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Doctor of Medicine (MD)

INTRODUCTION

The School of Medical Sciences which was established in 1979 began to offer the Medical Degree Course in June 1981. This course was run in Universiti Sains Malaysia, Health Campus. The campus is located on a 72.84 hectares area in Kubang Kerian, Kelantan. It is equipped with the most advanced study, research and medical facilities in the region. This is in accordance with the wish of its establishment, which is to produce doctors and medical professionals that would meet the needs of the country, in addition to improving medical services.
 
School of Medical Sciences has three main functions, namely: ‐
 
(a) Teaching
(b) Patient care services
(c) Research
 

Admission

ACADEMIC STRUCTURE FOR THE ACADEMIC SESSION 2017/2018

 

 

TERM STRUCTURE OF PHASE I (YEAR 1 & YEAR 2) ACADEMIC SESSION 2017/2018

 
 

TERM STRUCTURE OF PHASE II (YEAR 3 & 4) NEW CURRICULUM AND PHASE III (YEAR 5) OLD CURRICULUM (YEAR 3, YEAR 4 & YEAR 5) ACADEMIC SESSION 2017/2018

Click on image to zoom

 
 

DOCTOR OF MEDICINE DEGREE (M.D.) PROGRAMME

In general, the course is based by a multi‐disciplinary learning system. One of the uniqueness of the School of Medical Sciences is an integrated‐based teaching and learning system with an emphasis on problem‐based learning. This curriculum emphasizes the patient as a human being in the context of family and community. It aims to raise awareness about medical responsibility to the community in a broader context, as well as leadership roles in the health care and continuing medical education.

INTRODUCTION

Phase II consists of Year 3, 4 and 5 of the Medical Doctor course in USM.   It has been structured to enable the graduate to do the following:-

1.        Understand the scientific basis of medicine and its application to patient care.

2.        Acquire a satisfactory standard of clinical competency relating to the following:

  • Ability to interview and obtain a satisfactory case history from patients.

  • Ability to perform physical examination and carry out simple clinical procedures.

  • Ability to diagnose common diseases and acute emergencies and formulate  their solutions, which include the institution of first line management, before referral for specialist treatment whenever necessary.

  • Acquisition of satisfactory behavioural and communication skills necessary for instituting patient management.

 

3.        Understand and appreciate  the  socio-cultural  background  of patients and their environment in formulating   plan of management, including long term management and follow-ups.

4.        Understand the broader role, responsibilities and professionalism of a doctor in society and play the leading role in the health care of  community.

5.        Utilise the knowledge acquired to pursue continuing medical education.

6.        Appreciate the importance of ethics in medical practice and in culcate good habits in daily practice.

7.        Brace to the knowledge and skills in order to become a competent houseman upon completing the course.

GENERAL OUTLINE OF EDUCATION STRATEGIES

The educational strategies adopted in the Phase III academic programme are reflected by the following approaches:-

1.     Student orientated

2.     Professionalism

3.     Multidisciplinary integration

4.     Clinical-based problem-solving

5.     Community orientated

6.     Apprenticeship as preparation to be a houseman

 

To incorporate these approaches, the phase II programme has been divided into courses as follow:

Year 3

 

No

 

Code

 

Course

Credit

Unit

Teaching

Week

1

GMT301

Clinical Foundation I

3

4

2

GMT302

Clinical Foundation II

3

4

3

GMT303

Paediatrics I

8

8

4

GMT304

Surgery I

8

8

5

GMT305

Internal Medicine I

8

8

6

GMT306

Obstetrics & Gynaecology I

8

8

7

GMT307

Community & Family Case Study

(Patient Care)

 

2

 

-


Year 4

No

 

Code

Course

Credit

Unit

Teaching

Week

1

 

GMT407

Community & Family Case Study

( Community Residency )

6

6

2

 

GMT408

Orthopaedics I

7

7

3

 

GMT409

Psychiatry I

7

7

4

 

GMT410

Family Medicine

7

7

5

 

GMT411

Ophthalmology

3

3

6

 

GMT412

Otorhinolaryngology

3

3

7

 

GMT413

Clinical Elective

4

4

8

 

GMT414

Preventive Medicine

4

4

9

 

GMT415

Clinical Neurosciences

3

3

10

 

GMT416

Introduction to Traditional and Integrative

Medicine

1

1

GMT 407 will be done simultaneously for all groups. Others will be in rotations per group.

