Curriculum

Curriculum Overview:

The DO program follows a vertically and horizontally integrated, biomedical sciences and clinical, systems-based curriculum. The program will utilize multiple teaching modalities like lecture, small group, case-based learning, clinical practice, simulation, and active learning to promote deep and complete mastery of the concepts. Research, ethics, statistics, and osteopathic principles and practices will be embedded within all realms of clinical and pre-clinical education. Students will complete this program as lifelong learners prepared with the knowledge and tools they need to be successful in residency.

Note: SHSU-COM curriculum is under review by the SHSU University Curriculum Committee. Edits should be expected.

Course CodeNameCourse Description
ANAT 7401 Clinical Anatomy 1 This course is the first of a two-course sequence covering gross and microscopic anatomy, embryology and development, and introductory neuroanatomy. Students study anatomical features of the back, upper limb, thorax, and abdomen. Laboratory cadaveric dissection, virtual microscopy, radiological and three-dimensional imaging, and models are utilized as learning tools. This course provides opportunities for students to apply knowledge of anatomical sciences to solving clinical problems. Prerequisite: None. Credit 4.
ANAT 7402 Clinical Anatomy 2 Students learn the anatomy of the pelvis, lower extremity, head, and neck through didactics and focused laboratory dissections. Students are also introduced to the histology and embryology of the urinary, reproductive, nervous and endocrine systems, as well as the neuroanatomy of the brain and brain stem. Students integrate and apply knowledge of structural and functional anatomy to various clinical scenarios. Prerequisite: None. Credits 4
SFOM 7401 Scientific Foundations 1 This course is the first of a two-course sequence focusing on foundational principles in cell biology, genetics, biochemistry, biostatistics and research methods. Students apply biomedical knowledge and scientific methods to assess healthy and disease states. This course also provides students with the knowledge base required in subsequent integrated system courses. Prerequisite: None. Credit 4.
SFOM 7402 Scientific Foundations 2 Students learn the essential concepts in pharmacology, microbiology, immunology, physiology, epidemiology and public/population health. Students apply biomedical knowledge and scientific methods to assess healthy and disease states. Prerequisite: None. Credit 4.
MEDS 7602 Neuroscience & Behavior This course explores functional anatomy and physiology of the nervous system in both health and disease. Students learn to use the neurologic examination, imaging techniques, and biochemical markers to objectively assess the nervous system. Students explore the signs, symptoms, and consequences of nervous system pathologies resulting from trauma, ischemia, stroke, infection, toxins, autoimmune, and genetic conditions. The course provides an overview of mental health issues including developmental disorders, adaptive and maladaptive behaviors, mood disorders, stress-induced behavior, fear and anxiety disorders, substance abuse, somatoform disorders, and psychoses. The course also introduces ethical, legal, and social aspects related to neuroscience and behavioral pathologies. Prerequisite: None. Credit 6.
MEDS 7603 Immune System & HEENT This course introduces the principles of trauma, inflammatory disorders, infections and cancers associated with HEENT as it relates to the immune system. Topics include immune responses to infections, immune deficiencies, hypersensitivity, tumor and transplantation rejection. The HEENT and immune systems are integrated in case-based interactive instruction where students integrate and apply concepts in the diagnosis, prevention, and treatment of disease. Prerequisite: None. Credit 6.
MEDS 7604 Skin Skeletal & Motor Systems This course includes normal and abnormal structure and function of the integumentary, musculoskeletal, and motor systems. These systems are studied at the cellular, tissue, and organ system levels including normal structure and function as well as evaluation of systemic and isolated disorders. Prerequisite: None. Credit 6.
MEDS 7605 Hematopoietic & Renal Systems This course explores hematopoietic and renal system including normal function and specific disorders and diseases. Functional anatomy of the kidneys and their integration with the vascular and urinary systems will be explored. Laboratory tests including imaging techniques and biochemical assessment of blood and urine will be discussed. The pharmacologic aspects of drugs used for conditions affecting both the hematopoietic and renal systems will be studied. The role of the kidneys in pharmacodynamics of various drugs present in the blood is also covered. The course introduces ethical, legal and social aspects of kidney disease through treatments including dialysis and transplant. Prerequisite: None. Credit 6.
