information on curriculum for basic medical education host ... · • uphold professional and...

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19 th AJCCM 1 Information on Curriculum for Basic Medical Education Host Country: Cambodia CRITERIA Cambodia 1. Pre-requisite for entry into medical school (level of educational attainment High school / grade 12 2. Medical Education: Total number of years (Specify details and describe the set-up) Total number of years : 8 Divided into: Cycle 1 (3 years) : Basic Medical Sciences Cycle 2 (3 years): Bachelor of Medicine Cycle 3 (2 years) : Clinical program: internship 3. Curricular Structure and Number of Hours / Credit Units Year 1 (foundation): 31 credits Year 2 : 33 credits Year 3: 36 credits Year 4: 38 credits Year 5: 39 credits Year 6: 44 credit Year 7-8: internship: 39 credits 1 credit= 15 hrs teaching 4. Subjects per pre- clinical year level / Clinical and Community Rotations, including length and duration; Identify core and elective subjects Cycle 1: Y1-Y3 Anatomy: 10 credits Biology: 2 credits Embryology: 1 credit History: 1 credit Philosophy: 3 credits Maths: 1 credit Chemistry: 1 credit Biochemistry: 5 credit Physics: 2 credits

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Page 1: Information on Curriculum for Basic Medical Education Host ... · • Uphold professional and ethical behaviour • Demonstrate capacity for continuing lifelong learning 6. Assessment

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Information on Curriculum for Basic Medical Education Host Country: Cambodia

CRITERIA Cambodia 1. Pre-requisite for

entry into medical school (level of educational attainment

• High school / grade 12

2. Medical Education: Total number of years (Specify details and describe the set-up)

• Total number of years : 8 • Divided into:

− Cycle 1 (3 years) : Basic Medical Sciences − Cycle 2 (3 years): Bachelor of Medicine − Cycle 3 (2 years) : Clinical program: internship

3. Curricular Structure

and Number of Hours / Credit Units

− Year 1 (foundation): 31 credits − Year 2 : 33 credits − Year 3: 36 credits − Year 4: 38 credits − Year 5: 39 credits − Year 6: 44 credit − Year 7-8: internship: 39 credits

1 credit= 15 hrs teaching

4. Subjects per pre-

clinical year level / Clinical and Community Rotations, including length and duration; Identify core and elective subjects

Cycle 1: Y1-Y3 − Anatomy: 10 credits − Biology: 2 credits − Embryology: 1 credit − History: 1 credit − Philosophy: 3 credits − Maths: 1 credit − Chemistry: 1 credit − Biochemistry: 5 credit − Physics: 2 credits

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− Psychology: 3 credits − Demography: 3 credits − French: 34 credits − Biophysics: 1 credit − Public health: 4 credits − Histology: 6 credits − Medical semiology: 16 credits − Surgical semiology 16 credits − Clinical biochemistry: 2 credits − Physiology: 8 credits − Immunology: 1 credit − Microbiology: 3 credits − Physiopathology: 3 credits

Cycle 2: Y4-Y6 − Surgical Pathology: 15 credits − Psychiatry: 6 credits − Anatomo-pathology: 6 credits − Microbacteriology: 4 credits − Parasitology: 4 credits − Medical pathology: 10 credits − Gyneco-Obstetric: 10 credits − Physiopathology: 2 credits − Pedicatric: 6 credits − Medical ethics: 2 credits − Pharmacology: 4 credits − ENT: 1 credit − Ophtalmology: 1 credit − Surgical Therapeutic: 9 credits − Medical therapeutic: 6 credits − Radiology: 3 credits − Forensic medicine: 3 credits − Anesthesia-Reanimation: 2 credits − Clinical practice: 21 credits: 21 credits − French: 6 credits

Cycle 3: Y7-8 (39 credits) − Medicine: 6 credits

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− Surgery: 4 credits − Pedicatic: 3 credits − Gyneco-Obstetric: 3 credits − Public health: 3 credits − Clinical practice: 20 credits

5. Learning Outcomes • Understand the structure of and functions of human body

• Apply modern and appropriate medical approaches and techniques for the diagnosis and treatment of common diseases and emergency care.

