University of Virginia Library

DEPARTMENT OF MEDICINE.

Edwin Anderson Alderman, Ph.B., D.C.L., LL.D.

President.

Theodore Hough, B.A., Ph.D.

Acting Dean.

                                                                                                                                               

John Staige Davis, M.A., M.D.	Rugby Road
Professor of Practice of Medicine.
William Alexander Lambeth, M.D., Ph.D.	Carr's Hill
Professor of Hygiene.
William Douglas Macon, B.A., M.D.	East Market Street
Professor of Obstetrics.
Theodore Hough, B.A., Ph.D.	McCormick Road
Professor of Physiology.
Stephen Hurt Watts, M.A., M.D.	University Place
Professor of Surgery and Gynecology.
Halstead Shipman Hedges, B.S., M.A. M.D.	Park Street
Professor of Diseases of the Eye.
Harry Taylor Marshall, B.A., M.D.	Preston Heights
Walter Reed Professor of Pathology.
Robert French Compton, M.D.	Fry's Spring
Professor of Diseases of the Ear, Nose and Throat.
James Carroll Flippin, M.D.	University Place
Professor of Clinical Medicine.
Harvey Ernest Jordan, M.A., Ph.D.	University Place
Professor of Histology and Embryology.
Robert Bennet Bean, B.S., M.D.	Preston Heights
Professor of Anatomy.
Graham Edgar, B.S., Ph.D.	Monroe Hill
Associate Professor of Chemistry.
William Hall Goodwin, B.A., M.D.	Monroe Hill
Associate Professor of Surgery and Gynecology.
James Alexander Waddell, B.A., M.D.	West Range
Associate Professor of Pharmacology, Materia Medica and Toxicology.
William Edward Bray, B.A., M.D.	West Main Street
Adjunct Professor of Medicine and University Physician.
Lyde Stuart Pratt, B.A., Ph.D.	Monroe Hill
Adjunct Professor of Chemistry.
John Henry Neff, B.A., M.D.	University Place
Instructor in Surgery and Gynecology.
Hunter Samuel Woodberry, B.A., M.D.	Hospital
Instructor in Surgery and Resident Surgeon.
Joseph Lee Wright, M.D.	Hospital
Instructor in Surgery and Assistant Resident Surgeon.
Lucius Gaston Gage, B.A., M.D.	Hospital
Instructor in Medicine and Resident Physician.
Dudley Crofford Smith, B.S., M.D.	East Range
Instructor in Bacteriology and Pathology.
Wilmer Baker, M.D.	Fry's Spring
Instructor in Anatomy.
Edward May Magruder, M.D.	West Jefferson Street
Clinical Instructor in Medicine.
Hugh Thomas Nelson, M.D.	High Street
Clinical Instructor in Medicine.
Monte Lewis Rea, M.D.	High Street
Clinical Instructor in Pediatrics and Dermatology.
Mason Ross Pratt, B.A., M.D.	University Place
Superintendent of the Hospital.
Ezra Eugene Neff, B.A., M.D.	Hospital
Interne in the Hospital.
Le Roy Walter Hyde, Ph.G., M.D.	Hospital
Interne in the Hospital.
Edward Ballard Broocks, M.D.	Hospital
Interne in the Hospital.
William Samuel Scott, B.A., M.D.	Hospital
Interne in the Hospital.
Goodlatte Browne Gilmore[1]	West Range
Student Assistant in Pathology.
Gustav Adolph Pagenstecher[2]	Madison Lane
Student Assistant in Histology and Embryology.
George Breaker Setzler,[3] B.A.	West Lawn
Student Assistant in Physiology and Pharmacology.
Richard Dabney Anderson[4]	Anderson Building
Student Assistant in Materia Medica and Toxicology.
William Wyatt Strange[5]	East Range
Student Assistant in Physiology and Pharmacology.
Allen Tupper Hawthorne[6]	Fourteenth Street
Student Assistant in Pathology.

For information as to lodgings, board, expenses, etc., and for catalogues
and other printed literature, address the Registrar.

For other information address the Dean of the Department of
Medicine.

Requirements for Admission to the Department of Medicine.—Applicants
for admission to the Department of Medicine are required to furnish
evidence of the completion of a four-year course at a recognized public or
private high-school, or acceptable certificates which represent work equivalent in
amount and character to such a high-school course, and, in addition, to present
evidence of the completion at an approved institution of collegiate rank of
two years of work aggregating thirty session-hours. This college course must
include a year's work in each of the following subjects: English (rhetoric,
composition, and literature), mathematics (solid geometry and trigonometry),
inorganic (general) chemistry, physics, biology, and either
German or French.

