Application Form

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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
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