University of Virginia Library

Search this document 
  
  
  
  
  
  

  
expand section 
expand section 
  
expand section 
  
expand section 
  
  
  
expand section 
expand section 
expand section 
  
  
  
  
  
expand section 
expand section 
expand section 
expand section 
expand section 
  
  
  
collapse section 
  
  
  
expand section 
expand section 
  
  
  
  
  
  
collapse section 
expand section 
  
  
expand section 
  
  
  
  
expand section 
expand section 
  
  
  
  
expand section 
collapse section 
collapse sectionI. 
  
 II. 
expand section 
  
  
  
expand section 
  
  
  
expand section 
expand section 
expand section 
expand section 
expand section 
expand section 
expand section 
DEPARTMENT OF MEDICINE
expand section 
expand section 
expand section 
expand section 
expand section 
expand section 
expand section 

  
  

360

Page 360

DEPARTMENT OF MEDICINE

JOHN LLOYD NEWCOMB, B.A., C.E., Sc. D., LL.D.

President of the University

JAMES CARROLL FLIPPIN, M.D.

Dean of the Department of Medicine

HARVEY ERNEST JORDAN, M.A., Ph.D.

Assistant Dean of the Department of Medicine

                                               

361

Page 361
                 
HALSTED SHIPMAN HEDGES, B.S., M.A., M.D.  Professor of Diseases of
the Eye
 
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
 
LAWRENCE THOMAS ROYSTER, M.D.  Professor of Pediatrics 
WILLIAM HALL GOODWIN, B.A., M.D.  Professor of Clinical Surgery
and Gynecology
 
JOHN HENRY NEFF, B.A., M.D.  Professor of Urology 
WILLIAM EDWARD BRAY, B.A., M.D.  Professor of Clinical Pathology and
Director of Clinical Laboratories
 
EDWIN PARTRIDGE LEHMAN, B.A., M.D.  Professor of Surgery and
Gynecology
 
SYDNEY WILLIAM BRITTON, B.S., M.D., C.M.  Professor of Physiology 
WILLIAM EDWARD BROWN, M.D.  Professor of Phthisiotherapy 
KENNETH FULLER MAXCY, B.A., M.D., Dr.P.H.  Professor of Preventive
Medicine and Bacteriology
 
ALFRED CHANUTIN, Ph.B., Ph.D.  Professor of Biochemistry 
CARL CASKEY SPEIDEL, Ph.B., Ph.D.  Professor of Anatomy 
CARLISLE SANFORD LENTZ, B.A., M.D.  Professor of Hospital
Administration
 
JAMES ROBERT CASH, M.A., M.D.  Walter Reed Professor of Pathology 
TIFFANY JOHNS WILLIAMS, B.A., M.D.  Professor of Obstetrics and
Gynecology
 
ROBERT VIVIAN FUNSTEN, M.D.  Professor of Orthopedics 
DUDLEY CROFFORD SMITH, B.S., M.D.  Professor of Dermatology
and Syphilology
 
FLETCHER DRUMMOND WOODWARD, M.D.  Professor of Diseases of
Ear, Nose and Throat
 
VINCENT WILLIAM ARCHER, B.S., M.D.  Professor of Roentgenology 
JAMES ERNEST KINDRED, M.A., Ph.D.  Associate Professor of Histology
and Embryology
 
HENRY BEARDEN MULHOLLAND, M.D.  Associate Professor of
Medicine
 
JAMES EDWIN WOOD, Jr., B.S., M.D.  Associate Professor of Internal
Medicine
 
DAVID COLE WILSON, B.A., M.D.  Associate Professor of Psychiatry
and Neurology
 
ALBERT EUGENE CASEY, B.A., M.D.  Associate Professor of Pathology 
CHARLES HOWE ELLER, M.D., Sc.D., Dr. P.H.  Associate Professor
of Public Health
 
WILLIAM WIRT WADDELL, Jr., B.S., M.D.  Assistant Professor of
Pediatrics
 
CHARLES BRUCE MORTON, B.S., M.D.  Assistant Professor of Surgery
and Gynecology
 
EDWARD LYMAN COREY, B.A., Ph.D.  Assistant Professor of Physiology 
JOHN McINTIRE NOKES, M.D.  Assistant Professor of Obstetrics and
Gynecology
 
CARLISLE SANFORD LENTZ, B.A., M.D.  Superintendent of the Hospital 

Instructors

                                                     
Staige Davis Blackford, B.S., M.D.  Medicine 
Dorothy Dillard Brame, B.A., M.D.  Obstetrics 
Edwin Weisman Burton, B.A., M.D.  Diseases of Eye, Ear, Nose and Throat 
Everett Cato Drash, B.A., M.D.  Surgery 
Richard Taylor Ergenbright, M.D.  Orthopedics 
Andrew DeJarnette Hart, M.D.  Medicine 
Joseph William Houck, B.A., M.D.  Surgery 
Clarence Edwin Keefer, B.S., M.D.  Orthopedics 
Edgar Wilson Kirby, M.D.  Urology 
Stephan Ludewig, Ph.D.  Biochemistry 
David Hill Massie, D.D.S.  Dentistry 
David Rhodin Murphey, Jr., B.A., M.D.  Surgery 
William Herndon Pearson, D.D.S.  Orthodontia 
Monte Lewis Rea, M.D.  Medicine 
John Walton Robertson  Public Health and Sanitation 
Elizabeth Lewis Saunders, B.A., M.D.  Pharmacology 
James Karl Scott, B.A., B.S., M.D.  Pathology and Bacteriology 
James Robert Shanklin, M.D.  Pathology and Bacteriology 
Herbert Silvette, Ph.D.  Physiology 
Frank Buchanan Stafford, M.D.  Phthisiotherapy 
Frank Andes Strickler, B.A., M.D.  Neurology and Psychiatry 
Oscar Swineford, Jr., B.S., M.D.  Medicine 
Cuthbert Tunstall, B.S., M. D.  Otolaryngology 
Vernon Atwill Turner, Ph.G., M.D.  Pediatrics 
William Niebuhr Weaver, B.A., M.D.  Medicine 
Sterling Lewis Williamson, B.S.  Public Health and Sanitation 
Munford Radford Yates, M.D.  Medicine 

362

Page 362

Student Assistants

               
William Bennett Bean, B.A.  Anatomy 
Julian Ruffin Beckwith  Sanitary Inspector 
Paul Burns Haggland  Anatomy 
Byrd Stuart Leavell, Jr., B.S.  Sanitary Inspector 
Victor Fray Marshall  Anatomy 
Wiley Roy Mason, Jr.  Anatomy 
Boyd Hawthorne Payne, B.S.Ed.  Anatomy 
Walton Herbert Springall, B.S.  Anatomy 

Fellows

           
Maximilian Ehrenstein, Ph.D.  Research Fellow in Physiology 
Clarence Edwin Keefer, B.S., M.D.  Service Fellow in Orthopedic Surgery 
Stephen Ludewig, Ph.D.  Service Fellow in Biochemistry 
William Henry Parker, M.D.  Research Fellow in Surgical Pathology 
Elizabeth Lewis Saunders, B.A., M.D.  Service Fellow in Pharmacology 
Herbert Silvette, Ph.D.  Squibb Scientific Fellow in Physiology 

Correspondence with reference to admission to the first-year class should
be addressed to Dr. H. E. Jordan, Chairman Committee on Admissions.

