MEDICAL UNIVERSITY OF THE AMERICAS 2018-2020 CATALOG
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MEDICAL UNIVERSITY OF THE AMERICAS “INTEGRITY IN EDUCATION” P.O. Box 701 Charlestown, Nevis, West Indies Telephone: (869) 469-9177 Fax: (869) 469-9180 Website: www.mua.edu U.S. Information Office: c/o R3 Education Inc. 27 Jackson Road, Suite 302 Devens, Massachusetts 01434, United States Telephone: (978) 862-9500 Fax: (978) 862-9599 E-mail: admissions@mua.edu GAINFUL EMPLOYMENT INFORMATION For gainful employment information, please reference www.mua.edu/gainful-employment DISCLAIMER The information in this catalog is subject to change. Such changes may be without notice. Potential students should not consider this catalog to represent a contract between Medical University of the Americas (MUA) and an entering student. MUA disclaims any misrepresentation that may have occurred as a result of errors in preparation or typesetting of the catalog. ii
SABA UNIVERSITY SCHOOL OF MEDICINE TABLE OF CONTENTS CONTENTS WELCOME................................................ 1 Clinical Medicine Clerkships FINANCIAL INFORMATION...................... 27 Mission Statement Elective Clinical Rotations Tuition and Fees History Hospital Affiliations Tuition Payment Policies Recognition, Approvals Doctor of Medicine Tuition Refund and Accreditation Graduation Requirements Late Fees The Island of Nevis National Resident Matching Program Deferment Fee Goals and Objectives BACHELOR OF HEALTH SCIENCE............ 20 Foreign Check Policy ACADEMIC CALENDAR.............................. 4 Educational Requirements Financial Aid Information General Requirements Ed-Invest ADMISSION.............................................. 5 Core Requirements Canadian Student Loans Education Requirements Admission Process ACADEMIC POLICIES.............................. 21 LIVING ON NEVIS.................................... 30 Required Documents for Applying Honor Code of Professional Conduct Nevis Facts at a Glance MCAT Requirement Attendance Airlines Serving St. Kitts-Nevis Provisional Acceptance Withdrawal Language and Currency Re-Application Leave of Absence Hospital International Applicants Grievance and Appeals Process Driving and Public Transportation Applicants with Advanced Degrees Academic Guidelines and Utilities Visiting the Campus Grading Policy Accommodations Student Orientation Office of the Registrar Immigration Requirements Transfer Applicants and Transcript Requests Communications Advanced Standing Student Promotions Committee Shipping Deferred Enrollment Dismissal Banking Educational Commission for Foreign Medical Pets CAMPUS................................................. 10 Graduates (ECFMG) Schools PRE-MEDICAL PROGRAM....................... 11 Ceremonies Churches Educational Requirements Academic Recognition and Awards Matriculation to the M.D. Program Student Responsibilities ADMINISTRATION AND FACULTY............. 32 Administration BASIC SCIENCES CURRICULUM............. 12 STUDENT LIFE........................................ 25 Faculty Basic Sciences Curriculum Dress Requirements Basic Sciences Course Descriptions MUA Dormitories RESIDENCY PLACEMENTS...................... 35 Required Equipment and Materials Off-Campus Housing Meal Plan CLINICAL MEDICINE CURRICULUM........ 17 Smoke-Free Environment Policy Requirements for Clinical Placement Substance Abuse Research: Literature Review & Analysis Student Organizations Clinical Placement
HIPPOCRATIC OATH I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism. I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug. I will not be ashamed to say “I know not,” nor will I fail to call in my colleagues when the skills of another are needed for a patient’s recovery. I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given to me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God. I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick. I will prevent disease whenever I can, for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm. If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.
WELCOME By focusing on key fundamentals—excellent faculty, small class sizes, a modern campus, a wide range of clinical affiliations and a cost-effective tuition—Medical University of the Americas (MUA) has enjoyed more than a decade of rapid growth and achievement. MUA was founded in 1998 by a group of educators who were active in international medical education. Since the seating of the first class, more than 900 physicians have earned their M.D. at MUA. The Board of Trustees for the Medical University of the Medical University of the Americas is proud of its track record: Americas wishes to express • Residency placement rates. its profound gratitude to the Government of St. • USMLE licensing exam performance. Christopher (St. Kitts)- • Recognition by key medical licensing authorities of the quality of an MUA education. Nevis, as well as the Nevis Medical education, globally, now emphasizes greater integration between the basic Island Administration for and clinical sciences portions of the medical school curriculum. At MUA, case-based their overwhelming support learning and clinical skills development are a prominent part of the Basic Sciences and assistance in the curriculum. Learning objectives are fully integrated across all courses. This gives students continued development of the opportunity to maintain perspective on critical learning objectives and enables the university. faculty to evaluate students based on patient-centered competencies, rather than just their medical knowledge. In addition to integrating more clinical experience into the first five semesters, MUA is also focused on extending its wide range of affiliations with teaching hospitals in the U.S. and Canada where our students complete their clinical rotations. MUA continually invests in its campus and is committed to implementing the latest instructional technologies and information systems. Recent years have seen significant campus expansion, including new buildings and the addition of faculty and administrative resources. 1
