Study through a Basic Science Program at a Top Caribbean University
This is a lecture and laboratory course that examines the microanatomy of cells, tissues and organs. Lectures illustrate the microstructure of major tissues and organs in relation to their function. Laboratory exercise uses the light microscope to study these components and make use of slides and electron micrographs for review and discussion. This lab-oriented program presents the molecular biology and histology of normal cells, tissues and organ systems at various developmental functional stages. Medical students shall learn how individual’s cell functions interact with one another and how such interactions are accomplished from the tissue levels to the organ levels. The course introduces molecular and control systems and the course prepares the student learns how molecular building blocks are utilized for growth and differentiation, wound healing and tissue repair, defense mechanisms and transfer of hereditary characters.
This course integrates gross human anatomy and medical embryology, allowing students to understand the relationship of embryologic development to gross structure and the mechanisms of congenital abnormalities. The embryologic development of each organ and system, from game to genesis to birth, is discussed along with the gross anatomy. Fertilization and placentation is also discussed. Clinical correlatives sessions illustrate medically relevant normal and abnormal findings and common congenital malformations are used to demonstrate mechanisms of teratogenesis.
This course is the first of a four-part curriculum designed to introduce the student to the basic elements of clinical practice. Emphasis is placed on an introduction and on straightforward clinical patient problems firmly based on the anatomical sciences. This course has been designed to introduce the student to case enhanced problem based learning. In this approach, fundamental knowledge is mastered by the solving of problems. The information is learned or reviewed by the student in an active learning mode and promotes lifelong learning. This case-enhanced style employs student initiative as the driving force for problem solving. The students’ group assumes primary responsibility for the process and the Professor is a knowledgeable-facilitator. At this level, the list of clinically-oriented cases/topics is taken from the MD1 Subjects. The program is presented predominantly in small groups so that medical students have the opportunity to practice their skill under the direct observation of a faculty member. Clinical skills covered include physical examination, interviewing and communication skills. In addition problem solving and presentation of disease is presented through case based learning. Students learn communication and relationship building skills through the use of standardized patients. Physical examination skills are presented in an organ based. SIM/Harvey, the cardiac sound simulator, is used to introduce students to the normal heart sounds.
This is the first of two courses in the Medicine and Society series. The other is Community and Preventive Medicine. In this course, an Introduction to Medicine and Society, we explore what we think of health and illness, the determinants of health, patient- and family-centred care Aboriginal health and healing, culture, stress and resilience, systems thinking and change, physician roles, and leadership. These topics will help prepare you to provide both care and cure, that is, supporting and treating patients, as well as carrying out research in the many fields of health.
Medical Biochemistry and Genetics course is designed to prepare the student for understanding the basic cellular mechanisms that enable us to survive. Biochemistry is the chemistry of life. The major objective of this module is to enable students understand the molecular level of all of the chemical processes in living cells and their abnormalities. All disease has some biochemical basis. A sound knowledge in Biochemistry is essential for other disciplines like Physiology, Pharmacology and Microbiology. Most of the recent advances in modern medicine have been possible with the insight into the molecular basis of the diseases. Genetics deals with the molecular structure and function of genes, patterns of inheritance from parent to offspring, and gene distribution, variation and change in populations and changes in gene expression in various normal and disease states. A basic knowledge in genetics is essential for all students of medicine.
This course provides students with a clear understanding of the most important concepts and principles of medical physiology. The lectures provide the information base while the laboratories and case studies provide the student with an opportunity to assimilate and integrate the material within a small group setting. The first half covers cardiovascular, cellular, muscle physiology, and an introduction to pharmacology. The second half covers gastrointestinal, renal, pulmonary, and endocrine physiology. Appropriate clinical perspectives are presented throughout the course. Review sessions are scheduled on a regular basis.
Two laboratory exercises pertaining to cardiovascular, respiratory physiology are included in the course.
The Principals of Biomedical Research course is an extensive, two-semester course intended to familiarize the medical student with biomedical research and to provide the essentials of biomedical research conduct and research paper writing.
The Part I 2-credit course will give an overview of the key aspects of biomedical research and will include formal classes covering topics such as research ethics and plagiarism, proper research design and conduct, outlining of hypothesis and objectives, literature research methodologies, essentials of planning and writing a review paper, data analysis and presentation, reference management and organization and manuscript writing.
During this semester, the students will also take part in a journal club, which will be conducted in small study groups, training the students in critical reading and presentation of research articles.
Introduction to Clinical Medicine II continues to build on the skills presented in the previous semester. As small groups allow students to practice communication skills and physical examination skills under the direct supervision of a faculty member. The full medical history is presented with an emphasis on prevention and evaluation of risk. Medical documentation and case presentation are introduced. Physical examination skills included in this semester include General examination, vital signs, cardiovascular heart sounds, thorax and lung exam, Head and neck and eye examination. In order to promote lifelong learning case based learning with required independent research of material is introduced in this semester. SIM is used to introduce abnormal heart sounds.
Medical microbiology is offered as a balanced combination of formal classroom instruction, practical laboratory experience and current literature review. Presentation of the course is concurrent with pathology, and the two courses are closely integrated, where feasible.
