Guide For Becoming an M.D. Everything you need to Know + More

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Guide For Becoming an M.D. Everything you need to Know + More
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    Guide For Becoming an M.D. Everything you need to Know + More

    Welcome To my Guide For People who are interested in the M.D Field



    This guide is meant to get people ready for the rigorousness of the Medical Field. Here you will find classes that must be take to get you from here to there, as well as medical tips and tips from your truly. You will also find in depth explanations of things that you must complete as for tips for studying and exams that you will have to look forward to. If you come across anything that you do not understand please feel free to ask.


    Color Code:


    Main Topic of Discusion
    Sub Topic
    Need To Know

    Definitions
    Exams
    Degree
    Tips
    Words from Myself




    Bacic Table of Content:




    Stages:
    Pre-medical Medical school Clerkship Sub-internship Internship Residency Fellowship Board certification Licensure Continuing medical education



    Pathways



    Medicine (MD) Osteopathic Medicine (DO) International medical graduate
    Degrees
    Doctor of Medicine Doctor of Osteopathic Medicine MD/PhD Comparison
    Regulatory bodies



    Association of American Medical Colleges American Association of Colleges of Osteopathic Medicine National Resident Matching Program National Matching Service Accreditation Council for Graduate Medical Education Liaison Committee on Medical Education Commission on Osteopathic College Accreditation Accreditation Council for Continuing Medical Education American Osteopathic Association American Medical Association
    Lists
    Medical schools Specialty colleges







    Pre-Mecdical:
    is an educational track that undergraduate students in the United States pursue prior to becoming medical students. It involves activities that prepare a student for medical school, such as pre-med coursework, volunteer activities, clinical experience, research, and the application process.

    Major




    At most colleges and universities, students do not have the option of pre-medical major. A student on a pre-med track is permitted to choose any undergraduate major in any field of study, so long as certain required courses are completed. Such courses are generally focused in the scientific fields of biology, chemistry, organic chemistry, and physics, which are necessary for an individual to be prepared for the Medical College Admission Test (MCAT) and satisfy most medical school prerequisites. It is for this reason students on a pre-med track generally undertake a major associated with one of those fields; however, an increasing number of students with a background in humanities have been applying in recent years, a situation applauded by medical schools.For example, Mount Sinai School of Medicine has created a program specifically for non-science majors. The Humanities and Medicine Program grants admission to undergraduates majoring in the humanities or social sciences without requiring the Medical College Admission Test (MCAT) or science coursework.


    Pre-med timeline




    Typical pre-med students will structure their coursework in their first year in university to accommodate the required courses. After a semester, many pursue extracurricular activities that demonstrate a commitment to medicine. Once junior year arrives, students register for and take the MCAT, the required standardized exam that medical schools use to identify qualified candidates. Once the test is taken, students apply to various schools using the automated AMCAS system, AACOMAS system, or in some cases, the school's own application system. AMCAS primary applications are verified by AMCAS staff, a process that often takes four to six weeks. The application process consists of a review of academic records, MCAT scores, activities, work experience, and a personal statement. Applicants can expect to hear from schools within a few months, at which point they may receive "secondary applications".Different schools have different policies on sending secondary applications to students; many send secondary applications to all students, others screen applications prior to inviting an applicant to submit a secondary application. These applications are generated by each individual school. They generally contain essay questions that the applicant must answer to demonstrate that the applicant possesses qualities that the schools deem necessary to be a good medical student and physician.Qualified applicants can next expect to receive invitations to interview at schools. Upon completion of an interview and receipt of any additional application materials, the application is considered to be complete, and the student then waits for the school's decision to either accept or reject the student.

    Increasingly, more non-traditional applicants are pursuing admittance to medical school through a "post-baccalaureate" pre-medical program.[citation needed] These programs may be formal, such as the programs offered through Columbia, Johns Hopkins, Mayo Clinic with Barrett, The Honors College, Bryn Mawr, Goucher and Scripps, or Baylor University where i attend now, such as the program offered at Harvard, but often consist of a student informally enrolling in a college to complete science coursework required for admission to medical school prior to sitting for the MCAT. The AAMC maintains a list of all formal and semi-formal post-baccalaureate pre-medical programs in the United States.




    Medical school in the United States


    is a four year graduate institution with the purpose of educating physicians in the field of medicine. It provides a major part of the medical education in the United States. Graduates receive either an M.D. or a D.O. degree.
    Admissions


    In general, admission into a US medical school is considered highly competitive, and typically requires completion of a four-year bachelor's degree or at least 90 credit hours from an accredited college or university. Many applicants obtain further education before medical school in the form of Master's degrees, or other non science related degrees. Admissions criteria may include overall performance in the undergraduate years and performance in a group of courses specifically required by U.S. medical schools (pre-health sciences), the score on the Medical College Admission Test (MCAT), application essays, letters of recommendation (most schools require either one letter from the undergraduate institution's premedical advising committee or a combination of letters from at least one science faculty and one non-science faculty), and interviews.

    Beyond objective admissions criteria, many programs look for candidates who have had unique experiences in community service, volunteer-work, international studies, research, or other advanced degrees. Experiences can include activities such as shadowing a physician, an activity that involves inactively participating in the daily functions of a physician. This includes, but is not limited to, being present for patient examinations and watching surgical procedures. Physician shadowing allows medical school applicants the ability to become familiar with professional medical etiquette, to broaden the candidate's clinical exposure, and to display the applicant's enthusiasm for medicine.


    The application essay is the primary opportunity for the candidate to describe his/her reasons for entering a medical career. The essay requirements are usually open-ended to allow creativity and flexibility for the candidate to draw upon his/her personal experiences/challenges to make him/her stand out amongst other applicants. If granted, an interview serves as an additional way to express these subjective strengths that a candidate may possess.
    Since 2005, the Association of Medical Colleges has recommended that all medical schools conduct background checks on applicants in order to prevent individuals with convictions for serious crimes from being matriculated.
    Most commonly, the bachelor degree is in one of the biological sciences, but not always; in 2005, nearly 40% of medical school matriculates had received bachelor's degrees in fields other than biology or specialized health sciences. All medical school applicants must, however, complete year-length undergraduate courses with labs in biology, general chemistry, organic chemistry, and physics; some medical schools have additional requirements such as biochemistry, calculus, genetics, psychology and English. Many of these courses have prerequisites, so there are other "hidden" course requirements (basic science courses) that are often taken first.
    A student with a bachelor's degree who has not taken the pre-medical coursework may complete a postbaccalaureate (postbacc) program. Such programs allow rapid fulfillment of prerequisite course work as well as grade point average improvement. Some postbacc programs are specifically linked to individual medical schools to allow matriculation without a gap year, while most require 1–2 years to complete.

    Several universities across the U.S. admit college students to their medical schools during college; students attend a single six-year to eight-year integrated program consisting of two to four years of an undergraduate curriculum and four years of medical school curriculum, culminating in both a bachelor's and M.D. degree or a bachelor's and D.O. degree. Some of these programs admit high school students to college and medical school.

    While not necessary for admission, several private organizations have capitalized on this complex and involved process by offering services ranging from single-component preparation (MCAT, essay, etc.) to entire application review/consultation. Baylor and University of NC are 2 of them.

    In 2011, the average MCAT and GPA for students entering U.S.-based M.D. programs were 31.1 and 3.67,[5] respectively, and 26.51 and 3.50 for D.O. matriculants, although the gap has been getting smaller every year.[6] In 2010, 42,742 people applied to medical schools in the United States through the American Medical College Application Service. Of these 42,742 students, 18,665 of them matriculated into a medical school for a success rate of 44%.[7] This figure does not account for the attrition rate of pre-med students in various stages of the pre-application process (those who ultimately do not decide to apply due to weeding out by low GPA, low MCAT, lack of clinical and research experience, and numerous other factors).
    [edit]Curriculum



    Further information: Comparison of MD and DO in the United States
    Once admitted to medical school, it generally takes four years to complete a Doctor of Medicine (M.D.), or Doctor of Osteopathic Medicine (D.O.) degree program. However, at least two schools, Texas Tech University and the Lake Erie College of Osteopathic Medicine[8] are now offering a three year accelerated program for those students going into primary care. The course of study is divided into two roughly equal components: pre-clinical and clinical.

    I am Currently in this stage

    Preclinical study comprises the first one to two years and consists of classroom and laboratory instruction in core subjects such as anatomy, biochemistry, physiology, pharmacology, histology, embryology, microbiology, pathology, pathophysiology, and neurosciences. Once students successfully complete preclinical training, they generally take step one of the medical licensing boards, the USMLE, or the COMLEX.

    The clinical component usually occupies the final two to three years of medical school and takes place almost exclusively on the wards of a teaching hospital or, occasionally, with community-based physicians. The students observe and take part in the care of patients under the supervision of resident and attending physicians. Rotations (also known as clerkships) are required in internal medicine, surgery, pediatrics, family medicine, obstetrics/gynecology, neurology, and psychiatry. Beyond these, a variable number of specialty electives are required. Additionally, students are generally required to take a sub-internship rotation where they will perform duties at the intern level. During the fourth year, most medical students take Step 2 of the medical licensing boards (USMLE Clinical Knowledge & Clinical Skills [for M.D.], or COMLEX Cognitive Evaluation & Performance Evaluation [for D.O.]).
    Many medical schools also offer joint degree programs in which some medical students may simultaneously enroll in master's or doctoral-level programs in related fields such as a Masters in Business Administration, Masters in Healthcare Administration, Masters in Public Health, JD, Master of Arts in Law and Diplomacy, and Masters in Health Communication. Some schools such as the Wayne State University School of Medicine and the Medical College of South Carolina both offer an integrated radiology curriculum during their respective MD Programs led by investigators of the Advanced Diagnostic Ultrasound in Microgravity study.[10]

    Upon completion of medical school, the student gains the title of doctor and the degree of M.D. or D.O., but cannot practice independently until completing at least an internship and also Step 3 of the USMLE (for M.D.) or COMLEX (for D.O.). Doctors of Medicine and Doctors of Osteopathic Medicine have an equal scope of practice in the United States, with some osteopathic physicians supplementing their practice with principles of osteopathic medicine.

    Grading



    Medical schools use a variety of different grading methods. Even within one school, the grading of the basic sciences and clinical clerkships may vary. Most medical schools use the pass/fail schema, rather than letter grades; however the range of grading intervals varies. The following are examples of grades used with different intervals:[11]
    2 Intervals = Pass/Fail
    3 Intervals = Honors/Pass/Fail
    4 Intervals = Honors/High Pass/Pass/Fail (or ABCF)
    5 Intervals = Honors/High Pass/Pass/Low Pass/Fail (or ABCDF)
    In addition, a Medical School Performance Evaluation, also called Dean's letter, more specifically describes the performance of a student during medical school.[12]

    Accreditation




    All medical schools within the United States must be accredited by one of two organizations. The Liaison Committee on Medical Education (LCME), jointly administered by the Association of American Medical Colleges and the American Medical Association, accredits M.D. schools, while the Commission on Osteopathic College Accreditation of the American Osteopathic Association accredits osteopathic (D.O.) schools. There are presently 141 M.D. programs and 29 D.O. programs in the United States.
    Accreditation is required for a school's students to receive federal loans. Additionally, schools must be accredited to receive federal funding for medical education. The M.D. and D.O. are the only medical degrees offered in the United States which are listed in the WHO/IMED list of medical schools.
    Indebtedness of U.S. Medical Graduates




    Unlike many other countries, U.S. medical students finance their education with personal debt. In 1992, the average debt of a medical doctor after residency, for those graduating with debt, was $25,000. For the Class of 2009, the average debt of a medical student is $157,990, with 25.1% of students having debt in excess of $200,000 "somewhat accurate from what i looked up (prior to residency). For the past decade, tuition prices have increased 5-6% each year- it is not clear what has caused these increases.

    Medical schools do not have accounting transparency, so it is difficult to pin-point the root cause of tuition increases. Medical education is still based on the 2 + 2 model posited by the 100 year old Flexner report.
    A current economic theory suggests that increasing borrowing limits have been the cause of the increased tuition. As medical students are allowed to borrow more, medical schools raise tuition prices to maximally increase revenue. Studies show that schools raise prices 97 cents for each one dollar increase in borrowing capacity.


    There is no consensus on whether the level of debt carried by medical students has a strong effect on their choice of medical specialty. Dr. Herbert Pardes and others have suggested that medical school debt has been a direct cause of the US primary care shortage.Some research suggests that for a sub-set of debt sensitive medical students, this is certainly the case. For most students, debt is but one consideration in choosing a residency. Whatever the cause may be, the 2008 Family Medicine Residency match filled only 44% of available slots with US graduates, down from the 1984 level of 98%.



    Academic Health Centers



    Medical schools reside inside complex multi-purpose institutions known as academic health centers. Academic health centers aim to educate medical students and residents, provide top quality patient care, and perform cutting-edge research. Since medical students are educated inside academic health centers, it is impossible to separate the finances from other operations inside the center. Funding for medical students—and higher graduate medical education—comes from several sources above and beyond personal debt financing.[22]

    DGME (Direct Graduate Medical Education- 2.2 billion in 2002) financing payments under the auspices of Medicare/Medicaid. This funding was altered by the Consolidated Omnibus Budget Reconciliation Act of 1986. Each hospital receives payment based on how many Full Time Equivalent Residents are being trained.

    IME (Indirect Medical Education - 6.2 billion in 2002) adjustment. This payment compensates teaching hospitals for their higher Medicare inpatient hospital operating costs due to a number of factors.
    Managed care and insurance organizations reimburse at a higher rate for teaching hospitals, explicitly acknowledging the higher costs of the academic health center.

    The vast majority of revenues come from third-party payers reimbursing for patient care, usually through the Faculty Service Plan.
    Incentive programs such as the MSTP (Medical Scientist Training Program), NHSC (National Health Service Corps), Armed Services Health Profession Scholarship and now the Income Based Repayment Plan.
    Many academic health centers in the U.S. are tied to undergraduate university systems while others solely focus on graduate medicine, training, research, and education.




    Sub-Intern



    or acting internship (AI) is a clinical rotation of a fourth-year medical student in the United States medical education system usually at a different hospital than the student's medical school affiliations. A student will generally select an elective "sub"-internship, where the student will perform the role of an intern or first year medical graduate, under the supervision of senior house staff and attending physicians. The rotation is generally pursued in the field appropriate to career interest. For example, a sub-I can be taken in Internal Medicine, Surgery, Pediatrics, or Obstetrics and Gynecology. In this way, the student can experience a glimpse of their future career without the burden of full responsibility. Additionally, many medical students select sub-internships at institutions where they wish to apply for residency; such rotations are "auditions" for the student to demonstrate his or her commitment to the outside program.



    Internal medicine sub-I




    At the turn of the 21st century ninety-eight percent of US medical schools offered an internal medicine sub-I to medical students. In general the following responsibilities are given to a sub-I student: accept and give sign-out of all patients on the team, assess assigned patients before morning rounds, write problem oriented notes daily on all patients, admit patients on call days, act as information liaison between the medical team and hospital staff, communicating plan of care to patient. Responsibilities that are generally limited or withheld include: writing orders or prescriptions, performing major procedures, obtaining consent from patients for procedures or surgeries.
    A recent editorial highlighted the changing role of the subinternship (SI) in the medical school curriculum.1 It has been argued that the SI should be viewed as the culmination of a coordinated 4-year program of study in clinical care, with an aim to prepare fourth-year students for the demanding experience of internship. Ideally, the educational goals of the SI should complement and expand upon those outlined in the third-year clerkship and ought to uniquely emphasize the knowledge and skills needed to independently treat and manage acutely ill inpatients. To facilitate these goals, it has been recommended that SI programs place fourth-year students in a role that completely replaces the intern, albeit under the supervision of senior house staff. In particular, it has been recommended that subinterns should 1) have a dedicated coordinator of educational activities, 2) be provided with an explicit set of learning objectives, 3) have separate conferences which stress patient management issues,4) be able to write medical orders that are cosigned by a physician, and 5) participate in supervised cross-coverage.
    Despite the valuable and distinctive experience of the SI, it has been neglected by medical educators and researchers as an area needing development and standardization. At an organizational level, the SI currently lacks the clearly defined curricular goals and rigorous evaluation methodologies found in the third-year clerkship.2–4 Nevertheless, it is unclear to what extent individual medical schools have addressed the unique educational needs of the SI. In an attempt to clarify the structure and requirements of internal medicine SI programs throughout the United States, a survey study was undertaken.




    Intern:




    A medical intern is a term used in the United States for a physician in training who has completed medical school. An intern has a medical degree, but does not have a full license to practice medicine unsupervised. In other countries medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs in each case, as does the terminology used (see medical education and medical school for further details).




    Fellowship (medicine)




    A fellowship is the period of medical training in the United States and Canada that a physician may undertake after completing a specialty training program (residency). During this time (usually more than one year), the physician is known as a fellow. Fellows are capable of acting as attending physician or consultant physician in the generalist field in which they were trained, such as internal medicine or pediatrics. After completing a fellowship in the relevant sub-specialty, the physician is permitted to practice without direct supervision by other physicians in that sub-specialty, such as cardiology or oncology




    They Usually Take up one of these Specialties:



    1. Orthopaedic
    2. Traumatologist
    3. Cardiology
    4. Critical care medicine
    5. Endocrinology
    6. Gastroenterology
    7. Geriatrics
    8. Hematology
    9. Hospice and Palliative Medicine
    10. Immunology
    11. Infectious disease
    12. Nephrology
    13. Oncology
    14. Pulmonology
    15. Rheumatology
    16. Sleep medicine
    17. Transplant hepatology



    Board certification




    Board certification is the process by which a physician (M.D. or D.O.), dentist (DDS or DMD), pharmacist (Pharm.D.) or podiatrist (DPM), in the United States demonstrates through either written, practical, and/or simulator based testing, a mastery of the basic knowledge and skills that define an area of medical specialization. The commonly used acronym BE/BC (board eligible/board certified) refers to a doctor who is certified or is eligible to be certified to practice medicine in a particular field.

    The term board certified is also used in the nursing field, where a candidate with advanced mastery of a nursing specialty can also become eligible to be Board Certified.[1] Board certification is also used in the field of pharmacy, where a pharmacist can be recognized in specialized areas of advanced pharmacy practice after fulfilling eligibility requirements and passing a certification examination.[2] Doctoral level psychologists (Ph.D., or Psy.D.) may also be board certified by the American Board of Professional Psychology.




    Defining a Medical Specialty wiki tip




    The core body of knowledge that defines an area of medical specialization is referred to as the core competencies for that specialty. Core competencies are developed through detailed review of the medical literature combined with review by recognized experts from established medical specialties, experts within the new area of specialization and experts from outside the medical profession. This list of core knowledge and skills is then compiled into a draft core competency document.

    Once the core competency document is drafted, the certifying organization and its associated professional academy, college or society review the document against the existing literature and again solicit expert opinion regarding the domains of competence and areas of competency contained in the document. The core competencies are next formatted using a psychometric taxonomy such as Bloom's Taxonomy based on the core competencies required by physicians practicing in the area of specialization as non-specialists and as specialists or sub-specialists. Development of the first core competency document takes five to ten years and is a prerequisite to creating the certification examination.



    Examinations




    Physicians seeking board certification in a given area of specialty must successfully complete and pass an examination process designed to test their mastery of the minimum knowledge and skills contained in the core competency document. Prior to taking the examination, a physician must graduate with a degree, either MD or DO, and meet all other prerequisites to certification as set out by the certifying agency or "board."
    The examination itself may consist of one or more parts. Traditionally, an exhaustive written examination is required of all candidates for board certifications in any specialty. While written examinations are adequate measures of basic knowledge, they do not test the mastery of skills or the application of knowledge as well. Many specialties have over the decades attempted to evaluate skills through "practical" examinations using "model" patients (actors) or by observing the physician candidate in a clinical environment. The practical examination has been criticized for being subjective and irreproducible even in the hands of an experienced examiner. As a result, computerized animatronic human patient simulator based examinations are now being adopted. The traditional written examination is also rapidly being replaced by computer-based testing.


    Certifying Agencies for Physicians




    Board certification is overseen by different agencies and organizations throughout the world. In most cases, these organizations are not only specific to a particular type of physician training (MD vs. DO), but a specific country or group of countries. There are three agencies or organizations in the United States which collectively oversee the certification of M.D.s and D.O.s in the 26 recognized medical specialties. These organizations are the American Board of Medical Specialties (ABMS) and the American Medical Association; the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) and the American Osteopathic Association; the American Board of Physician Specialties (ABPS) and the American Association of Physician Specialists. AOABOS and ABPS each have associated with associated national medical organization functions as an umbrella for its various specialty academies, colleges and societies (see table). The American Board of Medical Specialties represents the largest of these organizations, with over 750,000 US physicians having received certification from one or more of its 24 member Boards. The ABMS is not affiliated with any medical society. ABPS is recognized by most states, however, there are some states where physicians are not, by law, allowed to call themselves "board certified" if the specialty designation is from their boards.[3][4]


    Certifying Board National Organization Physician Type
    ABMS no-affiliation M.D. and D.O.


    AOABOS American Osteopathic Association D.O. Only
    ABPS AAPS M.D. and D.O.


    All boards of certification now require that physicians demonstrate, by examination, continuing mastery of the core knowledge and skills for their chosen specialty. Recertification varies by specialty between every 7 and every 10 years. Which means your going to be doing a hell of alot of Triage so be ready for it.


    Comparison of MD and DO in the United States



    n the United States, there are two types of physicians that practice medicine. Most physicians hold the Doctor of Medicine degree (M.D.), while osteopathic physicians hold the Doctor of Osteopathic Medicine degree (D.O.).[1] Other than teaching manual medicine, the medical training for an M.D. and D.O. is virtually indistinguishable. D.O. physicians complete conventional residencies in hospitals and training programs, are licensed in all states, and have rights and responsibilities, such as military service, that are identical to M.D. physicians and surgeons.[2]





    Contents


    1 Background
    2 Demographics
    3 Cultural differences
    3.1 Self-characterization
    3.2 Perceptions
    3.3 Self-Identification
    4 Medical education and training
    4.1 Medical schools
    4.1.1 Osteopathic manipulative medicine
    4.1.2 Student aptitude indicators
    4.2 Residency
    4.2.1 Resident specialty choice
    4.2.1.1 Primary care
    4.3 Licensure
    4.4 Continuing medical education
    5 Professional advantages
    6 References
    7 External links


    Background



    See also: Osteopathic medicine in the United States
    In 2005, Jordan Cohen, the president of the American Medical Association (AMA) stated:


    After more than a century of often bitterly contentious relationships between the osteopathic and allopathic medical professions, we now find ourselves living at a time when osteopathic and allopathic graduates are both sought after by many of the same residency programs; are in most instances both licensed by the same licensing boards; are both privileged by many of the same hospitals; and are found in appreciable numbers on the faculties of each other's medical schools.[3]


    The AMA's now current defintion of a physician is "an ndividual who has received a 'Doctor of Medicine' or a 'Doctor of Osteopathic Medicine' degree or an equivalent degree following successful completion of a prescribed course of study from a school of medicine or osteopathic medicine.


    Demographics





    First year medical school enrollment, 1975–2007.
    MD
    DO


    The sex and racial distribution of DOs and MDs are similar.[5]Currently, there are significantly more MDs than DOs.[6] In the 2010-2011 application cycle, 5,627 students matriculated as first-year students into DO medical programs[7] and 19,230 students matriculated as first-year students into MD programs.[8]

    A 2010 survey of students applying to both U.S. M.D. and D.O schools found that 35% were only admitted to a DO school, 11% were only admitted to an M.D. school, 26% were admitted to both, while the remaining 52% were not admitted to any schools.[9] Geographic location was the top reason students gave for choosing the school in which they enrolled.[9]
    Of physicians practicing in the United States, 7% are osteopathic physicians (2010),[10] 26% are international medical graduates (2012),[11] while the remaining physicians are U.S. medical graduates (M.D.). Between 1980 and 2005, the annual number of new MDs remained stable at around 16,000. During the same period, the number of new DOs increased by more than 200% (from about 1,150 to about 2,800).[12] Graduates from DO medical programs are expected to increase to 3,300 by the year 2010 and as many as 4,000 by 2015.[13] The number of new MDs per 100,000 people fell from 7.5 to 5.6, while the number of new DOs per 100,000 rose from 0.4 to 0.8.[12]
    The distribution of both M.D. and D.O. physicians in the United States is not uniform, as the number of physicians per capita varies. As of 2009, the states with the most M.D. physicians per capita were the District of Columbia, Massachusetts, Maryland, and New York.[14] The states with the lowest number of M.D. physicians per capita were Idaho, Oklahoma, Mississippi, Wyoming and Nevada.[14] Osteopathic physicians are more concentrated in the midwestern states than in other regions of the U.S. As of 2011, the states with the most osteopathic physicians per capita were Michigan, Maine, Oklahoma, Pennsylvania.[15] The states with the lowest number of D.O. physicians per capita were Louisiana, Alabama, Nebraska, and North Carolina.[15]


    Cultural differences



    Some authors describe less quantifiable distinctions between the two medical professions. Avery Hurt writes, "In actual practice, the variations between the two types of physicians are often so slight as to be unnoticeable to patients, and a day in the life of each can appear indistinguishable. But the differences are there, subtle but deep."[16] Several studies have investigated these differences. One study compared the patient interactions of DOs and MDs. The study found that "osteopathic physicians were more likely to use patient's first names and to discuss the social, family and emotional impact of illnesses." For example, "66% of DOs discussed a patient's emotional state compared with about one-third of MDs." The same study found that MD qualified "physicians scored higher in discussing literature or scientific basis of treatment."[17] Another study analyzed 341.4 million patient visits to general and family medicine specialists in the United States, including 64.9 million visits to DOs and 276.5 million visits to MDs. It found that there was no significant difference between DOs and MDs "with regard to time spent with patients and preventive medicine services."[18]


    Self-characterization



    A Harvard study found significant differences in the attitudes of DOs and MDs. The study found that 40.1% of MD students and physicians described themselves as "socioemotionally" oriented over "technoscientific" orientation. 63.8% of their DO counterparts self-identified as socioemotional. (p < .0001)[19]


    Perceptions


    One study of DOs attempted to investigate their perceptions of differences in philosophy and practice between themselves and their MD counterparts. 88% of the respondents had a self-identification as osteopathic physicians, but less than half felt their patients identified them as such. The study asked respondents to identify points of philosophical and practical difference between DOs and MDs; no more than 1/3 of respondents could agree on any single such point of difference.[20]



    Further information: Principles of Osteopathic philosophy
    Self-Identification



    As the training of DOs and MDs becomes less distinct, some have expressed concern that their unique characteristics will be lost.[21] Others welcome the rapprochement and already consider modern medicine to be the type of medicine practiced by both "MD and DO type doctors."[22] One persistent difference is the respective acceptance of the terms "allopathic" and "osteopathic." DO medical organizations and medical schools all include the word osteopathic in their names, and such groups actively promote an "osteopathic approach" to medicine. While "osteopathy" was a term used by its founder AT Still to describe his new philosophy of medicine, "allopathic medicine" was originally a derogatory term coined by Samuel Hahnemann to contrast the conventional medicine of his day with his alternative system of homeopathic medicine.[23][24] Today, the term "allopathic physician" is used infrequently, usually in discussions relating to osteopathic medicine or alternative medicine. Some authors argue that the term should be dropped altogether, since its original meaning bears little relevance to the current practice of modern medicine[25] and conventional medicine has never endorsed any principle of allopathy.[26] Similarly, the use of the terms "osteopath" and "osteopathy" are now discouraged when describing osteopathic physicians that have earned the degree of Doctor of Osteopathic Medicine and the field of osteopathic medicine, respectively.[27]


    Medical education and training





    Medical schools


    The Liaison Committee on Medical Education (LCME) accredits the 141 U.S.-medical schools[29][30] that award the M.D. degree, while the American Osteopathic Association (AOA) Commission on Osteopathic College Accreditation (COCA) accredits the 29 colleges of osteopathic medicine in 37 locations in the United States that award the D.O. degree.[31]
    Michigan State University and the University of Medicine and Dentistry of New Jersey are the only universities that have both M.D. and D.O. accredited programs.[32] In 2009, Kansas City University proposed starting a dual MD/DO program in addition to the existing DO program,[33] and the University of North Texas, explored the possibility of starting independent M.D. program that would be offered alongside the DO program.[32] Both proposals were met with controversy. Proponents argued that adding an MD program would lead to more local residencies created, and improve the university&#8217;s ability to acquire research funding and state funding. Opponents argue that adding the MD programs could cause the osteopathic program to lose its focus on "holistic care," would result in more competition for the already limited number of existing residencies (if more were not opened), and would drain resources from the established osteopathic programs.

