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DEPARTMENT OF MEDICINE
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DEPARTMENT OF MEDICINE

EDWIN ANDERSON ALDERMAN, Ph.B., D.C.L., LL.D.

President of the University

JAMES CARROLL FLIPPIN, M.D.

Dean of the Department of Medicine

HARVEY ERNEST JORDAN, M.A., Ph.D.

Assistant Dean of the Department of Medicine

                                         

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[1] JOHN STAIGE DAVIS, M.A., M.D.  Professor of Practice of Medicine 
HALSTED SHIPMAN HEDGES, B.S., M.A., M.D.  Professor of Diseases of
the Eye
 
HARRY TAYLOR MARSHALL, B.A., M.D.  Walter Reed Professor of
Pathology
 
JAMES CARROLL FLIPPIN, M.D.  Professor of Clinical Medicine 
HARVEY ERNEST JORDAN, M.A., Ph.D.  Professor of Histology and
Embryology
 
ROBERT BENNETT BEAN, B.S., M.D.  Professor of Anatomy 
JAMES ALEXANDER WADDELL, B.A., M.D.  Professor of Pharmacology,
Materia Medica and Toxicology
 
LAWRENCE THOMAS ROYSTER, M.D.  Professor of Pediatrics 
LEROY ADELBERT CALKINS, M.S., M.D., Ph.D.  Professor of Obstetrics
and Gynecology
 
WILLIAM HALL GOODWIN, B.A., M.D.  Professor of Surgery and
Gynecology
 
JOHN HENRY NEFF, B.A., M.D.  Professor of Urology 
WILLIAM EDWARD BRAY, B.A., M.D.  Professor of Clinical Pathology and
Director of Clinical Laboratories
 
EDWIN PARTRIDGE LEHMAN, B.A., M.D.  Professor of Surgery and
Gynecology
 
SYDNEY WILLIAM BRITTON, B.S., M.D., C.M.  Professor of Physiology 
PAUL VERNON ANDERSON, M.A., M.D.[2]   Special Lecturer in Psychiatry 
CARL CASKEY SPEIDEL, Ph.B., Ph.D.  Associate Professor of Anatomy 
ALFRED CHANUTIN, Ph.B., Ph.D.  Associate Professor of Biochemistry 
[3] GEORGE BRIGHT YOUNG, M.D.  Associate Professor of Preventive Medicine 
JAMES ERNEST KINDRED, M.A., Ph.D.  Associate Professor of Histology
and Embryology
 
DUDLEY CROFFORD SMITH, B.S., M.D.  Associate Professor of
Dermatology and Syphilology
 
ALLEN FISKE VOSHELL, B.A., M.D.  Associate Professor of Orthopedic
Surgery
 
FLETCHER DRUMMOND WOODWARD, M.D.  Associate Professor of
Diseases of Ear, Nose and Throat
 
VINCENT WILLIAM ARCHER, B.S., M.D.  Associate Professor of
Roentgenology
 
HENRY BEARDEN MULHOLLAND, M.D.  Associate Professor of
Medicine
 
JAMES EDWIN WOOD, Jr., B.S., M.D.  Associate Professor of Internal
Medicine
 
WILLIAM EDWARD BROWN, M.D.  Assistant Professor of Phthisiotherapy 
WILLIAM WIRT WADDELL, Jr., B.S., M.D.  Assistant Professor of
Pediatrics
 
RICHARD HARDWAY MEADE, B.S., M.D.  Assistant Professor of
Surgery and Gynecology
 
CHARLES BRUCE MORTON, B.S., M.D.  Assistant Professor of Surgery and
Gynecology
 
THELMA FLOURNOY BRUMFIELD, B.A., M.D.  Assistant Professor of
Bacteriology and Pathology
 
REES MORGAN, M.D.  Assistant Professor of Obstetrics and Gynecology 

Instructors

                                     
Staige Davis Blackford, B.S., M.D.  Medicine 
Thomas Henry Daniel, M.D.  Medicine 
Richard Taylor Ergenbright, M.D.  Orthopedics 
Raymond Alfred Gandy, B.S., M.D.  Medicine 
Joseph Brown Graham, B.S., M.D.  Bacteriology and Pathology 
Andrew DeJarnette Hart, M.D.  Medicine 
Frank Read Hopkins, M.D.  Pediatrics 
Raymond DeVan Kimbrough, M.D.  Dermatology and Syphilology 
Warren Womack Koontz, M.A., M.D.  Proctology and Urology 
Hugh Thomas Nelson, M.D.  Medicine 
Charles Hanson Peterson, M.D.  Roentgenology 
Monte Lewis Rea, M.D.  Medicine 
Wiley Jackson Rollins, B.A., M.D.  Surgery 
Otis Norcross Shelton, M.D.  Phthisiotherapy 
Herbert Silvette  Biochemistry 
Thomas Jackson Sims, Jr., M.D.  Obstetrics and Gynecology 
Frank Buchanan Stafford, M.D.  Phthisiotherapy 
Oscar Swineford, Jr., B.S., M.D.  Medicine 
Cuthbert Tunstall, B.S., M.D.  Otolaryngology 

Student Assistants

             

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James Porter Baker, Jr., B.S.  Anatomy 
William Andrew Brumfield, Jr., B.S.  Clinical Diagnosis 
Eugene Beverly Ferris, Jr., B.S.  Physiology 
William Miller Gammon, B.S.  Pharmacology and Materia Medica 
Samuel Butler Grimes, B.S.  Histology and Embryology 
Eugene Swanson Groseclose  Sanitarian 
George Tayloe Gwathmey, Jr., B.A.  Anatomy 
James Peter King  Anatomy 
Southgate Leigh, Jr., B.A.  Physiology 
Ellis Columbus Moore, B.S., M.D.  Diseases of Eye, Ear, Nose and Throat 
John Ryan Myers, B.S.  Clinical Diagnosis 
Minor Bransford Payne  Sanitarian 
Robert Edwin Peyton, B.A.  Anatomy 
Benjamin Watkins Rawles, Jr., B.A.  Pharmacology and Materia Medica 
Paul Houston Revercomb  Pharmacology and Materia Medica 
Robert Barrett Skinner, B.S.  Pharmacology and Materia Medica 

Correspondence with reference to admission to the first-year class should
be addressed to Dr. H. E. Jordan, Chairman Committee on Admissions.

For information as to lodgings, board, expenses, etc., address the Bursar,
and for catalogues and other printed literature, address the Registrar.

For other information, address the Dean of the Department of Medicine.

The session of 1929-1930 opens on September 12. The registration days are
September 12-14. A fee is required for delayed registration.

ENTRANCE REQUIREMENTS

The requirement for admission to the first year of the Department of Medicine
is a four-year high-school education or its full equivalent, and two years
of work in a college of arts and sciences approved by the Council on Medical
Education of the American Medical Association, as follows:

I. High School Requirements

The following are the minimum high school requirements of the American
Medical Association and the Association of American Medical Colleges and must
be satisfied for admission to all Class A medical schools. Students entering the
College of the University of Virginia for their premedical college work must also
satisfy the regular entrance requirements for admission to the college.
(See General
Catalogue.) These differ from the requirements stated below only in that
units of mathematics (1½ in Algebra and 1 in Plane Geometry) are required.