MEDS 7606 CV & Respiratory Systems This course covers fundamental concepts related to the cardiovascular and respiratory systems in health and disease. Special considerations are made to environmental and socio-cultural aspects of the region influencing the normal function of the systems. Topics include morphological sciences (anatomy, histology, and embryology), physiology, pathology and contemporary therapeutic approaches. To facilitate understanding of the material, the course integrates basic and clinical sciences in the context of commonly presented clinical scenarios. Prerequisite: None. Credit 6.
MEDS 7607 GI & Nutrition This course provides comprehensive coverage of the structure and function of the gastrointestinal (GI) and hepatobiliary systems in both health and disease. Students will explore the basic tenets of nutrition and the impact of GI dysfunction on nutritional status. The course focuses on food and diet, including micro and macronutrients, and how these elements impact personal health. Topics include therapeutic diets and nutrition for specific disorders of the GI, hepatic systems, and renal disease as well as tube feeding, IV alimentation, medical and surgical interventions. Prerequisite: None. Credit 6.
MEDS 7608 Endo Repro & Urinary Systems This course explores endocrinology, metabolism, and reproduction in normal and pathological conditions. The course covers the unique ability of hormones to impact organ development, function, and metabolism including male and female reproductive systems. Structure and function in both health disease of classically defined endocrine organs are explored. Localized and systemic diseases of both the endocrine and reproductive/genitourinary systems are covered with discussion of medical and surgical interventions. Prerequisite: None. Credit 6.
MEDS 7609 Lifecycle This course explores topics throughout the lifespan from pediatrics to geriatrics including normal growth and development as well as illness and disease. Divergent clinical manifestations and care at various stages of the lifecycle, and their basic science underpinnings will be introduced. This course also facilitates students' transition to clerkships and prepares them for successful completion of COMLEX-USA examinations. Prerequisite: None. Credit 6.
MEDS 7320 Systems Integration Students integrate and apply biomedical and clinical concepts previously presented throughout the first two years of the undergraduate osteopathic medical curriculum. Mastery of foundational biomedical and clinical concepts will be assessed. Based upon personal strengths and opportunities, students develop a personalized study plan in preparation for successful completion of the COMLEX-USA Level 1 examination which is required for continuation in the curriculum. Prerequisite: None. Credit 3.
CMED 7501 Clinical Medicine 1 This course explores foundational skills and knowledge pertinent to becoming a physician. Topics include ethics, professionalism, self-care patient centered and physician centered history taking. A basic physical examination is learned as well. The pre-clinical student will have opportunity to interact with other health care professions students to learn the importance of teamwork and inter professional collaboration. OMM1 is paired and integrated alongside this course. Prerequisite: None. Credit 5.
CMED 7402 Clinical Medicine 2 This course emphasizes the foundational work of becoming a physician with topics such as ethics, professionalism, and self-care with a particular focus given to the mind and neurologic system. The student physician begins exploring medical decision-making, collaborative care, and the physician in society through simulation and standardized patient exercises. Use of physical examination to identify abnormal cardiopulmonary findings is emphasized. OMM2 shares integrated focus. Prerequisite: None. Credit 4.
CMED 7403 Clinical Medicine 3 This course emphasizes the foundational work with topics such as ethics, professionalism, and self-care with a particular focus on EBM (Evidence based medicine) and population health. The abdomen and pelvis physical examinations are learned in detail. A complete new patient history and physical can now be completed and written up. Simulation events continue to include collaborative events with other professional students and expands experience in common physician skills such as suturing and resuscitation tube placements. CMED 3 is taught concurrent with OMM3. Prerequisite: None. Credit 4.
CMED 7304 Clinical Medicine 4 This course focuses on integration of knowledge and techniques to develop a holistic approach to medicine. Major topics include cultural diversity, population health, health outcomes, and Evidence Based Medicine. Simulation and Clinical Skills focus on Life cycle (pediatrics, women's health, and geriatrics). More advanced simulation and inter-professional events occur. Medical decision-making and production of a full history and physical continue to expand in focus and in skills. OMM4 shares focus and integrated activities. Prerequisite: None. Credit 3.
OSTM 7301 Osteopathic Manipulative Med 1 Students are introduced to the principles and practices unique to osteopathic medicine, including osteopathic examination and techniques. Students develop the contextual framework and basic skills necessary for providing osteopathic patient care. Students also critically appraise osteopathic history and philosophy, thereby beginning professional identity formation as an osteopathic physician. This course is taught in conjunction with Clinical Medicine 1. Prerequisite: None. Credit 3.
