Brody School of Medicine

ECU Brody School of Medicine Bulletin

Second Year
(a) = fall term; (b) = spring term
(Note: The Brody School of Medicine Curriculum is subject to change)

Doctoring II (a, b)
This Doctoring course builds on the physical examination, interviewing, and critical appraisal skills introduced in the first-year Doctoring course. Students enhance their doctor-patient relationship and interviewing skills. They develop clinical communication skills to assist patients in adopting a healthy lifestyle. Interviewing techniques for specific populations such as the adolescent, the geriatric patient, and the difficult patient are discussed. Students develop their skills in the critical appraisal of the literature. Physical examination skills are refined and new techniques learned.

Cultural & Social Dimensions of Medical Practice (a)
This course builds on the first year medical ethics course by examining various aspects of the milieu in which medical practice is conducted. It explores a variety of topics from historical, sociological, literary, anthropological, economic and policy perspectives. Subjects include illness and suffering; families and illness; gender issues in medicine; race and ethnicity; medicine and religion; culture and medicine; difference and disability; labeling and stigmatization; the role of technology in medicine; complementary and alternative medicine; and health care reform in the United States. Students write an illness narrative reflecting on the ways that cultural and social factors influenced them and their families during a time of sickness. Each session of the course begins with a lecture, followed by a small group discussion with a humanist and a clinician.

Introduction to Medicine (a, b)
This is a comprehensive course correlating basic science with clinical medicine and emphasizing the interpretation of data in disease processes. It is here that students master pathophysiology of disease, learn clinical reasoning skills, develop problem lists and differential diagnoses, are introduced to diagnostic testing and begin to appreciate the multiple opportunities for preventive interventions. Integrated with the Doctoring course and conducted by faculty of several clinical departments, much of this course is taught in case-based seminar sessions with faculty facilitators. Lectures and self-directed learning complement and extend the curriculum.

Medical Genetics (b)
This course expands on topics covered in the first year self directed online study of basic genetics by including clinical material to illustrate basic genetic principles and application of basic science techniques to the evaluation, management, and treatment of genetic disease. The impact of genetics on families and society is explored in lectures on genetic counseling, public health genetics and ethics.

Medical Microbiology and Immunology II (a)
This course continues presenting the principles of microbiology and immunology begun during the preceding year. Second year content includes medical bacteriology, mycology and parasitology. As with previous topics, the basic concepts of each subdiscipline are reviewed and developed into the concepts required for medical practice. Host-parasite relationships, epidemiology, pathophysiology of infection and disease, and therapeutic and preventive measures are discussed in relation to the physiology and ultrastructure of the infectious agent. Clinical lectures and small group case conferences with faculty specializing in infectious diseases and other disciplines complement the basic science fundamentals. Laboratory instruction and exercises emphasize the development of precautions and skills in handling infectious agents, proper communication with the clinical laboratory, and an understanding of the role of the clinical laboratory in the diagnosis and treatment of infectious diseases.

Medical Pathology (a, b)
The first section of this course emphasizes basic principles regarding structural and functional alterations of organs, tissues and cells in the genesis and effect of disease. Topics include inflammation and repair, neoplasia, immune diseases, infectious diseases, genetic diseases and environmental pathology. The second section stresses the basic pathologies of the various body systems with emphasis on their interrelationships. Topics include the heart, respiratory system, gastrointestinal tract, liver, pancreas, endocrine system, nervous system, genito-urinary tract, skin and musculo-skeletal system. Instruction includes lecture, demonstrations, gross and microscopic laboratory work and case-oriented discussions.

Medical Pharmacology (a, b)
The course in Medical Pharmacology provides students with the fundamentals needed to practice rational drug therapy in humans, including drug actions, interactions, clinical uses and toxicity of drugs by drug classes. The logic of using drugs optimally in particular clinical situations is emphasized using lectures, clinically based small group discussion sessions, computer-based laboratory simulations, and self-instructional materials.

Psychopathology (a, b)
This course has three major sections: basic psychopathology, human sexuality, and lifestyle abuse. The first part of the course covers basic psychopathology and the diagnostic entities necessary for the practice of any medical specialty. Material for discussion in small groups comes from assigned readings and lectures. It emphasizes an eclectic approach to mental and emotional disorders as medical problems and presents treatment modalities as applicable to the non-psychiatric physician. The human sexuality section covers aspects of the patient and the student as sexual entities and deals with interactions that may occur as a result. The lifestyle abuse section addresses lifestyle abuse in the medical profession in a thorough, multidisciplinary, patient-oriented way. The student will enter the clinical years with a well-rounded knowledge of the pharmacological, pathological and behavioral aspects of lifestyle abuse and with the ability to diagnose and treat the conditions and their complications. This course prepares the student for the third-year clerkship in psychiatric medicine.

Primary Care Preceptorship (b)
Students spend five days as a learner in a primary care physician’s office in one of various locations in the state; the experience allows further development of skills learned in the classroom. This program is administered by the Department of Family Medicine.

M-2 Foundations in Medicine (a,b)
This course continues in the second year of medical school.  Mentorship is encouraged in multiple layers by incorporating basic science faculty, upper classmen, and clinicians as facilitators for the small group sessions.  Activities and critical reflection are documented utilizing a medical education portfolio that reflects major components of the ERAS residency application and other student accomplishments while in medical school.