    Overall, osteopathic medical schools have more modest research programs compared to M.D. schools, and fewer D.O. schools own a hospital.[34] Historically, osteopathic medical schools had associations with osteopathic hospitals, which were usually small, rural, community based hospitals.[35] However, in 1990s and 2000s, economic and regulatory pressures caused many small hospitals, including most osteopathic hospitals, to either close or join larger hospital networks.[35][36]

    Osteopathic medical schools tend to have a stronger focus on primary care medicine than M.D. schools.[34] D.O. schools have developed various strategies to encourage their graduates to pursue primary care, such as offering accelerated 3-year programs for primary care, focusing clinical education in community health centers, and selecting rural or under-served urban areas for the location of new campuses.[34]

    See also: List of medical schools in the United States and Medical school in the United States



    Osteopathic manipulative medicine


    Many authors note the most obvious difference between the curricula of D.O. and M.D. schools is osteopathic manipulative medicine (OMM), a type of manual therapy taught only at D.O. schools. As of 2006, the average osteopathic student spent almost 8 weeks on clerkships for OMM during their third and fourth years.[37] The National Institute of Health's National Center for Complementary and Alternative Medicine states[38] that overall, studies have shown that spinal manipulation can provide mild-to-moderate relief from low-back pain and appears to be as effective as conventional medical treatments. In 2007 guidelines, the American College of Physicians and the American Pain Society include spinal manipulation as one of several treatment options for practitioners to consider using when pain does not improve with self-care.[39][40] Spinal manipulation is generally a safe treatment for low-back pain. Serious complications are very rare.[41] A 2001 survey of DOs found that more than 50% of the respondents used OMT (osteopathic manipulative treatment) on less than 5% of their patients. The survey was the latest indication that DOs have become more like M.D. qualified physicians in all respects: fewer perform OMT, more prescribe drugs, and many perform surgery as a first option.[42] One area which has been implicated, but not been formally studied regarding the decline in OMT usage among DOs in practice, is the role of reimbursement changes.[43] Only in the last several years could a D.O. charge for both an office visit (Evaluation & Management services) and use a procedure (CPT) code when performing OMT; previously, it was bundled.[44]

    Further information: Status of OMM within the Osteopathic profession
    Student aptitude indicators


    Some authors note the differences in average GPA and MCAT scores of those who matriculate at D.O. schools versus those who matriculate at M.D. schools within the United States. In 2011, the average MCAT and GPA for students entering U.S.-based M.D. programs were 31.1 and 3.67,[45] respectively, and 26.51 and 3.50 for D.O. matriculants,[46] although the gap has been getting smaller every year.[47] Up to one third of students matriculating at a D.O. medical school were not accepted by M.D. programs;[48] however, DO medical schools are more likely to accept non-traditional students,[49][50] who are older, coming to medicine as a second career, non-science majors, etc. D.O. medical students are required to take the Comprehensive Osteopathic Medical Licensure Examination (COMLEX-USA) that is sponsored by the National Board of Osteopathic Medical Examiners (NBOME). This exam is a prerequisite for D.O.-associated residency programs, which are available in almost every specialty of medicine and surgery. D.O. medical students may also choose to sit for the USMLE[51] if they wish to take an M.D. residency; however, if they have taken COMLEX, it may or may not be needed, depending on the individual institution&#8217;s program requirements.[52][53][54][55] First-time USMLE pass rates for D.O. and M.D. students in 2011 are as follows: Step 1: 89% and 94%, Step 2 CK: 93% and 97%, and Step 2 CS: 93% and 97% respectively; Step 3: 94% and 100%--but this number may be misleading, as 18 D.O. students compared to 18,314 M.D. students, were evaluated for Step 3.[56]


    Residency

    As of June 2015, all post-graduate training for both DOs and MDs will be accredited by the ACGME.




    Applicants in the 2007 Main NRMP Residency Match[57]
    Graduates of both D.O. and M.D. certified medical schools are eligible to apply to residency programs through the National Resident Matching Program (NRMP). In 2003, 99% of new U.S. MDs and 43% of new U.S. DOs went on to train in ACGME-accredited residency programs.[21]

    The American Osteopathic Association accredits D.O. residency programs. There have been calls to end the remaining barriers between the two types of programs.[58][59][60] Since 1985, a single residency training program can be dual-accredited by both the ACGME and the AOA.[21][61][62]
    In 2001, the AOA adopted a provision making it possible for a D.O. resident in any M.D. program to apply for osteopathic approval of their training.[63] The topic of dual-accreditation is controversial. Opponents claim that by merging D.O. students into the "M.D. world", the unique quality of osteopathic philosophy will be lost.[21] Supporters claim the programs are popular because of the higher prestige and higher resident reimbursement salaries associated with M.D. programs.[64] In 2010-2011, approximately 41% of U.S. osteopathic medical students indicated that they intend to pursue an AOA or AOA/ACGME dually-accredited residency programs while 39% indicated that they intend to pursue an ACGME accredited residency program.[65] In 2010-2011, approximately 12% of U.S. osteopathic medical students indicated that they intend to pursue an AOA/ACGME dually-accredited residency program, while 29% planned to pursue an AOA residency and 39% planned to pursue an ACGME-accredited residency program.[65] The number of dually accredited programs increased from 11% of all AOA approved residencies in 2006 to 14% in 2008, and then to 22% in 2010.[66] The most common reason (74%) given by D.O. medical students choosing an ACGME residency or AOA/ACGME dually-accredited program was a more suitable geographic location.[65] M.D. physicians are generally not permitted to train in DO (AOA-accredited) residencies, though this has become a subject of debate within the D.O. profession. The American Osteopathic Association has agreed to study the issue of permitting M.D. physicians to train in D.O. (AOA-accredited) residencies.[67][68]


    Resident specialty choice


    Primary care



    There are notable differences in the specialty choices of DOs and MDs. One study attributes this to a difference in the 'cultures' of their medical schools, concluding that the "practices and educational structures in osteopathic medical schools [D.O.] better support the production of primary care physician."[69] According to one survey, 54.6% of deans of M.D. medical schools reported that training future primary care physicians was more important to their institutions than training future specialist physicians, compared with 100% of D.O. medical school deans. (F = 893.11,95, p < .0001).[69]


    Licensure
    Steps to licensure
    M.D. D.O.



    Medical School Application service AMCAS/TMDSAS AACOMAS/TMDSAS
    Years of medical school 4 4
    Medical Licensing Exam (MLE) Step 1 USMLE required
    USMLE optional (~50%)
    COMLEX required
    MLE, Step 2 USMLE required varies by school; may require COMLEX, or choice of either USMLE or COMLEX
    residency M.D. (ACGME) one must be selected:
    M.D. (ACGME)
    D.O. (AOA)
    combined M.D./D.O.
    AOA approval of an ACGME program[63]
    Board Certification Medical specialty boards Either M.D. or D.O. medical specialty boards
    [edit]Continuing medical education
    Main article: Continuing medical education
    To maintain a license to practice medicine, U.S. physicians are required to complete additional training every few years, so called continuing medical education (CME). There are subtle differences in the CME requirements for M.D. and D.O. qualified physicians, and in how these CME credits are approved. The requirements for maintaining a physician license for M.D. or D.O. qualified physicians are almost identical in most states, though there are small differences. For example, in the case of Pennsylvania, M.D. licenses begin on December 31, whereas D.O. ones begin on October 31.[7]


    Professional advantages



    M.D. qualification training is the most widely available in the U.S.; however, the D.O. medical profession has rapidly expanded, with more than 1 in 5 medical students now entering a D.O. medical school.[71] Both DOs and MDs have the option to train and practice in any of the medical specialties and sub-specialties. One exception is the Neuromusculoskeletal Medicine specialty which is only available to D.O.'s who have completed a one year traditional internship year.[72]

    Both degrees are recognized internationally as a medical degree. Accredited D.O. and M.D. medical schools are both included in the World Health Organization&#8217;s World Directory of Medical Schools.[73] However, when practicing overseas, an M.D. degree may be easier to negotiate with than a D.O. degree. DOs are more likely than their U.S. M.D. counterparts to have to explain or defend their training, particularly in areas that have non-physician osteopaths. This is rapidly changing as over 55 countries now recognize the D.O. medical degree, and the AOA's Bureau on Osteopathic Medical Education & Affairs is actively working with members to increase that number.[74]
    As of July 2015, the AOA, AACOM, and the ACGME will create a single, unified accreditation system for graduate medical education programs in the United States.[75][76] This will ensure that all physicians trained in the U.S. will have the same graduate medical education accreditation - ACGME. This will also provide DO physicians with the equivalent overseas recognition as their MD counterparts, as the ACGME accreditation is more widely known outside of the United States.



    Continuing medical education




    Continuing medical education (CME) refers to a specific form of continuing education (CE) that helps those in the medical field maintain competence and learn about new and developing areas of their field. These activities may take place as live events, written publications, online programs, audio, video, or other electronic media. Content for these programs is developed, reviewed, and delivered by faculty who are experts in their individual clinical areas. Similar to the process used in academic journals, any potentially conflicting financial relationships for faculty members must be both disclosed and resolved in a meaningful way.[1] However, critics complain that drug and device manufacturers often use their financial sponsorship to bias CMEs towards marketing their own products.[2]



    Contents

    1 Historical context
    2 CME requirements
    3 Non-CME (promotional education) programs
    4 Production of CME courses
    5 Criticism of industry sponsorship
    6 References


    Historical context



    Continuing medical education is not a new concept. From essentially the beginning of institutionalized medical instruction (medical instruction affiliated with medical colleges and teaching hospitals), health practitioners continued their learning by meeting with their peers.[3] Grand rounds, case discussions, and meetings to discuss published medical papers constituted the continuing learning experience. In the 1950s through to the 1980s, CME was increasingly funded by the pharmaceutical industry. Concerns regarding informational bias (both intentional and unintentional) led to increasing scrutiny of the CME funding sources. This led to the establishment of certifying agencies such as the Society for Academic Continuing Medical Education which is an umbrella organization representing medical associations and bodies of academic medicine from the United States, Canada, Great Britain and Europe. The pharmaceutical industry has also developed guidelines regarding drug detailing and industry sponsorship of CME, such as the Pharmaceutical Advertising Advisory Board (PAAB) and Canada's Research-Based Pharmaceutical Companies (Rx&D).


    CME requirements




    In the United States, many states require CME for medical professionals to maintain their licenses. For example, Arizona requires an average of 40 hours of CME every two years.[4] For a complete list of requirements by state, see State Medical Licensure Requirements and Statistics, 2006. Within the United States, CME for physicians is regulated by the Accreditation Council for Continuing Medical Education (ACCME) and the American Osteopathic Association (AOA).

    In Canada, certification is provided by the Royal College of Physicians and Surgeons of Canada (RCPSC) and the College of Family Physicians Canada (CFPC). The RCPSC is responsible for the development and implementation of all certifying examinations in each specialty other than Family Medicine. Specialist physicians who join the Royal College as Fellows maintain their knowledge, skills, competence and performance through participating in the Maintenance of Certification Program. For each five year cycle, fellows of the college are required to document 400 credits, with a minimum of 40 credits obtained in each year of the cycle. Credits are earned at one to two credits per hour, based on the type of learning activity. The CFPC requires 250 credit-hours over a five year cycle. Fifty credits must be obtained for each year of the cycle. To earn and maintain fellowship within the college, an additional 24 credit-hours of higher level learning are also required over each learning cycle. Similarly, each province and territory requires documentation of ongoing CME for licensure.[5]


    Non-CME (promotional education) programs




    Non-CME activities, also referred to as Promotional Medical Education, encompass a variety of industry sponsored educational programs for medical professionals. Several things serve to distinguish these programs, which are typically aimed at promotion of a given product or therapy, from accredited CME programs:[citation needed]
    Lack of accreditation
    Direct industry sponsorship
    Specific product or therapy focus
    Strict regulation against off-label promotion


    Production of CME courses



    Continuing medical education activities are developed and delivered by a variety of organizations, including:
    Professional associations
    Medical education agencies
    Hospitals
    Educational institutions, including universities, medical and nursing schools
    Private Institutions/
    Home study nursing continuing education providers
    Activities may be classified as Formal Learning Activities, including live planned programs, enduring materials (such as DVD- and web-based content), Process Improvement CME (or PI-CME, as defined by the American Medical Association), or Informal Learning Activities such as Internet-Point of Care (POC) research and decision making, or journal clubs whose members evaluate published research for mutual awareness and benefit.
    In 2008, professional certification for CME planners was established by the National Commission for Certification of CME Professionals, which is earned by standardized exam, and confers the Certified CME Professional (CCMEP) certificate. NC-CME maintains a registry [6] of these certified professionals. As of June 2011, the Registry included 320 professionals.


    Criticism of industry sponsorship



    Critics, such as Morris and Taitsman,[7] would prefer that the medical profession eliminate commercial support for CME.
    Despite ACCME requirements that program content be free of commercial interests, "CME providers can easily pitch topics designed to attract commercial sponsorship," and sponsors can award grants to programs that support their marketing strategies.[7] The Institute of Medicine has said that CME has become too reliant on industry funding that "tends to promote a narrow focus on the products and to neglect provisions of a broader education on alternative strategies," such as communication and prevention.[8]


    For example, gabapentin (Neurontin), was approved by the U.S. Food and Drug Administration for adjunctive therapy in epilepsy, but Warner-Lambert sponsored CME activities that encouraged its use for off-label indications. The U.S. Department of Justice brought civil and criminal charges against Warner-Lambert, which Warner-Lambert settled for $430 million, alleging that Warner-Lambert paid kickbacks to doctors in the form of lavish trips to attend presentations about off-label uses.[9] More recently, AstraZeneca PLC has been fined $520 million in the United States for off-label promotion to doctors for their anti-psychotic drug, Seroquel.

    Industry-sponsored CMEs can violate federal statutes, according to the U.S. Department of Health and Human Services. "When a pharmaceutical manufacturer rewards high-prescribing physicians by directing a CME provider to pay (or overpay) them as CME faculty, consultants, or members of a speaker's bureau," wrote Morris and Taitsman.[7]



    Doctor of Medicine





    Doctor of Medicine (MD, from the Latin Medicinae Doctor meaning "Teacher of Medicine") is one of two doctoral degrees for physicians granted by most United States medical schools (the other is the Doctor of Osteopathic Medicine degree). It is a professional doctorate in some countries, including the United States and Canada; training is entered after obtaining from 90 to 120 credit hours of university level work (see second entry degree) and in most cases after having obtained a Bachelors Degree. In other countries, such as India, the United Kingdom, Germany, and Sri Lanka, the M.D. is a research degree more similar to a Ph.D. In India, Britain, Ireland, and many Commonwealth nations, the medical degree is instead of the MBBS i.e., Bachelor of Medicine, Bachelor of Surgery (MBChB, MB BChir, BM BCh, MB BCh, MBBS, BMBS, BMed, BM) and MD is a higher level of attainment.[citation needed]



    Contents

    1 History of the medical degree
    2 Academic degrees for physicians by country
    2.1 United States and Canada
    2.1.1 Research physicians
    2.2 UK, Ireland and some Commonwealth countries
    2.3 Argentina
    2.4 India
    2.5 Malaysia
    2.6 Pakistan
    2.7 Romania
    2.8 Sri Lanka
    2.9 Equivalent degrees in other countries
    2.10 Other postgraduate clinical degrees
    3 References
    4 Further reading


    History of the medical degree



    According to Sir John Bagot Glubb, Syed Faride and S. M. Imamuddin, the first medical schools to issue academic degrees and diplomas were the teaching Bimaristan (Hospitals) of the medieval Islamic world. The first of these institutions was opened in Baghdad during the time of Harun al-Rashid. They then appeared in Egypt from 872 and then in Islamic Spain, Persia and the Maghreb thereafter. Physicians and surgeons at these hospital-universities gave lectures on Medicine to medical students and then a medical diploma or degree was issued to students who were qualified to be practicing physicians.[1][2][3]


    According to Douglas Guthrie,[4] who bases his account on L Thorndike,[5] medical men were first called "Doctor" at the Medical School of Salerno. He states that the Emperor Frederick II decreed in 1221 that no one should practice medicine until he had been publicly examined and approved by the masters of Salerno. The course lasted 5 years, and to start one had to be 21 years old and show proof of legitimacy and of three years study of logic. The course was followed by a year of supervised practice. After the laureation ceremony the practitioners could call themselves "magister" or "doctor."
    [edit]Academic degrees for physicians by country



    United States and Canada


    The first medical schools that granted the MD degree were Columbia, UPenn, Harvard, Maryland, and McGill.[6] These first few North American medical schools that were established were (for the most part) founded by physicians and surgeons who had been trained in England and Scotland. University medical education in England culminated with the MB qualification, and in Scotland the M.D., until in the mid-19th century the public bodies who regulated medical practice at the time required practitioners in Scotland as well as England to hold the dual Bachelor of Medicine and Bachelor of Surgery degrees (MB BS/MBChB/MB BChir/BM BCh etc.). North American Medical schools switched to the tradition of the Ancient universities of Scotland and began granting the M.D. title rather than the MB beginning in the late 18th century. The Columbia University College of Physicians and Surgeons in New York (which at the time was referred to as King's College of Medicine) was the first American University to grant the M.D. degree instead of the MB.[7]
    In the United States, MDs are awarded by medical schools accredited by the Liaison Committee on Medical Education (LCME), an independent body sponsored by the Association of American Medical Colleges and the American Medical Association (AMA).[8][9]


    Admission to medical schools in the United States is highly competitive, with about 17,800 out of approximately 47,000 applicants receiving at least one acceptance to any medical school in recent application years. Before entering medical school, students must complete a four-year undergraduate degree and take the Medical College Admission Test (MCAT). Before graduating from a medical school and achieving the Doctor of Medicine degree, most schools require their students to take the United States Medical Licensing Examination (USMLE) Step 1 and both the Clinical Knowledge and Clinical Skills parts of Step 2. The M.D. degree is typically earned in four years. Following the awarding of the M.D., physicians who wish to practice in the United States are required to complete at least one internship year (PGY-1) and pass the USMLE Step 3. In order to receive Board Eligible or Board Accredited status in a specialty of medicine such as general surgery or internal medicine, then undergo additional specialized training in the form of a residency. Those who wish to further specialize in areas such as cardiology or interventional radiology then complete a fellowship. Depending upon the physician's chosen field, residencies and fellowships involve an additional three to eight years of training after obtaining the M.D. This can be lengthened with additional research years, which can last one, two, or more years. The Doctor of Osteopathic Medicine or D.O. degree is the only other legal and professional equivalent to the M.D. degree in the United States and some parts of Canada. The differences between the M.D. and the D.O. degrees lie in the distinctive osteopathic philosophy and osteopathic manipulative treatment (OMT). In Canada, the M.D. is the basic medical degree required to practice medicine. McGill University Faculty of Medicine is the only medical school in Canada to award M.D., C.M. degrees (abbreviated MDCM). MDCM is from the Latin "Doctorem Medicinae et Chirurgiae Magistrum" meaning "Doctor of Medicine and Master of Surgery".

    Research physicians


    Even though the M.D. and D.O. are first professional degrees and not doctorates of research (i.e., a Ph.D.), many holders of the M.D. or D.O. degree conduct clinical and basic scientific research and publish in peer-reviewed journals during training and after graduation. Combined medical and research training is offered through programs granting MD/PhD or DO/Ph.D. degrees. The National Institutes of Health through its Medical Scientist Training Program funds M.D./Ph.D. training programs at many universities. Some MDs and DOs choose a research career and receive funding from the NIH as well as other sources such as the Howard Hughes Medical Institute. A few even go on to become Nobel Laureates.[10] The United States Department of Education and the National Science Foundation do not include the M.D. or other professional doctorates among the degrees that are equivalent to research doctorates.[11][12]



    International medical graduate[/SIZE]




    An international medical graduate (IMG), earlier known as a foreign medical graduate (FMG), is a physician who has graduated from a medical school outside of the country where he or she intends to practice. Generally, the medical school of graduation is one listed in the International Medical Education Directory (IMED) as accredited by the Foundation for Advancement of International Medical Education and Research or the World Health Organization.
    Medical schools around the world vary in education standards, curricula, and evaluation methods. The purpose of ECFMG Certification is to assess the readiness of international medical graduates to enter clinical specialty training programs as resident physicians and fellowship programs in the United States.



    United States

    Graduates of Canadian M.D. programs are not considered IMGs in the United States.[3]


    Progress


    The main pathway for IMGs who wish to be licensed as physicians in the United States is to complete a U.S. residency hospital program. The general method to apply for residency programs is through the National Resident Matching Program (abbreviated NRMP, also called "the Match"). To participate in the NRMP, an IMG is required to have an ECFMG certification[4] by the "rank order list certification deadline" time (usually in February of the year of the match).[5] To acquire an ECFMG certification, the main requirements are:[6]


    Completion of USMLE Step 1, USMLE Step 2 Clinical Knowledge and USMLE Step 2 Clinical Skills



    A medical diploma of medical education taken at an institution registered in the International Medical Education Directory (IMED)
    In comparison, regular graduates from medical schools in the United States and Canada need to complete USMLE Steps 1 and 2 as well, but can participate in the NRMP while still doing their final year of medical school before acquiring their medical diplomas.[7] In effect, taking regular administrative delays into account, and with residency programs starting around July, there is a gap of at least half a year for IMGs between graduation from medical school and beginning of a residency program.
    Those IMGs who have successfully passed the necessary USMLE exams and obtained the ECFMG certification can then apply to U.S. residency positions via the NRMP and ERAS.

    One study came to the result that almost half of IMGs were unsuccessful in their first attempts in the pursuit of a U.S. residency position, and three-quarters began a residency after five years.[8] It also indicated that IMGs were considerably older when they first applied for a residency position than are most U.S. medical graduates, with mean age of IMGs when the ECFMG certificate was issued being 31.3 years, with a standard deviation of 5.6 years.[8]




    Doctor of Osteopathic Medicine




    Doctor of Osteopathic Medicine (D.O. or DO) is a professional doctoral degree for physicians in the United States. Holders of the D.O. degree are known as osteopathic physicians and have the same rights, privileges, and responsibilities as physicians with a Doctor of Medicine degree (M.D.).[1] D.O. physicians are licensed to practice the full scope of medicine and surgery in all 50 states. Depending on the state, licensure may be issue from a combined board of D.O. and M.D. physicians, or a from a separate board.[2] Osteopathic physicians comprise 7 percent of the total U.S. physician population; there are over 70,480 D.O. physicians in the country, of which 63,121 are in active practice.[3]

    Currently, there are 29 medical schools with 37 locations throughout the United States that offer the D.O. degree,[4] and 141 medical schools that offer the M.D. degree.[5][6] As of 2011, 1 in 5 medical students in the United States were D.O. students.[7][8] The curricula at osteopathic medical schools are very similar to those at M.D.-granting medical schools.[9] Four years in total length,[9] the first two years of medical school focus on the biomedical and clinical sciences, followed by two years of core clinical training in the clinical specialties. One notable difference in the education at D.O.-granting medical schools is the inclusion of 300 &#8211; 500 additional hours in the study of hands-on manual medicine and the body's musculoskeletal system. This training, referred to as osteopathic manipulative medicine,[1] is absent in the M.D. curricula.

    Upon graduation from medical school, osteopathic physicians enter internship or residency training programs, which may be followed by fellowship training.[9] Many D.O. physicians attend the same graduate medical education programs as their M.D. counterparts.[10] and then take M.D. specialty board exams,[11] while other D.O. graduates enter osteopathic programs[12][13] and take D.O. specialty board examinations.[14] However, as of June 2015, all post-graduate training for both D.O. and M.D. physicians will be accredited by the ACGME.[15][16]




    Education and Training




    Osteopathic medical school curricula are virtually identical to those at schools granting the Doctor of Medicine M.D. degree. Once admitted to an osteopathic medical school, it takes about four years to graduate, and the schooling is roughly divided into the pre-clinical and clinical years. The pre-clinical years, the first and second years, focus on the biomedical and clinical sciences. The clinical years, the third and fourth years, consist of core clinical training in the clinical specialties. Osteopathic medical school accreditation standards require training in internal medicine, obstetrics/gynecology, pediatrics, family practice, surgery, psychiatry, emergency medicine, radiology, preventive medicine and public health.

    When it came too Harrison's Principles of Internal Medicine, "the training, practice, credentialing, licensure, and reimbursement of osteopathic physicians is virtually indistinguishable from those of physicians with M.D. qualifications, with 4 years of osteopathic medical school followed by specialty and subspecialty training and [board] certification." However, D.O. schools provide an additional 300 &#8211; 500 hours in the study of hands-on manual medicine and the body's musculoskeletal system, which is referred to as osteopathic manipulative medicine.
    After completing medical school, D.O. physicians begin graduate medical training. Many D.O. physicians attend the same internship and residency training programs as their M.D. counterparts,and then take M.D. specialty board exams while other D.O. graduates enter osteopathic internships and residencies and take D.O. specialty board examinations.


    Further information: Osteopathic medicine in the United States
    Student Aptitude Indicators



    Some authors note the differences in average GPA and MCAT scores of students who matriculate at D.O. schools versus those who matriculate at M.D. schools within the United States. In 2011, the average MCAT and GPA for students entering U.S.-based M.D. programs were 31.1 and 3.67,[20] respectively, and 26.51 and 3.50 for D.O. matriculants, although the gap has been getting smaller every year. Up to one third of students matriculating at a D.O. medical school were not accepted by M.D. programs;however, DO medical schools are more likely to accept non-traditional students who are older and entering medicine as a second career, or coming from non-science majors. D.O. medical students are required to take the Comprehensive Osteopathic Medical Licensure Examination (COMLEX-USA) that is sponsored by the National Board of Osteopathic Medical Examiners (NBOME). This exam is a prerequisite for osteopathic residency programs, which are available in almost every specialty of medicine and surgery. D.O. medical students may also choose to sit for the United States Medical Licensing Examination (USMLE) if they wish to take an M.D. residency; however, if they have taken COMLEX, it may or may not be needed, depending on the individual institution&#8217;s program requirements.First-time USMLE pass rates for D.O. and M.D. students in 2011 are as follows: Step 1: 89% and 94%, Step 2 CK: 93% and 97%, and Step 2 CS: 93% and 97% respectively; Step 3: 94% and 100%--but this number may be misleading, as 18 D.O. students compared to 18,314 M.D. students, were evaluated for Step 3.


    Further information: Comparison of MD and DO in the United States
    Licensing and board certification




    To obtain a license to practice medicine in the United States, medical students must pass one of two licensing boards at the conclusion of their medical training: USMLE (United States Medical Licensing Exam) or COMLEX (Comprehensive Osteopathic Medical Licensing Exam).[31] Those that have received or are in the process of earning an M.D. or D.O. are both eligible to sit for the USMLE. Because of their additional training, only holders of the D.O. are eligible to sit for the COMLEX.[32]

    Upon completion of internship and residency requirements for their chosen medical specialty, and depending on whether the program attended as ACGME or AOA accredited, holders of the D.O. may elect to be board certified by either a specialty board (through the American Medical Association's American Board of Medical Specialties) or an osteopathic specialty board (through the American Osteopathic Association Bureau of Osteopathic Specialists certifying boards).

    Depending on the state, medical licensure may be issued from a combined board (D.O. and M.D.) or a separate board of medical examiners.[2] All of the 70 state medical boards are members of the Federation of State Medical Boards.[33]



    MD/PhD




    The combined Doctor of Medicine and Doctor of Philosophy M.D., Ph.D. degree is a dual doctoral degree for physician scientists. The degrees are granted by medical schools.



    Training Programs




    In the United States, the M.D., Ph.D. degree can be obtained through dual-degree programs offered at some medical schools. The idea for an integrated training program began at Case Western Reserve University School of Medicine in 1956[1] and quickly spread to other research medical schools. In 1964, the National Institutes of Health (NIH) developed a grant to underwrite some universities' MD/PhD programs. This funding was distributed through the Medical Scientist Training Program (MSTP). While the MSTP-designation is a very prestigious recognition, there are still many non-MSTP dual-degree programs.

    Admission to a dual degree program is not a requirement to receive M.D. and Ph.D. degrees. An individual has the option to complete each degree separately through single-degree programs. However, the student is responsible for all medical school tuition and does not receive a stipend during their M.D. education. Furthermore, since the Ph.D. training is not streamlined with the medical training, students will usually take an additional 3&#8211;5 years to complete their Ph.D.

