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Clinical Science Curriculum

Clinical Science Curriculum

The clinical sciences curriculum includes 72 weeks of clinical training in the inpatient and outpatient settings. It is further separated into 48 weeks of core rotations taught in the 3rd year and 24 weeks of elective rotations taught in the 4th year.

In order to commence the core rotation, Students must pass Step-1. After finishing core rotations students are qualified to take the USMLE Step 2 examinations. Passing Step 2 is mandatory before starting the elective rotations.

The clinical sciences curriculum is created to train the students to function efficiently in a clinical setting. Students are included for patient care while rotating through various medical specialties in various clinical settings. The training includes many things such as patient history taking, physical examination, laboratory analysis, and differential diagnosis, constructing effective management plans, case presentations, clinical workshops, and conferences.

CORE 1 – INTERNAL MEDICINE

Duration:                   12 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Internal Medicine is an inpatient and outpatient service experience in which students will apply concepts of diagnosis and management to hospitalized and ambulatory patients. The students will mainly focus on areas traditionally identified and related to internal medicine; for example, the path physiology of non-surgical diseases, and the application of non-surgical diagnostic and therapeutic techniques. The Internal Medicine practice will take place primarily on general medical/surgical floors and specialty units. Any outpatient practice will be created to provide students with an understanding of routine care performed in the physician’s office/clinic and will be at the discretion of the Attending/Preceptor.

GOALS:  The Goals for this rotation comprises students being able to evaluate, diagnose, and treat patients for a variety of medical problems in hospital and in ambulatory settings, in order to advance the ability of diagnostic problem solving of medical disorders, to develop specific motor skills in techniques and procedures commonly related to the hospitalized medical patients, and to recognize the psychosocial needs of the patient.

CORE 2 – SURGERY

Duration:                   12 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Surgery is mainly an inpatient service experience. In this, the students will be taught how to recognize and assist in the treatment of disease during which surgery may play a role in a patient’s treatment and recovery. Students will be taught basic surgical procedures, asepsis, correct handling of tissue, and technical skills so that they can to the surgeon in the operating room. Students will also be asked to assist in pre-and post-operative care so that they can learn various surgical treatments and recognize potential risks associated with respective treatments.

GOALS: There are many Goals for this rotation, such as students being able to evaluate, diagnose, and treat patients with problems requiring surgical intervention. Teaching students how to take care of the patient in the immediate postoperative period. How to detect postoperative complications needing further surgical care on time. Cost/risk/benefit, as it applies to patient care. Comprehend and apply specific surgical protocol in the operating room, i.e., scrubbing, gowning, gloving, draping, and prepping. Develop specific motor skills that can be utilized in surgery.

CORE 3 – FAMILY MEDICINE

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Family Medicine gives students the opportunity to begin acquiring an understanding of the unique role of the family practitioner, and the basic knowledge, skills, and attitudes that one should have in order to take care of patients of all ages. Students will be able to gain these abilities by engaging in structured learning activities — both outpatient and inpatient. These will represent a core of behaviors encompassed by the family physician, which further prepares them for a unique role in patient management, problem-solving counseling, and coordination of health care for the individual and for the family unit. Students will be required to take calls, attend conferences, and read suggested literature.

GOALS: The Goals of the rotation are, making sure that students understand how patients enter the healthcare delivery system, and also how they progress through it. To teach the student how to approach the patient as a whole person, and provide personal care for individuals as well as families, as the physician of the first contact. To teach students the understanding and appreciation of the unique, continuous, comprehensive approach to health care delivery by the primary care physician with patients and their families. To make sure that the students are familiar with basic diagnoses and management of diseases, and conditions commonly found in the families in the primary care setting. Use skills in applying the biopsychosocial approach in diagnosing and managing patients with diseases and conditions commonly presented in the primary care setting. to teach the students the family systems model of patient care. To make sure that the students recognize the value of the physician’s role and responsibilities in disease prevention, health promotion, and patient education.

