University of Virginia Library

Search this document 
  
  
  
  
  

collapse sectionI. 
collapse section 
  
  
  
  
  
collapse section 
  
  
collapse section 
 FIRST. 
 SECOND. 
  
  
collapse section 
 FIRST. 
 SECOND. 
 THIRD. 
 FOURTH. 
  
  
  
  
collapse sectionII. 
  
collapse section 
  
  
collapse section 
 FIRST. 
 SECOND. 
 THIRD. 
  
  
  
  
collapse section 
  
  
  
  
  
  
collapse sectionIII. 
collapse section 
  
  
  
  
  
collapse section 
 I. 
 II. 
 III. 
  
  
  
collapse section 
  
  
collapse section 
 I. 
 II. 
collapse section 
  
  
  
  
collapse section 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
collapse section 
collapse sectionFIRST. 
 1. 
 2. 
 3. 
 4. 
 5. 
 6. 
collapse sectionSECOND. 
 7. 
 8. 
 9. 
 10. 
 11. 
 12. 
  
  
  
  
  
  
  
collapse section 
DEPARTMENT OF MEDICINE.
 FIRST. 
 SECOND. 
 THIRD. 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
collapse section 
  
  
collapse section 
  
collapse section 
  
  
collapse section 
 FIRST. 
 SECOND. 
 THIRD. 
 FOURTH. 
  
  
  
  
  
  
  
  
  
  
  
  
collapse section 
  
  
  
collapse sectionIV. 
  
collapse section 
  
collapse section 
 I. 
 II. 
  
  
collapse section 
  
  
  
  

collapse section 
  
  
  
  
  
  
  

173

Page 173

DEPARTMENT OF MEDICINE.

   
EDWIN ANDERSON ALDERMAN, D. C. L., LL. D.,  President. 
RICHARD HENRY WHITEHEAD, A. B., M. D.,  Dean. 
                                                                         

174

Page 174
           
JOHN WILLIAM MALLET, M. D., Ph. D., LL. D., F. R. S., 
Professor of Chemistry 
ALBERT HENRY TUTTLE, M. S., 
Professor of Histology and Embryology 
PAUL BRANDON BARRINGER, M. D., LL. D., 
Professor of Therapeutics and Pharmacology. 
JOHN STAIGE DAVIS, M. A., M. D., 
Professor of Practice of Medicine and Pediatrics. 
FRANCIS PERRY DUNNINGTON, B. S., C. E., 
Professor of Practical Chemistry. 
WILLIAM ALEXANDER LAMBETH, M. D., Ph. D., 
Professor of Hygiene. 
RICHARD HENRY WHITEHEAD, A. B., M. D.,  Professor of Anatomy. 
CHARLES HENRY BUNTING, B. S., M. D., 
Professor of Pathology and Pathologist to the University Hospital. 
WILLIAM MANN RANDOLPH, M. D., 
Professor of Gynecology and Principles of Surgery. 
JAMES HAMILTON BROWNING, M. D., 
Professor of Practice of Surgery and Abdominal Surgery. 
WILLIAM DOUGLAS MACON, M. D.,  Professor of Obstetrics. 
THEODORE HOUGH, Ph. D.,  Professor of Physiology. 
JAMES CARROLL FLIPPIN, M. D., 
Adjunct Professor of Clinical Medicine and University Physician. 
CHARLES METCALFE BYRNES, B. S., M. D., 
Adjunct Professor of Anatomy. 
ARTHUR E. AUSTIN, M. D., 
Adjunct Professor of Physiological Chemistry. 
EDWARD MAY MAGRUDER, M. D., 
Clinical Instructor in Physical Diagnosis. 
HALSTEAD SHIPMAN HEDGES, M. A., M. D., 
Clinical Instructor in Ophthalmic Surgery. 
CHARLES SCOTT VENABLE, M. D., 
Clinical Instructor in Dermatology. 
HUGH THOMAS NELSON, M. D., 
Clinical Instructor in Genito-Urinary Surgery. 
MONTE LEWIS REA,  Clinical Instructor in Anæsthesia. 
CARL MELOY, A. M., M. D.,  Instructor in Pathology. 
JOHN ALDINE NORFORD, M. D.,  Instructor in Anatomy. 
WILLIAM HALL GOODWIN, B. A.,  Assistant in Histology. 
JOHN PIERPONT FLETCHER,  Assistant in Histology. 
JOHN WOOLFOLK BURKE, M. D.,  House Surgeon. 
JOHN LEWIS CRENSHAW, M. D.,  Assistant House Surgeon. 
THOMAS WISTAR WHITE,  Dispensary Pharmacist. 

