2020-2021 Bulletin for the M.D. Program - University of South ...
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TABLE OF CONTENTS The University.......................................... 2 USA Health ................................................3 Timeline......................................................5 USA College of Medicine ........................ 6 Facilities .....................................................7 Admissions Information ......................... 9 Curriculum Overview.............................13 Objectives.................................................14 Curriculum Description.........................16 Financial Aid........................................... 22 Contacting the College of Medicine .... 25 Class of 2020 Residency Appointments .................................... 27 Academic Calendar.................................31 Maps......................................................... 32 Policy of Nondiscrimination................. 34 1
THE UNIVERSITY The University of South Alabama students work alongside faculty experts on an — South, for short — is Mobile’s only array of research projects in varied disciplines. comprehensive research and teaching In addition, the USA Technology & Research university. With an enrollment of more than Park acts as an incubator for tech startups. 14,000 students and a workforce of nearly In addition to USA’s outstanding academic 7,000 employees, USA’s leadership and programs, students enjoy a wide variety of innovation in education, research, service social, cultural, entertainment and athletic and healthcare make the University an activities that contribute to an outstanding economic driver and a catalyst for positive college experience. The USA Jaguars men’s transformation around the state of Alabama and women’s athletics teams compete in and along the Gulf Coast. 17 Division I sports within the Sun Belt South has awarded more than 90,000 Conference. Intramural and club sports allow degrees since its founding in 1963. The all students the opportunity to participate at University’s faculty promote an environment a level that suits their abilities. The Student where curiosity and discovery are given free Recreation Center ofers students, faculty, rein in more than 100 felds of study that staf and alumni a comprehensive recreational include business, the liberal arts, education, opportunity in exercise, swimming, intramural engineering, computing, the sciences and sports and outdoor adventures, and the JagFit healthcare. trail ofers additional opportunities for the USA Classifed as a high research activity community and area residents to get ft while university by the Carnegie Classifcation of enjoying the outdoors. Higher Education, USA’s advanced degree USA is a place where students discover oferings include doctorates in audiology, and strengthen their career passions and business, computing, educational leadership, form connections that result in lifelong engineering, marine sciences, medicine, basic relationships. At South, we look at the world medical sciences, nursing, physical therapy and see things that we have the power to and psychology. Research is conducted at both change, afect and shape — together. So that’s the undergraduate and graduate levels, and exactly what we do, every single day. 2
USA HEALTH The University of South Alabama intensive care and pediatric intensive care encompasses a comprehensive health system units. The hospital delivers nearly 3,000 composed of two hospitals — USA Health babies each year and specializes in high- University Hospital and USA Health Children’s risk OB/GYN patients. Hospital staf ofer a & Women’s Hospital — along with the USA variety of innovative programs for hospitalized Health Mitchell Cancer Institute and the USA children, teens and their families to meet Health physician practices. This combination of their developmental, educational, social and advanced healthcare services has improved the emotional needs. lives of countless residents throughout the Gulf Combining cutting-edge research with Coast region. advanced care, the USA Health Mitchell Cancer As an academic health system, USA Health Institute fghts cancer from the laboratory provides advanced and innovative patient care bench to the patient’s bedside. With more through its University hospitals and clinics, as than 40 clinical trials and 50,000 annual well as frst-class training experiences for the patient visits, MCI is the only academic cancer next generation of healthcare providers and research and treatment facility on the upper scientists. Gulf Coast. MCI has expanded with the opening of the MCI Kilborn Clinic in Fairhope, Alabama, and the new MCI Springhill location in Mobile. USA Health physician practices include nearly 200 physicians and provides more than 190,000 patient visits each year. It is the region’s largest multispecialty practice and the only academic physicians group on the Gulf Coast. Physicians are on faculty at the USA College of Medicine, and the majority of USA Health clinics are now located in the Strada Patient Care Center, which contains 153 patient exam rooms, 16 nurses stations and seven educational conference rooms. The 133,000-square-foot building houses clinics for family medicine, pediatrics, neurosciences, surgical specialties, obstetrics and gynecology, orthopaedics and therapy services, as well as a USA Health University Hospital is on the breast and mammography center. USA Health front line in delivering nationally recognized continues to expand its physician footprint quality care to the area’s most critically ill in Mobile with primary and specialty care patients, with the region’s only Level I trauma provided by the USA Mobile Diagnostic Center. center and a burn center that provides care The on-campus Student Health Center from injury to recovery. The life-saving care is stafed by physicians, nurse practitioners, that stroke and heart patients receive has been registered nurses and licensed practical nurses recognized year after year by the American dedicated to providing quality medical and Heart Association. University Hospital also educational services to the entire student body. plays a key role in the education of tomorrow’s healthcare providers, each year training hundreds of future professionals from the Services colleges of Medicine, Nursing and Allied Health These are some of USA Health’s extensive Professions. services, programs and centers for research: USA Health Children’s & Women’s • Acute and Chronic Dialysis Units Hospital, among a handful of freestanding • Arnold Luterman Regional Burn Center hospitals in the United States devoted • Breast Care Center exclusively to the care of children and women, • Cancer Research and Treatment ofers the region’s most advanced neonatal • Cardiac Rehabilitation Program 3
