University of Virginia Library

Fourth Year

Theory and Practice of Medicine: 3 hours weekly of amphitheatre clinics,
lectures and conferences. Daily work in the out-patient department or wards of
the hospital during one-third of the year; the practical work is a continuation of
that of the third year. In this course the endeavor is also 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 textbook is read; students are referred to the files, current issues
of journals and to reference works in the Medical Library as sources of information.
Appropriate time is devoted to medical ethics and economics.

Dr. Flippin, Dr. Mulholland, Dr. Wood, Dr. Blackford, Dr. Swineford
and Dr. Hart.

Dermatology and Syphilology: 1 ward round weekly for one trimester.
Cases of syphilis and skin diseases requiring special study or treatment are hospitalized.
This permits intensive study by senior students.

Dr. Smith and Dr. Brumfield.

Surgery and Gynecology: 1 hour weekly of surgical clinic throughout
the session; 7 hours weekly of ward classes, supplemented by clinic work in the
wards and operating room for one trimester with each of the three 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 patients, whose histories
they must take. They must also make complete physical 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.

In gynecology, urology and orthopedics the students have the same general
work as in surgery, consisting of the examination and the recording 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. Lehman, Dr. Goodwin, Dr. Neff, Dr. Funsten, Dr. Morton, Dr.
Drash and Dr. Fifer.

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, Dr. Rawles and Dr. Wissler.

Orthopedics: 2 hours weekly of ward classes for one semester with each
section of the class, supplemented by ward work and fracture experience.

Dr. Funsten and Dr. Ergenbright.

Surgical Pathology: 1 hour weekly during one-third 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.

Dr. Fifer and Dr. Murphey.

Obstetrics and Gynecology: 1 hour weekly for the entire class throughout
the second and third terms. These exercises consist of clinical demonstrations and
discussion of special problems in Obstetrics and Gynecology. One-half section for
18 hours weekly for one-half term. The work comprises operative obstetrical
procedures on the manikin, ward rounds and demonstrations of obstetrical and
gynecological procedures. In addition, practical experience is given in prenatal,
parturient and postpartum care as well as pelvic examinations and diagnosis in
the wards, out-patient departments and labor rooms of the hospital.

Dr. Williams and Dr. Nokes.

Pediatrics: Students are instructed in the wards of the hospital twice a
week in ward rounds. In addition all students serve as clinical clerks and have
cases assigned to them for their personal care under the direction of the professor
or instructor. Frequent clinics are held in the mountains, the students of the
fourth-year class being used as assistants in this work. Students are also required
to go into the milk laboratory and acquire a knowledge of the preparation of
formulae by practical experience.

Dr. Royster and Dr. W. W. Waddell.

Medical Jurisprudence: 1 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. J. A. Waddell.

Diseases of the Eye, Ear, Nose and Throat: 2 lectures weekly during the
last two terms, supplemented by regular two- or three-hour clinics 3 times a week
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, otoscope, head mirror,
and of the laryngeal mirror. 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, Dr. Woodward, Dr. Tunstall and Dr. Burton.

Preventive Medicine and Epidemiology: 2 hours weekly during the first
two terms. The primary object of this course is to interest the student in the
practice of preventive medicine. By lectures, clinics and demonstrations the
epidemiology of each of the common communicable diseases is presented. The student
is encouraged to consider these diseases not solely from the point of view of
diagnosis and treatment in the individual case, but to understand the environmental
factors and biologic conditions which are responsible for its maintenance and
propagation in nature, and the possibilities of control or prevention, through the
efforts of the private physician or the functioning of organized public health agencies.

Dr. Maxcy and Dr. McQuade.

Elective Courses: Open to medical students of the third and fourth years,
and to graduate students.