Columbia

Courses

Biochemistry/ Genetics

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  BMSC D601 - Biochemical Basics of Disease

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  Credits: 4
  
  A four-credit-hour, fall semester, first-year course that covers human biochemistry at the molecular, cellular, and whole-body levels, including information about amino acids, proteins, and enzymes; the general principles of bioenergetics and metabolism; and the biochemistry and metabolism of carbohydrates and lipids. Clinical correlation conferences on specific diseases and disorders illustrate the clinical relevance of biochemical concepts covered in lecture.

  Primary methods of instruction include lectures and clinical correlations.

  Modes of assessment include departmental multiple choice examinations.
  
  Note: Restricted to medical students
  
  

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  BMSC D602 - Molecular Medicine

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  Credits: 4
  
  A four-credit-hour, spring semester, first-year course. The course covers the metabolism of amino acids and nucleic acids; the structure and function of DNA and RNA; protein synthesis and gene regulation; and the biochemistry of selected hormones. Emphasis is placed on unique aspects of the metabolism of specific organs and integration of metabolism within and between organs. Clinical correlation conferences on specific diseases and disorders illustrate the clinical relevance of biochemical concepts covered in lecture.

  Primary methods of instruction include lecture and clinical correlations.

  Modes of assessment departmental multiple choice examinations and the NBME Biochemistry subject examination as the final exam.
  
  Note: Restricted to medical students.
  
  

Cell Biology and Anatomy

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  MCBA D601 - Medical Embryology and Gross Anatomy

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  Credits: 8
  
  An eight-credit-hour, fall semester, first-year course involving the combined comprehensive study of the gross and developmental anatomy of the human body, taught in a collaborative learning atmosphere, by which the student learns the names, relationships, and basic functions of body structures. The course relies significantly on a commitment to rigorous independent study.   Primary methods of instruction include lecture, case-based discussion/presentation, ultrasonography, laboratory dissections, and independent learning experiences. Modes of assessment include departmental written multiple choice/essay examination, laboratory practical examination, and detailed oral examination/presentation.  
  
  Note: Restricted to medical students.
  
  
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  MCBA D602 - Medical Microscopic Anatomy

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  Credits: 5
  
  A five-credit-hour, fall semester, first-year course in which the structure of cells, tissues, and organs is studied and the functional significance of their morphological features is presented. Students observe, firsthand, histological structures in human tissues through the study of microscopic slides, digitized images, and electron micrographs in the laboratory. Students integrate basic concepts and principles of microscopic structures as they pertain to clinical medicine. Web-based instructional methods and videodisc databases are used to present images and other supporting information relating to overall course content, primarily during laboratory sessions. The goal of laboratory sessions is to facilitate critical thinking skills and correlation of basic science information with clinical problems. The course provides the structural basis for understanding principles to be learned in biochemistry, physiology, and pathology. Primary methods of instruction include lecture, computer-assisted instruction, and independent learning experiences. Modes of assessment include departmental written multiple choice examinations, and laboratory practical examinations.  
  
  Note: Restricted to medical students.
  
  

Pathology, Microbiology, and Immunology

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  PAMB D641 - Medical Pathology

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  Credits: 7
  
  A two-semester, seven-credit-hour (PAMB 641 - fall) and six-credit-hour (PAMB 642 - spring), second-year course that provides students with an understanding of the basic mechanisms of diseases, the body’s response to these diseases, and the manifestation of these changes in patient signs, symptoms, and tests in specific organ systems. Primary methods of instruction include lecture and small-group discussion. Modes of assessment include a NBME subject examination and departmental multiple choice examinations.   
  
  Note: Restricted to medical students.
  
  
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  PAMB D642 - Medical Pathology

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  Credits: 6
  
  A two-semester, seven-credit-hour (PAMB 641 - fall) and six-credit-hour (PAMB 642 - spring), second-year course that provides students with an understanding of the basic mechanisms of diseases, the body’s response to these diseases, and the manifestation of these changes in patient signs, symptoms, and tests in specific organ systems. Primary methods of instruction include lecture and small-group discussion. Modes of assessment include a NBME subject examination and departmental multiple choice examinations.  
  
