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Clinical Medicine Program
Once students have successfully completed the Basic Sciences, they are eligible to enter the Clinical Medicine portion of the M.D. program. The Clinical Medicine Program requires students to spend 72 weeks of clinical practicum in various medical specialties in selected teaching hospitals in the United States, Canada, and Europe. During this time, students attain broad experience in conducting physical examinations, taking thorough histories while focusing on the fundamentals of diagnosis and gaining an introduction to the management of health care problems.

The 72-week Clinical Medicine program is divided into 42 weeks of required "core" clinical hospital rotations and 30 weeks of "elective" rotations. Core rotations consist of Internal Medicine, Surgery, Pediatrics, Psychiatry, and Obstetrics and Gynecology. Elective rotations may be in any of the various medical specialties, depending upon the student’s future goals. Since a few states in the US require a clinical rotation in Family Medicine as a prerequisite to licensure, it is highly recommended that all students complete an elective rotation of at least four weeks in Family Medicine.

Requirements for Clinical Placement
Students must meet the following criteria in order to qualify for placement in the Clinical Medicine program:
1. Must have a minimum GPA of 2.0 and be considered "In Good Standing" at the completion of the Basic Sciences.
2. Receive a recommendation by the Promotions Committee and the Dean of Basic Science.
3. Submit a complete and updated Immunization Form.
4. Participate in a Clinical Orientation Session on the MUA campus.
5. . Sign the MUA Clinical Medicine Contract.
6. Provide proof of Personal Health Insurance.
7. Submit an updated Resume.
8. Submit a USMLE Release Form.
9. Pass the USMLE Step I exam (US Clerkships).
10. Liability Insurance Premium.

Additional Clinical Placement Guidelines
The Medical University of the Americas has developed affiliations with hospitals in several geographical locations throughout the United States. Although students may complete all their clinical rotations in the US, it is unlikely that students will be able to complete all their clinical rotations within one hospital or in one geographical location. Therefore, students are expected to be flexible when assigned to their hospital rotations. Whenever possible, special consideration for geographical preference will be given to married students and students with school age children.
1. All clinical rotation assignments are made by Associate Dean of Clinical Medicine, taking into account such factors as :
a. The student's geographical preference.
b. Family considerations.
c. Timeliness in completing the program.
d. Hospital criteria and availability.
e. USMLE scores.
f. Overall needs of the medical school.
Students are not permitted to contact hospitals independently to arrange their own clinical rotations. It is the responsibility of MUA to establish hospital affiliations and make all core clinical assignments. In some cases, students may request that MUA contact a desired hospital in order to develop a new affiliation agreement. When scheduling elective rotations, students must contact the MUA Clinical Medicine office to request forwarding of all pertinent documentation to the clinical site.
2. Students are expected to demonstrate the highest standards of conduct and professionalism in each rotation. 100% attendance is required in every rotation. Violation of hospital rules or a pattern of inappropriate or unprofessional behavior will result in immediate disciplinary review.
3. A passing grade of 70% is required in all clinical rotations. If a student achieves a GPA of less than 2.0 at any time during their course of study at MUA, the student will be placed on academic probation or involuntarily dismissed from the program
4. Students must take the USMLE Step I within three months of completing the basic sciences on Nevis. Students may be assigned a clinical rotation immediately after passing the USMLE Step I. Students that fail Step I will be asked to take a leave of absence to review and retake the exam.

Leave of Absence
Click here to see the leave of absence policy.

Clinical Medicine Curriculum
Rotations Type Weeks
Required Core Rotations Surgery 12
  Internal Medicine 12
  Pediatrics 6
  Psychiatry 6
  OBGYN 6
     
Elective Rotations Specialty 30

Clinical Medicine Course Description
Course Description Weeks
Internal Medicine The Internal Medicine clerkship is a 12-week experience with broad objectives. Under the supervision of faculty and house officers, students are involved in comprehensive care of adult patients with acute and chronic illnesses. Students will further develop important clinical skills such as history taking, physical examination techniques, written and oral communication, as well as the ability to generate differential diagnoses and create diagnostic and management plans. 12
Surgery During this 12-week clerkship students learn a broad base of both basic and clinical knowledge about surgery and related subjects. The clerkship provides students with a variety of learning experiences, including the traditional surgical specialties, the subspecialties, basic science and clinical lectures, and some surgical techniques. 12
Pediatrics Students actively participate in the healthcare of children, allowing them to apply and refine their interviewing and problem solving skills. During this 6-week rotation, students become familiar with the primary care and subspecialty aspects of the field of pediatrics, as well as the important role that the pediatrician plays in both the emotional and physical development of children of all ages. 6
Obstetrics & Gynecology During this 6-week rotation, students have opportunities to participate in women's health care in both inpatient and ambulatory settings. Formal didactic and clinical sessions are interwoven to help students build on interviewing, physical examination, and diagnostic and management planning skills. Students will markedly increase their knowledge in a variety of areas related to women’s health needs, including family planning, prenatal care, normal and abnormal labor management, gynecologic surgery, cancer screening and treatment, and care of menopausal women./td> 6
Psychiatry The Psychiatric clerkship allows students to develop interviewing, reasoning and communications skills fundamental to psychiatric diagnosis and intervention. Students learn about the diagnosis and treatment of common psychiatric disorders in order to develop an appreciation for the individual factors, which influence the presentation, treatment response, and prognosis of psychiatric illnesses. 6
Elective Clinical Rotations Elective rotations are usually completed during the fourth year of medical school, to assist the student in identifying areas of special interest in medicine for future practice and graduate residency training. Although students may select elective rotations in any area, we recommend that students seriously consider rotations in family medicine, cardiology, neurology, emergency medicine, and any of the other medical or surgical subspecial 30

