School of Medicine. MBBS/BSc course (six years)

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1 Medicine 221 School of Medicine The School of Medicine provides an integrated course of instruction leading to the degrees of Bachelor of Medicine and Bachelor of Surgery (MBBS), as well as the Bachelor of Science. In 2008, the School welcomes its first intake of 50 Graduate Entry students to the Medicine programme. Students on this course undertake an accelerated four-year MBBS. They will be taught separately in their first year before joining year three and are exempt from year four (BSc). In addition, the School offers direct entry into the third year of the course to students who have successfully completed the pre-clinical-training at Oxford and Cambridge to enable them to complete the MBBS, and also offers the possibility for students of medicine from other universities, who meet our entry criteria, to undertake a one year intercalated Bachelor of Science (BSc) degree. This syllabus relates to the revised course, which applies to students who started the course in or after Students who began their course before this should refer to their Year Guides for detailed syllabus information and/or previous syllabuses. Details of postgraduate opportunities can be found in the online Postgraduate Prospectus at MBBS/BSc course (six years) The MBBS/BSc course is an integrated course extending over six years. The core course comprises four elements: Scientific basis of medicine: explores the principles underlying normal human organisation and function from molecular to social levels. Doctor and patient: problem-based learning (PBL) tutorials where students develop important skills in defining the objectives of a task, and working as a team to produce and present their findings; communication skills; personal and professional development. Clinical experience: patient contact course; medical and surgical attachments; specialty rotations and final year revision block, specialty choice modules, accident and emergency; general practice; professional work experience and elective. Modular BSc Honours degree: the modular science degree programme comprises a six-week BSc Foundation course in the third year and the BSc year (fourth year). FIRST AND SECOND YEARS The first week provides an introduction and orientation to the undergraduate medical course and to the School of Medicine. This includes study skills and information technology sessions in addition to introductory sessions in the scientific basis of medicine and clinical practice. Students then follow an integrated course comprising the three main elements of the core course: scientific basis of medicine; doctor and patient; and clinical experience. Over the first and second years, the course is organised into the following themes: Molecules, cells and disease includes molecular and cell biology, genetics, blood and bloodforming tissues, metabolism, infection, immunity, cell pathology, carcinogenesis and cancer as a disease. Life support systems includes the skin, cardiovascular, respiratory, alimentary and urinary systems, and the anatomy of the thorax, abdomen, pelvis and perineum. Life cycle and regulatory systems includes reproduction and development, neuroscience and mental health, the endocrine and musculoskeletal systems, the anatomy of the head, neck, spine and limbs, and pharmacology and therapeutics. Foundations of clinical practice includes communication skills, sociology, medical ethics and law, epidemiology in practice and information technology. The first year element of clinical experience (the patient contact course) is also managed as part of this theme. Integrated body function and dysfunction includes modules on water and electrolytes, physiology of infection, exercise, drugs and the hospitalised patient, and nutrition. Teaching comprises lectures,

2 222 Undergraduate syllabuses clinical demonstrations, tutorials, seminars, computer workshops, laboratory practical and clinical skills classes. Clinical experience Students make a number of visits to a patient or a family in their home environment, and in a clinic setting, in order to explore the course themes: symptoms, illness and disease; the experience of health and social care; and living with a long term condition. The patient visits are supplemented by small group work with practising GPs or hospital consultants. In the second year there is a four-week introductory clinical attachment. The main objective of this attachment, which may be at any of the hospitals associated with the School, is to enable students to become much more familiar with talking to patients and taking histories in more detail, and to accustom themselves to as many aspects of hospital life and procedures as possible. THIRD YEAR This year consists predominantly of medical/surgical attachments, which may be at any of the hospitals associated with the school. The system and topics continue to be delivered via a programme of live and web-streamed lectures plus e-learning modules alongside the clinical attachments. The emphasis throughout will be on the acquisition of core skills and knowledge in general medicine (including cardiovascular, renal, respiratory and cancer medicine, gastroenterology, endocrinology, medicine for the elderly), general surgery (including gastrointestinal, breast and vascular surgery, urology), anaesthetics, clinical pharmacology and therapeutics. Core learning is based on: Medical or surgical takes. GP teaching: basic clinical skills/methods in general practice. Patient clerking: to clerk (take the history and examine) at least two patients each week and to write up these case histories. Students are assessed on two of these written clerkings each firm, separate from the case project. Consultant teaching: key cases relating to the firm students will be expected to present patients during these sessions and this forms part of the assessment. Problem-based learning. Lectures and e-learning modules: a continuation of systems and topics. Other teaching: this will depend on the nature of the clinical programme of your attachment, but should include: outpatient clinic teaching, theatre sessions, endoscopy sessions, anaesthetic sessions. Reading. Modular BSc degree: there is a six-week introductory course early in the third year, which will provide an introduction to the specific BSc course selected by the student. FOURTH YEAR (BSC) Modular BSc degree: students undertake a series of five five-week modules in an area of particular scientific interest leading to a named BSc (see below); three taught modules are taken in the autumn term and early spring term, followed by a two-module supervised research project or a further two taught modules. Intercalated BSc courses: students from other UK medical schools may study for an intercalated BSc by joining the fourth year and following the same modules as Imperial College medical students. In order to be eligible students must have completed the equivalent of at least two years of basic medical science, meet the eligibility requirements to undertake the intercalated BSc (or its equivalent) at their own university medical school, and have a guaranteed place to continue their medical studies at their own university on completion of the year. Further details can be found in the Guide to Intercalated BSc Courses available from the Undergraduate Medicine Office.