A session-hour is one hour a week throughout the session of lecture
or recitation, or two hours a week throughout the session of laboratory
work.

A student otherwise qualified may be admitted conditioned upon one
subject, the condition to be removed before admission to the second year
of the medical course; but no condition may be allowed in chemistry,
English, or mathematics, nor will any condition be allowed in German
or French, unless the student has satisfactorily completed one year of
college work or two years of high-school work in the language (i. e., the
equivalent of German 1 or French 1 in the College of this university).

The modern language (German or French) course must be based
upon two years of high-school work in that language or its equivalent;
but a candidate may absolve the requirement in this subject by demonstrating
on examination the possession of a satisfactory reading knowledge
thereof. The modern language requirement may, in exceptional cases, be
waived in the case of college graduates by special vote of the faculty.

A year's work in general biology, zoölogy, or botany will be regarded
as satisfying the requirement in biology. Zoölogy is considered preferable
to botany, and it is desirable that the course should include the dissection
of a mammal.

Further information concerning the character of these requirements
and forms for certificates may be obtained by addressing the Dean of the
Department of Medicine.

In planning the two-year college work, students are advised to take
English, mathematics, biology, and a modern language during the first
year; and to take physics and chemistry during the second year. This
arrangement of studies is advised because mathematics should precede
physics, and it is desirable to avoid the lapse of a year between the general
chemistry of the college and the organic and physiological chemistry of
the first year of the medical curriculum. Students who have completed
general chemistry and who have one more year of college work for entrance

to the medical school, are advised to take some courses in chemistry (e. g.,
analytical, physical, or organic chemistry) during their last year in college.

Limitation of Numbers and Reservation of Places in the First-Year
Class.—The number of studies in the first-year class is limited to thirty-six.
Reservation of a place, if desired by the applicant, can be made beforehand
on the conditions hereinafter described.

Those intending to enter the Department of Medicine are advised
to ascertain at once by correspondence with the Dean of the Department
of Medicine whether their high-school and college courses entitle them to
admission to the first-year class. For this purpose there may be obtained
from the Dean a blank form on which the necessary information may be
entered in full.

At the time of registration, applicants will be registered in the order
in which they present themselves, until all vacancies are filled. Applicants
who have not made reservations, as described below, are therefore advised
to apply for registration at 9:00 o'clock of the first day of registration
(September 13, 1917).

Any applicant whose record, certified to by the proper official of the
college last attended, has been endorsed by the Dean of the Department
of Medicine as entitling him to admission to the first-year class may
at any time before the registration period have a place reserved for him
until 12:00 noon of the first day of registration by depositing with the
Bursar the sum of $50.00 in part payment of the tuition fee of the first
year. A reservation so made can be cancelled only in exceptional cases.
In case a student who has obtained a reservation fails to register, the
deposit of $50.00 will be forfeited to the University unless, in case of illness
or other providential cause, the Dean of the Department of Medicine
directs that it be returned.

Facilities for and Methods of Instruction.—In recent years many
additions have been made to the laboratory facilities of the department,
so that there are now well-equipped laboratories for the study of organic
and physiological chemistry, gross anatomy, histology and embryology,
bacteriology and pathology, physiology, pharmacology, materia medica
and clinical diagnosis. These laboratories are all presided over by trained
teachers, to whom teaching and investigation are primary considerations.
The number of hours assigned to the laboratory subjects is quite large
and affords ample time for thorough study of the best methods. The
student is brought into close contact with teachers who are both willing
and able to guide him; he gains a very large part of his knowledge at
first hand and by his own exertions, and thus acquires the habit of working
out things for himself; he becomes self-reliant, a quality essential to the
practice of his difficult profession. Trained in this manner he acquires
an understanding of the medical sciences and the ability to apply the
facts of these sciences to the subsequent study of disease. For these
reasons the great fundamental sciences receive the utmost consideration,
constituting the entire work of the first two years.

