Compton, Flippin, Goodwin, Bray, Neff, Wiatt, Smith and Voshell.

Visiting Staff: Drs. Davis, Watts, Hedges, Macon, Compton, Flippin,
Goodwin, Bray, Neff, Smith, Daniel, Magruder, Nelson, Rea, Brown, Voshell.

Daniel Burbridge Yancey,
Superintendent of the Hospital.

Joseph Thomas Jones, M.D.,
House Surgeon.

Patton Kimbrough Pierce, B.A., B.S., M.D.,
House Physician.

Robert Massie Page, B. S., M.D.,
Assistant House Surgeon.

Frank McCutchan, M.A., M.D.,
Resident in Diseases of the Eye, Ear, Nose and Throat.

    Internes.

  • Berlin Berthold Nicholson, M.D.

  • Sara Ruth Dean, B.A., M.D.

  • Isaac Long Harshbarger, M.D.

  • Bayard Taylor Horton, B.S., M.D.

  • William Jacob Norfleet, M.D.

  • Miles Parker Omohundro, M.D.

  • William Henry Clay White, M.D.

  • Ray Jackson Neff, B.A.

Caldwell Jackson Stuart, B.A.,
Ambulance Surgeon.

Esther Jane Meil, R.N.,
Anesthetist.

Margaret Brand Cowling, R.N.,
Superintendent of Nurses.

Gertrude Irene Selzer, R.N.,
Assistant Superintendent of Nurses.

Essie Belle Russell,
Dietitian.

Harry Taylor Marshall, B.A., M.D.,
Pathologist.

William Marco Sheppe, M.D. and Frank Helvestine, Jr., M.D.,
Assistant Pathologists.


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Robert Graham Wiatt, M.D.,
Roentgenologist.

William Vincent Archer, B.S.,
Resident Assistant in Roentgenology.

Charles Isaac Johnson, B.S.,
Pharmacist.

The hospital is the property of the University and is under the exclusive
control of its Medical Faculty. It was designed and is administered as a
teaching hospital, being so arranged that free use can be made of its clinical
material without in any way disturbing or violating the privacy of other
patients.

The buildings are arranged upon the pavilion system, consisting of a
central structure, four stories in height, to which have been added up to the
present time three additional units of three stories each. The central building
is largely devoted to administrative purposes and general service departments,
but also contains an amphitheater and suite of private operating
rooms, sterilizing and anesthetizing rooms. The three pavilions are connected
with the main building by corridors on each floor. In these are located the
wards and suites of rooms for private patients. As at present constituted,
the hospital has a capacity of about 200 beds; of these, upwards of 160 are
available and used for clinical teaching.

The north pavilion contains, in addition to quarters for ward and private
patients, on the first floor, a specially designated series of laboratory rooms,
which have been equipped with new and modern furnishings and apparatus
throughout. The basement floor is devoted in large part to the Out-Patient
Department of the Hospital. Here separate waiting rooms for white and
colored patients are provided, examining rooms for medical cases, operating
rooms for minor surgery, specially equipped rooms for genito-urinary and
orthopedic surgery and for the treatment of diseases of the eye, ear, nose
and throat. On the same floor is the Roentgen Ray Department of the
hospital.

Attention is particularly called to the fact that the hospital, with its
associated Out-Patient Department, constitutes a most valuable adjunct to
the teaching facilities of the Department of Medicine. The size of the clinic
permits the presentation of a wide variety of cases, and the organization of
the hospital as an integral part of the Medical Department affords exceptional
facilities for thorough study of the individual case.

The location of the University Hospital is a most favorable one, being situated
at the intersection of two great railway trunk lines near the geographical
center of the State. A large population outside of the city of Charlottesville
is available as a source of clinical material, both in the wards and the Out-Patient
Department. The hospital is thus enabled to serve a large area of
the State, and the transportation facilities are such that this service includes
a progressively increasing number of emergency cases and cases of acute
illness.


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Page 257

THE OUT-PATIENT DEPARTMENT.

CLINICAL INSTRUCTORS.

Dr. Davis.

Dr. Flippin, Chief of Staff.

Dr. Voshell.

Dr. Daniel.

Dr. Hedges.

Dr. Goodwin.

Dr. Compton.

Dr. Jones.

Dr. Nelson.

Dr. Rea.

Dr. Neff.

Dr. Mulholland.

Dr. Page.

Dr. Smith.

Dr. Brown.

Dr. Bigger.

Dr. McCutchan.

Dr. Wiatt.

Commodious and well-equipped quarters for the treatment of ambulant
cases are provided in the north pavilion of the hospital, and the service is
conducted under the direct personal supervision of members of the teaching
staff of the Medical Department. Clinics are held three times a week for
general medical, surgical and genito-urinary diseases, which are attended by
students of the third year; and twice weekly for the diseases of the eye, ear,
nose and throat, attended by students of the fourth year.

The character of the equipment of this department and its location in
the hospital make possible the use of most advanced methods in the diagnosis
and treatment of cases, and the systematic and thorough examination of each
case is thus emphasized at the very outset of the student's clinical experience.

An out-patient obstetrical service, and provision for attendance in the
home of certain cases of illness by the student, under the supervision of an
instructor, are a part of the organization of this department.

THE BLUE RIDGE SANATORIUM.

The Blue Ridge Sanatorium for the treatment of tuberculosis, which is
owned and controlled by the Virginia State Board of Health, lies within easy
reach of the Medical School. Under a plan of coöperation agreed upon by
the State Board of Health and the University, the Medical Director of the
Sanatorium teaches phthisiotherapy in the Medical School, and the 120 beds
of the Sanatorium afford excellent clinical material for first hand, practical
experience for internes, medical students and nurses of the University Medical
School. Work at the Sanatorium is part of the required course of the
Medical School. This affiliation of the Sanatorium and the Medical School
offers an opportunity almost ideal for the medical student to become thoroughly
familiar with the diagnosis and treatment of this most important
disease.

UNIVERSITY OF VIRGINIA HOSPITAL TRAINING SCHOOL
FOR NURSES.

A training school for nurses is conducted in connection with the hospital.
Full information regarding requirements for admission, and the course of instruction
may be obtained by addressing the Superintendent of Nurses.

 
[1]

Director Joint Public Health Department of Charlottesville, Albemarle County and University
of Virginia.