PROGRAM OF INSTRUCTION FOR DIETETIC INTERNS' COURSE (MOC-3, Civilian) BROOKE GENERAL HOSPITAL., BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON, TEXAS 1947 -1948 BROOKE GENERAL HOSIITAL BROOKE A BAY MEDICAL CENTER FORT HOUSTON, TEX*S PROGRAM OF INSTRUCTION N FOR MOC-3 (CIVILIAN) DIETITIANS COURSE 1 August 1947 MOC-3 (CIVILIAN) COURSE BROCK! GENERAL HOSPITAL IURPOSE: The objective of this course is to train certified applicants in all phases of the field of hospital dietetics in order that they may qualify for jn the Dietitian Section of the Women's Medical Specialist Corps upon successful completion of the course. The course, as outlined, me’ets recuirements set up by the Ameri- can Dietetic Association for all approved courses for dietetic in- terns* In addition, subjects pertaining specifically to mess man- agement in the Army are stressed. The course is designed to give classroom instruction and on- the-job training in institutional organization and management, pro- fessional ethics, menu planning, purchasing, storeroom management, food preparation and service, equipment* personnel management, diet therapy, nutrition education and teaching methods, child nutrition and teaching of student nurses, * / PREREQUISITES: a. Physical Requirements: (1) Must meet certain physical requirements prescribed .in Army Regulations, * (a) Must be not less than 60 inches in height with- out shoes and weigh not less than 105 pounds when clad .only in surgical gown or sheet* , . > ■ -■ **»» (2) .Must have had, and passed, a final type physical examination at an *rmy installation prior to appointment as a dietetic intern, \ > (3) Must pass a final type physical examination by a board of medical officers *t the station of first'assignment, b. Minimum and maximum age; 20 - 26-g- on date of appointment, c. Educational Requirements: (1) A Bachelor of Science degree from a college or university of recognized standing, (2) 48 semester hours of study which has included the following: (a) 12 semester hours in chemistry (to include gen- eral, organic and biochemistry), (b) 6 semester hours in biology (to include human physiology and bacteriology), (c) 6 semester hours in food (to include food selection and preparation, meal planning and service), (d) 6 semester hours in normal or advanced nutrition and dietetics (a course in diet in disease is required). If more than three years have elapsed since completion of the course in nutrition, 3 additional semester hours of advanced nutrition, are required,. (e) 6 semester hours in institution economics (to include quantity cookery and organiza- tion and management)• * , , ; 0if r , • ; ’• (f) 3 semester hours in education (at least one ■ ' * of’the following is required* educational psychology, methods of teaching, principles of education), * 4 (g) 9 semester hours in social sciences(select- ed from at least two of the following: psychology, sociology, economics), (3) Must be certified by the Civil Service Commission to the Office of The Surgeon General, • * * d. Other Requirements: (1) Marital status- unmarried, , (.2) Must be citizens of the United-States, MOC-3 (CIVILIAN) DIETITIANS COURSE BROOKE GENE RA L HO SI I T.A L (52 weeks, 2760 hours) a? mai U Wi u A ’ J SUBJECT: HOURS ACADEMIC SUBJECTS: 330 Admlnis'trntion imd Organization-, General - - - * - - (26) Equipment • Food Preparation- -------- IS • * " c n • i a ;:; iS Food Frocurement- -------- • • • Food Service - --------- Meat and Dairy Hygiene- - - - - - Personnel Management - - - - - - (13) I'J* in X n*r >rx - - . fill - - - (60) (17) Sanitation - - -- - ----- (8) General Medicine and Diet Therapy ---- ---- (70) General Surgery - -- ------- (21) Nutrition Education and Teaching Methods- - - - - (16) Nutrition in lublic Health and Preventive Medicine (2 Social Service - - (3) Current Topics --- ------- r - - - (30) -O' daoo bool well b? ' COMMiNDANT1 S TIME 30 T- • Processing - ---------- (. 8) Orientation and Class Organization -------- • - - ( 2) Conferences - - -------- * - - (8) ■ Clearance and Graduation- - - - - ■ - - (4) Subjects to be announced • - - (8) r ,%iz roll a ? -* tlr* .• ? •: PRACTICAL APPLICATION , 2400 Administration of a Large Mess (8 weeks)- - - - - ■ - - (384) Administration of a Small Mess (8 weeks)- - - - - • - - (384) Special Diet Food Preparation (4 weeks)- - - - - • - - (192) Hospital Cost Accounting (l week )----- ■ - - ( 48) Storeroom Management (l week )----- • - - ( 48) Enlisted Ward Food Service (16 weeks) - - - - • - - (768) Officer Ward. Food Service (4 weeks) - - - - • - - (192) Obstetrical Service & Formulae (4 weeks) - - - - ■ - - (192) Pediatric‘Service (2 weeks) - - - - • - - ( 96) Out Patient Clinics , (2 weeks) - - - - • - - ( 96) PROGRAM OF INSTRUCTION MOC-J (CIVILIAN DIETITIANS COURSE ' ' 'r • i PRT I AC.ADEMIQ SUBJECTS Hours SUBJECT-AND ' " 1 ANNEX‘NUMBER : » trj HOURS ' '' SCOPE .. 4.' Administration and (26) Basic principles of organiz- Organization,- General ~ ation and administration; or- ANNEX .-NO, 1 ganization of the dietetic de- * ■; partment and the duties of key r •> • « _ „ . , ... _ personnel;, duties and responsi- ■ ■ i y ‘ i . _ .. cription, job analyses, work schedules, work simplification and flow charts; food cost ac- counting; storeroom i^anageji)ent; organization of the a naykper— / \ sonnel of the army, military - .. - ... - * r*r- ; , ■ r •• ; , •* * Equipment . * “ ~ (20) Factors entering into the sel- ANNEX NO. 2 eotion of equipment; method -i of writing equipment specifi- cations; equipment allowances for kitchens of varying sizes; . ~ u 1 study of kitchen and dining- (b:l} - - -> V:.,) - (:•!■?n ■- •• ■- - ..r? room layouts of-equipment and the factors entering into'ef- ficient arrangements; preven- (81 ) - - • - - - ( \» • / tive- maintenance of equipment; cleaning maintenance of eqfcip- * J * ’V •f._ „ ment; study of safe and efficient operation of all kitchen eqiiip- v - •- •• 1 / * *" i ■ ’> r ■ ,.,r- ) ..... - - • - .(■ ment; procurement of equipment and sources of supply* • “s * -1 Food Preparation (11) Review of the basic principles ANNEX NO. 3 of large quantity cookery; ap- proved techniques; standardiz- ation of recipes; study of food conservation and the control of waste; preparation of the Cook’s Work Sheet; menu planning for the regular diets. F*RT I (CONT'D) SUBJECT AND ANNEX NUMBER HOURS SCOPE - Food procurement (13) — — Study of* Quartermaster Speci- ANNEX NO. 4 fications relating to food products non-animal ori- • ' .) X VI ' U8 .'■ r m * - ■ ~ f . o ,x r f * f f * : nbqa •*! gin; Cue rte mas ter pro'cure- ment of food; procurement of c ' •' ; : X J - food for the hospital through Quartermaster and commercial ; " :*• sources; availability of a v-, *"t " - . ; v. ' . - : a : fresh fruits and vegetables rt •>.: - i,< v ' . ? " and factors affecting the I *' * ■ • *t - - •-ci availability; ordering of i. orr10 . oriJ z* r: 7 . -' ’ *; k r. dt ;: ‘ - d 0; :r .f >■ b.v- -or : * dow j 1 food in quantity; study of ordering guides. Food Service (33) Study of all types of food ANNEX NO. 5 service in amy and civilian ’ ■■ I :> tv jH hospitals, including central- ized and de-centralized food Oifd od '• ; i * t*i • r *•.: £> ■' «t * t service, cafeteria, arid wait- vrt ’■ boo’* 0 xjo.ur v* c er service; ward food service; fra; *;n; >2 -vx. 1 lo £ techniques of making ward -n ■ . •., j!tv ■ 1 nr: E. rounds; holiday food service lo lx . d and decorations; field trips to observe food service in *0 naio n--- - : other type institutions in- # eluding a charity hospital. I nxioi J‘ if.t inn X am on 1 c ; V : • private hospital, cantonment type hospital, college do mi- ■1 • ”uo if)- 5* n >« *i r,r5 < 1. t;i ; . **T ..,;H >j dietetic intern a working yd nd-;.ru >0 noxi • y • » rlo shod.; dncdn ;.-nr ,n ;•; • ni •; ■? j nox • ol -d.t t .. r . • knowledge of the manufacture, composition, classification and grading of food products •r *' . .. ■ . . "■ ; £D vtx f ‘ ' -;J ; . ll ; ♦ . - ,r‘i ovv planning the special diet • ttl n n i:' tn i menus* General Surgery (21) Discussion of diet in general ANNEX NO. 10 surgery; pre-and post-opera- *' t i • i • . * J c. ■ ' lot? tive dietary care; principles r * r of surgery; diet in maxillo- facial cases; diet in surgery •n-' is • inil” ’x of the stomach and gastrointes- tinal tract; diagnosis and pre- operative treatment in certain ~*'i J * *.* ; i i ir •fjc J,' special conditions; inf lemma- - • t •* I - tions; inflammations of the ■t) I. *X * 0 • i . • x J ; a bone; surgical conditions of the breast and thyroid; acute i 4- and chronic empyema; hemorr- UiKfl * 5 i x u •; v hage and shock; anatomy and D J ‘ r 1 * .1 ..#.#• physiology of the genito- • urinary tract; septic wounds ♦ of war; gonorrhea and syphilis; Nutrition Education (16) , menu planning for surgical diets* T>: T Study of the basic principles and Teaching Methods . liV: i 1 C* i of good teaching; techniques ANNEX NO. 11 a *iu of teaching student nurses; development of the lesson plan; practical application of teaching techniques for -student nurses at affiliate hospital; teaching methods for other- professional groups, patients ■ i.. - w ... { and for the layman; discussion of different types of‘training i *•((.. ;• •* r ; f . ! X7 . ■) and visual aids and their use# Nutrition in lublic ( 2) Discussion of the place of nutrition in public health; Health and Preventive ,»i, *C- -V Medicine the approach to the nutrition ANNEX NO. 12 /oiTUl .V; --X 3,; - problem; the part the'dieti- 3 Jli. *1 - : H >X3V: I.'!}?: tian can play in nutrition in ’t r ■ ! ■ 1 i J * a - 4 • t x , • ■ Hi - public health and in preven- -> J ' tive medicine# P RT I (CONT’D) SUBJECT aND -- ANNEX NUMBER HOURS SCOPE Social Service ( 3) Discussion of the history and ANNEX NO. 13 - - - development of medio-al social work; role of the social work- er in army and civilian hos- „ . • ■ .... y .. I * pitals; role of the social f n . ,v . worker on the neurqpsychis- trie, orthopedic and surgical • • ‘ wards; orientation on taking ... o. a case history; approach to the patient nnd technique of ; eliciting information; prac- r . ,xt t u r < . ; : tical assignment of a dietary . ■ ... \ .k- # . • r - ‘ case study with a social . ' ' ‘ * • ! v 4 ; • V 4;| . • problem. Current Topics •»4 FusH (30) Individual reading assign- ANNEX NO. 14 ments on subjects pertain- . ing to diet therapy, admin- f * istration of the dietetic . ► .» • ff- T > \ department and allied sub- ■ ; * >»V •* rf ►■i f.