    A Ph.D. may also be obtained by physicians during the residency training period. This combined research and graduate-level medical education are offered by a small minority of residency programs. This additional education typically extends the residency period by three to four years.
    [edit]Training Structure




    Pre-Doctoral


    Upon matriculating in a M.D., Ph.D. programs students will often follow a 2-3-2 or 2-4-2 plan. In this system, students will complete their medical school's pre-clinical curriculum (2 years), transition into their Ph.D. graduate training (3&#8211;4 years), and then finally complete the clinical rotations (2 years). Some students may elect to approach their training with alternate plans but this is rare and often administrators prohibit such plans.


    Post-Doctoral


    Upon receiving their M.D., Ph.D. dual degree, physician-scientists may choose a variety of career paths. The most common continues to be residency training with an additional laboratory training as well. This paradigm allows for the true physician-scientist career of developing therapies in the laboratory that can be taken seamlessly into the clinic for the benefit of patients. However, a physician-scientist may also elect to refuse residency training, thereby having a career essentially like a Ph.D.-only scientist. Finally, a physician-scientist may elect to work in the private sector with no further formal academic clinical nor research training.
    [edit]Benefits of the Dual-Degree



    Financial Compensation



    Most M.D., Ph.D. programs (all MSTPs) cover all medical school tuition, provide a stipend, and cover health insurance expenses. This allows M.D., Ph.D. students to maintain financial-equality to their M.D.-only counterparts who can earn their full clinical salary sooner but also have to pay off large loans.

    Residency Programs


    Candidates with M.D., Ph.D. dual degrees are favorably looked upon in University-based residencies that encourage research electives.
    Career Path



    The vast majority (over 80%) of MD/PhD graduates eventually choose to enter academia, government, or industry where medical research is a central component of their duties. According to a FASEB study conducted in 2000, graduates of NIH-funded MSTPs make up just 2.5% of medical school graduates each year, but after graduation, account for about one third of all NIH research grants awarded to physicians. Many MD/PhD graduates also practice clinical medicine in their field of expertise.




    United States Medical Licensing Examination




    The United States Medical Licensing Examination (USMLE) is a multi-part professional exam sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Physicians with an M.D. degree are required to pass this examination before being permitted to practice medicine in the United States of America; see below for requirements of physicians with a D.O. degree.[1]
    The USMLE assesses a physician's ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centered skills that are important in health and disease and that constitute the basis of safe and effective patient care. Examination committees composed of medical educators and clinicians from across the United States and its territories prepare the examination materials each year.


    Students and graduates of U.S. or Canadian medical school programs accredited by either the Liaison Committee on Medical Education (LCME) or Committee on Accreditation of Canadian Medical Schools, leading to the Doctor of Medicine (M.D.) degree, or by the American Osteopathic Association (AOA), leading to the Doctor of Osteopathic Medicine (D.O.) degree, register for Step 1 and Step 2 of the USMLE with the NBME. Students and graduates of medical schools outside the United States or Canada register for Step 1 and Step 2 with the Educational Commission for Foreign Medical Graduates (ECFMG). Graduates of medical schools in and outside the United States and Canada register for Step 3 with the FSMB or with a medical licensing authority in the United States. Each of the three steps of the USMLE examination complements the other; no step stands alone in the assessment of readiness for medical licensure. The USMLE program recommends that for Step 3 eligibility, licensure authorities require the completion, or near completion, of at least one postgraduate training year in a program of graduate medical education accredited by the Accreditation Council on Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA).
    All three steps of the USMLE exam must be passed before a physician with an M.D. degree is eligible to apply for an unrestricted license to practice medicine in the United States. U.S. osteopathic medical school graduates are permitted to take the USMLE for medical licensure, which they can also obtain by passing the multi-part Comprehensive Osteopathic Medical Licensing Examination (COMLEX) professional exam. Students who have graduated from medical schools outside the US and Canada must pass all three steps of the USMLE to be licensed to practice in the US, regardless of the title of their degree. Overall pass rates for first time USMLE Step 1 test takers are: 94% for U.S. M.D. medical school graduates, 89% for U.S. D.O. osteopathic medical school graduates, and 73% for international medical school graduates. First-time USMLE Step 2 CK test taker pass rates are: 97% for U.S. M.D. medical school graduates and 93% for U.S. D.O. medical school graduates. First-time USMLE Step 2 CS test taker pass rates are: 98% for U.S. M.D. medical school graduates and 88% for U.S. D.O. medical school graduates. Overall pass rates for first time USMLE Step 3 test takers are: 97% for U.S. M.D. medical school graduates, 94% for U.S. D.O. medical school graduates, and 78% for international medical school graduates. (In these statistics, "U.S. M.D. medical school graduates" includes graduates of Canadian M.D. programs.)




    Step 1




    USMLE Step 1 assesses whether medical school students or graduates understand and can apply important concepts of the basic sciences to the practice of medicine. As of 2007, it covers the following subjects, in both systemic (general and individual anatomical characteristics) and procedural (functional, therapeutic, environmental, and abnormality) themes:
    1. Anatomy,
    2. Physiology,
    3. Biochemistry,
    4. Pharmacology,
    5. Pathology,
    6. Microbiology,
    7. Behavioral sciences,


    Interdisciplinary topics, such as nutrition, genetics, and aging.[4]
    US medical students take Step 1 at the end of the Basic Sciences portion of the curriculum, usually after the second year of medical school. It is an eight-hour computer-based exam consisting of 322 multiple-choice questions (MCQs) divided into seven blocks each consisting of 46 questions. As of summer 2008, some questions include audio and video. Each block must be finished within an hour. The remaining hour is break time. An optional tutorial about how to use the computer program of the exam is offered at the beginning of the exam and takes 15 minutes. This time is deducted from the hour of allotted break time. A quality assurance survey is presented at the end, provided some of the original eight hours is left over.
    Scores are reported as a three digit score and a two digit score, however as of July 1, 2011 only the 3-digit score is reported on USMLE transcripts.[5] On January 1, 2010, the passing score was raised from 185 to 188.[6] The average score in 2011 was 225 with a standard deviation of 22.[7] If the student passes the exam, he or she may not repeat the exam to achieve a higher score.

    The Step 1 score is frequently used in medical residency applications as a measure of a candidate's likelihood to succeed in that particular residency (and on that specialty's board exams). Step 1 score has been cited as the most important criteria by residency program directors when selecting graduating medical students for their residency program.[8] Average USMLE Step 1 scores for various residencies are available in "Charting Outcomes in the Match" at
    http://www.nrmp.org/data/chartingoutcomes2011.pdf. Averages for graduates of U.S. medical schools who matched into residency range from 213 for a Family Medicine to 249 for Plastic Surgery.[9]
    The Step 1 exam is widely viewed as the hardest and most important examination a medical student will take during his/her career.


    Step 2



    USMLE Step 2 is designed to assess whether medical school students or graduates can apply medical knowledge, skills and understanding of clinical science essential for provision of patient care under supervision. US medical students typically take Step 2 during the fourth year of medical school. Step 2 is further divided into two separate exams.


    Step 2-CK


    USMLE Step 2 CK is designed to assess clinical knowledge through a traditional, multiple-choice examination. It is a 9 hour exam consisting of 8 blocks of 44 questions each. One hour is given for each block of questions. The subjects included in this exam are clinical sciences like Medicine, Surgery, Pediatrics, Psychiatry and Obstetrics & Gynecology.


    Step 2-CS


    USMLE Step 2 CS is designed to assess clinical skills through simulated patient interactions, in which the examinee interacts with standardized patients portrayed by actors. Each examinee faces 12 Standardized Patients (SPs) and has 15 minutes to complete history taking and clinical examination for each patient, and then 10 more minutes to write a patient note describing the findings, initial differential diagnosis list and a list of initial tests. Administration of the Step 2-CS began in 2004. The examination is only offered in five cities across the country:



    Philadelphia
    Chicago
    Atlanta
    Houston
    Los Angeles
    Before 2004, a similar exam, the Clinical Skills Assessment (CSA) was used to assess the clinical skills of foreign medical graduates.


    Step 3




    Main article: USMLE Step 3
    USMLE Step 3 is the final exam in the USMLE series designed to assess whether a medical school graduate can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. Graduates of US medical schools typically take this exam at the end of the first year of residency. Foreign medical graduates can take Step 3 before starting residency in about ten U.S. states. Connecticut is frequently chosen for such purpose because it does not require simultaneous application for licensure, unlike New York. Starting from 2014 USMLE Step 3 will be divided into two separate parts.
    Step 3 is 16 hour examination divided over two-days. Each day of testing must be completed within eight hours.
    The first day of testing includes 336 multiple-choice items divided into 7 blocks, each consisting of 48 items. Examinees must complete each block within sixty minutes.

    The second day of testing includes 144 multiple-choice items, divided into 4 blocks of 36 items. Examinees are required to complete each block within forty-five minutes. Approximately 3 hours are allowed for these multiple-choice item blocks. Also on the second day are twelve Clinical Case Simulations, where the examinees are required to 'manage' patients in real-time case simulations. Examinees enter orders for medications and/or investigations into the simulation software, and the condition of the patient changes . Cases are of 20 or 10 minutes.
    Approximately forty-five minutes to one hour is available for break time on each of the two days of testing.


    Exam Format



    The USMLE first started out as a paper examination, converting to a computer based multiple choice examination. The test can be taken at Prometric test centers worldwide. However, the Step 2 CS and the Step 3 can only be taken in the USA. The software used to administer the test, the NBME FREDtm, was upgraded in 2008 to a new version, FREDtm V2. The implementation of this changeover continues.


    Performance



    Grade point average in undergraduate science courses and performance on the MCAT, particularly the biological sciences and physical sciences sections, are strong predictors of performance on the USMLE step 1 and step 2 exams, though it is unclear whether the verbal reasoning portion of the MCAT has any predictive value. The selectivity of undergraduate institution is also a predictor of step 1 and step 2 performance, even when controlling for undergraduate GPA and MCAT score.




    USMLE Step 2 Clinical Knowledge





    he USMLE-Step 2-CK ("Clinical Knowledge") is the nine-hour long multiple-choice portion of the second part of the United States Medical Licensure Examination.It assesses clinical knowledge through a traditional, multiple-choice examination. In contrast to the USMLE Step 1, the focus is much more on clinical application of medical knowledge. It assesses the ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision. The USMLE Step 2 is generally taken during the 4th year of medical school by medical students. From January 2010, the registration fee for the test is $790 for students who take it in North America, with additional charges for applicants who choose a testing region outside the United States or Canada.



    Format


    The exam is a nine-hour single-day computer-based test composed of eight question sets with 42-51 questions per set (352 multiple-choice questions in total). Each section is one hour long. The test taker is permitted 45 minutes, in total for the whole day, for the purpose of breaks that can only be taken between sections. There is a 15 minute tutorial at the beginning of the exam, which the test-taker can choose to skip, and have the time added to the break time. If the taker finishes any section before the alloted 1 hour time limit, the remainder of the time is added to break time. The test is administered at the Prometric testing sites around the world.

    Topics



    Step 2 CK includes test items in the following content areas: internal medicine, obstetrics and gynecology, pediatrics, preventive medicine, psychiatry, surgery, other areas relevant to provision of care under supervision.

    Most Step 2 CK test items describe clinical situations and require that you provide one or more of the following: diagnosis, a prognosis, an indication of underlying mechanisms of disease, the next step in medical care, including preventive measures.

    Step 2 CK is a broadly based, integrated examination. It frequently requires interpretation of tables and laboratory data, imaging studies, photographs of gross and microscopic pathologic specimens, and results of other diagnostic studies. Step 2 CK classifies test items along two dimensions: disease category and physician task.


    Scoring



    Scoring is reported in 2 digit and 3 digit scores. On the 3-digit scale, most scores fall between 140 and 260, with the mean score for first-time examinees from accredited medical schools in the United States in the range of 220 to 230, and the standard deviation approximately 25. The 2-digit score is derived from the 3-digit score, so that 75 always corresponds to the minimum passing score.[4] Students are required to get 75 in the two digit score and 196 in the three digit score to pass.[5] The minimum passing score on the USMLE Step 2 CK has increased to 196 for students taking the test after July 1st, 2012.


    Effect on Residency Matching



    The USMLE Step 2 CK score is one of many factors considered by residency programs in selecting applicants. Along with the USMLE Step 1, this test is a standardized measure of all applicants. The median USMLE Step 2 scores for graduates of U.S. Medical Schools for various residencies are charted in Chart 7 on page 10 of "Charting Outcomes in the Match" available at http://www.nrmp.org/data/chartingoutcomes2009v3.pdf
    This same data is available for the 2011 Match at http://www.nrmp.org/data/chartingoutcomes2011.pdf
    [edit]See also



    USMLE Step 1
    USMLE Step 2 Clinical Skills
    USMLE Step 3



    USMLE Step 2 Clinical Skills




    Step 2 Clinical Skills (Step 2 CS) of the United States Medical Licensing Examination (USMLE) is an exam that is currently administered to medical students/graduates who wish to become licensed physicians in the U.S.[citation needed]. It is comparable to the COMLEX-USA Level 2-PE exam, taken by osteopathic medical students/graduates who seek licensure as physicians in the U.S.[1] From January 2011, the registration fee for the test is $1355, .[2] Historically, US students have taken Step 2 CS late in their senior year, prior to graduation. However, some residency programs (such as those at the University of California, San Francisco) now require students to record a passing score for both Step 2 CS and CK prior to February 15 of the application year.[3] This has led some US medical schools in 2009 and 2010 to begin recommending that students take Step 2 CS in the Fall of their senior year.



    Exam Structure



    The USMLE Step 2CS exam consists of a series of patient encounters in which the examinees must see standardized patients (SPs), take a history, do a physical examination, determine differential diagnoses, and then write a patient note based on their determinations. The topics covered are common outpatient or Emergency Room visits which are encountered in the fields of internal medicine, surgery, psychiatry, pediatrics, and Obstetrics and Gynaecology. Examinees are expected to investigate the simulated patient's chief complaint, as well as obtain a thorough assessment of their past medical history, medications, allergies, social history (including alcohol, tobacco, drug use, sexual practices, etc.), and family history. Usually, examinees have one telephone encounter, speaking to an SP through a microphone during which there is no physical exam component.

    Examinees are allowed 15 minutes to complete each encounter and 10 minutes for the patient note for a single patient encounter. The patient note is slightly different than a standard SOAP note. For the exam note, the examinees will document the pertinent facts relating to the history of present illness as well as elements of the past medical history, medication history, allergies, social history, family history, and physical exam. The examinees will then state up to 5 differential diagnoses relating to the simulated patient's symptoms, and up to 5 tests or procedures to investigate the simulated patient's complaints; the examinees will not recommend any specific treatments in the note in contrast to a true clinic SOAP note (i.e., IV fluids, antibiotics, or other medications). Over the course of an 8-hour exam day, the examinees complete 12 such encounters. Step 2 CS examinees will be required to type patient notes on a computer beginning July 17, 2011.[4]
    USMLE Step 2 CS replaced the former ECFMG Clinical Skills Assessment (CSA) effective June 14, 2004. The last administration of the ECFMG Clinical Skills Assessment (CSA) took place on April 16, 2004.


    Grading




    The test is graded on a pass/fail basis, without any numerical score associated with it (as opposed to the other parts of the USMLE series). In order to pass, one must achieve a grade of "pass" in each of the three sub-components of the exam.[5] A score report is provided in the event of failure.
    Integrated Clinical Encounter (ICE) - This component includes the ability of the examinees to collect pertinent clinical information from the SP, and to write an appropriate patient note with differential after the clinical encounter. The former part is graded by the simulated patient, and the latter by a practicing physician.

    Communication and Interpersonal Skills (CIS) - This component includes evaluating the examinees' question asking skills (asking open ended questions, avoiding repetition and medical jargon), information sharing skills (acknowledging patient concerns, providing counseling and information about what will happen in the future), and professionalism / rapport (asking about feelings and concerns, showing consideration for patient comfort, proper hygiene during examinations, providing empathy and respect for the simulated patient).

    Spoken English Proficiency (SEP) - This component includes clarity of spoken English communication in the context of pronunciation, word choice, and minimizing the need to repeat questions or statements.




    USMLE Step 3




    Step 3 is the final exam in the USMLE series of examinations. It is part of the licensing requirements for Doctors of Medicine (M.D.), Doctors of Osteopathic Medicine (D.O.), and international medical graduates to practice medicine in the United States. The USMLE Step 3 exam is considered as the final step in the series of medical licensure examinations. Generally, it is a pre-requisite of the majority of the state licensing boards.

    USMLE Step 3 tests several concepts that are often required to provide general health care to a patient. USMLE Step 3 is a mandatory exam that must be passed in order to obtain license as a practicing physician. Some International Medical Graduates are required to pass USMLE Step 3 in order to obtain an H1 Visa.

    Most of the USMLE Step 3 exam (75 percent) consists of multiple choice questions, while the remaining 25 percent are clinical case simulations. A full description of the content of the exam can be found on the USMLE website.[1] USMLE Step 3 exams are delivered online and are available throughout the year to the examinees. The examinee needs to register via a state licensing board for this exam.

    Starting from 2014 USMLE Step 3 will be divided into two parts.[2]



    Examination Content



    USMLE Step 3 examination tests on general topics that are required to understand and practice concepts of general medicine/ family medicine.


    The following components are tested:


    Normal conditions and disease categories (normal growth and development, basic concepts, and general principles)

    Clinical encounter frame (initial work up, continuing care, urgent intervention)
    Physician task (applying scientific concepts, formulating a diagnosis based on history, physical exam, and lab findings, and managing the patient).
    Clinical encounter frames are common clinical scenarios physicians may encounter. They range from nonemergency problems, to the continuity of care, to life-threatening emergency situations encountered in emergency departments, clinics, offices, care facilities, inpatient settings, and on the telephone. Each test item, in an encounter frame, represents one of the six physician tasks. For example, initial care encounters emphasize taking a history and performing a physical examination. In contrast, continued care encounters emphasize decisions regarding prognosis and management.


    Eligibility for USMLE Step 3



    To be eligible to take the USMLE Step 3 exam, the physician must hold an M.D. or D.O. degree, and successfully pass the USMLE Step 1 and Step 2 Clinical Knowledge exams. International medical graduates must obtain certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or successfully complete a &#8220;Fifth Pathway&#8221; program. The Step 2 CS may also be required.


    Preparation strategies for USMLE Step 3



    Typically, worldwide examinees require two to three months to prepare for this exam, although in the US, examinees who are American medical school graduates commonly prepare for only a few days to a few weeks. An examinee is tested on their clinical skills, diagnostic acumen, decision making, treatment guidelines and follow up care. Examinees who are not comfortable preparing for this exam on their own may take review courses, either in person or through distance-learning services.



    COMLEX-USA




    The Comprehensive Osteopathic Medical Licensing Examination of the United States COMLEX-USA or the Boards is a series of three osteopathic medical licensing examinations administered by the National Board of Osteopathic Medical Examiners NBOME similar to the United States Medical Licensing Examination USMLE COMLEX-USA is the most common pathway by which osteopathic physicians (D.O.s) apply for medical licensure, and is accepted in all 50 states. The 3-digit standard scores of COMLEX-USA Level 1, Level 2- Cognitive Evaluation CE, and Level 3 have a range of 200-800 and a mean of 500. 400 is the minimum passing score for COMLEX-USA Levels 1 and 2; 350 for COMLEX-USA Level 3.




    COMLEX-USA Level 1:

    is typically taken after completion of the second year of medical school. The exam is consist of 400 questions administered in one day and consists of two, four-hour exam sessions separated by a 40-minute break. Each of the four-hour sessions allows a ten-minute break which is subtracted from the four-hour test time. Candidates are expected to know the basic mechanisms of health and disease process. The mean score for the COMLEX-USA Level 1 is 500, and is an important factor in determining a medical student's competitiveness when applying to residency programs. Student performance on COMLEX-USA Level 1 strongly correlates with MCAT biology section scores and undergraduate science GPA, as well as medical school grades.




    COMLEX-USA Level 2

    taken during the third or fourth year of medical school, consists of two parts: Level 2-Cognitive Evaluation CE and Level 2-Performance Evaluation PE. Level 2-CE requires candidats to demonstrate knowledge of clinical concepts and medical decision-making. The examination is problem-based and symptoms-based, integrating the clinical disciplines of:




    1. emergency medicine
    2. family medicine
    3. internal medicine
    4. obstetrics/gynecology
    5. osteopathic principles
    6. pediatrics
    7. psychiatry
    8. surgery





    COMLEX-USA Level 3



    The final examination, COMLEX-USA Level 3, is typically taken after starting a residency program and covers the clinical disciplines of medicine, including:
    1. emergency medicine
    2. family medicine
    3. internal medicine
    4. obstetrics/gynecology
    5. osteopathic principles
    6. pediatrics
    7. psychiatry
    8. surgery



    Accreditation Council for Graduate Medical Education




    The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting the majority of graduate medical training programs (i.e., internships, residencies, and fellowships, aka subspecialty residencies) for physicians in the United States. It is a non-profit private council that evaluates and accredits medical residency and internship programs. The ACGME was founded in 1981 and was preceded by the Liaison Committee for Graduate Medical Education, which was established in 1972.[1] The ACGME currently oversees the post-graduate education and training for all MD and the majority of DO physicians in the United States.[2] Plans call for the ACGME to oversee the Unified Accreditation System for all MDs and DOs in 2015.[3]

    The ACGME's member organizations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, and the Council of Medical Specialty Societies each of whom appoints four members to the ACGME's board of directors.

    On October 24, 2012, the ACGME, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine (AACOM) announced an agreement to pursue a single, unified accreditation system for graduate medical education programs in the United States beginning in July 2015. Plans call for the ACGME to accredit all osteopathic graduate medical education programs currently accredited by AOA. AOA and AACOM would then become organizational members of ACGME.[4]



    ACGME Proposal for Common Program Requirements[9]



    Effective July 2014:
    III.A.2. Prerequisite clinical education for entry into ACGME-accredited residency programs must be accomplished in ACGME-accredited residency programs or Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited residency programs located in Canada.
    Effective July 2015:



    II.A.3. Prerequisite clinical education for entry into ACGME-accredited fellowship programs must meet the following qualifications:
    III.A.3.a) for fellowship programs that require completion of a residency program, the completion of an ACGME-accredited residency program or an RCPSC-accredited residency program located in Canada.
    II.A.3.b) for fellowship programs that require completion of some clinical education, clinical education that is accomplished in ACGME accredited residency programs or RCPSC-accredited residency programs located in Canada.






    Under-Grad- Biology


    Code:
    Undergrad In Biology:
    
    Course	Title
    Biol 104	Biology for Elementary School Teachers
    Biol 106	Introductory Biology Seminar
    Biol 114	 Introductory Astrobiology
    Biol 118	Survey of Physiology
    Biol 119	Elementary Physiology Laboratory
    Biol 180	Introductory Biology
    Biol 200	Introductory Biology
    Biol 220	Introductory Biology
    Biol 250	Marine Biology
    Biol 280	The History of Life
    Biol 302	Lab Techniques in Cell and Molecular Biology
    Biol 315	Biological Impacts of Climate Change
    Biol 340	Genetics and Molecular Ecology
    Biol 350	Foundations in Physiology
    Biol 354	Foundations in Evolution and Systematics
    Biol 355	Foundations in Molecular Cell Biology
    Biol 356	Foundations in Ecology
    Biol 380	Biomedical Advances
    Biol 399	Biology Internship Program
    Biol 400	Experiments in Molecular Biology
    Biol 411	Developmental Biology
    Biol 427	Biomechanics
    Biol 441	Morphology and Anatomy of Land Plants
    Biol 442	Mushrooms & Related Fungi
    Biol 450	Vertebrate Paleontology
    Biol 453	Comparative Anatomy of Vertebrates
    Biol 462	Advanced Animal Physiology
    Biol 463	Advanced Animal Physiology Lab
    Biol 465	Comparitive Endocrinology
    Biol 468	Medical Physiology
    Biol 473	Limnology
    Biol 474	Limnology Laboratory
    Biol 479	Marine Biology Research
    Biol 481	Experimental Evolutionary Ecology
    Biol 483	Paleobiology Seminar
    Biol 485	Cell, Molecular and Developmental Seminar
    Biol 488	Senior Seminar in Physiology
    Biol 491	Special Topics in Biological Science for Teachers
    Biol 492	The Teaching of Biology
    Biol 496	Peer Teaching Assistants in Biology
    Biol 498	Library Research
    Biol 500	Topics in Biology
    Biol 502	Grant Writing
    Biol 505	Problems in Biological Instruction
    Biol 511	Topics in Mathematical Biology
    Biol 520	Departmental Seminar
    Biol 540	Seminar in Molecular, Cellular, and Developmental Biology
    Biol 541	Topics in Molecular, Cellular, and Developmental Biology
    Biol 543	Biology of Drosophila Seminar
    Biol 545	MCD Professional Skills Seminar
    Biol 550	Seminar in Evolution and Systematics
    Biol 551	Topics in Evolution and Systematics
    Biol 552	Advanced Evolution
    Biol 557	Vertebrate Paleontology
    Biol 560	Topics in Ecology
    Biol 563	Experimental Evolutionary Ecology
    Biol 571	Topics in Conservation Biology
    Biol 580	Seminar in Physiology
    Biol 581	Topics in Physiology
    Biol 590	Organismal Biology Seminar
    Biol 591	Topics in Organismal Biology
    Time Schedule >>
    Course	Title
    Biol 104	Biology for Elementary School Teachers
    Biol 106	Introductory Biology Seminar
    Biol 118	Survey of Physiology
    Biol 119	Elementary Physiology Laboratory
    Biol 180	Introductory Biology
    Biol 200	Introductory Biology
    Biol 220	Introductory Biology
    Biol 300	Introduction to Neuroscience
    Biol 302	Laboratory Techniques in Cell and Molecular Biology
    Biol 311	Biology of Fishes
    Biol 350	Foundations in Physiology
    Biol 355	Foundations in Molecular Cell Biology
    Biol 356	Foundations in Ecology
    Biol 399	Biology Internship Program
    Biol 400	Molecular Biology
    Biol 401	Advanced Cell Biology
    Biol 405	Cellular and Molecular Biology of Human Disease
    Biol 409	Sociobiology
    Biol 411	Developmental Biology
    Biol 423	Marine Ecological Processes
    Biol 424	Plant Eco-Physiology
    Biol 434	Invertebrate Zoology
    Biol 440	General Mycology
    Biol 453	Comparative Anatomy of Vertebrates
    Biol 457	Chemical Communication
    Biol 460	Mammalian Physiology
    Biol 469	Evolution & Medicine
    Biol 476	Conservation Biology
    Biol 477	Marine Biology Seminar
    Biol 478	Topics in Sustainable Fisheries
    Biol 479	Marine Biology Research
    Biol 483	Paleobiology Seminar
    Biol 486	Ecology Seminar
    Biol 490	Careers in Biology Seminar
    Biol 491	Special Topics in Biological Science for Teachers
    Biol 496	Peer Teaching Assistants in Biology
    Biol 498	Library Research
    Biol 499	Undergraduate Research
    Biol 511	Topics in Mathematical Biology
    Biol 520	Departmental Seminar
    Biol 541	Topics in Molecular, Cellular, and Developmental Biology
    Biol 542	Analysis of Development
    Biol 543	Biology of Drosophila Seminar
    Biol 550	Seminar in Evolution and Systematics
    Biol 551	Topics in Evolution and Systematics
    Biol 553	Applied Phylogenetics
    Biol 560	Seminar in Ecology
    Biol 561	Topics in Ecology
    Biol 570	Seminar in Conservation Biology
    Biol 571	Topics in Conservation Biology
    Biol 581	Topics in Physiology
    Biol 591	Topics in Organismal Biology
    Biol 600	Independent Study or Research
    Biol 700	Master's Thesis
    Biol 800	Doctoral Dissertation
    Honors 396	Interdisciplinary Special Topics--Natural Science
    Psych 502	Core Concepts in Animal Behavior
    Time Schedule >>
    Course	Title
    Biol 106	Introductory Biology Seminar
    Biol 118	Survey of Physiology
    Biol 119	Elementary Physiology Laboratory
    Biol 180	Introductory Biology
    Biol 200	Introductory Biology
    Biol 220	Introductory Biology
    Biol 240	The Urban Farm
    Biol 305	Science Communication: Video Storytelling in Biology
    Biol 315	Biological Impacts of Climate Change
    Biol 317	Plant Classification and Identification
    Biol 325	Tree of Life
    Biol 331	Landscape Plant Recognition
    Biol 350	Foundations in Physiology
    Biol 354	Foundations in Evolution and Systematics
    Biol 355	Foundations in Molecular Cell Biology
    Biol 399	Biology Internship Program
    Biol 400	Molecular Biology
    Biol 401	Advanced Cell Biology Lab
    Biol 405	Cellular and Molecular Biology of Human Disease
    Biol 412	Developmental Biology Lab
    Biol 418	Biological Clocks and Rhythms
    Biol 425	Advanced Plant Physiology and Development
    Biol 426	Advanced Plant Physiology Laboratory
    Biol 430	Marine Zoology
    Biol 443	Evolution of Mammals
    Biol 444	Natural History of Birds
    Biol 446	Biology of Algae
    Biol 451	Invertebrate Paleontology
    Biol 452	Vertebrate Biology
    Biol 454	Entomology
    Biol 455	Entomology Laboratory
    Biol 459	Developmental Neurobiology
    Biol 471	Plant Ecology
    Biol 479	Alpine Plant Ecology
    Biol 480	Field Ecology
    Biol 482	Microscopy and Photography for Biologists
    Biol 483	Paleobiology Seminar
    Biol 484	Senior Seminar in Evolution and Systematics
    Biol 485a	Cell, Molecular and Developmental Biology Seminar
    Biol 485b	Immunology Seminar
    Biol 488	Senior Seminar in Physiology
    Biol 489b	Plant Biology Seminar
    Biol 490	Undergraduate Seminar
    Biol 491	Special Topics in Biological Science for Teachers
    Biol 492 A	The Teaching of Biology
    Biol 492 B	The Teaching of Biology
    Biol 496	Peer Teaching Assistants in Biology
    Biol 497	Ecology of Climate Change
    Biol 498	Library Research
    Biol 499	Undergraduate Research
    Biol 505 A	Problems in Biological Instruction
    Biol 505 B	Problems in Biological Instruction
    Biol 511	Topics in Mathematical Biology
    Biol 520	Departmental Seminar
    Biol 540	Seminar in Molecular, Cellular, and Developmental Biology
    Biol 541	Topics in Molecular, Cellular, and Developmental Biology
    Biol 543	Biology of Drosophila Seminar
    Biol 545	MCD-Biology Professional Skills Seminar
    Biol 550	Seminar in Evolution and Systematics
    Biol 551	Topics in Evolution and Systematics
    Biol 560	Seminar in Ecology
    Biol 561	Topics in Ecology
    Biol 564	Advanced Experimental Evolutionary Ecology
    Biol 571	Topics in Conservation Biology
    Biol 581	Topics in Physiology
    Biol 590	Organismal Biology Seminar
    Biol 591	Topics in Organismal Biology
    Biol 600	Independent Study or Research
    Biol 700	Master's Thesis
    Biol 800	Doctoral Dissertation
    Nbio 302	Intro to Systems and Behavioral Neurobiology
    Time Schedule >>
    Course	Title
    Biol 118	Survey of Physiology
    Biol 119	Elementary Physiology Laboratory
    Biol 180	Introductory Biology
    Biol 200	Introductory Biology
    Biol 220	Introductory Biology
    Biol 240	The Urban Farm
    Biol 250	Marine Biology
    Biol 317	Plant Classification and Identification
    Biol 350	Foundations in Physiology
    Biol 355	Foundations in Molecular Cell Biology
    Biol 399	Biology Internship Program
    Biol 442	Mushrooms and Related Fungi
    Biol 452	Vertebrate Biology
    Biol 459	Developmental Neurobiology
    Biol 475	Paleontology Field Methods
    Biol 479	Marine Biology Research
    Biol 480	Undergraduate Seminar
    Biol 490	Undergraduate Seminar
    Biol 491	Special Topics in Biological Science for Teachers
    Biol 499	Undergraduate Research
    Biol 541	Topics in Molecular, Cellular, and Developmental Biology
    Biol 551	Topics in Evolution and Systematics
    Biol 551	Topics in Evolution and Systematics
    Biol 590	Natural History Seminar
    Biol 591	Topics in Organismal Biology
    Biol 600	Independent Study or Research
    Biol 700	Master's Thesis
    Biol 800	Doctoral Dissertation