• Communicate effectively with patients and community • Uphold professional and ethical behaviour • Demonstrate capacity for continuing lifelong learning

6. Assessment

Methods based on Domains / Competencies and based on Teaching-Learning Activities

1. Knowledge assessment: Computerized MCQ 2. Clinical skills: OSCE

7. Degree conferred / when conferred

• MD (Doctor of Medicine degree) • The degree is conferred at the end of 8th year (graduation from medical school)

8. Language • Communication: Khmer

• Materials: French and Some English

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Information on Curriculum for Basic Medical Education Host Country: Indonesia

CRITERIA INDONESIA 1. Pre-requisite for

entry into medical school (level of educational attainment

• High school/grade 12

2. Medical Education: Total number of years (Specify details and describe the set-up)

The total number of years is 5.5 years (11 semesters), consists of a minimum of 7 (seven) semesters in the academic stage and 4 (four) semesters in the clinical (profession) stage

3. Curricular Structure and Number of Hours / Credit Units

Eighty percent (80%) of the curriculum in each medical school must be developed based on the National Standard of Indonesian Medical Doctors Competency. Around 20% of the curriculum may be designed to reflect local needs (differ among medical schools). The structure of medical education consists of academic stage (minimum of 7 semesters) and clinical/profession stage (minimum of 4 semesters). The number of credit units in the academic stage is around 140 credit units and around 70 credit units for the clinical stage. The number of credit units may differ between each medical school, but the general rule is around 20 credit units in each semester (16-18 weeks).

4. Subjects per pre-clinical year level / Clinical and Community Rotations, including length and duration; Identify core and elective subjects

The arrangement of subjects in the form of modules/blocks/units is designed and developed by each medical school, however the curriculum of medical schools should consists of the following subjects, as listed in the National Standard of Medical Education Program and National Standard of Indonesian Medical Doctors Competency: 1. Biomedical sciences: anatomy, biochemistry, histology, molecular and cell biology, physiology,

microbiology, parasitology, anatomy pathology, clinical pathology, pharmacology 2. Humanistic science: medical education, health behavioural sciences, medical sociology, medical

anthropology, religion, bioethics and medical laws, language, Pancasila and nationality 3. Clinical medicine: internal medicine, surgery, pediatrics, obstetric and gynecology, neurology,

psychiatry, dermatovenerology, ophthalmology, ENT, clinical nutrition, radiology, anesthesiology,

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medical rehabilitation, forensic medicine 4. Community medicine science: biostatistics, epidemiology, population health, family medicine,

occupational medicine, environmental health, health management and policy, social and behavioural science and community nutrition.

At least 50% of the materials/subjects in the curriculum must be delivered using an integrated approach (both vertical and horizontal integration). Each medical school should design elective components to enable medical students explore and study specific subjects according to their interests

5. Learning Outcomes Learning outcomes in medical schools are designed to achieve the competencies in the following area: 1. Sublime professionalism 2. Self awareness and self development 3. Effective communication 4. Information management 5. Scientific basic of medicine 6. Clinical skills 7. Management of health problems

6. Assessment

Methods based on Domains / Competencies and based on Teaching-Learning Activities

Assessment system is designed by each medical school with reference to some general rules: 1) assessment system must be able to assess students' attainment of the pre-determined competencies, 2) pass/fail standard is determined using the criterion-referenced method, 3) both hard and soft skills must be assessed, 4) the principles of validity, reliability, feasibility and educational impact must be taken into consideration when designing the assessment system. Common assessment methods: written assessment (for example: MCQ, essay, MEQ/modified essay questions), skills/performance based asssessment (for example: OSPE/Objective Structured Practical Examination, OSCE/Objective Structured Clinical Examination, long case examination, checklist), logbook and portfolio. Students are also assessed through case reports/presentations, research projects and written papers.

