University of North Dakota (School of Medicine & Health Sciences)

FIRST AND SECOND YEARS The basic science and clinical medicine content focuses on fundamental concepts that serve as the foundation for the more advanced concepts encountered in the later phases of the curriculum. Integrated basic science and clinical medicine are taught in a series spanning Blocks I-VIII via a combination of lectures and small group Patient-Centered Learning (PCL) and Introduction to Patient Care (IPC) activities. Each block includes eight weeks of instruction, one week of assessment and one week for special studies. The first year of the medical education curriculum is comprised of Blocks I-IV (40 weeks), arranged in a �systems approach.� These four blocks include biological, behavioral and social sciences; basic clinical skills, and integrative clinical correlations. Blocks V-VIII, the second year of the medical student curriculum (40 weeks), focuses on pathobiology and includes an acute ambulatory care experience (ACE). Using the PCL format, small group learning sessions are designed to facilitate the integration of the basic sciences with clinically relevant cases. The small-group sessions stress independent learning to strengthen individual problem-solving skills. Advanced biological, behavioral and social concepts are presented throughout the curriculum. Emphasis is placed on instruction, the assessment of student performance, and development of independent learning skills necessary for establishing a personal commitment to lifelong learning. The curriculum for Years 1 and 2 is designed to bridge the gap between the preclinical and clinical years by developing and fostering the students� understanding of clinical problems. The students begin interacting with patients during the first semester in both the physician wrap-up session each week in PCL and throughout Introduction to Patient Care (IPC) components of the curriculum. To be successful, students must synthesize large amounts of information, effectively apply science concepts to clinical problems, and integrate concepts across disciplines. They learn the dynamics of the doctor-patient relationship, how to interview patients, and how to conduct physical examinations. COURSES : * Block I: Functional Biology of Cells and Tissues; Interviewing and Professionalism : Topics for this course include: genes and chromosomes, proteins, metabolism, replicative behavior of cells, intercellular and intracellular communication, architecture of cells and tissues, early development, medical terminology, interviewing, doctor-patient relationship, and ethics. * Block II: Biology of Organ Systems I; The Physical Examination : Topics for this course include: cardiovascular biology, air conduction and respiration, the immune system, the musculoskeletal system, the peripheral nervous system and physical examination. * Block III: Biology of Organ Systems II; Human Life Cycle I : Topics for this course include: GI tract, the liver and biliary system, exocrine pancreas, the renal and urinary system, reproduction, endocrine, and human life cycle biopsychosocial aspects. * Block IV: Biology of the Nervous System; Human Life Cycle II : Topics for this course include: the central nervous system, the peripheral nervous system revisited, biology of special sensory structures, human life cycle biopsychosocial aspects. THIRD AND FOURTH YEARS Students are taught in clinical settings throughout the third and fourth years. These experiences provide students exposure to clinical milieus ranging from physician practices in a rural health care system to urban medical centers. The curriculum model provides students a strong generalist base, regardless of their final career choice. Third-year students have an option to participate in a traditional clerkship experience or a rural educational experience. The Traditional Third-year Curriculum consists of the following six clerkships of eight weeks each on the Southwest (Bismarck), Southeast (Fargo), and Northeast (Grand Forks) campuses: Family Medicine, General Surgery, Internal Medicine, Obstetrics and Gynecology, Pediatrics and Psychiatry. In addition, students take a longitudinal clinical epidemiology course during the third year. Rural Opportunities in Medical Education (ROME) is a seven-month interdisciplinary experience in a rural primary care setting open to third-year students. Students live and train in a nonmetropolitan community under the supervision of physician preceptors. A goal for the ROME program is to expose students to practicing medicine in rural areas throughout the state. One-month rotations in internal medicine, obstetrics and gynecology, and pediatrics; and two months in psychiatry are completed at their home campus following the ROME experience. Acting Internships in internal medicine and surgery are required in the fourth year. Each internship is four weeks and is designed to teach students how to function in the hospital setting at the level of a first-year intern. Students fine tune their skills for making the initial patient contact, taking a patient history, performing a physical examination, formulating problem lists and a diagnostic plan, developing a therapeutic plan, writing orders, doing patient follow-up, writing progress notes and discharge notes. Each student requires supervision of a committed senior resident or physician on site. Six electives (four weeks each) are required. The Senior Colloquium is a offered just prior to graduation and may include, but is not limited to, such topics as professionalism, resident clinical teaching skills, evidence- based medicine, a pharmacology update including pharmocogenomics on drugs, the impaired colleague, how to survive residency, financial planning, credentialing and loan repayment. COURSES : * Block V: Introduction to Pathobiology; Evidence-based Medicine : Topics for this course include: reaction to injury (cell injury, cell death), inflammation, repair and regeneration, fluid imbalance, disorders of inheritance, disorders of immunity, neoplasia, infection, vidence-based medicine and an ambulatory care experience (ACE). * Block VI: Pathobiology I; The Doctor and Society : Topics for this course include: disorders of red cells and bleeding disorders, disorders of white cells, lymph nodes and spleen, Cardiovascular I � vascular system, Cardiovascular II � heart, respiratory tract, ear, nose, and throat, doctor and society, and an ambulatory care experience (ACE). * Block VII: Pathobiology II; Prevention and Clinical Skills : Topics for this course include: GI tract, liver and biliary system, exocrine pancreas, Renal 1 � glomerular disease, Renal 2 � tubular and interstitial disease, lower urinary tract, male reproductive system, female reproductive system, breast, prevention, nutrition, clinical skills, and an ambulatory care experience (ACE). * Block VIII: Pathobiology III; Psychopathology and Substance Abuse : Topics for this course include: diabetes mellitus, endocrine other than diabetes mellitus, skeletal system and soft connective tissue, skin, peripheral nervous system and skeletal muscle, central nervous system and special senses, environmental and nutritional diseases, psychopathology, substance abuse and an ambulatory care experience (ACE). * Clinical Epidemiology : A longitudinal course for third-year students which provides an introduction in biostatistics and epidemiology. The effect of disease on communities, rather than individuals, is emphasized. * Senior Colloquium : Topics for this course may include, but are not limited to, the following: evidence-based medicine, professionalism, update on drugs, clinical teaching skills, how to survive residency, the impaired colleague, medical licensure, credentialing and financial planning. This course is redesigned each year to fit the students� needs.

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School name: University of North Dakota (School of Medicine & Health Sciences)
Address: 501 N. Columbia Rd
Zip & city: ND 58202 Grand Forks
Phone: 701-777-5046
Web: http://www.med.und.nodak.edu/

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