    B.S Degree's




    Code:
    ECOLOGY, EVOLUTION AND CONSERVATION BIOLOGY
    BACHELOR OF SCIENCE IN BIOLOGY
    
    
    The Ecology, Evolution, and Conservation option is 
    for students interested in the origins, maintenance,
     or conservation of biological diversity. This option 
    prepares students with strong system level approaches 
    to problem solving, and careers in natural resources 
    and conservation. A strong quantitative background is 
    emphasized, and courses serve to develop skills in data 
    collection, 
    analysis, and communication. It is a degree option 
    that allows students to explore courses offered 
    through the College of Environment and Arts and Sciences.
    
    Each option is complemented by the College of Arts
     and Sciences general educational requirements 
    such as English Composition, Writing, Foreign Language,
     QSR, VLPA, and I&S.
    
    Admission Requirements. The minimum admission 
    requirements are noted below, but admission is 
    non-competitive and all students who meet the 
    stated requirements are admitted to the major. 
    To declare the major, students need to meet 
    with a Biology Adviser to complete a change of 
    major form.
    
    &#376; Completion of BIOL 180 with a grade of 2.5 or 
    better or the completion of BIOL 180, 200, 220 
    with a cumulative GPA of 2.0 or better for the series.
    
    Departmental Honors in Biology
    Departmental honors allow students seeking extra 
    challenges and opportunities to do so while 
    completing a Biology Degree. Students may request
     an invitation to departmental honors in Biology 
    once they complete their introductory biology sequence, 
    and have declared a Biology Major. The request must be 
    submitted 3
     quarters prior to graduation, requests made later 
    will not be reviewed.
    
    General Requirements for completing Departmental 
    Honors include:
    ·	UW Cumulative GPA: 3.3
    ·	Major Cumulative GPA:  3.4
    ·	Complete two 400 level BIOL courses for Ad 
    Hoc credit.
     (Requires signed agreement form)
    ·	Complete two approved Senior level BIOL 
    Seminars
    ·	Complete  9 credits of Undergraduate 
    Research 
    (Research approval form required)
    ·	Complete a research paper based on approved 
    research credits
    ·	Present your research work at the Undergraduate
     Research Symposium or other approved venue.

    Code:
    PHYSIOLOGY
    BACHELOR OF SCIENCE IN BIOLOGY 
    
    The Physiology option emphasizes physiological 
    processes from cellular to organismal levels. 
    This is an attractive option for students interested 
    in the internal processes of both animals and plants
     in relation to the systems and components 
    that create a synergistic working living organism. 
    
    Each option is complemented by the College of 
    Arts and Sciences general educational requirements 
    such as English Composition, Writing, Foreign Language,
     QSR, VLPA, and I&S.
    
    Admission Requirements: The minimum admission 
    requirements are noted below, but admission is 
    non-competitive and all students who meet the 
    stated requirements are admitted to the major. 
    To declare the major, students need to meet 
    with a Biology Adviser to complete a change of major
     form.
    
    &#376; Completion of BIOL 180 with a grade of 2.5 
    or better or the completion of BIOL 180, 200, 
    220 with a cumulative GPA of 2.0 or better for 
    the series.
    
    
    Departmental Honors in Biology
    Departmental honors allow students seeking 
    extra challenges and opportunities to do so while
     completing a Biology Degree. Students may 
    request an invitation to departmental honors
     in Biology once they complete their introductory 
    biology sequence, and have declared a Biology 
    Major. The request must be submitted 3 quarters
     prior to graduation, requests made later will not
     be reviewed.
    
    General Requirements for completing Departmental 
    Honors include:
    ·	UW Cumulative GPA: 3.3
    ·	Major Cumulative GPA:  3.4
    ·	Complete two 400 level BIOL courses for Ad
     Hoc credit. (Requires signed agreement form)
    ·	Complete two approved Senior level BIOL Seminars
    ·	Complete  9 credits of Undergraduate Research 
    (Research approval form required)
    ·	Complete a research paper based on approved 
    research credits
    ·	Present your research work at the Undergraduate 
    Research Symposium or other approved venue.
    
    
    Option Requirements. A minimum of 90 credits to be
     distributed as follows:
    I.		SUPPORTING COURSES IN CHEMISTRY, 
    PHYSICS, AND MATHEMATICS
    
    1.	CHEM 120, 220*, 221 (5,5,5)
    2.	CHEM 142, 152* (5,5) or 144, 154 and 
    CHEM 223, 224* (4,4)  (O Chem labs are not
     required for major)
    3.	CHEM 142, 152*, 162^ (5,5,5) or 144, 
    154*, 164^ and CHEM 237, 238, 239 (4,4,3)  
    (O Chem labs are not required for major)
    	*CHEM 220 or CHEM 152 is the prerequisite 
    for BIOL 200              ^CHEM 162 or164 are the 
    prerequisite for CHEM 237
    
    PHYS	114, 115	(4,4)		
    Algebra based physics (labs are not 
    required for the major)
    PHYS	121, 122	(5,5)		
    Analysis based physics
    
    1.	MATH	124, 125	(5,5)		
    Calculus with Analytic Geometry
    2.	QSCI	291, 292	(5,5)		
    Calculus for Biologists (May not be used for the Bio 
    Chem 440 Series)
    3.	QSCI 381 or STAT 311 and QSCI 482 (5,5)	
    Quantitative Statistical Reasoning			
    	A third quarter of calculus or a 
    course in Probability and Statistics is strongly 
    recommended but not required.				
    
    
    II.		INTRODUCTORY BIOLOGY:	(15 credits)
    BIOL 180, 200*, 220 (5,5,5)                                                
    *CHEM 220,152 or 154 is a prerequisite for BIOL 200
    
    A grade of 1.7 in Biology 180 will be required to 
    progress to 200 and a grade 2.0 in 200 to progress into 220.
    
    
    III.		GENETICS REQUIREMENT:	(3-5 credits)
    	Select one of the following courses:				
    1.	GENOME	361	(3)		Fundamentals 
    of Genetics and Genomics 
    2.	GENOME	371	(5)		Introductory Genetics
    
    
    IV.	LAB, RESIDENCY AND 400 LEVEL BIOLOGY REQUIREMENTS: 
    These requirements may overlap with other requirements 
    such as breath, Natural History/biodiversity, or advanced 
    electives.
    
    ·	A minimum of 15 credits must be 400 level 
    through the Department of BIOLOGY. Courses such
     as Biochemistry (BIOC) and Microbiology (MICROM) 
    are from other departments and will not count toward 
    this requirement.
    ·	A minimum of 15 credits of 300 and 400 level 
    Advanced BIOL Electives must be taken in residency 
    at the University of Washington-Seattle campus. 
    This requirement can be shared with the departmental 
    400 level requirement above.
    ·	At least two laboratory courses, chosen from 
    any course marked with an &#8220;L&#8221;, must be taken. 
    A minimum of four credits of 499 (please read end 
    note about approval process) can substitute for one 
    laboratory.
    
    
    V.	BREADTH REQUIREMENT:
    Biologists often concentrate on one level of 
    biological organization, but it is important to 
    know about broader biological topics that can 
    be studied. To broaden your perspective, 
    you are required to take at least one biologically
     based course that provides breadth outside 
    your area of concentration.
    
    	Select one of the following courses	(3 credits)
    	BIOL	315	(3)		Biological Impacts of Climate 
    Change
    	BIOL	354	(3)		Foundations in Evolution and 
    Systematics
    	BIOL	356L	(3)		Foundations in Ecology
    	BIOL/PSYCH	#409	(5)		Sociobiology 
    	BIOL/GENOME	#414	(5)		Molecular Evolution 
    	BIOL	415	(3)		Evolution and Development
    	BIOL	447L	(5)		Greening the Earth
    	BIOL	469	(3)		Evolution and Medicine*
    	BIOL	472L	(5)		Community Ecology
    	BIOL	473	(3)		Limnology
    	BIOL	476L	(5)		Conservation Biology
    	BIOL	478	(3)		Topics in Sustainable Fisheries
    	BIOL	480L	(4)		Field Ecology
    	BIOL	481L	(5)		Experimental Ecology and 
    Evolution
    	FISH	#444	(5)		Conservation Genetics 
    
    
    VI.	NATURAL HISTORY/BIODIVERSITY 
    
    Natural History is the study of the characteristics, 
    life cycles, and biological background of some 
    taxonomic group.* Biodiversity deals with a whole
     suite of organisms that inhabits a particular 
    environment.*These classes are often field oriented, 
    in which students both observe or analyze both 
    the organisms and their interactions in the natural 
    habitats.
    	Select one of the following courses:	
    (3 credits min)
    	BIOL	280	(4)		History of Life
    	BIOL/FISH	311L	(3/5)		Biology of 
    Fishes
    	BIOL	317L	(5)		Plant Identification 
    and 
    Classification
    	BIOL	325	(3)		Tree of Life
    	BIOL	331	(3)		Landscape Plant
     Recognition
    	BIOL 	430L	(5)		Marine Zoology (FHL)
    	BIOL 	432L	(9)		Marine Invertebrate
     Zoology 
    (FHL)
    	BIOL	433L	(5)		Marine Ecology
    	BIOL	434L	(5)		Invertebrate
     Zoology
    	BIOL 	440L	(5)		General Mycology
    	BIOL	441L	(5)		Morphology and 
    Anatomy of
     Land Plants
    	BIOL 	442L	(5)		Mushrooms and 
    Related Fungi
    	BIOL 	443L	(5)		Evolution of Mammals
     and their 
    Ancestors
    	BIOL 	444L	(5)		Natural History of Birds
    	BIOL 	445L	(5)		Marine Botany (FHL)
    	BIOL 	446L	(5)		Biology of Algae
    	BIOL/ESS	450/452L	(5)		Vertebrate 
    Paleontology
    	BIOL/ESS	451L	(5)		Invertebrate 
    Paleontology
    	BIOL 	452L	(5)		Vertebrate Zoology
    	BIOL 	453L	(5)		Comparative 
    Vertebrate 
    Anatomy*
    	BIOL 	454/455L	(3/3)		Entomology/
    Entomology 
    Lab
    	BIOL 	456L	(5)		Vegetation of Western 
    Washington
    	ESRM	435/436L	(3/2)		Forest 
    Entomology
    	ESRM	452L	(3)		Field Ornithology
    	ESRM 	456	(3)		Biology and 
    Conservation of Birds
    	FISH 	450L	(3/5)		Salmonoid 
    Behavior and 
    Life History
    	FISH 	475L	(5)		Marine 
    Mammalogy
    
    VII.	ADVANCED BIOLOGY ELECTIVES 	
    (31 credits)
    ·	You are required to have a minimum
     of 31 credits from the selection below.
    ·	Within these 31 credits students must
     select two Advanced Physiology elective courses 
    and one Physiology Lab course:
    Advanced Physiology Elective &#8211; select two courses:					
    	BIOL 	360	(3)		Cellular Anatomy
    	BIOL	403L	(5)		Physiological Mechanisms
     of Histology
    	BIOL	404	(3)		Animal Physiology: 
    Cellular Aspects
    	BIOL	418	(3)		Biological Clocks and
     Rhythms
    	BIOL/ESRM	424/478L	(5)		Plant Eco-
    Physiology
    	BIOL	425	(3)		Adv. Plant Physiology &
     Development
    	BIOL 	427	(4)		Biomechanics
    	BIOL	428	(3)		Environmental Sensory 
    Processes and Mechanics
    	BIOL 	453L	(5)		Comparative Vertebrate 
    Anatomy*
    	BIOL	457	(3)		Chemical Communication
    	BIOL	460	(3)		Mammalian Physiology
    	BIOL 	461	(3)		Neurobiology
    	BIOL 	462	(3)		Advanced Animal Physiology
    	BIOL 	465	(3)		Comparative Endocrinology
    	BIOL 	468	(3)		Medical Physiology
    
    
    BIOL	302L	(4)		Laboratory Techniques in Cell 
    and Molecular
    BIOL	400L	(4)		Experiments in Molecular Biology 
    BIOL	403L	(5)		Physiological Mechanisms of 
    Histology
    BIOL	412L	(4)		Developmental Lab
    BIOL/ESRM	424/478L	(5)		Plant Eco-Physiology
    BIOL	426L	(3)		Adv. Plant Physiology & 
    Development Lab 
    BIOL 	453L	(5)		Comparative Vertebrate Anatomy*
    BIOL	463L	(3)		Adv. Animal Physiology Lab 
    BIOL	466	(3)		Pathobiology of Emerging Diseases
    BIOC	426L	(4)		Basic Techniques in Biochemistry
    FISH	324L	(5)		Aquatic Animal Physiology and
     Reproduction 
    Various DEPT	499L	(4)		Undergraduate 
    Research (Must be Approved, see notes)**
    
    
    
    	BIOL	300	(4)		Introduction to Neuroscience
    	BIOL	305	(3)		Science Communication: Video 
    Storytelling in Biology
    
    	BIOL	350	(3)		Foundations in Physiology
    	BIOL	355	(3)		Foundations in Molecular Cell Biology
    	BIOL	390	(1)		Undergraduate Internship Seminar
    	BIOL	399	(3-5)		Biology Internship Program 
    	BIOL	401	(3)		Advanced Cell Biology
    	BIOL /PSYCH	408	(4)		Mechanisms in Animal 
    Behavior
    	BIOL	411	(4)		Developmental Biology
    	BIOL	416	(3)		Molecular Genetics of  Plant Development
    	BIOL	422	(3)		Physiology of Plant Behavior
    	BIOL	423	(3)		Marine Physiological Ecology
    	BIOL	425	(3)		Adv. Plant Physiology & Development
    	BIOL/ PSYCH	#458	(4)		Behavioral Genetics 
    	BIOL	#459	(3)		Developmental Neurobiology 
    	BIOL	469	(3)		Evolution and Medicine*
    	BIOL	483	(1-3)		Sr. Seminar in Paleobiology
    	BIOL	#485	(1-3)		Sr. Seminar in Cell, Molecular and 
    Developmental Biology 
    	BIOL	488	(1-3)		Sr. Seminar Special Topics
     in Physiology
    	BIOL	491	(1-5)		Special Topics for Biology 
    Teachers
    	BIOL	492	(2)		The Teaching of Biology
    	BIOL	496	(5)		Peer TA&#8217;s in Biology1
    
           Continued on next page&#8230;
    
    VII.	ADVANCED BIOLOGY ELECTIVES&#8230;.. continued:
    
    	BIOC 	405	(3)		Introduction to 
    Biochemistry
    	BIOC	406	(3)		Introduction to 
    Biochemistry
    	BIOC 	440	(4)		Biochemistry
    	BIOC	441	(4)		Biochemistry
    	BIOC	442	(4)		Biochemistry
    	B STR	301	(4)		General Anatomy 
    (restricted registration)
    	FISH	#441L	(3/5)		Integrative 
    Environmental Physiology
    	NUTR/EPI	405	(3)		Physical 
    Activity in Health and Disease 
    	PSYCH	421	(5)		Neural Basis of Behavior
    
    	
    Notes:  
    ·	Many of the elective courses have pre-
    requisite courses; in planning your course selection, 
    be sure to include the necessary pre-requisites!
    ·	Undergraduate Research:  Ten credits 
    is the maximum number of Undergraduate Research
     credits that can be used as Upper Division Electives.
    499 credit must be approved by petition; see a
     Biology Adviser for a Research Approval Form. 
    Four of these 10 credits may be used to fulfill 
    1 of the 2 lab requirements provided a minimum 
    of 4 credits are completed on the same project.
    ·	* BIOL 453 and BIOL 469 can count for 
    either Natural History/Biodiversity/Breadth OR 
    toward your Adv Electives including.      
    It will not count as both.
    ·	1 - This class is regulated and administered 
    by professor permission. To Peer TA an 
    introductory course, an application and a peer 
    TA training class is required. For other courses,
     prior experience with the class and permission 
    of acting instructor is necessary for enrollment.
    ·	 (FHL) = indicates course taught at Friday
     Harbor Labs. 
    ·	For other classes of interest that are
     not listed, please contact an advisor about 
    the possibility of petitioning. The course will 
    need to be at the 300 to 400 level and have 
    a biological basis to be considered.
    
    

    Code:
    MOLECULAR, CELLULAR AND DEVELOPMENTAL
     BIOLOGY
    BACHELOR OF SCIENCE IN BIOLOGY 
    
    The Molecular, Cellular, and Developmental 
    Biology option is for students seeking undergraduate
     training in the molecular, genetic, and cellular 
    basis of life. These topics will assist students
     in understanding the complex biological processes
     that underlie cellular function, disease processes
     and embryonic development.
    
    Each option is complemented by the College
     of Arts and Sciences general educational 
    requirements such as English Composition,
     Writing, Foreign Language, QSR, VLPA, and I&S.
    
    Admission Requirements: The minimum 
    admission requirements are noted below,
     but admission is non-competitive and
     all students who meet the stated
     requirements are admitted to the major. 
    To declare the major, students need 
    to meet with a Biology Adviser to complete
     a change of major form.
    
    &#376; Completion of BIOL 180 with a grade of
     2.5 or better or the completion of BIOL 
    180, 200, 220 with a cumulative GPA of 
    2.0 or better for the series.
    
    
    Departmental Honors in Biology
    Departmental honors allow students
     seeking extra challenges and opportunities
     to do so while completing a Biology 
    Degree. Students may request an invitation
     to departmental honors in Biology once 
    they complete their introductory biology 
    sequence, and have declared a Biology 
    Major. The request must be submitted 3 
    quarters prior to graduation, requests made
     later will not be reviewed.
    
    General Requirements for completing 
    Departmental Honors include:
    ·	UW Cumulative GPA: 3.3
    ·	Major Cumulative GPA:  3.4
    ·	Complete two 400 level BIOL courses
     for Ad Hoc credit. (Requires signed 
    agreement form)
    ·	Complete two approved Senior level
     BIOL Seminars
    ·	Complete  9 credits of Undergraduate 
    Research (Research approval form required)
    ·	Complete a research paper based on
     approved research credits
    ·	Present your research work at the 
    Undergraduate Research Symposium or other
     approved venue.
    
    See an Adviser for more details.
    Option Requirements. A minimum of 93 credits 
    to be distributed as follows:
    
    I.	SUPPORTING COURSES IN CHEMISTRY, 
    PHYSICS, AND MATHEMATICS:
    Chemistry (Select one option):	
    (18-26 credits)					
    1.	CHEM 142, 152 (5,5) or 144, 154 
    (5,5) and CHEM 223, 224# (4,4)				
    2.	CHEM 142, 152, 162* (5,5,5) or 144.
     154, 164 (5,5,5) and CHEM 237, 238, 239 
    (4,4,3)				
    	*CHEM 220 or CHEM 152 is the 
    prerequisite
     for BIOL 200              ^CHEM 162 or164 are
     the prerequisite for CHEM 237				
    Physics (Select one option):	(8-10 credits)					
    1.	PHYS	114, 115	(4,4)		Algebra
     based physics (labs are not required for the 
    major)
    2.	PHYS	121, 122	(5,5)		Analysis
     based physics
    Mathematics (Select one option):	(10 credits)					
    1.	MATH	124, 125	(5,5)		Calculus with
     Analytic Geometry
    2.	QSCI	291, 292	(5,5)		Calculus for 
    Biologists (May not be used for the Bio Chem 
    440 Series)
    3.	QSCI 381 or STAT 311 and QSCI 482 (5,5)
    	Quantitative Statistical Reasoning			
    	A third quarter of calculus or a course in 
    Probability and Statistics is strongly recommended
     but not required.				
    
    
    II.		INTRODUCTORY BIOLOGY:	
    (15 credits)
    BIOL 180, 200*, 220 (5,5,5)                                                  
    *CHEM 220,152 or 154 is a prerequisite for BIOL 
    200
    
    A grade of 1.7 in Biology 180 will be required 
    to progress to 200 and a grade 2.0 in 200 to 
    progress into 220.
    
    
    III.		GENETICS REQUIREMENT:	
    (3-5 credits)
    	Select one of the following courses:				
    1.	GENOME	361	(3)		Fundamentals 
    of Genetics and Genomics 
    2.	GENOME	371	(5)		Introductory
     Genetics
    
    
    IV.	LAB, RESIDENCY AND 400 LEVEL BIOLOGY
     REQUIREMENTS: 
    These requirements may overlap with other 
    requirements such as breath, Natural History/
    biodiversity, or advanced electives.
    
    ·	A minimum of 15 credits must be 400
     level through the Department of BIOLOGY. 
    Courses such as Biochemistry (BIOC) and 
    Microbiology (MICROM) are from other departments
     and will not count toward this requirement.
    ·	A minimum of 15 credits of 300 and 400
     level Advanced BIOL Electives must be taken 
    in residency at the University of Washington-
    Seattle campus. This requirement can be 
    shared with the departmental 400 level 
    requirement above.
    ·	At least two laboratory courses, 
    chosen from any course marked with an &#8220;L&#8221;, 
    must be taken. A minimum of four credits of 
    499 (please read end note about approval 
    process) can substitute for one laboratory.
    V.	  BREADTH REQUIREMENT:
    Biologists often concentrate on one level of 
    biological organization, but it is important to
     know about broader biological topics that 
    can be studied. To broaden your perspective, 
    you are required to take at least one 
    biologically based course that provides breadth
     outside your area of concentration.
    
    	Select one of the following courses :	
    (3 credits minimum)
    	BIOL	315	(3)		Biological Impacts 
    of Climate Change
    	BIOL	354	(3)		Foundations in
     Evolution and Systematics
    	BIOL	356L	(3)		Foundations in 
    Ecology
    	BIOL/PSYCH	#409	(5)		
    Sociobiology 
    	BIOL	#429	(4)		Models in Biology 
    	BIOL	447L	(5)		Greening of the Earth 
    	BIOL	472L	(5)		Community Ecology
    	BIOL	473	(3)		Limnology
    	BIOL	476L	(5)		Conservation Biology
    	BIOL	478	(3)		Topics in Sustainable
     Fisheries
    	BIOL	480L	(4)		Field Ecology
    	BIOL	481L	(5)		Experimental Ecology
     and Evolution
    
    
    VI.	NATURAL HISTORY/BIODIVERSITY 
    
    Natural History is the study of the characteristics, 
    life cycles, and biological background of some 
    taxonomic group.* Biodiversity deals with a whole
     suite of organisms that inhabits a particular 
    environment.*These classes are often field oriented,
     in which students both observe or analyze both 
    the organisms and their interactions in the natural 
    habitats.
    
