2002-2004
2002-2004
llllllll
UNIVERSITY ^/MARYLAND
School of
Medicine
The Oath of Hippocrates
I do solemnly swear by that which I hold most sacred that I will be loyal to the profession of medi- cine and just and generous to its members. That I will lead my life and practice my art in upright- ness and honor. That into whatsoever house I shall enter it shall be for the good of the sick to the utmost of my power. I hold myself aloof from wrong, from corruption, from the tempting of others to vice. That I will exercise my art solely for the cure of my patients, and will give no drug, perform no operation for a criminal purpose even if solicited, far less suggest it. That whatsoever I shall see or hear of the lives of men, which are not fitting to be spoken, I will keep inviolably secret. These things I do promise and in proportion as I am faithful to this my oath, may happi- ness and good repute be ever mine; the opposite if I shall be forsworn.
University of Maryland School of Medicine University of Maryland Baltimore 655 West Baltimore Street Baltimore, Maryland 21201-1559
Admissions Office: (410) 706-7478
The University of Maryland Baltimore is an equal opportunity institution with respect to both education and employ- ment. The University's policies, programs and activities conform to pertinent federal and state laws and regulations on nondiscrimination regarding race, color, religion, age, national origin, sex and handicap.
The School of Medicine has the objective of securing a broad racial, sexual and ethnic balance in its enrollment. To achieve this objective it gives even' consideration to minority student applications.
The University of Maryland Baltimore is accredited by the Middle States Association of Colleges and Schools. The School of Medicine is accredited by the Liaison Committee of Medical Education, the accrediting body for the Association of American Medical Colleges and the American Medical Association.
Digitized by the Internet Archive in 2013
http://archive.org/details/medcatalog02unse
Welcome From the Dean
I am delighted to share with you the information in this
catalog, which provides an overview of the University
of Maryland School of Medicine and its educational
programs. We are very proud of our students -
a wonderfully diverse group from all over the world.
The University of Maryland School of Medicine has
a proud tradition of excellence beginning with our
founding in 1807. Our dedicated and outstanding
faculty, staff, and students continue this tradition today.
I am pleased that you are interested in the School
of Medicine and I invite you to learn all that you can
about our school. If you still have questions, please call
our Admissions Office at (410) 706-7478 or check
our website at http://medschool.umaryland.edu.
-"^s^fed^"
Donald E. Wilson, MD, MACP
Vice President for Medical Affairs &
Dean, School of Medicine
Contents
PROFILE
The University of Maryland Baltimore 1
Milestones 2
Education 3
Research 4
Community Service 5
The Campus and Beyond 6
ADMISSIONS INFORMATION
Application 7
Early Decision Program 7
Application Selection Criteria 8
Admission to the First- Year Class 8
Advanced Standing 10
FINANCIAL INFORMATION
Determination of In-State Status 11
Tuition and Fees 11
Fees 12
Registration 12
Withdrawal 13
Academic Standing 13
Refunds 13
Leaves of Absence 15
Required Equipment 15
Financial Assistance 15
University and Medical School Funds 16
Scholarships 16
Loan Funds 17
Outside Sources 17
ACAMEMIC INFORMATION
Accreditation 19
General Rules 19
Grades and Promotion 19
Equal Opportunity 20
Unethical Conduct 20
Graduation Rate 20
Salary and Employment Information 21
Prizes and Awards 21
Graduation with Honors 24
Professionalism in Medicine 24
PROGRAM OF STUDY
Curriculum
Curriculum 26
Curriculum at a Glance 27
Year 1-37 weeks 27
Block I-Medical Informatics 27
Block Il-Structure and
Development 27
Block Ill-Human Behavior 28
Block IV-Cell and
Molecular Biology 28
Block V-Cell Function Section
of Functional System Block 28
Block VI-Neurosciences 28
IHB-Intimate Human Behavior 28
Block VII-Functional Systems 29
ICP-Introduction to
Clinical Practice 29
Year 11-34 weeks 29
Block VIII-Host Defenses
and Infectious Diseases 29
Block IX- Pathophysiology
and Therapeutics 29
Physical Diagnosis 29
Year 111-48 weeks 30
Year IV-32 weeks 30
Combined MD/PhD Program 30
Office of Student Research 32
Graduate Programs 34
Residencies and Fellowships 35
Program of Continuing
Medical Education 37
INTERNSHIPS AND RESIDENCIES
Classes of 1998, 1999 and 2000 38
RESOURCES
Office of Medical Education (OME) 45
Health Sciences and Human
Services Library 47
Medical Alumni Association 48
Affiliations 48
The University of Maryland
Medical System (UMMS) 49
VA Maryland Health Care
System (VAMHCS) 51
Area Health Education Center
Program (AHEC) 52
STUDENT LIFE
Office of Student Affairs 53
Electives 53
Residency Planning 53
Human Dimension in
Medical Education (HDME) 53
White Coat Ceremony 54
The Office of Student and Faculty
Development 54
Student Government 55
Student Organizations 55
Publications 60
Institutional Governance
and Planning 61
Student Health Services 62
Counseling Center 62
Housing 63
Athletic Center 63
Baltimore Student Union 64
Parking and Transportation 64
SCHOOL OF MEDICINE DEPARTMENTS
Anatomy and Neurobiology 65
Anesthesiology 66
Biochemistry and Molecular Biology 61
Dermatology 68
Diagnostic Radiology 70
Epidemiology and Preventive Medicine 71
Family Medicine 74
Medical and Research Technology 76
Medicine 78
Cardiology 80
Endocrinology, Diabetes, and
Nutrition 80
Gastroenterology 82
General Internal Medicine 82
Geographic Medicine 83
Gerontology 84
Hematology and Oncology 85
Hypertension 86
Infectious Diseases 86
Nephrology 88
Pulmonary and Critical
Care Medicine 88
Rheumatology 89
Microbiology and Immunology 90
Neurology 91
Neurosurgery 92
Obstetrics, Gynecology and
Reproductive Sciences 92
Ophthalmology 94
Orthopaedic Surgery 94
Pathology 95
Pediatrics 97
Pharmacology and Experimental
Therapeutics 101
Physical Therapy 101
Physiology 102
Psychiatry 103
Radiation Oncology 105
Surgery 106
Emergency Medicine 107
General Surgery 107
Otolaryngology-Head and
Neck Surgery 108
Pediatric Surgery 109
Plastic and Reconstructive Surgery 109
Thoracic and Cardiovascular Surgery.. 1 10
Transplant Surgery 1 1 1
Urology Ill
Vascular Surgery 112
PROGRAMS
Program in Comparative Medicine 113
Program in Complementary Medicine ....1 13
Program in Human Genetics 1 14
Program in Neuroscience 115
Program in Oncology 116
Program in Trauma 117
ORGANIZED RESEARCH CENTERS
Center for Research on Aging 119
Center for Health Policy and
Health Services Research 120
Center for Health Promotion and
Disease Prevention 121
Center for Vaccine Development 121
ENDOWMENTS AND GIFTS
Chairs 123
Professorships 123
Visiting Professorships 123
Lectureships 123
Fellowships 124
Awards 124
Research Funds 125
Unrestricted and Other Funds 125
John Beale Davidge Alliance 126
UNIVERSITY AND MEDICAL SCHOOL FUNDS
University Grants: Need based grants
awarded by Financial Aid Office.... 127
Scholarships 127
Loan Funds 128
Outside Sources 129
ADMINISTRATION AND FACULTY
University System of Maryland
Administration 131
Board of Regents 131
University of Maryland Baltimore
Administration 131
Academic Deans 132
School of Medicine
Administration 132
Board of Visitors 133
Department of Anatomy and
Neurobiology 133
Department of Anesthesiology 134
Department of Biochemistry and
Molecular Biology 135
Department of Dermatology 136
Department of Diagnostic Radiology
and Nuclear Medicine 136
Department of Epidemiology and
Preventive Medicine 137
Department of Family Medicine 138
Department of Medical and
Research Technology 138
Department of Medicine 139
Department of Microbiology
and Immunology 142
Department of Neurology 143
Department of Neurosurgery 1 44
Department of Obstetrics, Gynecology
and Reproductive Sciences 144
Department of Ophthalmology 145
Department of Orthopaedic Surgery 145
Department of Pathology 145
Department of Pediatrics 147
Department of Pharmacology
and Exp. Therapeutics 148
Department of Physical Therapy 149
Department of Physiology 149
Department of Psychiatry 150
Department of Radiation Oncology 153
Department of Surgery 154
UNIVERSITY POLICY
STATEMENTS 157
CAMPUS AND AREA MAPS 162
Profil
Established in 1807, the University of Maryland School of Medicine is the fifth oldest medical school in the United States, the first to build its own teaching hospital and the first to institute a residency-training program. The School of Medicine is the founding school of the University of Maryland, and today it is an integral part of the 13-campus University System of Maryland. On the University of Maryland Baltimore campus, the School of Medicine serves as the foundation for a large academic health center that combines medical educa- tion, biomedical research, patient care and community service. While its traditional excellence remains constant, the School of Medicine and its national reputation continue to grow.
The School of Medicine boasts the oldest building in the Western hemisphere in continuous use for medical education, the meticulously restored Davidge Hall, built in 1812. Two major classroom and laboratory buildings, the fourteen-floor Bressler Research Building and the nine-floor Medical School Teaching Facility, were completed in the mid-1970s. The mid-rise Biomedical Research Facility was completed in late 1992. Health Sciences Facility I (HSFI), an interdisciplinary research and teaching facility, was completed in 1995. HSFI provides clinical and basic science departments and animal care facilities with approximately 80,000 additional net square feet. HSFI also provides a much-needed connection from the Medical School Teaching Facility to Howard Hall and the Bressler Research Building. Construction has begun on Health Sciences Facility II (HSFII), a 101,000 square foot state-of-the-art biomedical research facility. This six-story building will house laboratories, research offices and conference rooms. All but one major medical school research building is physically linked to the University of Maryland Medical Center and the Baltimore Veterans Affairs Medical Center.
The University of Maryland Baltimore campus continues to expand as well. The 137-bed Baltimore Veterans Affairs Medical Center, immediately adjacent and connected by bridge to the University of Maryland Medical Center, joined the campus in 1993. Gudelsky Tower, the new high-tech University Hospital patient tower opened in 1994, and was followed in 1995 by complete restructuring and enhancement of the two-block hospital facade and main lobby. Completed in late 1995, the University of Maryland Biotechnology Institute's Medical Biotechnology Center occupies a 1 96,000 square foot facility. The center focuses on medical biotechnology research and training and serves as a catalyst for economic development in health related aspects of molecular biology and medical biotechnology at the basic, applied and clinical levels. The new Health and Human Services Library opened in 1998. It provides cutting-edge service and amenities to its users and also serves as a Regional Medical Library of the National Librarv of Medicine.
The University of Maryland Baltimore
The University of Maryland Baltimore (UMB), designated "UniversityCenter" by the city of Baltimore administration, is the founding campus of Maryland's public university system. It is a thriving center for education, patient care, research and community service. Seven graduate and professional schools — the Graduate School, the Dental School and Schools of Law, Medicine, Nursing, Pharmacy, and Social Work — together with the University of Maryland Medical System, Greenebaum Cancer Center, R Adams Cowley Shock Trauma Center, the Baltimore Veterans Affairs Medical Center and the University of Maryland Biotechnology Institute's Medical Biotechnology Center — educate physicians, research scientists and many of the region's health care, law and social work practitioners.
Profile 1
With $169.8 million in sponsored program support in FYOO, UMB is one of the fastest growing biomedical research centers in the country. The University of Maryland Baltimore is ideally configured to maximize collaborative opportunities with government agencies in tackling complex health care, public policy and societal issues. Its location within the Baltimore- Washington-Annapolis triangle — at the hub of one of the greatest concentrations of health care institutions, research facilities, government agencies and professional associations in the nation — offers a unique combination of strengths to comprehensively address regional problems with the resulting conclusions having the potential for global implications. Areas of multidisciplinary research, scholarship and community action include AIDS, aging, vaccine development, multiple sclerosis, schizophrenia, hypertension, lead poisoning, cancer, child abuse and homelessness, offering students a wide selection of field experiences.
Partnerships among university components and with the University of Maryland Medical Center and the Baltimore Veterans Affairs Medical Center continually strengthen interdisciplinary research, education and service endeavors.
Milestones
The foundation of the School of Medicine dates back to 1789 with the organization of the Medical Society of Baltimore and Baltimore physicians' awareness that their numbers were decreasing following the Revolutionary War. Foreseeing a potential opportunity for charlatans to "practice" the art of medicine, founders of the medical society began to train prospective physi- cians in their own homes, offering instruction in anatomy, surgery and chemistry. Soon faced with strong citizen protest of anatomical dissection, the physician-teachers petitioned the Maryland State Legislature to establish a college of medicine on a firm basis and under the protection of the law. A charter incorporating the College of Medicine of Maryland was approved by the Maryland General Assembly on December 18, 1807.
The fledgling College of Medicine of Maryland was in urgent need of a proper building, and a lottery was authorized — not to exceed $40,000 — to benefit the medical college's building fund. Over the next 15 years, seven more lotteries were authorized to benefit the school.
Dr. John Beale Davidge, a native Marylander trained in Scotland, became the first dean and took the chair in surgery. His founding faculty were Dr. James Cocke (anatomy and physiology), Mr. James Shaw (chemistry) and Dr. Nathaniel Potter (theory and practice of medicine). From Col. John Eager Howard, a Revolutionary War hero and former Maryland governor, Davidge, Shaw and Cocke purchased land that was "quite some distance from town" to protect against unruly mobs who had demolished the doctors' first anatomical theater in violent opposition to the dissection of human cadavers.
From the school's very beginning there was strong emphasis on bedside teaching. The first class of seven received clinical instruction at the Baltimore Almshouse, a warehouse, a theater and infir- mary for the poor.
Completed in 1812, Davidge Hall was built by Robert Carey Long, Sr., and modeled after the Pantheon in Rome. The first classes were held in the new building in 1813, the same year the College of Medicine of Maryland became the University of Maryland. In addition to its two expansive circular amphitheaters constructed one atop the other, Davidge Hall was built with dissecting cubbyholes, secret stairways and hidden exits that afforded early students and their professors safe passage from angry mobs. It is said that the 1812 British bombardment of Fort McHenry was viewed from the veranda of Davidge Hall, while in the harbor a few miles away Francis Scott Key was writing the "Star Spangled Banner." Davidge Hall was meticulously reno- vated in the early 1980s and recognized as a National Historic Place. In 1998 it was designated a National Historic Landmark.
School of Medicine
The Baltimore Infirmary, forerunner of the University of Maryland Hospital, was built oppo- site Davidge Hall in 1823, on the site of the present Baltimore Student Union. It was the first hospital founded by a medical school for the express purpose of clinical instruction. It was also the site of the first intramural residency program established in the United States. Senior medical students lived in the hospital while helping to care for patients. The building was still in active use until 1973, when its clinics were moved into the newly constructed north-wing addition to the University of Maryland Hospital (circa 1934) and the old building razed.
In curriculum development, the University of Maryland School of Medicine enjoys a long and proud tradition as an innovative leader. Maryland was the first school to recognize the value of the basic sciences. In 1800, Dr. John Crawford was the first to vaccinate Baltimoreans against smallpox. As early as 1810, he had presented evidence of the contagious character of tuberculosis. The gift of Dr. Crawford's personal library became the nucleus of Maryland's extensive medical library.
In 1833 the school introduced the first preventive medicine course. The techniques of auscul- tation and percussion were taught at the School of Medicine for the first time in Baltimore as early as 1841, and in 1844 Dr. David Stewart, the first professor of pharmacy in the United States, initi- ated his lectures at Maryland. In 1848, Maryland became the first school to require anatomical dissection, followed six years later by the introduction of compulsory courses in gross and micro- scopic pathology. Compulsory courses in experimental physiology and microscopy were intro- duced six years later. A milestone in cancer research occurred in 1853, when Maryland's Dr. Francis Donaldson became the first person in America to advocate biopsy and microscopic diag- nosis of malignancy. Maryland was the first to establish chairs in the diseases of women and chil- dren (1867) and diseases of the eye and ear (1873).
Mergers with the Baltimore Medical College in 1913 and the College of Physicians and Surgeons in 1915 enabled the school to expand its clinical facilities and faculty. Early in the twen- tieth century, Drs. James Rowland and Louis Douglas initiated off-site obstetrical care and home delivery, prenatal clinics and an Rh blood-typing laboratory, significantly improving infant and maternal health.
The School of Medicine has had its share of medical breakthroughs, including in more recent decades the first successful antibiotic treatment of Rocky Mountain spotted fever, the first cure for typhoid fever and the first laparoscopic ulcer surgery. In 1967, the school began one of the first formalized family practice residency programs in the country. In 1994, Maryland became the first medical school in the nation to integrate medical informatics into its curriculum.
The R Adams Cowley Shock Trauma Center, which opened in 1961, serves as a worldwide model for emergency medical treatment. The University of Maryland Greenebaum Cancer Center is a strong participant in new drug development and research, and virtually every important drug used in oncology has been tested in this program.
Today's University of Maryland School of Medicine is an exciting, vibrant institution where medical history continues to be written.
Education
The School of Medicine initiated a new curriculum with the 1994 entering freshman class. The new curriculum differs from the previous, more traditional curriculum in the following areas: the basic sciences are no longer taught as discipline-specific "courses" but are integrated and taught as "blocks," using interdisciplinary teaching with both basic and clinical science teachers. Committees chaired by faculty members from major block courses determine course content and teaching methodologies. Lectures, small discussion groups and laboratories are used with extensive time available for self-learning. Problem-based learning was tested in several blocks during the 1994-95 academic year with more widespread use in the 1995-96 freshman year. The sophomore year also utilizes the interdisciplinary "blocks" approach as the freshman class moved into the
Profile
second-year curriculum in 1995-96. There is a marked reduction in lecture hours with an emphasis on independent study with availability of mentors and learning resources. Another major change is a half-day course dedicated to the Introduction to Clinical Practice which was initiated at the inception of the 1994-95 freshman year and continues throughout the first two years. This course includes instruction in interviewing techniques, physical examination, intimate human behavior, ethical issues and the dynamics of ambulatory care delivery. Much of this two-year longi- tudinal experience is gained off-site in clinical settings. Changes within the last two years of medical education include a mandatory ambulatory month-long rotation in family medicine, emphasis on ambulatory teaching in all other clinical rotations, and a longitudinal half-day experience in a clin- ical setting in which the student will have continuity of care for patients and families.
The ties between the medical school and the hospital enrich and enhance both medical education and health care. All physicians practicing at the University of Maryland Medical System and at the Faculty Professional Building have School of Medicine faculty appointments and are actively involved in the educational process in addition to supervising residency training for more than 600 postgraduate positions at the University of Maryland Medical Center and affiliated hospitals. The Medical System includes a 724-bed teaching hospital, the Greenebaum Cancer Center and R Adams Cowley Shock Trauma Center on campus, as well as the James Lawrence Kernan and Deaton Hospitals off campus.
Medical care and education are further enhanced by the location of the Baltimore Veterans Affairs Medical Center on this campus in a state-of-the-art hospital adjacent to the School of Medicine and the University of Maryland Medical Center. Together, these facilities serve as the major clinical training sites as well as sources of comprehensive health care for the local commu- nity and the state. The school also has established clinical affiliations throughout the region, giving students unusual flexibility in clinical experiences.
In an effort to nurture more interest in basic research and to meet the increasing demand for physician-scientists, the school offers a combined MD/PhD program in 10 medical disciplines and an MD/MS program in preventive medicine. Although the schedule can be flexible, MD/PhD students typically complete the freshman and sophomore years of medical school, enroll as grad- uate students until PhD completion, and then begin their clinical clerkships. Combined MD/PhD degree studies can be completed within six to eight years.
Medical students in the track leading to the MD/MS in preventive medicine may complete the dual-degree program in five years. The fifth year is counted as one year of preventive medicine resi- dency training by the American Board of Preventive Medicine.
Graduate programs are offered at the master's and doctoral levels in the basic sciences. There is a baccalaureate program in medical and research technology, a master's program in physical therapy, a master's program in genetic counseling, as well as a number of interdisciplinary programs with both service and research components.
Continuing education programs are sponsored for practicing physicians throughout the region.
The School of Medicine offers students an excellent spectrum of resources and field experiences. Located along the Baltimore- Washington corridor, the school is in the midst of a great concentra- tion of health care institutions, research centers, government agencies and professional associations.
Research
The University of Maryland School of Medicine is one of the country's fastest growing research institutions, with total awards of $169.8 million in FY00. According to the Association of American Medical Colleges (1998-99), the School of Medicine ranked 9th among public medical schools in direct NIH funding, ranking in the top 20 percent of all public medical schools.
School of Medicine
That funding, combined with our faculty's expertise and cutting-edge research, has produced some remarkable breakthroughs:
• Discovered genetic biomarker for earlier diagnosis of esophageal cancer that may lead to better, more effective treatment (2000).
• Introduced Intensity Modulated Arc Therapy (IMAT), which delivers a higher, more uniform concentration of radiation that attacks tumors while sparing surrounding organs and tissues (2000).
• First to offer new treatment for inoperable liver cancer, TheraSphere, a therapy that uses microscopic glass beads to deliver radiation directly to tumors (2000).
• Discovered receptor in the brain that is key to understanding the blood-brain barrier — the nearly impenetrable interface between the bloodstream and the brain (2000).
• Performed more kidney transplants than any other medical center in the U.S., and became the second largest center for pancreas transplants (1999).
• Performed the most laparoscopic kidney removals from living kidney donors in the world (1996-2000).
• Developed first blood test to detect the enzyme telomerase, which can indicate the early spread of lung cancer (1999).
• Developed a successful blood cleansing procedure to enable people on kidney dialysis to receive a kidney transplant without fear of immediate rejection (1999).
• Discovered first clear link between autism and gastrointestinal disorders (1999).
In the last several years the School has consistently produced more than 50 invention disclosures annually and over 50 patents since 1997, establishing Maryland as a hub for life sciences activity in the region. Technologies developed at the School of Medicine have formed the basis for at least five Baltimore-area companies.
Other research projects are examining how intervention can make a difference for inner city youngsters trying to avoid the perils of HIV infection, drug use and street violence. Another project is tracking how intensive outreach can keep trauma victims from becoming repeat shock trauma patients.
Community Service
The School of Medicine's most important mission continues to remain the same after nearly two centuries, that of educating physicians to meet the health care needs of the people of Maryland and beyond. The School of Medicine is a vital part of the West Baltimore neighborhood in which it resides, and its faculty, staff and students are increasingly involved in activities that bring a better quality of life to its neighbors.
Each year School of Medicine students provide hundreds of thousands of hours of service in hospitals, clinics, homeless shelters and schools throughout the state. Program involvement includes:
• S.TO.P. AIDS — Student/Teacher Outreach Program — sends volunteer students into Baltimore City Public Schools to discuss HIV prevention. Thousands of West Baltimore elementary and middle school students have been taught about the disease's medical and social implications.
• Domestic Violence Workshop - student volunteers sponsor a workshop that creates a heightened awareness of this complex problem and teaches future physicians how to spot the sometimes subtle signs of abuse.
• Health Care and the Homeless Project — allows students to spend time at shelters such as South Baltimore Station, providing health care screening and education.
Profile 5
Faculty members provide countless uncompensated hours of primary and preventive care to the residents of Baltimore through programs such as:
• Baltimore Alliance for the Prevention and Control of Hypertension and Diabetes — brings all of the resources of the University of Maryland physician community together to promote accessible, comprehensive hypertension and diabetes education, prevention and treatment strategies within the Baltimore community, with emphasis on the underserved.
• Focus on Kids — a community/university partnership that addresses the many issues, including HIV, drug use and violence facing pre-adolescents and adolescents.