The methods of clinical instruction are based upon the belief that no

clinical teaching is efficient which is not governed by essentially the same
principles as those which govern the best laboratory teaching. This
instruction is accordingly designed to enforce with the individual student
a careful, thorough, face-to-face study of disease and its management.
The facilities afforded by the University Hospital and Out-Patient Department
are described on a subsequent page. After two sessions devoted to
laboratory training, the student is introduced, in the third year, to the study
of disease in living persons. In the out-patient department and in the
hospital he learns the methods of examining patients, of diagnosing their
diseases, and of instituting rational treatment; and he learns these things
in much the same way as he studied in the laboratory, that is to say,
by doing them himself under the direction and criticism of the instructors.
This practical training is accompanied by a systematic study of the various
subjects by means of lectures, text-books, and recitations. With this preparation
the student is ready to enter upon the hospital work in his fourth
year. Here he has advantages for clinical training similar to those enjoyed
by internes. Each clinical patient on admission to the hospital is assigned
to a student, and that patient is regarded as his "case." The student conducts
a complete examination, records his observations in a scientific manner,
makes a diagnosis, states his view as to the treatment indicated, and
keeps a complete record of the case, all under the advice and criticism
of the physician or surgeon in charge. He is expected to keep himself
informed of the progress of the case throughout its course; if it is one
requiring surgical treatment, he assists at the operation, and thus is able
to follow all the procedures of the operator at close range. In addition.
students make frequent visits to the wards with the attending physicians
and surgeons, during which visits the nature, treatment, and progress of
various cases are gone over in detail. To carry out this method of
clinical instruction the hospital had last year over 3,000 cases. Since the
number of students in each class is relatively small, it is clear that the
department offers capable young men clinical advantages which are distinctly
exceptional.

Opportunities are offered in the third and fourth years for more
extended training in certain subjects with a view toward possible specialization
after graduation.

At the meetings of the Medical Section of the Philosophical Society
reviews of important articles and results of original research are presented
by the instructors and by invited guests. These meetings are open to
the students.

Regulations.—The records given after the regular examination on a
course, with their explanations, are as follows:

Passed indicates the satisfactory completion of the course and admits to
all dependent subjects.

Conditioned means that to obtain a clear record on the course the student
must pass a special examination. Failure to take or to pass this examination
is equivalent to a record of "failed." The record "conditioned"

is not given in fourth-year subjects, except in case of illness or other
equivalent cause approved by the faculty.

A student may be conditioned on any examination because of failure
to maintain a resonable standard of English composition.

Deficient indicates that part of the work of the course has not been
completed. Upon the satisfactory completion of this work within the
time and in the manner prescribed by the professor in charge the student
receives the record "passed"; otherwise the record is "failed" on the
entire course.

Failed indicates that the course must be repeated; except that when
the laboratory or other practical work has been satisfactorily performed,
the professor in charge may, at his discretion, excuse the student from
repeating the same; and, by special vote of the faculty, the student may
be granted optional attendance upon the course, in whole or in part. In
general a student who is repeating a course will be required to attend all
the exercises of the course, and will not be excused from any exercise
thereof because of schedule conflicts with more advanced work.

Absence from a regular examination, when excused because of illness
or other equivalent cause, gives a record of conditioned; if not excused, a
record of failed.

To pass a regular or a special examination a grade of eighty per cent.
is required. If the grade is less than eighty per cent. but not less than
seventy per cent., the student is entitled to the record conditioned; but the
record conditioned is not given in fourth-year subjects, except under the conditions
noted above.

No student will be admitted to any subject of the second or the
third year (save by the consent of the Dean and the professors concerned),
if more than one-third of the work of the preceding year remains unfinished.
If at the beginning of the year his deficiencies have not been
made up by the satisfactory completion of courses at some school approved
by the instructors in charge at this university, he may continue as a
student in the Department of Medicine only by repeating the courses in
which he has failed. In the interpretation of this rule the values of the
subjects of the first and second years are estimated in points as follows:

Anatomy 1, 16 points; Anatomy 2, 5 points; Organic Chemistry, 15
points; Histology, 14 points; Embryology, 6 points; Physiological Chemistry,
8 points.

Anatomy 3, 16 points; Physiology, 20 points; Bacteriology, 8 points;
Pathology, 20 points; Pharmacology, 8 points.

Whenever in the judgment of the faculty a student is receiving too
many records below the grade of passed, the faculty may prescribe special conditions
upon which the student may remain in the Department of Medicine, or
may require his withdrawal therefrom.

Students will not be allowed to undertake the work of the third or
fourth year until they have completed that of the first year, save by
special consent of the Medical Faculty.

A student may not take any course, either in whole or in part (as

explained under the above definition of failed) more than two times. A
second record of failed on the same course involves withdrawal from the Department
of Medicine.

