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First Year

Course Title Hours


Human Anatomy 482 hours
Physiology 337 hours
Biochemistry 234 hours
Family and Community Medicine 101 hours
Psychiatry 1 32 hours
Bioethics 1 28 hours
Perspectives in Medicine 20 hours
Medical Informatics 1 (28 hours)
1,244 hours

Second Year
Course title Hours
Pathology 384 hours
Microbiology and Parasitology 192 hours
Basic Pharmacology 192 hours
Physical Diagnosis 192 hours
Family and Community Medicine 2 96 hours
Medicine 1 64 hours
Obstetrics and Gynecology 1 32 hours
Pediatrics 1 32 hours
Surgery 1 32 hours
Psychiatry 2 32 hours
Bioethics 2 28 hours
Medical Informatics 2 (28 hours)
1,276 hours

Third Year
Course title Hours
Medicine 2 288 hours
Surgery 2 176 hours
Pediatrics 2 152 hours
Obstetrics and Gynecology 2 152 hours
Family and Community Medicine 3 200 hours
Clinico-Pathologic Conference 64 hours
Clinical Pharmacology 32 hours
Clinical Otorhinolaryngology 1 32 hours
Ophthalmology 1 32 hours
Orthopedics 1 32 hours
Radiology 1 32 hours
Legal Medicine and Medical Jurisprudence 32 hours
Psychiatry 3 32 hours
Bioethics 3 28 hours
Medical Informatics 3 (28hours)
1,284 hours

Fourth Year
Course title Hours
Medicine 2 ½ months
Rehabilitation Medicine
Radiology
Obstetrics and Gynecology 2 months
Pediatrics 2 months
Surgery 2 months
Anaesthesiology
Family and Community Medicine 1 ½ months
Otorhinolaryngology ½ month
Ophthalmology ½ month
Orthopedics ½ month
Psychiatry ½ month
Bioethics 4 12 hours
Medical Informatics 4 (28 hours)
12 months

ANATOMY
482 hours
The traditional subdivisions of Human Anatomy, namely: Gross Anatomy, Histology,
Embryology and Neuroanatomy are integrated and synchronized into 11 modules.
Emphasis is placed on the clinical applications of Anatomy and the course of study is
through regional/systemic anatomy. This is accomplished through classroom discussions
aided by projection slides using PowerPoint, small group discussions and group activities
wherein clinical cases are given to enhance the students’ problem solving skills with the use
of their knowledge of the subject.

Laboratory work consisting of microscopy sessions, cadaveric and brain dissections


with actual demonstrations are paired with the didactic sessions to promote further under-
standing of the subject matter. Each student is provided a box of histology slides which
he/she may use for the entire year. Microscopes are available to the students on a one-
to-one basis during laboratory sessions. Disarticulated and articulated bone sets are also
available to the students for study. A high cadaver: student ratio is maintained for
cadaver dissection. Also included in the laboratory are diagnostic imaging plates to
demonstrate normal anatomy. Abnormal diagnostic images are also shown to provide
contrast and further enhance understanding of the normal anatomy.

Performance is evaluated by written examinations for the didactic lectures and


laboratory examinations per module wherein structures are tagged or pointed at and
identified.

PHYSIOLOGY
337 hours

The course involves the study of the functions and inter-relationships that exist among
cells, tissues, organs and systems, and ultimately, to the level of the human body as a
whole. Regulatory and control mechanisms are emphasized to give the medical students
an in-depth understanding of the important homeostatic mechanisms responsible for
maintaining normal function. In the second semester, special topics are taken up including
the higher functions of the central nervous system such as learning and memory, sleep and
consciousness, space and exercise physiology, regulation of body temperature, and aging.

The subject/course is synchronized/correlated/integrated with the topics taken up in


Human Anatomy as well as Biochemistry in all levels, and clinical correlations/ applications
are also discussed in the latter part of the course.