GMT 411, 412 and 416; and GMT 414 and 415 will be in agroup of posting,

GMT 413 will be done during year end break.

 

Year 5


No

Code

Course

Credit

Unit

Teaching

Week

1

GMT503

Paediatrics II

6

6

2

GMT504

SurgeryII

6

6

3

GMT505

Internal Medicine II

6

6

4

GMT506

Obstetrics & Gynaecology II

6

6

5

GMT508

Orthopaedics II

3

3

6

GMT509

Psychiatry II

3

3

7

GMT517

Emergency Medicine

4

4

8

GMT518

Anaesthesiology & Intensive Care

2

2

GMT508 and 509; and GMT517 and 518 will be in a group of posting,

 

I.  Clinical Foundation Courses

This two courses, GMT301 Clinical Foundation I and GMT302 Clinical Foundation  II will provide students with knowledge before entering clinical postings. Topics covered will be from various departments. Students will be taught of skills in history taking and physical examination. Students also will be taught of the communication skills and evidence based medicine.

The topics of lectures and their learning objectives of these courses are listed in Appendix I.

 

II.  Clinical Courses

Clinical courses will be taught through out these three years. They will be divided into groups and undergo rotations. During Year 3, students will be provided with introductory knowledge to 4 major postings. There are GMT 303 Paediatrics I, GMT 304 Surgery I, GMT 305 Internal Medicine I and GMT 306 Obstetrics and GynaecologyI. Then, during Year 4, students will continue with other clinical postings i.e. GMT 408 Orthopaedics  I, GMT 409 Psychiatry I, GMT 410 Family Medicine, GMT411 Ophthalmology, GMT 412 Otorhinolaryngology, GMT 414 Preventive Medicine, GMT  415 Clinical Neurosciences and GMT 416 Introduction to Traditional and Integrative Medicine.

During  the  final  year,  students  will  be  trained  as preparation  to be a houseman  upon graduation.  The courses during Year 5 are GMT 503 Paediatrics II, GMT 504 Surgery II, GMT 505  Internal  Medicine II,  GMT 506  Obstetrics  and Gynaecology II,  GMT 508 Orthopaedics II, GMT 509, Psychiatry II, GMT 517 Emergency Medicine and, GMT 518 Anaesthesiology and Intensive Care.

The topics of lectures and their learning objectives of these courses are listed in Appendix I.

 

III. Community and Family Case Study (CFCS) Courses

In order to produce graduates with community orientated, USM pioneered in Community and Family Case Study  programme. These courses divided into two courses, GMT 307 Community and Family Case Study (Patient Care) during year 3; and GMT 407 Community and Family Case Study (Community Residency).

The topics of lectures and their learning objectives of these courses are listed in Appendix I.

 

IV. Clinical Elective Course (GMT413)

This course requires student to gain clinical experience in other healthcare facilities under appointed supervisor.

COURSE IMPLEMENTATION

The courses will be delivered via various methods including lectures, seminars, demonstrations, small group tutorials and clinical based learning. During clinical foundation courses, students will be in one big group for the lectures and demonstrations; and will be divided into smaller groups during the clinical posting rotations.

ASSESSMENT

Students will be assessed throughout the years for continuous assessment, during semester examinations ( end posting assessment ) and end of phase II examination. Continuous assessment will contribute 30%, and semester examination will contribute 70% of the total marks for each semesters. For the end of phase II examination, there won’t be any continuous assessment mark.

Students will be assessed for their knowledge, communication skills, clinical skills and professionalism.

