BASIC SCIENCES CURRICULUM
FOUNDATION OF NORMAL PROCESSThe modules covered in the first half of the basic sciences curriculum are termed as “FOUNDATION OF NORMAL PROCESS” which basically covers the normal structure, function and biochemical aspects of various systems and is covered over 7 modules. The following courses are selected because together they serve as the foundation of the normal process: Anatomy & Embryology, Physiology, histology, cell biology, biochemistry, and genetics.
FOUNDATION OF ABNORMAL PROCESSThe modules covered in the second half of the basic sciences curriculum are termed as “ FOUNDATION OF ABNORMAL PROCESS” which basically covers the abnormal structure, function and microbiological aspects of various systems and is covered over 7 modules. The following courses are selected because together they serve as the foundation of the abnormal process: Pathology, Pharmacology, Microbiology, and Behavioral Science.
This module serves as an introduction to the fundamentals of medical sciences. In this context, students will be introduced to cell biology; the general principles of Anatomy, Physiology, and Biochemistry. The Cell biology component will be comprised of cellular organelles and function, the cell cycle and its regulation, cytoskeleton and the process of apoptosis. Students will be introduced to the concepts of gamete formation and fertilization up to the various phases of fetal development. Students will also learn the physiological and biochemical aspects of homeostasis, body fluid compartments, cell membrane transport, and action potential. Enzyme kinetics and carbohydrates will also be addressed. In general, this module provides the basic concepts and information, which will help students learn the following modules within an organ system-approach. Frontier courses and the course in Introduction to Clinical Medicine I will run parallel to the modules.
This module, with the help of lectures and active sessions, covers the understanding of structure, development, and function of the Musculoskeletal system. It addresses the upper and the lower limb musculoskeletal structures along with its blood and nerve supply and lymphatic drainage. Students will also be able to learn the structure of basic tissues and types of epithelium, connective tissue, and bones. It provides students with an understanding of Nerve muscle physiology in terms of generation of the Action potential, Excitation-contraction coupling, and its applied aspects. It also explains the biochemical mechanisms related to musculoskeletal system viz. Glycolysis, Krebs Cycle, and Oxidative phosphorylation. All these topics are integrated with clinical examinations of Upper limb, lower limb and Joints in Introduction to Clinical Medicine I throughout the module. Students also learn the DNA replication, Transcription, and Translation of proteins and also learn the regulation of gene expression and recombinant DNA technologies and applications of Transgenic, gene therapy, and cloning.
This module is designed to facilitate the learning of normal processes related to the cardiovascular and Respiratory system. This is achieved by integrating the knowledge of Anatomy, Histology, Embryology, Physiology, and Biochemistry.
Part 1: Cardiovascular and hematologic system I
This module covers the mediastinum, intercostal space with coronary and intercostal arteries, in addition to hematopoiesis, blood cells, and the histology of cardiac muscle, arteries, and veins. Concurrently, students learn the development of heart and blood vessels along with fetal circulation. Students will also acquire the knowledge of physiological processes of cardiac and pacemaker action potential, cardiac conduction, cardiac cycle, cardiac output, ECG, hemodynamics, hemostasis, and blood grouping, along with its application. The module also addresses the energy sources and metabolism in cardiac muscle, glycogen metabolism, gluconeogenesis, metabolism of monosaccharides besides cell signaling, molecular genetics and inherited genetic diseases. The knowledge acquired in this module will be the foundation to understand the abnormal process (or diseases) related to the cardiovascular and hemostatic system in the higher semesters. The objectives of the module will be covered through lectures and various active learning sessions over a period of 4 weeks.
Part 2: Respiratory system I
The module also covers the structural details of lungs, pleura along with the development of a nasal cavity, paranasal sinuses, diaphragm and respiratory system as a whole including the related congenital anomalies. The understanding of histology of trachea, bronchi and bronchioles, alveoli, pneumocytes, and associated pathologies will be ensured through lectures and laboratory exercises. The students will also develop a concept of mechanics of breathing, lung volume and capacities, gas exchange at lung and tissue level, transport of oxygen and carbon dioxide, regulation of respiration and the integrated response of the respiratory system to different physiological conditions like high altitude, hyperbaric environment, etc. The chemistry, biosynthesis, and catabolism of hemoglobin will be covered along with hemoglobinopathies and liver function tests. The cell signaling pathways and signal transduction will help the students to understand the drug development process and pharmacogenetics. Therefore this module is an essential foundation to diagnose and manage respiratory disorders. The objectives of the module will be covered through lectures and various active learning sessions over a period of 2 weeks. Introduction to clinical medicine and frontiers- Ethics and Principles of Biomedical Research (PBMR) will run parallel to the modules.
