Basic Science Tower, SUNY Stony Brook, Stony Brook, NY 11794-8651 / 631-444-3219
STATE UNIVERSITY OF NEW YORK AT STONY BROOK
Medical Scientist (M.D./Ph.D.) Training Program

Structure of the Program:

Students enrolled in the MSTP attend medical school for two years, and then pursue full-time graduate study for three to four years. Upon completion of their graduate studies, students re-enter medical school, and complete their clinical training. However, variations in this program of study occur frequently, and are structured based on the recommendations of the MSTP Steering Committee in consultation with the School of Medicine and the Graduate School.

Research Rotations
MSTP Fellows are required to participate actively in research during their entire time at SBU. Minimally, this entails performance of two full-time research rotations, one of which is during the summer between years 1 and 2 of the preclinical medical curriculum. (At least one rotation must be in the lab of an SBU PI. Rotations' advisors have to belong to appropriate graduate programs. Someone who does not belong to any SBU graduate programs is unlikely to be appropriate to be a mentor or approved to be one. Graduate programs can be joined very quickly – so this will not hinder otherwise appropriate faculty from taking students for rotations.


MSTP Fellows are strongly encouraged to arrive at SBU the summer before they matriculate in medical school to pursue a research laboratory rotation. While not required, this can make it easier for students to choose laboratories by the time they enter graduate school in year 3.

Year 1 - The First Year of Medical School
The first year curriculum consists of basic science courses and introductory courses related to patient care. MSTP Fellows are strongly encouraged to arrive at Stony Brook the summer before medical school matriculation so that they can pursue a research laboratory rotation during this period as well. While not required, we feel that this can assist the student by allowing him or her to have a final lab chosen by the time they enter graduate school in year 3. The first year curriculum consists of basic science courses and introductory courses related to patient care and professionalism. The basic science courses are Molecules, Genes and Cells; The Body (anatomical sciences and embryology); Neurosciences; Medical Physiology; and Pathology. The other required course is Foundations of Medical Practice, a recent integration of five previously separate courses: Medicine in Contemporary Society (social sciences & humanities in medicine); Introduction to Preventive Medicine; Introduction to Human Behavior; Introduction to Clinical Medicine; and the first segments of Nutrition. The first year Introduction to Clinical Medicine occurs throughout the year and imparts basic skills in taking a patient history and doing a physical examination. The year ends with an Objective Structured Clinical Examination (OSCE), a standarized patient examination, in which students demonstrate their skills on actors in simulated clinical scenarios.

Year 2 - The Second Year of Medical School
After a course in Microbiology, the second year emphasizes the study of pathophysiology in organ systems. The Systems Approach to Medicine consists of integrated elements of basic and clinical science related to the neuroscience, blood, cardiovascular, endocrine, gastrointestinal, musculoskeletal, psychiatry, renal, reproductive, and respiratory systems. Pharmacology is synchronized with the system segments. Medicine in Contemporary Society and Introduction to Clinical Medicine continue in the second year. The latter focuses on the patient interview, examination and correlative skills as students acquire additional knowledge in physiology, pathology, and the natural history of diseases in the systems course. Students take Step 1 of the United States Medical Licensing Examination (USMLE) and participate in a standarized patient examination at the end of the second year. Passage of each is a requirement for advancement into the clinical years of study.

Application to Graduate School
For uninterrupted study, formal application to graduate school must be made no later than the middleStudents choose their Graduate Program of during the second year of medical school. MSTP Fellows who have already chosen a research field and thesis project and a faculty advisor typically apply jointo one or moreof Ph.D. Programs to which the prospective advisor belongs. MSTP Fellows who have not yet decided upon a projectfield/advisor, apply jointo the program(s) of greatest academic interest (this can be changed later if needed)..

Year 3 - The First Year of Graduate school
- Selection of Thesis Advisor
- Engaged in full-time graduate coursework
- TA responsibilities
- Seminars and possible lab rotations
- Independent research project
- Mandatory clinical research experience

Many SBU graduate programs require research rotations during the first year of graduate study; however, this requirement is waived for MSTP Fellows who have chosen their advisor. MSTP Fellows who have not decided upon a project/advisor by the beginning of year 3 can continue performing formal research rotations after matriculation in graduate school.

Year 4, 5, (6)- The Second, Third, and (Fourth) Year of Graduate school
- Preliminary exam
- Thesis Proposal Defense
- Teaching requirement
-
Clinical research experience (Y3)
- Dissertation Defense
- Simulated patient experience (supervised history and physical) exam.

Re-entry to Medical School
Students can re-enter medical school at almost any time of the year. Fourteen months of clinical training are required to graduate. For example, to graduate in May of 2011, a student would need to re-enter medical school by about January of 2010. However, this represents the minimum. Students frequently undertake more than 14 months of clinical training to help them decide on a career path or to increase their competitiveness for highly desirable residency positions.

The Third Year of Medical School
Third year of medical school. The third year curriculum is patient-focused and consists of a twelve-week inpatient/outpatient clerkship in medicine; eight-week clerkships in surgery and pediatrics; six-week clerkships in obstetrics-gynecology and primary care; a four-week clerkship in psychiatry; and two-week rotations in emergency medicine and radiology or elective month. Medicine in Contemporary Society is part of each of the major clerkships.

The Forth Year of Medical School
During the fourth year, the medical student assumes greater patient care responsibilities and continues to acquire clinical and laboratory skills. The curriculum includes: a one-month subinternship (medicine, family medicine, pediatrics, or general surgery), a one-month didactic course (emergency medicine, laboratory medicine, clinical therapeutics, or surgical anatomy), a one-month neurology clerkship (if not taken in year 3), a one-month experience in surgical subspecialties, a two week block in primary care psychiatry, and additional elective time to complete a total of 8 1/2 months. There is also a requirement that each student complete either coursework or a project in Medicine in Contemporary Society. All students must pass USLME Step 2 to graduate.

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