Approximately twenty states now require examinations on the basic science subjects (anatomy, bacteriology, chemistry, pathology, and phy.
siology) as a preliminary to medical licensing examlOations. Since the various states are not uniform in their requirements a considerable impedi.
ment to movement oflhysicians from state to state by reciprocity is created.
Each student is urge to achieve certification in the basic sciences as soon as possible.
EXTRACURRICULAR WORK
The Medical School does not regulate the outside work of its students though the Medical School does take the firm position of discouraging outside work. No outside commitments may be assumed by the medical student which obligate him in a way that can compromise his responsi.
bilities at the Medical School. The student is encouraged to evaluate care- fully his obligations outside the regular curriculum in order that his progress and work in Medical School will be in no way jeopardized. In any in.
stance in which the work is considered prejudicial to the student's education, he may
berequired to discontinue it.
3 8 ~
V ANDBRBILT UNIVERSITYINSTRUCTION LEADING TO THE M. D. DEGREE
The curriculum is divided into a basic set of required courses taken by II students and elective courses which may be chosen. Required courses onstitute the nucleus of medical education at Vanderbilt; elective courses re an integral part of each student's educational experience in the Medical chool, but allow considerable flexibility of individual curricula. Each tudent is assigned a faculty adviser to aid in the selection of elective courses, nd the program of electives must be approved by the Associate Dean for ducation.
All
electives are courses for credit, graded on the same basis as required ourses, and are nonremunerative. The following types of courses may be!wed: lecture series; specialty clinics; clinical clerkships or research ex- rience, at Vanderbilt or ocher institutions; Vanderbilt undergraduate or raduate courses.
Two hours each week have been designated for presentations of school- ide interest, e.g., lectureships, medical society meetings, student papers.
he attendance of all students and faculty is expected.
Students are encouraged to participate in the summer research fellowship rogram.
The Medical School curriculum is scheduled in conjunction with the mmon University calendar, and is divided on a semester basis.
The medical curriculum at Vanderbilt is under constant review by both culty and students, and is subject to timely change as recommended by e ~ommittee of Education and approved by the Executive Faculty of the ledlcal School.
Fim year: Most of the year is spent in the study of anatomy, biochemistry, d physiology. All day Wednesday and Saturday morning (during the cond semester) are reserved for study and electives. Electives available
the freshman cover a wide range of subjects, e.g., Fundamental Principles
Use
of Radioisotopes, Topics in General Physiology, Medicine in Fami- es and the Community, Medical Genetics, Principles of Anthropology.St~o1/dyear: Courses include Microbiology, Pathology, Pharmacology, [edlcal Statistics, Preventive Medicine, and Psychiatry. Students begin
e study of patients during the second semester, when all the clinical de- rc~ents cooperate in giving the student an introduction to history taking, YSlcalexamination, and laboratory study of patients through a series of Ct
l
resdemonstrations,,> and individual practice by the student. A varietye eCtlves may be taken, either on Wednesday or at scattered times through
e week.
!hird year: Ward c1erkships in Medicine, Obstetrics-Gynecology, Psy- latrr, Neurology, Orthopedic Surgery, Pediatrics, and Surgery occupy e.thlrd year. Students have close contact with a limited number of selected tlents under the supervision of attending physicans and house staff.
SCHOOL OF MEDICINE f 39
FfJllTth year: During one semester seniors serve as clinical clerks in electives in the Outpatient Service. Here they have opportunity tosee disease in its earlier stages, when diagnosis is more difficult, under conditions of office practice, and with opportunities for follow-up examinations and observation over relatively long periods.
Seniors have an entire semester designated as elective for inpatient clerk- ships. The opportunities for use of this elective semester include research fellowships in a clinical or preclinical department, at Vanderbilt or other institutions; advanced ward clerkships in clinical areas; combinations of a variety of specialty clinics and lecture courses. The flexibility of the fourth.
year curriculum gives the student maximum opportunity for individual development.
40
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