Duke University School of Medicine - Aesculapian Yearbook (Durham, NC)

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The History ofthe Class of l96ll It all began in the austere, stern environment of room M-I ltl. How appropriate a place to commence the study of a profession which is characterized by attention to detail, foresight, and cleanliness. The huge black blades of the window fan were beating out their inellectual refrain- squeak, squeak, squeak. A very unusual fan this, for it was able to distribute odors and cigarette smoke evenly throughout the gloom without moving the air pereeptibly, thus preserving the incu- bator-like quality of the place. The young men and women seated in that room four years ago were to become the class of 1960 at the Duke University School of Medicineg namely, us. All in all, it was a sobering moment. The Dean was the first to speak to us. We appeared to be listening intently to what he had to say, actually we were looking intently, for what an eye-full was this man! He greeted us, told us of the wonders that lay ahead, and in general behaved in a deanish manner. He also complimented us and told us what a select group were were. Actually, in many respects this was the first time in our respective lives that we had been recognized as worthy and significant hu- man beings. It was also the last time that such occurred. The next speaker was the head of the department of anatomy, and he made us a little uneasy for he talked less about the glories of the future, and more about the realities of the present. He even suggested that there might be hard times ahead. We shrugged this off as a likely story and turned our heads toward the first year. The Dean had streaked us out on the agar of the Duke Medical Center, and we had but to grow. Anatomy turned out to be basically the negotiation of a peaceful co-existence with four other people, three living and one dead. The relationship with the latter proved to be by far the most intimate, if not very long lasting. We soon found that there is considerably more to dissection than is readily apparent. Take, for example, the matter of the removal of the skin from the cadaver. To the casual observer, this seems simply a matter of stripping ofi' the skin. much as one would peel an avocado. This, however, is not so, for the skin must come oli in just the exact thickness. We were all rendered tense and tremulous by the emphasis placed on the importance of this, and as a result most of the first specimens removed were markedly fenestrated. Feelings of guilt and inadequacy were heavy upon us. However, we soon recovered and adopted less subtle, more de- finitive methods of skinning. This also cut down significantly on annoying details of anatomy which cluttered the dissection. It was at this point that we learned that in the busy life of the physician, it is sometimes necessary to temporarily lay aside detailed, precise, thorough methods and take short cuts. We had been in medical school for 45 minutes. Although gross anatomy occupied most of our time, there were histology and neuroanatomy to be dealt with. lt was in these areas that those of us with liberal educations were way ahead. Per- haps way out would be a better phrase. One of us was so liberal in his orientation that he soon left school to write the great American novel. More power to him, wherever he is. As the depart- ment of anatomy was the first to view our class, it was also the first to take a dim view of our class. We sensed this, because some of us failed anatomy. Fortunately. most of our losses were not per- manent, thanks to the do-it-yourself course given in the summer. After this less than glorious debut, we proceeded on to physiology and biochemistry with more trepidation. ln anatomy, a new fact was uncovered with every stroke of the blade, but in bio- chemistry the facts did not turn up so easily. For example, after hours and hours of laborious chemical procedures, we were able to look an egg in the eye. and know that it does indeed con- tain cholesterol. At the rate of one fact every six hours, it takes a long time to learn an apprecia- ble amount of biochemistry. The records we kept of our physiology labs sounded more like menus than anything else-frog legs, turtle hearts, rabbit chitterlings, rat kidneys. All these yielded their secrets unto us. And soon the first year was over. Looking back over it we said that in anatomy there were too many facts and not enoJgh thinking, in physiology too much thinking and not enough facts, and in biochemistry too much thinking and far too many facts. It was good to look back on the first year, and it got better. There were other things learned that first year. Very early in the year we discovered that the medical student has much smaller calorie and vitamin needs than do interns. residents. nurses. PAGE Zl