WEBVTT

1
00:00:10.220 --> 00:00:15.960
It is a privilege to have this opportunity to tell you about medical education at Loyola

2
00:00:15.960 --> 00:00:23.380
University Medical Center located in the western suburbs of Chicago adjacent to the 2,000 bed

3
00:00:23.380 --> 00:00:29.600
Hines Veterans Administration Hospital and the 288 bed Madden Zone Mental Health Center.

4
00:00:31.100 --> 00:00:37.900
The applicant you see is one of over 2,000 applying for entrance next fall. He has been

5
00:00:37.900 --> 00:00:44.740
invited for his admissions interview and is understandably a bit anxious. It is our

6
00:00:44.740 --> 00:00:50.220
experience that interviews are as valuable for applicants as they are for the committee.

7
00:00:51.820 --> 00:00:58.500
He will have at least two interviews. Like 58% of the entering class, he is an Illinois

8
00:00:58.500 --> 00:01:05.700
resident. The present freshman class includes students from the East and the Far West as well

9
00:01:05.700 --> 00:01:11.420
as the Midwest. This admissions interview is being conducted by the student representative

10
00:01:11.420 --> 00:01:14.460
on the admissions committee, a senior at the medical school.

11
00:01:19.100 --> 00:01:24.340
Committee on admissions carefully, sometimes heatedly reviews each application.

12
00:01:29.220 --> 00:01:34.460
There are also student representatives on the curriculum committee from the senior,

13
00:01:34.540 --> 00:01:40.680
junior, and sophomore classes. There are 10 of these sit-down multidisciplinary laboratories.

14
00:01:40.680 --> 00:01:48.620
Each accommodates 24 students. Students you see are at their home bases. These are available

15
00:01:48.620 --> 00:02:00.460
to them 24 hours a day for study, work, and sometimes recreation. Each is located in tandem

16
00:02:00.460 --> 00:02:07.600
with a stand-up laboratory. This is currently devoted to a biochemistry experiment, but it is

17
00:02:07.920 --> 00:02:19.580
used for the full gamut of basic medical sciences except gross anatomy. The new curriculum will

18
00:02:19.580 --> 00:02:29.220
make fuller use of these laboratories as an instructional device. A student's work may

19
00:02:29.220 --> 00:02:34.440
vary from that of the fellow at the next bench, so that individual supervision is crucial.

20
00:02:56.880 --> 00:03:01.640
Participants in the symposium on the brain and human behavior held at the medical school

21
00:03:02.480 --> 00:03:13.900
included three Nobel laureates, Daniel Beauvais, Ragnar Granit, and Sir John Eccles, as well as

22
00:03:13.900 --> 00:03:20.760
Jean Piaget, perhaps the greatest psychologist to live in this century. The auditorium you see is

23
00:03:20.760 --> 00:03:27.300
equipped for closed-circuit TV, as are all the lecture halls, laboratories, operating and delivery

24
00:03:27.300 --> 00:03:34.060
rooms, and departmental conference rooms in the medical center. The demonstration of the human

25
00:03:34.060 --> 00:03:47.280
heart from an anatomical point of view is coordinated with the study of pathological changes in the heart

26
00:03:47.280 --> 00:03:57.240
leading to the knowledge, understanding, and skills which are necessary for the senior student

27
00:03:57.240 --> 00:04:03.440
taking an elective and experimental surgery and the first-year resident on the right supervising

28
00:04:03.440 --> 00:04:09.360
him in this open heart procedure. Elective experience combined with the study of core

29
00:04:09.360 --> 00:04:16.640
materials provide a student with the customized experience he needs in order to proceed with the

30
00:04:16.640 --> 00:04:21.820
graduate medical education suited to his particular interests and talent.

31
00:04:43.740 --> 00:04:50.320
The senior is not only mastering the principles of surgery, he is also taking part in a study

32
00:04:50.320 --> 00:04:57.660
involving heart transplantation which may result in the discovery and publication of important new

33
00:04:57.660 --> 00:05:06.060
knowledge in regard to the innervation of the heart. After the surgery, he reviews with his

34
00:05:06.060 --> 00:05:19.380
instructor the EKG findings. The junior scrubbing in the picture is being prepared by his resident

35
00:05:19.380 --> 00:05:25.540
as to the probable findings in surgery. Having done the workup, he is interested in what he will

36
00:05:25.540 --> 00:05:37.340
have a chance to observe for himself as he assists his attending surgeon at the operation.