MISSION STATEMENT MEDICAL UNIVERSITY OF THE AMERICAS MISSION STATEMENT To provide students of diverse backgrounds with the opportunity to acquire the medical and clinical expertise needed for a successful career as a practicing clinician, along with the skills and confidence needed to critically evaluate and apply new information. In order to fulfill its mission, the university’s program is structured around certain ideals which embody its view of the essential qualities of today’s practicing physician. These ideals are defined in the six competencies adopted by the university and summarized below: 1. Patient Care: Students must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of illness and the promotion of health. 2. Scientific & Medical Knowledge: Students must demonstrate knowledge about established and evolving biomedical, clinical, and associated sciences and application of this knowledge to the practice of medicine throughout the life cycle. 3. Lifelong Learning, Scholarship, & Collaboration: Students must be able to examine and evaluate their patient care practices, appraise and assimilate scientific evidence, and use this information to improve their abilities. 4. Professionalism: Students must demonstrate a commitment to the highest standards of professional responsibility, adherence to ethical principles, and sensitivity in all interactions with patients, families, colleagues, and others with whom physicians must interact in their professional lives. 5. Communication & Interpersonal Skills: Students must display interpersonal and communication skills that foster effective information exchange and build rapport with patients, their families, and professional associates. 6. Social & Community Context of Healthcare: Students must demonstrate knowledge of and responsiveness to the larger context of health care and the ability to effectively call on system resources to provide care that is of optimal value to the health of the individual and of the community. 2
HISTORY RECOGNITION, APPROVALS After extensive research and collaboration with medical AND ACCREDITATION educators from the United States and abroad, MUA was MUA is accredited by the St. Kitts and Nevis Accreditation established to provide a comprehensive program leading to Board and graduates are eligible for licensure within the the Doctor of Medicine (M.D.) degree. federation. MUA is also accredited by the Accreditation Commission on Colleges of Medicine (ACCM). The MUA is approved and chartered by the Government of St. ACCM, Nevis’ accrediting body, undertook its accreditation Christopher (St. Kitts)-Nevis. Since its inception in 1998, process for MUA in 2009. The ACCM initially granted MUA, in close collaboration with the Government of MUA accreditation on June 30, 2010 for a period of six Nevis, has continued to develop into a dynamic, successful years (the longest period available under the ACCM medical school that stresses quality and integrity. The protocols). Contact details for the ACCM are: ACCM cooperative relationship with the local government and Secretariat, 131 Belmont, Southern Cross Road, Bray, health authorities, and the rapid expansion of the physical Co Wicklow, Ireland, Phone: +353 872388502, www. campus, has produced an excellent learning environment accredmed.org. for completion of the M.D. degree. In 2012, the United States Department of Education MUA’s 10-acre campus is located on what was once a determined that Nevis’ accreditation standards are sugar plantation and enjoys a constant breeze along comparable to those set by the Liaison Committee on with breathtaking views of the ocean and surrounding Medical Education (LCME) to accredit medical schools mountains. The physical structure has expanded step in the United States and Canada. by step with the completion of a laboratory building (containing the anatomy, histology and microbiology labs) The Doctor of Medicine (M.D.) program at the Medical and a two-story library with extensive learning resources. University of the Americas is listed in the latest A multipurpose complex with on-site health care clinics, International Medical Education Directory (IMED).1 The a computer testing center, as well as additional classrooms Educational Commission for Foreign Medical Graduates and faculty office space, was added in 2009. The campus (ECFMG) has declared that students from MUA are also boasts on-site recreation for students with tennis eligible to take the United States Medical Licensing Exam courts, a basketball court and a fitness center. While (USMLE), which is required for residency and medical preclinical and clinical enrollment has grown, MUA has licensure in the United States. maintained its focus on faculty accessibility and small class The New York State Education Department/State Board sizes. This strong academic environment has produced high for Medicine approved MUA in 2006 for clerkships and USMLE passing rates and excellent residency placement. residencies in the State of New York. Medical University of the Americas is licensed by THE ISLAND OF NEVIS the Commission for Independent Education, Florida Nevis is located in the eastern Caribbean, 2 miles from St. Department of Education. Additional information may be Kitts and easily reached by air via connecting flights from obtained by contacting the Commission at 325 West Gaines San Juan, Antigua, St. Maarten or St. Kitts. Nevis, also Street, Suite 1414, Tallahassee, FL 32399-0400, toll-free called the “Paradise Island,” is 36 square miles in area telephone number (888) 224-6684. with a population of approximately 12,000. It is a safe Medical University of the Americas is recognized by the island, conducive to study, family life and recreation. Medical Board of California. Much of Nevis slopes gently down from a 3,000-foot 1 Published by the Foundation for Advancement in International Medical Education and mountain peak to the palm-fringed, silver sand beaches, Research (FAIMER) in partnership with the Educational Commission for Foreign Medical Graduates (ECFMG). coconut groves and turquoise sea. Nevis has a pleasant year-round climate with an average temperature of 79 degrees. Humidity is low and constant northeast trade winds keep the island cool. Although there is no defined rainy season, the average annual rainfall is 55 inches. The capital of Nevis is Charlestown. The twin-island federation of St. Christopher (St. Kitts)-Nevis gained its independence from the United Kingdom in 1983, but still remains a member of the British Commonwealth. 3
ACADEMIC CALENDAR FOR 2018–2020 JANUARY SEMESTER 2018 MAY SEMESTER 2019 Orientation & Registration January 8, 2018 Orientation & Registration May 6, 2019 Classes Begin January 9, 2018 Classes Begin May 7, 2019 MD Graduation January 5, 2018 MD Graduation May 17, 2019 MD Graduation March 16, 2018 MD Commencement Ceremony TBD Tuition Due for Next Semester April 1, 2018 Tuition Due for Next Semester August 1, 2019 Last Day of Classes April 17, 2018 Last Day of Classes August 13, 2019 Basic Science Awards Ceremony April 19, 2018 Basic Science Awards Ceremony August 15, 2019 Reading Day and Final Exams April 18–20, 2018 Reading Day & Final Exams August 14–16, 2019 MAY SEMESTER 2018 SEPTEMBER SEMESTER 2019 Orientation & Registration May 7, 2018 Orientation & Registration September 2, 2019 Classes Begin May 8, 2018 Classes Begin September 3, 2019 MD Graduation May 18, 2018 MD Graduation September 6, 2019 MD Commencement Ceremony TBD Tuition Due for Next Semester December 1, 2019 Tuition Due for Next Semester August 1, 2018 Last Day of Classes December 10, 2019 Last Day of Classes August 14, 2018 Basic Science Awards Ceremony December 12, 2019 Basic Science Awards Ceremony August 16, 2018 Reading Day and Final Exams December 11–13, 2019 Reading Day & Final Exams August 15–17, 2018 JANUARY SEMESTER 2020 SEPTEMBER SEMESTER 2018 First Day of Enrollment January 6, 2020 Orientation & Registration September 3, 2018 Orientation & Registration January 6, 2020 Classes Begin September 4, 2018 Classes Begin January 7, 2020 MD Graduation September 7, 2018 MD Graduation – no ceremony January 10, 2020 Tuition Due for Next Semester December 1, 2018 MD Graduation – no ceremony March 13, 2020 Last Day of Classes December 11, 2018 Tuition Due for Next Semester April 1, 2020 Basic Science Awards Ceremony December 13, 2018 Last Day of Classes April 15, 2020 Reading Day and Final Exams December 12–14, 2018 Basic Science Awards Ceremony April 16, 2020 Reading Day and Final Exams April 15–17, 2020 JANUARY SEMESTER 2019 Orientation & Registration January 7, 2019 MAY SEMESTER 2020 Classes Begin January 8, 2019 First Day of Enrollment May 4, 2020 MD Graduation January 4, 2019 Orientation & Registration May 4, 2020 MD Graduation March 15, 2019 Classes Begin May 5, 2020 Tuition Due for Next Semester April 1, 2019 MD Graduation May 22, 2020 Last Day of Classes April 16, 2019 Commencement TBD Basic Science Awards Ceremony April 18, 2019 Tuition Due for Next Semester August 1, 2020 Reading Day and Final Exams April 17–19, 2019 Last Day of Classes August 12, 2020 Basic Science Awards Ceremony August 13, 2020 Reading Day and Final Exams August 12–14, 2020 4
ADMISSION Medical University of the Americas data, and perform in a reasonably or if the student is registered, dismiss encourages applications from students independent manner. MUA accepts the student. who are dedicated, enthusiastic, students from wide educational and and well suited for the rigorous geographic backgrounds, with the Students or graduates of any study of medicine. Prospective belief that such a diverse student body accredited college or university in students must have a solid pre- can only enrich the overall educational the world are invited to apply to medical undergraduate education experience. MUA. Applicants from the United incorporating appropriate science States (who are U.S. citizens or have courses. Students are also expected Applicants are accepted based upon the permanent visas) or Canada are to have a mature sense of values and presumption that all of their statements, expected to have a minimum of three sound goals for pursuing a career in both oral and written, are true and years of undergraduate studies or the medicine. Once enrolled at MUA, each that all documents are authentic. If it is equivalent of 90 semester hours or 135 student must be able to integrate all later discovered that false or inaccurate quarter hours, including pre-medical information received, demonstrate the information was submitted, MUA may requirements from an accredited ability to learn, analyze and synthesize nullify acceptance into the program, college or university. NOTE: MUA’s program of study is principally designed to meet the guidelines for medical education set forth by the LCME. Students whose anticipated or preferred career path is subject to other guidelines or requirements should carefully consider whether MUA’s program would satisfy those other requirements. IMPORTANT NOTICE TO NON-U.S AND NON-CANADIAN STUDENTS: In order to complete the program in medicine, students from outside the U.S. and Canada may need to obtain certain visas in order to undertake all or a portion of the requisite clinical training in affiliated hospitals in the U.S. and Canada. Additionally, all students from outside the U.S. and Canada will need certain visas to take one or more segments of the USMLE exams in the U.S. These visas are solely the student’s responsibility to obtain. Medical University of the Americas understands that as a result of policies or practices adopted by the U.S. State Department, a number of medical students from outside the U.S. and Canada have been unable to obtain the required visas. Students from outside the U.S. and Canada who are unable to obtain the necessary visas will not be able to complete the school’s degree program. In such a case, no refund of tuition or other expenses incurred in connection with his or her attendance at MUA will be made. 5
EDUCATION REQUIREMENTS The following courses are considered standard pre-medical Course Length of Study Credits requirements for admission. Exceptions will be considered General Biology or on an individual basis. Zoology One academic year 6+ credits Inorganic Chemistry Biology: A one-year general biology or zoology course (with lab) One academic year 6+ credits with a laboratory component. Students who elect to pursue Organic Chemistry additional coursework in the biological sciences should (with lab) One academic year 6+ credits consider genetics, embryology, cell and molecular biology, English or comparative anatomy. (recommended) One academic year 6+ credits Physics Chemistry: One year of inorganic chemistry and one year of (recommended) One academic year 6+ credits organic chemistry with laboratory component. Biochemistry Mathematics can be considered an option for Organic Chemistry. (recommended) One academic year 6+ credits Other A broad background in English: One year of college-level English literature or humanities, social composition. Applicants must demonstrate proficiency in or physical sciences, writing, reading and oral communication. and computer skills 6
ADMISSION PROCESS REQUIRED DOCUMENTS FOR MUA operates on a trimester system and admits a limited APPLYING number of students for the January, May, and September The following documents are required to complete the semesters. Prospective students may apply for admission application process: to MUA at any time throughout the year. Applicants are encouraged to submit their application and supporting • Completed application form along with a personal documents early (generally six to eight months in advance). statement. Since the number of students in each class is limited, early • Application fee of US$75.00. applicants have a better chance of securing a place in the • Official transcript(s) sent directly from each college/ semester of choice. university attended. Completed applications are reviewed and evaluated within • MCAT official report (MCAT scores are required for two weeks by the Pre-Screening Committee. Qualified all U.S. citizens, nationals or permanent residents prior applicants will be scheduled for a telephone or an in-person to matriculation). interview. • Two letters of recommendation (at least one should be from an individual capable of assessing the The Admissions Committee will evaluate the candidate’s applicant’s academic ability), or a Pre-medical advisor’s potential based upon the following criteria: committee report. 1. Intellectual and academic ability. • TOEFL scores, official report if applicable. 2. Communication skills, both oral and written. • Two passport-size (2” x 2”), color photographs. 3. Goals for entering the medical field. These additional documents are required once admission has been granted: 4. Letters of recommendation and personal statement. 