University of Virginia Library

Fourth Year.

In the fourth year the same plan is followed in the clinical work;
each of the two sections of the class devotes itself for half the year to
the medical service in the wards of the hospital. Full histories are
taken of every case, thorough examinations made, and management indicated
by the students of each division. The records thus obtained are
kept up by the student assigned to the case, which he is expected to follow
until its discharge. The accuracy and completeness with which this
is done constitutes a large element in the determination of fitness for
graduation.

The subjects treated with the approximate division of time between
them are as follows:

Nervous Diseases and Insanity.—Three lectures and recitations
weekly supplemented by clinical work during the fall term of the fourth
year. In this course is given also instruction in electro-therapeutics.
Dr. Davis.

Pediatrics.— Three lectures and recitations weekly, supplemented by
clinical work during the winter term of the fourth year. This course
of lectures is intended to point out in a brief way how disease is modified
by childhood and to indicate how the difficulties of diagnosis and
treatment due to early age may best be encountered. The principles
of infant feeding are emphasized and the student is taught how to prepare
the food. Instruction in the practical details of the subject is given by
work at the Dispensary and in the wards of the Hospital. Dr. Davis and
Dr. Rea.

Dermatology.—A brief course of lectures is given on this subject
embodying a consideration of the commoner diseases met with in medical

practice. At the Dispensary two clinics a week throughout the year are
devoted to the diseases of the skin. The senior class is divided into sections
for the work in this branch. After a brief review of the anatomic
and histologic structure and of the physiology of the skin, the diseases
most commonly met with are discussed.

The clinical material available at the University Dispensary is utilized
to the best advantage to give the students a practical working knowledge
of the diagnosis and treatment of affections of the skin. Dr. Davis and
Dr. Garnett.

Case Teaching, Medical Ethics and Economics, and Insurance
Examinations.—Two hours weekly during the spring term of the fourth
year. Dr. Davis.

Therapeutics.—Two lectures weekly during the second half of the
fourth year, with five hours weekly of ward rounds for one half the
session.

The treatment of internal diseases is discussed in a systematic course
of lectures and practically demonstrated in the wards of the Hospital.
Especial attention is given to the clinical side of the teaching of this
subject, the student being required to suggest treatment for cases assigned
to him and to follow closely and make a record of the results of the
therapeutic agents employed throughout the course of the disease.

The course includes a discussion of the preparation of food for the
sick; demonstrations of the preparation of stupes, plasters, and poultices;
and the methods of giving therapeutic baths, electrical treatment, massage,
and other therapeutic measures. Dr. Flippin.