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

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

The session of 1935-36 opens on September 12. The registration days are
September 12-14. 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:

I. High School Requirements

The following are the minimum high school requirements of the American
Medical Association and the Association of American Medical Colleges and must
be satisfied for admission to all Class A medical schools. Students entering the
College of the University of Virginia for their premedical college work must also
satisfy the regular entrance requirements for admission to the college.
(See General
Catalogue.) These differ from the requirements stated below only in that
units of Mathematics (1½ in algebra and 1 in Plane Geometry) are required.

(a) For admission to the two-year premedical college course, students shall
have completed a four-year course of at least 15 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.


363

Page 363

(b) Credit 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 11 units must be offered in groups I-V:

Group I. English. (3 units required)

Literature and composition.

Group II. Foreign Languages. (2 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. (2 units required)

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

Group IV. History. (1 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 30 session-hours of college work,
either by spending an additional year in college or by taking 33 or 36 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.

In addition to the high-school work specified above, a candidate for admission
to the Department of Medicine must present evidence of the completion in
a manner satisfactory to this medical school of at least 30 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


364

Page 364
subjects included in the 30 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,
Ethics, Logic, Mathematics, Latin, Greek, Italian, Spanish, Drawing.

Credit Not Given for an Incomplete Course:

Credit can be accepted only when the student has a clear record on the
entire course; for example, if the course in General Physics is a 6 session-hour
course consisting of 3 hours lecture and 6 hours laboratory weekly for three
trimesters and the student passes on two trimesters but fails on the third no
credit for admission to medicine can be given for the portion of the subject
passed, even though the credit value of this work is 4 session-hours. In all cases
the student must have completed the entire subject for which he is registered.
Deficiencies of this kind may, however, be made up by obtaining a clear record
in the portion of the subject in which the failure has occurred, without repeating
the entire course.

Aptitude Tests: Applicants are strongly advised to take the Aptitude Tests
of the Association of American Medical Colleges.

Requirements in Individual Collegiate Subjects

(a) General Inorganic Chemistry. 4 session-hours are required, including
2 session-hours of laboratory work. In the interpretation of this rule work in
Qualitative Analysis may be counted as General Inorganic Chemistry.

It is desirable that more time than this be given to General Chemistry and
especially that either the elements of Physical Chemistry be included in a 6
session-hour course in this subject or a supplementary course in Elementary
Physical Chemistry be taken.

Students are also advised when their premedical work extends over more
than two sessions to take at least 4 session-hours of Qualitative Analysis and 2
session-hours of Quantitative Analysis.

(b) Organic Chemistry. 3 session-hours are required of which at least 1
must be laboratory work. 4 session-hours including 2 session-hours of laboratory
work are recommended as giving better preparation in Organic Chemistry.


365

Page 365

(c) Physics. 4 session-hours required, of which at least 1 must be laboratory
work. It is urged that this course be preceded by a course in Trigonometry
and Solid Geometry.

(d) Biology. 4 session-hours required, of which 2 must consist of laboratory
work. The requirement may be satisfied by a course of 4 session-hours in
General Biology or Zoölogy, or by courses of 2 session-hours each in Zoölogy
and Botany, but not by Botany alone. Courses in Physiology and Hygiene, Sanitation,
Bacteriology, Histology, and other similar work covered in the medical
curriculum cannot be accepted as part of the premedical college requirements in
Biology.

(e) English Composition and Literature. The usual introductory college
course of 3 session-hours, or its equivalent, is required.

(f) Non-Science Subjects. Of the 30 session-hours required as the measurement
of two years of college work, at least 9, including 3 session-hours of
English, should be in subjects other than the physical, chemical, or biological
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
postgraduate 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 Education and in Military Training or Military
Science will not be counted towards the 30 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 3 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 recognized 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.


366

Page 366

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 have to take 4 or more session-hours of college work in Foreign
Language may find it advisable to take Foreign Language both years and take
the Mathematics in a summer school following the first premedical college
session.

Admission with Advanced Standing.—Students are admitted to advanced
standing in the second and third year 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.

The Committee on Advanced Standing will not in general consider favorably
applications which are not accompanied by a distinctly good record in the school
previously attended.

Whenever a student is admitted to advanced standing he must take and pass
the full work of the class to which he is admitted unless by permission of the
Dean he substitutes for one or more of the regular courses of his class other
courses of approximately the same credit value.

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

Limitation of Numbers and Reservation of Places.—The number of students
in the first-year class is limited to sixty-five.

Any applicant whose record has been endorsed by the Dean of the Department
of Medicine as entitling him to admission to the class to which he seeks
admittance, may at a specified time after June 25 of which he will be given due
notice 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. 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 equivalent cause, the Dean of the
Department of Medicine directs that it be returned. Unreserved places are filled
from a "waiting list" of approved candidates.

By the deposit, under similar conditions, of the entire fees for the year 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.


367

Page 367

All women students must first register at the office of the Dean of Women,
22 East Lawn.

FACILITIES FOR AND METHODS OF INSTRUCTION

The new Medical Building completed in 1929 contains modern well-equipped
laboratories for the accommodation of the medical sciences. This building is
connected by corridors and bridges with the hospital, thus bringing all departments
of the Medical School into close physical association. The new arrangement
necessitated extensive changes in certain portions of the hospital, involving
especially the surgical suite, the X-ray suite and the out-patient quarters. It
required also the erection of an enlarged laundry, a new power plant, and dining
halls for hospital staff and nurses. The Medical School Building consists of two
wings connected by an inside pavilion, all five floors in height. The south wing
houses on four successive floors the departments of biochemistry, pharmacology
and materia medica, physiology, and histology and embryology. On the top floor
are the experimental laboratories, quarters for experimental animals and a fireproof
storage room for X-ray plates. The north wing gives accommodations on
the ground floor for autopsy rooms, an embalming room, a media room, refrigeration,
incineration and storage. The first floor houses half of the Out-patient
Department and the receiving room. On the second floor are the offices of
administration, the museum and the library. On the third floor are the department
of pathology and bacteriology, and two classrooms. The fourth floor contains
a laboratory for neuro-anatomy. The connecting pavilion, or west wing,
contains on the ground floor four student locker rooms, the electrical power
room, a record storage room, and an amphitheatre. The latter is two floors in
height and extends eastward into the open court between the north and south
wings. On the first floor are a lecture room, a staff room, a record room, a drug
room, and examining and sterilizing rooms. On the second floor are housed the
department of clinical pathology and a cardiac laboratory. The third floor has
three laboratories for gross anatomy, a study room, a number of offices, and
quarters for surgical pathology. On the top floor are accommodations for the
department of public health and hygiene.

