Year 3 Courses - Semester I & 2 - MBCHB
Year 3 Courses - Semester I & 2 - MBCHB
Year 3 Courses - Semester I & 2 - MBCHB
During Year 3, 4 and 5, each student will take either Option A or Option B in
a semester and then swap for the next semester.
Year 3 Option A
NAME AND CODE OF THE COURSE: SOM3101 PRINCIPLES OF SURGERY
COURSE DESCRIPTION:
This course will be an overview of basic surgical principles guiding the practice of surgery. It will include fluid and
electrolyte management, blood transfusion and products of blood, pre-operative assessment of patients, patient
consent, principles of wound healing, surgical sepsis, theory of basic surgical skills, principles of asepsis. It will
address the principles that drive decision making in the management of common surgical conditions.
COURSE OBJECTIVES:
By the end of the course the student should be able to:
1. Understand the principles used in management of the common surgical conditions and emergencies in adult
patients.
2. Apply these principles in the management of the common surgical conditions and emergencies in adult
patients.
EXPECTED OUTCOMES:
By the end of the course the students should be able to demonstrate the following competences:
1. Apply appropriate surgical principles in the management of common surgical conditions and emergencies in
adult patients.
2. Critical inquiry and scientific methods
3. Professionalism and Ethical practice
4. Continuous improvement of care through reflective evidence based surgical practice
5. Clinical clerking skills of history taking, physical examination and explain principles under pinning clinical
diagnosis and surgical practice.
6. Decision making for appropriate clinical investigations and techniques for common surgical conditions and
discuss underlying theory.
7. Effective communication with nurses, peers, seniors and patients on surgical principles to be used in patient
management
COURSE CONTENT:
Fluid and electrolyte management
Principles of management of blood and its products
Wound healing
Nutrition in the surgical patient
Pre-operative assessment and preparation of patients
Principles of asepsis
Principles of haemostasis
Principles of management of surgical sepsis
Ethical considerations and communication
COURSE DESCRIPTION:
This course will cover common surgical conditions including hernia, trauma, intestinal obstruction, appendicitis,
management of patients with co-morbidities, research, ethics and professionalism in patient care. It will also address
the processes in decision making in the management of surgical conditions with relation to international health and
health economics as well as an introduction to advances in surgery.
COURSE OBJECTIVES:
By the end of the course the student should be able to:
1. Management the common surgical conditions and emergencies in adult patients.
2. Demonstrate appropriate clinical skills in management of common surgical conditions of adult patients.
3. Demonstrate professional behaviour and ethical practice.
EXPECTED OUTCOMES:
By the end of the course the students should be able to demonstrate the following competences:
1. Apply appropriate knowledge in the management of common surgical conditions and emergencies in adult
patients.
2. Critical inquiry and scientific methods
3. Professionalism and Ethical practice
4. Continuous improvement of care through reflective practice
5. Clinical clerking skills of history taking, physical examination and explain principles under pinning clinical
diagnosis and surgical practice.
6. Decision making for appropriate clinical investigations and techniques for common surgical conditions and
discuss underlying theory.
7. Effective communication with nurses, peers, seniors and patients
COURSE CONTENT:
The student is expected to consider the etiology, pathogenesis, clinical presentation and natural history of the
common surgical conditions and emergencies, and their management in adult patients. These include:
Appendicitis
Abdominal wall hernia
Intestinal obstruction
Fractures
Surgical infections
Burns
Abdominal trauma
Wound management
Liver and biliary surgical conditions
Colorectal malignancy
Upper GI malignancies
Benign anorectal conditions
Peptic ulcer disease
Benign and malignant breast conditions
Thyroid conditions
COURSE DESCRIPTION:
This course will be an introduction to basic surgical techniques used in managing surgical conditions. It will include
gloving and gowning techniques, surgical scrubbing, knot tying, surgical suturing, bowel anastomosis, suprapubic
catheterization, excision of a small mass.
COURSE OBJECTIVES:
By the end of the course the student should be able to:
1. Develop practical skills in handling basic surgical techniques in management of the common surgical
conditions and emergencies in adult patients.