  Note: Restricted to medical students.
  
  
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  PAMB D650 - Medical Microbiology

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  Credits: 7
  
  A seven-credit-hour, fall semester, second-year course covering fundamental and clinical aspects of microbiology and immunology as they relate to bacteria, viruses, fungi, and parasites. Infectious agents are discussed in relation to their morphology, biology, epidemiology, and pathogenesis. The role of the specific and nonspecific immune systems in defense against infection and disease, as well as in the causation of disease (immunopathogenesis), is emphasized. A section of the course is devoted to special topics in infectious diseases. Primary methods of instruction include lecture, case-based discussion/presentation, patient-oriented problem-solving exercises, clinical correlations, and laboratory. Modes of assessment include departmental written multiple choice examination and an assessment of participation in problem-solving exercises, case study discussions, and computer simulated laboratory exercises.
  
  Note: Restricted to medical students.
  
  

Pharmacology, Physiology, and Neuroscience

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  PHPH D603 - Medical Neuroscience

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  Credits: 4
  
  A four-credit-hour, spring semester, first-year course that provides a foundation in the anatomy and physiology of the human nervous system needed to understand the signs and symptoms of neurological injury and to localize such injuries accurately. Students study the human spinal cord, brain stem, and cerebral hemispheres in the laboratory. They also study sensory (auditory, vestibular, visual, olfactory, gustatory, and somatosensory) and motor (upper and lower motoneurons, the basal ganglia and cerebellum) systems, ocular movements, and visual reflexes, as well as the cerebral fiber systems, blood supply, and ventricular system. Other important topics studied include the  thalamus, hypothalamus, and limbic system, with special attention devoted to higher cortical function.  Primary methods of instruction include lectures, hands-on laboratory sessions using human material, sections through the brain and spinal cord correlated with MRI images, laboratory based problem-solving exercises, and clinical correlations presented by practicing physicians in neurology, neurosurgery, neuro-ophthalmology, and neuro-otology. Modes of assessment include multiple choice examinations and written laboratory practical examinations.  
  
  Note: Restricted to medical students
  
  
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  PHPH D621 - Medical Physiology

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  Credits: 7
  
  A seven-credit hour, spring semester, first-year course that integrates essential concepts and facts about human physiology. This course covers the following areas of physiology: biophysics, neuromuscular, endocrine, autonomic, cardiovascular, renal, gastrointestinal, respiratory, and reproduction. Emphasis is placed on understanding and applying physiological processes and concepts.   Primary methods of instruction include lecture, computer-assisted instruction, problem-solving exercises, clinical correlations, and small-group discussion.   Modes of assessment include departmental multiple choice examinations, self-assessment exams, and a NBME subject examination.    
  
  Note: Restricted to medical students.
  
  
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  PHPH D631 - Medical Pharmacology

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  Credits: 7
  
  A seven-credit-hour, spring semester, second-year course covering the major areas of medical pharmacology, including principles of drug action; autonomic, renal, cardiovascular, CNS, and endocrine pharmacologies; chemotherapy; and toxicology. Emphasis is placed on the effects of drugs on pathological and physiological processes, as well as on the biochemical mechanisms by which drugs act. Primary methods of instruction include lecture, case-based discussion/presentation, problem-solving exercises, and small-group discussion. Modes of assessment include departmental written multiple choice/essay examination.  
  
  Note: Restricted to medical students.
  
  
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  PHPH 750 - Fundamental Neuroscience I

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  Credits: 4
  
  Integrated foundation in neuroanatomical and neurophysiological principles from a research-oriented perspective.
  
  
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  PHPH 751 - Fundamental Neuroscience II

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  Credits: 4
  
  Integrated foundation in neurochemical and neuropharmacological principles from a research-oriented perspective. Includes aspects of molecular neuroscience and systems analyses.
  