CORE 4 – OBSTETRICS & GYNECOLOGY

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Obstetrics and Gynaecology is largely an inpatient clinical experience. Related outpatient clinical experiences will be occasionally integrated into the rotation to provide students with an understanding of routine OB/GYN care performed in the physician’s office. The outpatient experiences may be met in a clinic or a preceptor’s office. Students will have the responsibility to take calls, attend conferences, and read suggested literature. Students will be asked to perform some of the few selected technical skills necessary to provide ante-partum care, postpartum care, and pre-and post-op care of gyne-surgical patients. They will learn skills and techniques to do regular, simple deliveries and will be required to participate in the management of more complex problems in obstetrics. Emphasis will be placed on pelvic exams and identifying pathology. The students will also be learning the psychosocial impact of pregnancy and gynecologic disease on the female patient and the family unit.

GOALS: The Goals that we willing to achieve from this rotation are that the students should be able to assess the various stages of labor in the pregnant patient and to assess, diagnose, and treat the complications of pregnancy. We want them to Develop specific motor skills and aptitudes relative to the delivery of an infant and care of the newborn in the delivery room. Assess and manage the postpartum patient. Assess, detect, and treat a variety of gynecologic problems within the hospital and ambulatory settings.

CORE 5 – PEDIATRICS

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation Form

PURPOSE: The Paediatric rotation allows the students to address issues unique to childhood and adolescence by focusing on human developmental biology, and by highlighting the impact of family, community, and society on child health and well-being. Also, the students are asked to pay attention to the impact of disease and its treatment on the developing human and emphasizes growth and development, principles of health supervision, and recognition of common health problems. Special importance is given to the role of the pediatrician in the prevention of disease and injury, and the importance of collaboration between the pediatrician and other health professionals. As one of the core clerkships during the third year of medical school, Paediatrics shares with Family Medicine, Internal Medicine, Obstetrics/Gynaecology, Psychiatry, and Surgery, the common responsibility to teach the knowledge, skills, and attitudes basic to the development of a competent general physician.

GOALS: The goals of this particular rotation are to make sure that the students acquire basic knowledge of growth and development (physical, physiological, and psychosocial), and of its clinical application, from birth through adolescence. In order to facilitate the clinical interaction with children, adolescents, and their families, and thus ensure that complete, accurate data is obtained, we make sure that the Development of communication skills in the student is a must. Development of competency in the physical examination of infants, children, and adolescents. Acquiring the knowledge necessary for the diagnosis and initial management of common acute and chronic illnesses is done in this rotation. An understanding of the influence of family, community, and society on the child in health and disease. Development of strategies for health promotion, as well as disease and injury prevention.

CORE 6 – PSYCHIATRY

Duration:                        6 weeks

Prerequisite:                 USMLE Step-1 pass

Exam format:                   MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Throughout this program, students are can participate in different didactic conferences, case presentations, all this is done with the motive to learn the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders. On the in-patient services, the students are given the responsibility of patient care under the close supervision of physicians. That should include a full evaluation; students are asked to take part and put their opinion while deciding on appropriate treatment and testing.  Students are also encouraged to discuss their opinions with their instructors.

GOALS: The goals of the Psychiatry rotation are that the student should learn a scientific way of making a differential diagnosis and prescribing treatment. They are also taught that a mental illness, like other illnesses, can be treated and controlled. In order to achieve the said goal, the students are expected to learn to conduct a psychiatric evaluation with a mental status examination, formulate a broad differential diagnosis, come up with proper treatment and management for patients, the students should become familiar with major psychiatric medications and their side effects, recognize medical conditions which may exacerbate a psychiatric condition, and recognize the problem of chemical dependency and its role in mental illness.

ELECTIVE ROTATIONS

A minimum of 24 weeks of elective rotations must be completed. All students must complete 6weeks of emergency medicine. Highly recommended electives include:

  • Cardiology
  • Neurology
  • Urology
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