5. Knowledge of international medical education. • Health certificate/immunization form to include: MMR, diphtheria, tetanus, polio, hepatitis B, and 6. Special talents, hobbies, interests and international tuberculin. travel. • Negative HIV test within six months (requirement of 7. Personal qualities such as spontaneity, enthusiasm, the Government of St. Christopher-Nevis). motivation, perseverance and sound judgment. • Police report or letter of clearance from the applicant’s 8. Willingness to work as a team member, function local police department. effectively under stress and display flexibility. • Four passport photographs. 9. Community service and leadership skills. • Completed dormitory form. 10. Volunteer experience, work or research in the medical field. • Valid passport. Decisions regarding admission are made within ten business days. All interviewed applicants will receive a final decision in writing. Upon receiving a letter of acceptance, students will be required to acknowledge their candidacy within 30 days by submitting a signed registration form along with a nonrefundable tuition deposit of US$250. The tuition deposit will be credited toward tuition once the student matriculates. 7
MCAT INTERNATIONAL APPLICANTS REQUIREMENT APPLICANTS WITH ADVANCED The MCAT is requested of North The Admissions Committee actively DEGREES American resident students. Admitted seeks to enhance the international Medical University of the Americas students are to submit their test representation of its student body encourages applications from results prior to enrolling into MUA. and therefore takes into account the individuals who hold advanced, The Admissions Committee at MUA variety of academic and scholastic graduate, or doctoral degrees in the will use MCAT scores to assist in the differences that exist throughout other basic science areas. Each applicant will admissions decision, but does not countries of the world. Students from be evaluated on an individual basis. base decisions solely on MCAT scores. all countries can be assured equal There is no minimum score below consideration for admission to MUA. which an application is automatically TRANSFER rejected. Applicants from countries with APPLICANTS The MCAT is offered online multiple educational standards similar to the U.S. will be evaluated by the AND ADVANCED times per year. Information on the Admissions Committee. Each STANDING MCAT testing dates is available at applicant, in general, should meet MUA does not support M.D. programs www.aamc.org. the educational requirements for that do not reflect a solid foundation admission to a medical school in their of traditional medical education. Application for the test must be made country of origin. Students who have Therefore, MUA will not accept approximately one month prior to the attended institutions outside the U.S. any transfer credits earned through designated testing date. If using the and Canada and whose transcripts distance learning. MCAT (THx) system, please use the are not in English must obtain an school name. MCAT scores must be interpretation in U.S. equivalency from Programs of this nature may seriously submitted to the Admissions Office in a translation service. Students who jeopardize a student’s potential Devens, Massachusetts. have attended a college or university for medical licensure in the U.S., outside the U.S. or Canada are Canada, and other countries. MUA PROVISIONAL required to obtain a course-by-course does not offer advanced standing to ACCEPTANCE evaluation of their transcript through students for courses taken in Doctor the World Education Services (www. of Chiropractic, Physician Assistant, Applicants who have not met all of wes.org) or from other accredited Podiatry, or Doctor of Dentistry the admission requirements may be agencies that are members of the degree programs. provisionally accepted. However, if National Association of Credential the requirements stipulated in the Students with unsatisfactory records or Evaluation Services (www.naces.org). provisional letter of acceptance have dismissal for any reason from another not been successfully fulfilled, the Since English is the language of medical school will not be considered applicant will not be permitted to instruction at MUA, it is important for advanced standing. Acceptance is register for classes. that applicants be prepared contingent upon the recommendation academically to pursue the curriculum of the Admissions Committee on the RE-APPLICATION and be able to communicate effectively. basis of space availability within the class. Basic Sciences transfer applicants Applicants whose principal language Application materials are maintained is not English may be required to may be accepted to the second, third, on file for one year, after which take the Test of English as a Foreign or fourth semester. students must re-apply for admission. Language (TOEFL). Unsuccessful candidates may re-apply Transfer students are admitted on a by submitting a new application form, space-available basis into the Basic a US$75 application fee, an updated Sciences portion of the program. personal statement and updated Transfer credits are only accepted from transcripts when applicable. schools listed by the World Health Organization (or successor). 8
Transfer applicants must submit the following documents: DEFERRED ENROLLMENT STUDENT ORIENTATION 1. Official transcript(s) sent directly Attendance at the student orientation is from the current institution, and Students who have already secured required for all new incoming students. all colleges/universities attended. placement by paying their tuition The orientation session is conducted on deposit may request to defer their the day before the first day of class. During 2. Verification that the student was orientation, incoming students will officially enrollment to a future semester. a registered medical student and register for classes, submit documents coursework was taken while the Deferment requests will be considered required for temporary residence, tour the student was “in residence.” on a case-by-case basis. Deferments campus, meet the deans and faculty, and will be granted only if space is available learn about MUA policies and procedures. 3. Students who wish to transfer in the requested semester. Students directly into the Clinical Medicine program will be requesting to defer their date of required to: enrollment must submit a Deferment Application along with a US$500 VISITING THE CAMPUS a) Provide documentation that nonrefundable deferment fee to the MUA maintains an open-door policy and they have successfully passed the encourages students and their families Admissions Department. If approved, USMLE Step 1 with a score of to visit the campus on Nevis. Visiting 200 or better. the tuition deposit and the deferment the campus will allow students to meet fee will be credited toward the first current students and faculty, tour the b) Schedule a personal interview semester’s tuition. Only one deferment campus facilities, sit in on classes and with the Associate Dean of visit the dormitories. To avoid arriving request will be honored. Clinical Medicine. during semester breaks and exam periods, please contact the campus Administration In the event the student is still unable Office to attend the deferred semester, (869-469-9177) for assistance in schedul- s/he will forfeit their tuition deposit ing your visit. and deferment fee and be required to reapply for admission. 9