Candidates for the degree of Doctor of Medicine, who have less than
one full year's course to complete, may be required to take such additional
work and to pass such additional examinations as the Medical Faculty
may prescribe. This additional work may be selected from any of the
courses given in the Department of Medicine, even when such prescribed
courses have previously been taken and passed by the candidate in question.

Advanced Standing.—Students are admitted to advanced standing in
the second and third years under the following conditions:

1. Satisfaction of the requirements for entrance into this department
at the time of entrance of the class to which the applicant seeks admission.

2. The presentation of a certificate of honorable dismissal from the
school last attended.

3. The presentation of the complete record of the student in the school
previously attended, on blanks to be obtained from the Dean of the Department
of Medicine. This record will be submitted to the action of
the Faculty Committee on Advanced Standing and the admission of the
student together with the terms of admission will be determined by this
committee.

Certificates of Attendance.—Students who attend the whole regular
course of one or more of the four years are entitled to certificates of
attendance.

Requirements for Graduation.—The degree of Doctor of Medicine is
conferred by the University of Virginia upon candidates who have complied
with the entrance requirements of this department; attended a regular
medical course of four years of at least eight months each, the last two
of which must have been at this institution; and have satisfactorily completed
all of the subjects included in the medical course.

Examinations.—These are in writing, accompanied in many subjects
by individual practical examinations. The regular examinations are held
at stated periods during the session. In addition, examinations are held
each year during the week immediately preceding the beginning of lectures.
To the latter are admitted:

1. Students of the previous session who, from illness or other equivalent
cause approved by the faculty, were unable to present themselves for
examination in any particular subject at the regular time.

2. Students who at the regular examination in any first, second, or
third year subject of the preceding session have attained a grade less than
eighty per cent., but as much as seventy per cent. on one or more subjects,
as explained in a preceding paragraph; or any student who has received
the record of conditioned on a course taken in this university.

3. Certain applicants for advanced standing, who are admitted to
these examinations by the Committee on Advanced Standing.

The Fall Examinations for 1917-1918 begin September 10 and close
September 15. Students entitled to admission to these examinations will
be informed of the date of examination by the Dean.

Expenses.—The tuition fee for each year is $100.

The annual expenses exclusive of tuition are $40 for the university
fee (which entitles the student to the use of the library, the gymnasium,
to medical attention, etc.), an average of about $265 for living expenses,
and $30 for books.

In the courses of Organic and Physiological Chemistry a deposit of
$10 is required to cover cost of breakage.

Combined Degrees in Arts (or Science) and Medicine.—Students who
have credit for the forty-eight session-hours of the group electives required
in this university for the cultural baccalaureate degrees in arts and science
may substitute for twelve session-hours of electives-at-large the first-year
course in the Department of Medicine and receive the degree of Bachelor
of Arts or Bachelor of Science at the end of the year.

The University also offers a course leading to the vocational degree of
Bachelor of Science in Medicine. This course includes two years of group
electives in academic subjects followed by the first two years of the
medical course. Since the academic group electives satisfy the entrance
requirements of the Medical Department, students who can spend only
two years in college before entering upon the study of medicine are advised
to plan their work so as to secure this degree.

For further information regarding these degrees, see pp. 157 and 158 of
the General Catalogue of the University.

The William A. Herndon Scholarships are founded upon the bequest
of Dr. Cumberland George Herndon, a graduate in medicine of this
university. They are awarded by the Medical Faculty after a competitive
examination held during the summer vacation preceding enrollment as a
student in the Medical Department. Candidates must be unable to defray
the expenses of their medical education and must signify their intention
of entering the medical service of the army or navy of the United States.
These scholarships provide for the necessary expenses of the student during
the entire four years of his medical course and are awarded whenever
there is a vacancy. One will be awarded in September, 1918. For information
as to the examinations and other requirements, address the Dean of the
Department of Medicine.

COURSES OF INSTRUCTION.

In the following description of courses, the number of hours represents
the amount of time each student devotes to the course. In addition to
the hours scheduled in the third and fourth years of the course, each
student devotes a considerable amount of time to practical work which
does not appear in the schedule, but the satisfactory performance of which
is essential to graduation. Thus the taking of histories, the visits to his

cases in the hospital, assisting at operations, attendance upon cases of
labour, the employment of microscopical and chemical methods of diagnosis
in the hospital, require much time which it has not seemed possible
to record in a rigid schedule. It should, however, be stated that each
student in the fourth year gives at least two hundred hours to this required
but unscheduled practical work.

