MUSC Bulletin | College of Medicine
Doctor of Medicine | Course Descriptions
MDCOR-701-702. Fundamentals of Patient Care (FPC) 1A and 1B. The course goals of Fundamentals of Patient Care (FPC) are: 1) prepare students for their clinical clerkships with medical interviewing, physical diagnosis, and oral and written presentation skill development; 2) provide students early and meaningful patient contact; 3) increase students’ knowledge about behavioral sciences concepts relevant to medical practice; 4) foster students’ acquisition of life-long, self-directed learning skills; 6) foster students’ professional, interprofessional and cross-cultural development as future clinicians; and 7) introduce students’ to issues related to the practice of medicine.
FPC is conceptually integrated across the Block segments and longitudinally runs throughout the year. Two sub-themes are explored 1) The Physician-Patient Interaction, and 2) Becoming a Physician. As part of becoming a physician, students participate in a structured Career in Medicine curriculum designed to expose learners to a variety of specialties in medicine. During the course, students participate in presentations, lectures, small group discussions and standardized patient encounters, small group exercises, simulation-based education, and self-directed learning experiences. Prerequisite: enrollment in the M.D. degree program.
MDCOR-820-821. Homeostasis and Regulation (HR) - A and B. Homeostasis and Regulation (HR) explores the ways in which the human body maintains and protects itself including genetic, nervous system, and hormonal control mechanisms. Emphasis is on 1) how genetics creates cells and organs and ways they can go wrong, 2) how local neuronal control regulates blood flow and organ function with central nervous system overlay, 3) how the endocrine system regulates and modifies various function of the human body. Each is taught in and integrated fashion and is organized around body systems and processes. Topical aspects of HR are taught with close coordination to and conjunction with the structural and function theme, the Molecules and Energetics theme, and the Fundamentals of Patient Care themes. Prerequisite: enrollment in the M.D. degree program.
MDCOR-824-825 Structure and Function (SF) - A and B. The goals of the Structure and Function theme are to provide a sound understanding of the structure and function of the human body, including embryologic and fetal development in utero. This year-long theme teaches the gross to sub-cellular structural elements of the human body through cadaveric dissection, medical imaging, and electronic images. The function is overlaid on the structural elements by lecture, problem sets, simulations and group exercises. All elements are interwoven with the Homeostasis and Regulation, Molecules and Energetics and Fundamentals of Patient Care themes which run concurrently. Prerequisite: enrollment in the M.D. degree program.
MDCOR-822-823. Molecules and Energetics (ME) - A and B. The focus of this portion of the first year curriculum is how the molecular and cellular processes of the body acquire, make and utilize fuel to support the essential functions of the human body. Food ingestion, absorption and metabolism as well as generation of essential elements of cellular function such as NADPH, glucose and oxygen are central to this portion of the first year curriculum. Prerequisite: enrollment in the M.D. degree program
MDCOR-826-827. Pathogens and Host Defenses (PHD) 2A - 2B. This theme introduces the basic concepts of molecular and medical microbiology and the major concepts in modern basic immunology and exemplifies the application of those concepts to the understanding of human diseases. Lectures on selected topics in clinical immunology and infectious diseases are integrated with a variety of small group activities designed to stimulate the development of clinical problem-solving and self-education skills. The course emphasizes the importance of basic science information in understanding the mechanisms of disease and applying that understanding to the diagnosis and management of immunological and infectious diseases. Presentation: lectures, small group exercises, computer-based instruction, and problem-based learning. Lectures given as PowerPoint presentations, general information, and useful links to other sites are available through a course Web site. Prerequisite: successful completion of first year courses.
MDCOR-703-704. Fundamentals of Patient Care (FPC) 2A - 2B. This theme continues to build upon the concepts and learning goals outline in the FPC themes of the first year. Students utilize their medical interviewing and physical diagnosis skills in dedicated teaching rounds in the hospital as they engage in clinical reasoning and problem solving in both the clinical and small group settings. Students learn to 1) define the patient’s concern 2) develop a pathophysiological mechanism that explains the complaint, and 3) generate a list of probable causes for the complaint utilizing deductive reasoning. They practice basic clinical skills including patient presentation and documentation. This theme also enhances the learner’s knowledge of behavioral sciences in addition to providing the foundations of medical ethics. Students learn basic statistical and quantitative epidemiological concepts in conjunction with developing the skills to critically evaluate and translate to clinical practice the medical and scientific literature. Students also engage in evaluation of their own career aspirations through the Careers in Medicine thread. This course utilizes lectures, small group discussions and standardized patient interviews, small group exercises, hospital teaching rounds, simulation-based training and self-directed learning experiences. Prerequisite: successful completion of first year courses.
