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School of Medicine 2005-2007 Academic Bulletin |
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School of Medicine Curricula
Doctor of Medicine
The Indiana University School of Medicine maintains a continuing study of its educational programs involving students, faculty committees, and alumni of the school. Appropriate committees propose revisions of the curriculum; changes, once approved by the faculty and the dean, are implemented.
Objectives
The major objectives of the curriculum are summarized as follows:
The curriculum is undergoing review and is subject to change during 2005–2007.
(Subject to revision)
First Year
Second Year
Third Year
Fourth Year
The curriculum schedule is included to illustrate the discipline areas for each year. The schedule of courses for the first and second years at each of the Centers for Medical Education is similar, though not necessarily identical. This arrangement, while retaining much of a typical schedule and with some integration across disciplines in the basic medical sciences, promotes interdisciplinary teaching in the second year. It introduces clerkships in the third year and a fourth year of "core" clerkships and electives. Extensive and varied elective opportunities are available in approved programs on the Medical Center campus, throughout Indiana, and elsewhere.
At Indiana University, challenging opportunities geared to varied backgrounds, experience, and demonstrated abilities are provided for each student. Most departments offer honors programs in which superior students are presented with the option of independent study and supervised individual experience. Extensive use is made of seminars, project laboratories, small-group discussions, and guest speakers. Correlation conferences and clinical seminars continually assist the student in evaluating and integrating his or her education.
The School of Medicine, in cooperation with other institutions of higher learning, has expanded educational opportunities for first- and second-year students on several campuses throughout Indiana. Historically, first-year medical students could begin their course work on either the Indianapolis or the Bloomington campus of Indiana University. Pilot programs for first-year medical students were begun in 1968 with Purdue University at West Lafayette and with the University of Notre Dame at South Bend. A third jointly sponsored medical education program was inaugurated with Ball State University at Muncie in 1970. By 1971 there were first-year students matriculating at Indianapolis, Bloomington, the Lafayette Center for Medical Education at Purdue University, the South Bend Center for Medical Education at the University of Notre Dame, the Muncie Center for Medical Education at Ball State University, and the Terre Haute Center for Medical Education at Indiana State University. In 1972 pilot programs for entering medical students were begun at the Northwest Center for Medical Education in Gary and the Evansville Center for Medical Education in Evansville. The Fort Wayne Center for Medical Education at IPFW was assigned first-year students in 1981. Second-year programs were initiated at all of the centers, except Fort Wayne, in 1980. Funding for second-year students at the Fort Wayne campus began in fall 1990.
Matriculants at Indiana University School of Medicine (IUSM) begin their first two years of study at one of nine campus locations throughout Indiana. All students come together in Indianapolis for the third and fourth years of study.
Competency-Defined Curriculum
Recognizing that the art of medicine requires more than excellent medical knowledge and procedural skill, IUSM was among the first of a growing number of schools to adopt an innovative curriculum designed to support student development in nine areas of competency: (1) effective communication; (2) basic clinical skills; (3) using science to guide diagnosis, management, therapeutics, and prevention; (4) lifelong learning; (5) self-awareness, self-care, and personal growth; (6) the social and community contexts of health care; (7) moral reasoning and ethical judgment; (8) problem-solving; and (9) professionalism and role recognition
Basic Sciences and Early Patient Care
IUSM course and non–course work reflect the competency focus. Small group work in Biochemistry and Concepts of Health and Disease emphasizes foundational science content along with communication, problem-solving, and lifelong learning. Introduction to Clinical Medicine addresses clinical, social, behavioral, and basic sciences in addition to communication, professionalism, medical ethics, cultural diversity, and spirituality. Year one focuses on the physician-patient relationship through interaction with faculty and patients in a variety of settings. In year two, the competencies are increasingly integrated into patient care through direct patient contact at the bedside. Students demonstrate their developing competencies in various settings, including Objective Structured Clinical Examinations with standardized patients trained to present specific health problems and give students immediate feedback.
Taking Competencies from the Classroom to the Clinic
In year three, student learning in the competency areas is furthered through the medical care programs of the hospitals. During clinical clerkships students assume increasing responsibility for all aspects of patient care. Clerkship opportunities range from preventive medicine and outpatient care through emergency services, general hospital ward work, and specialized medical services. The annual graduation questionnaire indicates that students value the exposure to a wide variety of hospitals, patient populations, and clinical experiences that is available in Indianapolis. Fourth-year students widen their experience through three required clerkships, advanced level projects in three of the nine competency areas, and six months of elective study. Students may choose from electives in basic and clinical science departments, hospital systems in and beyond Indianapolis, private practice preceptorships, or foreign study.