* jects to be reported on in V .. f . ( 4 t .. < .. class with group discussion; a r„. . ■ r . - : - -r subject matter correlated . , ’ . • • •* I , tw ■ ■ ‘ ■ , with class lectures through" out the course# .F* RT II COM*HWT'S TIME 30 Hours mjzzrm : HfflEX NUMBER HOURS SCOPE Processing’. ANNEX NO. - None \ ( 8) Complete physical examination; processing of students by * - • i i * 1 ‘ Civilian Personnel and other administrative procedures# ■ ■ ; Orientation and ( 2) Issue of textbooks, notebooks Class Organization" and other class m°terials; ANNEX NO* - None address by the Commanding . ' ' • ■; Officer; discussion ’oi* rules and regulations pertaining to .. t .. M, ' « . 1 -t > i. , conduct in the hospital and in quarters* FART II (CONT» D) SUBJECT AND »NNEX NUMBER HOURS SCOPE Conferences C 8) Individual co nf e re nee s v/ith ANNEX NO, - None Commandant throughout the , . i ■ i " '•'**: 'll cpurse for the purpose of - •.ni.-t discussing efficiency ratings, •nu-|8on bne >; titl .v:- grades and other matters aris- ing in connection v/ith the •> course « Clearance and ( 4) * : Turning in of supplies and Graduation equipmentj formal graduation A NNEX -NO. -None I ■:> ■: < a 1 ■" i •’ cn - r. f **t ' 'It'D T’*!} exercises. Subjects to be ( 8) Attendance at professional Announced meetings on pertinent subjects ANNEX NO. - None * * r f as they occur during the year. FART III PRACTICAL ? FPLICATION (50 weeks, 2400 hours) mjsrflrxMD— AN&ETK NUMBER HOURS SCOPE Administration Large Mess ANNEX NO. 15 of a (384) v, 455 Observation and practice, under supervision, in the ad- ministration of a large mess* Experience to be gained on t ■ : r • ■ ~ ** i' ,,C X t *. * > 1 i these assignments will include menu planning, organization and supervision of the food production unit, supervision of food service to the mess ■ ■ i t i j hall and to the wards, requisi tioning, receiving and storage hdi bCT°. of food* sanitation of the mess, use of heavy equipment. * food cost accounting and ? I : . ' - "> * j personnel records* * Admini s tration of P. (384) Observation and practice, un- Shall Mess * der supervision, tin the admin- ANNEX NO. 16 ■ ' * ; : * istration of a small mess. f (• • . ' 3011 Experience to be gained will include full responsibility FART III (CONT* D) SUBJECT AND - ' ' ANNEX NUMBER HOURS SCOPE Administration of for the administration of ’ a a Small Mess small mess, menu planning. (cont* d) standardization of recipes, time-off sheets and similar ad- ministrative duties and respon- , * ■ ■: - . ;,.nf ., TA „ sibilities as outlined for a Special Diet Food (192) large mess. Observation and practice, under Preparation supervision, in planning, cal- ANNEX NO. 17 - f r. - . V 4 culating and supervising the ft f preparation *>nd service of a large variety of special diets to officer and enlisted patients. standardization of recipes for the special diet preparation Hospital Cost ( 48) unit. Assignment to the Mess Office Accounting ANNEX NO. 18 for the purpose of acquiring a comprehensive understanding of money available, costs and their relation to each part of opera- tion, also to learn the regu- rations pertaining to the Has- pital Fund and its administra- tion and to attain a -working proficiency in the preparation .'r , • ’ "T . of the Daily Gain and Loss Sheet, Storeroom. Management ( 48) Observation and practice, under ANNEX NO, 19, supervision, of recognized r ■; practices in stock control. ; • - , - . ■) rf. r the use of the perpetual in- • - y 'v ventory card, preparation of \y. *V' -f- ,T orders, bid Lists, receipt and •. - , j • • storage of subsistence supplies , * : ' ■ ' ’ - : :} *; '' i and the issuing of supplies. Enlisted Ward Food (768) Observation and practice, un- Service v der supervision, of the service ANNEX NO. 20 / of food to enlisted bed patients on the following services: gas- . V • f r. ■ trointestinal, diabetic r r ■ t - - allergy, septic and dean sur- J- u , d • ■qa. gical cases «nd orthopedic. Experience to be gained will 10 P«RT III (CONT'D) SUBJECT AND ANNEX . HOURS . SCOPE Enlisted Ward Food Service (cont1 d)* * ' . ■ >x . •• . • * : ■ ■ : ■. ■ -V • * c ;< ■ ' ~*Jtb ■ tt . ' «!i ,■ ■■ -v include the instruction of patients,' calculation of diets, planning of special, diet menus, supervision of tray service and the overall supervision of the administra- tion of the ward serving kitch- ens. Officer Ward Food- (192) Service ANNEX 21 Observation and practice, un- der supervision, of the ser- vice of food to officer bed patients on both surgical and medical wards. Experience to be gained will include instruc- tion of patients, calculation of special diets, planning of special diet menus, supervision of tray service and the over- all supervision of the adminis- tration of the ward serving kitchen. Obstetrical Service (192) and Formulae ANNEX NO. 22 Observation and practice, un- der supervision, of the plan- ning of diets and service of food on an obstetrical ward, including the overall super- vising the administration of the ward serving kitchen and its sanitation. This assign- ment will include the drily preparation of a variety of baby formulae. Pediatric Service (96) ANNEX NO. 23 Observation and practice, un- der supervision, of food service on a pediatric ward. Experience to be gained will include adapting the general menu to the needs of young children, teaching of desir- able food habits and the over- all supervision of the admin- istration of the ward serving kitchen and its sanitation. .rart in (cont’d) wmwmr— ANNEX NO. HOURS - —— •• r;• SCOPE Out Patient Clinics (96) Observation end practicef ANNEX NO. 24 ■jit "-q under supervision, in adult I/':o »j8- ' : nI ml-j , and pediatric out patient ? -: -t. > Jr * r ?!tfiun ..•» taib clinics. Experience to be : ■ .... .... f .... . . ... ■ ■/ ■ • *j ■ gained will include the i ' ■ r ■ ;['* w ■*’ ilCXT- ' * * ‘ •i .ii;" instruction of patients and •r:1 : ...: rr - * r parents in following dis- charge diets. .ANNEX NO. 1 9EMXNISTIT TION AND CONIZATION (GENERA L*) (26 hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF . , INSTRUCTION-.. INSTRUCTION RIFF HENCE S Amy of the United States 1-101 ’ ~' - ;■ 0 I . « w Q rr';G Q < 1 d To orient the students in matters concerning the organization of the. army, the subdivi- sions of the army and the various corps; dis- cussion of tables of organization; composi- tion and mission of the Medical Department* {•* 1 f -'"V /• ] L I Military Medi- cal Manuel; A rmy Talk, No. 152 • Personne1 of the Army; Customs of the Service 1-102 ■ : fj, £ - , * * ~ f# 1 To instruct the stu- dents regarding rank, grade and insignia of personnel of the army and navy; general cus- toms of the service including saluting, retreat, flags and honors. L AR’S 600-37; 600-40; FM 22-5; mimeo forms • Army Regu- lp tions end Fublica- ’tions 1-103 •/ '.Ti.fT! T 1 Discussion of Army Regulations, Techni- cal Manuals’, Field Manuals, Bulletins, Circulars and Memo- randa,’ their scope and their force* L,D AR 1-10; 1 FM 21-6; SB 8-4; V,»•* > ; • , 4 ’ 3 • 1 ' f r 1' To instruct the student in the writing of basic military letters, the form, parts, and purpose, and preparation of indorsement; discus- sion of channels of communication* L TM 12-253 Organization and Administra- tion of the Dietetic De- partment 1-105 bil* i -v >•'. 7 To instruct the stu- dent in the organiza- tional and functional set-up of the dietetic department in the army hospital with special attention to admin- istration in subject L,C F AR 40-590; Is 10-205, 8-262, Chap VI; SCO Cir» s 3, 70, 84, 1947; TB Med 210; ’’The Army Nurse", ANNEX NO. 1 (CONT* D) SUBJECT AND “ “ 1 1 r 1 SCOPE OF TYPE OF • V n .T FILE NUMBER HOURS INSTRUCTION INS TRUCTION REFERENCES Organization pnd Adminis- f institution; review I Vol #2, No, trabion of the of rules and regular 11, Jan 1945; Dietetic De- tions governing ad- "Food Ser- pariment ministration of sub- vice in In- (cont’d) ject institution; dis- stitutions", • cussion of the coordin p.tipn of mess activi- ties, general and specific. Examination dest & hood; mimeo forms. Basic Frinci- * 1 Discussion of the L "Food Service pies pf Organ- j bnsic principles r in Institu- ization and of organization for tions”, Lest 5 dministr.at„ion any institution pood; 1-106 dealing ifith man "Class Instruc- power; discussion of the, principles tion for Stu- dent Dieti- of administration. on- ; V , •• "* .**1 ' O’* tians", Ameri- can Dietetic . . t . .:oh A ssociation. Profession- 2 Detailed discussion L Journal of the al Ethics *< of the code of American Diets- 1-107 ethics governing dietetic interns tic Associa- tion, Vol, 10, both professionally No, 3, 1934;. and personally.' * mimeo forms Tools of 3 Instruction in the L,PE MF 116,5; Management methods of making Mp IM 8-262, Chap. 1-108 job analyses, work schedules, time-off schedules and job descriptions; dis* cussion of the \ralue and use of H too Is of manage- ment'1; discussion VI; "Food Ser- vice in Insti- tutions" , West and hood; Journal of the American Dietetic Asso- ciation. Vol, f\ j of work simplifi- 23, No, 6, ‘ t • cation,and flow 1947; ASF pi . C , charts. Manual 703-5; i : ■ ' ' vr <4' t. • . "Textbook of , ■ • < ■ i ■ . ■ ; Office Manage- tr; * . ' I ’ 0 . • : iid L ■ ■ i r ■ i ment", Leffing- -nr' ;cr: —ff r (vJ't t* r i n f t ’well and v.rr-: > da f -ea nl ncid -dsi Robinson, Chap. 5. ANNEX NO. 1 (CCNT’D) SUBJECT aND' FILE NUMBER HOURS SCO IE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Storeroom Management 1-109 • - * r~ Detailed discussion of the receipt, storage *>nd issue of supplies and the need for strict 'con- trol; procedures for taking and maintaining inven- tories; essential points in stock control, L t TM 8-262, Chap VI and VII; ARf's 40-690, 210-60. Food Cost 4ccounting end Control 1-110 i Discussion of the methods doing re- cipe and menu cost- ing; need for and method of evaluat- ing expenditures; discussion of the food cost control system; variables of cost and how controlled. L "Food Service in Institu- tions", Tfest and T.bod; m 8-262, Chap. VI. Hospital Fund Accounting 1-111 i an introduction to and an explanation of the Hospital Fund and what it means preparatory to on-the-job assignments in the Mess Office. L IM 8-262, Chap. VII. Field Trip through Diete- tic Depart- ment, 1-112 4 Tour of all sec- tions of the dietetic depart- ment of Brooke General Hospital to observe the administration of the deportment and to observe food service in the mess halls and on the wards. D Cl*ss notes ANNEX NO. 1 (CONT’ D) SUBJECT iND FILE. NUMBER HOURS. SCORE OF TYPE OF INSTRUGTION INSTRUCTION REFERENCES Examinations 2 I . 