University of Medicine-1, Yangon
Encyclopedia
The University of Medicine 1, Yangon ; formerly the Institute of Medicine 1), located in Yangon
Yangon
Yangon is a former capital of Burma and the capital of Yangon Region . Although the military government has officially relocated the capital to Naypyidaw since March 2006, Yangon, with a population of over four million, continues to be the country's largest city and the most important commercial...

, is the oldest medical school in Myanmar
Myanmar
Burma , officially the Republic of the Union of Myanmar , is a country in Southeast Asia. Burma is bordered by China on the northeast, Laos on the east, Thailand on the southeast, Bangladesh on the west, India on the northwest, the Bay of Bengal to the southwest, and the Andaman Sea on the south....

. The university offers M.B.,B.S.
Bachelor of Medicine and Surgery
Bachelor of Medicine, Bachelor of Surgery, or in Latin Medicinae Baccalaureus, Baccalaureus Chirurgiae , are the two first professional degrees awarded upon graduation from medical school in medicine and surgery by universities in various countries...

 (equivalent of the M.D.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

) degrees and graduate (diploma, master's and doctoral) degrees in medical science. The university is perhaps the most selective university in the country, and admits approximately 600 students annually based solely on their college matriculation exam scores.

The University of Medicine 1 comprises three campuses: Lanmadaw campus
Lanmadaw Township
Lanmadaw Township is located in the western part of downtown Yangon, and shares borders with Ahlon township in the west, Latha township in the east, Seikkan township and Yangon river in the south, and Dagon township in the north. It consists of twelve wards and is home to five primary schools, two...

 (also known as St. John's), Pyay Road campus and Thaton Road campus.

University of Medicine 1, Yangon is one of 3 schools in Burma recognized by the Educational Commission for Foreign Medical Graduates
Educational Commission for Foreign Medical Graduates
Through its program of certification, the Educational Commission for Foreign Medical Graduates assesses the readiness of international medical graduates to enter residency or fellowship programs in the United States that are accredited by the Accreditation Council for Graduate Medical Education...

.

History

The history of the University of Medicine 1 began with the establishment of the government medical schools in Myanmar
Myanmar
Burma , officially the Republic of the Union of Myanmar , is a country in Southeast Asia. Burma is bordered by China on the northeast, Laos on the east, Thailand on the southeast, Bangladesh on the west, India on the northwest, the Bay of Bengal to the southwest, and the Andaman Sea on the south....

 in 1907 at the premises of the old Rangoon General Hospital, and the introduction of a course in medical sciences. it was a four-year medical course known as Licentiate Medical Practice(L.M.P) course and the successful candidates were offered certificate of license for medical practice(L.M.P). In 1923–1924, the Bachelor of Medicine and Bachelor of Surgery(M.B.,B.S) course was introduced at the old Rangoon College building at the site of the present Neurology Department of the Yangon General Hospital
Yangon General Hospital
The Yangon General Hospital is a major public hospital in Yangon, Myanmar. Located in a 14-hectare compound, the 1500-bed hospital consists of three Medical Wards, three Surgical Wards, one Trauma and Orthopaedic Ward, and 24 Specialist Departments for inpatient care. The hospital also runs an ER...

. Then, the present main building of the University of Medicine 1 was built and the foundation stone was laid by Sir Harcourt Butler
Harcourt Butler
Sir Spencer Harcourt Butler, GCSI, GCIE, KStJ was the first governor of United Provinces of Agra and Oudh . Educated at Harrow School and Balliol College, University of Oxford, Butler entered the Indian Civil Services soon afterwards, in 1890...

 on 2 February 1927. The classes were transferred to the new building in 1929.

The medical college became a constituent college of the Rangoon University in 1930 and was placed under the Board of Administration, on which the Vice-chancellor of the University of Rangoon and the Inspector General of Civil Hospital served as Chairman and Vice-chairman respectively. Academic matters and general administration were attended to by the principal with the help of the Medical College Council(Academic Body).

In 1937, the medical degree, M.B.,B.S (Rgn), conferred by the University of Rangoon gained recognition of the General Medical Council of Great Britain
Great Britain
Great Britain or Britain is an island situated to the northwest of Continental Europe. It is the ninth largest island in the world, and the largest European island, as well as the largest of the British Isles...

. From 1942 to 1945, during World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, there was a temporary suspension of the M.B.,B.S. course. A modified course was conducted instead, on the successful completion of which the Licentiate
Licentiate
Licentiate is the title of a person who holds an academic degree called a licence. The term may derive from the Latin licentia docendi, meaning permission to teach. The term may also derive from the Latin licentia ad practicandum, which signified someone who held a certificate of competence to...

 of the State Medical Board (L.S.M.B.) was conferred. Although the medical college building remained intact, all the laboratory equipment, and all the mounts and specimens collected in the Pathology and Forensic Medicine Department Museums were completely destroyed, and valuable books from the College library were also lost.

