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DEPARTMENT OF MEDICINE.
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DEPARTMENT OF MEDICINE.

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

President.

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

Dean.

                                   
JOHN STAIGE DAVIS, M.A., M.D.  Professor of Practice of Medicine 
WILLIAM ALEXANDER LAMBETH, M.D., Ph.D.  Professor of Hygiene 
WILLIAM DOUGLAS MACON, B.A., M.D.  Professor of Obstetrics 
THEODORE HOUGH, B.A., Ph.D.  Professor of Physiology and Biochemistry 
STEPHEN HURT WATTS, M.A., M.D.  Professor of Surgery and Gynecology 
HALSTED SHIPMAN HEDGES, B.S., M.A., M.D.  Professor of Diseases of the Eye 
HARRY TAYLOR MARSHALL, B.A., M.D.  Walter Reed Professor of Pathology 
ROBERT FRENCH COMPTON, M.D.  Professor of Diseases of the Ear, Nose and Throat 
JAMES CARROLL FLIPPIN, M.D.  Professor of Clinical Medicine 
HARVEY ERNEST JORDAN, M.A., Ph.D.  Professor of Histology and Embryology 
ROBERT BENNETT BEAN, B.S., M.D.  Professor of Anatomy 
JAMES ALEXANDER WADDELL, B.A., M.D.  Professor of Pharmacology, Materia Medica and Toxicology 
WILLIAM HALL GOODWIN, B.A., M.D.  Associate Professor of Surgery and Gynecology 
JOHN HENRY NEFF, B.A., M.D.  Associate Professor of Genito-Urinary Surgery 
WILLIAM EDWARD BRAY, B.A., M.D.  Associate Professor of Clinical Diagnosis and University Physician 
ROBERT GRAHAM WIATT, M.D.  Assistant Professor of Roentgenology 
CARL CASKEY SPEIDEL, Ph.D.  Assistant Professor of Anatomy 
JAMES MACLAREN STRANG, B.S.  Assistant Professor of Physiology and Biochemistry 

INSTRUCTORS.

             

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Dudley Crofford Smith, B.S., M.D.  Dermatology and Syphilology 
Allen Fiske Voshell, B.A., M.D.  Orthopedic Surgery 
William Edward Brown, M.D.  Phthisiotherapy 
Isaac Alexander Bigger, Jr., M.D.  Surgery 
Berlin Berthold Nicholson, M.D.  Histology and Embryology 
John Bankhead Banks, M.D.  Surgery 
William Marco Sheppe, M.D.  Pathology and Bacteriology 
Henry Bearden Mulholland, M.D.  Medicine 
Joseph Thomas Jones, M.D.  Medicine 
Henry Grant Preston, M.D.  Diseases of the Eye, Ear, Nose and Throat 

CLINICAL INSTRUCTORS.

       
Thomas Henry Daniel, M.D.  Medicine 
Edward May Magruder, M.D.  Medicine 
Hugh Thomas Nelson, M.D.  Medicine 
Monte Lewis Rea, M.D.  Pediatrics and Dermatology 

STUDENT ASSISTANTS.

                     
Frank Helvestine, Jr.  Histology 
Monroe Jacob Epting, Jr., B.A.  Histology 
Robert Battaile Hiden  Pharmacology 
Charles Isaac Johnson, B.S.  Pharmacology 
Albert Austin Pearre, B.S.  Materia Medica 
Charles Dickensen Hopkins  Biochemistry 
William Barrington Hubbard  Biochemistry 
Willard Greenberry Rainey  Biochemistry 
William Jacob Norfleet, Jr.  Clinical Diagnosis 
Edgar Parmele Cardwell  Anatomy 
Louie Christian Brand  Anatomy 

TECHNICIANS.

       
Jane Heyl  Laboratory Assistant in Clinical Diagnosis 
Mary Constable  Technical Assistant in Pathology 
Joy Austin  Technical Assistant in Surgical Pathology 
Arthur Chancellor Wood  Technical Assistant in Physiology and Biochemistry 

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.

The session of 1922-1923 opens on September 14. The registration days
are September 14-16. A fee is required for delayed registration.

ENTRANCE REQUIREMENTS.

