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. D. C. Smith and Assistants.
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, Dr. Drash and Dr. A. M. Smith.
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. Kinser.
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.
Obstetrics and Gynecology: 3 hours of lectures and recitations weekly during
first and second terms for the entire class, supplemented by approximately 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 manikin 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. Once a week a seminar is held with the
ward group during which articles from current literature are abstracted and discussed.
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. Burton and Dr. Tunstall.
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. Maxcy, Dr. Eller, Mr. Williamson and Mr. Robertson.