(a) For admission to the two-year premedical college course, students shall
have completed a four-year course of at least fifteen units in a standard accredited
high school or other institution of standard secondary school grade, or have the
equivalent as demonstrated by examinations conducted by the College Entrance
Examination Board or by the authorized examiner of a standard college or university
which has been approved by the Council on Medical Education of the
American Medical Association.

(b) Credit for admission to the premedical college course may be granted
for the subjects shown in the following list and for any other subject counted by
a standard accredited high school as part of the requirements for its diploma, provided
that at least eleven units must be offered in groups I-V:

Group I. English. (Three units required)

Literature and Composition.


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Group II. Foreign Languages. (Two units required, both of which must be
in the same language)

Latin, Greek, French, German, Spanish, Italian, or other modern foreign
language.

Group III. Mathematics. (Two units required)

Elementary Algebra, Advanced Algebra, Plane Geometry, Solid Geometry,
Trigonometry.

Group IV. History. (One unit required)

Ancient History, Medieval and Modern History, English History, American
History, Civil Government.

Group V. Science.

Botany, Zoölogy, Chemistry, Physics, Physiography, Physiology, Astronomy,
Geology.

Group VI. Miscellaneous.

Agriculture, Bookkeeping, Business Law, Commercial Geography, Domestic
Science, Drawing, freehand and mechanical, Economics and Economic History,
Manual Training, Music—appreciation or harmony.

A unit is the credit value of at least thirty-six weeks' work of four or five
recitation periods per week, each recitation period to be not less than forty minutes.

II. Premedical College Course

The requirements given below are strictly minimum requirements. Premedical
students are advised to take more than thirty session-hours of college work, either
by spending an additional year in college or by taking thirty-three or thirty-six
session-hours during their two years as college students. Entrance conditions of
any kind whatsoever are absolutely prohibited and no substitution can be allowed
for any required subject.

In addition to the high-school work specified above, a candidate for admission
to the Department of Medicine must present evidence of the completion in a manner
satisfactory to this medical school of at least thirty session-hours of collegiate
work in a college approved by the Council on Medical Education of the American
Medical Association. A session-hour is the credit value of one hour a week of
lecture or recitation or two hours a week of laboratory work throughout a session
of at least thirty-two weeks, exclusive of holidays. The subjects included in the
thirty session-hours of college work should be in accordance with the following
schedule:

Required Subjects:

             
Session-hours. 
General Inorganic Chemistry (a) 
Organic Chemistry (b) 
Physics (c) 
Biology (d) 
English Composition and Literature (e) 
Other non-science subjects (f) 

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Subjects Strongly Urged:

French or German, Advanced Botany or Advanced Zoölogy, Psychology, Advanced
Algebra, Solid Geometry, and Trigonometry, additional courses in Chemistry.

Other Suggested Electives:

English (additional), Economics, History, Sociology, Political Science, Ethics,
Logic, Mathematics, Latin, Greek, Italian, Spanish, Drawing.

Credit Not Given for an Incomplete Course.

Credit can be accepted only when the student has a clear record on the entire
course; for example, if the course in general physics is a six session-hour course
consisting of three hours lecture and six hours laboratory weekly for three trimesters
and the student passes on two trimesters but fails on the third, no credit
for admission to medicine can be given for the portion of the subject passed, even
though the credit value of this work is four session-hours. In all cases the student
must have completed the entire subject for which he is registered. Deficiencies of
this kind may however be made up by obtaining a clear record in the portion of
the subject in which the failure has occurred, without repeating the entire course.

Requirements in Individual Collegiate Subjects

(a) General Inorganic Chemistry. Four session-hours are required, including
two session-hours of laboratory work. In the interpretation of this rule
work in qualitative analysis may be counted as general inorganic chemistry.

It is desirable that more time than this be given to general chemistry and
especially that either the elements of physical chemistry be included in a six
session-hour course in this subject or a supplementary course in elementary physical
chemistry be taken.

Students are also advised when their premedical work extends over more than
two sessions to take at least four session-hours of qualitative analysis and two
session-hours of quantitative analysis.

(b) Organic Chemistry. Three session-hours are required of which at least
one must be laboratory work. Four session-hours including two session-hours of
laboratory work are recommended as giving better preparation in organic chemistry.

(c) Physics. Four session-hours required, of which at least one must be
laboratory work. It is urged that this course be preceded by a course in trigonometry
and solid geometry.

(d) Biology. Four session-hours required, of which two must consist of
laboratory work. The requirement may be satisfied by a course of four session-hours
in general biology or zoölogy, or by courses of two session-hours each in
zoölogy and botany, but not by botany alone. Courses in physiology and hygiene,
sanitation, bacteriology, histology, and other similar work covered in the medical
curriculum cannot be accepted as part of the premedical college requirements in
biology.

(e) English Composition and Literature. The usual introductory college
course of three session-hours, or its equivalent, is required.


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(f) Non-Science Subjects. Of the thirty session-hours required as the
measurement of two years of college work, at least nine, including three session-hours
of English, should be in subjects other than the physical, chemical, or biological
sciences.

Although not required for admission to the medical school, premedical students
are strongly urged to acquire the basic knowledge of French or German—
and preferably of both French and German—which will enable them with a little
practice to read with ease the medical literature published in these languages.
Apart from the cultural value of the study of a foreign language and the use
which may be found for French and German in the study of medicine, a reading
knowledge of one or both of these languages is required for certain desirable postgraduate
scholarships and fellowships. When the student presents for admission
to the premedical college course two units of high school work in either language,
the usual three session-hour "second year" college course will amply give this
basic knowledge. When he begins the study of the language in college, he should
take at least four, and preferably five, session-hours in the language.

College courses in Physical Training and in Military Training or Military
Science will not be counted towards the thirty session-hours required for admission
to medicine; nor will required courses in Bible and Biblical Literature be
counted, unless the course has a credit value of at least three session-hours for
one session.

No entrance conditions whatever can be allowed nor can any substitutions be
made for the required subjects. Premedical students in other colleges and universities
who are considering the possibility of entering upon their medical studies
in this University are urged to have the authorities of the University of Virginia
pass officially upon their academic credit early in their last premedical college
year and in no case later than June 1, of that year. Deficiencies may be discovered
in this way in time to remove them before the following September. Such students
will incur no obligation to enter this medical school. The prohibition of entrance
conditions in all Class A medical colleges makes it especially important for the
student to be absolutely sure six months or more beforehand that the course he
is taking will admit him to the study of medicine. Many deficiencies can be made
up by work in summer schools.