After the war, all the constituent colleges of the reconstituted Rangoon University became Faculties, and the Medical College became the Faculty of Medicine, under the administration of the Dean
Dean (education)
In academic administration, a dean is a person with significant authority over a specific academic unit, or over a specific area of concern, or both...

.

On promulgation of the University Education Act in May, 1964, the Institutes of Medicine were established. In 1973, the administration of the three medical Institutes and the Institute of Dental Medicine was transferred to the Ministry of Health
Ministry of Health (Burma)
The Ministry of Health is a national government-run ministry administering health affairs and health care in Burma, including all of the medical schools. It is one of the few civilian-headed ministries in Burma, and its current minister is Dr. Pe Thet Khin, who is assisted by two Union Deputy...

, and came under the direct control of the Department of Medical Education, now known as the Department of Health Manpower.

Post-graduate courses were introduced at the three Institutes of Medicine in 1964, the Dean of the courses being responsible to the Rector for their organization and administration. With the addition of new courses in 1970, the Board of Postgraduate Medical Studies came under the administration of the Director. With the institution of the Department of Medical Education in 1973, the Board has been under the direct charge of the Director-General of the Department of Medical Education, now known as the Department of Health Manpower. In 2005, the name, University of Medicine 1 was began to use instead of Institute of Medicine 1.

Coursework

The M.B.,B.S. course work extends over 7½ years.

|First M.B.,B.S. > |Second M.B.,B.S.> |Third M.B.,B.S. > |Final M.B.,B.S. Part I > |Final M.B.,B.S. Part II > |House Surgeon > |Total >
Year Duration
1 year
1½year
1 year
1 year
1 years
1 year
6 years

Subjects

First M.B.,B.S.
Language & Communication
    • Burmese
      Burmese language
      The Burmese language is the official language of Burma. Although the constitution officially recognizes it as the Myanmar language, most English speakers continue to refer to the language as Burmese. Burmese is the native language of the Bamar and related sub-ethnic groups of the Bamar, as well as...

    • English
      English language
      English is a West Germanic language that arose in the Anglo-Saxon kingdoms of England and spread into what was to become south-east Scotland under the influence of the Anglian medieval kingdom of Northumbria...

    • Mathematics & statistics
    • Physics
      Physics
      Physics is a natural science that involves the study of matter and its motion through spacetime, along with related concepts such as energy and force. More broadly, it is the general analysis of nature, conducted in order to understand how the universe behaves.Physics is one of the oldest academic...

    • Chemistry
      Chemistry
      Chemistry is the science of matter, especially its chemical reactions, but also its composition, structure and properties. Chemistry is concerned with atoms and their interactions with other atoms, and particularly with the properties of chemical bonds....

    • Biology(Botany and Zoology)
    • Behavior Sciences
    • Introduction of Human Anatomy
    • Physiology and Biochemistry

Second M.B.,B.S.
    • Anatomy
      Anatomy
      Anatomy is a branch of biology and medicine that is the consideration of the structure of living things. It is a general term that includes human anatomy, animal anatomy , and plant anatomy...

    • Physiology
      Physiology
      Physiology is the science of the function of living systems. This includes how organisms, organ systems, organs, cells, and bio-molecules carry out the chemical or physical functions that exist in a living system. The highest honor awarded in physiology is the Nobel Prize in Physiology or...

    • Biochemistry
      Biochemistry
      Biochemistry, sometimes called biological chemistry, is the study of chemical processes in living organisms, including, but not limited to, living matter. Biochemistry governs all living organisms and living processes...


Third M.B.,B.S.
    • General pathology
      Pathology
      Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....

    • Microbiology
      Microbiology
      Microbiology is the study of microorganisms, which are defined as any microscopic organism that comprises either a single cell , cell clusters or no cell at all . This includes eukaryotes, such as fungi and protists, and prokaryotes...

    • Pharmacology
      Pharmacology
      Pharmacology is the branch of medicine and biology concerned with the study of drug action. More specifically, it is the study of the interactions that occur between a living organism and chemicals that affect normal or abnormal biochemical function...



Students are also posted for 18 weeks each to the medical and surgical wards for clinical training.

Final M.B.,B.S. Part I
    • Forensic Medicine
    • Preventive and Social Medicine (with three weeks residential field training in the rural areas).
    • Systemic Pathology and haematology


Students attend lectures & clinics in Medicine, Surgery, Child health, Obstetrics & Gynaecology, and posted to the various teaching hospitals, including Urban Health facilities as part ofPreventive and Social Medicine teaching.