Services continued • Cardiovascular Diseases Center • Center of Excellence for Health Disparities • Center for Healthy Communities • Center for Human Performance • Center for Lung Biology • Center for Strategic Health Innovation • Center for Weight Loss Surgery • Center for Women’s Health • Comprehensive Sickle Cell Center • Coronary, Medical, Neurotrauma, Pediatric and Surgical Intensive Care • Digestive Health Center • Epilepsy Monitoring Unit • Fanny Meisler Level I Trauma Center • Level III Neonatal Intensive Care Unit • Maternal Fetal Medicine/High-Risk Obstetrics • Neonatal Transport Service • Pediatric Complex Care Clinic • Pediatric Development Medicine (Autism Diagnostic Center) • Pediatric Healthy Life Center • Pediatric Transport Service • Plastic Surgery Center • Primary Care with Patient Centered Medical Home Designations • Pulmonary Hypertension Program • Regional Stroke Center • Reproductive Endocrinology Center • Small Baby Unit 4
TIMELINE May 3, 1963 USA is founded by an act of the Alabama Legislature. June 1964 USA opens its doors to the students of Mobile County and the state of Alabama. 1965 The Association of American Medical Colleges and the American Medical Association send representatives to USA to assess the possibility of establishing a medical school there. August 1969 A resolution of the Alabama Legislature supports establishment of a medical school under the auspices of the University of South Alabama. 1970 $4.5 million committed by City and County to establish USA College of Medicine. November 1970 Mobile General Hospital is transferred to the University. May 1971 Dr. Robert M. Bucher named frst dean of the College of Medicine. January 1973 The charter class of 25 students enter the College of Medicine. April 1975 Mobile General Hospital renamed University of South Alabama Medical Center. September 1978 The University’s frst Ph.D. program — in Basic Medical Sciences — is initiated. January 1983 The USA Children’s & Women’s Hospital is established. August 1987 The former Providence Hospital is acquired by the University to house programs of the colleges of Allied Health Professions, Medicine and Nursing. June 1990 The University acquires Doctors Hospital and Knollwood Park Hospital. October 2001 Dedication of the USA Children’s Park, a 16-acre park at USA Children’s & Women’s Hospital displaying bronze sculptures celebrating children and families. March 2008 Plans for USA Children’s & Women’s Hospital expansion approved by USA Board of Trustees. November 2008 Dedication of the USA Mitchell Cancer Institute building, representing an investment of more than $135 million, including $75 million in construction and equipment. November 2010 Groundbreaking on USA Children’s & Women’s Hospital expansion. May 3, 2013 50th anniversary of USA’s founding and 40th anniversary of College of Medicine. April 2016 USA Mitchell Cancer Institute breaks ground on Kilborn Clinic in Fairhope. July 2018 SouthFlight returns to University Hospital. August 2018 USA Medical Center renamed USA Health University Hospital. December 2018 Ground broken on Fanny Meisler Trauma Center at USA Health University Hospital. June 2019 Small baby unit opens at USA Health Children’s & Women’s Hospital. 5
USA COLLEGE OF MEDICINE The University of South Alabama College of Medicine is an expanding network designed to provide all facets of medical education, research and patient care. Candidates for M.D. and Ph.D. degrees study basic medical sciences in the Medical Sciences Building (MSB) on USA’s main campus. Medical students spend the last two clinical years training in USA Health hospitals and clinics, as well as in rotations with community physicians. During its history, the College of Medicine has supplied one-third of the physicians in the Mobile area. It enrolls more than 70 medical students each year, selected from more than 1,100 applicants, and provides graduate medical education training to more than 240 residents and fellows. A doctoral program in basic medical sciences opens doors to academic careers in universities or medical institutions, or to research or administrative positions in government, nonproft or industry settings. USA Health University Hospital and USA Health Children’s & Women’s Hospital serve as the primary patient care facilities for the College of Medicine. Other clinical training facilities are located at the Strada Patient Care Center, USA Health Mitchell Cancer Institute, USA Health Stanton Road Clinic, and at a number of family medicine preceptor sites throughout Alabama. Mission Statement As a diverse community focused on the science and practice of medicine for Alabama, the central Gulf Coast, and beyond: We educate, We discover, We serve. Vision Statement To excel as a College of Medicine recognized for its education, diversity, outreach, discovery, compassion and service. Doctor of Medicine (M.D.) Degree Program The College of Medicine is a member of the Association of American Medical Colleges (AAMC). The M.D. program is accredited by the Liaison Committee on Medical Education (LCME). Residency and fellowship programs at USA Health are afliated with the College and are accredited by the Accreditation Council for Graduate Medical Education (ACGME). The educational design of the M.D. program is a competency-based curriculum across all four years, with the frst two years of medical school comprising an integrated organ systems-based approach. The frst two years are largely taught on USA’s main campus in the Medical Sciences Building and the adjacent Small Group Learning Center. The last two years of medical school are held in USA Health hospitals and care centers, as well as in ofces of community physicians, and expand the students’ education in the surrounds of full-time patient care. Throughout all four years, students are given the opportunity to participate in various student initiatives including many discipline-oriented interest groups, the Wellness Program, and the USA Student-Run Free Clinic. Service learning, a required component of undergraduate medical education, ofers medical students opportunities to serve the community in Mobile and the surrounding area. Not only is service learning a great break from the rigors of medical school, but it also allows students to learn more about the populations they serve. During medical school, students have the opportunity to take part in research projects in both basic and clinical science arenas. In addition, students may participate in overseas clinical electives. 6