In planning two years of premedical college work students are advised to take
English, mathematics (solid geometry, plane trigonometry, and advanced algebra),
biology, and general inorganic chemistry the first year; and organic chemistry,
physics, foreign language, and one or more electives the second year. This arrangement
of studies is advised because mathematics should precede physics and
general inorganic chemistry must precede organic chemistry. Those who have to
take four or more session-hours of college work in foreign language may find it
advisable to take foreign language both years and take the mathematics in a summer
school following the first premedical college session.

Admission with Advanced Standing.—Students are admitted to advanced
standing in the second and third years under the following conditions:

1. Satisfaction of the requirements for entrance into this department at the
time of entrance of the class to which the applicant seeks admission.

2. The presentation of a certificate of honorable dismissal from the school last
attended.


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3. The presentation of the complete record of the student in the school previously
attended, on blanks to be obtained from the Dean of the Department of
Medicine. This record will be submitted to the action of the Faculty Committee
on Advanced Standing, and the admission of the student, together with the terms
of admission, will be determined by this committee.

The Committee on Advanced Standing will not in general consider favorably
applications which are not accompanied by a distinctly good record in the school
previously attended. Only in case of illness or equivalent cause will it admit a
student to a year in which he has failed elsewhere and then only when, in the
judgment of his previous instructors, he would have succeeded but for his illness.

Whenever a student is admitted to advanced standing he must take and pass
the full work of the class to which he is admitted unless by permission of the
Dean he substitutes for one or more of the regular courses of his class other
courses of approximately the same credit value.

Students are not received with advanced standing to the fourth-year class.

Limitation of Numbers and Reservation of Places.—The number of students
in the first-year class is limited to sixty-five. Reservation of a place, if desired
by the applicant, can be made beforehand on the conditions hereinafter described.

At the time of registration, applicants will be registered in the order in which
they present themselves, until all vacancies are filled. Applicants who have not
made reservations, as described below, are therefore advised to apply for registration
at 9 o'clock of the first day of registration (September 12, 1929).

Any applicant whose record has been endorsed by the Dean of the Department
of Medicine as entitling him to admission to the class to which he seeks admittance,
may at any time after June 25 and before the registration period in September
have a place reserved for him until 12:00 noon of the first day of registration
by depositing with the Bursar the sum of $50.00 in part payment of the
tuition fee. A reservation so made can be cancelled only in exceptional cases.
In case a student who has obtained a reservation fails to register, the deposit of
$50.00 will be forfeited to the University unless, in case of illness or equivalent
cause, the Dean of the Department of Medicine directs that it be returned.

By the deposit, under similar conditions, of the entire fees for the year a
student may have a place reserved for him until 5 p. m. of the last day of registration.

Women over twenty years of age are admitted to the medical department by
satisfying the entrance requirements specified above.

FACILITIES FOR AND METHODS OF INSTRUCTION

The new Medical Building now nearing completion contains modern well-equipped
laboratories for the study of biochemistry, gross anatomy, histology and
embryology, bacteriology and pathology, physiology, pharmacology, materia medica,
hygiene and public health, animal experimentation, 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


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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 6,400
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 Society of the University of Virginia reviews
of important articles, clinical cases and results of original research are presented
by the instructors and by invited guests. These meetings are open to the students.

Registrar's Records of Student's Work.—The results of the work of each
student are recorded in the Registrar's office in such manner as to show (1) the
grade received on each course, (2) whether the student has or has not absolved
the course and, if not, what is necessary to obtain a clear record and admit to
dependent subjects, and (3) a valuation in "honor points" of the results of the
work for each session.


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1. The grade received on each course. These grades with their percentage
equivalents are as follows:

           
1 + =  95-100 per cent 
1 =  90- 94 per cent 
2 =  85- 89 per cent 
3 =  80- 84 per cent 
4 =  70- 79 per cent 
5 =  below 70 per cent 

The passing grade is 3. A grade of 4 entitles the student to a condition, as
explained below. A grade of 5 means a failure for the course.

No passing grades are reported to the Registrar's office on didactic work unless
the laboratory or clinical part of the course is completed in a satisfactory
manner; nor are any grades reported when the student is deficient until the deficiency
has been made up.

2. Whether the student has or has not absolved the course, and, if not, what
is required to obtain a clear record and admit to dependent subjects.
This is
indicated in the following terms:

Passed (P) indicates the satisfactory completion of the course and admits
to all dependent subjects.

Conditioned (C) means that to obtain a clear record on the course the student
must pass a special examination. Failure to take or to pass this examination
is equivalent to a record of "failed." The record "conditioned" is not given in
fourth-year subjects, except in case of illness or other equivalent cause approved
by the faculty.

A student may be conditioned on any examination because of failure to maintain
a reasonable standard of English composition.

Deficient (D) indicates that part of the required laboratory or clinical work
of the course has not been completed. Upon the satisfactory completion of this
work within the time and in the manner prescribed by the professor in charge,
the student receives the record "passed"; otherwise the record is "failed" on the
entire course.

Failed (F) indicates that the course must be repeated; except that when
the laboratory or other practical work has been satisfactorily performed, the professor
in charge may, at his discretion, excuse the student from repeating the same;
and, by special vote of the faculty, the student may be granted optional attendance
upon the course, in whole or in part. In general, a student who is repeating a
course will be required to attend all the exercises of the course, and will not be
excused from any exercise thereof because of schedule conflicts with more advanced
work.

Absence from a regular examination, when excused because of illness or
equivalent cause gives a record of conditioned; if not excused, a record of failed.

3. A valuation of the general results of the work on each course and of the
student's work for the entire session. Honor points.

This is expressed in honor points.


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Each course is valued in the usual manner in terms of session-hours. An
honor point (or simply a point) may be defined as the honor value of one-half
session-hour of a course on which a grade of 2 has been received; the honor value
becomes 2 for each half session-hour of a course on which 1 has been received
and 2½ for each half session-hour on which a grade of 1+ has been received.
Thus for each session-hour of a complete course:

  • A grade of 3 gives no honor points.

  • A grade of 2 gives 2 honor points.

  • A grade of 1 gives 4 honor points.

  • A grade of 1+ gives 5 honor points.

  • A grade of 4 subtracts 2 honor points.

  • A grade of 5 subtracts 4 honor points.

No honor points are given on a course on which a condition or failure has
been received at the time of the final examination on the course; except that, in
case of illness or equivalent cause, the results of re-examination or of repetition of
the course—instead of the record on the completion of the course—may be made
the basis of estimating honor points.

Students who receive on the entire curriculum of any one year of medical
study, or its equivalent, a total of 40 honor points have optional attendance on
all the didactic work of the next session.

Special Rules Governing Advancement and Registration.

I. At the close of the University in June, the status of the students shall be
fixed for the next session, classification being made as follows: (a) Promoted;
(b) Required to withdraw; (c) Provisionally Promoted; and (d) Required to
repeat.

(a) Promoted. This group shall be composed of all students who have satisfactorily
completed the entire work of the year.