MDCOR-828-829. Altered Structure and Function (ASF) 2A - 2B. The purpose of ASF is to enable the student to understand the pathogenesis of disease and to further develop a medical vocabulary. This theme provides insight into the morphologic changes in cells and tissues of the body in various disease states. These morphologic changes and their underlying pathophysiology will be applied to the understanding of diseases of nutrition, pediatrics, autoimmunity, genetics, the environment, arteriosclerosis, infectious agents, transplantation, blood, and coagulation components. Organized in systems, this integrated theme enables the student to gain insight into the clinical, morphologic, pathophysiologic, and laboratory changes resulting from specific disease processes of the individual organ systems (cardiovascular, respiratory, renal, neural, alimentary, genitourinary, endocrine, skin and skeletal). Clinical and pathophysiological aspects of lab medicine are also encompassed. Presentation: lecture/demonstrations, group laboratory exercises, small group sessions, and self-instructional computer-assisted learning programs. Prerequisite: successful completion of first year courses.
MDCOR-830-831. Pharmacotherapeutics and Nutrition (PHN) 2A - 2B. This theme provides a working knowledge of pharmacologic principles and their practical application in the therapeutic use of drugs. Emphasis is placed on understanding the disposition, effects, efficacy, and relative toxicity of all major drug groups in light of their biochemical and physiological mechanisms. There is a strong focus on the application of this knowledge in the use of therapeutic agents. Additionally, non-pharmacological treatment of disease is discussed and presented. Aspects of nutritional considerations, particularly for certain types of disease states is also a point of particular emphasis. Presentation: an evidence-oriented approach; material is presented through a series of lectures, small group discussions, laboratory demonstrations, clinical pharmacology conferences, and self-study modules. Prerequisite: successful completion of first year courses.
MDCOR-864. CPX2 and Board Review. Students must take the CPX2 exam and complete their action learning plan. Students must complete the required steps for board preparation, prepare an individual study plan, and take USMLE Step1.
MDCOR-705. Fundamentals of Patient Care (FPC) 3A - 3B. This theme continues the Fundamentals of Patient Care emphasis from the preclinical phase of the curriculum. Students apply foundational principles of medical ethics and ethical reasoning in longitudinal discussion groups. Students complete geriatric medicine assignments in falls risk assessment and depression screening in continuity visits with their senior mentor. Careers in Medicine assignments assist the student in clarifying their specialty interests. Prerequisite: successful completion of the second year courses and a passing score on Step 1of the United States Medical Licensing Exam.
FAMMD-861. Family Medicine Rural Clerkship. The MUSC Family Medicine and Deans’ Rural Primary Care Clerkships were merged to form the Family Medicine/Rural Clerkship. The purpose of the Family Medicine/Rural Clerkship is to foster student development of a strong understanding of the clinical issues and professional role of a primary care physician and to further broaden the focus of student learning from providing care to individual patients to improving the health of defined population health perspective. The perspective “encompasses the ability to assess the health needs of a specific population; implement and evaluate interventions to improve the health of the population; and provide care for individual patients in the context of the culture, health status, and health needs of the populations of which that patient is a member.” (Population Health Perspective Panel Report, Academic Medicine.1999;74:138). Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
MED-801. Internal Medicine Core Clerkship. This core clerkship introduces the student to the care of the hospitalized adult patient. Through experiential learning by working along side patient care teams on the General Internal Medicine inpatient ward services at the Medical University Hospital (MUH), Ashley River Tower (ART) and the Veterans Hospital, students will learn first hand about caring for the hospitalized adult patient. Students will be expected to learn the role of the patients’ primary hospitalist and should take an active role in the documentation of the patient’s hospital stay. Emphasis is placed on performing, documenting and presenting verbally histories and physical examinations of patients, developing differential diagnoses, assessment and treatment plans, participating actively in the care of patients, and understanding the impact of illness on the patient and family. A computer-based series of learning modules covering the most common inpatient medical problems is a required exercise of this rotation. Experiences are supplemented by lectures, conferences and small group discussion. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
OBGYN-801. Obstetrics and Gynecology Core Clerkship. Introduces the basic knowledge and clinical problems as encountered in the field of obstetrics and gynecology. Students are taught to acquire and develop their clinical skills in the care of patients. Emphasis is placed on obtaining experiences in routine obstetrics delivery, outpatient gynecologic management, and common gynecologic surgery. Presentation: didactic lectures, morning conferences, and ward rounds. Under supervision, students take histories and perform physical examinations. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