FACILITIES The administrative ofces and primary fve freestanding hospitals in the United States classroom facilities of the College of Medicine dedicated to the healthcare of children and are located on USA’s main campus, while women. With some 2,600 deliveries annually, clinical training facilities are primarily located it is Mobile’s leader in births. Children’s at our hospital campuses. Numerous buildings & Women’s Hospital has the region’s only used as educational and research facilities are neonatal and pediatric intensive care units, being enhanced to accommodate our expanding both specially equipped and stafed to provide programs in education, research and patient the most advanced care for premature, care. critically ill and critically injured children. The NICU includes a recently opened small baby Charles M. Baugh Biomedical Library unit providing specialized care for infants born The Charles M. Baugh Biomedical Library at 28 weeks gestation or sooner. The high-risk supports medicine, nursing and allied health OB unit and the Labor/Delivery/Recovery unit and holds standard reference works. It contains are the regional referral centers for high-risk standard reference works in print, along with obstetrical patients for the central Gulf Coast. discipline-specifc journals and books. An This hospital also features the award-winning extensive collection of electronic resources – USS Hope treatment center, which uses including books, journals and databases – are “distraction therapy” to give young patients the available through the Biomedical Library’s feeling of traveling in a submarine during their web site, southalabama.edu/departments/ visit. The Geri Moulton Children’s Park, located biomedicallibrary/. Materials can be found in an adjacent wooded setting and flled with in the University libraries’ online catalog, more than 50 life-size bronze sculptures of SOUTHcat (click on Catalog Search), or the children and families, provides a tranquil place University libraries’ e-resource locator (click for patients and the community to enjoy, as well on the Journals tab tab in the front page search as a beautiful entrance to the hospital. box). The Biomedical Library provides access to online databases in the health sciences and Mastin Patient Care Center to resources not in the Biomedical Library The Mastin Patient Care Center, located collection via interlibrary loan. Other services directly behind University Hospital, houses include reference assistance, document surgery and internal medicine specialty clinics, delivery service, literature searches, and administration ofces, faculty ofces, small individual and group instruction on the use of classrooms, a satellite location for the Ofce the library’s resources and research processes. of Student Afairs, and department conference Computer access and individual and group areas. study rooms are also available. Medical Sciences Building (MSB) Central Services and The Medical Sciences Building features Administration Building (CSAB) two lecture auditoriums, the Gross Anatomy The ofce of the Vice President for Laboratory, the Clinical Skills Laboratory, Medical Afairs and Dean of the College teaching laboratories and conference areas of Medicine is located on the frst foor of that can accommodate small groups or entire the CSAB. The Ofce of Medical School classes. There are also faculty research Admissions, Risk Management and laboratories and ofces. The ofces of Student Continuing Medical Education – as well as Afairs and Educational Technologies and other administrative ofces of the College of Services are located on the frst foor of this Medicine – are also located there. building. The Division of Medical Education is located on the second foor. Children’s & Women’s Hospital Children’s & Women’s Hospital is a full- Mitchell Cancer Institute (MCI) service acute-care medical/surgical hospital. The Mitchell Cancer Institute provides Ofcially opened and dedicated in September exceptional cancer care through innovative 1997 and recently expanded, it is one of only treatment while also serving as a cutting-edge 7
site for both clinical and basic research. A referral center for southern Alabama, southern major goal of the Mitchell Cancer Institute Mississippi and portions of northwest Florida. is to bring state-of-the-art cancer treatment University Hospital provides a variety of technology to the region, including the area’s patient services ranging from critical and only CyberKnife, and to provide patients trauma care to elective surgery. At University with precise and efective cancer treatment Hospital, emergency patients are treated in the options. The MCI Pharmacy ofers convenient region’s only Level I Trauma Center. Patients medications, including oral chemotherapeutics in the Arnold Luterman Regional Burn Center for patients. beneft from the Center’s highly skilled staf and research in areas such as the development Mitchell Cancer Institute of artifcial skin. The Cardiovascular Disease Kilborn Clinic Center provides early detection, intervention, Nestled in the heart of Fairhope, Alabama, and management of heart disease. This hospital the Kilborn Clinic ofers medical oncology has been operated continuously since 1831 and and radiation oncology clinics and provides has provided medical education for more than a the most comprehensive, cutting-edge century. chemotherapy and radiation treatment for those battling cancer. Afliations The College of Medicine has training Moorer Clinical Sciences Building afliations with local hospitals and healthcare This 20,000-square-foot facility provides providers in Mobile, the Gulf Coast region and ofce, research, conference and teaching space rural Alabama to broaden clinical training for the College of Medicine at the University opportunities for its medical students. Hospital campus. The Department of Pathology and the USA Comprehensive Sickle Cell Center also occupy this building. Stanton Road Clinic The Stanton Road Clinic Adjacent to University Hospital, is an 11,600-square-foot facility providing ambulatory services for clinical departments and continuing clinics for residents and fellows. Stanton Road Clinic was recognized as a Level 2 patient-centered medical home in 2018. Strada Patient Care Center Many of USA Health’s physician clinics are now located in the Strada Patient Care Center, located across from Children’s & Women’s Hospital. It contains 153 patient exam rooms, 16 nurses stations and seven educational conference rooms. The 133,000-square-foot building houses clinics for family medicine, pediatrics, neurosciences, surgical specialties, obstetrics and gynecology, orthopaedic surgery and therapy services, as well as a breast and mammography center. University Hospital University Hospital is the primary inpatient site for adult care in the clinical educational programs for medical students and residents. The acute-care hospital is a 8
ADMISSIONS Overview semesters or three quarters. • Physics with Lab: Two semesters or three The philosophy of the curriculum quarters. leading to the Doctor of Medicine degree is • Humanities: Two semesters or three to impart the fundamental knowledge upon quarters. which medicine is based. The basic objective • English Composition or Literature: Two is to prepare students, so that after further semesters or three quarters. specialized training they may follow a variety The following courses are recommended, of careers in the private practice of medicine, but not required: Biochemistry (may substitute teaching, research, medical education or for Organic Chemistry II), Psychology, medical administration. Computer Science and Genetics. The Committee on Admissions is charged with fnal responsibility for selecting students with superior academic and personal attributes who have demonstrated strong motivation for the study of medicine and who show by other measures a strong promise to develop into competent physicians. The committee is charged with the responsibility of selecting the most qualifed students without regard to race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis, a selection that is not infuenced by political or fnancial factors. Detailed information on admission to the College of Medicine can be found at southalabama.edu/colleges/com/futurestudents. Preparation