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CLINICAL SCIENCE

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The Clinical Science Program is designed to give students a broad spectrum of medical practice, training in clinical skills, and patient contact.  The program consists of fifth semester, and core and elective rotations that are completed at U.S. teaching hospitals affiliated with the University of Medicine and Health Sciences.  

Fifth Semester

UMHS students complete their fifth semester studies at the UMHS campus in Portland, Maine.  The fifth semester consists of the following required courses, Introduction to Clinical Medicine II and Biological Basis of Clinical Medicine.

The UMHS facilities in Portland, Maine include the latest in simulation and technology resources. Virtual clinics utilizing human simulators are a regular student experience. Recently the facilities have been expanded to include a learning resource center and additional examination rooms.

All student clinical experiences will be conducted by a team of experienced Maine physicians, many of whom have decades of both medical practice and teaching experience.  Students will be assigned to physicians in actual patient care settings at several hospitals, clinics, and office health centers in and around Portland.  The opportunity to work beside renowned Maine physicians is designed to build student clinical capabilities, increase student confidence, and enhance student performance on United States Licensing Examinations (USMLE). clinical_picture.jpg

Fifth semester students will have an opportunity to enjoy all that Portland, Maine has to offer, including succulent lobster, beautiful lighthouses, and scenic views.  Portland offers all the amenities of a city such as museums, parks, and great shopping.  Maine offers the mountains for skiing and hiking, rivers for canoeing, and of course, the incredible ocean coastline. 

After passing Step I of the USMLE, students will be placed in clinical rotations at one or more affiliated teaching hospitals throughout the United States. This occurs under the guidance of clinical faculty, and under the supervision of the Dean of Clinical Sciences.  

These clinical clerkships include 48 weeks of mandatory course clinical rotations, as well as 30 weeks of elective clinical rotations. The core rotations represent the primary areas of medical practice and the elective rotations provide students with an understanding of the various specialties in medicine.

Clinical Affiliations 

UMHS has established affiliations with 23 teaching hospitals throughout the United States (and Canada), where students complete their core rotations.  In addition, we are continuing to expand the core clinical affiliations, and are in negotiations with additional  teaching hospitals in a variety of states. The following list represents the hospitals where students can complete their clinical requirements. This list is updated periodically. maine_clinical_picture_2.jpg

 US Affiliations

Arizona:

  • Scottsdale HealthCare System
  • Maricopa Integrated Health Care

Connecticut:

  • Danbury Hospital, Danbury
  • Griffin Hospital, Derby
  • St. Mary's Hospital, Waterbury
  • St. Vincent's Medical Center, Bridgeport
Georgia:
  • DeKalb Medical Center, Decatur
  • Doctors Hospital of Augusta
  • Georgia Regional Hospital
  • Trinity Hospital of Augusta 
Illinois:
  • Adventist Hospitals, Hinsdale
  • Jackson Park Hospital, Chicago
  • Mount Sinai Medical Center of Chicago

Maryland:

  • Sinai Hospital of Baltimore
Michigan:
  • Detroit Medical Center – Sinai Grace, Detroit
New York:
  • Montefiore New Rochelle Hospital
  • Southampton Hospital

Ohio:

  • Clinton Memorial Hospital, Wilmington

Puerto Rico:

  • Ponce School of Medicine Residency Programs, Ponce

Wisconsin

  • Apirus Wausau Hospital
  • Rogers Memorial Hospital, Milwaukee

Wyoming

  • Wyoming Medical Center

 

Canadian Affiliations

  •  Ontario Shores Centre for Mental Health Sciences

 

Electives (Non Affiliated Clinical Sites)