The laboratory aspect of the course consists of experiments done on human subject
whenever possible, and are designed to develop in the students the proper skills and
attitudes in analyzing problems based on experimental data obtained. The experiments,
furthermore, give the students the opportunity to apply the principles and concepts they
have learned in the didactic portion of the course.

BIOCHEMISTRY
234 hours

The course consists of lectures, discussions, problem sets and slide presentations that
start with the biochemistry of proteins, nucleic acids, carbohydrates and lipids, enzyme
chemistry and regulation of enzyme activity to provide an in-depth understanding of the
metabolic inter- relationships and control at the cellular and tissue levels. The biochemistry
of membrane structure and transport, immunoglobulins, blood coagulation, muscle
contraction and hemoglobin metabolism are discussed. Molecular genetics, control of gene
expression, developments in recombinant DNA technology and genetic engineering,
xenobiotics, oncogenes and cancer are also discussed. Attention is called to biochemical
derangements in commonly occurring clinical states or genetic abnormalities to provide
clinical relevance. In the latter part of the course, the biochemistry and functions of
essential elements are discussed. Nutritional concepts and biochemical basis of nutrition
are emphasized. Finally, the homeostatic role of hormones and the control of body fluid
neutrality are discussed from the biochemical point of view.

Laboratory experiments and journal reports designed to complement some of the


clinically relevant aspects of the lectures are performed. Local cases of malnutrition are
also presented and discussed.

FAMILY AND COMMUNITY MEDICINE 1


101 hours

The course involves lectures, individual study and group work that cover general
topics in Community Medicine (the national health situation, primary health care, disease
causation, disease prevention, health promotion and education, and environmental health)
and Family Medicine (the Filipino family, stages in the family life cycle, assessment of
family structure and function). Fieldwork enables students to apply these concepts in the
community/family setting. Venues of learning are the classroom and the community. The
course will prepare students to assume the role of a health advocate.

PSYCHIATRY 1
32 hours

De-stigmatization of Psychiatry and discussion of Psychiatry’s relevance in the medical


field are tackled in small groups at the beginning of the course. The theories of
personality development and normality are presented through lectures and integrated
through case discussion, firm analysis, and research. Normal development and common
psychosocial issues of man from birth to death in the Philippine context of a family, and in
relation to possible psychopathology are also tackled.

Evaluation is based on exams, and participation in small group discussions and


integration activities.

BIOETHICS 1
28 hours

The course involves the study of the fundamental concepts of general ethics and the
foundations of Bioethics. Students are made aware of their moral responsibilities as
Christians as they exercise their profession. It is emphasized that as medical students, they
should know where decisions are based in order to be ethical and Christian- oriented
physicians. The course also includes related values and virtues that are necessary for the
enhancement of morality in the practice of Medicine.

Formal lectures and discussions are used as the means of instruction. Student
evaluation is made through written examinations.

PERSPECTIVES IN MEDICINE
20 hours

The course is designed to introduce the freshmen to the various aspects of medicine.
Guest speakers are invited to share their experiences in their different fields of expertise
like research, teaching, community service and sub-specialization in private practice.
Special training programs in basic Cardio-Pulmonary Resuscitation are conducted by
experts to demonstrate how medical personnel should behave in an emergency situation.
Students are required to demonstrate CPR and practice their skills using mannequins.

The students also learn important events and personalities that contributed to the
evolution of the modern day practice of medicine by visiting the Co Tec Tai Medical
Museum.
MEDICAL INFORMATICS 1
28 hours

The course involves didactic and laboratory sessions dealing with the resources,
devices and formalized methods optimizing the storage, retrieval and management of
biomedical information for problem solving and decision making through hands- on
computer activities. Student performance is evaluated through observations and
submission of required outputs. Focus in the first year is the Internet/Intranet, Electronic
Library, Electronic Mail, Bulletin Board and Discussion Groups.

BASIC PATHOLOGY
384 hours

The course aims to provide the medical undergraduate student the basic knowledge
of the causes and nature of diseases together with the anatomical, functional and
biochemical changes sufficient to guide him through his clinical and post-graduate years.