CAMPUS Located on 10 acres of land generously provided by the Government of pathology laboratories provide each student with a medical-quality LORRAINE HANLEY St. Christopher-Nevis, the Medical binocular microscope and prepared BROWNE MEDICAL University of the Americas Basic slides. Faculty has access to dual- LIBRARY Sciences campus is situated on the binocular and trinocular microscopes The Lorraine Hanley Browne Medical eastern side of Nevis, overlooking to facilitate student learning. Library is a two-story 10,000 square the Atlantic Ocean, three miles from The cafeteria on campus is open to foot facility that houses computer Newcastle airport and one mile from all students, faculty, and staff from terminals, individual-study carrels Nisbet Plantation Beach. 7:00 AM to 5:00 PM. Services include with monitors and videotape Currently, the MUA campus consists breakfast, lunch, and snacks, with food recorders. In addition, students have of an administration building, prices subsidized by MUA. access to an extensive selection of classroom buildings, a student journals and textbooks, as well as cafeteria, a multipurpose building with Recreational facilities on campus extensive access to on-line medical gross anatomy, microbiology, histology include two tennis courts, a basketball journals and resources. The Learning and pathology laboratories, as well as court, a volleyball court, a children’s Resource Center (LRC) also contains a medical reference library with free play area and a fitness center. printed USMLE reference material so wireless Internet access. The teaching that students can start preparing for microbiology lab includes a wet lab their board exams throughout their and facilities for incubating and Basic Sciences program. evaluating microbiological cultures. A 38,500 square foot building was completed in 2009 and houses additional classrooms, administrative and faculty offices, laboratories, meeting rooms, a clinic, a general function room and a fitness center. All classrooms are air-conditioned and contain a wide variety of teaching resources such as classroom monitors, slide and overhead projectors, microscopes with video capability, LCD projectors, and computers. The gross anatomy laboratory utilizes human cadavers that have been specially prepared for medical dissection. In addition, there is a dry anatomy laboratory with many teaching aids, as well as, tutorials in X-Ray, CT and MRI imaging technologies. The histology and 10
PRE-MEDICAL PROGRAM MUA offers a highly structured, one- year, Pre-medical science curriculum CURRICULUM designed to allow students a smooth First Semester: Credit Hours transition into the Doctor of Medicine Basic Sciences program. The Pre- PMED 011 – Principles of General Chemistry 5 medical program consists of two PMED 012 – Medical Terminology 3 semesters (one academic year) of science coursework. Students may PMED 013 – Human Anatomy & Physiology I 6 enter the Pre-medical program during any of the academic semesters Second Semester: (January, May or September). PMED 021 – Advanced Organic Chemistry 5 ADMISSION REQUIREMENTS FOR PMED 022 – Introduction to Cell Biology 5 THE PRE-MEDICAL PROGRAM: PMED 023 – Human Anatomy & Physiology II 6 1. Applicants must demonstrate proficiency in writing, reading, and oral communications. 2. A completed application form. MATRICULATION TO THE M.D. PROGRAM 3. A nonrefundable application fee Students enrolled in the Pre-Medical program must meet the following criteria, of US$75. as well as all requirements, in order to qualify for matriculation to the Doctor of 4. A personal statement. Medicine program: 5. Official transcripts from each 1. Complete the entire Pre-Medical Program in two semesters. college/university attended. 2. Achieve an overall GPA of 3.0 (B) and be in good standing. 6. Two letters of recommendation. 7. Two passport-size (2” x 2”), color photographs. Coursework in general biology, zoology, genetics, immunology, physics, psychology, and human growth and development are highly recommended, but not required. 11
BASIC SCIENCES CURRICULUM BASIC SCIENCES CURRICULUM Course Course Name Credits Contact Hours Semester 1 MED 502 Human Body Structure & Function 15 231 MED 504 Human Histology & Physiology 13 180 MED 506 Clinical Skills I 2 30 SEMESTER ONE TOTAL: 30 441 Semester 2 The Medical University of the MED 601 Metabolism & Nutrition 9 143 Americas curriculum in the Doctor MED 602 Genetics & Development 7 105 of Medicine (M.D.) program parallels MED 603 Infection / Defense / Response 10 169 the courses and training offered MED 606 Clinical Skills II 4 51 by medical schools in the United MED 607 Foundational / Applied Clinical Correlate 2 24 States and Canada and is principally designed to meet the guidelines set MED 609 Research Curriculum - Evidence Based Medicine 2 16 forth by the Liaison Committee on SEMESTER TWO TOTAL: 34 508 Medical Education. The Basic Sciences Semester 3 program is five semesters in length. MED 701 Neuroscience, Mind & Behavior 12 185 The Clinical Medicine program MED 702 Systems & Disease I (Introduction/Neuro) 10 152 consists of 72 weeks of clinical MED 703 Medical Ethics 2 26 rotations at hospitals in the United MED 706 Clinical Skills III 3 54 States and abroad, and eight weeks of MED 707 Epidemiology 2 27 the Research: Literature Review and Analysis module. MED 708 Foundational / Applied Clinical Correlate 2 24 SEMESTER THREE TOTAL: 31 468 The first five semesters comprising Semester 4 the Basic Sciences program are MED 801 Systems & Disease II (Repro/Endo) 8 79 taught on Nevis by qualified M.D. MED 802 Systems & Disease III (CV/Resp/Renal) 11 147 and Ph.D. medical school faculty who are dedicated to providing the MED 803 Systems & Disease IV (GI/Peds) 6 56 highest quality instruction. The low MED 806 Clinical Skills IV 8 136 student-professor ratio provides ample SEMESTER FOUR TOTAL: 33 418 opportunity for students to interact Semester 5 with the teaching faculty. MED 901 Systems & Disease V (Heme/Immune/Integument/MSK/Multisystem) 12 156 The Basic Sciences program consists MED 908 Foundations of Clinical Medicine 16 246 of five 15-week semesters of MED 906 Clinical Skills V 3 48 coursework with two-week breaks MED 909 Research Curriculum - Critical Appraisal 1 8 between each semester. SEMESTER FIVE TOTAL: 32 458 12
