Medical SchoolEDC

SBUMECurricular Reformin

Undergraduate Medical Education

Sh.YazdaniF.Hosseini

Medical SchoolEDC

SBUME

Phase I Basic Medical Sciences

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Anatom

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Physiology

Histology

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Biochem

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Biophysics

Imm

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Anatom

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Physiology

Histology

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Biochem

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Biophysics

Imm

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Core

Non-C

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Anatom

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Physiology

Histology

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Biochem

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Biophysics

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Core

Non-C

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Introductory

Organ System

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Anatom

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Physiology

Histology

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Biochem

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Biophysics

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Core

Non-C

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Introductory

Cardiovascular

EndocrineGastrointestinal

Respiratory Hematology

Musculoskeletal

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Anatom

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Physiology

Histology

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Biochem

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Biophysics

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Core

Non-C

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Introduction to Basic Medical Sciences

Cardiovascular

EndocrineGastrointestinal

Respiratory Hematology

Musculoskeletal

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Cardiovascular Organ System

Anatom

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Physiology

Histology

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Biochem

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Biophysics

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Core

Non-C

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Introduction to Basic Medical Sciences

Endocrine Organ System

Gastrointestinal Organ System

Respiratory Organ System Hematology Organ System

Musculoskeletal Organ System

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Beyond-C

oreA

natomy

Beyond-C

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Beyond-C

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istology

Beyond-C

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mbryology

Beyond-C

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iochemistry

Beyond-C

oreB

iophysics

Beyond-C

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munology

Cardiovascular Organ System

Anatom

y

Physiology

Histology

Em

bryology

Biochem

istry

Biophysics

Imm

unology

Core

Non-C

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Introduction to Basic Medical Sciences

Endocrine Organ System

Gastrointestinal Organ System

Respiratory Organ System Hematology Organ System

Musculoskeletal Organ System

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Beyond-C

oreA

natomy

Beyond-C

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Beyond-C

oreH

istology

Beyond-C

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mbryology

Beyond-C

oreB

iochemistry

Beyond-C

oreB

iophysics

Beyond-C

oreIm

munology

Cardiovascular Organ System

Anatom

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Physiology

Histology

Em

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Biochem

istry

Biophysics

Imm

unology

Core

Non-C

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Introduction to Basic Medical Sciences

Endocrine Organ System

Gastrointestinal Organ System

Respiratory Organ System Hematology Organ System

Musculoskeletal Organ System

20% Clinical Content Vertically Integrated into Organ Systems

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Systems:

1. Cardiovascular 

2. Respiratory

3. Hematology

4. Gasteroenterology 

5. Musculoskeletal 

6. Nervous 

7. Endocrinology 

8. Reproduction 

9. Renal and Urinary

10. Dermatology

11. Ophthalmology

12. Otolaryngology

Systems

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Information Technology

Study S

kills

General U

nits

Introduction to Basic Medical Sciences I

Introduction to Basic Medical Sciences II

Introduction to Basic Medical Sciences III

Semester I

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Cardiovascular Organ System

Musculoskeletal Organ System

Integument Organ System

GeneralU

nits

Elective C

ourses

Public H

ealthP

sychologySemester II

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Hematology Organ System

Gastrointestinal Organ System

Reproductive Organ System

General U

nits

Early P

atient Contact II

Com

munity E

xposure I

Microbiology

Nutrition

Semester V

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Com

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xposure I

Early P

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Visual Organ System

Auditory Organ System

Renal Organ System

General U

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Elective C

ourses

Virology

Clinical G

enetics

Semester IV

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CurriculumCommittee

InterdisciplinaryGroup 1

InterdisciplinaryGroup 2 ………….. Interdisciplinary

Group 11Interdisciplinary

Group 12

ConventionalEducational

Groups

ConventionalEducational

Groups………………

ConventionalEducational

Groups

ConventionalEducational

Groups

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Integration Through Central Governance of Curriculum

Fragmented curriculum, departmaents, and governance

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Integration Through Central Governance of Curriculum

central governance on different departments

Curriculum Committee

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Integration Through Central Governance of Curriculum

Central governance on teams, build by removing the walls between departments

Curriculum Committee

InterdisciplinaryDepartments

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Integration Through Central Governance of Curriculum

Central governance on integrated teams who deliver an integrated curriculum

Curriculum Committee

InterdisciplinaryDepartments

IntegratedCurriculum

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Integration in course evaluation

an exam after each course

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Integration in Summative Exams

or

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41 - پسر جواني بعلت اصابت جسم سنگين در سانتيمتر 3قسمت فوقاني و الترال ساق راست

پائين تر از مفصل زانو دچار درد و تورم شديد شده است. در راديوگرافي ساده شکستگي چند قطعه اي گردن فيبوال ديده مي شود احتمال صدمه کداميک از