1 ♦ Vritteri Examin- ill previous 1-113 „ atiOn on nil references material prev- and class iously present- , ed. no tes ANNEX MO. 2 EQUIPMENT, (20 hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF ‘ “INSTRUCTION INSTRUCTION REFERENCES ■ J . • ; :r;. : Sources of 6 Cuartemaster, En- L,D, 4R1 s 55-6520, Supply and gineers and Medical C 35-6620, Procure- Supply as sources 35-6640; SCO ment • ’ ■ of material and Cir1 s 70, 84, 1-201 •* equipment} methods 1947; m 38- c X 'ufti/o t< of requisitioning 403; ID nrolT>£S« ft- expendable and non- Supply Cpta- , ' *■ ’io ' ‘V“ !>v ♦ * * • 1 ■ * ' * V \C a ? O f • * 1 *• A v ‘ * i expendable property; accountability and responsibility for property; responsi- bilities of the dietetic intern in handling government log, Med. 3. \ * property; visit to Medical Supply- > . warehouse to ob- serve operation and see available equip- ment* % . . * t . I - 1 r> i t • no/ ‘"t -q0 Selection of 2 Discussion of stand- L,D TD Supply Equipment crd and non-stand- Catalog MED * 1-202 * ard types of equip- 3; ’’Food - ’• , •: - • ment; introduction Service in , ;», < to the type s of Institutions”, o? • nro equipment used in : - rest and V,.ood; ♦ .r- army hospitals; standard equip- disQussion of the ment catalogs# : ■■ r drawing up of I .< ■ I equipment specifi- eonim » n : -M • r • .. cations,points to dOS-l be considered; fao- » ; rp tors to be con-' • sidered in the . f* f * . ? , selection of china, glassware and silver. • ANNEX NO. 2 ('CONT'D) SUBJECT 2ND SCOPE. OF TYPE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES : : . ■ ! l niCiii 4- J t ' ■' i . *. * Equipment 5 Discussion of L,C, US Engineer Allowances « ., equipment allow- iE (SA District) and Mess ances for messes Reference Layouts of different Charts of CM 1-203 H ' sizes; architec- and Engineer- )■: i tural considera- ft ing Equipment; i > tions in planning Journals of - XllV"' the -equipment * the American • * v>' * \r't layout; space al- Dietetic lowances for the A ssociation. various work Vol, 23, Nos. units!; the use *" of flow charts in the efficient ar- rangement of work areas; presenta- tion of a problem 1,2,3, 1947. to be worked out by the Individual student. Operation 4 Detailed discus- L,C,D TM's 5-637, of Equip- sion and demonstra- 5-671, ment tion of the opera*- • 10-405; 1-204 tion of all pieces "Care of Food :u ■ o‘- of equipment in the Service Equip- . ;j\: ■ if :♦! army mess with parti- ment", Ameri- Ibc.r : . • cular emphasis on can Dietetic ■■ t safety factors. A ssociation. • f ■' • t r ; d‘ v in. cor 1 • Preventive 1 Discussion of main- L,C TF 10-1215; Maintenance tenance respon- TF IM’ s 5-637, 1-205 sibility in gen- 5-671; "Care eral; res pon si- of Food Ser- bility of using vice Equip- services; responsi- ment", Ameri- bilities of the can Dietetic Post Engineer; routine scheduling of inspection; in- spection and ser- vice records; types of service offered by the Post Engin- eers; starting. Association. shut-down, repair and replacement ANNEX NO. 2 (CONT'D) SUBJECT AND -SCOPE OF TYPE OF NUMBER HOURS IKSTRUCTION IN ST RUC TION REFERENCES • Preventive service; instruc- Maintenance f ' «ox " ' tion,of using per- (cent’d) •;o2 i-rr ■*; sonnel; presenta- tion of illustra- • V '* I--:;' ■ tive material by • - u/tfa •. r *■ use of a training Jrr bi; ■« ‘ film, : ~rt , • - r A Cleaning i Purpose of clean- L,C lM»s 5-637, Maintenance ing maintenance; 10-405; "Care 1-206 general character- istics of materials of Food Ser- vice Equip- * . ’ ■V *. *3 used in the construe-• ment", Amer- tion of food ser- ican Diete- - i? b'. " ' vice equipment, tic /‘ssocia- 5 p rf r r r i \ t ■ ' ■** *•' ■ ' and the proper clean- tion. ing °nd care of; '*■ \r 'J: cleaning agents '*{ i v*l 3 *nd their correct ; - ; ■ ■*». use; cleaning of V ■ ■> ; T specific items of kitchen equip- ment. Examination 2 Comprehensive writ-* E All previous 1-207 . ten examinations references * ~ . -* *. - . * : . ... -'' on all material and dlaas , ’ i. ■*. ' . rf r , T if % presented previous- no te s, • " j Ir t ■" . U ly* ANNEX NO. 3 FOOD FREP RATION (11 Hours) SUBJECT AND FILE NUMBER . 'V HOURS SCOIE OF TYFE OF INSTRUCTION. INSTRUCTION REFERENCES Food Froduo- ' .'1 n •A -review of the L,C IM 10-405; tion basic principles "Food Service 1-301 of large. quantity cookery; discus- in Institutions", Vest and Vrood; sion of approved techniques; pro- blems frequently "Class Instruc- tion for Student Dietitians", ■ H ' T encountered in .American Dietetic '• -Of large quantity Association, -t s 3 b food production# Standard- 1 Discussion of the L,C TM’s 10-412, ization of ff • <; r necessity of re- 8-262, Chap VI; Re c ipe s 011 cipe standarization "Food Service 1-302 #:r . in the special diet kitchen; re- quireraents for successful stand- ardization; techni- ? ques of standard- izing old and new recipes# in Institutions", vest and Vood; "Ouantity Cook- ery", Treat and Richards; "Food for Fifty", Fowler and Test, Menu 2 Discussion of the L,C, TM*s 8-500, Flanning . •/ A n factors which in- D, 6-262, Chap VI; 1-303 fluenee menu mak- "Food Service ing; the drafting of the menu; menu reference files and reminders; method and order of drafting the ipenu; drafting the special diet menu; preparation of the menu; check- ing the menu in action, assign- ment of practical exercise in menu planning to be continued until proficiency is in Institutions", Vest and V.ood; "The Cook Book of the United States Navy", acqui red. ANNEX NO, % (CO-NT’ D) SUBJECT AND FILE NUMBER HOURS SCOFF OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES . Food Conser- 1 . ■ Brief review of L, C Food Conserva- vation and the history of tion Bulletin, Y/aste • Studie s the food service Hq. 4th i'rmy 1-304 pro gram; di sous- and Supplement; .' ' ' ' ; y\: f sion of causes TC 32, 1945; vv ?••+ : 1 • ■ of food waste TD Cir 322, ■ ' ' with special at- 1946; m 8-262, * tention to re- Chap VI; SCO '.I ceiving points, Cir1 s 3, 70, storage, prepara- 84, 1947. tion point, cook- ing, serving, left-overs, early - messing and unat- tractive surround- ings, • Food 1 I roper use of the L,D Food Conser-. Contrp.l . Cook* s Nofk Sheet vation Bulle- 1-305 with detailed dis- tin, Hq. 4th‘ t * v; ■; cussion of all Army and Sup- v. ' i t ' ; items to be enter- plement; CMC, or ■ - ed and methods of S & FS Ltr #2, entering; discus- ASF Hq 8 th SvC sinn of mess man- V.D Cir 3.22, age-ment, oi ixii' bl. il 1946; Sgo Cir 70, 1947. Field Trip 4 1-306 Trip to an army - D bakery and to a commercial bakery for the purpose of observing the process of large quantity bread None preparation and I I” * 01 1 i • ‘ ■ > jc. factors entering into it, ‘ I " '■ t " ' >z * Examinations 1 Comprehensive writ- E All previous 1-307 ten examination covering all sub- ject matter on KJ food preparation* references and class no te s. ANNEX NO. 4 FOOD PROCUREMENT (13 Hours) •SflKTECT JlfflJ’ - — —■—.. SCORE OF TYFE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES Quartermaster 2 Definition of Sped- L,C, TM 10-210; Specifications fications; purpose FS Federal 1-401 of Quartermaster Standard .V-, £qau h' specifications; gen- Stock Cate- ■- , > f C‘' < • i eral requirements in log; QM . -v. • - Federal Specifica- Tentative ■ tions; classifica- Specifica- ♦ f r<} * * ' * tion of subsistence; tions; SFS varieties, types 10-154* <.' and grades of food of non-animal ori- gin; phases and types of inspection; presentation of in- spection of illus- trative material by use of a sound film strip. Quartermaste.r 5 Outline of Quarter- L,C,D TM 10-215, fro curement master procurement • Chaps I-IV; 1-402 of foods- central. T,D Form 445; .1 8H * regional and local; AR 30-2210 : ro rfc : i U T? ’ types of bidding; - . • 1 . \ f i»• requisition forms and procedures 'for ■ . V : an individual unit; field trip to Quartermaster wnre- houses, storage and Sales Commis.sary for purpose of ob- serving local Quart- ermaster operations, • • -j*id vt I ■ t! "Up \r:'\ bio Commercial 1 Circumstances under L,C TM 8-262, lurchase s which commercial '. Chap’s VI, 1-403 purchases may be VII; AR 40- made; certificate 590, par,18 -:t so'.v "»' ] [ /■ of non-availability and procedure for -:v bnr obtaining; procedure ■*» :' *4* ♦ O * * for getting bids; purchase of certain items through the Medical Supply Officer. \NNFX NO. 4 (CONT'D) SUBJECT 4ND FILE NUMBER HCU RS SCO IE OF ' TYPE OF INSTRUCTION . INSTRUCTION .71? i tdtlri. REFERENCES Availability 2 Factors governing L, C "The. Blue of Fresh - v ; •• •' the availability of Goose Buying Produce. 1^404 f 1 ' ' * : ‘ . 1 ; ' fresh produce, sea- sons, shipping, re- frigeration, packing; present availability and future outlook on fruits and vege- tables; discussion of grades and avail- ability of specific items of fresh produce• Guide'’, pub- lished by The- American Fruit Growers Inc; current market infor- mation. Lprge Quantity 2 Techniques of or- L,C, "Food Ser- Ordering 1-405 i ■ •» r • j. . - • . .