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Basic Sciences in the Medical Curriculum

Basic Sciences in the Medical Curriculum. Tehran University of Medical Sciences April 26 2010 Professor John Hamilton University of Newcastle, Australia. The sciences basic to medicine. Biological ‘Basic science’ Social Population Behavioural. A clinical student:.

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Basic Sciences in the Medical Curriculum

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  1. Basic Sciences in the Medical Curriculum Tehran University of Medical Sciences April 26 2010 Professor John Hamilton University of Newcastle, Australia

  2. The sciences basic to medicine • Biological ‘Basic science’ • Social • Population • Behavioural

  3. A clinical student: “If at the beginning of the course I had seen the role of the sciences in clinical medicine it would have made studying them so much easier and so much more relevant” Relevance

  4. A physiology graduate: “This is the first time I have been challenged to use my knowledge to explain and solve a problem” Competence

  5. Australian Medical Council Guideline 3.2Curriculum “Basic Biomedical Sciences should be sufficient to underpin clinical studies, be relevant to the overall aims of the course and their relevance should be apparent to students” [WFME Similar]

  6. Basic sciences in relation to medicine • Sciences relevant and used in clinical medicine • Basic principles and clarity • Students to use their knowledge to solve problems • Avoid excess detail • But do not “dumb down”

  7. Case based study • Traffic accident • Chest pain and progressively short of breath • Respiratory rate 35/minute

  8. Case 1a Pneumothorax (short case)

  9. Key Concepts • Mechanisms and clinical parameters of ventilation • Pressure dynamics • Impaired ventilation • Anatomical structure of thoracic cage • Anatomical and physiological basis of management

  10. Group discussion

  11. Related sessions: • Clinical Skills based on surface anatomy • Anatomy demonstration based on pleural drain • Clinical session in ED • Animal demonstration if permitted • Paper exercise on intra-plural pressure • Physiology of impaired ventilation.

  12. Anatomy Practical classes • Dissection • Prosection • Living anatomy • Medical Imaging • Surgical anatomy

  13. Durham UK: The story of Alfie

  14. Comprehensive Integration • Biomedical • Clinical • Health service • Family • Society • Ethical

  15. Durham UK: Life Cycle Semester 1: Conception to birth • Down Syndrome chromosomes, genetics • Spina Bifida embryology • Pregnancy physiology, anatomy • Antenatal Care growth, hazards • Prematurity metabolic maturation, future

  16. Life Cycle: 90-100% Positive Approval “Patient contact invaluable. Aspects of mental and social factors as part of a holistic approach to medicine is of importance to us being good doctors” “Patients make it much easier and more interesting to learn basic sciences, because you can see how they fit in and how they are used in clinical practice “Listening to Alfie’s story brought all our duties as doctors into one circle”

  17. Assessment of Basic Sciences in an integrated curriculum • Overall aim: • To think logically and critically • To understand general concepts and principles and mechanisms • To master knowledge • To apply their knowledge to new problems • To recognise when they need further information

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