47
DOCUMENT RESUME ED 022 320 By-Peery, Thomas M.; Green, Alan C. DESIGN FOR MEDICAL EDUCATION. THE DEVELOPMENT AND PLANNING OF A MEDICAL COLLEGE AND CARE CENTER. George Washinqton Univ., Washington, D.C. School of Medicine. Pub Date Feb 65 Note-46p. Available from-Public Information Office, The George Washington School of Medicine, 1335 H Street, N. W. Washington, D. C. 20005 EDRS Price MF -S025 HC -$1.92 Descriptor s -*BUILDING DESIGN, COLLEGE PLANNING, DESIGN NEEDS, *EDUCATIONAL OBJECTIVES, *EDUCATIONAL PLANNING, *FACILITY REQUIREMENTS, HEALTH FACILITIES, MEDICAL SERVICES, SITE SELECTION Identifiers-District of Columbia Planning and design procedures which One medical education center employed in translating its educational objectives, philosophy and techniques into laboratory, classroom and clinic facilities are described. Basic planning considerations induded--(1) determination of the curriculum, (2) facility utilization rate, (3) housing of research activities, (4) planning of ancillary facilities, and (5) zoning of facilities. Specific design studies were conducted on four major facility groupings--(1) the commons, or general facilities for the use of students and faculty, and classrooms to house basic clinical instruction, (2) the medical sciences unit, for housing of instructional and research activities, (3) the resource unit, for library and other self use facilities, and (4) the clinics unit or the patient care areas. Each study considers primary medical and educational functions, communications and circulation relationships and possible physical layouts. Site planning and development procedures established the optimum interrelationships for efficient functioning, circulation and access for the four groupings and a fifth doctors' grouping. Included is an appendix which presents the results of their study to define the specific needs and objectives of the medical program. (BH) EF 000 916

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Page 1: for efficient and access for the four

DOCUMENT RESUME

ED 022 320By-Peery, Thomas M.; Green, Alan C.

DESIGN FOR MEDICAL EDUCATION. THE DEVELOPMENT AND PLANNING OF A MEDICAL COLLEGE AND CARE

CENTER.George Washinqton Univ., Washington, D.C. School of Medicine.

Pub Date Feb 65Note-46p.Available from-Public Information Office, The George Washington School of Medicine, 1335 H Street, N. W.

Washington, D. C. 20005EDRS Price MF -S025 HC -$1.92Descriptor s -*BUILDING DESIGN, COLLEGE PLANNING, DESIGN NEEDS, *EDUCATIONAL OBJECTIVES,

*EDUCATIONAL PLANNING, *FACILITY REQUIREMENTS, HEALTH FACILITIES, MEDICAL SERVICES, SITE

SELECTIONIdentifiers-District of Columbia

Planning and design procedures which One medical education center employed in

translating its educational objectives, philosophy and techniques into laboratory,

classroom and clinic facilities are described. Basic planning considerations

induded--(1) determination of the curriculum, (2) facility utilization rate, (3) housing of

research activities, (4) planning of ancillary facilities, and (5) zoning of facilities. Specific

design studies were conducted on four major facility groupings--(1) the commons, or

general facilities for the use of students and faculty, and classrooms to house basic

clinical instruction, (2) the medical sciences unit, for housing of instructional and

research activities, (3) the resource unit, for library and other self use facilities, and

(4) the clinics unit or the patient care areas. Each study considers primary medical and

educational functions, communications and circulation relationships and possible

physical layouts. Site planning and development procedures established the optimum

interrelationships for efficient functioning, circulation and access for the fourgroupings and a fifth doctors' grouping. Included is an appendix which presents the

results of their study to define the specific needs and objectives of the medical

program. (BH)

EF 000 916

Page 2: for efficient and access for the four

4

DE

SIG

N F

OR

ME

DIC

AL

ED

UC

AT

ION

AN

EFL

PR

OJE

CT

RE

POR

Tcl

zmon

Page 3: for efficient and access for the four

AC

KN

OW

LE

DG

ME

NT

S

Thi

s st

udy

was

sup

port

ed b

y a

gran

tfr

om E

DU

CA

TIO

NA

L F

AC

ILIT

IES

LA

BO

RA

-

TO

RIE

S, I

NC

.D

r. H

arol

d G

ores

, Pre

side

nt o

f E

FL, g

ave

coun

sel a

nd e

ncou

rage

-

men

t. M

r. R

ober

t Dill

on, M

.A.,

Con

sulta

nt to

EFL

, gav

e in

valu

able

adv

ice

in a

ll

phas

es o

f th

e pr

ojec

t.M

rs. M

arga

ret F

arm

er, E

dito

rial

Ass

ocia

te,

EFL

, was

extr

emel

y he

lpfu

l in

the

prep

arat

ion

of th

e re

port

.

Page 4: for efficient and access for the four

U.S

. DE

PA

RT

ME

NT

Of H

EA

LTH

, ED

UC

AT

ION

& W

ELF

AR

E

OF

FIC

E O

F E

DU

CA

TIO

N

TH

IS D

OC

UM

EN

T H

AS

BE

EN

RE

PR

OD

UC

ED

EX

AC

TLY

AS

RE

CE

IVE

D F

RO

M T

HE

PE

RS

ON

OP

OR

GA

NIZ

AT

ION

OR

IGIN

AT

ING

II.

PO

INT

S O

F V

IEW

OR

OP

INIO

NS

ST

AT

ED

DO

NO

T N

EC

ES

SA

RIL

Y R

EP

RE

SE

NT

OF

FIC

IAL

OF

FIC

E O

F E

DU

CA

TIO

N

PO

SIT

ION

OR

PO

LIC

Y.

DE

SIG

N F

OR

ME

DIC

AL

ED

UC

AT

ION

TH

E D

EV

EL

OPM

EN

T A

ND

PL

AN

NIN

G O

F A

ME

DIC

AL

CO

LL

EG

E A

ND

CA

RE

CE

NT

ER

A R

EPO

RT

FR

OM

TH

E G

EO

RG

E W

ASH

ING

TO

N U

NIV

ER

SIT

Y S

CH

OO

L O

F M

ED

ICIN

E E

DU

CA

TIO

NA

L F

AC

ILIT

IES

STU

DY

TH

OM

AS

M. P

EE

RY

, M.D

., D

IRE

CT

OR

AL

AN

C. G

RE

EN

, M.A

RC

H.,

CO

-DIR

EC

TO

R

Publ

ishe

d by

TH

E G

EO

RG

E W

ASH

ING

TO

N U

NIV

ER

SIT

Y

WA

SHIN

GT

ON

, D. C

.

Febr

uary

196

5

Page 5: for efficient and access for the four

"PE

RM

ISSI

ON

TO

RE

PRO

DU

CE

TH

ISC

OPY

RIG

HT

ED

MA

TE

RIA

L H

AS

BE

EN

GR

AN

TE

D

BY

lohn

Par

ks, D

ean,

a.w

.se

mio

t oF

tute

rAlc

ilve.

TO

ER

IC A

ND

OR

GA

NIZ

AT

ION

S O

PER

AT

ING

UN

DE

R A

GR

EE

ME

NT

S W

ITH

TH

E U

.S. O

FFIC

E O

F

ED

UC

AT

ION

. FU

RT

HE

R R

EPR

OD

UC

TIO

N O

UT

SID

E

ME

ER

IC S

YST

EM

RE

QU

IRE

S PE

RM

ISSI

ON

OF

TH

E C

OPY

RIG

HT

OW

NE

R."

LIB

RA

RY

OF

CO

NG

RE

SS C

AT

AL

OG

CA

RD

NU

MB

ER

65-

1740

0

0The

Geo

rge

Was

hing

ton

Uni

vers

ity, 1

965

PUB

LIS

HE

D I

N C

OO

PER

AT

ION

WIT

H

TH

E G

EO

RG

E W

ASH

ING

TO

N U

NIV

ER

SIT

Y O

FFIC

E O

F PL

AN

SA

ND

RE

SOU

RC

ES

Osw

ald

S. C

olo

loug

h, B

.S.,

LL

.B.,

LL

.D.,

Sc.D

., A

ctin

g Pr

esid

ent o

f th

e U

nive

rsity

John

Ant

hony

Bro

wn,

A.M

., L

.H.D

., L

L.D

., V

ice

Pres

iden

t and

Dea

n of

Fac

ultie

sH

enry

W. H

erzo

g, B

.S.,

Vic

e Pr

esid

ent a

nd T

reas

urer

John

Par

ks, M

.S.,

M.D

., D

ean

of th

e Sc

hool

of

Med

icin

e

Add

ition

al c

opie

s of

this

rep

ort m

ay b

e ob

tain

ed fr

om: P

ublic

Info

rmat

ion

Offi

ceT

he G

eorg

e W

ashi

ngto

n U

nive

rsity

Sch

ool o

f Med

icin

e, 1

335

HS

tree

t, N

orth

wes

tW

ashi

ngto

n, D

. C. 2

0005

Page 6: for efficient and access for the four

TA

BU

OF

CO

NT

EN

TS

TA

BLE

OF

FIG

UR

ES

1

Fore

wor

d2

ISp

ecia

l Fea

ture

s of

Med

ical

Edu

catio

n4

II B

asic

Pla

nnin

g C

onsi

dera

tions

5

III

Des

ign

Stud

ies

.7

A. T

he C

omm

ons

(Uni

t A)

9

B. T

he M

edic

al S

cien

ces

(Uni

t B)

12

1. P

lann

ing

for

the

Pres

ent a

nd th

e Fu

ture

__

_12

2. D

epar

tmen

tal v

s. M

ultid

isci

plin

eL

abor

ator

ies

._

15

3. L

arge

Gro

up I

nstr

uctio

nal F

acili

ties

16

4. S

mal

l Gro

up I

nstr

uctio

nal F

acili

ties

265.

Fac

ulty

Off

ices

and

Res

earc

h Fa

cilit

ies

_ _

27

C. T

he R

esou

rces

(U

nit C

)...

....

.28

D. T

he U

nive

rsity

Clin

ics

(Uni

t D)

29IV

Uni

t Rel

atio

nshi

ps a

nd S

ite P

lann

ing

_35

V A

ppen

dixD

efin

ition

of

Inst

ruct

iona

lN

eeds

38

Fig.

1Sch

emat

ic, T

he C

omm

ons

Uni

t _10

Fig.

2Dem

onst

ratio

n R

oom

s10

Fig.

3Sch

emat

ic, T

he M

edic

al S

cien

ces

Uni

t.

13

Fig.

4T

he S

uppo

rt a

nd S

ervi

ce C

ore

_14

Fig.

5A

Lec

ture

Lab

(Sc

hem

e A

).

.18

Fig.

6A

Lec

ture

Lab

(Sc

hem

e B

)20

Fig.

7M

ock-

up o

f B

ench

es f

or th

eL

ectu

re L

ab22

Fig.

8Des

igns

for

the

Ben

ches

22

Fig.

9B

ack

Vie

w, P

enin

sula

-Typ

eB

ench

___

.. _

22

Fig.

10F

ront

Vie

w, P

enin

sula

-Typ

e B

ench

___

23

Fig.

11A

n In

tegr

ated

inst

ruct

iona

l Sui

te(S

chem

e C

) 24

Fig.

12I

nstr

uctio

nal S

uite

(Sc

hem

e D

)25

Fig.

13I

nstr

uctio

nal F

acili

ties

for

SmaH

Gro

ups

_26

Fig.

14O

ffic

es a

nd R

esea

rch

Lab

orat

orie

s27

Fig.

15S

chem

atic

, The

Res

ourc

es U

nit

.28

Fig.

16A

Typ

ical

Flo

or__

28Fi

g. 1

7Sch

emat

ic, T

he U

nive

rsity

Clin

ics

31

Fig.

18A

ltern

ate

Plan

s fo

r th

e B

asic

Clin

icSu

ite32

Fig.

19S

chem

atic

, Rel

atio

nshi

p of

Uni

ts35

Fig.

20T

he S

ite36

Fig.

21.

Site

Dev

elop

men

tAlte

rnat

e Pl

an A

37

Fig.

22S

ite D

evel

opm

entA

ltern

ate

Plan

B37

Page 7: for efficient and access for the four

Thi

s re

port

des

crib

es th

e st

eps

one

med

ical

sch

ool

has

take

n to

tran

slat

e its

edu

catio

nal o

bjec

tives

,ph

iloso

phy,

and

tech

niqu

es in

to la

bora

tory

, cla

ss-

room

, and

clin

ic.

The

stu

dy o

n w

hich

it is

bas

ed c

omes

at a

tim

eof

gre

at u

nres

t in

educ

atio

n ge

nera

lly. L

ong

ac-

cept

ed p

rinc

iple

s an

d pr

actic

es a

re u

nder

cri

tical

scru

tiny.

The

mac

hine

ry o

f ed

ucat

ion

has

been

mul

tiplie

dand

so

has

its c

ost.

Thi

s un

rest

is n

owhe

re m

ore

evid

ent t

han

inm

edic

al e

duca

tion.

Sin

ce W

orld

War

II

a su

dden

inte

rest

in c

urri

cula

, ped

agog

ical

pri

ncip

les,

and

teac

hing

met

hods

has

bur

st u

pon

the

facu

lties

of

rned

ical

sch

ools

. The

val

ue o

t the

lect

ure

is b

eing

rest

udie

d; th

e fo

rmat

of

the

exam

inat

ion

is b

eing

ques

tione

d; th

e ro

le o

f th

e pa

tient

is b

eing

rec

on-

side

red.

New

med

ical

sch

ools

are

bei

ng o

rgan

ized

and

old

ones

are

rev

ampi

ng th

eir

teac

hing

pro

gram

san

d ex

pand

ing

thei

r fa

cilit

ies.

Nor

are

med

ical

edu

cato

rs th

e on

ty p

eopl

e sh

ow-

ing

inte

rest

in m

edic

al e

duca

tion.

The

pub

lic h

assu

dden

ly b

ecom

e de

eply

con

cern

ed a

bout

the

de-

velo

ping

sho

rtag

e of

phy

sici

ans.

Whe

re w

ill th

e ne

wdo

ctor

s co

me

from

? W

hy is

med

ical

edu

catio

n so

expe

nsiv

e? W

hat i

s th

e pr

oper

rol

e of

gov

ernm

ent

in th

e su

ppor

t of

"pri

vate

" m

edic

al s

choo

ls?

At T

he G

eorg

e W

ashi

ngto

n U

rNer

sity

, in

the

Na-

tion'

s C

apita

l, th

ese

ques

tions

and

oth

ers

rela

ted

to m

edic

al e

duca

tion

have

bee

n un

der

stud

y. T

heFa

culty

of

the

Scho

ol o

f M

edic

ine

has

cons

ider

edca

refu

lly it

s ow

n ob

ject

ives

and

res

ourc

es a

nd h

asdr

awn

up a

new

cur

ricu

lum

gre

atly

libe

raliz

ing

the

form

at o

f th

e m

edic

al c

ours

e. T

hey

have

eva

luat

ed

2

Page 8: for efficient and access for the four

the

sign

ific

ance

of

new

er e

duca

tiona

l met

hods

*an

dha

ve m

odif

ied

cert

ain

tech

nica

l asp

ects

of th

eir

teac

hing

pro

gram

. Per

haps

mos

tim

port

ant o

f al

l,th

ey h

ave

rest

udie

d th

e sp

ecia

l rol

e of

the

patie

ntin

med

ical

edu

catio

n an

d ha

veor

ient

ed th

eir

in-

stru

ctio

n to

pro

vide

a n

ew e

mph

asis

on

the

pers

onal

natu

re o

f go

od m

edic

al c

are.

A s

peci

al f

eatu

re o

f th

e ne

wed

ucat

iona

l pro

gram

is th

e op

porb

nity

it p

rovi

des

for

each

stud

ent t

ode

velo

p ac

cord

ing

to h

is o

wn

need

s an

dw

ishe

s an

dat

his

ow

n sp

eed.

Thi

s in

divi

dual

ized

appr

oach

tom

edic

al e

duca

tion

requ

ires

an

incr

ease

dfl

exib

ility

of c

urri

culu

m a

nd s

ched

ule.

Thi

sfl

exib

ility

will

be

achi

eved

by

the

deve

lopm

ent o

f a

trim

este

r pr

ogra

man

d by

adm

ittin

g tw

o cl

asse

s ea

ch y

ear.

Full

deve

lopm

ent o

f th

is p

rogr

am w

illre

quir

e ne

wte

achi

ng q

uart

ers,

sin

ce th

e pr

esen

tbu

ildin

gs o

fth

e Sc

hool

of

Med

icin

e ar

e ol

d,ov

ercr

owde

d an

dun

suita

ble

for

year

-rou

nd te

achi

ng.

Furt

herm

ore,

the

pres

ent b

uild

ings

are

loca

ted

in th

ehe

art o

f th

eci

ty, a

lmos

t a m

ile a

way

fro

m th

eU

nive

rsity

Hos

-pi

tal,

whi

ch is

loca

ted

on th

e ed

ge o

fth

e m

ain

Uni

vers

ity c

ampu

s. E

leve

n ci

ty b

lock

s,in

clud

ing

the

city

's f

inan

cial

dis

tric

t, th

e W

hite

Hou

se,

and

acl

uste

r of

bus

y of

fice

bui

ldin

gs a

nddo

wn-

tow

nho

tels

, sep

arat

e th

e tw

o ar

eas.

To

corr

ect t

his

situ

atio

n, th

eU

nive

rsity

has

de-

cide

d to

bui

ld a

new

Med

ical

Sch

ool o

n a

two-

bloc

ksi

te a

djoi

ning

the

Uni

vers

ityH

ospi

tal a

nd th

uscr

eate

a u

nifi

ed m

edic

al c

olle

gean

d ca

re c

ente

r.T

he m

edic

al f

acul

ty, w

ith th

e he

lpof

a g

rant

fro

mE

duca

tiona

l Fac

ilitie

s L

abor

ator

ies,

has

mad

e a

de-

taile

d st

udy

of th

e ph

ysic

al r

esou

rces

need

ed to

supp

ort t

he n

ew e

duca

tiona

l pro

gram

and

the

new

teac

hing

met

hods

it e

ntai

ls.

In a

dditi

on to

the

exis

ting

hosp

ital,

five

fun

ctio

nal

grou

ping

s of

fac

ilitie

s**

have

been

def

ined

, bas

edon

the

requ

irem

ents

of ti

lt:re

vise

d cu

rric

ulum

.T

hese

fiv

e gr

oupi

ngs

or u

nits

are

:1)

TH

E C

OM

MO

NSg

ener

alfa

cilit

ies

for

the

use

ofst

uden

ts a

nd f

acul

ty, a

nd c

lass

room

s to

hous

e ba

sic

clin

ical

inst

ruct

ion.

2) T

HE

ME

DIC

AL

SC

IEN

CE

SU

NIT

hous

ing

for

the

in-

stru

ctio

nal a

nd r

esea

rch

activ

ities

rela

ted

to th

eba

sic

med

ical

sci

ence

s.3)

TH

E R

ESO

UR

CE

S U

NIT

the

libra

ry a

ndot

her

self

-us

e re

sour

ces

to a

idle

arni

ng a

nd to

sup

port

cla

ss-

room

inst

ruct

ion.

4) T

HE

UN

IVE

RSI

N C

LIN

ICS

UN

ITfa

cilit

ies

for

am-

bula

tory

pat

ient

car

e, w

ith n

eces

sary

ser

vice

and

supp

ort a

reas

.5)

TH

E D

OC

TO

RS'

OFF

ICE

BU

ILD

ING

a un

itco

mbi

ning

priv

ate

doct

ors'

off

ices

, com

mer

cial

est

ablis

hmen

ts,

and

tran

sien

t liv

ing

acco

mm

odat

ions

for

ambu

lato

rypa

tient

s.T

his

repo

rt p

rese

nts

som

e of

the

basi

c co

nsid

era-

tions

in th

e pl

anni

ng o

f th

e fi

rst f

our

of th

ese

units

.O

ur p

urpo

se is

not

sim

ply

to h

ouse

GW

's n

ew p

ro-

gram

, but

als

o to

em

phas

ize

itsob

ject

ives

, sup

port

the

activ

ities

of

the

facu

lty, a

nd in

crea

se th

e st

u-de

nt's

des

ire

to le

arn.

T. M

. P.

A. C

. G.

*An

inst

itute

ent

itled

"A

ppra

isal

of

Tea

chin

gT

echn

ique

s w

ith A

ppli-

catio

n to

Med

ical

Edu

catio

n,"

feat

urin

g de

mon

stra

tions

and

wor

k-sh

ops,

was

hel

d in

The

Geo

rge

Was

hing

ton

Uni

vers

ity o

nA

pril

12-1

3,19

63. M

ore

than

fou

r hu

ndre

d in

divi

dual

s, m

ostly

fac

ulty

mem

bers

of th

e Sc

hool

of

Med

icin

e, a

ttend

ed.

**It

sho

uld

be n

oted

that

thes

e ar

e no

t nec

essa

rily

five

dif

fere

ntbu

ildin

gs. T

he q

uest

ion

may

be

dete

rmin

ed b

y th

ena

ture

of

the

site

, the

hei

ght o

f th

e bu

ildin

gs, a

nd o

ther

fac

tors

.

Page 9: for efficient and access for the four

SP

EC

IAL

FE

AT

UR

ES

OF

ME

DIC

AL

ED

UC

AT

I N

All

educ

atio

nal p

rogr

ams

requ

ire

an e

nvir

onm

ent

for

effe

ctiv

e co

mm

unic

atio

n be

twee

n te

ache

r an

dst

uden

t and

acc

ess

to a

ccum

ulat

ed k

now

ledg

eth

roug

h lib

rari

es a

nd o

ther

sou

rces

of

self

-hel

p.M

edic

al e

duca

tion

pres

ents

cer

tain

add

ition

al r

e-qu

irem

ents

that

are

pec

ulia

rly

its o

wn.

The

se s

pe-

cial

req

uire

men

ts o

f m

edic

al e

duca

tion

have

anu

mbe

r of

impl

icat

ions

for

the

desi

gn o

f fa

cilit

ies.

TH

E S

UB

JEC

T M

AT

TE

R

TH

E S

CIE

NC

E O

F M

ED

ICIN

E is

qui

te s

imila

r to

othe

r na

tura

l sci

ence

s, a

nd in

gen

eral

req

uire

s th

esa

me

type

s of

fac

ilitie

s. T

he la

bora

tori

es, h

owev

er,

are

high

ly s

peci

aliz

ed a

nd o

ften

can

not b

e sh

ared

,w

hich

mea

ns le

ss th

an o

ptim

um o

ccup

ancy

.

TH

E A

RT

OF

ME

DIC

INE

(cl

inic

al d

iagn

osis

and

trea

tmen

t), o

n th

e ot

her

hand

, dep

ends

on

the

rela

-tio

nshi

p of

doc

tor

to p

atie

nt, a

nd is

bas

ed o

n th

epo

wer

s of

obs

erva

tion

and

com

mun

icat

ion.

Thi

svi

tal p

erso

nal a

spec

t of

med

icin

e ca

nnot

be

taug

htex

cept

by

prec

ept,

or le

arne

d ex

cept

by

dire

ct e

x-pe

rien

ce w

ith p

atie

nts.

Mos

t of

the

spec

ial p

robl

ems

of m

edic

al e

duca

tion,

its

hous

ing

and

its h

igh

cost

,ar

e re

late

d to

the

patie

nt. R

elyi

ng o

n th

e pa

tient

as

a le

arni

ng r

esou

rce

mea

ns th

at h

ospi

tals

and

clin

!cs

mus

t be

prov

ided

, equ

ippe

d an

d st

affe

d to

mee

t all

the

patie

nt's

med

ical

nee

ds.

Prov

idin

g ad

equa

tepa

tient

ser

vice

s m

eans

that

fac

ilitie

s fo

r m

edic

aled

ucat

ion

shou

ld b

e lo

cate

d in

an

urba

n ar

ea w

here

land

cos

ts a

re h

igh.

In

addi

tion,

sin

ce s

ick

peop

leca

nnot

be

used

to d

emon

stra

te e

very

spe

cial

fea

ture

of a

n ill

ness

and

eve

ry d

iagn

ostic

and

ther

apeu

ticte

chni

que,

med

ical

edu

catio

n m

ust r

ely

heav

ily o

nin

stru

ctio

nal a

idsm

otio

n pi

ctur

es, m

anik

ins,

tele

-vi

sion

and

rec

ordi

ngsa

nd th

e pr

oduc

tion

of th

ese

requ

ires

ski

lled

tech

nici

ans

and

exte

nsiv

e eq

uip-

men

t.

TH

E R

API

D E

XPA

NSI

ON

OF

ME

DIC

AL

KN

OW

LE

DG

Eal

so p

rovi

des

a sp

ecia

l pro

blem

. Eac

h is

sue

of h

un-

dred

s of

med

ical

jour

nals

mus

t be

revi

ewed

cur

-re

ntly

and

its

cont

ents

cod

ed. T

his

mea

ns th

at a

larg

e an

d sp

ecia

lized

libr

ary

staf

f is

nee

ded,

plu

sm

echa

nica

l mea

ns f

or s

tora

ge a

nd r

etri

eval

ofin

form

atio

n.T

HE

FA

CU

LT

Y

Bec

ause

of

the

man

y di

scip

lines

and

spe

cial

ties

taug

ht, a

nd th

e ne

ed f

or in

divi

dual

inst

ruct

ion

re-

late

d to

pat

ient

car

e, m

edic

al s

choo

ls u

sual

ly h

ave

two

or th

ree

teac

hers

mos

t of

them

par

t-tim

efor

each

stu

dent

. The

she

er s

ize

of th

e fa

culty

, plu

s its

dive

rse

activ

ities

and

con

stan

t mov

emen

t, ad

d up

to a

gre

ater

nee

d fo

r fa

culty

fac

ilitie

s, c

omm

unic

a-tio

ns a

nd s

ervi

ces

in th

e m

edic

al s

choo

l tha

n in

othe

r di

visi

ons

of th

e un

iver

sity

.