• dering; discussion of ordering guides by food groups in- cluding meats, poultry, fish, eggs, dairy products, fruits, vegetables and miscellaneous; presentation of a problem to be work- ed out by the individual students. IE vice in Institutions", ’Vest and Food; Quart- ermaster Master Menu; Standard Ordering Guides. Examination 1-406 1 Comprehensive writ- ten examination on all subject matter in food procurement. E All prev- ious refer- ences and class notes. ANNEX NO. 5 FOOD SERVICE (33 hours) - .... • •— — SUBJECT AND FILE NUMBER hours SCOPE OF TYPE OF INSTRUCTION INSTRUCTION 4 * _ . REFERENCES Types of Food Se rvice in 2 Discussion of the types of food ser- L/C "Food Service in Institu- A my and Civi 1- ian Hospitals 1-501 ■ vice in institu- tions,* situations which determine tions", ’ est and ood; TM* s 8-262, Chap VI, drr-rrfx/o ;on. : * ' • n • field the kind used, standards of pood food service; centralized and de-centralized food service; food service in the army. 10-405. Lard Food Service 1-502 -dia* ?; ■ ' ■ »S , ; 0X1 0 : -v 4 Discussion of the segregation of patients in the hospital and rea- sons for; orienta- tion to-number and type of wards in subject institu- tion; orientation to the duties and responsibilities of all ward per- sonnel; detailed discussion of L,C ? TM 8-262, Chap VI; SGO Cir*s 3, 70, 84, 1947; "Food Ser- vice in institutions",** ' e st and ’ ood; TB Med 210. 1 > j £ ' •* . 4' : f ; r f; rr -v *' •’. ‘ ‘ '; ■> the rules of good food service as specifically ap- plied to tray service; types of professional ward rounds and the responsibility of the dietitian to participate. Techniques of Yard Hounds 1-503 1 Discussion of the proper approach to the patient; problems commonly met in mak- ing ward rounds; re- port of rounds. L,C m 8-262 Chap Vi. ANNEX NO. 5 (CONT‘D) SUBJECT 4ND FILE NUMBER HOURS SCOFE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Holiday Food 1 Discussion of holi- L,C- Current Service and day decorations and food service on wards and in the messes; practical application by students throughout IE magazines Decorations 1-504 and comme r- cial publica- tions. a.4 r c c » the year on holidays; r b " i vm .■ -*i ' Inni t compilation of sug- gestions for de- corations by the class as a group. noldo yjet Examination 1-505 1 Comprehensive exam- ination on all mater- ial covered in sub- ject above# E All previous reference s and class no tes Field Trips 1-506 24 Field trips to be made throughout the D None r ..p year to observe r 1 vv> st sch -ao T ’osqc n '0 ) \cd * food service in a private hospital, a charity hospital, combination private and charity hos- - v pital, college dormitory and tea- rooms, and hotels. vtxiemo'iuo ’■ rry x v. ANNEX NO.'6 MEAT *ND D*IRY HYGIENE (60 Hours) SUBJECT AND FIXE NUMBER HOURS 3 CO IE OF TYIE OF INSTRUCTION INSTRUCTION REFERENCES Introduction 1-601 . ,r* 1 Student orientation followed by a dis- cussion of the. history and import- ance of food hygiene to public health* c * • None - * ' 1*' ’ ' • i ‘ Army Food Inspection 1-602 • •• , . -•/ 1 A discussion of Army food inspec- tion activities by the veterinary service, and re- lationship with other government- al and civil inspection agen- cies; movies "Meets with i i if * Approval • . C,D ? . AR 40-2160, pars, 1-18 inclusive Subsistence Procurement 1-603 1 A discussion and demonstra- tion 'of the Army subsistence pro- curement system, and’ food speci- fications; the development of types, classes and grades for food products. C,D Federal specifica- tions (scan only)# Market Glasses of Livestock 1-604 1 * discussion and illustration of the livestock industry in the U.S., and market classes of cat- tle, sheep, and swine; movie* "Meat Produc- tion" . C,D None ANNEX -NO. 6 (CQNT1 D) SUBJECT AND qo SCOPE OF ; TYPE OF .iv: FILE NUMBER HOURS ,r INSTRUCTION INSTRUCTION ■ SEFEBEHCE& Beef 2 Discussion of cat- ■ C,D Mimeo, MFSS; 1-605 tie slaughter; an : Fed. Spec* .Ion i illustrated dds-p,* ' cus sion of tVje factors that--deter- mine classes rand- grades of carcasg beef; comparison PF-B-221a orrJ! of various beef . ■ grading systems,., Federal and -USPA. specifications. t.r* ad • , f Id r ’ I noj icd fl Beef 3 A discussion of beef C,D Mimeo, MFSS. 1-606 wholesale cuts, and Fed. Spec., :*rt oH m spoilage factors;. PP—B-221a r vi s it to CM . co Id . XX storage and BAMC . meat cutting shop for examination of car- cass beef and view cutting qf beef side into wholesale cuts. Z'J iv 1] XX''; ~ ci td. t ; ’ Veal, Lamb 3 A discussion of C,D Mimeo, MFSS: and Mutton calf, and sheep Fed. Specs., 1-607 slaughter; an illus- trated discussion of FP-V-191a IP-L-91a m H • o -3 classes and grades FP-M-791 i' .n.‘i of carcass veal, lamb, and mutton; bey. zJ who le sale cut’s. Federal USDA. • specifications; spoil- age -factors. t ■sbutZ tol 5; Fo rk 3 A discussion of swine C,D Mimeo, MFSS; 1-608 slaughter; an illus- Fed. Spec., /* ' . i"'I a trated discussion of FP-1-571 ; XS-OT ’ classes and grades • Kdou*. H a v ;• . r.r of carcass pork, 4*J i doc standard cuts, spoil- age factors. Federal and USDA specifica- tions; movie; "Pork Cutting Operations”. .ANNEX NO. 6 (CONT'D) SUBJECT AND FILE NUMBER . HC SCOPE OF TYPE OF S..:.. INSTRUCTION INSTRUCTION REFERENCES Edible ' ; Organs / • ±-609 "r “> “it 1 " An Illustrated ; * C,D TB QM 28 discussion of pars* 1-17 packing house by- - incl. products, 'their identification and utilize- - : tion.' if ■! .1 Motion Pictures 1-61* .■/r •••• • . «. 1 Motion picture * D None dealing with util- ization of cheaper cuts of meat, en- ! titled, ’’Meats and * Romance’”. • * Field Trip 1-611 4 Visit to local D,PE None modern packing plant to observe operations, and for‘practical work in carcass meat grading. ‘v r el L "* J •; Examina- tion 1-612 V' • .‘fi *; - ■ ’ •«re-j 2 Written examine-- E All previous • tion covering all ■ references • • instruction to *■ ’: ’ d£Tte.; ' • <*■ - ’ 1 :: 'h'• ■■ } r c Cured arid Snaked Meats 1-613 2 An illustrated ■ C,D IM 10-210, discussion of Par. 81 cured and snoked » meat products, curing agents, 'processes, smok- J • ing, and spoilage; movie* ”A Study 4 in Meat Curing", •■•r.um . • ’ Sausage Products 1-614 2 An illustrated C,D Par. 82, discussion of IM 10-210; sausage Inariufac- Mimeo, M & DH ture, composi- School tion,and *spbil- a ge' factor s;. ANNEX NO. 6 (CONTVP) SUBJECT AND FILE NUMBER - — SCOPE 'OF TYPE OF HOURS* INSTRUCTION INSTRUCTION 7" REFERENCES t Ttai* ■ ■; •/ t • alvl bortn Field Trip 4 • ‘Visit to modem D None , .,, . 1-615 cured, smoked , OS'1- meat, and sausage manufacturing plant to observe’ operations and processes* - • •• • IB CM 33, Poultry 3 An illustrated C, D 1-616 discussion of market classes pars, l-ll incl* and grades of t r 3(1: dressed poultry, .methods of dresc- ing and drawing, storage and * spoilage factors. •/? j A :■ r ’i- rov i ’? IS?* Eggs 3 ; An illustrated C, PE TB CM 33, 1-617 discussion of . egg production, egg structures. pars. 12-31 incl. ,.-f .■ '( candling and storage; .prac- tical work by student in fcX >j f f •> jL ■ r*'- candling to de- , termine egg - grades* ■ % . - t’) ■ r t r: 1 fTLOOlD 3C ' aterfoods 2 An illustrated C,D TB OM 31 1-618 discussion of (entire « ' "i *• the various types >. g bulletin). XoHoE of edible fish and sea -foods storage, -and spoilage factors. 2 " ritten examine- Examination E All previous 1-619 tion covering all instruction references cited since . . ir -A • V* since last examination last examin- ation. *NNEX NO. 6’ (CONT'D) SCOPE OF ■ -: TYPE OF INSTRUCTION7' INSTRUCTION SUBJECT AND FILE NUMBER HOURS REFERENCES - -1IJI l X ‘ . ’ ■ ' •• Canned Meat 2 An illustrated C,D Far• 3 & Products U di scussion'and de- par 8 4 •, HI 1-620. ,• monstratibn of- food preservation by can- ning, -canning pro- cesses, types of * > cans, composition of .Army Canned meat 10-210. *dfi •• fc.; products »nd signi- ficance !defe*c- y*! f.r-i * »’< ; tive cans,' 1 : r *. *1 jrfi n ,..<•* ;'a ‘-:-r ,1 Milk. 1-621 ' 3 A discussion OT • C,D types of fresh milk and cream, standards, requirements, sanitary preduction,: and manu- facture ahd standards Mimeo, MFS3 for evaporated, con- . . I: t«•> densed and dried milk; 2 Vi ■i *• - « " movie; ’'Quality Milk T f - * i .1 Production”.. , fr: ; ,30 Field 4 Visit to modern D None Trip 1-622 dairy farm. : * '• •Vy: .; t ■.v ' Ice Cream 1-623 1 A discussion of 1 C ice cream manu- facture, ingred- ients, and speci- Mimeo, MFSS fications* - 3■ - ■'? i rp ■ '■ ,1 • ?r. I';’ I! Butter and 3 A discussion' of the C,D Mimeo, M&DH Chee se 1-624 manufacture of butter and various types of cheese; a demonstration of butter grading and School : , •• various types of r :• t ni •> . . lO." *t ■ - V ’ ; ' •• : c heese, .■ • '■ P r • ■ Field Trip 1-625 •* 4 • • . f Visit to modern milk D ice cream, and butter plant to observe operations and pro- cedures* None ANNEX NO. 6 (CONT’D) SUBJECT AND FILE NUMBER SCOPE OF TYPE OF* HOURS INSTRUCTION INSTRUCTION REFERENCES 1 ■’ ~ ; *. _ -• ' ;T • - Examination 2 T.ritten examine- E All previous 1-626 tion covering all reference s instruction since cited since last exa-mination. last examine- (ill texts issued by Dep,t9 of Vet Sv to be turned in at this, period) • tion. ANNEX NO. 7 HCRSONNEL .M * NA CEMENT (17 Hours) ... SUBJECT.AND FIDS ‘NUMBER- HOURS SCOPE OF TYPE OF INSTRUCTION . INSTRUCTION REFERENCES Job-Instrue- r. 4 tion Train- . tnS* . , n 1-701 «• Discussion of the L,FE, supervisor’s res- E ponsibility to top management and to the worker; pre- paration of a train- ing-time table; four-step method of instruction; de- monstration of four- step method by each student; group eval- uation of teaching demonstra tions; examination. A SF Manual M 217-1 Job Relations 4 Training 1-702 Discussion of the L,FE, supervisor’s res- E, FS ponsibility in good relations with workers; foundations of good relations; four-step method of handling problems; practice in handling problems; examina- tion .. A3F Manual M 217-2; SFS 8©-16 Job Methods 4 Training 1-703 Improvement of meth- B, C, ods of performing D work; saving of time and money (man- power, materials or equipment); ”sugges- tion program" for employees; presen- tation of a proposed saving of manpower, materials or equipment in a specific situation. Manual "Methods of Improvement", Civ. Train- ing Branch, Civilian lersonne1 Division, SCO. ANNEX NO. 7 (CONT'D) SUBJECT AND FILE NUMBER ' SCOPE OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Selection and 1 Method of Selec- L/C ■ 1M 8-262, A ssignment of tion of civil ser- Chap VI; lersbnnel vice personnel; Memo No• 68 1-704 ‘ importance of Hq. B#MC . » £ I . final selection; 8 July 1946; '-v : r»-nr > -T methods of inter- Civ Fers, viewing; assign- Famjhlet No, « ment reports and 24, 1946; ,.*!!.'