The sophomore course in Pathology is intended to introduce the students to the study
of diseases. It has been designed in such a way that basic principles and concepts
learned during the first part of the course (Basic or General Pathology) becomes the basis
for understanding the disease processes affecting the individual organ systems (Systemic
Pathology). Emphasis is placed on those diseases that are common in the locality or are of
clinical significance. Less common or rare diseases are discussed or presented in so far as
they contribute to the understanding of the mechanisms of disease processes or are of
historical interest.

The laboratory work consists of the study of gross (Autopsy and Surgical) specimens
and histopathologic slides and performance of simple, basic laboratory examinations of
pathologic tissues and body fluids such as urine and blood. The materials or tissues
demonstrated or assigned for that particular laboratory session are dovetailed with the
subject matter for the didactics.

MICROBIOLOGY AND PARASITOLOGY


192 hours

The course deals with the study of bacterial, viral, fungal and parasitic agents of
diseases affecting man; particularly those diseases that are commonly found in the
Philippines. Emphasis is given on the classification of the microorganisms, morphologic and
cultural characteristics, virulence factors, determinants of pathogenicity and their
respective modes of transmission to man. Factors affecting the host immune response,
clinical presentations, laboratory diagnosis, treatment, as well as prevention and control
are also included.

The course is comprised mainly of didactic lectures with topics that are highly
synchronized with other subjects. Introductory lectures on the major disciplines of
microbiology, namely: immunology, bacteriology, virology, mycology and parasitology, as
well as diagnostic microbiology, are given before the discussion of each organism that
predominantly affect a particular organ system. Integration activities on certain topics
reinforce learning with clinical correlation. The laboratory component of the course
provides the students the opportunity to examine fresh and fixed preparations of the
infectious agents and hands-on laboratory exercises/procedures valuable in the diagnosis
of infectious diseases.

BASIC PHARMACOLOGY
192 hours

The course introduces basic pharmacologic tools necessary for rational drug use in the
prevention, diagnosis and treatment of disease processes. Didactic sessions involve
pharmacodynamics of drugs— mechanism of drug action, adverse drug reactions and
structure- activity relations—and pharmacokinetic components—principles of drug
absorption, distribution, metabolism and excretion with emphasis on prototype drugs.

In the laboratory activities are done to supplement the didactic part of the course.
Experiments are done to enable students to learn methods used in the acquisition of
pharmacological knowledge and to analyze actions of drugs on intact animals. Cases are
discussed to familiarize students on the use of drugs on specific diseases. Discussions of
journal reports are also done.

PHYSICAL DIAGNOSIS
192 hours

The course focuses on the development of basic skills particularly in data gathering
and physical examination with emphasis on acquiring the proper attitude and
development of communication, interpersonal and writing skills. This is in preparation for
the third year level which introduces students to the principles of diagnosis and
management and later to clerkship which deals with actual patient care.

The objective of this course deals mainly on the acquisition of knowledge, skills and
attitude to obtain a good clinical history and perform a complete and thorough physical
examination of patients in Medicine, Pediatrics, Obstetrics and Surgery. The didactic part
is synchronized with the wardwork rotation where theories learned are applied and
practiced by the learners. Wardwork emphasizes the value of communication and
interpersonal skills in obtaining a thorough clinical history. Students are also taught the
proper way to write history and P.E. findings. They are further motivated to apply to the
fullest, their knowledge and skills in an atmosphere of genuine concern and sensitivity.

At the end of the course, the students are expected to obtain a good clinical history,
perform a thorough physical examination of patients and develop good interpersonal
communication and writing skills.

FAMILY AND COMMUNITY MEDICINE 2


96 hours

The course involves didactics, laboratory sessions, fieldwork and small group
discussions on the research process. At the end of the schoolyear, the students will be able
to apply the principles of Biostatistics and Epidemiology in making an analytic research
and shall be able to discuss the concepts of and steps in an epidemic investigation. The
course will prepare students to assume the role of a health researcher.