PBMR I, RPIGS & ETHICS
This module will acquaint you with the fundamental knowledge related to normal structure and function of gastrointestinal system along with the hepatobiliary system. You will be able understand and apply the knowledge of development, gross anatomy, histology, physiological and biochemical processes related to these system in clinical cases. This module also imparts you basic skills on history and physical examination of patient presenting with gastrointestinal problems.To impart basic science knowledge to the students the program uses didactics lectures, clinical case discussion and laboratory experience. These methods are geared not only to acquire basic sciences knowledge but to also be able to apply the acquired knowledge in clinical settings.
This module, with the help of lectures and active sessions, covers the understanding of all the endocrine glands, their secretion, and male and female reproductive systems. It addresses the structure related to pelvis, perineum and male-female genitalia. Students will develop a concept of embryonic development of endocrine glands, male and female external genitalia and anomalies of genitor-urinary development. Students will also be able to learn the histology of different endocrine glands and reproductive structures. It provides students with an understanding of the mechanism of secretion, actions of endocrine hormones and features related to their hyper- and hyposecretion. The functional aspects of male and female reproductive physiology will be covered along with the physiological changes occurring in puberty. It also covers the metabolism of cholesterol, amino acids, and vitamins along with the related diseases. Introduction to Clinical Medicine II and Frontier courses like Principles of Biomedical Research II will run parallel to the module.
The Renal and Nervous System I module is an integration of Anatomy, Embryology, Physiology, Histology and Biochemistry to help the student understand the structure, function and biochemical aspect of the renal and nervous system.
Part I- The Renal System I
Early part of this module covers the Development and structure of Kidney, Ureter, Bladder, and urethra. It covers the Physiology of Urine formation and students learn the concepts of important physiological processes in nephron- Glomerular filtration, reabsorption, and tubular secretion. It emphasizes on Mechanism of urine concentration and dilution, and process of Micturition. Students will learn Body fluid and water balance and Acid-Base balance and how the kidney handles electrolytes.
Part II- The Nervous System I
The second part of the module covers regional anatomy and histology of Head and Neck. It covers the structure of Cranial Nerves and blood supply of the head and neck and as well as its applied aspects. It also covers special senses organs such as Eye, Ear, Tongue, and Nose. Students also learn the development of the nervous system from the formation of the neural tube and its transformation to Forebrain, Mid, And Hind Brain Development. It also addresses the types, clinical aspects, and causes of neural tube defects.
ICM covers sensory and motor examination as well as examination of Cranial Nerves, eye, and ear. Biochemistry will introduce to aminoacids, Metabolism of amino acids and structural organization of the proteins and its catabolism. It also covers conditions associated with defects of structural proteins - Collagen disorders, Osteogenesis imperfecta, and elastase deficiency. By-products of DNA and metabolism of Purines and Pyrimidines are also covered.
ICM 2 will be taught in sequence with the organ systems being covered
PBMR - Journal club
This module provides an introduction to the “FOUNDATION OF ABNORMAL PROCESS” wherein the students with the help of Lectures and Active Learning sessions will be introduced to the fundamentals of Basic Sciences courses; Pathology, Pharmacology, and Microbiology. In this module, students will learn cellular adaptations, Inflammation, hemodynamic disorders and pathological aspects of Genetic disorders and various modes of Environmental Exposure. In this module, the student will also learn general aspects of pharmacology which include Pharmacokinetics, pharmacodynamics, and pharmacogenetics. Pharmacology of the Autonomic nervous system and related drugs will be addressed. The general aspects of Autonomic drugs and their effects on various organ systems will be discussed. General aspects, structure and lab diagnosis of Bacteria, virus, fungi, helminths, and protozoa will be discussed. This will also cover the overview of the mechanism of action & resistance to the important class of antimicrobials.