BASIC SCIENCES COURSE DESCRIPTIONS FIRST SEMESTER MED 506 CLINICAL SKILLS I This is the first course in a five-part series that MED 602 GENETICS & DEVELOPMENT focuses on communication skills, eliciting the This course provides students with an under- MED 502 HUMAN BODY patient’s history, performing a physical exam, standing of the principles and concepts upon STRUCTURE & FUNCTION and communicating their findings to health- which current clinical genetic practice (diag- This course explores basic gross human care professionals through oral presentations nosis, treatment, and genetic counselling) is anatomy, allowing students to understand the and written notes. In this course, students will based. It also incorporates human development, relationship anatomical structure and function. learn and practice the foundations of patient- allowing students to understand the relation- Through lectures, regional dissections of cadav- physician communication skills, including ship between embryonic development, in terms ers and evaluation of radiographs (including CT initiating the session, building the relationship, of human body structure & function, and the and MRI), students acquire a basic knowledge of exploration of problems, understanding the underlying genetic mechanisms of congenital the normal gross structure, functional and clini- patient agenda and structuring the consultation. abnormalities. This course covers the genetics cal anatomy of organs and systems of the adult Students will also learn the first steps of eliciting of human populations and introduces recent human body, including the brain and spinal the patient’s story in a patient centered manner and ongoing discoveries so that their future cord. Computer-based tutorial programs and and the initial components of a physical exam. applications may be understood. It is integrated structured reviews are used to supplement the In addition, students will begin to develop their with MED 607 - Foundational / Applied Clinical lectures and labs. (15 credits; 245 hrs.) skills documenting their findings in a patient Correlate. (7 credits; 105 hrs.) note. (2 credits; 30 hrs.) MED 504 HUMAN HISTOLOGY & MED 603 INFECTION / PHYSIOLOGY SECOND SEMESTER DEFENSE / RESPONSE This course examines the microanatomy of cells, This course considers the characteristics and tissues and organs as well as the basic compo- MED 601 METABOLISM & properties of microorganisms, their role in the nents of human physiology. Lectures illustrate NUTRITION disease processes and selected aspects of the microstructure of major tissues and organs diagnosis and treatment of infectious disease. in relation to their function. This program pres- The biochemical pathways of living organisms are studied with a focus on metabolic processes. Other topics include the basic principles of ents the molecular biology and histology of nor- bacteriology, mycology, parasitology, virology, mal cells, tissues and organ systems at various Topics include pathways linking nutritional in- take and energy yielding processes as well as the immunology and microbial genetics, including developmental functional stages. Students learn cultural characteristics and pathogenic proper- how individual cell functions interact with one application of underlying principles discussed in the first semester. Broad content includes a ties of medically important species of bacteria, another and how such interactions are accom- fungi, and viruses. This course covers the basic plished from the tissue levels to the organ levels. study of the chemistry and reactions of constitu- ents of living matter, including carbohydrates, immunologic concepts of the cells and humoral The course prepares students for an understand- products of the immune system. Lectures include ing of normal (homeostasis) structure of the lipids, proteins, nucleic acids, vitamins, coen- zymes, and minerals. In addition, the chemistry the molecular biology and genetics of antigen systems and furnishes the background for ap- recognition and immunoglobulin production plus preciating pathological conditions. In addition, and regulation of the reactions and processes of whole organisms will be examined including: the characteristics and detection of antigen- students learn how molecular building blocks antibody reactions. The approach is to correlate are utilized for growth and differentiation, wound endocrinology, enzymology, nutrition, intermedi- ary metabolism and biochemical mechanisms these basic concepts with clinical manifes- healing and tissue repair, defense mechanisms tations of disease, the immunopathologic and transfer of hereditary characters. Physiology involved in select disease states. The content of MED 601 - Metabolism & Nutrition is integrated mechanisms of hypersensitivity, autoimmunity, topics include the basic components of all organ transplantation, tumor immunology, hematology, systems. (13 credits; 180 hrs.) with the course MED 607 - Foundational / Ap- plied Clinical Correlate allowing for the direct reproduction, infectious diseases, immunode- application of the principles learned to human fiency and pharmacotherapy. This course will be health. (9 credits; 143 hrs.) integrated with the course MED 607 - Founda- tional / Applied Clinical Correlate. (10 credits; 169 hrs.) 13
MED 606 CLINICAL SKILLS II After a review of the skills developed in Clinical THIRD SEMESTER MED 703 MEDICAL ETHICS (WEEKS 1-4) Skills I, students will learn additional compo- This course provides a comprehensive study nents of a patient-centered history, including MED 701 NEUROSCIENCE, MIND of the legal and ethical issues involved in the explaining and planning a treatment plan and & BEHAVIOR (WEEKS 1-15) practice of medicine. Medical ethics will consist communication skills in specific situations This course will include an interdisciplinary of a series of seminars devoted to discussion of including delivering bad news, cultural and investigation of the physiology and the gross and various topics such as disclosure, confidential- social diversity, and demonstration of empathy. microscopic structure of the brain, spinal cord, ity, informed consent, and death and dying. Instruction on the history continues with the past and nervous system of humans. Aspects of brain The inclusion of ethics case discussions will medical history, family history, social history and energy metabolism, neurotransmitter synthesis allow students to discuss and debate ethical a complete review of systems. Students will also and degradation, and psychopharmacology are scenarios. Legal cases posing dilemmas that learn to perform a complete screening physical presented. This course integrates anatomical relate to each case will be presented, along with exam, and will continue to develop documen- and physiological material to assist the student abstract material to facilitate conceptual and tation skills with oral presentations and the in understanding common neurological disease ethical analysis. This course will be integrated patient note. (4 credits; 51 hrs.) processes. Laboratory exercises will provide with MED 706 - Clinical Skills III. (2 credits; 26 slides and dissection of the human brain, spinal hrs.) MED 607 FOUNDATIONAL / cord, and relevant structures. Students will be introduced to modern methods of neuroimaging, APPLIED CLINICAL CORRELATE including CT scans and MRI. Additionally, this MED 706 CLINICAL