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ST. GEORGE'S UNIVERSITY • School of Medicine 2010-2011

ST. GEORGE'S UNIVERSITY • School of Medicine 2010-2011

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Doctor <strong>of</strong> <strong>Medicine</strong> Course Descriptions<br />

Regional Anatomical Dissection<br />

Abhishek Yadav, MBBS<br />

Mario Loukas, MD, PhD<br />

This one-term, two-credit selective will give participants the<br />

opportunity to undertake four detailed regional dissections <strong>of</strong><br />

the human body. These regions include head and neck; back<br />

and thorax; extremities; and abdomen, pelvis, and perineum.<br />

Each regional dissection will be limited to the appropriate area<br />

but need not be a complete dissection <strong>of</strong> all the structures<br />

within the topic area. The ultimate objectives are to give<br />

students the opportunity to dissect regions <strong>of</strong> the human<br />

body <strong>of</strong> particular interest to obtain a deeper understanding<br />

<strong>of</strong> the anatomy <strong>of</strong> selected areas and for detailed anatomical<br />

preparation to be created for future clinical aspirations.<br />

Research Ethics<br />

Cheryl Macpherson, PhD<br />

This selective fosters pr<strong>of</strong>essional development, strengthens<br />

ethical sensitivity and reasoning ability, and enhances<br />

knowledge and understanding <strong>of</strong> the complexities <strong>of</strong> existing<br />

research ethics guidelines. This course focuses on the role<br />

<strong>of</strong> human participants and the intersection <strong>of</strong> research with<br />

clinical practice and public health. Students participate<br />

in seminars and case discussions involving international<br />

guidelines, therapeutic misconception, use <strong>of</strong> stored tissues,<br />

and cultural and socioeconomic factors that bear on<br />

international research collaborations. The ethics <strong>of</strong> authorship<br />

and plagiarism are explored. The course expands upon the<br />

SGUSOM required curriculum, enabling students to gain<br />

substantial insight into research ethics. Students responded<br />

favorably to the initial <strong>of</strong>fering <strong>of</strong> the course in 2007.<br />

Surgery<br />

Chamarthy Subbarao, BSc, MBBS<br />

In this four-week, one-credit selective, students attend three<br />

lectures about history taking, communication skills, and the<br />

history and running <strong>of</strong> the Grenada Health Services. Students<br />

attend clinics and surgical operations under guidance <strong>of</strong> a<br />

surgeon. They participate in taking histories from patients<br />

and observe the examination <strong>of</strong> these patients followed by<br />

discussions with the attending surgeon. They observe the<br />

examinations and surgical operations in different specialties.<br />

They are required to keep a log <strong>of</strong> their activities and submit<br />

detailed case histories. A one-credit version with less time<br />

commitment is <strong>of</strong>fered during the school term.<br />

Speaking Skills for Pr<strong>of</strong>essionals<br />

Bill Blunt, DEd<br />

Anu Goyal, BS<br />

The selective is an online communication workshop designed<br />

to provide the techniques and concepts needed to improve<br />

students’ communication skills as pr<strong>of</strong>essionals in today’s<br />

US marketplace. The acquired speaking skills will improve<br />

performance in interviews, presentations, and interactions with<br />

colleagues and peers. Emphasis will be placed on preparation,<br />

body language, and image. Essential to competing in the<br />

US job market today is the ability to convey information and<br />

concepts distinctly without language barriers. To this end, this<br />

workshop will enhance students’ English pronunciation while<br />

reducing foreign accents. In addition, students will learn the<br />

factors that influence their speech qualities, such as verbal<br />

debris and volume. Throughout the one-credit course, each<br />

student will have opportunities to hear his/her voice through<br />

recordings and engage in self-critique in order to become<br />

acutely aware <strong>of</strong> modifications. Once identified, students will<br />

work through practice exercises and find solutions in online<br />

discussions and resources to rectify errors.<br />

Thailand Medical Experience<br />

Michael Weitzman, Theresa McCann, PhD, MPH<br />

The one-credit Thailand Medical Experience selective provides<br />

an introduction to the practice <strong>of</strong> health care and service in<br />

a Southeast Asian cultural context. The selective is a twoweek<br />

experience for preclinical medical students during the<br />

summer, comprising a mixture <strong>of</strong> modern and traditional<br />

Thai medicine. It provides opportunities for students to<br />

observe alternative ways <strong>of</strong> practicing medicine within the<br />

Thai health care system and allows application <strong>of</strong> core<br />

knowledge to diverse modalities <strong>of</strong> care. Such an experience<br />

should increase cultural understanding <strong>of</strong> the similarities<br />

and differences between Western and Eastern health care<br />

delivery. Opportunities for interaction and discussion with<br />

medical faculty, medical students, and/or residents will be an<br />

important component <strong>of</strong> the selective. One week is spent at<br />

Mahidol University Faculty <strong>of</strong> <strong>Medicine</strong> and Siriraj Hospital, a<br />

modern facility in Bangkok. A second week is completed in a<br />

rural area learning Thai traditional massage.<br />

Clinical Years<br />

There are 80 weeks <strong>of</strong> clinical training. Every student takes<br />

42 weeks <strong>of</strong> core clinical rotations in the five major specialty<br />

areas—12 weeks <strong>of</strong> internal medicine, 12 weeks <strong>of</strong> surgery, and<br />

6 weeks each <strong>of</strong> obstetrics/gynecology, pediatrics, and<br />

psychiatry. In addition to the core rotations, all students must<br />

complete four weeks <strong>of</strong> primary care, a four-week medicine<br />

subinternship, a four-week medicine elective, and a four-week<br />

pediatric sub-internship or elective. To complete the clinical<br />

requirements, every student takes 22 weeks <strong>of</strong> electives.<br />

Internal <strong>Medicine</strong><br />

John Sensakovic, MD, PhD, Chair<br />

The 12 weeks <strong>of</strong> the internal medicine rotation are designed<br />

to expose students to a wide variety <strong>of</strong> medical problems.<br />

Students are expected to develop a logical approach to the<br />

diagnosis and treatment <strong>of</strong> patients’ complaints. Some <strong>of</strong> the<br />

skills that must be acquired and refined are how to elicit and<br />

assess patient information, how to perform a complete and<br />

accurate physical examination, how to formulate a differential<br />

diagnosis and problem list, how to construct a diagnostic<br />

workup and a plan <strong>of</strong> management, and how to write up and<br />

present cases.<br />

Students thoroughly study at least two new patients per week,<br />

present them on teaching rounds, follow them throughout<br />

their hospital stay, and use patient problems as a basis for<br />

reading.<br />

The end <strong>of</strong> the rotation should accumulate large amounts<br />

<strong>of</strong> experience-based knowledge as students are assigned<br />

cases in various major areas <strong>of</strong> medicine such as cardiology,<br />

gastroenterology, and endocrinology. Self-learning techniques,<br />

as well as compulsory attendance at lectures, conferences, and<br />

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