A course of 51 lectures.
1. GENERAL PHYSIOLOGY (19 lectures)—
(a) Cellular physiology: characteristics of cells of animal tissues, including properties unique to special cell types such as neurones and muscle fibres.
(b) Systemic mammalian physiology: activities of tissues and organs of the body and the regulation of these functions; specific topics relating to the cardio-vascular, respiratory, renal, endocrine and gastro-intestinal systems considered in some detail.
2. PHYSIOLOGY OF THE NERVOUS SYSTEM (20 lectures)—
(a) The neurone: Determinants of transmembrane potential, axon con- duction, synaptic transmission.
(b) Sensory processes: (i) The measurement of sensory function; de- tection discrimination and scaling of stimuli. (ii) Transmission and processing of stimulus information within mammalian sensory systems;
representation of physical space within sensory systems. (iii) Somatic sensation, neural mechanisms of touch, kinesthesis, thermal sensibility and pain. (iv) The visual system—visual perception; photochemistry and neural organization of retina; central neural mechanisms of vision. (v) Physiology of hearing—sensory correlates of sound stimuli; peripheral neural mechanisms of hearing, including processing of information in the auditory nerve; central neural mechanisms of hearing. (vi) Forebrain mechanisms of perception—functional localization in central cortex; the divided brain.
(c) Motor Function: (i) Organization of the motor systems; feedback control of movement and posture. (ii) Peripheral mechanisms in the control of skeletal muscle. (iii) Functional organization of the spinal cord-spinal reflexes and the control of movement. (iv) The cerebellum and motor function. Motor function of the forebrain—cerebral cortex and basal ganglion. (v) The autonomic nervous system—peripheral organi- zation and central regulatory mechanisms. (vi) The hypothalamus—neuro- endocrine and other functions. (vii) Synaptic transmitter substances in the central nervous system.
(d) Higher functions of the brain: (i) The conscious state; sleep and wakefulness; the electro-encephalogram. (ii) Neural mechanisms in memory learning, motivated and emotional behaviour. (iii) Neural cor- relates of speech.
з. PHARMACOLOGY (12 lectures)-
Neurochemical transmitter mechanisms, with special reference to trans- mission in the central nervous system; their relationships to normal and abnormal processes and behaviour. Psychotropic drugs: classification (e.g. neuroleptics, antidepressants, tranquillizers, stimulants, psychoto- mimetics); pharmacological actions, mechanisms involved in their thera- peutic, unwanted and toxic actions; interactions with other drugs. Other drugs affecting the central nervous system (e.g. sedatives, hypnotics, antiepileptics, antiparkinsonian drugs, analgesics). General principles of pharmacology; absorption, distribution, metabolism and excretion of drugs, with special reference to psychotropic drugs.
BOOKS (a) Prescribed textbooks
• Mountcastle V B Medical Physiology 13th ed, Mosby 1973 or
• Ruch T C and Patton H D Physiology and Biophysics 20th ed, Saun- ders 1974
• Best C H Taylor N B and Broback J R Physiological Basis of Medical Practice 9th ed, Williams & Wilkins 1973
(b) Recommended for reference
Katz B Nerve Muscle and Synapse, McGraw-Hill 1968 Eccles J C The Physiology of Synapses, Springer-Verlag 1964
Hodgkin A L The Conduction of the Nervous Impulse, Liverpool UP 1964
Gregory R L Eye end Brain 2nd ed, Werdenfeld & Nicolson 1972 Autrum H et al Handbook of Sensory Physiology volumes on Vision
Receptors Somato-Sensory System etc, Springer-Verlag 1972-73 INTRODUCTION TO CLINICAL PSYCHIATRY
A course of 34 tutorials/seminars. The course is divided into two sections.
Section 1 consists of the History of Psychiatry, Behaviour Therapy, Phenomenology, Psychopharmacology and Social Psychiatry. Section 2 consists of Child Development: (а) from infancy to adolescence; (b) parenthood; (c) family structure and functioning; (d) social, cultural and anthropological determinants of child and family behaviour. Be- havioural characteristics. Parenthood. The family. Social factors.
TUTORING IN HOSPITALS
Students will require to have a minimum of 4 hours per week of teaching supervision by the approved psychiatric unit.
PART I1
The experience required of a candidate presenting for Part I1 shall be:
(1 ) He shall possess Part I of the D.P.M.
(2) He has been in practice for at least four years.
(3) Not less than twelve months' experience as a full-time (or equiva- lent) medical officer in a Mental or Psychiatric Hospital approved by the faculty of Medicine in which experience has been gained with adult male and female patients suffering from acute and chronic psychiatric disorders.
(4) Two years' full-time practice in Clinical Psychiatry at an approved hospital, centre or department (or approved equivalent experience) which will include:
(a) attendance at an approved child psychiatric unit for at least 30 half-day sessions within an 8-month period, and
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Faculty of Medicine
(b) at least 15 half-day sessions at a neurological clinic in a recognized hospital.