Requirements for Admission to the Medical Department.—Applicants
for admission to the work of the first year of the Course in Medicine
are required to present the diploma of a recognized institution of collegiate
rank, a certificate of good standing in such an institution, the diploma
of a recognized public or private high school having at least a three
years' course, or acceptable certificates which represent work equivalent
in amount and character to such a high school course as defined by the
Virginia State Board of Public Instruction (see below); and, in addition,
to complete the college courses at this University in Physics, Inorganic
Chemistry, and Biology; or to present acceptable college certificates
showing that they have completed elsewhere courses in these subjects
equivalent to (though not necessarily identical with) those at this
institution, the validity of such certificates being decided by the professors
here in charge of the classes in these subjects.

The curriculum of a three-year high school as prescribed by the
Virginia State Board of Public Instruction is as follows:

FIRST YEAR.

Mathematics—5 periods a week. Advanced Arithmetic. Elementary Algebra
to Quadratics.

Science—3 periods a week. Physical Geography. Lessons in Botany.

History—3 periods a week. History of Greece, or History of Rome, or
Ancient History.

English—5 periods a week. Composition and Grammar; Classics.

Languages—5 periods a week. Any one of the following:

(a) Latin—Introductory Latin.

(b) German—Grammar and Composition. Easy Reading.

(c) French—Grammar and Composition. Easy Reading.

(d) Spanish—Grammar and Composition. Easy Reading.

SECOND YEAR.

Mathematics—5 periods a week. Elementary Algebra completed, and Plane
Geometry.

Science—3 periods a week. Elementary Agriculture and Lessons in
Botany and Zoölogy.

History—3 periods a week. Medieval and Modern History, with special
emphasis on points bearing on American History.

English—5 periods a week. Rhetoric and Composition; Classics.


175

Page 175

Languages—5 periods a week. Any one of the following:

(a) Latin—Three Books of Cæsar, or Nepos and Two Books of Cæsar,
or Viri Romæ and Two Books of Cæsar; Grammar and Composition.

(b) German—Grammar and Composition. Easy Reading.

(c) French—Grammar and Composition. Easy Reading.

(d) Spanish—Grammar and Composition. Easy Reading.

Note.—In a third grade high school, United States History may be
substituted for Medieval or Modern History. Where time permits, Drawing
should be given two periods a week in each year.

THIRD YEAR.

Mathematics—5 periods a week. Algebra and Geometry.

Science—3 periods a week. Elements of Physics and Elementary Agriculture,
or Elementary Chemistry and Elementary Agriculture.

Drawing—2 periods a week. Or Manual Training.

History—3 periods a week. English History. In a second grade high
school, American History and Civil Government shall be taught.

English—5 periods a week. Rhetoric, History of English Literature,
Classics.

Languages—5 periods a week. Any one of the following:

(a) Latin—Four Orations of Cicero, Grammar and Composition.

(b) German—Grammar Review and Syntax, German Classics.

(c) French—Grammar Review and Syntax, French Classics.

(d) Spanish—Grammar Review and Syntax, Spanish Classics.

Bookkeeping and Business Forms.

If time permits, more than one of the above elective studies may be
taken. In high schools of two or more teachers other subjects may be
added if it can be done without infringing upon the time of required
subjects.