Neoplasia and immune system module with the help of lectures and active learning sessions introduces students to the molecular basis, types and clinical aspects of neoplasia. It also discusses pharmacological aspects of Anticancer drugs including strategies to prevent its toxicity. This module will cover all the aspects of the immune system which includes types, role in inflammatory and hypersensitivity response, the role of cytokines, complement system, MHC, steps of antigen recognition and types and functions of Antibodies. This module will also address related topics but not limited to Immunization, Transplantation and Immunodeficiency Diseases. It covers Clinical aspects and pathophysiology of Autoimmune Diseases and the role of immunosuppressants. Students will learn the pathophysiology of Migraine, Rheumatoid arthritis and Gout, and pharmacotherapy. It will also help students to understand drugs interacting through Histamine, Serotonin, Bradykinin, and Prostaglandins including Non-Steroidal Anti-inflammatory Drugs (NSAIDs).
This module is designed to facilitate the learning of abnormal processes related to the cardiovascular and hematologic system. This is achieved by integrating the knowledge of Cardiovascular Pathology with Treatment aspects in Pharmacology and Cardiovascular pathogens in Microbiology. This module covers the classification, etiopathogenesis of anemia including hemoglobin and membrane defects. Pharmacotherapy of hematopoietic disorders will be covered. It also covers Neoplastic aspects of blood disorders- Acute and Chronic Leukemia, Hodgkin’s and Non-Hodgkin's Lymphoma and plasma cell neoplasms. Pathophysiology of cardiovascular conditions like Hypertension, Atherosclerosis, Congestive heart disorder, Myocardial infarction, Valvular heart disease, myocarditis, Cardiomyopathy & types, Rheumatic Fever, Congenital heart disease, and pericarditis will be Covered. Concurrently, Pharmacotherapy of the Cardiovascular disorders will be addressed. The module also addresses the pathogens involved in cardiovascular disorders. ICM will cover the focused history and physical examination of the cardiovascular system. The objectives of the module will be covered through lectures and various active learning sessions over a period of 5 weeks. Introduction to clinical medicine and frontiers- Biostatistics and preventive medicine will run parallel to the modules.
ICM will be taught in sequence with the organ system being covered
PBMR-Group project, community medicine, and Biostatistics
The Gastrointestinal and Hepatobiliary system II module focuses on the pathologic basis of oral cavity and salivary gland disorders, esophageal disorders, gastric disorders, small and large intestinal disorders (including colonic adenocarcinoma and carcinoid tumors), jaundice and cholestasis, hepatic failure, cirrhosis, alcoholic liver disease, obstructive biliary tract disorders and hepatic tumors, acute and chronic cholecystitis, pancreatitis and pancreatic adenocarcinoma. It also covers the Pharmacological aspects of antiemetics/laxatives, antidiarrheal drugs, and drugs used in peptic ulcer disease. In addition, it also introduces the important microorganisms that infect the gastrointestinal tract and hepatobiliary system. Introduction to Clinical Medicine (ICM) covers the focused history and systematic physical examination of the abdomen and oral cavity. The module content is delivered through interactive lectures and active learning sessions, over a period of 3 weeks.
This module, with the help of lectures and active sessions, covers the understanding of the pathology of all the endocrine glands, their secretion, and male and female reproductive systems. It covers the pathophysiology of benign and malignant reproductive and pregnancy-related disorders and pharmacology of various hormones and its analogs and antagonists in hormonal disorders/ hormone-responsive tumors. It also introduces students to the pathophysiology of the pituitary, hypothalamic, Thyroid, parathyroid, adrenal disorders and pharmacology of structural analogs and related drugs associated with these disorders. It discusses the pharmacotherapy of Diabetes Mellitus and discusses various Insulin preparations and other antidiabetic drugs. It also covers drugs related to sex hormones and pharmacology of contraceptives. It addresses Microbiological, clinical aspects, prevention, and treatment of Sexually transmitted diseases. (HSV 2 and HPV, Candidiasis, Trichomoniasis, vaginosis, Chancroid, Donovanosis, Gonorrhoea, Chlamydia trachomatis, Syphilis, and LGV. During this module, students will learn to take a focused history and examination associated with the reproductive system in Introduction to Clinical Medicine IV.
