Mission

The Department of Medicine advances the health of our populace through outstanding education, empathetic and dedicated patient care and high impact research

Vision

The Department of Medicine will be a global leader in medical education and a center of excellence in patient care

Medicine

MED 401: Junior Medical Posting (5 Credits)

Identification of normal physiological mechanisms in HUMANS Identification of abnormal physiological mechanisms in HUMANS. Interpretation of (b) against (a) to diagnose disease

MED 402:  Lectures & Tutorials (3 Credits)

MED 403:  Primary Medical Care (2 Credits)

Exposure to general practice clinic. Exposure to specialist practice outside teaching hospital. Visit to leprosy settlement.

MED 504:  Dermatology and Venereology (2 Credits)

Dermatology posting, Lectures

MED 621:  Lectures, Tutorials and Senior Posting in Medicine (10 Credits)

Lectures, interpretation of symptoms and signs to diagnose disease.  Investigation of patients to diagnose disease.  General management techniques in disease including therapeutics.

COURSE DESCRIPTION

This course is given in periods of clinical postings

(i)         The introductory Course of 10 days is at the end of the 300-level after the pre-clinical examination in Anatomy Physiology & Biochemistry. During the period, the student learns history taking, eliciting symptoms and physical signs in clinical medicine and case documentation.

(ii)        The first clinical posting is undertaken at the 400-level of the course following immediately after the introductory course. This period which aims at laying the foundations of medicine lasts for 8 weeks

(iii)       The second clinical posting in Medicine is undertaken during the fourth year of the course.  The posting includes General Medicine,4 weeks of primary health care, 4 weeks of Radiology Posting and 2 weeks of Dermatology and Venereology.  This posting lasts for 8 weeks.

(iv)       The third clinical posting in Medicine is undertaken during the final posting, the student receives lectures, tutorials and clinical training.  He is assigned to assist the residents in their routine duties.

(v)        The final period ends with a final comprehensive examination but each posting period ends with an assessment, and the results of these are taken into account in the total assessment of the student.

(vi)       Teaching of medicine embodies liberal reference to the basic medical science background of diseases, an active review of pathology therapeutics and community health aspects relevant to the medical subjects.

(vii)      There will be a number of assessment tests, posting tests and reports.  The grades of all these are to be computed for the final evaluation of the student at the final examination taken at the end of the final year.

TYPES OF CASES IN WARDS

Cardiovascular System

Congestive heart failure, left ventricular failure due to hypertension, valvular disease, anaemia, thyrotoxicosis,

Heart failure of unknown cause of association e.g endomyocardial fibrosis, congestive cardiomyopathy, Hypertension, arrhythmias etc.

Respiratory System

  • Pneumonia
  • Suppurative lung diseases e.g. bronchiectasis, lung abscess, empyema, Lung Function Test,
  • Sarcoidosis
  • HIV related lung disorder
  • Respiratory failure
  • Lung cancer
  • Tuberculosis
  • Asthma 
  • Chronic obstructive airway disease e.g chronic bronchitis and emphysema

Gastrointestinal System

  • Peptic ulcer
  • Amoebic liver abscess
  • Infective hepatitis
  • Chronic liver disease
  • Primary liver cell carcinoma
  • Dysenteries
  • Gastroentreritis
  • Tb Abdomen
  • Gastro-intestinal neoplasm

Endocrine System

  • Diabetes mellitus
  • Thyroid disorders
  • Thyrotoxicosis
  • Pituitary disorders
  • Adrenal disorders
  • Obesity, Metabolic syndrome
  • Parathyroid disorders
  • Disorders of calcium metabolism

Clinical Pharmacology and Therapeutics

  • Adverse Drug Reactions e. g TENS, SJS
  • Envenomations e. g Snake bite, Bee stings, Dog bite
  • Poisonings e. g Carbon Monoxide and Organophosphorous poisoning
  • Fevers

Neurology

  • Cerebrovascular accident due to haemorrhage, embolism,
  • Thrombosis, infarction
  • Primary subarachnoid haemorrhage
  • Meningitis – pyogenic, tuberculous
  • Paraplegia
  • Epilepsy
  • Intracranial tumours
  • Peripheral neuropathies
  • Tetanus

Nehprology

  • Acute nephritic syndrome
  • Nephrotic Syndrome
  • Acute renal failure
  • Chronic renal failure
  • Pyelonephritis

DERMATOLOGY/VENEREOLOGY

Dermatitis

Scabies

Drug reactions

Lichen planus

Herpes simplex, Herpes Zoster

GENERAL

Fevers

Pyrexia of Unknown Origin (P.U.O.)

Snake bite, Dog bite (Bites & stings)

Acquired Immune Deficiency Syndrome (AIDS)

FORMAT OF THE FINAL DEGREE EXAMINATION

The final degree examination in medicine consists of

(a)        (Paper I – Section A: I hour of multiple choice questions – 50, in number, each consisting of (i) to (v)

            Paper I-Section B: Consists of 5 short response questions in general medicine and therapeutics.

            Paper II: 3 hours written paper in medicine and therapeutics.

            This is made up of 7 or 8 short response questions and one essay

(b)        Clinical Examination:  consists of

(i)         One long case during which a candidate is left with the patient for 60 minutes, after which he/she is examined for 15 minutes by a pair of examiners.

(ii)        The candidate is examined by another pair of examiners for three short cases for a total of 15 minutes.

(iii)       An oral examination (15 minutes)

            In the long case marks are awarded for history taking, demonstration of signs, discussion, and knowledge of clinical side room tests and management of cases; while for short cases marks are awarded for technique of examination, correct elicitation of physical signs and interpretation of findings.

            The minimum Pass Murk for the Final Degree Examination is 50%. A Pass in Clinical Medicine is mandatory in order to pass in the whole examination.

            The end of posting assessment examination marks and the marks awarded for practical work during the posting are taken into cognizance in the final grade evaluation.