University of Virginia Library

THIRD YEAR.

Materia Medica.—Lectures and recitations three hours weekly and
laboratory work three hours weekly, during the first half of the third year.

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. Wood.

Toxicology.—Lectures and recitations three hours weekly and laboratory
work three hours weekly, during the last half of the second term.
A
systematic review is made of the pharmacological action of such chemic
agents as are particularly liable to cause injury 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.

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


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equipped with the most modern instruments and apparatus. Dr. Bray, assisted
by Mr. Wright.

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
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 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.

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. This also includes certain surgical specialties, e. g., orthopedics.
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. Setzler.

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 out-patient 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. Setzler.

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 ten weeks, with each of the jour
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.


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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.
Klotz.

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.