Exercises

Years 4 and 5

Vocational Studies and Clinical Skills

Years 1-3

Information froman undergraduate leaflet

The MBChB (Bachelor of Medicine, Bachelor of Surgery) is a five-year undergraduate medical degree course. Most of the learning is hold in small groups. The main component parts are:

It consists of an integrated programme of clinical and scientific topics. These topics are mainly presented through problem-based learning (PBL) method, where you work with others on a series of case problems in small groups.

Student Selected Modules

Student selected modules (SSMs) are allowed to be chosen from a menu of subjects such as Sports Medicine or even study a language as preparation for an overseas elective. Students can also take a hospital attachment of their own choice between Years 4 and 5.

This component prepares student for the clinical skills required for contact with patients from Year 1 of their course. They have some periods of practical training where students are attached to a hospital department or general practice.

Students have a series of four-week clinical attachments in Medicine, Surgery, Psychological Medicine, Child Health, Obstetrics &Gynaecology and General Practice.

View of a first year student

Helen is a medical student, she has just finished her first year of Medicine department. What she likes about this course is that the students are involved with patients from the very beginning. Even in their first year, they spend time in hospital. Much of the course is Problem Based Learning. They have two 2-hour sessions a week where they work in groups of eight to ten solving clinical problems. They decide together how to tackle the problem, look up books and online sources, make notes and discuss the case together. It's a great way of learning and getting to know the other students. In the past, medical students had lectures with the whole class making notes from lecturers from 9.00 to 5.00, but now it's mainly group work, although they do have some lectures and seminars, where they work in small groups with a tutor. Helen likes all of it, even the dissection. They get to cut up cadavers from the second month of the course.'

7.1 Match these activities to the stages of medical education in the UK.

1 dissecting cadavers

2 keeping a log of surgical procedures observed and performed

3 working for four months in accident and emergency to experience this specialty

4 taking a four-week attachment in Psychological Medicine

5 taking an online course on recent developments in endocrinology diseases

7.2 Complete the sentences.

1 Just before their final year, students have the chance to take an................................in a hospital of their choice anywhere in the world.

2...............-................contrasts with an approach where each subject is taught separately.

3 These days.................are often interactive, with regular opportunities for the students to ask questions.

4 In.................................students learn how to treat and manage patients.

5....................................can be a topic from outside medicine, such as a foreign language.

6 Dissection of................................is an important part of the anatomy component.

7 The..................at the University of Edinburgh is one of the oldest in the UK.

8 She's a................................at the Royal; one of the leading cardiac surgery specialists in the country.

9 The Royal................................of Surgeons in Edinburgh dates from 1505.

10 We have a..............................each week where we discuss topics in a small group with our lecturer.

7 .3 Match each of these activities to one of the components of the undergraduate course described in texts.

1 Jane spent six weeks working in a small hospital in the Himalayas.

2 A group of students discuss together the possible reasons of cardiac pain in an obese 44-year-old male.

3 A small group of students study the pulmonary artery in a cadaver.

4 Santa spends a month working in the gynecology ward of the local hospital.

5 James learns how to take bloodfrom an elderly patient.

6 Travel Medicine was chosen by Helen in her fourth year.

7.4 What is the disease or illness being described in each case?

a) An infectious disease, its commonest form attacks the lungs, causing patients to lose weight, cough blood and have a fever. It is caught by breathing in germs or eating contaminated food, especially unpasteurised milk.

b) A hereditary disease of the pancreas or mucoviscidosis, leading to malfunction of the exocrine glands. Symptoms include loss of weight, abnormal faeces and bronchitis. If diagnosed early, it can be controlled with vitamins, physiotherapy and pancreatic enzymes

7.5 Write a description, in English, of a disease or illness and see if your partner can recognize it…

7.6 Describe the main components of your undergraduate course and discuss with your partner in class.

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