for the Study of Medicine Since the medical profession needs individuals with a wide range of talents and academic backgrounds, both science and The Application Process nonscience majors will be considered. Ninety All applicants are required to take the (90) semester hours from a U.S. regionally Medical College Admission Test (MCAT) and accredited college or university are required, apply to medical school through the American and a Baccalaureate degree is preferred. Medical College Application Service (AMCAS). The following required college courses AMCAS begins accepting applications on (including laboratory work) must be completed June 1 of each year. Completed applications prior to matriculation and must be completed and all materials, including ofcial transcripts, at a U.S. regionally accredited college or must be submitted to AMCAS no later than university in the United States. November 1. If the application is submitted • General Chemistry with Lab: Two after the deadline, the student must contact semesters or three quarters. the school directly and obtain permission for • Biology with Lab: Two semesters or three AMCAS to process the application. quarters. AMCAS ofers a Fee Assistance Program • Mathematics (Calculus is recommended): for students with documented need. Those Two semesters or three quarters. students granted a fee waiver will automatically • Organic Chemistry with Lab: Two qualify for a secondary application fee waiver 9
from the College of Medicine. The Admissions Committee interview All U.S. citizens who apply and evaluates the applicant’s abilities and international applicants with permanent skills necessary to satisfy the nonacademic resident status will be sent a secondary requirements established by the faculty, and the application. The information and personal and emotional characteristics that are documentation that students furnish will necessary to become a competent physician. provide the Admissions Committee with Specifcally, the applicant’s communication, an opportunity to learn more about each empathy, leadership, team-orientation, candidate. A $75 non-refundable application previous life and work experiences, research fee must accompany the application form. experience, regional bilingual language profciency and sensitivity to our multicultural society are evaluated. The Selection Process In the early phase of the selection process, the Admissions Committee relies on objective Acceptance criteria such as grade point average, MCAT The College of Medicine’s goal is to scores, substance and level of courses taken, select candidates who have the potential to trend in academic performance, pre-health address the wide spectrum of needs that the advisory review, extracurricular activities and medical profession faces. Candidates who state of residence. have been accepted must notify the school of Once the student’s credentials have been their decisions within two weeks of the ofer. favorably reviewed, the applicant is invited to If further information is needed to expedite a interview with members of the Admissions decision, students are encouraged to call and Committee. Approximately 200 applicants seek clarifcation. are invited for interviews. Applicants are Deferred Admission: It is possible, under interviewed by members of the Admissions special circumstances, for an applicant who Committee and ad hoc interviewers. Each is ofered a position in the freshman class of interview is scheduled for 30 minutes. The the College of Medicine to request a deferral interviewers are supplied with the AMCAS of the start of their medical studies for one or profle of the applicant and an evaluation form. two years. A written request that describes the In addition to the interviews, applicants have reason for the deferral should be received by an opportunity to tour the medical school and the Ofce of Admissions no later than June 1. selected clinical facilities, as well as meet with Approval of a request to defer will be based on current medical students. the perceived validity of the reasons set forth by the student. Deferred applicants may not seek nor accept admission at any other school for the deferred entering class year. Early Decision Program (EDP) The College participates in the EDP operated by AMCAS. This program is designed for competitive students who have narrowed their selection down to a single choice. The chief benefts include the security of having an early guaranteed position, reduced application and travel fees involved in applying to multiple institutions, and the opportunity to begin fnancial planning as soon as possible. Students applying as Early Decision candidates should be competitive on a national level. The EDP is limited to residents of Alabama, the Florida panhandle, and the Mississippi Gulf Coast counties, which are eligible for in-state tuition. 10
Procedures for regular admission apply to the attending and reason for requesting transfer, to EDP with the following exceptions: Nancy Dunn at ndunn@southalabama.edu. • Candidates must indicate the EDP Detailed information can be found at intention on the AMCAS application. southalabama.edu/colleges/com/futurestudents • A completed AMCAS application must be received by August 1. Technical Standards for Admission • MCAT scores must be available by Because the M.D. degree signifes that the September 1. holder is a physician prepared for entry into • Under the EDP guidelines, applicants the practice of medicine within postgraduate agree to apply to one medical school and training programs, it follows that graduates attend that medical school if ofered an must have the knowledge and skills to function acceptance. in a broad variety of clinical situations and to • Candidates will receive notifcation of the render a wide spectrum of patient care. outcome by October 1. Candidates for the M.D. degree must • EDP candidates are required to have have somatic sensation and functional use of a minimum composite MCAT score the senses of vision and hearing. Candidates’ of 503 and a grade-point average of diagnostic skills are also lessened without the 3.50. However, having the minimum functional use of the senses of equilibrium, requirements only allows a student to be smell and taste. Additionally, they must have considered for an EDP interview. It does sufcient exteroceptive sense (touch, pain and not guarantee an interview. temperature), and sufcient proprioceptive sense (position, pressure, movement, Advanced Standing Transfers stereognosis and vibratory). They must be Candidates who are not accepted through able to consistently, quickly and accurately the EDP are placed in the regular applicant integrate all information received by whatever pool and are free to apply to other medical sense(s) employed, and they must have the schools. intellectual ability to learn, integrate, analyze Opportunities to transfer to our school are and synthesize data. limited to the third year on a space-available The technical standards are published in basis. Transfer spaces are rarely available due the College of Medicine Admissions Policies to a very low attrition rate. and Procedures Manual, which is provided to All transfer applicants should be all faculty, administrators and students who currently enrolled in good standing at an are participating in the admissions process. LCME-accredited medical school and must The technical standards are reviewed annually have a compelling reason to transfer. Students by the Assistant Dean for and Director of who are attending non-LCME-accredited Admissions and presented to the Admissions medical schools, ofshore medical schools or Committee for modifcation if necessary osteopathic schools will not be considered. and for approval. Students who do not meet Students who believe they meet these all of the technical standards must submit requirements should submit a request for documentation of disability and application consideration, including school presently for reasonable accommodation to the Ofce of 11
