MASTER OF MEDICINE IN OPHTHALMOLOGY

Overview

Philosophy of the programme

The discipline of ophthalmology is highly specialized and is key in health care provision. The department of ophthalmology is committed to training ophthalmologists of an international standard with a high level of knowledge, advanced clinical skills and attitudes in order to provide the best evidence-based patient care. About 90% of the world's 285 million people with visual impairment, of which 39 million are blind, live in developing countries (2010 WHO estimates). The ophthalmologist to population ratio in Kenya is 1:420,000 nationally but as low as 1:3,000,000 in rural areas (MOH 2014 data). This is far below the WHO recommended ratio of 1:250,000.

Rationale

The discipline of ophthalmology is highly dynamic and new technological innovations are constantly being developed to manage various ocular disorders. It is therefore pertinent to keep the training of ophthalmologists relevant in this changing arena hence the need to revise this curriculum to improve the training. In addition, the University of Nairobi quality management system requires curriculum review every five years. The training is geared to meet the objectives of the Kenya Government National Health Sector Strategic Plan and the Kenya Vision 2030 of devolved Health Specialist services to the Counties. The curriculum for M.Med ophthalmology has been revised to be in harmony with regionally and internationally recognized curricula. In particular, the assessment and examination methods have been revised in order to be more objective. Stakeholders were consulted their feedback was supportive of the learning outcomes.

Goal of the programme

The Master of Medicine in Ophthalmology aims to provide the knowledge, skills and competencies that will transform the learner in to a high calibre specialist who shall be involved provision of eye care of an international standard with a high level of knowledge and advanced clinical skills.

Mode of delivery

The programme will be offered on a full-time basis and will be conducted through face to face lectures, seminars, tutorials, self-study, clinical and surgical rotations in eye clinics, eye wards and eye theatres at the teaching hospital as well as external rotation and outreach centres.

The programme shall be completed in a minimum of 3 years and a maximum of 6 years

The programme shall consist of a total of 85 units of 60 hours each over 11 terms of 12 weeks each

All the courses and clinical rotations shall be compulsory. The course requirements are as

Follows:

Student Class Attendance

The student will be required to attend all lectures for each academic year, journal clubs, ward rounds and clinics as per schedule. All taught course units covered shall consist of lectures, clinical work, clinical teachings, tutorials,

Obligations of The Lecturer

All lecturers will facilitate all assigned lectures and tutorials as per schedule. They will also guide students during clinics, ward rounds and surgical theatre through demonstration and verbal instruction both at the teaching hospital and outreach centres. The lecturers shall also offer mentorship to the students.

The course shall be divided into three years:

Year 1 shall consist of the following courses: -basic sciences (anatomy and physiology of the eye and optics & refraction), introduction to clinical and surgical ophthalmology, research methods, biostatistics & epidemiology as well as a logbook.

Year 2 shall consist of ocular pathology, genetics, microbiology and pharmacology as well as clinical & surgical ophthalmology I, community eye health I, research methodology I, research project and a logbook

Year 3 shall consist of clinical & surgical ophthalmology II, community eye health II, research methodology II, research project and a logbook.

Three summative assessments (examinations) will be carried out at the end of first, second and third year on completion of the course work as outlined in the curriculum. (Section 8.0) All taught course units covered shall consist of lectures, clinical work, clinical teachings, tutorials, seminars, conferences, demonstrations, teaching in surgical skills' laboratory, teaching in a wet lab, log book and dissertation.

Clinical clerkship will be during the regular duties during normal working hours and calls. The post graduate students will be expected to conduct ward rounds, attend consultant rounds, supervise and teach their junior medical staff, including undergraduate medical students and paramedical students

The student will be involved in carrying out call duties as per the hospital schedule

External clinical rotations: Every student shall have 2 external clinical rotations of 8 weeks each during the 2nd and 3rd year of the course. During this period, the student will be exposed to community ophthalmology and give him/her an insight into the function of an ophthalmologist in performing, organizing and supervising ophthalmic clinical services at community level. The student will also be trained on clinical skills.

There shall be a dissertation topic agreed upon between the postgraduate student and the department. The research and writing of the dissertation shall be during the 2nd and 3rd academic year.

