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THIRD YEAR.
  
  
  
  
  
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THIRD YEAR.

Materia Medica.Lectures and recitations six hours weekly and laboratory
work four 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.


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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. Jervey, Mr.
McPeak, Mr. Patton, Mr. Rollins
and Mr. Warthen.

Toxicology.Lectures and recitations six hours weekly and laboratory
work four 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, assisted by Mr. Jervey, Mr. McPeak, Mr. Patton, Mr. Rollins
and Mr. Warthen.

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 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; 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
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, Dr.
Smith, Dr. Mulholland
and Dr. Wood.

Dermatology and Syphilology.Two hours weekly of lectures during the
third term; six hours of clinic weekly for medical section.
The importance,
etiology, prophylaxis, pathology, clinical history, diagnosis and treatment of
syphilis are discussed. This subject is completed in the fourth year, q. v. 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.
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


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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 the outlines already described for
surgery. In addition, the out-patient department affords practice in palpation,
diagnosis and treatment. Dr. Watts, Dr. Goodwin, Dr. Bigger, Dr. Page, Dr.
Helvestine
and Dr. R. J. Neff.

Urology and Proctology.—Of the total time assigned to surgery, two lecture
hours weekly for the first term, and six hours weekly in the out-patient
department for one-eighth 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-eighth 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 and proctoscopic procedures. Dr. Neff and
Dr. Howze.

Orthopedics.One hour weekly during the first and second terms; and two
hours weekly during the third term, with six hours weekly in the out-patient department.

Dr. Voshell.

Roentgenology.Lectures, and practical demonstrations to the class in sections
throughout the year.
The application of the X-rays to medicine and the
interpretation of plates in diagnosis. Dr. Archer.

Phthisiotherapy.Six hours weekly for eight weeks, with each of the four
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 and Gynecology.Three hours of lectures weekly throughout
first and second terms, covering physiology and pathology of pregnancy, parturition,
and puerperium.
In the third term is begun the practical observation of, and
participation in, the care of the pregnant and parturient woman, both in the outpatient
department and in the Hospital wards. This work is supplemented by
practicing certain of the more common procedure on the mannikin. Dr. Calkins
and Associates.

Pediatrics.Two lectures weekly during the first term, three lectures weekly
during the second term.
Students are instructed in the out-patient department
three times a week for two and one-half hours. Dr. Royster and Dr. Waddell.

Elective Courses.—In the second and third terms each student is required


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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.