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 a large part of the
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


368

Page 368
study of disease and its management. The facilities afforded by the University
Hospital and Out-Patient Department are described on a subsequent page. In
the Out-Patient Department and in the Hospital the student 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. The student conducts a complete examination, records his observations
in a scientific manner, make 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 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.
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.

At the meetings of the Medical Society of the University of Virginia reviews
of important articles, clinical cases and results of original research are
presented by the instructors and by invited guests.

Graduate Instruction in the Department of Medicine is administered under
the Department of Graduate Studies of the University. The courses of the
regular medical curriculum are credited as C courses; elective, special research
and seminar courses are evaluated as D courses. Recent revision of the medical
curriculum, involving chiefly reductions in the number of session-hours of
required work and the establishment of elective and research courses in each of
the major departments, makes possible a greatly enlarged scope of graduate
instruction.

Registrar's Records of Student's Work.—The results of the work of each
student are recorded in the Registrar's office in such manner as to show (1) the
grade received on each course, (2) whether the student has or has not absolved
the course and, if not, what is necessary to obtain a clear record and admit to
dependent subjects, and (3) a valuation in "honor points" of the results of the
work for each session.

1. The grade received on each course. These grades with their percentage
equivalents are as follows:

           
1 + =  95-100 per cent 
1 =  90- 94 per cent 
2 =  85- 89 per cent 
3 =  80- 84 per cent 
4 =  70- 79 per cent 
5 =  below 70 per cent 

369

Page 369

The passing grade is 3. A grade of 4 entitles the student to a condition, as
explained below. A grade of 5 means a failure for the course.

No passing grades are reported to the Registrar's office on didactic work
unless the laboratory or clinical part of the course is completed in a satisfactory
manner; nor are any grades reported when the student is deficient until the
deficiency has been made up.

2. Whether the student has or has not absolved the course, and, if not,
what is required to obtain a clear record and admit to dependent subjects.

This is indicated in the following terms:

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

Conditioned (C) 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 (D) indicates that part of the required laboratory or clinical 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 word "passed"; otherwise the record is "failed" on the
entire course.

Failed (F) 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.

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

3. A valuation of the general results of the work on each course and of
the student's work for the entire session. Honor points.

This is expressed in honor points.

Each course is valued in the usual manner in terms of session-hours. An
honor point (or simply a point) may be defined as the honor value of one-half
session-hour of a course on which a grade of 2 has been received; the honor
value becomes 2 for each half session-hour of a course on which 1 has been
received and 2½ for each half session-hour on which a grade of 1+ has been
received. Thus for each session-hour of a complete course:


370

Page 370
  • A grade of 3 gives no honor points.

  • A grade of 2 gives 2 honor points.

  • A grade of 1 gives 4 honor points.

  • A grade of 1 + gives 5 honor points.

  • A grade of 4 subtracts 2 honor points.

  • A grade of 5 subtracts 4 honor points.

No honor points are given on a course on which a condition or failure has
been received at the time of the final examination on the course; except that, in
case of illness or equivalent cause, the results of re-examination or of repetition
of the course—instead of the record on the completion of the course—may be
made the basis of estimating honor points.

Students who receive on the entire curriculum of any one year of medical
study, or its equivalent, a total of 50 honor points have optional attendance on
all the didactic work of the next session.

Special Rules Governing Advancement and Registration.

I. At the close of the University in June, the status of the students shall be
fixed for the next session, classification being made as follows: (a) Promoted;
(b) Required to Withdraw; (c) Provisionally Promoted; and (d) Required to
Repeat.

(a) Promoted. This group shall be composed of all students who have
satisfactorily completed the entire work of the year.

(b) Required to Withdraw. This group shall include such students as are
not deemed competent to continue their training in this school. The record
requiring withdrawal, reckoned in session-hours, is as follows:

For first-year students—(1) Failures in 9 session-hours; (2) failures in 6
hours plus conditions in 6 hours.

For second-year students—(1) Failures in 10 hours; (2) failures in 8 hours
plus conditions in 4 hours.

For third-year students—(1) Failures in 6½ hours; (2) failures in 4½ hours
plus conditions in 4 hours.

(c) Provisionally Promoted. This group shall include students who have
incurred only such deficiencies as can with reasonable expectation be removed by
the opening of the next session. The record entitling provisional promotion,
reckoned in session-hours, must not be lower than the following:

For first-year students—(1) Failures in 6 session-hours; (2) failures in 4
hours plus conditions in 4 hours; (3) conditions in 10 hours.

For second-year students—(1) Failures in 7 hours; (2) failures in 6 hours
plus conditions in 3 hours; (3) conditions in 11 hours.

For third-year students—(1) Failures in 4½ hours (2) failures in 3 hours
plus conditions in 3 hours; (3) conditions in 8 hours.

(d) Required to Repeat. This group shall include all students not placed in
groups a, b, and c. A student who is repeating must attend all exercises of the
year, or courses, and pass the examinations, regardless of the grades previously
made.

II. Students, classified in June as "Required to Withdraw" or "Required to
Repeat," shall not change their status by passing summer courses and (or)
special examinations.


371

Page 371

III. A student who has been permitted to repeat a year, or prescribed
courses, shall not be granted the privilege for a second time, i. e., he shall not
spend more than five years in completing the requirements for graduation.

IV. 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.

V. A clear record at the opening of the session in September on all
subjects of the preceding year is required for advancement to the third and
fourth years.

VI. Summer courses taken for the removal of deficiencies must be approved
by the professor in whose subjects the deficiencies were incurred; but it shall
be the duty of the student concerned to provide the information on which to
base the decision as to acceptability of courses; he must absolve the summer
work and have an official record mailed directly from the institution to the professor
at the University in charge of the subjects; and in addition he must
report for the special examination at this University and make a passing grade
therein.

VII. Any student, who makes a grade below passing on any term's work
or is in any way derelict in his duties, shall be warned, warned and placed on
probation, or dismissed, according to the merits of the case.

The value in session-hours of the courses of the first three years:—

                     
First Year  Second Year  Third Year 
Anatomy 1  Physiology  Clinical Diagnosis  2.5 
Anatomy 2  Pathology  Medicine  4.0 
Histology  Pharmacology  Surgery  4.0 
Embryology  Materia Medica  Obstetrics  2.5 
Biochemistry  Physical Diagnosis  Orthopedics  1.5 
Bacteriology  Medicine  Pediatrics  2.0 
Surgery  Urology  1.0 
Ophthalmology  1.0 
Otolaryngology  1.0 
Totals  21  Totals  20  Totals  19.5 

Similar rules are enforced at practically all medical schools. It is exceedingly
difficult for a student who has been dropped or not advanced at one school
to secure admission to another. Compulsory withdrawal may therefore terminate
a medical career.