higher; and be underrepresented in the medical community or disadvantaged based on family income, community resources or other self- determined status. For more information, email LoRen Burroughs Modisa at lburroughs@southalabama. edu or visit southalabama.edu/colleges/com/ administration/diversity/dream.html. SouthMed Prep Scholars Program The SouthMed Prep Scholars Program is a pre-medical school enrichment program designed for a select number of talented and academically competitive college students identifed in their freshmen and sophomore years of undergraduate studies who aspire Student Disability Services at the University of to become physicians. Students who are South Alabama. residents of Alabama and designated service areas in Florida (Escambia and Santa Rosa For further inquiries regarding the admissions counties) and Mississippi (George, Greene, process, e-mail Nancy Dunn at ndunn@ Harrison, Jackson, Perry and Stone counties) southalabama.edu. are encouraged to apply. During their junior and senior years, students attend the Early Assurance Programs program at the USA College of Medicine for Diversity Recruitment and Education for summer sessions that focus on research, Admission into Medicine (DREAM) Program MCAT preparation, shadowing, professional The Diversity Recruitment and etiquette, personal statement development and Enrichment for Admission into Medicine understanding the interview process. (DREAM) program is a summer medical school To be eligible, students must have a preparatory curriculum that emphasizes MCAT cumulative high school grade point average of preparation and exposure to the rigors of at least a 3.5 and an ACT score of 26 or SAT medical school. score of 1200 (critical reading plus math). Participants of the DREAM program will Participating scholars who achieve the become familiar with the process for applying matriculation requirements will be ofered to medical school, gain an understanding a position in the USA College of Medicine of the MCAT test and its content, develop frst-year class following completion of their skills as critical thinkers, and be involved undergraduate degree and prerequisites. in professional development. Participating For more information, visit scholars will be ofered a position in the USA southalabama.edu/colleges/com/ College of Medicine frst-year class upon administration/diversity/southmed.html or meeting matriculation requirements. email LoRen Burroughs Modisa at Highly motivated and academically driven lburroughs@southalabama.edu. students who are residents of Alabama and designated service areas in Florida (Escambia Early Acceptance Program and Santa Rosa counties) and Mississippi The (EAP) is jointly ofered by the (George, Greene, Harrison, Jackson, Perry and University’s Honors College and the College Stone counties) are encouraged to apply to the of Medicine. The COMEAP ofers a small DREAM program. number of qualifed high school seniors a To be eligible for the DREAM program, conditional acceptance to the University of students must have completed two years in a South Alabama College of Medicine contingent pre-med curriculum with a minimum of eight upon satisfactory completion of the program. hours in biology with lab, chemistry with Additional information can be found at lab, and math up to calculus; have an overall southalabama.edu/departments/admissions/ GPA of 3.4 or higher; an ACT score of 20 or earlyacceptance. 12
CURRICULUM OVERVIEW The curriculum at the USA College of learn to monitor and evaluate heart sounds and Medicine focuses on the concept of education interpret other diagnostic tests while acquiring across the continuum. It is fueled by the professional and interpersonal communication challenge in medical education of how best to skills needed for accurate diagnosis, move the matriculating medical student along documentation of care and relating efectively the pathway to becoming a competent physician with heart patients. and lifelong learner. The job is complex as Years three and four of training also young physicians must be able to satisfy an ever changed signifcantly in the competency-based, increasing level of competency in all aspects integrated curriculum. The objectives, pedagogy of their profession. The goal at the College and assessment of all clinical rotations are of Medicine is to provide a dynamic plan of integrated to satisfy the continuum and to learning expectations and awareness in training optimally prepare students to enter residency of what needs to be accomplished toward programs with previously established expertise of becoming a competent physician. competency-driven curricula. In addition, the The educational learning objectives are focus on vertical training that intensifes the framed around the six core competencies for clinical experience introduced into the frst two medical training delineated by the Accreditation years expands the delivery of basic medical Council for Graduate Medical Education and knowledge and its application into clinical American Board of Medical Specialties in 1999. settings. The College of Medicine curriculum is devoted The goal of engaging students in a holistic to the integrated instruction of all competencies curriculum across the full four years of medical beginning in the frst week of medical school. school at USA has improved training and Replacing traditional discipline-based basic competency in all areas that defne the science science courses, instruction commences with and art of doctoring. Progress toward the a two-year sequence of modules devoted to synthesis of skills into observable behaviors diferent organ systems. related to each competency are carefully Using the cardiovascular system as assessed in a series of milestones designed an example, students learn basic medical to achieve national standards of excellence knowledge covering the structure, function and at every level of training during the entire pathology of the heart and medical treatment undergraduate medical education program. of heart conditions. At the same time students 13