• Paquin Family Health Center — a school-based health center at Paquin High School, Baltimore City's school for pregnant young women and teen mothers. Primary, pre- and post-natal care and psychosocial support are provided for mother and child.
The Campus and Beyond
The School of Medicine is an integral part of one of the country's first centers for professional educa- tion and research. Its urban campus, shared with six other professional schools and the Health Sciences and Human Services Library, the University of Maryland Medical System, the University of Maryland Biotechnology Institute's Medical Biotechnology Center and the Baltimore Veterans Affairs Medical Center, also hosts the Hope Lodge and Baltimore Ronald McDonald House, both offering low cost housing and a home-atmosphere for adult and pediatric outpatients and their fami- lies receiving medical treatment in the Baltimore area.
Opportunities abound for faculty and students to join with other health and human service professionals in interdisciplinary study, informal discourse and collaborative clinical practice and research, offering students a wide selection of field experiences.
In addition to professional opportunities, Baltimore offers a stimulating environment in which to live and study. Baltimore residents enjoy the sophistication of a large metropolitan city combined with easy accessibility to surrounding beaches, mountains and rural areas. The many attractions and resources of Washington, D.C., are less than a one-hour drive from Baltimore.
Having been the setting for significant events in the history of our country and a renowned foreign-commerce seaport, Baltimore maintains a strong feeling of the past, typified by the many charming neighborhoods of restored houses and an abundance of historic monuments and buildings. Within easy walking distance of the campus is the nationally acclaimed Inner Harbor area where Harborplace, the National Aquarium, Maryland Science Center, and the Pier 6 Pavilion share the festival atmosphere of the harbor with hotels, shops and restaurants, water taxis, and pleasure and tour boats. Both restored and newly constructed townhouses and condominium complexes share the waterviews, excitement and atmosphere of downtown living.
Warm weather months signal festival time in Baltimore with such annual offerings as Preakness Festival Week, Artscape, the Baltimore City Fair, the Flower Mart and the many ethnic festivals that celebrate the city's diverse populations. As a cultural center, Baltimore has offerings to please the most discriminating tastes, including a world-class symphony orchestra, excellent museums and libraries, professional theater, ballet and opera.
For sports fans Baltimore boasts a varied menu. Offerings include American League Baseball with the Orioles, professional football with the NFL Ravens, indoor soccer and ice hockey, NCAA and club lacrosse, horseracing and steeplechase and polo in the suburban counties. The home of the Baltimore Orioles, Oriole Park at Camden Yards, is but a two-block stroll from our campus, and the PSI Net Stadium, home of the Super Bowl Champion Baltimore Ravens, is immediately adjacent to Camden Yards. There are numerous public golf courses in the city and surrounding counties, and the Baltimore harbor and nearby Chesapeake Bay offer unparalleled opportunities for boating, fishing and water sports. Gastronomy aficionados will delight in experiencing the seafood for which the region is famous.
6 School of Medicine
Admissions Information
Application
The University of Maryland School of Medicine is a participant in the American Medical College Application Service (AM CAS). All requests for a place in the first-year class must be initiated by an AMCAS application. AMCAS application request cards can be obtained from AMCAS, Section for Student Services, Association of American Medical Colleges, 2501 M Street, NW, Lobby-26, Washington, DC 20037-1300. In addition, they are usually available from the premed- ical advisory office at the undergraduate college. AMCAS application material is ready for distri- bution about mid-May of the year in which an individual plans to submit an application to the School of Medicine.
For the School of Medicine, the AMCAS application is the first of a two-stage application process and is due in Washington by November 1. The Committee on Admissions thoroughly reviews the AMCAS application and, based on the information contained in it, determines whether the second stage (School of Medicine) application form will be sent. A non-refundable application fee ($50), payable to the University of Maryland School of Medicine, is sent only with submission of the second stage application form, which is due by December 1 . All applicants who are deter- mined to be residents of the state of Maryland are invited to submit a second-stage application. Nonresidents will either be sent second-stage application material or will be informed that the Committee on Admissions cannot continue the application process.
The application form, supporting credentials and letters of recommendation should be filed as early as possible in the application period. Please do not have letters of recommendation sent prior to submission of the second-stage application.
The applicant must assume responsibility for assuring that all required materials and the completed application packet are filed with and received by the Committee on Admissions. The applicant is expected to respond truthfully and completely to all questions on the AMCAS and School of Medicine application forms. An applicant who provides false or misleading information may be denied admission or, if enrolled before discovery of irregularity in the application process, may be dismissed from the School.
Early Decision Program
The University of Maryland School of Medicine has an Early Decision Program for applicants who are sure that their first choice of medical schools is the University of Maryland. The Committee on Admissions interviews selected early decision applicants and makes a decision on these students before considering the regular pool of applicants. By applying for early decision, the highly qualified applicant avoids having to make numerous other applications. Applicants with less competitive academic credentials, or those without the support of their premedical advisor, are discouraged from applying through this program.
The early decision applicant must apply only to this school by the AMCAS deadline of August 1. Applicants must provide all supplementary information by September 1. Interviews will take place at the medical school between mid-August and late September. No one will be accepted without an interview. If offered a place by this School, the applicant cannot apply elsewhere. All decisions for this program are made by October 1 .
Admissions Information
The Committee on Admissions can make one of three decisions for each early decision appli- cant: 1) acceptance; 2) rejection; or 3) placement into the regular applicant pool for review at a later time. Each applicant will be notified promptly of the Committee on Admissions' decision so that those not accepted through this program can apply elsewhere.
Individuals who apply through the Early Decision Program cannot apply to any other medical school until they are notified that they have not been accepted through this program at the University of Maryland.
Applicant Selection Criteria
Academic achievement, extracurricular activities, personal characteristics, recommendations from the premedical committee or college instructors, scores on the Medical College Admissions Test (MCAT) and personal interview all are considered in the committee's evaluation of an applicant. Academic achievement and/or high MCAT scores do not in themselves ensure acceptance. Of significant concern to the Committee on Admissions are the applicant's character, personality and potential to perform as a medical student and as a future physician. Personal integrity, emotional maturity and stability, motivation, interests and activities outside the classroom and interpersonal and communication skills are all carefully evaluated. Candidates for the MD degree must have the attitudes, knowledge and skills to function in a broad variety of interpersonal situations and to render a wide spectrum of patient care. Proficiency in both written and spoken English is required. A copy of the School of Medicine's policy on Essential Requirements for Admission, Academic Advancement and Graduation is available upon request.
Applications from persons with outstanding credentials from other areas of the United States and Canada are welcome and will receive all possible consideration. Preference in the selection process is given to residents of the state of Maryland. Applications can be processed only from citizens of the United States and Canada or from individuals who reside in this country on a permanent resi- dent visa. Occasionally an applicant residing in the United States holds a visa permitting him or her to live in the United States indefinitely and to establish residency in one of the states. Applications are accepted from these individuals. Those on a time-limited visa, such as a student visa, are not eligible for admission to the School of Medicine.
Admission to the First-Year Class
The student should plan a four-year undergraduate curriculum with a suitable arts or science major leading to a bachelor's degree. The Committee on Admissions encourages all applicants to pursue a course of study that is rigorous, scholarly and focused on areas that are intellectually chal- lenging and interesting to the applicant. The Committee on Admissions seeks to admit students with diverse academic backgrounds.
A minimum of 90 semester hours of acceptable college credit is required, exclusive of physical education and military science. These must be earned in colleges or universities whose names appear on the current list of Accredited Institutions of Higher Education as compiled by the National Committee of Regional Accrediting Agencies of the United States. The only courses accepted are those that are approved for credit towards a degree by the university or college attended. Preparation at a foreign college or university must be supplemented by two years or more of work in an approved university or college in the United States.
Successful completion of the following courses and credits is required prior to matriculation at the School of Medicine:
8 School of Medicine
|
Course |
Semester Hours |
|
|
Biological sciences |
8 |
with lab |
|
General chemistry |
8 |
with lab |
|
Organic chemistry |
8 |
with lab |
|
General physics |
8 |
with lab |
|
English |
6 |
A grade ofC or better is mandatory for all required courses.
No more than 60 hours can be accepted from accredited junior colleges and then only if these credits are validated by a college offering a Bachelor of Arts or Science degree. Advanced place- ment credits for science courses taken in high school may be accepted if the applicant's college (which grants the bachelor's degree) has given college credit for those courses. Other exceptions may be granted at the discretion of the Committee on Admissions.
Selected students who enter the School of Medicine from colleges that usually grant a baccalau- reate degree after the successful completion of the first year of medical school are responsible for:
(1) providing a certificate from the college or university certifying eligibility for this degree; and
(2) meeting all requirements of the School of Medicine for advancement to the second year. The MCAT must be taken no later than fall of the year preceding the desired year of entrance
and must be taken within four years of the anticipated date of matriculation. Applicants should write to the MCAT Program Office, 2255 North Dubuque Road, PO Box 4056, Iowa City, Iowa, 52243, for further information and registration forms, or to the Committee on Admissions, University of Maryland School of Medicine, 655 W. Baltimore Street, BRB 1-005, Baltmore, Maryland, 21201, (410) 706-7478.
A letter of recommendation from the undergraduate premedical committee or an officially designated premedical advisor is required. If the applicant's undergraduate college or university does not have a premedical committee or advisor, three letters of recommendation are required from faculty who have taught the applicant. Two of these letters must come from instructors who have taught the applicant in the sciences. Applicants who have earned advanced degrees or who have been out of school for a significant length of time should submit a letter of recommendation from each component of their education or major work-related experience. Letters of recommen- dation should be submitted by individuals qualified to evaluate the applicant's accomplishments, productivity and character in an objective and critical manner. All letters of recommendation should be sent directly to the Committee on Admissions. They are not to be sent to AM CAS.
Each applicant's credentials are evaluated by the Committee on Admissions to determine if an interview is to be granted. All interviews are conducted at the University of Maryland School of Medicine. These interviews are scheduled in advance by invitation.
In its selection process, the Committee on Admissions must use the applicant's residency status that is in effect on the last day applications can be received (December 1). The University of Maryland Baltimore Office of Records and Registration is responsible for all decisions regarding residency. All questions, complaints and appeals regarding residency status should be directed to that office: 621 West Lombard Street, Baltimore, Maryland 21201-1575; (410) 706-7480, not to the School of Medicine Office of Admissions. Nonresidents who matriculate at the School of Medicine should plan to maintain that status throughout the four years of medical school. Current standards for reclassification to in-state status are rigorous and make reclassification difficult.
For further information regarding the admissions process in general, the applicant is referred to a booklet entitled "Medical School Admissions Requirements," which can be obtained from:
Association of American Medical Colleges Membership and Publication Orders 2450 N Street, NW Washington, DC 20037-1131
Admissions Information 9
Advanced Standing Policy
Students who have attended a Liaison Committee on Medical Education (LCME) accredited medical school in the United States or Canada are eligible to file application for admission to the third year class only. Applications must be submitted between February 15 and May 1 of the desired year of admission. Applicants for advanced standing must meet all of the current first year entrance requirements and must present undergraduate credentials comparable to those of students in the third year class into which they are attempting to transfer. Applicants will be considered for transfer only if they have attended a medical school with a curriculum that is comparable to that offered at the University of Maryland School of Medicine. All applicants must pass Step I of the United States Medical Licensing Examination before they will be allowed to matriculate at the School of Medicine. Residents of Maryland will be given preference in the selection process. The number of transfers accepted will be limited by attrition.
All applicants must furnish letters of recommendation from the dean and faculty of the medical school where they are currently enrolled. No student who has been dismissed from any medical school will be eligible for advanced standing unless his/her former dean submits a letter addressed to the Committee on Admissions confirming that the student has been reinstated in good standing and is eligible for promotion. No student can be considered who is not eligible for promotion at the time of transfer.
Persons who already hold the degree of Doctor of Medicine cannot be admitted to the medical school as candidates for that degree from this University. Individuals whose graduate work has been in the fields of osteopathic medicine or podiatric medicine are not eligible for advanced standing. Individuals whose graduate work has been in the field of dentistry may apply for advanced standing through the Oral-Maxillofacial Surgery/MD Program. Information regarding the combined degree program can be obtained by writing to:
Dr. James Hupp
c/o Mrs. Antoinette Saunders
Advanced Dental Education
Office of Admissions and Student Affairs
Baltimore College of Dental Surgery
666 West Baltimore Street
Room 4-A-22
Baltimore, MD 21201
10 School of Medicine
Financial Information
Determination of In-State Status
An initial determination of in-state status for admission, tuition and charge-differential purposes will be made by the university at the time a student's application for admission is under consideration.
The University of Maryland Baltimore Policy for Student Residency Classification for Admission, Tuition and Charge-Differential Purposes was changed effective with the fall 1991 semester. There are several significant changes in the criteria for determining eligibility for in-state status. Students currently classified as nonresidents are encouraged to review this policy. Copies of the policy are available at the Registrar's Office, Office of Records and Registration, room 326, Baltimore Student Union, (410) 706-7480.
|
Tuition and Fees (1998-99 academic |
year schedule) |
|
|
Per Semester |
Per Year |
|
|
Application Fee/Matriculation Fee * |
$ |
$ 50.00 |
|
Tuition — In-State |
6,772.50 |
13,545.00 |
|
Tuition — Out-of-State |
12,960.50 |
25,921.00 |
|
Student Activities Fee |
37.50 |
75.00 |
|
Transportation Fee |
13.00 |
26.00 |
|
Hospital Insurance (Individual) ** |
514.00 |
1,028.00 |
|
Student Liability Insurance *** |
— |
260.00 |
|
Supporting Facilities Fee |
158.50 |
317.00 |
|
Disability Insurance |
11.80 |
23.60 |
|
Dormitory Fee **** Contact Housing |
||
|
Graduation Fee — Seniors |
45.00 |
|
|
Student Government Fee |
7.50 |
15.00 |
|
Hepatitis Vaccine (First Year) |
150.00 |
|
|
TB Screening |
10.00 |
|
|
Laptop Computer - First Year |
625.00 |
1,250.00 |
|
Second Year |
750.00 |
1,500.00 |
|
(Billed for four semesters) |
||
|
Late Payment Fee 5% or $100.00 Maximum |
* An application fee of $50 should be submitted with the formal application to the School of Medicine. This fee will be applied against the matriculation fee for accepted students. A partial tuition prepayment may be required before matriculation. ** Hospital insurance is required of all full-time students. A brief outline of the student health insurance program is furnished to each student. Students with equivalent insurance coverage must provide proof of such coverage by September 15 for fall registration and by February 15 for spring registration to Student and Employee Health at the time of registration to obtain a hospital insurance waiver. Rates quoted are subject to change. *** Student liability (malpractice) insurance is required of all students. **** Rate based on 10-month year. Transient rates available for summer. NOTE: Costs are subject to change without prior notice.
Financial Information
11
Fees
The application and/or matriculation fee partially defrays the cost of processing applications for admission and enrollment data in the professional schools. These fees are not refundable.
The tuition charges meet a portion of the costs for the educational program and supporting services.
Student activities fees are used to meet the costs of various student activities, student publica- tions and cultural programs. The Student Government Association, in cooperation with the Dean's Office, recommends expenditure of the fees collected.
The supporting facilities fee is used in support of the expansion of various facilities on campus that are not funded or are partially funded through other sources.
The transportation fee helps to expand and enhance parking and shuttle services.
Diploma fees are charged to help defray costs involved with graduation and commencement.
Tuition and fees are due prior to the first day of class or a late payment fee of 5 percent, not to exceed $100, will be automatically added to the bill. On or before the due date, an installment payment plan is available to students with a balance over $500. The plan divides payments into three equal installments, the first paid by the due date and the balance in succeeding 30-day installments. The installment payment plan must be arranged in person in the student accounting office.
All checks and money orders should be made payable to the University of Maryland for the exact amount of the actual bill.
A service charge is assessed for dishonored checks returned unpaid by the drawee bank because of insufficient funds, stopped payment, postdating or drawn against uncollected items.
• For checks up to $24.99 — $5 service charge
• For checks from $25 and up — $25 service charge
Late registration fees defray the cost of special handling involved for those who do not complete their registration on the prescribed days. No diploma, certificate or transcript will be issued to a student until all financial obligations to the University have been satisfied.
The University reserves the right to make such changes in fees and other charges as may be necessary.
Registration
To attend classes at the University of Maryland Baltimore campus it is necessary to process an offi- cial registration. All students are required to register each term in accordance with current regis- tration procedures. The balance of tuition and fees is due and payable on the dates specified for registration. Registration is not completed until all financial obligations are satisfied. Students who do not complete their registration, including the payment of their bill on the registration days, will be subject to a late registration fee.
Courses taken concurrently with a University of Maryland Baltimore registration at another campus or institution must have program approval in advance by the appropriate University of Maryland Baltimore officials. Off-campus registration forms are available in each dean's office and in the Office of Records and Registration.
Although the University regularly mails bills to advance-registered students, it cannot assume responsibility of their receipt. If any student does not receive a bill prior to the beginning of a semester in which he or she has advance-registered, it is that student's responsibility to contact student accounting in the Administration Building during normal business hours.
12 School of Medicine
Students who arena-register or advance-register and subsequently decide not to attend must notify the Office of Records and Registration, room 326, Baltimore Student Union, in writing, prior to the first day of instruction. If this office has not received a request for cancellation by 5:00 p.m. of the last day before instruction begins, the university will assume the student plans to attend and accepts the financial obligation.
After classes begin, students who wish to terminate their registration must submit an applica- tion for withdrawal to the Office of Records and Registration. Students are liable for all charges applicable at the time of the withdrawal.
If a satisfactory settlement or agreement for settlement is not made with the business office within 10 days after a payment is due, the student is automatically barred from attendance at classes and will forfeit the other privileges of the School of Medicine.
Withdrawal
Students who wish to leave the School of Medicine at any time during the academic year are required to file a letter of resignation with the dean. In addition, an Application for Withdrawal form bearing the proper signatures must be filed with the Office of Records and Registration. The student must satisfy the authorities that he or she has no outstanding obligations to the school and must return his or her student identification card.
If the above procedures are not completed, the student will not be entitled to honorable dismissal and will forfeit the right to any refunds to which that student would otherwise be enti- tled. The date used in computing refunds is the date the Application for Withdrawal is signed by the dean.
Academic Standing
Students who voluntarily withdraw during an academic semester will be given no credit. Students are not permitted to resort to withdrawal in order to preclude current or impending failures. Their standing on withdrawal will be recorded at the Office of Records and Registration. Students who withdraw from the medical school and later desire readmission must apply to the Committee on Admissions unless other arrangements have been made with the dean's written consent.
Refunds
Refund requests of students officially withdrawing from the school must be processed through the Office of Records and Registration. The amount of tuition and fees to be refunded to the student is dependent on time completed in the relevant semester.
In accordance with federal regulations, there are two refund policies in effect at the University of Maryland Baltimore.
I. First-time students
A. Students who have registered and are attending UMB for the first time; i.e., who have registered for their first semester on this campus, and withdraw on or before the sixty percent point of enrollment (e.g., during or before the ninth week of a fifteen-week semester) will be refunded according to the required pro rata formula. (After the sixty percent point in the semester, no refund is due the student).
Financial Information 13
B. Pro rata refunds require the University to return an amount proportional to the portion of the enrollment not yet completed by the student. In the case of uneven portions of enrollment remaining, the refund is rounded down to the nearest ten percent. Any unpaid charges are deducted from the refund amount. If the student has received aid for the semester, the aid is repaid first; any remaining balance goes to the student.
II. All students not first-time
A. Students not enrolled in their first semester are eligible for refunds upon withdrawal according to the following schedule:
• Withdrawal on or before the first scheduled day of class; 100% refund and cancel- lation of registration.
• Withdrawal after the first scheduled day or class through 10% of the semester — 90% refund.
• Withdrawal after the first 10% through the first 25% of the semester — 50% refund.
• Withdrawal after the first 25% through the first 50% of the semester — 25% refund.
• Withdrawal after the first 50% of the semester — no refund.
Schedules indicating the cut-off dates each semester for every level of refund will be made available by the Office of Student Accounts.
B. Withdrawing students who received financial aid to pay for the tuition and fees assessed will have refunds returned to the aid program from which the charges were paid in the following order:
Federal Unsubsidized Stafford Loan
Federal Subsidized Stafford Loan
Federal PLUS Loan
Federal Perkins Loan
Federal Pell Grant
Federal Supplemental Education Opportunity Grant
Institutional Loans, HPSL, etc.
Maryland State Scholarship Programs
Institutional Scholarship Programs
Private Scholarship Programs
• Refund amounts over and above those amounts repaid to the various aid programs will be returned to the student.
• In calculating the federal refund, any unpaid charges owed by the student will remain as the student's responsibility and will not be covered by any federal aid received.
Additional Notes:
• Aid that has been awarded and certified before the withdrawal date may be used to pay required tuition and fees, even if it has not yet been disbursed.
• Federal financial aid recipients who cease to attend classes without officially with- drawing through the Office of Records and Registration will have an unofficial withdrawal date determined for them by the financial aid office on a case-by-case basis, and that date will then be used in calculating the refund.
14 School of Medicine
Leaves of Absence
Students who are in good standing may be granted a one-year leave of absence with permission from the dean. Longer leaves can be arranged only under special circumstances with the exception of those students in the combined MD/PhD program.
Required Equipment
Dissecting Instruments: At the beginning of the first year, all freshmen must possess a complete set of dissecting instruments similar to those on display at the campus bookstore.
Laptop Computer: Entering freshman will be required to purchase/lease a laptop computer from the University of Maryland. Information regarding specific system requirements and purchasing, leasing and financing options will be provided in June each year. Students are advised not to purchase a laptop computer outside the University.
Microscope: Microscopes will be provided by the medical school.
Other Equipment: By the second year, medical students are required to have an ophthalmoscope, otoscope, a blood pressure cuff and stethoscope. The estimated cost of these items, plus other essentials such as lab coats, is $400 to $450.
Financial Assistance
The School of Medicine's financial aid program is available to medical students who demonstrate financial need. Aid programs are centrally administered by the Office of Student Financial Aid, located in the Baltimore Student Union. To qualify for aid, students must apply annually and continue to meet certain eligibility requirements. To apply for financial aid, complete a Free Application for Federal Student Aid (FAFSA) and send it to the Federal Processing Center or apply online at www.fafsa.ed.gov. To obtain an application, call or visit the Office of Student Financial Aid.
Student Financial Aid
University of Maryland Baltimore
621 West Lombard Street
BSU Room #334
Baltimore, Maryland 21201
(410) 706-7347
Email: aidtalk@umaryland.edu
Aid packages often include a combination of loans, grants, scholarships and part-time employment designed to meet a student's needs. In addition to school resources, outside funding agencies make financial assistance available to qualified medical students. Priority filing date is March 15.
Student assistance is awarded on the basis of demonstrated financial need. Eligibility for finan- cial aid is dependent upon the student maintaining satisfactory academic progress. When deter- mining the amount to be awarded, the following are considered: (1) income, assets and resources
Financial Information 15
of the student; (2) support available to the student from non-university sources; and (3) the costs reasonably necessary for full-time attendance at the school. Some programs also consider income, assets and resources of the student's parents.
University and Medical School Funds
University Grants: Need-based grants awarded by Financial Aid Office.
Medical Alumni Association: Interest-free loans are available to students on the basis of financial need.
Private and Endowment Funds: From bequests and private donations, the School of Medicine has established private and endowment accounts to provide fellowships, scholarships and loans for students on the basis of their academic achievement and financial need. The amounts of these fellowships, scholarships and loans vary and are awarded on an annual basis in accordance with school policy.
The availability of support from each of the funds listed below is dependent upon the income generated. Moreover, since many of the funds are governed by specific provisions set forth by the donors, awards must be made accordingly.
