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1991/1992 - Office of the Registrar - McMaster University

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FACULTY OF HEALTH SCIENCES<br />

Falsification <strong>of</strong> Admission Information<br />

An applicant supplying documentation or evidence which, at <strong>the</strong> time,<br />

or subsequently, is found to be falsified will be withdrawn from consideration.<br />

Any student admitted to <strong>the</strong> programme having submitted false<br />

evidence will be asked to withdraw. .<br />

Health Regulations for Admission<br />

Before registration, students must file with <strong>the</strong> <strong>University</strong> evidence <strong>of</strong> a<br />

recent health examination and chest X-ray. More detailed medical information<br />

will be required upon acceptance into <strong>the</strong> programme.<br />

Clinical Course Requirements<br />

Where, in <strong>the</strong> opinion <strong>of</strong> <strong>the</strong> faculty, <strong>the</strong> performance <strong>of</strong> <strong>the</strong> student in<br />

clinical practice may jeopardize or endanger <strong>the</strong> welfare <strong>of</strong> <strong>the</strong> patient<br />

or <strong>the</strong> patient's family, <strong>the</strong> student may be removed from clinical experience<br />

any time during <strong>the</strong> academic year, until continuation in <strong>the</strong><br />

course is reviewed. '<br />

Information and Academic Counselling<br />

In certain programmes, a member <strong>of</strong> faculty is selected for each student<br />

in <strong>the</strong> September <strong>of</strong> entry to a degree programme and provides each<br />

student with advice on evaluations, electives and o<strong>the</strong>r educational<br />

needs throughout <strong>the</strong> programme. In <strong>the</strong> M.D. programme, <strong>the</strong> advisor<br />

is also responsible for <strong>the</strong> collation <strong>of</strong> all evaluations and completion <strong>of</strong><br />

<strong>the</strong> final transcript. Changes in advisors are entertained as each student<br />

becomes acquainted with faculty well enough to choose'his or her own<br />

advisor.<br />

The academic adViSOry role for B.Sc.N. students is fulfilled by <strong>the</strong><br />

Coordinator <strong>of</strong> Studies (Nursing). Students are also encouraged to consult<br />

individual faculty members regarding career planning.<br />

Students who have difficulty assessing <strong>the</strong>ir academic backgrounds in '<br />

relation to <strong>the</strong> admission requirements should write to <strong>the</strong> Associate<br />

<strong>Registrar</strong> (Health Sciences) for a ruling about <strong>the</strong>ir individual application.<br />

T ranspoitation<br />

Students are responsible for expenses involved in transporting <strong>the</strong>mselves<br />

to community agenCies, making home visits', or in connection with<br />

clinical study.<br />

The School <strong>of</strong> Medicine<br />

The School <strong>of</strong> Medicine, established in 1965, <strong>of</strong>fers major programmes<br />

in undergraduate, postgraduate and graduate medical education. The<br />

clinical programmes use not only <strong>the</strong> teaching hospital and extensive<br />

ambulatory care and research facilities at <strong>the</strong> <strong>McMaster</strong> <strong>University</strong> Medical<br />

Centre division <strong>of</strong> <strong>the</strong> Chedoke··<strong>McMaster</strong> Hospitals, but also <strong>the</strong><br />

clinical teaching units at each <strong>of</strong> <strong>the</strong> major Hamilton hospitals and community<br />

health care centres.<br />

The undergraduate medical programme for <strong>the</strong> M.D. degree was initiated<br />

in 1969, graduating its first students in May <strong>of</strong> 1972. At present,<br />

100 students are admitted to <strong>the</strong> programme each year. The academic<br />

programme operates on an eleven months-a-year basIs and students<br />

qualify for <strong>the</strong> MD. degree at <strong>the</strong> end <strong>of</strong> <strong>the</strong> third ,academic year. The<br />

curriculum has been designed to involve medical students with a broqd<br />

range <strong>of</strong> ~uman health problems throughout <strong>the</strong>ir ,education and to prepare<br />

<strong>the</strong>m for effective working relationships with patients, colleagues,<br />

and society.<br />

Postgraduate training programmes currently include: Anes<strong>the</strong>sia,<br />

Community Medicine, Emergency Medicine, Family Medicine, Internal<br />

Medicine (and subspecialities), Laboratory Medicine, Obstetrics and<br />

Gynecology, Pediatrics (and subspecialitiesl...Psychiatry, Radiology, and<br />

Surgery (and subspecialities).<br />

More details on <strong>the</strong>se postgraduate programmes are available from<br />

<strong>the</strong> Associate <strong>Registrar</strong> (Health Sciences).<br />

The Nor<strong>the</strong>rn Ontario Medical Programme (NOMP) has been developed<br />

in co-operation with <strong>the</strong> Thunder Bay-Medical Society and physicians<br />

in towns in Northwestern Ontario: Clinical traIning opportunities<br />

exist in community hospitals adjacent to Hamilton. Excellent clinical<br />

experience in <strong>the</strong>s.e settings is part <strong>of</strong> both <strong>the</strong> undergraduate and postgraduate<br />

medical programmes.<br />

Graduate programmes leading to <strong>the</strong> M.Sc. and Ph.D. degrees are<br />

