MEDICAL UNIVERSITY OF THE AMERICAS - 2018-2020 CATALOG
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MEDICAL UNIVERSITY OF THE AMERICAS
“INTEGRITY IN EDUCATION”
P.O. Box 701
Charlestown, Nevis, West Indies
Telephone: (869) 469-9177 Fax: (869) 469-9180
Website: www.mua.edu
U.S. Information Office:
c/o R3 Education Inc.
27 Jackson Road, Suite 302
Devens, Massachusetts 01434, United States
Telephone: (978) 862-9500 Fax: (978) 862-9599
E-mail: admissions@mua.edu
DISCLAIMER
The information in this catalog is subject to change. Such changes may be without notice. Potential students should not consider this catalog
to represent a contract between Medical University of the Americas (MUA) and an entering student.
MUA disclaims any misrepresentation that may have occurred as a result of errors in preparation or typesetting of the catalog.
iiSABA UNIVERSITY SCHOOL OF MEDICINE
TABLE OF CONTENTS
CONTENTS
WELCOME................................................ 1 Clinical Medicine Clerkships FINANCIAL INFORMATION...................... 27
Mission Statement Elective Clinical Rotations Tuition and Fees
History Hospital Affiliations Tuition Payment Policies
Recognition, Approvals Doctor of Medicine Tuition Refund
and Accreditation Graduation Requirements Late Fees
The Island of Nevis National Resident Matching Program Deferment Fee
Goals and Objectives
BACHELOR OF HEALTH SCIENCE............ 20 Foreign Check Policy
ACADEMIC CALENDAR.............................. 4 Educational Requirements Financial Aid Information
General Requirements Canadian Student Loans
ADMISSION.............................................. 5
Core Requirements
Education Requirements LIVING ON NEVIS.................................... 30
Admission Process ACADEMIC POLICIES.............................. 21 Nevis Facts at a Glance
Required Documents for Applying Honor Code of Professional Conduct Airlines Serving St. Kitts-Nevis
MCAT Requirement Attendance Language and Currency
Provisional Acceptance Withdrawal Hospital
Re-Application Leave of Absence Driving and Public Transportation
International Applicants Grievance and Appeals Process Utilities
Applicants with Advanced Degrees Academic Guidelines and Accommodations
Visiting the Campus Grading Policy Immigration Requirements
Student Orientation Office of the Registrar Communications
Transfer Applicants and Transcript Requests Shipping
Advanced Standing Student Promotions Committee Banking
Deferred Enrollment Dismissal Pets
Educational Commission for Foreign Medical Schools
CAMPUS................................................. 10 Graduates (ECFMG)
Churches
GATEWAY MEDICAL PROGRAM................ 11 Ceremonies
Admission Requirements Academic Recognition and Awards ADMINISTRATION AND FACULTY............. 32
Matriculation to the M.D. Program Student Responsibilities Administration
Faculty
BASIC SCIENCES CURRICULUM............. 12 STUDENT LIFE........................................ 25
Basic Sciences Curriculum Dress Requirements RESIDENCY PLACEMENTS...................... 35
Basic Sciences Course Descriptions MUA Dormitories
Required Equipment and Materials Off-Campus Housing
Meal Plan
CLINICAL MEDICINE CURRICULUM........ 17
Smoke-Free Environment Policy
Requirements for Clinical Placement
Substance Abuse
Research: Literature Review & Analysis
Student Organizations
Clinical PlacementHIPPOCRATIC OATH
I swear to fulfill, to the best of my ability and judgment, this covenant:
I will respect the hard-won scientific gains of those physicians in whose steps I walk,
and gladly share such knowledge as is mine with those who are to follow.
I will apply, for the benefit of the sick, all measures [that] are required,
avoiding those twin traps of overtreatment and therapeutic nihilism.
I will remember that there is art to medicine as well as science,
and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.
I will not be ashamed to say “I know not,” nor will I fail to call in my colleagues
when the skills of another are needed for a patient’s recovery.
I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know.
Most especially must I tread with care in matters of life and death. If it is given to me to save a life, all thanks.
But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness
and awareness of my own frailty. Above all, I must not play at God.
I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being,
whose illness may affect the person’s family and economic stability. My responsibility includes these related
problems, if I am to care adequately for the sick.
I will prevent disease whenever I can, for prevention is preferable to cure.
I will remember that I remain a member of society, with special obligations to all my fellow human beings,
those sound of mind and body as well as the infirm.
If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection
thereafter. May I always act so as to preserve the finest traditions of my calling
and may I long experience the joy of healing those who seek my help.WELCOME
By focusing on key fundamentals—excellent faculty, small class sizes, a modern campus, a wide range of clinical affiliations
and a cost-effective tuition—Medical University of the Americas (MUA) has enjoyed more than a decade of rapid growth
and achievement.
MUA was founded in 1998 by a group of educators who were active in international
medical education. Since the seating of the first class, more than 900 physicians have
earned their M.D. at MUA. The Board of Trustees for
the Medical University of the
Medical University of the Americas is proud of its track record: Americas wishes to express
• Residency placement rates. its profound gratitude to
the Government of St.
• USMLE licensing exam performance.
Christopher (St. Kitts)-
• Recognition by key medical licensing authorities of the quality of an MUA education. Nevis, as well as the Nevis
Medical education, globally, now emphasizes greater integration between the basic Island Administration for
and clinical sciences portions of the medical school curriculum. At MUA, case-based their overwhelming support
learning and clinical skills development are a prominent part of the Basic Sciences and assistance in the
curriculum. Learning objectives are fully integrated across all courses. This gives students continued development of
the opportunity to maintain perspective on critical learning objectives and enables the university.
faculty to evaluate students based on patient-centered competencies, rather than just
their medical knowledge.
In addition to integrating more clinical experience into the first five semesters, MUA is also focused on extending its wide
range of affiliations with teaching hospitals in the U.S. and Canada where our students complete their clinical rotations.
MUA continually invests in its campus and is committed to implementing the latest instructional technologies and
information systems. Recent years have seen significant campus expansion, including new buildings and the addition
of faculty and administrative resources.
1MISSION STATEMENT
MEDICAL UNIVERSITY OF THE AMERICAS
MISSION STATEMENT
To provide students of diverse backgrounds with the opportunity to acquire the medical and clinical
expertise needed for a successful career as a practicing clinician, along with the skills and confidence
needed to critically evaluate and apply new information.