■' fr:'./.'I records in which Civ, Fers, dietitian is Manual No.2, v. - ’ ' *■ immediately con- f 1945; Civ. ♦ a o*’ i A ■ cerned. Fers, Form No* 3823A, r ... ' June 1945; * .. . , Civ, Fers. ;2oil t {trr Form No, ■-rliir-7 o eirr lo 38 23, Re— 'r: c vised, 1944. * -v ll : n * Instruction 4 Discussion of L.C. "Food Ser- of Personnel the method of-. FE vice in in the Mess instructing per- Institu- Hall sonnel in table tions", " est 1-706 and cafeteria and Tood, service; prac- tice demonstra- 2:. :. :;a tion of instruc- X ■ .TT2 V.'“ • rm 1- t ting a worker. -? id lo Hv ANNEX NO. 8 SANITATION (18 Hours) SUBJECT AND FILE NUMBER ..... . 3. HOURS SCOFF OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Fetho genic 1- . Discussion of L,D "Laboratory Microorganisms classification. Diagnosis of 1*801 . habits and Disease", • % . • * r. - - ■ - ... * • methods by which pathogenic mic- roorganisms pro- Stitt, Clough, and Clough; "Preventive , . 7 ’ ' ' duce disease. Military , ;. a h i m Medicine", ,. * *'• ■ r .v :• • Discussion of water-borne dis- eases; methods of examination of water and water supplies; methods of water purifi- cation; discus- sion of diseases Dunham. Bacteriology and chemis- try of Tatar and .MiIk *>■ 1-802 .. ■ , * .. • .♦ 1 L,D All previous reference s. .:?••• .?•" rri.. t * r transmitted by VJ. v. /‘r..- . . > • rv. ■ milk from cow 4 ' ‘ • • •' V to man; points i 82 -'-I ■in,' nx * of contamination of milk at dairy and plant# SO 7-2 Transmi s- 1 Discussion of the L, AJ1 previous sion of Dis- ease by Animal Foods 1-803 transmittal of disease by animal foods from dis- eased animals and diseased food handlers; dis- eases caused by animal parasites transmitted by animal foods. 4 reference s. Food Poison- ing 1-804 1 Discussion of bac- terial end chem- ical food poison- ing; methods of examination includ- ing preparation of specimens and pre- vention. L,D All previous references 3NTSTEX NO. 8 { CONT* D) SUBJECT AMD SCOFF OF TYFE OF FILE NUMBER HOURS. INSTRUCTION , INSTRUCTION REFTFENCES Sanitary 2 Discussion of L,D "Military Entomology how bacteria Preventive 1-805 are carried by Medicine", ♦ r -i h Ff t n J* *■ •-* fli the housefly, cockroach, ants, Dunham * rats, and mice; extermination ;"n : r -a of household ■ ' . pests; chemical sprays; preven- tive measures# . • .; {zrt'rsrc \ - -J, ■■ , ■■■ V Mess Sanitation 1 Discussion of the L #fs 10-210, and Inspection standards of 10-250; of Messes good mess sani- SB 10-119; 1-806 tation; factors "The School involved in main- taining highest Cafeteria", Bryan; "Food possible stand- Service in ■ * ards; inspec- Institutions", : i -*r- ' tion of messes. Vest and ' cod. ■ o&r x I orft HS baa Examination 1 Comprehensive exam- E *11 previous 1-807 ination covering reference s all subject matter presented on sani- tation# ANNEX NO. 9 > ■ ' r » - GENERAL MEDICINE AND DIET THTR'IY (70 Hours) SUBJECT AND SCOPE OF TYPE OF », : ■ ■ ■ FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES Avitaminoses 1 Definition, etiology, L "Dietetics 1-901 pathology, subclini- for the cal forms and treat- Clinician",. ment of deficiencies resulting from the lack of the follow- ing vitamins* Vitamin ".A” and carotene, thiamin, riboflavin, niacin, pyridcxine, other factors of B complex, ascorbic Bridges; "The Avita- minoses", Eddy and Dalldorf; "Nutrition Ceficiences", Youmans; "Textbook of f r .. t■ T acid vitamin "D" and Medicine", * . • calciferol, alpha.to- Cecil, ; - v- ’ . - cophe.ro 1 and Vitamin itv" fi. • . • • 1 Calculation 1 Explanation of L,PE "Handbook of Nutrition- method of calcu- of Diet al Evalua- lating nutrient con- Therapy”, tion by Long tent of menus by "Lurner; D and Short the long and short Cir 33,1946; Methods methods} discus- TB Med 25, 1-902 sion of nutrition- on the per pound basis; assignment of problems to be accomplished by the individual students. 1944; m 8-500. Case Histories 4 Discussion of the L,PE Mimeo Forms. 1-903 principles employed in interviewing the patient; interpre- tation of patient records and progress notes; outline of subject matter for a case history; as- signment of indivi- dual studies to be made; reports of case histories by individual students. A.NNEX NO. 9 (CONT* D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYIE OF INSTRUCTION INSTHJCTION REFERENCES Diabetic 2 Explanation of L,FE W 8-500J Diet the calculation "Handbook Calculations of the diabetic of Diet 1-904 diet prescrip- Therapy", tionj calculation of the diabetic menu; practice calculation of diet prescription and a day1 s menu Turner* "Nutrition and Diet in He*1th and Dis- ea se", atrocfthc vfw * by each student McLester• « 'o - using own age. ; c: weight end - he ight. • , r Di seases 2 • * Diabetes mellitus L,FE "Treat- of Metabol- in adults and in ment of ism: Dia- chiIdren-defini- diabetes be te s tion, etiology, path- Mellitus", Mellitus , ■ ology, insulin Joslin; 1-905„ treatment; diabetic coma, insulin shock; dietary treatment "Disease s of Meta- bolism" , . and calculation of Duncan; n .'.tow diet for children " Textbook and adults in dia- of Medi- betics, diabetic • tt cine , coma, insulin Cecil; 3 • - : shock, surgical "Essen- cases; to include tials of •■f » f'f’ in addition, short Medicine", Hi 11 • discussion of spon- -merson anrj ,* S. r •- . ;.r , . :: -v '■’* - *. - • - taneous hypogly- cemia and diabetes insipidus* : rt- and Taylor. Discharge 5 Discussion of L,FE "Handbook Diets forms used in pres- of Diet I-9Q6 enting discharge diets to the Therspy", Turner; ,■ ■ ■ patients; tech- mimeo forms. , niques of presen- B"GH. ta.tion, use of visual aids in instruction; t assignment of 37 ANNEX NO. 9 (CONT’D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Discharge i. < common discharge C ‘v ■ V I Diets diets to indivi- t , > (contT d) * ) dual students - ■ ; • y j.* r n ; , r for pre pa ra tion of mock interview} presentation of mock interviews by individual students. ♦ Diseases of 2 Definition, etiol- L "Textbook of the Blood ogy, path^logy Medicine", 1-907 and dietary treatment of perni- cious, secondary, Cecil; "Pssentials of Medicine", ; . . - r r macrocytic and Emerson and aplastic anemias; Taylor; discussion of the "Diseases of ...... . • . • same factors in the Blood 4 . •* ? purpura, hemophilia. and .Hematol- leukemia and allied ogy", Kracke, ■ •' disea ses. Diseases of 4 d.s ■ : ’ ' Definition, etiol- L "An intro- the Gastro- ogy, pathology and duction to Intestinal - dietary treatment stroenter- Tract of abnormal gas- ology", 1-908 trie conditions; f Iva.rez; of peptic and gas- "The Stomach . . r ;■ t trie ulcers and arid Duodenum", c*a rcinoma of the Eusterman stomach; purpose and Balfour; . *' of test meals; "Dietetics discussion of all for the Clini- types of consti- pation; discussion cian", Bridges; "Diseases of .L > ;:n r': :n,J of all types of the Diges- j- > . colitis and enter- tive System", , itis. Fortis* piseases of 1 Definition, etiol- L "Heart Dis- the Heart and ogy, pathology and ease", White; Arteries dietary treat- "Management 1-909 ment in acute car- diac infections, coronary occlusion, angina pectoris, of Cardiac Patients", Leaman; ■ "Essentials ANNEX NO. 9 (CONT’D) 11 SUBJECT !RD— -jpYT ■ " scoIfe of type of ! i JdhO ■ FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES Diseases of • 1 chronic heart of Medicine”, the Heart and disease, arter- Emerson and Arteries iosclercsis. Taylor; (cont* d) essential hy- "Textbook hrr ■' .it X *oH pertension. of Medicine", * ' . " -3 id rolRBUoe rb T-HH Cecil, y*< .(* '» Diseases of 2 Review of the L "Textbook of the Kidney physiology of the Medicine", and Urinary kidney *>nd urinary Cecil; Tract tract; definition. "Essentials 1-910 etiology, pathology of Medicine", and dietary treat- Emerson and • I;' : J ment of acute and Taylor. chronic nephritis e oi-n d 11 ♦ rr ' *1 : &n >m . • and nephrosis. HR-1 pyeltis and other diseases of the ..nioibeM 1" urinary tract. Diseases of 1 Definition, etiol- L "Diseases of the Liver ogy, pathology the Liver", and Gall and dietary treat- Lichtman; Bladder ment in hepatic "Clinical 1-911 insufficiency. Lectures on j I infectious hepa- Gall Bladders * .A UJ \ J* titis, cirrhosis and Bile Ducts", » SH Vi .- . ’- , of the liver, ‘ eiss; "Text- . - M itrfd- C • ••.£{* Kn •» catarrhal jaun- bonk of Medi- dice, tumors, cine", Cecil; abcesses end "Essentials cysts of the of Medicine", liver, choleli- Emerson and m a thiasis and Taylor. , ( i. w * - • •• 4 or* n- :*r r..T cholecystitis. • Examinations 6 Comprehensive one E HI previous 1-912 J hour written exam- references; L 3 ■ • - i- vi : r\ *t H T inationsto be ap- class notes. portioned .throughout BIG-I fi.in rr np. T the period that . r ■ ,-t - ‘' < subject matter is •jr-'-r/t-- " being presented on the subject of gen- ill : :'i eral medicine and * • -* —■ ■ '** .rr'v-'fi diet therapy. ANNEX NO. 9 (CONT’D) SUBJECT AND FILE NUMBER SCOPE OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Febrile 1 Definition, etiol- L "Textbook Disease s ogy, pathology. of Medicine", 1-913 prevention and Cecil;"Nutri- d:L ■ r ’ dietary treatment tion in :• loxl- • ‘ ' of tuberculosis; Health °nd • i * • brief discussion Disea se", of these same McLester; -" !- • factors in typhoid "Essentials of Medicine", * ' ' 1 and scarlet fevers. ■ :■> C1 1 - l' ■ •* Emerson and , J ■’' ... i-1 . ‘1 • P, ’ , 1 - Taylor; ;! 