The requirement for admission to the first year of the Department of
Medicine is a four-year high-school education or its full equivalent and two
years of work in a college of arts and sciences approved by the Council on
Medical Education of the American Medical Association, as follows:

I. HIGH SCHOOL REQUIREMENTS.

(a) For admission to the two-year premedical college course, students
shall have completed a four-year course of at least fifteen units in a standard
accredited high school or other institution of standard secondary school
grade, or have the equivalent as demonstrated by examinations conducted
by the College Entrance Examination Board or by the authorized examiner


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of a standard college or university which has been approved by the Council
on Medical Education of the American Medical Association.

(b) Credits for admission to the premedical college course may be
granted for the subjects shown in the following list and for any other subject
counted by a standard accredited high school as part of the requirements
for its diploma, provided that at least eleven units must be offered in
groups I-V:

Group I. English. (Three units required)

Literature and Composition.

Group II. Foreign Languages. (Two units required, both of which must be
in the same language)

Latin, Greek, French, German, Spanish, Italian, or other modern foreign
language.

Group III. Mathematics. (Two units required)

Elementary Algebra, Advanced Algebra, Plane Geometry, Solid Geometry,
Trigonometry.

Group IV. History. (One unit required)

Ancient History, Medieval and Modern History, English History,
American History, Civil Government.

Group V. Science.

Botany, Zoölogy, Chemistry, Physics, Physiography, Physiology, Astronomy,
Geology.

Group VI. Miscellaneous.

Agriculture, Bookkeeping, Business Law, Commercial Geography, Domestic
Science, Drawing, freehand and mechanical, Economics and
Economic History, Manual Training, Music—appreciation or harmony.

A unit is the credit value of at least thirty-six weeks' work of four or
five recitation periods per week, each recitation period to be not less than
forty minutes.

II. PREMEDICAL COLLEGE COURSE.

The requirements given below are strictly minimum requirements. Premedical
students are advised to take more than thirty session-hours of college
work, either by spending an additional year in college or by taking thirty-three
or thirty-six session-hours during their two years as college students. Entrance
conditions of any kind whatsoever are absolutely prohibited and no substitution
can be allowed for any required subject.

In addition to the high-school work specified above, a candidate for admission
to the Department of Medicine must present evidence of the completion
of at least thirty session-hours of collegiate work in a college approved
by the Council on Medical Education of the American Medical
Association. A session-hour is the credit value of one hour a week of


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lecture or recitation or two hours a week of laboratory work throughout
a session of at least thirty-two weeks, exclusive of holidays. The subjects
included in the thirty session-hours of college work should be in accordance
with the following schedule:

Required Subjects:

             
Session-hours. 
General Inorganic Chemistry (a) 
Organic Chemistry (b) 
Physics (c) 
Biology (d) 
English Composition and Literature (e) 
Other non-science subjects, including one ancient or modern
language (f) 

Subjects Strongly Urged:

French or German, Advanced Botany or Advanced Zoölogy, Psychology,
Advanced Algebra, Solid Geometry, and Trigonometry, additional
courses in Chemistry.

Other Suggested Electives:

English (additional), Economics, History, Sociology, Political Science,
Logic, Mathematics, Latin, Greek, Drawing.

REQUIREMENTS IN INDIVIDUAL COLLEGIATE SUBJECTS.

(a) General Inorganic Chemistry. Four session-hours are required, including
two session-hours of laboratory work. In the interpretation of this
rule work in qualitative analysis may be counted as general inorganic chemistry.

(b) Organic Chemistry. Three session-hours are required of which at
least one must be laboratory work. Four session-hours including two session-hours
of laboratory work are recommended as giving better preparation
in organic chemistry.

Students are advised to take, in addition to the required general and inorganic
chemistry at least four session-hours in qualitative analysis and two
session-hours in quantitative analysis.

(c) Physics. Four session-hours required, of which at least one must
be laboratory work. It is urged that this course be preceded by a course
in trigonometry and solid geometry.

(d) Biology. Four session-hours required, of which two must consist
of laboratory work. The requirement may be satisfied by a course of four
session-hours in general biology or zoölogy, or by courses of two session-hours
each in zoölogy and botany, but not by botany alone.

(e) English Composition and Literature. The usual introductory college
course of three session-hours, or its equivalent, is required.

(f) Non-Science Subjects Including One Modern Foreign Language.
Of the thirty session-hours required as the measurement of two years of


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college work, at least nine, including three session-hours of English, should
be in subjects other than the physical, chemical, or biologic sciences. At
least three of these nine session-hours must be in an ancient or modern
foreign language. When the student has presented for admission to College
two units of high school work in an ancient or modern foreign language,
he must complete three session-hours in the same language, this
work to be the continuation and not a repetition of his high-school work.
When the language studied in College was not studied in high school, he
must complete work aggregating four and should preferably complete six
session-hours in the language.

