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LAKEHEAD CALENDAR 2009-2010

Lakehead 2009-2010 Academic Courses Undergraduate Courses Medicine
Medicine Courses

First Year Courses

MEDS 5005      Northern and Rural Health
Description: This course focuses on the particular knowledge, skills and attitudes required to be an effective physician in a northern and rural setting, including the development of the ability to respond to the changing needs of the community by developing formal mechanisms to maintain awareness of these needs and advocate for them to be met. Students will be required to: demonstrate the ability to apply an understanding of northern and rural cultures in the practice of medicine; demonstrate, by active involvement, that they are aware of and responsive to the changing needs of the community; advocate for the health care needs of the community; demonstrate sensitivity and responsiveness to the health care needs of Aboriginal and Francophone communities and peoples.
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MEDS 5025      Personal and Professional Aspects of Medical Practice
Description: Course content will include consideration of the physician as a communicator, scholar, and a professional. The course will affirm the centrality of the patient-physician relationship, and require a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to a diverse population. Effective participation in the course will ensure the development of appropriate skills in critical appraisal of evidence, the use of information technology, and the development of strategies to support self-directed learning.
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MEDS 5045      Social and Population Health
Description: Course work will include development of a research plan, including evidence of attention to ethical considerations. Students will carry out a community based project in the context of the Aboriginal Integrated Community Experience, and for some students this will take the form of a research project and publication may be possible. There will be a focus on identification of the most important determinants of health with respect to individuals and populations, discussion of the impact of health policy on the determinants of health and review of the important issues currently under discussion with respect to health care in Canada. Students will be required to demonstrate knowledge and understanding of the principles of public health, health promotion, and health education and illness/disease prevention skills for individuals and communities.
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MEDS 5065      Foundations of Medicine
Description: This course covers aspects of the sciences that are basic to the study and practice of medicine. Included are objectives promoting the requirement that a physician must be knowledgeable and that graduates should be trained to a general professional level. Students will be expected to demonstrate a level of knowledge and skill with respect to the topics considered to be the foundations of medicine.
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MEDS 5085      Clinical Skills in Health Care
Description: The course will focus on the taking of a patient's history and performing a physical examination, skillful communication with patients of varying cultural backgrounds and life cycle stages, interacting with patients following a patient-centred model of care, and demonstrating effective consultation, diagnostic, therapeutic and technical skills at an appropriate level.
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Second Year Courses

MEDS 5205      Northern and Rural Health
Description: This course is a continuation of the first year course in Northern and Rural Health and focuses on the particular knowledge, skills and attitudes required to be an effective physician in a northern and rural setting. As in the first year, students will be required to: demonstrate the ability to apply an understanding of northern and rural cultures in the practice of medicine; demonstrate, by active involvement, that they are aware of and responsive to the changing needs of the community; advocate for the health care needs of the community; and demonstrate sensitivity and responsiveness to the health care needs of Aboriginal and Francophone communities and peoples. As part of this course, students will undertake two Integrated Community Experiences each of four weeks duration in rural or remote communities in northern Ontario.
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MEDS 5225      Personal and Professional Aspects of Medical Practice
Description: This course is a continuation of the first year course and students will be expected to continue to develop in their roles as communicator, scholar, and professional. The two Integrated Community Experiences in rural and remote settings will create opportunities to support the development of appropriate professional attitudes and values related to health and wellness, illness and disease, and the physician's role in the lives of individuals, families, and communities. The student will continue to develop a sense of him or herself as a professional, as a life long learner, a member of the health care team, and part of a community with a host of health, wellness, and illness issues. Students will continue to develop skills in self-reflection.
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MEDS 5245      Social and Population Health
Description: The second year of this course builds on the concepts of the first year, and includes a more focused look at issues of Public Health policy, the organization of the health care system in Canada, and health education and illness/disease prevention strategies.
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MEDS 5265      Foundations of Medicine
Description: This course is a continuation of the first year course and will continue to build upon concepts introduced in the first year. This course will include specific instruction and learning related to the immune and haematologic systems, the reproductive systems including an introduction to obstetrical issues, pharmacology, and psychiatry. Students will be expected to demonstrate a level of knowledge and skill with respect to the topics considered to be the foundations of medicine. Students will also be expected to continue to develop skills in critical appraisal of evidence, the use of information technology, and strategies to support self-directed learning.
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MEDS 5285      Clinical Skills in Health Care
Description: This course builds upon the concepts and skills in communication which were introduced in the first year of the program. It will continue to follow the body systems introduced in Foundations of Medicine in order to ensure that students develop the communication skills and physical examination skills necessary to be able to begin the process of developing a differential diagnosis while continuing to understand the patient's illness experience.
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MEDS 5305      Elective
Description: A structured learning experience designed to allow students to address their professional medical interests, in a field of medicine or related fields approved by NOSM's Clinical Sciences Division, Medical Sciences Division or Human Sciences Division as well as the Office of Undergraduate Medical Education. This elective is required as part of the core undergraduate curriculum. A minimum of four weeks must be completed prior to the start of the Comprehensive Community Clerkship (CCC) in Year 3.
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Third Year Courses