The didactic portion of the course is divided into two consecutive sections. The first covers basic principles of microbiology, including: classification and taxonomy, microbial physiology and genetics, microbial control, antibiotics, host-pathogen interactions and epidemiology.
Bacterial, fungal, viral and other infectious agents are covered in this section. In the second section, human pathogens are discussed according to the organ system where they most often cause clinical disease. Clinical vignettes are used to illustrate the epidemiology, pathogenesis, virulence properties, symptoms, laboratory diagnosis and control of the infectious agents.
The course consists of didactic lectures, laboratory sessions and supervised small group learning sessions. The lectures are designed to cover the course content in an organized fashion illustrating key concepts and allowing time for questions.
Laboratories/Small Groups: All students will be assigned to one of the groups. The small group lab sessions are a crucial part of this course. Students can use the opportunity to ask questions from faculty in groups of not more than 10 students. The students are also expected to make short presentations.
This course will include an interdisciplinary investigation of the physiology and the gross and microscopic structure of the brain, spinal cord, and nervous system of humans. Aspects of brain energy metabolism, neurotransmitter synthesis and degradation, and psychopharmacology are presented. This course integrates anatomical and physiological material to assist the student in understanding common neurological disease processes.
Each system is correlated with its physiology and relevant clinical applications, including behavioral aspects. Emphasis is placed on the function of the nervous system in health and sickness. Modern concepts of neuronal circuits and synaptic transmission are also introduced. Laboratory instruction includes detailed brain examination and exposure to neuro-imaging modalities, CT scans and MRI scans, and principles of neurological examinations.
The Principals of Biomedical Research course is an extensive, two-semester course intended to familiarize the medical student with biomedical research and to provide.
The Part II - 2 credit course will be devoted to a research project that the students will conduct in small, guided research groups. The final research project will be submitted as a research paper and will be presented as an oral or poster presentation at the School’s tri-annual Research Day.
This course is an introduction to the essentials of performing a mental status and neurological examinations in conjunction with the neuroscience course, in addition to continuing to refine the skills learned in previous semesters. At the completion of this course students will have the ability to integrate knowledge and handle complexity, and formulate judgments with incomplete or limited information, but that include reflecting on social and ethical responsibilities linked to the application of their knowledge and judgments. Students will practice these skills in small groups.
The systemic pathology course at WUSOM covers the pathology of disease in medicine by organ systems. This course will incorporate gross pathologic, microscopic, and relevant clinical findings to assist the students in understanding the disease processes and preparing them for licensing examinations and clinical clerkships.
The Lung, Head and Neck, Gastrointestinal Tract; Liver; Pancreas; Kidney and Lower Urinary Tract, Male and Female Reproductive System; Breast; Endocrine System; Skin; Bones, Joints and Soft Tissue Tumors; Peripheral Nerve and Skeletal Muscle, Central Nervous System, Eye.
This course builds upon the students’ understanding of pharmacology, providing practical experience of medical therapeutics in a case-based format. The fundamentals of pharmacokinetics and pharmaceutical preparations including drug actions and interactions are presented. The student must be able to understand the mechanism of action of common classes of medications and be able to evaluate basic pharmacological data. Included is a survey of the interactions between drugs and living systems, and all major classes of therapeutic medications used in clinical practice in the treatment of disease processes. The clinical component will provide students with the necessary background to practice rational drug therapy as it applies to clinical practice.
The course introduces students to the fundamental principles of human behavior and development, with particular emphasis upon the role of behavior within the context of illness and the medical encounter. An overview of several major psychological theories of human behavior is provided, including psychodynamic, behavioral, cognitive, and biological models. Exposition of these systems leads to discussion of a number of topics, including systems of psychotherapy, behavior modification, biological/genetic bases of behavior, psychological assessment, complementary/alternative treatment approaches, and psychopharmacological intervention. An evidence-based approach is adopted in assessing treatment effectiveness, and data supporting the importance of a biopsychosocial approach to patient care is presented. Emphasis is placed upon behavioral medicine/health psychology and the role of cognitive/behavioral approaches in the modification of risky health behavior. Special attention is given to the crucial role of cultural factors within the doctor-patient encounter and healthcare setting, as well as to the importance of cultural competence in the provision of medical care. The role of the family is noted within this context, and life-disrupting disorders — such as substance abuse, domestic violence, and child abuse — are discussed with reference to the physician’s role and responsibility, in terms of detection and intervention.
This course is a survey course that addresses the fundamentals and principles of the distribution of diseases and their causes in human populations. Students will have to conduct epidemiologic investigation, critically review medical literature, and how to use such information in a clinical environment such as with preventive medicine. This course is designed to acquire some basic level of proficiency in epidemiologic principles, preventive medicine and to understand epidemiology concepts in clinical practice and with community health.
At this level, the list of clinically-oriented cases/topics is taken from the MD I through MD IV Subjects. This course is predominantly case-based learning. Students meet in small groups under the supervisions of a faculty member to discuss cases representing common symptoms such as chest pain or fatigue. Emphasis is on the development of a differential diagnosis, presentation of disease, pathophysiology of disease and initial evaluation and treatment. Students are given the opportunity to present cases in preparation for requirements of the clinical years. Students perform a physical examination based on a defined checklist of items provided to them when they first start the ICM curriculum.
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.