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Bachelor of Medicine and Bachelor of Surgery (MB ChB)

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Overview

The Bachelor of Medicine and Bachelor of Surgery (MB ChB) degree is commonly referred to as the 'medical degree'. School leavers enrol at Otago for the common Health Sciences First Year course and then apply for admission to second year medicine. Graduates may also apply for admission at second year. If successful, students will complete a further five years, then after graduation work for another year under probation in order to gain general registration. There is a wide range of specialisation available in the public and private sectors, involving research, academic medicine, public health, clinical medicine and other areas. Specialties include Cardiology, Oncology, Paediatrics, Psychological Medicine, Surgery, Pathology, Public Health, General Practice and many others. Most doctors complete postgraduate training in their chosen specialty.

Medicine is a respected, rewarding, and truly international career.

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Information for Potential Second Year Students

First Aid Certificate

All students who enter the second year of the MB ChB programme are required to furnish a certified copy of an appropriate current First Aid Certificate with their acceptance of an offer of a place in second year Medical classes. This Certificate should have been gained through a training provider registered with NZQA and authorised to assess NZQA first aid standards. Until December 2013 the Certificate should include at least NZQA Standard 6401 but students are recommended to obtain a qualification which includes the higher NZQA Standard 6400. Alternatively, from January 2011, students can furnish a First Aid Certificate which includes NZQA Standards 26551 and 26552.

Immunisation Requirements

All students who enter the second year of the MB ChB programme are required to provide evidence of their immune status for the following specific diseases before classes begin: hepatitis B, hepatitis C, measles, mumps, rubella and varicella (chickenpox). The evidence of immunity must be provided by a New Zealand registered medical practitioner. Failure to comply with these requirements will mean that students cannot proceed with clinical training and in the interests of patient and student safety no exceptions can be made. The status of students with respect to tuberculosis will be established during the second year of the programme prior to entering the hospital-based portion of the programme.

Cultural and Religious Issues

All students must participate in laboratory, practical and clinical activities, including those that may be unusual in some cultures. In the medical programme, some aspects of the teaching will require individuals to practice certain techniques on each other and, for this, students may be required to partially undress and to experience some body contact with other students. Training occurs under close supervision and all students are required to participate, as it is essential for their acquisition of clinical skills.

Essential undergraduate training will require medical students to travel to placements outside the urban area, in the company of male and female classmates. There may be clinical attachments to outlying hospitals and rural general practices, and there is no provision for accompanying partners, escorts or chaperones.

Medical students will also be expected to participate fully in the clinical activities of their attached team including some after-hours duties, and weekend on-call responsibilities. In some circumstances final examinations will also be conducted on the weekend (Saturday) when hospital outpatient clinics are available.

Dress Requirements in Operating Theatres and Clinics

Specifically, in disciplines such as surgery, medical students will be required to conform to standards of dress that meet the high levels of hygiene in operating theatres. Personal garments, such as headgear worn outside the theatre situation, must be replaced by alternative sterilised garments provided by the hospital to meet accepted standards of infection control and asepsis. Students must also adhere to the stringent protocols of scrubbing to involve hands and both forearms to at least elbow level. In some outpatient clinics a similar dress code and adherence to infection control may also apply. In the interests of patient safety there can be no exception to these strict protocols.

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Medical Registration

Before medical graduates can practice as doctors in New Zealand they must register with the Medical Council of New Zealand and complete one year of supervised practice in a hospital. These first year places are provided by the hospitals (DHBs). There are limited, if any, places available for international students who will normally complete registration requirements in their home country.

Cost of Equipment, Instruments and Books

In addition to the course and other fees, the cost of pursuing the undergraduate Medical programme includes the purchase of essential equipment, instruments, prescribed textbooks, and some course-related travel. Particulars of the items required in Second Year will be supplied to all students selected for admission to Second Year classes. Advice concerning additional items will be given from time to time in lectures. Allowance should be made also for the laundering of laboratory coats, for name badges and deposits on keys and School equipment and for supplementary textbooks. An estimate of these costs is as follows:

  • Second Year $1400
  • Third Year $800
  • Fourth Year $950
  • Fifth Year $1500

Information for International Students 

Normally, no places are available for independent international students in the Bachelor of Medicine and Bachelor of Surgery (MB ChB) programme, however a very limited number of places may be available in any year if a reduced number of sponsored students (under the terms of contracts with overseas governments) are enrolled.

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Contact Details

For further information about the Bachelor of Medicine and Bachelor of Surgery (MB ChB) degree please contact:

Health Sciences Admissions Office
Division of Health Sciences
PO Box 647
Dunedin
Tel 64 3 479 7428
Fax 64 3 479 5058
Email health-sciences@otago.ac.nz

Subject Area

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Programme Requirements

Bachelor of Medicine and Bachelor of Surgery (MB ChB)

Year Papers Points
1st year

Health Sciences First Year Course

Notes:

(i) Students enrolled in the Health Sciences First Year course will be required to achieve a satisfactory mark in a standard diagnostic English test or another approved measure of achievement.