The session, exclusive of the time devoted to examination, is divided
into a fall term of twelve weeks, a winter term of ten weeks, and a spring
term of ten weeks.

FIRST YEAR.

Anatomy 1.—Six hours weekly until November 1; twelve hours weekly
from November 1 to the end of the second term. This course begins with
a systematic study of the bones, on the completion of which a part is
assigned to each student for dissection and study. On the completion of
this course and Anatomy 3 each student has dissected a lateral half of the
body. The student obtains his knowledge at first hand and by his own
personal efforts. The satisfactory performance of the laboratory work is
essential to a passing grade. Dr. Bean and Dr. Baker.

Anatomy 2.—Six hours weekly during the third term. This course consists
in a laboratory study of the anatomy of the central nervous system
carried out in considerable detail. The gross anatomy of the spinal cord
and brain is first considered, on the completion of which sections of the
more important regions are studied carefully with the aid of the microscope.
Fresh brains and series of sections of the cord and brain are
thoroughly used. Dr. Bean and Dr. Baker.

Histology.—Three lectures or recitations and nine hours of laboratory
work weekly during the first and second terms. This course aims to acquaint
the student with the microscopic structure of cells, tissues, and organs.
Cytogenesis and histogenesis are briefly considered in the case of many
tissues studied. The relation of histology to physiology and pathology is
constantly kept in view. The student is also given opportunity to acquaint
himself with the principles and practice of histological technique.

A record of seventy per cent. in this course is required for admission
to Physiology, and of eighty per cent. for admission to Pathology. Dr.
Jordan, assisted by Mr. Pagenstecher.

Embryology.—Nine hours weekly during the third term. The laboratory
work (six hours weekly) with sections and dissections of mammalian
embryos, is supplemented by lectures, recitations, and the study of models.
The course aims to give the student a knowledge of developmental processes,
in the light of which he may the better understand the more abstruse
normal conditions of adult anatomy, as well as many anomalies and variations,
neoplasms and malformations. Dr. Jordan, assisted by Mr. Pagenstecher.

Organic Chemistry.—Lectures and recitations three hours weekly, laboratory
work six and eight hours weekly, respectively, during the first and second
terms. This course includes the systematic study of organic chemistry,
with special reference to substances of importance in their relation to

medicine. The course lays a thorough foundation for subsequent work
in Physiological Chemistry, Pharmacology, etc.

During the second term the laboratory work includes quantitative
determinations of immediate importance in Physiological Chemistry, such
as the estimation of sugar, total nitrogen, uric acid, ammonia, etc.

A record of seventy per cent. on this course is required for admission
to Physiological Chemistry. Dr. Edgar and Dr. Pratt.

Physiological Chemistry.—Three lectures, three recitations and nine hours
of laboratory work weekly during the third term. The structure, properties
and reactions of the more important compounds which the student meets
in his subsequent medical study. The laboratory work, continuing that
of Organic Chemistry, includes the study of fats, soaps, fatty acids, and
proteins; blood, milk, bile; the digestive enzymes, and extensive qualitative
and quantitative work on urine.

A grade of seventy per cent. on this course is required for admission
to Physiology. Dr. Hough and Dr. Pratt.

SECOND YEAR.

Anatomy 3.—Ten hours weekly through the first and second terms. This
course is the continuation of Anatomy 1, and consists of the systematic
dissection and study, by essentially the same methods, of the parts not
studied during the first year. In addition, a course is given in topographic
anatomy, with the aid of cross sections of the human body. At the end of
this course a practical examination is given, covering the work of Anatomy
1, 2 and 3. Dr. Bean and Dr. Baker.

Physiology.—Four hours work weekly of lectures, recitations and demonstrations
throughout the year. Six hours weekly of laboratory work in the
first and second terms. The physiology of muscle and nerve; blood and
lymph; the circulation; respiration; secretion; digestion and nutrition, and
the central nervous system. The work of the laboratory closely follows the
lectures as an integral part of the study of each subject.

Open only to students who have obtained a grade of seventy per cent.
in Histology and in Physiological Chemistry. The satisfactory completion
of the laboratory work of this course is necessary for admission to Pharmacology.
Dr. Hough, assisted by Mr. Setzler and Mr. Strange.

