The clinical sciences curriculum consists of 72 weeks of clinical training in the inpatient and outpatient settings. It is divided into 48 weeks of 核心旋转 3年级授课rd 一年二十四周的 选择性旋转 在4年级授课th 一年. Student must pass step 1 before commencing 核心旋转. After finishing 核心旋转 students are qualified to take the USMLE Step 2 examinations. Student must pass Step 2 before starting the 选择性旋转.
The clinical sciences curriculum is designed to train the students to function effectively in a clinical setting. Students participate in patient care while rotating through various medical specialties in various clinical settings. Training includes patient history taking, 体格检查, 实验室分析, 鉴别诊断, constructing effective management plan, 案例展示, clinical workshops and conferences.
核心1 -内科
持续时间: 12周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation
目的: 内科医学 is an inpatient and outpatient service experience in which students will apply concepts of diagnosis and management to hospitalized and ambulatory patients. Experiences will focus on areas traditionally identified and related to internal medicine; for example, the pathophysiology of non-surgical diseases, and the application of non-surgical diagnostic and therapeutic techniques. 内科医学 experiences will take place primarily on general medical/surgical floors and specialty units. Any outpatient experiences will be designed to provide students with an understanding of routine care performed in the physician’s office/clinic, and will be at the discretion of theAttending/Preceptor.
目标: Goals for this rotation include students being ableto evaluate, 诊断, and treat patients for a variety of medical problems in hospital and ambulatorysettings, to develop increased ability in diagnostic problem solving of medicaldisorders, to develop specific motor 技能 in techniques and procedures commonly related to the hospitalized medicalpatient, and to recognize the psychosocial needs of the patient.
核心2 -外科
持续时间: 12周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation
目的: Surgery is primarily an inpatient service experience where students will learn to recognize and assist in the treatment of disease during which surgery may play a role in a patient’s treatment and recovery. Students will learn basic surgical procedures, 无菌, 正确处理组织, and technical 技能 to assist the surgeon in the operating room. Students will assist in pre-and post-operative care to learn various surgical treatments and to recognize potential risks associated with respectivetreatments.
目标: Goals for this rotation include students being ableto evaluate, 诊断, and treat patients with problems requiring surgical intervention. How to care for the patient in the immediate post-operativeperiod. How to recognize post-operative complications needing further surgicalcare. Cost/risk/benefit, as it applies to patientcare. Comprehend and apply specific surgical protocol in the operating room, i.e., scrubbing, gowning, gloving, draping, and prepping. Develop specific motor 技能 utilized insurgery.
核心3 -家庭医学
持续时间: 6周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation
目的: Family Medicine provides students with the opportunity to begin acquiring an understanding of the unique role of the family practitioner, 和基本知识, 技能, and attitudes necessary to care for patients of all ages. Students will gain these abilities by engaging in structured learning activities — both outpatient andinpatient.These will represent a core of behaviors encompassed by the family physician, which prepare him/her for a unique role in patient management, 解决问题的咨询, and coordination of health care for the individual and for the family unit. Students will be required to take call, attend conferences, and read suggestedliterature.
目标: Goals of the rotation include students being ableto understand how patients enter the health care delivery system, as well as progress throughit.Demonstrate an approach to the patient as a whole person, and provide personal care for individuals and families, as the physician of firstcontact.Demonstrate an understanding and appreciation of the unique, 连续, comprehensive approach to health care delivery by the primary care physician with patients and theirfamilies.Be familiar with basic 诊断s and management of diseases, and conditions commonly presented by families in the primary caresetting.Use 技能 in applying the biopsychosocial approach in diagnosing and managing patients with diseases and conditions commonly presented in the primary caresetting.Explain the family systems model of patientcare. Recognize the value of the physician’s role and responsibilities in disease prevention, 健康促进, 和患者教育.
核心4 -产科 & 妇科
持续时间: 6周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation
目的: Obstetrics and Gynecology is predominately an inpatient clinical experience. Related outpatient clinical experiences will be periodically integrated into the rotation to provide students with an understanding of routine OB/GYN care performed in the physician’s office. The outpatient experiences may be met in a clinic or a preceptor’s office. Students will be required to take call, attend conferences, and read suggested literature. Students will perform selected technical 技能 necessary to provide ante-partum care, 产后护理, and pre- and post-op care of gyne-surgical patients. They will practice 技能 and techniques to do normal, uncomplicated deliveries and will participate in the management of more complex problems in obstetrics. Emphasis will be placed on pelvic exams and identifying pathology. Attention will be directed to the psychosocial impact of pregnancy and gynecologic disease on the female patient and the familyunit.
目标: Goals of the rotation include students being ableto evaluate the various stages of labor in the pregnantpatient and to evaluate, 诊断, and treat the complications ofpregnancy.Develop specific motor 技能 and aptitudes relative to the delivery of an infant and care of the newborn in the deliveryroom.评估 and manage the post-partumpatient.评估, 诊断, and treat a variety of gynecologic problems within the hospital and ambulatorysettings.
核心5 -儿科
持续时间: 6周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation Form
目的: The Pediatric clerkship addresses issues unique to childhood and adolescence by focusing on human developmental biology, and by emphasizing the impact of family, 社区, and society on child health and well-being. 另外, the clerkship focuses on the impact of disease and its treatment on the developing human, and emphasizes growth and development, principles of health supervision, and recognition of common health problems. The role of the pediatrician in prevention of disease and injury, and the importance of collaboration between the pediatrician and other health professionals, 是强调. As one of the core clerkships during the third 一年 of medical school, Pediatrics shares with Family Medicine, 内科医学, 产科/妇科, 精神病学, 和手术, the common responsibility to teach the knowledge, 技能, and attitudes basic to the development of a competent generalphysician.
目标: The goals of this rotation are toendorse acquisition of basic knowledge of growth and development (physical, 生理, 和心理), and of its clinical application, from birth throughadolescence.Development of communication 技能 that will facilitate the clinical interaction with children, 青少年, 和他们的家人, and thus ensure that complete, 准确的数据isobtained.Development of competency in the 体格检查 of infants, children, and 青少年.Acquisition of the knowledge necessary for the diagnosis and initialmanagement of common acute and chronicillnesses.An understanding of the influence of family, 社区, and society on the child in health anddisease.Development of strategies for 健康促进, as well as disease and injury prevention.
核心6 -精神病学
持续时间: 6周
先决条件: 通过USMLE第1步
考试形式: MCQ Exam, Preceptor Clinical Evaluation
目的: Throughout the clerkship program, students are expected to participate in didactic conferences, 案例展示, 特别是, to learn the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders. 关于住院服务, the student should have a responsibility for patient care under close supervision of physicians. That should include a full evaluation; students should take part in deciding appropriate treatment and testing. Students are encouraged to discuss their opinions with theirinstructors.
目标: The goals of the Psychiatric Clerkship are to teach the students a scientific way of making a 鉴别诊断 and prescribing treatment. The students should learn that a mental illness, like other illnesses, can be treated andcontrolled. In order to achieve the said goal, the students are expected to learnto conduct a psychiatric evaluation with a mental statusexamination, formulate a broad differentialdiagnosis, plan a treatment and management ofpatients, have a familiarity with major psychiatric medications and their sideeffects, recognize medical conditions which may exacerbate a psychiatriccondition, and recognize the problem of chemical dependency and its role in mentalillness.
选择性旋转
A minimum of 24 weeks of 选择性旋转 must be completed. All students must complete 6weeks of an emergency medicine. Highly recommended electives include:
The list of some clinical sites where our students can get training are below.
|