NAME TOWN STATE OR COUNTRY  
ABSOLUTE REHABILITATION MED  SCOTTSDALE AZ  
 MARICOPA MEDICAL CENTER  PHOENIX AZ  
 DARTMOUTH GENERAL HOSPITAL  DARTMOUTH CANADA  
 FINCH MEDICAL CENTRE  TORONTO CANADA  
 HAMILTON GENERAL HOSPITAL  HAMILTON CANADA  
 HAMILTON HEALTH SCIENCE   HAMILTON CANADA  
 HOTEL-DIEU GRACE HOSPITAL  WINDSOR CANADA  
 LEORA MARCORTIZ FAMILY MEDICINE PRACTICE  TORONTO CANADA  
 LONDON HEALTH SCIENCE  LONDON CANADA  
 LYNDE CENTRE FOR DERMATOLOGY  MARKHAM, ONTARIO CANADA  
 MCGILL UNIVERSITY HEALTH CENTER  MONTREAL CANADA  
 MCMASTER UNIVERSITY  HAMILTON CANADA  
 NELSON-ELLESMERE MEDICAL CENTER  SCRBOROUGH ONTARIO CANADA  
 NORTHRN ONTARIO SCHOOL OF MEDICINE  ONTAIRO CANADA  
 PRIMARY MEDICAL CLINIC  ONTAIRO,  CANADA  
 SILVER STAR MEDICAL CENTRE  SCARBOROUGH ON,  CANADA  
 THE MONCTON HOSPITAL (HORIZON)  MONCTON, NB CANADA  
 UNIVERSITY OF WESTERN ONTARIO  ONTARIO CANADA  
 VICTORIA HOSPITAL   LONDON CANADA  
 EXEMPLA ST. JOSEPH HOSPITAL  DENVER CO  
 UNIVERSITY OF COLORADO  AURORA CO  
 ST. MARY'S HOSPITAL  WATERBURY CT  
 CHRISTIANA CARE  WILMINGTON DE  
 ATLANTA CARDIOLOGY & PRIMARY CARE  TUCKER GA  
 EMORY UNIVERSITY SCHOOL OF MEDICINE  ATLANTA GA  
 GEORGIA REGIONAL HOSPITAL  ATLANTA GA  
 ADVOCATE CHRIST MEDICAL CENTER  OAK LAWN IL  
 ALEXIAN BROTHERS MEDICAL CENTER  BLOOMINDALE IL  
 COOK COUNTY HOSPITAL  CHICAGO IL  
 DINESH JAIN MEDICAL   TINLEY IL  
 KSB HOSPITAL  DIXON IL  
 LINCOLN PEDIATRIC CENTER  CHICAGO IL  
 MARIANJOY HOSPITAL  WHEATON IL  
 MERCY HOSPITAL  CHICAGO IL  
 NORTHWESTERN MEMORIAL HOSPITAL  CHICAGO IL  
 NORWEGIAN AMERICAN HOSPITAL  CHICAGO IL  
 RML SPECIALTY HOSPITAL  CHICAGO IL  
 SCHWAB REHABILITATION HOSPITAL  CHICAGO IL  
 UNIVERSITY OF ILLINOIS   CHICAGO IL  
 UNIVERSITY MEDICAL CENTER  LAFAYETTE LA  
 AMERICAN UNIVERSITY OF BEIRUT  BEIRUT LEBANON  
 BRIGHAM AND WOMEN’S HOSPITAL  BOSTON MA  
 JOHNS HOPKINS UNIVERSITY  BALTIMORE MD  
 CENTRAL MAINE HEALTHCARE SYSTEM  RUMFORD ME  
 MAINE- DARTMOUTH SCHOOL OF MEDICINE  DARTMOUTH ME  
 DOCTORS' HOSPITAL OF MICHIGAN  PONTIAC MI  
 GRAND RAPIDS MEDICAL EDUCATION PARTNERS  GRAND RAPID MI  
 JOHN D. DINGELL MEDICAL CENTER  DETROIT MI  
 MCLAREN REGIONAL MEDICAL CENTER  FLINT MI  
 MICHIGAN STATE UNIVERSITY  LANSING MI  
 MUNSON MED CENTER  TRAVERSE MI  
       