MEDICINE 1
64 hours

The course consists of didactic sessions in which commonly encountered symptoms in


Medicine are presented. Their pathogeneses are discussed and the relationship with other
accompanying symptoms and signs are analyzed. Basic Clinical Nutrition and Infectious
Diseases are incorporated into the course in the second semester.

OBSTETRICS AND GYNECOLOGY 1


32 hours

The course aims to provide the student with the basic knowledge of physiology and
management of pregnancy, labor, delivery and puerperium. Lectures on maternal
nutrition, breastfeeding and obstetric anaesthesia are also included. The first part of the
course provides relevant vital health statistics concerning the state of maternal and child
health in the Philippines. A topic on Home Delivery is included in the latter part of the
course. The content of the course is sequences in accordance with the events from
fertilization to puerperium.

Two topics of the course (Embryology of the Reproductive Tract and Development and
Physiology of the Placenta) are included in Module 13—Reproductive System. The rest of
the topics of the course are included in Module 15—Pregnancy, Puerperium and
Breastfeeding. To promote learning and establish linkage with other disciplines, the
schedule is in close proximity with the related topics in Pediatrics 1.

PEDIATRICS 1
32 hours

The course is Basic Pediatrics and introduces medical students to the challenging but
interesting field of Pediatrics. It deals mainly on the normal aspects of Growth and
Development, the Newborn, Nutrition, Behavioral Pediatrics and Genetics. This is in
preparation for Pediatrics 2 in the Third Year Level which introduces students to organ/
system diseases.

SURGERY 1
32 hours

The course is designed to deal with the basic concepts and principles in Surgery. It
consists of didactic lectures covering basic topics like nutrition, shock, infection, wound
healing, fluids and electrolytes, oncology, transplantation, minor surgery, complications of
surgery, metabolic response to injury and anaesthesia.

Preceptorial sessions are conducted where patients are assigned to students and
discussions revolve around the topics lectured. Animal surgery sessions are held to
familiarize students with principles of asepsis, minor surgery, and anaesthesia; to enable
them to perform surgical procedures; and to introduce them to instruments, sutures and the
various roles of the members of the surgical team.

PSYCHIATRY 2
32 hours

Introduction to patient care is done by providing lectures, group discussions and film
showing on the process of communication and interviewing, the physician- patient
relationship and the technique and skill of psychiatric history taking and mental status
examination.

Introduction to psychopathology is also presented through lectures and case


discussions on the four conceptual models of psychopathology: biological, psychodynamic,
socio-cultural and behavioral/learning. Classification and discussion of the different major
psychiatric disorders is covered through group reporting and role playing.

The evaluation process includes written examinations, group dynamics/discussions,


quizzes and reporting.

BIOETHICS 2
28 hours

The course is concerned with the study of the general bioethical principles which serve
as moral guidelines in the practice of medicine in all its disciplines. Ethical issues on pa-
tient- physician relationships as well as in research studies are also included.

Lectures/discussions in big and small groups, cases analysis along general lines, and
one or two for a are the methods for teaching- learning. Students are evaluated through
observations in participatory activities as well as written examinations.

MEDICAL INFORMATICS 2
28 hours

The course involves didactic and laboratory sessions dealing with the resources,
devices and formalized methods optimizing the storage, retrieval and management of
biomedical information for problem solving and decision making through hands- on
computer activities. Student performance is evaluated through observations and
submission of required outputs. Focus in the second year is on the different statistical
packages.

MEDICINE 2
288 hours

This course includes lectures and clinical preceptorial work in Internal Medicine.
Lectures that emphasize clinical features, diagnosis and therapeutic management of
common medical disorders are given in the various specialties of Internal Medicine:
Cardiology, Pulmonary Diseases, Nephrology, Endocrinology, Rheumatology, Allergology,
Immunology, Neurology, Dermatology, Oncology, Clinical Nutrition, Medical Genetics,
Rehabilitation Medicine, Medical Toxicology, and Gastroenterology. The clinical hospital
preceptorship is a continuation of Physical Diagnosis in the second year. However,
emphasis is on discussion of patients and their diseases in relation to clinical features,
diagnostic features and principles of therapeutic management. Logical approaches in
making clinical impressions and assessment of cases based on data gathered are
emphasized.