College courses in Physical Training and in Military Training or Military
Science will not be counted towards the thirty session-hours required
for admission to medicine; nor will required courses in Bible and Biblical
Literature be counted, unless the course has a credit value of at least three
session-hours for one session.

No entrance conditions whatever can be allowed nor can any substitutions
be made for the required subjects. Premedical students in other colleges
and universities who are considering the possibility of entering upon
their medical studies in this university are urged to have the authorities of
the University of Virginia pass officially upon their academic credit early
in their last premedical college year and in no case later than June 1, of
that year. Deficiencies may be discovered in this way in time to remove
them before the following September. Such students will incur no obligation
to enter this medical school. The prohibition of entrance conditions
in all Class A medical colleges makes it especially important for the student
to be absolutely sure six months or more beforehand that the course he is
taking will admit him to the study of medicine. Many deficiencies can be
made up by work in summer schools.

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

In planning two years of premedical college work students are advised
to take English, mathematics (solid geometry, plane trigonometry,
and advanced algebra), biology, and general inorganic chemistry the first
year; and organic chemistry, physics, foreign language, and one or more
electives the second year. This arrangement of studies is advised because
mathematics should precede physics and general inorganic chemistry must
precede organic chemistry. Those who have to take four or more session-hours
of college work in foreign language may find it advisable to take
foreign language both years and take the mathematics in a summer school following
the first premedical college session.

Admission with 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.


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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.

Limitation of Numbers and Reservation of Places in the First-Year
Class.
—The number of students in the first-year class is limited to sixty-five.
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 o'clock of the first day of registration (September
14, 1922).

Any applicant whose record, certified 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 after June 25 and before the registration period in September 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.

Women over twenty years of age are admitted to the medical department
by satisfying the entrance requirements specified above.

FACILITIES FOR AND METHODS OF INSTRUCTION.

There are well-equipped laboratories for the study of organic chemistry,
biochemistry, 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 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


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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, textbooks, 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 3,500 cases. The patients of the Blue
Ridge Sanatorium afford additional material for clinical instruction. 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 Journal Club reviews of important articles


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and results of original research are presented by the instructors and
by invited guests. These meetings are open to the students.

REGULATIONS, EXPENSES, ETC.

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 reasonable 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 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, 36 points; Anatomy 2, 6 points; Histology, 18 points; Embryology,
9 points; Biochemistry, 30 points.


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Anatomy 3, 8 points; Physiology, 24 points; Bacteriology, 12 points; Pathology,
28 points; Pharmacology, 11 points; Clinical Diagnosis, 12 points;
Physical Diagnosis, 4 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 twice. 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 work 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.

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 years 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. Examinations may be held only during
the regular examination periods at the end of each term or during the
vacation periods. No examinations may be given while regular class work
is in progress; provided this rule is not to be interpreted to prohibit unannounced
written tests or regular daily or weekly tests which count on
the class standing of students. 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,


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as explained in a preceding paragraph; or any student who has received the
record 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 usual period for special or conditioned examinations is in September
during the week of registration; but such examinations may be scheduled,
at the option of the professor in charge, for any other time, provided
regular class work is not in progress and also provided all students entitled
to take examination agree to the change of date. For a special or condition
examination held at any other time than that assigned for all students entitled
thereto a fee of five dollars is charged. This fee must be paid to the
Bursar before the examination is held.

In all courses in which there is practical work, either in the laboratory
or in the outpatient department or wards of the hospital, two records
are returned to the Registrar's office for each student: one of these
records is for the practical laboratory or clinical work—in which the record
is P(assed), D(eficient), or F(ailed), the other record is for the didactic
work, including the final examinations—in which case the record is
P(assed), C(onditioned), D(eficient), or F(ailed), with the approximate
percentage grade. To obtain a clear record on the course a student must
have a record of P(assed) both on practical and on didactic work; in no
case will the two grades be averaged. No record whatever is given on
didactic work unless there is a record of P(assed) on practical work; failure
on practical work gives a record of F(ailed) on the entire course.

The Fall Examinations for 1922-1923 begin September 11 and close September
16. Students entitled to admission to these examinations will be
informed of the date of examination by the Dean.