MEDS 5405      Northern and Rural Health
Description: This course is a continuation of the first and second year courses in Northern and Rural Health. The focus is on the particular knowledge, skills and attitudes related to the social, cultural, economic and environmental realities of Northern Ontario required to being an effective physician in northern and rural settings. As in the preceding years, students will be expected to demonstrate the ability to apply their understanding of the northern and rural reality in the practice of medicine. This includes demonstrating, by active involvement, that they can identify and respond to the changing needs of the community; advocate for the health care needs of the community; and demonstrate sensitivity and responsiveness to the health care needs of Aboriginal and Francophone communities and peoples in the North. As part of this course, students will be required to reflect on topics of relevance to the Northern Ontario community in which they will be living and learning in for 8 months of the integrated third year Comprehensive Community Clerkship (CCC).
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MEDS 5425      Personal and Professional Aspects of Medical Practice
Description: As a continuation of the first and second year, this course will focus on the many personal, social, professional, legal and ethical considerations inherent to medical practice. Students will continue to develop in their roles as communicators, scholars and professionals. The 8 months Comprehensive Community Clerkship (CCC) in a Northern Ontario community creates opportunities to support the development of appropriate professional attitudes and values related to health and wellness, illness and disease, and the physician's role in the lives of individuals, families, and communities. The student will continue to develop a sense of him or herself as a professional, as a life long learner, a member of the health care team, and part of a community with various health, wellness and illness issues. In addition, the third year placement will give students the opportunity to experience the application of the ethical principles and concepts in the many ethical issues that will arise throughout their clinical encounters. Students will complete reflective exercises and formal presentations to develop skills related to the critical appraisal of evidence, the use of information technology, and the development of strategies to support lifelong and self-directed learning.
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MEDS 5445      Social and Population Health
Description: This course gives students the opportunity to apply the concepts, attitudes and behaviours introduced in Year 1 and 2 of the curriculum. Course work will include researching and presenting topics of relevance to the student's community practice in which they will be living and learning for the 8 months during their Comprehensive Community Clerkship (CCC). These presentations may include chart reviews, quality assurance and examinations of treatment approaches and health policies. Key concepts in evidence-based medicine, epidemiology and biostatistics will be included in small group discussions. There will be a focus on identification of important determinants of health with respect to individuals and populations, discussion of the impact of health policy on the determinants of health and review of the important issues currently under discussion with respect to health care in Canada. Students will be required to demonstrate knowledge and understanding of public health policies, organization of the health care system, health promotion and illness/disease prevention skills for individuals and communities.
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MEDS 5465      Foundations of Medicine
Description: This course is a continuation of the first and second year courses. Students will gain a more in depth comprehension of how to apply the key concepts introduced in the preceding years to their clinical practice. Students will continue to receive specific instruction and learning related to the structure and function of the organ systems of the body in the context of the core clinical disciplines including clinical correlates for selected concepts. This course will discuss and assess the knowledge and skills considered the foundations of medicine utilizing integrated small group discussions conducted in the communities where students will be learning and living for the 8 months third year clerkship.
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MEDS 5485      Clinical Skills in Health Care
Description: This course is a continuation of the first and second year courses in that students will refine their history taking and physical examination skills. The emphasis will be on differential diagnoses, clinical decision-making skills, and further investigation and therapeutic management of common clinical problems, while continuing to understand the patient's illness experience. During the 8 months Comprehensive Community Clerkship (CCC), students will be exposed to community-based clinical practices, emergency medicine, in-patient care, obstetrical care, and surgical care. Teaching will include small group tutorials, bedside and ambulatory care instruction, and clinicopathological conferences.
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Fourth Year Courses