OSTM 7302 Osteopathic Manipulative Med 2 Students continue their exploration of osteopathic principles and practices as they apply to the nervous, immune, head/eyes/ears/nose/throat and musculoskeletal systems. Students learn new osteopathic exams and techniques, and receive reinforcement of previously learned ones. Evidence based medicine is introduced and mind-body medicine is investigated. This course is taught in conjunction with Clinical Medicine 2. Prerequisite: None. Credit 3.
OSTM 7303 Osteopathic Manipulative Med 3 Students continue their exploration of osteopathic principles and practices as they apply to the renal, cardiovascular, pulmonary and gastrointestinal systems. Students learn new osteopathic exams and techniques, and receive reinforcement of previously learned ones. Evidence based medicine and the concept of spirit and spirituality as they apply to patient care are also included. This course is taught in conjunction with Clinical Medicine 3. Prerequisite: None. Credit 3.
OSTM 7304 Osteopathic Manipulative Med 4 Students continue their exploration of osteopathic principles and practices as they apply to the genitourinary and endocrine systems, as well as providing care for pediatric, geriatric, pregnant, and chronic pain patients and athletes. Students complete their evidence based medicine projects from previous semesters and revisit osteopathic philosophy from a whole-patient perspective. Students have an opportunity to consolidate materials and skills from the previous three OMM Courses and prepare for national examinations. This course is taught in conjunction with Clinical Medicine 4. Prerequisite: None. Credit 3.
MEDS 7318 Clinical Clerkship Preparation This course provides the student with the opportunity to review salient principles and procedures essential for the success at the start of clinical rotations. The course reviews the interpretation of electrocardiograms, imaging studies, and laboratory data, as well as OSCE's, procedures in the simulation lab and osteopathic principles. Students are expected to be able to participate in the diagnosis and treatment of patients upon their arrival on a clinical service in their clerkships, and this course serves to ground them in basic medical knowledge and processes.
CLIN 7401 General Surgery Clerkship This clinical clerkship provides the student with the opportunity to gain experience in General Surgery. Students will be assigned to a hospital for their 3rd year core rotations and this clinical clerkship will be accomplished at the assigned facility. The student is expected to learn the diagnosis and treatment of surgical patients, including pre-operative evaluation, intra-operative and post-operative care, post hospital care, interprofessional team care and office care.
CLIN 7402 Adult Medicine Clerkship (two blocks) This clinical clerkship provides the student with the opportunity to gain experience in Adult Inpatient Medicine. Students complete two four-week blocks in the third year and will be assigned to a hospital for their third year core rotations. These rotations will be accomplished at the assigned facility. The student is expected to learn the diagnosis and treatment of adult patients on the inpatient medicine service, including admission criteria, interprofessional team based care, consultations, bedside diagnosis and management, pre-operative evaluation, post-operative medical management, discharge criteria and procedures and post hospital care.
CLIN 7403 Emergency Medicine Clerkship This clinical clerkship provides the student with the opportunity to gain experience in Emergency Medicine. Students will be assigned to a hospital for their 3rd year core rotations and this clinical clerkship will be accomplished at the assigned facility. The student is expected to learn the diagnosis and treatment of pediatrics and adult patients upon presentation to the emergency department including admission, discharge and transfer criteria, interprofessional team based care, consultations, and bedside diagnosis and management to include trauma care and acute cardiac and respiratory care.
CLIN 7404 Psychiatry Clerkship This clinical clerkship provides the student with the opportunity to gain experience in psychiatry and mental health. Students will be assigned to a hospital for their third year core rotations and this clinical clerkship will be accomplished as part of the core rotations. The rotation may or may not be at the assigned facility, depending on services provided. The student is expected to learn the diagnosis and treatment of patients in a behavioral health setting.