SURGERY 2
176 hours

Clinical Surgery aims to acquaint the student with the common surgical disorders
among Filipino pediatric and adult patients, with reference to the alimentary tract,
endocrine system, genito- urinary tract, nervous system and integumentary system.

The course consists of 2 parts: General Surgery covering the head and neck, breast,
skin and soft tissue, abdomen; and, Specialty Surgery, covering thoraco- cardiovascular,
plastic, orthopedic, pediatric and neurosurgeries, and anaesthesiology.

The didactic sessions emphasize the clinical manifestations, natural course, etiology,
diagnosis and differential diagnosis of the common general surgical and specialty surgical
diseases. Bedside preceptorships are scheduled twice a week. Students are assigned
patients which are presented to and discussed with the preceptor.

PEDIATRICS 2
152 hours

The course emphasizes on the discussion of pediatric diseases and disorders. Among
the wide range of topics taken up by pediatric specialists are the problems of the high-
risk newborn, respiratory disorders including TB, dermatologic conditions, gastro-intestinal
disturbances, viral, bacterial and fungal infections, genito-urinary abnormalities, CNS
diseases, allergy and immunology, and hematology and oncology, cardiology,
ophthalmology and ENT, pediatric rehabilitation, rheumatology, endocrinology and
intensive care. Preceptorial sessions with emphasis on history taking, physical examination
and the formulation of a working diagnosis and its differentials, serve to complement the
didactic lectures.

OBSTETRICS AND GYNECOLOGY 2


152 hours

The course consists of didactic sessions and clinical ward work. The didactic sessions
during the first semester deal with Pathologic Obstetrics while the second semester sessions
deal with Gynecology. The course aims to provide the third year medical student with the
basic understanding of the principles in the diagnosis and management of the common
complications of pregnancy, labor and puerperium and diseases affecting the female
reproductive organs and function. The course also deals with the promotion of female
reproductive health based on the understanding of the underlying principles in prevention
of age- specific problems involving the woman’s reproductive cycle.

Four weeks of ward work sessions during the school year will introduce the third year
medical student to the art of clinical data gathering and assessment of an obstetrical
patient under the supervision of competent clinical teachers. The clinical experience aims
to provide the student with the basic competencies required in the clinical clerkship rotation
in the Department of Obstetrics and Gynecology.

Preparation and conduct of teaching- learning activities strictly observe the sound
principles of active and self-directed learning. Evaluation of student performance consists
of written examinations for the didactic sessions while clinical performance for the ward
work sessions is based on direct observation, group discussions and written reports.
Evaluation of clinical performance is both formative and summative.

FAMILY AND COMMUNITY MEDICINE 3


200 hours

The course involves lectures, small group discussions, individual study and group work
that cover general topics in Community Medicine—the Philippine Health Situation, Primary
Health Care, Public Health Administration, Education and Economics, Community
Organizing, Legislation and Programs, the different Department of Health Programs and
Vital Registration and Medical Records. Fieldwork enables students to plan, implement
and evaluation health action projects in a community setting utilizing the principles and
tools of Family and Community Medicine. The course will prepare students to assume the
role of a health project manager.

CLINICO-PATHOLOGIC CONFERENCE
64 hours

The course aims to integrate ad correlate concepts in anatomic and clinical pathology
with clinical data. Students are expected to discuss each case, logically arriving at a clini-
cal diagnosis and differential diagnoses after interpreting the history, physical
examination, laboratory results, radiographic findings and results of other ancillary
procedures.

CLINICAL PHARMACOLOGY
32 hours

The course applies the principles learned in Basic Pharmacology. The core skills of
practicing rational therapeutics are taught to students by understanding clinical pharmaco-
therapeutics, therapeutic drug monitoring, ethical criteria for medicinal drug promotion,
adverse drug reactions/interactions, poisoning, recognition of pressures to prescribe
irrationally, etc. Clinical Pharmacology develops a core attitude that leads to rational
and optimal therapeutics.