(b) Required to Withdraw. This group shall include such students as are
not deemed competent to continue their training in this school. The record requiring
withdrawal, reckoned in session-hours, is as follows:

For first-year students—(1) Failures in 9 session-hours; (2) failures in 6
hours plus conditions in 6 hours.

For second-year students—(1) Failures in 10 hours; (2) failures in 8 hours
plus conditions in 4 hours.

For third-year students—(1) Failures in 6½ hours; (2) failures in 4½
hours plus conditions in 4 hours.

(c) Provisionally Promoted. This group shall include students who have
incurred only such deficiencies as can with reasonable expectation be removed by
the opening of the next session. The record entitling provisional promotion, reckoned
in session-hours, must not be lower than the following:

For first-year students—(1) Failures in 6 session-hours; (2) failures in 4
hours plus conditions in 4 hours; (3) conditions in 10 hours.

For second-year students—(1) Failures in 7 hours; (2) failures in 6 hours
plus conditions in 3 hours; (3) conditions in 11 hours.

For third-year students—(1) Failures in 4½ hours; (2) failures in 3 hours
plus conditions in 3 hours; (3) conditions in 8 hours.


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(d) Required to Repeat. This group shall include all students not placed in
groups a, b, and c. A student who is repeating must attend all exercises of the
year, or courses, and pass the examinations, regardless of the grades previously
made.

II. Students, classified in June as "Required to Withdraw" or "Required to
Repeat," shall not change their status by passing summer courses and (or) special
examinations.

III. A student who has been permitted to repeat a year, or prescribed
courses, shall not be granted the privilege for a second time, i. e., he shall not
spend more than five years in completing the requirements for graduation.

IV. A clear record at the opening of the session in September on all subjects
of the preceding year is required for advancement to the third and fourth
years.

V. Summer courses taken for the removal of deficiencies must be approved
by the professor in whose subjects the deficiencies were incurred; but it shall be
the duty of the student concerned to provide the information on which to base
the decision as to acceptability of courses; he must absolve the summer work
and have an official record mailed directly from the institution to the professor at
the University in charge of the subjects; and in addition he must report for the
special examination at this University and make a passing grade therein.

VI. Any student, who makes a grade below passing on any term's work or
is in any way derelict in his duties, shall be warned, warned and placed on probation,
or dismissed, according to the merits of the case.

The value in session-hours of the courses of the first three years:—

                   
First Year  Second Year  Third Year 
Anatomy 1  Anatomy 3  Clinical Diagnosis  2.5 
Anatomy 2  Physiology  Medicine  4.5 
Histology  Bacteriology  Surgery  4.5 
Embryology  Pathology  Obstetrics  2.0 
Biochemistry  Pharmacology  Orthopedics  1.5 
Materia Medica  Pediatrics  2.0 
Physical Diagnosis  Urology  1.0 
Dermat. & Syph.  1.5 
Totals  18  Totals  23  Totals  19.5 

Similar rules are enforced at practically all medical schools. It is exceedingly
difficult for a student who has been dropped or not advanced at one school to
secure admission to another. Compulsory withdrawal may therefore terminate a
medical career.

Candidates for the degree of Doctor of Medicine, who have less than one full
year's work to complete, may be required to take such additional work and to
pass such additional examinations as the Medical Faculty may prescribe. This
additional work may be selected from any of the courses given in the Department
of Medicine, even when such prescribed courses have previously been taken
and passed by the candidate in question.


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Certificates of Attendance.—Students who attend the whole regular course
of one or more of the four years are entitled to an official statement under the
seal of the University, showing all courses for which the student was registered
each year as a medical student and the record (see above under "Regulations")
with the grade received on each course for which he was registered. These statements
will also contain any special faculty votes affecting the student's registration
in this school.

In no case will the University give an official certificate of the completion of
a part of a course. The professor in charge may, at this discretion, make a personal
statement by letter to the head of the same department in another medical
school of the work done by the student in his course; but he must at the same
time clearly state that this letter does not give credit in this medical school.

Requirements for Graduation.—The degree of Doctor of Medicine is conferred
by the University of Virginia upon candidates who have complied with the
entrance requirements of this department; attended a regular medical course of
four years of at least eight months each, the last two of which years must have
been at this institution; and have satisfactorily completed all of the subjects included
in the medical course.

Examinations.—These are in writing, accompanied in many subjects by individual
practical examinations. Examinations may be held only during the regular
examination periods at the end of each term or during the vacation periods.
No examinations may be given while regular class work is in progress; provided
this rule is not to be interpreted to prohibit unannounced written tests or regular
daily or weekly tests which count on the class standing of students. The regular
examinations are held at stated periods during the session. In addition, examinations
are held each year during the week immediately preceding the beginning
of lectures. To the latter are admitted:

1. Students of the previous session who, from illness or other equivalent cause
approved by the faculty, were unable to present themselves for examination in
any particular subject at the regular time.

2. Students who at the regular examination in any first-, second-, or third-year
subject of the preceding session have attained a grade less than eighty per cent.,
but as much as seventy per cent., on one or more subjects, as explained in a
preceding paragraph; or any student who has received the record conditioned on
a course taken in this University.

3. Certain applicants for advanced standing who are required to take examinations
by the Committee on Advanced Standing.

The usual period for special or conditioned examinations is in September
during the week of registration; but such examinations may be scheduled, at the
option of the professor in charge, for any other time, provided regular class work
is not in progress and also provided all students entitled to take examinations
agree to the change of date. For a special or condition examination held at any
other time than that assigned for all students entitled thereto a fee of five dollars
is charged. This fee must be paid to the Bursar before the examination is held.

In all courses in which there is practical work, either in the laboratory or in
the outpatient department or wards of the hospital, two records are returned to
the Registrar's office for each student; one of these records is for the practical


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laboratory or clinical work in which the record is P(assed), D(eficient), or
F(ailed), the other record is for the didactic work, including the final examinations—in
which case the record is P(assed), C(onditioned), D(eficient), or
F(ailed), with the approximate percentage grade. To obtain a clear record on
the course a student must have a record of P(assed) both on practical and on
didactic work; in no case will the two grades be averaged. No record whatever
is given on didactic work unless there is a record of P(assed) on practical work
nor will any record be given on practical work until a clear record is obtained on
didactic work; failure on practical work gives a record of F(ailed) on the entire
course.

The Fall Examinations for 1929-1930 begin September 9 and close September
14. Students entitled to admission to these examinations will be informed of
the date of examination by the Dean.

Expenses.—The fees for instruction are 1, the tuition fee; 2, the university
fee which entitles the student to the use of the Library, Gymnasium, to medical
attention, etc.; and 3, special laboratory fees, as specified below:

                             
First
Year 
Second
Year 
Third
Year 
Fourth
Year 
Tuition (Virginians)  $195 00  $195 00  $195 00  $195 00 
(Non-Virginians)  215 00  215 00  215 00  215 00 
University fee  60 00  60 00  60 00  60 00 
Laboratory Fees: 
Biochemistry  10 00 
Anatomy  17 50  2 50 
Histology and Embryology  7 50 
Physiology  10 00 
Bacteriology and Pathology  12 50 
Pharmacology  5 00 
Clinical Diagnosis  10 00 
Materia Medica and Toxicology  5 00 
Total (Virginians)  $290 00  $290 00  $265 00  $255 00 
(Non-Virginians)  310 00  310 00  285 00  275 00 

The minimum for necessary living expenses, including room, heat, light,
furniture, service, board, books, and laundry, is estimated at $400.