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


372

Page 372
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 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.

In no case will the University give an official certificate of the completion of
a part of a course. The professor in charge may, at his discretion, make a
personal statement by letter to the head of the same department in another
medical school of the work done by the student in his course; but he must at the
same time clearly state that this letter does not give credit in this medical school.

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 a thesis and 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 80 per
cent., but as much as 70 per cent., on one or more subjects, as explained in a
preceding paragraph. This does not apply to students who have been required to
withdraw, or required to repeat, under the Special Rules Governing Advancement
(pp. 370-371).

3. Certain applicants for advanced standing who are required to take
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 examinations
agree to the change of date. For a special or condition examination held at


373

Page 373
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 out-patient 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
nor will any record be given on practical work until a clear record is obtained
on didactic work; failure on practical work gives a record of F(ailed) on the
entire course.

The Fall Examinations for 1935-36 begin September 9 and close September
14. 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.; 3, the athletic fee; 4, the Topics fee; 5, special laboratory fees, as
specified in following table.

                                     
First
Year 
Second
Year 
Third
Year 
Fourth
Year 
Tuition (Virginians)  $250 00  $250 00  $250 00  $250 00 
(Non-Virginians)  300 00  300 00  300 00  300 00 
University fee  60 00  60 00  60 00  60 00 
Athletic fee  15 00  15 00  15 00  15 00 
College Topics fee  1 50  1 50  1 50  1 50 
Laboratory Fees: 
Biochemistry  10 00 
Deposit in Biochemistry  10 00 
Anatomy 1 and 2  17 50 
Histology and Embryology  7 50 
Physiology  10 00 
Bacteriology  7 50 
Pathology  5 00 
Pharmacology  5 00 
Clinical Diagnosis  5 00  5 00 
Materia Medica  5 00 
Total (Virginians)  $379 00  $356 50  $331 50  $326 50 
(Non-Virginians)  429 00  406 50  381 50  376 50 

374

Page 374

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.

A fee of $3.00 is required of all women students for the upkeep of the
"Women Students' Association Room."

Each student in the Department of Medicine is required to provide himself
with a satisfactory microscope.

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 48 session-hours of the group electives required in this
University for the cultural baccalaureate degrees in arts and science may substitute
for 12 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. For further information, see the General
Catalogue of the University.

The University offers also the degree of Bachelor of Science in Medicine.
This degree has been placed in charge of the Medical Faculty. It is awarded on
the recommendation of the Medical Faculty after the completion of the second
year of the medical curriculum to students who (1) present 33 session hours of
acceptable work in premedical college subjects (whether taken in the University
or elsewhere) as specified below; (2) complete the first two years of the medical
course in this University with grades in general higher than the lowest passing
grade; and (3) demonstrate by examination a reading knowledge of medical
French and German.

(1) Premedical College Subjects.—These must include:

           
Session-hours 
One year of English 
Algebra, Solid Geometry, Plane Trigonometry 
Physics, Chemistry, and Biology  24 
With minimum requirements in each subject as follows:        
(a)  General Chemistry (including in this term Analytical
or Physical Chemistry) 
(b)  Organic Chemistry 
(c)  General Physics 
(d)  Biological Science 
 
Elective in subjects other than Physics, Chemistry and
Biology 

375

Page 375

(2) First two years of the Medical Curriculum, completed with a record
of 30 honor points on first-year subjects and 40 honor points on second-year
subjects.

(3) Reading knowledge of Medical French and German.—This will be
tested by examination consisting of the translation of passages from text-books
of Anatomy and Histology, Biochemistry, Physiology, and Pathology. No specific
college work is required although the equivalent of 3 session-hour college courses
in each of these languages is desirable. The vocabulary of medical French and
German may best be acquired by using foreign text-books, etc., in the above
medical sciences as parallel reading, or as summer reading after the completion
of the above subjects in the regular medical course.

SCHOLARSHIPS AND FELLOWSHIPS

Certain special scholarships are open only to medical students. A considerable
number of other scholarships are open to medical students in common with
students from other departments 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 carry a stipend
of approximately $500. They continue for the four years of the medical course
and are awarded whenever there is a vacancy. Two appointments were made in
September, 1934. Applications must be made not later than July 1 of the year of
appointment. For information as to the examinations and other requirements,
address the Dean of the Department of Medicine.

The Richard Henry Whitehead Scholarships, founded by an anonymous
donor in memory of Dr. Richard Henry Whitehead, Professor of Anatomy and
Dean of the Department of Medicine, 1905-1916, are awarded to young men of
promise who contemplate entering upon lines of medical work which will advance
medical knowledge either pure or applied. They are usually awarded only to
students who have completed at least two years of the medical curriculum.
There are three of these scholarships. New appointments will be made for the
session of 1935-36. For further information, address the Dean of the Department
of Medicine.

The Virginia State Medical Scholarships, established in 1925 by the Rector
and Visitors of the University of Virginia. Two scholarships are awarded
annually in the Department of Medicine, towards the close of the session, to the
students from Virginia on the basis of rank and need, retroactive for the session.
Tenure four years, conditioned upon maintenance of satisfactory scholastic
record. Emolument, remission of tuition fee.


376

Page 376

The Doctor William Seldon Memorial Scholarship in the Department of
Medicine,
with an emolument of $500. Established through the Centennial Endowment
Fund. Appointment made by the Rector and Visitors upon the nomination
of the Dean of the Department of Medicine.

The Doctor Edward May Magruder Medical Scholarship, founded in
1927 by the American Clan Gregor Society, with an emolument of $60, is
awarded upon the recommendation of the Society.

Other Scholarships and Fellowships open to medical students in common
with students in other departments of the University are: The Bayly-Tiffany
Fellowships and Scholarships; the Valentine Birely Scholarship; the Thompson
Brown Scholarship; the Isaac Cary Scholarships; the Philip Francis duPont
Scholarships and Fellowships; the Richard Eppes Memorial Scholarship; the
William C. Folkes Scholarship; the Frank Stringfellow Hall Scholarships; the
D. J. Hennessy Scholarship; the James Rufus Humphrey Scholarship; the
McCormick Scholarship; the Thomas Fortune Ryan Scholarships; the Daniel
Kerr Stewart Scholarships; the James Parker Williams Scholarship; the Virginia
Division of the United Daughters of the Confederacy Scholarship; the
Samuel Watts Scholarship; the Bennett Wood Green Fellowships; and the
John Y. Mason Fellowship.

