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DEPARTMENT OF MEDICINE
OVERVIEW The
Department of Medicine is one of the oldest in the College. It seeks to
provide the most current level of education in Medicine to its students
via teaching, clinical sessions and problem based learning. In view of
modern aspects of medicine, recombinant DNA knowledge is emphasised during
training. OBJECTIVES The
purpose of the entire course on Medicine is 1.
To introduce the student to the patient. The student is taught through
lectures and ward teachings: the basic techniques of interviewing and
physical examination necessary to prepare him or her to start the
clerkship in medicine in introductory posting. At the end of this posting
the student should be able to elicit a medical history, perform a physical
examination and develop appropriate attitudes relating to the
“humanistic” approach to patient care. 2.
To introduce the student to clinical diagnosis and treatment. TEACHING
& LEARNING METHODS Lectures
are given in blocks covering cardiology, Respiratory medicine,
Gastroenterology, Endocrine and metabolic medicine, Neurology and
Nephrology. Small
group teaching on the wards, tutorials and seminars are directed towards
helping students develop clinical skills. History
taking, physical examination, differential diagnosis, write ups and case
presentations are the specific skills targeted. Students
are expected to have consolidated History taking and physical examination
of patients. They are expected to manipulate the write up electronically
by placing them on computer for computer assisted diagnosis and plan for
management.
-
Hutchinson’s clinical methods. -
Guide to physical Examination and History taking (Lippincott,
1999) -
Videotapes – interview techniques and physical
examination. EVALUATION End
of course test – multiple choice questions after each lecture block and
a clinical examination at the end of the 16 weeks. Final examination is
the 5th (or qualifying) MBBS examination administered together
with surgery. We use MCQs, essays and clinical examinations for their
evaluation. We also use electronic means of assessment, with its value in
electronic Objective Structured Clinical Assessment (OSCA). 300
LEVEL CLASS MED
341: INTRODUCTION TO CLINICAL
MEDICINE (5 UNITS- 8 WEEKS) Course
objectives: At
the end of the course the student should be able to list and describe
anatomical, physiological and biochemical basis of clinical medicine. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Welcome
Lecture & What Is Clinical Medicine The
Clinician’s Approach To Patients Functional
Anatomy & Physiology Of Cardiovascular System Symptoms
and Signs Of Cardiovascular Functional
Anatomy & Physiology Of Respiratory System Symptoms
and Signs Of Respiratory Functional
Anatomy & Physiology Of GIT System Symptoms
and Signs Of GIT Functional
Anatomy & Physiology Of The UGS Symptoms
and Signs Of The UGS Functional
Anatomy & Physiology Of Endocrine System Symptoms
and Signs Of Endocrine System Functional
Anatomy & Physiology Of The CNS Symptoms
and Signs Of The CNS Functional
Anatomy & Physiology Of The Musculoskeletal System Symptoms
and Signs Of The Musculoskeletal System Use
Of The Side- Lab In Medicine Medical
Informatics I Medical
Informatics II Medical
Informatics III Health
Management MED
342: CLINICAL EXAMINATION (5
CREDITS-16 WEEKS) Course
objectives: At
the end of the course the student should be able to develop the skill to
elicite history to obtain symptoms and perform physical examination to
obtain clinical signs in order to reach clinical diagnosis. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) 400
LEVEL CLASS MED
441: INTRODUCTION TO MEDICINE
(2 CREDITS) Cardiology -Cardiac
