Tuesday 17 January 2017

Medical Education in USA

                                Medical Education
Medical education in the United States includes educational activities involved in the education and training of physicians (D.O. or M.D.) in the United States, from entry-level training through to continuing education of qualified specialists. n the United States a medical school is an institution with the purpose of educating physicians in the United States in the field of medicine. Admission into medical school may not technically require completion of a previous degree; however, applicants are usually required to complete at least 3 years of "pre-med" courses at the university level because in the US medical degrees are classified as Second entry degrees. Once enrolled in a medical school the four years progressive study is divided into two roughly equal components: pre-clinical (consisting of didactic courses in the basic sciences) and clinical (clerkships consisting of rotations through different wards of a teaching hospital). The degree granted at the conclusion of the next four years of study is Doctor of Medicine (M.D.) or, less commonly, Doctor of Osteopathic Medicine (D.O.) depending on the medical school; both degrees allow the holder to practice medicine after completing an accredited residency program.
Language
The most common language in the United States is known as American English. However, no official language exists at the federal level. There have been several proposals to make English the national language. Proposed constitutional amendments have been attached to immigration reform bills,[5][6] and one came from the Polish American Congress, but none of these bills have become law with the amendment intact. The situation is quite varied at the state and territorial levels, with some states mirroring the federal policy of adopting no official language in a de jure capacity, others adopting English alone, others officially adopting English as well as local languages, and still others adopting a policy of de facto bilingualism.
Medical Curriculum
The first-year curriculum begins with a study of the normal human body, and its processes at the molecular and cellular levels. Biochemistry, genetics, anatomy, and embryology are presented concurrently for the first portion of the year, building together the concepts of macromolecular and cellular interactions within tissues. Introductory courses in clinical ethics in medicine and critical thinking are also provided at this time. The spring is comprised of interdisciplinary courses in physiology and neuroscience, as well as courses in cell biology and human behavior and psychopathology. In the second year, the curriculum is fully integrated around organ systems. Materials covered in clinical medicine, microbiology, pathology, and pharmacology are integrated into system blocks. The second-year curriculum is nine months long with a two-week winter break and a two-week spring break. Students usually take Step 1 of the U.S. Medical Licensure Exam (USMLE) at the end of the second-year curriculum. In the third year, students begin the first of two years of intense clinical training and experiences involving direct patient care. In the fourth year, students complete rotations that prepare them for internships by selecting from a variety of specialties in acute care, ambulatory care, and a sub-internship. In addition, students choose from a wide variety of elective options, either on campus or at other medical schools in the U.S. or abroad. 

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