  

Office of Medical Education

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  DMED D601 - Introduction to Clinical Medicine I

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  Credits: 2
  
  A two-semester, two-credit-hour (DMED 601 - fall) and five-credit-hour (DMED 602 - spring), first-year course consisting of an introduction to the medical profession and to doctor-patient and doctor-community relationships, community and preventive medicine concepts, information about the components of health care delivery systems, and basic philosophical principles underlying bioethical decision-making. The stages of normal growth and development are also discussed to ensure that students acquire a basis for exploring the life history of the patient with an awareness of issues relevant to different age periods. Information about gender and sexuality is presented, followed by a discussion of sexual disorders and dysfunctions. Students are introduced to the basic skills of medical interviewing and the mental status examination through the use of standardized patients and through participating both semesters in a clinical preceptorship. In addition, beginning in the spring semester, each student will be assigned a senior mentor with whom they will practice the medical interviewing skills as well as discuss normal aging. Primary methods of instruction include lecture, problem-based learning, standardized/simulated patients, and small-group discussion. Modes of assessment include multiple choice examinations, senior mentor and clinical preceptorship reflection papers, assessment of performance in the medical interview and the mental status examination and by participation in small-group discussion and problem-based learning.  
  
  Note: Restricted to medical students.
  
  
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  DMED D602 - Introduction to Clinical Medicine I

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  Credits: 4
  
   A two-semester, two-credit-hour (DMED 601 - fall) and four-credit-hour (DMED 602 - spring), first-year course consisting of an introduction to the medical profession and to doctor-patient and doctor-community relationships, community and preventive medicine concepts, information about the components of health care delivery systems, and basic philosophical principles underlying bioethical decision-making. The stages of normal growth and development are also discussed to ensure that students acquire a basis for exploring the life history of the patient with an awareness of issues relevant to different age periods. Information about gender and sexuality is presented, followed by a discussion of sexual disorders and dysfunctions. Students are introduced to the basic skills of medical interviewing and the mental status examination through the use of standardized patients and through participating both semesters in a clinical preceptorship. In addition, beginning in the spring semester, each student will be assigned a senior mentor with whom they will practice the medical interviewing skills as well as discuss normal aging. Primary methods of instruction include lecture, problem-based learning, standardized/simulated patients, and small-group discussion. Modes of assessment include multiple choice examinations, senior mentor and clinical preceptorship reflection papers, assessment of performance in the medical interview and the mental status examination and by participation in small-group discussion and problem-based learning.  
  
  Note: Restricted to medical students.
  
  
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  DMED D603 - Introduction to Clinical Medicine II

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  Credits: 6
  
  A two-semester, six-credit-hour (DMED 603 - fall) and seven-credit-hour (DMED 604 - spring), second-year course consisting of an introduction to the fundamentals of physical examination and physical diagnosis and the use of various models to assist in the conceptualization of psychopathological behavior, with an emphasis on the relationship of emotional factors to physical illness. Developmental problems of children, adolescents and adults, addictive problems, sleep disorders, and organic mental disorders are discussed. The course emphasizes the use of population-based data in making sound judgments regarding the clinical care of individual patients and interventions at the community level. Bioethical issues in the care of patients and techniques of prevention are presented and discussed, as are the most frequently encountered primary care clinical problems. The course includes information about frequently used radiologic and clinical laboratory studies and their value and limitations in the context of the pathophysiology of various disease states. The course utilizes an organ system approach and integrates physical diagnosis, ultrasound, and radiology with the medical pathology course. A portion of the spring semester is devoted to a series of problem-based learning exercises designed to integrate information from the Introduction to Clinical Medicine course continuum with knowledge gained from first and second-year basic science courses and to prepare students for the transition to the clinical environment in the third and fourth years.Primary methods of instruction include lecture, problem-based learning, self-instruction modules, standardized/simulated patients, and small-group discussion. Modes of assessment include written multiple choice/essay examination, assessment of participation in small-group discussion and problem-based learning, Objective Structured Clinical Examinations, and the Introduction to Clinical Diagnosis NBME subject examination. Demonstration of mastery of the following minimum clinical skills is required for successful completion of this course: performance of a clinical breast examination; demonstration of basic cardiac life support (BCLS) skills and provision of documentation of same; completion of Columbia Free Medical Clinic experience; demonstration of complete history and physical examination; and performance of computer literature search and completion of assignments related to the care and assessment of community-dwelling elders.  
  
