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

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The medical student is first introduced to the ill- nesses which afflict mankind during his second year in the course of general pathology. Teaching is conducted by lecture and in laboratory and small conferences under the leadership of the junior and senior staff. The histologic aspects of the pathological processes are studied together with the gross anatomic and phys- iologic alterations of the tissues, thus maintaining a unity of conception of disease. When applicable, the student works in small groups with experimental animals and provides the other mem- bers of his class with live examples of the pathological processes to supplement the study of the other material. For the first time in his career, the medical student is on call, as he participates in rotation in the hos- pital ' s post-mortem examinations. Cases are studied by the students in pairs, with much of the prosection eventually being done by the student under the guid- ance of a resident. The student makes and records his Thomas D. Kinney, M.D. Chairman Department of PATHOLOGY m ' Lesion, Lesion, who ' s got the Lesion Dig that crazy Kimmelstiel Wilsc twenty -sn

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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

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First row: Fetter, Hackel, Kinney (Chairman), Kaufman, Smith, Klavins. Second row: Valdes, Summer, Porter, Patrick, Wittels, Polt, Elchlepp. Third row: Johnson, Robbins, Chick, Stuber. Klintworth, Vogel. Fourth row: Hen- dry, Martin, Robertson, Poon. Not pictured: Forbus, Grift ' eth, Huang, Kurtz, Rambach. own observations, studies the histological slides, con- sults the literature he thinks pertinent to the case, and finally makes his own diagnosis. He then reviews his work with the resident with whom he did the original prosection. In such a way, the student comes to learn how a pathologist approaches a case as well as learning the various facts and processes. The department in ad- dition takes care of all of the surgical and general pathological problems of the hospital, no small under- taking in a medical center of this size. Research also occupies the senior staff, in an ever increasing amount due to the new techniques available for their use. Two electron microscopes are owned by the department for diagnosis, research, and for student use if he is qualified. twenty-seven