    	Select one of the following courses:	
    (3 credits minimum)
    	BIOL	280	(4)		History of Life
    	BIOL/FISH	311L	(3/5)		Biology of 
    Fishes
    	BIOL	317L	(5)		Plant Identification
     and Classification
    	BIOL	325	(3)		Tree of Life
    	BIOL	331	(3)		Landscape Plant 
    Recognition
    	BIOL 	430L	(5)		Marine Zoology 
    (FHL)
    	BIOL 	432L	(9)		Marine Invertebrate
     Zoology (FHL)
    	BIOL	433L	(5)		Marine Ecology
    	BIOL	434L	(5)		Invertebrate Zoology
    	BIOL 	440L	(5)		General Mycology
    	BIOL	441L	(5)		Morphology and 
    Anatomy of Land Plants
    	BIOL 	442L	(5)		Mushrooms and 
    Related Fungi
    	BIOL 	443L	(5)		Evolution of Mammals
     and their Ancestors
    	BIOL 	444L	(5)		Natural History of Birds
    	BIOL 	445L	(5)		Marine Botany (FHL)
    	BIOL 	446L	(5)		Biology of Algae
    	BIOL/ESS	450/452L	(5)		Vertebrate
     Paleontology
    	BIOL/ESS	451L	(5)		Invertebrate 
    Paleontology
    	BIOL 	452L	(5)		Vertebrate Zoology
    	BIOL 	453L	(5)		Comparative Vertebrate
     Anatomy
    	BIOL 	454/455L	(3/3)		Entomology
    /Entomology Lab
    	BIOL 	456L	(5)		Vegetation of Western 
    Washington
    	ESRM	435/436L	(3/2)		Forest 
    Entomology
    	ESRM	452L	(3)		Field Ornithology
    	ESRM 	456	(3)		Biology and
     Conservation of Birds
    	FISH 	450L	(3/5)		Salmonoid Behavior 
    and Life History
    	FISH 	475L	(5)		Marine Mammalogy
    
    
    
    VII.	ADVANCED BIOLOGY ELECTIVES:	
    (31 credits)
    ·	You are required to have a minimum of
     31 credits from the selection below.
    ·	Within these 31 credits students must 
    select one Biochemistry option, one Developmental
     Biology course, one Molecular, Cellular,
     Developmental Laboratory:
    
    Biochemistry &#8211; select one option:					
    1.	BIOC	440, 441	(4,4)		Biochemistry
    2.	BIOC	405, 406	(3,3)		Introduction 
    to Biochemistry
    Developmental Biology Courses &#8211; select one 
    course:					
    	BIOL 	411	(4)		Developmental 
    Biology
    	BIOL	413L	(4)		Molecular  
    Development of Genetics*
    	BIOL	415	(3)		Evolution and 
    Development
    	BIOL	416	(3)		Molecular Genetics 
    of Plant Development
    	BIOL	459	(3)		Developmental
     Neurobiology
    Molecular, Cellular, Developmental Lab requirement &#8211;
     select one course:					
    	BIOL	302L	(4)		Laboratory Techniques 
    in Cell and Molecular
    	BIOL 	400L	(4)		Experiments in 
    Molecular Biology
    	BIOL	403L	(5)		Physiological Mechanisms
     of Histology
    	BIOL	412L	(4)		Developmental Lab
    	BIOL	413L	(4)		Molecular  Development 
    of Genetics*
    	BIOL	426L	(3)		Adv. Plant Physiology
     & Development Lab 
    	BIOL 	463L	(3)		Adv. Animal Physiology
     Lab 
    	BIOC 	426L	(4)		Basic Techniques in
     Biochemistry 
    	MICROM	402L	(3)		Fundamentals
     of Microbiology Lab
    	MICROM	431L	(3)		Prokaryotic 
    Recombinant DNA Techniques
    	Various DEPT	499L	(4)		
    Undergraduate Research (Must be Approved, see
     notes)**
    Electives: All remaining upper division electives
     may be chosen from the list below, or from courses
     listed above as Advanced Electives, or from the
     Natural History/Biodiversity list.					
    	BIOL	300	(4)		Introduction to
     Neuroscience
    	BIOL	305	(3)		Science Communication:
     Video Storytelling in Biology
    	BIOL	350	(3)		Foundations in 
    Physiology
    	BIOL	355	(3)		Foundations in 
    Molecular Cell Biology
    	BIOL 	380	(3)		Biomedical Advances
     and Society
    	BIOL	390	(1)		Internship Seminar
    	BIOL	399	(3-5)		Biology Internship
     Program
    	BIOL	401	(3)		Advanced Cell Biology
    	BIOL	404	(3)		Animal Physiology: 
    Cellular Aspects 
    	BIOL	405	(3)		Cell and Molecular
     Biology of Human Disease
    	BIOL	408	(4)		Mechanisms of 
    Animal Behavior
    	BIOL	418	(3)		Biological Clocks 
    and Rhythms
    	BIOL/GENOME	414	(5)		
    Molecular Evolution
    	BIOL	422	(3)		Physiology of 
    Plant Behavior
    	BIOL/ESRM	424/478L	(5)		Plant 
    Eco-Physiology
    	BIOL	425	(3)		Adv. Plant 
    Physiology & Development
    	BIOL	428	(3)		Environmental
    
     Sensory Processes and Mechanics
    	BIOL	449	(5)		Applied Phylogenetics
    	BIOL	457	(3)		Chemical Communication
    	BIOL	460	(3)		Mammalian Physiology
    	BIOL	461	(3)		Neurobiology
    	BIOL	462	(3)		Advanced Animal Physiology
    	BIOL	465	(3)		Comparative Endocrinology
    	BIOL	466	(3)		Pathobiology of Emerging Diseases
    	BIOL	468	(3)		Medical Physiology
    	BIOL	469	(3)		Evolution and Medicine
    
          Continued on next page&#8230;
    
    VII.	ADVANCED MCD ELECTIVES, continued:
    
    	BIOL	485	(1-3)		Sr. Seminar in 
    Molecular, Cellular & Developmental Biol
    	BIOL	488	(1-3)		Sr. Seminar in 
    Physiology 
    	BIOL	491	(1-5)		Special Topics 
    for Biology Teachers
    	BIOL	492	(2)		The Teaching 
    of Biology
    	BIOL	496	(5)		Peer TAs in 
    Biology1
    	BIOC	442	(4)		Biochemistry
    	B STR	301	(4)		General Anatomy 
    (restricted registration)
    	FISH	324L	(3/5)		Aquatic Animal
     Physiology and Reproduction 
    	GENOME	372	(5)		Gene Function
    	GENOME	453	(3)		Genetics of 
    the Evolutionary Process
    	GENOME	465	(4)		Advanced
     Human Genetics
    	GENOME	466	(3)		Cancer Genetics
    	GENOME	475	(3)		Debates in
     Genetics
    	GENOME	490	(2)		Genetics 
    Undergraduate Seminar
    	IMMUN	441	(4)		Introduction 
    to Immunology  (formerly MICROM 441)
    	MICROM	410	(3)		Fundamentals 
    of Microbiology I
    	MICROM	#412	(3)		Fundamentals
     of General Microbiology III
    	MICROM	442	(3)		Medical Bacteriology
    	MICROM	445	(2)		Medical Virology
    	MICROM	450	(3)		Molecular 
    Biology of Viruses
    	PSYCH	421	(5)		Neural Basis
     of Behavior
    
    
    Notes:  
    ·	Many of the elective courses have pre-
    requisite courses; in planning your course selection
    , be sure to include the necessary pre-requisites!
    ·	Undergraduate Research: Ten credits is 
    the maximum number of Undergraduate Research 
    credits that can be used as Upper Division Electives. 
    499 credit must be approved by petition; see a 
    Biology Adviser for a Research Approval Form.
     Four of these 10 credits may be used to fulfill 
    1 of the 2 lab requirements provided a minimum 
    of 4 credits are completed on the same project.
    ·	* Courses listed in more than one category
     can only count for one requirement. 
    ·	 (FHL) = indicates course taught at Friday
     Harbor Labs. 
    ·	1 - This class is regulated and administered
     by professor permission. To Peer TA an introductory
     course, an application and a peer TA training class
     is required. For other courses, prior experience
     with the class and permission of acting instructor
     is necessary for enrollment.
    ·	For other classes of interest that are not
     listed, please contact an advisor about the
     possibility of petitioning. The course will need 
    to be at the 300 to 400 level and have a biological
     basis to be considered.
    




    Code:
    GENERAL BIOLOGY
    BACHELOR OF ARTS IN BIOLOGY 
    
    The BA Degree with an Option in General 
    Biology is designed for students who desire 
    a breadth of training throughout their 
    program of study. Compared to the BS 
    degree, the BA does not require physics or
     a third quarter of organic chemistry.  
    This is an ideal program for students wishing 
    to get the scope of the biological sciences
     without some of the supporting sequences.
    
    Each option is complemented by the College 
    of Arts and Sciences general educational 
    requirements such as English Composition, 
    Writing, Foreign Language, QSR, VLPA, and I&S.
    
    Admission Requirements: The minimum 
    admission requirements are noted below,
     but admission is non-competitive and all 
    students who meet the stated requirements
     are admitted to the major. To declare the 
    major, students need to meet with a Biology
     Adviser to complete a change of major form. 
    
    &#376; Completion of BIOL 180 with a grade of 2.5 
    or better or the completion of BIOL 180, 200,
     220 with a cumulative GPA of 2.0 or better 
    for the series.
    
    Departmental Honors in Biology
    Departmental honors allow students 
    seeking extra challenges and opportunities
     to do so while completing a Biology Degree.
     Students may request an invitation to 
    departmental honors in Biology once they 
    complete their introductory biology sequence, 
    and have declared a Biology Major. The 
    request must be submitted 3 quarters prior 
    to graduation, requests made later will not be 
    reviewed.
    
    General Requirements for completing
     Departmental Honors include:
    ·	UW Cumulative GPA: 3.3
    ·	Major Cumulative GPA:  3.4
    ·	Complete two 400 level BIOL 
    courses for Ad Hoc credit. (Requires
     signed agreement form)
    ·	Complete two approved Senior 
    level BIOL Seminars
    ·	Complete  9 credits of Undergraduate
     Research (Research approval form required)
    ·	Complete a research paper based on
     approved research credits
    ·	Present your research work at the 
    Undergraduate Research Symposium or 
    other approved venue.
    
    See an Adviser for more details.
    Major Requirements. A minimum of 90 credits 
    to be distributed as follows:
    I.	SUPPORTING COURSES IN CHEMISTRY, 
    AND MATHEMATICS:
    Chemistry (Select one option):	(15-23 credits)					
    1.	CHEM 120, 220*, 221 (5,5,5)				
    2.	CHEM 142, 152* (5,5) or 144, 154 and 
    CHEM 223, 224* (4,4)  (O Chem labs are not
     required for major)				
    3.	CHEM 142, 152*, 162^ (5,5,5) or 144, 
    154*, 164^ and CHEM 237, 238 (4,4)  (O 
    Chem labs are not required for major)				
    	*CHEM 220 or CHEM 152 is the 
    prerequisite 
    for BIOL 200              ^CHEM 162 or164 are t
    he prerequisite for CHEM 237				
    Mathematics (Select one option):	(10 credits)					
    1.	MATH	124, 125	(5,5)		Calculus 
    with Analytic Geometry
    2.	QSCI	291, 292	(5,5)		Calculus for 
    Biologists (May not be used for the Bio Chem 440 
    Series)
    3.	QSCI 381 or STAT 311 and QSCI 482 (5,5)	
    Quantitative Statistical Reasoning			
    	A third quarter of calculus or a course in 
    Probability and Statistics is strongly recommended.				
    
    
    II.	INTRODUCTORY BIOLOGY:	(15 credits)
    BIOL 180, 200*, 220 (5,5,5)                                                 
     *CHEM 220,152 or 154 is a prerequisite for BIOL 200
    
    A grade of 1.7 in Biology 180 will be required to
     progress to 200 and a grade 2.0 in 200 to progress
     into 220.
    
    
    III.		GENETICS REQUIREMENT:	
    (3-5 credits)
    	Select one of the following courses:				
    1.	GENOME	361	(3)		
    Fundamentals of Genetics and Genomics 
    2.	GENOME	371	(5)		
    Introductory Genetics
    3.	BIOL/FISH	340	(5)		
    Genetics and Molecular Ecology
    
    
    IV.	LAB, RESIDENCY AND 400 LEVEL
     BIOLOGY REQUIREMENTS: These requirements 
    may overlap with other requirements such as 
    breath, Natural History/biodiversity, or advanced electives.
    
    ·	A minimum of 15 credits must be 400 level 
    through the Department of BIOLOGY. Courses such
     as Biochemistry (BIOC) and Microbiology (MICROM) 
    are from other departments and will not count toward
     this requirement.
    ·	A minimum of 15 credits of 300 and 400 level 
    Advanced BIOL Electives must be taken in residency
     at the University of Washington-Seattle campus. This
     requirement can be shared with the departmental 400
     level requirement above.
    ·	At least two laboratory courses, chosen from any 
    course marked with an &#8220;L&#8221;, must be taken. A minimum 
    of four credits of 499 (please read end note about approval
     process) can substitute for one laboratory.
    
    V.		TAXONOMIC BREADTH REQUIREMENT:
    	
    Biologists often concentrate on one level of biological 
    organization, but it is important to know about broader 
    biological topics that can be studied. To broaden your 
    perspective, you are required to take at least one 
    biologically based course that provides taxonomic breadth
     outside the Animalia Kingdom; you must take one asterisked
     (*) course (from any of the areas on this handout) which
     can be shared with either your Natural History/Biodiversity 
    requirement or an advanced elective.  
    
    VI.		NATURAL HISTORY/BIODIVERSITY 
    	Natural History is the study of the characteristics, life
     cycles, and biological background of some taxonomic group. 
    Biodiversity deals with a whole suite of organisms that 
    a particular environment.*
    These classes are often field oriented,
     in which students both observe or analyze
    both the organisms and their interactions in 
    the natural habitats.
    	
    Select one course:	(3 credits minimum)
    	BIOL	280	(4)		
    The History of Life
    	BIOL/FISH	311L	(3/5)		
    Biology of Fishes
    	BIOL	317L	(5)		
    Plant Identification and Classification*
    	BIOL 	325	(3)		
    Tree of Life*
    	BIOL	331	(3)		
    Landscape Plant Recognition*
    	BIOL 	430L	(5)		
    Marine Zoology (FHL)
    	BIOL 	432L	(5)		Marine Invertebrate
     Zoology
     (FHL)
    	BIOL	433L	(5)		Marine Ecology
    	BIOL	434L	(5)		Invertebrate Zoology
    	BIOL 	440L	(5)		General Mycology*
    	BIOL	441L	(5)		Morphology and Anatomy of
     Land Plants*
    	BIOL 	442L	(5)		Mushrooms and Related Fungi*
    	BIOL 	443L	(5)		Evolution of Mammals and 
    Their Ancestors
    	BIOL 	444L	(5)		Natural History of Birds
    	BIOL 	445L	(5)		Marine Botany* (FHL)
    	BIOL 	446L	(5)		Biology of Algae*
    	BIOL/ESS	450/452L	(5)		Vertebrate 
    Paleontology
    	BIOL/ESS	451L	(5)		Invertebrate
     Paleontology
    	BIOL 	452L	(5)		Vertebrate Zoology
    	BIOL 	453L	(5)		Comparative Vertebrate 
    Anatomy
    	BIOL 	454/455L	(3/3L)		Entomology/
    Entomology Lab
    	BIOL 	456L	(5)		Vegetation of Western
     Washington*
    	ESRM 	435/436L	(3/2L)		Forest 
    Entomology/Forest Entomology Lab
    	ESRM 	452L	(3)		Field Ornithology
    	ESRM	456	(3)		Biology and Conservation
     of Birds
    	FISH 	450L	(3/5L)		Salmonoid Behavior
     and Life History
    	FISH 	475L	(5)		Marine Mammalogy
    
    
    VII.	ADVANCED BIOLOGY ELECTIVES:	
    (42 credits)
    ·	You are required to have a minimum 
    of 42 credits 
    from the selection below.
    ·	Within these 42 credits students must
     select one
     course from three of the five areas:
    
    1. Biology and Society Course Electives:					
    	BIOL	305	(3)		Science 
    Communication: 
    Video Storytelling in Biology
    	BIOL	390	(1)		Undergraduate 
    Internship Seminar
    	BIOL	399	(3-5)		Biology
     Internship
    Program
    	BIOL/PSYCH	458	(4)		
    Behavioral Genetics 
    	BIOL	491	(1-5)		Special Topics
     for Biology Teachers
    	BIOL	492	(2)		The Teaching
     of Biology
    	BIOL	496	(1-5)		Peer TAs in 
    Biology1
    	ANTH	458	(5)		Ethnobiology: 
    Plants, Animals, People*
    	GENOME	454	(4)		Origin of 
    Genetics 
    	GENOME	475	(3)		Debates 
    in Genetics
    	BH	402	(5)		Ethical 
    Theory 
    	BH	404	(5)		Metaethical
     Theory 
    	BH	411	(3)		Bioethics
    	BH	417	(3)		Disease in 
    History
    	PHIL	481	(5)		Philosophy 
    of Biology
    	PSYCH/GWSS	357	(5)		
    Psychobiology of Women (Registration is 
    restricted
     through Psych)
    	PSYCH	416	(5)		Animal
     Communication
    
          Continued on next page&#8230;
    VII.	ADVANCED BIOLOGY ELECTIVES, 
    continued:
    
    2. Ecology and Evolution/Systematics 
    Course
     Electives: 					
    	BIOL	315	(3)		Biological
     Impacts 
    of Climate Change
    	BIOL	354	(3)		Foundations
     in
     Evolution and Systematics
    	BIOL	356L	(3)		Foundations
     in 
    Ecology
    	BIOL/PSYCH	#408	(4)		
    Mechanisms of Animal Behavior 
    	BIOL/PSYCH	409	(5)		
    Sociobiology
    	BIOL/GENOME	414	(5)		
    Molecular Evolution
    	BIOL	415	(3)		
    Evolution and
     Development
    	BIOL	423	(3)		
    Marine Ecological
     Processes
    	BIOL/ESRM	424/478L	(5)		
    Plant Eco-Physiology*
    	BIOL	433L	(5)		Marine
     Ecology
    	BIOL	447L	(5)		Greening
     the Earth*
    	BIOL	449	(3)		Applied 
    Phylogenetics
    	BIOL	469	(3)		Evolution 
    and Medicine
    	BIOL	471L	(5)		Plant Ecology*
    	BIOL	472L	(5)		Community 
    Ecology
    	BIOL/FISH	473/474L	(3/2)		
    Limnology 
    & Lab
    	BIOL	476L	(5)		Conservation 
    Biology
    	BIOL/FISH/ENVIR	478	(3-9)		
    Topics
     in Sustainable Fisheries 
    	BIOL	480L	(4)		Field Ecology
    	BIOL	481L	(5)		Experimental 
    Ecology and Evolution
    	BIOL	482L	(2-5)		Advanced 
    Experimental
     Ecology and Evolution
    	BIOL	483	(1-3)		Sr. Seminar
     in
     Paleobiology
    	BIOL	484	(1-3)		Sr. Seminar in
     Evolution & Systematics
    	BIOL	486	(1-3)		Sr. Seminar in 
    Ecology
    	BIOL	487	(1-3)		Sr. Seminar in 
    Conservation Biology
    	BIOL	489	(1-3)		Sr. Seminar in 
    Plant Biology
    	ESRM	400	(3)		Natural
     Resource 
    Conflict Management
    	ESRM	409	(5)		Soil Ecology
    	ESRM	450	(5)		Wildlife 
    Ecology 
    and Conservation
    	ESRM	458	(5)		Mgmnt of
     Endangered,
     Thr., and Sens. Species
    	ESRM	470	(5)		Natural Resource 
    Policy and Planning
    	ESS	450	(3)		Paleobiology
    	FISH	444L	(5)		Conservation Genetics
    
    
    3. Molecular, Cellular, and Developmental Biology 
    Course Electives:					
    	BIOL	302L	(4)		Laboratory Techniques
     in Cell and Molecular
    	BIOL	355	(3)		Foundations in 
    Molecular Cell Biology
    	BIOL 	380	(3)		Biomedical Advances
     and Society
    	BIOL	401	(3)		Advanced Cell 
    Biology
    	BIOL	400L	(4)		Experiments in 
    Cellular
     Biology
    	BIOL	405	(3)		Cell and Molecular 
    Biology of Human Disease
    	BIOL	411	(4)		Developmental 
    Biology&#65532;
    	BIOL	412L	(4)		Developmental
     Biology
     Lab
    	BIOL	413L	(4)		Molecular 
     Development
     of Genetics
    	BIOL/GENOME	414	(5)		Molecular 
    Evolution
    	BIOL	416	(3)		Molecular Genetics 
    of Plant Development*
    	BIOL	457	(3)		Chemical 
    Communication
    	BIOL	459	(3)		Developmental 
    Neurobiology
    	BIOL	485	(1-3)		Sr. Seminar in 
    Molecular, Cellular & Dev. Biol.
    	BIOC	405	(3)		Introduction to
     Biochemistry
    	BIOC	406	(3)		Introduction to
     Biochemistry
    
          Continued on next page&#8230;
    
    VII.	ADVANCED BIOLOGY ELECTIVES, 
    continued:
    	BIOC	426L	(4)		Basic Techniques
     in Biochemistry 
    	BIOC	440	(4)		Biochemistry
    	BIOC	441	(4)		Biochemistry
    	BIOC	442	(4)		Biochemistry
    	GENOME	372	(5)		Gene 
    Structure
     and Function
    	GENOME	453	(3)		Genetics 
    of the 
    Evolutionary Process
    	GENOME	454	(4)		Origin of 
    Genetics
    	GENOME	465	(4)		Advanced 
    Human
     Genetics
    	GENOME	466	(3)		Cancer 
    Genetics
    	GENOME	490	(2)		Genetics 
    Undergraduate Seminar
    	IMMUN	441	(4)		Introduction 
    to Immunology (formerly MICROM)
    	MICROM	301/302L	(3)		
    General 
    Microbiology*/ General Microbiology Lab
    	MICROM	402L	(3)		
    Fundamentals
     of General Microbiology Lab
    	MICROM	410	(3)		
    Fundamentals
     of Microbiology I
    	MICROM	412	(3)		
    Fundamentals 
    of General Microbiology III
    	MICROM	431L	(3)		
    Prokaryotic 
    Recombinant DNA Techniques
    	MICROM	435	(3)		
    Microbial
     Ecology 
    	MICROM	442	(3)		
    Medical
     Bacteriology
    	MICROM	445	(3)		
    Medical 
    Virology
    	MICROM	450	(3)		
    Molecular
     Biology of Viruses
    
    
    4. Physiology Course Electives&#8211;.					
    	BIOL	300	(4)		Introduction 
    to Neuroscience
    	BIOL	350	(3)		Foundations
     in Physiology
    	BIOL 	360	(3)		Cellular Anatomy
    	BIOL	403L	(5)		Physiological 
    Mechanisms of Histology
    	BIOL	404	(3)		Animal Physiology:
     Cellular Aspects
    	BIOL	408	(4)		Mechanisms of 
    Animal Behavior
    	BIOL	418	(3)		Circadian Rhythms
    	BIOL	422	(3)		Physiology of Plant 
    Behavior*
    	BIOL/ESRM	424/478L	(5)		Plant 
    Eco-Physiology*
    	BIOL	425	(3)		Adv. Plant Physiology
     and Development*
    	BIOL	426L	(3)		Adv. Plant Physiology 
    and Development Lab*
    	BIOL 	427	(4)		Biomechanics
    	BIOL	428	(3)		Environmental Sensory 
    Processes and Mechanics
    	BIOL 	459	(3)		Developmental 
    Neurobiology
    	BIOL	460	(3)		Mammalian 
    Physiology
    	BIOL 	461	(3)		Neurobiology
    	BIOL 	462	(3)		Advanced 
    Animal Physiology
    	BIOL	463L	(3)		Advanced 
    Animal Physiology Lab
    	BIOL 	465	(3)		Comparative 
    Endocrinology
    	BIOL	466	(3)		Pathobiology of
    Emerging Diseases
    	BIOL 	468	(3)		Medical Physiology
    	BIOL	488	(1-3)		Sr. Seminar in
     Physiology
    	B STR	301	(4)		General Anatomy 
    (restricted registration)
    	FISH	324	(3/5L)		Aquatic
     Animal Physiology and Reproduction 
    	FISH	441	(3/5L)		Environmental
     Physiology
    	NUTR	300	(3)		Introduction to 
    Nutrition
    	NUTR/EPI	#405	(3)		Physical Activity 
    in Health and Disease 
    	PSYCH	421	(5)		Neural Basis 
    of Behavior
    
    
    5. Natural History/Biodiversity
    Any additional course(s) from the Natural History
    /Biodiversity list after the initial requirement
     is completed.
    
    
          Continued on next page&#8230;
    
    Notes:  
    ·	Many of the elective courses have pre-
    requisite courses; in planning your course 
    selection, be sure and map out corresponding 
    schedules that include the necessary pre-
    requisites!
    ·	Undergraduate Research:  Ten credits
     is the maximum number of Undergraduate 
    Research credits that can be used as Upper 
    Division Electives. Any 499 credit may be 
    approved by petition; see a Biology Adviser
     for a Research Approval Form. Four of 
    these 10 credits may be used to fulfill 1 
    of the 2 lab requirements provided a minimum 
    of 4 credits are completed on the same project.
    ·	Courses listed in more than one 
    category can only count for one requirement. 
    ·	A lab taken for the Natural History 
    Biodiversity requirement may count for one 
    of the two required labs but the credits 
    do not count as Advanced Biology Electives
     unless the lab credits are a separate class.
    ·	* Indicates course with non-animal 
    emphasis to meet taxonomic breadth 
    requirement of the General Biology Option.
    ·	(FHL) = indicates course taught at
     Friday Harbor Labs.
    ·	1 - This class is regulated and administered
     by professor permission. To Peer TA an introductory
     course, an application and a peer TA training
     class is required. For other courses, prior 
    experience with the class and permission of
     acting instructor is necessary for enrollment.
    ·	For other classes of interest that are
     not listed, please contact an advisor about 
    the possibility of petitioning. The course will 
    need to be at the 300 to 400 level and have
     a biological basis to be considered.
    
    


    Code:
    GENERAL BIOLOGY
    BACHELOR OF SCIENCE IN BIOLOGY 
    
    The General Biology option emphasizes 
    breadth of training in Biology. As the 
    most flexible among the options leading 
    to a Science degree in Biology, students 
    have input in the composition of their 
    degree by choosing from the wide range
     of electives available through several 
    different departments. 
    
    Each option is complemented by the College
     of Arts and Sciences general educational
     requirements such as English Composition,
     Writing, Foreign Language, QSR, VLPA, and I&S.
    
    Admission Requirements: The minimum 
    admission requirements are noted below,
     but admission is non-competitive and all 
    students who meet the stated requirements
     are admitted to the major. To declare the
     major, students need to meet with a
     Biology Adviser to complete a change of 
    major form. 
    
    Departmental Honors in Biology
    Departmental honors allow students 
    seeking extra challenges and opportunities 
    to do so while completing a Biology Degree. 
    Students may request an invitation to
     departmental honors in Biology once they 
    complete their introductory biology sequence, 
    and have declared a Biology Major. The 
    request must be submitted 3 quarters prior to 
    graduation, requests made later will not be reviewed.
    
    General Requirements for completing 
    Departmental Honors include:
    ·	UW Cumulative GPA: 3.3
    ·	Major Cumulative GPA:  3.4
    ·	Complete two 400 level BIOL courses 
    for Ad Hoc credit. (Requires signed agreement 
    form)
    ·	Complete two approved Senior level 
    BIOL Seminars
    ·	Complete  9 credits of Undergraduate 
    Research (Research approval form required)
    ·	Complete a research paper based on 
    approved research credits
    ·	Present your research work at the 
    Undergraduate Research Symposium or other
     approved venue.
    
    See an Adviser for more details.
    Option Requirements. A minimum of 90 credits 
    to be distributed as follows:
    I.		SUPPORTING COURSES IN CHEMISTRY, 
    PHYSICS, AND MATHEMATICS:
    Chemistry (choose one option)	
    (15-26 credits)					
    1.	CHEM 120, 220*, 221 (5,5,5)				
    2.	CHEM 142, 152* (5,5) or 144, 154 and
     CHEM 223, 224* (4,4)  (O Chem labs are not 
    required for major)				
    3.	CHEM 142, 152*, 162^ (5,5,5) or 144, 154*,
     164^ and CHEM 237, 238, 239 (4,4,3)  (O Chem 
    labs are not required for major)				
    	*CHEM 220 or CHEM 152 is the prerequisite 
    for BIOL 200              ^CHEM 162 or164 are the
     prerequisite for CHEM 237				
    Physics (choose one option):	(8-10 credits)					
    1.	PHYS	114, 115	(4,4)		Algebra based 
    physics (labs are not required for the major)
    2.	PHYS	121, 122	(5,5)		Analysis based
     physics
    Mathematics (choose one option):	(10 credits)					
    1.	MATH	124, 125	(5,5)		Calculus with 
    Analytic Geometry
    2.	QSCI	291, 292	(5,5)		Calculus for 
    Biologists (May not be used for the Bio Chem 440 
    Series)
    3.	QSCI 381 or STAT 311 and QSCI 482 (5,5)
    	Quantitative Statistical  Reasoning			
    	A third quarter of calculus or a course in 
    Probability and Statistics is strongly recommended.				
    
    
    II.		INTRODUCTORY BIOLOGY:	
    (15 credits)
    BIOL 180, 200*, 220 (5,5,5)                                                  
    *CHEM 220,152 or 154 is a prerequisite for 
    BIOL 200
    
    A grade of 1.7 in Biology 180 will be required 
    to progress to 200 and a grade 2.0 in 200 to progress into 220.
    
    
    
    III.		GENETICS REQUIREMENT:	
    (3-5 credits)
    	Select one of the following courses:				
    1.	GENOME	361	(3)		Fundamentals
     of Genetics and Genomics 
    2.	GENOME	371	(5)		Introductory 
    Genetics
    3.	BIOL/FISH	340	(5)		Genetics and 
    Molecular Ecology
    
    
    IV.	LAB, RESIDENCY AND 400 LEVEL BIOLOGY
     REQUIREMENTS: 
    These requirements may overlap with other 
    requirements such as breath, Natural History/
    biodiversity, or advanced electives.
    
    ·	A minimum of 15 credits must be 400 level
     through the Department of BIOLOGY. Courses 
    such as Biochemistry (BIOC) and Microbiology 
    (MICROM) are from other departments and will
     not count toward this requirement.
    ·	A minimum of 15 credits of 300 and 400
     level Advanced BIOL Electives must be taken
     in residency at the University of Washington-
    Seattle campus. This requirement can be shared 
    with the departmental 400 level requirement above.
    ·	At least two laboratory courses, chosen 
    from any course marked with an &#8220;L&#8221;, must be 
    taken. A minimum of four credits of 499 (please 
    read end note about approval process) can 
    substitute for one laboratory.
    