7. Degree conferred / when conferred

Bachelor of Medical Sciences (S.Ked, Sarjana Kedokteran) at the end of the academic stage and MD (dr, dokter) at the end of the clinical or profession stage

8. Language Indonesian; English in some medical schools with international class program

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Information on Curriculum for Basic Medical Education Host Country: Lao PDR

CRITERIA LAO PDR 1. Pre-requisite for

entry into medical school (level of educational attainment

• Completed High school ( 12 years of education) or equivalent

2. Medical Education: Total number of years (Specify details and describe the set-up)

• Total number of years: 6 • National exam for licensing is recommended before receiving Initial License (or Provisional

License) which is valid for 3 years (This kind of licence is issued for new graduates and allow them to practice in health care unit under supervision of senior physicians who is bearer of full licence)

• 3 years working at health care unit recommended after graduation like Internship (This is requirement for receiving full licence)

3. Curricular Structure

and Number of Hours / Credit Units

Six years of medical school divided into: • Pre-clinical years: 1st, 2nd and first semester of 3rd year • Clinical Years: second semester of 3rd year, 4th year, 5th year and 6th year hospital and

community-based • General subjects: 20 credits • Basic Medical Sciences: 72 credits • Clinical Sciences: 132 credits • Elective subjects: 04 credits • Total number of credits: 228 (as recommended by National standard)

4. Subjects per pre-clinical year level / Clinical and Community Rotations, including

1st Year: Chemistry, Organic Chemistry, Mathematics, Basic Statistics, Study skills, Lao Education and Culture, General to Law, Anthropology, Basic Biology, General Psychology, Politics, Foreign languages (English or French), Medical Physics, Biochemistry, Cell Biology/Molecular Biology, Medical Law, Global & Hygiene Environment, Nutrition for Health 2nd Year: Patient safety, Functional of Human Body, General Embryology, General Genetic,

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length and duration; Identify core and elective subjects

Understanding of Human diseases, Nervous system I, Blood system and Immunology, Medical Ethic I, Foreign languages (English or French), Cardiovascular system, Respiratory system, Urinary system and Electrolytes, Gastro-Intestinal system I&II, Politics. 3rd Year: Musculoskeletal Skin and Bone, Nervous system II, Endocrinal system and metabolism, Genital system, Clinical laboratory I & II, Medical Ethic II, Foreign languages (English or French), Nursing, Nursing practice, First Aid, Health behaviours, Clinical skill, Research Methodology, Politics, Foreign languages (English or French), Elective subject. 4th Year : General subjects, Clinical Sciences and Clinical Rotations: General subjects: Foreign languages, Politics Clinical Sciences: General Clinical Presentation, Cardio-vascular diseases, Respiratory diseases, Reproductive diseases I&II, Gastro-intestinal Diseases I&II, Renal Diseases Clinical Rotations: Surgery: 2 months Internal Medicine: 2 months Pediatrics: 2 months Obstetrics and Gynecology: 2 months Clinical Elective : 1 month 5th Year: : General subjects, Final project (Small research), Clinical Sciences, Clinical and Community Rotations: General subjects: Foreign languages, Politics Final project: Development and Presentation of Final Project (research) Clinical Sciences: Musculo skeletal Diseases, Neurology I&II, Endocrinology, Reproductive Diseases III, Hematology I&II, Human Development I&II, Public Health, Allrgology+Dermatology, Clinical Rotations (Specialties and community field practice) Community Field Practice: 1 month E.N.T 1 month Dermatology 1 month Rehabilitation Medicine 1 month Emergency medicine and Resuscitation 1 month Psychiatry 1 month Clinical Elective : 1 month 6th Year: Final project, General subjects, Clinical Year as Extern General subjects: Foreign languages, Politics Final project: Defence of Final project

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Clinical Rotations: District Hospital 1 month Surgery: 2 months Internal Medicine: 2 months Pediatrics: 2 months Obstetrics and Gynecology: 2 months

5. Learning Outcomes • Apply modern and appropriate medical approaches and techniques for the diagnosis and treatment of common diseases and emergency care.

• Know the signal and symptoms of diseases that affects the Lao community including the process of a differential diagnosis.