TH

E S

TU

DE

NT

Med

ical

stu

dent

s ar

e ol

der

than

stu

dent

s in

oth

erfi

elds

, and

thei

r ne

eds

are

diff

eren

t. T

here

is li

ttle

inte

rest

in th

e ex

trac

urri

cula

r ac

tiviti

es o

f th

e un

i-ve

rsity

; mos

t of

the

stud

ent's

tim

e ou

tsid

e cl

ass

issp

ent e

ither

in s

tudy

or

in h

elpi

ng to

sup

port

him

-se

lf.

Hou

sing

oft

en p

rese

nts

a sp

ecia

l pro

blem

,si

nce

man

y m

edic

al s

tude

nts

are

mar

ried

and

hav

efa

mili

es. I

n m

ost i

nsta

nces

the

wif

e m

ust w

ork

inor

der

to h

elp

supp

ort t

he h

usba

nd w

hile

he

is in

med

ical

sch

ool.

ME

DIC

AL

RE

SEA

RC

H

Mor

e tim

e an

d m

oney

are

spe

nt in

med

ical

re-

sear

ch th

an in

all

othe

r re

sear

ch c

ombi

ned,

and

am

ajor

por

tion

of th

e na

tion'

s m

edic

al r

esea

rch

isco

nduc

ted

in th

e m

edic

al s

choo

ls. M

edic

al r

esea

rch

is in

sepa

rabl

y bo

und

to m

edic

al e

duca

tion.

Fac

ulty

mem

bers

div

ide

thei

r tim

e be

twee

n ed

ucat

ion

and

rese

arch

, and

are

attr

acte

d to

thos

e sc

hool

s ha

ving

a la

rge

com

mitm

ent t

o re

sear

ch. T

he s

pace

req

uire

-m

ents

for

- re

sear

ch w

ill, i

n m

any

inst

ance

s, e

xcee

dth

ose

for

inst

ruct

ion.

Page 10: for efficient and access for the four

BA

SIC

PL

AN

NIN

G

CO

NSI

DE

RA

TIO

NS

TH

E C

UR

RIC

UL

UM

The

facu

lty o

f The

Geo

rge

Was

hing

ton

Uni

vers

ityS

choo

l Gf M

edic

ine

deci

ded

early

in th

e 19

50's

that

the

educ

atio

nal p

rogr

amm

ust b

e cl

early

det

aile

dbe

fore

arc

hite

ctur

al p

lann

ing

coul

d be

gin.

Acc

ord-

ingl

y, th

e fa

culty

und

erto

ok a

nin

tens

ive

stud

y of

all t

he fa

cets

of i

ts p

rogr

aman

d de

vise

d a

new

cur

-ric

ulum

, rel

atin

g it

to th

esp

ecia

l nee

ds a

nd r

e-so

urce

s of

the

Cap

ital

City

.lt

was

gen

eral

ly a

gree

d th

atm

edic

al fa

culti

es c

an-

not t

each

, nor

stu

dent

sle

arn,

in a

few

sho

rt y

ears

,al

l the

re is

to k

now

abo

utm

edic

ine.

Hen

ce th

efa

culty

ado

pted

an

educ

atio

nal p

rogr

amco

mpa

rabl

eto

und

ergr

adua

te a

nd g

radu

ate

prog

ram

sin

oth

erfie

lds,

offe

ring

basi

c "u

nder

grad

uate

"in

stru

ctio

n in

med

ical

sch

ool a

s a

foun

datio

n fo

rgr

adua

te tr

aini

ngin

spe

cial

fiel

ds. T

he u

nder

grad

uate

cou

rse

in-

clud

es a

n ex

tens

ive

offe

ring

ofel

ectiv

es a

mon

gw

hich

the

stud

ent m

ay fi

nd, w

ith th

ehe

lp o

f pro

-fe

ssio

nal c

ouns

ello

rs, t

hat a

rea

ofm

edic

ine

for

whi

ch h

e is

bes

t sui

ted.

The

cen

tral

phi

loso

phy

of G

W's

new

curr

icul

umca

n be

sum

med

up

inth

e ad

mon

ition

, "LE

AR

N T

OC

AR

E"

Em

phas

is is

pla

ced

on th

ero

le o

f the

patie

nt in

med

ical

edu

catio

n, th

ere

spon

sibi

lity

ofth

e ph

ysic

ian

to h

is p

atie

nts

and

his

com

mun

ity,

and

the

pers

onal

nat

ure

of g

ood

med

ical

car

e.S

pe-

cial

feat

ures

incl

ude

an e

xtre

mel

y fle

xibl

esc

hedu

lein

whi

ch th

e st

uden

t can

acc

eler

ate

orde

cele

rate

acco

rdin

g to

his

ow

n ne

eds

and

desi

res;

abr

oad

prog

ram

of e

lect

ives

; act

ive

part

icip

atio

n by

the

stu-

dent

in th

e le

arni

ng p

roce

ss, a

s pr

epar

atio

nfo

r hi

sco

ntin

uing

sel

f-ed

ucat

ion

afte

r gr

adua

tion;

and

an

incr

ease

d ou

tput

of p

hysi

cian

s.

Page 11: for efficient and access for the four

Rat

her

than

incr

ease

the

size

of i

ts c

lass

es, t

hefa

culty

dec

ided

to a

dmit

two

clas

ses

each

yea

r. B

ydi

vidi

ng th

e ye

ar in

to th

ree

16-w

eek

term

s, a

ndte

achi

ng e

ach

basi

c co

urse

in tw

o of

the

thre

e te

rms,

it w

ill b

e po

ssib

le to

incr

ease

the

outp

ut o

f phy

si-

cian

s, im

prov

e th

e ut

iliza

tion

of fa

cilit

ies,

and

der

ive

a m

uch

mor

e fle

xibl

e sc

hedu

le. W

hile

mos

t stu

dent

sw

ill p

roba

bly

follo

w a

"no

rmal

" fo

ur-y

ear

cour

se,

com

plet

ing

two

term

s pe

r ye

ar, s

ome

may

ele

ct to

omit

all "

norm

al"

vaca

tions

and

to g

radu

ate

in th

ree

year

s. O

ther

s m

ay ta

ke a

red

uced

sch

edul

e or

dro

pou

t of s

choo

l for

a te

rm o

r tw

o, p

icki

ng u

p th

eir

regu

lar

cour

ses

with

the

next

cla

ss. T

hese

and

oth

erfe

atur

es o

f the

new

cur

ricul

um h

ave

been

des

crib

edin

mor

e de

tail

else

whe

re.*

The

rol

e of

the

new

cur

ricul

um in

the

desi

gn o

ffa

cilit

ies

will

be

desc

ribed

furt

her

in fo

llow

ing

sec-

tions

of t

his

repo

rt.

INC

RE

AS

ING

UT

ILIZ

AT

ION

OF

INS

TR

UC

TIO

NA

L F

AC

ILIT

IES

Hig

h sp

ace

utili

zatio

n is

des

irabl

e fo

r re

ason

s of

econ

omy,

but

it m

ust b

e re

cogn

ized

that

som

e m

ed-

ical

sch

ool f

acili

ties,

e.g

., ce

rtai

n hi

ghly

spe

cial

ized

stud

ent l

abor

ator

ies,

mus

t be

desi

gned

for

a sp

ecifi

cin

sfru

ctio

nal p

rogr

am. F

or th

eir

basi

c co

urse

s, th

eG

WU

facu

lty h

as a

gree

d on

a m

ost e

ffect

ive

syst

emfo

r in

crea

sing

spa

ce u

tiliz

atio

n,i.e

., te

achi

ng th

esa

me

cour

se in

two

of th

e th

ree

term

s of

the

year

.F

or m

ost e

lect

ives

, one

spa

ce c

an s

erve

for

sim

ilar

cour

ses

taug

ht in

diff

eren

t ter

ms,

or

mul

ti-di

scip

line

spac

es c

an b

e sh

ared

by

two

or m

ore

cour

ses

in th

esa

me

term

. In

rare

inst

ance

s, th

e su

bjec

t mat

ter

oftw

o co

urse

s m

ay b

e fu

sed

so th

at o

nly

one

faci

lity

is r

equi

red.

Effo

rts

to in

crea

se s

pace

util

izat

ion

mus

t sta

rt w

ith a

stu

dy o

f ins

truc

tiona

l nee

ds a

ndus

e sc

hedu

les. H

OU

SIN

G R

ES

EA

RC

H A

CT

IVIT

IES

Sin

ce th

e in

vest

igat

or is

the

key

to a

ll re

sear

chac

tiviti

es, i

t is

logi

cal t

o ap

proa

ch th

e pr

oble

m o

fho

usin

g io

r re

sear

chin

term

s of

the

indi

vidu

al

facu

lty m

embe

r. R

esea

rch

faci

litie

s sh

ould

be

lo-

cate

d so

that

no

time

is w

aste

d as

the

facu

lty m

em-

ber

mov

es b

ack

and

fort

h be

twee

n hi

s w

ork

with

stud

ents

and

his

res

earc

h st

udie

s. R

esea

rch

labo

-ra

torie

s fo

r th

e ba

sic

scie

ntis

t are

bes

t hou

sed

inth

e m

edic

al s

cien

ce u

nit i

n cl

ose

appr

oxim

atio

n to

depa

rtm

enta

l offi

ces

and

teac

hing

labo

rato

ries.

For

the

clin

icia

n w

hose

res

earc

his

ofte

npa

tient

-or

ient

ed, i

t is

nece

ssar

y to

pro

vide

faci

litie

s in

the

hosp

ital a

nd o

ut-p

atie

nt a

reas

.In

prog

ram

min

gth

ese

area

s, th

e ad

ditio

nal r

equi

rem

ents

impo

sed

by r

esea

rch

mus

t be

care

fully

con

side

red.

SU

PP

OR

T A

ND

SE

RV

ICE

FA

CIL

ITIE

S

The

func

tioni

ng o

f maj

or m

edic

al s

choo

l fac

ilitie

sde

pend

s on

rat

iona

l pla

nnin

g of

the

anci

llary

faci

li-tie

s w

hich

ser

vice

and

sup

port

them

."R

atio

nal

plan

ning

" m

eans

gro

upin

g th

ese

faci

litie

s fo

r be

tter

func

tion,

sup

ply,

sta

ffing

and

con

trol

, as

in th

esu

ppor

t and

ser

vice

"co

re"

desc

ribed

in th

e pr

o-gr

am fo

r th

e M

edic

al S

cien

ces

Uni

t and

the

Uni

-ve

rsity

Clin

ics

Uni

t.E

lsew

here

in th

e C

ente

r, a

cons

olid

atio

n of

like

faci

litie

s se

rvin

g m

ultip

le u

nits

will

resu

ltin

incr

ease

d ef

ficie

ncy,

as

in a

nim

alqu

arte

rs, c

entr

al s

hops

and

sto

res,

was

hing

and

dis

-tr

ibut

ion

of g

lass

war

e, r

ecei

ving

and

shi

ppin

g, fo

odst

orag

e an

d se

rvic

e, a

nd p

lant

mai

nten

ance

.

TH

E Z

ON

ING

OF

FA

CIL

ITIE

S

Sin

ce d

iffer

ent u

nits

con

tain

a n

umbe

r of

faci

lity

type

s, e

ach

with

its

own

requ

irem

ents

for

acce

ssan

dci

rcul

atio

n,se

rvic

ing,

and

floo

rto

ceili

nghe

ight

s, it

is lo

gica

l to

grou

p fa

cilit

ies

havi

ng s

imila

rre

quire

men

ts o

n on

e le

vel o

r in

one

are

a. P

rope

rlyap

plie

d, z

onin

g ca

n lo

wer

con

stru

ctio

n an

d op

erat

ing

cost

s, im

prov

e ac

cess

and

circ

ulat

ion,

red

uce

nois

ele

vel,

and

faci

litat

e fu

ture

cha

nges

in s

pace

allo

ca-

tion

and

func

tion.

*Pee

ry, T

hom

as M

., "T

he N

ew E

duca

tiona

l Pro

gram

of T

he G

eorg

eW

ashi

ngto

n U

nive

rsity

Sch

ool o

f Med

icin

e,"

in B

ulle

tin o

f the

Fed

-er

atio

n of

Sta

te M

edic

al B

oard

s of

the

Uni

ted

Sta

tes,

Mar

ch, 1

963. 6

Page 12: for efficient and access for the four

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Page 13: for efficient and access for the four

DE

SIG

N S

TU

DIE

S

In th

e fo

llow

ing

sect

ions

, the

four

func

tiona

l uni

tsof

the

Cen

ter,

exc

lusi

ve o

f the

teac

hing

hos

pita

l and

the

doc-

tors

' offi

ce b

uild

ing,

will

be

cons

ider

ed a

s if

they

are

sep

-ar

ate

build

ings

, alth

ough

this

is n

ot n

eces

saril

y th

e ca

se.

A. T

he C

omm

ons

(Uni

t A)

9

Fig

.1S

chem

atic

, The

Com

mon

s U

nit

10

Fig

.2D

emon

stra

tion

Roo

ms

____

____

____

____

10

B. T

he M

edic

al S

cien

ces

(Uni

t B)

12

1. P

lann

ing

for

the

Pre

sent

and

the

Fut

ure

12

Fig

.3S

chem

atic

, The

Med

ical

Sci

ence

sU

nit_

____

____

____

____

____

____

__13

Fig

. 4T

he S

uppo

rt a

nd S

ervi

ce C

ore

14

2. D

epar

tmen

tal v

s. M

ultid

isci

plin

e La

lSor

ator

ies

15

3. L

arge

Gro

up In

stru

ctio

nal F

acili

ties

16

Fig

. 5A

Lec

ture

Lab

(S

chem

e A

)18

Fig

. 6A

Lec

ture

Lab

(S

chem

e B

)20

Fig

. 7M

ock-

up o

f Ben

ches

for

the

Lect

ure

Lab

22

Fig

.8D

esig

ns fo

r th

e B

ench

es22

Fig

. 9B

ack

Vie

w, P

enni

sula

-Typ

e B

ench

22

Fig

: 10F

ront

Vie

w, P

enin

sula

-Typ

e B

ench

_ 2

3F

ig. 1

1An

Inte

grat

ed In

stru

ctio

nal S

uite

(Sch

eme

C)

____

____

____

___

___

24

Fig

. 12I

nstr

uctio

nal S

uite

(S

chem

e D

) _

25

4. S

mal

l Gro

up In

stru

ctio

nal F

acili

ties

26

Fig

. 13I

nstr

uctio

nal F

acili

ties

for

Sm

all

Gro

ups

26

5. F

acul

ty O

ffice

s an

d R

esea

rch

Fac

ilitie

s26

Fig

. 14O

ffice

s an

d R

esea

rch

Labo

rato

ries

27

C. T

he R

esou

rces

(U

nit C

)28

Fig

. 15S

chem

atic

, The

Res

ourc

es U

nit _

____

_ 28

Fig

. 16A

Typ

ical

Flo

or28

D. T

he U

nive

rsity

Clin

ics

(Uni

t D)

29

Fig

. 17S

chem

atic

, The

Uni

vers

ity C

linic

s31

Fig

. 18A

ltern

ate

Pla

ns fo

r th

e B

asic

Clin

icS

uite

____

__ _

32 8

-44

Page 14: for efficient and access for the four

TH

E C

OM

MO

NS

Uni

t A

Ess

entia

lly th

e C

omm

ons

serv

es th

ree

purp

oses

: it

prov

ides

fac

ilitie

s sh

ared

by

the

who

le M

edic

al C

en-

ter

(con

trol

and

info

rmat

ion,

pub

lic m

eetin

g ro

oms,

loun

ge a

reas

and

adm

inis

trat

ive

offi

ces)

; it p

rovi

des

clas

sroo

m s

pace

for

cer

tain

cou

rses

; and

it h

ouse

sth

e cl

inic

al f

acul

ty (

Tab

le A

).O

bvio

usly

the

func

tions

of

the

Com

mon

s U

nit d

ic-

tate

that

it b

e co

nven

ient

ly lo

cate

d, a

djac

ent t

o th

eM

edic

al S

cien

ces

Uni

t, th

e U

nive

rsity

Clin

ics

(am

-bu

lato

ry c

are)

uni

t, th

e R

esou

rces

Uni

t (lib

rary

) an

dth

e ho

spita

l. Pr

imar

y ac

cess

for

vis

itors

to th

e C

en-

ter

shou

ld b

e th

roug

h th

e C

omm

ons

to p

rovi

de in

-fo

rmat

ion

and

cont

rol.

If f

ood

serv

ices

are

to b

eho

used

in th

e M

edic

al C

ente

r, th

e C

omm

ons

wou

ldbe

a lo

gica

l pla

ce f

or th

eir

incl

usio

n. T

he s

chem

atic

(Fig

ure

1) s

how

s th

e lo

catio

n of

the

vari

ous

faci

litie

sin

the

Com

mon

s an

d th

e re

latio

nshi

p of

this

unit

toot

her

units

of

the

Med

ical

Cen

ter.

The

loun

ges

and

publ

ic r

oom

s on

the

firs

t flo

orpr

ovid

efo

rso

ciet

ym

eetin

gs,

spec

ial

lect

ures

,fa

culty

gat

heri

ngs,

and

pro

gram

s fo

r co

ntin

uing

edu

-ca

tion

as w

ell a

s re

gula

r st

uden

t cla

sses

. The

sefa

cilit

iesc

onst

itute

the

"fro

nt p

arlo

r" o

f th

e M

edic

alC

ente

r, a

nd a

s su

ch, s

houl

d be

attr

activ

e an

d pl

eas-

ant a

nd e

asily

acc

essi

ble.

The

Com

mon

spr

ovid

esan

app

ropr

iate

poi

nt o

fin

terc

hang

e be

twee

n th

eba

sic

scie

ntis

t and

the

clin

icia

n, a

n in

terc

hang

ew

hich

sho

uld

cert

ainl

y be

enc

oura

ged.

Sup

port

are

assu

ch a

s st

orag

e, k

itche

nette

, and

res

t roo

ms

mus

tbe

giv

en c

aref

ul c

onsi

dera

tion

to in

sure

pro

per

func

-tio

ning

and

ser

vici

ng.

The

adm

inis

trat

ive

offi

ces

of th

e Sc

hool

of

Med

i-ci

ne, o

ffic

es o

f th

e fu

ll-tim

e cl

inic

al f

acul

ty, a

ndof

fice

s fo

r st

uden

t org

aniz

atio

nsla

re a

reas

of

low

est

9

traf

fic

dens

ity a

nd s

houl

d be

loca

ted

on u

pper

flo

ors

away

fro

mdi

stra

ctin

gan

dun

wan

ted

gene

ral

circ

ulat

ion.

The

cou

rses

of

Ter

ms

IV a

nd V

of

the

New

Cur

-ri

culu

m (

see

App

endi

x) w

ill b

e ho

used

in th

e C

om-

mon

s. I

n th

ese

cour

ses,

whi

chha

ve b

een

char

ac-

teri

zed

as a

n ac

adem

ic b

ridg

e be

twee

n th

eba

sic

and

clin

ical

sci

ence

s, th

e st

uden

t is

intr

oduc

ed to

the

theo

ries

and

pri

ncip

les

of m

edic

al c

are.

Lec

-tu

res

for

clas

ses

of 1

00, a

s w

ell a

s de

mon

stra

tions

for

grou

ps o

f 30

to 4

0, m

ust b

e ho

used

. The

lect

ure

halls

, whi

ch w

ill a

lso

be u

sed

for

spec

ial m

eetin

gs,

are

not p

artic

ular

ly u

niqu

e in

desi

gn, b

ut s

houl

dpe

rmit

the

use

of f

ilms,

slid

es a

nd te

levi

sion

.H

owev

er, t

he s

mal

ler

dem

onst

ratio

n ro

oms

do r

e-qu

ire

spec

ial c

onsi

dera

tion.

Her

e, in

cou

rses

suc

has

"M

ajor

Clin

ical

Situ

atio

ns,"

the

stud

ent w

ill ta

kepa

rt in

dem

onst

ratio

ns u

tiliz

ing

patie

nts

in s

ome

inst

ance

s, li

fe-s

ize

man

ikin

s in

oth

ers,

and

will

lear

nto

use

the

equi

pmen

t and

app

arat

us n

eces

sary

for

exam

inat

ion,

dia

gnos

is a

nd tr

eatm

ent.

Moc

k-up

s w

illsi

mul

ate

the

patie

nt's

roo

m, a

nd s

peci

aliz

ed d

iag-

nost

ic a

nd tr

eatm

ent r

oom

s, w

ith th

e st

uden

tsm

anip

ulat

ing

the

mat

eria

ls a

nd e

quip

men

t tha

t are

unde

r st

udy.

The

des

ired

effe

ct c

an b

est b

eac

hiev

ed b

y m

eans

of

smal

l am

phith

eate

rs, l

ocat

edon

the

firs

t flo

or f

or r

eady

acc

ess

to th

e ho

spita

l and

clin

ic, a

nd c

onve

nien

t to

stor

age

and

prep

arat

ion

area

s. T

hese

dem

onst

ratio

n ro

oms

can

also

be

used

for

elec

tive

cour

ses

and

for

basi

c sc

ienc

e di

scus

sion

and

quiz

gro

ups.

Thr

ee a

ltern

ate

sche

mes

for

the

dem

onst

ratio

n ro

oms

are

illus

trat

ed in

Fig

ure

2*(P

lans

I,

II a

nd li

).*

Illus

trat

ions

of t

he d

esig

n st

udie

s th

roug

hout

the

repo

rt w

ere

deve

lope

d by

Ann

ette

Got

tsch

alk.

A

Page 15: for efficient and access for the four

TH

E C

OM

MO

NS

TA

BLE

A

TH

E C

OM

MO

NS

(U

NIT

A)

INC

LUD

ES

:

1. C

entr

al in

form

atio

n an

d co

ntro

lre-

cept

ioni

st, c

ente

r di

rect

ory,

sw

itch-

boar

d, m

ail.

2. F

acul

ty a

nd s

taff

are

aslo

unge

with

kitc

hene

tte, c

omm

ittee

and

con

fer-

ence

roo

ms.

3. S

tude

nt a

reas

loun

ge, l

ocke

rs a

nddr

essi

ng a

reas

, org

aniz

atio

n of

fice

s,sn

ack

bar

and

kitc

hene

tte.

4. L

arge

mul

tipur

pose

mee

ting

room

sfa

cilit

ies

for

cont

inui

ng e

duca

tion

of th

e ph

ysic

ian,

med

ical

mee

tings

,an

d st

uden

t and

fac

ulty

gro

ups.

5. A

dmin

istr

ativ

e of

fice

sdea

n, a

sso-

ciat

e de

ans,

stu

dent

rec

ords

, adm

is-

sion

s, a

lum

ni, s

tude

nt c

ouns

elin

g.6.

Off

ices

for

the

clin

ical

fac

ulty

.7.

Lec

ture

and

dem

onst

ratio

n ro

oms

for

the

cour

ses

of T

erm

s IV

and

V,

the

'inte

rmed

iate

term

s."

8. S

tore

smed

ical

text

book

s, s

tude

ntsu

pplie

s, e

tc.

(est

imat

ed n

et s

pace

req

uire

men

ts,

The

Com

mon

s: 4

0,00

0 sq

uare

fee

t)

II

-11

-IS

5a

a

N.

aa

FIG

. 1.

Sche

mat

icT

he C

omm

ons

(Uni

t A)

hous

ing

the

adm

inis

trat

ive

offi

ces

of th

eM

edic

alC

ente

r as

wel

l as

cert

ain

facu

lty a

nd s

tude

ntfu

nctio

ns, s

houl

d be

cen

tral

ly lo

cate

d.

FIG

. 2.

(bel

ow)

Dem

onst

ratio

n R

oom

s (2

0-65

stu

dent

s) f

or le

arni

ngdi

agno

stic

and

ther

apeu

ticpr

oced

ures

usi

ng m

ock-

up o

f ho

spita

l roo

ms.

Pla

nI

inco

rpor

ates

a r

otat

ing

stag

e so

that

sev

eral

"situ

atio

ns"

can

be s

et u

p pr

ior

to th

e cl

ass

peri

od a

nd b

roug

htin

to p

ositi

on a

s de

sire

d. P

lans

II a

nd I

II p

erm

it st

uden

ts to

com

e do

wn

easi

ly f

rom

thei

r ga

llery

sea

ts in

to th

e de

mon

stra

tion

area

.

Page 16: for efficient and access for the four

Pice

p"sk

..Tio

.o,

Wo*

.g..-

notn

ME

, p"a

kper

tee4

Woo

Lsc

a..o

ctn,

FIG

. 2 P

LA

N I

I

6roo

r-A

rrG

a"..m

.".-

rto.

...)

FIG

. 2 P

LA

N I

II

Page 17: for efficient and access for the four

TH

E M

ED

ICA

L

SCIE

NC

ES

Uni

t B

For

the

firs

t tw

o ye

ars

of h

is m

edic

al s

choo

ling,

the

stud

ent s

pend

s m

ost o

f hi

stim

e in

the

clas

sroo

ms

and

labo

rato

ries

of

the

six

basi

cm

edic

al s

cien

ce d

e-pa

rtm

ents

: Ana

tom

y, B

ioch

emis

try,

Phys

iolo

gy, M

i-cr

obio

logy

, Pat

holo

gy a

nd P

harm

acol

ogy.

The

Med

-ic

al S

cien

ces

Uni

t will

hou

se a

ll of

the

teac

hing

,ad

min

istr

ativ

e an

d re

sear

ch f

unct

ions

of

thes

esi

xde

part

men

ts (

Tab

le B

).