SCHOLARSHIPS
APPM Auxiliary Scholarship
Balder Scholarship Fund
James E. Bond Memorial Fund
Dr. Robert W. Buxton Scholarship
Class of 1969 Scholarship Fund
Percy M. Chaimson Scholarship Fund
Israel and Cecilia E. Cohen Scholarship
Dr. William H. Crim Scholarship
Isaac C. Dickson Scholarship Fund
Dodge Fund
Marcia Thomas Duncan Medical Scholarship
A. Lee Ellis Scholarship
Arthur Wright Erskine Scholarship
Dr. John E. Esnard Endowment
Sharon Fox Scholarship
Samuel Leon Frank Scholarship
Milton Ginsberg Scholarship Fund
Harry Gudelsky Fund
Horace Bruce Hetrick Scholarship
Margaret A. Hicks Scholarship
Charles M. Hitchcock Scholarship
Donald J. Hobart Scholarship
G. D. Jackson Scholarship
Leo Karlinski Scholarship
Elsie Larrimore Scholarship
Emmett and Ruth Light Scholarship
Dr. Alex J. and Clara Maysels Scholarship
Dr. James N. McCosh, Jr. Memorial Scholarship
16 School of Medicine
Nataro Family Scholarship Fund
Frederick and Anne Nichols and Edwina Justin Fund
Henry Rolando Scholarship Fund
Morton and Elaine Schwartz Scholarship
David Street Memorial Scholarship
Dr. Charles Robert Thomas
Michael Vinciquerra Trust Scholarship
Clarence and Geneva Warfield Scholarship
Walter N. Winters Scholarship
Randolph Winslow Scholarship
W R. Winslow Residency Trust
Henry Zoller, Jr. Scholarship
LOAN FUNDS
Balder Foundation Fund
Class of 1916 Memorial Loan Fund
Class of 1935 Student Loan Fund
Jay W Eaton Loan Fund
Dr. Wetherbee Fort Loan Fund
Gold-Steinberg Memorial Loan Fund
Isaac Gutman Loan Fund
Sean Peter Houlihan Memorial Fund
Robert Wood Johnson Foundation Loan Fund
WK. Kellogg Loan Fund
William and Sarah Kraut Loan Fund
Michael H. Lipman Loan Fund
Joseph Lipskey Loan Fund
Jacob B. and Shirley K. Mandel Loan
Drs. Charles W and Kathleen R. McGrady Student Loan Fund
Medical Alumni Association Student Loan Fund
Edward and Lina Meirhoff Loan Fund
Dr. William B. Rogers Student Loan Fund
Jessie Smith Noyes Loan Fund
Charles Pfizer Loan Fund
Dr. F. Mason Sones Jr. Memorial Student Loan Fund
Webster M. Strayer Loan Fund
Jimmie Swartz Foundation Loan Fund
Jay Whitman Memorial Student Loan Fund
Outside Sources
Central Scholarship Bureau offers interest-free loans in amounts up to $3,500 per year (maximum total of $8,000) to qualified Baltimore City and Baltimore County residents.
Central Scholarship Bureau
c/o #108 Bristol House Apartments
4001 Clarks Lane
Baltimore, Maryland 21215
(410) 358-8668
Financial Information 17
Primary Care Loans may equal tuition plus $2,500 annually. Interest accrual at 5 percent and principal payments are deferred until one year after graduation at which time both interest and principal payments begin. Both interest and principal may also be deferred for internships and residencies and for up to three years of service in the uniformed services (including National Health Service Corps) and the Peace Corps. Interest accrues from beginning of repayment period. Recipients must enter and complete a residency training program in primary health care no later than four years after graduation from the institution. Recipients must also practice primary health care until the loan is repaid in full and provide annual certification that they are practicing primary health care. Primary health care is defined as family medicine, general internal medicine, general pediatrics, preventive medicine or osteopathic general practice.
Maryland State Scholarship Administration offers one-year Maryland Professional School Scholarships of $200-$ 1,000, which can be sought for subsequent years by proper reapplication. Senatorial and House of Delegates awards are also available. To apply, students should complete the Federal Renewal Free Application for Federal Student Aid or the Free Application for Federal Student Aid.
National Medical Fellowships are need-based awards to minority medical students. For further information and applications write:
National Medical Fellowships
250 West 57th Street
New York, New York 10019
Federal Work-Study Program provides jobs for students who need financial aid and who choose to earn part of their educational expenses. Jobs are arranged either on or off campus with a public or private nonprofit agency. Eligible students may be employed for as many as 20 hours per week. To be eligible for Federal Work-Study a student must apply for financial aid and demonstrate financial need.
Federal Perkins Loans (formerly known as National Defense/Direct Student Loans) are made by the University to students. The aggregate legal loan maximum is $30,000 (including undergrad- uate borrowing). The annual interest rate is 5 percent. Interest does not accrue until repayment begins.
Federal Subsidized Stafford Loans (formerly Guaranteed Student Loans) are made by private lenders. The annual legal loan maximum for graduate students is $8,500. The aggregate loan limit is $65,500 including graduate and undergraduate debt. Current interest rate for new borrowers will be variable, but not higher than 8.25 percent. Interest does not accrue until repayment begins.
Federal Unsubsidized Stafford Loans are made by private lenders. Medical students may borrow up to $30,000 a year with an aggregate limit of $179,000. The interest rate is variable and will be adjusted annually, with a 8.25 percent cap. Interest will accrue on the loan from the date of disbursement and may be paid quarterly or annually, or will be capitalized.
Alternative Loans are designed to meet the remaining student's eligibility after both Federal Subsidized and Unsubsidized Stafford Loans have been borrowed. Alternative loans are credit based. Students are strongly encouraged not to borrow this loan unless absolutely necessary.
Federal regulations governing financial aid are subject to change, and it is suggested that interested applicants contact the Financial Aid Office to ensure having the most recent information.
18 School of Medicine
Academic Information
Accreditation
The University of Maryland Baltimore is accredited by the Middle States Association of Colleges and Schools. The School of Medicine is accredited by the Liaison Committee on Medical Education, the accrediting body for the Association of American Medical Colleges and the American Medical Association.
General Rules
The University of Maryland School of Medicine authorities reserve the right to make changes in requirements for admission, curriculum, standards for advancement and gradu- ation, fees and rules and regulations.
Matriculants are required to accept the provisions of the Judicial Board and agree to assume its obligations prior to registration.
Students who report for classes later than one week after the scheduled time will be permitted to begin work only by permission of the dean. Attendance at all scheduled classes is expected.
Notice of change of address should be submitted promptly to the Office of Student Affairs and to the Office of the Registrar.
All new students, whether they are admitted to the first-year class or with advanced standing, are expected to attend an orientation for new students.
Grades and Promotion
Final grades for courses in all four years are recorded as follows unless otherwise specified by course director:
A Excellent
B Very Good
C Satisfactory
D Unsatisfactory — "D" grades are remediable only by examination or other appropriate remediation with a maximum grade of "C" possible on the portion of the course reme- diated. The final grade will be determined by the course director.
F Fail — Requires repeat of the course or an approved equivalent.
Inc Incomplete — This designation is used only when mitigating circumstances exist; e.g., illness or unavoidable absence has prevented the student from completing the course on time. It is to be viewed as a non-prejudicial entry on the student's record; the grade "Inc" remains on the offi- cial student transcript.
An award of "Honors" is given to a student who receives a final grade of "A" and performs at a clearly outstanding level and/or who performs an additional scholarly effort. Specific criteria for honors are determined by the course director or course committee.
Academic Information 19
Other grading policies by specific courses such as Pass/Fail grading are announced to the class at the beginning of the course.
In addition to the final objective grade and the "Honors" category, the student's overall performance is evaluated subjectively The new curriculum, with added small group activities and problem-based learning groups, allows for such assessment in the basic science years. Clinical years' activities are in small groups with close mentoring. A passing grade in any course may be contin- gent upon a certain level of attendance and participation above and beyond examination perform- ance. Appropriate evaluation forms are designed for this purpose.
Established rules for advancement and dismissal during all four years have been approved by the faculty and student body representatives of the School of Medicine Council. All regulations related to grading, advancement and dismissal are included in the Academic Handbook given to all entering students at orientation.
The faculty reserves the right to determine whether a student may withdraw, repeat, advance or graduate on academic or moral and personal grounds, including traits of character.
Equal Opportunity
The University of Maryland Baltimore is actively committed to providing equal educational and employment opportunity in all of its programs. It is the goal of the University to assure that women and minorities are equitably represented among the faculty, staff and administration of the university, so that its work force reflects the diversity of Maryland's population.
All employment policies and activities of the University of Maryland Baltimore shall be consis- tent with federal and state laws, regulations and executive orders on nondiscrimination on the basis of race, color, religion, age, ancestry or national origin, sex, sexual orientation, handicap, marital status and veteran status. Sexual harassment, as a form of sex discrimination, is prohibited among the work force of the university.
Unethical Conduct
In order to matriculate and/or graduate, students must be of good moral character, consistent with the licensure requirements of the state of Maryland for physicians, and must demonstrate character traits consistent with competent performance as a physician. The school reserves the right to dismiss or fail to graduate any student whose actions or overall academic performance, including clinical perform- ance, do not demonstrate good moral character and ability to function effectively as a physician. Such action may be taken notwithstanding a student's compliance with standards for advancement and graduation set out in the School of Medicine grading policy.
Graduation Rate
The School of Medicine's graduation rate is 97%. This figure represents those students actively pursuing their MD degree. They do not include those students in the MD/PhD track (usually six years) or those students who are granted a year off to engage in research, etc.
20 School of Medicine
Salary and Employment Information
A high percentage of graduates enter the practice of medicine after completion of residency training. There appears to be a moderate excess of physicians in some disciplines of medicine and in some geographic areas. However, the overall need for persons holding the MD degree is such that all graduates of the School of Medicine may expect a satisfactory income.
Prizes and Awards
• American Medical Women's Association Scholarship Achievement Awards are presented to women students who graduate in the top 10% of their class, or, under the non-graded system, are honor graduates.
• The Elijah Adams Award for Excellence in Biological Chemistry is presented to the freshman medical student who has achieved an honors grade in the biochemistry and molecular biology course and has written a paper judged of the highest quality by the faculty of the department.
• The Wayne W Babcock Award for Excellence in Surgery is awarded to a graduating senior for outstanding performance in surgery.
• The Balder Scholarship Award for Outstanding Academic Achievement is presented to the graduating senior with the highest academic record throughout the medical course.
• The Leslie B. Barnett Memorial Medical Student Research Fellowship is a competitive award to provide funding for a student to conduct research.
• The Eugene Sydney Bereston Award for Excellence in Dermatology is awarded to the graduate with outstanding accomplishments and interests in dermatology.
• The J. Edmund Bradley Award for Excellence in Pediatrics recognizes the graduate with both the leading academic record in pediatrics and the characteristics most admired in a pediatrician.
• The Eugene B. Brody Award for Excellence in Psychotherapy honors a graduate with outstanding skill in psychotherapy.
• The C. Jellef Carr Award for Excellence in Pharmacology is presented to the sophomore medical student who has achieved an honors grade in the medical pharmacology course and has written a paper judged of the highest quality by the faculty of the department.
• The Louis, Ida and Samuel Cohen Award for Personal Attributes of Scholarship, Ability and Compassion for Patients is presented to a graduate with superior scholarship and scientific knowledge of internal medicine and understanding and compassion for patients.
• The Dean's Award for Excellence in Research is presented to the graduating senior who has performed the most notable research during the course of the standard MD program.
• The Donaldson Prize for Excellence in Pathology honors the graduating senior who has demonstrated excellence in didactic and laboratory work in the discipline of pathology.
Academic Information 21
• The Louis Harriman Douglass Award for Excellence in Obstetrics and Gynecology recog- nizes the graduating senior with an outstanding academic record and a particular interest in obstetrics and gynecology.
• The Robley Dunglison Award for Excellence in Preventive Medicine honors the gradu- ating student who has demonstrated outstanding competence in the fields of preventive medicine and public health.
• The Society for Academic Emergency Medicine Award for Excellence in Emergency Medicine recognizes the senior who has captured the essence of the ideal emergency physi- cian by demonstrating high skill, equanimity and kindness in an environment which requires quick, clear thinking and action.
• The Faculty Gold Medal for Outstanding Qualifications for the Practice of Medicine honors a graduate with outstanding scholarly accomplishments and those qualities of humanity and dedication most desirable in a physician.
• The Jacob Finesinger Award for Excellence in Psychiatry honors the graduate who has demonstrated outstanding skills in general psychiatry.
• The Harlan I. Firminger Award for Excellence in General and Systemic Pathology is presented to the student with the highest performance in the sophomore pathology
• The A. Bradley Gaither Memorial Award for Excellence in Genito-Urinary Surgery recog- nizes the graduate who excelled during the senior clerkship in genito-urinary surgery.
• The Geriatrics and Gerontology Education and Research Program Award for Excellence in the field of aging recognizes a professional undergraduate or graduate student who has demonstrated outstanding interest and commitment to the care of older persons.
• The Dr. Sheldon E. Greisman Award is presented to the student whose performance in the first-year physiology course is deemed outstanding.
• The Dr. Jeremy Hallisey Prize awarded at commencement to graduating students pursuing a career in anesthesiology who best demonstrate the quality of compassion. Provided no graduating seniors pursuing a career in anesthesiology, the prize shall be awarded to gradu- ating seniors pursuing a career in surgery who best demonstrates the quality of compas- sion.
• The William Alexander Hammond Award for Excellence in Neurology is awarded to the graduating senior with outstanding accomplishments in neurology.
• The Healthcare Foundation of New Jersey Humanism in Medicine Awards is given to a graduating senior who promotes the integration of humanism in the delivery of care to patients and their families.
• The Dr. Martin Helrich Prize for Excellence in Anesthesiology recognizes the graduate with the highest academic distinction during the senior clerkship in anesthesiology.
22 School of Medich
• The Dr. Leonard M. Hummel Memorial Award for Excellence in Internal Medicine honors a graduate with outstanding qualifications in internal medicine.
• The William D. Kaplan, MD award is presented to a graduating senior who best combines humanism with the clinical study of medicine.
• The Edward J. Kowalewski Award for Excellence in Education and Training in Family Practice is presented to the fourth-year student who has demonstrated special interest and high academic achievement in family practice.
• The Abraham Lilienfeld Award in Epidemiology and Biostatistics is awarded to the gradu- ating student with an outstanding performance in the courses given by the department in the first two years of medical school.
• The William H. Mosberg, Jr., MD Award for Neurosurgery is awarded at commencement to a student who demonstrates academic excellence as well as personal distinction.
• The Dr. I. Earl Pass Memorial Award for Exceptional Proficiency in Internal Medicine recognizes a member of the graduating class with an outstanding performance in medi- cine.
• The Dr. Milton S. Sacks Award in Hematology is awarded to the graduate with the most distinguished record in hematology.
• The Society for Academic Emergency Medicine Award for Excellence in Emergency Medicine is given to the senior medical student who has captured the essence of the ideal emergency physician by demonstrating high skill, equanimity, and kindness in an environ- ment which requires quick, clear thinking and action.
• The Student National Medical Association Service Award is presented to the graduating senior who has demonstrated leadership in the Student National Medical Association and made outstanding contributions to the minority community.
• The Summa, Magna and Cum Laude Awards of Honor are presented to those candidates for graduation who have exhibited outstanding qualifications for the practice of medicine during their four academic years.
• The Uhlenhuth Award for Excellence in the Anatomical Sciences is awarded in recogni- tion of the graduate with the highest academic record in the anatomical sciences.
• The Rudolf Virchow Award for Research in Pathology is awarded to graduates who have made outstanding contributions to research in the field of pathology.
• The Joseph E. Whitley Award is given for academic excellence in radiology.
• The Hans R. Wilhelmsen Prize for Outstanding Achievement in Surgery is awarded to the graduate with the highest academic record in surgery.
• The Charles L. Wisseman Jr., Award for Excellence in Microbiology and Immunology is presented to the student with the highest academic record in microbiology.
Academic Information 23
• The Theodore E. Woodward Prize in Internal Medicine is the highest award in internal medicine. It is presented to the graduate who has an excellent academic record in the discipline of internal medicine and has displayed the attributes of compassion and dedica- tion in the care of patients.
• The Theodore E. Woodward Award in Physical Diagnosis is awarded at commencement to the graduate whose sophomore performance in physical diagnosis best exemplified the desirable combination of factual information, clinical skills and humanity, and characteris- tics of an accomplished physician.
Graduation with Honors
Grade point averages (GPA's) are computed in this medical school for two purposes only: nomi- nation of students for election to Alpha Omega Alpha Honor Society (AOA) and for determina- tion of commencement honors. GPA's are not made public or reported to residency programs. The GPA is calculated on a scale of l-to-5 with 1 = C, 3 = B and 5 = A. The third year is given a some- what higher weighting than the first two years for purposes of determining commencement honors. Although grades of honors are not computed into the GPA, students must have a minimum number of honors grades on their transcript in order to be eligible for graduation with honors. Grades from courses taken during the senior year are not counted numerically in deter- mination of graduation honors.
Professionalism in Medicine
As changes in our nation's healthcare and healthcare delivery systems continue to occur, profes- sionalism in medicine is increasingly debated. There are some who say that physicians are losing their professionalism in our highly technical and managed care environment. Medicine has gone through a dramatic transformation over the last four decades; science has raced ahead with aston- ishing speed to close in on some of the fundamental mysteries of life.
With the advancement of technology and changing market forces, medicine has become complicated and somewhat institutionalized. The health care marketplace is pressuring physicians to cut costs, increase productivity and support the bottom line. The primacy of the patient-physi- cian relationship is being sorely tested. We will emphasize the importance of professionalism in our medical school curriculum to ensure that all students understand professionalism and accept its obligations. Developing effective physician/patient relationships will become of paramount importance. Now we even struggle with definitions of what is a profession? James M. Gustafson described a profession as follows:
• A profession is characterized by mastery of an extensive body of technical knowledge and concepts or theories that explain that knowledge and guide its applications to different circum- stances,
• Professions are institutionalized, and thus there are many social controls over professional activity, and,
• Professions are service oriented. They exist to meet particular human needs of individuals and communities.
One of Abraham Flexner's concepts of professionalism, paraphrased by Dr. Richard Foa was "profession will tend to exist or 'be contrived' to achieve societally defined goals rather that to serve the self-interests of its members. Professions are to be 'increasingly altruistic in motivation.'"
24 School of Medicine
Students must be prepared to deal with all the competing forces of a rapidly changing health care system, and demonstrate the qualities of professionalism during medical school and throughout their careers. It must be clear that we are committed to the best outcome for the patient. Each student must be constantly on guard to protect, defend and advocate for patients. The common ground on which all physicians must stand is that the needs of our patients must come first and foremost.
Each year the School of Medicine holds a White Coat Ceremony, where first-year medical students receive their white coats, as a symbol marking the beginning of their new role as a medical healer and emphasizing the' responsibility they are accepting for the care and healing of patients. We constantly re-enforce the importance of professionalism, and remind ourselves that as physi- cians we are granted extraordinary powers by patients and by society.
Academic Information 25
Program of Study
Broadly stated, the educational objectives of the School of Medicine are:
• To educate students intensively and broadly in the clinical and scientific aspects of medicine.
• To prepare students to engage in a lifetime of learning in order that they may successfully adapt to a changing world.
• To achieve a high level of professional competence and social awareness.
• To provide opportunities for students at every level of training to pursue areas of special interest for intellectual stimulation and/or career advancement.
• To encourage the development of highly competent primary care physicians, clinical special- ists and scholars in basic and clinical research, teaching, and academic administration.
Curriculum
First and Second Years: The freshman year begins with a three-day course on "Informatics," introducing students to the use of information technology in medicine that will assist learning, research and clinical applications. This is followed by a nine-week block on "Structure and Development," which offers a comprehensive overview on the morphological and developmental organization of the body. Next comes the one-week "Human Behavior" block taught in an inter- disciplinary manner, highlighting the importance of behavior in the prevention, incidence, preva- lence, diagnosis, treatment and prognosis of wellness and illness. Following this, a nine-week block, "Cell and Molecular Biology," presents the fundamentals of biochemistry, cell biology, molecular biology and human genetics and correlates them with clinical issues. Next is a two-week block of "Cell Function," an introductory block for the two blocks that follow. Next is a six-week interdisciplinary course on the "Neurosciences" describing basic concepts of neuroanatomy, neurochemistry, neurophysiology and clinical neurology. The final block, "Functional Systems," runs for eight weeks, providing the freshman student with the basic understanding of human physiology in the areas of cellular, cardiovascular, renal, respiratory, gastrointestinal, endocrine and integrative physiology. Each is integrated with clinical applications. The general format is two hours of lecture per day and two hours of small group or laboratory work per day. Running concurrently with the blocks are, "Introduction to Clinical Practice" (ICP) and problem-based learning, both using small group teaching methods.
The integrated curriculum continues in the second year when sophomore students take two blocks which include Host Defenses and Infectious Diseases (10 weeks) and Pathophysiology and Therapeutics (24 weeks). The more lengthy block, Pathophysiology and Therapeutics, contains neuroscience and psychiatry, cardiovascular, gastrointestinal, reproductive, pulmonary, renal, endocrine, neoplasia, locomotive and hemopoietic sections. The sophomore year is characterized again by two hours of lecture per day, two hours of small group or laboratory per day, problem- based learning sessions, and ICP focusing on physical diagnosis.
Third and Fourth Years. The two clinical years are viewed as a single unit with the student assuming progressive responsibility for patient care. The clinical experience consists of the following clerkships: Medicine (12 weeks), Surgery (8 weeks), Family Medicine (4 weeks), Obstetrics, Gynecology and Reproductive Sciences (6 weeks), Pediatrics (6 weeks),
26 School of Medicine
Psychiatry/Neurology (8 weeks), plus a four- week elective. As noted, students take all of these rota- tions according to individual schedules. The sum of these experiences provides a 48-week intro- duction to clinical science.
The 32-week block that follows includes four four-week electives. The student may take eight weeks of electives off-campus. An additional eight weeks must be spent in a student internship in one of four clinical fields: medicine, surgery, pediatrics or family practice. Here the student has an opportunity for primary patient care responsibility over a prolonged period of time. These rota- tions are offered at the University of Maryland Medical System and in approved affiliated hospi- tals. The third segment is a consecutive eight-week experience in an ambulatory setting. The ambulatory rotation is designed to be completed in a rural or underserved area supplemented by teaching in preventive medicine. Attendance in all course work in clinical areas is mandatory. The current clinical curriculum frequently involves weekend attendance. The student may audit avail- able electives in any additional free time.
During the third year, one-half day per week will be allotted to longitudinal ambulatory educa- tion. This primary care experience will occur in the offices of general internists, family practi- tioners, pediatricians and obstetrician-gynecologists. The experience will occur concurrently with the required third-year clerkships. Students will be with the same physician over the one-year period. The course will expose the student to the principals of primary care and preventive medi- cine, including evaluation of patients with undifferentiated problems, longitudinal care and continuous care.
The 80-week combined clinical years program provides a strong grounding in clinical science with a progressive opportunity for primary patient care responsibility. The curriculum is designed to prepare the medical student for the increasing responsibility demanded by the specialty resi- dency programs throughout the country.
The Curriculum Coordinating Committee, composed of course and clerkship leaders, key faculty educators and student body representatives, has the responsibility of regularly monitoring and reviewing the curriculum and recommending changes deemed appropriate.