  Note: Restricted to medical students.
  
  
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  DMED D604 - Introduction to Clinical Medicine II

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  Credits: 7
  
  A two-semester, six-credit-hour (fall) and seven-credit-hour (spring), second-year course consisting of an introduction to the fundamentals of physical examination and physical diagnosis and the use of various models to assist in the conceptualization of psychopathological behavior, with an emphasis on the relationship of emotional factors to physical illness. Developmental problems of children, adolescents and adults, addictive problems, sleep disorders, and organic mental disorders are discussed. The course emphasizes the use of population-based data in making sound judgments regarding the clinical care of individual patients and interventions at the community level. Bioethical issues in the care of patients and techniques of prevention are presented and discussed, as are the most frequently encountered primary care clinical problems. The course includes information about frequently used radiologic and clinical laboratory studies and their value and limitations in the context of the pathophysiology of various disease states. The course utilizes an organ system approach and integrates physical diagnosis, ultrasound, and radiology with the medical pathology course. A portion of the spring semester is devoted to a series of problem-based learning exercises designed to integrate information from the Introduction to Clinical Medicine course continuum with knowledge gained from first and second-year basic science courses and to prepare students for the transition to the clinical environment in the third and fourth years. Primary methods of instruction include lecture, problem-based learning, self-instruction modules, standardized/simulated patients, and small-group discussion. Modes of assessment include written multiple choice/essay examination, assessment of participation in small-group discussion and problem-based learning, Objective Structured Clinical Examinations, and the Introduction to Clinical Diagnosis NBME subject examination. Demonstration of mastery of the following minimum clinical skills is required for successful completion of this course: performance of a clinical breast examination; demonstration of basic cardiac life support (BCLS) skills and provision of documentation of same; completion of Columbia Free Medical Clinic experience; demonstration of complete history and physical examination; and performance of computer literature search and completion of assignments related to the care and assessment of community-dwelling elders.  
  
  Note: Restricted to medical students.
  
  

Family and Preventive Medicine

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  FPMD D605 - Family Medicine Clerkship

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  Credits: 6
  
  A six-week, six-credit-hour required clerkship in the third year. Students care for ambulatory patients under the supervision of faculty members and residents for two weeks in the Family Medicine Center at Palmetto Health Richland or the McLeod Family Medicine Center in Florence. Ultrasound technology is available at both campuses and is utilized during this part of the clerkship. Students participate for two weeks as integral members of a team that provides care to hospitalized patients on the family medicine inpatient service. In these settings, students perform initial work-ups on new patients and care for patients with acute and chronic problems; they also have the opportunity for collaboration with nurses, nurse practitioners, and other health professionals. In addition, all students spend two weeks in the office of a practicing physician where they experience health care delivery as it is provided in a community family practice. A variety of settings is utilized from rural sites to suburban and urban sites. Primary methods of instruction include lecture, case-based discussion/presentation, computer-assisted instruction, clinical preceptorship, problem-solving exercises, conferences, standardized/simulated patients, small-group discussion, and teaching rounds. Modes of assessment include the Family Medicine NBME subject examination, clinical evaluations, and an Objective Structured Clinical Examination (OSCE). Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship. 
  
  Note: Restricted to medical students.
  
