Master of Medicine in Psychiatry The Perspective: Mental Health problems are extremely prevalent, accounting for 23% to 30% of all health care attendances in Sub-Saharan Africa. By the year 2020, depression is set to be the leading cause of disease burden in Sub-Saharan Africa. Despite the magnitude of mental health problems in Uganda, the Psychiatrist to patient ration is 1:2,000,000 and this is totally and unacceptably inadequate for active delivery of psychiatric services to all Ugandans. There is thus a high demand for Psychiatrists not only to provide the muchneeded clinical psychiatric services but also to conduct research, teach other health care providers as well as provide leadership in the field of mental health at primary health care level and above. Program Objective: The purpose of the Postgraduate training program in Psychiatry is to produce the needed human resource required to provide specialised mental health service to all Ugandans; provide leadership in the planning, organisation, implementation, monitoring and evaluation of mental health services to all communities in Uganda; to provide therapeutic services to persons who suffer from emotional, behavioural, psychological and social disorders; and conduct research in mental health problems for the purpose of developing appropriate mental health services based on objective evidence. The M.Med Psychiatry Graduate: The goal of postgraduate training in Psychiatry at Makerere University is to produce a competent psychiatrist who will: - Provide clinical psychiatric and psychotherapeutic care to those who will present with both common, as well as, the more unfamiliar psychiatric disorders in Uganda. Conduct and or supervise research in neuropsychiatry and mental health problems. Assume leadership role in the field of mental health. Build capacity in mental health care. Provide consultation services in mental health to other health institutions in the country. Admission Requirements: The criteria for admission onto the Psychiatry Postgraduate program are the following: i) ii) A basic Medical degree (MBChB degree or its equivalent). One full year of internship. iii) At least one year in the field after post-internship registration. To be eligible for admission to a Master’s Programme, a candidate must be a holder of at least a second-class degree or its equivalent awarded by Makerere University or any other recognised institution. An applicant who is a holder of a third class degree or its equivalent may be admitted only after such applicant has provided evidence of academic maturity in the desired field of study as shall be judged by the Board of the School of Graduate Studies and Research of Makerere University. Application Procedure: All applicants for postgraduate diplomas and higher degrees have to satisfy the requirements of the relevant courses and University regulations. Application forms may be obtained from the School of Postgraduate studies after payment of an application fee at the Stanbic Bank, Makerere University Branch. Applicants should contact the Director, School of Graduate Studies for application forms. Unless otherwise stated, all applications are made in March and April of each academic year. The closing date for receiving applications is normally 30th April of the year in which admission is sought. All completed application forms must be accompanied by relevant copies of certificates and certified copies of academic transcripts. Forms, which are not completed properly, cause delays in processing of applications. Program Duration: This is a three- year program, organised in Semesters; namely: two Semesters with a Recess term in the first and second years. All courses on the program are core courses. Program Structure: The Master of Medicine in Psychiatry is a Clinical professional course geared to producing specialists in the medical discipline of Psychiatry. As such, all students have clinical attachments throughout their training. A Certificate of Due Performance is completed for each candidate per course in which all the described expected skills are assessed to ensure professional competence as befitting a specialist psychiatrist. The clinical attachment is at Mulago Hospital, Butabika Hospital, specifically chosen community clinics or any other setting found suitable for training as a specialist in psychiatry. The specific timetable of these attachments will be detailed for each rotation. Elective Practicum: Students are encouraged to take an Elective Practicum to attain experience and familiarity in the area in which they hope to do their research. This helps them develop and concretise their research ideas to write their proposal. Course work requirement: Much of the clinical training uses clinical apprenticeship method. Each student is required to carry out psychiatric evaluations, interviews and investigations; administer psychotropic medications, and psychotherapy. All these are done under supervision by a clinical supervisor. In addition, each student is required to read around selected program topics and to lead tutorials and or interactive discussions with their teachers and supervisors. A supervised research dissertation is mandatory for every student. Study Load: A total of 99 Credit Units must be accumulated for successful completion of the Master of Medicine in Psychiatry. Course Outline: Year 1 SEMESTER I COURSE CODE PHA 7102 PSY 7102 PSY 7104 PSY 7105 Sub-Total SEMESTER II COURSE TITLE LH TH/PH CH CU Pharmacology Medical Sociology and Anthropology Psychiatric Clinical Skills, Phenomenology and Emergencies 30 75 60 _ 60 