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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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HALSTED SHIPMAN HEDGES, B.S., M.A., M.D.  Professor of Diseases of
the Eye
 
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 
WILLIAM HALL GOODWIN, B.A., M.D.  Professor of Clinical 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 
WILLIAM EDWARD BROWN, M.D.  Professor of Phthisiotherapy 
KENNETH FULLER MAXCY, B.A., M.D., D.P.H.  Professor of Public
Health and Hygiene
 
ALFRED CHANUTIN, Ph.B., Ph.D.  Professor of Biochemistry 
CARL CASKEY SPEIDEL, Ph.B., Ph.D.  Associate Professor of Anatomy 
[1] 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
 
HENRY BEARDEN MULHOLLAND, M.D.  Associate Professor of
Medicine
 
JAMES EDWIN WOOD, Jr., B.S., M.D.  Associate Professor of Internal
Medicine
 
VINCENT WILLIAM ARCHER, B.S., M.D.  Associate Professor of
Roentgenology
 
DAVID COLE WILSON, B.A., M.D.  Associate Professor of Psychiatry
and Neurology
 
FRANCIS BAYARD CARTER, B.S., B.A., M.A., M.D.  Associate Professor
of Obstetrics
 
OSCAR SWINEFORD, Jr., B.S., M.D.  Acting Associate Professor of
Pathology
 
WILLIAM WIRT WADDELL, Jr., B.S., M.D.  Assistant Professor of
Pediatrics
 
RICHARD HARDAWAY MEADE, Jr., B.S., M.D.  Assistant Professor of
Surgery and Gynecology
 
CHARLES BRUCE MORTON, B.S., M.D.  Assistant Professor of Surgery and
Gynecology
 
EDWARD LYMAN COREY, B.A., Ph.D.  Assistant Professor of Physiology 
JOHN ALLEN HORNSBY, M.D.  Superintendent of the Hospital 

Instructors

                                           
Aubrey Webster Armentrout, B.A., M.D.  Surgery 
Wilbur Allen Barker, M.D.  Roentgenology 
Staige Davis Blackford, B.S., M.D.  Medicine 
Harriett Boardman, M.D.  Pediatrics 
Dorothy Dillard Brame, B.A., M.D.  Pharmacology, Materia Medica
and Toxicology
 
Edwin Burton, B.A., M.D.  Diseases of Eye, Ear, Nose and Throat 
Thomas Henry Daniel, M.D.  Medicine 
Everett C. Drash, M.D.  Surgery and Gynecology 
William Clarence Eikner, B.S., M.D.  Urology and Proctology 
Richard Taylor Ergenbright, M.D.  Orthopedics 
Eugene Swanson Groseclose, M.D.  Pathology and Bacteriology 
Edwin Crowell Hamblen, B.S., M.D.  Obstetrics and Gynecology 
Andrew DeJarnette Hart, M.D.  Medicine 
Frederick William Kinard, B.S.  Biochemistry 
Robert Leonard King, M.D.  Medicine 
Charles McLean, M.D.  Medicine 
[2] Hugh Thomas Nelson, M.D.  Medicine 
Monte Lewis Rea, M.D.  Medicine 
Otis Norcross Shelton, M.D.  Phthisiotherapy 
Frank Buchanan Stafford, M.D.  Phthisiotherapy 
Cuthbert Tunstall, B.S., M.D.  Otolaryngology 
Herbert DeGrange Wolff, Jr., M.D.  Urology and Proctology 
 
[2]

Died, January 16, 1931.

Student Assistants

   

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John Jacquelin Ambler, B.S.  Sanitarian 
George Daniel Capaccio  Sanitarian 
Adam Tyree Finch, Jr., B.S.  Clinical Diagnosis 
Charles Louis Gilbert, B.S.  Anatomy 
Alexander Gordon Gilliam, B.S.  Pathology 
Samuel Butler Grimes, B.S.  Histology 
Winthrop Huntington Hall  Anatomy 
Angus Hinson  Anatomy 
John Randolph Perdue, B.S.  Anatomy 
Frank Coulson Pinkerton, M. D.  Clinical Diagnosis 
John Hamiilton Scherer  Pathology 
Asa Elmore Seeds  Anatomy 
Robert Irvine Trent  Anatomy 
Hugh Grigsby Whitehead, Jr.  Anatomy 