<strong>of</strong>fered in Biochemistry and in Medical Sciences. Graduate studies are<br />

based on <strong>the</strong> health research programmes in <strong>the</strong> school; with special<br />

emphasis on: Blood and Cardiovascular Disorders; Growth and Devel-<br />

opment;, Neurosciences and Design, Measurement and Evaluation. An<br />

M.H.Sc. (Health Care Practice) programme is interpr<strong>of</strong>essional in nature<br />

and is for experienced health pr<strong>of</strong>eSSionals who wish advanced preparation<br />

as clinicians.<br />

THE MEDICAL PROGRAMME<br />

The three-year programme in Medicine uses an approach to learning<br />

that should apply throughout <strong>the</strong> physician's career. The components<br />

have been organized in a relevant and logical manner with early exposure<br />

to patients and case management Flexibility is ensured to allow for<br />

<strong>the</strong> variety <strong>of</strong> student backgrounds and career goals.<br />

General Objectives<br />

The aim <strong>of</strong> <strong>the</strong> undergraduate medical programme is to provide students<br />

with a general pr<strong>of</strong>eSSional education as physicians. The programme<br />

enables students to build on previous education and experience, using<br />

available learning resoilrces and opportunities. The competencies<br />

achieved by graduates will qualify <strong>the</strong>m to proceed to fur<strong>the</strong>r postgraduate<br />

training. While most graduates will be involved directly with <strong>the</strong> care<br />

<strong>of</strong> individual patients, it is expected that some will choose careers concerned<br />

with <strong>the</strong> health <strong>of</strong> populations and <strong>the</strong> development <strong>of</strong> new<br />

knowledge.<br />

The overriding objective to achieved is <strong>the</strong> demonstrated ability<br />

tq identify, analyze and manage clinical problems in order to provide<br />

effective, efficient and humane patient care.<br />

Enabling objectives consisting <strong>of</strong> knowledge, skills and personal<br />

qualities comprise <strong>the</strong> follOWing.<br />

Knowledge: To acquire and put into practice concepts and information<br />

required to understand arid manage health care problems. The<br />

study <strong>of</strong> human structure, function and behaviour will be guided by an<br />

analysis <strong>of</strong> <strong>the</strong> determinants <strong>of</strong> health and illness. A spectrum <strong>of</strong> factors<br />

will be considered in both <strong>the</strong> external and internal environments <strong>of</strong> individuals<br />

when deciding on preventive, <strong>the</strong>rapeutic, reh'~bilitative and supportive<br />

management.<br />

Skills: To acquire and use <strong>the</strong> fo!!ovJing skills:<br />

1. Critical Appraisal Skills: The application <strong>of</strong> eertain rules <strong>of</strong> evidence<br />

to clinical, investigational and published data in order to determine<br />

<strong>the</strong>ir validity and applicability.<br />

2. Clinical Skills: The ability to acquire, interpret, syh<strong>the</strong>size and<br />

record clinical information in managing <strong>the</strong> health problems <strong>of</strong><br />

patients, considering <strong>the</strong>ir physiCal, social and emotional function.<br />

Included is <strong>the</strong> use <strong>of</strong> <strong>the</strong> clinical reasoning process.<br />

3. Self-Directed Learning Skills: The ability to identify areas <strong>of</strong> deficiency<br />

in one's own performance, fin'd appropriate educational<br />

resources, evaluate personal learning progress and use new knowledge<br />

and skills in <strong>the</strong> care <strong>of</strong> patients.<br />

Personal Qualities: To recognize, develop and maintain <strong>the</strong> pe~sonal<br />

qualities required for a career as a health pr<strong>of</strong>essional. Acquiring<br />

<strong>the</strong> authority to intervene in <strong>the</strong> lives <strong>of</strong> patients carries with it <strong>the</strong> obligation<br />

to act responsibly:<br />

1. toward oneself: to recognize and acknowledge personal assets,<br />

emotional reactions and limitations in one's own knowledge, skills<br />

and attitudes, to build on one's assets and to overcome areas <strong>of</strong><br />

limitation;<br />

2. toward patients and <strong>the</strong>ir families: to b~ able, under appropriate<br />

supervision, to take responsibility for <strong>the</strong> assessment and care <strong>of</strong><br />

patients and <strong>the</strong>ir families;<br />

3. toward colleagues: to contribute to productive communication and<br />

co-operation among colleagues engaged in learning, research or<br />

health care;<br />

4. toward <strong>the</strong> community: to contribute to <strong>the</strong> maintenance and<br />

improvement <strong>of</strong> <strong>the</strong> health <strong>of</strong> <strong>the</strong> general population.<br />

Learning Methods<br />

To achieve <strong>the</strong> objectives <strong>of</strong> <strong>the</strong> undergraduate medical pro~ral1)me, students<br />

are introduced to patients with health problems within <strong>the</strong> first level<br />

<strong>of</strong> <strong>the</strong> curriculum. In this way, students understand <strong>the</strong> relevance <strong>of</strong> what<br />

<strong>the</strong>y are learning, maintain a high degree <strong>of</strong> motivation and begin to<br />

understand <strong>the</strong> importance <strong>of</strong> responsible pr<strong>of</strong>essional attitudes.<br />

The students are presented with a series <strong>of</strong> health care problems,<br />

requiring for <strong>the</strong>ir solution, <strong>the</strong> understanding <strong>of</strong> underlying physical,<br />

biological and behavioural principles, <strong>the</strong> appropriate collection <strong>of</strong> data<br />

and <strong>the</strong> critical appraisal <strong>of</strong> eVidence. In each problem area, <strong>the</strong> student<br />

42

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