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

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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

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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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PH TSI CAL THERAPY Physical Therapy became available to patients soon after the opening of Duke Hospital. In 1943 due to the increased demand for such treatment and personnel, Duke Hospital and Medical School, in cooperation with the W0man's College established an accredited nine months' course in Physical Therapy for properly quali- fied men and women college graduates. Dr. Frank W. Clippinger is Chairman of the Physical Therapy Ad- visory Committee and Miss Helen Kaiser is the Director of Physical Therapy. To date, 225 students have suc- cessfully completed the course. Two programs are now available to our students. The Graduate Program is a two-year course leading to a Master of Arts Degree in Anatomy or Physiology and a Certihcate in Physical Therapy. The Certificate Program is a fifteen-month course following graduation from an accredited college and leads to a Certificate in Physical Therapy. The Department employs I9 physical therapists and one research associate from a foreign country. Patients are referred from all the major services and the ma- jority of minor ones. The Department treats over 100 patients daily, the greatest numbers come from the De- partments of Medicine and Obstetrics. These are fol- lowed in close succession by Pediatrics, Neuro-Surgery, Orthopaedics, and Psychiatry. Liaisons with each service keep the doctor, patient, and physical therapist in close contact. Miss KA1sER The most recent expansion of the Department's services has been to provide physical therapy in the home to patients in Durham County. Three physical therapists working through the Duke University Medical Center and the Durham County Health Department visit pa- tients referred by the Medical Center as well as local doctors. The Department occupies approximately 5,000 square feet in its new and adequate quarters in Room 045 and O42 on the ground floor of the Hospital and is well furnished with customary and recent equipment, in- cluding a therapeutic pool and an activities of daily liv- ing room, as well as a class or conference room. HELEN L. KA1sER, R.P.T. Director of Physzkal Therapy twenty-eight