3 Medicine 223 Courses/title of award: BSc Medical Sciences with Cardiovascular Sciences Endocrinology Gastroenterology and Hepatology Haematology Immunity and Infection Management Neurosciences and Mental Health Reproductive and Developmental Sciences Respiratory Science Surgery and Anaesthesia FIFTH YEAR This year includes attachments in obstetrics and gynaecology; paediatrics; psychiatry; oncology; general practice; neurology; infectious diseases; dermatology, rheumatology and orthopaedics. The clinical attachments are based on wards, out-patient clinics and in general practices. There is also a dedicated pathology course at the start of this year. SIXTH YEAR This year comprises clinical attachments in emergency medicine; general practice; cardiology; radiology; ENT; ophthalmology; two professional work experience attachments (one in medicine and one in surgery); one specialty choice module; a seven week elective period which may be spent in the UK or overseas; private study; the Practical Medicine course, which provides specific sessions on preparing for the foundation year, and the revision course which consolidates clinical knowledge preparatory to the final examinations which are held in June. Examinations The examinations will be as follows: Year one examinations will be held twice each year and will include: Paper 1: Sections 1 and 2: Life support systems Paper 2: Molecules, cells and disease I Paper 3: Life cycle and regulatory systems I Paper 4: Foundations of clinical practice I: written paper Paper 5: Foundations of clinical practice I: open book, case-based paper. Year two examinations will be held twice each year and will include: Paper 1: Integrated body function and dysfunction Paper 2: Molecules, cells and disease II Paper 3: Life cycle and regulatory systems II (sections 1 and 2) Paper 4: Foundations of clinical practice II Year three BSc Part A will be held twice a year: Written examination in Part A BSc Introductory course. Year three examinations will be held twice a year, and will include: Written Examination in EMQ format Clinical Examination: An Objective Structured Clinical Examination (OSCE).

4 224 Undergraduate syllabuses Year four BSc Part B will be held once a year Year five examinations will be held twice a year, and will include: Separate written examinations: Paediatrics Psychiatry Obstetrics and gynaecology Pathology Clinical examination: practical assessment of clinical examination skills (PACES) Year six Finals will be held twice a year: Separate written examination: Medicine Surgery Clinical pharmacology and therapeutics Clinical examination: practical assessment of clinical examination skills (PACES) in: Medicine Surgery Detailed descriptions of examinations can be found in each of the corresponding Year Guides issued to all students by the Undergraduate Medicine Office. Exemptions A student who has previously successfully completed a relevant course of study in the University of London or other university or institution of similar standing, may be exempted from part of the examinations and/or course of study. All applications will be considered individually on their merits. The College may approve a shortened course of study for a student for whom exemption from part of the course or examinations has been approved under the paragraph above. The length of the course of study subsequent to registration for the MBBS degree only shall be not less than 34 months, or not less than 44 months for the MBBS/BSc. Foundation school The Foundation School supports Imperial College students in the National Foundation School Recruitment Process. Following qualification, all graduates are required to undertake a two-year foundation programme prior to entering specialist training within the NHS. The North West Thames Foundation School is linked to Imperial College. Entry to foundation schools and programmes is on a competitive basis, and applications to the North West Thames Foundation School consistently exceed the number of available programmes. The Foundation School offers a number of Academic Foundation Programmes for students considering a career in research/academia.