Bacteriology and Pathology.—Twelve hours weekly throughout the session
and two additional hours a week in the third term. The work in pathology is
open only to students who have obtained a record of passed in Histology.

Bacteriology and pathology are taught in a combined course. Emphasis
is laid upon the medical and public health aspects of bacteriology.
Practical studies in infection and immunity form part of the course. Autopsies
and the study of gross and microscopic specimens supply the practical
work accompanying the systematic study of pathology.

Opportunity is given selected students for advanced work. Dr. Marshall
and Dr. Smith, assisted by Mr. Gilmore and Mr. Hawthorne.

Pharmacology.—Five hours of lecture, recitations and demonstrations and

six hours of laboratory work during the third term. In this course a study
is made of the chemical characteristics and physiological action of representative
drugs from the different pharmacological groups. An average
grade of seventy per cent. on the first two terms of Physiology together
with the satisfactory completion of the laboratory work of Physiology is
required for admission to the course. Dr. Waddell, assisted by Mr. Setzler
and Mr. Strange.

Journals.—In connection with the work in Physiology, Pathology and
Pharmacology, the second-year students meet with their instructors for
one hour each week from the first of December to the end of the session
for reports and discussion of the current literature of the above sciences.
Three reports are made at each meeting by the students.

Physical Diagnosis.—Four hours weekly during the third term. Instruction
is given in the principles and methods of physical examination.
Attention is especially given to study of the normal subject. Dr. Flippin
and Dr. Magruder.

THIRD YEAR.

Materia Medica.—Three hours of lectures and recitations and four hours
of laboratory work weekly during the first half of the third year. The more
important drugs and preparations of the Pharmacopeia, together with newer
non-official remedies which bid fair to attain or have attained considerable
use, form the subject of study. In the laboratory the student becomes
familiar with the peculiarities and methods of preparation of the different
preparations of the Pharmacopeia, as well as with the solubilities and other
characteristics of the more important drugs. Especial attention is paid to
chemical and pharmaceutical incompatability. Prescription writing is dealt
with by lecture and frequent practical exercises. Dr. Waddell, assisted
by Mr. Anderson.

Toxicology.—Three hours of lectures and recitation and three hours of
laboratory work weekly during the last half of the second term.

This course is, to a considerable extent, a review of the pharmacological
actions of poisons and their antagonists. The treatment of poisoning is
dealt with in detail. Some attention is given to the methods of separation
and identification. Dr. Waddell, assisted by Mr. Anderson.

Clinical Diagnosis.—Six hours weekly during the first and second terms.
In this course the student is made familiar with those laboratory methods
which are helpful in the diagnosis of disease. These include, among others,
the examination of blood, urine, sputum, gastric contents, feces, spinal
fluid, exudates and transudates. Instruction is given in the recently completed
Clinical Laboratory in the north pavilion of the hospital, which is
well equipped with the most modern instruments and apparatus. Dr. Bray.

Theory and Practice of Medicine.—Three hours weekly of lectures and
recitations throughout the session; nine hours weekly in the clinics for one-half
the session. A systematic course of lectures, supplemented by work in the
out-patient department and hospital. The class is divided into two sections,

each of which devotes itself for half the year to the medical service in the
out-patient department, and also twice a week receive instruction on selected
cases in the wards of the hospital. There is a general medical clinic once a
week in the hospital amphitheater. Dr. Davis, Dr. Flippin, Dr. Magruder,
Dr. Nelson and Dr. Gage.

Surgery and Gynecology.—Five hours weekly of lectures and recitations,
and two hours weekly of surgical clinic throughout the session, with six hours
weekly in the out-patient department for one-half the session.

The study of surgery begins in the third year and continues through
the fourth year. In the third year the classroom work consists of lectures
and recitations, as arranged in the schedule, in which the principles and
practice of surgery, surgical diseases, surgical diagnosis, etc., are thoroughly
discussed. This also includes the surgical specialties, orthopedics, genitourinary
surgery, etc.

The out-patient department course in the third year 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.

The work in gynecology follows closely the outlines already described
for surgery. The general principles of gynecology are taken up in lectures
and recitations. In addition, the out-patient department affords practice
in palpation, diagnosis and treatment. Dr. Watts, Dr. Goodwin, Dr. Neff,
Dr. Woodberry and Dr. Wright.

Obstetrics.—Five hours weekly of lectures, recitations and manikin demonstrations
during the year, supplemented by work with living subjects in
the wards of the hospital.