• Take the history and a complete physical examination of patients • Write a clear and exact oral and written presentation of the sick patients • Provide health promotion and physical and mental health rehabilitation. • Undertake management of health services at all levels • Contribute to clinical and public health research in their area of work. • Communicate effectively with patients and community • Exhibit professional and ethical behaviour • Demonstrate capacity for continuing lifelong learning

6. Assessment Methods

based on Domains / Competencies and based on Teaching-Learning Activities

Based on Domains/Competencies 1. Cognitive domain: Written exams (MCQ, Structured short answer, Essay), Oral Exams 2. Psychomotor domain: Direct observation, rating scales, OSPE, Review of logbooks 3. Affective domain: Direct Observation, Checklists, Rating Scales, Critical Incident Reports 4. Communication skills: Direct observation, rating scales, review of records / logbooks, review of

Charts 5. Interpersonal skills / Teamwork: Direct observation, Rating Scales

(All methods mentioned above are theoretically proposed for such domains/competencies but every course or subject can concern more than one domain so in Laos the methods of assessment are based on Teaching-Learning Activities as below) Based on Teaching-Learning Activities 1. Didactic sessions / Lectures: Written exams ( MCQ, Structured short answer, Essay), Oral Exams 2. Laboratory sessions: Direct observation, Checklist, Rating scales, OSPE 3. Clinical Rotations: Direct observation, Rating scales, Review of records, OSCE 4. Community Rotations: Direct observation, Rating scales 5. Research: Rating of research protocol, process, research output

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7. Degree conferred / when conferred

• MD (Doctor of Medicine degree) • The degree is conferred at the end of 6th year (graduation from medical school) • This is the pre-requisite for entering National exam for initial licensing • There is only one Medical school in Laos providing MD degree

8. Language

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Information on Curriculum for Basic Medical Education Host Country: Myanmar

CRITERIA MYANMAR 1. Pre-requisite for

entry into medical school (level of educational attainment

• High school ( grade 11)

2. Medical Education: Total number of years (Specify details and describe the set-up)

• Total number of years : 6 • Divided into: 1 year Pre-medical 2 years Pre-clinical 3 years Clinical

3. Curricular Structure

and Number of Hours / Credit Units

6 years of medical school • Pre-medical : 1st year (910 credits) • Pre-clinical years: 2nd year (1354 credits), 3rd year (1017 credits) • Clinical Year : 4th (1594 credits), 5th year (1036 credits) • Clinical year : 6th year, Clinical Clerkship Rotation

Remark : 1 credit = 1 lecture hour or 1.5 clinical teaching hour

4. Subjects per pre-clinical year level / Clinical and Community Rotations, including length and duration; Identify core and elective subjects

1st Year : 1. Language (Myanmar) (90 credits) 2. English for Medical Profession (190 credits) 3. Mathematics (64 credits) 4. Chemistry (160 credits) 5. Physics for Medical Science (136 credits) 6. Essential Zoology (135 credits) 7. Botany (135 credits) 2nd Year : 1. Anatomy (491 credits) divided into:

(a) Orientation (2 credits) (b) Molecules, Cells and Embyology (67 credits) (c) Head and Neck (69 credits) (d) Neuroanatomy (58 credits)

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(e) ANS (4 credits) (f) Skin (2 credits) (g) Genetics (10 credits) (h) CVS & Respiration (73 credits) (i) Abdomen and Pelvis (36 credits) (j) Renal (21 credits) (k) Reproduction (23 credits) (l) Endocrine (6 credits) (m) Upper Limb (60 credits) (n) Lowe Limb (60 credits)

2. Physiology (318 credits) divided into: (a) General Physiology (13 credits) (b) Cell Physiology (21 credits) (c) Excitable tissues (32 credits) (d) ANS (12 credits) (e) Endocrine Physiology (6 credits) (f) Skin and Thermoregulation (15 credits) (g) Neuro Physiology (59 credits) (h) Physiology of Blood (56 credits) (i) Cardiovascular Physiology (56 credits) (j) Physiology of Respiration (48 credits)