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

THE JOHN HORSLEY MEMORIAL PRIZE IN MEDICINE

This prize consists of the interest on an endowment fund and varies in
amount from $600 to $1,000. It was founded in 1925 by Dr. J. Shelton Horsley
of Richmond, Virginia, as a memorial to his father, Mr. John Horsley of Nelson
County, Virginia. The prize will be awarded every two years by a committee of
the Medical Faculty of the University of Virginia for the best thesis based on
research in a problem of general surgery.

The prize is open to all graduates of the Medical Department of the University
of Virginia of not more than fifteen years standing. For further information,
address Dr. Edwin P. Lehman, University, Virginia, who is chairman of
the committee of award.

HONOR SOCIETIES

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 last catalogue the following have been elected
to membership: from the class of 1934, Charles Lorraine Cabell, Noble Maxwell
Goodloe, Walter Douglas Hankins, Armando Joseph Lauritano and Lewis Littlepage,
Jr.; and from the class of 1935, William Eugene Apperson, William
Bennett Bean, Paul Burns Haggland, Albert Emmanuel Long and Arthur Weinberg.


377

Page 377

The Iota Sigma Society.—In the spring of 1927 there was organized a
local honor medical society, Iota Sigma, whose membership is open to medical
students who have completed the first term of the third year with a total of not
less than 40 honor points. Prospective candidates must further qualify with regard
to congeniality, personality, interest in research, practicability and future professional
promise. The primary aims of this society are to raise the standard of
scholarship, to stimulate sympathetic interest in research, and in every possible
way to aid the Medical School in the maintenance of its high ideal of medical
training and service. Since publication of the last catalogue the following have
been elected to membership: from the class of 1934, John Newton Bowden,
Charles Lorraine Cabell, Robert Nelson Cooley, William Clegg Eversole, and
Charles Collins Orr, Jr.; and from the class of 1935, William Bennett Bean,
Paul Burns Haggland, Byrd Stuart Leavell, James Benjamin Shuler and Roland
Harris Vaughan.

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.

The session, exclusive of the time devoted to examination, is divided into a
first term of twelve weeks, a second term of ten weeks, and a third term of ten
weeks.

First Year

Anatomy 1: 19 hours weekly during the first term and 12 hours weekly
during the second term.
This course 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.

Dr. Bean, Dr. Speidel and Assistants.

Anatomy 2: 6 hours weekly during the second term. This course consists
of 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 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. Spiedel.

Histology: 4 lectures or recitations and 10 hours of laboratory work weekly
during the first term.
This course aims to acquaint the student with the microscopic


378

Page 378
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 is also given
opportunity to acquaint himself with the principles and practice of histological
technique.

Dr. Jordan and Dr. Kindred.

Embryology: 7 hours weekly during the second term. The laboratory work
(5 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 abtruse normal conditions of adult
anatomy, as well as many anomalies and variations.

Dr. Jordan and Dr. Kindred.

Bacteriology: Lectures, conferences and laboratory work 12 hours weekly
during the third term.
The object of this course is to acquaint the student with
the microörganisms which are of importance to man and his environment, the
methods used in their study and identification. The fundamentals of infection
and immunity are taught. So far as practicable the material studied is obtained
from the environment, from the body surfaces and excretions of normal individuals,
and from the body surfaces, excretions, secretions and exudates of the
persons with various common pathological conditions. The student is thus introduced
to the etiology of infectious disease and some of the factors involved in
resistance. Through a consideration of selected bacteriologic and immunologic
studies the basis is laid for the later study of epidemiology and preventive
medicine.

Dr. Maxcy and Assistants.

Biochemistry: Lectures and laboratory, 7 hours weekly during the second
term and 14 hours weekly during the third term.
Course comprises the chemistry
of proteins, fats, carbohydrates; digestion, intestinal putrefaction, feces; blood,
milk, and bile; particular attention is devoted to the chemical physiology of digestion,
secretion, excretion, internal secretion, intermediary metabolism, and
nutrition. Laboratory work includes the study of carbohydrates, fats, proteins,
purine compounds, etc.; gastric contents, blood, milk, and urine; the digestive
enzymes and the digestion of foods; and extensive qualitative and quantitative
work on urine.

Dr. Chanutin and Dr. Ludewig.

Second Year

Physiology: Lectures, conferences, and demonstrations, 5 hours weekly during
the first term, and 4 hours during the second term; laboratory work, 7 hours
weekly during the first term, 3 hours weekly during the second term.
In the lecture
course attention is drawn to the fundamental branches of the subject, and
the more difficult aspects are thoroughly discussed. Recent important physiological
contributions are evaluated, and the student is directed further to consult
various monographs and original papers.

The laboratory work consists of preliminary elemental experiments on the


379

Page 379
neuromuscular system, followed by intensive courses in mammalian and in
human physiology. The latter are designed particularly to train students to
observe and record, and to interpret and make deductions from their results.
Suggestive outlines only are provided for the experimental studies. The course
is particularly devised to stimulate and correlate the student's consideration of
the activities of the organism as a whole. Emphasis is given to those branches of
physiology which should prove valuable in later work in medicine.

Dr. Britton, Dr. Corey and Assistants.

Pathology: 4 hours weekly during the first term; 12 hours weekly during
the second term, and 12 hours weekly during the third term.
By a systematic
series of lectures, combined with demonstrations of both gross and microscopic
preparations, the various morbid conditions of the body are presented. In the
laboratory, under supervision, the student personally examines all of the gross
material and devotes considerable time to the study of the loan-collection of
slides with which he is provided.

In addition to this systematic portion of the course an attempt is made to
acquaint the students with fresh tissues and disease as seen at the autopsy table.
With this end in view the class is divided into small groups of students each of
which assists at a limited number of autopsies. Fresh tissues are demonstrated
during class hours and, whenever possible, autopsies are performed before the
entire class.

Dr. Cash, Dr. Casey, Dr. Scott and Dr. Shanklin.

Materia Medica: Lectures and recitations 3 hours weekly and laboratory
work 4 hours weekly, during the first three-fourths of the first 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 preparation 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. J. A. Waddell and Dr. Saunders.

Toxicology: Lectures and recitations 3 hours weekly and laboratory work
4 hours weekly, during the last quarter of the first 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. J. A. Waddell and Dr. Saunders.

Pharmacology: Lectures, recitations and demonstrations 4 hours weekly
and laboratory work 9 hours weekly, during the second 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.

Dr. J. A. Waddell, Dr. Saunders and Assistants.


380

Page 380

Physical Diagnosis and Theory and Practice of Medicine: 3 hours weekly
during the second term and 4 hours weekly during the third term.
Instruction
is given by didactic lectures, quizzes, presentation of selected clinical cases and
bedside study of physical signs. Special attention is given at the beginning of the
course to the study of the normal subject.