 SYNERGY MEDICAL EDUCATION ALLIANCE  SAGINAW MI  
 CHILDREN HEALTHCARE CLINICS  MINNEAPOLIS MN  
 MAYO CLINIC  ROCHESTER MN  
 NORAN NUEUROLOGICAL CLINIC  MINNEAPOLIS MN  
 PARK NICOLLET HEALTH SERVICES  ST.LOUISE  MN  
 REGIONS HOSPITAL  ST.PAUL MN  
 EAST CAROLINA UNIVERSITY  GREENVILL NC  
 UNIVERSITY OF NORTH CAROLINA  GREENBORO NC  
 OMAHA CHILDREN'S HOSPITAL  OMAHA NE  
 NNAMDI AZIKIWE UNIVERSITY COLLEGE OF HEALTH SCIENCE  NAU NIGERIA  
 DALHOUSE UNIVERSITY HALIFAX NOVA SCOTIA  
 YALE SCHOOL OF MEDICINE  NEW  HAVEN CT  
 CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MED  CLEVELAND OH  
 MOUNT CARMEL ST. ANN  WATERVILLE OH  
 SUMMA HOSPITAL  AKRON OH  
 TRI-HEALTH GOOD SAMARITAN HOSPITAL  CINCINNATI OH  
 UNIVERSITY HOSPITALS UROLOGY  CLEVELAND OH  
 ST. ANTHONY FAMILY PRACTICE & RESIDENCY  OKLAHOMA CITY OK  
 BRANT FORD GENERAL HOSPITAL  BRANT FORD CANADA  
 SCHULICH SCHOOL OF MEDICINE  LONDON CANADA  
 SOUTHEASTERN REGIONAL MEDICAL CENTER  LUMBERTON NC  
 EASTERN TENNESSEE STATE UNIVERSITY / QUILLEN COLLEGE  JOHNSON CITY TN  
 UNIVERSITY OF TENNESSEE  KNOXVILLE TN  
 LYNCHBURG FAMILY MEDICINE RESIDENCY  LYNCHBURG VA  
 VIRGINIA DERMATOLOGY & SKIN SURGERY CENTER  FREDERICKSBURG VA  
 CENTRAL WASHINGTON FAMILY MEDICINE  YAKIMA  WA  
 FAMILY MEDICINE SPOKANE  SPOKANE WA  
 PROVIDENCE SACRED HEART MEDICAL CENTER  SPOKANE WA  
 AUROURA BAYCONE MEDICAL CENTER  GREENBAY WI  
 GI ASSOCIATES IN MILWAUKEE  MILWAUKEE WI  
 PROVIDENCE MILWAUKEE HOSPITAL  MILWAUKEE WI  
 UNIVERSITY OF WISCONSIN MADISON WI  
 WHEATON FRANCISCAN HEALTHCARE  GLENDALE WI  


Curriculum

Semester V

Semester Five courses are to be taken in order.

Semester Five Introduction to Clinical Medicine II 7 credits
  Biological Basis of Clinical Medicine  4 credits

USMLE Step 1 Examination Taken after completion of semester five  

Semester VI-X

Courses in Semesters Six through Ten are to be taken in the order assigned by the Clinical Department

     
Semester Six through Ten Core Rotations (48 weeks)  
  Internal Medicine 12 weeks
  Surgery 12 weeks
  Pediatrics 6 weeks
  Obstetrics and Gynecology 6 weeks
  Psychiatry 6 weeks
  Family Practice 6 weeks
  Electives (30 Weeks)  

USMLE Step 2 Examination Taken after students complete the core rotations  


Semester V

   
Introduction to Clinical Medicine II    7 credits
Introduction is made to core medical information necessary to begin the third year of medical training, building on advances made in the fourth semester of ICM. Didactics are blended with laboratory data interpretation, radiology and other imaging techniques, and electrocardiography, introducing core medical information necessary for the third and fourth years of clinical training. This will be done in a problem-based learning format stressing a review of the basic sciences, the development of case-centered learning goals and emphasis is placed on the introduction of a series of core medical conditions, integrating behavioral medicine. Critical emphasis is also placed on the development of ethical standards, specialization, as well as education and licensing requirements in the various states.
     