1 !. . • ; ( ; ■■ ■ mimeo forms. Food 1 Definition, etio- L "Food Allergy", Allergies logy, pathology Rowe; "Manage- 1-914 and dietary man- agement in food' allergies; discus- sion of skin tests; ment of Aller- gy", Smul; "Essentials of Medicine", discussion of elim- Emerson and • ./if ina'tion diets. Taylor; , ’ O.O.M and their proper "Textbook of i rtomtri 0 rA use. Medi cine", * • , • 1-V’i ru to Cecil. • . go ■; .. : : . • Gout and 1 Definition, classi- L "Textbook of Arthritis fication, etiology. • Medicine", 1-915 pathology and die- Cecil; tary treatment of "a rthritis * gout> and arthri- and Allied i' i tis; acidosis and Conditions", ! - -I *• alkalosis. Comroe; ‘ ; • r* £' , i ... a . "Essentials * **' ■1X -■ h ■< ■ -■ ; r • r 1.? * ■ r1 Lo-jvo :■ I ■ of Medicine", Emerson end ' i . ' y I ... t ..4 . .. - Taylor, Infant and 3 Nutritional re- L "Diseases of Child Diets quirements of Infants and 1-916 infants; artifi- cial methods of feeding; breast feeding versus bottle feeding; calculation of formulae; feeding of infants under Children", Nelson and Mitchell; "Textbook of Fediatri cs" Griffith and Mitchell; "Psychologic .ANNEX NO. 9 (CONT'D) SUBJECT AND . SCOPE OF TY1E OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION RFFF.RENCES Infant and abnormal condi- Care During Child Diets tions such as Infancy and (cont'd) vomiting, colic. r Childhood", * K diarrhea, con- Bakwin and * stipation, mal- Bakwin; nutrition; nutri- "Newer Nutri- tional require- tion in ■ ments of the Pediatric — ‘ • * . •. . r . pre-school child Practice", • • ■ and child of Ku ge Iraa s s • 9 % school age; age, weight and height tables; feeding . \ r.t rt -is ' bn a rfti '• t •’ * ♦ the "problem” child; diseases of childhood# -its! I :jff ■ 1 V* •' > • 9- ~ Inge-stion i ...... . , ' ■ Discussion of L,D "Physiological of Food artificial methods Basis of Medi- 1-917 of feeding to in- cine". Best elude gavage. and Taylor, na sal, duo de na. i. nutrient enema.,; /. f ; v. > : , subcutaneous and IT? ■ intravenous? f«c- * tors of food con- \ ■ sistency, caloric content and ' ; • temperature# Labor*tory 5 Explanation *nd L,D "Laboratory Examinations demonstration of Methods of 1-918 the followings United State s basal metabolism. 4rmy", Simmons ,*> ■ • -ffUj urinalyses, blood. and Gentzkow# gastric analyses. v ? H feces; explana- ■: ,,a tion of normal \ • I-' * and abnormal f - ' * h r*r ‘ findings# * Medical 1 Di scussion of L,C, IM 8-500; Diets, the liquid soft IE "Handbook of General and light diets Diet Therapy", 1-919 in detail; menus for each to be planned by the students. Turner; "Nutri- tion in Health and Disease", McLe ster # ANNEX NO. 9 (CONT’D) SUBJECT AND SCOIE OF TYIE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES P • r'< r t Mental Dis- 2 Classification of L "Psychology orders mental disorders; of Insanity", 1-920 treatment and Hart; "Isy- management aspects chiatric of pyschiatric patients; problems Nursing", Biddle, Bid- of diet in various die and Van * ■ types of disorders; problems in ad- ministration. • Sickel, Menu Flan- 12 ■ " : r " f These hours are to L,C, W. 8-5UO; ning for be closely cor- FE "Nutrition in Special related with the Health and Diets 1-921 •. rt T i medical lectures and will include brief review of Disease", McLester; "Hand book t pathologic condi- of Diet tions; discussion of the construc- tion of the special diets; assignment of special diet menus to be planned by the individual student. Therapy", Turner; "Diabeti c Care in Pictures", Rosenthal, Stern, Rosenthal; "Textbook ■ \ _ , f -.f T of Medicine", Cecil; "Es- sentials of Medicine", 3;•* . ' '■ i i , - rfr* * .. ,.r —- oN-tr <• , « . * ** % • ' - . ■ ? T -v,; : I-rtn :rd ' ‘ ■ Emerson and Taylor; "Dietetics for the Clinician", Bridges; r r profe ssion- H I . : .. ’ ■ al journals. ANNEX NO. 9 (CONT'D) SUBJECT AND FILE NUMBER HOURS SCORE OP- TYTE OF INSTRUCTION INSTRUCTION REFERENCES MaInutrition 1 Definition, L "Dietetics and Obesity etiology, pre- for the 1-922 vention and diet- Clinician", ■■ ‘ # ' »? ary treatment , Bridges; of malnutrition "Textbook and alimentary of Medi- • - i and constitu- c ine", tional obesity. Cecil; "Es- • sentials of :• ; •: v: •• • Medicine", ■ ~ : ■; ■ Eme rson and ■ JLv ' • ; f J ■ ' E; Taylor. -vf •, Normal 1 Basic factors L "Nutrition Nutrition and requirements and Diet 1-923 for optimum nu- in Health trition; con- and Dis- struction of the ease". normal diet to McLester; • »v • meet daily re- "Dietetics ' •• - ■ " quirements; the for the • . : ■. ‘ ■ the normal diet Clinician", as it is con- ' Bridges; ’ ; ■■ i r : - . structed for TM 8-500. V- ;v. ■ the hospital % ■ ■ ‘ ; patient. Nutrition 1 Discussion of the L "Dietetics for the feeding of the for the Aged aged; problems Clinician", 1-924 . encountered in Bridges; administration "Geriatric of the diet. Medicine", Stieglitz; •* *T- ■t . .t ,r 1/*-.“. 'J .*■ Ti *1 "Care of the ... t • ■ Aged", . t . : . ■ • * Thewlis, • Oral Condi- 1 Normal dental L "Oral Fatho- ticns and -■ structures in- logy", Thoma; Disease s - eluding chron- "Diseases of 1-925 ology of denti- the Mouth and tion; mineral Their Treat- , requirements; ment", Frinz - dental hygiene; and Green- oral diseases. baum. ANNEX NO,. 9 (CONT’D) SUBJECT AND FIIE NUMBER • T r *J- ■: -• ■ HOURS SCOPE OF TYPE OF INSTRUCTION' INSTRUCTION REFERENCES Physiology 5 Review of the l,d ’’-Anatomy and (Review) physiology' of Physiology”, 1-926 - the digestive Greisheimer; ■ ’ t 3 tract and its "Physiology r;x ; " secretions; dis- in Health and - ' : : •. ‘0 cussion of the Disease", physiology of lAf igger s. ...'■ * * ■ r,■ >*) the blood and a, lympth circula- 4 ; -> •- • ' *■ sJ4 -■* ; tory system; ' A- ■: ' •, organs of res- r- " piration and factors affect- noid H> .U" j ing; excretory f L M Tt •' '/ ■: >M bna organs and re- ,, , ;.» f „ * , t t f • »«•< ;; ■ gulation of 6S9-I ■ f '2 {' ; • body tempera- V * >•: ture; internal : secretions* 8 Zf iJ Pregnancy 2 Importance of L "Textbook of and diet during pre- Obstetrics", Lactation and post-natal De Lee and 1-937 periods; diet- Greenhill; ary procedures "Textbook of for normal preg- Obstetrics", nancy; dietary williams and ■::; ;■ ” procedures used Standers; in abnormal con- "Textbook of ditions in Medicine", . - * ( ; (■ 1 4 pregnancy; Cecil. •, * , ,5* s> ■: s - • i i < . administration of the diet* t SJ X ic; 3.: P sycho soma- 1 Brief introdue- L "Emotions tic Medicine tion to psycho so- and Bodily 1-928 matics, including Change", fundamental con- Dunbar, * * •i i, ’’ ‘ ’ cepts, accident- • r • ‘n? . J proneness, gastro- • % •*; /- "v ' * 2 -33 g .>;> j intestinal expres- - , O02X I .bna xfttif.;/ sions of the emo- 3Sc-l tions, cardiovas- cular expressions • ■’ i r - tr: of emotions, arth- ritis, allergies, ANNEX NO. 9 ( CONT* D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION. INSTRUCTION REFERENCES Psycho somatic endocrines, emo- t Medicine tional, -precipitants (cont1 d) of death, treat- ment and research •• • sort * '1 ■ yaol .V methods in psycho- . t •‘3 3, , ' - soma tics* ANNEX NO. 10 GENERAL SURGERY (21 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Anesthesia I-1001 1 Discussion of L general, local and spinal anes- thesia; methods of administration; feeding problems arising from the administration of anesthesias. "Pre and Post Operative Care”, Mason and Zintel; "Physio- logy of Anesthe- sia", Beecher, Diagnosis and Freope native Treatment of Certain Abdom- inal Condi- tions 1-1002 1 Discussion of the L diagnosis and preoperative treat- ment of appendi- citis, intestin- al obstruction, surgical condi- tions of the gall bladder» "Principles of Surgical Care", Blalock; "Text- book of Surgery", Christopher, 'Surgical Conditions of the Chest 1-1003 1 Discussion of L the anatomy of the chest; medi- cal and surgical treatment of lung abcesses; infections of the pleural cavity; surgical treat- ment of pulmon- ary tuberculo- sis. "Essentials of Medicine", Emerson and Taylor; "Neurosurgery and Thoracic surgery", Military Sur- gical Manuals, National Re- search Council, Examinations 1-1004 2 Comprehensive E one hour writ- ten examinations to cover all sub- ject matter presented on general sur- gery. All previous reference s; class notes. ANNEX NO. 10 (CONT» D) SUBJECT AND sunUR OF TYPE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES ■ • * -rf r-t- ; j ni c Maxillofacial i Discussion of sur- L IM 8-500; Cases gery inmaxillo** r "Manual of 1-1005 facia,! cases; nutri- Standard Trac- rrt ,hn; tional requirements; tice of Ilastic : • r - : feeding problems and maxillo- •. « • \,d rv c - and general dietary facial Surgery”, management• Military Sur- 1c r> + C-■ rr; - Xnl gical Manuals, j?* r» r» an pr -••ii* I '' 3T9fI3V National Re- • 3 wSn>7 search Council. Fema le i Anatomy and physio- L "Textbook of Genital logy of the female Obstetrics", Tra ct genital tract; pro- Greenhill and 1-1006 cess of reproduc- De Lee. tion; problems of menstruation. General i Discussion of gen- L "Textbook of Surgery eral pre and post Surgery", 1-1007 operative dietary Christopher; ; t t careJ preparation "Fre and lost • , + >: of patiehts for Operative Care", -tiX lo operatibn; opera- Mason and ' Y tive procedures. Zintel;"Frin- f o firmi.l ciples of . I Freopera tive , and Fost Oper- f ative Treat- • ment". Cutting. ;S i 1 rtoi’icuo:: -1 - run' J1 ■ Genito- i Discussion of the L "Clinical Urinary anatomy and phys- Urology", Tract iology of the Lowsley and 1-1008 genito-urinary Kirwin; tract including "Stone", :'j.0" the kidneys,'ure- J o ly • t"; tens, bladder and ’ + r X1 5 urethra; surgical 1 • " problems and the C ■ dietary manage- ment of them* »NNEX NO. 10 (CrNT'D) -SUBJEC-T AND. • - score' OF. ;. . TYIE OF ■t. ’• X? -- • • - FILE NUMBER . HOURS INSTRUCTION INSTRUCTION REFERENCES Gonorrhea and 1 Discussion of L ’’Gonorrhea”, Syphilis the etiology, Pelouze; 1-1009, : symptoms and ”Mo de rn •” ■ •' . • treatment of Clinical • gonorrhea and Syphology”, •* syphilis'; soc- Stokes, f . / * i J * ial aspects of Beerm^n, • *' ft- ’ *4- 1 ‘ i. J X v • i " .. venereal dis- eases. Ingr°ham. Hemorrhage 1 The causes; L ’’Principles arid Shock methods of pre- of Surgical Care”., I-1010 vention and treatment; of hemo rrha.ge and shock. Blalock; "Shock”, Moon. Inflamma- 1 Discussion of L "Minor tions. causes of in- Surgery”, 1-1011 flaminations; Christo- - 'IP'- acute and chr’on- pher; " • - : ic suppurative "Textbook ' : : • lesions includ- of Sur- irig carbuncles. pry”, ( V • f J 10 ■ • -- \ ; , > ■ * furuncles, erysipel® s, paronychia s, lymphangitis. » Christopher Inflamma- 1 Discussion of L "Minor Sur- tions of hemotogenous gery", the Bone and non-hemo- Chri stopher; 1-1012 togenous osteo- "Textbook of ; myelitis; diet- Surgery", ♦ °ry management Christo per; V in Osteomyelitis; Dikin’ s so'lu- - tion' and its uses. "Orthopedic Subjects", Military Sur- gical Manuals, National Re- Search Council. ANNEX NO. 10 (CCNT»D) SUBJECT AND sen EE OF TYPE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES Menu Flan- 3 These hours are C,FE m 8-500; ning 1-1013 .'i d : ‘ 3 'trO * to be correlated with the sur gi c a1 lectures ahd will