In the course in Biochemistry, a deposit of $10 is required to cover cost
of breakage.

Beginning with the session, 1929-1930, each student in the department of
medicine may be required to provide himself with a satisfactory microscope.

Voluntary Withdrawal from the University requires the written consent of
the Dean of the University and the Dean of the Department in which the
student is registered. When a permit is granted upon the University Physician's
certificate that withdrawal is necessary on account of ill health, which
must not be due to dissolute conduct, the fees are returned pro rata. Under no
other circumstances will there be a return of fees.


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Combined Degrees in Arts (or Science) and Medicine.—Students who have
credit for the forty-eight session-hours of the group electives required in this
University for the cultural baccalaureate degrees in arts and science may substitute
for twelve session-hours of electives-at-large the first-year course in the Department
of Medicine and receive the degree of Bachelor of Arts or Bachelor of
Science at the end of the year. For further information, see the General Catalogue
of the University.

The University offers also the degree of Bachelor of Science in Medicine.
This degree has recently been placed in charge of the Medical Faculty. It is
awarded on the recommendation of the Medical Faculty after the completion of
the second year of the medical curriculum to students who (1) present 33 session-hours
of acceptable work in premedical academic subjects (whether taken in this
University or elsewhere) as specified below; (2) complete the first two years of
the medical course in this University with grades in general higher than the
lowest passing grade; and (3) demonstrate by examination a reading knowledge
of medical French and German.

(1) Premedical Academic Subjects.—These must include:

         
One year of College English  3 session-hours 
College Algebra, Solid Geometry, Plane Trigonometry  3 session-hours 
Physics, Chemistry, and Biology  24 session-hours 
With minimum requirements in each subject as follows:        
(a)  General Chemistry (including in this term
analytical or physical chemistry) 
6 session-hours 
(b)  Organic Chemistry  4 session-hours 
(c)  General Physics  4 session-hours 
(d)  Biological Science  6 session-hours 
 
Elective in subjects other than physics, chemistry and
biology 
3 session-hours 

(2) First two years of the Medical Curriculum, completed with a record of
30 honor points on first-year subjects and 40 honor points on second-year subjects.

(3) Reading knowledge of Medical French and German.—This will be
tested by examination consisting of the translation of passages from text-books of
Anatomy and Histology, Biochemistry, Physiology, and Pathology. No specific
college work is required although the equivalent of three session-hour college
courses in each of these languages is desirable and may be offered as part of the
premedical credits. The vocabulary of medical French and German may best be
acquired by using foreign text-books, etc., in the above medical sciences as
parallel reading, or as summer reading after the completion of the above subjects
in the regular medical course.

The William A. Herndon Scholarships are founded upon the bequest of
Dr. Cumberland George Herndon, a graduate in medicine of this University.
They are awarded by the Medical Faculty after a competitive examination held
during the summer vacation preceding enrollment as a student in the Medical
Department. Candidates must be unable to defray the expenses of their medical
education and must signify their intention of entering the medical service of the
army or navy of the United States. These scholarships provide for the necessary
expenses of the student during the entire four years of his medical course and are


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awarded whenever there is a vacancy. Two appointments were made in September,
1928; two will be made in September, 1932. Applications must be made
not later than July 1 of the year of appointment. For information as to the
examinations and other requirements, address the Dean of the Department of
Medicine.

The Richard Henry Whitehead Scholarships, founded by an anonymous
donor in memory of Dr. Richard Henry Whitehead, Professor of Anatomy and
Dean of the Department of Medicine, 1905-1916, are awarded to young men of
promise who contemplate entering upon lines of medical work which will advance
medical knowledge either pure or applied. They are usually awarded only to students
who have completed at least two years of the medical curriculum. There
are three of these scholarships. Two appointments were made for session 19281929;
another will be made for the session 1929-1930. For further information,
address the Dean of the Department of Medicine.

The Seven Society Alumni Medical Scholarship, established in 1926 by
the Alumni of the Seven Society with an annual emolument of $350, is awarded
to a student in the Department of Medicine upon nomination by the Dean of the
Department of Medicine.

The Virginia State Medical Scholarships, established in 1925 by the Rector
and Visitors of the University of Virginia. Two scholarships are awarded annually
in the Department of Medicine, towards the close of the session, to the
students from Virginia on the basis of rank and need, retroactive for the session.
Tenure four years, conditioned upon maintenance of satisfactory scholastic record.
Emolument, remission of tuition fee.

The Doctor William Selden Memorial Scholarship in the Department of
Medicine, with an emolument of $500. Established through the Centennial Endowment
Fund. Appointment made by the Rector and Visitors upon the nomination
of the Dean of the Department of Medicine.

The Dr. Edward May Magruder Medical Scholarship, founded in 1927 by
the American Clan Gregory Society, with an emolument of $60, is awarded upon
the recommendation of the Society.

Other Scholarships and Fellowships open to medical students in common
with students in other departments of the University are: The Valentine Birely
Scholarship; the Thompson Brown Scholarship; the Isaac Cary Scholarship; the
Philip F. duPont Scholarships and Fellowships; the Richard Eppes Memorial
Scholarship; the William C. Folkes Scholarships; the D. J. Hennessy Scholarship;
the James Rufus Humphrey Scholarship; the McCormick Scholarship; the Thomas
Fortune Ryan Scholarships; the James Parker Williams Scholarship; the Virginia
Division of the United Daughters of the Confederacy Scholarship; the Bennett
Wood Green Fellowships; and the John Y. Mason Fellowship.

Loan funds also are available. For full information regarding scholarships,
fellowships, and loan funds, see the General Catalogue of the University.

The John Horsley Memorial Prize in medicine with the emolument of
$1,000. Founded in 1925 by Dr. J. Shelton Horsley, of Richmond, Va., as a
memorial to his father, Mr. John Horsley, of Nelson County, Virginia. The
prize will be awarded every two years by a committee of the Medical Faculty of


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the University of Virginia for the best thesis upon some subject in general surgery.
The term "general surgery" is used in a broad way and includes the specialties
commonly associated with general surgery such as orthopedic surgery, urology and
gynecology but not the specialties of the surgery of the eye, ear, nose and throat.

The prize is open to all graduates of the Medical Department of the University
of Virginia of not more than fifteen years standing. The award for the first
time was made at the final exercises in June, 1927, to Charles Bruce Morton, M.D.,
of the class of 1922. For further information, address the Dean of the Department
of Medicine, University, Va.