3. Biochemistry (545 credits) divided into:

(a) Introduction (2 credits) (b) Chemical Basis of Life (25 credits) (c) Molecular Biology (60 credits) (d) Enzymology (33 credits) (e) Chemistry of Blood (30 credits) (f) Chemistry of Respiration (20 credits) (g) food and Nutrition (40 credits) (h) Biochemistry of Digestion and Absorption (15 credits) (i) Biochemistry of liver and biliary system (25 credits) (j) Bioenergetics and Biologic Oxidation (25 credits) (k) Energy Metabolism (15 credits) (l) Fluid and Electrolytes (20 credits) (m) Acid and Base Balance (20 credits) (n) Biochemistry of Hormones (45 credits)

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(o) Carbohydrate Metabolism (45 credits) (p) Lipid Metabolism (50 credits) (q) Protein and Amino Acids Metabolism (40 credits) (r) Nucleoprotein Metabolism (20 credits)

3rd Year : 1. Microbiology (202 credits) divided into:

(a) General Microbiology (27 credits) (b) Systemic Microbiology (40 credits) (c) Immunology (34 credits) (d) Virology (34 credits) (e) Mycology (11 credits) (f) Medical Parasitology (37 credits) (g) Medical Entomology (2 credits) (h) Public Health Microbiology (4 credits) (i) Applied Microbiology (13 credits)

2. Pathology (184 credits) divided into:

(a) Response of body to external stimuli (44 credits) (b) Infectious Diseases (67 credits) (c) Fluid and Haemodynamic derangements (28 credits) (d) Neoplasia (23 credits) (e) Genetics (3 credits) (f) Diseases of Immune Origin (12 credits) (g) Systemic Metabolic Diseases (3 credits) (h) Nutritional Diseases (2 credits) (i) Environmental Diseases (2 credits)

3. Pharmacology (185 credits)

(a) General Pharmacology (17 credits) (b) Central Nervous System Pharmacology (28 credits) (c) Autonomic Nervous System Pharmacology (15 credits) (d) Neuromuscular blockers (3 credits) (e) Treatment of Bronchial Asthma (3 credits) (f) Cardiovascular Pharmacology (19 credits) (g) Renal Pharmacology (6 credits) (h) Gastrointestinal Pharmacology (10 credits) (i) Endocrine Pharmacology (14 credits) (j) Antimicrobial agents (15 credits)

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(k) Chemotherapy of Infections (13 credits) (l) Cancer Chemotherapy and Immunomodulators (3 credits) (m) Drugs Affecting Uterine Motility (4 credits) (n) Autacoids and their Antagonists (7 credits) (o) Ant-anaemic Agents (1 credit) (p) Use of Drugs during Pregnancy and Lactation (1 credit) (q) Essential Drugs Concept and Rational Prescribing Practice (2 credits) (r) Preparation and Dosages of Drugs (13 credits) (s) Clinical Pharmacokinetics (11 credits)

4. Medicine (230 credits) divided into:

(a) History Taking & Cardinal Signs and Symptoms (12 credits) (b) General Examination (12 credits) (c) Examination of Cardiovascular System (24 credits) (d) Examination of Respiratory System (24 credits) (e) Examination of Abdomen (GI and Hepatobiliary) (24 credits) (f) Examination of Nervous System (24 credits) (g) Examination of Locomotor System (6 credits) (h) Examination of Genito-urinary System (6 credits) (i) Examination of Haemopoietic System (6 credits) (j) Examination of Endocrine System (12 credits) (k) Supervised Clinical Practice, Case Presentations and Self-Practice (80 credits)

5. Surgery (216 credits) divided into:

(a) General Surgery (180 credits) (b) Orthopedics (36 credits)

4th Year : 1. Pathology (172 credits) divided into:

(a) Respiratory System (12 credits) (b) Cardiovascular system (14 credits) (c) GI system (10 credits) (d) Hepatobiliary (9 credits) (e) Pancreas (3 credits) (f) Urinary System (17 credits) (g) Male Genital System (8 credits) (h) Female Genital System (16 credits) (i) Breast (5 credits)

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(j) Endocrine System (7 credits) (k) Bone and Joint (9 credits) (l) Skin (2 credits) (m) Central Nervous System (8 credits) (n) RBC (16 credits) (o) WBC (12 credits) (p) Lymphoma (8 credits) (q) Polycythemia (2 credits) (r) Multiple Myeloma (3 credits) (s) Hypersplenism (2 credits) (t) Haemorrhagic disorders (6 credits) (u) Blood Groups and Transfusions (3 credits)