include a brief review of patho- logic conditions} construction of surgical diet” menus; problems of administra- tion. anoh+ibnoo ’’Nutrition and Diet in Health and Di sease”, McLester; "Dietetics for the Clinician", Bridges, Principles of Surgery 1-1014 1 Discussion of the basic principles of surgery and of the healing of body tissues; L "Principles of Surgical Care", Blalock, Uomo&B 4 " W£1 ■ ' bf " | methods of anti- sepsis and reasons for; asepsis and X ■>o yvopiiic iio ' tZ bff! : • n'" ***> aseptic techni- que. 1: . ■ rr* -ett Xanide vdn. Septic Wounds £>f War ‘ 1-1015 1 Discussion of L, gas gangrene,■ tetanus, burns, trench foot and fro st b ite; die t- ary management in severe burn cases. ni o *o yv -t >}■ "Principles *r and Practice of Far Sur- gery", Trueta, Surgical 1 Discussion of sur- L,C, TM 8-500; Diets (General) 1-1016 gical liquid, semi-soft, soft and light diets; routine post- - operative surgi- cal diets; assign- ment of special diet menus to be planned by indivi- dual students. FE "Nutrition and Diet in Health and Diseases", McLester, ANNEX NO. 10 {CONT’D) SUBJECT AND scope’of type OF . FILE NUMBER HOURS INSTRUCTION INSTRUCTION RE FT FENCES ' • Surgical * r 1 Discussion of L, "Textbook of Conditions hypothyroidism Surgery",. of Breast and hyperthy- Christopher. and roidism with Thy.ro id emphasis on 1-1017. nutritional re- quirements and dietary manage- «3 ment pre and post operative-, ly; abnormal conditions of the breastj H „ . * jT*X ' . r ,v. , • radiation sick- ness and dietary » f .. T * . i 0 w x , mana geraent• ;:••• - I :f fl.c J Discussion of L, Surgery of 1 "The Stomach the Stomach dietary preoper- and Duodenum", and ative care in Eusteman and Ga.stro- surgery of the Balfour; intestinal stomach and gas- "An introduc- Tract tro-intestinal tion to Gas- . I.-1018 • tv tract; colos- t ro e n te r o lo gy ", tomies, anasto- Alvnreg* moses., etc, .in- * • eluding explana- tion of surgical procedures and feeding problems; postoperative . dietary care in .. * . V • '> > " * ♦ all oases of surgery, of the. ; I BO if,' Vc f • stomach and gas- • {X *1 hr* - ri + ;• trointestinal ' v f | **.f ... , tract* - ANNEX NO. 11 NUTRITION EDUCA TION •' ND IE3 CHING METHODS (16 Hours) SUBJECT 'ND SCOPE OF TYPE .OF FILE 'NUMBER HOURS INSTRUCTION. IN STRUCT.ION. REFERENCES Nutrition 2 ... Principles of L, C- i "Class In- Education' good teaching; :‘-.i lo struction and Teach- techniques for for Student ing Methods teaching student nurses; presen- tation of sub- ject matter; vr ,*. v Die titia ns". for‘Student Nurses* : noli American Dieteti c 1-1101 ' ssociation; development of u m j "Manual for the lesson plan; ¥ Teaching err * assignment of teaching pro- blem. • V ' . f I n Nutrition and Dietetics - i y.. i to Student •f * f A ' V .1 U 1 •. .***•. u.•? tji.t lit r ‘ 1 Nurses”, t . '• - \ V U x' V • ‘ i , I American‘ v ■' . ' .. ..t: TT h . ‘ ■ aj. a ssocie tion. ; i i r- a rI s. v ■ *■; i • I; * *-• • • Application 12 . Observing, es- PE, All previous of leeching sisting rnd mV-. reference s. Techniques# teaching.student 1-1102 nurses at an « • affilate hospi- • i. •, tal in lecture * . - * f and laboratory ♦ * # * * period. Use of . 1 Discussion of L,D Mimeo forms; Training different types "The Prepare- and Visual of training tion and Use of A ids and visual aids Visual 'ids", 1-1103 and how used most effective- ly* Haas and Packer. Teaching 1 Discussion of L, "Class Instruc- Methods for teaching meth- tion for Stu- Other Groups ods for other dent Dieti- 1-1104 professional groups, for patients and for the layman. tians", .American Dietetic a ssociation# nmex no. 12 NUTRITION IN PUBLIC HEALTH AND PREVENTIVE MEDICINE (2 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE: OF TYPE OF •INSTRUCTION INSTRUCTION REFERENCES Nutrition in 1 Review of the place L Nutrition Public Health of Nutrition in Survey 1-1201 lublic health; re- Issue, Florida view of evidence Health Notes, -* t of need for nutri- July 1947. tion in public' i '£,*>' ’ •-> health; approach to r,. - T 1 ” i'U : - i f ■ the nutrition pro- blem. ■ ■ • Nutrition 1 •* -1 (1t ... Discussion of the L The Bulletin in proven- field of preven- US AMD, Feb tive Medicine tive medicine and 1947, "Further 1-1202 part played by Progress in r' if’* various personnel Food Research”; • n •' t .* in the Army and The Bulletin, in civilian life; USAMD, Sep. ‘ rr * I i part played by 1946, "Quart- . ■ ' 7 '■ • the dietitian emaster Of- in nutrition in public health and preventive ficers Train in Fbod Re- search”; The ’*■ medicine * • * • o -i n ~ -i Bulletin, USAMD, Jan 1947,"Food Research Pro- gram". ANNEX NO* 13 SOCIAL SERVICE (3 hours) SUBJECT *ND. FILE NUMBER. - SCOPE OF TYPE OF - HOURS . INSTRUCTION . .INSTRUCTION .REFERENCES Social Service, in the Hospi- tal* 1-1301 1 History and devel- ' o pme n t o f me di c al social work; role of the social’ ser- vice worker in the Military and civil- ian hospital; ser- vices to pptients for diversion, rehab- ilitation and planning for post discharge care. L "Social Component in Medical Care", Bartlett, Special Case Work Problems 1-1302 1 * Rble of the Social worker on the neuro p sychi a t ri c, orthopedic and surgical wards* L "Some As- pects of Social Case Pork in a Medical Setting", Thornton and Knauth. 'Social Case Work 1-1303 1 Orientation on the taking of a case history;' approach to the patient; techni- ques of elicit- ing' information pnd the follow- up; assignment of a case history with a social problem to be' accomplished by each student in cooperation with the * so c i a 1 wo r k- er • L, PE Selected Social C* sc Historic s. ■ANNEX NO. 14 CURRENT TOPICS (30 Hours) SUBJECT AND FILE NUMBER SCOFF OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Orientation to Current Topic s 1-1401 1 Discussion of sources of mater- ial for presenta- tion of current topic reports by individual students; assign- ment of group leaders; dis- cussion of method to be followed in class pres- entation of re- ports; visit to medical library. c. D Cur rent profession- al publica- tions, scientific and trade journals. .Anemia s 1-1402 1 Individual reports on current arti- cles concerning the anemias; group discussion. C All prev- ious reference s Constipa- tion and Colitis 1-1403 1 Individual reports on current articles concerning consti- pation and coli- tis; group discus- sion. C .All prev- ious reference s Diabetes 1-1404 1 Individual reports on current articles concerning diabetes in adults; group discussion. C All prev- ious re- ference s Diabete s 1-1405 1 Individual reports on current articles concerning diabetes in children; group di scussion. c All prev- ious re- ference s Diseases of the Gastro- intestinal Tract 1-1406 1 Individual reports on current articles concerning condi- tions and diseases of the gastrointes- tinal tract; group discussion. c All prev- ious re- ference s. ANNEX NO 14 (CONT'D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF • INSTRUCTION INSTRUCTION REFERENCES Diseases of the Heart 1-1407 1 Individual re- ports on current articles concern- ing diseases of the heart; group discussion. c All prev- ious re- ferences# Diseases of the Liver and Gall Bladder 1-1408 • 1 Individual re- ports on condi- tions and dis- eases of the liver and gall bladder; group discussion. C ftll prev- ious re- ferences. Food Allergy 1-1409 1 Individual reports on food allergies; group discussion. c All prev- ious re- fe re nee s. Food Tech- nology 1-1410 1 • Individual reports on the subject of food technolo- gy; group dis- cussion. c A11 prev- ious re- * ference s. Infant and Child Feed- ing. 1-1411 1 Individual reports on problems of infant and child feeding; group discussion. c All prev- ious re- ferences. •Malnutri- tion. 1-1412 1 Individual - reports 'on malnutrition; group discussion. c All prev- ious re- ference s • Minerals 1-1413 1 Individual reports on minerals; group discussion. c All prev- ious re- ferences Nephritis and Nephrosi s 1-1414 1 * Individual reports on nephritis and nephrosis; group discuss ion# c All prev- ious re- ferences Obesity 1-1415 1 Individual reports oh obesity; group discussion. c A 11 prev- ious re- ferences ANNEX NO 14 (CONT’D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYTE OF INSTRUCTION INSTRUCTION' REFERENCES Progress in Nutrition 1-1416 2 Individual reports on current trends in nutrition; to be given at beginning and at end of this section; group dis- cussion. C &11 prev- ious re- ferences. Public Health 1-1417 1 Individual reports on public health problems and cur- rent activity in this live; group discussion* C All prev- ious re- ference s Teaching Me tho d s 1-1418 1 Individual reports on teaching methods employed in teach- ing nutrition to student nurses and patients; group discussion. C All prev- ious re- ference s Vitamins I- 5-43:19 2 Individual reports on the various vitamins and cur- rent trends; group di scussion. C All prev- ious re- ference s. Administration of the Dietetic Depa rtment 1-1420 1 Individual reports on the latest in the administration of the dietetic de- partment; group discussion. C A. 11 prev- ious re- ferences . Building and Maintenance 1-1421 1 Individual reports on problems of building and main- tenance of property; group discussion. c All p rev- ious re- ferences. Equipment 1-1422 2 Individual reports on the latest de- velopments of all types of equipment; group discussion. c A11 prev- ious re- ference s ANNEX NO. .14' (,CO!IT» D) SUBJFC-T -5ND - FILE-TOIBER-" ' SCOPE- GF- 'TYPE- CF HOURS' ’ INSTRUCTION-- “INSTRUCTION' RFFF FENCES Food Conser- vation, 1-1423 ■ 1 # Individual.reports on current factors . in food conserva- tion; group dis- cussion. C Ml prev- ious re- ferences. Food pro- curement I-\424- 1 Individual reports on problems of buying and market- ing; group dis- cussion. c All prev- ious re- ferences. Institution- el Feeding 1-1425 1 Individual reports on problems con- nected with food service in institu- . tions; group dis- > cussion. c All prev- ious re- ferences. Legislation Pertinent to the Field 1-1426 1 .Individual reports , on current legisla- tion either in ef- * feet or in process of. passage; group _ discussion,. c * 11 prev- ious re- ferences Sanitetion 1-1427 1 