Fellows

           
Dorothy Dillard Brame, B.A., M.D.  Philip Francis duPont
Service Fellow in Pharmacology
 
Edward Eagle, B.A.  Philip Francis duPont
Senior Fellow in Physiology
 
Eugene Beverly Ferris, Jr., B.S., M.D.  Philip Francis duPont
Research Fellow in Internal Medicine
 
Antonio Gentile, M.D.  Philip Francis duPont
Research Fellow in Surgery
 
Frederick William Kinard, B.S.  Research Fellow in Biochemistry 
Herbert Silvette (Porter Fellow of the American Physiological Society),  Research Fellow in Physiology 

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 1931-32 opens on September 17. The registration days are
September 17-19. 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


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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 15 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 11 units must be offered in groups I-V:

Group I. English. (3 units required)

Literature and Composition.

Group II. Foreign Languages. (2 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. (2 units required)

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

Group IV. History. (1 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 30 session-hours of college work, either
by spending an additional year in college or by taking 33 or 36 session-hours
during their two years as college students. Entrance conditions of any kind


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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 30 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 30 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) 

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 6 session-hour
course consisting of 3 hours lecture and 6 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 4 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.

Aptitude Tests: Applicants are strongly advised to take the Aptitude
Tests of the Association of American Medical Colleges.

Requirements in Individual Collegiate Subjects

(a) General Inorganic Chemistry. 4 session-hours are required, including
2 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


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a 6 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 4 session-hours of Qualitative Analysis and
2 session-hours of Quantitative Analysis.

(b) Organic Chemistry. 3 session-hours are required of which at least
1 must be laboratory work. 4 session-hours including 2 session-hours of
laboratory work are recommended as giving better preparation in Organic
Chemistry.

(c) Physics. 4 session-hours required, of which at least 1 must be
laboratory work. It is urged that this course be preceded by a course in
Trigonometry and Solid Geometry.

(d) Biology. 4 session-hours required, of which 2 must consist of laboratory
work. The requirement may be satisfied by a course of 4 session-hours
in General Biology or Zoölogy, or by courses of 2 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 3 session-hours, or its equivalent, is required.

(f) Non-Science Subjects. Of the 30 session-hours required as the
measurement of two years of college work, at least 9, including 3 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 2
units of high school work in either language, the usual 3 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 4, and preferably
5, session-hours in the language.

College courses in Physical Education and in Military Training or Military
Science will not be counted towards the 30 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 3 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


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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 4 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.

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.


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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
17, 1931).

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 a specified time after June 25 of which he will be
given due notice 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.

All women students must first register at the office of the Dean of Women,
20 East Lawn.

FACILITIES FOR AND METHODS OF INSTRUCTION

The new Medical Building recently completed contains modern well-equipped
laboratories for the accommodation of the medical sciences. This
building is connected by corridors and bridges with the hospital, thus bringing
all departments of the Medical School into close physical association.
The new arrangement necessitated extensive changes in certain portions
of the hospital, involving especially the surgical suite, the X-ray suite and
the out-patient quarters. It required also the erection of an enlarged laundry,
a new power plant, and dining halls for hospital staff and nurses. The
Medical School Building consists of two wings connected by an inside pavilion,
all five floors in height. The south wing houses on four successive floors
the departments of biochemistry, pharmacology and materia medica, physiology,
and histology and embryology. On the top floor are the experimental
laboratories, quarters for experimental animals and a fireproof storage
room for X-ray plates. The north wing gives accommodations on the ground
floor for autopsy rooms, an embalming room, a media room, refrigeration,
incineration and storage. The first floor houses half of the Out-Patient Department
and the receiving room. On the second floor are the offices of
administration, the museum and the library. On the third floor are the
department of pathology and bacteriology, and two classrooms. The fourth
floor contains a laboratory for neuro-anatomy. The connecting pavilion, or
west wing, contains on the ground floor four student locker rooms, the
electrical power room, a record storage room, and an amphitheatre. The
latter is two floors in height and extends eastward into the open court between
the north and south wings. On the first floor are a lecture room,


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a staff room, a record room, a drug room, and examining and sterilizing
rooms. On the second floor are housed the department of clinical pathology
and a cardiac laboratory. The third floor has three laboratories for gross
anatomy, a study room, a number of offices, and quarters for surgical pathology.
On the top floor are accommodations for the department of public
health and hygiene.