PEDS-801. Pediatrics Core Clerkship. Introduces common and unique pediatric pathologic processes; further develops clinical skills and experience in handling and managing both healthy and ill infants, children and adolescents, and their families, and encouraging application of basic science knowledge to patient care. Approximately half of the rotation is devoted to inpatient care with experiences both in acute, undiagnosed illnesses and chronic illnesses (subspecialty care). A portion is devoted to the newborn nursery and the remainder to ambulatory care (general clinics, specialty clinics, acute care clinics, and community resources). Presentation: direct patient/parent contact with house staff and faculty supervision. Experiences are supplemented with conferences and lectures. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
PSYCH-801. Psychiatry Core Clerkship. Introduces the student to the care of psychiatric patients. Learning objectives are to increase the students’ ability to recognize psychopathology, use interview techniques, correctly diagnose psychiatric disorders, appropriately use psychopharmacological agents, establish a supportive therapeutic relationship with patients, document and present verbally a psychiatric history and mental status examination, and work with health care personnel. Presentation: direct patient responsibility with close supervision from house staff and faculty. Experiences are supplemented with conferences and lectures. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
SURG-801. Surgery Core Clerkship. Introduces the students to the care of surgical patients. Emphasis is placed on establishing the diagnosis, learning the pathophysiology of surgical diseases, participating in the treatment of surgical patients, understanding the means to support patients before, during, and after surgery, and understanding the impact of surgical illness on the patient and family. Presentation: direct patient contact with house staff and faculty supervision. Experiences are supplemented with learning materials, conferences and small group discussions. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
NSCS-801 Neurology and Rehabilitation Medicine. Introduces the students to the care of patients with neurological disorders and conditions, as well as the role of rehabilitation medicine in improving the patients functional status and quality of life. Emphasis is placed on performing, documenting and presenting verbally histories and physical examinations of patients with neurological diseases, developing a differential diagnosis, assessment and treatment plan, participating in the treatment of neurology patients, and understanding the impact of neurological illness on the patient and family. Presentation: direct patient contact with house staff and faculty supervision. Experiences are supplemented with lectures, workshops, and small group discussions. Prerequisite: successful completion of second year courses and a passing score on Step 1 of the United States Medical Licensing Exam.
MED-980. Independent Study. This course provides an opportunity for a student to engage in individualized learning experiences under the direction of a faculty member. Independent study is designed to supplement required course work as an extension of that course, or to introduce the student to knowledge not associated with any existing course, or to provide an opportunity for research in an area of special interest to the student. This course is repeatable for credit. Prerequisite: Permission of the Dean
Third Year Selectives
For a complete listing of third year selective courses, see the Catalog of Selectives at http://academicdepartments.musc.edu/com/UME/yr3/index.html
MDCOR-706 Fundamentals of patient Care (FPC) 4A-4B. This theme continues the Fundamentals of Patient Care emphasis from years 1, 2 and 3 of the curriculum. Students apply foundational principles of medical ethics and ethical reasoning in longitudinal discussion groups. Students complete a geriatric medicine assignment in end of life care planning in one final continuity visit with their senior mentor. A Medical Delivery System curriculum enhances students understanding of the complex systems of care in the US, the changing health care delivery models, and critical patient advocacy principles. Careers in Medicine components assist students with professional development in their chosen specialty, application to residency programs, and preparation for interviewing. Prerequisite: successful completion of the third year courses.
MDCOR-626 Internship 101. Internship 101 is the required capstone course that occurs in the final 3 weeks of the M.D. program curriculum. Designed to better prepare year 4 students for the transition to internship, this course is comprised of 11required, plenary sessions focused on critical knowledge and skills requisite for all interns. Students choose from fifty elective sessions that are designed to address specialty-specific education and training, or to enhance knowledge and skills in key competencies. A strong simulation based curriculum teaches the diagnosis and management of common unstable conditions in a variety of specialty tracks. Simulation-based Procedures Workshops improve learners basic and advanced procedural skills. Prerequisite: successful completion of the third and fourth year courses.
Senior Medicine Core and Fourth Year Electives
For a complete listing of Senior Medicine Core options and fourth year elective courses, see the Catalog at http://academicdepartments.musc.edu/com/UME/yr4/index.htm
|Last Published with Edits:||August 15, 2016 9:49 AM|
|Last Comprehensive Review:||August 2016|