Curriculum at a Glance
CURRICULUM ORGANIZATION
Year I 37 weeks
COURSE TITLE
I MEDICAL INFORMATICS
(1 week)
Participating departments/divisions: Office of Medical Education, UMB Information Services and the Health Sciences and Human Services Library, the Departments of Anatomy and Neurobiology, Psychiatry and Diagnostic Radiology, selected UMB faculty and guest speakers
Areas of Study: Computing, electronic resource databases, e-mail, information management, internet, hospital systems, UMB Network
IP STRUCTURE AND DEVELOPMENT
(9 weeks, 4 days)
Participating departments/divisions: Anatomy and Neurobiology, Surgery,
Diagnostic Radiology
Areas of study: Human gross anatomy, embryology and histology
Program of Study 27
Year I (continued) 37 weeks
COURSE TITLE
III HUMAN BEHAVIOR
(1 week)
Participating departments/divisions: Psychiatry, Medicine, Pediatrics Areas of study: Integrates information about human behavior from the biological, behavioral, and social sciences as it applies to health, illness, and treatment across the lifespan in our multicultural environment.
i\T~ CELL AND MOLECULAR BIOLOGY
(9 weeks, 2 days)
Participating departments/divisions: Biochemistry and Molecular Biology,
Medicine, Human Genetics, Anatomy and Neurobiology, Pharmacology and
Experimental Therapeutics, Cancer Center
Areas of Study: Protein structure and function, cellular metabolic pathways,
cell signal transduction, cell microanatomy, human genetics, molecular
biology
V~~ CELL FUNCTION SECTION OF FUNCTIONAL SYSTEMS
(2 weeks)
Participating departments/divisions: Physiology, Biophysics, the
Interdisciplinary Neurosciences Departments, Biochemistry and Molecular
Biology
Areas of Study: Cell membrane, physiology and dynamics which are basic
to the understanding of both neurosciences and functional systems.
\/T~ NEUROSCIENCES
(6 weeks, 1 day)
Participating departments/divisions: Anatony and Neurobiology, Biochemistry and Molecular Biology, Neurology, Phsysiology, Surgery
Areas of Study: Development, structure and function of nervous tissues, anatomical orginization of CNS, sensory and motor systems, higher func- tions, concepts in clinical neurology
IHB INTIMATE HUMAN BEHAVIOR (IHB)
(3 days)
Participating departments/divisions: Office of Student Affairs, selected faculty
Areas of Study: Lectures and audiovisual materials related to intimacy and sexuality, followed by discussion of the topics presented and related issues in small groups.
28 School of Medicine
Year I (continued)
37 weeks
COURSE
TITLE
VII FUNCTIONAL SYSTEMS
(10 weeks, 4 days)
Participating departments/divisions: Anesthesiology, Internal Medicine, Neurology, Obstetrics, Gynecology and Reproductive Sciences, Pediatrics, Physiology, Surgery
Areas of study: Cell, cardiovascular, endocrine, gastrointestinal, renal, respi- ratory and integrative function
ICP
INTRODUCTION TO CLINICAL PRACTICE
(1/2 day per week)
Participating departments/divisions: Family Medicine, Pediatrics, Psychiatry, Internal Medicine
Areas of study: Ethics, nutrition, intimate human behavior, interviewing and physical diagnosis issues, topics relevant to delivery of primary care
Year II
34 weeks
COURSE
TITLE
VIII
(10 weeks)
HOST DEFENSES AND INFECTIOUS DISEASES
Participating departments/divisions: Epidemiology and Preventive Medicine, Medicine, Microbiology and Immunology, Pathology, Pediatrics, Pharmacology and Experimental Therapeutics Areas of Study: Immunology, bacteriology, virology, parasitology, mycology
IX
(24 weeks)
PATHOPHYSIOLOGY AND THERAPEUTICS
PD
Participating departments/divisions: Anesthesiology, Cancer Center, Dermatology, Diagnostic Radiology, Epidemiology and Preventive Medicine, Medicine, Neurology, Obstetrics, Gynecology and Reproductive Sciences, Pathology, Pediatrics, Pharmacology and Experimental Therapeutics, Psychiatry, Surgery
Areas of study: Bone, cardiovascular; dermatologic, endocrine, gastroin- testinal; hematologic; nervous, pulmonary, renal and reproductive systems
PHYSICAL DIAGNOSIS
(1/2 day per week)
Participating departments/divisions: Medicine, Family Medicine, Pediatrics, Psychiatry, Neurology, Ophthalmology, Obstetrics, Gynecology and Reproductive Sciences
Areas of Study: Fundamental aspects of history-taking and physical exami- nation
Program of Study
29
|
Year III |
48 weeks |
|
|
APPROXIMATE TIME |
COURSE TITLE |
|
|
12 weeks |
Internal Medicine |
|
|
1 2 weeks |
Surgery/Surgical Subspecialty |
|
|
4 weeks |
Family Medicine Clerkship |
|
|
6 weeks |
OB/GYN Clerkship |
|
|
6 weeks |
Pediatrics Clerkship |
|
|
8 weeks |
Psychiatry/Neurology Clerkship |
|
|
Year IV |
32 weeks (tentative schedule) |
|
|
APPROXIMATE TIME |
COURSE TITLE |
|
|
8 weeks |
Ambulatory Care |
|
|
8 weeks |
Sub-Internship |
|
|
4 weeks |
Surgical Subspecialties |
12 weeks
Electi
Combined MP/PhD Program
Training for Medical Scientists of the Future
In modern medicine the battleground for the fight against many diseases is found at the molec- ular level, on the surface or interior of cells or in the DNA of the human genome. Other impor- tant health problems involve complex studies of large populations within our society. Research into the mechanisms of human disease and the factors that maintain and restore human health requires investigators with interests and training in both basic science and clinical medicine.
The goal of the combined MD/PhD Program is to train medical scientists who will become leaders in medical research. To achieve this goal, a flexible program of combined medical and scientific training is provided for students of superior academic and research potential.
Research Environment
The MD/PhD Program capitalizes on the wide range of basic and clinical science training oppor- tunities that are available on the rapidly expanding campus of the University of Maryland Baltimore. The program offers PhD degrees in many disciplines including: Anatomy, Biochemistry, Epidemiology and Preventive Medicine, Human Genetics, Microbiology and Immunology, Molecular and Cell Biology, Neuroscience, Pathology, Pharmacology and Experimental Therapeutics, Physiology and Toxicology. In addition, doctoral training is offered through interdisciplinary training programs including Neurosciences, Membrane Biology, Muscle Biology, Reproductive Endocrinology, and Toxicology - all supported by the National Institutes of Health. A unique strength of the program includes research centers that provide outstanding research opportunities for clinical investigators, such as: Center for Vaccine Development, Cancer
30
School of Medicine
Center, Institute of Human Virology, Center for Fluorescence Spectroscopy, Nuclear Magnetic Resonance Facility, Environment and Human Health Research Center and the Maryland Biotechnology Institute. Thus, there is an extraordinary range of high quality research programs available to the MD/PhD students.
Program Requirements and Schedule
Requirements for the combined MD and PhD degrees are equivalent to those of the separate degrees of the Doctor of Medicine (School of Medicine) and the Doctor of Philosophy (Graduate School). The dual degree program can be completed within six-to eight-years.
Although the schedule of training can be flexible, entering students typically complete the two preclinical years as medical students prior to enrolling as full time graduate students. During this initial period the MD/PhD students normally use the pre- and post-freshman summers for research rotations in laboratories of their choice. In addition, during the first year there is an exten- sive orientation program which provides a detailed view of the diverse research opportunities avail- able. The research rotations and orientation are designed to facilitate the choice of a thesis advisor.
After completion of the pre-clinical years, MD/PhD students enroll for two-to four-years in the PhD program of their choice. During this time they take required graduate courses and complete their dissertation research. Subsequently, students begin the final two years of their medical training which takes the form of a series of clinical clerkships. This program schedule is a general one. A student may complete the combined degree in a different sequence based on an alternative plan developed in consultation with the advisory committee.
Financial Support During MD/PhD Training
All students admitted into the program are awarded a waiver of tuition at the level of a Maryland resi- dent during the medical school years. Supplemental support is available to pay out-of-state tuitions for a limited number of outstanding non-resident students. During the graduate school years stipends and tuition remission are awarded to all students through graduate programs and PhD mentors. A limited number of applicants may also qualify for supplemental funds through the Outstanding Scholars Program which provides a stipend for the medical school years as well. Students are selected for the Outstanding Scholars Program based on their record of achievement and potential for future devel- opment. For current information on stipends, contact the program director.
Application Process
The MD/PhD Program is open to all qualified applicants, regardless of state residence. Applicants to the program are required to meet the admissions requirements of the School of Medicine. Applicants complete and file an AM CAS application, choosing the University of Maryland as one of the schools to receive the application. The secondary application package includes an MD/PhD Program supplemental form which must be completed and returned with the secondary applica- tion. Criteria for admission include MCAT scores, the undergraduate/graduate academic records, letters of recommendation and, very importantly, research experience. Applicants are selected for interviews based on the above criteria. Prospective students are interviewed for the MD/PhD Program and the School of Medicine during an initial one-day visit to the campus. Admission to the MD/PhD Program is determined by the MD/PhD Advisory Committee in consultation with the medical school admissions committee.
Program of Study 31
For further information, including details of the specific PhD programs, contact:
Terry B. Rogers, Ph.D.
Director, MD/PhD Program
Room 1-005 Bressler Research Building
655 W. Baltimore Street
Baltimore, MD 21201
(410) 706-3990
trogers@som.umaryland.edu
Office of Student Research
The Office of Student Research (OSR) provides opportunities for students from high school through medical school to consider the possibility of graduate school, a career in the health profes- sions and/or academic medicine and of specifically increasing the number of under-represented minority (African American, Native Americans, mainland Puerto Rican and Mexican American) students and faculty in those professions. Medical students are encouraged to become involved in biomedical investigations through participation in supervised basic and clinical research projects offered by School of Medicine faculty through the Office of Student Research. The medical student program is supported jointly by a training grant from the National Institutes of Health and the Office of the Dean. The faculty and administration of the School of Medicine are committed to the training of physician-scientists through the OSR's Short Term Research Training Program (STRTP) for medical students. The office strives to enhance the connection between the treatment of patients and the scientific investigations that enable patient care to advance. The physician-scientist who bridges both basic and clinical sciences and clinical practice is therefore in an ideal position to translate research into clinical application and patient problems into labora- tory investigation.
Research is currently being conducted in several major areas of interest at the School of Medicine. These include, but are not limited to, behavior, cardiovascular disease, endocrinology, environmental health, epidemiology, infectious disease, immunology, neuroscience, oncology, phar- macology, pulmonary disease, toxicology and virology. Traineeships are awarded on a competitive basis and currently provide $400 per week for 10-to-12 weeks of full-time participation. These experiences are available to incoming students during the summer before their freshman year, and to medical students generally during the summer after their freshman year. On occasion, awards are made to students during the summer after their sophomore year or to seniors during the academic year. STRTP funds are not granted to students with doctoral degrees, to those who are involved in doctoral dissertation research or who have alternative sources of research funding. However, the program may supplement some alternate sources up to the level of STRTP trainees. Applications for all programs are available at our website: http://www.medschool.umaryland.edu/osr.
Students selected to participate in the program attend the summer "Colloquium on Research" that consists of research seminars and a short course entitled "The Ethical and Responsible Conduct of Research." Students also present their research to fellow students and faculty during the summer at the Student Research Forum and on Medical Student Research Day each October.
Summer research traineeships are available to under-represented minority high school and college students to encourage careers in one of the health professions and/or biomedical research. The programs provide students with a realistic understanding of the biomedical research environ- ment through hands-on experience, contact with appropriate role models and application proce- dures for professional and graduate schools. Positions are available for minority undergraduate
32 School of Medicine
students to conduct research with School of Medicine faculty for 10-12 weeks during the summer months and at selected sites off-campus. Trainees work under the direct supervision of experienced scientists and receive $314 per week for the 10-12 week period.
Foreign research traineeships are also available in Europe, South America and the West Indies for medical students and undergraduates with prior research experience. The OSR funds such foreign research opportunities through its Medical Student International Research Training Program and Fogarty Minority International Research Training Programs. In addition, opportunities are also available in Mali, West Africa through the Fogarty Mali Program at the School of Medicine.
The office promotes biomedical/behavioral research experiences for K-12 and in-service math- ematics and science teachers. These experiences aid teachers in redefining K-12 curriculum and of informing their students of career opportunities. The OSR works cooperatively with student groups, various high school, Minority Access to Research Careers (MARC) and Minority Biomedical Research Support (MBRS) directors in Maryland and other states to ensure access to research careers and involvement for all who are interested.
Applicants for all programs must be currently enrolled in high school, undergraduate school or post-baccalaureate program, graduate or medical school, be in good academic standing with a GPA of 3.0 at the time of application and must not have graduated at the time of the traineeship. Although students from any state may apply, preference is given to Maryland residents. For high school students and undergraduates, it is strongly recommended that applicants have successfully completed courses in biology and chemistry.
Other opportunities may exist for brief or extended research experiences, either on or off campus. The OSR provides a list of useful links to such opportunities at its website, maintains a list of opportunities and also surveys for on- and off-campus research opportunities in both clin- ical and basic science areas that may be available throughout the calendar year. In some cases indi- vidual faculty members may have grant funding to support a student.
Medical Student Research Day
Alpha Omega Alpha (AOA), the national medical honor society, and the Office of Student Research sponsor a research competition each year in October. All medical students are encour- aged to participate and attend these presentations and, except for those students in the MD/PhD Program who have begun dissertation research, are eligible to compete for $2,000 in prizes. Students make oral or poster presentations, attend a keynote address, dinner and a ceremony during which prizes are awarded for four poster and four oral presentations.
For further information on research programs or Medical Student Research Day contact:
Dr. Jordan E. Warnick
Professor and Assistant Dean
Office of Student Research
685 West Baltimore Street-142 HSF
Baltimore, Maryland 21201
(410) 706-3026
jwarnick@som.umaryland.edu
http://www.medschool.umaryland.edu/osr
Program of Study 33
Graduate Programs
The Graduate School is the largest of the schools on the University of Maryland Baltimore campus, enrolling more than 1200 students. It offers the MS, MA, and PhD degrees and, in conjunction with the professional schools, the opportunity to complete joint degrees including the MD/PhD and the DDS/PhD. Almost 350 graduate students are pursuing studies in departments and programs in the School of Medicine. Among them are about 35 MD/PhD students who are being trained to conduct the theoretical and applied research that underlies advances in clinical medicine.
PhD students in the School of Medicine are generally provided financial support for the entire course of their studies. This support comes in the form of Graduate Research Assistantships (stipend, tuition remission, and health insurance), provided by the Graduate School and/or by the School of Medicine, during the initial years of study. When a student begins dissertation research, he/she is supported by the research funds of his/her mentor. In recent years research funding to all schools on the campus has increased dramatically, with major support coming from agencies such as the National Institutes of Health, the National Science Foundation, the Veteran's Administration, various agencies of the state of Maryland and the private sector.
Administratively, the Graduate School at the University of Maryland Baltimore is part of the University of Maryland Graduate School, Baltimore (UMGSB). The UMGSB governs the grad- uate programs located on both the Baltimore and the University of Maryland Baltimore County (UMBC) campuses, bearing primary responsibility for approval of new courses and programs and admission of faculty to Graduate Faculty status. An advantage of this linkage is increased access for Baltimore campus students to the diverse programs in engineering, computer sciences, and the liberal arts and sciences offered on the UMBC campus, 20 minutes away by car.
In addition to its degree-granting programs, the Graduate School, in collaboration with the campus office of Student Services, sponsors a Writing Center. It also offers informal programs in the ethical conduct of research and a survival skills seminar series. The latter aims to provide professional enrichment and addresses topics such as giving a good oral presentation, grant writing and mentor selection. These offerings are open to all students (and faculty) on campus. A Survival Skills Library is located in the campus Writing Center, room 008, Baltimore Student Union.
The following graduate programs are offered on the University of Maryland Baltimore campus:
|
Anatomy and Neurobiology |
PhD |
|
|
Biochemistry* |
MS |
PhD |
|
Dental Hygiene |
MS |
|
|
Epidemiology |
PhD |
|
|
Ethics, Applied and Professional* |
MA |
|
|
Gerontology* |
PhD |
|
|
Human Genetics |
MS |
PhD |
|
Marine-Estuarine-Environmental Sciences* |
MS |
PhD |
|
Medical and Research Technology |
MS |
|
|
Microbiology and Immunology |
PhD |
|
|
Molecular and Cell Biology* |
PhD |
|
|
Neuroscience and Cognitive Science* |
PhD |
|
|
Nursing |
MS |
PhD |
|
Oral Biology |
MS |
|
|
Oral and Craniofacial Biological Sciences |
MS |
PhD |
|
Oral and Experimental Pathology |
MS |
PhD |
|
Pathology |
MS |
PhD |
|
Pharmaceutical Sciences |
PhD |
|
|
Pharmacology and Experimental Therapeutics |
MS |
PhD |
34 School of Medicine
|
Pharmaceutical Health Services Research |
PhD |
|
|
Physical Rehabilitation Science |
PhD |
|
|
Physiology |
MS |
PhD |
|
Preventive Medicine |
MS |
|
|
Social Work |
PhD |
|
|
Toxicology* |
MS |
PhD |
^Interdisciplinary programs
Interdisciplinary programs, involving multiple departments on the Baltimore campus or departments on several of the campuses of the University System of Maryland, are becoming increasingly important to the Graduate School. Such programs make efficient use of resources while allowing the school to move quickly into emerging research areas of national importance.
Graduate School applications and catalogs can be obtained by contacting:
Graduate Admissions and Enrollment Services 621 West Lombard Street, Room 336 Baltimore, MD 21201 (410) 706-7131 gradinfo@umaryland.edu
A wide variety of information on the Graduate School, including catalog and application infor- mation, can be accessed via the Graduate School web page: http://graduate.umaryland.edu.
Residencies and Fellowships
The Office of Graduate and Continuing Medical Education assists the University of Maryland Medical System in providing collaborative oversight of postgraduate residency education programs. Activities of the office include providing administrative support for the National Residency Matching Program, providing professional and staff support for oversight of ACGME- approved programs, and developing residency curricula.
Graduate medical education training for residents and fellows is offered in a variety of clinical sites. The majority of clinical training occurs at the University of Maryland Medical System, the Baltimore Veterans Affairs Medical Center and Mercy Medical Center. A network of affiliated community hospitals and ambulatory care centers with significant commitment to the importance of a teaching environment provides much of the variety and depth offered to residents and fellows.
Programs are accredited by the Accreditation Council for Graduate Medical Education (ACGME) comprised of the following member organizations: American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges and the Council of Medical Specialty Societies.
Residency positions are filled through the National Resident Matching Program. Participating in the match are the following programs: preliminary programs in medicine and surgery; categor- ical programs in diagnostic radiology, emergency medicine, family practice, general surgery, internal medicine, combined program in internal medicine/pediatrics, neurology, obstetrics and gynecology, orthopaedic surgery, pathology, pediatrics, combined program in pediatrics/emer- gency medicine and psychiatry; advanced programs in anesthesiology, diagnostic radiology and radiation oncology.
Resident and/or fellowship positions are available in the following ACGME-approved specialty and subspecialty areas and are sponsored by the University of Maryland Medical System. Programs identified with an (*) are currently approved University of Maryland Fellowship
Program of Study 35
programs and are not currently overseen by the ACGME. For information on new programs or additional postgraduate training opportunities, please contact the individual departments or the ACGME directly.
Department of Anesthesiology:
anesthesiology, critical care, pain management
Department of Dermatology:
dermatologv
Department of Diagnostic Radiology:
diagnostic radiology, vascular and interventional radiology, neuroradiology, nuclear radiology and nuclear medicine
Department of Epidemiology and Preventive Medicine:
preventive medicine
Department of Family Medicine:
family practice, sports medicine
Department of Medicine:
internal medicine, cardiolovascular disease, interventional cardiology, clinical cardiac electro- physiology, endocrinology diabetes & metabolism, gastroenterology, geriatric medicine, hema- tology/oncology, infectious diseases, nephrology, pulmonary disease and critical care medicine, rheumatology combined program in internal medicine/pediatrics
Department of Neurology:
neurology, clinical neurophysiology
Department of Neurosurgery:
neurological surgery
Department of Obstetrics, Gynecology and Reproductive Sciences:
obstetrics and gynecology
Department of Ophthalmology:
ophthalmology, glaucoma*, retina ophthalmology*
Department of Orthopedic Surgery
orthopedic surgery, trauma orthopedics, limb-lengthening and reconstruction*
Department of Pathology:
pathology hematopathology
Department of Pediatrics:
pediatrics, behavioral and developmental pediatrics*, critical care, endocrinology, infectious diseases, neonatology-perinatology, combined programs in internal medicine/pediatrics and pediatrics/emergency medicine and pediatric medicine
36 School of Medicine
Department of Psychiatry:
psychiatry, addiction psychiatry, child and adolescent psychiatry, geriatric psychiatry, forensic psychiatry
Department of Radiation Oncology:
radiation oncology
Department of Surgery:
general surgery, otolaryngology, thoracic and cardiovascular surgery, urology, emergency medi- cine, pediatric surgery, plastic and reconstructive surgery, vascular surgery, surgical critical care and combined program in pediatrics/emergency medicine
Correspondence, applications and residency inquiries should be addressed to the chairperson of the respective department or program in care of:
University of Maryland Medical System 22 South Greene Street Baltimore, Maryland 21201
Continuing Medical Education
The University of Maryland School of Medicine is accredited by the ACCME and provides a wide array of continuing medical education (CME) activities. These educational activities assist physi- cians in the maintenance and enhancement of their clinical competence in order to promote high quality health care for the citizens of Maryland and elsewhere. To assure clinical relevance, activi- ties are designed on the basis of identified educational needs of practicing physicians.
CME offerings consist of courses (one-half to five days in length), "hands on" workshops, enduring materials (including self-study programs), and a complex array of clinical departmental and division rounds and conferences. Opportunities for interaction between attendees and presen- ters are part of all CME activities where possible.