  

Internal Medicine

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  MEDI D611 - Internal Medicine/Neurology Clerkship

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  Credits: 12
  
  A twelve-week, twelve-credit-hour required clerkship in the third year consisting of two weeks of Neurology, six weeks of inpatient wards, and four weeks of outpatient or subspecialty medicine. During the inpatient portions of the rotation, students perform as active members of the student/resident/fellow/attending physician team. In some cases, the team is a consultative service (subspecialty electives and Neurology) and in others, the team is the primary patient care service (general medicine wards and the intensive care unit). Students are assigned patients, obtain medical histories, perform physical examinations, evaluate laboratory data, and analyze the information in order to define patients’ problems and formulate a diagnostic and therapeutic care plan. Performance is reviewed both during specific preceptor-student contacts and during student presentations on rounds with the team. During the ambulatory portion of the rotation, students work closely with resident, fellow, and attending preceptors, discussing each patient encounter in depth and participating in didactic sessions. Students become familiar with concepts of time management and performance of focused patient assessments. Throughout this clerkship, emphasis is placed on the interpretation of clinical findings in terms of the pathophysiologic mechanisms of disease and the subsequent translation of this information into rational decisions about management. The clerkship provides students, through their active participation, with opportunities to observe the diagnostic process as it unfolds and to develop competence in evaluating broad clinical problems. For Neurology in particular, the focus will be to broaden students’ basic neuroscience knowledge and learn to apply this knowledge clinically. Students will also develop skills in taking a focused neurological history and conducting a thorough neurological examination. Primary methods of instruction include lecture, case-based self-study and discussion, clinical preceptorship, educational conferences, standardized/simulated patients, small-group discussion, and teaching rounds. Modes of assessment include the Internal Medicine NBME subject examination, Neurology departmental exam, clinical evaluations, and an Objective Structured Clinical Examination (OSCE). Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship.  
  
  Note: Restricted to medical students
  
  

Neuropsychiatry and Behavioral Science

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  NPSY D605 - Psychiatry Clerkship

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  Credits: 6
  
  A six-week, six-credit-hour required clerkship in the third year which consists of a three-week assignment to an inpatient psychiatric unit and a three-week assignment in an outpatient/sub-specialty psychiatric setting. The overall goal of the clerkship is to provide a “hands-on” approach to learning psychiatry applicable to the general practice of medicine. While building on the first- and second-year knowledge of psychiatric/development concepts, the rotation emphasizes the ability to perform the various tasks necessary for evaluation, referral and treatment of psychiatric problems. Skills and knowledge in psychopharmacology, differential diagnosis, treatment planning, and the doctor/patient relationship are developed. A variety of clinical rotation sites is available. Required clerkship components include attendance at an Alcoholics Anonymous meeting and a faculty-reviewed videotaped interview. Primary methods of instruction include lecture, case-based discussion/presentation with individual tutors, clinical preceptorship, conferences, small-group discussion, and teaching rounds. Modes of assessment include the Psychiatry NBME subject examination, clinical evaluations, and an Objective Structured Clinical Examination (OSCE). Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship.    
  
  Note: Restricted to medical students.
  
  

Obstetrics and Gynecology

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  OBGY D605 - Obstetrics/Gynecology Clerkship

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  Credits: 6
  
  A six-week, six-credit-hour required clerkship in the third year that introduces students to the basic fundamental principles of obstetrics and gynecology through a variety of inpatient and out-patient experiences. The rotation is divided into a three-week obstetric block, and a three-week gynecology block. During the obstetrics portion of the rotation, students spend one week on the labor and delivery floor during the day and one week on the labor and delivery unit at night. During these two weeks, students are exposed to normal labor and delivery patients, high risk antepartum patients, and postpartum patients. The third week of the obstetrics block is dedicated to gaining exposure to obstetric ultrasound and genetics, as well as spending some more time on the labor and delivery unit. Students are also exposed to maternal fetal medicine as well during these three weeks. During the gynecology block, the students spend equal time in the operating room and the out-patient clinic. The bulk of time in the operating room is spent observing benign surgical cases with a limited amount of time dedicated to the observation of gynecologic oncology and urogynecology surgical cases. While the students are in the out-patient clinic, they are exposed to both obstetric and gynecologic patients, and are involved in the colposcopy, endocrine, high risk pregnancy, and teen gynecology specialty clinics. Additionally, students receive exposure to gynecologic ultrasound by spending time in the ultrasound unit. Primary modes of instruction include teaching rounds, lectures, and conferences. Modes of assessment include the Obstetrics and Gynecology NBME subject examinations clinical evaluations, and an Objective Structured Clinical Evaluation (OSCE). Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship.    
  