Expenses.—The fees for instruction are 1, the tuition fee; 2, the university
fee which entitles the student to the use of the Library, Gymnasium,
to medical attention, etc.; and 3, special laboratory fees, as specified below:

                         
FIRST
YEAR 
SECOND
YEAR 
THIRD
YEAR 
FOURTH
YEAR 
Tuition  $160.00  $160.00  $135.00  $135.00 
University fee  40.00  40.00  40.00  40.00 
Laboratory fees: 
Biochemistry  10.00 
Anatomy  17.50  2.50 
Histology and Embryology  7.50 
Physiology  10.00 
Bacteriology and Pathology  12.50 
Pharmacology  5.00 
Clinical Diagnosis  10.00 
Materia Medica and Toxicology  5.00 
Total  $235.00  $240.00  $180.00  $175.00 

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The minimum for necessary living expenses, including room, heat, light,
furniture, service, board, books, and laundry, is estimated at $400.

In the course in Biochemistry, a deposit of $10 is required to cover cost
of breakage.

Voluntary Withdrawal from the University requires the written consent
of the Dean of the University and the dean of the department in which
the student is registered. When a permit is granted upon the University
Physician's certificate that withdrawal is necessary on account of ill health,
which must not be due to dissolute conduct, the fees are returned pro rata.
Under no other circumstances will there be a return of fees.

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 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.
The last awards were made in 1919. For information as to the examinations
and other requirements, address the Dean of the Department of
Medicine.

The Alpha Omega Alpha Society.—On November 15, 1919 a charter
was issued for the establishment in this University of a chapter of the
honor medical society, Alpha Omega Alpha, to which there are chosen
annually one-fifth of each graduating class, on the basis of scholarship,
character, and professional promise. The following have been elected to
membership from the class of 1922: John Throckmorton Bate, Jr., and Edward
Joseph Ottenheimer, B.S.


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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 labor, 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 six 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.Twenty-one hours weekly during the first term and fifteen
hours weekly during 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 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 work in gross anatomy is completed by Anatomy
3 of the second year. Dr. Bean, Dr. Speidel, Mr. Cardwell and Mr.
Brand.

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. A reconstruction
of the central nervous system showing the more important pathways is prepared
by each student. Dr. Bean, Dr. Speidel, Mr. Cardwell and Mr. Brand.

Histology.Three lectures or recitations and six hours of laboratory
work weekly during the first and second terms.
This course aims to acquaint
the student with the microscopic structure of 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,
and Dr. Nicholson.

Embryology.Nine hours weekly during the third term. The laboratory


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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 and Dr. Nicholson.

Biochemistry.Lectures and recitations, three hours weekly during the first
and second terms, six hours weekly during the third term; laboratory work, six
hours weekly during the second term; twelve hours weekly during the third term.

The chemical structure and reactions of carbohydrates, lipins, proteins, and other
compounds occurring in the body. Blood, milk, and bile. The chemical physiology
of digestion, secretion, excretion, internal secretion, intermediary metabolism,
and nutrition. The laboratory work includes the study of carbohydrates,
fats, fatty acids, soaps, proteins, purine compounds, etc.; blood, milk, and bile;
the digestive enzymes and the digestion of foods; 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, Mr. Strang and assistants.

SECOND YEAR.

Anatomy 3.Four hours weekly through the first and second terms. This
course is the continuation of Anatomy 1, and consists of the systematic study
of topographic anatomy, with the aid of cross sections of the human body, special
dissections, and wet preparations with a review of the whole body in relation
to the needs of the student in general medicine and surgery. At the end of
this course a practical examination is given, covering the work of Anatomy 1,
2 and 3. Dr. Bean, Dr. Speidel, Mr. Cardwell and Mr. Brand.

Physiology.Lectures, recitations, and demonstrations, six hours weekly
during the first and second terms; laboratory work, ten hours weekly during the
first term, two hours weekly during the second term.
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 grades of seventy per cent. in Histology and
Biochemistry. The satisfactory completion of the laboratory work of this course
is necessary for admission to Pharmacology. Dr. Hough and Mr. Strang.

Bacteriology and Pathology.Twelve hours weekly throughout the session
and four additional hours a week the second 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. 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. Sheppe.