37
00:05:40.500 --> 00:05:50.660
He has the opportunity thus to assess the impact of surgical intervention on the natural history

38
00:05:50.660 --> 00:06:04.600
of the patient's disease. After surgery, the patient care team discusses the patient's status

39
00:06:05.300 --> 00:06:11.520
with the chief of service in order to be prepared to provide the patient effective care during the

40
00:06:11.520 --> 00:06:23.020
critical post-operative period. Sophomore above is a student in the combined MD-PhD program. His

41
00:06:23.020 --> 00:06:29.540
learning, like that of all medical students, is facilitated by the opportunity for one-to-one or

42
00:06:29.540 --> 00:06:38.640
small group contact with the faculty. This is possible with a curriculum which combines core

43
00:06:38.640 --> 00:06:45.520
material and the provision of elective opportunities. The student above is working in the Department of

44
00:06:45.520 --> 00:06:51.980
Community Health and Family Medicine studying the effect of environmental pollution in northern

45
00:06:51.980 --> 00:06:59.100
Illinois. The impact of the physical and biological and social environment on health and the quality

46
00:06:59.100 --> 00:07:05.980
of life will assume ever-mounding proportions for the next generation of physicians, as will the

47
00:07:05.980 --> 00:07:11.540
necessity of developing new ways of delivering health services such that all the people in our

48
00:07:11.540 --> 00:07:29.080
society receive adequate health care. The faculty of the Loyola University Stritch School of

49
00:07:29.080 --> 00:07:35.140
Medicine in planning its educational programs recognizes that it is not enough to take account

50
00:07:35.140 --> 00:07:42.140
of the present, since today's students will be practicing in the 21st century. The family is a

51
00:07:42.140 --> 00:07:52.060
crucial element in society and medicine must consider the needs of the family. The student

52
00:07:52.060 --> 00:07:58.280
in pediatrics has the opportunity to learn that adequate care of children involves sensitivity

53
00:07:58.280 --> 00:08:05.760
to and the ability to communicate with parents and to understand parental fears. They also receive

54
00:08:05.760 --> 00:08:12.680
the gratification that comes in working with a trusting child. Bedside teaching is crucial to

55
00:08:12.680 --> 00:08:19.540
the development of the clinical skills. Taking a history, doing an adequate physical examination,

56
00:08:19.840 --> 00:08:25.760
and then solving the problems that the patient's illness presents. At the same time, it provides an

57
00:08:25.760 --> 00:08:32.160
opportunity to observe a model, their teacher, demonstrate what is involved in being a compassionate

58
00:08:32.160 --> 00:08:50.220
physician. The modern University Medical Center is involved in education on many levels. Here on

59
00:08:50.220 --> 00:09:00.660
the grounds the teacher, resident, intern, and two juniors work and learn together as a patient care team.

60
00:09:12.160 --> 00:09:21.940
A medical student's life is interesting, but it can also be stressful. And medical schools,

61
00:09:21.960 --> 00:09:30.920
like good physicians, need to remember that the care of the total patient is a mark of the good

62
00:09:30.920 --> 00:09:45.820
physician. Thus a good medical school must be concerned with the total student. The patient

63
00:09:45.820 --> 00:09:51.900
you see is a senior medical student with a fairly severe case of acute mononucleosis.

64
00:10:09.300 --> 00:10:16.420
Illness causes anxiety. An understanding physician knows this and recognizing it is

65
00:10:16.420 --> 00:10:22.960
able to alleviate anxiety. This is one of the important functions of the physician-patient

66
00:10:22.960 --> 00:10:33.500
relationship. Illness can be frightening for the physician, too, since sometimes it results in death.

67
00:10:38.740 --> 00:10:46.540
A medical student's life, however, while demanding, is also exciting and varied. October 18th was St.

68
00:10:46.540 --> 00:10:53.440
Louis Day, a time for the distribution of honors, a time for ribbing the faculty, particularly those

69
00:10:53.440 --> 00:11:02.200
with beards. The seniors above leave next month for Rhodesia, where they will go as Smith Klein

70
00:11:02.200 --> 00:11:03.260
and French fellows.

71
00:11:29.300 --> 00:11:38.600
And they do have senses of humor. And medicine deals not only with illness and not only involves

72
00:11:38.600 --> 00:11:40.800
death, but also new life.