The above curriculum contains 65 "counts," a count being one period
per week for a school year. Of these subjects the applicant for admission
to the Medical Department must have completed the entire course of
three years in Mathematics and English, two years in language other than
English, two years in History, and one year in Science—49 counts in all.
The remaining 16 counts may be furnished at the option of the applicant
by further credits in the various branches of the curriculum.

Applicants unable to satisfy these requirements by acceptable certificates,
in part or in whole, may remove their deficiencies by satisfactory
examinations.

Further information concerning the character of these examinations
may be obtained by addressing the Dean of the University, or Mr. Howard
Winston, Registrar, at the University.

The work of each of the four years of the course in Medicine
continues through the nine months of the University session, beginning


176

Page 176
on the twelfth day of September and closing on the Saturday
immediately preceding the fifteenth day of the following June. The
studies included are arranged as follows:

During the first session: Medical Chemistry; Normal Histology
and Embryology; Descriptive Anatomy and Anatomy of Nervous
System; Physiological Chemistry.

During the second session: Physiology; Bacteriology; Pathology;
Anatomy; Pharmacognosy.

During the third session: Obstetrics; Materia Medica; Practice
of Medicine; Surgery; Clinical Diagnosis; Diseases of the Eye and
Ear; Dispensary Clinics.

During the fourth session: Neurology; Pediatrics; Therapeutics;
Hygiene; Abdominal Surgery; Dermatology; Gynecology; Medical
Jurisprudence; Dispensary and Hospital Clinics.

An examination of this system will show that the work of the
first year is given to those sciences which are fundamental to the
entire work of the remaining part of the course; that of the second
year includes the study of those sciences, more distinctively medical,
which are based upon the work of the previous year, while they in
turn underlie the more strictly professional subjects of study; these
latter are begun in the second year, while the third and fourth years
are devoted wholly to them. The larger part of the work of the
first year is accompanied by practical work in the laboratory; the
same is true in great measure of the work of the second year, while
in the third, and especially the fourth year, the time of the student
is devoted largely to practical clinical instruction. The facilities
afforded by the University for such work will be more fully described
in the statements which follow concerning the different subjects included
in the course.

Relations of the Student in the Second and Succeeding Years.
For the purposes of this Department the attainment of a grade of
eighty per cent. upon a subject is regarded as satisfactory, and students
who obtain such grades are excused from further attendance
upon the subjects in question. Students who attain a grade less than
eighty per cent. but as much as seventy per cent. on one or more subjects
are entitled to admission to the Fall Examinations of the following
session as explained in a subsequent paragraph, when deficiencies
may be removed by satisfactory examinations. Those who receive a
grade of less than seventy per cent. on one or more subjects are
regarded as having failed thereon, and are required to take such subject
or subjects over during the succeeding year, without, however,
the payment of any additional fee. Students whose failures extend
to all the subjects of a given year are not permitted to go on to the
work of the succeeding year, but are required to confine themselves
to a repetition of the work of the year upon which they have failed.


177

Page 177
Students will not be allowed to undertake the work of the third or fourth
year until they have completed that of the first year, save by special
consent of the Medical Faculty based in each case upon a careful examination
of the student's real interest.

A student may not be examined upon the entire course in any
subject more than three times. Failure upon the third trial involves
withdrawal from the Department of Medicine.

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.

2. The presentation of a certificate from an accredited school of
medicine showing that the applicant has completed work equivalent
to that maintained by this Department with a grade of at least eighty
per cent. in each subject for which credit is sought. Applicants complying
with these conditions will be admitted to advanced standing
without examination. Applicants who have not completed all of the
work of the year or years preceding that to which they seek admission
are admitted to the Fall Examinations under the conditions stated
in the preceding paragraph. The right is reserved in every case to
obtain satisfactory evidence of the genuineness of a certificate by
correspondence with the proper authority of the school from which the
applicant comes.

No credit can be allowed for time not spent in a regular school
of medicine; except that applicants holding the degree of A. B. or
B. S. from a reputable college or university will be admitted to the
second year, provided their academic course has included the equivalent
of the first-year medical course.