MEDS 5605      Northern and Rural Health
Description: Designed to continue to build upon and expand the knowledge and skills students have acquired to-date. The focus is on the development of knowledge of rural health within and beyond Ontario and demonstration of the knowledge and skills of socially accountable physicians. Students will continue to be required to translate their knowledge concerning rural and northern health into appropriate patient care and demonstrate an on-going commitment to understanding and responding to the health care needs of Aboriginal and Francophone communities and peoples in the North.
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MEDS 5625      Personal and Professional Aspects of Medical Practice
Description: Students continue to refine their understanding of professional issues. Topics focus on the historical development of medical specialties, the legal framework for the practice of medicine in Ontario and Canada, ethical issues related to medical errors and patient safety, physician advocacy, and laws and requirements around medical records and practicing medicine in a hospital.
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MEDS 5645      Social and Population Health
Description: Students continue to learn about the social and cultural perspectives on individual and population health, community and public health, occupational health and the social determinants of health. Development of critical appraisal skills through background reading and applying evidence-based medicine methods to patient and populations is emphasized. Various relevant epidemiological designs and statistics are introduced, discussed and applied.
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MEDS 5665      Foundations of Medicine
Description: Acquiring knowledge about and application of the basic sciences in the context of patient care will continue to be an essential part of student instruction in all settings. Students will be expected to recall, understand, and apply knowledge of the basic sciences learned from the first three years. Review of anatomy, physiology, biochemistry, microbiology, genetics, and immunology will be encouraged and assessed. Pathology, pathophysiology, pharmacology, and therapeutics will be the subjects heavily emphasized and assessed.
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MEDS 5685      Clinical Skills in Health Care
Description: In-depth experiential learning and exploration of the medical specialties and sub-specialties, research or the human sciences, through a series of core medical and elective rotations. Successful completion of Clinical Skills in Health Care is accomplished by obtaining a mark of Pass throughout all rotations.
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MEDS 5710      Internal Medicine
Description: The four week internal medicine clerkship incorporates the objectives of general internal medicine as well as some of the sub-specialties of internal medicine. The content of the internal medicine clerkship builds upon the diagnosis, treatment and management of patients in the in-patient and out-patient setting.
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MEDS 5711      Surgery
Description: The four week surgical clerkship is intended to provide the clerk with an understanding of the broad principles of surgery and the basics of many of the individual surgical specialties as a foundation for post graduate training. Learning is focused through objectives and patient encounters in the out-patient and in-patient environment.
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MEDS 5712      Family Medicine
Description: The family medicine clerkship requirement can be satisfied in one of two ways: A two-week elective as part of the twelve week elective requirement in which students gain further experience in the specialty of family medicine in the out-patient and appropriate in-patient settings. Students who do not select family medicine as a two-week elective will satisfy this requirement through a series of longitudinal experiences carried out in any of the rotations in Phase 3. The 12 half-day experiences need not be consecutive.
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MEDS 5713      Women's Health
Description: The four week women's health rotation provides students with the opportunity to acquire knowledge and skills necessary for the diagnosis, treatment and management of the gynaecological patient. Students will participate in the admission, management and follow through of obstetrical cases with a focus on in-patient care.
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MEDS 5714      Children's Health
Description: The four week children's health rotation is an experience in which students will have an in depth experience in acquiring the knowledge and skills necessary for the comprehensive evaluation of pediatric patients from the neonate to the adolescent. Students will have a focused experience in which they will be learning about common and important pediatric principles as well as common and emergent problems in the hospital, ambulatory and community settings.
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MEDS 5715      Mental Health
Description: The four week mental health rotation is designed to provide students with the opportunity to learn and acquire skills necessary to take a proper psychiatric case history, to examine psychiatric patients, and to develop management and treatment plans. Students will expand the knowledge they have acquired from experiences in the first three years to better understand the roles of a variety of therapies in the treatment and management of out patient and hospitalized patients and will better understand how mental health issues and psychiatric problems are managed over time.
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MEDS 5716      Emergency Medicine
Description: The four week emergency medicine rotation provides an in depth experience for students in the context and milieu of large city hospital-based emergency departments. During this period students expand their knowledge of triage in the emergency setting, will sharpen their history and physical exam skills in wound management and will learn to quickly identify procedures required for extreme emergent situations.
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Phase 3 Electives

A total of twelve (12) weeks of approved electives in medical specialties, medical subspecialties or medical research or the human sciences is required in Phase 3. Electives must be a minimum of 2 weeks although 1 week electives may be approved in rare circumstances. All students must take electives in a minimum of three (3) different Canadian Resident Matching Service (CARMS) categories.

Elective experiences are structured educational opportunities that allow medical students to explore the specialties and sub-specialties of medicine as well as explore their career options. Each elective experience includes an identified set of objectives, learning program, faculty supervisor and assessment and evaluation plan approved by the student advisor and the Associate Dean, Undergraduate Medical Education.

MEDS 5750 - Elective/Medical/Specialty
MEDS 5751 - Elective/Surgical/Specialty
MEDS 5752 - Elective/Women's Health /Specialty
MEDS 5753 - Elective/Children's Health/Specialty
MEDS 5754 - Elective/Internal Medicine/Specialty
MEDS 5755 - Elective/Mental Health Medicine/Specialty
MEDS 5756 - Elective/Family Medicine/Specialty
MEDS 5757 - Elective/Research
MEDS 5758 - Elective/Human Sciences
MEDS 5759 - Elective/Laboratory Medicine/Pathology/Specialty
MEDS 5770 - Elective/Diagnostic Imaging/Nuclear Medicine/Specialty
MEDS 5771 - Elective/Emergency Medicine
MEDS 5772 - Elective/Community Medicine
MEDS 5773 - Elective/Anesthesia