2. Display appropriate techniques to achieve surgical principles of haemostasis, asepsis and adequate
exposure in the management of the common surgical conditions and emergencies in adult patients.
3. Provide a basis on which further surgical skills can be developed during the management of common
surgical conditions.
EXPECTED OUTCOMES:
By the end of the course the students should be able to demonstrate the following competences:
1. Demonstrate practical essential surgical skills in knot tying, aseptic methods, suturing, bowel repair and
anastomosis in the skills lab.
2. Apply some of the skills obtained from the skills lab when managing common surgical emergency and
elective conditions.
3. Demonstrate the ability to decide on appropriate surgical materials to be used for the particular surgical
techniques
4. Demonstrate, identify and utilize the appropriate surgical instruments required to carry out the basic surgical
procedures.
5. Develop the ability to use cost effective but appropriate surgical materials to carry out basic surgical
techniques.
COURSE CONTENTS:
The student is expected to demonstrate the following essential surgical skills
Gloving techniques and gowning
Knot tying – hand and instrument
Suturing techniques and suturing material
Bowel anastomosis
Repair of bowel perforations
Suprapubic catheterization
NAME AND CODE OF THE COURSE: MED3103 CLINICAL MEDICINE METHODS AND
PRACTICE I
COURSE DESCRIPTION
This course is an introduction to clinical medicine methods and practice. It demonstrates clinical and laboratory skills
necessary in making diagnosis of common medical conditions with ability to explain the pathophysiology of clinical
signs and symptoms. It also introduces students to good professional and ethical conduct as they practice patient care.
COURSE OBJECTIVES
By the end of this course, the student should be able to:
1. Demonstrate clinical skills; history talking and systematic examination, clinical diagnosis and procedural skills.
2. Explain and apply principles of medical practice to make logical diagnoses and patient management
approaches.
3. Demonstrate appropriate professional behaviour
EXPECTED OUTCOMES
By the end of this course, the student should have the following competencies:
1. Knowledge on clinical skills in medicine.
2. Knowledge of common medical conditions and pathophysiology of the clinical presentations
3. Perform common procedures and clinical investigations in a manner that is logical to impact patient care .
4. Apply principles of management and prevention of common diseases.
5. Clinical skills of history taking, clinical examination, interpretation of clinical findings.
6. Critical thinking and scientific inquiry in the provision of evidence based patient care
7. Professionalism and ethical knowledge as they participate in patient care
8. Leadership and management skills
9. Recognize and improve on the limitations in one’s knowledge and skills
COURSE CONTENT
Introduction to clinical medicine with particular reference to;
Clear history taking focused on specific clinical presentation
Practical clinical methods of performing general examination of patients.
Practical clinical methods of making diagnosis in respiratory diseases and conditions
Practical clinical methods of making diagnosis in cardiovascular diseases and conditions
Practical clinical methods of making diagnosis in gastroenterological diseases and conditions
Practical clinical methods of making diagnosis in neurological diseases and conditions
Practical methods in demonstrating and identifying different disease conditions using laboratory methods
including ability to perform venipunctures and sample withdrawal. Laboratory procedures including blood slide
for malaria parasites and trypanosomiasis, stool analysis, cerebrospinal fluid analysis, blood count, ZN
staining, Gram staining, ascitic fluid analysis, and pleural fluid analysis
Clear demonstration of clinical skills and practical procedures of making diagnosis including lumber puncture,
ascitic and pleural fluid aspiration, lymph node biopsies, urinary bladder catheterization.
Practical skills in administering medications including intravenous medications required in the management
of patients
Practical skills in monitoring hospitalized patients with various diseases and conditions
COURSE DESCRIPTION
This course is an introduction to clinical medicine theory. It demonstrates theoretical clinical and laboratory skills
necessary in making diagnosis of common medical conditions with ability to explain their Pathophysiology. It also
introduces students to good professional and ethical conduct as they practice patient care.