PLA

NN

ING

FO

R T

HE

PR

ESE

NT

AN

D T

HE

FU

TU

RE

Such

a d

epar

tmen

tal o

rgan

izat

ion

is n

ot, h

owev

er,

fixe

d fo

r al

l tim

e. N

ew d

epar

tmen

ts m

ay b

ead

ded

or o

ld d

epar

tmen

ts c

omb;

ned

orab

olis

hed;

the

role

of s

ome

depa

rtm

ents

may

exp

and

or c

ontr

act.

In a

dditi

on, c

urri

cula

, cou

rse

cont

ent a

nd s

ched

-ul

es w

ill c

erta

inly

con

tinue

to e

volv

e, a

nd n

ewm

etho

ds, e

quip

men

t and

mat

eria

ls w

ill b

e in

cor-

pora

ted

to im

prov

e th

e te

achi

ng p

roce

ss a

nd to

upda

te m

edic

al e

duca

tion.

Man

y of

thes

e de

velo

p-m

ents

are

not

for

esee

able

now

, but

they

will

hav

eto

be

acco

mm

odat

ed in

bui

ldin

gs c

onst

ruct

ed n

ow.

A h

ighl

y ri

gid

and

rest

rict

ive

arra

ngem

ent o

ffa

cili-

ties,

unc

ompr

omis

ing

as to

fut

ure

chan

ges

inde

-pa

rtm

enta

lst

ruct

ure,

curr

icul

a,sc

hedu

les

and

teac

hing

met

hods

, sho

uld

be a

void

ed.

The

con

vent

iona

l med

ical

sci

ence

s bu

ildin

g is

not

plan

ned

to p

erm

it th

e br

oad

chan

ges

in m

etho

dsan

d or

gani

zatio

n th

at w

ill s

urel

y co

me

duri

ng th

elif

e of

the

build

ing.

Typ

ical

ly a

flo

or o

r a

port

ion

ofa

floo

r is

ass

igne

d to

a d

epar

tmen

t, an

dre

sear

chla

bora

tori

es, o

ffic

es, s

tude

nt la

bora

tori

es, l

ectu

rero

oms,

con

fere

nce

room

s an

d pr

epar

atio

n ar

eas

stre

tch

dow

n th

e le

ngth

of

a ce

ntra

l cor

rido

r. L

arge

grou

ps o

f st

uden

ts e

nrol

led

in b

asic

sci

ence

cou

rses

circ

ulat

e th

roug

hout

the

entir

e bu

ildin

g, r

equi

ring

mas

sive

ver

tical

tran

spor

tatio

n, a

nd lo

bbie

s an

dex

tra-

wid

e co

rrid

ors

on a

ll fl

oors

. The

re is

noi

s an

dco

nfus

ion

with

the

chan

ging

of

clas

ses,

and

this

isdi

srup

tive

to r

esea

rch

activ

ities

and

fac

ulty

stu

dy.

In a

dditi

on, s

ome

was

te in

spa

ce r

esul

ts.

An

offi

cean

d a

lect

ure

hall

requ

ire

diff

eren

tfl

oor-

to-c

eilin

ghe

ight

s; w

hen

they

are

sid

e by

sid

e a

was

teof

spa

ceoc

curs

abo

ve th

e of

fice

are

a, o

rth

e ce

iling

in th

ele

ctur

e ha

ll is

mad

e to

o lo

w.

The

se id

eas

sugg

est t

he a

rran

gem

ent

of b

asic

scie

nce

faci

litie

s w

hich

has

bee

n ad

opte

d in

this

stud

y (s

ee F

igur

e 3)

. Fac

ilitie

s of

gen

eral

ly th

e sa

me

type

and

fun

ctio

ns a

re g

roup

ed to

geth

erho

rizo

ntal

lyan

d la

rge

grou

p sp

aces

, suc

h as

lect

ure

room

s an

dst

uden

t lab

orat

orie

s, a

re lo

cate

d at

the

low

est l

evel

sto

per

mit

easy

dir

ect c

ircu

latio

n.Sm

alle

r gr

oup

spac

es, s

uch

as c

onfe

renc

e an

dse

min

ar r

oom

s, a

relo

cate

d on

inte

rmed

iate

flo

ors.

Fac

ulty

off

ices

and

rese

arch

labo

rato

ries

are

loca

ted

or; u

pper

flo

ors.

Eac

h de

part

men

t is

assi

gned

app

ropr

iate

spa

ce o

nse

vera

l flo

ors.

Unn

eces

sary

traf

fic

is e

xclu

ded

from

the

rese

arch

and

off

ice

area

s on

the

uppe

r fl

oors

.A

s de

part

men

tal r

equi

rem

ents

cha

nge,

spa

ce a

s-si

gnm

ents

can

be

easi

ly m

odif

ied

(see

Fig

ure

3).

In a

dditi

on, i

t will

be

note

d th

at th

e co

ncep

t of

asu

ppor

t and

ser

vice

cor

e ha

s be

en d

evel

oped

.T

his

core

(Fi

gure

4)

can

be th

ough

tof

as

a lo

ng n

arro

ww

areh

ouse

sup

plyi

ng m

ater

ials

and

ser

vice

s to

cla

ss-

room

s, o

ffic

es a

nd la

bora

tori

es a

tal

l lev

els

and

thro

ugho

ut it

s le

ngth

. Org

aniz

ed v

ertic

ally

by

de-

part

men

ts, i

t con

tain

s al

l sup

ply,

sto

rage

and

pre

p-ar

atio

n a;

,as,

spe

cial

equ

ipm

ent,

hot a

nd c

old

room

s, s

ub-c

entr

al a

nim

al f

acili

ties,

vert

ical

tran

s-po

rtat

ion,

and

util

ities

. Thi

s co

nsol

idat

ion

of s

up-

port

and

ser

vice

fac

ilitie

s w

ill r

esul

t in

econ

omy

ofco

nstr

uctio

n an

d op

erat

ion,

will

fac

ilita

te s

taff

ing

and

utili

zatio

n, w

ill c

reat

e is

olat

ion

from

unw

ante

dci

rcul

atio

n, a

nd w

ill s

impl

ify

futu

re c

hang

es in

or-

gani

zatio

n an

d fu

nctio

n. T

he s

uppo

rt a

nd s

ervi

ceco

re c

an b

e do

uble

load

ed to

ser

ve a

bui

ldin

g w

itha

larg

e sq

uare

flo

or a

rea,

or

can

be s

ingl

e lo

aded

to s

erve

a lo

ng n

arro

w b

uild

ing.

The

latte

r ca

n be

conv

erte

d to

the

doub

le lo

aded

des

ign

at a

late

rda

te, t

hus

less

enin

g th

e co

st o

f fu

ture

exp

ansi

on. 12

Page 18: for efficient and access for the four

TA

BL

E B

TH

E M

ED

ICA

L S

CIE

NC

ES

(UN

IT B

) IN

CL

UD

ES:

1. C

lass

room

s an

d la

bora

tori

esfo

r th

e re

quir

ed c

ours

esin

the

six

basi

cm

edic

al

scie

nces

(10

0±-

stud

ents

eac

h).

2. C

lass

room

s, la

bora

tori

esan

d se

min

ar r

oom

s in

vary

ing

size

s fo

rno

n-m

edic

al

stud

ents

and

gra

duat

e st

uden

tsan

d fo

r m

edic

al e

lect

ives

.3.

Fac

ulty

and

gra

duat

est

uden

t res

earc

h la

bora

tori

es.

4. S

uppo

rt a

nd s

ervi

cefa

cilit

iesr

ecei

ving

, sto

rage

, sho

ps,

prep

arat

ion,

sto

ck

room

s, a

nim

alqu

arte

rs, h

ot a

nd c

old

room

s,sp

ecia

l equ

ipm

ent a

reas

.

5. T

each

ing

mus

eum

s.6.

Dep

artm

enta

l off

ice

suite

s an

d fa

culty

off

ices

.

(est

imat

ed n

et s

pace

req

uire

men

ts,T

he M

edic

al S

cien

ces

Uni

t: 13

9,00

0 sq

uare

feet

)

FIG

. 3.

Sche

mat

icT

he M

edic

al S

cien

ces

(Uni

t B)

prov

ides

a v

ertic

al a

rran

ge-

men

t of

depa

rtm

ents

.L

arge

cla

ssro

oms,

with

thei

rhe

avy

traf

fic,

are

loca

ted

onth

e lo

wes

t lev

els,

off

ices

and

rese

arch

labo

rato

ries

on

uppe

rle

vels

. Fle

xibi

lity

ofde

part

men

tal a

ssig

nmen

t is

indi

cate

d by

the

chan

ges

show

nin

196

5 an

d in

197

5.

A s

uppo

rt a

nd s

ervi

ce c

ore

runs

the

leng

th a

nd h

eigh

t of

the

build

ing

and

serv

esth

e en

tire

unit

(see

Fig

ure

4).

13

Page 19: for efficient and access for the four

'0

0 II

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Page 20: for efficient and access for the four

DE

PAR

TM

EN

TA

L V

S. M

UL

TID

ISC

IPL

INE

LA

BO

RA

TO

RIE

S:

TH

EO

RE

TIC

AL

CO

NC

EPT

S

Tra

ditio

nally

mos

t of

the

med

ical

stud

entie

Vas

stim

e in

the

basi

c sc

ienc

es is

spe

ntin

labo

rato

ries

and

the

rem

aind

er in

lect

ure

halls

and

sem

inar

room

s. T

he d

esig

n of

the

labo

rato

ry v

arie

s fr

om d

is-

cipl

ine

to d

isci

plin

e de

pend

ing

on w

hat

the

stud

ent

does

in a

nato

my

he s

tand

s at

a ta

ble

to c

arry

out

his

diss

ectio

n; in

pat

holo

gy h

e si

ts a

t ade

sk to

use

his

mic

rosc

ope;

in b

ioch

emis

try

he s

tand

sat

aco

unte

r an

d si

nk to

man

ipul

ate

glas

swar

ean

d re

-ag

ents

; in

phys

iolo

gy h

e st

ands

to c

ondu

ctan

imal

expe

rim

ents

usi

ng e

labo

rate

mon

itori

ng a

ppar

atus

.T

his

spec

ializ

atio

n of

fun

ctio

n ha

s re

sulte

J in

mos

tsc

hool

s ad

optin

g th

e "d

epar

tmen

tal l

abor

ator

y" a

p-pr

oach

, with

eac

h de

part

men

t bei

ng a

ssig

ned

a'la

bora

tory

des

igne

d to

mee

t its

par

ticul

arin

stru

c-tio

nal n

eeds

.L

ectu

re h

alls

and

sem

inar

roo

ms

shar

ed b

y se

vera

l dep

artm

ents

com

plet

e th

e sy

stem

of f

acili

ties

for

basi

c sc

ienc

e in

stru

ctio

n in

mos

tm

edic

al s

choo

ls. H

owev

er, w

ithin

the

last

dec

ade

or s

o, s

ever

al n

ew c

once

pts

have

been

intr

oduc

ed,

amon

g th

em th

e "u

nit

labo

rato

ry"

and

the

"mul

ti-di

scip

line

labo

rato

ry."

At t

his

poin

t cer

tain

term

s sh

ould

be

defi

ned.

As

used

her

e, "

who

le-c

lass

-lab

orat

ory"

des

igna

tes

asi

ngle

larg

e ro

om h

ousi

ng a

labo

rato

ry f

unct

ion

for

a w

hole

cla

ss, a

nd "

unit

labo

rato

ry"

sign

ifie

s an

ar-

rang

emen

t of

smal

ler

room

s, e

ach

of w

hich

hous

esa

part

, or

unit

of th

e cl

ass.

As

used

her

e, a

"de

part

-m

enta

l lab

orat

ory"

is o

ne w

hich

is a

ssig

ned

perm

a-ne

ntly

for

the

sole

use

of

a si

ngle

dep

artm

ent;

con-

vers

ely,

a "

mul

tidis

cipl

ine

labo

rato

ry"

is o

ne w

hich

is s

hare

d by

two

or m

ore

depa

rtm

ents

.O

bvio

usly

the

sim

ples

t fun

ctio

nal a

rran

gem

ent i

sth

e w

hole

-cla

ss-l

abor

ator

y as

sign

ed p

erm

anbn

tly to

a si

ngle

dep

artm

ent.

In a

n em

erge

ncy,

such

a la

b-or

ator

y ca

n be

man

ned

by a

sin

gle

teac

her.

All

stud

ents

rec

eive

iden

tical

inst

ruct

ion

at th

e sa

me

time.

Set

-ups

and

dem

onst

ratio

ns c

an b

e ar

rang

ed,

15

as m

ay b

e m

ostc

onve

nien

t to

the

depa

rtm

ent,

from

adja

cent

sto

ck r

oom

s.Fu

rnitu

re d

esig

n an

d eq

uip-

men

t arr

ange

men

t can

be

optim

um f

or th

e fu

nctio

nto

be

serv

ed. C

lean

-up

and

mai

nten

ance

can

be

clos

ely

supe

rvis

ed s

ince

ther

e is

onl

y on

e "b

oss.

"Sc

hedu

le c

hang

es a

re e

asily

acco

mpl

ishe

d w

ithou

tth

e po

ssib

ility

of

conf

lict.

The

dis

adva

ntag

esof

the

who

le-c

lass

-dep

art-

men

tal l

abor

ator

y ar

e no

t num

erou

sbu

t the

y ar

ese

riou

s. M

ost i

mpo

rtan

tly, t

hein

stru

ctio

nal p

roce

ssis

apt

to s

uffe

r fr

om a

lack

of p

erso

nal a

ttent

ion.

Seco

ndly

, suc

h a

labo

rato

ry m

aybe

occ

upie

d le

ssth

an h

alf-

time

for

four

mon

ths

of th

e ye

ar a

nd b

een

tirel

y id

le f

or th

e ot

her

eigh

t.T

his

is v

ery

smal

lus

e fr

om a

larg

efa

cilit

y w

hich

has

bee

n ex

pens

ive

to b

uild

, equ

ip a

nd m

aint

ain.

The

uni

t-de

part

men

tal l

abor

ator

y te

nds

to o

ver-

com

e th

e fi

rst

disa

dvan

tage

but

doe

s no

t mee

t the

seco

nd. W

ith th

e un

it de

sign

, the

stud

ent-

teac

her

ratio

is lo

wer

, and

con

ditio

ns f

orle

arni

ng a

re g

en-

eral

ly b

ette

r, e

xcep

t tha

t it

is n

ot p

ossi

ble

for

asi

ngle

teac

her

to c

omm

unic

ate

face

tofa

ce w

ith a

llst

uden

ts a

t one

tim

e. U

nits

usu

ally

con

sist

of 1

2-16

stud

ents

, but

may

be

eith

er s

mal

ler

or la

rger

.W

hen

the

units

are

sm

all,

so m

any

teac

hers

are

requ

ired

that

sta

ffin

g m

ay p

rese

nt a

pro

blem

, and

divi

sion

of

equi

pmen

t and

dem

onst

ratio

n m

ater

ials

bet

wee

nth

e va

riou

s un

its m

ay b

e bo

th w

aste

ful a

ndtim

eco

nsum

ing.

The

oth

er c

ontr

ast t

o th

e w

hole

-cla

ss-d

epar

t-m

enta

l lab

orat

ory

is th

e w

hole

-cla

ss-m

ultid

isci

plin

ela

bora

tory

. Thi

s ha

s tw

o gr

oups

of

advo

cate

s. O

negr

oup

uses

this

arr

ange

men

t to

supp

ort

the

inte

r-de

part

men

tal a

ppro

ach

to in

stru

ctio

n; th

ere

is n

osh

arin

g of

fac

ilitie

s in

the

ordi

nary

sen

se, s

ince

the

depa

rtm

enta

l str

uctu

re h

as la

rgel

y di

sapp

eare

d.*

The

oth

er g

roup

adv

ocat

es th

e m

ultid

isci

plin

e or

*Spi

llman

, Edr

a, "

The

Mul

tidis

cipl

ine

Lab

orat

ory,

" A

lum

niB

ulle

tin,

Scho

ol o

f M

edic

ine,

Wes

tern

Res

erve

Uni

vers

ity, X

XI:

6-9;

195

7.

Page 21: for efficient and access for the four

TH

E M

ED

ICA

L

SC

IEN

CE

S

shar

ed la

bora

tory

for

rea

sons

of e

cono

mys

mal

ler

outla

y fo

r sp

ace,

labo

rato

rybe

nche

s, e

quip

men

t and

serv

ices

.N

eces

sari

ly th

ere

is s

ome

limit

to th

e sh

arin

g of

faci

litie

s. T

he g

ross

ana

tom

yla

bora

tory

can

not r

ea-

sona

bly

serv

e an

y ot

her

purp

ose.

The

bio

chem

istr

yla

bora

tory

, with

its

high

(36"

) be

nche

s an

d re

agen

tsh

elve

s, is

not

ver

ysa

tisfa

ctor

y fo

r an

y ot

her

use.

Path

olog

y ca

n co

ncei

vabl

ysh

are

labo

rato

ry s

pace

with

mic

robi

olog

y or

hist

olog

y, s

ince

ali t

hese

cour

ses

are

heav

ilyor

ient

ed to

war

d th

e m

icro

scop

ean

d ge

nera

lly r

equi

re s

it-do

wn

type

(30

") b

ench

es.

Phys

iolo

gy a

nd p

harm

acol

ogy

are

prob

ably

the

two

med

ical

sch

ool d

epar

tmen

tsm

ost c

omm

only

sha

ring

stud

ent l

abor

ator

y fa

cilit

ies;

in b

oth

of th

ese

disc

i-pl

ines

ani

mal

exp

erim

ents

are

freq

uent

, and

vita

lfu

nctio

ns a

re m

easu

red

and

reco

rded

.Sh

arin

g of

labo

rato

ry s

pace

isso

met

imes

eff

ecte

don

a m

orni

ng-a

fter

noon

basi

s, b

ut th

is b

ring

s re

alpr

oble

ms

of s

uppl

y an

d se

rvic

ing.

An

alte

rnat

e-da

ysh

arin

g is

mor

e fe

asib

le, b

utth

is, t

oo, m

ay m

ake

prob

lem

s in

con

nect

ion

with

the

use

of la

rge

piec

esof

equ

ipm

ent.

Alte

rnat

e-se

mes

ter

shar

ing

is th

em

ost s

atis

fact

ory

rela

tions

hip.

Eve

n th

is m

ay h

ave

its d

iffi

culti

es, s

ince

sha

ring

tend

s to

fre

eze

the

time-

tabl

e of

inst

ruct

ion

to c

erta

infi

xed

rela

tion-

ship

s.In

any

sha

ring

arr

ange

men

tth

ere

is li

kely

to b

e a

need

to m

ove

and

stor

ece

rtai

n m

ajor

item

sof

equ

ipm

ent.

In s

ome

inst

ance

sth

is n

eed

for

stor

-ag

e sp

ace

may

alm

ost

equa

l the

spa

ce s

aved

by

shar

ing,

thus

mak

ing

shar

ing

inef

fect

ive

as a

n ec

on-

omy

mea

sure

.Sh

ared

ben

ches

and

equ

ipm

ent a

reap

t to

repr

esen

t a c

ompr

omis

ebe

twee

n th

e ne

eds

of th

e tw

o de

part

men

ts, n

otw

holly

sat

isfa

ctor

y to

eith

er.

Seek

ing

the

best

of

each

sys

tem

, som

esc

hool

sha

ve a

dopt

ed th

e m

ultid

isci

plin

e-un

itla

bora

tory

, in

whi

ch a

sm

all w

ork

area

is a

ssig

ned

to a

gro

upof

stud

ents

for

a w

hole

term

or

year

, and

ser

ves

them

for

seve

ral c

ours

es, a

s Ph

ysio

logy

and

Mic

robi

olog

y.

Thi

s ar

rang

emen

t has

the

adva

ntag

eof

sm

all g

roup

teac

hing

and

the

econ

omy

ofhi

gh u

se. I

n ad

ditio

n,ea

ch s

tude

nt in

this

arr

ange

men

tha

s a

reas

onab

lyqu

iet "

hom

e ba

se"

that

is h

isat

one,

and

can

theo

-re

tical

ly b

e us

ed a

t any

tim

e, d

ay,

nigh

t or

wee

k en

d.Si

nce

each

stu

dent

is u

sual

lyas

sign

ed tw

o be

nche

s,on

e fo

r st

and-

upw

ork

and

the

othe

r fo

r si

t-do

wn

wor

k, th

e m

ultid

isci

plin

e un

itla

bora

tory

doe

s no

tor

dina

rily

sav

e an

y sp

ace

whe

nco

mpa

red

to th

ede

part

men

tal l

abor

ator

y.A

t The

Geo

rge

Was

hing

ton

Uni

vers

ity S

choo

l of

Med

icin

e, th

e fa

culty

is c

omm

itted

to a

stro

ng d

e-pa

rtm

enta

l org

aniz

atio

n fo

r in

stru

ctio

nal p

urpo

ses.

The

re is

no

wis

h to

sha

re s

tude

ntla

bora

tori

es o

n a

long

-ter

m b

asis

, bec

ause

of

the

rest

rict

ive

feat

ures

that

are

inhe

rent

in s

hari

ng. T

hede

part

men

ts h

ave

chos

en, i

nste

ad, t

o in

crea

se th

eut

iliza

tion

of th

eir

labo

rato

ry s

pace

s by

teac

hing

eac

h co

urse

twic

e in

a tw

elve

-mon

thpe

riod

, in

effe

ct s

hari

ng th

eir

labo

-ra

tori

es w

ith th

emse

lves

.* H

avin

gat

tain

ed a

dou

ble

utili

zatio

n by

this

mea

ns (

doub

ling

enro

llmen

t with

-ou

t add

ing

sign

ific

antly

toth

e re

quir

emen

ts f

or in

-st

ruct

iona

l spa

ce),

eac

h st

uden

tla

bora

tory

can

be

desi

gned

and

equ

ippe

d fo

r th

esp

ecif

ic f

unct

ions

tobe

hou

sed. LA

RG

E-G

RO

UP

INS

TR

UC

TIO

NA

L F

AC

ILIT

IES

Eac

h ba

sic

scie

nce

depa

rtm

ent

pres

ents

its

maj

orco

urse

to a

cla

ss o

fab

out 1

00 s

tude

nts.

Usu

ally

aon

e ho

ur le

ctur

epr

eced

es a

2-3

hou

r la

bora

tory

peri

od.

In G

W's

pre

sent

bui

ldin

gs, a

ndin

mos

tm

edic

al s

choo

ls, t

he le

ctur

e is

giv

enin

one

hal

l, an

dat

the

end

of th

e le

ctur

e th

est

uden

ts g

o in

to th

ela

bora

tory

whi

ch m

ay b

e on

the

sam

e or

anot

her

floo

r. T

hus

each

dep

artm

ent

conv

entio

nally

use

stw

o la

rge-

grou

p fa

cilit

ies,

eac

h on

alim

ited

sche

d-ul

e.If

a w

ay c

ould

be

foun

d to

hou

se e

ach

depa

rt-

men

t's le

ctur

e an

d la

bora

tory

cou

rse

in a

sin

gle

*Thi

s pl

an w

ill b

e m

ade

effe

ctiv

ew

hen

the

new

Sch

ool o

f Med

icin

eis

con

stru

cted

.

16

Page 22: for efficient and access for the four

a

faci

lity,

ther

e w

ould

obv

ious

lybe

a s

igni

fica

nt s

av-

ing,

bot

h in

initi

alco

nstr

uctio

n co

sts,

and

in a

nnua

l

jani

tori

al a

nd m

aint

enan

ceco

sts.

The

re m

ight

also

be a

n im

prov

emen

t in

the

inst

ruct

ion,

sin

ceth

ete

ache

r w

ould

not

be

boun

dca

tego

rica

lly to

a s

ome-

times

art

ific

ial

sepa

ratio

n be

twee

n le

ctur

ean

d

labo

rato

ry.

The

"L

ectu

re-L

ab"

In th

e de

sign

s sh

own

here

in, t

he "

Lec

ture

-lab

" is

a do

uble

-pur

pose

faci

lity,

elim

inat

ing

the

need

for

a se

para

te le

ctur

eha

ll, a

nd a

lso

prov

idin

g a

high

degr

ee o

f fl

exib

ility

in te

achi

ngm

etho

ds. S

ince

all

benc

hes

are

orie

nted

tow

ard

the

fron

t of

the

room

,le

ctur

e an

d de

mon

stra

tion

can

be s

trat

egic

ally

pace

d w

ith la

bora

tory

wor

k,ch

angi

ng b

ack

and

fort

h

at w

ill.

The

inst

ruct

or m

ay u

sesl

ide,

film

and

ove

rhea

dpr

ojec

tion,

clo

sed-

circ

uit t

elev

isio

n,ch

alkb

oard

s an

tita

ckbo

ards

. Up

to th

ree

proj

ecte

dim

ages

may

be

disp

laye

d si

mul

tane

ousl

ythe

-ove

rhea

d or

mic

ropr

ojec

tor

on th

e fr

ont-

proj

ectio

n sc

reen

,an

d a

com

-bi

natio

n of

two

proj

ecto

rs o

nth

e re

ar-p

roje

ctio

nsc

reen

s. T

he r

ear

scre

enpr

ojec

tors

are

rem

otel

yco

ntro

lled

by th

e in

stru

ctor

at t

hefr

ont o

f th

e ro

om.

The

se p

roje

ctor

s ca

n be

load

edan

d re

adie

d by

tech

-ni

cian

s in

the

supp

ort a

nd s

ervi

ce c

ore,

eve

nw

hen

anot

her

clas

s is

in s

essi

on.

Cou

rse

mat

eria

ls in

the

form

of

spec

imen

s, p

hoto

-m

icro

grap

hs, d

iagr

ams

and

mod

els

may

be d

ispl

ayed

with

in th

e ro

om f

or s

mal

l gro

updi

scus

sion

s, in

di-

vidu

a; s

tude

nt r

efer

ence

and

pra

ctic

alex

amin

atio

ns.