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

Surgery and Gynecology: 3 hours of lecture and 1 hour of amphitheatre
clinic during the third term.
An introductory course in surgery. Lectures cover
the subjects of wound healing, surgical bacteriology and general pathological
processes of surgical importance, such as tumors, and diseases of the general
systems of the body. Regional surgery is not included. In the amphitheatre
clinic there are presented illustrations of many types of wounds and the progress
of the process of healing with and without infection.

Dr. Lehman and Dr. Goodwin.

Clinical Diagnosis: 6 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, faces, spinal fluid, exudates and transudates.

Dr. Bray.

Third Year

Clinical Diagnosis: 6 hours weekly during the first term. This course completes
the work begun in the second year.

Dr. Bray.

Theory and Practice of Medicine: 4 hours weekly of lectures, recitations
and amphitheatre clinics during two terms of the session; practical work in the
wards of the hospital and in the Blue Ridge Sanatorium during one term.
The
class is divided into three sections. Students assigned to medicine for one term
of the year act as clinical clerks in the wards of the hospital, where they are
held responsible for history taking and physical and laboratory examinations of
patients assigned to them. (Also see Phthisiotherapy.)

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

Dermatology and Syphilology: 2 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 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. The main
object in this course is not to train specialists but to give students basic information
regarding the diagnosis and treatment of the common skin 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 Assistants.


381

Page 381

Surgery and Gynecology: 2 hours weekly of lectures and 1 hour of recitation
during the second term; 2 hours weekly of recitation during the third
term; 2 hours weekly of amphitheatre clinic throughout the session; with 60
hours attendance in the out-patient department during the term.
Lectures in the
third year are limited to special subjects such as gynecology, thoracic surgery and
neuro-surgery. Regional surgery is covered through the hours of recitation. One
weekly amphitheatre clinic is devoted to clinical observation and interpretation.
The second weekly clinic, shared by the fourth-year students, covers a more
comprehensive view of disease including the principles of treatment.

The out-patient department course 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. In
addition, the out-patient department affords practice in physical examination,
diagnosis and treatment.

Dr. Lehman, Dr. Goodwin, Dr. Morton and Dr. Drash.

Urology and Proctology: 2 lectures weekly for the first term; approximately
36 hours in the out-patient department.
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. Kirby.

Orthopedics: 3 hours weekly during the second and third terms, supplemented
by practical work in the out-patient department.
This course gives a
general conception of the principles of Orthopedic Surgery with detailed instruction
in some of the more common conditions. Assignments are made in the
Orthopedic Text and cases are demonstrated for illustration. Quizzes are held
on the subjects covered. The course includes fractures and their treatment.

Dr. Funsten, Dr. Ergenbright and Dr. Keefer.

Phthisiotherapy: 1 hour of lecture 3 times a week for two weeks, with each
opening of the session, to the entire class; 6 hours weekly for six weeks, with
each of the six sections of the class; and 2 hours weekly in the out-patient department.

The work is given in 3 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 and Dr. Stafford.

Obsterics and Gynecology: 3 hours of lectures and recitations weekly
during first and second terms for the entire class, supplemented by approximately


382

Page 382
60 hours of practical work for one-half term in sections. In the lectures and
recitations, the physiology and pathology of pregnancy, labor, and puerperium are
discussed. The practical work for small groups of students comprises manakin
exercises, ward rounds, abdominal palpation of pregnant patients and experience
in prenatal care and pelvic examinations and diagnosis in the out-patient department.
In addition an opportunity is afforded each student for observation of
deliveries and obstetric procedures in the labor rooms.

Dr. Williams and Dr. Nokes.

Pediatrics: 28 hours during the first term and 30 hours during the second
term are devoted to classroom lectures.
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 them for their personal care under the
direction of a professor or instructor. They are also required to go into the milk
laboratory and acquire knowledge of the preparation of formulae through practical
experience. One day each week a well-child clinic is held during which
normal growth and development are studied. Instruction is also given in the
causes and prevention of malformations of the mouth and their correction by
orthodontia.

Dr. Royster, Dr. W. W. Waddell and Dr. Pearson.

Diseases of the Eye, Ear, Nose and Throat: 2 lectures weekly during the
last two terms, supplemented in the fourth year 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.

Sanitation, Statistics and Epidemiology: 3 hours weekly during the third
term.
In a study of the epidemiology of typhoid fever, through lectures and field
trips, the student is acquainted with the problems of water pollution and purification,
soil pollution and sewage treatment, contamination and safeguarding of
milk supplies, environmental sanitation and its control by an organized health
agency. Instruction is given in the fundamentals of medical statistics and in the
technique of epidemiological investigation.

Dr. Eller, Mr. Williamson and Mr. Robertson.

Fourth Year

Theory and Practce 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


383

Page 383
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.

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. Eller.

Dermatology and Syphilology: 2 hours weekly of lectures during the first
term, continuing the course begun in the third year. Also a total of 24 hours
scheduled clinical work in the wards and out-patient department for each senior
student.
Elective courses for more intensive study are available for senior students.

Dr. Smith and Assistants.

Neurology and Psychiatry: 3 lectures weekly during the first term and
2 lectures weekly during the second term, supplemented by clinical demonstrations
and ward rounds throughout the year.
An effort is made primarily to present the
fundamentals of neurology and psychiatry. In addition to the study of patients
in the wards of the University Hospital, clinics are held at the several state
hospitals for mental diseases.

Dr. Wilson.

Surgery and Gyneology: 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. 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


384

Page 384
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. Murphey.

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. Davidson and Dr. Kilby.

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, Dr. Ergenbright and Dr. Keefer.

Surgical Pathology: 1 hour weekly during one-third of 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. Lehman and Assistants.

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 post partum 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: Each section serves 2½ hours daily in the out-patient department.
The observation and recording of symptoms and signs and a definite
amount of diagnosis and treatment are taught. 12 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. 12 hours during this term are given to field work which
consists of the observation of home conditions and the preparation of a general
sociological survey under the supervision of the Social Service Worker. Students
are then sent out under supervision for an independent report.

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.

ELECTIVE COURSES

These courses are open to students of the fourth year and to graduate students.
Each student during his fourth year is required to take an elective course
of 60 scheduled hours.


385

Page 385

Histology and Embryology

1. The histology and embryology of the blood forming tissues.

2. The histology and embryology of the endocrine tissues.

3. The histology and embryology of the reproductive organs.

4. Cell physiology with special reference to blood corpuscles.

9 hours weekly during the third term.

Dr. Jordan and Dr. Kindred.

Anatomy and Anthropology

1. Topographic and Applied Anatomy: 8 hours weekly during the second
term.

Dr. Bean and Dr. Speidel.

2. Special Anatomical Dissections: Hours by arrangement.

Dr. Bean and Dr. Speidel.

3. Physical Anthropology: 9 hours weekly during the second term.

Dr. Bean.