The Alpha Omega Alpha Society.—On November 15, 1919, a charter was
issued for the establishment in this University of a chapter of the honor medical
society, Alpha Omega Alpha, to which there are chosen annually one-fifth of each
graduating class, on the basis of scholarship, character, and professional promise.
Since publication of the catalogue of 1927-1928 the following have been elected to
membership: from the class of 1928, Elizabeth Cocke Cole, B.A., Lewis Henry
Edmunds, B.A., Carson Lee Fifer, B.A., Walter Jackson Lackey, William Louis
Lacy, James Winston Watts, II, B.S.; from the class of 1929, Wilbur Allen
Barker, Donald Osborne Hamblin, Jed Hotchkiss Irvine, B.A., Robert Wingfield
Crenshaw McClanahan and William Cowell Stephenson, Jr.

The Iota Sigma Society.—In the spring of 1927 there was organized a local
honor medical society, Iota Sigma, whose membership is open to medical students
who have completed the first term of the third year with a total of not less
than 81 honor points. Prospective candidates must further qualify with regard to
congeniality, personality, interest in research, practicability and future professional
promise. The primary aims of this society are to raise the standard of scholarship,
to stimulate sympathetic interest in research, and in every possible way to
aid the Medical School in the maintenance of its high ideal of medical training
and service. The present student membership includes James Porter Baker, Jr.,
B.S., Wilbur Allen Barker, Donald Osborne Hamblin, William Childs Hutcheson,
Paul Otto, Robert Tunstall Pierce, Jr., B.S., William Cowell Stephenson, Jr.,
Harrison Rawlings Wesson, and Bascom Brockenbrough Young.

COURSES OF INSTRUCTION

In the following description of courses,[4] the number of hours represents the
amount of time each student devotes to the course. In addition to the hours
scheduled in the third and fourth years of the course, each student devotes a considerable
amount of time to practical work which does not appear in the schedule,
but the satisfactory performance of which is essential to graduation. Thus the
taking of histories, the visits to his cases in the hospital, assisting at operations,
attendance upon cases of labor, the employment of microscopical and chemical
methods of diagnosis in the hospital, require much time which it has not seemed
possible to record in a rigid schedule.

The session, exclusive of the time devoted to examination, is divided into a fall
term of twelve weeks, a winter term of ten weeks, and a spring term of ten weeks.


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First Year

Anatomy 1: Twenty-four hours weekly during the first term and twelve
hours weekly during the second term.
This course begins with a systematic study
of the bones, on the completion of which a part is assigned to each student for
dissection and study. On the completion of this course each student has dissected
a lateral half of the body. The student obtains his knowledge at first hand and
by his own personal efforts. The work in gross anatomy is completed in Anatomy
of the second year.

Dr. Bean and Dr. Speidel.

Anatomy 2: Six hours weekly during the third term. This course consists
of a laboratory study of the anatomy of the central nervous system carried
out in considerable detail. The gross anatomy of the spinal cord and brain is
first considered, on the completion of which sections of the more important regions
are studied carefully with the aid of the microscope. Fresh brains and series of
sections of the cord and brain are thoroughly used. A reconstruction of the
central nervous system showing the more important pathways is prepared by each
student.

Dr. Bean and Dr. Speidel.

Histology: Three lectures or recitations and six hours of laboratory work
weekly during the first and second terms.
This course aims to acquaint the student
with the microscopic structure of tissues and organs. Cytogenesis and histogenesis
are briefly considered in the case of many tissues studied. The relation
of histology to physiology and pathology is constantly kept in view. The student
is also given opportunity to acquaint himself with the principles and practice of
histological technique.

A record of seventy per cent. in this course is required for admission to
Physiology, and of eighty per cent. for admission to Pathology.

Dr. Jordan and Dr. Kindred.

Embryology: Nine hours weekly during the third term. The laboratory
work (six hours weekly) with sections and dissections of mammalian embryos,
is supplemented by lectures, recitations, and the study of models. The course aims
to give the student a knowledge of developmental processes, in the light of which
he may the better understand the more abstruse normal conditions of adult
anatomy, as well as many anomalies and variations.

Dr. Jordan and Dr. Kindred.

Biochemistry: Lectures and recitations, three hours weekly during the second
and third terms; and laboratory work six hours weekly during the second
term and nine hours weekly during the third term.
Course comprises the chemistry
of proteins, fats, and carbohydrates; digestion, intestinal putrefaction, feces; blood,
milk, and bile; particular attention is devoted to the chemical physiology of digestion,
secretion, excretion, internal secretion, intermediary metabolism, and nutrition.
Laboratory work includes the study of carbohydrates, fats, proteins, purine compounds,
etc.; gastric contents, blood, milk, and urine; the digestive enzymes and
the digestion of foods; and extensive qualitative and quantitative work on urine.
A grade of seventy per cent. on this course is required for admission to Physiology.

Dr. Chanutin and Mr. Silvette.


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Second Year

Anatomy 3: Eight hours weekly during the second term. This course is
the continuation of Anatomy 1, and consists of the systematic study of topographic
anatomy, with the aid of cross sections of the human body, special dissections, and
wet preparations with a review of the whole body in relation to the needs of the
student in general medicine and surgery. At the end of this course a practical
examination is given, covering the work of Anatomy 1, 2 and 3.

Dr. Bean and Dr. Speidel.

Physiology: Lectures, recitations, and demonstrations, six hours weekly during
the first term, five hours during the second term, two hours during the third
term; laboratory work, six hours weekly during the first term, two hours weekly
during the second term.
In the lecture course attention is drawn to the fundamental
branches of the subject, and the more difficult aspects are thoroughly discussed.
Recent important experimental results are evaluated, and the student is
directed to consult the monographs and original sources. The laboratory work
consists of preliminary elemental experiments on the neuromuscular system, followed
by intensive courses in mammalian and human physiology. A thesis on a
selected physiological topic is written during the year by each student. Open only
to students who have obtained grades of seventy per cent. in Histology and
Biochemistry. An average grade of seventy per cent. and the satisfactory completion
of the laboratory work of this course is necessary for admission to
Pharmacology.

Dr. Britton and Assistants.

Bacteriology: Twelve hours weekly throughout the first term. Systematic
course in medical bacteriology, with emphasis on public health, differential diagnostic
methods and the foundation of serology and infection.

Dr. Marshall, Dr. Brumfield and Dr. Graham.

Pathology: Six and one-half hours weekly during the first term, eight hours
weekly during the second term, and twelve hours weekly during the third term.

First term: Gross pathology of selected tissues and diseases; the study of infection
and immunity in connection with bacteriology; autopsies and autopsy interpretations.
Second and third terms: General and special pathology; autopsy
studies. Opportunities for research for qualified students.

Dr. Marshall, Dr. Brumfield and Dr. Graham.

Materia Medica: Lectures and recitations six hours weekly and laboratory
work four hours weekly, during the first three-fourths of the winter 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.
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. J. A. Waddell and Assistants.


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Toxicology: Lectures and recitations six hours weekly and laboratory work
four hours weekly, during the last quarter of the winter 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. J. A. Waddell and Assistants.

