 | The University of Virginia record February 1, 1926 |  |
FOURTH YEAR
Theory and Practice of Medicine.—One hour weekly of medical clinic
throughout the session; five hours weekly of ward classes for one-half the
session with each of the two sections of the class. Full histories are taken
of every case, thorough examinations made, and management indicated by
the students. These records are considered in their final grading. Drs.
Davis, Flippin, Mulholland, Wood and Kimbrough.
Nervous Diseases and Insanity.—Three lectures and recitations weekly,
supplemented by clinical work during the first and second terms. In this
course is given also instruction in electrotherapeutics. Dr. Davis.
Case Teaching, Medical Ethics and Economics, and Insurance Examinations.—
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 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.
Dermatology and Syphilology.—Two ward rounds weekly for nine weeks.
the Hospital for detailed study. Dr. D. C. Smith.
Surgery and Gynecology.—One hour 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, 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 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. J. H. Neff, Dr. Voshell, Dr. Bigger and
Dr. R. J. Neff.
Orthopedics.—One hour weekly throughout one-half the year for ward
rounds. Dr. Voshell.
Surgical Pathology.—Two hours weekly during one-fourth 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. Bigger.
Obstetrics and Gynecology.—In small groups throughout the year instruction
is given in the practical observation of, and participation in, the
care of the pregnant and parturient woman, in the Hospital wards and
labor room. Ward rounds, and mannequin demonstrations and practice by
the individual student. Dr. Calkins and Associates.
Third Term (whole class). Three meetings weekly. Case analysis, and
discussion of special problems complete the training in these subjects. Dr.
Calkins and Associates.
Pediatrics.—Students are instructed in the wards of the Hospital twice
a week in ward rounds. In addition all students serve as clinical clerks and
have cases assigned to them for their personal care under the direction of
laboratory and acquire a knowledge of the preparation of formulae by
practical experience. Dr. Royster and Dr. W. W. Waddell.
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. J. A. Waddell.
Diseases of the Eye, Ear, Nose and Throat.—Two lectures weekly during
the first two terms, supplemented by regular two to three-hour clinics three
times a week 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. Woodward.
Hygiene and Preventive Medicine.—Two 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 and Dr. Young.
| The University of Virginia record February 1, 1926 | |