2. Forensics (150 credits) divided into:

(a) Role of Forensic Medicine (3 credits) (b) Law Courts and Criminal Procedure (15 credits) (c) Personal Identification (10 credits) (d) Thanatology (9 credits) (e) Medico Legal Autopsy (4 credits) (f) Asphyxia (10 credits) (g) Medico Legal Aspects of Wounds (18 credits) (h) Injuries Caused by Physical Agents (1 credit) (i) Hypo and Hyperthermia (1 credit) (j) Electrocution (1 credit) (k) Lightning (1 credit) (l) Road Traffic Accidents (4 credits) (m) Regional Injuries (5 credits) (n) Scene of Crime (3 credits) (o) Sudden and Unexpected Natural Deaths (5 credits) (p) Forensic Psychiatry (4 credits) (q) Sexual Offences (10 credits) (r) Infanticide (3 credits) (s) Criminal Abortions (4 credits) (t) Medico Legal Aspects of Sexual Function and Pregnancy (2 credits) (u) Medical Ethics (8 credits) (v) Medical Negligence (6 credits) (w) Guidelines in Management of Medico Legal Cases (3 credits) (x) Family Medicine (1 credit)

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(y) Toxicology (18 credits) 3. Preventive and Social Medicine (376 credits) divided into:

(a) Concept of Health and Social Medicine (b) Disease Control (c) Health Management and Administration (d) Environmental Health

Lectures - 72 credits Tutorials - 48 credits Seminars – 6 credits

(e) Field Training Program (1) Clinico-social Case Taking and Presentation (40 credits) (2) Family Health Care Visits to Suburban Areas (24 credits) (3) Visits to Places of Public Health Interest in Urban Areas (96 credits) (4) Residential Field Training to Townships and Rural Areas (90 credits)

4. Medicine (240 credits) divided into:

(a) Pre-bloc Posting/ Specialty Postings (12 credits each) (1) Radiology (2) STD/HIV (3) General/Special Skin (4) Rehabilitation (5) Psychiatry

(b) Bloc Posting (180 credits) 5. Surgery (230 credits) divided into:

(a) Pre-bloc Posting (12 credits each) (1) Eye (2) ENT (3) Anaestheisa

(b) Bloc Posting (194 credits) 6. Obstetrics and Gynaecology (214 credits) At the end of the course of instruction, the student should be able to

(a) acquire the knowledge of (1) normal pregnancy (2) normal labour (3) normal puerperium

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(4) care of newborn

(b) acquire the skill of (1) taking relevant history of an obstetric patient (2) performing a systematic obstetric examination (3) conducting normal delivery (4) caring for a normal puerperal mother (5) immediate care of normal newborn

7. Pediatrics (210 credits) divided into:

(a) General History Taking and Physical Examination (10 credits) (b) Neonatology (18 credits) (c) Infections (18 credits) (d) Neurology (16 credits) (e) Cardiology (18 credits) (f) Respiration (16 credits) (g) GI system (16 credits) (h) Nephrology (18 credits) (i) Haematology and Oncology (18 credits) (j) Growth and Development (16 credits) (k) Nutrition (16 credits) (l) Accident and Poisoning (16 credits) (m) Adolescent Health (14 credits)

5th Year : 1. Medicine (260 credits) 2. Surgery (256 credits) 3. Obstetrics and Gynaecology (254 credits) Concerning Obstetrics - at the end of the course of instruction , the student should be able to (a) acquire the knowledge of ( 1) abnormal pregnancy

(2) abnormal labour (3) abnormal puerperium (4) common obstetric problems in Myanmar

(b) acquire the skill of (1) taking relevant history of an obstetric patient

(2) performing a systematic obstetric examination (3) giving antenatal care

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(4) recognizing abnormal pregnancy (5) recognizing obstetric emergencies and planning treatment (6) taking part in a community oriented obstetric programme

(c) acquire the attitude of (1) behaving according to medical ethics (2) believing that good obstetrics is preventive gynaecology (3) continuing self education and scientific investigations