4. Research in Experimental Anatomy: Opportunity for original investigation
is afforded a small number of specially qualified students.

Dr. Speidel.

Biochemistry

1. The biochemistry of internal diseases: A seminar course in the biochemistry
of the diseases of nutrition and metabolism. Assignments in the literature
are made and the student abstracts and reports on some phase of the
topic to be discussed. An attempt is made to correlate recent advances in clinical
biochemistry to disease. This group meets twice a month at night for two hours
throughout the session. An informal discussion is led by the faculty members.
The course is not given unless chosen by eight or more students.

Dr. Chanutin, Dr. Mulholland and Dr. Blackford.

2. Biochemical preparations: Individual instruction is given in the separation,
purification and identification of products of bichemical nature. 6 hours
of laboratory work a week during the entire year.

Dr. Chanutin.

3. Physiology of nutrition: An attempt is made to cover the subject of
nutrition in its broadest aspects. Various phases of digestion, respiratory, basal
and intermediary metabolism are studied. Previous knowledge in Biochemistry
is necessary. 1 hour a week during the entire year.

Dr. Chanutin.

4. Biochemical seminar: Papers pertaining to Biochemistry and related
subjects in the English, German and French literature are read by the participants.
The student is enabled to keep in touch with the advances made in
the subject. 2 hours a week during the entire year.

Dr. Chanutin.


386

Page 386

5. Biochemical research: For those students properly qualified the laboratory
will be opened during the academic year and summer vacation.

Dr. Chanutin.

Physiology

1. Applications of physiology to medicine: Hours by arrangement.

Dr. Britton.

2. The function of the alimentary tract and related organs: Hours by
arrangement.

Dr. Britton.

3. Comparative physiology of the internal secretions: 6 hours weekly
during the third term.

Dr. Corey.

4. Physiology of the fetus: Hours by arrangement.

Dr. Corey.

5. History of physiology: Hours by arrangement.

Dr. Silvette.

6. Advanced physiology: Part I, historical, general physiology; neuromuscular
system; Part II, metabolism; circulation; Part III, respiration, secretion;
Part IV, central nervous system; special senses. Hours by arrangement.

Dr. Britton and Dr. Corey.

7. Original investigation: Opportunity is afforded a limited number of
qualified students to undertake investigative work at any time throughout the
year in physiology or nearly related sciences.

Dr. Britton and Dr. Corey.

Pathology

1. Pathology: An elective course in pathology is offered to all students of
the fourth-year class 2 hours weekly throughout the session.
The nature of this
course will vary according to the number of students who apply for it. Regardless
of the manner in which the course is conducted, its general purpose is to
afford the student, who has already had considerable training in clinical medicine,
a systematic review of the anatomical changes occurring in the commonly
encountered diseases. The current pathological material is demonstrated to this
group of students throughout the year.

A limited number of students, who seem properly qualified, may undertake
the study of special problems in which they may be interested. Hours by special
appointment.

Dr. Cash.

2. Surgical Pathology: An elective course in surgical pathology is ofered
to two students in the fourth year. The course will consist in an examination


387

Page 387
of the daily biopsy material from all clinical departments, including both
gross and microscopic. Students taking the course will have access to the gross
and microscopic material in the files of the Department of Pathology. The
completion of some research problem will be encouraged.

Dr. Cash.

Pharmacology

1. The biological significance and pharmacological actions of the compounds
of certain metallic elements, particular attention being given to Ca,
Fe, Mg, Mn, and Cu.

2. The influence of chemical structure on pharmacological action, the
significance of the presence and position in the molecule of alkyl, hydroxyl,
carboxyl, and amino radicles being investigated.

3. The standardization of drugs, embracing a study of the most representative
methods, chemical and biological.

4. The isolation and identification of poison in tissues, vomitus and
urine.

Didactic, 2 hours a week and laboratory 4 hours a week during the first
term.

Dr. J. A. Waddell and Assistants.

Dermatology and Syphilology

1. Clinical Dermatology and Syphilology: 3 afternoons weekly for one
trimester in the out-patient department.

Dr. Smith and Assistants.

2. Laboratory and Clinical Medical Mycology: 2 hours weekly during
the entire year.

Dr. Smith and Assistants.

Neurology

Mental Hygiene: 3 hours weekly during the entire year, clinic 2 hours
weekly and seminar 1 hour weekly.

Dr. Wilson.

Internal Medicine

History of Medicine: 2 hours weekly during the second term.

Dr. Hart.

Preventive Medicine and Bacteriology

Immunology: This course is designed to amplify the introduction to immunology
given in the regular course in Bacteriology during the first year. During
the third and fourth years the student has become acquainted with clinical
medicine. It is desirable to review the factors concerned with resistance to infection
and the scientific background for the treatment of infectious diseases. By


388

Page 388
means of conferences and laboratory assignments the student is given an opportunity
to perform and observe some of the characteristic phenomena in test tube
and in the experimental animal. Special attention is given to those biologic
reactions which are of value in the diagnosis or treatment of disease such as the
Wassermann reaction, the Kahn reaction, agglutination technique, standardization
of anti-toxic sera, etc. 3 afternoons weekly for one trimester; given in first
and second trimester. Limited to two students of the fourth year.

Dr. Maxcy.

Surgery

1. Surgical Pathology: The daily material from the operating room and
the collection of pathological material in the files of the laboratory are studied,
with correlation between the pathological findings and the clinical history. The
students are expected to examine all fresh material in the gross and to study the
microscopic pathology. The view-point of the course is the interpretation of these
observations as illustrating the development and progress of surgical disease. 2
hours weekly for the session. Limited to four students of the fourth year.

Dr. Lehman and Assistants.

2. Surgical pathology and research in the field of the biological sciences
on subjects related to clinical surgery. The former portion of the course consists
of study and reports on a large collection of surgical pathological material.
The latter portion is to be arranged individually with the director. The student
is expected to spend his entire time for the year. Open only to graduate students
with M.D. degree and at least one year of interne service.

Dr. Lehman.

SUMMARY OF SCHEDULED HOURS OF INSTRUCTION

(Exclusive of examination periods)

                     
1.  Anatomy, including Embryology and Histology  646 
2.  Physiology  214 
3.  Biochemistry  180 
4.  Pathology and Bacteriology  356 
5.  Pharmacology, Materia Medica and Toxicology  190 
6.  Hygiene, Sanitation and Preventive Medicine  72 
7.  General Medicine
  • Neurology and Psychiatry

  • Pediatrics

  • Dermatology and Syphilology

 
995 
8.  General Surgery
  • Gynecology

  • Orthopedic Surgery

  • Urology

  • Opthalmology

  • Otolaryngology

  • Roentgenology

 
618 
9.  Obstetrics and Gynecology  200 
10.  Elective  60 
Total  3,531 

389

Page 389

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. Students are encouraged to engage in research as they are
prepared for it, usually assisting an instructor in some special duty 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 is housed in the New Medical Building, and
is in charge of a special Librarian.