5 Medicine 225 Graduate Entry MBBS Programme (four years) GEP FIRST YEAR This course aspires to train the clinical scientists of the future by selecting individuals who have already demonstrated a high level of scientific aptitude and providing them with a first class training in clinical medicine. As with the six-year undergraduate course, the graduate course retains some elements of traditional medical courses but also integrates clinical experience with the development of knowledge from the start. Students will spend the first year supplementing the basic knowledge they have gained in their undergraduate science degree with the additional material needed to take students to the same level as those who have completed the first two years of the six-year undergraduate MBBS course. That material will vary between individuals, depending on their experience. The graduate course has been designed to accommodate individuals with different scientific backgrounds. The course will be delivered in four parallel themes: Cellular and molecular science: the study of basic mechanisms of human biology Regional and systems anatomy: a completely new and innovative course integrating the traditional elements of living anatomy and examination of cadaveric specimens with demonstrations of normal human anatomy from different imaging modalities Systematic physiology, pharmacology and general pathology: the foundations of medicine Introduction to clinical practice: comprising courses in communications skills, personal and professional development, epidemiology and public health, and medical sociology Clinical Experience Clinical experience in the first year includes the Patient Contact Course. During the course, students will pay a number of visits to a patient or a family in their home environment and in a clinic setting, in order to explore the course themes: symptoms, illness and disease; the experience of health and social care; and living with a long term condition. The patient visits are supplemented by small group work with practising GPs or hospital consultants. This course is designed to enable students to understand health and illness from the perspective of the patient, and their family and carers, in a number of different settings. GEP SECOND YEAR In the second year there is a four-week introductory clinical attachment, followed by a six-week and two 10-week clinical attachments, which may be at any of the eight hospitals associated with the School. The main objective of the introductory clinical attachment is to enable students to become familiar with taking histories and to become familiar with hospital life and procedures. The emphasis throughout will be on the acquisition of core skills and knowledge in general medicine (including cardiovascular, renal, respiratory and cancer medicine, gastroenterology, endocrinology, medicine for the elderly) general surgery (including gastrointestinal, breast and vascular surgery, urology), anaesthetics and clinical pharmacology and therapeutics. Additional teaching is delivered via a lecture programme, partly in the form of e-learning modules, alongside the clinical attachments and problem-based learning cases will be studied within attachments, often based on actual current patients. The Medical Ethics and Law course and parts of the communication skills and personal and professional development courses will be taught and examined during the first term of the second year.

6 226 Undergraduate syllabuses Core learning is based on: Medical or surgical takes GP teaching: basic clinical skills/methods in general practice Patient clerking: to clerk (take the history and examine) at least two patients each week and write up these case histories. Students are assessed on two of these written clerkings each firm, separate from the case project Consultant teaching: key cases relating to the firm - students will be expected to present patients during these sessions and this forms part of the assessment Problem based learning Lecture course; including live lectures plus e-learning modules Other teaching: this will depend on the nature of the clinical programme of the attachment, but could include: outpatient clinic teaching, theatre, endoscopy, and anaesthetic sessions Reading THIRD AND FOURTH YEARS Years three and four of the Graduate Entry MBBS correspond exactly to Years five and six of the six-year MBBS/BSc. Examinations First year GEP Year one examinations will be held twice each year in June/July and August/September and will include: Year one Paper 1: Year one Paper 2: Year one Paper 3: Cellular and Molecular Science and Introduction to clinical practice (Sociology, and Epidemiology and Public Health) Regional and Systems Anatomy Systematic Physiology, Pharmacology and General Pathology Candidates will be required to pass all papers in GEP Year one before proceeding to GEP Year two. A candidate who fails any examination at the second attempt will normally be required to withdraw from the programme. Second year GEP Year two examinations will be held twice a year, and will include: A written examination covering medical ethics and law, communications skills and personal and professional development (held in December and April) A written examination covering the learning objectives for the clinical attachments and the lecture/e-learning programme. (held in May/June and August / September) an Objective Structured Clinical Examination (OSCE). (held in May/June and August/September) Candidates who fail any Year two examination at the first attempt will be allowed to continue on the course whilst preparing for the resit attempt. A candidate who fails at the second attempt will normally be required to withdraw from the medical programme. Third and fourth years Years three and four of the Graduate Entry MBBS correspond exactly to Years five and six of the six-year MBBS/BSc.

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