University of Virginia Library

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.

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.

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.