A student who is already a graduate of a reputable school of medicine
may be received as a student in this Department for the fourth year.

Certificates of Attendance.—Students who attend the whole regular
course of one or more of the four years are entitled to certificates
of attendance.

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 must have been at this institution; and passed
satisfactory examinations upon all of the subjects included in the
medical course.

Examinations.—These are in writing, accompanied in most subjects
by individual practical examinations. The regular examinations are held
during the session. In addition, examinations are held each year during


178

Page 178
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 of the preceding
year have attained a grade less than eighty per cent. but as much as
seventy per cent. on one or more subjects, as explained in a preceding
paragraph.

3. Certain applicants for advanced standing, as explained in the
paragraph under that heading.

The Fall Examinations for 1907-8 begin September ninth, and
close September fourteenth. Application for admission to them should
be made in writing to Dr. R. H. Whitehead, Dean of the Department
of Medicine, not later than September first.

A General Oral Examination for Graduation is held at the close of
the session on all the different branches on which the candidate for
the degree of Medicine has passed during either that session or some
preceding one. This is intended to test the permanent acquisition
of such general knowledge as every practitioner of medicine should
possess.

Expenses.—The tuition fees are $110 for the first year, $100 for
the second year, $80 for the third year, and $60 for the fourth year.
The annual expenses exclusive of tuition are $40 for the University
fee (which entitles the student to the use of the library, the gymnasium,
to medical attention, etc.), an average of about $200 for living
expenses, and of $20 for books. The special fees for single subjects
are, Medical Chemistry, $30; Histology and Embryology (including
materials), $35; Anatomy (including materials), $45; Pathology, $25; Bacteriology, $35; Physiology, $30; Materia Medica, $20; Therapeutics,
$10; Embryology, $10; Obstetrics (with manikin work), $20;
Gynecology, $20; Surgery, $20; Practice of Medicine, $30; Clinical
Diagnosis, $10; Dermatology and Diseases of the Eye and Ear, $15;
Hygiene, $10; Medical Jurisprudence, $10; Clinics (collectively), $30.

CHEMISTRY.

Professor Mallet.

Professor Dunnington.

In this course the students are taught Chemical Physics and the
general principles of Chemistry, and are carried through a course of
Descriptive Chemistry, inorganic and organic; their attention is
directed, whenever an occasion presents itself, to the application of


179

Page 179
chemical principles to Physiology, the Practice of Medicine, Therapeutics,
Toxicology, and Sanitary Science.

A course of laboratory exercises in Practical Chemistry, with especial
relation to the needs of the medical student, is given by Professor
Dunnington, and is a part of the prescribed general course in Medicine.

☞ An important change in the programme of this School is in contemplation,
and will probably become effective for next session (that of
1907-8). Due notice of this will be given by a separate published circular
at as early a date as possible.

HISTOLOGY AND EMBRYOLOGY.

   
Professor Tuttle.  Mr. Goodwin. 
Adjunct Professor Flippin.  Mr. Fletcher. 

Each lecture of the course is accompanied by two hours of
practical work in the laboratory illustrative of the topics discussed.
The laboratory is convenient, well lighted, and amply equipped;
thirty desks are provided with microscopes, accessory apparatus, and all
necessary reagents, and the class is divided into working sections not
exceeding that number; desks are assigned by lot at the opening of the
session, and apparatus issued as needed from time to time. Each student
is required to provide himself with a section razor, a set of dissecting
instruments, and with slides, covers, and labels for microscopical preparations;
all other appliances are provided by the laboratory without
charge.

The lectures of the course are devoted in part to the allied subjects
of Histology and Histological Anatomy, and in part to Embryology.
In the first part of this division of the course the tissues
and their component elements are carefully examined, both singly
and in their primary aggregations, as are also those organs which
consist largely of one form of tissue. This is followed by a discussion
of the essential structure of the animal cell and of the phenomena
of cell-division. The reproductive elements, the process of fertilization,
and the formation of the blastoderm and its primary layers
are then considered. The remainder of the course is devoted to an
examination of the more complex organs and systems of organs,
their constituent tissues and the relations between them being studied;
and to a description of the embryological development of each system
in connection with the study of its adult structure.