In order to fulfill its mission, the university’s program is structured around certain ideals which
embody its view of the essential qualities of today’s practicing physician. These ideals are defined in the
six competencies adopted by the university and summarized below:
1. Patient Care: Students must be able to provide patient care that is compassionate, appropriate,
and effective for the treatment of illness and the promotion of health.
2. Scientific & Medical Knowledge: Students must demonstrate knowledge about established and
evolving biomedical, clinical, and associated sciences and application of this knowledge to the
practice of medicine throughout the life cycle.
3. Lifelong Learning, Scholarship, & Collaboration: Students must be able to examine and
evaluate their patient care practices, appraise and assimilate scientific evidence, and use this
information to improve their abilities.
4. Professionalism: Students must demonstrate a commitment to the highest standards of
professional responsibility, adherence to ethical principles, and sensitivity in all interactions
with patients, families, colleagues, and others with whom physicians must interact in their
professional lives.
5. Communication & Interpersonal Skills: Students must display interpersonal and
communication skills that foster effective information exchange and build rapport with patients,
their families, and professional associates.
6. Social & Community Context of Healthcare: Students must demonstrate knowledge of and
responsiveness to the larger context of health care and the ability to effectively call on system
resources to provide care that is of optimal value to the health of the individual and of the
community.
2HISTORY RECOGNITION, APPROVALS
After extensive research and collaboration with medical AND ACCREDITATION
educators from the United States and abroad, MUA was MUA is accredited by the St. Kitts and Nevis Accreditation
established to provide a comprehensive program leading to Board and graduates are eligible for licensure within the
the Doctor of Medicine (M.D.) degree. federation. MUA is also accredited by the Accreditation
Commission on Colleges of Medicine (ACCM). The
MUA is approved and chartered by the Government of St.
ACCM, Nevis’ accrediting body, undertook its accreditation
Christopher (St. Kitts)-Nevis. Since its inception in 1998,
process for MUA in 2009. The ACCM initially granted
MUA, in close collaboration with the Government of
MUA accreditation on June 30, 2010 for a period of six
Nevis, has continued to develop into a dynamic, successful
years (the longest period available under the ACCM
medical school that stresses quality and integrity. The
protocols). Contact details for the ACCM are: ACCM
cooperative relationship with the local government and
Secretariat, 131 Belmont, Southern Cross Road, Bray,
health authorities, and the rapid expansion of the physical
Co Wicklow, Ireland, Phone: +353 872388502, www.
campus, has produced an excellent learning environment
accredmed.org.
for completion of the M.D. degree.
In 2012, the United States Department of Education
MUA’s 10-acre campus is located on what was once a determined that Nevis’ accreditation standards are
sugar plantation and enjoys a constant breeze along comparable to those set by the Liaison Committee on
with breathtaking views of the ocean and surrounding Medical Education (LCME) to accredit medical schools
mountains. The physical structure has expanded step in the United States and Canada.
by step with the completion of a laboratory building
(containing the anatomy, histology and microbiology labs) The Doctor of Medicine (M.D.) program at the Medical
and a two-story library with extensive learning resources. University of the Americas is listed in the latest
A multipurpose complex with on-site health care clinics, International Medical Education Directory (IMED).1 The
a computer testing center, as well as additional classrooms Educational Commission for Foreign Medical Graduates
and faculty office space, was added in 2009. The campus (ECFMG) has declared that students from MUA are
also boasts on-site recreation for students with tennis eligible to take the United States Medical Licensing Exam
courts, a basketball court and a fitness center. While (USMLE), which is required for residency and medical
preclinical and clinical enrollment has grown, MUA has licensure in the United States.
maintained its focus on faculty accessibility and small class The New York State Education Department/State Board
sizes. This strong academic environment has produced high for Medicine approved MUA in 2006 for clerkships and
USMLE passing rates and excellent residency placement. residencies in the State of New York.
Medical University of the Americas is licensed by
THE ISLAND OF NEVIS the Commission for Independent Education, Florida
Nevis is located in the eastern Caribbean, 2 miles from St. Department of Education. Additional information may be
Kitts and easily reached by air via connecting flights from obtained by contacting the Commission at 325 West Gaines
San Juan, Antigua, St. Maarten or St. Kitts. Nevis, also Street, Suite 1414, Tallahassee, FL 32399-0400, toll-free
called the “Paradise Island,” is 36 square miles in area telephone number (888) 224-6684.
with a population of approximately 12,000. It is a safe
Medical University of the Americas is recognized by the
island, conducive to study, family life and recreation.
Medical Board of California.
Much of Nevis slopes gently down from a 3,000-foot
1 Published by the Foundation for Advancement in International Medical Education and
mountain peak to the palm-fringed, silver sand beaches, Research (FAIMER) in partnership with the Educational Commission for Foreign Medical
Graduates (ECFMG).
coconut groves and turquoise sea. Nevis has a pleasant
year-round climate with an average temperature of 79
degrees. Humidity is low and constant northeast trade
winds keep the island cool. Although there is no defined
rainy season, the average annual rainfall is 55 inches.
The capital of Nevis is Charlestown. The twin-island
federation of St. Christopher (St. Kitts)-Nevis gained its
independence from the United Kingdom in 1983, but
still remains a member of the British Commonwealth.