Pharmacology: Lectures, recitations and demonstrations six hours weekly
and laboratory work six hours weekly, during the spring term.
The physical and
chemical characteristics and the mode of action of representative drugs and other
chemic agents are dealt with in both didactic and practical exercises. Special
attention is given to analysing and interpreting the results obtained in the laboratory.
An average grade of seventy per cent. on Physiology together with the
satisfactory completion of the laboratory work of Physiology is required for admission
to the course.

Dr. J. A. Waddell and Assistants.

Physical Diagnosis: Four hours weekly during the third term. Instruction
is given in the principles and methods of physical examination. Attention is given
especially to the study of the normal subject.

Dr. Flippin, Dr. Mulholland and Dr. Wood.

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 new Medical
Building, 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. Flippin, Dr. Daniel, Dr. Nelson, Dr. Smith, Dr. Mulholland,
Dr. Wood, Dr. Blackford, Dr. Kimbrough
and Dr. Hart.

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 treat
ment of syphilis are discussed. After review of the anatomic and histologic structure
and physiology of the skin the diseases commonly met with are discussed.
The main object in this course is not to train specialists but to give all the students
basic information regarding the diagnosis and treatment of the common skin


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diseases and syphilis. The relationship of these to other branches of medicine
is emphasized. This subject is completed in the fourth year, q. v.

Dr. Smith and Dr. Kimbrough.

Surgery and Gynecology: Two hours weekly of lectures and recitations,
for the first term, three hours weekly for the second term, five hours weekly for the
third term, and one hour weekly of surgical clinic throughout the session; with
six hours weekly in the out-patient 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 out-patient department affords practice in
palpation, diagnosis and treatment.

Dr. Lehman, Dr. Goodwin, Dr. Meade, Dr. Morton 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 and Dr. Peterson.

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, Dr. Stafford and Dr. Shelton.


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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 Dr. Morgan.

Pediatrics: Twenty-three hours during the fall term; thirty hours during
the winter term, supplemented by practical work in the out-patient department,
childrens 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.

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.

Dr. Flippin, Dr. Mulholland, Dr. Wood, Dr. Blackford and Dr. Gandy.

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. Flippin.

Case Teaching, Medical Ethics and Economics, and Insurance Examinations:
Two hours weekly during the third term.

Dr. Flippin.

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, Dr. Mulholland and Dr. Hart.

Dermatology and Syphilology: Two ward rounds weekly for nine weeks.
Hospital beds for infectious and late syphilis and interesting dermatological cases
are liberally supplied. This permits intensive study by senior students.

Dr. Smith and Dr. Kimbrough.


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Surgery and Gynecology: One hour weekly of surgical clinic throughout
the session; five hours weekly of ward classes, supplemented by clinic 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. Lehman, Dr. Goodwin, Dr. Neff, Dr. Voshell, Dr. Meade, Dr. Morton
and Dr. Rollins.

Orthopedics: Two hours weekly throughout one-fourth the year for ward
rounds.

Dr. Voshell and Dr. Ergenbright.

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.

Dr. Meade and Dr. Morton.

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, Dr. Morgan and Dr. Sims.

Entire class throughout the year, one hour weekly. Case analysis, and discussion
of special problems complete the training in these subjects.

Dr. Calkins and Dr. Morgan.

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 the professor
or instructor. Frequent clinics are held in the mountains, the students of
the fourth-year class being used as assistants in this work. Students are also


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required to go into the milk 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 consideration of the main facts of hygiene as they
bear on the practice of medicine. It then proceeds to the consideration of the
natural history of contagious diseases, their modes of propagation and methods
of prevention. Instruction is also given in the proper location and construction of
habitations, hospitals, schoolhouses, etc., with special methods of heating, ventilating
and draining. Notice is taken of the special relations involved in military
and naval hygiene.

Dr. Young.

 
[4]

A revision of courses is being made and a revised schedule will be in effect beginning
with the session 1929-1930.

SUMMARY OF SCHEDULED HOURS OF INSTRUCTION

(Exclusive of examination periods)

             

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1.  Anatomy, including Embryology and Histology  828 
2.  Physiology  229 
3.  Biochemistry  200 
4.  Pathology, Bacteriology and Immunology  430 
5.  Pharmacology, Materia Medica and Toxicology  242 
6.  Hygiene, Sanitation and Preventive Medicine  64 
7.  General Medicine
  • Neurology and Psychiatry

  • Pediatrics

  • Dermatology and Syphilis

 
964 
8.  General  Surgery
  • Gynecology

  • Orthopedic Surgery

  • Urology

  • Ophthalmology

  • Otolaryngology

  • Roentgenology

 
643 
9.  Obstetrics and Gynecology  200 
Total  3,800 

FACILITIES AND OPPORTUNITIES FOR RESEARCH

The Department of Medicine not only fosters in its methods of instruction the
inductive study by the student himself of the phenomena presented by the human
body in health and disease, but also encourages the spirit of investigation of unsolved
problems of medical science and practice on the part of the instructors and
students. Students are encouraged to engage in research as they are prepared
for it, usually assisting an instructor in some special study or else conducting the
research under his guidance and advice. For this purpose the scientific and
clinical laboratories offer the necessary facilities, and heads of departments will
always be glad to suggest and outline problems for investigation by any medical
student or by others possessing the necessary training therefor.

Library.—The medical Library contains upwards of 7,000 volumes. It is
housed in the basement of the Rotunda, and is in charge of a special Librarian.
Its list of current journals includes over eighty of the more important domestic
and foreign periodicals. Enlarged quarters are being provided in the new Medical
Building to which the library will be moved during the present session.

COURSES OF INSTRUCTION IN PUBLIC HEALTH

A public health officer directs the public health activities over the region which
includes Charlottesville, Albemarle County and the University of Virginia. The
Director of the health unit is a member of the teaching staff of the Medical
School, and gives lectures on preventive medicine twice a week throughout the
session to the fourth-year class in medicine.

THE UNIVERSITY OF VIRGINIA HOSPITAL

Executive Committee of Hospital: Drs. Royster, Flippin, Hornsby,
Goodwin, Archer,
and W. W. Waddell.

Visiting Staff: Drs. Hedges, Macon, Flippin, Goodwin, Neff, Smith,
Daniel, Nelson, Rea, Voshell, Royster, Mulholland, Wood, Calkins, W. W.
Waddell, Woodward, Meade, Blackford, Morton, Swineford, Lehman,
Morgan,
and Kimbrough.