The attainments of the student are tested by both written and
practical examinations; his standing for the year is determined by
an average of the total marks received.


180

Page 180

ANATOMY.

   
Professor Whitehead.  Dr. Norford. 
Adjunct Professor Byrnes. 

The course of study in this subject extends through the whole of
the first year and the first six months of the second year. It is divided as
follows:

Anatomy 1.—This consists of a systematic study of the bones, joints,
and viscera; on the completion of which a "part" (either the head and
neck, upper extremity and thorax, or lower extremity and abdomen) is
assigned to each student for dissection and study.

Anatomy 2.—This consists of the study, in some detail, of the
anatomy of the central nervous system, both gross and microscopic. It
is pursued during the last ten weeks of the first year.

Anatomy 3.—During the first six months of the second year each
student finishes his study of the structure of the body by dissecting the
two parts which he did not dissect during his first year.

Throughout the course there are occasional lectures, frequent quizzes
and demonstrations, and several written examinations. Much importance
is attached to the daily work in the laboratory.

PHYSIOLOGY.

Professor Hough.

Dr. Austin.

The work in Physiology begins in the spring term of the first year
with the fundamentals of physiological chemistry. Occasional lectures and
frequent recitations are accompanied by extensive laboratory work, for
which ample facilities are provided. The student is expected to acquire
during this term a practical acquaintance with the more important compounds
occurring in the body, especially with their chemical structure,
relation and reactions. Practical laboratory tests during the course, as
well as a written examination at the end, are required.

During the second year functional physiology is studied;—the blood
and lymph; muscle and nerve; the circulation; respiration; alimentation,
digestion, and nutrition; the sense organs, and the central nervous
system. The subject is taught by lectures, recitations, demonstrations, and
constant laboratory work.

The applications of physiology to personal hygiene are discussed in
conferences. The satisfactory completion of the laboratory work is as
necessary to a clear record in this school as is the passing of a final
examination.


181

Page 181

BACTERIOLOGY.

Professor Bunting.

Dr. Meloy.

Bacteriology is taught as a laboratory subject during the fall term
of the second year. In it the students are acquainted with the methods
of the modern bacteriological laboratory, through their actual employment,
and acquire a working knowledge of the more important pathogenic
organisms. The laboratory is well equipped with the apparatus necessary
for such a course.

The practical laboratory work is supplemented by lectures and
recitations on the general biology of bacteria, on their relation to infection
and disease, and on immunity.

PATHOLOGY.

Professor Bunting.

Dr. Meloy.

The course in Pathology is a direct continuation of the course in
Bacteriology, instruction being given in it from the Christmas recess until
the close of the year. Pathological Anatomy and Pathological Histology
are taught in the laboratory by the study of gross and microscopic specimens
following a descriptive lecture, and with personal demonstration by
the instructing staff. The principles of General Pathology which cannot
be fully treated in the laboratory are considered in lectures and recitations
throughout the course.

The conduct of autopsies and the recording of results are taught in
the post mortem service at the University Hospital.

An optional course in Surgical Pathology and Pathological Technique
is offered to second year students.

OBSTETRICS.

Professor Macon.

This subject is presented to the student by lectures, with frequent
oral examinations, by a series of manikin demonstrations, by work
with the living subject in the wards of the Hospital, and by attendance
on patients in the out-patient obstetric service connected with the
Dispensary.

The manikin course forms an important part of the work not
only for teaching presentation, position and posture, but also the
mechanism of normal and abnormal labor, and application of forceps.
The class is divided into sections of five each, and a knowledge of the
manikin work will form a part of the examination for graduation in
this department.