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 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 a large part of the 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. In the Out-Patient Department and in the Hospital the student
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. 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. 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.

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.


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Graduate Instruction in the Department of Medicine was organized for
the session 1929-30. The work is administered under the Department of
Graduate Studies of the University. The courses of the regular medical curriculum
are credited as C courses; elective, special research and seminar
courses are evaluated as D courses. During the current session nine graduate
students are enrolled, two in Biochemistry, two in Physiology, and one each in
Anatomy, Surgery, Public Health and Hygiene, Pharmacology, and Histology.
The revised curriculum for the session 1930-31, involving chiefly reductions in
the number of session-hours of required work and the establishment of elective
and research courses in each of the major departments, makes possible a greatly
enlarged scope of graduate instruction.

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.

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.


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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.

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 50 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.


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(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.

(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.


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

                     
First Year  Second Year  Third Year 
Anatomy 1  Physiology  Clinical Diagnosis  1.5 
Anatomy 2  Pathology  Medicine  4.0 
Histology  Pharmacology  Surgery  4.0 
Embryology  Materia Medica  Obstetrics  2.0 
Biochemistry  Physical Diagnosis  Orthopedics  1.5 
Bacteriology  Clinical Diagnosis  Pediatrics  2.0 
Medicine  Urology  1.0 
Surgery  Dermat. & Syph.  1.5 
Elective  2.0 
Totals  21  Totals  20  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.

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 his 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


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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 80
per cent., but as much as 70 per cent., on one or more subjects, as explained
in a preceding paragraph. This does not apply to students who have been required
to withdraw, or required to repeat, under the Special Rules Governing
Advancement (pp. 354-355).

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 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 1931-32 begin September 14 and close September
19. 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.; 3, the athletic fee; 4, special laboratory fees, as specified
below:


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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 
Athletic fee  15 00  15 00  15 00  15 00 
Laboratory Fees: 
Biochemistry  10 00 
Deposit in Biochemistry  10 00 
Anatomy 1 and 2  17 50 
Histology and Embryology  7 50 
Physiology  10 00 
Bacteriology  7 50 
Pathology  5 00 
Pharmacology  5 00 
Clinical Diagnosis  5 00  5 00 
Materia Medica  5 00 
Total (Virginians)  $322 50  $300 00  $275 00  $270 00 
(Non-Virginians)  342 50  320 00  295 00  290 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.

A fee of $3.00 is required of all women students for the upkeep of the
"Women Students' Association Room."

Each student in the Department of Medicine is 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.

Combined Degrees in Arts (or Science) and Medicine.—Students who
have credit for the 48 session-hours of the group electives required in this
University for the cultural baccalaureate degrees in arts and science may
substitute for 12 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 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 the University or elsewhere) as specified below; (2) complete the first two


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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:

           
Session-hours 
One year of College English 
College Algebra, Solid Geometry, Plane Trigonometry 
Physics, Chemistry, and Biology  24 
With minimum requirements in each subject as follows:        
(a)  General Chemistry (including in this term
Analytical or Physical Chemistry) 
(b)  Organic Chemistry 
(c)  General Physics 
(d)  Biological Science 
 
Elective in subjects other than Physics, Chemistry and
Biology 

(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 textbooks
of Anatomy and Histology, Biochemistry, Physiology, and Pathology.
No specific college work is required although the equivalent of 3 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 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


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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. Three appointments
will be made for session 1931-32; and one for the session 1932-33. 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 Doctor Edward May Magruder Medical Scholarship, founded in
1927 by the American Clan Gregor 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 Francis 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 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.


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The prize is open to all graduates of the Medical Department of the
University of Virginia of not more than fifteen years standing. The last
award was made at the final exercises in June, 1929, to Bayard Taylor
Horton, 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 last catalogue the following
have been elected to membership: from the class of 1930, Hill Carter, III, Paul
Swanson Hill, John Claiborne Palmer, Morton Morris Pinckney, Paul Houston
Revercomb, and Robert Lomax Wells; and from the class of 1931, George Daniel
Capaccio, Adam Tyree Finch, Jr., Robert Earl Glendy, Margaret Elizabeth
Moriarty, and Eldridge Cook Simmons.