Biological Basis of Clinical Medicine   4 credits
This clinical course is designed to fully integrate the knowledge acquired in the various basic medical sciences and pre-clinical sciences during the first four semesters of study in St. Kitts, into a useful body of information that can be utilized to prepare the student to sit for licensure examinations (USMLE I).  This clinical course will utilize a variety of visiting professors and faculty recruited primarily from U.S. medical schools.
     

Semesters VI-X

   
Internal Medicine   12 Weeks
Students build on skills acquired in physical diagnosis to include the completion of a thorough history and physical examination of primarily adult patients. Students participate in general Internal Medicine areas, granting exposure to the diagnostic and treatment process as it unfolds. Students develop competence in evaluating broad clinical problems and patient management skills. "Hands on" patient experience is supplemented by tutorials and didactic sessions. Lectures will include the management of commonly encountered disease processes as well as an introduction to the use of diagnostic procedures.
     
Surgery   12 Weeks
Students will be introduced to disease processes which require various levels of surgical intervention. Students develop skills needed by the general physician as well as those unique to surgery. Students further develop abilities in data synthesis and problem solving, and become oriented to the clinical setting related to surgery. Ideally, students follow the patient from admission through discharge. Students are expected to participate in all aspects of patient care: assisting in the operating room, emergency room, and acute care units. Opportunities will be provided for direct practice of simple procedures such as suturing, debridement and wound care. Students will be expected to observe and assist during various procedures in the OR and participate in follow-up and treatment of the post-surgical patient, as well as ambulatory practice settings
     
Pediatrics   6 Weeks
Students receive a broad overview of general pediatrics. Experience will be gained with in-patient and ambulatory pediatric care. Pediatric intakes and ward rounds are the basis of inpatient care while ambulatory care experience is gained in general pediatric clinics evaluating patients with common complaints and disorders. This clinical rotation introduces the student to the challenging treatment of infants, children and adolescents; the diagnosis and treatment of common illnesses will be emphasized, but the student will have opportunities to learn about more rare congenital as well as acquired disorders.
     
Obstetrics and Gynecology   6 Weeks
Students are assigned to obstetrical and gynecological patients for evaluation and follow-up. Participation in normal deliveries is stressed. Students are expected to follow patients through completion of delivery or surgery. Ambulatory obstetrical and gynecological care is stressed and patient contact is supplemented with conferences and didactic teaching sessions. Observation and participation in a number of live births will be provided.
     
Psychiatry   6 Weeks
In a primarily institutional setting, the students will learn about the major psychiatric illnesses such as schizophrenia, affective, and anxiety disorders. Students build upon classroom knowledge gained during the first and second years. Treatment of psychiatric patients in the in-patient setting comprises the majority of the rotation. The resources available for care of psychiatric patients are presented. Skill in the evaluation and diagnosis of the psychiatric patients is developed through direct patient interviews and didactic sessions.
     
Family Practice   6 Weeks
Students work in both the private office and clinic setting and the hospital environment with family practitioners.  Unlike other clerkships, this experience is not hospital based.   Each student is assigned to an office environment, either a single practitioner or a group to experience how different it is to practice primarily in an out-patient setting.  Each student will be assigned to patients as they enter the office, take a history and do a physical examination; define a diagnostic and treatment plan and then present it to physician.  If the patient requires hospitalization, the student will participate in the course in the hospital.  If out-patient care is needed beyond the initial visit, the student will schedule and do the follow-up care.
     
     
 
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