182

Page 182

After a section has finished the manikin course, it is taken into
the wards of the Hospital where the methods of examination, particularly
abdominal palpation, are practised on the living subject.
Each section is required to fill up a carefully prepared form so that
all the details of the case of the patient before labor is made familiar
to the student.

The number of out-patient cases is increasing year by year and
is becoming an important part of the teaching. The clinical assistant
in obstetrics is prepared at any time to accompany a student to the
home of a patient, and is provided with the necessary armamentarium
for conducting a case. The large negro population in the
neighborhood of Charlottesville affords a class of patients which
presents all the difficulties to clean work that are offered by ignorance
and poverty. No better practice can be had for one who is trying
to educate an "aseptic center." If asepsis can be secured in a hovel it
can be preserved in a palace. The student is thus taught how to
manage cases by himself and at the same time avoids falling into the
slovenly habits he is sure to form without proper guidance.

PHARMACOGNOSY.

Professor Lambeth.

The Department is provided with a good collection of drugs, both
crude and prepared, with which the students are made familiar as dealt
with in the lectures. Exercises in prescription-writing are given weekly
for several months, these exercises being required both in the ordinary
English or apothecary system and the French or metric system. The
course is in part a laboratory course, students working in sections
which vary in size according to the work in hand. The practical experience
given is intended to acquaint the student as thoroughly as
possible with the physical and chemical properties of the materials used in
the treatment of disease, to which he will find it much easier to add the
physiological action, than if he had approached the subject first from the
medical side.

SURGERY.

Professor Randolph.

Professor Browning.

General Surgery, embracing the Principles of Surgery, Surgical
Diseases, Surgical Diagnosis, and Orthopedic Surgery, is taught in a series
of lectures given three times a week extending throughout the third year.
Amputations and ligations, the application of splints, bandages and
apparatus for the different fractures, are shown upon the cadaver. This is
supplemented by daily surgical clinics conducted in the amphitheater and
wards of the Hospital by Professors Randolph and Browning.


183

Page 183

Each student is required to pass a practical examination on the
application of splints and bandages in addition to the regular written
examination upon the subject.

ABDOMINAL SURGERY.

Professor Browning.

A series of lectures upon the principles of this subject is given
during the latter half of the fourth year. Methods and procedures
difficult of demonstration in the surgical amphitheater are illustrated to
the class in small sections upon cadavers and the lower animals.

Students are required to act as assistants in laparotomies as a part
of their instruction in this courese.

PRACTICE OF MEDICINE.

   
Professor Davis.  Dr. Magruder. 
Adjunct Professor Flippin. 

The Theory and Practice of Medicine is taught in a systematic
course of lectures, which are supplemented by clinical teaching at the
Dispensary and Hospital, during the third and fourth years.

Neurology is taken up in the fourth year, and in connection with it
instruction in electro-therapeutics is given.

The students of the graduating class are taken daily in sections
through the wards of the Hospital and individually instructed on the
cases present. At the Dispensary case histories are taken and management
indicated by the students of the third and fourth years, whose
methods and results are then criticised by the teacher.

A practical examination in diagnosis and treatment is required of
each student at the end of his last session.

PEDIATRICS.

Professor Davis.

This course of lectures is intended to point out in a brief way how
disease is modified by childhood and to indicate how the difficulties of
diagnosis and treatment due to an early age may be best encountered. The
student is taught how to prepare food for infants. Instruction in the
practical details of the subject will be given as far as possible by work
in the wards of the Hospital.

MATERIA MEDICA.

Professor Barringer.

This course embraces not only the most important drugs of the last
revision of the U. S. Pharmacopœia, but also such members of the newer
materia medica as bid fair to become official. In addition to the physiological
action of the drugs, stress is laid upon the chemistry of all active
principles that may influence their administration or combination.


184

Page 184

CLINICAL DIAGNOSIS.

Adjunct Professor Flippin.