اعصاب زير بيشتر است؟الف Common peroneal بsuperficial peronealجTibalدDeep peroneal

1385آزمون جامع علوم پايه پزشکي اسفند ماه سال دانشگاه علوم پزشکي شهيد بهشتي – دانشکده پزشکي

Medical SchoolEDC

SBUMEPhase II & III Introduction to Clinical

Sciences

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Pathology

Pharm

acology

Radiology Rotation

Patho-physiology

Sem

iology

Radiology

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Pharm

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Patho-physiology

Sem

iology

Radiology

OSPatho

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Patho-physiology

Sem

iology

Radiology

OSPatho

Gen.Pharm

OSPharm

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Patho-physiology

Radiology

OSPatho

Gen.Pharm

OSPharm

Gen.Semio

OSSemio

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

OSPatho-physiology

Radiology

OSPatho

Gen.Pharm

OSPharm

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OSSemio

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

OSPatho-physiology

OSPatho

Gen.Pharm

OSPharm

Gen.Semio

OSSemio

Gen.Radio

OSRadio

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho Rheum Patho-physiology

Rheu Patho

Gen.Pharm

Gen.Semio

Gen.Radio

Neph Patho

GI Patho

Cardi Patho

Rheu Pharm

Neph Pharm

GI Pharm

Cardi Pharm

Rheu Semio

Neph Semio

GI Semio

Cardi Semio

Rheu Radio

Neph Radio

GI Radio

Card Radio

Nephr Patho-physiology

GI Patho-physiology

Cardio Patho-physiology

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho Rheum Patho-physiology

Rheu Patho

Gen.Pharm

Gen.Semio

Gen.Radio

Neph Patho

GI Patho

Rheu Pharm

Neph Pharm

GI Pharm

Rheu Semio

Neph Semio

GI Semio

Rheu Radio

Neph Radio

GI Radio

Nephr Patho-physiology

GI Patho-physiology

CardPath

CardPharm

CardSemio

CardPath-Phys

CardRadio

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Gen.Pharm

Gen.Semio

Gen.Radio

CardPath

CardPharm

CardSemio

CardPath-Phys

CardRadio

GIPath

GIPharm

GISemio

GIPath-Phys

GIRadio

NephPath

NephPharm

NephSemio

NephPath-Phys

NephRadio

RheuPath

RheuPharm

RheuSemio

RheuPath-Phys

RheuRadio

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Gen.Pharm

Gen.Semio

Gen.Radio

CardPath

CardPharm

CardSemio

CardPath-Phys

CardRadio

GIPath

GIPharm

GISemio

GIPath-Phys

GIRadio

NephPath

NephPharm

NephSemio

NephPath-Phys

NephRadio

RheuPath

RheuPharm

RheuSemio

RheuPath-Phys

RheuRadio

T

T

T

T

P

P

P

P

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SemiologyC

linicalE

pidemiology

Evidence B

asedM

edicine

Biostatistics

General

Pharm

acology

Com

munity E

xposure

General

Pathology

General

Radiology

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64 O

rgan S

pecific P

harm

acologyO

rgan Specific P

harm

acology

Organ

Sp

ecific Path

ologyO

rgan Specific P

athology

Com

munity E

xposureC

omm

unity Exposure

Internal Medicine PBL, GDL

Sk

ill Lab

Sk

ill Lab

Internal Medicine PBL, GDLInternal Medicine PBL, GDLInternal Medicine PBL, GDLInternal Medicine PBL, GDLInternal Medicine PBL, GDL

Orthopedics, Urology, Neurosurgery PBL, GDL

Neurology PBL, GDLGeneral Surgery PBL, GDLGeneral Surgery PBL, GDL

Orthopedics, Urology, Neurosurgery PBL, GDL

Organ

Sp

ecific Rad

iologyO

rgan Specific R

adiology

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Cardiology Rotation

Gastroenterology Rotation

Nephrology Rotation

Rheumatology Rotation

Gen.Patho

Gen.Pharm

Gen.Semio

Gen.Radio

CardPath

CardPharm

CardSemio

CardPath-Phys

CardRadio

GIPath

GIPharm

GISemio

GIPath-Phys

GIRadio

NephPath

NephPharm

NephSemio

NephPath-Phys

NephRadio

RheuPath

RheuPharm

RheuSemio

RheuPath-Phys

RheuRadio

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T

T

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P

P

P

P

Shift From Disease-Based To Manifestation-Based

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PBL-GDL Topics1. Chest Pain2. Circulatory Collapse3. Acute and Chronic

Breathlessness4. Acute and Chronic

Wheezing5. Haemoptysis6. Chronic Chough7. Upper Respiratory

Infections (coughs, colds and sore throats)

