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Clinical Science and Clinical Rotations

Third and Fourth Years Overview

In your clinical education – Semesters 6 though 10 – you switch gears, moving from the world of the classroom and theory to the patient's bedside and the life and death decisions of real medicine. SMU students leave the Grand Cayman campus and join students from other medical schools at teaching hospitals in the United States, Canada, and the United Kingdom. SMU carefully manages the clinical program to ensure that there are more than enough clerkship positions to enable our students to complete their education without delay.

Third Year Core Rotations cover five specialties:

Internal Medicine 12 weeks
Surgery 12 weeks
Pediatrics   6 weeks
Obstetrics & Gynecology   6 weeks
Psychiatry   6 weeks

Location of Affiliate Hospitals.

St. Matthew's University, School of Medicine has affiliation agreements for core clerkships with more than twenty-five teaching hospitals in both the United States and United Kingdom. In the United States, core rotations may be completed in the following states: Florida, Illinois, Maryland, Michigan, New York, Ohio, and Virginia.

The following is a partial list of major affiliated hospitals where our students regularly complete core clinical rotations:

» Florida Hospital, Orlando, FL
» Mt. Sinai Hospital, Chicago, IL
» Harbor Hospital, Baltimore, MD
» St. Agnes Hospital, Baltimore, MD
» Sheppard Pratt Hospital, Baltimore, MD
» St. John's Episcopal Hospital, New York, NY
» Wyckoff Hospital, New York, NY
» Northcoast Behavioral Healthcare, Cleveland, OH
» Northern Virginia M.H.I., Falls Church, VA
» Whipps Cross Hospital, London, UK
» Stepping Hill Hospital, Stockport, UK

In addition to the above hospitals, St. Matthew's students have taken elective rotations at many other top hospitals in Canada, the United States, and United Kingdom, including the following:

» Case Western Reserve, Cleveland, OH
» Cleveland Clinic, Westin, FL
» Cook County Hospital, Chicago, IL
» Cumberland Regional Health Care, Novia Scotia, Canada
» Duke University School of Medicine, Durham, NC
» Emory Crawford Long Hospital, Atlanta, GA
» Everett Chalmers Hospital, New Brunswick, Canada
» Harvard Medical College, Boston, MA
» Howard University Hospital, Washington, D.C.
» Johns Hopkins University School of Medicine, Baltimore, MD
» Lincoln Family Practice Program, Lincoln, NE
» Louis A. Weiss Memorial, Chicago, IL
» Memorial Medical Center, Las Cruces, NM
» Memorial Sloan Kettering Cancer Center, New York, NY
» Mercy Hospital, Chicago, IL
» Mercy Hospital, Des Moines IA
» Methodist/Childrens Hospital, Omaha, NE
» Methodist Hospital Medical Center, Omaha, NE
» Morehouse School of Medicine, Atlanta, GA
» Mount Sinai School of Medicine, New York, NY
» Northeast London Mental Health Trust, UK
» Orlando Regional Medical Center, Orlando, FL
» Presbyterian/St. Luke, Denver, CO
» Prince George's Hosp. Ctr., Cheverly, MD
» Queen Elizabeth Hospital, Alberta, Canada
» Rush Medical Center, Chicago, IL
» Sacred Heart Women's Hospital, Spokane, WA
» St. Michael's Hospital, Ontario, Canada
» University of Alabama School of Medicine, Birmingham, AL
» University of Tennessee, Knoxville, TN
» Vanderbilt Univ. Medical Center, Nashville, TN
» Wayne State University School of Medicine, Detroit, MI
» Weill Cornell Medical College, New York, NY
» Yale University School of Medicine, New Haven, CT

Third-Year Core Clerkship Curriculum

SURGERY. Students follow patients from surgical assessment, through preparation for surgery, the surgical process in the operating room, the intensive or immediate care of the patient in the recovery period, and follow-up care. Students engage in intensive pre-surgical preparation on each case, including the study of case histories, prior physical examinations and prior treatment, and diagnoses. Follow-up on post-surgical cases extends to learning about the support of family and friends, community resources, and the discharge process.

INTERNAL MEDICINE. Students learn to conduct a thorough diagnostic work-up, including the history and physical examination of the patient, and design treatment plans. Students gain sensitivity to dual diagnosing and differential diagnosing. Students participate in grand rounds, work individually with patients, and participate in the treatment plan. Additionally, seminars on selected topics by residents or preceptors are incorporated.

OBSTETRICS/GYNECOLOGY. Students are presented with all phases of patient care related to fertility concerns, pregnancy, labor, delivery and postpartum care. Students participate in family planning counseling, and learn to detect, diagnose and devise a treatment plan for gynecologic diseases. Normal and pathologic cases are observed, including normal and Cesarean deliveries.

PEDIATRICS. Students learn to develop rapport with young patients and diagnose, develop and carry out a treatment plan for infants, children and adolescents. Students gain a greater sensitivity to the interdependence between the patient and the parent and learn how to interact with each to promote treatment and recovery.

PSYCHIATRY. Students learn to diagnose mental disorders. Emphasis is placed on taking a psychiatric history and mental status, as well as making differential diagnoses. Students are introduced to a variety of therapies for treatment of psychiatric disorders.

Fourth-Year Electives

During the fourth year, the student chooses Electives. These clerkship rotations include most specialties, including specialties from the Core rotations. Students take Electives in blocks, typically of four or six weeks each, for a total of 30 weeks of Electives.

» Allergy and Immunology
» Anesthesiology
» Cardiology
» Oncology
» Critical Care
» Dermatology
» Pathology
» Endocrinology
» Preventive Medicine
» Emergency Medicine
» Pulmonary Disease
» Family Practice
» Radiology
» Gastroenterology
» Rheumatology
» Gerontology
» Ophthalmology
» Neurology
» Nephrology
» Urology
» Hematology
» Infectious Disease
» Community Health Care

A Primary Care Elective is required.