Clinical Medicine Booklist 2002-2003
Course Required Text Recommended Text
Surgery Essentials of Surgery: Scientific Principles and Practice
Lillemoe, G, Mulholland and Oldham (Eds) Lippincott-Raven Press, 1997
or Essentials of Surgery
Sabiston, David C. and Lyerly, H., W.B. Saunders Co., 1994, 2nd Edition
12Principles of Surgery
Schwartz, Seymour et. Al, McGraw-Hill Book Co., 1998
  Washington Manual of Surgery
Washington University Dept. of Surgery, Lippincott, Williams and Wilkins, 1999
The Surgical Clinics of North America
Journal: W.B. Saunders Co.
    A Manual of Laboratory and Diagnostic Tests
Talaska, Frances. Lippincott, Williams and Wilkins, 1999
(Useful for all rotations)
     
Medicine Cecil: Essentials of Medicine
Andreoli, Thomas, M.D. et al., W.B. Saunders Co., 2000, 5th Edition
Dubin, Dale, M.D. Rapid Interpretation of EKG's
Cover Publishing Co., 1996
  The Care of the Medical Patient
Ferri, Fred, Mosby, 2001, 5th Edition
or
The Washington Manual of Medical Therapeutics
Subramanian, P (Ed) Lippincott, Williams and Wilkins, 2001
Kochar's Concise Textbook of Medicine
Kesavan, Kathy (Ed), Williams and Wilkins, 1998, 3rd Edition
    Office and Bedside Procedures
Chestnut, M and Dewar, T (Eds) Prentice-Hall, 2001
(Useful for all rotations)
    A Primer of Water, Electrolyte and Acid-Base Syndromes
Goldberg, E. and Brensilver, J.: Lippincott, Williams and Wilkins, 1996
    Textbook of Pulmonary Diseases
Baum, G. and Wolinsky, E. (Eds), Lippincott-Raven, 1997
     
Pediatrics Nelson: Essentials of Pediatrics
Behrman, Robert E., M.D. and Robert M. Kliegman, M.D., W.B. Saunders and Co., 1998
Pediatric Primary Care: Well-Child Care
Baker, Raymond (Ed) Lippincott, Williams and Wilkins, 2001
  Pediatric Pearls
Rosenstein and Fosarelli, The Johns Hopkins Children's Center, 1997
or
Harriet Lane Handbook
Iannone, Robert (Ed), Johns Hopkins Department of Pediatrics,Harcourt Health Sciences, 1999
Pediatrics: A Primary Care Approach
Berkowitz, Carol: WB Saunders, 2000
     
Obstetrics & Gynecology Essentials of Obstetrics and Gynecology
Hacker, Neville F., MBBS and J. George Moore, M.D., W.B. Saunders Co., 1998, 3rd Edition
or
Obstetrics and Gynecology
Beckmann, Charles et. al, Williams and Wilkins, 1995, 3rd Edition
(Text plus 1800 questions and answers)
Pocket Guide to Fetal Monitoring
Tucker, Susan M., Mosby-Year Book, Inc., 2000
    Gynecology and Obstetrics 1999-2000
Chan, Paul and Winkle, C., Current Clinical Strategy Series Pub, 1999
    Pocket Companion to Obstetrics:Normal and Problem Pregnancies
Gabbe, Steve, et al, Churchill Livingstone, 1998
     
Psychiatry Synopsis of Psychiatry: Behavioral Science & Clinical Psychiatry
Kaplan, Harold & Saddck, B., Lippincott, Williams & Wilkins, 1998, 8th Edition
Clinical Psychiatry for Medical Students
Stoudemire, Alan, M.D., Lippincott, Williams & Wilkins, May, 1998.
  Diagnostic Criteria from DSM IV-TR
American Psychiatric Association, 2000
Handbook of Psychiatric Drug Therapy
Arana, G. and Hyman, S. (Eds) J.F. Rosenbaum, Lippincott, Williams and Wilkins, 2000

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