COLLEGE OF MEDICINE OBJECTIVES Upon completing the Doctor of Medicine MK2: Pathogenic mechanisms, epidemiologic degree, students will have successfully bases and clinical presentations of human demonstrated, through appropriate measures, disorders. an understanding of the six core competencies of medical practice defned by the Accreditation MK3: Indications, contraindications and Council for Graduate Medical Education. These cost-efectiveness of common diagnostic and include: laboratory procedures. Patient Care MK4. Appropriate pharmacotherapeutic agents PC1: Demonstrate profciency in the delivery of and non-pharmacotherapeutic treatments patient care. The demonstrated skills include: for preventative, curative and palliative • Collecting an accurate patient history. management of clinical conditions. • Appropriately interpreting a patient history. MK5: Scientifc basis, interpretation, reliability • Conducting physical exams appropriate to and validity of common diagnostic and individual patients. therapeutic modalities. • Creating a prioritized diferential diagnosis based on fndings. MK6: Ethical, cultural, economic, social and behavioral determinants of health. PC2: Accurately perform medical, diagnostic and surgical procedures for patient care. MK7: Elements of scholarly scientifc research and analytical thinking skills required to PC3: Deliver evidence-based and patient- critically appraise literature and select credible centered care for all patients, using and information resources in the practice of interpreting appropriate laboratory data, evidence-based medicine. imaging and other diagnostic tests. PC4: Assist patients with implementing an Interpersonal and evidence-based strategy for promoting a healthy Communication Skills lifestyle and disease prevention. ICS1: Demonstrate the ability to efectively communicate with patients and their PC5: Develop and apply therapeutic strategies appropriate caregivers in order to: to manage acute and chronic medical • Accurately collect all aspects of a patient’s conditions. history. • Convey treatment options. PC6: Create organized and prioritized patient • Discuss pertinent prevention, wellness, treatment plans. and behavior modifcations. • Deliver appropriate patient education. Medical Knowledge ICS2: Demonstrate the ability to recognize Upon completing the Doctor of Medicine degree, the importance of cultural diversity, varying students will have successfully demonstrated, backgrounds and lifestyles of patients, their through appropriate measures, their knowledge families, and other healthcare professionals and of the: to communicate efectively with those groups free of adverse bias and emotions that could MK1: Anatomic and cellular structure of negatively impact patient care. organ systems in the body, their molecular, biochemical and physiologic functions and ICS3: Work collaboratively, efectively and mechanisms for homeostatic control across respectfully with peers, consultants and other the lifespan. members of a healthcare delivery team. 14
ICS4: Maintain appropriate, timely, and legible to: honesty, integrity, respect, compassion and medical records to facilitate the exchange of empathy for all people. health information. P2: Demonstrate respect for the needs of all patients regardless of socioeconomic ICS5: Demonstrate the communication skills background, ethnicity, lifestyle and necessary to gain patient participation in shared culture through accountability, advocacy, decision-making and plan of care. responsiveness, sensitivity, and compassion that supersede self-interest. Practice-Based Learning and Improvement P3: Demonstrate accountability to society and profession. PBLI 1: Critically evaluate one’s own performance to identify personal strengths, defciencies, expertise and limits of knowledge Systems-Based Practice and to use personal refection and growth to SBP1: Describe specifc details of systems-based improve patient care. practice to include: PBLI2: Apply strategies to seek and deliver • Multiple layers of the healthcare system performance feedback for personal betterment that impact care delivery to a patient and and enhancement of patient care. populations. PBLI3: Apply information technology to • Organizational fnancing and its impact on optimize learning. patient care. • Risk-beneft analysis involved in cost- PBLI4: Set personal learning and improvement efective care. goals and develop strategies to achieve them, • Maximization of ancillary resources. focusing on the importance of continuous improvement as an enhancement of patient SBP2: Defne systematic approaches to identify care. and reduce medical error. PBL5: Identify and apply strategies for stress SBP3: Apply skills needed to work in inter- relief, coping, and developing resilience as a professional teams in order to enhance patient lifelong physician-learner. safety and improve patient care. SBP 4: Work among inter-professional Professionalism healthcare delivery teams relevant to diferent P1: Demonstrate high ethical standards in the specialties in order to optimize patient-centered practice of medicine including, but not limited care. 15
CURRICULUM DESCRIPTION YEARS ONE AND TWO Musculoskeletal System Module (12 CREDIT HOURS) Foundations of Human Health Module This module uses an integrated curriculum (9 CREDIT HOURS) of basic science and clinical material to develop Foundations of Human Health introduces the students’ knowledge and ability to describe the principles of basic and clinical sciences and diagnose conditions of the skin and the and lays the foundation for medical practice. It musculoskeletal systems. In addition, students provides students with tools to efectively master learn the foundations of human anatomy and application-based material in the subsequent the related basic and clinical sciences. In order systems-based modules. Students will develop to cultivate this ability in the student, team- the ability to identify key principles of human based and small-group learning exercises, health and disease in both the internal biologic lectures, anatomy labs, hands-on clinical skills milieu and the external environment. Basic labs, independent learning, clinical experiences, mechanisms of human biology, psychology and and the study of anatomic and radiological social systems are developed, as all are essential images will be utilized. to clinical reasoning, problem solving, patient- The module will begin with an introduction centered care and systems-based practice. to dermatology, muscle and connective tissue. Throughout this module students will This will include illustrative cases that portray engage in lectures, team-based learning these tissues in normal physiology, development sessions, independent study and clinical and aging, and disease. In the musculoskeletal experiences. These activities will provide segment, students will study the structures of students with opportunities to strengthen the musculoskeletal system of the upper and communication skills, observe and participate lower extremity and head and neck, in both the in systems-based practice, and exercise normal and diseased states. At the end of the practice-based learning techniques in a variety module, the students will have learned how to of settings that require and foster professional apply their emerging knowledge of normal and behavior and personal integrity. abnormal structure, as well as function of these tissues and systems in order to recognize and ultimately treat conditions associated with injury and/or illness. Given the nature and frequency University of