45 4 3 15 60 75 5 Proposal Development 6 10 30 2 126 130 210 14 CHS 7201 PSY 7201 PHY 7202 PSY 7204 MSA 7202 Epidemiology, Biostatistics and Research Methods Liaison Psychiatry Advanced Neurophysiology Clinical Neurology Advanced Neuroanatomy Sub-Total RECESS TERM HSM 7301 PSY 7303 PSY 7304 30 20/40 60 4 30 75 90 _ 60 45 4 3 15 30 60 60 45 45 3 3 180 270 255 17 20/60 75 5 _ 45 3 60 45 3 140 165 11 Health Systems 25 Management Advanced 60 Neurobiochemistry Neuro-imaging and 15 Electroencephalography Elective Practicum Sub-Total 100 Year 2 SEMESTER I COURSE CODE COURSE TITLE LH PSY 8101 PSY 8102 Clinical Psychology Psychological Therapies 75 30 PSY 8103 Child & Adolescent Psychiatry Sub-Total TH/PH CH CU 90 75 75 5 5 30 90 75 5 135 180 225 15 30 90 75 5 - SEMESTER II PSY 8201 Old Age Psychiatry Alcohol & Substance PSY 8202 Abuse 30 90 75 5 PSY 8203 Organic Psychiatry 30 90 75 5 90 270 225 15 Dissertation: Field Work & Data Collection 10 - 30 2 COURSE CODE COURSE TITLE LH TH/PH CH CU PSY 8401 Forensic Psychiatry, Ethics and Patient Rights 30 90 75 5 PSY 8402 Trans-cultural and Social Psychiatry 30 90 75 5 PSY 8403 Community Psychiatry and Service Delivery 30 90 75 5 90 270 225 15 Sub-Total RECESS TERM PSY 8205 Year 3 SEMESTER I Sub-Total SEMESTER II PSY 8501 Psychiatric Problems of Women of Childbearing 30 90 75 5 PSY 8502 Major Psychiatric Syndromes 25 100 75 5 PSY 8503 Dissertation – Write-up 15 100 30 2 70 290 180 12 Sub-Total Assessment: Each candidate is assessed continuously on the basis of lecture, tutorials, seminars and practical/field work output; and mid-semester written and clinical assessments (where applicable). There is one written examination of 3 hours per course, and this consists of three parts; MCQ, short answer questions, and long essay questions. The clinical examination consists of one long, and two short (spot) cases, and this takes three hours per candidate. The oral examination (Viva voce) takes 20-30 minutes per candidate and is marked independent of the other clinical examinations. Dissertation is assessed according to the rules and regulations governing dissertations and is examined independent of clinicals and orals. A candidate is required to obtain at least 2.0 on each course in order to pass for the award of the M.Med Psychiatry degree. Assessment Weighting: Progressive Assessment shall carry 30% of the final mark, and end of Semester examinations shall carry 70%. Assessment Grading: The following is the composition of each progressive and end of Semester examinations. Basic Sciences: Progressive Written Assessment 40% End of Semester Written Examination 60% Total 100% Clinical Courses: Progressive Assessment 40% End of Semester Examination 60% (to be constituted as follows):- Written examination 20% (MCQ 10%, Essays 10%) Clinical examination 30% (Long cases 20%, short cases 10%) Oral examination 10% (Viva) Dissertation Pass Competences acquired: At the end of this postgraduate training program, the students acquire knowledge, clinical, ethical and attitudinal skills necessary for the practice of psychiatry as outlined below: Knowledge/Skills The student is required to demonstrate that he/she has attained adequate knowledge of all common psychiatric, psychological, neurological, social, emotional and behavioural disorders encountered in Uganda. In addition, the student is required to demonstrate adequate knowledge of the relationships existing between these disorders and basic science and social science concepts. The student is further required to demonstrate a basic working knowledge of psychotherapy. Clinical Skills The student is required to show adequate skill in the use of theoretical knowledge in collecting relevant clinical data, their analysis, and use of information in providing appropriate therapeutic care, as well as in providing appropriate liaison consultation service within the health care system in Uganda. Ethical and Attitudinal Skills Each student is required to have acquired appropriate, congenial and ethical attitudes and behaviour to patients and their families, and to professional colleagues in the practice of psychiatry. Teaching and Learning Resources: Fees and Finances: The students are required to pay the following fees to the University: Ugandans 1. Application fee 10,000= Non-Ugandans USD 25 p.a. 2. Registration fee 50,000= USD 30 p.a. 3. Administrative fee 120,000= USD 200 p.a. 4. Library fee 12,000= USD 5 p.a. 5. Examination fees 6. Tuition fees 60,000= 3,500,000= USD 200 p.a. USD 2,500 p.a. Please Note: 1. Application fees are paid at the time of collection of application forms 2. University fees (i.e. Registration, Administration, and Library, Examination, and Tuition fees) must be paid to the University before registration. 3. Graduation, Certificate, Convocation and Academic Transcript fees are paid on completion of the course. 4. University fees may be paid in form of cash or Bank draft to Makerere University Council. 5. Non-Ugandans may pay fees in US Dollar equivalent to Uganda Shillings. 6. The student may be government sponsored, Aid agency sponsored or selfsponsored. 7. Other requirements like books, stationary & materials, accommodation, food, research expenses, etc; the sponsor should pay directly to the Student 8. The funds for research are paid to the student at the beginning of the research Project. Employment Opportunities: Contact Us: Department Of Psychiatry, School of Medicine, College of Health Sciences, Mulago Hill, Mulago Hospital Complex P.O. Box 7072, Kampala, Uganda. E-mail: psychiatry@chs.mak.ac.ug Tel: +256312513469. Fax: +256414531091