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THIRD YEAR

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.
D. C. Smith, Dr. Mulholland, Dr. Wood, and Dr. Blackford.

Dermatology and Syphilology.—Four hours weekly of lectures during the
third term, supplemented by clinics in the out-patient department. 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. This
subject is completed in the fourth year, q. v. Dr. D. C. Smith.

Surgery and Gynecology.—Two hours weekly of lectures and recitations,
for the first term, three hours weekly for the second and third terms, and one hour
weekly of surgical clinic throughout the session; with six hours weekly in the outpatient
department for six weeks, and two hours weekly in ward rounds for one
term. 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 the outlines already described for surgery. In addition, the outpatient
department affords practice in palpation, diagnosis and treatment.
Dr. Watts, Dr. Goodwin, Dr. Morton, Dr. Meade and Dr. Rollins.

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. Opportunity is afforded for the
observation of cystoscopic and proctoscopic procedures. Dr. Neff and Dr.
Koontz.

Orthopedics.—Two hours weekly during the second and third terms, supplemented
by practical work 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 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 practice. Dr. Brown and Dr. Stafford.

Obstetrics and Gynecology.—Three hours of lectures weekly throughout
first and second terms, covering physiology and pathology of pregnancy, parturition,
and puerperium. Dr. Calkins and Associates.

Pediatrics.—Twenty-three hours during the fall term; thirty hours during
the winter term, supplemented by practical work in the out-patient department,
children's clinic. Each section gets seventy hours in the clinic. This is
two and one-half hours three times a week for each section. The observation
and recording of symptoms and signs is taught and a definite amount of diagnosis
and treatment. Twelve hours during each term are devoted to case conference
in which an intensive course is given in record keeping with an explanation
of the significance of the signs and symptoms elicited during examination.
Twelve hours during this term is given to field-work which consists of sending
students under the supervision of the Social Service Worker into the field to observe
home conditions and make a general sociological survey. Students are
then sent out under supervision for an independent report. Dr. Royster and
Dr. W. W. Waddell.

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