(ii) No student will be permitted to take an examination in a subject of the first year course in which a pass has already been gained.

126
2nd year

MICN 201  Medicine Second Year

120
3rd year

MICN 301  Medicine Third Year

120
4th year

MICN 401  Medicine Fourth Year

120
5th year MICN 501  Medicine Fifth Year 120
6th year

MICN 601  Medicine Sixth Year

120

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Regulations for the Degrees of Bachelor of Medicine and Bachelor of Surgery (MB ChB)

1 Admission to the Programme

(a) Admission to Second Year Classes in Medicine is limited to a number, determined annually, of candidates who are eligible by virtue of citizenship or permanent residence in New Zealand (but see regulation 1(j)).

(b) The Division of Health Sciences has delegated authority to the Medical Admissions Committee for selection of candidates to Second Year Classes in Medicine.

(c) Candidates for admission will be considered in the following categories and at the following times:

    (i) Health Sciences First Year - in the first year of university study at the University of Otago, for candidates who will have fulfilled the requirements of the first year course;

    (ii) Graduate - within three years of the completion of the requirements of a first degree awarded by a university in New Zealand;

    (iii) Other - at one subsequent time, which may be on completion of a second degree or other university qualification.

A candidate may apply once only in each of the three categories of this regulation.

(d) Applications for enrolment in Second Year Classes in Medicine must be received no later than the following dates, in the year preceding desired entry:

    (i) from Other categories applicants, by 1 May

    (ii) from Health Sciences First Year applicants, by 15 September

    (iii) from Graduate applicants, by 15 September

(e) To gain entry in the Health Sciences First Year category, a candidate must, in the first year of university study at the University of Otago, pass all the papers prescribed for the Health Sciences First Year course, at the first attempt, with B grades or better. Candidates must also have a valid Undergraduate Medicine and Health Sciences Admission Test (UMAT) result. Selection shall be based on the results achieved in the papers with a total of 126 points, and in the UMAT. The academic grades shall contribute 66% of the score to be used for selection and the UMAT shall contribute 34%.

Note: All papers prescribed for the University of Otago Health Sciences First Year course must be passed at B grade or better. If an additional optional paper from the approved list is taken, and provided all of the prescribed papers are passed at or above the required minimum standard, the results in the best seven papers will be counted for admission purposes.

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(f) To gain entry in the Graduate category, applicants must have completed, normally in the minimum academic time, a qualification awarded by a university in New Zealand:

    - a first degree; or
    - a first degree followed by an honours degree; or
    - a first degree followed by a postgraduate diploma similar to an honours degree;

An application must be received within three years of the completion of the first degree. The academic score for the applicants' degrees will be determined annually by the Medical Admissions Committee. Candidates considered for entry in the Graduate category must have valid UMAT results.

(g)

    (i) To gain entry in the Other category, a candidate must meet one or more of the following criteria:

      (a) be a graduate who does not fulfil the requirements of the first degree as described in regulation 1(f);

      (b) have health-related professional experience and satisfy special criteria (see note);

      (c) have health professional experience in mental health and satisfy special criteria (see note).

    Note: Applicants seeking admission to Medicine with health-related professional experience (see (g)(i)(b) above) or with health professional experience in mental health (see (g)(i)(c) above) will be required to demonstrate academic and/or professional experience in the relevant field, to a standard acceptable to the Medical Admissions Committee, as part of the selection process. Candidates applying under regulation (g)(i)(c) above are expected to have an interest in pursuing a career in mental health after graduating in Medicine.

    (ii) A candidate in the Other category must have achieved at least a minimum academic standard to be determined by the Medical Admissions Committee from year to year in the course of study on which the application for admission is based. A candidate may be required to attend an interview.

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(h) The University of Otago is committed to initatives that increase the number of Māori and indigenous Pacific Island graduates. The Division on Health Sciences is focused on ensuring that New Zealand's diverse health workforce needs are met, honouring the principles of the Treaty of Waitangi/Te Tiriti o Waitangi and promoting academic equity for under-represented groups.

Applicants in any category (see regulation 1(c) who have fulfilled the requirements as described in 1(e), 1(f) or 1(g) may also be considered in one or both of the following sub-categories:

    (i) Māori.

    (ii) Indigenous Pacific (see note).

An applicant in either or both of these sub-categories must provide verified evidence of either Maori whakapapa or indigenous Pacific ancestry and be a permanent resident or citizen of New Zealand.

An applicant in either or both of these sub-categories must have achieved at least a minimum academic standard to be determined by the Medical Admissions Committee from year to year in the course of study on which the application for admission is based.