     

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John Allen Hornsby, M.D.  Superintendent of the Hospital 
Harry Taylor Marshall, B.A., M.D.  Pathologist 
William Edward Bray, B.A., M.D.  Director of Clinical Laboratories 
Vincent William Archer, B.S., M.D.  Roentgenologist 
Wiley Jackson Rollins, B.A., M.D.  Resident Surgeon 
Raymond Alfred Gandy, B.S., M.D.  Resident Physician 
Thomas Jackson Sims, Jr., M.D.  Resident Obstetrician 
Warren Womack Koontz, M.A., M.D.  Resident Urologist 
Ellis Columbus Moore, B.S., M.D.  Resident in Diseases of the
Eye, Ear, Nose and Throat
 
Raymond DeVan Kimbrough, M.D.  Resident Dermatologist 
Charles Hanson Peterson, M.D.  Resident Roentgenologist 
Frank Read Hopkins, M.D.  Resident Pediatrician 
Thelma Flournoy Brumfield, B.A., M.D.  Assistant Pathologist 
Joseph Brown Graham, B.S., M.D.  Assistant Pathologist 

    INTERNES

  • Daniel Oscar Nichols, M.D.

  • Antonio Gentile, M.D.

  • Eugene Anthony Bain, B.S., M.D.

  • Marshall Peterson Gordon, Jr.,
    B.S., M.D.

  • Hubert Burner Holsinger, B.A., M.D.

  • Elizabeth Cocke Cole, B.A., M.D.

  • Patrick Pih-Tsang Wu, M.D.

  • Robert Leonard King, M.D.

  • Carson Lee Fifer, B.A., M.D.

  • Edwin Crowell Hamblen, B.S., M.D.

  • Calvin Thomas Burton, M.D.

  • Virgil Leonidas Kelly, Jr., M.D.

    STUDENT SUBSTITUTE INTERNES

  • Wilbur Allen Barker

  • Paul Otto

  • Frederick Pilcher, Jr.

  • William Cowell Stephenson, Jr.

               
Josephine McLeod, B.A., R.N.  Superintendent of Nurses 
Virginia Kyle Williams, R.N.  Asst. Superintendent of Nurses 
Virginia Livesay, R.N.  Instructor in Training School 
Verna McKean  Dietitian 
Minnie Freese, R.N.  Anesthetist 
John Monroe Green  Ambulance Surgeon 
Charles Linwood Savage  Pharmacist 
Harrison Rawlings Wesson  Pharmacist 

The hospital is the property of the University and is under the exclusive control
of its Medical Faculty. It was designed and is administered as a teaching
hospital, being so arranged that free use can be made of its clinical material without
in any way disturbing or violating the privacy of other patients.

The buildings are arranged upon the pavilion system, consisting of a central
structure, four stories in height, to which have been added up to the present time
five additional units including a service building. The central building is largely
devoted to administrative purposes and general service departments, but also contains
an amphitheater and suite of operating rooms, sterilizing and anesthetizing
rooms. The four pavilions are connected with the main building by corridors on
each floor. In these are located the wards and suites of rooms for private patients.
As at present constituted, the hospital has a capacity of about 250 beds; of these,
approximately 200 are available and used for clinical teaching.


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The north pavilion contains, in addition to quarters for ward and private
patients, on the first floor, a specially designated series of laboratory rooms, which
have been equipped with new and modern furnishings and apparatus throughout.
The basement floor is devoted in large part to the Out-Patient Department of the
Hospital. Here separate waiting rooms for white and colored patients are provided,
examining rooms for medical cases, operating rooms for minor surgery,
specially equipped rooms for genito-urinary and orthopedic surgery and for the
treatment of diseases of the eye, ear, nose and throat. On the same floor is the
Roentgen Ray Department of the hospital. The recently opened south pavilion,
made possible through the generosity of Paul Goodloe McIntire, houses the departments
of obstetrics, pediatrics and orthopedics.

Attention is particularly called to the fact that the hospital, with its associated
Out-Patient Department, constitutes a most valuable adjunct to the teaching facilities
of the Department of Medicine. The size of the clinic permits the presentation
of a wide variety of cases, and the organization of the hospital as an integral part
of the Medical Department affords exceptional facilities for thorough study of the
individual case.

The location of the University Hospital is a most favorable one, being situated
at the intersection of two great railway trunk lines near the geographical center
of the State. A large population outside of the city of Charlottesville is available
as a source of clinical material, both in the wards and the Out-Patient Department.
The hospital is thus enabled to serve a large area of the State, and the
transportation facilities are such that this service includes a progressively increasing
number of emergency cases and cases of acute illness.

THE OUT-PATIENT DEPARTMENT

    Clinical Instructors

  • Dr. Flippin, Chief of Staff

  • Dr. Neff

  • Dr. Smith

  • Dr. Brown

  • Dr. Blackford

  • Dr. Sims

  • Dr. Hopkins

  • Dr. Tunstall

  • Dr. Royster

  • Dr. Woodward

  • Dr. Morton

  • Dr. Koontz

  • Dr. Kimbrough

  • Dr. Mulholland

  • Dr. Goodwin

  • Dr. Calkins

  • Dr. Archer

  • Dr. Swineford

  • Dr. Rollins

  • Dr. Peterson

  • Dr. Hedges

  • Dr. Voshell

  • Dr. Wood

  • Dr. Meade

  • Dr. Morgan

  • Dr. Ergenbright

  • Dr. W. W. Waddell

  • Dr. Hart

  • Dr. Gandy

Commodious and well-equipped quarters for the treatment of ambulant cases
are provided in the north pavilion of the hospital, and the service is conducted
under the direct personal supervision of members of the teaching staff of the
Medical Department. Clinics are held six times a week for general medical,
pediatric, surgical, gynecological, obstetrical and genito-urinary diseases, which
are attended by students of the third year; and five times weekly for the diseases
of the eye, ear, nose and throat, attended by students of the fourth year.

The character of the equipment of this department and its location in the
hospital make possible the use of most advanced methods in the diagnosis and
treatment of cases, and the systematic and thorough examination of each case is
thus emphasized at the very outset of the student's clinical experience.


329

Page 329

An out-patient obstetrical service, and provision for attendance in the home
of certain cases of illness by the student, under the supervision of an instructor, are
a part of the organization of this department.

THE BLUE RIDGE SANATORIUM

The Blue Ridge Sanatorium for the treatment of tuberculosis, which is owned
and controlled by the Virginia State Board of Health, lies within easy reach of the
Medical School. Under a plan of coöperation agreed upon by the State Board
of Health and the University, the Medical Director of the Sanatorium teaches
phthisiotherapy in the Medical School, and the 270 beds of the Sanatorium afford
excellent clinical material for first hand, practical experience for internes, medical
students and nurses of the University Medical School. Work at the Sanatorium
is part of the required course of the Medical School. This affiliation of the Sanatorium
and the Medical School offers an opportunity almost ideal for the medical
student to become thoroughly familiar with the diagnosis and treatment of this
most important disease.

UNIVERSITY OF VIRGINIA HOSPITAL TRAINING SCHOOL
FOR NURSES

A training school for nurses is conducted in connection with the hospital.
Full information regarding requirements for admission, and the course of instruction
may be obtained by addressing the Superintendent of Nurses.

 
[1]

Retired on the Carnegie Foundation, November 15, 1928.

[2]

Session of 1929-1930.

[3]

Director Joint Public Health Department of Charlottesville, Albemanle County and University
of Virginia.