The purpose of this course is to familiarize the student with modern
laboratory methods as applied to the diagnosis of disease. The systematic
examination of blood, sputum, vomitus, urine, fæces, exudates,
transudates and milk is first practiced; after which, specimens from
selected cases in the wards of the Hospital are studied with reference
to the application of information thus obtained to the recognition of
specific diseases.

THERAPEUTICS.

Professor Barringer.

The subject of Therapeutics is taken up among the studies of the
fourth year. The range of the work embraces both general and special
therapeutics, whether rational or empirical, but a constant effort will
be made throughout to trace those general underlying principles, the
existence of which alone enables this subject to be called a science. The
method pursued will be that of taking up in order the perversions of the
various organs and functions rather than the specific forms of disease.

HYGIENE.

Professor Lambeth.

The course begins with an historical sketch of the development of
preventive medicine, including short biographical sketches of the pioneers
of Hygiene. With this introduction the story of the natural history
of contagious and infectious diseases, modes of propagation and methods
of prevention engage the attention of the student. With this preparation,
the chemical and bacteriological contamination of food, water, air, and
soil is made an important study. Instruction is also begun in the proper
location and construction of habitations, hospitals, schoolhouses, etc., with
especial reference to the modern methods of heating, ventilating and
draining. Notice is taken of the special relations involved in military
and naval hygiene.

DISEASES OF THE EYE AND EAR.

 
Professor Barringer.  Dr. Hedges. 

The study of the Diseases of the Eye and Ear is here solely from
the standpoint of the general practitioner. No attempt is made to
prepare a "specialist" and no instruction is given in refraction. In the
belief, however, that a good practitioner should have a reasonable
knowledge of any disease he is likely to meet, a two months' course
on the above subjects is given. The elementary use of the ophthalmoscope


185

Page 185
as an instrument of diagnosis, as well as the use of the head
mirror, etc., is practically taught.

GYNECOLOGY.

Professor Randolph.

In Gynecology instruction is given by lectures and recitations, and
the plastic operations necessary to repair injuries of the pelvic structures
are shown during the course. Practical training in the details of gynecological
treatment is given at the Dispensary.

MEDICAL JURISPRUDENCE.

Professor Mallet.

In this course the student is instructed in the principles of the
science, and taught how to apply these principles when he is summoned
as a witness in a court of law.

DERMATOLOGY.

 
Professor Barringer.  Dr. Venable. 

A brief course of lectures is given on this subject, embodying a consideration
of the commoner diseases met with in general practice. At the
Dispensary one clinic a week throughout the session is devoted to the diseases
of the skin and a fair working knowledge of the subject is thus
obtained by the student.

CLINICAL INSTRUCTION.

           
Dr. Davis.  Dr. Browning. 
Dr. Magruder.  Dr. Venable. 
Dr. Randolph.  Dr. Macon 
Dr. Hedges.  Dr. Nelson. 
Dr. Flippin.  Dr. Burke. 
Dr. Rea.  Dr. Crenshaw. 

DISPENSARY.

The Dispensary has been remodeled and refitted along modern lines
so that the material is utilized for purposes of instruction to a much
greater extent than is usually done in clinical teaching. The amphitheater
is so arranged that no student is over fifteen feet from the
clinical chair, and each can thus understand and appreciate all that is
shown him. Sections of the graduating class assemble in turn before the
hour for the clinic and examine the cases, on which they report and are
questioned by the instructor. A record is kept of their proficiency in
this respect; to which special importance is attached when estimating
their fitness for graduation. About fifteen hundred cases are treated each


186

Page 186
year. There is a daily clinic at the Dispensary, in each case occupying the
entire afternoon, distributed through the week as follows:

           
Monday,  Dr. Davis,  Medical. 
Tuesday,  Dr. Venable,  Dermatologic. 
Wednesday,  Dr. Magruder,  Medical (Physical Diagnosis). 
Thursday,  Dr. Randolph,  Gynecological. 
Friday,  Dr. Hedges,  Ophthalmic. 
Saturday,  Dr. Nelson,  Genito-urinary. 