EXAMINATIONS
Paper 1: 3-hour paper, comprising 554-843 General Medicine, Neurology and Neuropathology; A Clinical examination will also be held. Paper 2:
3-hour paper, comprising 534-842 General Psychiatry, including Child Psychiatry; A clinical examination will also be held. Paper 3: 3-hour paper, comprising General Psychiatry. An oral examination will also be held.
COURSE PROGRAMME Copies of the 1975 course programme are available from the secretary, faculty of Medicine.
INTERVIEWING TECHNIQUES, ELEMENTARY PSYCHOTHERAPY, PSYCHOPATHOLOGY
A course of 40 tutorials/seminars, together with individual case super- vision. The course will include psychological management of patients and practical aspects of psychopathology.
GENERAL PSYCHIATRY
A course of 40 tutorials/seminars. The course will Include seminars on classification in psychiatry; functional psychoses; neuroses; personality disorders; psychosomatic medicine; forensic psychiatry; organic brain syndromes; sexual deviations; epidemiology; mental retardation; re- search; social psychiatry; the theory and practice of behaviour therapy and treatment of psychiatric illness.
TUTORING IN HOSPITALS
Students will require to have a minimum of 4 hours per week of teach- ing supervision by the approved psychiatric unit.
NEUROLOGY AND NEUROPATHOLOGY A course of 20 tutorials/seminars.
1. Neurology (12 tutorials/seminars)-
The evaluation of the neurological history; Clinical examination of the nervous system; Discussion of various neurological syndromes; The electroencephalogram, cartid angiography air studies and brain scanning in clinical diagnosis; Therapy in neurological disorders.
2. Neuropathology (8 tutorials/seminars)-
Normal and abnormal neurons (changes in disease); Normal and ab- normal glia (changes in disease); C.S.F. production, circulation and absorption. Hydorcephalus. Brain herniations; Tumours of central nervous system; Vascular abnormalities (a) ischaemia; Vascular abnormalities (b) haemorrhage; Demyelinating disorders; Infections (a) virus; In- fections (b) bacterial, protozoal, etc; Parkinson's disease, Dementia; The nervous system in alcoholism, Trauma; Disorders of Muscle; Disorders of peripheral nerve.
The course will include slide sessions and demonstrations of routine
"brain cutting".
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GENERAL MEDICINE
A course of 12 tutorials/seminars on the following topics:
1. Alcoholism—
Physical complications, Social implications, Detoxification, Rehabilitation.
2. Cardiovascular—
Cardiac failure—causes and management, Hypertension—causes, inves- tigation and management, Coronary artery disease.
3. Respiratory—.
Chronic obstructive airway disease—Asthma, Respiratory causes of dis- turbed behaviour and of consciousness. Acute respiratory insufficiency.
4. Renal—
Urinal Tract Infections, Chronic Renal Failure, Acute Renal Failure.
5. Castro-intestinal-
Ulcerative colitis, irritable colon and diverticular disease, Hepatic in- sufficiency and portocaval encephalopathy, Alcoholic liver disease.
6. Endocrine—
Pituitary, thyroid and adrenal disease; hyperactive or hypoactive disease.
7. Metabolic Disturbances of Consciousness 8. Management of Terminal Malignancy
9. Psychosocial Problems of Leukaemia and Chronic Haomatological Disorders in Children
CHILD PSYCHIATRY
A course of 30 seminars is conducted consisting of clinical case work and seminars.
Clinical Case Work-1, Demonstration interviews, of children at dif- ferent developmental stages; with parents; and also demonstration of joint therapist and family interviews.
2. The candidate, with supervision, will undertake diagnostic work with children, parents and families, and therapy with particular children, parents and families.
Seminars—Child Development; family parenthood; parent-child and family relationships; and social and community influences on the child;
Classification and terminology; Special Topics; Principles of Manage- ment; Child Psychiatric Services.
BOOKS Recommended for reference
Davidson L S P ed Principles and Practice of Medicine 6th ed, Living- stone 1970
Mayer-Gross W et al Clinical Psychiatry 3rd ed, Cassell 1969 Brain R Diseases of the Nervous System 8th ed, OUP 1972
Hilliard L T and Kirman B H Mental Deficiency 2nd ed, Churchill 1965 Kanner L Child Psychiatry 4th ed, Black 1972
Zilboorg G A History of Medical Psychology, Norton
Sainsbury P and Krietman N Methods of Psychiatric Research, OUP 1963
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Faculty of Medicine
Wily H J and Stallworthy K R Mental Abnormality and the Law, Регуег 1962
Greenfield J G Neuropathology 2nd ed, Arnold 1963
Russell D and Rubinstein L J The Pathology of Tumours of the Ner- vous System 3rd ed, 1971
Complete Reading List available in Department of Psychiatry.
Current reviews, journals and yearbooks.