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Applications for admission and for advanced standing must be addressed to the Dean of the Medical School, San Francisco, or to the Recorder of the Faculties in Berkeley. They must be received at least one month prior to the beginning of the term to allow time for investigation.
Students will not be admitted to Medical Courses until they have registered at the Office of the Recorder (First and Second Years), or at the Office of the Secretary of the Medical School (Third and Fourth Years).
CHARGES FOR TUITION
The charge for tuition is one hundred and fifty dollars per annum, payable in two installments, August and January. Students will not be admitted to the courses until they have paid their fees for the ensuing semester. A key and breakage deposit of $25 in the first and second years and of $10 in the third and fourth years is required for the use of lockers and to cover the cost of material used in laboratories and possible damage to college buildings and equipment. At the close of each session the unexpended balance is returned to the student.
In the first year there is an additional fee of $15 for dissecting material, $5 for each part.
MICROSCOPES AND BLOOD-COUNTING APPARATUS Students are advised to purchase their own microscopes, but those who do not care to do so may rent one from the School at a cost of five dollars per annum with an additional charge of two dollars if an oil immersion lense is desired. Students using microscopes which belong to the School are liable for damage done the instruments while in their possession.
The character of the practical work requires that each student own a blood-counting apparatus. This should be purchased at the beginning of the second semester of the second year.
MEDICAL SUPERVISION OVER STUDENTS Each year the Faculty appoints a medical adviser to the students in the Medical School. This officer keeps a definite hour for consultation and when necessary visits students in their homes. Through him the services of specialists are secured when indicated.
Students of the first- and second-year classes are entitled to the advantages offered by the University of California Students' Infirmary in Berkeley. Students resident in Berkeley and requiring hospital care are provided for in the Infirmary without charge, unless special nurses are necessary. Students of the third and fourth classes are similarly provided for in the University Hospital.
Medical students, as well as all other students, in the University of California are required to pass a physical examination by the Medical Examiner before entrance to the University.
Instruction in the medical sciences and the various branches of clinical medicine is incomplete without constant reference to current and authori. tative monographic and periodical literature. In research work the need of a complete reference library is obvious.
Each of the laboratories in Berkeley-anatomy, physiology and physiological chemistry, pathology and bacteriology-contains a separate de. partmental library which, although a unit of the general University Library, is thus segregated as part of the working equipment of each department. Through the generosity of Mrs. Phoebe A. Hearst and Mrs. William H. Crocker, these departmental libraries are unusually complete; they also participate in the annual distribution of University Library funds.
The library in connection with the University Hospital contains a good collection of text-books and monographs, which is now being rapidly increased through a special annual appropriation. The best current journals in French, German and English are on file.
LABORATORIES AND CLINICAL OPPORTUNITIES Medical instruction of the first two years is carried on in the separate departmental buildings of Anatomy, Physiology and Physiological Chemistry, and Pathology and Bacteriology situated on the University Campus in Berkeley. The present laboratory buildings are regarded as temporary but are spacious and easily increased in size to meet growing demands; they are fully equipped not only for teaching but for research.
Instruction in pathology in its more practical relations to clinical medicine is pursued during the third and fourth year courses. Clinical Pathology is taught in the second semester of the second year. This course in the coming year is given in the laboratories of the Dental School as the space in the hospital building has been devoted to small laboratories for students and internes.
THE UNIVERSITY HOSPITAL
The University Hospital is essentially a teaching hospital under the control of the Board of Regents of the University of California. The medical affairs of the hospital are in charge of a committee composed of the heads of the various clinical departments; this arrangement secures the most thorough utilization of the patients for the purpose of instruction.
At present the Hospital contains 112 beds. Three wards on the second floor are devoted to Medicine, Surgery, and Gynecology. Accommodations are provided on the third floor for obstetrical patients and for children. An endowment fund and the support of the University makes free beds available for the study of interesting and unusual
The Associated Charities of San Francisco send to the hospital a number of deserving patients. Clinical material also is drawn from distant points. It is aimed to make this hospital a consulting place, to a great extent, for physicians of the State, a place where patients unable to pay for costly examinations or expert opinion may be sent for further investigation, returning to their own physicians with a report of the findings.
In order to increase laboratory and teaching facilities the training school for nurses has been removed from the hospital and installed temporarily in a separate building pending the erection of a nurses' home adjacent to the new hospital.
THE NEW UNIVERSITY HOSPITAL
Friends of the University have contributed six hundred and twentyfive thousand dollars for the erection of a Hospital which will be located at Parnassus and Fourth Avenues, adjoining the Medical School. This site overlooks Golden Gate Park, San Francisco Bay, and the Ocean, and provides a unique opportunity for hospital construction. The plans which have been accepted were submitted by Mr. Lewis P. Hobart, Architect, and Dr. Winford H. Smith, Superintendent of the Johns Hopkins Hospital. The work of construction will begin shortly.