    V.		TAXONOMIC BREADTH REQUIREMENT:
    	
    Biologists often concentrate on one level of 
    biological organization, but it is important to
     know about broader biological topics that 
    can be studied. To broaden your perspective,
     you are required to take at least one 
    biologically based course that provides
     taxonomic breadth outside the Animalia 
    Kingdom; you must take one asterisked 
    (*) course (from any of the lists on this
     handout) which can be shared with either
     your Natural History/Biodiversity requirement 
    or an advanced elective.  
    
    VI.		NATURAL HISTORY/BIODIVERSITY 
    	Natural History is the study of the
     characteristics, life cycles, and biological
     background of some taxonomic group.
     Biodiversity deals with a whole suite of 
    organisms that inhabit a particular environment.
    *These classes are often field oriented, in
     which students both observe or analyze 
    both the organisms and their interactions in
     the natural habitats.
    	
    Select one course:	(3 credits minimum)
    	BIOL	280	(4)		The History of
     Life
    	BIOL/FISH	311L	(3/5)		Biology 
    of Fishes
    	BIOL	317L	(5)		Plant Identification 
    and Classification*
    	BIOL	325	(3)		Tree of Life*
    	BIOL	331	(3)		Landscape Plant
     Recognition*
    	BIOL 	430L	(5)		Marine Zoology 
    (FHL)
    	BIOL 	432L	(5)		Marine Invertebrate
     Zoology (FHL)
    	BIOL	433L	(5)		Marine Ecology
    	BIOL	434L	(5)		Invertebrate Zoology
    	BIOL 	440L	(5)		General Mycology*
    	BIOL	441L	(5)		Morphology and 
    Anatomy of Land Plants*
    	BIOL 	442L	(5)		Mushrooms and 
    Related Fungi*
    	BIOL 	443L	(5)		Evolution of Mammals
     and Their Ancestors
    	BIOL 	444L	(5)		Natural History of
     Birds
    	BIOL 	445L	(5)		Marine Botany* 
    (FHL)
    	BIOL 	446L	(5)		Biology of Algae*
    	BIOL/ESS	450/452L	(5)		Vertebrate
     Paleontology
    	BIOL/ESS	451L	(5)		Invertebrate
     Paleontology
    	BIOL 	452L	(5)		Vertebrate Zoology
    	BIOL 	453L	(5)		Comparative Vertebrate 
    Anatomy
    	BIOL 	454/455L	(3/3L)		Entomology
    /Entomology Lab
    	BIOL 	456L	(5)		Vegetation of Western 
    Washington*
    	ESRM 	435/436L	(3/2L)		
    Forest Entomology/Forest Entomology Lab
    	ESRM 	452L	(3)		Field Ornithology
    	ESRM	456	(3)		Biology and Conservation
     of Birds
    	FISH 	450L	(3/5L)		Salmonoid
     Behavior and Life History
    	FISH 	475L	(5)		Marine Mammalogy
    
    
    VII.	ADVANCED BIOLOGY ELECTIVES:	
    (34 credits)
    ·	You are required to have a minimum of
     34 credits from the selection below.
    ·	Within these 34 credits students must 
    select one course from three of the five areas:
    
    1. Biology and Society Course Electives:					
    	BIOL	305	(3)		Science 
    Communication: Video Storytelling in Biology
    	BIOL	390	(1)		Undergraduate
     Internship Seminar
    	BIOL	399	(3-5)		Biology 
    Internship Program
    	BIOL/PSYCH	#458	(4)		
    Behavioral Genetics 
    	BIOL	491	(1-5)		Special Topics 
    for Biology Teachers
    	BIOL	492	(2)		The Teaching
     of Biology
    	BIOL	496	(1-5)		Peer TAs in 
    Biology1
    	ANTH	458	(5)		Ethnobiology:
     Plants, Animals, People*
    	GENOME	454	(4)		Origin
     of Genetics 
    	GENOME	475	(3)		Debates
     in Genetics
    	BH	#402	(5)		Ethical Theory 
    	BH	404	(5)		Metaethical 
    Theory 
    	BH	411	(3)		Bioethics
    	BH	417	(3)		Disease in
     History
    	PHIL	481	(5)		Philosophy of Biology
    	PSYCH/GWSS	357	(5)		
    Psychobiology of Women (Registration is 
    restricted through Psych)
    	PSYCH	416	(5)		Animal
     Communication
    
          Continued on next page&#8230;
    VII.	ADVANCED BIOLOGY ELECTIVES,
     continued:
    
    2. Ecology and Evolution/Systematics 
    Course Electives: 					
    	BIOL	315	(3)		Biological 
    Impacts of Climate Change
    	BIOL	354	(3)		Foundations in
     Evolution and Systematics
    	BIOL	356L	(3)		Foundations in 
    Ecology
    	BIOL/PSYCH	#408	(4)		
    Mechanisms of Animal Behavior 
    	BIOL/PSYCH	409	(5)		
    Sociobiology
    	BIOL/GENOME	414	(5)		
    Molecular Evolution
    	BIOL	415	(3)		Evolution
     and Development
    	BIOL	423	(3)		Marine 
    Ecological Processes
    	BIOL/ESRM	424L/478	(5)		
    Plant Eco-Physiology*
    	BIOL	433L	(5)		Marine 
    Ecology
    	BIOL	447L	(5)		Greening 
    the Earth*
    	BIOL	448	(3)		Marine Algal
     Ecology*
    	BIOL	449	(3)		Applied 
    Phylogenetics
    	BIOL	469	(3)		Evolution and
     Medicine
    	BIOL	471L	(5)		Plant Ecology*
    	BIOL	472L	(5)		Community
     Ecology
    	BIOL/FISH	473/474L	(3/2)		
    Limnology & Lab
    	BIOL	476L	(5)		Conservation
     Biology
    	BIOL/FISH/ENVIR	478	(3-9)		Topics
     in Sustainable Fisheries 
    	BIOL	480L	(4)		Field Ecology
    	BIOL	481L	(5)		Experimental 
    Ecology and Evolution
    	BIOL	482L	(2-5)		Advanced
     Experimental Ecology and Evolution
    	BIOL	483	(1-3)		Sr. Seminar in 
    Paleobiology
    	BIOL	484	(1-3)		Sr. Seminar in 
    Evolution & Systematics
    	BIOL	486	(1-3)		Sr. Seminar in
     Ecology
    	BIOL	487	(1-3)		Sr. Seminar in 
    Conservation Biology
    	BIOL	489	(1-3)		Sr. Seminar in 
    Plant Biology
    	ESRM	400	(3)		Natural Resource
     Conflict Management
    	ESRM	409	(5)		Soil Ecology
    	ESRM	450	(5)		Wildlife Ecology
     and Conservation
    	ESRM	458	(5)		Mgmnt of Endangered,
     Threatened, and Sensitive Species
    	ESRM	470	(5)		Natural Resource
     Policy and Planning
    	ESS	450	(3)		Paleobiology
    	FISH	444L	(5)		Conservation
     Genetics
    	GENOME	453	(3)		Genetics
     of the Evolutionary Process
    
    
    3. Molecular, Cellular, and Developmental 
    Biology Course Electives:					
    	BIOL	302L	(4)		Laboratory 
    Techniques in Cell and Molecular
    	BIOL	355	(3)		Foundations
     in Molecular Cell Biology
    	BIOL	380	(3)		Biomedical 
    Advances and Society
    	BIOL	400L	(4)		Experiments in
     Cellular Biology
    	BIOL	401	(3)		Advanced Cell 
    Biology
    	BIOL	405	(3)		Cell and Molecular
     Biology of Human Disease
    	BIOL	411	(4)		Developmental 
    Biology
    	BIOL	412L	(4)		Developmental 
    Biology Lab
    	BIOL	413L	(4)		Molecular Development
     of Genetics
    	BIOL/GENOME	414	(5)		Molecular 
    Evolution
    	BIOL	416	(3)		Molecular Genetics
     of Plant Development*
    	BIOL	457	(3)		Chemical 
    Communication
    	BIOL	459	(3)		Developmental 
    Neurobiology
    	BIOL	485	(1-3)		Sr. Seminar in
     Molecular, Cellular & Dev. Biol.
    	BIOC	405	(3)		Introduction to
     Biochemistry
    	BIOC	406	(3)		Introduction to 
    Biochemistry
    
          Continued on next page&#8230;
    
    VII.	ADVANCED BIOLOGY ELECTIVES, 
    continued:
    	BIOC	426L	(4)		Basic Techniques 
    in Biochemistry 
    	BIOC	440	(4)		Biochemistry
    	BIOC	441	(4)		Biochemistry
    	BIOC	442	(4)		Biochemistry
    	GENOME	372	(5)		Gene 
    Structure and Function
    	GENOME	453	(3)		Genetics 
    of the Evolutionary Process
    	GENOME	454	(4)		Origin of 
    Genetics
    	GENOME	465	(4)		Advanced
     Human Genetics
    	GENOME	466	(3)		Cancer Genetics
    	GENOME	490	(2)		Genetics 
    Undergraduate Seminar
    	IMMUN	441	(4)		Introduction 
    to Immunology (formerly MICROM)
    	MICROM	301/302L	(3)		General 
    Microbiology*/ General Microbiology Lab
    	MICROM	402L	(3)		Fundamentals
     of General Microbiology Lab
    	MICROM	410	(3)		Fundamentals
     of Microbiology I
    	MICROM	412	(3)		Fundamentals
     of General Microbiology III
    	MICROM	435	(3)		Microbial 
    Ecology 
    	MICROM	442	(3)		Medical 
    Bacteriology
    	MICROM	445	(3)		Medical Virology
    	MICROM	450	(3)		Molecular
     Biology of Viruses
    
    
    4. Physiology Course Electives&#8211;.					
    	BIOL	300	(4)		Introduction to 
    Neuroscience
    	BIOL	350	(3)		Foundations in
     Physiology
    	BIOL 	360	(3)		Cellular Anatomy
    	BIOL	403L	(5)		Physiological 
    Mechanisms of Histology
    	BIOL	404	(3)		Animal Physiology:
     Cellular Aspects
    	BIOL	408	(4)		Mechanisms of
     Animal Behavior
    	BIOL	418	(3)		Circadian Rhythms
    	BIOL	422	(3)		Physiology of Plant
     Behavior*
    	BIOL/ESRM	424/478L	(5)		Plant 
    Eco-Physiology*
    	BIOL	425	(3)		Adv. Plant Physiology
     and Development*
    	BIOL	426L	(3)		Adv. Plant Physiology
     and Development Lab*
    	BIOL 	427	(4)		Biomechanics
    	BIOL	428	(3)		Environmental 
    Sensory
     Processes and Mechanics
    	BIOL 	459	(3)		Developmental 
    Neurobiology
    	BIOL	460	(3)		Mammalian 
    Physiology
    	BIOL 	461	(3)		Neurobiology
    	BIOL 	462	(3)		Advanced Animal 
    Physiology
    	BIOL	463L	(3)		Advanced Animal 
    Physiology Lab
    	BIOL 	465	(3)		Comparative 
    Endocrinology
    	BIOL	466	(3)		Pathobiology of 
    Emerging Diseases
    	BIOL 	468	(3)		Medical Physiology
    	BIOL	488	(1-3)		Sr. Seminar in 
    Physiology
    	B STR	301	(4)		General Anatomy 
    (restricted registration)
    	FISH	324	(3/5L)		Aquatic 
    Animal Physiology and Reproduction 
    	FISH	441	(3/5L)		Environmental
     Physiology
    	NUTR	300	(3)		Introduction to 
    Nutrition
    	NUTR/EPI	#405	(3)		Physical 
    Activity in Health and Disease 
    	PSYCH	421	(5)		Neural Basis
     of Behavior
    
    
    5. Natural History/Biodiversity
    Any additional course(s) from the Natural 
    History/Biodiversity list after the initial 
    requirement is completed.
    
    
        
    
    
    Notes:  
    ·	Many of the elective courses have 
    pre-requisite courses; in planning your 
    course selection, be sure and map out 
    corresponding schedules that include the 
    necessary pre-requisites!
    ·	Undergraduate Research:  Ten credits
     is the maximum number of Undergraduate
     Research credits that can be used as
     Upper Division Electives. Any 499 credit 
    may be approved by petition; see a Biology
     Adviser for a Research Approval Form. 
    Four of these 10 credits may be used to 
    fulfill 1 of the 2 lab requirements provided a
     minimum of 4 credits are completed on the 
    same project.
    ·	Courses listed in more than one 
    category can only count for one
     requirement. 
    ·	A lab taken for the Natural History
     Biodiversity requirement may count for
     one of the two required labs but the 
    credits do not count as Advanced Biology
     Electives unless the lab credits are a 
    separate class.
    ·	* Indicates course with non-animal 
    emphasis to meet taxonomic breadth 
    requirement of the General Biology Option.
    ·	(FHL) = indicates course taught at 
    Friday Harbor Labs.
    ·	1 - This class is regulated and 
    administered by professor permission. 
    To Peer TA an introductory course, an
     application and a peer TA training class is
     required. For other courses, prior experience 
    with the class and permission of acting 
    instructor is necessary for enrollment.
    
    ·	For other classes of interest that are 
    not listed, please contact an advisor about 
    the possibility of petitioning. The course 
    will need to be at the 300 to 400 level and 
    have a biological basis to be considered.
    
    


    Some Terms You might wanna get aquanted with in the Science Field


    Physicians

    Physicians undergo a rigorous and lengthy
    amount of education before they are licensed.
    Specialists (such as gastroenterologists) require
    even more schooling and training than, for instance,
    family practitioners. When they complete their
    education, all physicians must apply for a medical
    license before they are allowed, by law, to practice
    medicine.


    In the U.S., all physicians must complete a
    four-year undergraduate degree, either a
    Bachelor of Science (BS) or a Bachelor of Arts
    (BA). Their undergraduate education is
    typically geared toward the sciences
    (biology, chemistry, physiology) and may be
    considered a 'pre-med' program.

    After obtaining a four-year degree, students
    continue on to medical school and start
    another four years of classes. When they
    graduate, students receive a degree
    of either medical doctor (MD) or doctor
    of osteopathic medicine (DO). Graduates
    have earned the title of "doctor," but are
    not permitted to practice medicine on their own.

    Medical Student: Student in a graduate-level medical program
    Resident: Medical school graduate undergoing on-the-job training
    Intern: First-year resident, usually not licensed to practice medicine
    Fellow: Residency graduate undergoing continued specialty training
    Physician or doctor: Person with medical degree; may or may not yet be licensed to practice medicine


    A little bit of both

    Having completed eight years of higher
    education, physicians that enter a residency
    program are known as residents. Resident
    programs range from three to seven years
    in length, depending on the chosen specialty.
    Occasionally, residents will be called interns
    during their first year of residency, though this
    is no longer common. After the completion of
    their residency program, a physician may decide
    to enter into practice. Upon obtaining a medical
    license, physicians may enter a field such as
    general surgery or family practice. At this time,
    a physician may also choose to continue their
    training for a specialty, such as gastroenterology
    or rheumatology, which will begin during his or
    her fellowship. Board certification (a medical
    "stamp of approval") happens after the completion
    of a residency. Certification is usually required
    before moving on to subspecialty training.




    Fellows


    To become trained for a specialty, physicians
    enter a fellowship for one to three years and
    are known as fellows. After completing the
    fellowship, a specialist physician has undergone
    a minimum of 12 years of formal classroom
    education and practical training under the supervision
    of a licensed physician.


    Continuing Medical Education

    In order to keep current in the always changing medical field, physicians must continue their education throughout their career. Physicians may also be required to complete a certain amount of continuing medical education (CME) credits per year to maintain their medical license, hospital privileges, and professional organization memberships.

    Now, the next time a doctor introduces himself or herself as a resident or fellow, you'll have a better idea of how much training he or she has had. Patients have the right to ask medical professionals about their qualifications. If you are uncomfortable being observed by residents or students, discuss your feelings with the hospital staff at the time of admittance (or ask your patient advocate to do so.)[/CENTER]



    Tips for High School Students who want to become a Doctor:

    So you think you might want to go to Medical School in the future and are wondering what you can do now to prepare and enhance your chances of gaining admission. The high school years are the perfect time to begin exploring your interests and grooming your background.
    Take advantage of the resources available at your school and in your local community to begin to prepare for a medical career.

    Why is important to start early if you want to become a doctor? First of all, you will need to attend a college that will prepare you for medical school. This means a competitive college or university that offers the science classes you will need for acceptance into medical school.

    You will need to take the appropriate classes in high school to up your chances of being accepted at the undergradutate school of your choice.

    In addition to your coursework, undergraduate admissions and medical school admissions will consider your extra-curricular activities. The more relevant experience you have, the stronger a candidate you will be. That experience will also help you figure out if you are sure that you are interested in a medical career because you will be exposed to what it's really like to be a doctor.

    Here's tip and advice for high school students (and their parents) who are interested in becoming a doctor.

    Tips for High School Students Who Want to be a Doctor

    Visit your high school guidance office and ask about resources for reading about medical careers. Tap online resources like the Occupational Outlook Handbook.

    Meet with medical practitioners in your local area and through family/friends for informational interviews. Ask them what it takes to be a doctor and inquire about the challenges and satisfactions involved with their work.

    Ask any contact with whom you develop a nice rapport if you can shadow them as they proceed through their daily activities. These observations will help you to evaluate your comfort with medical environments and interventions.

    Consider volunteering at a local hospital, nursing home or other healthcare establishment. Medical schools look for proof of your exposure to medical settings and commitment to serving others.

    Once you are 16 (age varies by state) you might want to complete training during the summer to be a Certified Nurse Assistant (CNA). Training takes anywhere from 3 weeks to 3 months. Once you have your certificate you can earn good money and gain valuable experience prior to medical school.

    Another route to consider is to complete training as an Emergency medical Technician (EMT) once you are 18 years old. Basic level EMTs can complete training in as little as 2-3 months and play an important role intervening in emergency medical situations.

    Develop a strong background in science and prove that you can handle rigorous courses in biology, chemistry, physics and math. Take AP and advanced courses as often as possible and maintain high grades. Meet with your guidance counselor to plot the appropriate high school courses.

    Contact local medical researchers through your contacts in the field and volunteer to help them carry out their research activities. Medicine is a research based discipline and schools will value evidence that you are research oriented.

    Take on leadership roles at your school and in your community. Prove that you can motivate your peers to action particularly in ways that benefit your school or community.

    Make sure that you conduct your life in accordance with the highest ethical standards. Medical schools and the medical profession demand that candidates conform to very high ethical standards.

    Carefully research four year colleges in collaboration with your high school guidance counselor. Identify highly regarded schools and find out how many grads are accepted to medical school as well as the acceptance rate.

    By starting early and taking some of these steps you will confirm your interest in medicine and prove to medical schools that you have the right stuff to succeed!



    If you know anyone who has studied to become a doctor, or if you watch TV shows that take place in medical settings, you&#8217;ve probably heard terms like "intern," "resident" or "attending." While they are all considered to be doctors, they have not all completed their medical training. Knowing the differences among them will help you determine their experience level, and whether they truly have enough experience to help you.

    Here, an overview of the steps that need to be taken in order to become a doctor -- and a "cheat sheet" to who's who.




    Medical School

    In order to become a doctor, a person must first complete a bachelor's degree. Then, he or she must attend and complete four years of medical school.
    The first two years of medical school are comprised mostly of classroom work, learning the basics of anatomy, diseases and body functions. The second half of medical school is comprised of clinical, hands-on-patient work, usually in a teaching hospital or academic medical center.

    Medical students rotate through various specialties such as surgery, pediatrics, or neurology to learn about each field so they can decide which is of most interest to them. You&#8217;ll see them in hospitals, but they haven&#8217;t finished their training, and they are not licensed doctors.

    Once a medical student finishes the four years of medical school, she graduates and adds the MD (medical doctor) or DO (doctor of osteopathy) to her name and becomes a resident.



    Residency

    As students finish medical school, they apply for a "residency" program. Some medical schools use the term intern to describe the first year of residency. Residency training is also the time when new doctors begin to draw a paycheck for their work with patients. The name "resident" comes from the fact that years ago, many residents lived in hospital-supplied housing so they could be on call 24/7.

    In some states, doctors are licensed to practice general medicine after finishing medical school and a one-year residency-internship.

    To become licensed as a specialist, these new doctors still have many more years of study to go, depending on their chosen specialty. For example, to be a general internist, a doctor may study for three more years. To be a neurologist may require six or seven more years.

    Some highly specialized programs and sub-specialties, such as endocrinology or pediatric cardiology, may require even more training. This is known as a fellowship.



    Attending Physician

    Once a doctor has completed his residency training and fellowship, if its required for his specialty, he'll be considered an "attending physician" and can practice medicine on his own. In most states, this is when he'll receive his license. He may also choose to become board certified, which means he has completed not just the education required, but certain forms of experience, too.

    Attending physicians who affiliate with teaching hospitals or academic medical centers will also be put in charge of residents who are practicing their new skills.



    Confusion Over Resident v. Attending Physician

    Patients need to understand that residents are not full-fledged doctors, even though they have MD or DO next to their names. Residents are still students, receiving on-the-job training, practicing on real patients with real medical problems. Most residents work in hospitals. While they work under the auspices of an attending doctor, it's not unusual for the patient never to see that attending doctor. Wise patients know to ask the doctor they see in a hospital whether she is a resident or an attending physician. If problems arise, or if you anticipate problems could arise, be sure to insist you be treated directly by the attending physician.
    This is particularly important when you need surgery. Surgeries are often performed by residents, meaning, residents are getting their on-the-job training on real patients who may need delicate surgeries. The attending surgeon will usually be watching nearby.

    If your surgery is one that is common, you might not mind if a resident performs it. This is how residents get their practice to become attending physicians. However, if your surgery is at all unusual, or if you have other medical problems that make the surgery more delicate or tricky, you'll want to insist that the attending physician be the one to actually perform your surgery.

    Many surgery patients have told me they were sure the attending surgeon was poised to perform the surgery, only to find out later from a nurse, an anesthisiologist or an operating room technician that it was a resident who operated on them.

    To make sure that doesn't happen to you, you'll need to be assertive. If you are scheduled for surgery, specifically ask who will be performing that surgery. If you are told the attending physician will be performing that surgery, ask if there will be residents in attendence. You will want to insist that the attending surgeon will actually be holding the scalpel, making the incisions, and otherwise performing the actual surgery itself.



    Is Medical School for You?

    Should you apply to medical school? Is a career as a doctor for you? Sure there are lots of pluses to being a doctor, first and foremost the prestige - you get to be called "Doctor" and everyone knows that you're the best of the best because not only did you get into medical school, but you finished. But there it takes more to succeed in medical school than simply a desire to be called "Doctor." Is medical school and a career in medicine for you?
    Are you prepared to consistently keep long hours?
    Can you manage high levels of stress over a long period? Exam-related stress? Saving-live-related stress?
    Are you prepared to deal with the potential for malpractice suits? Do you know how much malpractice insurance costs and who will be responsible for it when you are a practicing physician?
    Do you have the motivation to remain dedicated over years of education and training?
    Can you afford tuition? Living expenses? Note that education debt will likely run well over $100,000 and often to $200,000 for medical school alone, not including any debt related to obtaining an undergraduate degree.
    Are you prepared to sacrifice the time, sleep, and social life needed to succeed?
    Do you love science?
    Are you squeamish?
    Can you afford the time? You likely will not graduate medical school until 26-27 years of age, assuming that you enter straight out of college. Then you will enter three years of internship and residency. After residency, some doctors focus on a particular specialty. Plan on continuing your training well into your 30s.
    Know what you're getting into. Medical school (and residency) isn't like Grey's Anatomy. You will work hard - lots of studying, long hours, and often it will not be fun. A career as a doctor can be exhausting, stressful, and yet amazingly rewarding. If you have a strong desire to learn medical science, as well as to help, as well as academic, social, and organizational skills, a career in medicine might be for you.



    Apply to Medical School: The MCAT


    What is the MCAT Test?


    The MCAT Test, The Medical College Admission Test, is the standardized assessment that gets a recent college graduate into medical school. All U.S. med schools require it for admittance, as do most Canadian medical schools. The AAMC, the makers, distributors, and scorers of the test, offer both a computer-based MCAT, along with a paper-based MCAT, so applicants can choose a means of taking this tough exam that best fits their learning styles. More than 70,000 students sit for the exam each year, and that number is going to continue to go up as physicians become more and more in need.


    What is On the MCAT Test?


    Since graduates holding all sorts of degrees take the MCAT to compete for a spot in med school, the content test is pretty diverse. Three multiple-choice sections, and one writing section are designed to test an applicant&#8217;s knowledge in the following areas:

    Physical Sciences: Tests problem-solving ability in general chemistry and physics.
    Verbal Reasoning: Tests your ability to understand, evaluate, and apply information and arguments you read in a prose passage.
    Biological Sciences: Tests problem-solving ability in biology and organic chemistry.
    Writing Sample: This section is no longer administered.
    This test does not test your ability to memorize scientific facts; rather, it assesses your skill in solving problems with the knowledge you already possess.


    How are the MCAT Test Sections Broken Down?


    Schedule about five hours for the test. You&#8217;ll have some optional breaks in there, but the testing will take you about four and a half hours, so you&#8217;ll be sitting a while. You&#8217;ll begin the test with Physical Sciences, continue with Verbal Reasoning and end with Biological Sciences. As of January 2013, a new unscored trial section was added that will help the AAMC assess the changes it's making to the test as of 2015. Here&#8217;s how the current MCAT will look:

    MCAT Section Break-Down


    What About MCAT Scores?

    Both the computer-based MCAT and the paper-based MCAT are scored the exact same way, unlike other major standardized tests like the GMAT or GRE, which are computer-adaptive, meaning the test questions change based upon performance. With the MCAT, you&#8217;ll receive the exact same types of questions whether you use a mouse or a pencil.

    Each one of the three sections gives you a separate score.

    Physical Sciences will give you between a 1 (low) and a 15 (high)
    Verbal Reasoning will give you between a 1 (low) and a 15 (high)
    Biological Sciences will give you between a 1 (low) and a 15 (high)
    Your highest possible cumulative score on the multiple-choice sections is a 45, with the national average right around a 24. A good (competitive at most MD schools) score is around 30 and an excellent score is somewhere above a 34 to 36 (competitive at the top medical schools in the country). A 36 or higher would put you in the top 2% of the applicants in the United States.


    What's a Good MCAT Score?

    How Do You Prepare For the MCAT?

    The AAMC offers retired tests online to students for thirty-five bucks a pop, but there are many other options available for you to prepare yourself for this whale of an exam.

    Private tutors: Many different organizations offer private tutoring &#8211; Kaplan, Sylvan, TutorNation, and more. The caveat? They&#8217;ll cost you upwards of $1,000. The bonus? Guarantees. If you don&#8217;t score well, you get your money back in many cases.
    Books:Good old-fashioned paper is the way to go, especially if you need a little more face-time with the questions and solutions. Kaplan&#8217;s MCAT Premier Program for 2008-2009 offers excellent MCAT questions with answers, tips for getting you to the score you&#8217;d like, and a CD to help you practice for the computer-based version.
    Online Courses: If you&#8217;re self-motivated, and let&#8217;s face it &#8211; you probably are if you&#8217;re thinking about med school, taking an online course may be the best prep method for you. You can pace yourself between online seminars, practice questions, study groups and practice tests. Plus, you don&#8217;t have to pay the hefty fees of a private tutor.
    You&#8217;ve come so far. Now, all you need to do is ace the MCAT, get into medical school, and become the best doctor you can be!


