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Fourth Year
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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.