3ACADEMIC CALENDAR
FOR 2018–2020
JANUARY SEMESTER 2018 MAY SEMESTER 2019
Orientation & Registration January 8, 2018 Orientation & Registration May 6, 2019
Classes Begin January 9, 2018 Classes Begin May 7, 2019
MD Graduation January 5, 2018 MD Graduation May 17, 2019
MD Graduation March 16, 2018 MD Commencement Ceremony TBD
Tuition Due for Next Semester April 1, 2018 Tuition Due for Next Semester August 1, 2019
Last Day of Classes April 17, 2018 Last Day of Classes August 13, 2019
Basic Science Awards Ceremony April 19, 2018 Basic Science Awards Ceremony August 15, 2019
Reading Day and Final Exams April 18–20, 2018 Reading Day & Final Exams August 14–16, 2019
MAY SEMESTER 2018 SEPTEMBER SEMESTER 2019
Orientation & Registration May 7, 2018 Orientation & Registration September 2, 2019
Classes Begin May 8, 2018 Classes Begin September 3, 2019
MD Graduation May 18, 2018 MD Graduation September 6, 2019
MD Commencement Ceremony TBD Tuition Due for Next Semester December 1, 2019
Tuition Due for Next Semester August 1, 2018 Last Day of Classes December 10, 2019
Last Day of Classes August 14, 2018 Basic Science Awards Ceremony December 12, 2019
Basic Science Awards Ceremony August 16, 2018 Reading Day and Final Exams December 11–13, 2019
Reading Day & Final Exams August 15–17, 2018
JANUARY SEMESTER 2020
SEPTEMBER SEMESTER 2018 First Day of Enrollment January 6, 2020
Orientation & Registration September 3, 2018 Orientation & Registration January 6, 2020
Classes Begin September 4, 2018 Classes Begin January 7, 2020
MD Graduation September 7, 2018 MD Graduation – no ceremony January 10, 2020
Tuition Due for Next Semester December 1, 2018 MD Graduation – no ceremony March 13, 2020
Last Day of Classes December 11, 2018 Tuition Due for Next Semester April 1, 2020
Basic Science Awards Ceremony December 13, 2018 Last Day of Classes April 15, 2020
Reading Day and Final Exams December 12–14, 2018 Basic Science Awards Ceremony April 16, 2020
Reading Day and Final Exams April 15–17, 2020
JANUARY SEMESTER 2019
Orientation & Registration January 7, 2019 MAY SEMESTER 2020
Classes Begin January 8, 2019 First Day of Enrollment May 4, 2020
MD Graduation January 4, 2019 Orientation & Registration May 4, 2020
MD Graduation March 15, 2019 Classes Begin May 5, 2020
Tuition Due for Next Semester April 1, 2019 MD Graduation May 22, 2020
Last Day of Classes April 16, 2019 Commencement TBD
Basic Science Awards Ceremony April 18, 2019 Tuition Due for Next Semester August 1, 2020
Reading Day and Final Exams April 17–19, 2019 Last Day of Classes August 12, 2020
Basic Science Awards Ceremony August 13, 2020
Reading Day and Final Exams August 12–14, 2020
4ADMISSION
Medical University of the Americas data, and perform in a reasonably or if the student is registered, dismiss
encourages applications from students independent manner. MUA accepts the student.
who are dedicated, enthusiastic, students from wide educational and
and well suited for the rigorous geographic backgrounds, with the Students or graduates of any
study of medicine. Prospective belief that such a diverse student body accredited college or university in
students must have a solid pre- can only enrich the overall educational the world are invited to apply to
medical undergraduate education experience. MUA. Applicants from the United
incorporating appropriate science States (who are U.S. citizens or have
courses. Students are also expected Applicants are accepted based upon the permanent visas) or Canada are
to have a mature sense of values and presumption that all of their statements, expected to have a minimum of three
sound goals for pursuing a career in both oral and written, are true and years of undergraduate studies or the
medicine. Once enrolled at MUA, each that all documents are authentic. If it is equivalent of 90 semester hours or 135
student must be able to integrate all later discovered that false or inaccurate quarter hours, including pre-medical
information received, demonstrate the information was submitted, MUA may requirements from an accredited
ability to learn, analyze and synthesize nullify acceptance into the program, college or university.
NOTE: MUA’s program of study is principally designed to meet the guidelines for medical education set forth by the LCME. Students whose anticipated or preferred career path is subject to other
guidelines or requirements should carefully consider whether MUA’s program would satisfy those other requirements.
IMPORTANT NOTICE TO NON-U.S AND NON-CANADIAN STUDENTS: In order to complete the program in medicine, students from outside the U.S. and Canada may need to obtain certain visas in
order to undertake all or a portion of the requisite clinical training in affiliated hospitals in the U.S. and Canada. Additionally, all students from outside the U.S. and Canada will need certain
visas to take one or more segments of the USMLE exams in the U.S. These visas are solely the student’s responsibility to obtain. Medical University of the Americas understands that as a result
of policies or practices adopted by the U.S. State Department, a number of medical students from outside the U.S. and Canada have been unable to obtain the required visas. Students from
outside the U.S. and Canada who are unable to obtain the necessary visas will not be able to complete the school’s degree program. In such a case, no refund of tuition or other expenses
incurred in connection with his or her attendance at MUA will be made.
5EDUCATION REQUIREMENTS
The following courses are considered standard pre-medical Course Length of Study Credits
requirements for admission. Exceptions will be considered General Biology or
on an individual basis. Zoology One academic year 6+ credits
Inorganic Chemistry
Biology: A one-year general biology or zoology course (with lab) One academic year 6+ credits
with a laboratory component. Students who elect to pursue Organic Chemistry
additional coursework in the biological sciences should (with lab) One academic year 6+ credits
consider genetics, embryology, cell and molecular biology, English
or comparative anatomy. (recommended) One academic year 6+ credits
Physics
Chemistry: One year of inorganic chemistry and one year of (recommended) One academic year 6+ credits
organic chemistry with laboratory component. Biochemistry Mathematics
can be considered an option for Organic Chemistry. (recommended) One academic year 6+ credits
Other A broad background in
English: One year of college-level English literature or humanities, social
composition. Applicants must demonstrate proficiency in or physical sciences,
writing, reading and oral communication. and computer skills
6ADMISSION PROCESS REQUIRED DOCUMENTS FOR
MUA operates on a trimester system and admits a limited APPLYING
number of students for the January, May, and September The following documents are required to complete the
semesters. Prospective students may apply for admission application process:
to MUA at any time throughout the year. Applicants are
encouraged to submit their application and supporting • Completed application form along with a personal
documents early (generally six to eight months in advance). statement.
Since the number of students in each class is limited, early • Application fee of US$75.00.
applicants have a better chance of securing a place in the • Official transcript(s) sent directly from each college/
semester of choice. university attended.
Completed applications are reviewed and evaluated within • MCAT official report (MCAT scores are required for
two weeks by the Pre-Screening Committee. Qualified all U.S. citizens, nationals or permanent residents prior
applicants will be scheduled for a telephone or an in-person to matriculation).
interview. • Two letters of recommendation (at least one should
be from an individual capable of assessing the
The Admissions Committee will evaluate the candidate’s applicant’s academic ability), or a Pre-medical advisor’s
potential based upon the following criteria: committee report.