South Alabama College of Medicine Curriculum JUL AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN Foundations of Infectious Disease Cardiovascular Urinary Musculoskeletal System Human Health & Immunology System Break or YEAR Research ONE Threads: Bioethics; Scientifc Method; Evidence-Based Medicine; Biostatistics/Epidemiology/Population Health, Nutrition; Ultrasound Experience CLINIC 1 (Skills Instruction, OSCE 1 and 2, Direct Patient Contact at Regional Ambulatory Clinic) Digestive Respiratory Neuroscience and Endocrine and Oncol- System System Behavioral Science Reproductive Systems ogy YEAR Break or USMLE Prep Research Step 1 TWO Experience Threads: Bioethics; ; Evidence-Based Medicine; Biostatistics/Epidemiology/Population Health, Nutrition; Ultrasound CLINIC 2 (Skills Instruction, Direct Patient Contact at Clerkship Sites) YEAR Family Neurology/ OB/GYN Internal Medicine Surgery Psychiatry Pediatrics OSCE 5 Medicine Selective THREE Clerkship Clerkship Clerkship Clerkship Clerkship Clerkship Clerkship YEAR Basic Acting Specialty Transition Science Vacation Vacation Elective Elective Elective Elective Graduation FOUR Internship Rotation Elective to Residency 16
of abnormal musculoskeletal and anatomical Students will master content through a conditions within our society, especially combination of learning strategies, including in geriatrics and sports, a comprehensive, small-group learning, lectures, laboratories and interdisciplinary and holistic approach to the independent self-study. In parallel, students will professional care for these individuals will be gain experience in developing patient history, emphasized. as well as basic clinical skills relevant to assessment of cardiovascular function. Infectious Disease & Immunology Module Urinary System Module (8 CREDIT HOURS) (5 CREDIT HOURS) The Infectious Disease & Immunology Module The Urinary System Module covers the covers the immune system that defends the body kidneys and the urogenital system including against infection. Both of these systems afect ureters, urinary bladder and prostate. The all organ systems and are critical for human lecture series of the module begins with the health. The module will focus on fundamental normal development and structure of the knowledge regarding the normal development, urogenital system, moves into the normal structure and function of the hematologic and physiology of the kidney, introduces the action immune systems, how these systems interface of pharmacological agents relevant to kidney with infectious agents and how defects in these function, and concludes with introduction of systems cause health problems such as cancer, pathological processes of infectious, oncological immunodefciency, allergy, autoimmunity and and immune injury. infection. Thus, the module will equip students Throughout the module, students are to understand the cellular and molecular engaged in learning activities that challenge mechanisms underlying each disorder and them to explore further the mechanisms of will develop their ability to deliver appropriate disease, the application of basic principles of patient care through proper diagnosis, treatment, organ structure and function to disease states, management and prevention of these diseases. and approaches to problem-solving in the Throughout the module, students will engage consideration of ethical and medical issues in lectures, small-group learning sessions, confronting patients with kidney disease. The independent study and clinical experiences. These students will be schooled in the evaluation activities will provide students with opportunities of kidney diseases through direct patient to strengthen communication skills, observe and evaluation as well as the radiological and participate in systems-based practice and exercise laboratory evaluation of kidney and urogenital practice-based learning techniques in a variety structure and function. of settings that require and foster professional Through both directed and independent behavior and personal integrity. learning venues, the students will have the opportunity to foster lifelong learning skills, Cardiovascular System Module develop efective communication skills, and (8 CREDIT HOURS) practice the cooperative skills needed to The Cardiovascular System Module is address the complex modes of efective delivery designed to provide students with an in- of medical care expected in the future. In sum, depth survey of the cardiovascular system students will be given a foundation of basic in health and disease, integrating concepts medical knowledge reaching from the cellular across disciplines. Each week in the seven- to the whole organ level and the means to apply week module is topically focused and the mechanism of function and pathophysiology week’s content is framed by introduction to understanding the care of patients with and discussion of relevant clinical vignettes. urogenital disease. Development and aging in the cardiovascular system, cardiac function and rhythmicity, Digestive System Module regulation of blood pressure, vascular (7 CREDIT HOURS) function and dysfunction, risk factors for and Studies in this module are focused on the epidemiology of cardiovascular disease, basics mastery of clinical and scientifc principles of clinical treatment strategies, and disparities involving the normal anatomic and physiologic in access to healthcare will be discussed. functions of the mouth, esophagus, stomach, 17
small and large intestine, along with the role of proper diagnosis, treatment and prevention of the pancreas and hepatobiliary tree. Secretory, these respiratory diseases. The social impact motility and absorptive functions throughout of chronic respiratory disease on patients the upper and lower GI tract are a major and their families, particularly for those with focus of study. Students will also develop an advanced disease, will also be highlighted understanding of nutritional and metabolism during interactions with actual patients and in disorders that are secondary complications of small group learning sessions. gastrointestinal and/or hepatobiliary disorders. Integration is achieved across all major Neuroscience and Behavioral medical basic science disciplines, as studies Science Module (12 CREDIT HOURS) proceed throughout diferent portions of the digestive system at all levels, from molecular The Neuroscience and Behavioral Science to cellular, to tissue, organ and organ system. Module is a 12-week module designed to Throughout the module, the mechanisms of provide students with the knowledge and normal function – including that of metabolism, skills to understand and evaluate normal nutrition and the normal microfora – are function, disease processes, injuries and studied in contrast with abnormal or disease psychiatric disorders of the human nervous states in order to develop the foundation for system. The frst 10 weeks of study focus understanding pathophysiologic mechanisms. on the anatomy, biology and function of the Teaching methods include large group/lecture, central and peripheral nervous systems as small group case-based learning activities, students learn the diagnostic methods and laboratories, computer simulations, self-study