Aft

er u

se, t

he m

ater

ials

may

be r

etur

ned

to th

ete

achi

ng m

useu

m f

or f

urth

er s

tude

ntre

fere

nce.

SCH

EM

E A

(Fi

gure

5)

indi

cate

s a

plan

for

a"l

ectu

re-l

ab"

whe

re th

e pr

inci

pal

labo

rato

ry w

ork

isdo

ne w

ith th

e st

uden

t sea

ted

at a

desk

usi

ng h

isow

n m

icro

scop

e, a

ndth

is is

sup

plem

ente

d by

dem

-on

stra

tion

of s

peci

men

s fr

om th

e m

useu

m.

The

room

is p

artic

ular

lysu

itabl

e fo

r pa

thol

ogy,

his

tolo

gy,

and

embr

yolo

gy.

The

key

to th

e ro

om d

esig

n is

the

use

of c

on-

tinuo

us w

ork

coun

ters

30

inch

es h

igh,

with

fix

ed,

peae

stal

-typ

e, r

otat

ing

seat

s ar

rang

edal

ong

thei

rle

ngth

. The

sea

ts a

re s

pace

dth

ree

to f

our

feet

apa

rtgi

ving

eac

h st

uden

t a d

esk-

top

wor

king

are

a of

3 to

4 fe

et b

y 18

inch

es. E

ach

stud

ent h

as a

cces

s to

ast

orag

e dr

awer

for

his

slid

es a

ndm

icro

scop

e. T

heba

ck to

bac

k sp

acin

g of

54

inch

esbe

twee

n co

unte

rspr

ovid

es m

ore

than

ade

quat

e ro

omfo

r st

uden

tsgo

ing

to a

nd f

rom

thei

r se

ats

and

for

facu

lty m

em-

bers

wor

king

with

indi

vidu

alst

uden

ts.

The

sea

ting

is a

rran

ged

on th

ree

plat

form

s fo

rim

prov

ed v

iew

ing

of th

e va

riou

sdi

spla

y su

rfac

es a

tth

e fr

ont o

f th

e ro

om (

see

Sect

ion

A-A

of

Figu

re 5

).N

o st

uden

t is

furt

her

away

from

the

scre

en th

anse

ven

times

the

wid

th (

7w)

of a

ny o

ne im

age

(the

imag

e w

idth

in th

is s

chem

e is

eigh

t fee

t) a

nd m

ost

stud

ents

are

with

in 6

w.

Con

vers

ely,

no

stud

ent i

scl

oser

than

2w

. The

edg

e of

the

view

ing

area

isde

term

ined

by

angl

es ta

ken

from

the

extr

eme

edge

sof

the

cent

ral d

ispl

ay s

urfa

ces.

The

pla

n ill

ustr

ates

angl

es o

f 35

0 w

hich

are

min

imum

for

good

vie

win

gco

nditi

ons.

Dep

endi

ng o

n th

e sc

reen

surf

aces

, the

type

of

proj

ecto

rs, a

nd th

ede

tail

of th

e pr

ojec

ted

mat

eria

ls, t

hese

ang

les

mig

ht b

ein

crea

sed

to 4

0°or

450

.H

owev

er, a

muc

h le

ss in

timat

e ro

omw

ould

resu

lt si

nce

the

stud

ents

in th

e re

arw

ould

be

fart

her

rem

oved

fro

m th

e fr

ont o

f th

ecl

assr

oom

.T

he c

eilin

g an

d fr

ont w

alls

wou

ld c

onsi

st o

f ha

rd,

refl

ectiv

e su

rfac

es f

or s

ound

dist

ribu

tion,

and

the

rear

wal

ls w

ould

be c

over

ed w

ith a

bsor

ptiv

e m

a-te

rial

to p

reve

nt u

nwan

ted

reve

rber

atio

n. T

he in

-tim

acy

of th

e ro

om c

oupl

ed w

ith p

rope

rac

oust

icde

sign

wou

ld m

ake

ampl

ific

atio

nof

the

inst

ruct

or's

voic

e un

nece

ssar

y.L

ight

ing

is a

n ex

cept

iona

lly im

port

ant

cons

ider

a-tio

n. T

he s

yste

m m

ust b

e ca

pabl

eof

var

ying

leve

lsof

illu

min

atio

n, s

houl

d be

dire

ctio

nal t

o pr

even

t spi

llon

scr

een

surf

aces

,an

d sh

ould

be

capa

ble

ofbe

ing

rem

otel

y co

ntro

lled.

A c

aref

ully

inte

grat

ed s

yste

m

Page 23: for efficient and access for the four

TH

E M

ED

ICA

L

SC

IEN

CE

S

SC

HE

ME

A

FIG

. 5. A

Lec

ture

-Lab

with

adj

acen

t tea

ch-

ing

mus

eum

for

Pat

holo

gy, H

isto

logy

or

Em

bryo

logy

(S

chem

e A

).T

his

room

ispl

anne

d to

acc

omm

odat

e 10

0 st

uden

ts fo

rle

ctur

e an

d no

te-t

akin

g, a

nd fo

r la

bora

tory

inst

ruct

ion

orie

nted

tow

ard

the

use

of th

em

icro

scop

e (s

ee p

lan,

upp

er r

ight

). T

hefr

ont o

f the

roo

m (

Sec

tion

B-B

,lo

wer

right

) is

org

aniz

ed fo

r th

e us

e of

inst

ruc-

tiona

l aid

s.O

ther

det

ails

are

sho

wn

inS

ectio

n A

A a

nd in

the

view

of i

nstr

uc-

tiona

l are

a.F

IG. 5

VIE

W O

F IN

ST

RU

CT

ION

AL

AR

EA

empl

oyin

g bo

th fl

uore

scen

t and

inca

ndes

cent

fix-

ture

s w

ill b

e be

st.

Bei

ng w

indo

wle

ss, t

he r

oom

mus

t be

com

plet

ely

air-

cond

ition

ed, i

nclu

ding

hea

ting,

coo

ling,

vent

ilat-

ing,

filte

ring

and

dehu

mid

ifyin

g.O

f gre

at im

port

ance

to th

e pr

oper

func

tioni

ngof

this

roo

m is

the

incl

usio

n of

the

nece

ssar

yfa

cilit

ies

in th

e su

ppor

t and

ser

vice

cor

e. T

he a

ctua

lde

fini-

tion

and

exte

nt o

f the

se fa

cilit

ies

will

dep

end

on th

eco

urse

invo

lved

.T

he te

achi

ng m

useu

m is

sho

wn

adja

cent

to th

ele

ctur

e-la

b. T

o co

mpl

ete

a de

part

men

t's in

stru

c-tio

nal f

acili

ties,

con

fere

nce

and

sem

inar

roo

ms

and

smal

l dem

onst

ratio

n ar

eas

shou

ld b

e pr

ovid

ed; t

hese

shou

ld b

e lo

cate

d on

the

floor

imm

edia

tely

abo

ve.

SCH

EM

E B

(Fi

gure

6)

is fo

r a

diffe

rent

type

of

"lect

ure-

lab,

" in

this

inst

ance

pla

nned

for

labo

ra-

tory

func

tions

orie

nted

to th

e us

e of

rea

gent

s,ut

ili-

ties,

and

sin

ks, a

nd to

the

man

ipul

atio

n of

test

ma-

teria

ls.

Thi

s la

bora

tory

ises

peci

ally

sui

ted

for

bioc

hem

istr

y, m

icro

biol

ogy

and

clin

ical

pat

holo

gybu

t cou

ld a

lso

be u

sed

for

hist

olog

y, e

mbr

yolo

gyan

d pa

thol

ogy,

and

per

haps

for

othe

r ba

sic

scie

nces

.T

he p

rope

r fu

nctio

ning

of t

he r

oom

depe

nds

on th

ede

velo

pmen

t of a

labo

rato

ry b

ench

that

is e

ffect

ive

for

expe

rimen

ts c

ondu

cted

whi

le th

e st

uden

t is

stan

ding

, and

yet

is c

omfo

rtab

lefo

r th

e st

uden

tw

hen

seat

ed fo

r le

ctur

es a

ndm

icro

scop

ic-

stud

y.T

he la

yout

sho

wn

is b

ased

on

the

peni

nsul

a-ty

pebe

nch

show

n in

det

ail i

n F

igur

es7-

10.

The

pla

n pr

ovid

es m

uch

the

sam

ein

stru

ctio

nal

pote

ntia

l and

flex

ibili

ty a

s do

es S

chem

eA

. The

lec-

ture

and

dem

onst

ratio

nph

ase

of th

e co

urse

wor

kca

n be

pac

ed a

nd p

rese

nted

in a

logi

cal r

elat

ions

hip

to th

e la

bora

tory

wor

k. T

his

elim

inat

esth

e so

me-

wha

t art

ifici

al b

reak

bet

wee

n le

ctur

ean

d la

bora

tory

whi

ch is

req

uire

d w

hen

stud

ents

mus

t mov

efr

omle

ctur

e ha

ll to

labo

rato

ry. T

he in

stru

ctor

has

aw

ide

rang

e of

inst

ruct

iona

l aid

sth

at h

e m

ay c

all o

n to 13

Page 24: for efficient and access for the four

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Page 25: for efficient and access for the four

SC

HE

ME

B

FIG

. 6.

A L

ectu

re-L

ab fo

r B

ioch

emis

try,

Mic

robi

olog

y or

Clin

ical

Pat

holo

gy (

Sch

eme

B).

Thi

s ar

ea is

pla

nned

for

100

stud

ents

. The

labo

rato

ry w

ork

requ

ires

exte

nsiv

e de

sk-t

opse

tups

and

thei

r m

anip

ulat

ion.

The

new

pe-

nins

ula-

type

labo

rato

ry b

ench

(T

ype

I in

Fig

ure

8) is

illu

stra

ted.

Thi

s be

nch

doub

les

the

stor

-ag

e sp

ace

per

stud

ent a

nd p

erm

its tw

o cl

asse

sto

sha

re th

e ro

om o

n sc

hedu

le. A

sw

ing-

out

seat

pro

vide

s de

sk-li

ke c

omfo

rt fo

r no

te-t

akin

g,bu

t dis

appe

ars

unde

r th

e co

unte

r w

hen

stan

d-in

g at

the

benc

h.F

IG. 6

VIE

W O

F IN

ST

RU

CT

ION

AL

AR

EA

supp

lem

ent h

is p

rese

ntat

ion.

Of p

artic

ular

val

uew

ould

be

the

use

of p

roje

cted

tele

visi

on to

mag

nify

the

expe

rimen

ts a

nd d

emon

stra

tions

the

inst

ruct

oris

wor

king

with

in th

e fr

ont o

f the

cla

ss.

The

roo

m is

arr

ange

d so

that

all

stud

ents

can

see

the

inst

ruct

or a

nd th

e di

spla

y su

rfac

es a

t the

fron

t,ca

n he

ar a

nd b

e he

ard

by th

e in

stru

ctor

, and

can

take

not

es c

omfo

rtab

ly d

urin

g le

ctur

es. A

t eith

ersi

de a

nd a

t the

fron

t of t

he r

oom

are

spe

cial

equ

ip-

men

t and

dem

onst

ratio

n-di

scus

sion

are

as fo

r sm

all

grou

ps. T

hus

the

inst

ruct

or is

abl

e to

wor

k w

ith th

een

tire

clas

s, a

sm

all g

roup

of t

he c

lass

, or

with

indi

-vi

dual

stu

dent

s at

the

labo

rato

ry b

ench

es. T

hebe

nche

s ar

e ar

rang

ed o

n fo

ur le

vels

for

impr

oved

sigh

t-lin

es to

the

fron

t. T

he b

ench

es fa

ll w

ithin

a

view

ing

area

def

ined

by

2w a

nd 7

w b

ased

on n

ine

foot

imag

es a

nd e

dge

angl

es o

f 35°

.

In th

is ty

pe o

f cou

rse

it is

usu

ally

nec

essa

ry fo

rre

agen

ts a

nd m

ater

ials

to b

e br

ough

t to

each

stu

-

dent

sta

tion.

Thi

s is

acc

ompl

ishe

d by

pro

vidi

ng,

atei

ther

sid

e of

the

room

, ram

ped

serv

ice

way

s w

hich

open

ont

o th

e va

rious

leve

ls. T

hus

cart

s ca

n be

mov

ed r

eadi

ly b

etw

een

the

row

s of

labo

rato

rybe

nche

s, b

ringi

ng m

ater

ials

from

the

stor

age

and

prep

arat

ion

room

s in

the

supp

ort c

ore.

The

faci

litie

Sof

the

supp

ort c

ore

are

agai

n of

gre

at im

port

ance

.D

epen

ding

on

the

disc

iplin

es u

tiliz

ing

the

lect

ure-

labo

rato

ry, t

he c

ore

may

con

tain

dire

ctly

rel

ated

glas

swar

e an

d re

agen

t sto

rage

, rea

gent

pre

para

tion,

glas

swar

e w

ashi

ng, m

edia

pre

para

tion,

col

dro

oms,

hot r

oom

s, a

nd e

lect

roni

c m

easu

ring

equi

pmen

t.T

he d

esig

n co

nsid

erat

ions

for

acou

stic

s an

d lig

ht-

ing

are

very

sim

ilar

to th

ose

for

Sch

eme

A. B

ecau

sech

emic

al m

ater

ials

invo

lvin

g da

nger

ous

and

noxi

ous

fum

es m

ay b

e us

ed in

suc

h a

faci

lity,

spe

cial

con-

side

ratio

n m

ust b

e gi

ven

to v

entil

atio

n an

d ex

haus

tsy

stem

s. F

ume

hood

s w

ould

be

requ

ired

and

coul

dbe

loca

ted

at th

e en

ds o

f the

pla

tform

s an

d in

the

spec

ial e

quip

men

t are

as.

Page 26: for efficient and access for the four

rfiI T

Trr

s.

t) F

PO

c .

Osa

y.i.t

ra,0

,F

istr

igeT

om.

Coa

x

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Fi1

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,4

AgL

EA

10

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FIG

. 6S

EC

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FIG

. 6P

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FIG

. 6S

EC

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N 1

3-B

Page 27: for efficient and access for the four

,T

TH

E M

ED

ICA

L

SC

IEN

CE

S

FIG

. 7

-

Ben

ches

For

The

Lec

ture

-Lab

s

The

key

to th

e su

cces

s of

the

chem

istr

y-ty

pele

ctur

e-la

b is

a la

bora

tory

ben

ch th

at is

equ

ally

ef-

fect

ive

for

stan

d-up

wor

k an

d fo

r no

te-t

akin

g w

hile

seat

ed. C

onve

ntio

nal b

ench

es f

or s

tude

nt la

bora

-to

ries

con

sist

of

doub

le u

nits

bac

k to

bac

k so

that

two

row

s of

stu

dent

s fa

ce e

ach

othe

r ac

ross

rea

gent

shel

ves.

Sinc

e th

is d

esig

n ha

s no

pos

sibi

lity

ofse

atin

g st

uden

ts f

aced

tow

ard

the

fron

t of

the

room

,it

was

nec

essa

ry to

wor

k ou

t new

des

igns

for

the

benc

hes

them

selv

es. T

hree

suc

h be

nche

s w

ere

de-

velo

ped

as a

par

t of

this

stu

dy. O

ne o

f ea

ch ty

pe

FIG

. 7.

(bot

tom

left

) M

ock-

up o

f B

ench

es f

or th

e L

ectu

re-

Lab

. Thr

ee ty

pes

of b

ench

es s

uita

ble

for

bioc

hem

istr

y or

othe

r ba

sic

scie

nce

cour

ses

have

bee

n de

sign

ed a

nd c

on-

stru

cted

. Not

e th

e ad

just

able

sw

ing-

away

sea

ts a

nd th

e pl

at-

form

for

the

feet

. The

Typ

e I

or p

enin

sula

ben

ch (

cent

er)

isth

e m

ost p

opul

ar. T

ype

II b

ench

is a

t rig

ht, T

ype

III

at le

ft.

In r

egul

ar u

se, t

hese

ben

ches

wou

ld b

e pl

aced

in r

ows

assh

own

in F

igur

e 6.

The

mou

nted

sea

ts m

ake

clea

n-up

of

the

floo

r ar

ea e

xcep

tiona

lly e

asy.

TY

PE I

TY

PE H

TY

PE I

II

Ilom

ma

7.3

11.*

,O

T

I/at

-

IN )

10.4

.

LJ ......

r /x

_

(0?

r IiI

;

FIG

. 8 P

LA

N

has

been

con

stru

cted

and

inst

alle

d in

a s

mal

l lab

o-ra

tory

to p

erm

it ev

alua

tion

of th

e pr

actic

ality

of

the

desi

gns

(Fig

ure

7)*

The

dra

win

gs (

Figu

re 8

) sh

owa

plan

, ele

vatio

n an

d se

ctio

n fo

r ea

ch ty

pe.

*A p

relim

inar

y ev

alua

tion

of th

ese

benc

hes

in a

n al

cove

at G

Win

dica

tes

gene

ral s

atis

fact

ion

with

all

thre

e ty

pes;

Typ

e I,

the

benc

hof

pen

insu

la d

esig

n, is

the

mos

t pop

ular

. Unf

ortu

nate

ly it

was

not

poss

ible

to m

ock

up a

full-

size

d ro

om; h

ence

the

eval

uatio

nis

som

ewha

t inc

ompl

ete.

FIG

. 8.

(bot

tom

rig

ht)

Des

igns

for

the

Ben

ches

for

the

Lec

-tu

re-L

ab. I

n T

ypes

I a

nd I

I th

e si

nks

are

mou

nted

on

top

ofth

e un

its, t

hus

savi

ng c

abin

et s

pace

bel

ow. T

ype

I ha

s do

uble

the

cabi

net s

pace

of

the

othe

r tw

o ty

pes.

Typ

eI

has

the

reag

ent s

helf

par

alle

l to

the

lines

of

visi

on. I

n ea

ch ty

pe th

esh

elf

is lo

w a

nd o

ut o

f th

e w

ay; u

tiliti

es a

re p

lace

d be

neat

hth

e sh

elf.

FIG

. 9.

(top

pag

e 23

) T

he P

enin

sula

-typ

e B

ench

(T

ype

l),

Vie

wed

fro

m th

e B

ack.

The

bac

k of

the

seat

has

bee

n tu

rned

dow

n an

d th

e se

at s

wun

g in

to th

e be

nch,

thus

giv

ing

the

stu-

dent

ful

l use

of

his

wor

k ar

ea. N

earl

y 10

cub

ic f

eet o

f lo

cked

stor

age

spac

e ar

e av

aila

ble

for

each

sea

t, di

vide

d be

twee

n6

draw

ers.

Hal

f of

thes

e op

en to

the

back

as

show

it, th

eot

her

half

to th

e ne

xt r

ow o

f se

ats

(see

Fig

ure

10).

,%JT

_

- .1:

341

..... 0 T

rre-

71IT 2-

FIG

. 8E

LE

VA

TIO

NFI

G. 8

SEC

TIO

N

Page 28: for efficient and access for the four

FIG

. 9

-

FIG

. 10,

The

Pen

insu

la-t

ype

Ben

ch (

Typ

e1)

Vie

wed

fro

m th

e Fr

ont.

Thi

s sh

ows

the

lock

ed s

tora

ge s

pace

and

the

open

shel

f av

aila

ble

to th

e st

uden

t in

the

next

row

. The

wor

k ar

ea f

or e

ach

stu-

dent

, exc

lusi

ve o

f re

agen

t she

lf a

ndsi

nk, i

s ap

prox

imat

ely

91/2

squ

are

feet

,ar

rang

ed in

an

L-s

hape

.

23

Eac

h ty

pe is

des

igne

d as

a tw

o-pl

ace

unit,

with

sink

and

rea

gent

she

lf to

be

shar

edby

two

stud

ents

side

by

side

. The

cou

nter

top

is 3

6in

ches

abo

veth

e fl

oor,

this

bei

ng th

e us

ual

heig

ht f

or la

bora

tory

coun

ters

whe

n w

ork

is to

be

done

stan

ding

. Adj

usta

-bl

e se

ats

perm

it th

e st

uden

ts to

sit

com

fort

ably

,w

ith f

eet o

n a

plat

form

rai

sed

six

inch

esab

ove

the

floo

r, th

us s

imul

atin

g no

rmal

30

inch

desk

hei

ght

for

note

-tak

ing

and

mic

rosc

opic

wor

k.T

he s

eats

fold

and

sw

ing

com

plet

ely

unde

r th

ebe

nch

whe

nth

e st

uden

ts s

tand

to p

erfo

rm th

eir

expe

rim

ents

.E

ach

type

pro

vide

s th

e st

uden

t in

the

row

in f

ront

with

an

open

she

lf f

or b

ooks

or

pers

onal

item

s.T

ype

I, th

e pe

nins

ula

desi

gn, l

ocat

es th

esi

nk,

reag

ent s

helf

and

util

ities

on

the

peni

nsul

a.T

here

agen

t she

lf is

loca

ted

at r

ight

ang

les

toth

e be

nch

in o

rder

to g

ive

open

vie

win

g to

war

d th

e fr

ont o

fth

ero

om. T

ype

I ha

s an

add

ition

aldi

stin

ctiv

e fe

atur

e:fo

ur s

ets

of d

raw

ers,

in p

airs

, bac

k-to

-bac

k, a

re p

ro-

vide

d (s

ee F

igur

es 9

and

10)

. With

this

arr

ange

men

t,tw

o cl

asse

s ca

n us

e th

e ro

om d

urin

g th

e sa

me

term

,an

d ea

ch g

roup

can

hav

e in

divi

dual

lock

ed s

tora

ge.

Typ

es I

I an

d II

I ar

e ve

ry s

imila

r to

eac

h ot

her;

both

are

str

aigh

t-lin

e un

its w

ith tw

o se

ts o

f dr

awer

s,an

d w

ith s

hare

d si

nk, r

eage

nt s

helf

, and

util

ities

. In

type

ll th

e si

nk is

on

top

of th

e co

unte

r as

it is

inth

e pe

nins

ula

desi

gn, t

hus

perm

ittin

g w

ider

dra

wer

sbe

low

; typ

e II

I ha

s a

rece

ssed

sin

k.

Inte

grat

ed I

nstr

uctio

nal S

uite

s

SCH

EM

E C

(Fi

gure

11)

repr

esen

tsan

inst

ruc-

tiona

l sui

te w

here

lect

ure,

dem

onst

ratio

n an

d la

b-or

ator

y ac

tiviti

es c

an b

e cl

osel

y re

late

d, b

ut a

re n

otac

com

plis

hed

at a

sin

gle

stud

ent s

tatio

n. S

chem

eC

has

bee

n de

velo

ped

to p

rovi

de w

ork

spac

efo

ran

imal

exp

erim

ents

and

is p

lann

ed p

artic

ular

ly f

orph

arm

acol

ogy

and

phys

iolo

gy. W

ith s

ome

mod

ific

a-tio

n it

shou

ld b

e eq

ually

eff

ectiv

e fo

r gr

oss

anat

omy.

The

cen

tral

are

a of

Sch

eme

C is

a le

ctur

e-de

mon

-st

ratio

n ar

ea p

rovi

ding

stu

dent

sea

ting

of ty

pica

l

spac

ing

and

layo

ut f

or n

ote-

taki

ng, b

utw

ithou

t wor

kbe

nche

s or

sto

rage

fac

ilitie

s. T

hear

rang

emen

t of

the

fron

t of

the

area

per

mits

the

inst

ruct

orto

mak

eus

e of

a v

arie

ty o

fin

stru

ctio

nal a

ids.

At t

he r

ear

ofth

e fa

cilit

y is

a d

ispl

ay a

rea

for

refe

renc

e m

ater

ials

and

for

smal

l sem

inar

s.T

he la

bora

tory

alc

oves

can

be

vari

edby

cha

ngin

gth

e ar

rang

emen

t of

the

mod

ular

wor

k ta

bles

and

othe

r eq

uipm

ent.

The

pla

n sh

ows

seve

ral

of th

ein

fini

te v

aria

tions

pos

sibl

e. I

f de

sire

d, e

ach

alco

vem

ay b

e se

t up

with

fix

edla

bora

tory

equ

ipm

ent a

ndth

e st

uden

ts c

an c

ircu

late

thro

ugh

the

vari

ous

al-

cove

s to

acc

ompl

ish

ase

ries

of

exer

cise

s. O

ne o

rm

ore

alco

ves

may

be

set u

p as

conf

eren

ce-s

emin

arse

tting

s; o

ther

s m

ay b

e ar

rang

ed a

nd e

quip

ped

for

expe

rim

ents

invo

lvin

g sm

all o

r la

rge

anim

als.

Cha

lk-

boar

ds, t

ackb

oard

s an

d te

levi

sion

mon

itors

may

belo

cate

d in

eac

h al

cove

to p

rovi

de s

tep

by s

tep

in-

stru

ctio

n fo

r sm

all g

roup

s.T

he s

uppo

rt a

nd s

ervi

ce f

acili

ties

loca

ted

in th

ead

jace

nt c

ore

area

are

of

vita

l pla

nnin

g co

ncer

n.T

he e

xact

def

initi

on o

f th

e fa

cilit

ies,

equi

pmen

t and

serv

ices

req

uire

d fo

r th

e pr

oper

fun

ctio

ning

of

this

inte

grat

ed s

uite

is a

fun

ctio

n It

the

part

icul

ar d

is-

cipl

ine

utili

zing

the

room

.It

is u

nlik

ely

that

two

disc

iplin

es c

ould

sha

re th

is f

acili

ty in

the

sam

e te

rm.