COURSE OBJECTIVES
By the end of this course, the student should be able to:
1. Explain pathophyisiological basis of common disease conditions
2. Explain and apply principles of medical practice in patient management.
3. Critically analyze case scenarios and make logical management plans
4. Demonstrate appropriate professional behaviour
EXPECTED OUTCOMES
By the end of this course, the student should have the following competencies:
1. Knowledge of pathogenesis and theory of common medical conditions and their clinical
presentations
2. Apply principles of management and prevention of common diseases.
3. Critical thinking and scientific inquiry in the provision of evidence based patient care
4. Professionalism and ethical knowledge as they participate in patient care
5. Leadership and management skills
6. Recognize and improve on the limitations in one’s knowledge and skills
COURSE CONTENT
Introduction to clinical medicine
Respiratory diseases – tuberculosis and bacterial pneumonias, asthma
Infectious Diseases and HIV infection (with its complications), malaria and complications, trypanosomiasis,
schistosomiasis
Gastrointestinal, liver and pancreatic conditions- liver cirrhosis with ascites, diarrhea, hepatitis
Cardiovascular disorders with congestive cardiac failure, rheumatic heart diseases, endomyocardial fibrosis,
infective endocarditis, valvular heart diseases and cardiomyopathies
Renal diseases- renal failure, glomerulonephritis, nephrosis
Metabolic illnesses- diabetes mellitus, thyrotoxicosis
Heamatologic conditions- anemia
Principles of palliative care
Themes
Anaemia
Jaundice
Cyanosis
Ascites
Oedema
Wasting
Diarrhea, vomiting with dehydration
Puffy face, scanty urine
Hyperpyrexia
Big Spleen
Hemoptysis
Blood in stool
Fever, headache in trypanosomiasis
Palliative care
Palpitations
COURSE DESCRIPTION:
This course will introduce students to the application microbiology, immunology and molecular biology to the
diagnosis of infectious diseases and the management and prevention of antimicrobial resistance
COURSE OBJECTIVES:
By the end of the course the student should be able to:
1. Demonstrate knowledge of the general concepts of management of clinical specimens for microbiological
diagnosis of infectious disease
2. Demonstrate skills in utilization of the clinical laboratory in management of infectious diseases
3. Demonstrate correct attitude in working as part of a team to ensure reliable laboratory results
4. Demonstrate the correct attitude towards infection control and prevention practices
EXPECTED OUTCOMES:
By the end of the course the students should be able to demonstrate the following competences:
1. Knowledge of the general concepts of management of clinical specimens for microbiological diagnosis of
infectious disease.
2. Skills in utilization of the clinical laboratory in management of infectious diseases
3. Correct attitude in working as part of a team to ensure reliable laboratory results
4. Correct attitude towards infection control and prevention practices
COURSE CONTENT:
The clinician laboratory relationship
Approaches to microbiological diagnosis: Microscopy, isolation, serological testing, antigen detection,
molecular approaches
Principles of specimen collection, transportation and storage
Specimen processing: Blood cultures, cerebrospinal fluid, serous cavity aspirates, pus, faecal specimens,
Antimicrobial susceptibility testing: Epidemiology and magnitude of antimicrobial resistance, testing
principles and approaches, major resistance phenotypes/genotypes –MDR TB, MRSA, ESBL, CRE, MCR-1
Principles of infection control and prevention:
o Epidemiology and magnitude of health care acquired infections
o Principles of infection prevention: Personal hygiene, Hand hygiene, Facility hygiene, decontamination,
sterilization and disinfection, isolation, waste management, aseptic technique, standard precautions,
transmission based precautions, personal protective equipment
Year 3 Option B
NAME AND CODE OF THE COURSE: OGN3104 PRINCIPLES OF OBSTETRICS &
GYNAECOLOGY (THEORY) I
COURSE DESCRIPTION:
This is a foundation course for MBChB programme in Obstetrics and Gynaecology. It equips the students with the
knowledge for the management of common obstetric and gynaecological conditions. It introduces students to good
communication, research, ethics and customer care.
COURSE OBJECTIVES:
By the end of the course, the student should be able:
1. To describe causes, pathophysiology, clinical presentation and management of common obstetric conditions.
2. To describe causes, pathophysiology, clinical presentation and management of common gynaecological
conditions.