1. Intellectual and academic ability. • TOEFL scores, official report if applicable.
2. Communication skills, both oral and written. • Two passport-size (2” x 2”), color photographs.
3. Goals for entering the medical field. These additional documents are required once admission
has been granted:
4. Letters of recommendation and personal statement.
5. Knowledge of international medical education. • Health certificate/immunization form to include:
MMR, diphtheria, tetanus, polio, hepatitis B, and
6. Special talents, hobbies, interests and international
tuberculin.
travel.
• Negative HIV test within six months (requirement of
7. Personal qualities such as spontaneity, enthusiasm,
the Government of St. Christopher-Nevis).
motivation, perseverance and sound judgment.
• Police report or letter of clearance from the applicant’s
8. Willingness to work as a team member, function
local police department.
effectively under stress and display flexibility.
• Four passport photographs.
9. Community service and leadership skills.
• Completed dormitory form.
10. Volunteer experience, work or research in the
medical field. • Valid passport.
Decisions regarding admission are made within ten business
days. All interviewed applicants will receive a final decision
in writing. Upon receiving a letter of acceptance, students
will be required to acknowledge their candidacy within 30
days by submitting a signed registration form along with a
nonrefundable tuition deposit of US$500. The tuition deposit
will be credited toward tuition once the student matriculates.
7MCAT INTERNATIONAL APPLICANTS
REQUIREMENT APPLICANTS WITH ADVANCED
The MCAT is requested of North The Admissions Committee actively DEGREES
American resident students. Admitted seeks to enhance the international Medical University of the Americas
students are to submit their test representation of its student body encourages applications from
results prior to enrolling into MUA. and therefore takes into account the individuals who hold advanced,
The Admissions Committee at MUA variety of academic and scholastic graduate, or doctoral degrees in the
will use MCAT scores to assist in the differences that exist throughout other basic science areas. Each applicant will
admissions decision, but does not countries of the world. Students from be evaluated on an individual basis.
base decisions solely on MCAT scores. all countries can be assured equal
There is no minimum score below consideration for admission to MUA.
which an application is automatically
TRANSFER
rejected. Applicants from countries with APPLICANTS
The MCAT is offered online multiple
educational standards similar to
the U.S. will be evaluated by the
AND ADVANCED
times per year. Information on the Admissions Committee. Each STANDING
MCAT testing dates is available at applicant, in general, should meet MUA does not support M.D. programs
www.aamc.org. the educational requirements for that do not reflect a solid foundation
admission to a medical school in their of traditional medical education.
Application for the test must be made country of origin. Students who have Therefore, MUA will not accept
approximately one month prior to the attended institutions outside the U.S. any transfer credits earned through
designated testing date. If using the and Canada and whose transcripts distance learning.
MCAT (THx) system, please use the are not in English must obtain an
school name. MCAT scores must be interpretation in U.S. equivalency from Programs of this nature may seriously
submitted to the Admissions Office in a translation service. Students who jeopardize a student’s potential
Devens, Massachusetts. have attended a college or university for medical licensure in the U.S.,
outside the U.S. or Canada are Canada, and other countries. MUA
PROVISIONAL required to obtain a course-by-course does not offer advanced standing to
ACCEPTANCE evaluation of their transcript through students for courses taken in Doctor
the World Education Services (www. of Chiropractic, Physician Assistant,
Applicants who have not met all of wes.org) or from other accredited Podiatry, or Doctor of Dentistry
the admission requirements may be agencies that are members of the degree programs.
provisionally accepted. However, if National Association of Credential
the requirements stipulated in the Students with unsatisfactory records or
Evaluation Services (www.naces.org).
provisional letter of acceptance have dismissal for any reason from another
not been successfully fulfilled, the Since English is the language of medical school will not be considered
applicant will not be permitted to instruction at MUA, it is important for advanced standing. Acceptance is
register for classes. that applicants be prepared contingent upon the recommendation
academically to pursue the curriculum of the Admissions Committee on the
RE-APPLICATION and be able to communicate effectively. basis of space availability within the
class. Basic Sciences transfer applicants
Applicants whose principal language
Application materials are maintained is not English may be required to may be accepted to the second, third,
on file for one year, after which take the Test of English as a Foreign or fourth semester.
students must re-apply for admission. Language (TOEFL).
Unsuccessful candidates may re-apply Transfer students are admitted on a
by submitting a new application form, space-available basis into the Basic
a US$75 application fee, an updated Sciences portion of the program.
personal statement and updated Transfer credits are only accepted from
transcripts when applicable. schools listed by the World Health
Organization (or successor).
8Transfer applicants must submit the
following documents:
DEFERRED
ENROLLMENT STUDENT ORIENTATION
1. Official transcript(s) sent directly Attendance at the student orientation is
from the current institution, and Students who have already secured required for all new incoming students.
all colleges/universities attended. placement by paying their tuition The orientation session is conducted on
deposit may request to defer their the day before the first day of class. During
2. Verification that the student was orientation, incoming students will officially
enrollment to a future semester.
a registered medical student and register for classes, submit documents
coursework was taken while the Deferment requests will be considered required for temporary residence, tour the
student was “in residence.” on a case-by-case basis. Deferments campus, meet the deans and faculty, and
will be granted only if space is available learn about MUA policies and procedures.
3. Students who wish to transfer
in the requested semester. Students
directly into the Clinical
Medicine program will be requesting to defer their date of
required to: enrollment must submit a Deferment
Application along with a US$500 VISITING THE CAMPUS
a) Provide documentation that
nonrefundable deferment fee to the MUA maintains an open-door policy and
they have successfully passed the encourages students and their families
Admissions Department. If approved,
USMLE Step 1 with a score of to visit the campus on Nevis. Visiting
200 or better. the tuition deposit and the deferment the campus will allow students to meet
fee will be credited toward the first current students and faculty, tour the
b) Schedule a personal interview semester’s tuition. Only one deferment campus facilities, sit in on classes and
with the Associate Dean of visit the dormitories. To avoid arriving
request will be honored.
Clinical Medicine. during semester breaks and exam periods,
please contact the campus Administration
In the event the student is still unable
Office
to attend the deferred semester, (869-469-9177) for assistance in schedul-
s/he will forfeit their tuition deposit ing your visit.
and deferment fee and be required to
reapply for admission.