SCH

EM

E D

, and

its

alte

rnat

e,sh

ow in

stru

ctio

nal

area

s si

mila

r to

thos

e in

Sch

eme

C, b

ut a

rran

ged

in s

uch

a w

ay th

at th

e le

ctur

e ar

ea c

anbe

sha

red

by tw

o or

mor

e de

part

men

ts. A

s sh

own

(Fig

ure

12),

the

labo

rato

ry a

rea

is p

lace

d at

one

side

of

the

lec-

ture

are

a; b

y re

prod

ucin

g th

e la

bora

tory

are

a on

both

side

s of

the

lect

ure

room

, it m

ay b

epo

ssib

le to

satis

fy th

e ne

eds

of tw

o de

part

men

ts.

The

D (

alte

rnat

e) p

lan

has

a la

rger

flo

or a

rea

than

the

othe

rs a

nd s

houl

d be

use

ful f

or a

nato

my.

If th

esc

hem

e A

"L

ectu

re-l

ab"

is s

ubst

itute

d fo

r th

ele

ctur

ear

ea o

f D

(al

tern

ate)

, it m

ay m

eet

the

entir

e in

stru

c-tio

nal n

eeds

of

the

anat

omy

depa

rtm

ent,

incl

udin

ggr

oss

anat

omy,

his

tolo

gyan

d em

bryo

logy

.

Page 29: for efficient and access for the four

6TT

TH

E M

ED

ICA

L

SC

IEN

CE

S

SCH

EM

E C

FIG

. 11.

An

Inte

grat

ed I

nstr

uctio

nal S

uite

(Sch

eme

C)

for

100

stud

ents

in P

hysi

olog

yor

Pha

rmac

olog

y. T

his

suite

is d

esig

ned

asa

seri

es o

f un

it la

bora

tori

es s

urro

undi

ng a

cent

ral l

ectu

re a

rea.

All

units

may

be

set

up a

like,

or

diff

eren

t equ

ipm

ent m

ay b

ese

t up

in e

ach

unit

and

the

stud

ents

ro-

tate

d th

roug

h th

em o

n sc

hedu

le.

FIG

. 11

PLA

N

FIG

. 11

ISO

ME

TR

IC

......

... a

... .

4.4.

.....

.;

1 -

LE

G-r

uttt

Aks

LOC

E..0

0141

""T

I4.3

Tcup.o.kbo.A.

ef01

0.4.

..1

Page 30: for efficient and access for the four

,pec

-c

Lic.

c-"T

o ca

.=

1_10

04:

"5T

01:1

E A

rM

Ft. e

xt 0

£5

5-ru

cm,s

rs

25

611-

...4.

5. Im

o ct

.en.

C..e

...)r

amm

ws

SC

HE

ME

D

FIG

. 12.

Oth

erLa

rge-

grou

pIn

stru

c-tio

nal S

uite

s (S

chem

es D

and

D A

l-te

rnat

e).

The

se p

lans

pro

vide

uni

tde

part

men

tal l

abor

ator

ies

but p

erm

itsh

arin

g of

the

lect

ure

area

bet

wee

ntw

o or

mor

e de

part

men

ts.

rtar

.tr

yl.

"lbZ

o "

tZ6T

VG

MA

1T4

vcrt

i act

.2o

-2.

.1.

,err

u0.

3"P

4

____

SC

HE

ME

D A

LTE

RN

AT

E

Page 31: for efficient and access for the four

TH

E M

ED

ICA

LI

SC

IEN

CE

S

SMA

LL

GR

OU

P IN

STR

UC

TIO

NA

L F

AC

ILIT

IES

Not

all

inst

ruct

iona

l act

iviti

es o

f th

e ba

sic

scie

nce

depa

rtm

ents

invo

lve

the

who

le c

lass

, and

hou

sing

mus

t be

prov

ided

for

sm

alle

r gr

oups

. Fac

ilitie

s ar

efr

eque

ntly

nee

ded

whe

re p

ortio

ns o

f th

e la

rge

med

-ic

al c

lass

can

mee

t for

ele

ctiv

e co

urse

s, s

emin

ars,

conf

eren

ces,

spe

cial

dem

onst

ratio

ns, p

ract

ical

ex-

amin

atio

ns, a

nd a

ran

ge o

f ot

her

inst

ruct

iona

l situ

a-tio

ns. G

radu

ate

stud

ents

in th

e ba

sic

scie

nces

re-

quir

e sm

all s

emin

ar r

oom

s an

d la

bora

tori

es. T

hese

vari

ed n

eeds

can

be

met

by

sem

inar

roo

ms

for

8to

25

stud

ents

, con

fere

nce-

clas

sroo

ms

for

25 to

40,

and

labo

rato

ries

for

10

to25

.So

me

of th

ese

smal

ler

room

s sh

ould

be

of th

e "l

ectu

re-l

ab"

type

,

NO

At

.. ..

...&

1.1

:Ii1

1111

Lo.

ro A

.A."

. co

t5-

Tta

oa4.

v.r

El 1

=1

12 1

Z1

1=1

1=t

ri,. 1

1"3

AN

L

4.-

104S

TU

OC

A.I

Ts,

=,"

I ")

.a.

4111

1

4 -

4oru

or.^

rts

tnE

SCIT

S0

aunt

s T

a

'51'

vio

*E.1

/43-

rC

.; rt

.o

FM. 1

3 PL

AN

A. G

.Al.

I.. ic

Cr 4

sim

ply

min

iatu

res

of th

ose

prev

ious

ly d

escr

ibed

for

larg

er g

roup

s, in

clud

ing

som

e or

ient

ed to

war

ds th

em

icro

scop

e an

d ot

hers

tow

ards

che

mis

try

or a

nim

alex

peri

men

tatio

n.U

nles

s sp

ecia

l equ

ipm

ent a

ndse

rvic

ing

are

requ

ired

, mos

t of

thes

e ro

oms

shou

ldbe

inte

rdep

artm

enta

l and

ass

igne

d on

an

"as

need

ed"

basi

s. M

ost o

f th

ese

faci

litie

s sh

ould

be

loca

ted

on in

term

edia

tele

vels

of th

e M

edic

alSc

ienc

es U

nit.

FIG

. 13.

Inst

ruct

iona

lFa

cilit

ies

for

Smal

l Gro

ups.

Smal

lcl

assr

oom

s an

d st

uden

t lab

orat

orie

s su

ch a

s th

ese

will

be

loca

ted

on in

term

edia

te f

loor

s of

the

Med

ical

Sci

ence

s U

nit,

and

will

ord

inar

ily b

e sh

ared

by

seve

ral d

epar

tmen

ts. N

ote

that

dir

ect a

cces

s is

pro

vide

d to

the

stor

age

and

prep

arat

ion

area

.

!"1"

'"!7

114e

2; r

imI

Ii 111.

1M-1

-

0

1,L

a bo

T0

ftsi

Ilot

Oos

.rry

0

1

6o

IL1,

.4t0

y0

I'r2

1-02

0a..1

-ri

a0

,,t s

:.11

1 II

tmta

nn

ElE

IE11

:111

-ria

cwak

e0.1

%

O-

Mcr

rrtr

t:t

-rI*

. c.c

.;on

)

FIG

. 13

PLA

N B

26

Page 32: for efficient and access for the four

In s

ome

inst

ance

s, s

mal

l sui

tes

incl

udin

g bo

thla

bora

tori

es a

nd c

lass

room

s m

ay b

e re

quir

ed. T

wo

such

sui

tes

are

illus

trat

ed h

ere

(Fig

ure

13).

In a

llca

ses

the

labo

rato

ries

are

pos

ition

ed w

ith d

irec

tac

cess

to th

e su

ppor

t and

ser

vice

cor

e fo

r ne

cess

ary

stor

age

and

prep

arat

ion.

It w

ill b

e no

ted

that

inso

me

case

s fo

ldin

g pa

rtiti

ons

divi

de c

lass

room

s an

dse

min

ar r

oom

s to

per

mit

thei

r us

e by

dif

fere

nt s

ize

grou

ps. FA

CU

LT

Y O

FFIC

ES

AN

D R

ESE

AR

CH

FA

CIL

ITIE

S

The

mat

ter

of p

rovi

ding

sui

tabl

e fa

culty

off

ices

and

rese

arch

labo

rato

ries

is n

ot to

be

cons

ider

ed a

san

aft

erth

ough

t in

plan

ning

fac

ilitie

s fo

r th

e m

edic

alsc

ienc

es, s

ince

the

floo

r ar

ea r

equi

red

for

thes

efu

nctio

ns m

ay e

qual

the

tota

l flo

or a

rea

for

stud

ent

labo

rato

ries

and

cla

ssro

oms.

For

max

imum

eco

nom

y an

d fl

exib

ility

, the

pla

nner

wou

ld s

ugge

st a

gro

upin

g of

res

earc

h la

bora

tori

esof

sim

ilar

desi

gn c

rite

ria,

with

out r

egar

d to

dep

art-

men

tal d

esig

natio

n, b

ut th

is s

olut

ion

is n

ot a

ccep

ta-

ble

to th

e m

edic

al s

cien

tist a

nd w

ould

pro

babl

y be

inef

fici

ent i

n op

erat

ion

as w

ell.

In th

e ba

sic

med

ical

scie

nces

the

facu

lty is

so

muc

h in

volv

ed in

res

earc

hth

at a

n in

divi

dual

's o

ffic

e an

d hi

s re

sear

ch la

bora

-to

ry a

re u

sual

ly c

ombi

ned

as a

per

son&

sui

te. T

his

arra

ngem

ent s

aves

sta

ff ti

me

and

prom

otes

the

clos

e re

latio

nshi

p be

twee

n in

vest

igat

or a

nd te

ch-

nica

l sta

ff w

hich

is m

ost c

ondu

cive

to g

ood

rese

arch

.G

radu

ate

stud

ents

in th

e ba

sic

scie

nces

mus

t als

obe

giv

en s

peci

al c

onsi

dera

tion.

The

ir r

esea

rch

isus

ually

clo

sely

cor

rela

ted

with

that

of

the

facu

lty.

In s

ome

inst

ance

s a

num

ber

of g

radu

ate

stud

ents

will

wor

k to

geth

er in

a g

ener

al r

esea

rch

labo

rato

ry;

in o

ther

inst

ance

s th

e re

sear

ch p

roje

ct is

indi

vidu

al-

ly a

ssig

ned

and

hous

ed. O

ffic

e sp

ace

shou

ld b

epr

ovid

ed in

or

adja

cent

to th

e re

sear

ch a

feas

.In

ord

er to

stu

dy th

e ne

eds

of th

e ba

sic

scie

nce

facu

lty a

t The

Geo

rge

Was

hing

ton

Uni

vers

ity S

choo

lof

Med

icin

e, a

que

stio

nnai

re w

as d

istr

ibut

ed to

eac

h

27

depa

rtm

ent c

hair

man

. On

the

basi

s of

ret

urns

fro

mth

is q

uest

ionn

aire

, a s

erie

s of

des

igns

wer

e de

vel-

oped

, int

egra

ting

offi

ce a

nd r

esea

rch

spac

es. T

hese

desi

gns

are

show

n in

Fig

ure

14.

(In

the

case

of

inte

rdep

artm

enta

l res

earc

h pr

ojec

ts, m

uch

larg

ersp

aces

will

be

requ

ired

. Sin

ce m

ost o

f th

ese

are

spec

ial f

acili

ties

desi

gned

spe

cifi

cally

for

the

wor

kto

be

hous

ed, t

hey

are

not i

nclu

ded

in th

is s

tudy

.)

FIG

.14.

Off

ices

and

Res

earc

h L

abor

ator

ies

for

the

Bas

icSc

ienc

e Fa

culty

. Six

dif

fere

nt a

rran

gem

ents

are

sho

wn.

Pla

nA

is b

elie

ved

suita

ble

for

a yo

ung

facu

lty m

embe

r w

hose

rese

arch

act

iviti

es a

re ju

st b

egin

ning

. Pla

ns B

and

C in

clud

epr

ovis

ions

for

a s

ecre

tary

as

wel

l as

the

rese

arch

er a

nd h

iste

chni

cal a

ssis

tant

. Pla

ns D

and

E a

re s

ugge

sted

for

gra

duat

est

uden

ts, c

ombi

ning

des

k an

d la

bora

tory

spa

ce in

a s

ingl

ero

om. P

lan

F is

a s

uite

hou

sing

one

or

mor

e ba

sic

scie

ntis

tsan

d th

eir

grad

uate

stu

dent

s to

geth

er w

ith te

chni

cal a

ndcl

eric

al s

taff

.

A

LA

1rb

er.r

..etT

AIL

Y

Bov

rsc.

c

1 IA

aO

/nrs

t-E

/".A

Mlb

w fr

o'o.

A3

/JT

IoA

Uor

rice-

ovrr

i ce

- L

i. P>

Cge

::I1C

7t .2

3iE

1111

1to

c .

/./...

.A)

orri

c e

4L

"I7

LA

E"

t_aa

.

c

n

li=A

F/A

dh."

3oF

FIc

erA

o's

FAA

rAst

.die

rtow

lR

OO

Ps,

4

Page 33: for efficient and access for the four

The

Res

ourc

es U

nit h

ouse

s tw

o m

ajor

and

ove

rlap

-pi

ng f

unct

ions

, (1)

sup

port

of

the

lear

ning

pro

cess

by p

rovi

ding

acc

ess

for

stud

ents

and

teac

hers

toac

cum

ulat

ed k

now

ledg

e, a

nd (

2) s

uppo

rt o

f th

ete

achi

ng p

roce

ss b

y pr

ovid

ing

faci

litie

s fo

r de

velo

p-m

ent a

nd p

rodu

ctio

n of

inst

ruct

iona

l aid

s. T

able

Clis

ts th

e fa

cilit

ies

that

will

be

requ

ired

.T

he a

reas

dev

oted

to th

e le

arni

ng r

esou

rces

, with

thei

r he

avie

r tr

affi

c, s

houl

d be

on

the

low

er f

loor

s,re

adily

acc

essi

ble

to a

ll ot

her

units

of

the

Med

ical

Cen

ter

(see

Fig

ure

15).

Are

as d

evot

ed to

the

deve

l-op

men

t and

pro

duct

ion

of in

stru

ctio

nal a

ids

shou

ldbe

loca

ted

on th

e up

per

floo

rs, a

way

fro

m h

eavy

traf

fic.

Com

mun

icat

ion

lines

sho

uld

be p

rovi

ded

linki

ng a

ll un

its o

f th

e C

ente

r, s

o th

at c

lose

d ci

rcui

tte

levi

sion

pro

gram

s or

igin

atin

g in

any

uni

t can

be

rece

ived

in a

ny o

ther

uni

t.A

ll te

amin

g m

ater

ials

sto

red

in th

e R

esou

rces

Uni

tm

ust b

e cl

assi

fied

, cat

alog

ued

and

arra

nged

in s

uch

a w

ay th

at p

erso

ns u

sing

the

Uni

t are

abl

e to

fin

dth

e de

sire

d m

ater

ials

qui

ckly

and

con

veni

ently

. Thi

sm

ay b

e ac

com

plis

hed

by v

ertic

al s

tack

s su

rrou

nded

by in

divi

dual

stu

dy c

ubic

les

to s

uppl

emen

t the

larg

er r

eadi

ng r

oom

s. S

ome

of th

e st

udy

cubi

cles

shou

ld b

e eq

uipp

ed s

o th

at th

e st

uden

t can

stu

dyau

dio

and

visu

al m

ater

ials

pri

vate

ly, a

s he

wou

ld u

sebo

oks.

As

auto

mat

ed s

yste

ms

for

info

rmat

ion

stor

-ag

e an

d re

trie

val c

ontin

ue to

evo

lve,

the

time

may

com

e w

hen

indi

vidu

als

need

not

go

to th

e U

nit p

er-

sgna

lly, b

uf w

ill r

eque

st a

nd r

ecei

ve th

e de

sire

din

form

atio

n by

rem

ote,

ele

ctro

nic

mea

ns.

A p

lan

for

a ty

pica

l lea

rnin

g ro

sour

ces

floo

r is

give

n in

Fig

ure

16. A

zon

ing

of th

is f

loor

is s

ugge

sted

so a

s to

enc

oura

ge th

e us

e of

the

faci

lity.

Ent

ranc

eto

the

floo

r is

thro

ugh

a lo

ungi

ng a

rea

in w

hich

ace

rtai

n am

ount

of

nois

e w

ould

be

expe

cted

. Tel

e-ph

ones

and

ven

ding

mac

hine

s w

ill b

e in

this

are

a,an

d a

limite

d nu

mbe

r of

cur

rent

jour

nals

will

be

plac

ed h

ere

to e

ncou

rage

bro

wsi

ng. D

oors

will

sep

-ar

ate

this

are

a fr

om th

e ge

nera

l rea

ding

roo

m. B

e-yo

nd th

e re

adin

g ro

om th

e st

acks

will

be

loca

ted,

surr

ound

ed b

y st

udy,

ref

eren

ce a

nd r

evie

w r

oom

sde

sign

ed to

pro

vide

pri

vacy

whe

n de

sire

d, o

r to

perm

it gr

oup

stud

y.

FIG

. 15.

(top

pag

e 29

) Sc

hem

atic

The

Res

ourc

es (

Uni

t C).

The

zon

ing

of U

nit C

, as

show

n he

re, p

rovi

des

for

the

loca

tion

of h

igh

traf

fic

area

s (i

.e.,

read

ing

room

s) o

n th

e lo

wer

flo

ors,

and

low

traf

fic

area

s (i

.e.,

stud

ios)

on

uppe

r fl

oors

. Rec

eivi

ngan

d pr

epar

atio

n ar

eas

rela

ted

to p

erio

dica

ls a

re lo

cate

d in

the

base

men

t. It

wou

ld b

e de

sira

ble

to h

ave

acce

ss f

rom

the

Med

ical

Sci

ence

s U

nit a

t all

leve

ls, p

rovi

ded

that

sui

tabl

eco

ntro

ls c

ould

be

esta

blis

hed.

4111

011.

111

TA

BL

E C

TH

E R

ESO

UR

CE

S (U

NIT

C)

INC

LU

DE

S:

1. M

edic

allib

rary

, inc

ludi

ng s

tack

s fo

r bo

oks

and

boun

dvo

lum

es o

f jo

urna

ls, c

urre

nt jo

urna

l dis

play

are

as, a

ndca

talo

gues

.2.

Spe

cial

are

as f

or p

hoto

copy

ing

equi

pmen

t and

mic

rofi

lmre

ader

s.3.

Fac

ilitie

s fo

r el

ectr

onic

sto

rage

and

ret

riev

al o

f co

ded

in-

form

atio

n in

med

ical

jour

nals

.4.

Rea

ding

roo

ms,

indi

vidu

al s

tudy

car

rels

, roo

ms

for

indi

-vi

dual

and

gro

up r

ovie

w o

f ta

pe r

ecor

ding

s an

d fi

lms,

sm

all

conf

eren

ce a

nd s

emin

ar r

oom

s.5.

Rec

eivi

ng a

nd p

repa

ratio

n ar

eas.

6. S

tudi

os a

nd s

hops

for

pro

duct

ion

of v

ideo

and

aud

iom

ater

ials

, inc

ludi

ng f

ilms,

tape

rec

ordi

ngs

and

exhi

bits

.7.

Tel

evis

ion

stud

ios

and

rela

ted

engi

neer

ing

and

cont

rol

room

s.8.

Mai

nten

ance

and

sto

rage

are

as.

9. A

dmin

istr

ativ

e ar

eas.

(est

imat

ed n

et s

pace

req

uire

men

ts, t

he R

esou

rce

Uni

t: 50

,000

squa

re f

eet)

FIG

.15.

(bot

tom

pag

e 29

) A

Typ

ical

Low

er F

loor

in th

e R

e-so

urce

s U

nit.

Show

n he

re is

the

grou

nd le

vel e

ntra

nce

to th

em

ain

libra

ry a

rea.

An

info

rmal

loun

ge a

t the

ent

ranc

e w

illre

duce

traf

fic

and

nois

e in

the

gene

ral r

eadi

ng r

oom

s. J

ust

beyo

nd th

e lo

unge

is th

e co

ntro

l are

a, in

clud

ing

cata

logu

esan

d in

dice

s. A

ver

tical

tran

spor

t and

adm

inis

trat

ive

core

runs

the

heig

ht o

f th

e bu

ildin

g in

this

are

a. T

he o

pen

stac

ksex

tend

ver

tical

ly a

nd a

re a

cces

sibl

e to

all

low

er le

vels

fro

mth

e re

adin

g ro

oms

and

stud

y ca

rrel

s.

28

Page 34: for efficient and access for the four

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Page 35: for efficient and access for the four

TH

E U

NIV

ER

SIT

Y

CLI

NIC

S

caus

e of

the

natu

re o

f the

wor

k to

be

done

, equ

ip-

men

t req

uire

d, o

r so

me

othe

r fe

atur

e. T

hus

spec

ial

faci

litie

s ar

e re

quire

d fo

r m

inor

sur

gery

, ele

ctro

-ca

rdio

grap

hy,

phar

mac

y, e

ncep

halo

grap

hy, e

ndo-

scop

y, a

pplic

atio

n an

d re

mov

al o

f pla

ster

cas

ts,

clin

ical

pat

holo

gy la

bora

tory

, dia

gnos

tic r

adio

logy

,re

cove

ry r

oom

, oto

lary

ngol

ogy,

oph

thal

mol

ogy

and

pedi

atric

s. T

he la

tter

is s

peci

aliz

ed to

per

mit

isol

a-tio

n of

chi

ldre

n, a

nd to

pro

vide

furn

iture

and

equ

ip-

men

t of a

siz

e an

d ch

arac

ter

cons

iste

nt w

ith th

ene

eds

and

com

fort

of c

hild

ren.

Adm

inis

trat

ive

Fac

ilitie

s

The

se a

re th

e ar

eas

in w

hich

the

day-

to-d

ay o

p-er

atio

ns o

f the

clin

ic a

re o

rgan

ized

.D

esig

n co

n-si

dera

tions

her

e ar

e si

mila

r to

thos

e fo

r no

n-m

edic

alin

stitu

tions

suc

h as

hot

els,

in w

hich

larg

e nu

mbe

rsof

peo

ple

gath

er, a

re in

terv

iew

ed, s

erve

d an

d di

s-pe

rsed

. The

follo

win

g ar

e so

me

of th

e fu

nctio

ns to

be h

ouse

d: in

form

atio

n, r

egis

trat

ion,

app

oint

men

ts,

med

ical

and

oth

er r

ecor

ds, s

teno

grap

hic

serv

ices

,re

ceiv

ing

paym

ent,

billi

ng, c

ontr

ol a

nd s

uper

visi

on,

and

com

mun

icat

ions

.

TA

BLE

D

UN

IVE

RS

ITY

CLI

NIC

S (

UN

IT D

) IN

CLU

DE

S:

1. C

onsu

ltatio

nan

dex

amin

atio

nro

oms

for

ambu

lato

rypa

tient

s.2.

Spe

cial

ized

dia

gnos

tic a

nd tr

eatm

ent f

acili

ties.

3. P

harm

acy.

4. C

linic

al p

atho

logy

labo

rato

ry fo

r ba

sic

serv

ices

, inc

ludi

ngsp

ecim

en c

ol le

ctio

n.5.

Rad

iolo

gy d

epar

tmen

t for

bas

ic d

iagn

ostic

ser

vice

s.6.

Rec

eivi

ng, s

tora

ge, p

repa

ratio

n an

d su

pply

are

as.

7. A

dmin

istr

ativ

e se

rvic

es, i

nclu

ding

spa

ces

for

patie

nts,

ap-

poin

tmen

ts, i

nfor

mat

ion,

reco

rds,

ste

nogr

aphi

c se

rvic

es,

cash

ier

and

billi

ng, c

omm

unic

atio

ns, p

erso

nnel

, hou

se-

keep

ing

and

mai

nten

ance

.8.

Inst

ruct

iona

l are

as, i

nclu

ding

sm

all a

nd m

ediu

m-s

ized

con

-fe

renc

e ro

oms

and

stud

ent l

abor

ator

ies.

9. S

taff

area

s,in

clud

ing

lock

eran

ddr

essi

ngfa

cilit

ies,

loun

ges

and

show

ers.

(est

imat

ed n

et s

pace

req

uire

men

ts, U

nive

rsity

Clin

ics

Uni

t:59

,000

squ

are

feet

)

Sup

port

Fac

ilitie

s

Gro

uped

und

er th

is h

eadi

ng a

re th

ose

avea

s ne

c-es

sary

for

the

prov

isio

n of

cer

tain

non

-med

ical

ser

v-ic

es, a

nd fo

r th

e su

ppor

t of t

he e

duca

tiona

l fun

ctio

nsof

the

unit.

The

se in

clud

e: r

ecei

ving

and

sto

rage

;pr

epar

atio

n an

d su

pply

are

as, i

nclu

ding

cle

an-u

pan

d st

erili

zatio

n; v

ertic

al tr

ansp

orta

tion;

per

sonn

ello

cker

s an

d lo

unge

s; li

mite

d fo

od s

ervi

ce; h

ouse

-ke

epin

g an

d m

aint

enan

ce; c

onfe

renc

e ro

oms

for

15-

30 s

tude

nts;

and

stu

dent

labo

rato

ries

for

test

ing

cer-

tain

clin

ical

spe

cim

ens.

GE

NE

RA

L P

LAN

NIN

G C

ON

SID

ER

AT

ION

S

In o

rder

to o

rgan

ize

the

faci

litie

s of

the

Uni

vers

ityC

linic

s in

to a

n ef

fect

ive

who

le, t

he r

elat

ions

hips

of

the

tota

l uni

t to

the

othe

r un

its o

f the

Med

ical

Cen

ter

mus

t firs

t be

esta

blis

hed.

