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

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The Department of Obstetrics and Gynecology is responsible for the portion of the Sophomore course in Physical Diagnosis which deals with diseases of women. The fundamentals of obstetrics, gynecology, and en- docrinology are taught to the students and integrated with the other sections of the course. The techniques of the gynecologic examination are demonstrated to and performed by the students on Physical Diagnosis in the Ob-Gyn Clinic. Close supervision is provided by the house stall and members of the senior staff. The major contact which the student has with the Ob-Gyn Department comes in the junior quarter which is spent on this service. In the nine weeks spent on Ob , as it is known by most of us, the student sees patients in the clinic and on the wards. He is given an opportunity to participate in the examination, diagnosis, and follow-up of gynecologic problems in the clinic, and he works up those patients who are admitted to Francis Bayard Carter, M.D. Chairman Department of OBSTETRICS GYNECOLOGY , vj ... v 0 i And there I was — 30,000 ject up and. . . . I Pseudo? cyesis ' twenty-jour

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- JLil ■■ iv.v . . •■; Hhmhhmmh int nflMMMH V ■■■i ■■■ ■■■■vm Hi ■naRnsi ■ ■■■■■■■ First row: Pine, Hardin. Willett, Eiring, Smith, D.T. Second row: Osterhout, Conant (Chairman), Overman, Craig, Gross. Not pictured: Beard, Larsh. medical student performs the routine and special bacte- riologic work on the patients assigned to him, under the direction of the members of the staff. In addition to the responsibility of teaching microbiology, the de- partment also maintains a diagnostic infectious service for the hospital and provides an advanced training pro- gram for the center. Training leading to a M.S. or Ph.D. degree in microbiology is offered to the graduate student of the university. The areas of training avail- able for graduate work include virology, immunology, microbial physiology, mycology, and medical bacteriol- ogy- twenty three

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the wards. Here one has a part of the responsibility for the [ire- and post-op care of those patients who require surgery, and the students are encouraged to scrub in on all cases in the operating room. On the obstetrics patients, the students again have the opportunity to see the patients in the clinic and make the original diagnosis of pregnancy. After con- sultation with members of the attending staff, one is responsible for instituting the patients obstetric care. On the wards, students are called as soon as the patients are admitted in labor, and the student who is called spends his entire time with her until after the delivery. Throughout the period of labor, the student sits with the patient, makes frequent checks on the progress of her labor, and makes certain that her condition and that of the fetus are satisfactory. The student then as- sists at the delivery, and after he has had some expe- rience is allowed to do the delivery himself, tinder the watchful eye of the house staff. There are many lectures, case presentations, and conferences which deal with the routine and complex problems encountered in obstetrics and gynecology. There are a number of lectures on the endocrinology of women and the various disturbances of the harmonal system of the female. There is special emphasis on the complications of pregnancy and the carcinomata of the female genitalia. Perhaps one of the most vivid recol- lections of the student who has had Ob-Gyn will be the nights he spent on tox watch. When patients are admitted with toxemia of pregnancy, the students take round-the-clock rotations with the patient and are able to observe the progress of such patients from the bed- side. Thus the student is introduced to as many of the Ob-Gyn problems as can be telescoped into one quarter. First row: Ellington, Wilbanks, Crenshaw, Haim. Second row: Clarke, Massad, Cherny, White, Addison. Third row: Creadick, Carter (Chairman), Peete, Parker, Cuyler. tn ' t nly-fivc