Formal classroom instructions are reduced to a minimum to encourage student active


participation. Six ours are devoted to didactic lectures on the elements of rational drug
use as well as the principles of rational treatment. The main learning activity is in the form
of small group discussions wherein exercises in prescription writing and case analysis are
conducted under the guidance of a facilitator. Case topics are chosen to help the students
apply the fundamental steps of rational prescribing.

CLINICAL OTORHINOLARYNGOLOGY 1
32 hours

The third year medical student with his comprehensive knowledge in Anatomy,
Physiology, Pathology, Microbiology, Pharmacology and Biochemistry is introduced to the
specialty of Otorhinolaryngology—Head and Neck Surgery. The course includes case-
based discussions and didactic sessions.

Classroom activities consist of two (2)- hour sessions per week during the second
semester. Students are given session objectives and a case to study with corresponding
guide questions. The students work with their group on the case and answer the guide
questions. Each student is expected to submit their answers individually to the assigned
faculty on the day of the scheduled session. Classroom discussions conducted by the
Faculty/Facilitator deal mainly with the session objectives and the case study.

At the end of the course, an integration activity, a more challenging case study, is
assigned to the class for small group discussions. The groups present their output in a
plenary session of the whole class.

OPHTHALMOLOGY 1
32 hours

The course deals with the subject of general Ophthalmology. It introduces the students
to the field of Ophthalmology, its subspecialties, as well as its relation to the other field of
Medicine. It is conducted as 2- hour lectures for one semester.

ORTHOPEDICS 1
32 hours

The course deals with the common orthopaedic diseases and the less common but
serious diseases in the country. These consist of the commonly encountered injuries,
infections, tumors, congenital, developmental, degenerative, metabolic, endocrine,
neurologic, and vascular diseases affecting the musculoskeletal system and also include the
general principles of Rehabilitation Medicine as applied to Orthopaedics.

Didactic sessions are held once weekly and emphasize on the epidemiology,
pathophysiology, symptomatology and complications of the respective diseases so that the
students are able to formulate a plan for primary health care.
Bedside preceptorship is scheduled weekly so that students are able to recognize the
importance of gathering relevant and adequate information, eliciting signs and symptoms
and using these as tools to arrive at a diagnosis and eventual management.

RADIOLOGY 1
32 hours
The course consists of didactic sessions and small group discussions dealing with the
study of the basic principles and applications in Diagnostic Radiology and its various
subspecialties (Ultrasonography, Computerized Tomography, Magnetic Resonance
Imaging, Mammography, Nuclear Medicine—gamma camera, Interventional Radiology
and Radiotherapy).

Emphasis is given to the indications and appropriate use of each modality and the
actual interpretation using the different imaging modalities as they apply to commonly
encountered diseases in clinical practice.

LEGAL MEDICINE AND MEDICAL JURISPRUDENCE


32 hours

The course deals with the basic rules of evidence and the basis for malpractice suits.
Medico- legal aspects of injuries, deaths and crimes against persons are covered. Proper
court behavior and testimony for the furtherance of justice is emphasized.

PSYCHIATRY 3
32 hours

The course deals with the epidemiology, etiology, diagnosis (DSM-IV TR), clinical
features, differential diagnosis, prognosis and treatment of various psychiatric disorders,
as well as identification, evaluation and management of psychiatric emergencies
commonly found in general clinical practice of non-psychiatrists.

The students are given exams. There are opportunities for the students to interview
and evaluate actual patients as well as to write a psychiatric report on patients seen both
at the De La Salle University Medical Center, DLSUMC (medically ill patients) and the
Cavite Center for Mental Health (psychiatric patients).

BIOETHICS 3
28 hours

The course involves the study of the specific bioethical principles as they are applied
in concrete cases as well as bioethical issues that may arise from the different medical
procedures (whether diagnostic or therapeutic) in each specific discipline in Medicine.