Concerning Gynaecology - at the end of the course of instruction , the student should be able to (a) acquire the knowledge of (1) normal structure of female genital tract

(2) normal function of female genital tract (3) abnormal structure of female genital tract (4) abnormal function of female genital tract (5) common gynaecological problems in Myanmar

(b) acquire the skill of (1) taking relevant history from a gynaecological patient

(2) performing a systematic examination of a gynaecological patient (3) Diagnosing common gynaecological problems

(c) develop an attitude of (1) behaving according to medical ethics (2) continuing self education and scientific investigations Procedures to be performed

o Vaginal Examination o Recording of Partogram o Delivery of normal labour o Vacuum Extraction o Forceps delivery o Episiotomy o Resuscitation of newborn o Resuscitation of Obstetric shock - taking of blood for grouping and matching - blood

transfusion - cutting down veins - Aortic compression o Evacuation of uterus for various indications

Procedures to be assisted

o Versions o Surgical induction of labour

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o Breech delivery and other abnormal delivery o Manual removal of retained placenta o LSCS o Ectopic pregnancy o Sterilization

Procedures to be witnessed

o Hysterectomy - abdominal & vaginal o Ovariotomy o Pelvic floor repair o Repair of 3rd degree perineal tear

4. Pediatrics (266 credits) divided into:

(a) Genetics (16 credits) (b) Growth and Development (16 credits) (c) Neonatology (18 credits) (d) Infections (16 credits) (e) Infestations (12 credits) (f) Dermatology (12 credits) (g) CVS (18 credits) (h) Respiration (16 credits) (i) GIT (16 credits) (j) Nephrology (18 credits) (k) Endocrinology (16 credits) (l) Neurology (18 credits) (m) Haematology and Oncology (18 credits) (n) Nutrition (16 credits) (o) Accidents and Poisoning (12 credits) (p) Preventive and Community Pediatrics (12 credits) (q) Pediatrics Prescribing (16 credits)

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6th Year : Clinical Clerkship rotation : (1) Medicine (2) Surgery (3) Obstetrics and Gynaecology (4) Pediatrics (5) Preventive and Social Medicine

5. Learning Outcomes (1) comprehension of deviations from normal structure and functions in relation to the health of individual and community so as to enable the development of a management plan.

(2) understanding of the impact of the disease process on the individual, family and the community, the behavioral responses in each case to such illness and the principles of intervention.

(3) a critical understanding of the plans and programs of the health sector and other sectors to meet the health problems of individual, family and community.

(4) ability to conduct appropriate physical, biochemical, pathological and microbiological tests and investigations to detect the deviation from the normal structure and functions.

(5) understanding of the specific changes in organs and organ systems caused by aging, trauma, stress, bacteria, viruses, chemicals and drugs and the basic principles of managing these deviations.

(6) requisite knowledge and skills to undertake the responsibilities of the medical profession and medical practice in relation to the law.

(7) interest and ability to educate the individual patients, their families and the community in matters related to health promotion and disease prevention and disability rehabilitation.

(8) self reliance in planning his own learning, problem solving abilities and critical thinking as shown by his own behavior and

(9) an awareness of medicine as a continuum of the normal, deviations from normal and the correction of deviations, with the greatest emphasis on deviations from normal in this course.

6. Assessment

Methods based on Domains / Competencies and based on Teaching-Learning Activities

1. Intellectual skills:(1) Written tests: Multiple Choice Questions, Essay, Short Answer Questions , Modified Essay Questions, (2) Oral tests, (3) Questionnaires

2. Communication skills, attitudes: Written tests and Direct observation for practical tests in real situations and in simulated conditions such as Objective Structured Clinical Examination (OSCE) , Continuous Internal Assessment

3. Practical skills: Log Book, Clinical Performance Assessment, Case Report, CME

9. Degree conferred / when conferred

• M.B.,B.S • The degree is conferred at the end of 6th year (graduation from medical school)

10. Language • English

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Information on Curriculum for Basic Medical Education Host Country: Thailand