Note: Students applying under the indigenous Pacific sub-category need to provide verified evidence of family ancestry originating from one or more of the following Pacific nations: Samoa, American Samoa, Tonga, Cook Islands, Niue, Tokelau, Fiji, Rotuma, Solomon Islands, Vanuatu, New Caledonia, Papua New Guinea, Kiribati, Tuvalu, Palau, Marshall Islands, Federated States of Micronesia, Wallis and Futuna, Hawai'i, French Polynesia, Rapanui (Easter Island).

(i) Applicants in any category (see regulation 1(c)) who have had a rural New Zealand upbringing and/or education (see note) may seek admission under the New Zealand Rural Origins sub-category. If successful these students may be required to undertake one year of the medical course in a rural immersion programme. This year will not add to the overall length of the course.

Note: To qualify for the New Zealand Rural Origins sub-category candidates must:

    (i) have undertaken a minimum of 4 years of their pre-tertiary education at a school in a rural area of New Zealand; or

    (ii) have resided in a rural area of New Zealand for a minimum of 4 consecutive years following the completion of their secondary education.

Applicants who are uncertain of their eligibility to apply under the New Zealand Rural Origins sub-category should contact the Health Sciences Admissions Office (health-sciences@otago.ac.nz) or s4ee the Guidelines for Admission on the Health sciences website (http://www.otago.ac.nz/healthscience).

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(j) Applicants who are classified as International Students must apply under the International Students sub-category. In this sub-category:

    (a) The Medical Admissions Committee shall have discretion to offer additional places in second year classes to International students under arrangements which have been approved by the Faculty of Medicine.

    (b) Candidates must have achieved a level of academic attainment to be determined by the Medical Admissions Committee and shall have completed all necessary prerequisites.

Note: Applicants seeking entry to Medicine in this sub-category must be Health Sciences First Year or Graduate applicants only.

(k) Candidates offered a place under the Graduate or Other categories may be required to satisfy academic bridging requirements or pass prerequisite papers, at a standard to be determined by the Medical Admissions Committee, before being admitted to second year classes.

(l) Entry to the course shall be subject to candidates meeting a specified English language requirement prior to enrolment in any second year classes.

(m) Notwithstanding any of the above provisions, the Medical Admissions Committee shall have discretion to consider any applicant who, not having satisfied these regulations in a particular aspect, warrants admission to second year classes in Medicine for exceptional reasons.

Note: Candidates for admission in the Health Sciences First Year and Competitive Graduate categories must have valid UMAT results, as defined by the Australian Council for Educational Research, which is responsible for the development and administration of UMAT.

2 Structure of the Programme

(a) Every programme of study shall satisfy the programme requirements above.

(b) All students undertaking a first year course for the purpose of gaining entry to Second Year classes in Medicine are required to obtain approval of their courses of study from a Health Sciences first year course adviser. A student pursuing a course leading to a Bachelor of Science or a Bachelor of Arts degree for the purpose of gaining entry to Medical School must obtain approval for that course from an Adviser of Studies for the particular degree concerned.

Note: For specific enquiries about entry to Medical School students should make an appointment with the Associate Dean for Admissions, c/o Admissions Office, Division of Health Sciences.

(c) No student may take any paper additional to the programme without first obtaining the approval of the Dean of the Faculty of Medicine or the Dean of a School of Medicine.

(d) In approved cases, the Medical degree may be combined in an integrated programme of study with the Oral and Maxillofacial Surgery programme (also including the degrees of Bachelor of Dental Surgery and Doctor of Clinical Dentistry), the degree of Master of Dental Surgery in Oral Medicine, the degree of Bachelor of Medical Sciences with Honours or the degree of Doctor of Philosophy.

Note: For further information and details of the integrated programme requirements contact the Faculty Manager, Faculty of Medicine.

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3 Admission of Students by Transfer

Transfer of students to the Medical programme at the University of Otago from the Medical programme at the University of Auckland (and vice versa) is possible only at Trainee Intern (sixth year) level. Students will be admitted with the approval of the Faculty Board and provided that:

(a) a one to one exchange of students can be arranged;

(b) the student has achieved a standard of performance acceptable to the Faculty Board;

(c) the Faculty Board is satisfied there are special reasons for the student to transfer;

(d) the Faculty has sufficient resources and facilities to accept the student.

Note: Students transferring from Auckland will graduate with the Auckland MB ChB degrees and students transferring from Otago will graduate with the Otago MB ChB degrees.

4 Division of Class after Third Year

Facilities for the teaching of the fourth, fifth and sixth years of the programme are provided in the Dunedin, Christchurch and Wellington Schools of Medicine. After completion of third year, the class will be divided and students allocated to one of the three schools for the remainder of their programme.

