University of Virginia Library

FACILITIES FOR AND METHODS OF INSTRUCTION.

There are well-equipped laboratories for the study of 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 by 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, 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 3,800 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
and results of original research are presented by the instructors and
by invited guests. These meetings are open to the students.