Institute of Cancer & Genomic Sciences Intercalated BMedSc in Clinical Sciences 2016-2017 Degree to which programme will lead: Bachelor of Medical Science Subject title of Modules: 1.Cancer 2. Haematology 3. Rheumatology / Orthopaedics 4. Histopathology 5. Immunology 6. Infection 7. Endocrinology 8. Hepatology 9. Evolutionary basis of clinical - Medicine 10. Clinical Bioinformatics Length of programme: Total number of credits: College responsible: 34 weeks 120 Medical and Dental Sciences The course is only available to medical students as an intercalated programme, building on work already undertaken within the MBChB. You may take the programme between the third and fourth, or fourth and fifth years of the MBChB. To be considered for the programme you will have to demonstrate that your performance in year 2 and 3 of the medical degree is equivalent to a 1 or 2.1 in a standard classified degree. A good pass (65%) in the Clinical Sciences component of the MBChB is desirable. Transcripts are reviewed to confirm student academic achievement. Students are expected to have achieved 60% or above (or have extenuating circumstances which were accepted for the academic year in question) for all completed years with the exception of year 1. In exceptional circumstances students who have failed to achieve this will be considered if a clear and strong case for academic progression can be made. A section for this has been included in the application form and you are welcome to discuss your situation with the Course Director, Dr Manoj Raghavan (M.Raghavan@bham.ac.uk), in advance of your application. Application Process DEADLINE FOR RETURN OF APPLICATIONS: Monday 15th February 2016 Institute of Cancer & Genomic Sciences Intercalated BMedSc in Clinical Sciences 2016-2017 Personal Details: Title: Mr, Mrs, Ms, Miss (please circle as appropriate) Surname: Forename: Student ID: Email: Term Time Address: Telephone: Home Address: I am currently A 3rd Year √ Medical Student A 4th Year Medical Student An Overseas Student An External Student (please state your current University) An Internal Student with a Student Support Agreement in place Module Choices: (please select the 6 modules you will study) Research Methodology (Compulsory) √ Endocrinology Evolutionary Basis of Clinical Medicine Haematology Cancer Histopathology Rheumatology & Orthopaedics Immunology & Renal Medicine Infection Hepatology Clinical Bioinformatics Project Choices: The projects which most interest me in order of preference are: (Please list up to five project titles and supervisors.) Students must contact supervisors to meet / discuss the project before completing this section of the application form. *Where the same first choice project is selected by more than one student, the supervisor will decide who the project is offered to. Project Title 1. 2. 3. 4. 5. Lead Supervisor If your academic achievement in year 2 and above of your medical studies has fallen below 60% (or equivalent for external candidates) year mean in the absence of extenuating circumstances, please detail any evidence which supports your academic ability to engage with the chosen programme of study. Please detail any extenuating circumstances (mitigating) accepted by your medical school: Give briefly your reasons for wishing to undertake this programme (please continue on a separate sheet if necessary). Funding during the intercalation year: Are you in receipt of funds to support your intercalation year? Yes No External Students – please complete an enrolment form and return your application with a letter and transcript from your current University. The letter should confirm that they are aware of your intention to intercalate externally. Declaration: I declare that the information given in this application is correct and complete. I agree to the University processing personal data contained in this form, or other data which the University may obtain from myself or other sources, for any purpose connected with my studies, health, welfare, safety or for any other legitimate purpose. Sign: Date: Please complete and return with your CV to: y.palmer@bham.ac.uk or Ms Yvonne Palmer, Teaching Support Office, Institute for Cancer Studies, University of Birmingham, Vincent Drive, Edgbaston, Birmingham, B15 2TT