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The teaching is designed to encourage the application of medical sciences to clinical problems. Spanning Years 1 to 3 is the clinical medical programme which offers a customised series of patient–based tutorials running throughout the entire course. Clinical skills teaching takes place in simulated wards and examination rooms with communication skills being taught as an integral part of the programme. Clinical experience is also offered in the form of patient contact through primary care initiatives in the community, a local family interview and GP attachments. Professionalism and patient safety are key components of the entire programme.
Summary of Course Content
First Year The whole medical course takes the form of an integrated spiral curriculum. In the first year of the course the modules Foundations of Medicine 1 and 2 emphasise the interrelationships between the pre-clinical sciences. During subsequent turns of the spiral, topics will be revisited at a more advanced level and with increasing clinical application, including a series of core clinical cases.
Foundations of Medicine 1
• Reviews fundamental aspects of molecular and cellular medicine.
• Gives a general overview of the structure and functions of the body systems from the microscopic to the macroscopic level.
• Introduces the history and philosophy of medicine.
• Gives a preliminary introduction to medical ethics and communication skills relevant to medicine.
• Uses clinical problems to develop an understanding of the levels of consciousness and the assessment of health status.
• Provides opportunities to observe multi-professional teamwork and communication skills in local GP practices.
Foundations of Medicine 2 This module continues the introduction of fundamental topics into the curriculum, including the principles of disease mechanisms and therapy, and the development of communication skills. The module:
• Provides an in-depth study of the musculo-skeletal system, including nerve and muscle physiology. The anatomy of the upper and lower limbs will be studied by dissection.
• Develops an understanding of principles of disease mechanisms and therapy.
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Introduces particular topics in behavioural sciences e.g. stress, coping and pain.
• Utilises clinical problems that focus on deep vein thrombosis, trauma, carcinoma and stroke.
• Reviews genetics and the effects of genes on development and disease.
• Provides further opportunities to observe and practice communication skills in local GP practices.
Second Year The Honours Programme focuses in detail upon the normal function and dysfunction of specific physiological and psychological systems.
Medicine Honours 1 and 2 These modules form the second turn of the curriculum spiral taking an integrated approach to the scientific basis of medicine at an Honours level and build upon the material delivered in the First year. The modules:
• Cover the structure and functions of the cardiovascular, respiratory, renal, gastrointestinal and reproductive systems. The anatomy of the thorax and abdomen, pelvis and perineum will be studied by dissection.
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Introduce the disease mechanisms and therapy of disorders pertinent to these body systems.
• Use relevant clinical problems and clinical skills to provide clinical context.
Integrate the ethical, moral and behavioural aspects relevant to these systems.
• Provide a series of community attachments in primary health care settings.
broad daylight Medicine
“The three-year medical course at St Andrews provides a strong foundation of knowledge with which to progress to clinical studies elsewhere. Not only do you gain the knowledge base, there is also an emphasis on clinical skills that involve patient scenarios and placements within the community. St Andrews is a wonderful place to start your medical career. The community spirit that is so evident here, both in the town and the Medical School, gives you a real sense of belonging, as well as the curriculum being interesting and intellectually stimulating it is also a lot of fun.”
Hannah (Lancaster)
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