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Page 26 text:
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CLINICAL YEARS Medi icine With shiny new black medical bags given us by Eli Lilly, we embarked on our careers as real doc- tors half way through our sophomore year. Swarm- ing into the hospital on Thursday or Friday after- noon we learned to see, feel, palpate, percuss and auscultate. Mercy and Maryland General saw a few sophomore diagnosticians, but by far the majority of our class descended upon the luckless patients of the third floor of University. Medicine began in earnest the next year with responsibilities delegated to us commensurate with our ability. Stool for blood, sputa for acid fast, urine for routine analysis, and an occasional spinal fluid for Cryptococcus kept most of us in the 3 C lab most of the time. The remainder of our time was spent trying to whittle down the history and physical time per patient from three hours to about two hours. But the ideal of letting the patient tell of his disease in his own words even- tually gave way to a more rigidly directed narra- tive of relevant material — digressions of one sort and another being carefully but quickly nipped in the bud. Sessions with the attending man, who revealed to us the magic of thinking in terms of the patho- physiology of disease, were the chief source of formal instruction. But Dr. Woodward ' s once a week get-together with the entire group on medi- cine stimulated creative thinking more than any other hour long experience. At the end of our tour of medicine the third year, we were experts with guiac and Grams, and we were almost adequate in our histories and physicals, although they still took too long. And our ability to make explana- tions of why disease does what it does had been expanded greatly. In the fourth year experience at the OPD revealed to us that patients get along somehow- even with a great thick chart that cannot be reviewed. A new perspective was gained into the problem of practicing medicine outside the hos- pital situation, for a complete workup of every minor complaint cannot be done. A new under- standing of seeming mistakes occasionally made by the practicing physicians was given us in this clinic experience. Medicine on the wards was a little different from the years before. Without realizing the tran- sition that had occurred over one year ' s time we found ourselves assuming a real responsibility for the management of our patients. Our is the key word ; we had matured and learned. Such a process is continuous and in our intern- ships and eventually in our practice we will hope- fully continue to mature as physicians. 22
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Page 25 text:
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William S. Stone, M.S., M.D., D.Sc. Dean of Medical School Dietrich C. Smith, B.A., M.A., Ph.D. Associate Dean
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