Formal lectures, small group discussions, and case solving fora are utilized. Student
evaluation is based on written examinations as well as participation in group activities.

MEDICAL INFORMATICS 3
28 hours

The course involves didactic and laboratory sessions dealing with the resources,
devices and formalized methods optimizing the storage, retrieval and management of
biomedical information for problem solving and decision making through hands- on
computer activities. Student performance is evaluated through observations and
submission of required outputs. Focus in the third year is on paperless patient records and
electronic filing.
MEDICINE
2 ½ months

The clinical clerkship program designed by the department for fourth year medical
students in Internal Medicine consists of an 8-week period hospital-based rotation in De La
Salle University Medical Center rotating in the out-patient departments and the
Emergency Room aside from their ward rotation. This represents a very crucial stage in
the student’s learning as the student now becomes an active member of the health team
that provides care to actual patients. As such, the Medical Clerk has to fulfill certain
responsibilities that entail clinical problem-solving and decision making in the process of
rendering health service to sick clients of the hospital, with close supervision from the
consultants and residents.

The program is based primarily on the main objective of the De La Salle Health
Sciences Institute medical curriculum of producing graduates capable of providing compe-
tent cost-effective health care.

One week of the Medicine rotation is spent in Radiology and another week in
Rehabilitation Medicine.

Radiology

The Radiology Clerkship rotation is a one-week program which exposes the _th year
medical students to the various fields and specialties of Diagnostic Imaging presently
offered by the Radiology Department of the DLSUMC, to include: Diagnostic Radiology
(x-ray) consisting of Conventional Radiology and special radiologic procedures,
Ultrasonography, Mammography, Computed Tomography and Magnetic Resonance
Imaging, Nuclear Medicine Imaging (Gamma Camera) and bone densitometry (DEXA). It is
formally structured to include: didactic lectures and teaching sessions, case review
exercises, teaching file case reviews, observation in imaging procedures, observation and
participation in imaging interpretation (film reading) sessions.

Rehabilitation Medicine

The Rehabilitation Medicine Clerkship rotation is a one- week program of study for
Clinical Clerks involving the study of patients with disabilities attributed to medical,
surgical or pediatric conditions. The emphasis of the course is the management of cases
commonly seen in the Department like cerebro-vascular accidents, Bell’s palsy, peripheral
nerve injuries, fractures, burns, arthritis, post- poliomyelitis and cardio-pulmonary
conditions.

PEDIATRICS
2 months
The Clerkship program is designed to give the students a firm grasp of Basic
Pediatrics, and to allow them to experience and understand the clinical spectrum of
diseases as they occur in infants and children. The students are encouraged to assume
proper habits and attitudes with regard to the complex doctor- patient- parent- peer
interaction.

Students are individually assigned specific cases for diagnosis and management,
under the close supervision of the consultants and resident staff. Being primarily respon-
sible for taking the initial history and physical examination, the student takes an active,
direct role in patient care and monitoring. Daily conferences, lectures, bedside endorse-
ment rounds, and pre- and post-rotation practical tests (OSCE) further contribute to a well-
rounded Clerkship Program.

SURGERY
2 months

The primary aim of the 2-month rotation in Surgery is for the Clinical Clerks to
recognize the common surgical disorders seen among adults and children; to know the
principles underlying the diagnosis and treatment of such surgical conditions, and to
understand the principles involved in the actual management of patients.

Through their exposure in the in-patient and out-patient departments of the hospital
and by assisting in the performance of minor and major surgical operations, the students
acquire the proper attitude and necessary skills needed to actively participate in the
diagnosis and treatment of surgical diseases.

Included in the Surgery rotation is a rotation in the Department of Anaesthesiology.

Anaesthesia

The Anesthesiology Clerkship Program consists of rotating in the operating room and
PACU for seven days. Attendance in conferences supplements the learning experience
and gives the student a deeper understanding of the specialty from the point of view of,
first and foremost, a general practitioner, a future anesthesiologist or other specialty.