Final M.B.,B.S. Part II
    • Child Health
    • Medicine
      Medicine
      Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....

    • Obstetrics & Gynaecology
    • Surgery
      Surgery
      Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...



Students study the allied specialities, namely, eye, ear, nose & throat diseases, urology, neurology, tuberculosis, venereal diseases, orthopaedics and traumatology, skin diseases, mental health and psychiatry,oro-maxillo-facial surgery, radiology, radiotherapy, nuclear medicine, anaesthesiology, thoracic surgery, and paediatric surgery.

A summative examination is held at the end of the Final M.B.,B.S.Part II course. Problem Based Learning (PBL), Community Based Learning (CBL) and Behavioural Science will be incorporated, as relevant, in the M.B.,B.S. course.

House Surgeon Training

All students, after successful completion of Final Part II examination, are continued to train hands-on for period of one year as house surgeons in the recognized Teaching Hospitals in Yangon and / or the State and Division Hospitals. Training Periods are as following: -

|Child Health > |Community Medicine > |Medicine (including Psychiatry) > |Obstetrics & Gynaecology > |Surgery(including Traumatology) >
Subject Duration
2 ½ months
2 weeks
3 months
3 months
3 months

  • Only after completion of House- Surgeon ship MB.,B.S. Degree is offered to the students. Before 1997 the degree was conferred upon completing Final MBBS II.

Improvements and changes

M.B.,B.S. COURSE (1930)

Yangon University passed a new curriculum for M.B., B.S. degree course with a slight alteration in program structure of 1923 curriculum. There was no change in 1st M.B., course. The teaching of Physical and Organic chemistry in second M.B. course was shortened to six months.

The 3rd M.B.,B.S. course was of one year duration and consisted of:
  1. Materia medica and Pharmacology
  2. General and Special Pathology including Medical Zoology and Bacteriology
  3. Morbid Anatomy including attendance to all post-mortem examination for three months.
  4. Morbid Histology
  5. Elementary Bacteriology and Medical Zoology
  6. Clinical clerkship


The final M.B.,B.S. course was two years and it was divided into two parts (The Final Part I and the Final Part II M.B.,B.S.):
The subjects taught in the Final Part I course were:
  1. Forensic Medicine (including medico-legal post-mortem examination)
  2. Hygiene and vaccination (including Practical Hygiene).


The examination was held at the end of one year.

The course leading to Part II of the final M.B.,B.S. examination was as follows:
  1. Systemic Medicine
  2. Systemic Surgery
  3. Systemic Midwifery
  4. Applied anatomy and physiology
  5. Outpatient clerkship - 4 months
  6. Special Departments


Three months - Eye, Ear, Nose and Throat
Two months - Venereal Diseases & Skin
  1. Maternity Hospital - 3 months
  2. Clinical clerkship in medicine & Surgery


To fulfil the regulation of General Medical Council of Great Britain the instructions on child welfare, prenatal care and causes of excessive infantile mortality had to be included.

The candidate who failed in any one of the M.B., B.S. examinations could transfer himself to L.M. & S. course, if desired to do so. But candidates who had passed the L.M. & S. course were not granted any concession to enable them to follow a modified course leading to the degree of M.B.,B.S.

(Ref. University Regulation, 1930, Chapter 15, p. 207)

The General Medical Council of Great Britain was again requested to reconsider the University's application for the recognition of its M.B., B.S. Degree as registrable qualification in Great Britain. The Committee of the General Medical Council informed the University that it was not expedient or just to accede to the request of the University.

(Ref. Report of the E.C. of the council of the University, 1930–31)

M.B.,B.S. COURSE (1935–36)
The prospectus of the Medical College of the University of Rangoon (1935–1936) stated that the duration of M.B., B.S. course was seven years (previously six years) from the time of matriculation - two years of pre-medical and five years of medical studies proper.

A candidate for admission into Medical College, had to pass the First M.B., B.S. course that normally extended over two years or one of the examinations recognized by the General Medical Council of Great Britain as prerequisite education.

There was no change in Second M.B., B.S. course but the subjects taught in clinical years were rearranged as follows:

The Third M.B., B.S.
  1. Materia Medica & Pharmacology
  2. Bacteriology & Medical Zoology


The Final Part I M.B.,B.S.
  1. Pathology
  2. Forensic Medicine
  3. Hygiene and Public health


The Final Part II M.B.,B.S.
  1. Medicine
  2. Surgery
  3. Obstetrics & Gynaecology


In the previous curriculum, Bacteriology and Medical Zoology were taught under Pathology in Third M.B.,B.S. course. The teaching of Pathology was carried out in the Final Part I in 1935-36 curriculum.

Some of the rules for the students stated that the students who were absent without leave would be removed from the college and no student would be allowed to sit for a University Examination unless his attendance, work and conduct had been certified to be satisfactory by the Professor or Lecturer in each subject for which the student was appearing for the examination.