The class is divided into sections of five for manikin instruction and for
examination of patients in the hospital. The manikin course forms an important
part of the work, not only for teaching presentation, position and
posture, but also the mechanism of normal and abnormal labor and the application
of forceps. When the section is taken into the wards of the hospital,
the methods of examination, particularly abdominal palpation, are
practiced on the living subject. Dr. Macon.

FOURTH YEAR.

Theory and Practice of Medicine.—The same plan is followed in the
clinical work as that already described for the third year, each of the two
sections of the class devoting 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. These records are considered in the final grading of the
student.

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 first term. In this course is given
also instruction in electro-therapeutics. Dr. Davis.

Pediatrics.—Three lectures and recitations weekly, supplemented by clinical
work during the second term. 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. 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.

Case Teaching, Medical Ethics and Economics, and Insurance Exam-
inations.—Two hours weekly during the third term. Dr. Davis.

Therapeutics.—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 bedside teaching of this subject,
the student being required to follow closely and make a record of the
results of the therapeutic agents employed in cases assigned to him. Dr.
Flippin.

Surgery and Gynecology.—Two hours weekly of surgical clinic throughout
the session; three hours weekly of ward classes, supplemented by clinical
work in the wards and operating room for one-half the session with each of the
two 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 cases, whose
histories they must take. They must also make complete physical and
clinical 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 offer many of the opportunities
that an internship affords.

In the operating rooms the students, in small groups, take part in the
operations, thus acquiring familiarity with technique, anesthetization, etc.
Those of the class who are not assisting witness the operations, whose
important features are demonstrated to them.

In gynecology 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. Watts, Dr. Goodwin, Dr.
Neff, Dr. Woodberry and Dr. Wright.

In addition to the above course, required of all students, the following
elective course is offered in the Department of Surgery.

Surgical Pathology.—An optional course. Two hours weekly during one-half
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.

The student reviews pathological technique and frozen section work
is emphasized. Dr. Goodwin.

Clinical Pathological Conferences.—One hour weekly is assigned for
the study of pathologic material in connection with the clinical aspects of
cases coming to autopsy. A history of the case is presented by the student
in charge, the autopsy is reviewed, the tissue and microscopic sections are
examined, and all the information thus derived is collated and contrasted.
Dr. Marshall.

Obstetrics.—The student attends, under the guidance of an instructor,
the labor cases in the hospital, is required to prepare the history of patients,
and to follow up the cases through the puerperium. Instruction is also
given in the care of the new-born. In addition the student has the opportunity
of attending patients in the out-patient department and each student
is expected to attend at least six cases of labor. Dr. Macon.

Forensic Medicine.—One lecture weekly during one term of the fourth
year. Dr. Waddell.

Diseases of the Eye, Ear, Nose and Throat.—Two lectures weekly from
the beginning of the session to the first of March, supplemented by regular
clinics twice weekly 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 opthalmoscope, head-mirror,
and of the laryngeal and post-nasal mirrors. 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 and Dr.
Compton.

Hygiene.—Three hours weekly throughout the session.

The course begins with a historical sketch of the developments of preventive
medicine, including short biographical sketches of the pioneers of
hygiene. With this introduction the story of the natural history of contagious
and infectious diseases, modes of propagation and methods of prevention
engage the attention of the student. With this preparation, the
chemical and bacteriological contamination of food, water, air and soil is
made an important study. Instruction is also begun in the proper location
and construction of habitations, hospitals, schoolhouses, etc., with special
reference to the modern methods of heating, ventilating and draining.
Notice is taken of the special relations involved in military and naval
hygiene. Dr. Lambeth.

FACILITIES AND OPPORTUNITIES FOR RESEARCH.

The Department of Medicine not only fosters in its methods of instruction
the inductive study by the student himself of the phenomena presented
by the human body in health and disease, but also encourages the
spirit of investigation of unsolved problems of medical science and practice
on the part of the instructors and students. During the past few years there
have appeared annually a number of papers from its laboratories embodying
the results of such investigations, and it is the policy of the department
to enlarge this feature of its work in the future. Students are encouraged
to engage in research as they are prepared for it, usually assisting an instructor
in some special study or else conducting the research under his
guidance and advice. For this purpose the scientific and clinical laboratories
offer the necessary facilities, and heads of departments will always
be glad to suggest and outline problems for investigation by any medical
student or by others possessing the necessary training therefor.

THE UNIVERSITY OF VIRGINIA HOSPITAL.