The CME program is administered by the Associate Dean for Graduate and Continuing Medical Education and a full-time staff, with the assistance of a faculty advisory committee. For further information please contact:
Office of Graduate and Continuing Medical Education University of Maryland School of Medicine 655 West Baltimore Street-Rm 14-015 Baltimore, Maryland 21201 (410) 706-3956
Program of Study 37
Internships and Residencies
Class of 1998
ANESTHESIOLOGY
Maryland (2)
Out-of-State (0)
Johns Hopkins Hospital
DIAGNOSTIC RADIOLOGY
Maryland (0) Out-of-Srate (2) Brooke Army Medical Center UMDNJ-Robert Wood Johnson Medical School
EMERGENCY MEDICINE
Maryland (3)
Out-of-State (7)
Johns Hopkins Hospital
Howard University Hospital
University of Maryland Hospital
LSU School of Medicine-New Orleans
Mt. Sinai Medical Center-Cleveland
Stanford University Hospital
SUNY Health Science Center-Syracuse
UMDNJ-Robt Wood Johnson Medical
School/Camden
Universitv of Virginia Health Science Center
FAMILY PRACTICE Maryland (4) Out-of-State (14) Franklin Square Hospital Altoona Hospital University Maryland Hospital Eastern Virginia Graduate School of
Medicinie Family Medicine of SW Washington Indiana University School of Medicine Medical Center of Central Georgia Moses H. Cone Memorial Hospital Providence Medical Center Riverside General Hospital St. Joseph Hospital
University of Florida Health Science Center University ol Virginia University ot Michigan York Hospital
INTERNAL MEDICINE
Maryland (10)
Out-of-State (28)
Johns Hopkins Hospital
Allegheny University Hospital
University7 of Maryland Hospital
Baylor College of Medicine
Boston University Medical Center
Fletcher Allen Health Care
George Washington University Hospital
Georgetown University Medical Center
Hospital of the University of Pennsylvania
Maine Medical Center
Monteflore Medical Center
Northwestern University
St. Marv Medical Center
Strong Memorial Hospital
Temple University Hospital
Thomas Jefferson University
UCLA Medical Center
University of Colorado School of Medicine
University Health Center of Pittsburgh
Walter Reed Army Medical Center
INTERNAL MEDICINE- PRELIMINARY
Maryland (7)
Out of State (3)
University of Maryland Hospital
Georgetown University Medical Center
Jacobi Medical Center
Montefiore Medical Center
COMBINED PROGRAMS MED-PEDS:
Maryland (0)
Out of State (3)
Albany Medical Center Hospital
Baylor College of Medicine
University of Utah
MED-ERMD:
Maryland (2)
OutofState(O)
University of Maryland Hospital
38 School of Medicine
MED-PSYC:
Maryland (0)
Out of State (1)
Duke University Medical College
NEUROSURGERY
Maryland (0)
Out-of-State (2)
Indiana University Medical Center
University of Pennsylvania Medical Center
OBSTETRICS AND GYNECOLOGY
Maryland (1)
Out-of-State (3)
Sinai Hospital of Baltimore
Georgetown University Hospital
Howard University Hospital
University Medical Center at Stony Brook
OPHTHALMOLOGY
Maryland (1)
Out-of-State (2)
University of Maryland Hospital
St. Vincent's Hospital & Medical Center
Washington Hospital Center
ORTHOPEDICS
Maryland (2)
Out-of-State (1)
University of Maryland Hospital
University of Illinois at Chicago
OTOLARYNGOLOGY
Maryland (1)
Out-of-State (0)
Johns Hopkins Hospital
PATHOLOGY
Maryland (1)
Out-of-State (1)
University of Maryland Hospital
Brigham & Women's Hospital
PEDIATRICS
Maryland (4) Out-of-State (17) Sinai Hospital of Baltimore Baylor College of Medicine University of Maryland Hospital Brown University Johns Hopkins Hospital Children's National Medical Center Duke University Medical Center Eastern Carolina Medical Center
Indiana University Medical Center Long Island Jewish Medical Center Milton S. Hershey Medical Center Rush-Presbyterian-Saint Luke Hospital St. Christopher's Hospital Thomas Jefferson University Trippler Army Medical Center University of CA-San Francisco University Hospitals of Cleveland
PSYCHIATRY
Maryland (1) Out-of-State (1)
University of Maryland Hospital University South Carolina School of Medicine
SURGERY
Maryland (3)
Out-of-State (7)
University of Maryland Hospital
Carilion Roanoke Memorial Hospital
Bethesda Naval Medical Center
George Washington University Hospital
Milton S. Hershey Medical Center
Strong Memorial Hospital
SUNY at Buffalo Affiliated Hospitals
UMDNJ-Robert Wood Johnson Medical
School University of South Florida
SURGERY— PRELIMINARY
Maryland (3)
Out-of-State (3)
Johns Hopkins Hospital
Georgetown University Hospital
University of Maryland Hospital
Indiana University Medical Center
Tulane Affiliated Hospitals
TRANSITIONAL
Maryland (0)
Out-of-State (4)
Frankford Hospital
Lehigh Valley Hospital
Naval Medical Center-San Diego
Tucson Hospital Medical Education Program
UROLOGY
Maryland (1) Out-of-State (1) University Maryland Hospital University Texas at Houston
Internships and Residencies 39
Class of 1999
ANESTHESIOLOGY
Maryland (1) Out-of-State (2)
Rush-Presbyterian-Saint Luke's Hospital University of California- Irvine Medical Center Johns Hopkins Hospital
DIAGNOSTIC RADIOLOGY
Maryland (0) Out-of-State (6) Stony Brook Teaching Hospital Howard University Hospital Hartford Hospital Albany Medical Center Hospital Boston University Medical Center Hospital University of California-Los Angeles Medical Center
EMERGENCY MEDICINE
Maryland (2)
Out-of-State (12)
Temple University Hospital
Mount Sinai Medical Center
University Health Center of Pittsburgh
Johns Hopkins Hospital
Thomas Jefferson University Hospital (2)
Morristown Memorial Hospital
George Washington University
University of Maryland Hospital
Wright State University
University of Texas Southwestern Medical
Center University Health Center of Pittsburgh St. John Hospital and Medical Center University of California-Irvine Medical Center
FAMILY PRACTICE
Maryland (2)
Out-of-State (12)
Franklin Square Hospital
University of Maryland Hospital
St. Mary-Corwin Regional Medical Center (2)
Harbor-UCLA Medial Center
Chestnut Hill Hospital
York Hospital (3)
George Washington University
University of Nebraska Medical Center
Florida Hospital
Carolinas Medical Center
Beth Israel Medical Center
INTERNAL MEDICINE
Maryland (10)
Out-of-State (19)
Boston University Medical Center
Presbyterian Hospital
Thomas Jefferson University (2)
University of Maryland Hospital (9)
Rush-Presbyterian-Saint Luke's Hospital
Milton S. Hershey Medical Center (2)
University of Pittsburgh
Oregon Health Sciences University
Strong Memorial Hospital
San Antonio Uniformed Services
Health Center (2) Temple University Hospital Johns Hopkins Bayview Medical Center Duke University Medical Center York Hospital
UMDNJ-University Hospital University of Chicago Hospital Los Angeles County- University of Southern
California Medical Center New England Medical Center
INTERNAL MEDICINE- PRELIMINARY
Maryland (10)
Out-of-State (10)
Medical Center of Delaware (2)
University of Maryland Hospital (7)
Valley Medical Center
Howard University Hospital
Franklin Square Hospital (2)
Medical Center of Delaware
Cedars Sinai Medical Center
Boston University Medical Center
University of Virginia
George Washington University Hospital
The Presbyterian Hospital
Sinai Hospital of Baltimore
COMBINED PROGRAMS
MED-PEDS:
Maryland (0) Out-of-State (3) University of North Carolina University Hospitals of Cleveland University of Chicago Hospital MED-ERMD: Maryland (0) Out-of-State (0)
40
School of Medic me
MED-PSYC:
Maryland (0)
Out-of-State (1)
Duke University Medical Center
NEUROLOGY
Maryland (0)
Out-of-State (1)
Baylor College of Medicine
NEUROSURGERY
Maryland (1)
Out-of-State (0)
University of Maryland Hospital
OBSTETRICS AND GYNECOLOGY
Maryland (1) Out-of-State (3) University of South Florida Jackson Memorial Medical Center Milton S. Hershey Medical Center Johns Hopkins Hospital
OPHTHALMOLOGY
Maryland (1)
Out-of-State (4)
University of Maryland Hospital
University of Miami
Medical Center of South Carolina
Temple University Medical Center
Geisinger Medical Center
ORTHOPEDICS
Maryland (2)
Out-of-State (0)
University of Maryland Hospital
OTOLARYNGOLOGY
Maryland (0) Out-of-State (2) University of Washington University of Pittsburgh
PATHOLOGY
Maryland (1)
Out-of-State (0)
Johns Hopkins Hospital
PEDIATRICS
Maryland (5) Out-of-State (17) Johns Hopkins Hospital Miami Children's Hospital
Oregon Health Sciences University
Sinai Hospital of Baltimore (2)
University of Maryland Hospital (2)
Wayne State University
Albert Einstein Medical Center
Saint Christopher's Hospital
Howard University Hospital
Stony Brook Teaching Hospital
Children's National Medical Center
Children's Hospital of Philadelphia
Children's Hospital of Austin
Ohio State University
Georgetown University Hospital
Inova Fairfax Hospital
University Hospital of Cincinnati
University Hospital of Pittsburgh
San Antonio Uniformed Services Health Center
Mount Sinai Medical Center
PHYSICAL MEDICINE AND REHABILITATION
Maryland (0) Out-of-State (1) Ohio State University
PLASTIC SURGERY
Maryland (0)
Out-of-State (1)
Georgetown University Medical Center
PSYCHIATRY
Maryland (2) Out-of-State (4)
University of Maryland Hospital (2) University Health System Eastern Carolina Medical University of South Carolina Emory University Medical Center University of California-Los Angeles Neuropsychiatric Institute
RADIATION ONCOLOGY
Maryland (0)
Out-of-State (1)
University of Chicago Medical Center
SURGERY
Maryland (2)
Out-of-State (9)
Bethesda Naval Medical Center
University of Florida
Georgetown University Hospital
Eisenhower Army Medical Center
Thomas Jefferson University Hospital
Internships and Residencies
41
Mercy Hospital of Pittsburgh
Strong Memorial Hospital
Georgetown University Hospital
University of Maryland Hospital
Wayne State University Medical Center (2)
SURGERY— PRELIMINARY
Maryland (1)
Out-of-State (1)
University of Maryland Hospital
University Health Center of Pittsburgh
TRANSITIONAL
Maryland (0)
Out-of-State (4)
Crozer-Chester Medical Center
York Hospital (2)
Madigan Army Medical Center
UROLOGY
Maryland (1)
Out-of-State (2)
University of Maryland Hospital
Boston University Medical Center
Universitv of Pennsvlvania Medical Center
Class of 2000
ANESTHESIOLOGY
Maryland (1)
Out-of-State (5)
Beth Israel Deaconess Medical Center
Temple University Hospital
Medical College of Wisconsin Affiliated
Hospital Mount Sinai Hospital St. Vincent's Hospital University of Maryland Hospital
DERMATOLOGY
Maryland (1)
Out-of-State (2)
Mayo Clinic
University of Maryland Hospital
Saint Luke's-Roosevelt Hospital
DIAGNOSTIC RADIOLOGY
Maryland (3)
Out-of-State (4)
Thomas Jefferson University
Beth Israel Deaconess Medical Center
University of Maryland Hospital (3)
Christiana Care Hospital
University of Arizona Affiliate Hospital
EMERGENCY MEDICINE
Maryland (1) Out-of-State (5)
Hospital of the University of Pennsylvania Strong Memorial Hospital University of Maryland Hospital University of Massachusetts Hospital University of Chicago Hospital Thomas Jefferson University
FAMILY PRACTICE
Maryland (1) Out-of-State (22) Atlanta Medical Center Pomona Valley Hospital Halifax Medical Center Oregon Health Science Center York Hospital
University of Maryland Hospital University Health System of East Carolina Washington Hospital St. Joseph's Hospital (2) Martin Army Community Hospital Medical College of Virginia Medical College of Georgia Crozer-Keystone Health Center Reading Medical Center Memorial Hospital Williamsport Hospital University of Minnesota Health Center Central Maine Medical Center Lancaster General Hospital University of California-Davis Fairfax Family Practice Center Morehouse School of Medicine Affiliated Hospital
INTERNAL MEDICINE
Maryland (8) Out-of-State (29)
University of Maryland Hospital (5) Johns Hopkins Hospital (2) University of Michigan Hospital Duke University Medical Center (3) University of Minnesota Medical Center University Health Center
42 School of Medicine
Boston University Medical Center (2) George Washington University University of Southern California Medical
Center (2) University of North Carolina Hospital Shands Hospital Bethesda Naval Medical Center McGaw Medical Center (2) University of Southern Florida Oregon Health Science University University of Chicago Hospital University Hospital of Cleveland Beth Israel Deaconess Medical Center Thomas Jefferson University Columbia Presbyterian Hospital Geisinger Medical Center Walter Reed Army Medical Center Washington Hospital Center California Pacific Medical Center Emmanuel/Good Samaritin Hospital Temple University Hospital Hospital of the University of Pennsylvania
INTERNAL MEDICINE- PRELIMINARY
Maryland (10)
Out-of-State (9)
University of Maryland Hospital (3)
University of California-San Diego Medical
Center Union Memorial Hospital (2) Mercy Medical Center (4) Christiana Care
Georgetown University Hospital San Fernando Valley Medical Center Jacobi Medical Center Mercy Catholic Medical Center Lenox Hill Hospital Kaiser Permanente Medical Center Washington Hospital Center Johns Hopkins-Bayview Hospital
COMBINED PROGRAMS
MED-PEDS
Maryland (0)
Out-of-State (4)
UMDNJ-New Jersey Medical Center
University of California-San Diego Medical
Center University of Chicago Hospital Cedars-Sinai Medical Center
MED-ERMD
Maryland (0)
Out-of-State (1)
Allegheny General Hospital MED-PSYC
Maryland (0)
Out-of-State (0) PEDS-ERMD
Maryland (1)
Out-of-State (0)
University of Maryland Hospital PEDS-PSYC
Maryland (0)
Out-of-State (1)
Mount Sinai Hospital
NEUROLOGY
Maryland (0)
Out-of-State (2)
University Hospitals of Cleveland
Reed Neurological Research Center
NEUROSURGERY
Maryland (0)
Out-of-State (2)
Brigham and Women's Children Hospital
Westchester County Medical Center
OBSTETRICS AND GYNECOLOGY
Maryland (1)
Out-of-State (2)
Memorial Health Care Center
University of Louisville Medical Center
Franklin Square Hospital
OPHTHALMOLOGY
Maryland (0)
Out-of-State (2)
Georgetown University Medical Center
Montefiore Medical Center
ORTHOPEDICS
Maryland (1)
Out-of-State (3)
State University of New York Health Center
Howard University Hospital
University of Maryland Hospital
Wake Forest University Medical Center
OTOLARYNGOLOGY
Maryland (1)
Out-of-State (0)
University of Maryland Hospital
Internships and Residencies
43
PATHOLOGY
Maryland (0) Out-of-State (0)
PEDIATRICS
Maryland (6)
Out-of-State (10)
Inova Fairfax Hospital
UMDNJ-New Jersey Medical Center
Johns Hopkins Hospital
Saint Christopher's Hospital
University of Maryland Hospital (3)
University Hospital of Cleveland (2)
Long Island Jewish Hospital
Louisiana State University Medical Center
Sinai Hospital (2)
Albert Einstein/Montefiore Hospital
Baylor Medical Center
Medical University of South Carolina
Maimonides Medical Center
PHYSICAL REHABILITATION MEDI- CINE
Maryland Out-of-State (1) Mayo Clinic
PSYCHIATRY
Maryland (3)
Out-of-State (2)
New York Medical Center (2)
University of Maryland Hospital (3)
RADIATION ONCOLOGY
Maryland (0)
Out-of-State (3)
Emory University Medical Center
Loma Linda Medical Center
University of Michigan Hospital
SURGERY
Maryland (2) Out-of-State (5)
Beth Israel Deaconess Medical Center Boston University Medical Center Morristown Memorial Hospital University of Florida Health Center Saint Luke's Bethlehem Hospital Union Memorial Hospital Bethesda Naval Medical Center
SURGERY-PRELIMINARY
Man-land (0)
Out-of-State (2)
University of Colorado Health Center
Brigham and Women's Hospital
TRANSITIONAL
Maryland (1) Out-of-State (2) Crozer-Chester Medical Center Harbor Hospital Center Tucson Hospital
UROLOGY
Man-land (0) Out-of-State (0)
44
School of Medicine
Resources
Office of Medical Education (OME)
The Office of Medical Education:
Provides educational support for faculty and students.
Provides multi-media systems design and hardware installation for medical school educa- tion.
Provides faculty development through instructional techniques, design and evaluation in coordination with the Office of Faculty and Student Development. Provides educational resources including audiovisual aids, instructional videotapes and computer software programs.
Develops and implements computer-based instructional systems. Assists in the development of special educational programs. Assists in curriculum development and evaluation of curricular programs. Provides evaluation of instructional systems and techniques.
Provides for the operation and maintenance of the Dr. Irving J. Taylor Learning Resources Center and Computer Learning Center.
Provides audiovisual support services for lecture halls, small group classrooms and special events.
Provides individual and group tutorials, mock examinations and study skills workshops. Provides research in medical education, instructional design, evaluative techniques and educational technology.
Consults with faculty and staff of the medical school, as well as the other UMB schools in media production. Provides classroom scheduling.
A variety of services, administered by the director of academic development, offer a variety of opportunities for students to become more effective, efficient learners. The services include:
The Prematriculation Summer Program (PSP): Prior to the beginning of the academic year, incoming freshmen are invited to take part in a six-week simulation of the first year curriculum. Participants study significant portions of Structure & Development and Cell & Molecular Biology, and are given a brief introduction to Functional Systems; learn to handle the medical schools accelerated pace and grasp-of-material demands; gain practice in gross anatomy and histology labs, small group study, and exam-taking; and refine their study skills and habits to meet the new challenges. PSP is especially designed for students who are at greater risk of not succeeding in medical school; such applicants are given enrollment preference. Follow-up studies have consis- tently shown that PSP has had a positive and significant impact on the academic achievement of PSP students. Each year, the program also affords a select group of academically talented sopho- mores the opportunity to explore academic medicine and sharpen their own academic knowledge by teaching this class of approximately 20 students.
Resources 45
Supplemental Instruction: Individual and small group tutorials are available to all freshmen and sophomores as needed at no charge.
Academic Development Workshops: At various times throughout the year, formal presentations and panel discussions addressing topics of general concern and interest (e.g., time management, active learning, test-taking, and course previews) are conducted.
Academic Counseling: Individual counseling sessions, focusing on problems affecting academic performance and strategies for improvement, are available to all medical, physical therapy and medical technology students.
Academic Monitoring: First- and second-year exam results are reviewed frequently. Students who do not pass an exam or whose results are significantly lower than usual, are invited in for consul- tation as soon as possible after the poor exam showing. The student works with the director in specifying what went wrong and in fashioning an appropriate remedy. Follow-up contacts provide additional support to the student. The Academic Monitoring Committee meets periodically to examine the academic progress of all first- and second-year students with particular attention paid to devising interventions for students experiencing difficulty.
Board Preparation: A series of activities assist sophomores in getting ready for the USMLE STEP I. Activities include: gathering and sharing with sophomores the collective wisdom of juniors whom have just taken the boards; offering frequent formal review sessions covering "high yield" exam topics; conducting occasional information-sharing workshops and panel discussions; identifying "at risk" students who may have difficulty with STEP I for special board prep assistance; in indi- vidual consultations, structuring study strategies/schedules, answering questions and discussing areas of concern; administering a February mock board which provides students with baseline information as well as giving a "heads up" that the boards are approaching; helping those who must retake the STEP I. Board review books are available for circulation from the academic devel- opment resource library. By request, assistance also is given to those preparing for the STEP II or the specialty licensing exams.
Research: Ongoing data collection and analysis provide a source of information useful in clari- fying the role and interplay of various factors involved in student learning. These qualitative and quantitative data sets are utilized by others conducting research or making curriculum decisions.
Educational Screening/Special Accommodations: Students with learning disabilities (LD) or attention deficit disorders (ADD) receive assistance in minimizing the disability's impact on their academic performance. Students suspected of being LD or ADD, but not previously identified as such, are referred for testing. If the results are positive, the student will receive assistance in gaining accommodations and adjusting his/her study approach accordingly
Irving J. Taylor Learning Resources Center and Clinical Media Library: The Irving J. Taylor basic sciences media library provides students with access to many self-instructional materials including videotapes, slide-tapes, computer- assisted instruction, lecture tapes and reference books.
Student Computer Facilities: The Office of Medical Education is responsible for the operation of two student microcomputer facilities: the Computer Learning Center and the Apple Macintosh laboratory. Both of these facilities are part of the Irving J. Taylor Learning Resources Center and are located adjacent to each other on the second floor of the MSTF building. The Computer
46 School of Medicine
Learning Center (CLC), located in the Medical School Teaching Facility, is a 20-station MS-DOS microcomputer lab. The Office of Medical Education maintains the network and provides helpdesk activities to support student laptop computers.
Illustration: Services include comprehensive renderings of surgical and clinical techniques, anatomical renderings, statistical charts and other graphic representations. Additional service includes comprehensive design and finishing of flyers, brochures, programs, posters, displays and exhibits, and layout and paste-up for offset printing and photographic copying.
Photography: Services include photographic copying of flat material such as written matter, x- rays, laboratory tracings and data; photography of specimens, equipment set-ups, surgical, clinical and laboratory activities; and portraits for school-related purposes. The photography laboratory also handles slide duplication, and acts as a collection station for commercial processing of color photography. Computer-developed color slides are a major area of service.
Health Sciences and Human Services Library
"The library is always one of the first places you look to in order to measure the quality of any institu- tion of higher education. Those who see our new library, from the outside and inside, will have no doubt as to the seriousness of our academic mission. This wonderful building puts us in a leadership position on an international scale. " — UMB President David J. Ramsay (March, 1998)
Distinguished as the first library established by a medical school in the United States, the University of Maryland continued its leadership role when the new Health Sciences and Human Services Library (HS/HSL) opened in April of 1998.
The library is the second largest medical school library on the East Coast. The library has six levels and covers 190,000 square feet which includes the Tower Cafe, the HS/HSL coffee lounge. This fully-wired and networked library features 1500 data connections for laptop users along with 50 public-access workstations and three computer classrooms. There is seating for 900 individuals in the library. This arrangement includes 130 individual study-carrels and 40 collaborative learning rooms always available to students.
If a library user forgets to bring their laptop, the library's Research and Information Commons on the main floor provides 37 workstations that have access to everything from the Web to email to databases to full-text journals/textbooks to applications. The library's 360,000 volumes and 2300 journal titles are accessible through HS/HSL online catalog.
The HS/HSL digital information resources are available offsite through the web site (http://www.hshsl.umaryland.edu). Additionally, the Web page directs users to other valuable resources from around the world and is also the first place to look for additional news and infor- mation about the Health Sciences and Human Services Library.
UMnet, the campus computer network that provides 24-hour offsite (campus computer labs, home or office) access to electronic resources, undergirds the library databases and services, e-mail, Internet and World Wide Web resources. UMnet assistance, as well as account registration support, is provided by the HS/HSL. Valuable information regarding UMnet can be found at the HS/HSL's web site. All students are provided with UMnet accounts and free access to the HS/HSL digital resources.
All library services are fully supported by a staff of librarians, computing and network support professionals. The staff is available for consultations and instruction as well as assistance in plan- ning for the integration of information skills into curricula and courses.
Resources 47
In addition to serving all the professional schools on campus and the University of Maryland Medical Center, the library is a nationally recognized leader in information technology and serves as the Regional Medical Library for the Southeastern United States, Region 2 of the National Network of Libraries of Medicine.
For further information about the library and its services, access the library's Web address at http://www.hshsl.umaryland.edu.
Medical Alumni Association
The Medical Alumni Association - the oldest independent medical alumni association in the United States - has served all students, graduates, faculty and staff affiliated with the School of Medicine since 1875. Located in Davidge Hall, 522 West Lombard Street, the Medical Alumni Association office is open weekdays. Among its many activities, the association coordinates the annual Reunion weekend, publishes the quarterly Bulletin and sponsors an annual social event for each medical school class.
Since the association inaugurated the Annual Giving Drive in 1978, lectures, scholarships and student loans funded by alumni contributions have enriched the programs and goals of the School of Medicine on a daily basis.
Affiliations
Recognizing the importance of providing excellent clinical experiences with stimulating faculty and mentors, the School of Medicine has developed a comprehensive network of affiliations designed to encompass the continuum of medical care including ambulatory, acute hospital, home care, rehabilitation and chronic care. In all programs medical students are trained by and fully supervised by School of Medicine, University of Maryland Baltimore faculty.
Over the past five years a significant effort to coordinate, expand and improve the ambulatory care experience has resulted in an extensive ambulatory care network of opportunities. Clinical experiences are offered in multi-disciplinary teaching clinics, faculty practices, community clinics, private practices and hospital-based ambulatory care programs. Model geriatric clinical education programs, designed at three facilities with large cohorts of elderly patients, serve as stimulating educational experiences where computer-assisted learning augments the faculty preceptor patient experience.
Academic tertiary care experience, demonstrating state-of-the-art technology and ongoing exciting clinical research, is offered at the three major affiliates: the University of Maryland Medical System, the Baltimore VA Medical Center and Mercy Medical Center. Additionally, community hospitals with major commitments to the importance of a teaching environment serve as outstanding opportunities for primary and secondary health experiences.