9CAMPUS
Located on 10 acres of land generously
provided by the Government of
pathology laboratories provide
each student with a medical-quality
LORRAINE HANLEY
St. Christopher-Nevis, the Medical binocular microscope and prepared BROWNE MEDICAL
University of the Americas Basic slides. Faculty has access to dual- LIBRARY
Sciences campus is situated on the binocular and trinocular microscopes
The Lorraine Hanley Browne Medical
eastern side of Nevis, overlooking to facilitate student learning.
Library is a two-story 10,000 square
the Atlantic Ocean, three miles from
The cafeteria on campus is open to foot facility that houses computer
Newcastle airport and one mile from
all students, faculty, and staff from terminals, individual-study carrels
Nisbet Plantation Beach.
7:00 AM to 5:00 PM. Services include with monitors and videotape
Currently, the MUA campus consists breakfast, lunch, and snacks, with food recorders. In addition, students have
of an administration building, prices subsidized by MUA. access to an extensive selection of
classroom buildings, a student journals and textbooks, as well as
cafeteria, a multipurpose building with Recreational facilities on campus extensive access to on-line medical
gross anatomy, microbiology, histology include two tennis courts, a basketball journals and resources. The Learning
and pathology laboratories, as well as court, a volleyball court, a children’s Resource Center (LRC) also contains
a medical reference library with free play area and a fitness center. printed USMLE reference material so
wireless Internet access. The teaching that students can start preparing for
microbiology lab includes a wet lab their board exams throughout their
and facilities for incubating and Basic Sciences program.
evaluating microbiological cultures.
A 38,500 square foot building
was completed in 2009 and houses
additional classrooms, administrative
and faculty offices, laboratories,
meeting rooms, a clinic, a general
function room and a fitness center.
All classrooms are air-conditioned
and contain a wide variety of teaching
resources such as classroom monitors,
slide and overhead projectors,
microscopes with video capability,
LCD projectors, and computers.
The gross anatomy laboratory
utilizes human cadavers that have
been specially prepared for medical
dissection. In addition, there is a
dry anatomy laboratory with many
teaching aids, as well as, tutorials
in X-Ray, CT and MRI imaging
technologies. The histology and
10GATEWAY MEDICAL
PROGRAM
MUA offers a highly structured, one-
semester Gateway Medical Program
CURRICULUM
designed to allow students a smooth Course Credit Hours
transition into the Doctor of Medicine
Basic Sciences program. The Gateway GMP 400 - Clinical Anatomy 6
Medical program consists of one GMP 401 - Medical Physiology 6
semester of science coursework.
Students may enter the Gateway GMP 402 - Cell and Molecular Biology 6
Medical Program during any of the
academic semesters (January, May or GMP 403 - Principles of Medicine 4
September).
ADMISSION REQUIREMENTS
FOR THE GATEWAY
MATRICULATION TO THE M.D. PROGRAM
MEDICAL PROGRAM: Students enrolled in the Gateway Medical program must meet the following
1. Applicants must demonstrate criteria, as well as all requirements, in order to qualify for matriculation to the
proficiency in writing, reading, Doctor of Medicine program:
and oral communications.
1. Complete the entire Gateway Medical Program.
2. A completed application form.
2. Achieve an overall GPA of 3.0 (B) and be in good standing.
3. A nonrefundable application fee
of US$75.
4. A personal statement.
5. Official transcripts from each
college/university attended.
6. Two letters of recommendation.
7. Two passport-size (2” x 2”),
color photographs.
Coursework in general biology,
zoology, genetics, immunology,
physics, psychology, and human
growth and development are highly
recommended, but not required.
11BASIC SCIENCES
CURRICULUM
BASIC SCIENCES CURRICULUM
Course Course Name Credits Contact
Hours
Semester 1
MED 502 Human Body Structure & Function 15 231
MED 504 Human Histology & Physiology 13 180
MED 506 Clinical Skills I 2 30
SEMESTER ONE TOTAL: 30 441
Semester 2
The Medical University of the MED 601 Metabolism & Nutrition 9 133
Americas curriculum in the Doctor MED 602 Genetics & Development 4 65
of Medicine (M.D.) program parallels MED 603 Infection / Defense / Response 12 186
the courses and training offered
MED 604 Medical Ethics 2 37
by medical schools in the United
MED 606 Clinical Skills II 3 44
States and Canada and is principally
designed to meet the guidelines set MED 609 Research Curriculum - Evidence Based Medicine 1 19
forth by the Liaison Committee on SEMESTER TWO TOTAL: 31 484
Medical Education. The Basic Sciences Semester 3
program is five semesters in length. MED 704 Neuroscience and Neurology 10 143
The Clinical Medicine program MED 705 Systems & Disease I (Introduction/Endocrine) 11 158
consists of 72 weeks of clinical MED 706 Clinical Skills III 3 40
rotations at hospitals in the United
MED 709 Behavioral Medicine 8 127
States and abroad, and eight weeks of
the Research: Literature Review and SEMESTER THREE TOTAL: 32 468
Analysis module. Semester 4
MED 801 Systems & Disease II (Repro/GI/Peds) 13 196
The first five semesters comprising MED 802 Systems & Disease III (CV/Resp/Renal) 13 199
the Basic Sciences program are
MED 806 Clinical Skills IV 6 96
taught on Nevis by qualified M.D.
and Ph.D. medical school faculty SEMESTER FOUR TOTAL: 32 491
who are dedicated to providing the Semester 5
highest quality instruction. The low MED 901 Systems & Disease IV (MSK/Heme/Immuno/Integ/Multi) 12 189
student-professor ratio provides ample MED 908 Foundations of Clinical Medicine 16 241
opportunity for students to interact MED 906 Clinical Skills V 3 45
with the teaching faculty. MED 909 Research Curriculum - Critical Appraisal 1 14
The Basic Sciences program consists SEMESTER FIVE TOTAL: 32 489
of five 15-week semesters of
coursework with two-week breaks
between each semester.