CRITERIA THAILAND

1. Pre-requisite for entry into medical school (level of educational attainment

• High school / grade 12

2. Medical Education: Total number of years (Specify details and describe the set-up)

• Total number of years : 6 • Divided into:

1 year Pre-medical 2 years Pre-clinical 3 years Clinical

3. Curricular Structure and Number of Hours / Credit Units

6 years of medical school (180-263 credits) divided into: • Pre-medical : 1st years (30-40 credits) • Pre-clinical years: 2nd and 3rd years (80 credits) • Clinical Year : 4th, 5th (90 credits) • Clinical year : 6th year, Clinical Clerkship Rotation (40 credits)

Remarks: 1 credit = 1 lecture hour : 1 week : 1 semester = 16 lecture hour : 1 semester = 2-3 practice hour : 1 week : 1 semester 1 semester = 16-18 weeks

4. Subjects per pre-clinical year level / Clinical and Community Rotations, including length and duration; Identify core and elective subjects

1st Year: General Subjects: English for Medical Profession, Chemistry, Physics for Medical Science, Chemistry Laboratory, Essential Biology, Process of life, Other Subjects (Sociology, Humanity, Math, Science, Art of Communication)

2nd Year: Clinical Thinking, Ethics and Laws, Tissue Biology/Human Function, Anatomy Respiratory,

Cardiovascular Alimentary, Urinary, Reproductive, Endocrine, Metabolism and Nutrition, Embryology, Neuroscience, Epidemiology and Biostatistics, Pathology of Diseases, Human Life and Social Skills.

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3rd Year: Preventive Medicine, Immunology and Infection, Medical Microbiology and Parasitology, Pharmacology, Clinical Hematology and Infection, Integumentary and relate connective tissues, Musculoskeletal and relate connective tissues, Cardiovascular, Alimentary, Urinary, Respiratory, Reproductive, Clinical Neuroscience, Endocrine, Health Promotion, Electives.

4th Year: Clinical Pharmacology, Basic Clinical Skills, Radiology, Nuclear Medicine, Family &

Community Medicine, Forensic Medicine, Medicine, Pediatrics, Surgery, Ob. & Gyn. 5th Year: Medicine, Pediatrics, Ob. & Gyn., Surgery, Psychiatry, Ophthalmology, Otolaryngology,

Ambulatory and Emergency Medicine, Chronic and Palliative Care, Psychiatry and Mental Health, Anesthesiology and Critical Care, Orthopedics, Forensic Medicine, Rehabilitation Medicine, Family and Community Medicine

6th Year: Clinical Clerkship rotation : Medicine, Surgery, Pediatrics, Orthopedics, Ob. & Gyn.,

Preventive and Social, General Clinical & General Hospital, Minor Subjects/Selective / Electives (in Affiliated Rural Hospital)

5. Learning Outcomes Maintain desirable attributes and Professional competencies as follows:

1. Professional habits, attitudes, moral, and ethics. 2. Communication and Interpersonal skill. 3. Scientific knowledge of medicine. 4. Patient care 5. Health promotion and health care system : individual, community and population health 6. Continuous profession development

6. Assessment Methods based on Domains / Competencies and based on Teaching-Learning Activities

Basing on Domains/Competencies and Teaching-Learning Activities, the assessment methods are variously used as following 1. Intellectual skills:(1) Written tests: MCQ, Essay, Short Answer Questions (SAQ), Modified Essay

Questions (MEQ), Constructed Response Questions (CRQ), Extended Matching Items (EMI), (2) Oral tests,(3) Questionnaires

2. Communication skills, attitudes: Written tests and Direct observation for practical tests in real situations and in simulated conditions such as Objective Structured Clinical Examination (OSCE) and Objective Structured Long Case Examination, Continuous Internal Assessment (CAI), Case Report

3. Practical skills: Log Book, Anecdotal Record, Portfolio Assessment, Clinical Performance Assessment, Global Rating Scales, Case Report, Chart Audit, Continuous Internal Assessment (CAI), Project-Based Report

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11. Degree conferred /

when conferred • MD (Doctor of Medicine degree) • The degree is conferred at the end of 6th year (graduation from medical school)

12. Language • Thai

• English in some medical schools