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. Since publication of
the last catalogue the following have been elected to membership: George Daniel
Capaccio, William Morgan Chew, Adam Tyree Finch, Jr., Robert Earl Glendy,
Samuel Butler Grimes, Joseph William Houck, Thomas Preston McKee, and
Lodwick Sterrett Meriwether.

COURSES OF INSTRUCTION

In the following description of courses, 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 first term of twelve weeks, a second term of ten weeks, and a third term
of ten weeks.

First Year

Anatomy 1: 19 hours weekly during the first term and 12 hours weekly
during the second term.
This course begins with a systematic study of the


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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.

Dr. Bean and Dr. Speidel.

Anatomy 2: 6 hours weekly during the second 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 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.

Bacteriology: 12 hours weekly during the third term. Lectures and
laboratory course in the fundamentals of bacteriological technique, some of
the manifestations of infection and immunity in man and the lower animals,
knowledge of the bacteria important to man, methods used in the study and
diagnosis of infectious diseases.

Dr. Maxcy, Dr. Swineford and Dr. Groseclose.

Histology: 4 lectures or recitations and 10 hours of laboratory work weeekly
during the first term.
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 70 per cent. in this course is required for admission to
Physiology, and of 80 per cent. for admission to Pathology.

Dr. Jordan and Dr. Kindred.

Embryology: 7 hours weekly during the second term. The laboratory
work (5 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 laboratory, 9 hours weekly during the second
and third terms.
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


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and the digestion of foods; and extensive qualitative and quantitative work
on urine. A grade of 70 per cent. on this course is required for admission
to Physiology.

Dr. Chanutin and Mr. Kinard.

Second Year

Physiology: Lectures, conferences, and demonstrations, 5 hours weekly during
the first term, and 4 hours during the second term; laboratory work, 7 hours
weekly during the first term, 3 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
physiological contributions are evaluated, and the student is directed further
to consult various monographs and original papers. Each student is
held responsible for preparing during the year a thesis of his own choice on
some phase of physiology.

The laboratory work consists of preliminary elemental experiments on
the neuromuscular system, followed by intensive courses in mammalian and
in human physiology. The latter are designed particularly to train students
to observe and record, and to interpret and make deductions from their
results. Suggestive outlines only are provided for the experimental studies
and emphasis is given to those branches of physiology which should prove
valuable in later work in medicine.

Open only to students who have obtained grades of 70 per cent. in Histology
and Biochemistry.
An average grade of 70 per cent. and the satisfactory completion
of the laboratory work of this course is necessary for admission to Pharmacology.

Dr. Britton and Dr. Corey.

Pathology: 8 hours weekly throughout the year. Gross and microscopic,
general and special pathology. Autopsies and autopsy interpretations.

Dr. Swineford and Dr. Groseclose.

Materia Medica: Lectures and recitations 3 hours weekly and laboratory
work 4 hours weekly, during the first three-fourths of the first 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 Dr. Brame.

Toxicology: Lectures and recitations 3 hours weekly and laboratory work
4 hours weekly, during the last quarter of the first 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


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methods of isolating and identifying. The treatment of poisoning is dealt
with in detail.

Dr. J. A. Waddell and Dr. Brame.

Pharmacology: Lectures, recitations and demonstrations 4 hours weekly
and laboratory work 9 hours weekly, during the second 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 70 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, Dr. Brame and Assistants.

Physical Diagnosis and Theory and Practice of Medicine: 3 hours weekly
during the second term and 4 hours weekly during the third term.
Instruction
is given by didactic lectures, quizzes, presentation of selected clinical cases and
bedside study of physical signs. Special attention is given at the beginning of
the course to the study of the normal subject.

Dr. Flippin, Dr. Mulholland, Dr. Wood, Dr. Blackford, Dr. Swineford,
and Dr. Hart.

Surgery and Gynecology: 2 hours weekly of lectures and recitations and
1 hour weekly of amphitheatre clinic during the third term.

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

Clinical Diagnosis: 6 hours weekly during the third term. 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 and Dr. Pinkerton.

Third Year

Clinical Diagnosis: 6 hours weekly during the first term. This course completes
the work begun in the second year.

Dr. Bray and Dr. Pinkerton.

Theory and Practice of Medicine: 3 hours weekly of lectures and recitations
throughout the session; 6 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. Flippin, Dr. Mulholland, Dr. Wood, Dr. Blackford, Dr. Swineford
and Dr. Hart.


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Dermatology and Syphilology: 4 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. 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 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.