The Hospital will have a capacity of 210 beds, of which fifty are assigned to each of the following services, Medicine, Surgery, Obstetrics and Gynecology, and Pediatrics. There is also an isolation ward of ten beds. Corresponding to the above services the Hospital contains four distinct units and these occupy separate two-story buildings which connect with a Main Building. This last extends along Parnassus Avenue and consists of four floors besides the basement and subbasement. The four floors are devoted respectively, (1) to Administration and Lecture Rooms, (2) Operating Rooms, (3) Actinography, Photography, and Laboratories, and (4) Special Rooms for patients.
As the investigation of obscure diseases and the instruction of Medical Students and Postgraduates are two of the chief aims of the Hospital, facilities for these purposes have been carefully provided. Each ward has a neighboring laboratory and teaching room, in addition to those in the Main Building. There are four operating rooms including a large amphitheatre and three smaller operating rooms assigned, respectively, to General Surgery, Gynecology and Obstetrics, and the Surgical Specialties. The approach to these for the use of students is separated from the corridors and rooms used for the transportation and the preparation of patients,-an arrangement which possesses great advantage for both students and the staffs of the operating rooms. Similarly throughout the Hospital its efficiency as a teaching institution has been kept paramount.
The plans are such that the capacity of the Hospital may be doubled at comparatively small expense.
THE SAN FRANCISCO HOSPITAL
(Formerly City and County Hospital) The San Francisco Hospital, temporarily located at the Almshouse tract and within walking distance of the University Hospital, assigns approximately one hundred beds (exclusive of tuburculosis wards) to the Medical School. These are equally divided for the instruction of clinical medicine and clinical surgery. A clinical laboratory for the use of the students and abundant post mortem material are also facilities afforded at this hospital.
The main buildings of the new San Francisco Hospital will be ready for occupancy about January 1, 1915. The tuberculosis and contagious pavilions will be finished at a later date. The main group, consisting of an executive building, service building, receiving and emergency building and sixteen wards, comprises one of the finest municipal hospitals in America, and represents the latest ideas in hospital construction and equipment. These wards will be devoted largely to acute medical and surgical cases, and will offer unexcelled opportunities for clinical work.
OUT-PATIENT DEPARTMENT The Out-Patient Department of the University Hospital provides facilities for instruction in all branches of clinical medicine and sur: gery. Diseases of every type are treated in the various clinics, each of which is under the supervision of a Chief who is responsible for the instruction of students.
During the Third and Fourth Years groups of students are assigned to the Clinics in Medicine, Surgery, Gynecology, Pediatrics, Dermatology, Urology, Ophthalmology, Laryngology, Orthopedic Surgery, etc. A large
and varied material is available, and all the clinics are growing steadily; an increase of 54 per cent in the number of patients treated occurred
At present the daily average number of visits to the clinic is over 140.
The Social Service Work established in connection with the Outpatient Department has notably increased its efficiency. The social condition of patients often bears a direct relation to their physical ailments and, therefore, must be taken into account, if treatment is successful. Medical students should have this fact impressed upon them. The investigation of social problems presented by patients in the Out-Patient Department as well as in the Hospital Wards is made under the direction of Doctor Louise Morrow, who brings to the work a knowledge of both Medicine and Sociology. Students are advised to attend the conferences dealing with the social problems that arise in connection with the patients they see in the clinic. These conferences are held weekly by Professor Lucas, Director of the Out-Patient Department.
TUBERCULOSIS CLINICS By agreement with the San Francisco Society for the Study and Prevention of Tuberculosis Dr. Eduordo Taussig, a member of the outpatient staff of the University Hospital, is in charge of a clinic maintained under the auspices of this society. Patients referred there for treatment are available for teaching purposes.
The tuberculosis wards of the San Francisco Hospital are also utilized for the same purpose.
THE CANCER WARD Through the generosity of a friend of the Medical School a ward in the hospital is reserved for the treatment of patients suffering from malignant diseases. Advanced and inoperable cases are received as well as those not too far advanced to be benefitted by surgical or other treatment. Thus, the variety of cases and the long residence of certain of them afford an unusual opportunity to observe all phases of malignant diseases.
THE HOOPER INSTITUTE FOR MEDICAL RESEARCH This Institution is located in an adjoining building to the Hospital and its Director is also Professor of Research Medicine in the Medical School. A number of beds in the Hospital are at the disposal of the Institute and are occupied by patients suffering from diseases which at the moment are the subject of study and investigation by members of the Institute Staff.