OBSTETRICS AND GYNECOLOGY


2 months

The Clinical Clerkship Program of the Department of Obstetrics and Gynecology is a


two-month rotation designed to train the Fourth Year Medical Student in the management
of obstetrical and gynecological cases in preparation for his future role as primary
physician.

The clinical rotation in Obstetrics Gynecology offers opportunity to the fourth year
medical students to manage both in-and-out patients assigned to him under the direct
supervision of the attending consultants and residents. The student will have an active role
in patient care commensurate with his initiative and ability. Conferences and ward rounds
will be an integral part of the training of the student. These activities in the department
should be complemented with self-directed learning by the student.
DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
1 ½ months

The course involves the comprehensive and integrated application of all the concepts
and principles, methods and tools of Family and Community Medicine learned from the
first to the third years. The students are immersed in the community where they are
expected to be active participants in the following activities: the planning, conduct and
evaluation of health education projects; the planning and conduct of community
researches; mobilization of the community for health promotion and disease prevention;
and, the management of a community health program. As part of a health team, the
students are also expected to provide health care services, particularly promotive and
preventive, to the individual, family and community. The venues of learning include the
classroom, field (assigned community), the Out-Patient Department, the TB- DOTS Center,
and the Rural Health Unit.

OTORHINOLARYNGOLOGY
½ month

Clinical Clerkship in Otolaryngology consists of two weeks (1/2 month) of rotation in


the in-patient wards, out-patient clinics, Emergency and Operating rooms. Small group
discussions with the Residents and Consultants will augment the learning experience and
hopefully will introduce the student to the depth and breadth of the Specialty, showing the
relevance to a generalists’ medical practice and entice the student to pursue it as his
specialty. Since learning is a two-way process, the student is expected to be involved by
asking questions and requesting guidance in mastering the motor skills and imbibing
cognitive knowledge. The student shall perform hands-on examination and treatment on
actual patients under direct supervision by the Residents and Consultants. These patients
should be looked upon as opportunities for learning and caring for others, as reasons for
studying and practicing clinical skills.

OPHTHALMOLOGY
½ month

The clinical clerkship program of the Ophthalmology department consists of two


weeks rotation in the wards, emergency room, operating room and the out-patient
department. The following are the terminal competencies expected of each student who
rotates in the department.

ORTHOPEDICS
½ month

The Clinical Clerkship Program in Orthopedics is a two week rotation in the wards,
outpatient department, emergency room and operating room of the Department of
Orthopedics De La Salle University Medical Center. In this program, the students will
receive relevant and practical clinical experience in the management of common orthope-
dic conditions supplemented by lectures and other learning activities.

PSYCHIATRY
½ month

The fourth year medical students rotate in Psychiatry for 2 consecutive weeks both at
the DLSU- Medical Center and Cavite Center for Mental Health. The rotation provides
them exposure to both the private and government hospital setting. Students go on 24 -
hour duties at DLSUMC where they will have the opportunity to practice their skills in psy-
chiatric evaluation and management at the OPD, Emergency Room and the Wards under
the guidance and supervision of board certified psychiatric consultants. This rotation will
afford them a chance to understand the interplay of psychiatry in the general practice of
medicine by exploring the psychosocial issues of the medically ill.

BIOETHICS 4
12 hours

The course deals with topics that are corollary to the whole course in Bioethics.
Emphasis is on ethical issues personally encountered by the student as they rotate in
various clinical disciplines. This is the final stage of preparing the students to practice
medicine in the light of Christian values.

The methodology is mainly through conferences and small group discussions.

MEDICAL INFORMATICS 4
28 hours

The course involves didactic and laboratory sessions dealing with the resources,
devices and formalized methods optimizing the storage, retrieval and management of
biomedical information for problem solving and decision making through hands- on
computer activities. Student performance is evaluated through observations and
submission of required outputs. Focus in the fourth year is on evidence- based medicine.