During the three years of clinical study, (i.e. starting from Third M.B.,B.S.) the students had to work in the outpatient departments and the wards of the Rangoon General Hospital
Yangon General Hospital
The Yangon General Hospital is a major public hospital in Yangon, Myanmar. Located in a 14-hectare compound, the 1500-bed hospital consists of three Medical Wards, three Surgical Wards, one Trauma and Orthopaedic Ward, and 24 Specialist Departments for inpatient care. The hospital also runs an ER...

, and attend post-mortem examinations, clinics and surgical operations. They performed clinical duties under the supervision of the members of the staff of hospital who were also staff of the Medical College. The students were posted for a period of continuous duty at the Dufferin Hospital for training in Obstetrics and Gynaecology. The course of medical study was planned to conform to the requirements of the General Medical Council
General Medical Council
The General Medical Council registers and regulates doctors practising in the United Kingdom. It has the power to revoke or restrict a doctor's registration if it deems them unfit to practise...

 of Great Britain.

After passing the Final part II examination one could register as a medical practitioner with the Burma Medical Council. The M.B., B.S. degree was registrable in India and Burma. It was also anticipated that registration in Great Britain could be made in the near future.

The internship was not compulsory but the graduates were strongly recommended to spend a year at least as a House-physician or Surgeon in a well equipped hospital in order to gain experience and confidence in solving the problems that may be encountered in general practice. Only about ten posts were available a year in selected Civil General Hospitals in Burma. They were given an allowance of 75 rupee
Burmese rupee
The rupee was the currency of Burma between 1852 and 1952, except for the years 1943-1945.-History:When Burma was conquered by the British, the Indian rupee replaced the kyat at par. From 1897, the government of India issued notes in Rangoon of the same general type as were issued in India but...

s (75 Myanma kyat
Myanma kyat
The kyat is the currency of Burma . It is often abbreviated as "K", which is placed before the numerical value.-First kyat, 1852-1889:...

s) per month.

The majority of graduates entered the private practice. Few posts were available in the Government Service; the Burma Railways, the Corporation of Rangoon and certain large commercial enterprises such as the Burmah Oil Co.
Burmah Oil Company Ltd.
The Burmah Oil Company was a leading British oil business which was once a constituent of the FTSE 100 Index.-History:The company was founded in Glasgow, Scotland in 1886 by David Sime Cargill to develop oil fields in the Indian subcontinent...

, the Irrawaddy Flotilla Co., Burma Corporation, Indo-Burma Petroleum Co.
IBP Co. Limited
IBP was originally founded by Abdul Karim Abdul Shakur Jamal under the name of Jamal's oil Company limited and was renamed as Indo-Burma Petroleum Company limited in 1909...

. The initial pay ranged from 200 to 400 rupees per month according to the nature of the duties and qualification of the applicants.

(Ref. The Medical College of University of Rangoon Prospectus 1935-36)
Starting from August 2008, UM I has started teaching new medical ethics and patient safety curriculum integrating into first MB to House officer training with total hour of 36 hours.
Now the Rector of the University of Medicine 1, Yangon is Professor Pe Thet Khin , a Pediatrician.(2010)

Core contents

  • At the end of the 1st MB course, the student should be able to:
    • Define and understand ethics, medical ethics, Hippocratic Oath, Declaration of Geneva in Burmese and English versions
    • Be aware of ethical and moral issues in relation to Burmese culture

  • At the end of the 2nd MB course, the student should be able to:
    • Choose correct statement regarding respect of dead body and specimen.
    • Choose correct statement regarding research ethics
    • Choose correct statement regarding informed consent

  • At the end of the 3rd MB course, the student should be able to:
    • Be aware of biomedical ethics
    • Safely handle infectious agents
    • Describe rational prescribing (NNT, RRR, APR)
    • Prescribe safely
    • Conduct appropriate bedside manner
    • Identify health care errors and their causes

  • At the end of the FP I course, the student should be able to describe:
    • code of conduct (medical/ethical)
    • serious medical misconduct
    • medical negligence (civil and criminal)
    • formation and function of MMC
    • professionalism
    • patient safety concepts
    • How to take Consent for post-mortem examination
    • Public health ethics and their importance
    • communication skills concerning specimen collection
    • Ethical principle of respect for the death

  • After the end of the Final Part II, the students should be able to:
    • Demonstrate effective and ethical communications skills in patient management
    • Be aware of patient safety concepts & ethical principles in clinical management decision making and ethical dilemmas

  • After the end of the internship, the candidates should be able to:
    • Apply patient safety concepts & ethical principles in clinical management decision making and ethical dilemmas

See also


External links

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