SKILLS III In Foundational / Applied Clinical Correlate course presents the basic principles of hu- (WEEKS 5-15) sessions, students will be introduced to the man behavior including biological, social, and After a review of the skills developed in Clinical relationship between basic science and clinical cultural substrates. Both normal and abnormal Skills I & II, students will learn to communicate medicine with emphasis on diagnostics, thera- behavior theories will be included in an overview in a patient-centered manner in other specific peutics and disease causation. In addition, there of personality development. Workshops will cover situations including patients with mental illness, will be integration of concepts learned in MED areas such as interviewing techniques, death obtaining information from other caregivers, 606 - Clinical Skills II. Each of these interactive education, human sexuality, and psychophysi- providing advocacy and support and medically sessions will include didactic instruction, group ological disorders including stress management unexplained symptoms. Students will continue problem-solving exercises and critical appraisal and biofeedback. Additional lectures present to refine their ability to obtain a complete history of the primary literature. Students will present various classes of psychotropic drugs and their and conduct a complete physical exam. Students different aspects of contemporary scientific and indications. This course will be very closely will also refine their ability to obtain a complete medical literature including the background, integrated with MED 708 - Foundational / Ap- history and physical exam in a patient-centered current understanding and future directions. plied Clinical Correlate and MED 702 - Systems manner, and will begin to learn to obtain a This course will also be integrated with MED 601 & Disease I. (12 credits; 185 hrs.) problem-focused history. Documentation skills - Metabolism & Nutrition, MED 602 - Genetics & will focus on the complete history and physical Development and MED 603 - Infection / Defense exam with oral presentations and the patient / Response. (2 credits; 24 hrs.) MED 702 SYSTEMS & DISEASE note. (3 credits; 54 hrs.) I (INTRODUCTION/NEURO) MED 609 RESEARCH (WEEKS 1-15) MED 707 EPIDEMIOLOGY CURRICULUM - EVIDENCE- Basic principles of human physiology are first studied followed by an investigation of the (WEEKS 1-4) BASED MEDICINE Neurological System. This course employs the This course addresses the fundamental prin- Student will have an opportunity to develop re- Neurological System as a transition to semesters ciples of the distribution of diseases and their search skills related to Evidence-Based Medicine 4 and 5 where the remainder of the systems will causes in human populations. Students will (EBM). Students will be introduced to concepts be discussed. As with the rest of the Systems & learn how to conduct epidemiologic investiga- of research analysis and critical thinking. At Disease courses, each system will begin with a tions, how to critically review medical literature the end of this course, students will be able to detailed review of pertinent human body struc- and how to use this information in a clinical identify and frame a clinical question based on ture & function as well as cell / tissue structure environment. Students will acquire a basic level therapy, diagnosis, prognosis or etiology; develop & function. This will be followed by the presenta- of proficiency in epidemiologic principals, bio- a focused search strategy to identify articles tion of the individual systems in detail, including statistics and be able to apply these in clinical that best answer the clinical question; find the relevant pathology, physiology, pharmacology, practice. (2 credits; 27 hrs.) appropriate medical database; and critically clinical skills and clinical presentations of appraise articles for validity. Students will be disease. All content will be integrated. Addition- required to independently utilize various types ally, Clinical Correlate sessions will introduce of EBM resources. Students will use technologi- students to the relationship between individual cal resources that are available online and in systems, pharmacology and clinical medicine the Medical University of the Americas library. with emphasis on diagnostics, therapeutics and Skills acquired in this course will allow students disease causation. These sessions will include to successfully complete the research module, didactic instruction, group problem-solving Research: Literature Review and Analysis (RLRA). exercises and critical appraisal of the primary (2 credits; 16 hrs.) literature. (10 credits; 152 hrs.) 14
MED 708 FOUNDATIONAL / MED 806 CLINICAL SKILLS IV MED 909 RESEARCH APPLIED CLINICAL CORRELATE After a review of the skills developed in Clinical CURRICULUM – CRITICAL (WEEKS 1-15) Skills I–III, students will continue to develop APPRAISAL their communication skills and ability to perform In Foundational / Applied Clinical Correlate Students will participate in the critical appraisal a complete history and physical exam. Physical sessions, students will be introduced to the of contemporary medical literature, including exam skills will be reinforced by more in-depth relationship between basic science and clinical publications representing various study designs instruction in the physical exam skills that medicine with emphasis on diagnostics, thera- as well as the incorporation of basic science correspond to the systems studied in Systems peutics and disease causation. In addition, there principles. Selected primary literature will range & Disease, concentrating on the integumentary, will be integration of concepts learned in MED from preclinical investigation through the vari- cardiovascular, respiratory, renal and neurologi- 706 - Clinical Skills III. Each of these interactive ous phases of clinical trials. Templates such as cal systems. Students will further develop their sessions will include didactic instruction, group PICOT (population, intervention, comparison, ability to complete a problem-focused history problem –solving exercises and critical appraisal outcome and time) will be introduced and and physical exam. Documentation skills will of the primary literature. Students will present utilized. This course will be integrated with focus on the complete history and physical exam different aspects of contemporary scientific and the content presented in MED 901 - Systems with oral presentations and the patient notes for medical literature including the background, & Disease V. Skills acquired in this course will both a complete history and physical exam and a current understanding and future directions. allow students to successfully complete the focused patient visit. (8 credits; 136 hrs.) This course will also be integrated with MED research module, Research: Literature Review 701 - Neuroscience, Mind & Behavior. (2 credits; and Analysis (RLRA). 