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Third Year
  
  
  
  
  
  
  
  
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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 new Medical
Building, 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 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. Flippin, Dr. Daniel, Dr. Nelson, Dr. Smith, Dr. Mulholland,
Dr. Wood, Dr. Blackford, Dr. Kimbrough
and Dr. Hart.

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 treat
ment of syphilis are discussed. After review of the anatomic and histologic structure
and physiology of the skin the diseases commonly met with are discussed.
The main object in this course is not to train specialists but to give all the students
basic information regarding the diagnosis and treatment of the common skin


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diseases and syphilis. The relationship of these to other branches of medicine
is emphasized. This subject is completed in the fourth year, q. v.

Dr. Smith and Dr. Kimbrough.

Surgery and Gynecology: Two hours weekly of lectures and recitations,
for the first term, three hours weekly for the second term, five hours weekly for the
third term, and one hour weekly of surgical clinic throughout the session; with
six hours weekly in the out-patient department for six weeks, and two hours
weekly in ward rounds for one term.
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 out-patient department affords practice in
palpation, diagnosis and treatment.

Dr. Lehman, Dr. Goodwin, Dr. Meade, Dr. Morton and Dr. Rollins.

Urology and Proctology: Of the total time assigned to surgery, two lecture
hours weekly for the first term, and six hours weekly in the out-patient 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. Neff and Dr. Koontz.

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 and Dr. Peterson.

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 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 practice.

Dr. Brown, Dr. Stafford and Dr. Shelton.


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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 Dr. Morgan.

Pediatrics: Twenty-three hours during the fall term; thirty hours during
the winter term, supplemented by practical work in the out-patient department,
childrens clinic.
Each section 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.