In addition to the work at the Dispensary, the class in sections
have seen numerous important surgical operations outside (besides those
at the Hospital), under the care of the clinical teachers. A large number
of the students have been in a similar manner brought into intimate
contact with cases of serious illness of various kinds. In obstetrical work,
most of the class have been able to see at least one case each, while some
members have had as many as eight or nine cases; it is believed that more
systematic arrangements can now be made, and that in the future every
member of the class can have one or more cases during the session.
Regular attendance upon the daily clinics is required in the last two
years of the course.

THE UNIVERSITY OF VIRGINIA HOSPITAL.

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

The buildings are arranged upon the pavilion system, consisting of
a central structure four stories in height, devoted to the purposes of
administration. This building contains, on the main floor, reception and
consultation rooms; an amphitheater, with sterilizing and anæsthetizing
rooms attached, and an X-ray room. The upper floors furnish accommodation
for the nurses of the training school, while the basement contains
the heating plant, laundry, kitchen, etc. From this building corridors
three stories in height lead out to the wards. These wards, having a
capacity of about 18 beds each, are beautifully lighted, have direct indirect
hot water radiators, and forced ventilation. Opening from each ward on
the east, is a large protected porch, of great value to convalescents.
The South wing is complete and has been in use for several years. The
North wing, now in process of construction, will be completed and equipped
by the beginning of the coming session (1907-08). This will give the
hospital a capacity of about 120 beds. The equipment throughout is new
and conforms in all respects to the best usage of the day.

During the past year the number of patients has steadily increased
and the range of influence of the hospital has been greatly widened,
patients being received from all parts of the state.


187

Page 187

Attention is particularly called to the fact that this hospital, with
its associated dispensary, constitutes a valuable adjunct to the teaching
facilities of the Medical School. The variety of cases presented, and more
especially the opportunities offered for a thorough study of the individual
case, afford unusually satisfactory conditions for clinical instruction.

    HOSPITAL STAFF.

  • Board of Control: Drs. Whitehead, Barringer, Davis, Browning,
    Randolph, Bunting, Macon, Flippin.
  • Visiting Staff: Drs. Barringer, Davis, Magruder, Randolph, Browning,
    Venable, Hedges, Flippin, Compton, Nelson and Rea.
  • Medical Superintendent: Dr. Barringer.
  • House Surgeon: Dr. Burke.
  • Assistant House Surgeon: Dr. Crenshaw.
  • Superintendent of Nurses: Miss Florence Eugenia Besley.
  • Head Nurse: Miss Isla Bragg.
  • Dietician: Miss Grace Adel Besley.

UNIVERSITY OF VIRGINIA HOSPITAL
TRAINING SCHOOL FOR NURSES.

This School was established in 1901 and turned out its first graduating
class in June, 1903. Its aim is to give young women, desirous of
acquiring the art of nursing, the same care and thorough training in
their calling which is now afforded young men studying the science
of medicine. Instruction in the primary branches of medicine is given
to pupil-nurses by the professors in the medical department of the
University of Virginia, while the clinical instructors at the University
Hospital give lectures upon their respective courses. Three years is
the required time for graduation, and all candidates must enter prepared
to go through the full course of instruction and hospital training.

Candidates for the school should apply in their own handwriting
to the Superintendent of Nurses, University Hospital, Charlottesville,
Va. These applications must be accompanied by certificates of good
character, good health and sufficient education to profit by the instruction
offered. No candidate under twenty-one years of age, or over thirty-five,
will be received.

Pupil Nurses: Misses Elizabeth Baker, Caroline Bragg, Evelyn
Mackreth, Georgia Nottingham, Caroline Watson, Myrtle Smith, Willie
Morrow, Fannie Fry.

UNIVERSITY OF VIRGINIA HOSPITAL
NURSES' EXCHANGE.

Misses Virginia Bailey, Grace Herndon, Mary Jones, Alice Leathers,
Robinette Thompkins, Ada Wilton, Emma Wood, Lyla Brockenbrough.