  Note: Restricted to medical students.
  
  

Pediatrics

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  PEDI D605 - Pediatrics Clerkship

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  Credits: 8
  
  An eight-week, eight-credit-hour required clerkship in the third year designed to provide a broad overview of general pediatrics. The clerkship consists of four weeks on a pediatrics service, including pediatric intensive care unit and the hematology/oncology service; two weeks in the outpatient pediatric clinic; one week in the newborn nursery and developmental pediatrics; and one week in subspecialty and community pediatrics. In the outpatient setting, students gain experience in the evaluation of patients with common pediatric disorders (e.g., pneumonia, behavioral problems, and gastroenteritis) and in the ambulatory management of complex pediatric disorders, as well as exposure to patients in the child abuse clinic. The inpatient setting provides experience in the full range of pediatric problems from routine pneumonia, croup, and dehydration to the rare and complex entities of congenital disorders and inborn errors of metabolism. In the newborn nursery, students develop skills in the basic newborn examination. During the developmental pediatrics rotation, students make home visits to families of children with special needs. Primary methods of instruction include lecture, problem-based learning, case-based discussion/presentation, clinical preceptorship, problem-solving exercises, home visit, independent learning experiences, conferences, small-group discussion, and teaching rounds. Modes of assessment include the Pediatrics NBME subject examination, a departmental written multiple choice/essay examination, clinical evaluations, an oral examination/presentation, and an  Objective Structured Clinical Examination (OSCE) Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship.
  
  Note: Restricted to medical students.
  
  

Surgery

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  SURG D605 - Surgery Clerkship

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  Credits: 8
  
  An eight-week, eight-credit-hour required clerkship in the third year consisting of primarily inpatient experiences with opportunities for outpatient experiences as well. Under the supervision of attending staff physicians and residents, students spend variable amounts of time on general surgery, vascular surgery, trauma, with opportunities to also spend time in selected surgical subspecialties. Students continue to develop skills in medical history-taking, physical examination, and the use of laboratory data in an organized fashion to understand surgical diseases. During this clerkship, students should develop an understanding of the metabolic and physiologic effects of injury and trauma; correlate disordered physiology with the surgical pathologic process; recognize surgical illness and the place of operative intervention in treatment of diseases; understand the impact of surgery on the patient and family, including the psychological and socioeconomic changes that result from an operation; and acquire surgical techniques and skills basic to all physicians, including wound care, suture technique, and the ability to assist in the operating room. Primary methods of instruction include lecture, case-based discussion/presentation, suture laboratory, conferences, small-group discussion, and teaching rounds. Modes of assessment include the Surgery NBME subject examination, departmental written midterm examination, clinical evaluations, and an Objective Structured Clinical Examination (OSCE). Demonstration of mastery of a prescribed set of clinical skills, included on the Clinical Skills Attainment Document, is required for successful completion of this clerkship.  
  
  Note: Restricted to medical students.
  
  
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  SURG D607 - Senior Surgery Clerkship

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are offered a choice of two two-week-long rotations in the surgical specialties and academic and clinical experiences in anesthesia, cardiothoracic surgery, neurosurgery, ophthalmology, orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, and urology. Both office and hospital-based experiences permit the study of disease processes unique to each of the special areas of surgery, the techniques of diagnosis, the understanding of pathophysiology, and therapy. Management of ambulatory patients is emphasized. During this clerkship, students diagnose diseases particular to the selected surgical specialty and develop the techniques utilized for diagnosis. In addition, students learn to understand the pathophysiology and management of these disease processes, recognize indicated surgical therapy and expected results from the surgical procedures for these diseases, understand and decide when the patient should be evaluated by a surgical specialty related to the disease process, and understand the impact of surgical care on the patient and the family. Students complete a critical analysis for each rotation on a topic of interest. Primary methods of instruction include clinical preceptorship, clinical correlations, and teaching rounds. Modes of assessment include an internal final examination, clinical evaluations, and a review of the quality of the written paper by the course director.    
  