The

se r

elat

ions

hips

are

show

n sc

hem

atic

ally

in F

igur

e 17

. Of f

unda

men

tal

impo

rtan

ce is

the

clos

e bo

nd b

etw

een

the

hosp

ital

and

the

Uni

vers

ity C

linic

s so

as

to m

inim

ize

dupl

i-ca

tion

of e

xpen

sive

equ

ipm

ent a

nd s

taff,

and

exp

e-di

te th

e tr

ansf

er o

f pat

ient

s, r

ecor

ds, s

peci

men

s an

dsu

pplie

s be

twee

n th

e tw

o un

its.

In m

any

med

ical

cent

ers

the

in-p

atie

nt a

nd th

e ou

t-pa

tient

ser

vice

sar

e co

mbi

ned

in a

sin

gle

build

ing.

If th

is is

not

feas

ible

bec

ause

of s

ite li

mita

tions

or

othe

r fa

ctor

s,a

tunn

el o

r br

idge

sho

uld

conn

ect t

he tw

o bu

ildin

gs,

and

pneu

mat

ic tu

bes

and

othe

r co

mm

unic

atio

nssy

stem

s sh

ould

bin

d th

em to

geth

er.

With

in th

e un

it, th

e lo

catio

n of

the

diffe

rent

faci

li-tie

s w

ill b

e de

term

ined

larg

ely

by th

e pl

an fo

r ac

cess

and

circ

ulat

ion.

Circ

ulat

ion

for

patie

nts

and

that

for

staf

f and

stu

dent

s sh

ould

be

sepa

rate

d as

muc

h as

poss

ible

.N

orm

ally

all

patie

nts

shou

ld e

nter

the

Uni

vers

ity C

linic

s in

one

des

igna

ted

area

of t

head

min

istr

ativ

e zo

ne w

here

all

adm

inis

trat

ive

serv

ices

base

d on

pat

ient

con

tact

are

cen

tral

ized

.P

atie

ntci

rcul

atio

n sh

ould

be

divi

ded

as s

oon

as p

ossi

ble

afte

r en

try

so a

s to

per

mit

max

imum

priv

acy

for

the

indi

vidu

al p

atie

nt.

Clin

ical

faci

litie

s to

ser

ve th

e 30

Page 36: for efficient and access for the four

obvi

ousl

y de

form

ed a

nd th

e ph

ysic

ally

han

dica

pped

shou

ld b

e lo

cate

d as

nea

r th

e en

tran

ce a

spo

ssib

leto

less

en th

e em

barr

assm

ent o

fse

nsiti

ve p

atie

nts

and

min

imiz

e w

heel

cha

ir tr

affic

in th

eco

rrid

ors

and

elev

ator

s. W

aitin

g ar

eas

shou

ld b

ede

cent

ral-

ized

and

non

e sh

ould

acc

omm

odat

e m

ore

than

10

or a

t mos

t 16

patie

nts.

Thi

s m

eans

that

sep

arat

esu

b-w

aitin

g ar

eas

shou

ld b

e pr

ovid

ed fo

r ea

ch b

asic

clin

ic s

uite

, for

eac

h sp

ecia

lized

clin

ical

faci

lity,

and

for

each

adm

inis

trat

ive

faci

lity

in w

hich

pat

ient

s ar

ein

terv

iew

ed. W

aitin

g ar

eas

shou

ld b

e pr

ovid

ed w

ithna

tura

l lig

ht a

nd a

n ex

terio

r vi

ew w

hene

ver

poss

ible

.T

he s

peci

aliz

ed c

linic

al fa

cilit

ies

in th

e U

nive

rsity

Clin

ics

shou

ld b

e in

timat

ely

linke

d to

the

Hos

pita

lan

d th

e D

octo

rs' O

ffice

Bui

ldin

g, th

us e

nabl

ing

pa-

tient

s an

d do

ctor

s in

thes

e th

ree

units

to s

hare

thes

ese

rvic

es a

s ne

cess

ary.

All

med

ical

rec

ords

for

the

entir

e M

edic

al C

ente

r sh

ould

be

hous

ed in

the

Uni

-ve

rsity

Clin

ics,

sin

ce th

e gr

eate

st c

ircul

atio

n of

reco

rds

is in

rel

atio

n to

am

bula

tory

pat

ient

s. P

neu-

mat

ic tu

bes

shou

ld e

xped

ite d

eliv

ery

of r

ecor

dsth

roug

hout

the

Cen

ter.

TH

E B

AS

IC C

LIN

IC S

UIT

E

The

ess

entia

l uni

t of t

he U

nive

rsity

Clin

ics

is th

eba

sic

clin

ic s

uite

. Eac

h su

ite is

pla

nned

to a

ccom

-m

odat

e 4-

8 do

ctor

s an

d th

eir

patie

nts

at o

netim

e,an

d ea

ch h

as a

wai

ting

area

for

10-1

6 pe

rson

s. M

ove-

men

t of p

atie

nts

is c

ontr

olle

d fr

om th

e nu

rsin

g st

a-tio

n, w

hich

is a

lso

conv

enie

ntly

loca

ted

for

circ

ula-

tion

and

supp

ly w

ithin

the

suite

and

from

nea

rby

supp

ort a

reas

.T

he s

uite

is d

esig

ned

and

arra

nged

to p

rom

ote

priv

acy,

a fe

atur

e w

hich

is b

elie

ved

esse

ntia

l to

good

med

ical

car

e. A

t the

sam

e tim

e, th

e ar

rang

emen

tis

one

that

will

yie

ld o

ptim

um b

enef

its in

effi

cien

cyan

d fle

xibi

lity

oi u

se. C

onsu

ltatio

n ro

oms

are

sep-

arat

ed fr

om e

xam

inat

ion-

trea

tmen

t roo

ms.

The

lat-

ter

are

clus

tere

d ab

out t

he c

onsu

ltatio

n ro

oms

insu

ch a

way

that

, for

tim

e-co

nsum

ing

diag

nost

ic

stud

ies,

a s

ingl

e ex

amin

ing

room

may

be u

sed

with

a co

nsul

tatio

n ro

om,

whi

le fo

r sh

ort r

etur

n vi

sits

, as

for

pren

atal

car

e, th

ree

or m

ore

exam

inin

g ro

oms

may

be

utili

zed

with

one

cons

ulta

tion

room

. Exa

m-

inin

g ta

bles

are

of a

ll-pu

rpos

e ty

pe. C

arts

brin

g fr

omth

e su

ppor

t zon

e th

ose

supp

lies

and

inst

rum

ents

whi

ch w

ill c

onve

rt th

e su

ite fr

om o

nesp

ecia

l use

to

anot

her.

All

spac

es a

re o

f ade

quat

e si

ze s

o th

atth

ere

is n

o se

nsat

ion

of c

row

ding

. Eac

hex

amin

a-tio

n ro

om h

as a

cur

tain

ed a

rea

for

dres

sing

and

undr

essi

ng.

Eac

h su

ite h

as a

sm

all c

onfe

renc

e ro

omw

here

stud

ents

and

pre

cept

ors

may

com

e to

geth

er to

dis

-cu

ss th

eir

case

s, p

lan

diag

nost

ic s

tudi

es a

nd tr

eat-

men

ts, e

valu

ate

resu

lts, a

nd s

hare

exp

erie

nces

.F

ive

alte

rnat

e pl

ans

for

the

basi

c cl

inic

sui

tes

are

pres

ente

d (F

igur

e 18

). T

hese

pla

ns c

an b

e re

late

dto

eac

h ot

her

in a

num

ber

of w

ays

togi

ve d

iffer

ent

qual

ities

of c

ircul

atio

n, li

ghtin

g an

d fle

xibi

lity.

It

FIG

.17.

The

Uni

vers

ity C

linic

s (U

nit D

). B

ecau

se o

f man

ysh

ared

ser

vice

s, a

nd th

e fr

eque

nt n

eed

to tr

ansf

er p

atie

nts,

the

Uni

vers

ity C

linic

s U

nit m

ust b

e in

timat

ely

boun

d to

the

Hos

pita

l and

the

Doc

tors

' Offi

ce B

uild

ing;

if th

e si

te p

erm

its,

all t

hree

cou

ld b

e co

mbi

ned

in a

sin

gle

build

ing.

A s

epar

a-tio

n of

pat

ient

s an

d st

aff a

s sh

own

.will

less

en c

orrid

or tr

affic

.

10.

Page 37: for efficient and access for the four

TH

E U

NIV

ER

SIT

Y

CU

NIC

S

may

be

adva

ntag

eous

to u

se s

uite

s of

diff

eren

t de-

sign

s on

diff

eren

t flo

ors.

In e

ach

of th

e pl

ans,

the

cons

ulta

tion

room

s ar

e de

sign

ated

by

num

bers

and

the

exam

inat

ion

room

s by

lette

rs.

Sch

eme

A s

how

s a

suite

that

is s

omew

hat l

ess

flexi

ble

than

the

othe

rs a

nd b

est s

uite

d fo

rca

re in

-vo

lvin

g sh

ort r

etur

n vi

sits

. The

pla

n sh

ows

four

con-

sulta

tion

room

s (1

to 4

), e

ach

of w

hich

has

two

exam

inin

g ro

oms

(A to

H),

and

one

cons

ulta

tion

room

(5)

whi

ch h

as th

ree

exam

inin

g ro

oms

(I to

K).

In th

is p

lan

the

assi

gnm

ent o

f con

sulta

tion

room

san

d ex

amin

atio

n ro

oms

is m

ore

or le

ss fi

xed.

Pa-

tient

s en

ter

the

suite

from

one

sid

e an

d st

aff f

rom

anot

her,

but

with

in th

e su

ite, p

atie

nts

and

staf

fut

ilize

the

sam

e se

cond

ary

corr

idor

s.

FIG

. 18.

Alte

rnat

e P

lans

for

the

Bas

ic C

linic

Sui

te.

In e

ach

sche

me,

the

cons

ulta

tion

room

s ar

e de

sign

ated

by

num

bers

and

the

exam

inat

ion

room

s by

lette

rs. E

ach

suite

ism

ore

or le

ss s

elf-

suffi

cien

t and

will

acc

omm

odat

e 4-

8 do

ctor

s an

dth

eir

patie

nts

at o

ne ti

me.

A w

aitin

gar

ea, n

ursi

ng s

tatio

n,su

pply

roo

m, c

onfe

renc

e ro

om a

nd to

ilets

are

show

n in

eac

hsu

ite. S

ee te

xt fo

r a

disc

ussi

on o

f the

adv

anta

ges

and

dis-

adva

ntag

es o

f eac

h sc

hem

e.

TA

Pr

IcIr

m'ij

r"""

IP""

r1°

014

I II

+ 1

51r-

11.1

tt,\ N1. .1

"

10

CF

10.

.,,C

.SE

,3 .a

aa.

FIG

. 18

PLA

N O

F S

CH

EM

E B

FIG

. 18

PLA

N O

F S

CH

EM

E C

FIG

. 18

PLA

N O

F S

CH

EM

E A

32

Page 38: for efficient and access for the four

FIG

. 18

PLA

N O

F S

CH

EM

E D

Fte-

r r.

Arr

AIM

Ok

FIG

. 18

PLA

N O

F S

CH

EM

E E

33

Sch

eme

B s

how

s a

suite

hav

ing

only

four

con

sul-

tatio

n ro

oms.

It ac

hiev

es g

reat

er fl

exib

ility

than

Sch

eme

A, s

ince

all

exam

inat

ion

room

s ar

e lo

cate

dac

ross

the

corr

idor

from

the

cons

ulta

tion

room

s.W

ith th

is a

rran

gem

ent,

one

cons

ulta

tion

room

can

be p

aire

d w

ith a

sin

gle

exam

inin

g ro

om w

hile

an-

othe

r is

link

ed to

as

man

y as

four

or

five

exam

inin

gro

oms.

A d

isad

vant

age

of th

ispl

an is

that

pat

ient

sm

ay g

et c

onfu

sed

in th

e m

ore

orle

ss p

ublic

inte

rior

corr

idor

.In

Sch

eme

C, a

ll co

nsul

tatio

n an

d ex

amin

atio

nro

oms

are

in a

fixe

d on

e-to

-one

ratio

, and

the

ex-

amin

atio

n ro

oms

are

acce

ssib

le o

nly

thro

ugh

the

cons

ulta

tion

room

s. W

hile

this

pla

n w

ould

not

be

satis

fact

ory

for

shor

t ret

urn

visi

ts to

the

priv

ate

phys

icia

n, a

s fo

r pr

enat

al c

are,

it w

ould

be

wel

lsu

ited

for

stud

ent u

se, s

ince

it g

ives

a m

axim

umnu

mbe

r of

con

sulta

tion

room

s, a

nd a

hig

h de

gree

of

priv

acy.

Sch

eme

D o

ffers

a la

rge

suite

in w

hich

the

wai

ting

area

is s

ubdi

vide

d; e

ach

half

of th

esu

ite c

ould

func

tion

sepa

rate

ly, i

f thi

s w

ere

desi

red.

The

pla

nha

s a

com

plic

ated

offs

et r

elat

ions

hip

betw

een

con-

sulta

tion

and

exam

inat

ion

room

s, r

esul

ting

in a

hig

hde

gree

of f

lexi

bilit

y of

ass

ignm

ent;

for

inst

ance

,co

nsul

tatio

n ro

om 1

can

use

eith

er e

xam

inat

ion

room

A o

r B

or

both

, and

con

sulta

tion

room

3 c

an u

sean

y co

mbi

natio

n of

C, D

, and

E.

Thi

s pl

an a

lso

pro-

vide

s a

com

plet

e se

para

tion

of tr

affic

; pat

ient

s ci

r-cu

late

abo

ut th

e in

terio

r, a

nd s

taff,

doc

tors

and

equi

pmen

t car

ts c

ircul

ate

abou

t the

ext

erio

r of

the

suite

with

acc

ess

to a

ll ex

amin

ing

room

s. W

ith a

slig

ht m

odifi

catio

n of

this

pla

n, p

atie

nts

coul

d ex

itfr

om th

e ex

amin

atio

n ro

oms

with

out g

oing

bac

kth

roug

h th

e w

aitin

g ar

ea.

Sch

eme

E is

ver

y si

mila

r to

Sch

eme

A, b

ut h

as th

ead

vant

age

of s

epar

ate

circ

ulat

ion

and

exte

nsiv

e st

or-

age

area

s.It

is a

larg

e su

ite w

ith s

ix c

onsu

ltatio

nro

oms

and

ten

exam

inat

ion

room

s.

Page 39: for efficient and access for the four

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Page 40: for efficient and access for the four

UN

IT R

ELA

TIO

NS

HIP

S

AN

D S

ITE

PLA

NN

ING

GE

NE

RA

L P

LAN

NIN

G C

ON

SID

ER

AT

ION

S

If th

e fu

nctio

nal u

nits

A, B

, C a

nd D

, plu

s a

Doc

-to

rs' O

ffice

Bui

ldin

g (E

) an

d th

e te

achi

ngH

ospi

tal

(H),

sat

isfy

the

hous

ing

need

s of

the

Med

ical

Cen

ter,

then

est

ablis

hing

thei

r op

timum

inte

rrel

atio

nshi

pis

the

esse

nce

of s

ite p

lann

ing.

The

follo

win

gpr

inci

-pl

es a

re b

elie

ved

to c

over

the

basi

c po

ints

.In

rel

atin

g th

e va

rious

uni

ts o

f the

Cen

ter,

the

mos

t im

port

ant c

onsi

dera

tion

is th

e ef

ficie

nt fu

nc-

tioni

ng o

f all

the

units

. Pro

babl

y th

e m

ost c

ompe

l-lin

g re

quire

men

t is

that

the

Uni

vers

ity C

linic

s, th

eU

nive

rsity

Hos

pita

l and

the

Doc

tors

' Offi

ce B

uild

ing

be in

timat

ely

rela

ted

to e

ach

othe

r so

that

opt

imum

serv

ices

are

imm

edia

tely

ava

ilabl

e to

all

patie

nts

atal

l tim

es. T

his

will

mea

n st

rong

dia

gnos

tican

dtr

eatm

ent f

acili

ties,

cen

tral

ly h

ouse

d an

dre

adily

ac-

cess

ible

, so

that

dup

licat

ion

of s

ervi

ces

is u

nnec

es-

sary

. Als

o of

gre

at im

port

ance

are

the

linka

ges

that

are

fund

amen

tal t

o th

e in

stru

ctio

nal p

roce

ssan

d to

rese

arch

, esp

ecia

lly th

e re

latio

nshi

p be

twee

n th

eR

esou

rces

Uni

t and

the

othe

r un

its o

f the

Cen

ter.

The

Res

ourc

es U

nit i

s tr

uly

the

hub

of th

e en

tire

Med

ical

Cen

ter

and

shou

ld b

e lo

cate

d ac

cord

ingl

y.T

he M

edic

al S

cien

ces

Uni

t and

the

clin

ical

uni

ts o

fth

e C

ente

r m

ust b

e ne

ar e

ach

othe

r so

that

nor

mal

cros

s-fe

rtili

zatio

n of

idea

s ca

n oc

cur.

Sim

ilarly

the

who

le m

edic

al c

ente

r sh

ould

adj

oin

the

othe

r un

itsof

the

Uni

vers

ity to

giv

e an

d re

ceiv

e in

telle

ctua

lst

imul

us.

Acc

ess

and

circ

ulat

ion

com

pris

e th

e se

cond

mos

tim

port

ant c

onsi

dera

tion

in s

ite p

lann

ing.

The

Hos

-pi

tal,

the

Doc

tors

' Offi

ce B

uild

ing

and

the

Uni

vers

ityC

linic

s U

nit e

spec

ially

req

uire

dire

ct, e

asy

and

safe

acce

ss to

pub

lic tr

ansp

orta

tion

and

toth

orou

ghfa

res

to a

id th

e in

firm

and

the

hand

icap

ped.

Sin

ce la

rge

35

num

bers

of p

eopl

epat

ient

s, v

isito

rs,

stud

ents

and

staf

fwill

mov

e in

and

out

of t

he c

ente

rea

ch d

ay,

ever

y ef

fort

mus

t be

mad

e to

red

uce

traf

fic in

cor

-rid

ors

and

lobb

ies.

Thi

s ca

n be

don

eif

sepa

rate

park

ing

area

s ar

e pr

ovid

ed fo

r ea

ch g

roup

,an

d if

circ

ulat

ion

is s

epar

ated

by

the

use

of d

iffer

ent

acce

ss r

oute

s. T

hus

patie

nts

for

the

Doc

tors

' Offi

ceB

uild

ing

shou

ld h

ave

a pa

rkin

g ar

ea n

earth

eir

dest

i-na

tion,

and

sho

uld

not m

ix w

ith p

atie

nts

for

the

Uni

vers

ity C

linic

s, o

r w

ith m

embe

rs o

f the

Hos

pita

lS

taff,

or

with

stu

dent

gro

ups.

Zon

ing

offa

cilit

ies

with

in in

divi

dual

uni

ts, a

s no

ted

in a

n ea

rlier

sec

-tio

n, w

ill a

lso

help

. Tru

cks

and

serv

ice

vehi

cles

shou

ld h

ave

acce

ss to

all

units

bel

ow g

roun

d le

vel.

Tho

ught

ful a

ttent

ion

shou

ld b

e gi

ven

to th

ose

FIG

. 19.

Sch

emat

icR

elat

ions

hips

of t

he U

nits

of t

he M

ed-

ical

Cen

ter.

Uni

t D (

Uni

vers

ity C

linic

s), E

(D

octo

rs' O

ffice

Bui

ldin

g) a

nd H

(U

nive

rsity

Hos

pita

l) re

quire

the

mos

t int

i-m

ate

rela

tions

hips

bec

ause

they

sha

re c

erta

in s

peci

aliz

edcl

inic

al fa

cilit

ies.

Uni

t A (

Com

mon

s) a

nd U

nit B

(M

edic

alS

cien

ces)

mus

t be

clos

ely

rela

ted

to U

nit C

(R

esou

rces

), a

ndth

e la

tter

mus

t als

o ha

ve c

onve

nien

t acc

ess

to U

nits

D a

nd H

.

_

MFE

hi

;

11:N

IA

.4%

Page 41: for efficient and access for the four

UN

IT R

ELA

TIO

NS

HIP

S

AN

D S

ITE

PL

AN

NIN

G

amen

ities

that

will

pro

mot

e th

e co

mfo

rt a

nd w

ell-

bein

g of

eve

ryon

e us

ing

the

Med

ical

Cen

ter,

esp

e-ci

ally

of s

ick

patie

nts.

Fre

sh o

pen

vist

as s

houl

dbe

pres

erve

d w

here

ver

poss

ible

; mon

oton

ous

build

ing

lines

sho

uld

be a

void

ed; n

oise

leve

ls s

houl

d be

kep

tlo

w b

y ca

refu

l atte

ntio

n to

circ

ulat

ion;

unp

leas

ant

odor

s sh

ould

be

cont

rolle

d by

isol

atio

n of

thei

rso

urce

s an

d by

forc

ed v

entil

atio

n; tr

affic

haz

ards

shou

ld b

e ca

refu

lly a

void

ed.

Of p

ract

ical

impo

rtan

ce is

the

loca

tion

and

spac

-in

g of

uni

ts to

per

mit

futu

re e

xpan

sion

. Thi

s ca

nbe

st b

e do

ne b

y le

avin

g a

larg

e co

ntin

uous

are

a of

the

site

und

evel

oped

, per

haps

usi

ng it

in th

e in

terim

for

grad

e le

vel p

arki

ng. C

onsi

dera

tion

shou

ld a

lso

be g

iven

to p

rese

nt a

nd fu

ture

str

eet a

nd tr

affic

patte

rns,

to p

ropo

sed

plan

s fo

r pu

blic

tran

spor

tatio

n,

FIG

. 20.

The

Site

for

The

Geo

rge

Was

hing

ton

Uni

vers

ity M

edic

al C

ente

r. T

he e

xist

ing

hosp

ital i

s sh

own

at lo

wer

rig

ht, a

cros

s an

art

eria

l str

eet (

23rd

Str

eet)

fro

m th

e si

tefo

r ne

w b

uild

ings

in B

lock

s #4

0 an

d #4

1.I

Stre

et, a

str

eet w

ith v

ery

low

traf

fic

dens

ity in

this

blo

ck, d

ivid

es th

e ne

w a

rea;

eve

ry e

ffor

t will

be

mad

e to

eff

ect c

losu

reof

this

sec

tion

of I

Str

eet,

sinc

e it

will

oth

erw

ise

be im

poss

ible

to d

evel

op th

e si

telo

gica

lly. T

he W

arw

ick

Mem

oria

l, ho

usin

g th

e U

nive

rsity

's C

ance

r C

linic

and

Can

cer

Res

earc

h ac

tiviti

es is

sho

wn

in B

lock

#39

, at t

he u

pper

rig

ht o

f th

e fi

gure

, sep

arat

edfr

om B

lock

#40

by

New

Ham

pshi

re A

venu

e, a

rel

ativ

ely

quie

t str

eet.

and

to e

vide

nce

of c

hang

e in

the

char

acte

ristic

s of

the

com

mun

ity a

nd th

e ne

ighb

orho

od. T

hus

in o

nein

stan

ce, w

ith e

xcep

tiona

lly h

igh

land

val

ues,

sep

-ar

atio

n of

func

tiona

l uni

ts m

ay b

e ac

hiev

ed b

yve

rtic

al r

athe

r th

an h

oriz

onta

l zon

ing,

and

it m

ay b

ene

cess

ary

to e

rect

bui

ldin

gs a

s hi

gh a

s zo

ning

reg

u-la

tions

will

per

mit.

In a

noth

er in

stan

ce w

here

land

valu

es a

re lo

wer

, a la

rger

land

are

a m

ay b

e us

ed fo

rth

e m

edic

al c

ente

r, b

uild

ings

may

hav

e lo

w r

oof

lines

, and

inte

rven

ing

spac

es m

ay b

e pl

ante

d an

dla

ndsc

aped

in a

mor

e pl

easi

ng, l

ess

inst

itutio

nal

styl

e. Whe

ther

arr

ange

d ve

rtic

ally

or

horiz

onta

lly, t

heH

ospi

tal,t

he U

nive

rsity

Clin

ics

Uni

t and

the

Doc

tors

'O

ffice

Bui

ldin

g m

ust b

e ar

rang

ed a

s a

tight

clu

ster

of r

elat

ed fa

cilit

ies.

The

Med

ical

Sci

ence

s U

nit a

ndth

e C

omm

ons

mus

t be

clos

ely

rela

ted

to th

e R

e-so

urce

s U

nit,

whi

ch s

houl

d al

so b

e co

nven

ient

lylo

cate

d to

the

Uni

vers

ity C

linic

s an

d to

the

Hos

pita

l.P

arki

ng fa

cilit

ies

shou

ld b

e lo

cate

d at

mul

tiple

poin

ts o

n th

e pe

riphe

ry o

f the

Med

ical

Cen

ter,

and

sepa

rate

ent

ranc

es to

bui

ldin

gs s

houl

d be

des

ig-

nate

d fo

r pa

rtic

ular

gro

ups

so a

s to

pre

vent

ove

r-cr

owdi

ng in

cor

ridor

s an

d lo

bbie

s. T

hese

prin

cipl

esar

e sh

own

sche

mat

ical

ly in

Fig

ure

19 a

nd m

ore

orle

ss in

pic

toria

l rel

atio

nshi

ps o

n pa

ge 3

4.

TH

E E

XIS

TIN

G S

ITE

The

site

that

has

bee

n de

sign

ated

for

Geo

rge

Was

hing

ton

Uni

vers

ity's

Med

ical

Cen

ter

cons

ists

of

one

full

bloc

k an

d tw

o ot

her

odd-

shap

ed b

lock

s w

itha

tota

l are

a of

som

ewha

t mor

e th

an th

ree

acre

s (S

eeF

igur

e 20

). T

he s

ite is

div

ided

by

two

stre

ets;

inad

ditio

n, 2

3rd

Str

eet,

a m

ajor

traf

fic a

rter

y, s

epar

ates

the

exis

ting

hosp

ital f

rom

the

prop

osed

new

uni

tsof

the

Cen

ter.

