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
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
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.