    [/CENTER]

    When to Apply for Med School:

    Many students succeed in college despite waiting until the last minute to write papers and cramming for exams. Applying to medical school requires a great deal of time - and an early start. The medical school admissions process is a marathon rather than a sprint. If you really want to win a spot in medical school you must plan ahead and carefully monitor your progress. The timeline below is a guide. Be sure to discuss your aspirations with your academic advisor and other faculty to ensure that you are on the right track given your own circumstances.
    Junior (3rd) Year: Fall

    Seriously consider medical school and what is entailed in a successful application.
    Review course requirements and ensure that your transcript satisfies these minimums. Gain clinical, community and volunteer experience.
    Gather information about medical schools. Review the resources at the Association of American Medical Colleges site.
    Become familiar with the application process.
    Find out how your school handles writing letters of evaluation (recommendation) for med school applicants as well as the process for obtaining one. Some programs provide a committee letter, written by several faculty who collectively evaluate your potential for a career in medicine. Other schools permit students to
    Prepare for the Medical College Admission Test (MCAT). The MCAT is critical to your application. Learn about its content and how it is administered. The MCAT tests knowledge of science. Prepare by studying material in biology, inorganic chemistry, organic chemistry and physics. Invest in MCAT prep books and perhaps review courses for a thorough review of science and practice exams that can help you determine your strengths and weaknesses.
    Junior (3rd) Year: Winter
    Continue studying for the MCAT. It may be taken as early as January (through the summer). Register early because seats fill quickly. Take the MCAT in Spring, early enough to allow you to retake it if needed.
    Continue researching medical schools.
    Junior (3rd) Year: Spring
    Take the MCAT. If you are unhappy with your score register for another exam. Remember that seats fill quickly - even more so in Spring when many med school applicants compete for seats.
    Request letters of evaluation. If your school does not provide committee letters, consider which faculty you will ask, prepare materials for them, and request letters.
    Request a copy of your transcript to ensure that there are no errors and that you have taken the range of courses required by most medical schools.
    Junior (3rd) Year: Late Spring

    Finalize your letters of evaluation.
    Finalize your list of medical schools.
    Begin working on the writing your essays and seek advice from professors and proofreading by peers.
    Fall of Senior (4th) Year

    Submit secondary applications.
    Send thank you notes to faculty who wrote on your behalf to thank them but also to subtly remind them.
    school interviews may begin as early as August but usually in Fall and continues into early Spring. Prepare for interviews by considering what you may be asked and determining your own questions
    Schools begin notifying applicants of acceptance beginning in mid-October and continuing through Spring.
    If you are waitlisted, update schools about new accomplishments.
    Senior (4th) Year: Winter and Spring
    Letters of acceptance and rejection arrive. If you are not accepted to med school, learn from your experience and consider your options and whether to apply again next year.



    Medical Specialities​




    Emergency medicine

    American College of Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the prehospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization, and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


    Family practice


    American Academy of Family Physicians
    A family physician is concerned with the total health care of the individual and the family and is trained to diagnose and treat a wide variety of ailments in patients of all ages. The family physician receives a broad range of training that includes internal medicine, pediatrics, obstetrics and gynecology, psychiatry, and geriatrics. Special emphasis is placed on prevention and the primary care of entire families, utilizing consultations and community resources when appropriate.

    Internal medicine


    American College of Physicians
    An internist provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults, and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections, and diseases affecting the heart, blood, kidneys, joints, and digestive, respiratory, and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health, and effective treatment of common problems of the eyes, ears, skin, nervous system, and reproductive organs.

    Obstetrics-gynecology


    American Congress of Obstetrics & Gynecology
    Obstetrics and Gynecology is a diverse and vibrant specialty that utilizes both medical and surgical skills to address specialized aspects of women&#8217;s health during the female life cycle, including the pre-pubertal, reproductive, and post-menopausal years. Practitioners take care of women of all ages and all conditions in office and ambulatory care settings, as well as in prenatal, labor and delivery, and postpartum environments. Ob-Gyns perform surgical procedures requested in well-woman care, as well as those necessitated by obstetric emergencies and gynecologic pathology. The specialty offers flexibility in on-call scheduling and working hours, as well as variety in practice scope and style, including part-time practice, office-only gynecology, hospital inpatient care, large group practice and academic faculty practice. Subspecialty training opportunities are equally diverse. Gynecologic Oncologists manage cancers of the reproductive tract &#8211; surgery, adjuvant therapy and palliative care. Female Pelvic Medicine and Reconstructive Surgeons focus on disorders of the genitourinary system and defects of pelvic support. Reproductive Endocrinologists alleviate hormonal and infertility problems through the use of advanced reproductive technologies. Maternal-Fetal Medicine specialists concentrate on high-risk obstetric care and medical complications of pregnancy, prenatal diagnosis and ultrasonography, as well as fetal procedures. Obstetrician-gynecologists are the physicians of women&#8217;s health.

    Orthopedic surgeon


    American Academy of Orthopedic Surgeons
    An orthopedic surgeon is trained in the preservation, investigation, and restoration of the form and function of the extremities, spine, and associated structures by medical, surgical, and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries, and degenerative diseases of the spine, hands, feet, knee, hip, shoulder, and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

    Pediatrics


    American Academy of Pediatrics
    Pediatricians provide preventive health maintenance for healthy children and medical care for those who are seriously or chronically ill. Physicians trained in pediatrics are experts in emotional and behavioral assessment and can be powerful advocates for troubled children and adolescents. Pediatricians are often the first and best advocates for children who suffer the sequelae of increasingly prevalent psychosocial morbidities, such as homelessness, family violence, and substance abuse. In caring for children's physical health, pediatricians diagnose and treat infections, injuries, genetic defects, malignancies, and many types of organic disease and dysfunction. They work to reduce infant and child mortality, control infectious disease, foster healthy lifestyles, and ease the day-to-day difficulties of children and adolescents with chronic conditions.


    Psychiatry


    American Psychiatric Association
    A psychiatrist specializes in the prevention, diagnosis, and treatment of mental, addictive, and emotional disorders such as schizophrenia and other psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders, and adjustment disorders. The psychiatrist is able to understand the biologic, psychologic, and social components of illness and, therefore, is uniquely prepared to treat the whole person. A psychiatrist is qualified to order diagnostic laboratory tests and to prescribe medications, evaluate and treat psychologic and interpersonal problems, and intervene with families who are coping with stress, crises, and other problems in living.




    Surgery


    American College of Surgeons
    A surgeon manages a broad spectrum of surgical conditions affecting almost any area of the body. The surgeon establishes the diagnosis and provides the preoperative, operative, and postoperative care to surgical patients and is usually responsible for the comprehensive management of the trauma victim and the critically ill surgical patient. The surgeon uses a variety of diagnostic techniques, including endoscopy, for observing internal structures, and may use specialized instruments during operative procedures. A general surgeon is expected to be familiar with the main features of other surgical specialties in order to recognize problems in those areas and to know when to refer a patient to another specialist.


    Science Degree's

    1. Degree of Bachelor of Science in Marine and Coastal Resource Management (BSc MCRM)
    2. DEGREE OF BACHELOR OF SCIENCE IN MARINE AND COASTAL RESOURCE MANAGEMENT
    3. Degree of Master in Science (MSci)
    4. DEGREE OF MASTER IN SCIENCE IN ARTIFICIAL INTELLIGENCE WITH INDUSTRIAL PLACEMENT
    5. DEGREE OF MASTER IN SCIENCE IN BIOCHEMISTRY (IMMUNOLOGY) WITH INDUSTRIAL PLACEMENT
    6. DEGREE OF MASTER IN SCIENCE IN BIOCHEMISTRY WITH INDUSTRIAL PLACEMENT
    7. DEGREE OF MASTER IN SCIENCE IN BIOLOGICAL SCIENCES
    8. DEGREE OF MASTER IN SCIENCE IN BIOMEDICAL SCIENCES (ANATOMY) WITH INDUSTRIAL PLACEMENT
    9. DEGREE OF MASTER IN SCIENCE IN BIOMEDICAL SCIENCES (DEVELOPMENTAL BIOLOGY) WITH INDUSTRIAL PLACEMENT
    10. DEGREE OF MASTER IN SCIENCE IN BIOMEDICAL SCIENCES (MOLECULAR BIOLOGY) WITH INDUSTRIAL PLACEMENT
    11. DEGREE OF MASTER IN SCIENCE IN BIOMEDICAL SCIENCES (PHARMACOLOGY) WITH INDUSTRIAL PLACEMENT
    12. DEGREE OF MASTER IN SCIENCE IN BIOMEDICAL SCIENCES (PHYSIOLOGY) WITH INDUSTRIAL PLACEMENT
    13. DEGREE OF MASTER IN SCIENCE IN BIOTECHNOLOGY (APPLIED MOLECULAR BIOLOGY) WITH INDUSTRIAL PLACEMENT
    14. DEGREE OF MASTER IN SCIENCE IN BUSINESS INFORMATION SYSTEMS WITH INDUSTRIAL PLACEMENT
    15. DEGREE OF MASTER IN SCIENCE IN COMPUTING SCIENCE (ARTIFICIAL INTELLIGENCE) WITH INDUSTRIAL PLACEMENT
    16. DEGREE OF MASTER IN SCIENCE IN COMPUTING SCIENCE (BUSINESS COMPUTING) WITH INDUSTRIAL PLACEMENT
    17. DEGREE OF MASTER IN SCIENCE IN COMPUTING SCIENCE WITH FRENCH AND INDUSTRIAL PLACEMENT
    18. DEGREE OF MASTER IN SCIENCE IN COMPUTING SCIENCE WITH INDUSTRIAL PLACEMENT
    19. DEGREE OF MASTER IN SCIENCE IN COMPUTING SCIENCE WITH SPANISH WITH INDUSTRIAL PLACEMENT
    20. DEGREE OF MASTER IN SCIENCE IN GENETICS (IMMUNOLOGY) WITH INDUSTRIAL PLACEMENT
    21. DEGREE OF MASTER IN SCIENCE IN GENETICS WITH INDUSTRIAL PLACEMENT
    22. DEGREE OF MASTER IN SCIENCE IN HUMAN EMBRYOLOGY AND DEVELOPMENTAL BIOLOGY WITH INDUSTRIAL PLACEMENT
    23. DEGREE OF MASTER IN SCIENCE IN IMMUNOLOGY AND PHARMACOLOGY WITH INDUSTRIAL PLACEMENT
    24. DEGREE OF MASTER IN SCIENCE IN IMMUNOLOGY WITH INDUSTRIAL PLACEMENT
    25. DEGREE OF MASTER IN SCIENCE IN INFORMATION SYSTEMS WITH INDUSTRIAL PLACEMENT
    26. DEGREE OF MASTER IN SCIENCE IN MEDICAL MICROBIOLOGY WITH INDUSTRIAL PLACEMENT
    27. DEGREE OF MASTER IN SCIENCE IN MICROBIOLOGY WITH INDUSTRIAL PLACEMENT
    28. DEGREE OF MASTER IN SCIENCE IN MOLECULAR BIOLOGY WITH INDUSTRIAL PLACEMENT
    29. DEGREE OF MASTER IN SCIENCE IN MOLECULAR MICROBIOLOGY WITH INDUSTRIAL PLACEMENT
    30. DEGREE OF MASTER IN SCIENCE IN NEUROSCIENCE WITH PSYCHOLOGY WITH INDUSTRIAL PLACEMENT
    31. DEGREE OF MASTER IN SCIENCE IN PHARMACOLOGY WITH INDUSTRIAL PLACEMENT
    32. DEGREE OF MASTER IN SCIENCE IN PHYSIOLOGY WITH INDUSTRIAL PLACEMENT
    33. DEGREE OF MASTER IN SCIENCE IN SPORTS AND EXERCISE SCIENCE WITH INDUSTRIAL PLACEMENT
    34. DEGREE OF MASTER IN SCIENCE IN SPORTS STUDIES (EXERCISE AND HEALTH) WITH INDUSTRIAL PLACEMENT
    35. DEGREE OF MASTER IN SCIENCE IN XXXXXXX (BIOBUSINESS)
    36. Degree of Master of Enginering in Computing Science
    37. DEGREE OF MASTER OF ENGINEERING IN COMPUTING SCIENCE
    38. Degree of Master of Geology
    39. DEGREE OF MASTER OF GEOLOGY
    40. Degrees of Bachelor of Science (BSc)
    41. DEGREE OF BACHELOR OF SCIENCE IN ANIMAL ECOLOGY *
    42. DEGREE OF BACHELOR OF SCIENCE IN APPLIED MATHEMATICS *
    43. DEGREE OF BACHELOR OF SCIENCE IN APPLIED SPORTS SCIENCE-EDUCATION (PRIMARY) *
    44. DEGREE OF BACHELOR OF SCIENCE IN ARCHAELOGY WITH CHEMISTRY *
    45. DEGREE OF BACHELOR OF SCIENCE IN ARCHAEOLOGY *
    46. DEGREE OF BACHELOR OF SCIENCE IN ARCHAEOLOGY - GEOGRAPHY *
    47. DEGREE OF BACHELOR OF SCIENCE IN ARCHAEOLOGY - GEOSCIENCE *
    48. DEGREE OF BACHELOR OF SCIENCE IN ARTIFICIAL INTELLIGENCE *
    49. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES
    50. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES - COMPUTING SCIENCE
    51. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES - EDUCATION (PRIMARY)
    52. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES WITH FRENCH
    53. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES WITH GAELIC
    54. DEGREE OF BACHELOR OF SCIENCE IN BEHAVIOURAL STUDIES WITH GERMAN
    55. DEGREE OF BACHELOR OF SCIENCE IN BIOCHEMISTRY *
    56. DEGREE OF BACHELOR OF SCIENCE IN BIOCHEMISTRY (IMMUNOLOGY)
    57. DEGREE OF BACHELOR OF SCIENCE IN BIOLOGY *
    58. DEGREE OF BACHELOR OF SCIENCE IN BIOLOGY-EDUCATION (PRIMARY)
    59. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL MATERIALS CHEMISTRY
    60. DEGREE OF BACHELOR OF SCIENCE IN BIOTECHNOLOGY (APPLIED MOLECULAR BIOLOGY)
    61. DEGREE OF BACHELOR OF SCIENCE IN BUSINESS INFORMATION SYSTEMS *
    62. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY *
    63. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY FOR THE OFFSHORE INDUSTRY
    64. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY WITH ACCOUNTANCY
    65. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY WITH MANAGEMENT
    66. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY WITH MATHEMATICS *
    67. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY WITH MODERN LANGUAGES *
    68. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY WITH PHYSICS *
    69. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY-EDUCATION (PRIMARY)
    70. DEGREE OF BACHELOR OF SCIENCE IN CHEMISTRY-EDUCATION (SECONDARY)
    71. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING - EDUCATION (PRIMARY) *
    72. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING AND E-BUSINESS *
    73. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE *
    74. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE (ARTIFICIAL INTELLIGENCE)
    75. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE (BUSINESS COMPUTING)
    76. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE AND PHILOSOPHY *
    77. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE WITH FRENCH
    78. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE WITH SPANISH
    79. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE-MATHEMATICS *
    80. DEGREE OF BACHELOR OF SCIENCE IN COMPUTING SCIENCE-PSYCHOLOGY *
    81. DEGREE OF BACHELOR OF SCIENCE IN CONSERVATION BIOLOGY *
    82. DEGREE OF BACHELOR OF SCIENCE IN ECOLOGY
    83. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-GEOGRAPHY
    84. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-HEALTH AND NUTRITION
    85. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-HEALTH SCIENCES
    86. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-MATHEMATICS
    87. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-PHYSICS
    88. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (PRIMARY)-PSYCHOLOGY
    89. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (SECONDARY)-GEOGRAPHY
    90. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (SECONDARY)-MATHEMATICS
    91. DEGREE OF BACHELOR OF SCIENCE IN EDUCATION (SECONDARY)-PHYSICS *
    92. DEGREE OF BACHELOR OF SCIENCE IN ENVIRONMENTAL CHEMISTRY *
    93. DEGREE OF BACHELOR OF SCIENCE IN ENVIRONMENTAL SCIENCE *
    94. DEGREE OF BACHELOR OF SCIENCE IN ENVIRONMENTAL SCIENCE (PHYSICAL SCIENCES) *
    95. DEGREE OF BACHELOR OF SCIENCE IN FOREST SCIENCES *
    96. DEGREE OF BACHELOR OF SCIENCE IN GENETICS *
    97. DEGREE OF BACHELOR OF SCIENCE IN GENETICS (IMMUNOLOGY) *
    98. DEGREE OF BACHELOR OF SCIENCE IN GEOGRAPHICAL INFORMATION SYSTEMS *
    99. DEGREE OF BACHELOR OF SCIENCE IN GEOGRAPHY *
    100. DEGREE OF BACHELOR OF SCIENCE IN GEOGRAPHY-GEOSCIENCE *
    101. DEGREE OF BACHELOR OF SCIENCE IN GEOLOGY *
    102. DEGREE OF BACHELOR OF SCIENCE IN GEOLOGY-PETROLEUM GEOLOGY *
    103. DEGREE OF BACHELOR OF SCIENCE IN GEOLOGY-PHYSICS *
    104. DEGREE OF BACHELOR OF SCIENCE IN GEOSCIENCE *
    105. DEGREE OF BACHELOR OF SCIENCE IN HUMAN EMBRYOLOGY AND DEVELOPMENTAL BIOLOGY *
    106. DEGREE OF BACHELOR OF SCIENCE IN IMMUNOLOGY *
    107. DEGREE OF BACHELOR OF SCIENCE IN IMMUNOLOGY AND PHARMACOLOGY *
    108. DEGREE OF BACHELOR OF SCIENCE IN INFORMATION SYSTEMS *
    109. DEGREE OF BACHELOR OF SCIENCE IN MARINE BIOLOGY
    110. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS *
    111. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS AND ENGINEERING MATHEMATICS *
    112. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS WITH FRENCH *
    113. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS WITH GAELIC *
    114. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS WITH GERMAN *
    115. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS WITH SPANISH *
    116. DEGREE OF BACHELOR OF SCIENCE IN MATHEMATICS-PHYSICS
    117. DEGREE OF BACHELOR OF SCIENCE IN MEDICAL MICROBIOLOGY *
    118. DEGREE OF BACHELOR OF SCIENCE IN MEDICINAL CHEMISTRY *
    119. DEGREE OF BACHELOR OF SCIENCE IN MICROBIOLOGY
    120. DEGREE OF BACHELOR OF SCIENCE IN MOLECULAR BIOLOGY *
    121. DEGREE OF BACHELOR OF SCIENCE IN MOLECULAR MICROBIOLOGY *
    122. DEGREE OF BACHELOR OF SCIENCE IN NEUROSCIENCE WITH PSYCHOLOGY *
    123. DEGREE OF BACHELOR OF SCIENCE IN PARASITOLOGY *
    124. DEGREE OF BACHELOR OF SCIENCE IN PHARMACOLOGY *
    125. DEGREE OF BACHELOR OF SCIENCE IN PHYSICAL SCIENCES *
    126. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS *
    127. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH CHEMISTRY *
    128. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH FRENCH *
    129. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH GAELIC *
    130. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH GEOLOGY *
    131. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH GERMAN *
    132. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH PHILOSOPHY
    133. DEGREE OF BACHELOR OF SCIENCE IN PHYSICS WITH SPANISH *
    134. DEGREE OF BACHELOR OF SCIENCE IN PHYSIOLOGY *
    135. DEGREE OF BACHELOR OF SCIENCE IN PLANT AND SOIL SCIENCES *
    136. DEGREE OF BACHELOR OF SCIENCE IN PLANT BIOLOGY *
    137. DEGREE OF BACHELOR OF SCIENCE IN PSYCHOLOGY *
    138. DEGREE OF BACHELOR OF SCIENCE IN PSYCHOLOGY WITH FRENCH *
    139. DEGREE OF BACHELOR OF SCIENCE IN PSYCHOLOGY WITH GAELIC *
    140. DEGREE OF BACHELOR OF SCIENCE IN PSYCHOLOGY WITH GERMAN *
    141. DEGREE OF BACHELOR OF SCIENCE IN SPORTS & EXERCISE SCIENCE *
    142. DEGREE OF BACHELOR OF SCIENCE IN SPORTS STUDIES (EXERCISE AND HEALTH) *
    143. DEGREE OF BACHELOR OF SCIENCE IN WILDLIFE MANAGEMENT *
    144. DEGREE OF BACHELOR OF SCIENCE IN XXXXXXX (BIOBUSINESS)
    145. DEGREE OF BACHELOR OF SCIENCE IN ZOOLOGY *
    146. DESIGNATED DEGREE OF BACHELOR OF SCIENCE IN MARINE AND COASTAL STUDIES
    147. DESIGNATED DEGREE OF BACHELOR OF SCIENCE IN TECHNOLOGY WITH EDUCATION
    148. INTERNATIONAL DEGREE OF BACHELOR OF SCIENCE FOUNDATION PROGRAMME (BIOLOGICAL SCIENCES) *
    149. INTERNATIONAL DEGREE OF BACHELOR OF SCIENCE FOUNDATION PROGRAMME (MEDICAL SCIENCES) *
    150. INTERNATIONAL DEGREE OF BACHELOR OF SCIENCE FOUNDATION PROGRAMME (PSYCHOLOGY) *
    151. INTERNATIONAL DEGREE OF BACHERLOR OF SCIENCE FOUNDATION PROGRAMME (CHEMISTRY) *
    152. INTERNATIONAL DEGREE OF BACHERLOR OF SCIENCE FOUNDATION PROGRAMME (COMPUTING SCIENCE) *
    153. INTERNATIONAL DEGREE OF BACHERLOR OF SCIENCE FOUNDATION PROGRAMME (MATHEMATICS) *
    154. Degrees of Bachelor of Science in Biomedical Sciences (BSc Biomed Sci)
    155. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL SCIENCES (ANATOMY) *
    156. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL SCIENCES (DEVELOPMENTAL BIOLOGY) *
    157. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL SCIENCES (MOLECULAR BIOLOGY)
    158. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL SCIENCES (PHARMACOLOGY)
    159. DEGREE OF BACHELOR OF SCIENCE IN BIOMEDICAL SCIENCES (PHYSIOLOGY)
    160. Degrees of Master of Chemistry (MChem)
    161. DEGREE OF MASTER OF CHEMISTRY
    162. DEGREE OF MASTER OF CHEMISTRY FOR THE OFFSHORE INDUSTRY
    163. DEGREE OF MASTER OF CHEMISTRY IN BIOMEDICAL MATERIALS CHEMISTRY
    164. DEGREE OF MASTER OF CHEMISTRY IN CHEMISTRY WITH MODERN LANGUAGES
    165. DEGREE OF MASTER OF CHEMISTRY IN ENVIRONMENTAL CHEMISTRY
    166. DEGREE OF MASTER OF CHEMISTRY IN MEDICINAL CHEMISTRY
    167. Degrees of Master of Physics
    168. DEGREE OF MASTER OF PHYSICS WITH COMPLEX SYSTEMS MODELLING
    169. Degree of Bachelor of Science in Forestry (BSc For)
    170. DEGREE OF BACHELOR OF SCIENCE IN FORESTRY *
    171. Degree of Bachelor of Science in Health Sciences (BSc Health Sci)
    172. DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES (HEALTH AND NUTRITION)
    173. DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES (HEALTH AND SOCIETY)
    174. DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES (HEALTH AND SPORT)
    175. DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES (HEALTH PROMOTION)
    176. DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES (HEALTH SERVICES RESEARCH)
    177. DESIGNATED DEGREE OF BACHELOR OF SCIENCE IN HEALTH SCIENCES


    Code:
    Medical Schools in Uninted States
    
    United States Medical Schools
    Albany Medical College (Albany, New York)
    
    Albert Einstein College of Medicine of Yeshiva University (Bronx, New York)
    
    Baylor College of Medicine (Houston, Texas)
    
    Boston University School of Medicine (Boston, MA)
    
    Brody School of Medicine at East Carolina University (Greenville, NC)
    
    Case Western Reserve University School of Medicine (Cleveland, Ohio)
    
    Chicago Medical School -- Rosalind Franklin University of Medicine & Science (North Chicago, IL)
    
    Columbia University College of Physicians and Surgeons (New York, NY)
    
    Creighton University School of Medicine (Omaha, NE)
    
    Dartmouth Medical School (Hanover, NH)
    
    David Geffen School of Medicine at UCLA (Los Angeles, CA)
    
    Drexel University College of Medicine (Philadelphia, PA)
    
    Duke University School of Medicine (Durham, NC)
    
    East Tennessee State University - James H. Quillen College of Medicine (Johnson City, TN)
    
    Eastern Virginia Medical School (Norfolk, VA)
    
    Emory University School of Medicine (Atlanta, GA)
    
    Florida International University College of Medicine (Miami, FL)
    
    Florida State University College of Medicine (Tallahassee, FL)
    
    George Washington University School of Medicine and Health Sciences (Washington, DC)
    
    Georgetown University School of Medicine (Washington D.C.)
    
    Harvard Medical School (Boston, Massachusetts)
    
    Howard University College of Medicine (Washington, DC)
    
    Indiana University School of Medicine (Indianapolis, IN)
    
    Joan C. Edwards School of Medicine at Marshall University (Huntington, WV)
    
    Johns Hopkins University School of Medicine (Baltimore, MD)
    
    Keck School of Medicine of the University of Southern California (Los Angeles, CA)
    
    Loma Linda University School of Medicine (Loma Linda, CA)
    
    Louisiana State University HSC - School of Medicine at New Oreleans (New Orleans, LA)
    
    Louisiana State University HSC - School of Medicine in Shreveport (Shreveport, LA)
    
    Loyola University Chicago - Stritch School of Medicine (Maywood, IL)
    
    Mayo Medical School -- Mayo Clinic College of Medicine (Rochester, MN)
    
    Medical College of Georgia - School of Medicine (Augusta, GA)
    
    Medical College of Wisconsin (Milwaukee, WI)
    
    Medical University of South Carolina - College of Medicine (Charleston, SC)
    
    Meharry Medical College (Nashville, TN)
    
    Mercer University School of Medicine (Macon, GA)
    
    Michigan State University College of Human Medicine (East Lansing, MI)
    
    Morehouse School of Medicine (Atlanta, GA)
    
    Mount Sinai School of Medicine (New York, NY)
    
    New York Medical College -- School of Medicine (Valhalla, NY)
    
    New York University School of Medicine (New York, NY)
    
    Northeastern Ohio Universities College of Medicine (Rootstown, OH)
    
    Northwestern University - Feinberg School of Medicine (Chicago, IL)
    
    Ohio State University College of Medicine (Columbus, OH)
    
    Oregon Health & Science University School of Medicine (Portland, OR)
    
    Pennsylvania State University College of Medicine (Hershey, PA)
    
    Ponce School of Medicine (Ponce, Puerto Rico)
    
    Rush Medical College of Rush University Medical Center (Chicago, IL)
    
    Saint Louis University School of Medicine (St. Louis, MO)
    
    San Juan Bautista School of Medicine (Caguas, Puerto Rico)
    
    Sanford School of Medicine of the University of South Dakota (Sioux Falls, SD)
    
    School of Medicine at Stony Brook University Medical Center (Stony Brook, NY)
    
    Southern Illinois University School of Medicine (Springfield, IL)
    
    Stanford University School of Medicine (Stanford, CA)
    
    SUNY Downstate Medical Center - College of Medicine (Brooklyn, NY)
    
    SUNY Upstate Medical University - College of Medicine (Syracuse, NY)
    
    Temple University School of Medicine (Philadelphia, PA)
    
    Texas A & M Health Science Center - College of Medicine (College Station, TX)
    
    Texas Tech University HSC - Paul L. Foster School of Medicine (El Paso, TX)
    
    Texas Tech University HSC School of Medicine (Lubbock, TX)
    
    Thomas Jefferson University -- Jefferson Medical College (Philadelphia, PA)
    
    Tufts University School of Medicine (Boston, MA)
    
    Tulane University School of Medicine (New Orleans, LA)
    
    Uniformed Services University of the Health Sciences - F. Edward Hebert School of Medicine (Bethesda, MD)
    
    Universidad Central del Caribe - School of Medicine (Bayamon, Puerto Rico)
    
    University at Buffalo - School of Medicine and Biomedical Sciences (The State University of New York)
    
    University of Alabama School of Medicine (Birmingham, AL)
    
    University of Arizona College of Medicine (Tucson, AZ)
    
    University of Arkansas for Medical Sciences -- College of Medicine (Little Rock, AR)
    
    University of California Davis - School of Medicine (Sacramento, CA)
    
    University of California Irvine - School of Medicine (Irvine, CA)
    
    University of California San Diego - School of Medicine (San Diego, CA)
    
    University of California San Francisco - School of Medicine
    
    University of Central Florida College of Medicine (Orlando, FL)
    
    University of Chicago - Pritzker School of Medicine (Chicago, IL)
    
    University of Cincinnati College of Medicine (Cincinnati, OH)
    
    University of Colorado School of Medicine (Denver, CO)
    
    University of Connecticut School of Medicine (Farmington, CT)
    
    University of Florida College of Medicine (Gainesville, FL)
    
    University of Hawaii at Manoa - John A. Burns School of Medicine (Honolulu, HI)
    
    University of Illinois College of Medicine (Chicago, IL)
    
    University of Iowa Roy J. and Lucille A. Carver College of Medicine (Iowa City, IA)
    
    University of Kansas School of Medicine (Kansas City, KS)
    
    University of Kentucky College of Medicine (Lexington, KY)
    
    University of Louisville School of Medicine (Louisville, KY)
    
    University of Maryland School of Medicine (Baltimore, MD)
    
    University of Massachusetts School of Medicine (Worcester, MA)
    
    University of Medicine and Dentistry of New Jersey - New Jersey Medical School (Newark, NJ)
    
    University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School (Piscataway, NJ)
    
    University of Miami - Leonard M. Miller School of Medicine (Miami, FL)
    
    University of Michigan Medical School (Ann Arbor, MI)
    
    University of Minnesota Medical School (Minneapolis)
    
    University of Mississippi Medical Center School of Medicine (Jackson, MS)
    
    University of Missouri-Kansas City School of Medicine
    
    University of Missouri - Columbia School of Medicine (Columbia, MO)
    
    University of Nebraska Medical Center - College of Medicine (Omaha, NE)
    
    University of New Mexico School of Medicine (Albuquerque, NM)
    
    University of Nevada School of Medicine (Reno, NV)
    
    University of North Carolina - Chapel Hill School of Medicine (Chapel Hill, NC)
    
    University of North Dakota - School of Medicine and Health Sciences (Grand Forks, ND)
    
    University of Oklahoma College of Medicine (Oklahoma City, OK)
    
    University of Pennsylvania School of Medicine (Philadelphia, PA)
    
    University of Pittsburgh School of Medicine (Pittsburgh, PA)
    
    University of Puerto Rico School of Medicine (San Juan, Puerto Rico)
    
    University of Rochester School of Medicine and Dentistry (Rochester, NY)
    
    University of South Alabama College of Medicine (Mobile, AL)
    
    University of South Florida College of Medicine (Tampa, FL)
    
    University of Tennessee HSC College of Medicine (Memphis, TN)
    
    University of Texas HSC - San Antonio School of Medicine (San Antonio, TX)
    
    University of Texas Medical Branch School of Medicine (Galveston, TX)
    
    University of Texas Medical School at Houston
    
    University of Texas School of Medicine at San Antonio
    
    University of Texas SMC at Dallas - Southwestern Medical School (Dallas, TX)
    
    University of Toledo College of Medicine (Toledo, OH)
    
    University of Utah School of Medicine (Salt Lake City, UT)
    
    University of Virginia School of Medicine (Charlottesville, VA)
    
    University of Vermont College of Medicine (Burlington, VT)
    
    University of Washington School of Medicine / Alaska WWAMI
    
    University of Wisconsin School of Medicine and Public Health (Madison, WI)
    
    Vanderbilt University School of Medicine (Nashville, TN)
    
    Virginia Commonwealth University School of Medicine (Richmond, VA)
    
    Wake Forest University School of Medicine - Bowman Gray Campus (Winston-Salem, North Carolina)
    
    The Warren Alpert Medical School of Brown University (Providence, RI)
    
    Washington University in St. Louis - School of Medicine (St. Louis, MO)
    
    Wayne State University School of Medicine (Detroit, MI)
    
    Weill Cornell Medical College (Manhattan, NY)
    
    West Virginia University School of Medicine (Morgantown, WV)
    
    Wright State University - Boonshoft School of Medicine (Dayton, OH)
    
    Yale University School of Medicine (New Haven, CT)


    Notable Definitions:

    Behavioural sciences- The term behavioural sciences encompasses all the disciplines that explore the activities of and interactions among organisms in the natural world. It involves the systematic analysis and investigation of human and animal behaviour through controlled and naturalistic observation, and disciplined scientific experimentation. It attempts to accomplish legitimate, objective conclusions through rigorous formulations and observation.

