The Curricula at
CoM&HS, SQU
Ikram A Burney
Consultant Oncologist,
Chairman, Curriculum Committee
CoM&HS, SQU
Muscat, Oman
This talk is about ….
MD
BMS
Phase I
Phase I
Phase I
Semesters x 8
Phase II
Phase II
Phase II
Internship
Phase II
Intercalated Phase
Intercalated
phase
Phase III
MD
BScHS and MD
BScHS
BSc in BMS
Teaching
Learning
Assessment
April 7, 2016
Orientation to Curriculum
2
Agenda
• Background
• Basis of the MD Curriculum
• Overview of MD Program
• Administration
April 7, 2016
Orientation to Curriculum
3
MD Curriculum
To produce undifferentiated physicians
who are prepared to serve the
fundamental purposes of medicine and
satisfy the contemporary requirements of
medical practice and professionalism
April 7, 2016
Orientation to Curriculum
4
History
2006 College Board
2007 Academic Council
2007 University Council
2008 Implemented
2013Accreditation
2014 1st Batch Graduated
April 7, 2016
Orientation to Curriculum
5
Basics of the curriculum
Outcome-based
Integration
Presentation-based
Relevance
Early Clinical Exposure
April 7, 2016
Orientation to Curriculum
6
Outcomes
• The doctor as a Scholar & Scientist
– Biomedical scientific principles
– Psychological & social principles
– Scientific methods & approaches to medical research
• The doctor as a practitioner
–
–
–
–
–
–
–
Consultation with a patient
Diagnose and manage clinical presentations
Communicate effectively with patients and colleagues
Provide care of medical emergencies
Prescribe safely, effectively and economically
Practical procedures safely and effectively
Use information effectively in medical context
• The doctor as a professional
–
–
–
–
Behave according to ethical and legal principles
Reflect, learn and teach others
Work within a multi-professional team
Protect patients and improve care
April 7, 2016
Orientation to Curriculum
7
Integration (Presentation-based)
Anatomy
Surgery
Anatomy
Physiology
Biochemistry
Pathology
Medicine
Physiology
April 7, 2016
Horizontal
Orientation to Curriculum
Vertical
8
Integration Organ-systems
Respiratory module
Review of
anatomy
April 7, 2016
embryology
surfactant
U and L RTI
Lung
tumours
Drug
treatment
of asthma
Lung
volumes
COAD
Partial
pressure
of gases
Orientation to Curriculum
9
Relevance (Early Clinical Exposure)
Integrated module
Case
Hospital discussion
session
Skills Lab session
Wrap-up
presentation
Tutor-led
Brainstorming
Paper
case of
the week
April 7, 2016
Orientation to Curriculum
10
Vertical Integration
Medical Ethics & Communication
Lectures
Cases / Tutorials / Seminars
Sem 2
Medical Ethics 1
Ethics in Research
Core professional and communication skills
Confidentiality
Autonomy
Informed Consent
Sem 3
Communication via an interpreter
Cultural and regional aspects of
communication
Breaking Bad News
Truth Telling
Power of Attorney
Organ Donation & Transplantation
Sem4
Medical Ethics 2
Communication Skills and difficult patient
Beneficence, non-maleficence
Dealing with minors
DNR
PreClerkship
Beneficence, non-maleficence
Autonomy & Justice
Moral Obligations of Medical students
Protection of Physical and Mental wellbeing
Confidentiality / Informed Consent
Breaking Bad News
Two Workshops
Ph II
Ph III
Ethical issues related to Abortion
Terminal supportive Care / DNAR
Medical Errors and Disclosure
JC / SC
April 7, 2016
Orientation to Curriculum
11
Another Example
Patient Safety
Lectures
Ph II
Sem 1
Cases / Tutorials / Seminars
Infection Prevention & control
Sem 2
Sem 3
Understanding mistakes and complaints
Sem4
Ph III PreClerkship
JC / SC
April 7, 2016
Safe Prescribing
Patient Safety, human Factors, Learning
from Errors
Using Quality Management to Improve care
Handwashing (including assessment)
Improving Medication Safety
Medical Errors and Disclosure
Orientation to Curriculum
12
What is a Presentation ?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Abdominal distention
Breathlessness / Dyspnoea
Chest pain.
Delirium / confusion
Diabetes mellitus
Dizziness
Edema
Electrolyte abnormalities
Fever.
GI Bleed
Hemiplegia
Hempotysis
April 7, 2016
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Hypoxia / Cyanosis.
Hepatomegaly
Jaundice
Murmur
Palpitation
Proteinurea
Renal failure (Acute)
Renal faliure (Chronic)
Splenomegaly
Weakness / Paraplegia
Wheezing
Orientation to Curriculum
13
Graded Clinical Responsibilities
(IM – 1,2,3) See – How to do it
(Pre-Clerkship) Learn – How to do it (10/52)
(JC) Do / Learn Under Supervision
(SC) Do / Learn Under Supervision
(PI) Work under supervision
April 7, 2016
Orientation to Curriculum
14
Overall program
Semester 1
Phase I
Semester 2
fGPA = or > 2.5
Semester 1
Semester 2
Phase II
Semester 3
Semester 4
Phase III
cGPA = or >2.5
cGPA < 2.5
Pre-clerkship
Semester 1
Junior Clerkship
Senior Clerkship
Semester 2
Pre-Internship
MD
April 7, 2016
Orientation to Curriculum
BScHS
15
Phase I
•
•
•
•
•
•
34 credits
2 or 3 semesters
Basics of Medicine
University Electives
College Courses
Progression to Phase II - Focused GPA = or > 2.5
April 7, 2016
Orientation to Curriculum
16
Phase II
•
•
•
•
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69 credits
4 semesters
Basics of Science
Organ-systems x 8
Clinical Nutrition
Integrated Module x 3 (Early clinical Exposure)
Research Module (Student Project)
Progression to Phase III – cGPA = or > 2.5
April 7, 2016
Orientation to Curriculum
17
Intercalated Phase (31 credits)
cGPA < 2.5
• Courses
• Practicums
• BScHS
April 7, 2016
•
•
•
•
cGPA = or > 2.5
Courses
Research Project
BScHS
Back to Phase III
Orientation to Curriculum
18
Phase III
Pre-clerkship 9/57
H&P + Analysis of data
Junior Clerkship 48/57
Senior Clerkship 48/60
Attachment to CTUs + Seminars + Bedside + PCM + On-call
Pre-Internship 12/60
CTU + On-call
April 7, 2016
Orientation to Curriculum
19
Phase III
• Major rotations (Medicine, Surgery, CH, ObGyn, BM,
FAMCO)
• Special Rotations (A&E, Orthopedics, ENT,
Ophthalmology, Hematology, Radiology, Dermatology,
Oral health, Genetics, Anesthesia, ICU)
• SLTs (Skills lab, Geriatrics, forensic Med, EBM, Therapeutics,
Laboratory Medicine)
• Elective 8/60
• Selective 2/60
April 7, 2016
Orientation to Curriculum
20
Curriculum Administration
• Curriculum Committee – Advisory committee
to CB
• Management Group – day to day work
– Chairman
– Chair of CEC
– Phase coordinators (I, II, III, IC, BMS)
– Assistant Deans (Pre-clinical and Clinical)
– In-Charge Curriculum Office
• Departments – co-ordinators
April 7, 2016
Orientation to Curriculum
21