12BASIC SCIENCES
COURSE DESCRIPTIONS
FIRST SEMESTER MED 506 CLINICAL SKILLS I
This is the first course in a five-part series that
MED 602 GENETICS &
DEVELOPMENT
focuses on communication skills, eliciting the This course provides students with an under-
MED 502 HUMAN BODY patient’s history, performing a physical exam, standing of the principles and concepts upon
STRUCTURE & FUNCTION and communicating their findings to health- which current clinical genetic practice (diag-
This course explores basic gross human care professionals through oral presentations nosis, treatment, and genetic counselling) is
anatomy, allowing students to understand and written notes. In this course, students will based. It also incorporates human development,
anatomical relationships, development, structure learn and practice the foundations of patient- allowing students to understand the relationship
and function. Through lectures, regional dissec- physician communication skills, including between development and the underlying genetic
tions of cadavers and evaluation of radiographs initiating the session, building the relationship, mechanisms of congenital abnormalities. This
(including CT and MRI), students acquire a exploration of problems, understanding the course covers the genetics of human populations
basic knowledge of the normal gross structure, patient agenda and structuring the consultation. and introduces recent and ongoing discoveries
embryologic development, functional and clinical Students will also learn the first steps of eliciting so that their future applications may be under-
anatomy of organs and systems of the adult the patient’s story in a patient centered manner stood. (4 credits; 65 hrs.)
human body, including the brain and spinal and the initial components of a physical exam.
cord. Computer-based tutorial programs and In addition, students will begin to develop their
structured reviews are used to supplement the skills documenting their findings in a patient MED 603 INFECTION /
lectures and labs. (15 credits; 231 hrs.) note. (2 credits; 30 hrs.) DEFENSE / RESPONSE
This course considers the characteristics and
MED 504 HUMAN HISTOLOGY & SECOND SEMESTER properties of microorganisms, their role in the
disease processes and selected aspects of
PHYSIOLOGY diagnosis and treatment of infectious disease.
This course examines the microanatomy of cells, MED 601 METABOLISM & Other topics include the basic principles of
tissues and organs as well as the basic compo- NUTRITION bacteriology, mycology, parasitology, virology,
nents of human physiology. Lectures illustrate immunology and microbial genetics, including
the microstructure of major tissues and organs The biochemical pathways of living organisms
are studied with a focus on metabolic processes. cultural characteristics and pathogenic proper-
in relation to their function. This program pres- ties of medically important species of bacteria,
ents the molecular biology and histology of nor- Topics include pathways linking nutritional
intake and energy yielding processes as well fungi, and viruses. This course covers the basic
mal cells, tissues and organ systems at various immunologic concepts of the cells and humoral
developmental functional stages. Students learn as the application of underlying principles
discussed in the first semester. Broad content products of the immune system. Lectures include
how individual cell functions interact with one the molecular biology and genetics of antigen
another and how such interactions are accom- includes a study of the chemistry and reac-
tions of constituents of living matter, including recognition and immunoglobulin production
plished from the tissue levels to the organ levels. plus the characteristics and detection of
The course prepares students for an understand- carbohydrates, lipids, proteins, nucleic acids,
vitamins, coenzymes, and minerals. In addition, antigen-antibody reactions. The approach
ing of normal (homeostasis) structure of the is to correlate these basic concepts with clinical
systems and furnishes the background for ap- the chemistry and regulation of the reactions
and processes of whole organisms will be manifestations of disease, the immunopatho-
preciating pathological conditions. In addition, logic mechanisms of hypersensitivity, autoim-
students learn how molecular building blocks examined including: endocrinology, enzymology,
nutrition, intermediary metabolism and munity, transplantation, tumor immunology,
are utilized for growth and differentiation, wound hematology, reproduction, infectious diseases,
healing and tissue repair, defense mechanisms biochemical mechanisms involved in select
disease states. (9 credits; 133 hrs.) immunodefiency and pharmacotherapy. (12
and transfer of hereditary characters. Physiology credits; 186 hrs.)
topics include the basic components of all organ
systems. (13 credits; 180 hrs.)
13MED 604 MEDICAL ETHICS
(WEEKS 9-14)
THIRD SEMESTER MED 706 CLINICAL SKILLS III
(WEEKS 4-12)
This course provides a comprehensive study MED 704 NEUROSCIENCE AND After a review of the skills developed in Clinical
of the legal and ethical issues involved in the Skills I & II, students will learn to communicate
practice of medicine. Medical ethics will consist NEUROLOGY in a patient-centered manner in other specific
of a series of seminars devoted to discussion of This course will include an interdisciplin- situations including patients with mental illness,
various topics such as disclosure, confidential- ary investigation of the pathology, physiology obtaining information from other caregivers,
ity, informed consent, and death and dying. and the gross and microscopic structure of providing advocacy and support and medically
The inclusion of ethics case discussions will the brain, spinal cord, and nervous system of unexplained symptoms. Students will continue
allow students to discuss and debate ethical humans. Aspects of brain energy metabolism, to refine their ability to obtain a complete history
scenarios. Legal cases posing dilemmas that neurotransmitter synthesis and degradation, and conduct a complete physical exam. Students
relate to each case will be presented, along with and psychopharmacology are presented. This will also refine their ability to obtain a complete
abstract material to facilitate conceptual and course integrates anatomical and physiological history and physical exam in a patient-centered
ethical analysis. (2 credits; 37 hrs.) material to assist the student in understand- manner, and will begin to learn to obtain a
ing common neurological disease processes. problem-focused history. Documentation skills
MED 606 CLINICAL SKILLS II Laboratory exercises will provide slides and will focus on the complete history and physical
After a review of the skills developed in Clinical dissection of the human brain, spinal cord, and exam with oral presentations and the patient
Skills I, students will learn additional compo- relevant structures. Students will be introduced note. (3 credits; 40 hrs.)
nents of a patient-centered history, including to modern methods of neuroimaging, including
explaining and planning a treatment plan and CT scans and MRI. Weekly sessions will intro-
duce students to the relationship between basic MED 709 BEHAVIORAL
communication skills in specific situations
including delivering bad news, cultural and science and clinical medicine with emphasis on MEDICINE
social diversity, and demonstration of empathy. diagnostics, therapeutics and disease causa- This course presents the basic principles of
Instruction on the history continues with the past tion. In addition, there will be integration of human behavior including biological, social, and
medical history, family history, social history and concepts learned in MED 706 - Clinical Skills III, cultural substrates. Both normal and abnormal
a complete review of systems. Students will also MED 705 - Systems & Disease I, and MED 709 - behavior theories will be included in an overview
learn to perform a complete screening physical Behavioral Medicine. Each of these interactive of personality development. Workshops will cover
exam, and will continue to develop documen- sessions will include group problem-solving areas such as interviewing techniques, death
tation skills with oral presentations and the exercises and critical appraisal of the primary education, human sexuality, and psychophysi-
patient note. (3 credits; 44 hrs.) literature. Students will present different aspects ological disorders including stress management
of contemporary scientific and medical literature and biofeedback. Additional lectures present
including the background, current understanding various classes of psychotropic drugs and their
MED 609 RESEARCH and future directions. (10 credits; 143 hrs.) indications. The course will also address the
CURRICULUM - EVIDENCE- fundamental principles of the distribution of
BASED MEDICINE MED 705 SYSTEMS & DISEASE I diseases and their causes in human populations.