A successful network of community, state and federal psychiatric facilities has resulted in a widely acclaimed statewide program for psychiatry training. Special clinical research experience in psychiatry is additionally offered at the Institute of Psychiatry and Human Behavior and at the Perry Point VA Medical Center.
Experience in rehabilitation, home care and chronic medical care is offered through several facilities, each offering special aspects of expertise for those who wish to pursue psychiatry, neuro- rehabilitation and geriatrics. The following sites have formal affiliations with the School of Medicine: Baltimore Veterans Affairs Medical Center, Walter P. Carter Center, Children's National Medical Center (Washington), Deaton Hospital, Franklin Square Hospital, Greater Baltimore Medical Center, Harbor Hospital Center, Johns Hopkins Hospital, Kernan Hospital, Johns Hopkins Bayview Medical Center, Maryland General Hospital, Mercy Medical Center, National
48 School of Medicine
Orthopedic Hospital, St. Agnes Hospital, Sinai Hospital of Baltimore, Sheppard and Enoch Pratt Hospital, Springfield Hospital Center, Spring Grove Hospital Center, Union Memorial Hospital, University of Maryland Medical System (includes Shock Trauma and Cancer Center), Western Maryland Area Health Education Center (AHEC) and York Hospital (PA).
The University of Maryland Medical System (UMMS)
The University of Maryland Medical System is a private, not-for-profit teaching hospital system that provides a complete range of inpatient and outpatient services to more than 300,000 people each year. UMMS is a national and regional referral center for trauma, cancer, neurocare, cardiac care, women's health services, children's health services and physical rehabilitation. It also has the largest kidney transplant program in the world. The medical system has 9,000 employees, 1,900 licensed beds, and gross revenue of $900 million. The major components are:
The University of Maryland Medical Center in downtown Baltimore (which includes University Hospital, the Greenebaum Cancer Center, the R Adams Cowley Shock Trauma Center and the Maryland Hospital for Children) was previously an agency of the state of Maryland. It is the primary clinical setting for the University of Maryland School of Medicine. It is dedicated to providing exemplary health care for the people of Maryland, to preparing students and physicians- in-training for the practice of medicine and the allied health professions and to carrying out research to improve the quality of health care.
Since its founding in 1823, the medical center has become a major tertiary care center that offers a full range of specialized medical and surgical services. In recent years, as the number of health care facilities in urban centers has decreased, the medical center has assumed increasing responsibility for its surrounding community. As a result, more than 100,000 city residents look to the University of Maryland Medical Center their primary source of health care.
With 724 beds and located in the heart of Baltimore's UniversityCenter district, University of Maryland Medical Center is one of the nation's busiest. In one year it records approximately 30,000 inpatient admission, 200,000 outpatient visits, and 1,500 births. Every day, nearly 5,000 people pass through the hospital's doors. The senior medical staff- more than 800 physicians - is comprised of the clinical faculty of the School of Medicine who supervise training of the more than 600 graduate-physician house staff as well as the medical students.
Because of its combined professional and academic environment, many outstanding treatment programs and research facilities have been developed at the medical center. The R Adams Cowley Shock Trauma Center and the University of Maryland Greenebaum Cancer Center are two prime examples.
The R Adams Cowley Shock Trauma Center, linked with the statewide network of emergency communications, transportation and medical care facilities, is second to none. It provides high- speed emergency service to more than 6,500 critically injured persons each year - the most severe multiple trauma cases in the state - with an impressive 96 percent survival rate. A heliport on the roof of the $44 million R Adams Cowley Shock Trauma Center facilitates rapid transport of the most severely injured and acutely ill patients.
At the Greenebaum Cancer Center, collaboration between research scientists and research clini- cians has resulted in notable efforts in treating breast, lung and blood-related cancers. It was at the cancer center that researchers pioneered the freezing of a leukemia patient's own platelets for later use during relapses. The center's physicians work closely with other oncology programs within the hospital, tailoring the balance among surgery, radiation and anticancer drugs for each patient's optimal treatment plan. The cancer center is nationally known for its blood and marrow trans- plant program and its research into new drug development.
Resources 49
Other centers of excellence include:
• University of Maryland Hospital for Children, which provides the full range of pediatric services. It houses the state's largest neonatal intensive care unit.
• The solid organ transplant program, which performs more than 300 transplants each year, with capabilities in kidney, pancreas, simultaneous kidney-pancreas, liver, heart and lung. The comprehensive program continually surpasses national survival rates in every area.
• The Maryland Brain Attack Center, where physicians offer new treatments that help prevent disabilities from stroke by rapidly restoring blood flow to save brain tissue. The institution's neurosurgery department has attracted national attention for its innovative techniques used in the treatment of brain tumors. A Gamma Knife Center allows patients with inoperable brain tumors a new chance for survival. The Center for Advanced Fetal Care, Multiple Sclerosis and Magnetic Resonance Imaging Centers all offer the most advanced technology possible.
• University Sports Medicine provides injury prevention and treatment services to everyone from professional athletes, such as the Baltimore Ravens, to college athetes, such as the University of Maryland Terrapins, to weekend warriors.
• An affiliation with the Institute of Human Virology, where world renown experts led by Dr. Robert Gallo investigate the cures and prevention of chronic viral diseases, with AIDS as a top priority.
Along with its partner, the School of Medicine, the University of Maryland Medical Center has met the rapidly changing health care market with expanded services. These services include:
• Four primary care sites in West Baltimore.
• Specialty care in the suburbs in Hartford and Anne Arundel County; and primary and specialty care at Shipley's Choice in Anne Arundel County.
The University of Maryland Medical Center has grown both professionally and physically over the years. Today, through partnerships with the University of Maryland's professional schools, it is the training site for pharmacists, social workers, dentists, nurses and other health professionals and technicians. This interprofessional environment is a unique and valued characteristic of the University of Maryland Medical Center.
In January 2000, the Medical Center launched construction of a new 350,000 square-foot building which is presently designed to house components of its emergency services, surgical serv- ices, diagnostic imaging, and women's and children's programs. It will stand adjacent to the Homer Gudelsky Building, which opened in 1995.
North Arundel Hospital is a 329-bed acute-care community hospital in Glen Burnie, Maryland. Primarily serving residents of northern Anne Arundel County, this suburban community hospital is located approximately five miles south of Baltimore, Maryland, and 25 miles northeast of Washington, D.C. The facility has numerous areas of specialization including orthopedics, cardi- ology, geriatrics and oncology.
Mt. Washington Pediatric Hospital in Baltimore offers inpatient, outpatient, day programs, and home-based care for infants and children. The facility also has a 1 5-bed off-site hospital in Prince George's County.
Maryland General Hospital is a 300-bed community teaching institution that serves as the cornerstone of Maryland General Health Systems, Inc., a comprehensive network covering the continuum of care needs for more than 100,000 patients annually.
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Kernan Hospital, a 152-bed orthopaedic and rehabilitation hospital that serves adults and chil- dren with orthopaedic and neurological conditions with a full range of inpatient and outpatient programs. Kernan includes the William Donald Schaefer Rehabilitation Center with special units for stroke, multiple sclerosis, spinal cord and head injury, and geriatric patients with complex medical problems.
Deaton Hospital, a 324-bed, long-term care facility that includes a chronic care facility and a nursing home.
VA Maryland Health Care System (VAMHCS)
The VAMHCS consists of three Maryland VA Medical Centers located at Baltimore, Fort Howard and Perry Point, and an independent 120-bed Rehabilitation and Extended Care Center. Medical faculty, students and researchers primarily interact with the health care system's Baltimore facility. The Baltimore VA Medical Center was designed to support a large outpatient program with exten- sive primary care as well as subspecialty experiences and ambulatory surgery. A growing network of community-based outpatient clinics now provide additional access for patients in the Baltimore metropolitan area, Southern Maryland and Maryland's Eastern Shore. The VAMHCS houses the first radiology service in the nation to offer a completely filmless program, made possible by new advances in computer archiving and digital processing of images. Diagnostic quality radiographs are available on more than 80monitors throughout the Baltimore VA Medical Center which provides improved patient care and expanded opportunities for student and house staff education.
The VAMHCS contains a fully computerized patient information system and a highly advanced electronic medical record. The Baltimore site has bedside terminals which allow for ease of patient care and reduced non-productive time for students. The information system allows instantaneous clinical queries for clinical research and continuous improvement in patient care. Major increases in support staff assigned to house staff teams has resulted in decreased "scutwork," activities for students and residents as support staff is more frequently available for routine phle- botomy, intravenous line adjustments, escort services and clerical support services. A major recon- figuration of nursing and support staff combined with computer designed programs has increased the efficiency of the medical care so that students, house staff and faculty can better spend their time on direct rather than indirect patient care, and on stimulating educational and clinical research areas rather than on cumbersome support delivery problems.
In the disciplines of medicine, surgery, psychiatry, neurology, anesthesiology, pathology, radi- ology, rehabilitation medicine, geriatrics and ambulatory care, there is close integration of the faculty, resident and undergraduate levels of the School of Medicine. More than 70 investigators have funded research programs in areas including infectious disease, geriatrics, exercise physiology, cardiology, immunology, neurology, oncology and schizophrenia. For the past five years, the VAMHCS has been among the top three facilities in research funding in the nation.
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Area Health Education Center Program (AHEC)
One of the University of Maryland Baltimore's commitments to improving health care delivery in primary care is the Area Health Education Center (AHEC) program.
The AHEC program has been developed to provide comprehensive health care education and training for undergraduate and graduate medical students, as well as for students from the other UMB health profession schools. AHECs attract students, interns and residents to rural and under- served areas, fostering their interest in practicing in such sites. AHEC activities promote increased numbers of physicians and other health care professionals, encourage the development of health care facilities, provide multi-disciplinary and interdisciplinary training for health professionals, and increase capabilities for the existing program of graduate and continuing medical education and health training.
The University of Maryland School of Medicine has directed the Maryland AHEC Program for over 20 years. The Maryland AHEC system is comprised two rural centers: the Western Maryland AHEC and the Eastern Shore AHEC. The Western Maryland AHEC, established in 1976, is located in Cumberland, a rural community in Allegany County. The Eastern Shore AHEC, domi- ciled in Cambridge at the Eastern Shore Hospital Center, has been in operation since 1995. Both centers afford students the opportunity to understand and experience the valuable and rewarding benefits of delivering primary health care in a rural environment.
School policy requires that students spend eight weeks of their senior year in clinical education at an ambulatory site. Some students elect to spend this mandatory rotation at rural sites. Additionally, senior medical students may choose a rotation at either AHEC site as a primary care elective. These experiences are designed to encourage students to consider practice in similar settings and to gain a firm appreciation of the special health needs of rural populations.
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Student Life
Office of Student Affairs
The Office of Student Affairs is designed to provide guidance, advice, help and administrative services to students enrolled in the School of Medicine. In addition, the office is responsible for monitoring student registration, progress and advancement, graduation and all aspects of student life related to undergraduate medical education. To this end the office employs one full-time asso- ciate dean, two part-time assistant deans and support staff.
While the entire staff is available to offer assistance to all students, some staff members also assume a specialty area within their overall functions. These specialty areas include senior elective advising, student fellowships, career and residency advising, and counseling.
Electives
There is no elective requirement during the pre-clinical years, although many faculty members offer elective experiences. Offerings may include such diverse topics as cardiovascular pathology, medical rehabilitation, nutrition, alcohol and drug abuse and many research projects. Some expe- riences may have prerequisites and may be open only to sophomores.
Residency Planning
The Office of Student Affairs maintains a residency advisement program that includes counseling, referral to faculty, alumni and community resources and workshops on residency selection provided during the junior year. Recent graduates are surveyed periodically so that feedback from a number of residency programs of interest to graduates is kept as current as possible.
We have recently initiated the MedCareers program. This program, developed by the American Association of Medical Colleges, helps students select careers in medicine, using a developmental approach. In the first year, the program, available on the Internet, administers questionnaires that allow the student to find areas of strength and interest. In the second year, students are encour- aged to "try on different hats," by participating in various specialty interest groups. In the third year, students are given more specific information about specialties and may participate in work- shops that focus on strategies for considering various clinical specialties. In the fourth year, the program is integrated with other activities in the school to help students solidify career choices.
Human Dimensions in Medical Education (hdme)
The HDME Program provides opportunities for informal activities among students and faculty outside the classroom setting. These range from social gatherings to small group discussions of concerns and feelings related to the personal and professional aspects of medical education and practice.
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Students may elect to participate in the HDME Program at any point in their medical school career. Many enter the program by attending the pre-freshman orientation retreat held in late August. The retreat is attended by students from all levels of training, faculty members and, in many cases, spouses or close friends. Thus, participants are provided an opportunity to get acquainted in an informal and intimate off-campus setting. Much of the time at the retreat is spent in intensive small group sessions. Topics of discussion are determined in each group, but typically include adjustment to medical school, the impact of a medical career on domestic life and the problem of setting priorities among various professional and personal demands. Recreational activities also are included in the four-day experience. Relationships formed at the retreat often continue back on campus and even beyond graduation.
HDME was conceived at The Center for the Study of the Person in Lajolla, California. The program is planned and operated locally by a student- faculty committee. One goal of the program is to provide an environment in which students and faculty can develop a bond during the four years of medical school. Another desired outcome is the development of effective communication and listening skills that will enable medical students, house officers and faculty members to become better health care providers.
White Coat Ceremony
The white coat is a traditional symbol of the medical clinician and scientist. It has come to repre- sent the knowledge, skill, and integrity of the medical professional and the highest standards of professional work, whether in the classroom, laboratory or clinic. Held in November or December, the White Coat Ceremony officially welcomes freshmen students into the professional commu- nity. In mid-fall students are asked to provide a list of two or three people whom they would like to invite to this ceremony, generally parents or partners.
Following a continental breakfast, those attending hear a number of short presentations, with each speaker addressing the issue of professionalism in medicine from his or her own perspective. Speakers include representatives of the medical school administration, the pre-clinical and clinical faculty and the student body. Freshmen students are then called individually to the stage to receive their white coats from members of the faculty, as well as a copy of the school's Code of Professional Conduct. Acceptance of the white coat is an affirmation that, along with acquiring the requisite knowledge, the student will accept responsibility for developing and maintaining professional atti- tudes and behaviors in work and in relationships with classmates, teachers, patients and the community-at-large.
The Office of Student and Faculty Development
The Office of Student and Faculty Development was designed to provide vision and leadership in addressing faculty and student development while creating opportunities for them to reach their fullest academic and personal potential. Responsibilities of this office are to:
• Work collaboratively with other offices in the presentation of a comprehensive faculty development program, including topics in professional development and teaching skills for campus and community-based faculty.
• Provide leadership in the school's effort to represent and collaborate with others in our diverse, multi-cultural scientific community through recruitment efforts and skill develop- ment for students and faculty.
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• Coordinate a mentoring program for students in which regular meaningful contact between students and faculty works to guide and promote their career to its greatest potential.
• Promote appreciation of life-long adult learning among students, residents, and faculty.
• Advertise award, scholarship and fellowship opportunities for students and faculty, and assist in the processing of materials for these opportunities.
The Office of Student and Faculty Development coordinates programs for high school and college students that are designed to increase the number of students entering the medical profes- sion. The office works closely with the director of recruitment in the Office of Admissions to recruit a diverse group of talented students to the School of Medicine, the Office of Academic Development to retain these students, and the Office of Student Research to offer them opportu- nities in research projects.
For additional information contact:
Donna Parker, MD
Associate Dean for Student and Faculty Development
University of Maryland School of Medicine
655 West Baltimore Street — Room M-004
Baltimore, Maryland 21201
(410) 706-7689
Student Government
The Student Council is the organization recognized by the medical school administration as the offi- cial representative body of the registered students at the School of Medicine. Council duties include disbursing student activities funds according to the needs of its members and coordinating student input in institutional administrative policy decisions. Student Council officers serve as student repre- sentatives to national meetings of organizations that guide national educational and medical policies. The council also conducts elections of all class officers.
Student Organizations
Alpha Omega Alpha (AOA). Election to AOA, the national medical honor society, is based on scholastic achievement, service to the school, qualities of leadership, integrity and fairness to colleagues. Students are elected at the end of their junior year or the beginning of their senior year. Members coordinate programs and lectures with the goal of furthering academic interest and stimulating curiosity. Programs of recent years have included a lecture series on topics in the history of medicine, an EKG interpretation course, sponsorship of a Clinical Visiting Professorship, campus tours for prospective medical students, and Junior/Senior Night, an orien- tation to the match process for junior medical students.
American Medical Association — Medical Student Section (AMA-MSS). The AMA-MSS is the medical student section of the American Medical Association (AMA) that provides leadership positions at the local and national levels, the opportunity for involvement in the medical political process and medically oriented programs for students and the community. At the University of Maryland, the AMA-NSS sponsors several events such as an annual used book sale in August and
Student Life 55
a morning donut and bagel sale. Members of the AMA-MSS receive the Journal of American Medical Association (JAMA), American Medical News, AMA Member Matters and Pulse, a national medical student newsletter.
Each year the AMA-MSS at the University of Maryland elects and sends a delegate and alter- nate delegate to two meetings: the Annual AMA Meeting in June, and the Interim AMA meeting in December. Traditionally, the delegate is a second-year student while the alternate is a first-year student.
American Medical Student Association (AMSA). The University of Maryland Chapter of the American Medical Student Association (AMSA) offers the opportunity to become actively involved with a group of dynamic, concerned medical students at the local and national levels. The immediate benefit of membership is working and socializing with peers in friendly, informal settings through participation in a wide variety of activities of interests to the membership.
AMSA is involved in many service activities: microscope and used book sales, coordination of the noontime films and lectures, the student phone and housing directories, orientation activities, workshops, projects and parties. Other activities include local and national legislative monitoring and lobbying, clinic staffing, public education efforts and events coordinated with other school organizations. Fundraising projects help to defray expenses of members attending workshops and regional and national meetings. In addition, AMSA is willing to sponsor activities that are proposed by its members.
On the national level, AMSA promotes the interests of public health, and the medical students serve as a forum and information clearing house for issues of major importance; e.g., AMSA's posi- tion on the current administration's proposals as they relate to health care reform and medical education. Benefits to AMSA members include a four-year subscription to the student journal The New Physician, special interest task force newsletters, informational booklets, discounts on medical texts, life insurance policies, the AMSA Mastercard, the "HEAL Deal" for repayment of HEAL loans at lower interest rates, a low-interest loan program with increasing monies available each successive year of school, and unique educational experiences both at home and abroad — all for a single membership fee for all four years of school. The Annual National Convention is open to members (partially subsidized by chapter funds) and is a rare and valuable experience. It features four days of guest speakers, a multitude of exciting health care presentations and workshops, oppor- tunities to share in national policy formulation, a chance to meet other medical students and social- izing opportunities.
American Medical Women's Association (AMWA) Student Branch. The AMWA Student Branch at the University of Maryland is a dynamic group responsive to the needs of female medical students. While its first commitment remains to provide support and promote friendship among students, faculty, and physicians, AMWA also provides a network where students can meet and discuss issues such as lifestyles in medicine, career choices, women's health, and political issues important to women and the student body at large.
AMWA is involved in a variety of activities on campus including pot-luck dinners where special guest speakers address issues, monthly noon-time business meetings and get- acquainted gatherings with students and faculty. Although AMWA is primarily concerned with issues related to women, all AMWA functions are open to the entire student body.
Asian Professional Students Association. The Asian Professional Students Association (APSA) was formed by a group of medical students in 1984, and since then has grown to include members of other schools at UMB. APSA is open to all students, teaching staff and employees regardless of race, cultural background, sex and country of origin. The goals of the association are to encourage
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dialogue among fellow students of different cultural backgrounds, and to provide a platform for those who appreciate Asian culture. APSA also sponsors educational and social activities for its members and friends.
The Better Half. "The Better Half" is a support group open to all medical students and their significant others who are interested — husbands, wives, boyfriends, girlfriends. The group's goal is both social and supportive. Maintaining a relationship while in medical school can be difficult and knowing other people in the same situation can be helpful to both medical students and their part- ners. Gatherings such as the pot-luck dinners, wine tasting, wine and cheese and pizza parties are popular affairs. A partner is not needed to attend functions.
Big Sib Program. Each year an upperclassman (usually a sophomore) "adopts" an entering freshman as his/her little sib. Newly admitted students receive correspondence from their fellow big brothers/sisters during the summer prior to their entry. The program is sponsored by students with support of the admissions committee, and is designed to allow entering students to address their questions and concerns to fellow students who have already experienced life as a medical student. Moral support from big sibs often makes the transition easier for incoming students.
Bioethics Club. The Bioethics Club is a relatively new addition, formed to explore ethical issues faced by students and physicians in the medical world. The group is led by Dr. Henry J. Silverman, editor of the University of Maryland Medical System's publication Health Care Ethics, and member of the hospital's Ethics Review Committee. At bimonthly meetings, actual cases are reviewed and active discussion concerning moral and ethical issues related to particular situations or to new legislative rulings across the country is encouraged. Students also have the opportunity to attend meetings between patients, their families, physicians and members from the review committee and observe the often difficult process of making decisions concerning what course of intervention and care is appropriate for each patient. Students, faculty and administrators are all encouraged to attend.
Christian Medical Society. The Christian Medical Society (CMS) at UMB is a local chapter of a national organization which meets weekly for fellowship, prayer and discussion. CMS is committed to providing Christian fellowship and support for medical professionals, encouraging Christians to mature in their faith, challenging them to integrate their medical careers into their lives in Christ and providing an environment in which non-Christians can explore the claims of Christ. CMS presents meetings on Bible study, short-term missions, ethics, Christian family life within the medical profession and evangelism. Dinner is shared every third week. In addition, CMS volunteers help staff the Baltimore Rescue Mission which provides medical care to the homeless. Members also have the opportunity to participate in local, regional and national confer- ences. All students, faculty and hospital personnel are welcome.
Complementary Medicine Club. The Complementary Medicine Club strives to introduce students and faculty alike to various types of therapy which complement traditional western medi- cine. Among these complementary medicines are acupuncture, herbal medicine and music therapy. The Complementary Medicine Club meets about once every month for an hour-long talk and lunch.
Emergency Medicine Interest Group. The Emergency Medicine Interest Group (EMIG) is a student organization whose mission is to expose students to emergency medicine as a career and give students an opportunity to learn skills commonly used in emergency situations. To this end, EMIG sponsors blood drawing, i.v. and suture labs, ambulance ride-alongs and emergency room observation time. EMIG also sponsors talks and luncheons with emergency medicine residents
Student Life 57
and faculty on topics such as applying for emergency medicine residency and the history of emer- gency medicine. EMIG members are actively involved in research in the emergency department and have attended emergency medicine physicians' national conferences.
Family Medicine Interest Group. The Family Medicine Interest Group (FMIG) is sponsored by the Maryland Academy of Family Physicians and the Department of Family Medicine. Membership fees for first-year members are paid by the Maryland Academy and members receive monthly professional journals free of charge. FMIG sponsors events and lectures relevant to family medicine throughout the year. FMIG also encourages student leadership at the state and national levels.
Gertrude Stein Medical Society. The Gertrude Stein Medical Society is a group of medical students whose goal is to foster support among gay, lesbian and bisexual students and to encourage interaction and education among all students at the University. The group seeks to help other students and faculty understand the special needs of the gay and lesbian community through education and community service. The group meets bimonthly with potluck dinners and other social events. Some members also volunteer at the Chase-Brexton Clinic. The group is open to all students and confidentiality is assured.
Human Dimensions in Medical Education (HDME). The HDME program (described earlier under Office of Student Affairs) is active through much of the year in planning the annual retreat as well as other activity programs. Students are welcome to participate in these "behind the scenes" activities that are so important to the program's success.