The hospital is the property of the University and is under the exclusive
control of its Medical Faculty. It was designed and is administered as
a teaching hospital, being so arranged that free use can be made of its
clinical material without in any way disturbing or violating the privacy of
other patients.

The buildings are arranged upon the pavilion system, consisting of a
central structure, four stories in height, to which have been added up to
the present time three additional units of three stories each. The central
building is largely devoted to administrative purposes and general service
departments, but also contains an amphitheater and suite of private operating
rooms, sterilizing and anesthetizing rooms. The three pavilions are connected
with the main building by corridors on each floor. In these are
located the wards and suites of rooms for private patients. As at present
constituted the hospital has a capacity of about 200 beds; of these, upwards
of 160 are available and used for clinical teaching.

The recently completed north pavilion contains, in addition to quarters
for ward and private patients, on the first floor, a specially designed
series of laboratory rooms, which have been equipped with new and
modern furnishings and apparatus throughout. The basement floor is
devoted in large part to the Out-Patient Department of the Hospital. Here
separate waiting rooms for white and colored patients are provided, examining
rooms for medical cases, operating rooms for minor surgery, specially
equipped rooms for genito-urinary and orthopedic surgery and for the
treatment of the diseases of the eye, ear, nose and throat. On the same
floor is the Roentgen Ray Department of the Hospital.

Attention is particularly called to the fact that the hospital with its associated
Out-Patient Department, constitutes a most valuable adjunct to
the teaching facilities of the Department of Medicine. The size of the
clinic permits the presentation of a wide variety of cases, and the organization
of the hospital as an integral part of the Medical Department affords
exception facilities for thorough study of the individual case.

The location of the University Hospital is a most favorable one, being
situated at the intersection of two great railway trunk lines near the geographical
center of the State. A large population outside of the city of
Charlottesville is available as a source of clinical material, both in the
wards and the out-patient department. The hospital is thus enabled to
serve a large area of the State, and the transportation facilities are such
that this service includes a progressively increasing number of emergency
cases and cases of acute illness.

HOSPITAL STAFF.

Hospital Board: Drs. Hough, Davis, Watts, Hedges, Macon, Marshall,
Compton, Flippin, Goodwin, Bray.

Visiting Staff: The visiting staff consists of the Hospital Board and
the Clinical Instructors in the Out-Patient Department.

Superintendent of the Hospital: Dr. Pratt.

House Surgeon: Dr. Woodberry.

House Physician: Dr. Gage.

Assistant House Surgeon and Roentgenologist: Dr. Wright.

Internes: Drs. Broocks, E. Neff, Hyde and Scott.

Superintendent of Nurses: Miss Margaret Cowling.

Assistant Superintendent: Miss Isabel Craig Anderson.

Night Superintendent: Miss Clarissa Canfield.

In Charge of Operating Room: Miss Tabitha S. Grier.

Dietetic Nurse: Mrs. G. G. Montague.

Pathologists: Dr. Marshall and Dr. Smith.

Pharmacist: Mr. Norburn.

THE OUT-PATIENT DEPARTMENT.

CLINICAL INSTRUCTORS.

Dr. Flippin, Chief of Staff.

Dr. Magruder.

Dr. Nelson.

Dr. Neff.

Dr. Hedges.

Dr. Goodwin.

Dr. Davis.

Dr. Woodberry.

Dr. Compton.

Dr. Rea.

Dr. Wright.

Commodious and well-equipped quarters for the treatment of ambulant
cases are provided in the north pavilion of the hospital and the service is
conducted under the direct personal supervision of members of the teaching
staff of the Medical Department. Clinics are held three times a week
for general medical, surgical and genito-urinary diseases, which are attended
by students of the third year; and twice weekly for the diseases of
the eye, ear, nose and throat, attended by students of the fourth year.

The character of the equipment of this department and its location in
the hospital makes possible the use of most advanced methods in the diagnosis
and treatment of cases, and the systematic and thorough examination
of each case is thus emphasized at the very outset of the student's clinical
experience.

An out-patient obstetrical service and provision for attendance in the
home of certain cases of illness by the student under the supervision of an
instructor are a part of the organization of this department.

UNIVERSITY OF VIRGINIA HOSPITAL TRAINING SCHOOL FOR
NURSES.

A training school for nurses is conducted in connection with the hospital.
Full information regarding requirements for admission, and the
course of instruction may be obtained by addressing the superintendent of
nurses.