criteria, pathophysiology and treatments of and experiences that foster the development prevalent and prototypical neurologic injuries of clinical skills and professional attitudes and disorders. Training shifts in the fnal two involving contact with patients in the clinic and weeks to behavioral science as students learn hospital, as well as with simulated patients. about the classifcation, clinical presentation, psychopathology and treatment of prevalent Respiratory System Module psychiatric conditions. (6 CREDIT HOURS) Upon completion of the module, students will The Respiratory System Module will have a fundamental understanding of the structure introduce students to the anatomy, physiology and function of the human nervous system, the and pathophysiology of the respiratory system clinical manifestations of common neurologic and with a particular focus on the lung’s central psychiatric disorders, as well as treatments for role in gas-exchange and fuid balance. Normal these conditions. Students will learn to take an and abnormal anatomy from the sinuses, oral/ accurate neurologic history, conduct the essential nasopharynx and upper airways to the lower elements of the neurologic exam, perform a respiratory tract, including the structures of the psychiatric assessment, and develop interpersonal chest wall and thoracic cavity, will be presented skills and professional attitudes expected in the through the combined use of prosections and practice of neurology and psychiatry. radiologic imaging. The mechanics of breathing as well as the impact of diseases of the airway, Endocrine and Reproductive interstitum and pulmonary circulation on Systems Module respiratory function will be taught using (7 CREDIT HOURS) lecture, patient-oriented small group learning, The Endocrine and Reproductive Systems clinical skills’ labs and independent learning. Module will enable students to acquire and Students will be taught the cellular and apply knowledge of human development and molecular mechanisms involved in a broad reproduction and endocrine homeostasis. category of lung diseases including obstructive Lectures, small group discussions, self-study, disease, restrictive disease, pulmonary vascular laboratory work, clinical experiences and disease, lung cancer and infections of the upper patient simulation exercises will be utilized and lower respiratory tract. How these disease to advance the students’ understanding of the processes interact to alter gas exchange leading embryological and anatomical development to hypoxemia, hypercarbia and respiratory of the reproductive tract and its physiological failure will be an integral part of this course. function, as well as the evaluation of the Students will also gain experience in the clinical presentation, prevention and treatment 18
of male and female reproductive disorders, Clinical Skills sexually transmitted infections and breast This course consists of formative instruction diseases. Students will participate in small and interaction with simulated patients. group discussions of human sexuality and Learners are instructed on how to (1) conduct a sexual dysfunction. They will also develop patient encounter, (2) take a patient history, (3) their clinical examination skills working with perform the essential elements of physical and instructors trained in teaching female pelvic mental status examinations, and (4) document and breast exam and male genital examinations. their fndings in the form of a patient note. In the latter portion of the course, students will The course content is coordinated to follow apply knowledge of endocrinology to discuss the the sequence of pre-clerkship modules. The role of hormones in development, growth and Clinical Skills course grade is determined by metabolism as well as understand the pathology the fnal exam, an Observer-Structured Clinical of endocrine disorders. Students will participate Examination (OSCE), which consists of four in small group conferences on diabetes, adrenal, stations, each representing a diferent clinical thyroid, and calcium disorders as well as encounter. participate in clinical skills exercises in which these disorders are recognized. CLINIC 1 Hematology and Oncology Systems In the CLINIC 1 program, medical students Module in the frst year are connected with physicians and caregivers in the local community to assist The Hematology and Oncology Systems in developing their clinical skills. Students Module is designed to provide the scientifc and are exposed to the felds of Family Medicine, clinical principles necessary to provide care Pediatrics, OB/GYN and Internal Medicine. to patients with hematologic and oncologic Students interview patients, take vitals, assist diseases. Since these diseases involve and the staf, and eventually work toward taking a afect many organ systems, the module utilizes complete history and physical at the end of the an integrative approach to reinforce many frst year. Students are required to complete core concepts from previous modules. In the a clinical logbook and refective writings current healthcare environment, oncologic during their clinical experience. Students care is dependent upon the interprofessional document patient diagnoses, treatment plans, collaboration of multiple clinical specialties and complete tasks to prepare them for their and disciplines. As a result, teaching methods immersive third-year clinical experience. will focus on small group case-based activities, Formative assessments from preceptors are independent learning activities, and experiences included in the logbook and transferred to the promoting the development of the knowledge, competency-based evaluation of the Clinical skills, and attitudes necessary to work in Skills program. Students visit clinics six times interprofessional teams. during the year for a total of 24 clinic hours. The hematology section of the course will focus on diseases associated with malignant CLINIC 2 hematology such as the leukemias. Students In the CLINIC 2 program, medical will be introduced to the physiology, pathology, students in the second year are connected and pharmacology associated with these with physicians in USA Health hospitals disorders. The oncology portion of the and clinics as well as in the local community module will expose students to the cellular to develop their clinical skills and explore mechanisms, genetics, and pathophysiologic careers. Students may choose from a variety of processes critical to the development of specialties, some not included in the third-year common malignancies. Students will also clerkships, allowing early exposure to potential develop an understanding of nutrition and career paths. Students are required to complete metabolism associated with the pathogenesis a clinical logbook and refective writings and management of these disorders. Strategies during their clinical experience. Students for screening and prevention of the common document patient diagnoses, treatment plans, malignancies will also be highlighted in the and complete tasks to prepare them for their small group learning sessions. immersive third-year experience. Formative 19
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