EXPECTED OUTCOMES:
By the end of the course, the student should demonstrate the following competencies:
1. Knowledge of common obstetric conditions
2. Knowledge of common gynaecological conditions
3. Critical thinking, innovation, problem solving and life long learning skills.
4. Knowledge of the structure of the health care system in the country.
COURSE CONTENTS:
Normal pregnancy, antenatal care and pregnancy monitoring
Normal labour
Abnormal labour
Early pregnancy related haemorrhage
Late pregnancy related haemorrhage
Benign and malignant conditions of the cervix
Menstrual cycle and menstrual disorders
Adolescent Health
Emergency Obstetric Care and Safe Motherhood
HIV/AIDS issue in pregnancy
Perinatal Morbidity and mortality
Sexual Reproductive health and rights
Malaria in pregnancy
Pre-eclampsia/Eclampsia
Post abortion Care
Family Planning
Pueperium and lactation
Ovarian malignancy
Trophoblastic disease
Congenital malformations of the genital tract
Pelvic types and trial of labour
Ceasarian section
Pelvic inflammatory disease
Ectopic gestation
Infertility
Other Medical disorders in Pregnancy
VVF and RVF
Genital Prolapse
Uterine Fibroids
Multiple pregnancy
The “Sick New Born”
COURSE OBJECTIVES:
By the end of the course, the student should be able:
1. To describe causes, pathophysiology, clinical presentation and management of common obstetric and
gynaecological conditions.
2. To demonstrate skills; history taking, physical examination and basic procedures in Obstetrics and
Gynaecology.
3. To demonstrate appropriate professional behaviour during clinical practice.
EXPECTED OUTCOMES:
By the end of the course, the student should demonstrate the following competencies:
1. Skills in history, examination and management of patients in Obstetrics and Gynaecology.
2. Skills of basic procedures and clinical investigations in Obstetrics and Gynaecology.
3. Good interpersonal communication, ethics, research and patient care.
4. Critical thinking, innovation, problem solving and life long learning skills.
5. Professionalism (ethical conduct and relationships between students and their learning environment.)
COURSE CONTENT:
Normal pregnancy, antenatal care and pregnancy monitoring
Normal labour
Abnormal labour
Early pregnancy related haemorrhage
Late pregnancy related haemorrhage
Benign and malignant conditions of the cervix
Menstrual cycle and menstrual disorders
Adolescent Health
Emergency Obstetric Care and Safe Motherhood
HIV/AIDS issue in pregnancy
Perinatal Morbidity and mortality
Sexual Reproductive health and rights
Malaria in pregnancy
Pre-eclampsia/Eclampsia
Post abortion Care
Family Planning
Pueperium and lactation
Ovarian malignancy
Trophoblastic disease
Congenital malformations of the genital tract
Pelvic types and trial of labour
Ceasarian section
Pelvic inflammatory disease
Ectopic gestation
Infertility
Other Medical disorders in Pregnancy
VVF and RVF
Genital Prolapse
Uterine Fibroids
Multiple pregnancy
The “Sick New Born”
COURSE DESCRIPTION:
This is a foundation course for MBChB programme in Obstetrics and Gynaecology. It equips the students with the
knowledge, attitude and basic clinical skills for the management of common obstetric and gynaecological conditions.
It introduces students to good communication, research, ethics and customer care.
COURSE OBJECTIVES:
By the end of the course, the student should be able:
1. To demonstrate skills; history taking, physical examination and basic procedures in Obstetrics and Gynaecology.
2. To demonstrate appropriate professional behaviour during clinical practice.
EXPECTED OUTCOMES:
By the end of the course, the student should demonstrate the following competencies:
1. Skills in history, examination and management of patients in Obstetrics and Gynaecology.
2. Skills of basic procedures and clinical investigations in Obstetrics and Gynaecology.
3. Good interpersonal communication, ethics, research and patient care.
4. Critical thinking, innovation, problem solving and life long learning skills.
5. Professionalism (ethical conduct and relationships between students and their learning environment.)
COURSE CONTENTS:
Normal pregnancy, antenatal care and pregnancy monitoring
Normal labour
Abnormal labour
Early pregnancy related haemorrhage
Late pregnancy related haemorrhage
Benign and malignant conditions of the cervix
Menstrual cycle and menstrual disorders
Adolescent Health
Emergency Obstetric Care and Safe Motherhood
HIV/AIDS issue in pregnancy
Perinatal Morbidity and mortality
Sexual Reproductive health and rights
Malaria in pregnancy
Pre-eclampsia/Eclampsia
Post abortion Care
Family Planning
Pueperium and lactation
Ovarian malignancy
Trophoblastic disease
Congenital malformations of the genital tract
Pelvic types and trial of labour
Ceasarian section
Pelvic inflammatory disease
Ectopic gestation
Infertility
Other Medical disorders in Pregnancy
VVF and RVF
Genital Prolapse
Uterine Fibroids
Multiple pregnancy
The “Sick New Born”
COURSE OBJECTIVES
By the end of this course, the students should be able to:
1. Demonstrate the clinical skills of peadiatric history taking, physical examination of paediatric patients,
interpretation of signs and symptoms and carrying out common procedures used in peadiatrics and child
health.
2. Demonstrate appropriate attitudes and professional behaviour in management of infants, children,
adolescents and their families
3. Explain the causes, pathophysiology, clinical presentation, management and prevention of the common
childhood illness, and how to promote child health.
EXPECTED OUTCOMES
By the end of this course, the student should have the following competencies:
1. Knowledge of common paediatric and child health problems and apply it in the care of children, adolescents,
families and communities
2. Demonstrate basic clinical skills in history taking, systematic examination of children, and performance of
procedures used in prevention and management of childhood illness
3. Knowledge of the process of referral, follow-up, and health systems involved in child care
4. Demonstrate basic professionalism, and ethical conduct in child care
5. Demonstrate effective interpersonal and communications skills
6. Understand leadership and management skills in child care
7. Understand critical thinking and reflective practice
8. Demonstrate the ability to work with families and communities to promote child health and prevent childhood
illness
COURSE CONTENT
Common childhood illness: Malaria, Pneumonia, Childhood TB, Malnutrition, HIV/AIDS, Meningitis
Neonatal conditions: Care of the newborn, Low birth weight (LBW) and problems of LBW, Neonatal
jaundice, Neonatal sepsis, Detection of congenital abnormalities, prematurity, asphyxia, EMTCT
Paediatric emergencies: Acute asthma, Convulsive disorders, Coma, Circulatory collapse, Cardiopulmonary
arrest, Poisoning, ETAT
Childhood nutrition: Normal nutrition requirements, Breast feeding, protein energy malnutrition,
micronutrients
Gastro-Intestinal: Diarrhoea, Hepatitis
Renal conditions: Acute glomerulonephritis, Nephrotic syndrome, UTI
Central nervous system: Febrile convulsions, Cerebral palsy, Epilepsy
Hematological conditions: Anemia, Sickle cell disease and bleeding disorders
Growth and Development: Normal growth, Growth monitoring and promotion
Cardiac conditions: Congenital and acquired heart diseases, Congestive cardiac failure
Social paediatrics: Child abuse, Deprived and disabled children
Immunization and common immunizable diseases
Child health: Primary healthcare, IMCI, Child survival strategies, Immunization, Global development goals
(Sustainable development goals)
Ethics and professionalism in relationship to Paediatrics
Childhood malignancies: ALL, Burkitt’s, Wilm’s, Hodgkin’s, KS
Skin conditions: scabies, eczema
Endocrine disorders: Diabetes emergencies ,
Infestations: Helminthic and other parasitic infestations
DURATION OF COURSE
5 CU, 75 CH
COURSE DESCRIPTION
This course introduces the students to the basic knowledge of paediatrics and child health. Students will learn about
the causes, presentation, management and prevention of common childhood diseases, as well as how to promote
child health. Lastly the students will be introduced to the professional behaviour and attitudes appropriate in the
management of children and their families.
