University of Virginia Library

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 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. D. C. 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 Gynecology: 1 hour weekly of surgical clinic throughout the
session; 3 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 and gynecology 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.

Dr. Lehman, Dr. Goodwin, Dr. Morton, Dr. Drash, Dr. A. M. Smith
and Dr. Houck.

Surgical Anatomy: 2 hours weekly during the third term. Prosections of
ten important surgical regions are demonstrated to the entire class. The class
then dissects the same regions in small groups under supervision.

Dr. A. M. Smith.

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.

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. Kilby and Dr. Hankins.

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. Kinser.

Urology and Proctology: Ward rounds 2 hours weekly each trimester
with one-third of the class. The plan of clinical instruction is essentially that
outlined in detail under Surgery and Gynecology.

Dr. Neff, Dr. Kirby and Dr. Davis.

Obstetrics and Gynecology: 1 hour weekly for the entire class throughout
the second and third terms. One-half section for 18 hours weekly for one-half
term. The exercises for the entire class consist of clinical demonstrations and
discussions of special problems in Obstetrics and Gynecology. The sectional work
comprises operative obstetrical procedures on the manikin, ward rounds and
demonstrations of obstetrical and gynecological procedures. Practical experience
is given in prenatal, parturient and postpartum care as well as pelvic examinations
and diagnosis in the wards, out-patient department and labor rooms of the
hospital. In addition each student is required to be on duty for two weeks at
the Norfolk Maternity Center in Norfolk, Virginia. While there the student conducts
deliveries in the homes and gets practical experience in the prenatal and
postpartum clinics.

Dr. Williams, Dr. Nokes and Dr. Byrd.

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.