Continuous assessment will be in the forms of:

1.  Case report

2.  Log book assessment

3.  Supervisor’s report

 

During the examinations, the assessment will be divided into theory and clinical parts. The theory part will be in the forms of:

1.   Multiple true false question (MTF)

2.   Single best answer (SBA)

3.   Scenario based question (SBQ)

4.   Simple essay questions (SEQ)

 

Mean while the clinical part assessment will be in the forms of:

1.   Long case assessment

2.   Short case assessment

3.   Objective structured clinical examination (OSCE)

 

The weightage of the marks is different according to courses. Students will be briefed by the respective course head during the rotation.

Despite all the assessments and semester examinations, students will progress automatically to year 4 and 5, and eligible to sit for the professional examination, except in the special case which is decided by the school board to be barred from progression.

CRITERIA

CRITERIA FOR PASSING THE PROFESSIONAL II ASSESSMENT

Professional II Assessment will consists of 40% from the semester examinations and 60% from the end of phase II examination.

The student will be considered pass the Professional II Assessment  when he or she fulfils these criteria:

1.         Obtain total Professional II Assessment marks at least the marks decided by the standard setting, for example 50%.

2.         Pass the theory and clinical part separately.

 

CRITERIA FOR GRADUATION

The student will be eligible for graduation when he or she fulfils these criteria:

1.         Pass Professional II Assessment

2.         Obtain CGPA of medical subjects at least 2.67

3.         Pass CFCS courses

4.         Pass clinical electives course

5.         Pass all university courses

 

The confirmation of graduation will be determined by the USM Senate.

 

CRITERIA FOR RESIT THE EXAMINATION

The student who failed the Professional II Assessment will be allowed to sit for the supplementary end of phase examinations until the maximum candidature of 7years. The first  supplementary examination  will be held 6 months after the end of phase II examination.

In the situation that students are not eligible to graduate due to the CGPA of medical subjects is less than 2.67, he or she will be allowed to register and resit the examination courses with GPA less than 2.67 within the maximum 7 years candidature period.

 

DISCLAIMER:

THE SCHOOL, THROUGH ITS SCHOOL BOARD AND EXAMINATION BOARD RESERVES THE RIGHT TO DECIDE ON ANY EXCEPTIONAL CASES OR ABNORMAL MATTERS WHICH ARE NOT COVERED BY THE ABOVE RULINGS.

 

PHILOSOPHY

The concept of a competent medical practitioner envisaged by the School of Medical Sciences is a doctor who is at the time of graduation is equipped with a spectrum of medical knowledge and skills, which can be used in solving the problems of individuals and society. Graduates should particularly be able to:
 

(a) Understand the basic medical sciences and their application in patient care

(b) Obtain a satisfactory level of clinical competency in relation to the following aspects:

  1. Interview and obtain a complete medical history;
  2. Perform physical examination and basic clinical procedures;
  3. Diagnose common diseases and acute emergencies and perform initial management before referring for specialist treatment if necessary;
  4. Obtain satisfactory behavioural and communication skills in order to manage the patient.

(c) Understand and appreciate the cultural background and the environment of the patient during the planning and implementation of patient care, including long‐term care and follow‐up care.

(d) Understand the role and responsibility of a wide range of medical and community leadership roles in health care and community.

(e) Utilize the knowledge gained to pursue further medical knowledge as part of lifelong learning.

CURRICULUM

Medical Doctor Degree program takes five years. The curriculum is of integrated system and is based on problem solving and community oriented. The program is divided into two phases:

Phase I First and Second Year

Phase IIThird, Fourth and Fifth Year

 
The two phases are structured based on spiral concept in order to ensure a close relationship between Phase I and Phase II. Teaching and learning activities during Phase I, which is the first level of the spiral, will be enhanced and reinforced during Phase II. The spiral concept enables the school to execute the philosophy of vertical and horizontal integration. This innovative curriculum has been planned based on the in‐depth research on the problems which exist in other medical schools in the world as well as the development in the world of medical sciences. The basic education strategy practised in the School of Medical Sciences can be summarized as “SPICES”. The “SPICES” curriculum model in this context means:
 

S ‐ Student‐Oriented

P ‐ Problem‐Based

‐ Integrated

C ‐ Community‐Oriented

E ‐ Electives

S ‐ Spiral & Systematic

 
 

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