INSTRUCTION IN PUBLIC HEALTH

Public Health Administration: For physicians desiring to qualify themselves
for work in public health, theoretic and practical instruction is offered
under special arrangements.

Dr. Maxcy and Dr. Eller.

THE UNIVERSITY OF VIRGINIA HOSPITAL

Executive Committee of Hospital: Drs. Goodwin, Royster, Neff, Williams,
Flippin
(ex-officio) and Lentz (ex-officio).

Visiting Staff: Drs. Hedges, Flippin, Royster, Goodwin, Neff, Lehman,
Williams, Funsten, Smith, Woodward, Mulholland, Wood, Wilson, W. W.
Waddell, Morton, Nokes, Blackford, Swineford, Hart, Burton, Tunstall,
Drash, Macon, Daniel, Rea and Ergenbright.

                                   

390

Page 390
   
Carlisle Sanford Lentz, B.A., M.D.  Superintendent of the Hospital 
James Robert Cash, M.A., M.D.  Pathologist 
William Edward Bray, B.A., M.D.  Director of Clinical Laboratories 
Vincent William Archer, B.S., M.D.  Roentgenologist 
David Rhodin Murphey, Jr., B.A., M.D.  Resident Surgeon 
Munford Radford Yates, M.D.  Resident Physician 
Edgar Wilson Kirby, M.D.  Resident Urologist 
Clarence Edwin Keefer, B.S., M.D.  Resident Orthopedist 
Dorothy Dillard Brame, B.A., M.D.  Resident Obstetrician 
Vernon Atwill Turner, Ph.G., M.D.  Resident Pediatrician 
Francis Henry McGovern, B.A., M.D.  Resident in Diseases of the Eye,
Ear, Nose and Throat
 
Edwin Edmunds Barksdale, B.S., M.D.  Resident Dermatologist and
Syphilologist
 
Sanders Graham Davidson, M.D.  Resident Roentgenologist 
Frank Andes Strickler, B.S., M.D.  Resident Psychiatrist 
Joseph William Houck, B.A., M.D.  Assistant Resident Surgeon 
William Niebuhr Weaver, B.A., M.D.  Assistant Resident Physician 
John Walter Davis, Jr., B.A., M.D.  Assistant Resident Urologist 
Harold George Nix, M.D.  Assistant Resident Obstetrician 
Frederick McCulloch Morrison, M.D.  Assistant Resident in Diseases of
the Eye, Ear, Nose and Throat
 
Walter LeRoy Kilby, B.S. Ed., M.D.  Assistant Resident Roentgenologist 

    INTERNES

  • Charles Varner Amole, B.A., M.D.

  • George Robert Carpenter, B.S., M.D.

  • Walter Franklin Cole, M.D.

  • Joseph Russell Cook, B.A., M.D.

  • Warren Coons Corwin, B.A., M.D.

  • William Grossman, M.D.

  • William Rollan Hill, B.S., M.D.

  • Lewis Littlepage, Jr., B.S., M.D.

  • Charles Collins Orr, Jr., B.S., M.D.

  • Lawrence James Pace, M.D.

  • Mack Irvin Shanholtz, B.S., M.D.

  • Harry Benjamin Stone, Jr., B.S.,
    M.D.

  • Rowland Haldane Walker, Jr., B.A.,
    M.D.

  • William Doak Wilson, B.A., M.D.

  • Fletcher Johnston Wright, Jr., B.S.,
    M.D.

                                                     
Josephine McLeod, B.A., R.N.  Superintendent of Nurses 
Margaret Pinkerton, R.N.  Assistant Superintendent of Nurses 
Ruth Beery, B.A., R.N.  Instructor of Nurses 
Joy Hinckley, R.N.  Operating Room Supervisor 
Helen Bargamin, R.N.  Medical Supervisor 
Eloise Grigg, R.N.  Acting Pediatric Supervisor 
Marie DeWitt, R.N.  Obstetrical Supervisor 
Margaret Bucko, R.N.  Orthopedic Supervisor 
Louise Phillips, R.N.  Urological Supervisor 
Helen Sutherland, R.N.  Eye, Ear, Nose and Throat Supervisor 
Barron Hyatt, B.A., R.N.  Out-Patient Department Supervisor 
Alice Holladay, R.N.  Pediatric Clinic Supervisor 
Elizabeth Gaw Shugart, R.N.  Dermatological Clinic Supervisor 
Annie Harris, R.N.  Night Supervisor 
Minnie Freese Payne, R.N.  Anesthetist 
Carrie Mays, R.N.  Assistant Anesthetist 
Jane Egan  Physiotherapist 
Lois Ransom  Assistant Physiotherapist 
Margaret Ellen Poindexter, B.S.  Dietitian 
Martha Andrews, R.N.  Instructing Head Nurse 
Lillian Phillips, R.N.  Instructing Head Nurse 
Katharine Robinson, R.N.  Instructing Head Nurse 
Ruth Snavely, R.N.  Acting Instructing Head Nurse 
Gladys Whitten, R.N.  Instructing Head Nurse 
Anne Yarrows, R.N.  Instructing Head Nurse 
Myrtis Jennings Baber, Ph.G.  Pharmacist 
Maud Lambert  Assistant Pharmacist 

391

Page 391

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 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.

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
five additional units, including a service building. The central building is largely
devoted to administrative purposes and general service departments. The four
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 300 beds; of these, approximately
225 are available and used for clinical teaching. During the past
year there were 6,421 admissions to the hospital.

Attention is particularly called to the fact that the hospital, with its associated
Out-Patient Department, constitutes a most valuable part of 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 patients.

THE OUT-PATIENT DEPARTMENT

Commodious and well-equipped quarters for the treatment of ambulant cases
are provided in the north pavilion of the hospital, and medical school building,
and the service is conducted under the direct personal supervision of members
of the teaching staff of the Medical Department.

The character of the equipment of this department and its location in the
hospital makes possible the use of thorough methods in the diagnosis and treatment
of cases, and the systematic examination of each patient is thus emphasized
at the very outset of the student's clinical experience. 34,187 visits were made by
patients to this department during the past year.

THE BLUE RIDGE SANATORIUM

The Blue Ridge Sanatorium for the treatment of tuberculosis, which is
owned by the State and controlled by the Virginia State Board of Health, is situated
near the Medical School. Under a plan of coöperation agreed upon by the
State Board of Health and the University, the Medical Director and other members
of the staff of the Sanatorium give instruction in the diagnosis and treatment
of pulmonary tuberculosis to students in the Medical School. The Sanatorium
has accommodations for 270 patients. Work at the Sanatorium is part of


392

Page 392
the required course. 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.