Internal Medicine Interest Group. This group helps students learn about careers in internal medicine. It is student run with faculty input. Opportunities for volunteerism and mentoring are encouraged.
Jewish Medical Students Organization. The Jewish Medical Student Association encourages all medical students, regardless of specific affiliation (i.e., orthodox, conservative, reform or non- Jewish) to join and participate in the group's activities. The association works closely with the Jewish Community Center's Office for Graduate Studies which provides sponsorship for many of its activities, including Friday night dinners, talks on Jewish medical ethics and the building of a sukkah. The association also works with other schools on campus and in the Baltimore area to plan joint activities.
Maryland State Medical Student Association. The Maryland State Medical Student Association (MSMSA) is a component of the Medical and Chirurgical Society (Med-Chi) of the State of Maryland, which is a state component of the American Medical Association. The MSMSA is involved in issues of health care, medical education and peer review, especially in the state of Maryland. MSMSA and AMA memberships are usually solicited together, and membership bene- fits include subscriptions to the Maryland Medical Journal, and the AMA News. The MSMSA provides active student representation in Med-Chi and the AMA. Also, there are several leadership opportunities for students in the AMA through MSMSA.
Medical BreakAway. Medical BreakAway is a nonprofit organization established by medical students at the University of Maryland. The organization provides opportunities for medical students of all years to volunteer in international medical clinics in need during spring and summer breaks. The program emphasizes both medically oriented volunteer work and socially related community service projects.
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Medical Students for Choice. The University of Maryland's Medical Students for Choice (MSFC) Chapter is part of a broad organization of medical students at schools throughout the nation. The organization was founded by students who were concerned about the lack of abortion education in medical schools and residencies, the severe shortage of abortion providers, and esca- lating violence against providers. The University of Maryland Chapter hosts educational events, creates partnerships with other medical student groups and local pro-choice organizations, and works to incorporate abortion issues into the medical school curriculum.
Organization of Student Representatives. The Association of American Medical Colleges (AAMC) was founded over 100 years ago to improve the quality of American medical education. It now includes membership of 125 medical schools, 85 academic societies such as the American College of Physicians, and 435 teaching hospitals. It maintains numerous data sources available to its members and works cooperatively with other medical organizations such as the American Medical Association, and provides information and testimony to the U.S. Congress and other federal agencies concerning medical and health-related issues.
The Organization of Student Representatives (OSR), the AAMC's student voice, is composed of one student representative from each medical school choosing to participate. OSR members gather at an annual meeting each autumn to discuss matters of concern to the nation's medical students and to elect an administrative board. The twelve-member administrative board meets quarterly with the boards of other AAMC councils to formulate AAMC programs and policies reflecting student views. OSR business is also conducted at regional spring meetings. The OSR delegate operates to channel information from the AAMC to the medical student body-at-large and vice versa on issues of medical education such as the match, changes in medical curriculum and student indebtedness. Thus, the OSR serves as an effective liaison between the nation's students and medical policy-makers to ensure consideration of student views.
Pediatrics Interest Group. This group helps students learn about careers in pediatrics. It is student run with faculty input. Opportunities for volunteerism and mentoring are encouraged.
Pediatric Pals. Pediatric Pals is a community service organization created by medical students for medical students. It provides a convenient, flexible and fun community service organization. Pals visit children who are in the pediatrics ward at the University of Maryland Medical System either on a weekly basis (1-4 hrs/wk) and/or during monthly parties on Saturday/Sunday afternoons. Pals play Nintendo, read books, sing, rock babies or just "hang out" and be a friend to scared, sad or lonely children. After a brief orientation, a Pal can choose as much or as little a time commitment as desired.
Project H.O.P.E.: Helping Others Through Palliative Efforts. Project H.O.P.E. is an organiza- tion concerned with the needs of critically and terminally ill individuals of all ages. As a medical student, the ability to bring physical comfort to patients in the form of medications and therapies is obviously limited, yet the capacity to bring social and emotional comfort to them is limitless. Through potluck dinners, instructional workshops, medical rounds, and other activities, the members of Project H.O.P.E. reach out to the residents of the American Cancer Society Hope Lodge, to the children and families of the Baltimore Ronald McDonald House, and to the patients of palliative care clinics and hospice programs in the Baltimore area. Project H.O.P.E. also promotes awareness of various end-of-life issues through noontime speakers and luncheons.
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Sports Medicine Interest Group. This group helps students learn about careers in sports medi- cine. It is student run with faculty input. Students interact with faculty who practice sports medi- cine-orthopaedics, family medicine, internal medicine, pediatrics and emergency medicine are represented. Students will have opportunities to shadow physician and physical therapists involved in this field.
Student Interest Group in Neurology (SIGN). SIGN educates students on the field of clinical neurology as well as other clinical neurosciences. Activities throughout the year include speakers (clinical neurologists, residency directors, and other clinical specialists), neurology workshops, clinical neuroscience lectures, and a mentoring program for students.
Student National Medical Association (SNMA). The University of Maryland Chapter of the Student National Medical Association (SNMA) is an organization of under-represented minority medical students that seeks primarily to provide academic and social support for minority medical students at the University of Maryland School of Medicine. The SNMA organizes study groups, provides valuable course information and review material, and facilitates organized discussions on course requirements and strategies between upperclassmen and entering students. The SNMA also seeks to involve itself in health and educational activities which benefit the surrounding commu- nity and its youth. In past years the SNMA has been involved in tutoring local high school students, presentations to inform high school and college students of medical school opportunities and health screening programs in the community. In addition, the SNMA has also sponsored activities for Black History Month which have included seminars and films. SNMA is active in programs that promote greater interaction among minority students, physicians, faculty and alumni.
Publications
Academic Handbook. The Academic Handbook is the "official word" on medical school policy and life, written by those who run the various programs described — administrators, faculty, students. Although the book is prepared through the Office of Student Affairs, student participa- tion and feedback contribute significantly to its effectiveness.
AMSA Directory. With financial support from the Office of Student Affairs and the Office of Admissions, the American Medical Student Association (AMSA) at UMB compiles a student address and telephone directory each fall. The book is available to all medical students at no cost.
Snowdays. Snowdays is a booklet written by the freshman class for entering freshmen. Designed to acquaint students with the University of Maryland Baltimore and surrounding areas and metro- politan Baltimore, it includes information on housing, eateries and entertainment that would be helpful to people new to the city. Snowdays was conceived in the hope of providing freshmen with information that might prove useful before starting the school year.
Student Answer Book. Published by the UMB campus, this book describes campus-wide services such as housing, student health, libraries, the bookstore, and athletic facilities, as well as policies in such areas as sexual harassment, smoking, alcohol and drug use, and violence.
The Yearbook (Terra Mariae Medicus). Since 1896 Terra Mariae Medicus has provided wide coverage of student life. It is a collection of moments and memories from the four years of medical school put together by the members of each senior class. Each senior receives a yearbook, the cost of which is included in the student activities fee.
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Institutional Governance and Planning
The Committee System. Several committees are actively involved in shaping the School of Medicine, particularly the curriculum and other essential aspects of medical education. Students have a voice on these committees. The following committees/councils include students in their memberships.
Curriculum Coordinating Committee (CCC) and Subcommittees. The task of the Curriculum Coordinating Committee is to continually study and evaluate the curriculum and methods of instruction, to make recommendations concerning changes and innovations in the curriculum and instructional procedures, to make a continuing study of the student achievement evaluation process and to recommend changes when necessary. In addition, the CCC Subcommittees, i.e., Year I/Year II Committee and the Clinical Years Committee (CYC), each include student repre- sentatives elected by their classmates.
School of Medicine Council. Through the School of Medicine Council, representatives of the faculty', students, house staff, alumni and affiliated institutions and School of Medicine adminis- tration participate in the development of school policies. In addition, council members hear status reports from committees appointed by the dean. These include the reports of the Curriculum Committee, the Annual Admissions Report and those of the various search committees. The Council meets monthly during the academic year, offering students an excellent opportunity to develop an understanding of the issues affecting the operation and goals of the medical school. There are approximately 80 voting Council members, 1 1 of whom are students.
Judicial Board. Acceptable behavior within the academic community, including proper behavior on examinations, falls within the purview of the judicial review system and its functioning body, the Judicial Board. The system and operation of the board are defined in the "Statement of Ethical Principles, Judicial Review System and By-Laws of the Judicial Board," which is printed in its entirety in the Academic Handbook and distributed to incoming freshmen at orientation.
The board consists of a chairperson appointed by the dean and representatives of the faculty and students in the medical school community. Any member of the community who directly witnesses an act that he or she deems unethical should report the incident in a signed letter to the chairman of the Judicial Board. The board will then investigate the issue and hold hearings, as defined in the aforementioned document. Findings of the board and its recommendations with respect to the accused are forwarded to the dean. Three student representatives, one each from the sophomore, junior and senior classes, are appointed by their class presidents.
Ethical Advisory Committee (University of Maryland Medical Center). This state-mandated committee is composed of about 25 physicians, nurses, social workers, administrators, clergy, attorneys and other personnel, and welcomes the input of students and residents as nonvoting participants. The committee advises hospital staff and families on requests regarding difficult ethical decisions such as life support for terminal patients, and also helps develop hospital policy regarding such critical situations. The committee also serves an educational function to hospital staff and reviews legal and legislative decisions.
Special Task Forces. On occasion, special committees and task forces are established to examine school policies or curriculum issues. Where these issues have direct relevance to students, the classes are frequently invited to send representatives to these functions. Major changes in policv or curriculum typically take two or more years to plan and implement, and this can be frustrating to
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students who will be members of each class for only one year. At the same time, however, each group of entering students reaps the benefits of changes to which their predecessors have contributed and they now have the opportunity to leave a similar legacy to their successors.
Student Health Services
The Campus Health Office, located in University Family Medicine Associates (UFMA) offices at 29 South Paca Street, is open Monday-Friday from 8:00 am-4:30 pm. Students are seen for medical appointments by physicians, residents or a nurse practitioner at UFMA at the following times: Monday-Thursday from 8:30 am-7:00 pm, Fridays from 8:30 am-4:30 pm and Saturdays from 9:00 am-noon. After-hour coverage for emergencies is provided by the physician on-call at University Family Medicine.
The cost of most care provided at student and employee health is paid for through the student health fee. Gynecological services, including health maintenance (PAP smears, etc.), family plan- ning and routine problems, are provided by the family physicians, residents or nurse practitioner. Birth control pills are available at a reduced cost for students receiving their GYN care through student and employee health/family medicine.
All students are required to have health insurance and an excellent insurance policy is available through the campus. At registration all full-time students must either purchase the UMB policy or waive it by showing proof of comparable coverage. The deadline for waiving the UMB policy is in mid-September. If proof of comparable insurance is not received at student and employee health by that time, the UMB policy must be purchased for each month the waiver is not presented. Demonstrated proof of comparable insurance is required each year the UMB policy is not purchased.
Hepatitis B is an occupational illness for health care providers. It has serious consequences and can even be fatal. Immunization against Hepatitis B is required for medical, dental, dental hygiene, nursing, medical technology and PharmD students. The series of three immunizations is given at the Campus Health Office.
All new students are required to complete a Report of Medical History and an Immunization Record form that documents immunity to childhood illnesses. Students failing to present these completed forms as freshmen will not be permitted to register for the sophomore year.
Students' family members can be seen at Family Medicine Associates. The family physicians provide care for the entire family, including obstetrical and pediatric care. For additional infor- mation, call (410) 328-8792.
Counseling Center
The Counseling Center provides professional counseling services to students and their families. Students are encouraged to use Counseling Center services for help in dealing with any kind of personal problems they may have. Some of the more common problems that prompt students to seek help include stress, relationship problems, adjustment to changes in school or home life, loss of a loved one and problems with drugs, alcohol or food.
Counseling services are completely confidential and no information is shared with administra- tion or faculty without the student's written permission. This is not a training site; students are always seen by a professional — a social worker, psychologist, psychiatrist, or addiction counselor. Counseling is done on an appointment basis and student's class schedules can be accommodated in scheduling appointments. There is no out-of-pocket expense to use this service. Call (410) 328- 8484 for additional information.
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Housing
Baltimore is a fun, friendly city with many affordable and convenient housing options. The brochure Housing Options describes on- and off-campus options for UMB students; it is available through the admissions office or by calling the Residence Life Office at (410) 706-7766.
The University Housing Office administrators the housing program for University-owned housing, which can house approximately 275 students in two resident locations. The Student Union has two floors of traditional dorm-style rooms capable of housing up to 80 students in single or double rooms. All rooms are furnished with bed, desk and closet and each floor has a kitchenette, lounge and restroom/shower facilities. A laundry room with coin-operated washers and dryers is located on the ground floor of the Student Union building.
Additionally, the University owns 80 apartments in a traditional row house format known as Pascault Row. This complex includes efficiency, one-bedroom and two-bedroom arrangements. Each apartment is furnished and contains a living area, kitchenette and private bath and is designed to accommodate one-to-four students. The Pascault Row complex also has a laundry7 room with coin-operated washers and dryers and each apartment has access to storage in lockers on the ground floor.
For housing application and/or information contact:
University Housing Office Baltimore Student Union, Rm. 122 621 W. Lombard Street Baltimore, Maryland 21201-1575 (410) 706-7766
The University of Maryland's off-campus housing program is a self-service program designed to help students identify housing options convenient to the University. Although the housing program is coordinated by University personnel, it is offered only as a convenient way to facilitate the housing search. The University does not inspect the properties listed through this service and therefore strongly encourages students to personally do so before signing a lease. The University has no relationship with the property owners, landlords or realtors who list property through this service.
The University Housing Office maintains a kiosk in the lobby of the Baltimore Student Union with current information on apartments for rent, rooms for rent, house or condominium for rent or sale and roommate referral. There are also other types of off-campus housing information avail- able at this kiosk such as Apartment Shopper's Guide and Home Buyers Guide.
A website has been created for the University at www.UMB-Apartment-Guide.com. Questions related to off-campus housing can be addressed by calling (410) 706-8087.
Athletic Center
The campus Athletic Center, located on the tenth floor of the Pratt Street Garage [(410) 706-PLAY], offers a variety of programs including intramural sports, fitness/wellness activities, informal recreation, mini-courses and special events. The facility is equipped with two basketball and volleyball courts, a squash court, an expanded weight room with free weights and Paramount equipment, stationary bikes, stair, treadmill and rowing machines and areas to stretch. There are men's and women's locker rooms with a sauna and showers. Students are admitted free with valid student ID. Paid positions for students are available at the Athletic Center.
Intramural sports include basketball, volleyball, racquetball, squash, tennis and Softball for men, women, coed and open competition.
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It is the Athletic Center's goal to provide a comprehensive fitness and wellness program on campus. Participation in regular physical activity generally maintains or improves physical and mental well being. The center offers a variety of aerobic classes, a total conditioning class, mini- screening, fitness walking program, and fitness assessments. Individual fitness assessment includes tests for heart rate, blood pressure, weight, flexibility, cardiovascular endurance, body composition and muscular endurance. Participants receive personal evaluation of their fitness levels along with specific suggestions for developing a healthy lifestyle.
In conjunction with the University police the center also offers Rape Aggression Defense (RAD), a women's self-defense course. Sessions are offered throughout the year and are taught by trained and certified instructors.
University of Maryland Baltimore students may also use the athletic facilities at UMBC which include both indoor and outdoor Olympic-size swimming pools, outdoor hard-surface tennis courts and Nautilus weight-training equipment. A shuttle bus operates between the two campuses
Baltimore Student Union
Many campus-based student services are housed in the Baltimore Student Union. Administrative offices include the Assistant Vice President for Student Affairs, Associate Dean of the Graduate School, the Graduate School Admissions Office, Auxiliary Services Office, Housing Office, Student Financial Aid, Records and Registration, the University Student Government Association and the Graduate Student Government Association Offices, Student Services Office for Disabled and International Students, Student Transportation Services and a Writing Clinic. In addition, the Baltimore Student Union houses the University Bookstore, a deli, the Courtyard Cafe, a commuter lounge with full-service vending, TV lounge, meeting room, an ATM machine, laundry room and two floors of dormitorv rooms.
Parking and Transportation
On-campus parking is available to students. Commuters will first have to purchase a parking permit ($1.00) which allows campus parking but does not guarantee a space. Commuters may park in the Lexington Garage and Koesters Lot (Lexington and Pine Streets) at the current student rate of $3.50 per day on a first-come, first-served basis.
Students who live in on-campus housing pay for parking by the semester or year and are guar- anteed 24-hour parking in a garage adjacent to their residence facility. For more information about parking on campus, write Parking and Commuter Services, University of Maryland Baltimore, Baltimore, Maryland 21201 or call (410) 706-6603.
Students who live in the communities adjacent to UMB can use the caravan shuttle, which oper- ates in the evenings year round. An intercampus shuttle provides transportation between the University of Maryland Baltimore County (UMBC) and UMB. For schedules and information on either of these shuttles call the Parking & Commuter Services Office at (410) 706-6603.
Public transportation makes the campus accessible by bus, subway and light rail. More than a dozen MTA bus routes stop in the campus area. The Baltimore Metro (subway) runs from Charles Center downtown to Owings Mills in northwestern Baltimore County. A light rail line offers service with park-and-ride accommodations from Hunt Valley in northern Baltimore County to Glen Burnie in Anne Arundel County. The UniversityCenter stop is located at Baltimore and Howard Streets.
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School of Medicine Departments
Anatomy and Neurobiology
Professor and Chair Michael T. Shipley, PhD
The brain is a major frontier in biological research. Significant progress has been made in recent years in understanding the brain, from the level of molecular genetics and neural circuits to behavior, the final product of neural activity. The Department of Anatomy & Neurobiology focuses its energies investigating brain organization and function in medical, graduate and post- doctoral education. An outstanding heavily funded faculty, modern well-equipped laboratories and state-of-the-art instrumentation make this effort highly successful and internationally visible.
FACULTY RESEARCH INTERESTS
Major research efforts in the areas of developmental neurobiology, chemical senses and neural networks have been added to existing strengths in cellular neurobiology and reproductive neuroen- docrinology. A wide variety of research opportunities is made possible by extensive collaboration among departmental faculty and neuroscientists in other departments and at other institutions. Departmental faculty investigate questions from the molecular to the system level, from gene expression through assembly and function of specialized cell-membrane domains to development, function and plasticity of neuronal networks. Our faculty apply contemporary molecular, physio- logical and anatomical techniques to these questions. Several laboratories use organotypic slice cultures to investigate the development and function of neural networks.
UNDERGRADUATE MEDICAL PROGRAM
The medical educational goal of the Department of Anatomy & Neurobiology is to provide a basis for understanding the development, structure and function of the human body. To this end, anatomy & neurobiology faculty are major participants in two integrated teaching blocks, Blocks II and VI, and have minor teaching involvement in Blocks IV and VII. Block II, Structure and Development, combines gross human anatomy, microanatomy (histology), embryology, radiology, surgery and physiology. In Block VI, Neurosciences, neuroanatomy is integrated with neurophys- iology, neurochemistry, neurobiology and clinical neurology. In both blocks, lectures are correlated with practical laboratory assignments. In this way, the student is provided with a comprehensive treatment of the subject matter and has ample opportunity to learn its important clinical impli- cations and research applications.
GRADUATE AND POSTDOCTORAL PROGRAMS
Graduate students are encouraged to investigate critical biological questions by applying a broad range of experimental approaches. Graduate programs lead to the PhD or MD/PhD degrees. The program of study is uniquely tailored to individual student needs to establish a foundation in molecular and cellular biology with a minimum of required coursework. In addition, courses in principles of neuroscience, developmental neurobiology, modern neuroanatomical methods, the structure-function of membranes, ion channels, synaptic transmission, imaging, and reproductive physiology and endocrinology are available as well as journal clubs in neuroscience, chemosensory
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neurobiology, membrane biology and reproductive biology. New courses in the analysis of neural networks and innovative mini-courses that focus on scientific writing and preparation of grant applications to further prepare students to become competitive scientists are planned.
The department also has an NIH-funded postdoctoral training grant and attracts a high number of outstanding postdoctoral fellows.
Anesthesiology
Martin Helrich Professor and Chair M. Jane Matjasko, MD
The Department of Anesthesiology provides a required rotation for students during their junior year (GSUR 531-01). This weeklong rotation includes clinical experience in the operating room as well as didactic experience. Students receive instruction in basic airway, pharmacology and anes- thetic techniques. A sub-internship rotation in the surgical intensive care unit and several month- long similar electives are offered by the department. A brief description of each course follows:
SUB-INTERNSHIP (548-01)
The goal of this course is to provide the student with clinical experience in the evaluation and management of critically ill patients, primarily, but not exclusively, surgical patients. The student spends the majority of the time during this rotation working in the surgical intensive unit (SICU). The student will participate in daily work and teaching rounds and have responsibility for the care of assigned patients under the direction of the SICU physician team. Students admit patients to the unit, perform history, physical and laboratory assessments, present patients on rounds and provide ongoing care.
ANESTHESIOLOGY (ANES 541-01)
A month elective in anesthesiology providing active "hands-on" clinical participation to provide broad insight into the practice of anesthesiology. Students learn how this specialty functions in preoperative evaluation, intraoperative management and post anesthesia care as well as consulta- tion services in pain management. Application of the basic sciences during anesthesia is also presented.
NEURO/RESEARCH ELECTIVE (ANES 589-01)
A one month clinical elective in neurosurgical anesthesia. The student will spend time in the oper- ating room with senior faculty and senior residents in caring for seriously ill neurosurgical patients. Emphasis will be placed on pre-operative evaluation, intra-operative monitoring and post-opera- tive care. The student may participate in ongoing clinical or basic science research under faculty supervision.
PAIN MANAGEMENT CENTER (ANES 542-01)
This elective offers students broad exposure to strategies and techniques employed in pain management. At the University of Maryland Pain Management Center, students will participate in the evaluation and management of patients with chronic pain syndromes. Alternative therapies (acupuncture and hypnosis) are often incorporated. Students also participate in daily morning rounds on the Acute Pain Management Service. This consult assists in the management of hospi- talized patients with particularly challenging post-operative use of opioids in pain management.
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GRADUATE PROGRAM
The program has a continuing commitment to the development of astute clinicians, avid researchers, excellent graduate and undergraduate educators, and quality, compassionate patient care. The department administers over 20,000 anesthetics per year.
The residency is accredited for the training continuum of three years. The diverse curriculum permits candidates to fulfill the educational requirements for entrance to the American Board of Anesthesiology examination system. Appointments are made at the CA-l/PGY-2 level. The Clinical Base Year (CB/PGY-1) is arranged by the candidate.
Residency training consists of supervised daily instruction in the care of patients requiring surgery, obstetric care, pain management, critical care services, and preadmission evaluation. Experience is provided in postoperative care, resuscitation, respiratory and circulatory emergency care, and ventilator management.
POSTGRADUATE FELLOWSHIP
Individuals may choose to complete subspecialty fellowship training (12 to 24 months) beyond the three clinical anesthesia years. There are accredited fellowships in critical care medicine and pain management, as well as advanced subspecialty fellowship training in pediatric anesthesiology, cardiothoracic, neurosurgical, obstetrics, trauma, and research.
A fully accredited one-year fellowship program is available in anesthesiology critical care. The curriculum includes nine months of critical care experience in the intensive care units at the University of Maryland Medical Center and Shock Trauma Center, one month of echocardiog- raphy, and two months of an elective.
Biochemistry and Molecular Biology
Professor and Chair Giuseppe Inesi, MD, PhD
Biochemistry, including molecular biology and gene expression, seeks to understand the phenomena of biology in terms of molecular structure and interaction. It permeates all of modern biology and medicine and is a fundamental prerequisite to other medical sciences, particularly pharmacology, microbiology, cell biology, pathology and the clinical sciences.