Investigations 1 -Cardiac
Investigations 2 -Heart
Failure- Diagnosis And Management -Rheumatic
Fever -Rheumatic
Heart Disease -Infective
Endocarditis -Hypertension-
Essential -Hypertension-
Secondary -Pericardial
Disease Respiratory
Medicine -Investigating
The Respiratory System -Diseases
Of The Upper Respiratory Tract -The
Pneumonias -Tuberculosis
1 -Tuberculosis
2 -Reversible
Airway Obstruction- Bronchial Asthma 1 -Bronchial
Asthma 2 -Chronic
Obstructive Airway Disease Infections
& Tropical Medicine -Fever-
Causes And Pathophysiology -Management
Approach To The Patient With Fever
-Pyrexia Of Undetermined Origin -
Septicemia -
Malaria -
Tetanus -
Cholera -
Typhoid Fever & Non- Typhoidal Salmonellosis -
Meningococcal Infections Pneumococcal
Infections -Streptococcal
Infections Gastroenterology -Investigating
The GIT -Management
Approach To The Patient With Abdominal Pain -Peptic
Ulcer Disease -Gastroenteritis -The
Dysenteries -Malabsorptive
Syndromes -Management
Approach To The Jaundiced Patient -Viral
Hepatitides -Other
Hepatitides -Gall
Bladder & Biliary Disease -Pancreatitis -GIT
Hemorrhage- Causes And Approach To Patient Management -Ascites-
Causes And Approach To Patient Management Endocrine
& Metabolic medicine I -Fluid
& Electrolyte/ Acid- Base Balance -The
Hypothalamic- Pituitary- Adrenal/ Thyroid Axis -Disorders
Of The Thyroid Gland 1 -Disorders
Of The Thyroid Gland 2 -Diabetes
Mellitus 1 -Diabetes
Mellitus 2 -Diabetes
Mellitus 3- Special Conditions -Disorders
Of Lipid Metabolism 1 -Disorders
Of Lipid Metabolism 2 Neurology -Investigating
The CNS -Coma-
Causes & Management Of The Comatose Patient -Headache
Syndromes -Meningitis
(Bacterial) -Meningitis
(Non- Bacterial) -Transient
Ischemic Attacks -Cerebrovascular
Accident (Strokes) -Cranial
Nerve Disorders -Diseases
Of The Spinal Cord Nephrology -Investigating
The Urinary System/ Tract -Evaluation
Of The Patient With Hematuria -Evaluation
Of The Patient With Proteinuria -Urinary
Tract Infections -Acute
Pyelonephritis -Chronic
Pyelonephritis (Reflux Nephropathy) -Glomerulonephritis -The
Nephrotic Syndrome -Acute
Renal Failure -Chronic
Renal Failure -Chronic
Infections- Schistosomiasis, TB, e.t.c. MED
442: MEDICINE POSTING I (4 CREDITS)
MED
443: MEDICINE POSTING II (4 CREDITS- 16 WEEKS)
Course
objectives: At
the end of the course the student should be able to develop the skill for
clinical diagnosis using both real and electronic means and prescribe
treatment of medical conditions. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Clinical
haematology -Hematological
Investigations -Anemia-
Types, Causes & Approach To Patient Management -Splenomegaly-
Causes & Approach To Patient Management -The
Leukemias -The
Lymphomas -Bleeding
Diathesis -Myeloproliferative
Disorders -Hemoglobinopathies Clinical
immunology -Host
Response To Infections -Immunology
Of Infections- Schistosomiasis, Hyper immune Malaria Splenomegaly, Quartan
--Malarial Nephropathy, e.t.c. -The
HLA system -Autoimmune
Diseases- An Overview -Immunology
In Diagnosis- Widal, Bacterial, Viral Markers, Alpha- Fetoprotein, e.t.c. -Introduction
To Monoclonal Anti- Bodies And Hybridization Infections
and Tropical Medicine
-Leprosy -Spirochaetal
Infections -HIV/AIDS -Amebiasis -Fungal
Infections -Schistosomiasis -Trypanosomiasis -Leishmaniasis -Filariasis -Guinea
worm Infestation -Rabies Cardiology
II
- Cardiac arrhythmias
-Cor pulmonale
-The Cardiomyopathies 1
-The Cardiomyopathies 2
-Coronary Heart Disease 1
-Coronary Heart Disease 2 -Cardiovascular
Disease In HIV -Therapeutic
procedures -Cardiovascular
disease in systemic diseases -Peripheral
vascular disease Respiratory
Medicine -Occupational
Lung Diseases -Tumors
Of The Lung 1 -Tumors
Of The Lung 2 -Smoking
& Air Pollution -Pleural
