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

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RADIOLOGY Since the word Roentgenology was coined after Roentgen, less than 70 years ago, the curricula of medical schools over the world have included X-Ray, Roentgen- ology and finally the Term Radiology in the system of medicine and in the care of the patient. In the 1930's and in fact through World War II Radiology was devoted chiefly to the care and diagnosis of clinical conditions. With the rapid strides of research and with the better media and physical equipment, a greater interest was developed in the study of all the organs of the body. As a direct result of these achieve- ments, great interest was developed in the vascular system. During the past decade equipment has been de- veloped to an extent that Vascular Radiology has as- sumed particular importance and has led to increased medical knowledge that has enabled physicians to treat many cardiovascular conditions that were previously thought to be hopeless. The Diagnostic Division is now staffed by specialists in Cardiovascular, Neuroradiology, Pediatric, Gastro- intestinal and Thoracic Radiology. With the increase in research funds there has been a tremendous upswing in Radiological Research. Radiobi- ology has been a product of this research. We now have a division of Radiobiology, devoted almost altogether to research. Radiation Therapy has been able with the advent of supervoltage, Cobalt and Cesium to make considerable progress both in patient care and research. Radiation Therapy, as the clinical branch of Radiology, is devoted for the most part to treatment of patients with cancer. This division is an active one with 15000 patient visits annually. lt is staffed with two therapeutic radiologists, DR. REEVES a radiation physicist, residents and medical assistants. In this field, as in others, equipment and treatment methods have evolved in complexity, and our division employs a representative spectrum from superficial x-ray therapy to high energy Cobalt 60 and Cesium 137. A major problem of interest to workers in this Held is to Find ways to enhance the effectiveness of radiation, and the divisionis research program is oriented to that end. The Radioisotope Division operates a clinical Radio- isotope Laboratory which serves the medical staff of the hospital with routine diagnostic and therapeutic pro- cedures, and research facilities including a whole body scanner and counter. In addition, training in radioisotope techniques is provided for resident physicians, medical students and technician students. ROBERT I. REEvEs, M.D. Chairman of the Department DR. CAVANAUGH DR. BAYLIN DR. PIRCHER twenty-szx

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OBST TRICS GTNECOLOGT The opporttinity to think and to recall the experiences in the basic sciences and in the introductory physical diag- nosis gives the student scholar the opportunity in the disa eases of women for application and broadening the con- cepts for diagnosis and care based on the ability to continue to think and to apply the remembered knowledge. The problems of the female as a growing individual, who must develop and mature properly, who has to experi- ence adulthood, childbearing and the inevitable aging processes, are legion. ln each epoch of growth there are specific problems related to anatomy, physiology, bio- chemistry, hormonal chemistry, genetics, bacteriology. The growing and mature female may be subjected to all the various diseases which may be found in any popu- lation. In addition she is forced to face the problems which are related exclusively to her sex. The patient is an individual and is entitled to all specialized care which proper thinking by the physician deems best for her. Her work-up is not exclusively as an endocrine problem, a neoplastic problem, a childbearing problem, a psychiatric problem or a geriatric problem. She must be managed as an individual who is entitled to ordered and disciplined thinking by her medical attendant. The efforts to encourage orderly and disciplined think- ing find their expression in the care of the patients by an orderly, scholarly, scientific and thinking indi- vidual. Continuation education means the continued thinking by the student scholar of his defects in the pic- ture of the patient as a whole and not alone as a problem in a disease category or designation. Ability to see patients, to listen to them, to examine Q t t. ts is X DR. C.aR'rE.R them will recall the great fund of knowledge which lies in back of the present day mental attitudes toward any form of disease process. The student who brings to the fields of Obstetrics, Gynecology, and Gynecologic Endocrinology an in- ability to think and reason, will miss a great opportunity. The student who can think and reason, who has a sound concept of basic principles of human growth and de- velopment, can under supervision and enlightened criti- cism, gain much to prepare for continuation education which is simply the ability to think and reason and to know sources from which some help for the thinking and reasoning processes may be obtained. Withciut thinking and reasoning, experience is shackled: with thinking, reasoning, and supervision, experience is valuable, rational and rewarding. This is the type of experience we would hope for in the short time which may be used by the department in presenting the prob- lems of the diseases of women for due consideration and thought' F. l5.xY.ut1i fl.-XRTER, M.D. Chtl1il'7lIL1I7 of the Department DR. CHERNY DR. PARKER DR. PEETE twenty-fue

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PREVE TIVE MEDICIN ln 1963 the Duke University School of Medicine established a formal Department of Preventive Medicine. The initial objective of the department will be to strengthen and broaden the teaching program. The lecture course will give careful attention to those funda- mental and applied contributions of scientists and educa- tors which provided the basis for the phenomenal health achievements of contemporary preventive medicine. The course will also blend the pertinent segmented knowl- edge of medical science specialties which in concert seek to attain the ultimate in Preventive Medicine-the main- tenance of the individual's health. A formal and applied community health experience in this and Central American countries, will be available for a limited numher of students. This program, in addition to broadening the students' medical and cultural perspectives, will enhance understanding of the phy- sicians' role in the community and emphasize the med- ical profession's vital responsibility in aiding development of emerging nations. Projected departmental plans will provide oppor- tunities for those students interested in fortifying their basic education for training as a specialist in family medicine. WM. J. DEMAMA, M.D. Professor of Prezfcntizfe Medzdne DR. SAUTH Cf2olIi7'77ZLlI'1 of the Department DR. DEM.ARI.4 DR. PERSONS lufenly-560611 MR. KNIGHT