Neurology and Psychiatry: 3 lectures weekly during the first term and
2 lectures weekly during the second term, supplemented by clinical demonstrations
and ward rounds.
An attempt is made to correlate neurology and psychiatry,
so that although they are presented as distinct units their interrelation is
stressed. A special study is made of the more common neuroses and borderline
psychoses.

Dr. Wilson.

Surgery and Gynecology: 2 hours weekly of lectures and recitations, for
the first term, 3 hours weekly for the second term, 5 hours weekly for the
third term, and 1 hour weekly of surgical clinic throughout the session; with 40
hours in the out-patient department, and 1 hour weekly in ward rounds for one
term.
The study of surgery begins in the third trimester of the second 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. Armentrout.

Urology and Proctology: 2 lectures weekly for the first term; approximately
36 hours in the out-patient department.
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, Dr. Eikner and Dr. Wolff.

Orthopedics: 2 hours weekly during the second and third terms, supplemented
by practical work in the out-patient department.

Dr. Voshell.


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Phthisiotherapy: 6 hours weekly for eight weeks, with each of the four
sections of the class; and 2 hours weekly in the out-patient department.
The
work is given in 3 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.

Obstetrics and Gynecology: 3 hours of lectures weekly throughout first,
second and third terms, covering the history, physiology and pathology of pregnancy,
parturition, and puerperium.

Dr. Carter and Dr. Hamblen.

Pediatrics: 23 hours during the first term; 30 hours during the second
term, supplemented by practical work in the out-patient department, children's
clinic.
Each section gets 70 hours in the clinic. This is 2½ 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. 12 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. 12 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.

Fourth Year

Theory and Practice of Medicine: 1 hour weekly of medical clinic
throughout the session; 5 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. Swineford.

Case Teaching, Medical Ethics and Economics: 2 hours weekly during
the third term.

Dr. Flippin.

Internal Medicine: 2 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 textbook


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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. Wood.

Dermatology and Syphilology: 1 ward round weekly for one trimester.
Cases of syphilis and skin diseases requiring special study or treatment are hospitalized.
This permits intensive study by senior students.

Dr. Smith.

Surgery and Gynecology: 1 hour weekly of surgical clinic throughout
the session; 5 hours weekly of ward classes, supplemented by clinic work in the
wards and operating room for one trimester with each of the three 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 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.

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. Armentrout.

Orthopedics: 2 hours weekly throughout one-fourth the year for ward
rounds.

Dr. Voshell and Dr. Ergenbright.

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. Barker.

Surgical Pathology: 1 hour weekly during one-third 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 rooms.
Ward


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rounds, and mannequin demonstrations, obstetrical and gynecological pathology,
and practice by the individual student.

Dr. Carter and Dr. Hamblen.

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

Dr. Carter and Dr. Hamblen.

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 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: 1 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: 2 lectures weekly during
the first two terms, supplemented by regular two- to three-hour clinics 3 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, otoscope,
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, Dr. Woodward, Dr. Tunstall and Dr. E. Burton.

Hygiene and Preventive Medicine: 2 hours weekly during the first two
terms and 1 hour weekly during the third term.
A lecture course based so far
as practical upon selected clinical cases illustrating the failure of preventive effort;
a consideration of the sources and modes of infection of the common communicable
diseases and the possibilities of their prevention and control; the mass phenomena
of disease and their relationships to social and economic factors; epidemiologic
methods of investigation; industrial medicine; public health administration and
sanitation. In addition each student will have 18 hours of field and laboratory
work.

Dr. Maxcy.


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Elective Courses: Open to medical students of the third and fourth years,
and to graduate students.

Histology and Embryology

1. The histology and embryology of the blood forming tissues: Session
1931-32.

2. The histology and embryology of the endocrine tissues: Session
1932-33.

3. The histology and embryology of the reproductive organs: Session
1933-34.

9 hours weekly during the third term.

Dr. Jordan and Dr. Kindred.

Anatomy and Anthropology

1. Topographic and Applied Anatomy: 8 hours weekly during the
second term.

Dr. Bean and Dr. Speidel.

2. Physical Anthropology: 9 hours weekly during the second term.

Dr. Bean.

3. Research in Experimental Anatomy: Opportunity for original investigation
is afforded a small number of specially qualified students.

Dr. Speidel.