Students will learn how to conduct epidemiologic
Student will have an opportunity to develop re- (INTRODUCTION/ENDOCRINE) investigations, how to critically review medical
search skills related to Evidence-Based Medicine Basic principles of human physiology, pathology literature and how to use this information in a
(EBM). Students will be introduced to concepts and pharmacology are studied followed by an in- clinical environment. Students will acquire a
of research analysis and critical thinking. At vestigation of the Endocrine System. This course basic level of proficiency in epidemiologic prin-
the end of this course, students will be able to employs the Endocrine System as a transition to ciples, biostatistics and be able to apply these in
identify and frame a clinical question based on semesters 4 and 5 where the remainder of the clinical practice. (8 credits; 127 hrs.)
therapy, diagnosis, prognosis or etiology; develop systems will be discussed. As with the rest of
a focused search strategy to identify articles the Systems & Disease courses, each system will
that best answer the clinical question; find the begin with a detailed review of pertinent human
appropriate medical database; and critically body structure and function as well as cell/tis-
appraise articles for validity. Students will be sue structure and function. This will be followed
required to independently utilize various types by the presentation of the individual systems in
of EBM resources. Students will use technologi- detail, including relevant pathology, physiology,
cal resources that are available online and in pharmacology, clinical skills and clinical presen-
the Medical University of the Americas library. tations of disease. All content will be integrated.
Skills acquired in this course will allow students (11 credits; 158 hrs.)
to successfully complete the research module,
Research: Literature Review and Analysis (RLRA).
(1 credit; 19 hrs.)
14FOURTH SEMESTER FIFTH SEMESTER – FIFTH SEMESTER –
MED 801 SYSTEMS & DISEASE II
FIRST BLOCK SECOND BLOCK
(REPRO/GI/PEDS) MED 901 SYSTEMS & DISEASE IV MED 908 FOUNDATIONS OF
The Systems & Disease series of courses begin (MSK/HEME/IMMUNO/INTEG/ CLINICAL MEDICINE
with a detailed review of pertinent human body
structure & function as well as cell / tissue MULTI) This course utilizes daily live lectures and other
structure & function. This will be followed by This course covers the Hematologic, Immune, materials to provide a structured, integrated
the presentation of the individual systems in Integumentary and Musculoskeletal systems as review of the basic sciences. An emphasis is
detail, including relevant pathology, physiol- well as Multisystem disease. It follows the struc- placed on understanding of disease processes
ogy, pharmacology, clinical skills and clinical ture described in MED 801 - Systems & Disease and clinical problem solving. Students attend
presentations of disease. All content will be II. (12 credits; 189 hrs.) daily live lectures. Early in the course students
integrated. Additionally, Clinical Correlate ses- are given a diagnostic pre-test to help identify
sions will introduce students to the relationship problem areas and individualize learning goals.
MED 906 CLINICAL SKILLS V At the end of the course students are adminis-
between individual systems, pharmacology and
clinical medicine with emphasis on diagnostics, After a review of the skills developed in Clinical tered a full-length, simulated comprehensive
therapeutics and disease causation. These Skills I– IV, students will continue to develop exam. (16 credits; 241 hrs.)
sessions will include didactic instruction, group their communication skills and ability to perform
problem-solving exercises and critical appraisal
of the primary literature. This course covers the
a complete history and physical exam. Physical
exam skills will be reinforced by more in-depth RESEARCH
instruction in the physical exam skills that Students and faculty are encouraged to
Reproductive and Gastrointestinal systems, and
correspond to the systems studied in MED 901 participate in research projects. Students
Pediatrics. (13 credits; 196 hrs.)
- Systems & Disease V, concentrating on the are able to engage in projects focused on the
gastrointestinal, endocrine, reproductive, and advancement of patient-focused care, especially
MED 802 SYSTEMS & DISEASE III musculoskeletal systems. Students will further as related to primary care and underserved
(CV/RESP/RENAL) develop their ability to complete a problem- populations.
This course covers the Cardiovascular, Respira- focused history and physical exam. Documenta-
tory and Renal systems, and follows the struc- tion skills will be further developed with focused ELEC 104 RESEARCH
ture described in MED 801 - Systems & Disease patient visits, with additional instruction on Students are invited to participate in research
II. (13 credits; 199 hrs.) medical order writing, diagnostic decision-mak- projects at the discretion of the professor. The
ing, and prescription writing. (3 credits; 45 hrs.) amount of credit and time will be determined on
a case-by-case basis.
MED 806 CLINICAL SKILLS IV
MED 909 RESEARCH
After a review of the skills developed in Clinical MED 515 INDEPENDENT STUDY
Skills I–III, students will continue to develop CURRICULUM – CRITICAL
their communication skills and ability to perform APPRAISAL In this course, students learn the skills of a
a complete history and physical exam. Physical systematic approach to acquiring important
Students will participate in the critical appraisal
exam skills will be reinforced by more in-depth medical data via independent study. Medical
of contemporary medical literature, including
instruction in the physical exam skills that information acquisition and further review of
publications representing various study designs
correspond to the systems studied in Systems topics of interest will be accomplished under
as well as the incorporation of basic science
& Disease, concentrating on the integumentary, the guidance of a faculty mentor. Students will
principles. Selected primary literature will range
cardiovascular, respiratory, renal and neurologi- develop their skills by working with an individual
from preclinical investigation through the vari-
cal systems. Students will further develop their professor who agrees to monitor their experience.
ous phases of clinical trials. Templates such as
ability to complete a problem-focused history Students will be responsible for defining their area
PICOT (population, intervention, comparison,
and physical exam. Documentation skills will of interests and arranging the experience with
outcome and time) will be introduced and
focus on the complete history and physical exam their faculty mentor (variable hours and credits).
utilized. This course will be integrated with
with oral presentations and the patient notes for May be taken any semester with permission of
the content presented in MED 901 - Systems
both a complete history and physical exam and a the Associate Dean of Basic Sciences and the
& Disease V. Skills acquired in this course will
focused patient visit. (6 credits; 96 hrs.) instructor.
allow students to successfully complete the
research module, Research: Literature Review
and Analysis (RLRA).