Pharmacology.Lectures, recitations and demonstrations five hours weekly
and laboratory work six hours weekly, during the third term.
The physical and


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chemical characteristics and the mode of action of representative drugs and
other chemic agents are dealt with in both didactic and practical exercises. Special
attention is given to analysing and interpreting the results obtained in the
laboratory. 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. Hiden and Mr. Johnson.

Clinical Diagnosis.Six hours weekly during the second and third 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 Clinical Laboratory in the north pavilion
of the hospital, which is well equipped with the most modern instruments and apparatus.
Dr. Bray, assisted by Mr. Norfleet.

Journals.—In connection with the work in Physiology, Bacteriology and
Pathology, 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.

THIRD YEAR.

Materia Medica.Lectures and recitations six hours weekly and laboratory
work six hours weekly, during the first three-fourths of the fall term.
A thorough
study is made of the sources, preparation, composition, properties and interactions
of medicinal substances to the end that they may be intelligently prescribed.
Special attention is paid to their standardization for purity and potency.
Prescription writing and incompatibility are dealt with in frequent practical exercises.
While the consideration of the more important preparations of the
Pharmacopeia and the New and Non-Official Remedies consumes the greater
portion of the allotted time, the course is concluded with a critical study of many
of the so-called patent medicines. Dr. Waddell, assisted by Mr. Pearre.

Toxicology.Lectures and recitations six hours weekly and laboratory
work six hours weekly, during the last quarter of the fall term.
A systematic
review is made of the pharmacological action of such chemic agents as are particularly
liable to cause injury to health or loss of life, special attention being
given to their quantitative effects. Practical instruction is given in the methods
of isolating and identifying. The treatment of poisoning is dealt with in detail.
Dr. Waddell.

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


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which devotes itself for half the year to the medical service in the out-patient department,
and also twice a week receives 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. Daniel, Dr. Nelson and Dr. Smith.

Dermatology and Syphilology.One hour weekly of lectures during second
and third terms; one hour of ward rounds and six hours of clinic weekly to the
class in sections throughout the year.
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. Out patient material is utilized by
third-year students. Selected cases, admitted to the hospital, are studied by
fourth-year students. Dr. Smith.

Surgery and Gynecology.Four 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, two hours weekly in ward rounds in the
hospital, and one hour weekly in X-ray diagnosis for one-fourth 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. 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. Bigger and Dr. Banks.

Urology and Proctology.—Of the total time assigned to surgery, one lecture
hour weekly for the first and second terms, and six hours weekly in the outpatient
department for one-fourth of the session are devoted to urology and proctology.
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-fourth of the class at a time obtains supervised experience in handling clinical
cases and performing minor operations. Ample opportunity is afforded for the
observation of cystoscopic, urethroscopic and proctoscopic procedures. Dr. Neff
and Dr. Jones.

Orthopedics.Two hours weekly of lectures and recitations during the second
and third terms; with six hours weekly in the out-patient department.
Dr.
Voshell.

Roentgenology.Six lectures, and practical demonstrations to the class in
sections throughout the year.
The applications of the X-rays to medicine and the
interpretation of plates in diagnosis. Dr. Wiatt.

Phthisiotherapy.Six hours weekly for eight weeks, with each of the four


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sections of the class. The work is given in three 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 section is also invited to be present
at the fluoroscopic examinations on Friday mornings at the University Hospital.
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 practise. Dr. Brown.

Obstetrics.Five hours weekly of lectures, recitations and manikin demonstrations
during the year,
supplemented by work with patients 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.

In the second and third terms each student is required to take an elective
course of approximately five hours weekly. Elective courses vary from year to
year, and include both pre-clinical and clinical subjects.

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 among 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 electrotherapeutics. 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. There is also a baby welfare clinic once a week in the outpatient
department. Dr. Davis and Dr. Rea.

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

Internal Medicine.Two lectures weekly throughout the session. In this
course the endeavor is made to bring to the attention of the senior student the


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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 text-book is
used; students are referred to the files and current issues of journals and to reference
works in the Medical Library as sources of information. Dr. Flippin.

Surgery and Gynecology.Two hours weekly of surgical clinic throughout
the session; five 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, operaative
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. Those of the class who are
not assisting witness the operations, whose important features are demonstrated
to them.

In gynecology, urology and orthopedics 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. Voshell, Dr. Bigger, Dr. Banks
and Dr. Jones.