Outreach clinical activities: Throughout the course, the students will be expected to fully participate in the various outreach activities organized by the department for the purpose of enhancing clinical/surgical skills and exposure to community ophthalmology.

Reasons for deregistration will be as per university rules and regulations:

1 If she/he does not meet the requirements specified in the documents below:

• Manual on code of conduct of Medical ethics published by the Medical Practitioners’ and

Dentists Board in Kenya.

• Public Officers Ethics Act, 2003 (revised in May 2009), part III, general Code of Conduct and Ethics (Chapter 6 of Kenya constitution).

A student who exceeds the prescribed maximum duration of the course without a valid reason

The Common Regulations for the Master of Medicine Degree in The University of Nairobi shall apply.

The applicant eligible for admission into the programme shall fulfil all of the following conditions:

  • Hold a minimum of Bachelor of Medicine and Bachelor of Surgery (MBChB) degree of the University of Nairobi or an equivalent recognised by The University of Nairobi Senate
  • Possess evidence of registration or eligibility to be licensed by the Medical Practitioner’s and
  • Dentists Board and be in the retention list
  • Possess a certificate of good status from the Medical Practitioners and Dentist Board or any equivalent authority from the country of origin
  • Provide certificate of proficiency in use of English language or evidence of having studied using the language
  • Pass an entry interview
  • Show evidence of having stereoscopic vision (ability to view objects in three dimensions)
  • Possess valid professional indemnity cover for the period of clinical training

CREDIT TRANSFER AND EXEMPTIONS

An applicant may on the recommendation of the school Board and approval by senate, be allowed to transfer up to a maximum of one third of the non - clinical taught units offered in the program

Applicants seeking transfer of credit shall send a formal application justifying the request to the Director of the University of Nairobi Graduate School through the Dean School of Medicine, and attach evidence of credentials, which would support such request.

Applicants will only be allowed to transfer units from accredited institutions and programmes

Year 1  TOTALS 
TUITION                   648,000.00
EXAMINATION (PER UNIT @1000)                        5,000.00
MEDICAL FEE (PER YEAR)                        6,500.00
ICT SERVICES - (PER YEAR)                        7,000.00
ACTIVITY-( PER YEAR)                        2,000.00
LIBRARY (PER YEAR)                        5,000.00
REGISTRATION (PER SEMESTER@2250)                        4,500.00
ID CARD ( PER YEAR)                        1,000.00
CAUTION - (ONCE)                        5,000.00
STUDENT ORGANISATION(PER YEAR)                        1,000.00
Totals                   685,000.00
Year 2  
TUITION                   648,000.00
EXAMINATION (PER UNIT @1000)                        5,000.00
MEDICAL FEE (PER YEAR)                        6,500.00
ICT SERVICES - (PER YEAR)                        7,000.00
ACTIVITY-( PER YEAR)                        2,000.00
LIBRARY (PER YEAR)                        5,000.00
REGISTRATION (PER SEMESTER@2250)                        4,500.00
ID CARD ( PER YEAR)                        1,000.00
STUDENT ORGANISATION(PER YEAR)                        1,000.00
Totals                   680,000.00
Year 3  
TUITION                   648,000.00
EXAMINATION (PER UNIT @1000)                        5,000.00
MEDICAL FEE (PER YEAR)                        6,500.00
ICT SERVICES - (PER YEAR)                        7,000.00
ACTIVITY-( PER YEAR)                        2,000.00
LIBRARY (PER YEAR)                        5,000.00
REGISTRATION (PER SEMESTER@2250)                        4,500.00
ID CARD ( PER YEAR)                        1,000.00
STUDENT ORGANISATION(PER YEAR)                        1,000.00
Totals                   680,000.00
Year 4  
TUITION                   648,000.00
EXAMINATION (PER UNIT @1000)                        5,000.00
MEDICAL FEE (PER YEAR)                        6,500.00
ICT SERVICES - (PER YEAR)                        7,000.00
ACTIVITY-( PER YEAR)                        2,000.00
LIBRARY (PER YEAR)                        5,000.00
REGISTRATION (PER SEMESTER@2250)                        4,500.00
ID CARD ( PER YEAR)                        1,000.00
STUDENT ORGANISATION(PER YEAR)                        1,000.00
THESIS EXAMINATION                      30,000.00
Totals                   710,000.00
   
Grand totals    2,755,000.00