The teaching goal of the department is to present a concise but comprehensive lecture-confer- ence course including as major subjects: proteins, enzymes, nucleic acids, intermediary metabo- lism, energy production and utilization, chemical aspects of hormones, protein and nucleic acid biosynthesis, with general reference to cell and molecular biology and genetics.
The Department of Biochemistry and Molecular Biology faculty is involved in teaching the first-year blocks; Block IV-Cell and Molecular Biology, Block V-Neurosciences and Block VI- Functional Systems.
UNDERGRADUATE MEDICAL PROGRAM
Cell and molecular biology courses are concentrated in a ten-week period in late fall of the freshman year. Activities include plenary lectures, small group conferences with problem-based learning, independent studies and a series of correlative medicine sessions to demonstrate the application of biochemistry to the understanding of human disorders.
GRADUATE PROGRAMS
The Department of Biochemistry and Molecular Biology also offers PhD programs, and a MD/PhD program. Classroom teaching for graduate students includes courses in introductory biochemistry and molecular biology, proteins and enzymes, biochemistry seminar, muscle:
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contractility and excitation-contracting coupling and advanced molecular biology. In addition, several professors are available as advisors for fulfillment of experimental theses in funded research laboratories.
Students interested in biochemistry and cell and molecular biology are encouraged to contact individual faculty members about opportunities for part-time or summer research. Limited funds have been made available to support part-time research assistants.
FACULTY RESEARCH INTERESTS
Research interests within the Department of Biochemistry and Molecular Biology are numerous and include studies in membrane transport and membrane biochemistry, eukaryotic and prokary- otic molecular biology, virus assembly, enzymology, fluorescence and NMR spectroscopy, Ca21 regulation mechanisms, receptor mechanisms, hemoglobin biochemistry, as well as many others. In addition to the individual research programs of the faculty, the department is widely recognized for its Center of Fluorescence Spectroscopy, under the direction of Dr. Lakowicz; the NIH Program Project on regulation of Ca21 in muscle, under the direction of Dr. Inesi; and the NIH Program Project on Hemoglobin Substituents, directed by Dr. Bucci.
Dermatology
Professor and Acting Chair Joseph W. Burnett, MD
Dermatology faculty teach in the first-year Structure and Development block and in the second- year Immunology, Host Defenses and Pathophysiology and Therapeutics blocks. During the ambulatory block of the third year medicine students rotation, all students attend eight half-day sessions in the clinic.
DERM 541. Dermatology Elective. Dermatology may be taken as an elective during the fourth year. Students work together with the dermatology residents and attending physicians in the diagnosis and treatment of a large number of patients with cutaneous disorders. Emphasis is placed on devel- oping proficiency in dermatologic examination and description. Students actively participate in grand rounds, daily seminars and the weekly journal club. They also attend the clinical sessions of the Maryland Dermatological Society. A brief oral presentation and short final examination are required.
GRADUATE PROGRAM
The University of Maryland has a three-year residency program in dermatology which stresses both the clinical and research aspects of this specialty. One year of internship in a primary care field is required. The usual conferences in a dermatology program, such as pathology, mycology, immunology and allergy, basic sciences, journal club, radiation therapy, pharmacology and clinical textbook review, are included in the program.
DERMATOLOGY RESIDENCY PROGRAM
The University of Maryland has a three-year accredited program in Dermatology, which stresses both the clinical and research aspects of the specialty. Each house officer will be assigned his/her own patients during this time, and will average at lease 1 5 patients individually per day. We have the largest clinic in the area and have affiliations with the adjacent Veteran's Administration Medical Center. Our program offers a cooperative attending staff, a large number of patient encounters, excellent facilities, and a clinic experience where you see your own follow-up patients
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over an extended time. A good dermatologist requires knowledge of the progress of the therapy of chronic disorders. This knowledge can only be obtained by following patients for months to years. There are one or two residency positions available each year.
CONFERENCES
The didactic training sessions are conducted by the faculty, selected by the residents and regulated by the resident staff. Conferences, including pathology (unknowns and test review), immunology and allergy, basic sciences, mycology, journal club, pharmacology unknown kodachromes and clin- ical text reviews are included in our program.
CLINICAL DERMATOLOGY
The clinics at the University of Maryland Medical Center and the Baltimore Veterans Affairs Medical Center meet in the mornings and afternoons respectively. All of the patients are under residents' care with monitoring by chief residents and/or attending staff. The fact that residents attend these clinics daily and have primary responsibility for the patients over the course of three years is unique in American dermatological training programs. Every afternoon, one resident serves as in-hospital consultant. Every morning, one resident runs a busy phototherapy unit at the VA. Surgical clinic meets weekly.
RESEARCH
Research experience is available at the University of Maryland dermatology service. Residents are required to participate in a project during their residency years. Adequate funds for supplies and technical help are in place. Any research proposal requiring the guidance of faculty in another department can be pursued in the laboratories of those departments within the medical complex.
SURGERY
The dermatological surgery experience is excellent. "Hands on" procedural instruction is routine. The Department of Dermatology has a full-time Mohs' surgeon and an excellent surgical confer- ence schedule.
ELECTIVES
Elective time to pursue students' own interests with dermatology or other related fields has been made available for senior residents. This has been usually taken during the winter months, in such fields as pathology, immunofluorescence diagnoses, phototherapy or dermatological surgery.
STUDENT ELECTIVES/FELLOWSHIPS
We do not offer surgical or other types of fellowships. While we do not offer research positions or research electives, we do offer a clinical elective for 4th year students who have completed their internal medicine rotation. The elective is very popular, and priority is given to University of Maryland students. Interested students from other institutions should apply to the University of Maryland Office of Student Affairs with several months notice.
APPLICATION PROCESS
Applications will be accepted THROUGH ERAS ONLY. The deadline for completed applications is December 1 of each year. Interviews are held in January by invitation only. We participate in the NRMP match. We will accept applications from individuals who have completed more than one postgraduate training year. Please address questions to the residency coordinator at (410) 328-5766.
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Diagnostic Radiology
Professor and Chair Philip A. Templeton, MD
Since German physicist Wilhelm Conrad Roentgen discovered the x-ray in 1895, radiology has become an integral part of our healthcare delivery system. With advances in technology, radiologic studies now establish or verify the diagnosis in three out of four cases of organic disease. The devel- opment and integration of nuclear medicine, ultrasonography, computed tomography and magnetic resonance imaging (MRI), has provided diagnostic imaging with an even more central role in diagnosis and selected (interventional) therapeutic procedures. The radiology department at the University of Maryland has state-of-the-art facilities and cutting-edge technologies, making it one of the most sophisticated in the world.
RESEARCH INTERESTS
Clinical research is the main focus of departmental research activity. Multiple divisions within the department are pursuing a wide variety of research in state-of-the-art technologies such as spiral CT, MR imaging, SPECT and PET imaging, teleradiology, and picture-archiving and communi- cations system (PACS). The department was among the first in the nation to obtain CT fluo- roscopy and portable CT. Specific projects include the evaluation of interventional and non-interventional applications of CT fluoroscopy, assessment of MR pulse sequences to improve diagnosis, use of spiral CT to decrease the intravenous contrast dose, and a comparison of the quality of conventional and PACS images. A complete computed radiography and PACS system is installed in University of Maryland Medical Center and the Baltimore VA Medical Center.
The department is organized into the subspecialty sections of abdominal imaging, angiog- raphy/interventional radiology, breast imaging, chest radiology, musculoskeletal radiology, neuro- radiology, nuclear medicine, pediatric radiology, trauma radiology and ultrasonography. The subspecialty organization and multiple interdepartmental conferences facilitate collaboration with diverse clinical specialties. Current projects include cooperative studies with physicians in the Greenebaum Cancer Center, MR evaluation of renal-pancreas transplants, CT assessment of patients undergoing lung volume reduction surgery, and preoperative local staging of breast cancer with MRI and ultrasound. Other projects are underway in cooperation with MIEMSS physicians, evaluating the usefulness of CT and MRI in the diagnosis of multiple visceral and skeletal trauma, particularly involving the pelvis and acetabuli. Multiple cooperative cardiovascular nuclear medi- cine studies are progressing with the Department of Medicine's Division of Cardiology. In addi- tion, a national training program for mammographers in practice is being developed.
UNDERGRADUATE MEDICAL PROGRAM
The Department of Diagonstic Radiology offers the medical student an opportunity to acquire a broad base of knowledge related to imaging in almost all aspects of medicine. Formal instruction begins during anatomy in the first year and pathology in the second year. During the third or fourth year, students may elect to take the basic radiology course (RADI 540). The curriculum is supplemented with small group case discussions with the faculty and contact through interde- partmental rounds and conferences involving radiology during clinical rotations.
THIRD OR FOURTH YEARS BASIC RADIOLOGY ELECTIVE, RADI 540
Small groups of students are assigned for a period of four weeks to the radiology department. Groups are subdivided to allow individual instruction as the student rotates through a series of observation periods in selected subspecialties within the department. Students also receive an
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introduction to the Department of RadiationOncology. Reading assignments, slide-tape exercises, a student teaching file and seminars form the core of the learning experience. Students attend departmental conferences and joint conferences with other departments.
THIRD AND FOURTH YEARS SUBSPECIALTY RADIOLOGY ELECTIVE
Students learn more about appropriate use of diagnostic imaging and interpreting images. The curriculum is flexible, tailored to the needs of the student's career choice. Students are expected to investigate a small aspect of imaging within their area of interest and make a short presenta- tion to the faculty and residents. This presentation and overall performance, as evaluated by the curriculum supervisor, serve as the evaluation criteria for this elective. Students are given the opportunity (in all sections) to perform clinical and/or lab research, correlate imaging evalua- tions, do statistical analysis, run literature reviews, etc.
GRADUATE PROGRAM
A four-year residency is offered in diagnostic radiology at the University of Maryland Medical System. Fellowships are offered in computed body tomography/ultrasonography/MRI, interven- tional and vascular radiology, neuroradiology, critical care trauma, musculoskeletal radiology, women's imaging, nuclear medicine and chest radiology.
Epidemiology and Preventive Medicine
Professor and Chair
J. Glenn Morris, Jr., MD, MPH & TM
Modern epidemiology is a biomedical discipline at the interface of clinical practice and basic medical science. Preparation for the practice of medicine requires knowledge not only of clinical medicine and basic medical science, but also epidemiology, research methods, biostatistics and social science.
The department is engaged in teaching, research and service across the spectrum of public health and preventive medicine. The faculty has expertise in clinical epidemiology, biostatistics, environmental and occupational medicine, clinical preventive medicine, health services research, aging, behavioral sciences, international health, women's health and clinical research methods. Departmental courses, seminars, journal club, clinical assignments and supervised research expe- riences are offered to enhance the physician's capabilities in these areas of increasing importance to clinical medicine. Interdisciplinary relationships have been formed with other departments and clinics within the University of Maryland Medical Center and throughout the region.
The department introduces principles of epidemiology and biostatistics, clinical research methods, occupational and environmental medicine and, organization of the health care system in the second year, and shows their application to clinical medicine in the third and fourth years of the medical school curriculum.
MD/PhD students can elect to pursue their PhD degree in epidemiology. Another option for medical students interested in epidemiology and preventive medicine is a combined MD/MS degree.
The department sponsors an ACGME approved two-year residency program leading to board certification in preventive medicine. The program prepares physicians for positions in federal health agencies, state health departments, hospitals, medical schools, public health institutes and industry, as well as for the practice of clinical preventive medicine.
Many of the graduate courses, tutorials and research experiences are available to medical students during their elective periods. Students are welcome at departmental seminars listed in the academic calendar and at the journal club which is scheduled each week throughout the academic year.
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Community service activities of the department are carried out in health planning, research and evaluation through active collaboration with hospital clinics, health departments, governmental agencies and voluntary organizations concerned with public health problems.
RESEARCH INTERESTS
Department research activities cover a broad range of faculty interests. Clinical and community intervention studies are directed toward the causes and prevention of major chronic diseases. Environmental and genetic risk factors associated with disability are an area of active research. Research on hip replacement outcomes, as well as treatment of Lyme disease, exemplifies increased attention to the study of medical care effectiveness and outcomes. Behavioral change research, particularly smoking cessation and diet modification, focuses on establishing and maintaining a healthy life style. The department's program of international health has a research project on viral hepatitis in Egypt and investigates the prevention and control of infectious and tropical diseases in other parts of the world. Women's health throughout the life cycle has become a recent research concentration; musculoskeletal and reproductive health are of particular interest.
UNDERGRADUATE MEDICAL PROGRAM Second Year
Biostatistical and epidemiological methods, principles of occupational and environmental medi- cine and organization of the health care system are integrated into the blocks of systems-oriented instruction in the second year. The emphasis is on providing practitioners with the tools necessary to evaluate the scientific medical literature critically regarding issues such as disease etiology and diagnostic testing, as well as preventive and therapeutic interventions. These concepts are intro- duced in lectures and applied in exercises in small-group sessions. The exercises complement systems-related material introduced by other disciplines and relate to research papers which address clinically relevant issues.
Clinical Years
The applications of preventive medicine to clinical practice are presented in the junior-year ambu- latory and clinical preventive medicine combined rotation. Emphasis is placed on the important role of the physician in health promotion and disease prevention. Sessions focus on risk factors for the leading causes of death and disability in the United States and on important issues in health care policy affecting physicians and their patients. Students also present patient management cases. In the senior year, each student conducts research at an assigned clinical site during the ambula- tory care rotation.
Electives
Elective opportunities are available for medical students, including tutorials with selected faculty members, supervised research experiences and field experience. Among current offerings are the following:
PREV 541. Introduction to Public Health Practice
PREV 542. Tropical Medicine and International Health
PREV 543. Clinical Practice in Occupational Health
PREV 544. Occupational Health Hazard Investigation Field Experience
PREV 545. Health Problems in Developing Countries
PREV 546. Occupational Respiratory Healthy Hazard Investigational Field Experience
PREV 547. Migrant Health Field Experience
PREV 550. Practical Experience in State-wide Surveillance of Lyme Disease and Ehrlichiosis
PREV 551. Research in Occupational Health
PREV 589/599. Research in Epidemiology and Preventive Medicine
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SUMMER FELLOWSHIPS
Summer fellowships in preventive medicine are available to a limited number of students. Each student works closely with a faculty member and undertakes a research project in some aspect of preventive medicine or epidemiology. Students also participate in departmental seminars, journal club and workshops that enhance interaction with faculty members, residents and other students. Elective credit may be given upon completion of project requirements.
GRADUATE AND POSTGRADUATE STUDIES
The departments graduate program consists of a PhD in epidemiology and an MS in epidemiology and preventive medicine, as well as the MD/PhD and MD/MS combined degrees available to medical students. Work toward the PhD in the combined MD/PhD degree program will normally occupy at least three years between the second and third years of medical school. Contact the MD/PhD program office [(410) 706-3990)] for information about stipends. The combined MD/MS degree may require one year in addition to the usual four-year medical school curriculum which also satisfies one year of the requirements for board certification in preventive medicine.
The department has a postgraduate two-year residency program in preventive medicine leading to eligibility for certification by the American Board of Preventive Medicine. The residency provides a variety of individually planned opportunities for advanced study and practice in epidemiology, biostatistics, computer science, health care administration, gerontology and occu- pational health. Components of the residency program include required and elective graduate- level courses, a variety of seminars, journal club and workshops, supervised research experiences and field placements in public health or research settings. Course work leads to a Master of Science degree in epidemiology and preventive medicine.
In cooperation with the Departments of Medicine, Pediatrics, Family Medicine and other clin- ical departments, combined residency programs may be arranged for qualified applicants leading to board-eligibility in both preventive medicine and a clinical specialty.
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Family Medicine
Professor and Chair Herbert L. Muncie Jr., MD
The Department of Family Medicine educates family physicians to render high-quality medical care to individual patients and families of all ages in a continuous and comprehensive manner. Family physicians are responsible for patient care at the point of entry into the health care system; providers or coordinators of health care at the secondary and long-term care phases of illness; and coordina- tors of tertiary care.
The department offers educational experiences in family medicine for students at the University Family Medicine office, on the Family Practice Inpatient Service, and through an interdisciplinary, longitudinal educational program that is guided by a staff of experienced family physicians. Moreover, students may participate in community health services, supervised practice experiences and health care research.
Within the discipline of family medicine, several areas are emphasized. The department provides regular house calls for 50 frail, homebound elderly in the city. The department has a divi- sion of behavioral medicine that further integrates the teaching of basic science, clinical medicine and the psychosocial aspects of health care. The division assists in the education of substance abuse, training issues related to family violence and abuse, and common mental health conditions seen in family medicine, such as anxiety and depression.
The department has a Program in Complementary Medicine as part of the Lang Complementary Medicine Project. This is a research oriented project that examines the effective- ness of acupuncture, homeopathy and other complementary medicine techniques in medical care with an additional component of education and clinical care. The program has a full-time faculty acupuncturist and conducts an annual seminar series on complementary medicine.
The department has developed an active sports medicine division. Family medicine physicians participate in the care of the Baltimore Ravens, University of Maryland Terrapins and the Coppin State athletes. A fellowship in primary care sports medicine is available.
The department has a major focus on providing health care to underserved patients and communities, involving community outreach and disease prevention.
RESEARCH INTERESTS
The research efforts of the Department of Family Medicine reflect the broad interests of the department's faculty. Current projects, which are clinically oriented and relate to current medical problems, range from epidemiologic studies to evaluations of specific therapies. The department has a strong interest in health promotion and nutrition, especially as they relate to the family and the elderly. The department concentrates on investigating ways to improve community health. Collaborative efforts with other departments involve investigations into health promotion, screening for HPV infections and the management of the abnormal PAP smear. During their last year of training, all family medicine residents are required to complete a research project and to present their results at the Annual Family Medicine Residents' Research Day. The department faculty, fellows and residents present their research at national meetings, and in journals, books and other publications.
UNDERGRADUATE MEDICAL PROGRAM
Minimester Electives. During the summer months, students may elect to spend time in the office of a selected family physician in order to observe the varied professional activities of a physician practicing in the community. During preceptorship experiences, students may participate in direct patient care or primary health care research.
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Family Care Track Program. The Family Care Track (FCT) is an elective undergraduate experi- ence designed to teach medical students the principles of family medicine with a focus on the urban, poor, multi-problem family. It provides a continuous clinical experience through all four undergraduate years. Students are assigned to follow families over the first two years in the depart- ment's Family Practice Centers. The families are selected to provide exposure to obstetric, pediatric and geriatric care, and to family dysfunction. Supervision is provided to the individual student and through the use of small group integration seminars for case discussion. The students also are required to complete a community medicine seminar series, a social services preceptorship, a needs assessment, a community project and a four-week clinical preceptorship in sites, including some located in health-professional shortage areas.
Up to 40 students are selected each year from the freshman Longitudinal Elective in Family Medicine to participate in the FCT program. Credits for this elective include four weeks of senior elective credit at the completion of the program.
Longitudinal Ambulatory. The longitudinal ambulatory clerkship is designed to: 1) give students a longitudinal experience in primary care, 2) help the student integrate the management of patient problems through the continuum of initial presentation, outpatient and inpatient clinical medicine, and 3) allow the student to have an extended interaction with a primary care physician for role modeling purposes. Students spend one afternoon every other week with a primary care physician (pediatrician, family practitioner or general internist) during their junior year of medical school.
Third-Year Family Medicine Clerkship. The family medicine clerkship focuses on the guiding principles of family medicine: continuity and coordination of care, comprehensiveness, commu- nity, prevention, and family. Students spend four weeks in a family medicine practice in either an urban or suburban locale. Each Friday during the clerkship students meet at the Department of Family Medicine for a series of lectures on the family life cycle and to research, evaluate, and present case studies/patients.
Senior Elective in Family Practice. In this elective, students work with a community family physician preceptor. They have the opportunity, under supervision, to manage problems typical of a busy practice, ranging from obstetrics to geriatrics. There is ample opportunity to be involved in coordinating continuous care of patients over a four-to six-week period. Students begin to under- stand the patient in relation to family, job and environment. Furthermore, the student observes the role of the physician in society, the social and civic obligations and responsibilities to the patient. Site options range from urban health manpower shortage sites to rural private practice. In these varied settings, students are expected to conduct a limited clinical investigation, using data collected in the practice, and to attend weekly Alcoholics Anonymous or Al-Anon meetings in the community.
Senior Sub-Internship in Family Practice. The Department of Family Medicine offers an eight- week internship to senior students. This is an extensive inpatient experience utilizing the family medicine inpatient service. Variety is a major attraction as the patients' needs range from newborn care and obstetrics to adult general medical and geriatric care. The student is exposed to the family practice approach to inpatient care with an emphasis on interdisciplinary, comprehensive and continuous care and participates in night and weekend call. Students may choose to accomplish the rotation at University of Maryland Medical Center or Union Memorial Hospital. The rotation at Union Memorial is primarily an internal medicine experience.
Senior Ambulatory Clerkship in Family Practice. Students may select University Family Practice as an option in the required Senior Ambulatory Course. This eight-week rotation exposes students to the clinical practice of the Department of Family Medicine residency program. In this
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setting, students are scheduled to see patients daily in the University Family Practice Center, work with a variety of preceptors from the Department of Family Medicine and participate in didactic sessions. This ambulatory experience is designed to expose students to the principles and practice of family medicine.
GRADUATE MEDICAL PROGRAM
The University of Maryland's approved three-year residency in family practice is one of the oldest in the nation. Approximately 30 residents are enrolled in a three-year program. The program's goal is to provide comprehensive training in the specialty, utilizing the latest information and educa- tional methods. Resident training takes place both at University of Maryland Medical Center, where the expertise of faculty in all specialties can be utilized, and in several community hospitals where the residents are exposed to a wide variety of patient problems. Flexibility is maintained through the availability of electives in order to accommodate specific needs of the trainee. Although the majority of graduates are actively engaged in family practice in rural, suburban and urban areas, a significant number are pursuing academic careers.
Medical and Research Technology
Professor and Chair
Denise M. Harmening, Ph.D.
The department currently offers a Bachelor's of Science degree with a concentration in either Medical Technology (Clinical Laboratory Science) or Biomedical Science Research (Biotechnology). These programs combine the strengths of a major research university with the benefits of small classes and a high faculty-to-student ratio. As a component of a large academic health center, the Department of Medical and Research Technology affords students unusual opportunities to participate in a stim- ulating educational environment while gaining practical experience in clinical laboratory science and biotechnology through clinical rotations and externships in industry.
Medical technology (clinical laboratory science) provides information crucial to the diagnosis and prevention of disease, the management of patient therapy and maintenance of health. Medical technologists are involved in performing laboratory procedures ranging from identification of microorganisms to analysis of body fluids, and providing blood for emergency transfusion. Biomedical science focuses upon the discovery, development and production of diagnostic prod- ucts and biopharmaceuticals. The biotechnologist uses skills in molecular and cellular biology, immunology, protein chemistry and microbial fermentation to produce reagents and products used in industry, medicine, and in basic and applied research.
Students transfer into the program in their junior year following the completion of 60 credit hours of prerequisite coursework at a regionally accredited community college or university of their choice. Those attending two-year institutions may transfer directly to the Department of Medical and Research Technology. Most students complete the professional curriculum in two years; however, a three-year, part-time option is available for non-traditional students. To promote the departmental philosophy of life-long learning, all students participate in a formalized student professional development program.
Students completing the medical technology program are eligible for certification from national agencies such as the American Society for Clinical Pathologists, MT(ASCP) and the National Certifying Agency, CLS(NCA). The medical technology concentration of study fulfills require- ments set forth by the National Accrediting Agency for Clinical Laboratory Sciences, and the department has received a full seven-year accreditation. Students completing the Biomedical Science Research Track are eligible for certification from the National Accrediting Agency as a specialist in Molecular Biology [CLSp(MB)].
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The department has successfully developed a