  Note: Restricted to medical students.
  
  

Acting Internships (AI) — Columbia, Florence, Grand Strand

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  FPMD D615 - Family Medicine Acting Internship (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  MEDI D615 - Medicine Inpatient Acting Internship (AI) - Columbia, Grand Strand

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  MEDI D616 - MICU-CCU Acting Internship PHR (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  NEUR D615 - General Neurology Wards Acting Internship (AI) - Columbia

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  
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  NPSY D615 - Psychiatry Acting Internship (AI) - Columbia

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  OBGY D615 - Obstetrics and Gynecology Acting Internship (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  PEDI D615 - Pediatric Inpatient/General Ward Acting Internship (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  PEDI D616 - Pediatric Critical Care Acting Internship (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  SURG D615 - Surgery Acting Internship (AI) - Columbia, Florence, Grand Strand

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making. 
  
  Note: Restricted to medical students.
  
  
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  SURG D616 - Trauma/Critical Care Acting Internship (AI) - Columbia, Florence

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  Credits: 4
  
  A four-week, four-credit hour required clerkship in the fourth year. Students are required to complete the Acting Internship (AI) in one of the following: Family Medicine, Internal Medicine, Neurology, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. The AI emphasizes basic generalist competencies, is predominantly an inpatient experience, and includes night call or night call equivalent.  Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. Some of the selectives also provide a minor amount of ambulatory clinical learning. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland and the Dorn Veterans Affairs Medical Center in Columbia, the McLeod Regional Medical Center and the Carolina Hospital System in Florence, or the Grand Strand Regional Medical Center in Myrtle Beach.  Alternatively, a student may elect to complete the AI as an extramural rotation but must have prior approval for this rotation from the USCSM AI director. The primary mode of instruction is clinical preceptorship. Other educational material may be presented via attending rounds, didactic lectures, subspecialty lectures, weekly grand rounds, resident case presentations, rounds with residents, clinical pathologic conferences, etc., and is dependent upon the specific rotation. Assessment will focus on core clinical skills, including, but not limited to, history and physical examinations, clinical decision making, case presentation, communication with patients, test selection and interpretation, and therapeutic decision making.
  
  Note: Restricted to medical students.
  
  

Biomedical Science

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  BMSC 700 - Biomedical Science Interdisciplinary Laboratory I

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  Credits: 1
  
  Survey for new biomedical science graduate students of major problem areas and research methods in biomedical science with introduction to faculty, services, facilities, and major equipment of the basic science departments of the School of Medicine.
  
  
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  BMSC 702 - Medical Cell Biology I

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  Credits: 4
  
  The structure and assembly of eucaryotic cells, mechanisms of gene expression, and the cell biology of the immune system. Methods in cell biology are also discussed.
  
  Prerequisites: basic biochemistry and consent of instructor
  
  
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  BMSC 706 - Ethics in Biomedical Research

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  Credits: 2
  
  Discussion of major ethical issues related to biomedical research.
  
  Note: Two hours of lecture and small-group discussion per week.
  
  
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  BMSC 754 - Biomedical Biochemistry I

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  Credits: 4
  
  First of a two-semester sequence covering the major areas of biochemistry in a biomedical context. Chemistry of amino acids and proteins, enzymology, metabolism of carbohydrates and lipids. Emphasis is on biomedical research applications.
  
  Cross-listed Course: CHEM 754
  
  Prerequisites: consent of instructor
  
  Note: Four lecture hours per week.
  
  
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  BMSC 801 - Seminar in Biomedical Science

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  Credits: 2
  
  Professional development and scientific update by attending Biomedical Science Seminar Series and meeting with speakers in section one for one credit. Section two for two credits also includes student presentations of literature review topics and current research. May be repeated for credit.
  
  Note: May be repeated for credit.