Fourth year provides an introduction to clinical medicine emphasising etiology,
pathology, microbiology and the clinical aspects of disease. A fully integrated
teaching program with combined teaching from the departments of Medicine,
Surgery, Pathology and Immunology, Microbiology, Geriatrics, Community
Medicine, Psychological Medicine and Social and Preventive Medicine is the
major source of core knowledge in fourth year. Clinical pharmacology and
therapeutics, radiological sciences and emergency medicine are also studied.
Other major features of fourth year include extensive hospital bedside
teaching, general practice attachments, laboratory practical sessions and a
project from one area of medical research.
Fourth year is made up of three terms, rather than two semesters as in previous
years. The first two terms include the integrative teaching program, laboratory
medicine and clinical tutorials as major components, with regular teaching in
community medicine and a weekly research attachment. The third term consists of
an introductory lecture series (one week) followed by four three week blocks
made up of a psychological medicine hospital attachment, radiological sciences,
emergency medicine and a block consisting of one week each of a medical and a
surgical ward attachment and one week working in a supervised nursing role.
Preliminary reading
Myers K A and others Principles of pathology in surgery Blackwell Scientific, 1980
Prescribed texts
Bloch S and Singh B The foundations of clinical psychiatry
MUP, 1993
Hunt P and Marshall V Clinical problems in general surgery Butterworths,
1990
Talley N and O'Connor S Clinical examination: A guide to physical
diagnosis 3rd edn, MacLennan and Petty, 1996
Williamson R C N and Waxman B P (eds) Scott: An aid to clinical surgery
5th edn, Churchill Livingstone, 1994
Recommended texts
American Psychiatric Association Diagnostic and statistical
manual of mental disorders - IV APS
Beumont P J V and Hampshire R B Textbook of psychiatry Blackwell,
1989
Bourne S Under the doctor: Studies in the psychological problems of
physiotherapists, patients and doctors Avebury, 1981
Browse N L An introduction to the symptoms and signs of surgical disease
2nd edn, Edward Arnold, 1991
Cassem N H Massachussetts General Hospital handbook of general hospital
psychiatry 3rd edn, PSG, 1991
Dixon D L and Dugdale L M An introduction to clinical imaging Churchill
Livingstone, 1988
Edwards C R W and Bourchier I A D (eds) Davidson's 'Principles and practice
of medicine' 17th edn, Churchill Livingstone, 1995
Gelder M and others Oxford textbook of psychiatry 3rd edn, Oxford
Medical, 1996
Goldman H H Review of general psychiatry 4th edn, Lange, 1995
Kaplan H I and Sadock B J Synopsis of psychiatry 7th edn, Williams and
Wilkins, 1994
Kaplan H I and Sadock B J Comprehensive textbook of psychiatry 6th edn,
Williams and Wilkins, 1995
Katzung B G Basic and clinical pharmacology 6th edn Appleton and Lange,
1995
Kumar P J and Clark M L Clinical medicine: A textbook for medical students
and doctors 3rd edn, Balliere Tindall, 1994
McNeil J J and others (eds) A text book of preventive medicine Edward
Arnold, 1990
Munro J and Edwards C (eds) Macleod's 'Clinical examination' 9th edn,
Churchill Livingstone, 1995
Nicholi A M (ed.) The Harvard guide to modern psychiatry Harvard U P,
1988
Reiser D E and Rosen D H Medicine as a human experience University Park
Press, 1985