US Naval Hospital Corps School - Yearbook (San Diego, CA)

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term newborns. It is divided into an admitting room plus two other rooms. Routine circumcisions are done here. This nursery handles 30-plus newborns, dependent on need. The nearby premature nursery, which has a separate staff, is divided into five areas, one of which is used solely by the staff and two of which are used for isolation of suspect cases. It is supervised by one or more specially trained nurses. There is space available to care for I4 premature infants, although this number exceeds the usual census. Both nurseries have an adequate number of incubators, isolettes and rocker-beds. One pediatric resident, assisted by an intern and supervised by a staff man, is in charge of both nurseries. A large and well-staffed pediatric outpatient clinic is main- tained in a separate area. It includes seven examining rooms, plus two staff offices with examining facilities. One full-time staff man, one part-time staff man, one or two residents and two to three interns maintain the care of the clinic. Residents or interns assigned to other pediatric branches may be added as needed, providing it does not interfere with their other duties. One hundred fifty to 200 patients a day are seen here, by appointment or on a walk-in basis. In addition, there is a separately located well-baby clinic four afternoons a week for babies under one year. This is directed by the nursery resident under staff supervision. There is also a small pediatric neurology clinic on an appoint- s , Jw LW K 3 f W? ii 'fin . 5 as 1 f am -T372 Q? 53, as Q A Q, ,.. ,V I K A :lf I - - ' iz i 4 7 . Lf v no ef , iz C VM w ,- , f' I' 1 xr ji iff' 'Q e fsiw lf , 5 . , 5. if rf' ,N ' W ,is-I . 1- A V q .2 ,f f . 1,1 e's. r W vw -. .t I . fi as Y -, . Q rf: If -5 yi Q s , rrs ,. ., . v it . f r N s 4.1. .. I fr f' I .,,. . ss... Q . sig, ,, g V. C , ,, T ' II. , EARLY MORNING CONFERENCE: Left to right: Lieut. William J. Fouty, MCQ Captain Ernst R. Moeller, MCg Lieut. Joseph LaBlanc, MCQ Lieut. Tommie K. MC. Watkins, MC. ,k , 5 H. if .. af' H 'H ment basis one morning a week, which is directed by one second year resident and one first year resident, supervised by a staff pediatrician. There is also a weekly pediatric orthopedic clinic run jointly by the Pediatric Department and the Chief of Orthopedics. The Pediatric Residency Training Program aims to provide each resident a well-rounded experience in all phases of clinical pediatrics. The residentis time is divided among the heretofore described branches. In the course of a year he will have seen and treated practically all of the major pediatric diseases and conditions, including many of the rarer ones as well. The program is planned and equipped for two years. In addition to the formal teaching periods, there is con- tinual informal teaching of the interns by the residents and staff and of the residents by the staff. The U. S. Naval Hospital, San Diego, because of its staff, facilities and geographic location, acts as a diagnostic and treatment center for pediatric problem cases from other serv- ice activities covering a very broad area. Along with the very large number of service dependents in the San Diego area, this provides the service with a continual supply of excellent teaching cases as well as an abundance of the more routine type of case. All but a selected few patients under 13 years of age are admitted to the Pediatric Serviceggiving the residents opportunity to follow a wide variety of allied pediatric conditions. f is SICK CALL: Left to right: Lieut. Lorraine Schuh, NC, Nurse Holtgrove fcivilianl Lieut. Raymond Gibbings, MCQ Lieut. Tommie Watkins, MC, Captain Ernst Moeller II7

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American a diplomate, American Board-eligible pediatrician. and three residents at the shortly be in their second year of year resident is designated as the or resident representative. at times a General Practice resident on the service, two-month period. There are four to six interns who are assigned to the service for two months. This may include an intern from San Diego County Hospital. There are two civilian Board-certified consultants, each of whom spends 24- hours a year for teaching, rounds, etc. There is one chief nurse on each of the two pediatric wards, the main nursery, premature nursery and pediatric clinic. These are assisted by other Navy nurses, civilian nurses, corpswaves, corpsmen and attendants. The primary function of the Pediatric Service is to provide inpatient and outpatient medical and surgical care for de- pendents under the age of 13. This includes the care of new- born infants, ,both full-term and premature, and well-baby checks for those under one year. The secondary function of the Pediatric Service is to provide training for medical officers in the practice of pediat- rics, to enable these officers to meet the standards of com- petency to practice pediatrics which are established by the American Board of Pediatrics and to qualify for examination by this Board. lt is also the function of the Pediatric Service to provide general pediatric training and experience for interns and general practice residents as part of their training for general practice or specialty in other fields. This general teaching program is extended to include nurses, corpswaves and corpsmen. The department maintains close liaison with other services. Consultations and advice are given on all dependents of the pediatric age group or on those problems which are com- mon to the pediatrician, regardless of age. CAPTAIN ERNST R. MOELLER, MC, USN Chief, Pediatric Service The Pediatric Service is divided into three main branches, the Pediatric wards, Pediatric nurseries, and Pediatric out- patient clinics. There are two complete adjoining pediatric wards. Each has its own nurses, assigned staff and facilities. One 29-bed ward is devoted to the care of medical prob- lems Cor the strictly pediatric patienti, with the exception of a separately enclosed nursery area which handles all bassinette and incubator-sized problem cases regardless of their diag- nosis. This ward has one isolation room for semi-contagion. It also contains a treatment room for special diagnostic or therapeutic procedures. The other pediatric ward of 22 beds is devoted to the general or specialized surgical services. Each service has an allotted number of available beds according to their needs. There is a separate room with separate full-time nursing facilities for tonsillectomy patients. There is also a separate room for infected surgical cases. Both wards are well-equipped with necessary facilities, such as piped-in oxygen, incubators, croupettes and other special equipment. Both wards have assigned residents and interns, supervised by a staff man. There is a main nursery which handles all routine full-

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all I wks., INSPECTION: Captain Moeller, MC, Lieut. CORPSMEN NURSERY: Lieut. Comdr. Harvey O. Cj.g.J Marie Tierney, NC: Lieut. Herbert Randel, MC. Eckert, MC: Captain Chrisman, MC. F1323 W'-3' i'1 I lil . NURSERY! Mrs. P. I. Holtgrave Ccivilian INSPECTION: Lieut. Charles Inman, MC: INSPECTION: Captain Chrisman, Cap- nursel. Lieut. Cj.g.l Mary Crowley, NC, Captain Allan tain Moeller, MC. Chrisman, MC. X , Left to right: Billie Vahan Ccivilian registered nurselg RETURNING PATIENT FROM OPERATING ROOM: Robert Gough fpatientlg Dorothy Hamilton Cnursing as- V. O. Mesa, SA: Eula Anderson, P. H. Ham, MMC, En- sistantlg Ensign Delores Rose, NC. sign Norma J. Cornwell, NC. II8