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SCHOOL OF 2012-2013 - St. George's University

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Four-Year Medical Program Objective Outcomes (continued)<br />

School of Medicine<br />

Doctor of Medicine<br />

n. Continually reevaluate management plans based on<br />

the progress of the patient’s condition and appraisal<br />

of current scientific evidence and medical information.<br />

3. Professional Behavior<br />

a. Establish rapport and exhibit compassion for patients<br />

and families and respect their privacy, dignity and<br />

confidentiality.<br />

b. Demonstrate honesty, respect and integrity<br />

in interacting with patients and their families,<br />

colleagues, faculty and other members of the health<br />

care team.<br />

c. Be responsible in tasks dealing with patient<br />

care, faculty and colleagues including healthcare<br />

documentation.<br />

d. Demonstrate sensitivity to issues related to culture,<br />

race, age including those related to geriatrics and<br />

end of life, gender, religion, sexual orientation and<br />

disability in the delivery of health care.<br />

e. Demonstrate a commitment to high professional and<br />

ethical standards.<br />

f. React appropriately to difficult situations involving<br />

conflicts, nonadherence and ethical dilemmas.<br />

g. Demonstrate a commitment to independent and<br />

life long learning including evaluating research in<br />

healthcare.<br />

h. Demonstrate the willingness to be an effective team<br />

member and team leader in the deliver of health care.<br />

i. Recognize one’s own limitations in knowledge, skills<br />

and attitudes and the need for asking for additional<br />

consultation.<br />

j. Participate in activities to improve the quality of<br />

medical education, including evaluations of courses<br />

and clerkships.<br />

conduct themselves in the professional role of physician<br />

and are judged on their ability to take responsibility, relate<br />

to and work harmoniously with professional colleagues,<br />

exhibit maturity in conduct on the wards, and demonstrate<br />

the disposition of a mature and qualified physician.<br />

Curriculum<br />

The third year of the four-year medical program consists<br />

of 42 weeks of core rotations. These are structured<br />

experiences required of all students, regardless of<br />

where they train. The core rotations consist of 12 weeks<br />

of Medicine; 12 weeks of Surgery; and 6 weeks each of<br />

Psychiatry, Pediatrics, and Obstetrics/Gynecology. These<br />

core rotations traditionally form the educational foundation<br />

for all medical students regardless of future specialty.<br />

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

complete six weeks of Family Medicine, a four-week<br />

Medicine subinternship, a four-week Medicine elective,<br />

a four-week Pediatric sub-internship or elective, and 20<br />

weeks of additional electives in order to graduate.<br />

Family Medicine: (six weeks) This mandatory rotation can<br />

be done out of network at any hospital with an approved<br />

ACGME residency in Family Medicine. The Family Medicine<br />

rotation focuses on learning aspects of acute medical<br />

problems commonly seen in outpatient settings, such as<br />

respiratory, cardiovascular, gastrointestinal, psychiatric, and<br />

genitorurinary illnesses, as well as hypertension, diabetes,<br />

pain management, and common mild musculoskeletal<br />

injuries. Subsets of patients seen in this setting include the<br />

clinically healthy, the socioeconomically disadvantaged, the<br />

elderly, high medical utilizers, immigrants, and those with<br />

chronic or terminal diseases.<br />

A sub-internship in Medicine continues the educational<br />

goals and objectives of the core rotation, but at a<br />

higher level of responsibility. Sub-interns share patient<br />

responsibility and participate in regularly scheduled night<br />

and weekend calls. Sub-Interns follow a limited number of<br />

patients very closely throughout the diagnostic workup and<br />

management. In this way, sub-internships prepare students<br />

for internships and first postgraduate years. A four-week<br />

30 | <strong>St</strong>. George’s <strong>University</strong>

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