Diseases -Diffuse
Diseases Of The Lung Parenchyma -Disorders
Of The Chest Wall & Diaphragm -Respiratory
Disease In HIV Gastroenterology
-GERD -Others
Esophageal Disorders -Diarrhea-
Causes & Approach To Management -Functional
Bowel Diseases -Chronic
Hepatitis -Liver
Cirrhosis -Hepatoma -Primary
Biliary Cirrhosis & Sclerosing Cholangitis -Inflammatory
Bowel Diseases -Tumors
Of The Intestines 1 -Tumors
Of The Intestines 2 -GIT
Diseases In HIV Nephrology -Kidney
In Systemic Diseases -Kidney
In HIV -Nephrolithiasis -Congenital
& Hereditary Diseases Of The Urinary Tract -Cystic
Disease Of The Kidneys -Obstructive
Nephropathy -Dialysis -Renal
Transplantation -Tumors
Of The Urinary Tract -Drug
Induced Renal Disease -Drug
Use In Renal Disease Rheumatology
& Rehabiliation Medicine -Evaluation
Of The Patient With Joint Pains -The
Seronegative Athritides -The
Seropositive Athritides -Connective
Tissue Diseases -Dermatomyositis,
Polymyositis & Giant Cell Arteritis -Rheumatological
Disease In HIV -Physiotherapy
in rehabilitative medicine Neurology
II -Neuropathy -Viral
Infections Of The CNS -Disease
Of The Extra- Pyramidal System -Cerebellar
Diseases -Cerebral
Abscess -Brain
Tumors -Seizure
Disorders -Subacute
Combined Degeneration -
Myopathies -Degenerative
Diseases Of The CNS -CNS
Disease in HIV Endocrine
& Metabolic Medicine II -Disorders
of the hypothalamus -Disorder
of the pituitary gland. -Disorders
of the adrenal gland. -Disorders
of calcium metabolism -Gout
and hyperuricaemia -Wilson's
disease. MED
445: DERMATOLOGY (1 CREDIT) Dermatology
& Venorology -Anatomy,
Physiology & Functions Of The Skin;
Terminology In Dermatology -Eczema -Bacterial
Skin Infections -Viral
Skin Infections -Dermatophytosis -Parasitic
Skin Diseases -HIV
Infection & The Skin -Papulosquamous
Skin Diseases; Psoriasis, Lichen Planus, P. Rosea, E.T.C. -S.L.E -Urticaria
& Drug Induced Eruptions -Acne
& Other Diseases Of The Hair & Scalp -Immunology
Of Leprosy -Leprosy-
Clinical Features & Investigations -Leprosy-
Therapy & Complications -Bullous
Diseases MED
446: DERMATOLOGY POSTINGS (2 CREDITS) 600
LEVEL CLASS MED
641: FAMILY
MEDICINE/RURAL/GENERAL PRACTICE POSTING & RESEARCH METHODOLOGIES IN
INTERNAL MEDICINE (4 WEEKS -3 CREDITS) Lectures
(5). Posting
(4 weeks) in Municipal hospitals outpatients in Jos Principles
of Family Medicine: Family Medicine 602
Principles
of health related dynamics
1 The
family life cycle
1 Posting
(4 weeks) in Municipal hospitals outpatients in Jos (Evangel, OLA
Hospitals etc) Research
methodology MED
642: MEDICINE POSTING III (6
CREDITS -16 WEEKS). Course
objectives: At
the end of the course the student should be able to list and describe
features of environmental medicine, viz-a-viz orthodox medicine and list
features of medical and clinical anthropology. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Environmental
medicine -Scorpion
and bee stings -Snake
bite -Drowning -Heat
stroke/hypothermia -Electric
shock. -Poisoning
Traditional
Medicine -History
of traditional medical cares -Import
of traditional medicine on Orthodox medicine -Relating
to traditional practitioners. -Medical
anthropology -Clinical
anthropology schools THERAPEUTIC
SEMINARS: MED. 609 (4 UNITS) Students
to be divided into groups of 5 – 8 per group and assigned topics to
prepare and present to the whole class, moderated by a lecturer.
REFER ALSO THERAPEUTIC SEMINARS BY PHARMACOLOGY DEPARTMENT. NOTE: 1.
The Medical and Surgical lectures run concurrently
during each posting. Students are divided into two groups and spend half
of the period each in Medicine and Surgery. 2.
Ward teaching and experience, clinical teaching and
tutorial are given to the group that is fully in Medicine, during Medicine
I, II and III posting. |
