 | The University of Virginia record March 15, 1932 |  |
Fourth Year
Theory and Practice of Medicine: 3 hours weekly of amphitheatre clinics,
lectures and conferences. Daily work in the out-patient department or wards of
the hospital during one-third of the year; the practical work is a continuation of
that of the third year. In this course the endeavor is also made to bring to the
attention of the senior student the more important problems of Internal Medicine.
The relationship of recent investigations in the fields of normal and pathological
physiology, biochemistry, immunology, etc., to internal diseases is especially emphasized.
No textbook is used; students are referred to the files, current issues
of journals and to reference works in the Medical Library as sources of information.
Appropriate time is devoted to medical ethics and economics.
Dr. Flippin, Dr. Mulholland, Dr. Wood, Dr. Blackford, Dr. Swineford
and Dr. Hart.
Dermatology and Syphilology: 1 ward round weekly for one trimester.
Cases of syphilis and skin diseases requiring special study or treatment are hospitalized.
This permits intensive study by senior students.
Dr. Smith.
Surgery and Gynecology: 1 hour weekly of surgical clinic throughout
the session; 7 hours weekly of ward classes, supplemented by clinic work in the
wards and operating room for one trimester with each of the three sections of
the class.
Instruction in surgery is carried on by clinics and bedside demonstrations
in the hospital. In the wards the students are assigned patients, whose histories
they must take. They must also make complete physical examinations, urine
analyses, blood examinations, etc. In the ward rounds the diagnosis, operative
and other treatment, post-operative care of the cases, complications, prognosis,
etc., are discussed in detail. A large variety of cases is available and
the close contact of the students with their cases and with the routine of
hospital management offers many of the opportunities that an interneship
affords. In the operating rooms the students, in small groups, take part in
the operations, thus acquiring familiarity with technique, anesthetization, etc.
In gynecology, urology and orthopedics the students have the same
general work as in surgery, consisting of the examination and the recording
cases are discussed, and observation and assistance in the operating rooms.
Dr. Lehman, Dr. Goodwin, Dr. Neff, Dr. Morton, Dr. Drash and Dr.
Gentile.
Roentgenology: Lectures, and practical demonstrations to the class in sections
throughout the year. The application of the X-rays to medicine and the
interpretation of plates in diagnosis.
Dr. Archer and Dr. Barker.
Surgical Pathology: 1 hour weekly during one-third the session. This
course is intended to supplement the general courses in pathology and surgery
and consists of lectures upon the pathology of surgical lesions, demonstrations
of fresh tissues obtained from the operating rooms, and examination
of microscopic sections.
Dr. Morton, Dr. Drash and Dr. Gentile.
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, demonstrations of obstetrical and gynecological procedures, and
seminar exercises. In addition, practical experience is given in prenatal care,
parturition, postpartum care, and pelvic examination, diagnosis and procedures in
the wards, out-patient departments, labor rooms and operating rooms of the hospital.
Dr. Williams and Dr. Nokes.
Pediatrics: Students are instructed in the wards of the hospital twice a
week in ward rounds. In addition all students serve as clinical clerks and have
cases assigned to them for their personal care under the direction of the
professor or instructor. Frequent clinics are held in the mountains, the students
of the fourth-year class being used as assistants in this work. Students
are also required to go into the milk laboratory and acquire a knowledge
of the preparation of formulae by practical experience.
Dr. Royster and Dr. W. W. Waddell.
Medical Jurisprudence: 1 lecture weekly during one term of the fourth
year. The application of medical knowledge and skill to the needs of the law is
presented. References to literature are assigned for the fuller development
of special topics.
Dr. J. A. Waddell.
Diseases of the Eye, Ear, Nose and Throat: 2 lectures weekly during
the last two terms, supplemented by regular two- to 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
tract.
Dr. Hedges, Dr. Woodward, Dr. Tunstall and Dr. E. Burton.
Public Health and Sanitation: 3 hours weekly for half term. The class
is divided into six sections of about ten students each. Through a series of conferences,
field trips and laboratory assignments they are acquainted with the organization
and functions of the Albemarle County Joint Health Department and
the State Board of Health, with methods used in the purification of water supplies,
in the disposal of sewage, in the production of clean milk and its pasteurization,
and in industrial hygiene.
Dr. McQuade and Mr. Neblett.
Preventive Medicine and Epidemiology: 2 hours weekly during the first
two terms and 1 hour weekly during the third term. A series of lectures on the
epidemiology of the infectious diseases, the present status of knowledge of the
causes, modes of transmission and means of prevention. Emphasis is placed upon
the immunological and environmental factors concerned. Considering disease as a
community problem the functions of various official and voluntary public health
agencies set up to control preventable illness are discussed in their relationship to
the private practitioner. Instruction is given in the elements of statistical and
epidemiological technique.
Dr. Maxcy and Dr. McQuade.
Elective Courses: Open to medical students of the third and fourth years,
and to graduate students.
| The University of Virginia record March 15, 1932 | |