(1 credit; 14 hrs.)
15REQUIRED Textbooks: Students will be given a list of
required textbooks and other equipment at the
EQUIPMENT AND time of admission. A complete listing is avail-
able on the MUA website. Faculty may make
MATERIALS changes to the booklist up to two months prior
Medical Apparel: Students must purchase their to the first day of class. MUA reserves the right
own medical apparel (laboratory coats, scrubs, to change the book list. To prevent unnecessary
short white coat, etc.). expenditures, it is suggested that students pur-
chase their textbooks one semester at a time.
Computer: Students should consider bringing a
laptop for note taking during classes. The major-
ity of lectures are presented using PowerPoint.
16CLINICAL MEDICINE
Once students have successfully goals. Students, however, are required • Provide proof of personal health
completed the Basic Sciences, they are to complete at least four weeks of a insurance.
eligible to enter the Clinical Medicine Primary Care elective (e.g., Family • Submit an updated resume.
portion of the M.D. program. The Medicine, Ambulatory Internal
• Submit a USMLE release form.
80-week Clinical Medicine Program Medicine, or Ambulatory Pediatrics).
component consists of a required • Pass the USMLE Step 1.
eight-week research module followed REQUIREMENTS • Pay liability insurance premium.
by 72 weeks of clinical clerkships in
various medical specialties in selected
FOR CLINICAL • Research: Literature Review and
Analysis final paper approved
teaching hospitals in the United States PLACEMENT by sponsor for presentation to
and abroad. During this time, students Students must meet the following criteria committee
attain broad experience in conducting in order to qualify for matriculation to
physical examinations, taking the Clinical Medicine program: RESEARCH:
thorough histories while focusing LITERATURE REVIEW
• Be considered in good standing
on the fundamentals of diagnosis
and gaining an introduction to the at the completion of the Basic AND ANALYSIS
management of health care problems. Sciences program. The Research: Literature Review and
• Receive a recommendation by the Analysis course, a required portion of
The 72 weeks of clinical clerkships Promotions Committee and the the curriculum (effective September,
include 42 weeks of required core Associate Dean of Basic Sciences. 2012), is designed to further develop
clinical hospital rotations and 30 weeks students’ abilities to evaluate and
• Submit a complete and updated
of elective rotations. Core rotations assimilate scientific evidence and
Immunization Form.
consist of Internal Medicine, Surgery, to reinforce the skills required to
Pediatrics, Psychiatry, and Obstetrics • Participate in a Clinical
Orientation Session on the critically appraise the ever-changing
and Gynecology. body of medical knowledge.
MUA campus.
Elective rotations may be in any of the • Sign the MUA Clinical Medicine
various medical specialties, depending contract.
upon the student’s future
17These skills are essential to modern clinical rotation within an approved commonly encountered disease
practicing physicians who will have to U.S. Hospital/Medical Center. This processes as well as an introduction to
continuously improve their medical placement is subject to United States the use of diagnostic procedures.
knowledge and clinical skills over the government regulations.
course of their career. SURGERY
Clinical clerkships are scheduled
Students are expected to apply the through the MUA Office of Clinical Students will be introduced to disease
knowledge and understanding from Medicine. Students are not permitted processes that require various levels
their Basic Sciences courses to analyze to contact affiliated hospitals directly of surgical intervention. Initially,
a current and complex medical until official assignment to the site is students will be taught the policies
care question, using evidence from received via a clerkship confirmation and procedures of the operating
published medical literature. As part form. Special arrangements for room including scrubbing and the
of this course, students are required to electives or other clerkships should maintaining of sterile technique.
write a paper that is evaluated by be cleared first through the Office of They will have opportunities to do
a faculty committee. Clinical Medicine, which will provide presurgical histories and physical
proof of insurance and liaison contacts examinations. Opportunities will
While working independently, students with the hospital or preceptor. be provided for direct practice of
will interact on a regular basis with simple procedures such as suturing,
a faculty mentor who will provide
oversight throughout the project
CLINICAL debridement and wound care. Under
close supervision of a preceptor,
including: selection of an appropriate MEDICINE students will be able to observe and
topic; identification of relevant literature; CLERKSHIPS assist during various procedures in
formulating conclusions; and the the operating room and participate
preparation of a final paper. The sponsor CORE ROTATIONS* in the follow-up and treatment of the
will also review the written paper to Internal Medicine ..................... 12 weeks postsurgical patient in the hospital and
ensure that it meets university standards Surgery...................................... 12 weeks in ambulatory practice settings.
prior to approval for submittal to the Obstetrics and Gynecology ....... 6 weeks (12 weeks)
faculty committee for review. Pediatrics ................................. 6 weeks
OBSTETRICS AND
Psychiatry................................. 6 weeks
CLINICAL TOTAL........................................ 42 weeks
GYNECOLOGY
PLACEMENT Students will be introduced to the
*Note: Students are required to take normal course of pregnancy to include
Geographical mobility is required of Core Clinical Examinations at the prenatal care, labor, delivery and the
all students in the Clinical Medicine completion of each core rotation. postpartum period. Students will be
program. Students are given an
taught the fundamentals of a proper
opportunity to fill out a geographical INTERNAL MEDICINE obstetric and gynecologic history
preference form prior to entering the
Students build on skills acquired in and examination. Observation and
Clinical Medicine program. Special
Foundations of Clinical Medicine to participation in a number of live
consideration is given to engaged
include the completion of a thorough births will be provided. Students will
students, married students and students
history and physical examination of also participate in discussions and
with school-age children. Scores on
primarily adult patients. Students will receive direct experience with various
the USMLE Step 1 may also be taken
be a part of the clinical management disease processes and complications
into consideration, as some hospitals/
team and given responsibilities for of pregnancy and delivery. Students
medical centers have set cutoff scores
certain aspects of direct patient care will learn the fundamentals of family
for acceptance into a clinical rotation at
under the close supervision of a planning and dealing with patients with
their respective centers.
preceptor. Students will have clerkship sexually transmitted diseases. (6 weeks)
For students requiring visas, Medical experiences in both inpatient and
University of the Americas will make ambulatory care settings. Instruction
every attempt to place a student in a will include the management of
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