    Anatomy- Anatomy (from the Ancient Greek &#7936;*********, anatemnein: ana, "separate, apart from", and temnein, "to cut up, cut open") is a branch of biology and medicine that considers the structure of living things. It is a general term that includes human anatomy, animal anatomy (zootomy), and plant anatomy (phytotomy). In some of its facets anatomy is closely related to embryology, comparative anatomy and comparative embryology,[1] through common roots in evolution.
    Anatomy is subdivided into gross anatomy (or macroscopic anatomy) and microscopic anatomy.[1] Gross anatomy is the study of anatomical structures that can, when suitably presented or dissected, be seen by unaided vision with the naked eye.[1] Microscopic anatomy is the study of minute anatomical structures on a microscopic scale. It includes histology (the study of tissues),[1] and cytology (the study of cells). The terms microanatomy and histology are also sometimes used synonymously (in which case the distinction between histology and cell biology isn't strictly made as described here).
    The history of anatomy has been characterized, over time, by a continually developing understanding of the functions of organs and structures in the body. Methods have also improved dramatically, advancing from examination of animals through dissection of cadavers (dead human bodies) to technologically complex techniques developed in the 20th century including X-ray, ultrasound, and MRI.
    Anatomy should not be confused with anatomical pathology (also called morbid anatomy or histopathology), which is the study of the gross and microscopic appearances of diseased organs.


    Liver transplantation- Liver transplantation or hepatic transplantation is the replacement of a diseased liver with a healthy liver from another person (allograft). The most commonly used technique is orthotopic transplantation, in which the native liver is removed and replaced by the donor organ in the same anatomic location as the original liver. Liver transplantation nowadays is a well accepted treatment option for end-stage liver disease and acute liver failure. Typically three surgeons and two anesthesiologists are involved, with up to four supporting nurses. The surgical procedure is very demanding and ranges from 4 to 18 hours depending on outcome. Numerous anastomoses and sutures, and many disconnections and reconnections of abdominal and hepatic tissue, must be made for the transplant to succeed, requiring an eligible recipient and a well-calibrated live or cadaveric donor match. By any standard, hepatic transplantation is a major surgical procedure with an appreciable degree of risk.

    Rheumatology- Rheumatology (Greek rheuma, river) is a sub-specialty in internal medicine and pediatrics, devoted to diagnosis and therapy of rheumatic diseases. Clinicians who specialize in rheumatology are called rheumatologists. Rheumatologists deal mainly with clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders.
    Many of these diseases are now known to be disorders of the autoimmune system, and rheumatology is increasingly the study of immunology


    Sleep medicine- Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. From the middle of the 20th century, research has provided increasing knowledge and answered many questions about sleep-wake functioning.[1] The rapidly evolving field[2] has become a recognized medical subspecialty in some countries. Dental sleep medicine also qualifies for board certification in some countries. Properly organized, minimum 12-month, postgraduate training programs are still being defined in the United States.[3][4] In some countries, the sleep researchers and the doctors who treat patients may be the same people.
    The first sleep clinics in the United States were established in the 1970s by interested doctors and technicians; the study, diagnosis and treatment of obstructive sleep apnea were their first tasks. As late as 1999, virtually any American doctor, with no specific training in sleep medicine, could open a sleep laboratory.[5]
    Disorders and disturbances of sleep are widespread and can have significant consequences for affected individuals as well as economic and other consequences for society.[6][7][8][9] The US National Transportation Safety Board has, according to Dr. Charles Czeisler, member of the Institute of Medicine and Director of the Harvard University Medical School Division of Sleep Medicine at Brigham and Women's Hospital, discovered that the leading cause of fatal-to-the-driver heavy truck crashes is fatigue-related (fatigue &#8211; 31%, alcohol and other drug use &#8211; 29%),[10] and sleep deprivation has been a significant factor in dramatic accidents, such as the Exxon Valdez oil spill, the nuclear incidents at Chernobyl and Three Mile Island and the explosion of the space shuttle Challenger.[11]


    Pulmonology- Pulmonology is the medical specialty dealing with disease involving the respiratory tract.[1] The term is derived from the Latin word pulm&#333;, pulmonis ("lung") and the Greek -*****, -logia. Pulmonology is also occasionally referred to as pneumology, from the Greek ******* ("lung") and -*****, -logia, and sometimes also respirology.
    Pulmonology is called chest medicine and respiratory medicine in some countries and areas. Pulmonology is considered a branch of internal medicine, and is related to intensive care medicine. Pulmonology often involves managing patients who need life support and mechanical ventilation. Pulmonologists are specially trained in diseases and conditions of the chest, particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest infections.


    Oncology- Oncology (from the Ancient Greek onkos (&#8004;****), meaning bulk, mass, or tumor, and the suffix -logy (-*****), meaning "study of") is a branch of medicine that deals with cancer. A medical professional who practices oncology is an oncologist.
    Oncology is concerned with:
    The diagnosis of any cancer in a person
    Therapy (e.g. surgery, chemotherapy, radiotherapy and other modalities)
    Follow-up of cancer patients after successful treatment
    Palliative care of patients with terminal malignancies
    Ethical questions surrounding cancer care
    Screening efforts:
    of populations, or
    of the relatives of patients (in types of cancer that are thought to have a hereditary basis, such as breast cancer)


    Nephrology- Nephrology (from Greek ****** &#8211; nephros, "kidney", combined with the suffix -logy, "the study of") is a specialty of medicine and pediatrics that concerns itself with the study of normal kidney function, kidney problems, the treatment of kidney problems and renal replacement therapy (dialysis and kidney transplantation). Systemic conditions that affect the kidneys (such as diabetes and autoimmune disease) and systemic problems that occur as a result of kidney problems (such as renal osteodystrophy and hypertension) are also studied in nephrology.
    A medical doctor who has undertaken additional training to become an expert in nephrology may call themselves a nephrologist or renal physician.


    Infectious disease- Infectious diseases, also known as transmissible diseases or communicable diseases comprise clinically evident illness (i.e., characteristic medical signs and/or symptoms of disease) resulting from the infection, presence and growth of pathogenic biological agents in an individual host organism. In certain cases, infectious diseases may be asymptomatic for much or even all of their course in a given host. In the latter case, the disease may only be defined as a "disease" (which by definition means an illness) in hosts who secondarily become ill after contact with an asymptomatic carrier. An infection is not synonymous with an infectious disease, as some infections do not cause illness in a host.[1]
    Infectious pathogens include some viruses, bacteria, fungi, protozoa, multicellular parasites, and aberrant proteins known as prions. These pathogens are the cause of disease epidemics, in the sense that without the pathogen, no infectious epidemic occurs.
    The term infectivity describes the ability of an organism to enter, survive and multiply in the host, while the infectiousness of a disease indicates the comparative ease with which the disease is transmitted to other hosts.[2] Transmission of pathogen can occur in various ways including physical contact, contaminated food, body fluids, objects, airborne inhalation, or through vector organisms.[1]
    Infectious diseases are sometimes called "contagious" when they are easily transmitted by contact with an ill person or their secretions (e.g., influenza). Thus, a contagious disease is a subset of infectious disease that is especially infective or easily transmitted. Other types of infectious/transmissible/communicable diseases with more specialized routes of infection, such as vector transmission or sexual transmission, are usually not regarded as "contagious," and often do not require medical isolation (sometimes loosely called quarantine) of victims. However, this specialized connotation of the word "contagious" and "contagious disease" (easy transmissibility) is not always respected in popular use.

    Immunology- Immunology is a branch of biomedical science that covers the study of all aspects of the immune system in all organisms.[1] It deals with the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorders (autoimmune diseases, hypersensitivities, immune deficiency, transplant rejection); the physical, chemical and physiological characteristics of the components of the immune system in vitro, in situ, and in vivo. Immunology has applications in several disciplines of science, and as such is further divided.
    Even before the concept of immunity (from immunis, Latin for "exempt") was developed, numerous early physicians characterized organs that would later prove to be part of the immune system. The key primary lymphoid organs of the immune system are the thymus and bone marrow, and secondary lymphatic tissues such as spleen, tonsils, lymph vessels, lymph nodes, adenoids, and skin and liver. When health conditions warrant, immune system organs including the thymus, spleen, portions of bone marrow, lymph nodes and secondary lymphatic tissues can be surgically excised for examination while patients are still alive.
    Many components of the immune system are actually cellular in nature and not associated with any specific organ but rather are embedded or circulating in various tissues located throughout the body.


    Hospice and palliative medicine- Hospice and palliative medicine is a formal subspecialty of medicine in the United States that focuses on symptom management, relief of suffering and end-of-life care. In 2006, hospice and palliative medicine was officially recognized by the American Board of Medical Specialties, and is co-sponsored by the American Boards of Internal Medicine, Anesthesiology, Family Medicine, Physical Medicine and Rehabilitation, Psychiatry and Neurology, Surgery, Pediatrics, Emergency Medicine, Radiology, and Obstetrics and Gynecology.[1] Physicians who complete a residency in one of the co-sponsoring specialties are then eligible for further training in an ACGME-approved Hospice and Palliative Medicine fellowship program, after which they must pass the official examination to be board-certified in the subspecialty. In 2007, the American Osteopathic Association Bureau of Osteopathic Specialists approved a Certificate of Added Qualifications (CAQ) in hospice and palliative medicine. Currently, the American Boards of Internal Medicine, Family Medicine, Neurology and Psychiatry, and Physical Medicine and Rehabilitation.[2] Candidates are eligible for CAQ certification after achieving board-certification following an American Osteopathic Association-approved residency

    Hematology- Hematology, also spelled haematology (from the Greek *&#7991;** haima "blood" and -*o***), is the study of blood, the blood-forming organs, and blood diseases. Hematology includes the study of etiology, diagnosis, treatment, prognosis, and prevention of blood diseases that affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, and the mechanism of coagulation. The laboratory work that goes into the study of blood is frequently performed by a medical technologist. Hematologists also conduct studies in oncology&#8212;the medical treatment of cancer.
    Physicians specialized in hematology are known as hematologists or haematologists. Their routine work mainly includes the care and treatment of patients with hematological diseases, although some may also work at the hematology laboratory viewing blood films and bone marrow slides under the microscope, interpreting various hematological test results. In some institutions, hematologists also manage the hematology laboratory. Physicians who work in hematology laboratories, and most commonly manage them, are pathologists specialized in the diagnosis of hematological diseases, referred to as hematopathologists. Hematologists and hematopathologists generally work in conjunction to formulate a diagnosis and deliver the most appropriate therapy if needed. Hematology is a distinct subspecialty of internal medicine, separate from but overlapping with the subspecialty of medical oncology. Hematologists may specialize further or have special interests, for example, in:

    Geriatrics- Geriatrics or geriatric medicine[1] is a sub-specialty of internal medicine and family medicine that focuses on health care of elderly people.[2] It aims to promote health by preventing and treating diseases and disabilities in older adults. There is no set age at which patients may be under the care of a geriatrician or geriatric physician, a physician who specializes in the care of elderly people. Rather, this decision is determined by the individual patient's needs, and the availability of a specialist.
    Geriatrics, the care of aged people, differs from gerontology, which is the study of the aging process itself. The term geriatrics comes from the Greek ***** geron meaning "old man" and ****** iatros meaning "healer". However, geriatrics is sometimes called medical gerontology.


    Gastroenterology- Gastroenterology (MeSH heading)[1] is a branch of medicine focused on the digestive system and its disorders. The name is a combination of three Ancient Greek words gaster (gen.: gastros) (stomach), enteron (intestine), and logos (reason). In the United States, Gastroenterology is an Internal Medicine Subspecialty certified by the American Board of Internal Medicine (ABIM) and the American Osteopathic Board of Internal Medicine (AOBIM).
    Diseases affecting the gastrointestinal tract, which includes the organs from mouth to anus, along the alimentary canal, are the focus of this specialty. Physicians practicing in this field of medicine are called gastroenterologists. They have usually completed the eight years of pre-medical and medical education, the year-long internship (if this is not a part of the residency), three years of an internal medicine residency, and two to three years in the gastroenterology fellowship. Some gastroenterology trainees will complete a "fourth-year" (although this is often their 7th year of graduate medical education) in Transplant Hepatology, Advanced Endoscopy, IBD, motility or other topics.
    Gastroenterology is not the same as colorectal or hepatobiliary surgery, which are specialty branches of general surgery.
    Hepatology, or hepatobiliary medicine, encompasses the study of the liver, pancreas, and biliary tree, and is traditionally considered a sub-specialty.



    Definitions of the Top Medical Specialities:



    Intensive-care medicine- Intensive-care medicine or critical-care medicine is a branch of medicine concerned with the diagnosis and management of life threatening conditions requiring sophisticated organ support and invasive monitoring.

    Cardiology- Cardiology (from Greek *****&#8113;, kardi&#257;, "heart"; and -*****, -logia) is a medical specialty dealing with disorders of the heart (specifically the human heart). The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists. Physicians who specialize in cardiac surgery are called cardiac surgeons.

    Traumatology- Traumatology (from Greek "Trauma" meaning injury or wound) is the study of wounds and injuries caused by accidents or violence to a person, and the surgical therapy and repair of the damage. Traumatology is a branch of medicine. It is often considered a subset of surgery and in countries without the specialty of trauma surgery it is most often a sub-specialty to orthopedic surgery. Traumatology may also be known as accident surgery.
    Traumatology can also refer to the study, development and application of psychological and counseling services for people who have experienced extreme events.
    Factors in the assessment of wounds are:
    the nature of the wound, whether it is a laceration, abrasion, bruise or burn
    the size of the wound in length, width and depth
    the extent of the overall area of tissue damage caused by the impact of a mechanical force, or the reaction to chemical agents in, for example, fires or exposure to caustic substances.
    Forensic physicians, as well as pathologists may also be required to examine (traumatic) wounds on people.
    In mental health, or what is also referred to as behavioral health, traumatology refers to a developing field of study that is based on the observations of mental health professionals that all dysfunction or illness is the result of trauma. While there are many different theories of psychosocial functioning, and many different psychotherapy treatments, the supporters of the burgeoning field of traumatology posit that if one can study the developmental history of a person by learning about major traumatic events in that individual's life, and address and treat a person based on the traumas that one has been exposed to, it is the key that unlocks the source and cause of a current dysfunction or condition. The effects of trauma have been overlooked. Certain kinds of trauma that have powerful emotional effects are not given much notice yet can have devastating effects on psychosocial functioning. Traumatology can bridge Behavioral Science and Medicine, in that the study of trauma, whether it be emotional or physical, can provide valuable assessment information about individual client functioning and disorder in terms of etiology of illness, and this information may be helpful in treatment planning.


    Orthopedic surgery- Orthopedic surgery or orthopedics (also spelled orthopaedic surgery and orthopaedics in British English) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.
    Nicholas Andry coined the word "orthopaedics" in French as orthopedie, derived from the Greek words orthos ("correct", "straight") and paideion ("child"), when he published Orthopedie (translated as Orthopaedia: or the Art of Correcting and Preventing Deformities in Children) in 1741. The correction of spinal and bony deformities became the cornerstone of orthopedic practice.
    In the US orthopedics is standard, although the majority of college, university and residency programs, and even the American Academy of Orthopaedic Surgeons, still use the spelling with the Latinate digraph ae. Elsewhere, usage is not uniform; in Canada, both spellings are acceptable; orthopaedics usually prevails in the rest of the British Commonwealth, especially in the UK.


    Tips: Well for starters i would like to say thanks for reading my guide or just viewing it. If you are actually interested in pursuing the medical field the best advise i probably could give is that you love it, if you don't love it don't bother. Note:There is a load of information in here from other legit sites all over the web i tried to get the best for this guide i really hope it helps. This guide was made to help users know the importance of taking this field serious and the rigorous work and effort that needs to be put into this if you want it to work out. There are many things in this guide that I myself have not been through myself yet and looking forward too. I have also put in sources where you may find more in dept talk about any other thing you are looking for that i could not research or find. This guide will take you from where you are and show you where you need to be. This guide is compiled with notes from other sites so you will not be led astray as also words and thought from myself. So i leave you with this.... Don't take anything for granted its a dirty field and it takes loads and loads of work, there will be times where you feel like you cant go on anymore but you have to push forward, you have to fight for what you want and believe me it will pay off, i continue fighting and fighting daily and every night i feel closer and closer to my dream, so work hard and stay focus hope this guide helps thanks, Nerfed.




    If you have any additional questions or would like anything to be added to the guide please let me know my contact information is in my sig or just post below.​



    Scourses:

    http://www.ama-assn.org/ama/pub/education-careers/becoming-physician/medical-school.page?
    http://healthcareers.about.com/z/js....com/od/physiciancareers/ht/MedicalDoctor.htm
    http://healthcareers.about.com/z/js....com/od/physiciancareers/ht/MedicalDoctor.htm
    http://healthcareers.about.com/z/js....com/od/physiciancareers/ht/MedicalDoctor.htm
    http://healthcareers.about.com/lr/physician_careers/535287/1/
    http://healthcareers.about.com/lr/medical_school/535287/2/
    http://healthcareers.about.com/od/whychoosehealthcare/tp/MedicalSpecialties.htm
    http://healthcareers.about.com/od/medicalschooldoctors/a/MedResidency.htm
    https://www.aamc.org/students/aspiring/basics/280602/mcat-take.html
    https://www.aamc.org/students/aspiring/basics/280598/mcat-prep.html
    https://www.aamc.org/students/aspiring/experience/280582/shadow-doctor.html
    https://www.aamc.org/students/aspiring/basics/286092/md-phd.html
    http://www.aacom.org/Pages/default.aspx
    http://www.ama-assn.org/ama/pub/edu.../medical-school/preparing-medical-school.page
    http://www.ama-assn.org/ama/pub/education-careers/becoming-physician/medical-licensure.page
    http://www.abms.org/
    http://www.ama-assn.org/ama/pub/education-careers/becoming-physician/medical-licensure.page
    http://www.ama-assn.org/ama/pub/edu...medical-school/preparing-medical-school.page?
    http://www.ama-assn.org/ama/pub/edu.../medical-school/applying-medical-school.page?

    I also have 10 MCAT Study Guide Booklets if anyone is interested PM me. Thanks.​
     
  3. Unread #2 - Dec 9, 2012 at 8:41 PM
  4. taylor1234
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    Guide For Becoming an M.D. Everything you need to Know + More

    one hell of a post. couldnt be asked to read it all as im not interested in pursuing a MD, however im sure there is some extremely useful information there.
     
  5. Unread #3 - Dec 9, 2012 at 8:47 PM
  6. UCSELLER_NEOPETS
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    How much is this?
     
  7. Unread #4 - Dec 9, 2012 at 10:14 PM
  8. Nerfed
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    Yes i hope so.


    I believe its a free guide for now untill i can get it verified of something in which i probably would never charge people for just helping out or trying at least.
     
  9. Unread #5 - Dec 9, 2012 at 10:36 PM
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    Guide For Becoming an M.D. Everything you need to Know + More

    Wow man, what can I say.. This guide is extremely useful and full of valuable knowledge although I am not yet finished reading it all as it is much to take in. I will surely finish it and take notes as I plan to pursue this career, im soon to be a freshmen at college. I strongly encourage anyone interested in any medical field to take the time to read this. HUGE thanks to nerfed for posting this, appreciate it mate :)
     
  11. Unread #6 - Dec 10, 2012 at 2:16 AM
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    Guide For Becoming an M.D. Everything you need to Know + More

    Jesus Christ. I'm going to read this after exams, thank you for the links.
     
  13. Unread #7 - Dec 10, 2012 at 2:26 AM
  14. Heads447
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  15. Unread #8 - Dec 10, 2012 at 2:38 AM
  16. Nerfed
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    Not actually Mr. HEADS most of the definitions are looked up online mainly because I did not want to input my own definition as it could mess up peoples thoughts and leave then lost in there thought which is what i wanted to avoid as I also doubt you actually read the whole guide if you are thinking that, but as you can see it is not word for word or is the guide complete I will be adding my refrences and things of that nature, just to avoid passer like yourself thanks for the input though
     
  17. Unread #9 - Dec 10, 2012 at 6:14 AM
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    Guide For Becoming an M.D. Everything you need to Know + More

    If you are posting a guide like this, you need to post your sources as well.
     
  19. Unread #10 - Dec 10, 2012 at 6:35 AM
  20. Nerfed
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    Guide For Becoming an M.D. Everything you need to Know + More

    Also Heads if you read through the guide there are little things called links that link you back to where i found the information, try clicking on them and reading a bit before you open a report about my thread thanks. By the way I used wiki of course for the definitions, if you read the guy you can also see where I have input my thoughts about certain things. Also something about this guide you should know. Every part of it cant be word for work im only in my second year of internship so i really do not know what its like to be a resident or a Attending so therefore yes i had to do loads of research and inputs to complete this guide. The guide is not only to show people how to get there, step for step but it also is made to teach them what they need to do, how to study and things like that. So please before you accuse me of doing the wrong thing take some time to actually read the whole guide not wait 2 seconds after i posted to say its plagiarism.

    Yaroow i have posted links, atm im looking for more information so i can go a little more indepth about more of my topics, if you have any questions, i have loads of free time if you need me to pin point where i actually put my input into most of this thread, and to be honest id say its about 42% myself and about 54% Wiki and 22% Research.

    Guide Updated my Scourses are listed thanks.
     
  21. Unread #11 - Dec 10, 2012 at 7:06 AM
  22. alsoforgotmyusernamenpass
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    Forgot to name Wikipedia source mate (which is blatantly obvious as you've left all the reference numbers in).

    Also it's far too tl;dr to be attractive, you could have at least taken a little time out to re-word/squash it down.
     
  23. Unread #12 - Dec 10, 2012 at 7:22 AM
  24. Nerfed
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    Guide For Becoming an M.D. Everything you need to Know + More

    Well i just added in another color so you guys can tell me from copy and paste try reading it now. I actually didnt use WIKI only to define the words + look up vital details i couldn't obtain generally.
     
  25. Unread #13 - Dec 10, 2012 at 8:56 AM
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    10/10 Would read again.
     
  27. Unread #14 - Dec 10, 2012 at 8:58 AM
  28. Syed
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    Guide For Becoming an M.D. Everything you need to Know + More

    Yo, your blue shit is wikipedia as well, what the fuck did you even write, all of this shit seems stolen to me rofl.
     
  29. Unread #15 - Dec 10, 2012 at 9:02 AM
  30. Nerfed
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    Thanks

    Blue is me ya might not think so but ill be damned if you find any of that online, I gave sources to where i found all of my information now you can do some compare and contrast if you'd like to take the time out and do that, and also if ya read the little section thats says tips from me it says " alot of this information is from other sites, because i have yet to cover them in my career" ...... sad faces for people who don't read. Now sir. Carefully Read this:

    " Tips: Well for starters i would like to say thanks for reading my guide or just viewing it. If you are actually interested in pursuing the medical field the best advise i probably could give is that you love it, if you don't love it don't bother. Note:There is a load of information in here from other legit sites all over the web i tried to get the best for this guide i really hope it helps. This guide was made to help users know the importance of taking this field serious and the rigorous work and effort that needs to be put into this if you want it to work out. There are many things in this guide that I myself have not been through myself yet and looking forward too. I have also put in sources where you may find more in dept talk about any other thing you are looking for that i could not research or find. This guide will take you from where you are and show you where you need to be. This guide is compiled with notes from other sites so you will not be led astray as also words and thought from myself. So i leave you with this.... Don't take anything for granted its a dirty field and it takes loads and loads of work, there will be times where you feel like you cant go on anymore but you have to push forward, you have to fight for what you want and believe me it will pay off, i continue fighting and fighting daily and every night i feel closer and closer to my dream, so work hard and stay focus hope this guide helps thanks, Nerfed."
     
  31. Unread #16 - Dec 10, 2012 at 10:26 AM
  32. Syed
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    Right... http://en.wikipedia.org/wiki/Board_certification#Defining_a_Medical_Specialty
     
  33. Unread #17 - Dec 10, 2012 at 11:40 AM
  34. Nerfed
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  35. Unread #18 - Dec 10, 2012 at 11:52 AM
  36. Generic
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    Guide For Becoming an M.D. Everything you need to Know + More

    To be honest man its one of the best guides on the site considering its the first of its kind, if you take the time to read what the guy says he said a load of information from other sites, this looks like hours and hours of work. Everything a person needs to know instead of critisizing where he got all the work we should actually be thanking him, and no its not plagarism he clearly says its a guid built from him and others.
     
  37. Unread #19 - Dec 10, 2012 at 11:56 AM
  38. Nerfed
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    Guide For Becoming an M.D. Everything you need to Know + More

    Well clearly they didnt see those parts but, syeds part was an honest mistake i wasnt paying attention. Yes it took be about 9-10 hours to be honest i really didnt make the guide for myself to look good because im already 2 years into internship so i really dont need the basics anymore i was just trying to help out others. O well people who dont wish to go into this profession does not see the true need to this guide but as you can see some people who do LOVE it.
     
  39. Unread #20 - Dec 10, 2012 at 12:32 PM
  40. alsoforgotmyusernamenpass
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    Guide For Becoming an M.D. Everything you need to Know + More

    I'm not saying you don't know what any of it means, it's just you didn't really bother to write anything in your own words so your guide can practically be obtained in a few google searches by anyone who gave at least half of a shit, no offence.
     
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