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
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.—The pathological material from the operating
tables and from the autopsy is correlated with the clinical findings. The
conference is participated in by the students and internes in charge of the patients,
the physicians in charge and the pathologist. Dr. Marshall and the visiting
staff of the hospital.

Obstetrics.—The student attends, under the guidance of an instructor, the
labor cases in the hospital, and 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. A clinic for third year students is held one day in the
week in the out-patient department for recording and examining pregnant women.


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The patients are instructed in prenatal care, and students are assigned to each
case for attendance during labor under the guidance of an instructor. Dr. Macon.

Medical Jurisprudence.One 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. Waddell.

Phthisiotherapy.Two lectures weekly for four weeks supplemented by
demonstration clinics at the Blue Ridge Sanatorium.
Dr. Brown.

Diseases of the Eye, Ear, Nose and Throat.Two lectures weekly during
the first two terms, supplemented by regular two- to three-hour 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 ophthalmoscope, 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.One hour weekly throughout the session, and thirteen additional
hours in the second term.
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.


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TABLE OF SCHEDULED HOURS IN EACH SUBJECT.

(Exclusive of examination periods.)

First Year.

             
DIDACTIC  LABORATORY
OR CLINIC 
TOTAL 
Gross Anatomy  66  342  408 
Histology  66  200  266 
Embryology  30  60  90 
Neuro-Anatomy  20  40  60 
Biochemistry  126  180  306 
Total  308  822  1130 

Second Year.

               
Gross and Topographical Anatomy  22  66  88 
Physiology  132  140  272 
Bacteriology  50  100  150 
Pathology  100  180  280 
Pharmacology  50  60  110 
Physical Diagnosis  20  20  40 
Clinical Diagnosis  30  90  120 
Total  404  656  1060 

Third Year.

               
Materia Medica and Toxicology  66  66  132 
Theory and Practice of Medicine  96  150  266 
Dermatology and Syphilology  20 
Surgery and Gynecology  138  175  353 
Orthopedics  40 
Obstetrics  96  45  141 
Electives  100 
Total  456  436  992 

Fourth Year.

                   
Nervous Diseases and Insanity  36  250  400 
Pediatrics  30 
Case Teaching, Ethics, etc.  20 
Internal Medicine  64 
Surgery and Gynecology  96  275  371 
Forensic Medicine  10  10 
Obstetrics (estimated)  40  40 
Eye, Ear, Nose, and Throat  44  80  124 
Hygiene  60  60 
Total  360  645  1005 

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OUTLINE OF HOURS FOR SESSION 1922-1923.

                       
Term  Year
Hours
per
Week. 
Anatomy  24 
Histology 
33 
Anatomy  12 
Histology 
Biochem.  12 
33 
Biochem.  18 
Embryology 
Neurology 
33 
                             
Term  Year
II 
Hours
per
Week. 
Physiology  16 
Bacteriol.  12 
Anatomy 
32 
Physiol. 
Pathol.  16 
Clin. Diag. 
Anatomy 
34 
Pathology  12 
Pharmacol.  11 
Clin. Diag. 
Physical Diag. 
33 
     
Term  Year
III 
Mater. Med.
& Toxicol.
Medicine
Surgery
Obstetrics 
2
and
Medicine
Surgery
Obstetrics
Dermatology
and
Syphilology
Electives 

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.

Library.—The medical Library contains upwards of 7,000 volumes. It is
housed in the basement of the Rotunda, and is in charge of a special Librarian.
The more important of its current journals include the following:


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American Journal of Anatomy, American Journal of Diseases of Children,
American Journal of The Medical Sciences, American Journal of Obstetrics,
American Journal of Pharmacy, American Journal of Physiology,
American Journal of Physical Anthropology, Genetics, American Journal of
Psychology, American Journal of Public Health, American Journal of Syphilis,
American Review of Tuberculosis, Annals of Surgery, Archives of Pediatrics,
Archives of Internal Medicine, The American Naturalist, Anatomischer
Anzeiger, Anatomical Record, Annales de L'Institut Pasteur, l'Anthropologie,
Archiv für Gynaekologie, Archives of Dermatology and Syphilology,
Archino italiano di ematologia e sierologia, Archives de Biologie,
Archives of Neurology and Psychiatry, Archiv für die Gesammtes Physiologie,
Biochemical Journal, The Boston Medical and Surgical Journal, The British
Medical Journal, British Journal of Dermatology, Bulletin of the Johns Hopkins
Hospital, Bulletins et Mémoires de la Société D' Anthropologie de Paris, Comptes
Rendus, Endocrinology, Index Medicus, The Journal of Abnormal Psychology,
The Journal of Anatomy and Physiology, The Journal of The
American Medical Association, The Journal of Biological Chemistry, The
Journal of Comparative Neurology, The Journal of Experimental Medicine,
The Journal of Hygiene, The Journal of Immunology, The Journal of
Infectious Diseases, The Journal of Medical Research, The Journal of
Nervous and Mental Diseases, The Journal of Pathology and Bacteriology,
The Journal of Pharmacology and Experimental Therapeutics, The
Journal of Physiology, The Journal of Sociologic Medicine, The Lancet,
The Medical Record, La Médecine, The New York Medical Journal, Physiological
Abstracts, Physiological Reviews, Proceedings of the Society for Experimental
Biology and Medicine, Quarterly Journal of Experimental Physiology,
The Quarterly Journal of Medicine, The Journal of Industrial Hygiene,
Social Hygiene, The Southern Medical Journal, Surgery, Gynecology and
Obstetrics, Transactions of the American Microscopical Society, Proceedings
of the New York Pathological Society, Virginia Medical Monthly.


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THE UNIVERSITY OF VIRGINIA HOSPITAL.

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

Visiting Staff: Drs. Davis, Watts, Hedges, Macon, Compton, Flippin,
Goodwin, Bray, Neff, Smith, Daniel, Magruder, Nelson, Rea, Brown, Voshell.

Daniel Burbridge Yancey,
Superintendent of the Hospital.

Isaac Alexander Bigger, Jr., M.D.,
House Surgeon.

Henry Bearden Mulholland, M.D.

House Physician.

John Bankhead Banks, M.D.,
Assistant House Surgeon.

Joseph Thomas Jones, M.D.,
Resident Urologist.

Henry Grant Preston, M.D.,
Resident in Diseases of the Eye, Ear, Nose and Throat.

Internes.

Frank McCutchan, M.A., M.D.

Raymond McKnight Sloan, B.A., M.D.

Robert Massie Page, B.S., M.D.

Patton Kimbrough Pierce, B.A., B.S.,
M.D.

William Irwin Prichard, B.A., M.D.

Student Internes.

Isaac Long Harshbarger

Charles Bruce Morton, II, B.S.

Edward Joseph Ottenheimer, B.S.

John Throckmorton Bate, Jr.,
Ambulance Surgeon.

Margaret Brand Cowling, R.N.

Superintendent of Nurses.

Gertrude Irene Selzer, R.N.,
Assistant Superintendent of Nurses.

Carolyn Kling,
Dietitian.

Harry Taylor Marshall, B.A., M.D.,
Pathologist.

William Marco Sheppe, M.D.,
Assistant Pathologist.


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Robert Graham Wiatt, M.D.,
Roentgenologist.

Robert Glass Vance, Jr.,
Resident Assistant in Roentgenology.

William Henry Clay White,
Pharmacist.

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 north pavilion contains, in addition to quarters for ward and private
patients, on the first floor, a specially designated 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 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 exceptional 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.


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THE OUT-PATIENT DEPARTMENT.

CLINICAL INSTRUCTORS.

Dr. Davis.

Dr. Flippin, Chief of Staff.

Dr. Voshell.

Dr. Daniel.

Dr. Hedges.

Dr. Goodwin.

Dr. Compton.

Dr. Jones.

Dr. Nelson.

Dr. Rea.

Dr. Neff.

Dr. Mulholland.

Dr. Banks.

Dr. Smith.

Dr. Brown.

Dr. Bigger.

Dr. Preston.

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
make 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.

THE BLUE RIDGE SANATORIUM.

The Blue Ridge Sanatorium for the treatment of tuberculosis, which is owned
and controlled by the Virginia State Board of Health, lies within easy reach of
the Medical School. Under a plan of coöperation agreed upon by the State
Board of Health and the University, the Medical Director of the Sanatorium
teaches phthisiotherapy in the Medical School, and the 120 beds of the Sanatorium
afford excellent clinical material for first hand, practical experience for
internes, medical students and nurses of the University Medical School. Work
at the Sanatorium is part of the required course of the Medical School. This affiliation
of the Sanatorium and the Medical School offers an opportunity almost
ideal for the medical student to become thoroughly familiar with the diagnosis
and treatment of this most important disease.

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.