This module covers pathological aspects of disorders of the renal system including Nephritic and nephrotic syndrome, nephrolithiasis, and tumors of the bladder and kidney. It also addresses the pathophysiology and microbiological aspects of organisms associated with UTI and pyelonephritis. It also covers microbiological aspects of infections involving bone, muscles, and skin and discusses the pathophysiology and pharmacotherapy of disorders of Musculoskeletal and integumentary disorders. It also covers general principles of antibiotic therapy and pharmacology of Antibacterials, Antiviral, Antifungals, Antiprotozoal and Anthelmintic. Introduction to Clinical Medicine (ICM) will focus on focused history and physical examination of disorders related to renal, musculoskeletal and integumentary systems. The objectives of the module will be covered through lectures and various active learning sessions over a period of 4 weeks.
ICM will be taught in sequence with the organ system being ICMcovered
This course helps prepare the student for hospital clerkships. Daily lectures on the pathophysiology of systemic diseases are correlated with the pathology lecture series. Students learn how to present cases and to do library evidenced based medicine research for strategies leading to a definitive problem solving approach. Patients from the JNF hospital, ambulatory clinic, the Cayon Medical Health Center, geriatric extended care facility, will provide the student with hands-on experience. Students carry a small caseload and are expected to be on-call with the island physician. Additional clinical medicine materials are presented on-line. A detailed log of patients, H & Ps, viewing different web sites/procedures all are reviewed for the final oral examination.
Electives are offered to Basic Sciences students during the first two years of the four-year medical program. The objective is to provide a structured learning experience in diverse clinical and scholarly areas. This gives students the opportunity to integrate Basic Sciences knowledge into clinical areas and may provide a transition into clinical medicine specialties. These elective courses provide enhanced value to the WUSOM curriculum.
Electives are offered by various departments and coordinated through the Office of the Dean.
All elective courses mandate 100% attendance to meet licensing and certification requirements. In addition, there are additional fees, costs and equipment requirements to participate.
In this one-credit elective, students attend three lectures about orientation of the course including healthcare systems in St. Kitts, history taking, and communication skills. Students attend the clinics under guidance of a Medical Officer. They participate in taking history from patients and observe the examination of these patients followed by discussions with the attending physician. They are required to keep a log of their activities and submit one detailed case history.
Windsor University School of Medicine (WUSOM) has partnered with St. Kitts government, the Ministry of Health to provide volunteer student run health clinics as a free community service to the citizens of St. Kitts and local community. SFH volunteers are representatives of not only WUSOM, but of their respective countries; there is an expectation that all WUSOM students treat everyone with respect, dignity and manners in public and project an image of professionalism at all times since we are a guest in their country.
SFH exists to help bridge the gap between medical theory and medical practice by introducing WUSOM students to the clinical environment before they step into a hospital. Actual patient interaction allows students to build their confidence, and improve interviewing/history taking skills and fluidity of the patient-doctor interaction and physical examination.
In addition, students have a forum to utilize and familiarize themselves with basic medical tools by taking blood pressure readings, heart rate, respiratory rate, BMI, performing heart and pulmonary auscultations, percussion and tactile fremitus. The SFH clinic experience allows students to practice a physical examination while integrating their History and Physical (H&P) interview by applying fundamental patient confidentiality, ethics and HIPPA practices to administrative charting.
This elective is offered at two levels: Advanced Level for students who are health care professionals and Basic Level for all other students.
During this course, students will enhance their knowledge and skills necessary to efficiently and effectively manage patients who are affected by acute emergency cases. Students will learn current Basic life Support (BLS) algorithmic approaches to managing patients from a cognitive and skills-based approach using didactic presentations, interactive skills stations, and case scenarios. The BLS selective covers the skills necessary for rapid assessment, resuscitation, stabilization, and treatment or transportation of unconscious patients.
Emphasized are the evaluation steps, sequencing and techniques for resuscitation, and packaging a patient. Realistic simulations reinforce the key concepts, such as proficiency in basic life support care, basic airway, chest decompression. Students who successfully pass both the skills-based and written evaluation will be awarded BLS certification.