COURSE OBJECTIVES
By the end of this course, the students should be able to:
1. Describe the causes, pathophysiology, clinical presentation, management and prevention of the common
childhood illness, and how to promote child health.
2. Describe the appropriate attitudes and professional behaviour in management infants, children and their
families.
EXPECTED OUTCOMES
By the end of this course, the student should have the following competencies:
1. Demonstrate knowledge of common paediatric and child health problems and apply it in the care of children,
families and communities
2. Demonstrate professionalism, and ethical conduct in child care
3. Demonstrate effective interpersonal and communications skills
4. Demonstrate appropriate leadership and management skills in child care
5. Demonstrate critical thinking, and reflective practice
COURSE CONTENT
Common childhood illness: Malaria, Pneumonia, Childhood TB, Malnutrition, HIV/AIDS, Meningitis
Neonatal conditions: Care of the newborn, Low birth weight (LBW) and problems of LBW, Neonatal
jaundice, Neonatal sepsis, Detection of congenital abnormalities, prematurity, asphyxia, EMTCT
Paediatric emergencies: Acute asthma, Convulsive disorders, Coma, Circulatory collapse, Cardiopulmonary
arrest, Poisoning, ETAT
Childhood nutrition: Normal nutrition requirements, Breast feeding, protein energy malnutrition,
micronutrients
Gastro-Intestinal: Diarrhoea, Hepatitis
Renal conditions: Acute glomerulonephritis, Nephrotic syndrome, UTI
Central nervous system: Febrile convulsions, Cerebral palsy, Epilepsy
Hematological conditions: Anemia, Sickle cell disease and bleeding disorders
Growth and Development: Normal growth, Growth monitoring and promotion
Cardiac conditions: Congenital and acquired heart diseases, Congestive cardiac failure
Social paediatrics: Child abuse, Deprived and disabled children
Immunization and common immunizable diseases
Child health: Primary healthcare, IMCI, Child survival strategies, Immunization, Global development goals
(Sustainable development goals)
Ethics and professionalism in relationship to Paediatrics
Childhood malignancies: ALL, Burkitt’s, Wilm’s, Hodgkin’s, KS
Skin conditions: scabies, eczema
Endocrine disorders: Diabetes emergencies ,
Infestations: Helminthic and other parasitic infestations
COURSE DESCRIPTION:
This course will introduce students to the application microbiology, immunology and molecular biology to
the diagnosis of infectious diseases and the management and prevention of antimicrobial resistance.
COURSE OBJECTIVES:
By the end of the course the student should be able to:
1. Demonstrate knowledge of the general concepts of management of clinical specimens for
microbiological diagnosis of infectious disease
2. Demonstrate skills in utilization of the clinical laboratory in management of infectious diseases
3. Demonstrate correct attitude in working as part of a team to ensure reliable laboratory results
4. Demonstrate the correct attitude towards infection control and prevention practices
EXPECTED OUTCOMES:
By the end of the course the students should be able to demonstrate the following competences:
1. Knowledge of the general concepts of management of clinical specimens for microbiological
diagnosis of infectious disease.
2. Skills in utilization of the clinical laboratory in management of infectious diseases
3. Correct attitude in working as part of a team to ensure reliable laboratory results
4. Correct attitude towards infection control and prevention practices
COURSE CONTENTS:
The clinician laboratory relationship
Approaches to microbiological diagnosis: Microscopy, isolation, serological testing, antigen
detection, molecular approaches
Principles of specimen collection, transportation and storage
Specimen processing: Blood cultures, cerebrospinal fluid, serous cavity aspirates, pus, faecal
specimens,
Antimicrobial susceptibility testing: Epidemiology and magnitude of antimicrobial resistance, testing
principles and approaches, major resistance phenotypes/genotypes –MDR TB, MRSA, ESBL,
CRE, MCR-1
Principles of infection control and prevention:
o Epidemiology and magnitude of health care acquired infections
o Principles of infection prevention: Personal hygiene, Hand hygiene, Facility hygiene,
decontamination, sterilization and disifection, isolation, waste management, aseptic
technique, standard precautions, transmission based precautions, personal protective
equipment