The

rem

aind

er o

f the

uni

vers

ity c

ampu

s is

loca

ted

east

and

sou

th o

f the

Med

ical

Cen

ter

site

. To

the

wes

t are

larg

e ap

artm

ent b

uild

ings

, and

a c

omm

er-

36

Page 42: for efficient and access for the four

cial

cen

ter

is d

evel

opin

g in

the

area

sur

roun

ding

Was

hing

ton

Cir

cle

and

alon

g Pe

nnsy

lvan

iaA

venu

e.A

n ar

teri

al h

ighw

ay w

ill e

vent

ually

run

just

wes

t of

the

site

. A r

apid

tran

sit s

yste

m h

asbe

en p

ropo

sed

for

the

met

ropo

litan

are

a w

ith a

n ex

tens

ion

near

the

Hos

pita

l. T

hese

dev

elop

men

ts m

ay a

lter

the

exis

ting

traf

fic

patte

rns

in th

e ar

ea.

Mos

t of

the

site

is n

ow z

oned

for

"m

ediu

mhi

ghde

nsity

gene

ral r

esid

ence

" w

hich

dic

tate

s a

max

i-m

um b

uild

ing

heig

ht o

f90

fee

t, a

ratio

of

tota

l flo

orar

ea to

tota

l site

are

a of

3.5

,an

d a

max

imum

cov

-er

age

of 7

5% o

f th

e si

te.

Mod

ific

atio

ns to

thes

ezo

ning

res

tric

tions

will

hav

e to

be

soug

ht f

orlo

gica

lan

d w

orka

ble

deve

lopm

ent o

f th

e si

te.

SIT

E D

EV

EL

OPM

EN

T

Tw

o pl

ans

for

the

deve

lopm

ent o

f th

e ex

istin

g si

tear

e pr

esen

ted.

Bot

h ar

e ba

sed

upon

the

prem

ise

that

I S

tree

t will

be

clos

ed a

nd th

at B

lock

s #4

0an

d #4

1 ca

n be

dev

elop

ed a

s an

uni

nter

rupt

edw

hole

. Bot

h sh

ow th

e U

nive

rsity

Clin

ics

Uni

t and

the

Doc

tors

' Off

ice

Bui

ldin

g fa

cing

on

23rd

Str

eet

and

conn

ecte

d to

the

exis

ting

hosp

ital b

y an

und

er-

grou

nd tu

nnel

. Uni

t E, b

ecau

se o

f its

com

mer

cial

aspe

cts,

is th

rust

into

the

com

mer

cial

are

a de

velo

p-in

g on

Was

hing

ton

Cir

cle.

Alte

rnat

e A

(Fi

gure

21)

pro

vide

s op

en in

teri

orco

urts

in a

n at

tem

pt to

dev

elop

a c

ampu

s-lik

e se

t-tin

g.If

nec

essa

ry, s

ome

of th

e un

occu

pied

spa

ceco

uld

be u

sed

for

futu

re e

xpan

sion

of

Uni

ts A

, B, C

and

D, w

ithou

t dis

turb

ing

the

inte

grity

of

the

initi

alre

latio

nshi

ps b

etw

een

the

units

.A

ltern

ate

B (

Figu

re 2

2) lo

cate

s th

e R

esou

rces

Uni

t as

the

foca

l poi

nt o

f th

e M

edic

al C

ente

r. T

his

arra

ngem

ent h

as o

bvio

us a

dvan

tage

s bu

t doe

s lim

itth

e po

ssib

ility

of

futu

re e

xpan

sion

of

each

indi

vidu

alun

it. If z

onin

g re

stri

ctio

ns c

an b

e ch

ange

d to

per

mit

high

er b

uild

ings

it is

like

ly th

at o

ther

pla

ns w

ill b

eco

nsid

ered

for

the

deve

lopm

ent o

f th

e si

te.

37

FIG

. 21.

Site

Dev

elop

men

tAlte

rnat

e Pl

an A

. The

Uni

vers

ity C

linic

s (U

nit D

) an

dD

octo

rs' O

ffic

e B

uild

ing

(Uni

t E)

face

23r

d St

reet

and

are

con

nect

ed to

the

exis

ting

hosp

ital b

y a

tunn

el. T

he p

lace

men

t of

the

units

is s

uch

as to

allo

w f

orfu

ture

exp

ansi

on o

f ea

ch u

nit w

ithou

t dis

turb

ing

thei

r in

terr

elat

ions

hips

.

FIG

. 22.

Site

Dev

elop

men

tAlte

rnat

e Pl

an B

. Whi

le q

uite

sim

ilar

toA

ltern

ate

Plan

A, P

lan

B lo

cate

s th

e R

esou

rces

(U

nit C

) as

the

hub

of th

e ne

w a

rea.

With

this

pla

n it

will

be

easy

to e

xpan

d th

e M

edic

al S

cien

ces

(Uni

t B)

but

expa

nsio

nof

oth

er u

nits

will

be

diff

icul

t to

achi

eve.

Page 43: for efficient and access for the four

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erat

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adm

itted

eac

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ar,

and

the

cour

ses

of T

erm

I w

ill b

e pr

esen

ter

inth

e S

umm

er a

nd a

gain

inth

eF

all

Sem

este

r.

1. A

NA

TO

MY

: The

blo

ck o

f tim

e de

sign

ated

as A

nato

my

in T

erm

I co

vers

five

inte

rlock

-in

g di

scip

lines

:G

ross

Ana

tom

y ac

coun

ts fo

r ab

out t

hree

-fif

ths

of A

nato

my'

s to

tal t

ime.

Thi

s co

urse

incl

udes

lect

ures

for

the

who

le c

lass

sup

-po

rted

by

all f

orm

s of

aud

iovi

sual

aid

s, fo

l-lo

wed

by

labo

rato

ry p

erio

ds fo

r di

ssec

tion.

In s

ome

scho

ols,

two

stud

ents

wor

k at

eac

hdi

ssec

ting

tabl

e bu

t at G

. W.,

the

usua

l tea

mco

nsis

ts o

f fou

r st

uden

ts. A

stu

dy d

esk

orre

adin

g st

and

is p

rovi

ded

for

each

stu

dent

,ne

ar h

is te

am's

dis

sect

ing

tabl

e. T

he n

umbe

rof

dis

sect

ing

tabl

es is

the

basi

c fa

ctor

inde

term

inin

g th

e si

ze o

f thi

s la

bora

tory

. The

tabl

es m

ay b

e ar

rang

ed e

ither

in a

sin

gle

larg

e op

en s

pace

or

in a

ser

ies

of s

mal

ler

room

s. D

emon

stra

tion

area

s sh

ould

be

pro-

vide

d fo

r ex

hibi

t dis

sect

ions

, spe

cim

en d

is-

play

s, a

nato

mic

al m

odel

s an

d x-

ray

view

ing.

Spe

cial

con

side

ratio

n sh

ould

be

give

nto

light

ing

and

vent

ilatio

n of

the

diss

ectin

gla

bora

tory

, and

to th

e sp

ace

requ

irem

ents

for

rece

ivin

g, p

repa

ring,

sto

ring

and

mov

ing

of c

adav

ers.

Fac

ilitie

s fo

r cr

emat

ion

shou

ldal

so b

e pr

ovid

ed.

Mic

rosc

opic

Ana

tom

y (H

isto

logy

) is

a m

icro

-sc

ope-

orie

nted

cou

rse

taug

ht b

y le

ctur

esan

dla

bora

tory

stu

dies

. Lec

ture

s fo

rth

e w

hole

clas

s sh

ould

be

supp

orte

d by

all t

ypes

of

audi

ovis

ual a

ids.

In la

bora

tory

,th

e st

uden

tsi

ts a

t an

assi

gned

ben

chor

tabl

e to

use

his

mic

rosc

ope.

Min

imal

sto

rage

spac

eis

re-

quire

d fo

r ea

ch s

tude

nt. E

lect

ricou

tlets

mus

tbe

pro

vide

d, b

ut g

as, w

ater

and

othe

r ut

ilitie

sar

e no

rmal

ly n

ot r

equi

red.

Em

bryo

logy

is a

lso

orie

nted

tow

ards

the

mic

rosc

ope

and

the

cour

seis

ordi

naril

yta

ught

in p

aral

lel w

ith H

isto

logy

, usi

ngsi

m-

ilar

met

hods

and

faci

litie

s.N

euro

anat

omy

is s

omet

imes

mer

ged

with

Gro

ss a

nd M

icro

scop

ic A

nato

my,

but

mor

eof

ten

is ta

ught

as

a se

para

teco

urse

; ord

i-na

rily

it sh

ares

lect

ure

and

labo

rato

rysp

ace

with

thes

e tw

o co

urse

s.G

enet

ics

is a

sub

ject

taug

ht b

yse

vera

lde

part

men

ts a

t The

Geo

rge

Was

hing

ton

Uni

-ve

rsity

; the

bas

ic c

ours

e sh

ares

spac

e an

dtim

e w

ith A

nato

my.

2. B

IOC

HE

MIS

TR

Y: T

his

cour

se is

nor

mal

lyta

ught

as

a co

mbi

natio

n of

lect

ures

and

labo

rato

ry e

xper

imen

ts in

volv

ing

the

who

lecl

ass

sim

ulta

neou

sly.

Lec

ture

s re

quire

the

usua

l ins

truc

tiona

l fac

ilitie

s, b

ut c

lose

d ci

r-cu

it te

levi

sion

is r

arel

y ne

eded

. Dur

ing

the

labo

rato

ry p

erio

d th

e st

uden

ts u

sual

ly s

tand

at th

eir

benc

hes

to c

ondu

ct th

eir

anal

yses

.G

as, e

lect

ricity

, wat

er, c

ompr

esse

d ai

ran

dva

cuum

are

nor

mal

ly r

equi

red

at e

ach

benc

h.E

ach

stud

ent h

as a

lock

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whi

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urse

s w

ill b

e of

fere

d in

Fal

lan

d S

prin

g S

emes

ters

.2.

MIC

RO

BIO

LOG

Y: T

hebl

ock

oftim

ede

sign

ated

as

Mic

robi

olog

y is

div

ided

be-

twee

n fiv

e cl

osel

y re

late

d su

bjec

ts:

Bac

terio

logy

acc

ount

s fo

r pe

rhap

s fo

ur-

fifth

s of

the

tota

l tim

e. T

he le

ctur

e ph

ase

ofth

is c

ours

e re

quire

s st

rong

sup

port

from

audi

ovis

ual a

ids

incl

udin

g te

levi

sion

. Som

ela

bora

tory

stu

dies

are

car

ried

out w

hile

the

stud

ents

are

sea

ted

and

othe

rs w

hile

they

are

stan

ding

. The

re is

a c

onsi

dera

ble

issu

eof

sm

all i

tem

s w

hich

mus

t be

stor

ed a

t eac

hst

uden

t's b

ench

. Mic

rosc

opes

are

use

d ex

-te

nsiv

ely

to s

tudy

sta

ined

wea

rs p

repa

red

from

bac

teria

l cul

ture

s. R

efrig

erat

ors,

incu

-ba

tors

, aut

ocla

ves,

cen

trifu

ges

and

ster

ilize

rsar

e us

ed b

y th

e st

uden

ts in

gro

ups.

Eac

hst

uden

t mus

t hav

e re

ady

acce

ss to

a s

mal

lsi

nk fo

r st

aini

ng s

lides

. Gas

and

ele

ctric

itym

ust b

e pr

ovid

ed a

t eac

h be

nch.

Inso

me

inst

ance

s sm

all a

nim

als

may

be

used

for

spec

ial s

tudi

es.

Par

asito

logy

is la

rgel

y a

mic

rosc

ope-

orie

nted

cour

se u

sing

pre

pare

d m

ater

ials

. Its

req

uire

-m

ents

are

like

thos

e of

Bac

terio

logy

.M

ycol

ogy

invo

lves

bot

h cu

ltura

l and

mic

ro-

scop

ic s

tudi

es id

entic

al to

thos

e fo

rB

ac-

terio

logy

.V

irolo

gy is

larg

ely

a le

ctur

e-de

mon

stra

tion

cour

se u

sing

cel

l cul

ture

s, e

ggs

and

smal

lan

imal

s.

Imm

unol

ogy

is a

lect

ure-

labo

rato

ry c

ours

ede

alin

g w

ith b

lood

ser

um, c

ultu

res,

rea

gent

san

d te

st tu

bes.

2. P

HY

SIO

LOG

Y: L

ectu

res

in th

is c

ours

ear

efr

eque

ntly

com

bine

d w

ith d

emon

stra

tions

of

mam

mal

ian

expe

rimen

ts a

nd r

equi

re c

lose

dci

rcui

t tel

evis

ion

for

adeq

uate

cla

ss v

iew

ing.

Man

y ot

her

type

s of

aud

iovi

sual

aid

sar

e al

sous

ed.

Labo

rato

ry s

tudi

es in

Phy

siol

ogy

cove

r a

wid

e ra

nge

of e

xper

imen

ts a

nd r

equi

re m

any

diffe

rent

larg

e ite

ms

of e

quip

men

t. S

ome

ex-

perim

ents

cal

l for

mon

itorin

g an

d re

cord

ing

of v

ital o

bser

vatio

ns o

n an

esth

etiz

ed a

nim

als,

othe

rs c

onsi

st o

f mea

sure

men

ts o

n th

e st

u-de

nts

them

selv

es, a

nd s

till o

ther

s in

volv

e ob

-se

rvat

ions

on

biol

ogic

alm

ater

ials

inte

sttu

bes.

Rat

her

than

pro

vide

faci

litie

s fo

r al

l of

thes

e ex

perim

ents

at e

ach

wor

k be

nch,

mov

-in

g eq

uipm

ent i

n an

d ou

t as

requ

ired,

itis

com

mon

pra

ctic

e to

set

up

a se

ries

of "

sta-

tions

" an

d to

rot

ate

the

stud

ents

thro

ugh

thes

e st

atio

ns o

n a

time

sche

dule

. The

sest

a-tio

ns a

re u

sual

ly s

mal

lin

divi

dual

labo

ra-

torie

s, e

ach

desi

gned

for

a sp

ecifi

c ty

pe o

fex

perim

ent;

heav

y eq

uipm

ent i

sin

stal

led

mor

e or

less

per

man

ently

whe

re it

will

beus

ed. T

hus

it is

pos

sibl

e to

save

set

-up

time

38

Page 44: for efficient and access for the four

and

redu

ce c

osts

mat

eria

lly, a

lthou

gh w

ithso

me

loss

of

flex

ibili

ty. G

as, w

ater

, com

-pr

esse

d ai

r an

d va

cuum

sho

uld

be a

vaila

ble

at e

ach

benc

h, a

nd e

ach

benc

h sh

ould

acco

mm

odat

e fo

ur s

tude

nts.

3. E

LE

CT

IVE

S: M

ost o

f th

e el

ectiv

es in

Ter

m I

I ar

e of

con

fere

nce

and

sem

inar

type

,an

d ar

e of

fere

d by

thos

e de

part

men

ts h

avin

gth

eir

requ

ired

cou

rse-

wor

k in

Ter

m I

,i.e

.,A

nato

my

and

Bio

chem

istr

y. T

hese

cou

rses

requ

ire

seve

ral r

oom

s, e

ach

suita

ble

for

10-5

0st

uden

ts, a

nd e

quip

ped

for

the

use

of a

udio

-vi

sual

aids

. Not

e th

at th

ese

room

s ar

eut

ilize

d fo

r T

erm

II

elec

tives

onl

y on

Thu

rs-

days

and

on

Satu

rday

mor

ning

s.C

erta

in s

tude

nts

are

enco

urag

ed to

und

er-

take

res

earc

h pr

ojec

ts b

egin

ning

in th

is te

rm,

and

com

plet

ing

them

dur

ing

thei

r fu

ll tim

eel

ectiv

e pe

riod

thre

e ye

ars

late

r. A

t thi

s ea

rly

phas

e th

ese

proj

ects

may

invo

lve

libra

ryw

ork

only

and

hen

ce h

ave

no s

pace

req

uire

-m

ents

, but

late

r th

ey m

ay r

equi

re la

bora

tory

spac

e.O

ther

ele

ctiv

es m

ay c

all f

or c

lass

room

or

labo

rato

ry s

pace

in o

ther

div

isio

ns o

f th

eU

nive

rsity

.

TE

RM

HI

(see

Tab

le G

)T

hese

cou

rses

will

be

offe

red

in F

all a

ndSp

ring

Sem

este

rs.

1. P

HA

RM

AC

OL

OG

Y: T

his

cour

se r

esem

bles

Phys

iolo

gy in

its

spat

ial r

equi

rem

ents

. Lec

-tu

res

are

freq

uent

ly s

uppl

emen

ted

by a

nim

alex

peri

men

ts w

hich

can

bes

t be

dem

onst

rate

dto

the

who

le c

lass

by

clos

ed c

ircu

it te

levi

sion

.T

he la

bora

tory

inst

ruct

ion

is v

arie

d an

d in

-cl

udes

mos

t of

the

tech

niqu

es a

lrea

dy n

oted

for

Phys

iolo

gy. G

W's

sol

utio

nto

Pha

rma-

colo

gy's

nee

ds w

ill p

roba

bly

be to

pro

vide

smal

l lab

orat

orie

s, e

ach

equi

pped

for

a s

pe-

cial

pur

pose

, with

stu

dent

s ro

tatin

g th

roug

hth

ese

"sta

tions

" on

a s

ched

ule.

2. P

AT

HO

LO

GY

: Thi

s co

urse

, as

pres

ently

taug

ht a

t GW

U, c

onsi

sts

of le

ctur

es,

labo

ra-

tory

exe

rcis

es a

nd s

peci

al d

emon

stra

tions

.L

ectu

res

are

illus

trat

edith

35

mm

. col

orsl

ides

sho

win

g th

e gr

osan

d m

icro

scop

icch

ange

s in

dis

ease

d or

gans

. The

labo

rato

rype

riod

is u

sed

for

the

indi

vidu

al s

tudy

of

prep

ared

spe

cim

ens,

gro

ss a

nd m

icro

scop

ic,

and

for

case

rev

iew

s.In

the

labo

rato

ry th

e st

uden

t wor

ks s

eate

dat

a b

ench

muc

h lik

e th

at r

eaui

red

for

Mic

robi

olog

y. S

pace

mus

t be

avai

labl

e in

or

adja

cent

to th

e la

bora

tory

for

the

stud

ent t

oex

amin

e se

lect

ed g

ross

spe

cim

ens

from

the

path

olog

y m

useu

m. T

hese

spe

cim

ens

are

chan

ged

each

day

to c

orre

spon

d w

ith th

ele

ctur

e co

urse

.

39

TA

RE

G. T

em M

I cI t

irr Il

l. C

ru-z

erk

Tke

Gr-

sse

Ws

ersr

ta S

chxl

cf

Mer

u=

IrX

:AY

zar.

..msa

ms:

atr-

- ' - -- tent Pat

ed4u ' - -

ittr:

:Aft:

DA

YS

AT

' :A

Y

' _ _

-to

ol

t

1()1

CH

.

(131

014

5-23

131 --

11 U

- 12 1

Tw

mcm

cl

" "I.D

tQl

Fis

muc

ct

" --- 1.

1140

11

1 2

2; 34 45

Pal

c.:M

r

' - -

.

Put

..:47

'' .. ..

War

ta:

itars

FR

AR

MA

D13

.CO

Yt k

art m

ight

(20

srle

t tac

k) c

a 12

46 a

IS w

ads

43

tstu

ralm

y sm

olt (

2 C

c= e

rA3

:17

Intl

a IS

wea

lsra

niam

e4

tetb

rwas

fare

act W

rist (

33 im

=tr

eltt

) ce

r la

ret

3 43

Tat

man

pun

ts (

2 3

.,...-

s M

k) P

i mee

k3

EtE

tTE

VE

S (

Dm

: tT

re=

w, a

,...-

z-A

al C

:.-te

rmly

cc-

-ruk

, cr

star

--4v

It m

eant

prue

rrts

.)6

TC

TA

L S

EM

ES

TE

R IM

IS 1

0013

3(0.

SE

ME

ST

ER

Ift

20

The

spe

cial

dem

onst

ratio

ns a

reph

ased

som

ewhU

t for

the

diff

eren

t por

tions

of

the

cour

se. D

urin

g th

e fi

rst p

ortio

nem

phas

is is

on m

icro

scop

ic s

tudi

es. a

nd th

ede

mon

stra

-tio

ns c

onsi

st o

f pr

ojec

tion

sess

ions

with

grou

ps o

f 25

-35

stud

ents

. Dur

ing

the

seco

ndpo

rtio

n of

the

cour

se, e

mph

asis

is o

n th

egr

oss

chan

ges

in o

rgan

s, a

nd th

ede

mon

stra

-tio

ns c

onsi

st o

f au

tops

ies

and

conf

eren

ces

base

d on

fre

sh g

ross

spe

cim

ens.

Aut

opsy

faci

litie

sar

epr

ovid

edin

the

Uni

vers

ityH

ospi

tal.

Smal

l am

phith

eatr

e-ty

pe r

oom

s, in

whi

ch th

e st

uden

ts c

ansi

tin

tiers

all

arou

nd th

e in

stru

ctor

, are

idea

l for

the

con-

fere

nces

on

gros

s sp

ecim

ens.

Spe

cial

was

h-up

faci

litie

s ar

e re

quir

ed. D

urin

g th

e fi

nal p

or-

tion

of th

e co

urse

dem

onst

ratio

n tim

e is

use

dto

pre

sent

clin

icop

atho

logi

c co

rrel

atio

n co

n-fe

renc

es.

The

pat

holo

gy m

useu

m is

an

impo

rtan

tad

junc

t ins

truc

tiona

l spa

ce. I

n ad

ditio

n to

disp

lay

area

s, p

repa

ratio

n ro

oms

are

requ

ired

.3.

EL

EC

TIV

ES:

The

Dep

artm

ents

of

Ana

tom

y,B

ioch

emis

try.

Phy

siol

ogy

and

Mic

robi

olog

yw

ill o

ffer

ele

ctiv

es o

n T

uesd

ays,

Thu

rsda

ysan

d Sa

turd

ays

duri

ng th

is te

rm. M

ost o

fth

ese

cour

ses

will

be

of c

onfe

renc

e-se

min

arty

pe, b

ut s

ome

may

incl

ude

labo

rato

ry e

x-pe

rim

ents

. Roo

ms

suita

ble

for

10-5

0 st

uden

tsw

ill b

e re

quir

ed.

TE

RM

IV

(se

e T

able

H)

The

se c

ours

es w

ill b

e of

fere

d in

Spr

ing

and

Sum

mer

Sem

este

rs.

1.C

LIN

ICA

LL

EC

TU

RE

S:T

heco

urse

ssc

hedu

led

for

Mon

day

and

Frid

ay m

orni

ngs

are

lect

ure

cour

ses

and

requ

ire

one

who

le-

clas

s le

ctur

e ha

ll ea

uirm

ed f

or a

ll ty

pes

ofau

diov

isua

lai

dsin

clud

ing

clos

edci

rcui

tte

levi

sion

. The

Wed

nesd

ay m

orni

ng p

erio

d in

Psyc

hiat

ry is

hel

d in

a p

sych

iatr

ic h

ospi

tal

and

cons

ists

of

wor

k w

ith p

atie

nts

in s

mal

lgr

oups

.2.

PH

YSI

CA

L D

IAG

NO

SIS.

Thi

s co

urse

is a

seri

es o

f le

ctur

es il

lust

rate

d by

aud

iovi

sual

aids

, inc

ludi

ng c

lose

d ci

rcui

t tel

evis

ion,

fol

-lo

wed

by

the

exam

inat

ion

of s

elec

ted

patie

nts

in th

e ho

spita

l. Pl

ans

are

unde

r w

ay to

de-

velo

p lif

e-si

ze m

anik

ins

for

use

in th

e fi

rst

part

of

this

cou

rse.

3. C

LIN

ICA

L L

AB

OR

AT

OR

Y:T

Lco

urse

con

-si

sts

larg

ely

of le

ctur

e an

d la

bora

tory

stu

dies

in h

emat

olog

y, u

rina

lysi

s an

d cl

inic

al m

icro

s-co

py. A

udio

visu

al a

ids,

incl

udin

g cl

osed

cir

-cu

it te

levi

sion

, are

use

d to

rei

nfor

ce th

e le

c-tu

res.

The

labo

rato

ry s

tudi

es r

eaui

re w

ater

,el

ectr

icity

, Ras

and

vac

uum

. The

stu

dent

labo

rato

ry d

esig

ned

for

Mic

robi

olog

y or

for

Bio

chem

istr

y se

rves

equ

ally

wel

lfo

r th

isco

urse

.4.

EL

EC

TIV

ES:

The

ele

ctiv

e su

bjec

ts o

fT

erm

IV

com

e la

rgel

y fr

om th

e si

x ba

sic

sci-

ence

s an

d co

nsis

t of

conf

eren

ces,

sem

inar

san

d la

bora

tory

cou

rses

. Som

e of

the

path

-ol

ogy

elec

tives

are

hou

sed

in th

e U

nive

rsity

Hos

pita

l and

rel

ated

to d

epar

tmen

tal a

ctiv

i-tie

s th

ere.

TA

ST

E It

Ter

m IV

Cf D

e N

ew C

c:m

em T

he G

etrie

Was

hrry

tud

Una

erlit

y S

tkxl

Cf

Mer

u=(a

)fa

st a

If44

13

MV

IDA

YT

tlES

CA

TW

ED

NE

SD

AY

TH

UR

SD

AY

FR

MA

YS

AT

UR

DA

Y

ilE

lrics

try

Fsd

arar

y

' .. -

Huy

:Ast

ra

543

C=

Irm

. liti

Dcu

tia. M

ed,

1311

0:k

t1s:

=1-

0Tht

Tal

recl

.

