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. Pearre.

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

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 outpatient
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 terms; one hour of ward rounds and six hours of clinic weekly to the
class 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. Selected cases, admitted to the hospital, are studied by
fourth-year students. 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, and one hour weekly in X-ray diagnosis for one-fourth the session.
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. Banks.

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 outpatient
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. Jones.

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.—Six lectures, and practical demonstrations to the class in
sections throughout the year. The applications 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.

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, and include both pre-clinical and clinical subjects.