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

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p Ecgene A. Stead, Jr., M.D. Chairman The Department of Medicine plays a large part in the education oi the medical student throughout the last three years of his training. Beginning in the sec- ond year, the students are introduced to Physical Di- agnosis. In this first course in medicine, the students have their first contact with patients, and they begin to feel like a part of the medical profession. In this course the students learn the methods of physical examination and history taking, which are essential parts of their training. There are lectures covering a wide field of dis- ease processes with emphasis on their signs and symp- toms. The interpretation and pathologic physiology of the abnormal findings are stressed. Students have an opportunity to work-up patients and present them to their fellow classmates. The bedside teaching is done in small groups with much emphasis on individual in- struction. The course also places emphasis on the more specialized methods of examination, and lectures and demonstrations are given by members of other depart- ments such as Obstetrics and Gynecology, Pediatrics, Surgery, and Radiology. Further instruction in the second year is given by the Hematology Division of this department. In Clinical Microscopy the students are taught to do the laboratory procedures which are essential in the management of their patients in later years. The laboratory work in- cludes the preparation and interpretation of blood smears, blood counts, and the examination of materials Department of MEDICINE r OK, th one of you guys that ' s late visits the BIG FLEA ' CBC, Urine, FBS. Bun, PSP, TP with .1 G. Pro tune Thymol floe. Sickle prep .,• I2 , LE prep, til positive eighteen

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Division of Dermatology 8 $ ttliir First row: Smith. Callaway (Chief), Hutto. Second row: Sams. Tosteson, Tindall, Miranda. such as urine, stool, and spinal fluid. The procedures learned in this course are of great importance in the junior and senior rotations, where laboratory work is included in the students ' duties. In both the junior and senior years one quarter is spent on one of the medical wards or in the Medical Out-Patient Clinic. Some of the students spend all or Division of Cardiovascular a pari o! one of these rotations on the medical ward; at the Durham V.A. Hospital. On the Medical Service the student learns total patient care. Patients arc worked up completely, and the student is given respon- sibilit) commensurate with his ability and experience. 1 here is emphasis on indiyidu.il instruction by the members ol the house staff, who are always reach ' to lend a helping hand at any time of the day or night. Tin teaching by the senior staff is done at the bedside and in small groups on morning rounds. Bedside teach- ing is supplemented by noon conferences and special lectures and teaching sessions. The students find their rotations on the Medical Service to be extremely im- portant parts of their training, regardless of their future plans possibly in other fields. They are made to realize the importance of caring for the whole patient no matter how limited his basic disorder. Many long hours are spent with sick patients, in the labs, and in the library searching for information which might help in the management of the patient and the understanding of his disease process. It is particularly useful to the student to be encouraged to search the literature for references on the diseases which he is treating. This helps one to realize that the material in books is often out of date and that in order to keep abreast of the latest methods of diagnosis and treatment, he must go to the literature. and Renal Diseases Left to right: Mcintosh, Shelburne, Roberts, Sleeper, Cohen, Estes, Sumner, Floyd, Whale twenty n, Orgain (Chiel ), Ir