In dividing the class, account will be taken of each student's personal preference as far as possible. However, if the numbers of applicants for entry to any one of the clinical schools exceeds the number of places available, a ballot will be held to determine which students will be required to take a place in one of the other schools.

Students will be allocated equally to the three schools. This includes international students who will be allocated equally among the three schools. Once class division has been finalised, exchanges between schools will be permitted only if there is a vacant place and with the approval of the Deans concerned.

Note: No transfer is possible between the Auckland and Otago Schools of Medicine at this stage in the programme.

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5 Terms

(a) A candidate for the degrees of Bachelor of Medicine and Bachelor of Surgery must obtain terms for the corresponding year in order to pass the year, and before proceeding to the next year. For Second, Third and Fifth Year students the Board of Examinations for the year concerned may award terms, deny terms, or defer terms. The Board may, for a student for whom terms have been deferred, admit the student to the final examinations and allow completion of the terms requirements up to the time of the relevant Special examinations.

(b) Terms will be awarded by Boards of Examinations for each year based on attendance, knowledge, professional attitudes and skills assessment, and on the overall performance of each student in all components of the course during the year. Concerns about performance with respect to any of these criteria during the year, which are supported by similar concerns raised in previous years, can contribute to a decision to deny terms.

Note: At the beginning of each year of the Medical programme, each department or the appropriate Board of Examinations will clearly indicate to students specific requirements for the award of terms.

(c) Students who are refused terms will normally be required to repeat the year as a whole.

Note: In the event of absence through illness likely to be prejudicial to the granting of terms, students are advised to submit a medical certificate to the Dean of the appropriate School of Medicine.

6 Examinations

(a) Examinations, other than the Final Examination, shall be conducted by means of written questions and/or by oral and practical, including clinical, examinations. The examiners may also take account of the performance of the candidate during the course of instruction.

(b) A candidate for the Final Examination must undertake an approved course of study including an approved elective.

(c) The Sixth Year will be a Trainee Internship designed to introduce clinical responsibility for patients. It will include clinical attachments and an elective period. To pass the Final Examination a candidate shall normally obtain a passing assessment from each clinical attachment and from the elective period. The assessment will be made on performance of clinical and other work and may include oral and clinical examinations. In the event that a passing assessment is not obtained in one or more attachments a candidate will sit a final clinical examination conducted by examiners from more than one School of Medicine and will pass the Final Examination if, in the opinion of the Board of Examinations, a satisfactory overall performance has been achieved.

(d) A candidate for any examination other than the Final Examination who has not sat or, having sat, has not passed the whole of the examination may be admitted to a special examination in the following January unless the Board of Examinations determines that a candidate who has not sat, or who has failed shall be required to carry out an approved course before being readmitted to examination.

Note: Entries for special examinations must reach the Manager, Student Administration, by 10 January.

(e) No candidate shall be permitted to sit a special examination (other than those permitted on the basis of ill health or other exceptional circumstances) in more than two of the Second to Fifth Years of the programme.

(f) A candidate for the Final Examination who has not sat, or having sat, has not passed the whole of the examination shall be required to carry out an approved course before being readmitted to examination.

(g) On the recommendation of the Board of Examinations, candidates for any examination may be credited with a portion of that examination.

(h) Candidates for examinations in Medicine, other than the First Year Examination, who, in the opinion of the Board of Examinations, have reached an exceptionally high standard in any subject shall be granted a pass with distinction in that subject.

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7 Withdrawal from the Programme

(a) A student who withdraws on or before 10 July in the year of admission to second year classes will be required to apply to the Medical Admissions Committee for readmission and any such applications will be dealt with under the regulations governing admission to the programme.

(b) A student who, at any later time, withdraws from the Medical programme is required to apply for readmission to the Board of the Faculty of Medicine not later than 1 June in the year prior to that for which readmission is sought.

8 Exclusion from the Programme

A candidate who

    (a) fails to complete all of the requirements for a year of the programme at a second attempt (which may include special examinations) or

    (b) fails to complete all of the requirements for a later year of the programme at the first attempt (which may include special examinations), having repeated a previous year, or

    (c) has not passed a year of the programme from failure to gain terms or failing the examinations for that year, having previously sat special examinations in two separate years,

  may be excluded from further study towards the degree by the Board of the Division of Health Sciences on the recommendation of the Board of the Faculty of Medicine.

Note: for the purposes of Regulation 8 special examinations granted on the grounds of ill health or other exceptional circumstances are not counted.

9 Level of Award of the Degrees

If, in the opinion of the Faculty, any candidate has maintained a sufficiently high standard throughout the whole programme, the Faculty may recommend that the degrees be awarded with distinction.

10 Variations

On the recommendation of the Faculty, the Pro-Vice-Chancellor (Health Sciences) may, in exceptional circumstances, approve a course of study which does not comply with these regulations

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