8. Palpitations9. Ankle Swelling10. Acute Abdominal Pain11. Chronic Abdominal

Pain12. Abdominal Mass /

Swelling13. Hernia / Abdominal

Subcutaneous Mass

14. Pelvic Mass15. Indigestion (dyspepsia)16. Dysphagia17. Loss of Appetite (anorexia)18. Nausea and Vomiting19. Weight Loss20. Haematemesis and

Melaena21. Rectal Bleeding22. Jaundice23. Diarrhoea24. Constipation25. Perianal Pain / Itching /

Discharge26. Rectal and Vaginal

Prolapse27. Faecal Incontinence

28. Sinuses, Fistulae and Stomata

29. Obesity30. Acute Retention of Urine31. Urinary Frequency and

Urgency32. Urinary Incontinence33. Pain on Micturition

(dysuria)34. Acute Anuria35. Polyuria (polydipsia)36. Haematuria37. Testicular Pain38. Scrotal Swelling39. Ectopic / Undescended

Testes40. Lump or Swelling on

Breast

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GDL Study Guide Format Course Title How to Use This Guide Course Objectives Introduction Core concepts of the course Presentations Glossary

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GDL Study Guide Format Course Title (T) How to Use This Guide Course Objectives

Finding core concepts of the course Applying Relevant Basic Sciences into Clinical

Manifestations Approach to Presentations Familiarizing with Diseases Developing Meta-competencies

Introduction (T) Epidemiology and Importance (Prevalence, Incidence,

Disease Burden, Economic Impact) Classification (of diseases)

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Core Concepts of the Course (T) Pathophysiology Diagnostic principles

History Taking and Physical Examination Imaging Laboratory Miscellaneous

Pharmacology Risk reduction

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Presentation Presentation Title Case/Cases Definition (T) Basic Sciences (R)

Anatomy Histology Physiology Pathology Biochemistry (If Indicated) Immunology (If Indicated) Embryology (If Indicated)

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Pathophysiology / Mechanism (T) Etiologic Diagnosis (including pediatrics,

geriatrics, and pregnancy considerations) (T) Diagnostic Approach to Presentation (including

pediatrics, geriatrics, and pregnancy considerations) (T)

History Physical Examination Paraclinic (Laboratory, Imaging, …)

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Diagnostic Algorithm (Decision Tree) Therapeutic Approach to Presentation (With

Emphasis on Palliation and symptomatic relief) (including pediatrics, geriatrics, and pregnancy considerations) (T)

Professor Lemmas (with special emphasis on ethical, social, economic perspectives)

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Self study of diseases

Level 1 diseases (R) Pathology Internal Medicine Pediatrics

Disease 1

Disease 2

Disease 3

Level 2 diseases (R) Pathology Internal Medicine Pediatrics

Disease 1

Disease 2

Disease 3

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Questions Including problems/cases

Further Readings Textbooks Handbooks Journals E. references

Glossary Simple clincoepidemiologic script

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Preceptor MentorTutorInstructor

Continuum of Roles of Educators

Special Mentor Training Programs Tutor Guide; Preceptor Guide and Mentor

Guide

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the term preceptorship is used to describe the interaction that bridges classroom theory and professional practice in all health sciences.

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Preceptor Guide

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Medical SchoolEDC

SBUME

SBUME’S PORTFOLIO

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Reasons: Stimulating reflection To create a mentoring system To give students more responsibility for their

learning and assessment To make the portfolio part of the assessment

system

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Medical SchoolEDC

SBUME

Phase IV Clinical Experience

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Internal MedicineInternal MedicineInternal MedicineInternal Medicine

SurgerySurgerySurgery

PediatricsPediatricsPediatrics

Gynecology-Obstetrics

Rational D

rug Use A

nd Prescription W

riting

Laboratory M

edicine

Diagnostic Im

aging

Procedure L

ab.

Com

munity E

xposure

Gynecology-Obstetrics

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Emergency MedicineEmergency Medicine

ProjectBased

LearningOffice BasedOffice BasedOffice BasedOffice Based D

isease Man

agemen

tC

ase Man

agemen

tP

opu

lation M

anagem

ent

Practice M

anagem

ent

DermatologyOphthalmology

E.N.T.Psychiatry

Infectious Disease

Prescription W

riting

Laboratory M

edicine

Diagnostic Im

aging

Procedure L

ab.

Com

munity E

xposure

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Preceptor MentorTutorInstructor

Continuum of Roles of Educators

Special Mentor Training Programs Tutor Guide; Preceptor Guide and Mentor

Guide

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Advantages Authentic learning Increase motivation Decrease discrete knowledge Balance curriculum Decrease volume overload Increase effectiveness of learning

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Difficulties Disturbance Integrity of science (Negative

attitude) Communication with others Central governance

Medical SchoolEDC

SBUME

Thank You Any Question?