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unit of demonstrative or clinical teaching occupies a middle ground of thirty-two hours. Thirty-two units represent the work of the average year. Exceptional students can carry two to four units more.

In general, the five years curriculum leading to the degree of Doctor of Medicine falls into four periods: first, that devoted to the fundamental medical sciences; second, that occupied by clinical instruction; third, the elective period; and fourth, the intern or laboratory year.

As the requirements for admission are such that the student enters after he has received training in physics, inorganic and organic chemistry, and biology, these subjects are not taught in the medical school. The first period of instruction covers three half-years and is devoted to anatomy, histology, physiology, biological chemistry, bacteriology, and pathology. Nearly all the work in these subjects is obligatory. They provide the basis for the study of clinical medicine; and the laboratory instruction which occupies the major portion of the student's time during this period is planned to develop powers of accurate observation.

Clinical instruction begins with the second half of the second year. The initial courses in medicine and surgery deal chiefly with the problems of diagnosis. They aim to train further the faculty of critical observation and to instill into the student good habits in taking case-histories and in carrying out systematically the examination of patients. In this half-year also materia medica, pharmacology, preventive medicine and hygiene, clinical pathology, ophthalmoscopy and elementary neurology, dermatology and obstetrics are taught.

Obligatory clinical instruction continues through the third year, and is given in the classroom, the clinical laboratory, the dispensary, and at the bedside. In the Out-Patient Department students take the histories of patients and make the necessary examinations under the direction of the attending staff. In the wards of the University Hospital and the San Francisco Hospital they are assigned cases for thorough study and have every opportunity to become familiar with therapeutic methods. In this year some of the major subjects are completed. During the first half of the fourth year the required work in medicine, surgery, gynecology, pediatrics and the various specialties are completed.

During the term beginning January 13, 1919, the elective period consists of the last eight weeks of the second term. All departments of the school offer optional work, and in general three possibilities are open to the student: (a) he may elect a number of short courses with a view to becoming a general practitioner; (b) he may select a few long courses looking toward a career in some special field of practice; (c) he may devote his time to the laboratories of the fundamental sciences for the purposes of training as a teacher and investigator.

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