Learning Environment
The formation of a physician's professional identity is not accomplished solely through the formal curriculum. Learners also assimilate patterns of relating that they experience in the social environment, or informal curriculum, during their training. In 2003, IUSM began a three-year process of self-study and organizational development known as the Relationship-Centered Care Initiative. The School is working to transform the informal curriculum to foster relationship in all aspects of medical school and practice. The desired outcome is a culture that consistently reflects the ethical, professional, and humane values expressed in the formal curriculum.
Evaluation and Graduation Requirements
The school follows an evaluation system that includes both course and competency grades. The course grading system includes grades of honors, high pass, pass, and fail. Achievement of the nine competencies is tracked and documented each year, culminating in a competency transcript upon graduation. In order to graduate, students must pass all course and competency requirements and Steps 1 and 2 of the USMLE.
Basic Medical Sciences Programs
Basic Medical Sciences Programs
The Indiana University School of Medicine faculty at Indianapolis, in collaboration with the University Graduate School, offers students an opportunity to pursue an M.S. or Ph.D. in anatomy and cell biology, biochemistry and molecular biology, medical and molecular genetics, medical neurobiology, microbiology and immunology, pathology and laboratory medicine, pharmacology, toxicology, cellular and integrative physiology, and medical biophysics biomolecular imaging. The Medical Science program (Bloomington) has programs in anatomy, biochemistry, pathology, pharmacology, and physiology. Entry into the graduate program in basic medical sciences requires approval of the individual program or department, the Graduate Division of the School of Medicine, and the University Graduate School. The requirements for the M.S. or Ph.D. degree are detailed in the Indiana University Graduate School Bulletin. Course offerings of the graduate programs in basic medical sciences are listed in this bulletin.
For additional information, contact:
The School of Medicine and the University Graduate School offer selected students an opportunity to pursue the Ph.D., M.B.A., M.A., or M.P.H. degrees, concurrently or sequentially, with a coordinated and flexible program leading also to the M.D. degree. Programs at Indianapolis are available in anatomy and cell biology, biochemistry and molecular biology, medical biophysics, biomolecular imaging, medical and molecular genetics, medical neurobiology, microbiology and immunology, pathology and laboratory medicine, pharmacology, cellular and integrative physiology, and toxicology. At Bloomington, the combined degree is available in the basic medicine sciences, humanities, and social studies. The combined degree programs are also available through the graduate schools of Purdue University and Notre Dame University. The combined degree program is designed to meet the student's particular objectives and needs and is planned by the student and an advisory committee of faculty representing the School of Medicine and the respective graduate school department or program.
Entry into a combined degree program requires approval of both the School of Medicine and the University Graduate School.
The Indiana University School of Medicine has established the Indiana Medical Scientist Training Program for fellowship and tuition support of students in the combined M.D./Ph.D. program at Indianapolis. A faculty committee nominates students for the program based on commitment to a career as a physician scientist, research experience, undergraduate grade point average, and MCAT scores. Information can be obtained from the Graduate Division of the School of Medicine.
Completion of the program entails meeting all requirements for both degrees. Many nonclinical courses of the curriculum of the School of Medicine satisfy course requirements for both degrees, and credit given for graduate study may fulfill some of the School of Medicine requirements. The combined degrees may thus be acquired in less time than would be required if both were taken separately.
A minimum of 90 credit hours of graduate study is required for the combined Ph.D./M.D. degree. A maximum of 30 credit hours of School of Medicine courses may count toward the Ph.D. degree.
Master of Science in Medical Science Program
The Master of Science in Medical Science (M.S.M.S.) Program at Indiana University School of Medicine (I.U.S.M.) offers a unique opportunity in medical education to medical school applicants from especially disadvantaged backgrounds.
Students aspiring to careers in medicine at times require additional skill-building experience and an enhanced knowledge of learning strategies. Some students who are not admitted to the I.U.S.M. on their first attempt may be invited to enroll in the M.S.M.S. Program. Others seeking direct admission can complete and submit the program's application for admission.
The M.S.M.S. Program is a two-year program that includes 35 credit hours of course work at the graduate level. This unique academic experience includes lectures, problem-based learning, and research. A Master of Science in Medical Science degree is earned upon completion of the program with a minimum grade point average of 3.0. Students may apply to medical school during each year of the program.
All admitted students are required to complete an intensive summer Medical College Admission Test Preparation Program offered at Indiana University School of Medicine before starting the graduate M.S.M.S. curriculum in the fall semester.
For additional information concerning the program, please contact:
The broad range of interdisciplinary faculty research programs in clinical and basic medical science fields provides outstanding opportunities for student participation in research. Direct fellowship support for the student is available through the Student Research Program in Academic Medicine Committee. In addition, many students participate in faculty projects as research assistants.
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