Individual reports on sanitation in , the food service t unit;:group dis- cussion. € All prev- ious re- ferences ANNEX NO. 15 ADMINISTRATION OF a large MESS (8 Weeks, 384 Hours) SUBJECT JND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Administration 192 Practice in the C, PE All pre v- of a Large requisitioning. ious re- Me ss receiving and ferences 1-1501 storage of food; preparation of the Cook’s “'ork Sheet; instruc- tion of cooks; supervision of preparation of food; super- vision- of officer, patients and employees cafe- teria service and service of food to ortho- pedic patients; personnel record sheets and head li sted under aca- demic sub- jects re- lating to these activi- ties* count reports; time-off sched- ules; confer- ences with staff dietitian on problems of food admini str*5 tion; sanitation of the mess; care and operation of heavy equipment* Centralized 192 I Panning of the C, PE a 11 prev- Administrative Master Menu for ious re- Contro1 1-1502 four weeks; pre- paration of daily menus for house diets from Master Menu; preparation of instruction sheet; estimation of future requisi- tions; consolida- tion of orders from individual messes; placing of orders; trips to ference s *NNEX NO. 15 (CONT’D) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Centralized market for the Admini strp tive purpose of getting Control bids on fresh pro- (cont* d) duce »nd making purchases; cal- culation of the daily food cost for a month; per- sonnel records* *NNF;X NO, 16 ■4IU-INJS.TR?,TIONr0(F.4 SMALL •' ' ME'SS (8 Weeks, 384 Hours) ■‘subject mr. : - FILE OTHER *'• ‘ HOURS ... SCOFF "OF ; ■ ; TYPE OF- INSTRUCTION INSTRUCTION REFERENCES . *■***. m .. +* ... .-•* -t. \ 'y * flLdministration 192 Frectice in re- C,FE All prev- of a Small Mess quisitioning, re- ‘ious re- • “ 1-1601 ceiving and 'storing ferences ef food in a small listed' mess; supervision under aca- of food service to demic sub- the wa rd s and on jects the Cafeteria line; relating supervision ‘of to these ■food preparation; preparation of the Cook’s Y/ork Sheet; instruction of per- sonnel; personnel records and time- off schedules; supervision of irasss sanitation; conferences with staff dietitian on problems of food administration; floor plan of mess, tracing route of food from prepara- tion to service, to be accomplished while on this assignment. activities. Supervision 192 Student is given com - C, .ftll prev- of a Snail plete responsibility IE ious re- Mess for the administra- fe rence s 1-1602 tion of a small mess with only occasional inspection by a dietitian; scope of duties and responsi- bilities cover those listed under admin- istration of large and small messes; six new recipes are to be standardized. 60 ANNEX NO. 17 SPECIAL DIET POOD PREP RATION (4 TiTeeks, 192 Hours) SUBJECT AND , FILE NUMBER HOURS SCOPE OF TYIE OF INSTRUCTION INSTRUCTION .REFERENCES .Special Diet .192 ....Practice in plan- >C,EE 11 .prev- Kitchen 1-1701 « ning. a large ypriety of spec- ial diet menus; calculation of diabetic diets; observation and ious re- ference s listed ; under aca- demic sub- jects re- practice in in- la ting to structing dia- betic classes twice .weekly; requisitioning, receiving and storing of food; supervision of preparation of . food for special diets; supervision of special diet • food service to the. wa rd s and on the special diet cafeteria line; instruc- tion of patients; four special diet , -recipes are.to standardized • ’ * while on this a ssignment. these activities* AMEX NO. 18 HOSPITAL COST ACCOUNTING (1 Week, 48 Hours) SUBJECT AND FILE NUMBER HOURS - SCORE OF TYIE OF INSTRUCTION INSTRUCTION REFERENCES Hospital 48 Regulations per- C,PE T/D AGO Form Cost taining to the 8-106; Accounting Hospital Fund; IM 8-262, 1-1801 sources of income and expense; source of entries of following Regis- ters and how made: Chap VII; all other references listed under Accounts Receiv- academic able. Cash Re- ceipts, Accounts Payable and Cash Disbursements; Accounts con- tained in the General Ledger, sources of post- ing; balancing of the General Ledger; Hospital Fund Financial Statement of In- come and Expense; Statement of Liabilities, Assets and Net Working Capital; Statement of Miscellaneous Subsistence Ac- count; Statement of Welfare Expense; transmittal of Excess Yorking Capital; student to complete one month's sample record of daily gain and loss from sub si stence• subjects relating to these activities. ■VNNEX NO. 19 STO RE ROOT M' NACEMENT (1 Week, 48 Hours) SUBJECT ND file number SCOPE OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Sto re room 48 Observation and C,PE 'll prev- Mana ge merit practice in the ious re- 1-1901 preparation, pric- ferences ing and placing of listed orders; checking under aca- and inspecting demic * perishable items subjects when delivered; relating proper storage of to the se perishable and non- perishable items; stock control and the perpetual inventory card; checking of in- voices and bills; preparation of bid lists; obtaining of bids on perish- able items; pre- paration of the Commissary order; administration of combined central storeroom, meat- cutting and pastry activitie s. shops; preparation of low cost menus for one month while on this a ssignment• ANNEX NO. 20 ENLISTED. EaRD FOOD SERVICE ' (1.6’Weeks; '768 Hours) "subject ".AND' FILE NUMBER HOURS ■ ■ ” SCO IE OF TYPE OF- - INSTRUCTION INSTRUCTION REFERENCES Medical Yard . 192 Practice in menu C, EE ‘ All previous Food Service! ’ planning for reference s Ga s'trointes- gas tro inf e s ti na1 * listed under final • case's and‘the academic 1-2001 supervision of subjects re- tray service to lating to these patients; these activi- • supervision of administration of the ward serving kitchen and its sanita- tion; instruction of patients; ward rounds; confer- ences with staff dietitians on problems of ward foo d se rvi ce; one case history study to be ac- complished while on this assign- ment. ties. Medical 192 Practice in the C,FE All previous Yard Food Service Diabetic and Allergy 1-2002 calculation of diabetic diets and the planning of menus for patients with food allergies; supervision of tray service; supervision of the administra- tion of the ward serving kitchen and its sanita- tion; instruction of patients; con- ferences with staff dietitians on problems of food service; ward rounds. references AjNEXHD'. 20 (CONT’D) SUBJECT Vnd FILE. NUMBER SCOIE OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Surgical bard* d.92 Practice in menu C,PE » Ml prev- Food Service . .. planning for ious re- 1-2003 diets found on ferences o r .v;- ' clean :and septic rr r1 instruction of bo.- X or ■!i patients; ward -abi .'o % boo'H rounds; one case ■teoxllO history is to be accomplished while on this : '-ssignment. noli a.: riinib add Yo SOIS-I Orthopedic 192 Practice in menu C, PE All prev- Se rvi ce planning for ious re- 1-2004 patients on an ■ orthopedic ward; supervision of tray service; supervision of the ference s. administration of the ward serving kitchen; ward rounds; instruc- tion of patients; conferences with staff dietitian on problems of food service. •annex:'NO. 21 OFFICER a".*RD FOOD SERVICE (4 l eeks, 192 Hours) SUBJECT AND FILE NUMBER HOURS SCO IE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Medical Lard *• 96 Practice in the v-' C,FE *11 previous Food Service- planning of menus reference s Officer for‘officer listed under 1-2101 patient diets and academic the supervision of tr«y service to :these patients; subjects re- lating to these - supervision of the administration of the ward serving kitchen and its sanitation; confer- ences with staff dietitian on prob- lems of food service; ward rounds. activities. • Surgical Uard 96 Practice in the C,FE All previous Food Service- Officer 1-2102 planning of menus for officer patient diets and the super- vision of tray ser- vice to these patients; supervision of the administration reference s v> of the ward servihg 5id I/'. V'tlO - 'M ■ kitchen; conferences with staff dietitian on problems of food service; ward rounds# S> *** NO. 22 OBSTETRICAL SERVICE *ND FORMULAE (4 reeks, 192 Hours) SUBJECT * ND FILE NUMBER SCO IE OF TYPE OF HOURS INSTRUCTION INSTRUCTION ■ . REFERENCES Obstetrical 192 Practice in the C,PE All previous Service and planning of menus references Formulae and the service listed under 1-2201 of food on an academic ♦ s < obstetrical ward; subjects daily preparation relating to •of a variety of the se baby formulae in activities• accordance with Ifiv i -o • sterile techni- que; supervision of the administra- tion of ward serv- ing kitchen and its sanitation; conferences with staff dietitians on problems of food service and the preparation of formulae; ward rounds; nutrition- * al evaluation of ■ three baby form- ulae are to be accomplished while on this assign- ment. ANNEX-NO. 23 IEDIC TRIG SERVICE (2 '..eeks, 96 Hours) SUBJECT AND FILE NUMBER SCOFF OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES . '.V . v pediatric 96 Practice in C, FE All prev- Wa rd adapting, the iou-s re- 1-2301 general menu ferences : - / r to meet the needs listed. :■ - > t* . of young children; under , | : supervision of academic ; food service; subjects , : ■ f : -■' :; supervision-of administration of ward serving kitchen and its sanitation; teaching of desirable food habits; nutri- tional evalua- tion of child’s menu for one week, is to be accomplished on this assign* rnent;. this assignment actual* ly extends an ad- ditional 48 hours since it combines m th the pedia- tric out-patient clinic assignment to make 144-hours* relating to these activities* . '»•; ••V • " ■ : v* ANNE X NO. 24 OUT FA TIENT CLINICS (2 Greeks, 96 Hours) SUBJECT >ND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Out-Fatient 48 Observation and C,FE All prev- Clinic- practice in ious re- idult teaching patients ferences 1-2401 referred to the dietitian in out- patient clinic for dietary instructions. listed under academic subjects relating to the se a ctivities. Out-Fa tient 48 Observation and C,FE All prev- Clinic- practice in ious re- Pediatric teaching parents ference s. 1-2402 and children re- ferred to the dietitian in the out-patient clinic for dietary instruction. 69