Biochemistry

1. Biochemical preparations: Individual instruction is given in the
separation, purification and identification of products of biochemical nature.
6 hours of laboratory work a week during the entire year.

Dr. Chanutin.

2. Physiology of nutrition: An attempt is made to cover the subject
of nutrition in its broadest aspects. Various phases of digestion, respiratory,
basal and intermediary metabolism are studied. Previous knowledge in
Biochemistry is necessary. 1 hour a week during the entire year.

Dr. Chanutin.

3. Biochemical seminar: Papers pertaining to Biochemistry and related
subjects in the English, German and French literature are read by the participants.
The student is enabled to keep in touch with the advances made in
the subject. 2 hours a week during the entire year.

Dr. Chanutin.

4. Biochemical research: For those students properly qualified the
laboratory will be opened during the academic year and summer vacation.

Dr. Chanutin.


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Physiology

1. The sympathico-adrenal system: Session 1930-31.

Dr. Britton.

2. The physiology of muscular exercise: Session 1931-32.

Dr. Britton.

3. Applications of physiology to medicine: Session 1932-33.

Dr. Britton.

4. Mammalian experimental embryology: Session 1930-31.

Dr. Corey.

5. Comparative physiology of the internal secretions: Session 1931-32.
6 hours weekly during the third term.

Dr. Corey.

6. Original investigation: Oportunity is afforded a limited number of
specially qualified students to undertake investigative work at any time
throughout the year in physiology or nearly related sciences.

Dr. Britton and Dr. Corey.

Pharmacology

1. The standardization of drugs, embracing a study of the most representative
methods, chemical and biological. Session 1930-31.

2. The biological significance and pharmacological actions of the compounds
of certain metallic elements, particular attention being given to Ca,
Fe, Mg, Mn, and Cu. Session 1931-32.

3. The influence of chemical structure on pharmacological action, the
significance of the presence and position in the molecule of alkyl, hydroxyl,
carboxyl, and amino radicles being investigated. Session 1932-33.

Didactic, 2 hours a week and laboratory 4 hours a week during the first term.

Dr. J. A. Waddell and Assistants.

Dermatology and Syphilology

1. Clinical Dermatology and Syphilology: 3 afternoons weekly for one
trimester in the out-patient department.

Dr. Smith.

2. Laboratory and Practical Medical Mycology: 2 hours weekly during
the entire year.

Dr. Smith.

Neurology

Child Guidance: 3 hours weekly during the entire year.

Dr. Wilson.


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Public Health and Hygiene

Immunology: Study of the problems and methods of medical bacteriology
and serology; the reactions of immunity of experimental animals;
the application of immunological principles to the treatment and prevention
of disease. 9 hours weekly of laboratory and conference work during the second
term.

Dr. Maxcy.

Surgery

1. Surgical Pathology: Two students of the fourth year are engaged
during each trimester for a period of 60 hours in the intensive study in the
laboratory, library and hospital record room of a limited subject in surgical
pathology.

Dr. Lehman.

2. Surgical pathology and research in the field of the biological sciences
on subjects related to clinical surgery. The former portion of the course consists
of study and reports on a large collection of surgical pathological material.
The latter portion is to be arranged individually with the director.
The student is expected to spend his entire time for the year. Open only to
graduate students with M.D. degree and at least one year of interne service.

Dr. Lehman.

SUMMARY OF SCHEDULED HOURS OF INSTRUCTION

(Exclusive of examination periods)

                     
1.  Anatomy, including Embryology and Histology  696 
2.  Physiology  214 
3.  Biochemistry  180 
4.  Pathology and Bacteriology  356 
5.  Pharmacology, Materia Medica and Toxicology  190 
6.  Hygiene, Sanitation and Preventive Medicine  72 
7.  General Medicine
  • Neurology and Psychiatry

  • Pediatrics

  • Dermatology and Syphilis

 
995 
8.  General Surgery
  • Gynecology

  • Orthopedic Surgery

  • Urology

  • Ophthalmology

  • Otolaryngology

  • Roentgenology

 
618 
9.  Obstetrics and Gynecology  200 
10.  Elective  60 
Total  3,581 

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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 is housed in the New Medical Building,
and is in charge of a special Librarian.

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.

THE UNIVERSITY OF VIRGINIA HOSPITAL

Executive Committee of Hospital: Drs. Goodwin, Flippin, Hornsby,
W. W. Waddell, Voshell, Wood and Carter.