1112

Wrz

l.cu

Itstr

zice

s

121

ttlef

f12

Str

ystu

t/

MA

INLU

NN

IDN

DH

LUN

CH

LIN

DH

en Ctr

.4=

1ta

turu

rczy

?Ris

me

Crs

eund

.2-

5D

ap=

(e)

sur,

t Ina

s

laF

irthr

stry

wel

t= ta

tteePsr

imat

cy ' - ' uda

as fu

rth

e fir

st t

Fly

tkat

ty

543

Eku

mul

Med

.H

ITm

fat M

ei

-Der

mst

cHar

1311

Duc

at:d

m

1112

el:3

3SIT

UI

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rrac

t

wee

ks)

Sem

este

rH

uts

PSY

ttim

itY,

3 M

eare

s. m

e Ih

t-a

"Men

em"

cer

wee

k a

IS w

eeks

4M

S=

CIA

SM

=IS

. 2 In

tim tw

d It=

"la

kera

torie

s" ta

r m

eet x

16

wat

ts4

cum

mor

mac

str.

ItC

NT

ER

EN

EE

1 L-

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cer

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k a

15 w

eds

1

EtIN

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I 1A

131A

TIS

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, 1 M

atz,

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inta

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Ter

wee

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15w

eeks

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ED

:CA

1 4N

3 S

attr

al V

EC

IALT

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trac

rty

Med

ecrc

e. 0

3:kO

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31:y

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e4:4

3.F

tdsr

:al M

edyr

ce. D

tres

t:::d

y. e

tTur

racl

ugy

(IS

lect

ures

oat

t'E

LEC

TIV

ES

Ca3

::aS

0=a.

aicr

und

Iltra

usrt

y cr

asek

, cr

stud

ent r

esta

rt!

pc;e

stal

3

TO

TA

L S

EM

ES

TE

R M

IS M

IME

D. T

ER

M D

i20

TE

RM

V (

see

Tab

le 1

)T

hese

cou

rses

will

be

offe

red

in th

e Fa

llSe

mes

ter

and

agai

n fr

om a

bout

Apr

il 9

toJu

ly 2

7 of

eac

h ye

ar.

Thi

s te

rm is

the

fina

l pha

se o

f pr

epar

atio

nfo

r th

e re

spon

sibi

litie

s of

the

clin

ical

cle

rk-

ship

. Ter

m V

inco

rpor

ates

cer

tain

idea

s th

at

Page 45: for efficient and access for the four

are

new

to m

edic

al e

duca

tion

and

will

re-

quire

spe

cial

con

side

ratio

n fo

r ho

usin

g.1.

MA

JOR

CLI

NIC

AL

SIT

UA

TIO

NS

: Thi

sco

urse

, occ

upyi

ng th

e m

orni

ng h

ours

of t

hefir

st h

alf o

f the

term

, is

a so

rt o

f dre

ss r

e-he

arsa

l for

the

clin

ical

exp

erie

nces

whi

chw

ill fo

llow

. The

cou

rse

is b

ased

upo

n th

ere

ason

able

pre

mis

e th

at th

e st

uden

t sho

uld

know

som

ethi

ng a

bout

dia

gnos

tic a

nd th

era-

peut

ic p

roce

dure

s be

fore

he

is c

alle

d up

on to

use

them

. The

cla

ss is

div

ided

into

thre

e se

c-tio

ns w

hich

rot

ate

thro

ugh

thre

e st

atio

ns e

ach

wee

k. E

ach

of th

e th

ree

clas

sroo

ms

for

this

cour

se w

ill b

e in

the

Com

mon

s U

nit a

nd w

illbe

spe

cial

ly d

esig

ned

to s

imul

ate

a ho

spita

lro

om (

see

Fig

ure

2). A

hos

pita

l bed

with

alif

e-si

ze m

anik

in in

it, a

nd th

e us

ual h

ospi

tal

furn

iture

, will

nor

mal

ly b

e in

clud

ed. O

ther

equi

pmen

t, su

ch a

s ox

ygen

tent

,su

rgic

aldr

essi

ng c

art,

and

mon

itorin

g de

vice

s w

ill b

e

TU

LE I.

Tut

s V

(tr

-tat

it) C

T th

e K

ew C

rsor

st=

. Tit

Gan

t WA

lliol

th C

oint

alLi

no)

Cl a

utus

t

(1)

(Tai

t aut

os)

-

*12

1167

4Yra

say

ME

VIE

M Y

.

ItraS

CA

YIlI

CA

YS

AT

LIC

AY

Ma.

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IM

r:: C

ro.-

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is':.

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Ctit

tor.

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atro

rs

Firs

t A w

ks.

fats

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thtio

e

Sto

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S.

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12.1

13 35

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111

EC

MIC

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TU

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y &

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sogy

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ttes.

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r.s.

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ler

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NT

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eek

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t f=

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eeks

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ricts

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s c=

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eek

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0531

ET

105

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R00

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soc=

term

e (2

: ute

k Iv

I w

eeks

)1

ItIC

R21

CIT

00*

3tIT

IT (

trot

Tt=

cos

treo

m In

wee

k tO

r it

wee

ks)

2C

OM

M (

two

Mot

zzes

Der

ste

t. a

met

h)1

CC

AM

TV

IITY

HE

ALT

H (

two

test

Les

Its w

eek.

iwe(

s)1

Ast

snas

tacv

c=

e 24

= c

e;o=

t ovs

wer

.,. I

wu(

S)

1C

rAT

ICP

EC

:ItS

(on

e 2-

h=r

cere

ste

ou a

uk. I

Inas

)1

.111

:111

15 (

tast

: stz

t=e

a cl

:x:a

l =Its

. co

%te

nt e

rsta

r.1

PrO

oteT

s)2

TO

TA

L S

EM

ES

TE

R li

:"..I

tS R

OC

7.1E

D. 1

1121

V.2

0

brou

ght i

n as

nee

ded.

Var

ious

tech

niqu

es w

illbe

dem

onst

rate

d by

the

inst

ruct

or a

nd th

enpr

actic

ed b

y th

e st

uden

ts o

n th

e sp

ecia

llyde

sign

ed m

anik

ins.

The

cla

ssro

oms

shou

ld b

eso

intim

atel

y ar

rang

ed th

at th

irty-

five

stu-

dent

s in

thei

r se

ats

can

see

clea

rly e

ach

de-

tail

dem

onst

rate

d by

the

inst

ruct

or. T

hree

tiny

amph

ithea

tres

see

m to

ans

wer

this

nee

dbe

st.

2. C

ON

TIN

UIN

G C

AR

E: T

his

is th

e fe

atur

edpr

ogra

m o

f the

sec

ond

half

of th

is te

rm. S

tu-

dent

s w

ill b

e di

vide

d be

twee

n se

vera

l hos

pi-

tals

in th

e C

ity. F

or a

bout

one

-thi

rd o

f the

clas

s th

e in

stru

ctio

n w

ill b

e ho

used

in th

eU

nive

rsity

Clin

ics

Uni

t of t

he m

edic

al c

en-

ter;

for

the

rem

aind

er o

f the

cla

ss, s

imila

rfa

cilit

ies

will

be

prov

ided

els

ewhe

re. D

urin

gth

is e

ight

-wee

k pe

riod,

eac

h st

uden

t bec

omes

thor

ough

ly fa

mili

ar w

ith h

is o

wn

smal

l gro

upof

pat

ient

s, u

nder

the

clos

e pe

rson

al s

uper

-vi

sion

of h

is p

rece

ptor

s. T

he p

atie

nts

in th

ispr

ogra

m a

re a

mbu

lato

ry, a

nd th

e st

uden

t see

sth

em u

nder

circ

umst

.nce

s w

hich

sim

ulat

epr

ivat

e of

fice

prac

tice

as c

lose

ly a

s po

ssib

le.

Dur

ing

the

hour

s as

sign

ed, e

ach

stud

ent

re-

quire

s th

e ex

clus

ive

use

of a

con

sulta

tion

room

and

an

exam

inat

ion

room

.3.

CLI

NIC

AL

LEC

TU

RE

S A

ND

DE

MO

NS

TR

A-

TIO

NS

: The

se p

erio

ds a

re s

ched

uled

in m

ost

inst

ance

s as

two-

hour

blo

cks

of ti

me

so th

atth

e le

ctur

e ca

n be

follo

wed

by

a ca

se p

re-

sent

atio

n if

the

inst

ruct

or w

ishe

s. T

he s

erie

sre

quire

s a

room

larg

e en

ough

for

the

who

lecl

ass,

gen

erou

sly

equi

pped

with

aud

iovi

sual

aids

incl

udin

g cl

osed

circ

uit t

elev

isio

n. T

hecl

assr

oom

sho

uld

be c

onve

nien

t to

both

the

Uni

vers

ity C

linic

s U

nit a

nd to

the

Hos

pita

l,so

that

pat

ient

s ca

n be

bro

ught

in a

s re

-qu

ired.

4. F

OR

EN

SIC

ME

DIC

INE

: For

this

inst

ruc-

tion

the

clas

s is

div

ided

into

thre

egr

oups

and

each

gro

up m

eets

with

a s

ectio

n of

the

seni

or c

lass

of t

he L

aw S

choo

l of T

he G

eorg

eW

ashi

ngto

n U

nive

rsity

. The

se a

re m

oot c

ourt

sess

ions

and

the

case

s se

lect

ed fo

r tr

ial

are

exam

ples

of a

llege

d m

edic

al m

alpr

actic

e.T

hem

edic

al s

tude

nts

part

icip

ate

activ

ely,

som

eas

def

enda

nts,

oth

ers

as w

itnes

ses

for

the

defe

nse

or th

e pl

aint

iff, s

till o

ther

sas

mem

-be

rs o

f the

jury

. The

pro

gram

is c

ondu

cted

in th

e re

gula

r pr

actic

e co

urt

room

s of

the

Law

Sch

ool.

5. E

LEC

TIV

ES

: The

ele

ctiv

e co

urse

s of

Ter

m V

, lik

e th

ose

of T

erm

IV, m

ay b

e de

-riv

ed fr

om a

ny o

f the

six

bas

ic s

cien

ces.

Clin

ical

cou

rses

of s

emin

ar o

r co

nfer

ence

type

may

als

o be

pre

sent

ed d

urin

g th

is te

rm,

and

stud

ent p

roje

cts

in c

linic

al r

esea

rch

may

be b

egun

at t

his

time.

TE

RM

S V

I-IX

(se

e T

able

.1)

All

of th

e un

its o

f the

cle

rksh

ips

will

ope

rate

cont

inuo

usly

.T

he fi

nal 1

6 m

onth

s of

the

new

cur

ricul

umw

illco

nsis

t of 1

1 m

onth

s of

Pro

gres

sive

Cle

rksh

ip p

rovi

ding

gra

duat

ed in

crea

sein

resp

onsi

bilit

y, 3

mon

ths

of E

lect

ives

, and

atw

o-m

onth

s' v

acat

ion

perio

d. T

he s

tude

nts

will

mov

e th

roug

h th

is s

eque

nce

in s

ectio

ns,

acco

rdin

g to

sch

edul

e. S

peci

al g

uest

lect

ures

are

sche

dule

d ev

ery

few

wee

ks, b

ut th

ere

are

no r

egul

ar le

ctur

es o

r ot

her

who

le-c

lass

ac-

tiviti

es d

urin

g th

is 1

6 m

onth

per

iod.

Tat

tle U

.T

he F

inal

Sat

een

Mon

ths

el th

e N

ew C

urric

ulum

(T

erm

s V

I-IX

). T

he G

eorg

eW

ashi

ngto

n U

nive

rsity

Sch

ool c

t Mam

e

3 I A

s6

7 1

a 1

5110

110

12 Ii

sIN

In

1N

Wes

tinE

lect

ives

Sec

tion

At

Pro

gres

sive

Cle

rksh

ip

Sec

tion

6 D

Sec

t= t

Mee

- I

PIL

VE

SS

ive

Cle

rksh

sptir

e!V

acat

ion

!Ele

ctiv

es

!Vac

atio

n I T

ie,C

e"P

rogr

essi

ve C

lerk

ship

Pim

essi

ve C

lerk

ship

!Vac

atio

n

Val

McN

ees

Pro

gres

sive

Cle

rksR

p[h

ea-

ton

ton

ST

"V

acat

ion

Fte

ctiv

esP

rogr

essi

ve C

lerk

ship

Sea

mS

ter

Hou

rsT

HE

PR

OG

RE

SY

ra C

LER

KS

HIP

(11

mon

ths)

(all

Ms:

lent

s w

ill 1

o00w

the

sam

e se

quen

ce. h

emm

ing

with

Psy

chia

try)

PS

YC

HIA

TR

Y (

1 m

onth

)s

INP

AT

IEN

T M

ED

ICIN

E (

2 m

onth

s)10

IN P

AT

IEN

T S

UR

GE

RY

12

mon

t(S

)10

DE

ST

ET

RIC

S A

ND

GY

NE

CO

LOG

Y (

1(4

mon

t(s)

RP

ED

IAT

RIC

S li

te m

onth

s)a

EM

ER

GE

NC

Y R

OO

M (

1 m

onth

)s

UN

IVE

RS

ITY

CLI

NIC

S (

2 =

nth)

10..Z

UT

S le

r w

eek)

CO

NT

INU

ING

CA

RE

(Im

onth

s. a

nage

2 P

AE

LEC

TIV

ES

(3

mon

ths)

15

TO

TA

L S

EM

ES

TE

R H

OU

RS

RE

QU

IRE

D. F

INA

L 16

MO

NT

HS

75

1. IN

-HO

SP

ITA

L C

AR

E: T

he fi

rst 9

mon

ths

of th

e P

rogr

essi

ve C

lerk

ship

will

con

sist

of

clos

ely

supe

rvis

ed s

tude

nt p

artic

ipat

ion

inth

e ca

re o

f hos

pita

lized

pat

ient

s, in

seq

uenc

eac

cord

ing

to th

e fo

llow

ing

sche

dule

: Psy

chia

-tr

y 1

mon

th, I

n-pa

tient

Med

icin

e 2

mon

ths,

In-p

atie

nt S

urge

ry 2

mon

ths,

Obs

tetr

ics

and

Gyn

ecol

ogy

11/2

mon

ths,

Ped

iatr

ics

11/2

mon

ths,

and

Em

erge

ncy

Roo

m 1

mon

th. T

heU

nive

rsity

Hos

pita

l and

the

seve

ral a

ffilia

ted

teac

hing

hos

pita

ls w

ill p

rovi

de th

e fa

cilit

ies

nece

ssar

y fo

r th

is im

port

ant p

erio

d of

the

stud

ent's

dev

elop

men

t.2.

UN

IVE

RS

ITY

CLI

NIC

S: T

he la

st 2

mon

ths

of th

e P

rogr

essi

ve C

lerk

ship

will

be

spen

t in

the

Uni

vers

ity C

linic

s, w

here

the

stud

ent w

illbe

wor

king

with

am

bula

tory

pat

ient

s. H

ere

the

stud

ent w

ill le

arn

heal

th m

aint

enan

cean

d he

alth

cou

nsel

ing,

and

will

hav

e an

op-

port

unity

to im

prov

e hi

s sk

ill in

the

art o

fm

edic

ine.

Her

e th

e st

uden

t's d

ay-t

o-da

y ex

-pe

rienc

es w

ill m

ost c

lose

ly a

ppro

xim

ate

the

norm

al a

ctiv

ities

of t

he p

hysi

cian

's o

ffice

.T

o ac

com

plis

h th

ese

goal

s, a

new

and

ap-

prop

riate

set

ting

mus

t be

devi

sed

in w

hich

tonu

rtur

e th

e co

ncep

t of t

he p

erso

nal n

atur

e of

good

med

ical

car

e. T

he fa

cilit

ies

for

ambu

la-

tory

car

e m

ust b

e su

bsta

ntia

lly u

pgra

ded

from

thos

e w

hich

usu

ally

prev

ail

inth

e"t

each

ing

clin

ic."

The

larg

e w

aitin

g ro

omm

ust b

e re

plac

ed b

y sm

alle

r w

aitin

g ar

eas

inw

hich

pat

ient

s ha

ve a

deg

ree

of p

rivac

y. T

helo

ng li

nes

and

the

inte

rmin

able

del

ays

at th

ere

gist

ratio

n de

sk a

nd th

e ph

arm

acy

win

dow

mus

t giv

e w

ay to

pro

mpt

, effi

cien

t ser

vice

.T

he c

onsu

ltatio

n ro

om m

ust b

e qu

iet,

and

furn

ishe

d an

d lig

hted

in s

uch

a w

ay a

s to

mak

e th

e pa

tient

feel

at e

ase

with

his

stu

-de

nt d

octo

r. T

he e

xam

inat

ion

room

mus

tha

ve, i

n ad

ditio

n to

the

usua

l fac

ilitie

s fo

r 40

Page 46: for efficient and access for the four

the

exam

inat

ion,

apr

ivat

e ar

ea f

or th

epa

tient

to u

ndre

ss a

nd to

dre

ss, a

nd f

orth

ew

oman

pat

ient

to ti

dy u

p he

rdi

sarr

ay a

fter

the

exam

inat

ion.

3. E

LE

CT

IVE

S: T

he la

st e

lect

ive

peri

od is

of th

ree

mon

ths'

dur

atio

n, a

ndfu

ll-tim

e. T

hepe

riod

may

be

spen

t eith

er a

s a

unit

on a

sing

le a

ssig

nmen

t or

it m

ay b

esp

lit a

mon

gtw

o or

thre

e di

ffer

ent a

ssig

nmen

ts.

Mos

t of

the

faci

lity

need

s fo

rth

isin

stru

ctio

nal

peri

odar

eal

read

yav

aila

ble,

eith

erin

affi

liate

d ho

spita

ls o

r in

res

earc

h in

stitu

tes.

The

re w

ill b

e a

need

for

add

ition

alla

bora

tory

spac

e in

the

basi

c sc

ienc

es,

to h

ouse

stu

-de

nts

wor

king

on

appr

oved

res

earc

h pr

ojec

ts,

but t

his

is th

e on

ly n

ew s

pace

that

will

bere

quir

ed.

DE

FIN

ITIO

N O

F IN

STR

UC

TIO

NA

L N

EE

DS

FOR

NO

N-M

ED

ICA

L S

TU

DE

NT

S

As

with

mos

t uni

vers

ity m

edic

alsc

hool

s, th

efa

culty

of

The

Geo

rge

Was

hing

ton

Uni

vers

itySc

hool

of

Med

icin

e ha

s a

larg

e an

dgr

owin

gre

spon

sibi

lity

for

the

inst

ruct

ion

of u

nder

-gr

adua

te a

nd g

radu

ate

stud

ents

see

king

de-

gree

s in

che

mis

try,

zoo

logy

,nu

rsin

g, h

ospi

tal

adm

inis

trat

ion,

med

ical

tech

nolc

a an

d ot

her

heal

th s

cien

ces.

Fif

teen

to 6

9 st

uden

ts a

reen

rolle

d in

non

-med

ical

cou

rses

in B

ioch

em-

istr

y, P

hysi

olog

y an

d M

icro

biol

ogy.

Suc

h st

u-de

nts

norm

ally

requ

ire

thei

r ow

n gr

oup

labo

rato

ries

but

may

in s

ome

inst

ance

s sh

are

labo

rato

ries

with

med

ical

stu

dent

s on

an

al-

tern

ate

half

-day

bas

is. I

n so

me

inst

ance

s, a

sin

med

ical

tech

nolo

gy, t

he c

ours

es a

re p

re-

sent

ed in

the

Urg

vers

ity H

ospi

tal r

athe

r th

anin

the

Scho

ol o

f M

edic

ine.

A s

omew

hat d

iffe

rent

pro

blem

is p

rese

nted

by th

ose

stud

ents

see

king

adv

ance

dde

gree

sin

the

med

ical

sci

ence

s. T

hey

requ

ire

smal

lse

min

ar o

r co

nfer

ence

roo

ms

for

mos

t of

thei

r fo

rmal

cou

rse

wor

k. I

n G

Val

's c

urri

cu-

lum

suc

h ro

oms

can

be s

hare

d w

ith th

e el

ec-

tive

cour

ses

in th

e ba

sic

scie

nces

for

med

ical

stud

ents

. In

addi

tion,

gra

duat

e st

uden

ts in

the

med

ical

sci

ence

s re

quir

e la

bora

tory

spa

ceto

car

ry o

ut th

eir

indi

vidu

al r

esea

rch

proj

ects

.N

orm

ally

this

spa

ce is

in th

at a

rea

of th

em

edic

al s

cien

ces

build

ing

devo

ted

to f

acul

tyre

sear

ch, s

ince

gra

duat

e st

uden

ts o

ften

par

-tic

ipat

e in

fac

ulty

res

earc

h pr

ogra

ms.

DE

FIN

ITIO

N O

F IN

STR

UC

TIO

NA

L N

EE

DS

FOR

CO

NT

INU

ING

ME

DIC

AL

ED

UC

AT

ION

AN

D O

TH

ER

SPE

CIA

L P

UR

POSE

SFa

cilit

ies

for

the

educ

atio

n of

hos

pita

l in-

tern

s an

d re

side

nts

are

norm

ally

pro

vide

d in

the

teac

hing

hos

pita

ls, a

nd th

is is

the

case

at G

eorg

e W

ashi

ngto

n. A

larg

e co

nfer

ence

room

and

sev

eral

sm

alle

r ro

oms

are

pres

-en

tly a

vaila

ble

for

this

pur

pose

in th

e U

ni-

vers

ity H

ospi

tal,

and

addi

tiona

l roo

ms

will

be p

rovi

ded

whe

n th

e ne

w h

ospi

tal w

ing

is

41

com

plet

ed in

196

5. A

bra

nch

of th

e m

edic

alsc

hool

libr

ary

is h

ouse

d in

the

Uni

vers

ityH

ospi

tal.

Mos

t med

ical

sch

ools

acc

ept t

he r

espo

nsi-

bilit

y to

pro

vide

con

tinui

ng e

duca

tion

for

prac

ticin

g ph

ysic

ians

in th

eir

own

com

mu-

nitie

s, s

tate

s or

reg

ions

. In

norm

al ti

mes

this

cons

ists

of

a fe

w w

eeks

eac

h ye

ar o

f fu

ll-tim

e in

tens

ive

cour

sec,

and

a f

ew e

veni

ngco

urse

s. I

n ab

norm

al ti

mes

, as

follo

win

g a

war

, the

dem

and

is g

reat

ly in

crea

sed

and

the

num

ber

of p

hysi

cian

s re

gist

ered

inpo

st-

grad

uate

cou

rses

may

exc

eed

the

num

ber

ofm

edic

al s

tude

nts.

Suc

h co

urse

s re

quir

e on

eor

mor

e le

ctur

e ha

lls o

r au

dito

ria

adeq

uate

to h

ouse

up

to 1

00 s

tude

nts,

equ

ippe

d fo

ral

l typ

es o

f au

diov

isua

l sup

port

, with

spe

cial

emph

asis

on

clos

ed c

ircu

it te

levi

sion

. The

seha

lls s

houl

d be

loca

ted

near

the

Hos

pita

l,th

e U

nive

rsity

Clin

ics

and

the

libra

ry s

o th

atph

ysic

ian-

stud

ents

can

mak

e m

axim

um u

seof

thes

e fa

cilit

ies.

The

Med

ical

Cen

ter

shou

ld a

lso

prov

ide

mee

ting

plac

es f

or r

egio

nal a

nd n

atio

nal

grou

ps in

whi

ch m

embe

rs o

f th

e fa

culty

take

an a

ctiv

e pa

rt. S

uch

mee

tings

may

requ

ire

an a

udito

rium

for

sev

eral

day

s,pr

efer

ably

with

adj

acen

t spa

ce f

or s

cien

tific

exh

ibits

.Fi

nally

, the

re is

the

need

for

fac

ilitie

sin

whi

ch to

con

duct

occ

asio

nal e

xam

inat

ions

for

outs

ide

grou

ps, s

uch

as th

eN

atio

nal

Boa

rd o

f M

edic

al E

xam

iner

s or

the

Am

eric

anB

oard

of

Surg

ery.

Req

uest

s of

this

type

are

freq

uent

ly r

ecei

ved

by lo

cal f

acul

ty m

em-

bers

, and

it a

dds

to th

e st

atur

e of

the

med

i-ca

l sch

ool i

f th

ese

need

s ca

n be

met

in m

ost i

nsta

nces

the

need

s fo

r co

ntin

uing

med

ical

edu

catio

n an

d ot

her

spec

ial p

ur-

pose

s, a

s di

scus

sed

unde

r th

ishe

adin

g, c

anbe

acc

omm

odat

ed in

cla

ssro

oms

norm

ally

assi

gned

to th

e ba

sic

scie

nce

depa

rtm

ents

.U

nder

GW

U's

new

cur

ricu

lum

, the

re w

ill a

l-w

ays

be a

t lea

st o

ne c

lass

room

ava

ilabl

efo

rsu

ch s

peci

al p

urpo

ses.

Allo

win

g tim

e fo

rno

rmal

mai

nten

ance

and

occ

asio

nal r

emod

el-

ing,

it s

houl

d be

pos

sibl

e to

sch

edul

e th

ese

extr

acur

ricu

lar

activ

ities

in a

ny te

rm o

f th

eye

ar.

Page 47: for efficient and access for the four

The

Geo

rge

Was

hing

ton

Uni

vers

ity

A P

rivat

e, N

onse

ctar

ian

Uni

vers

ity in

the

Nat

ion'

s C

apita

lF

ound

ed in

182

1