24 hrs.) FIFTH SEMESTER – (1 credit; 8 hrs.) FIRST BLOCK FOURTH SEMESTER FIFTH SEMESTER – MED 801 SYSTEMS & DISEASE II MED 901 SYSTEMS & DISEASE V SECOND BLOCK (HEME/IMMUNE/INTEGUMENT/ (REPRO/ENDO) MSK/MULTISYSTEM) MED 908 FOUNDATIONS OF The Systems & Disease series of courses begin This course covers the Hematologic, Immune, CLINICAL MEDICINE with a detailed review of pertinent human body Integumentary and Musculoskeletal systems as structure & function as well as cell / tissue This course utilizes daily live lectures and other well as Multisystem disease. It follows the struc- materials to provide a structured, integrated structure & function. This will be followed by ture described in MED 801 - Systems & Disease the presentation of the individual systems in review of the basic sciences. An emphasis is II. (12 credits; 156 hrs.) placed on understanding of disease processes detail, including relevant pathology, physiol- ogy, pharmacology, clinical skills and clinical and clinical problem solving. Students attend presentations of disease. All content will be MED 906 CLINICAL SKILLS V daily live lectures. Early in the course students integrated. Additionally, Clinical Correlate ses- are given a diagnostic pre-test to help identify After a review of the skills developed in Clinical sions will introduce students to the relationship problem areas and individualize learning goals. Skills I– IV, students will continue to develop between individual systems, pharmacology and At the end of the course students are adminis- their communication skills and ability to perform clinical medicine with emphasis on diagnostics, tered a full-length, simulated comprehensive a complete history and physical exam. Physical therapeutics and disease causation. These exam. (16 credits; 246 hrs.) exam skills will be reinforced by more in-depth sessions will include didactic instruction, group instruction in the physical exam skills that problem-solving exercises and critical appraisal correspond to the systems studied in MED 901 of the primary literature. This course covers the - Systems & Disease V, concentrating on the Reproductive and Endocrine systems. (8 credits; gastrointestinal, endocrine, reproductive, and 79 hrs.) musculoskeletal systems. Students will further develop their ability to complete a problem- MED 802 SYSTEMS & DISEASE III focused history and physical exam. Documenta- tion skills will be further developed with focused (CV/RESP/RENAL) patient visits, with additional instruction on This course covers the Cardiovascular, Respira- medical order writing, diagnostic decision-mak- tory and Renal systems, and follows the struc- ing, and prescription writing. (3 credits; 48 hrs.) ture described in MED 801 - Systems & Disease II. (11 credits; 147 hrs.) MED 803 SYSTEMS & DISEASE IV (GI/PEDS) This course covers the Gastrointestinal sys- tem and Pediatrics, and follows the structure described in MED 801 - Systems & Disease II. (6 credits; 56 hrs.) 15
RESEARCH REQUIRED Students and faculty are encouraged to participate in research projects. Students EQUIPMENT AND are able to engage in projects focused on the MATERIALS advancement of patient-focused care, especially Medical Apparel: Students must purchase their as related to primary care and underserved own medical apparel (laboratory coats, scrubs, populations. short white coat, etc.). Computer: Students should consider bringing a ELEC 104 RESEARCH laptop for note taking during classes. The major- Students are invited to participate in research ity of lectures are presented using PowerPoint. projects at the discretion of the professor. The amount of credit and time will be determined on Textbooks: Students will be given a list of a case-by-case basis. required textbooks and other equipment at the time of admission. A complete listing is avail- able on the MUA website. Faculty may make MED 515 INDEPENDENT STUDY changes to the booklist up to two months prior In this course, students learn the skills of a to the first day of class. MUA reserves the right systematic approach to acquiring important to change the book list. To prevent unnecessary medical data via independent study. Medical expenditures, it is suggested that students pur- information acquisition and further review of chase their textbooks one semester at a time. topics of interest will be accomplished under the guidance of a faculty mentor. Students will develop their skills by working with an individual professor who agrees to monitor their experience. Students will be responsible for defining their area of interests and arranging the experience with their faculty mentor (variable hours and credits). May be taken any semester with permission of the Associate Dean of Basic Sciences and the instructor. 16
CLINICAL MEDICINE Once students have successfully goals. Students, however, are required • Provide proof of personal health completed the Basic Sciences, they are to complete at least four weeks of a insurance. eligible to enter the Clinical Medicine Primary Care elective (e.g., Family • Submit an updated resume. portion of the M.D. program. The Medicine, Ambulatory Internal • Submit a USMLE release form. 80-week Clinical Medicine Program Medicine, or Ambulatory Pediatrics). component consists of a required • Pass the USMLE Step 1. eight-week research module followed REQUIREMENTS • Pay liability insurance premium. by 72 weeks of clinical clerkships in various medical specialties in selected FOR CLINICAL • Research: Literature Review and Analysis final paper approved teaching hospitals in the United States PLACEMENT by sponsor for presentation to and abroad. During this time, students Students must meet the following criteria committee attain broad experience in conducting in order to qualify for matriculation to physical examinations, taking the Clinical Medicine program: RESEARCH: thorough histories while focusing LITERATURE REVIEW • Be considered in good standing on the fundamentals of diagnosis and gaining an introduction to the at the completion of the Basic AND ANALYSIS management of health care problems. Sciences program. The Research: Literature Review and • Receive a recommendation by the Analysis course, a required portion of The 72 weeks of clinical clerkships Promotions Committee and the the curriculum (effective September, include 42 weeks of required core Associate Dean of Basic Sciences. 2012), is designed to further develop clinical hospital rotations and 30 weeks students’ abilities to evaluate and • Submit a complete and updated of elective rotations. Core rotations assimilate scientific evidence and Immunization Form. consist of Internal Medicine, Surgery, to reinforce the skills required to Pediatrics, Psychiatry, and Obstetrics • Participate in a Clinical Orientation Session on the critically appraise the ever-changing and Gynecology. body of medical knowledge. MUA campus. Elective rotations may be in any of the • Sign the MUA Clinical Medicine various medical specialties, depending contract. upon the student’s future 17
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