Visiting Staff: Drs. Hedges, Macon, Flippin, Lehman, Goodwin, Neff,
Royster, Smith, Daniel, Nelson, Rea, Voshell, Mulholland, Wood, W. W.
Waddell, Woodward, Meade, Blackford, Morton, Swineford, Carter, Hamblen,
Tunstall, Wilson, Hart and Burton.

                                 
John Allen Hornsby, M.D.  Superintendent of the Hospital 
Oscar Swineford, Jr., B.S., M.D.  Pathologist 
William Edward Bray, B.A., M.D.  Director of Clinical Laboratories 
Vincent William Archer, B.S., M.D.  Roentgenologist 
Aubrey Webster Armentrout, M.D.  Resident Surgeon 
Carson Lee Fifer, B.A., M.D.  Assistant Resident Surgeon 
Burchard Simpson Pruett, B.S., M.D.  Assistant Resident Surgeon 
Robert Leonard King, M.D.  Resident Physician 
Charles McLean, B.A., M.D.  Assistant Resident Physician 
Donald Osborne Hamblin, M.D.  Resident Obstetrician 
William Clarence Eikner, B.S., M.D.  Resident Urologist 
Herbert DeGrange Wolff, Jr., M.D.  Assistant Resident Urologist 
Calvin Thomas Burton, M.D.  Resident in Diseases of the
Eye, Ear, Nose and Throat
 
Wilbur Allen Barker, M.D.  Resident Roentgenologist 
Elizabeth Cocke Cole, B.A., M.D.  Resident Pediatrician 
John Davis Dabney Ware, B.A., M.D.  Resident Orthopedist 
Eugene Swanson Groseclose, M.D.  Assistant Pathologist 

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    INTERNES

  • John Ryan Myers, B.S., M.D.

  • Benjamin Watkins Rawles, Jr., B.S.,
    M.D.

  • Daniel R. Murphey, B.A., M.D.

  • James Edwin Wissler, M.D.

  • Samuel Brooks Caruthers, B.S., M.D.

  • William Miller Gammon, B.S., M.D.

  • Frank Leroy Byers, M.D.

  • Alfred Chambers Ray, Jr., M.D.

  • Frederick McCulloch Morrison, M.D.

  • Paul Kells, M.D.

  • Archibald Alexander Little, Jr., B.S.,
    M.D.

  • Paul Rutherford MacFadyen, Jr.,
    M.D.

  • Alexander Taylor Mayo, M.D.

                 
Josephine McLeod, B.A., R.N.  Superintendent of Nurses 
Virginia Kyle Williams, R.N.  Assistant Superintendent of Nurses 
Ruth Beery, B.A., R.N.  Instructor of Nurses 
Louise Strock  Dietitian 
Minnie Freese Payne, R.N.  Anesthetist 
Walter Lee Thomas, Jr., M.A.  Assistant Anesthetist 
Adam Tyree Finch, Jr., B.S.  Assistant Anesthetist 
Myrtis M. Jennings, Ph.G.  Pharmacist 
Jack Spencer, Ph.G.  Assistant 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 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 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.
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 300 beds; of
these, approximately 225 are available and used for clinical teaching. During
the past year there were 7,325 admissions to the hospital.

Attention is particularly called to the fact that the hospital, with its associated
Out-Patient Department, constitutes a most valuable part of the teaching facilities
of the Department of Medicine. The size of the clinic permits the presentation


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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 patients.

THE OUT-PATIENT DEPARTMENT

Commodious and well-equipped quarters for the treatment of ambulant cases
are provided in the north pavilion of the hospital, and medical school building,
and the service is conducted under the direct personal supervision of members
of the teaching staff of the Medical Department.

The character of the equipment of this department and its location in the
hospital make possible the use of thorough methods in the diagnosis and treatment
of cases, and the systematic examination of each patient is thus emphasized
at the very outset of the student's clinical experience. More than 24,000 visits
were made by patients to this department during the past year.

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, is situated near the Medical
School. Under a plan of coöperation agreed upon by the State Board of Health
and the University, the Medical Director and other members of the staff of the
Sanatorium give instruction in the diagnosis and treatment of pulmonary tuberculosis
to students in the Medical School. The Sanatorium has accommodations
for 270 patients. Work at the Sanatorium is part of the required course. 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]

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