CLIN 7405 Family Medicine Clerkship This clinical clerkship provides the student with the opportunity to gain experience in Family Medicine. Students will be assigned to a hospital for their third year core rotations. This clinical clerkship will be accomplished as part of the core rotations and may occur in the office or hospital setting, or a combination, depending on services provided by the attending physician. The student is expected to learn the diagnosis and treatment of patients in the family medicine office setting and may follow the family physician to the other sites of care based on their practice. The guiding principles of care for the discipline of family medicine include the areas of:
1. Patient centered care, using a bio-psycho-social model
2. Comprehensive or holistic care
3. Continuity of care and continuous healing relationship
4. An evidence-based approach to health care delivery
5. Coordination of care, integrating complex care from members of the entire medical team
CLIN 7406 Pediatrics Clerkship This clinical clerkship provides the student with the opportunity to gain experience in the care of children. Students will be assigned to a hospital for their third year core rotations and this clinical clerkship will be accomplished as part of the core rotations. The rotation may occur in the office or hospital setting, or a combination, depending on services provided by the attending physician. The student is expected to learn the diagnosis and treatment of children and may follow the physician to the various sites of care based on their practice.
CLIN 7407 Women's Health Clerkship (1 of 2) In this course, the student completes a four-week block in each of the third and fourth years. It provides the student with the opportunity to gain experience in the care of women. Students will be assigned to a hospital for their third year core rotations. The third year block will be accomplished as part of the core rotations and may include office in addition to hospital practice, and will include maternity care and delivery. The fourth year block may address other aspects of women's health and does not require obstetrics and/or gynecology. As the result of both blocks, the student is expected to gain experience in prenatal care, labor and delivery, gynecology and breast health, and the unique aspects of the care of women in areas such as cardiovascular health, osteoporosis and breast cancer.
CLIN 7408 Rural & Underserved Medicine Clerkship This clinical clerkship provides the student with the opportunity to gain experience in the care of rural and underserved populations in a variety of settings. Students will be assigned to a hospital for their third year core rotations and this clinical clerkship may be accomplished outside of the main assigned hospital. Aspects of this rotation may occur in a rural or critical access hospital, a nursing home, a rural clinic or a community health center in a rural or urban setting. The student is expected to experience the social and diagnostic challenges associated with caring for populations with limited access to health services due to geography, insurance status and/or health access as well as the satisfaction of making a difference in health disparities.
The guiding principles of providing healthcare to a rural or underserved population include:
1. Patient centered care, using a bio-psycho-social model, with understanding of the challenges encountered by populations with limited access to healthcare.
2. Comprehensive, rather than episodic acute care, in a site appropriate for the need.
3. Continuity of care and health maintenance.
4. An evidenced based approach to health care delivery.
5. Coordination of care.
CLIN 7410 Elective Clinical Clerkship This course is a clinical clerkship providing the student with the opportunity to gain experience in any specialty with approval. Students will be required to do one 4-week block in the third year and seven 4-week blocks in the fourth year. The clinical clerkships will be accomplished at the assigned facility in the third year and an affiliated facility in the fourth year. The student is expected to learn the diagnosis and treatment of patients appropriate for the selected specialty, including interprofessional team based care, outpatient care, hospital care, surgical care, and post hospital care and office care. An elective at a site not affiliated with SHSU-COM would need to be identified so that an affiliation agreement can be put in place prior to the student beginning the rotation.
CLIN 7414 Adult Inpatient Clerkship This clinical clerkship provides the student with the opportunity to gain experience in Adult Inpatient Medicine. Students complete two four-week blocks in the third year and will be assigned to a hospital for their third year core rotations. These rotations will be accomplished at the assigned facility. The student is expected to learn the diagnosis and treatment of adult patients on the inpatient medicine service, including admission criteria, interprofessional team based care, consultations, bedside diagnosis and management, pre-operative evaluation, post-operative medical management, discharge criteria and procedures and post hospital care.
CLIN 7415 Surgery Selective Clerkship This course provides the student with experience in general or subspecialty surgery. Students will be required to take a 4 week Surgery Selective in each of their third and fourth years and this clinical clerkship will be accomplished at the assigned facility in the third year and an affiliated facility in the fourth year. The student is expected to learn the diagnosis and treatment of surgical patients appropriate for the selected specialty, including pre-operative evaluation, intra-operative and post-operative care, post hospital care and office care, as appropriate. The student may choose from General Surgery, Bariatric Surgery, Neurosurgery, CT surgery, Orthopedics, Urology, Trauma Surgery, Pediatric Surgery, or Otolaryngology. An elective at a site not affiliated with SHSU-COM would need to be identified so that an affiliation agreement can be put in place prior to the student beginning the rotation.
CLIN 7407 Women's Health Clerkship (2 of 2) In this course, the student completes a four-week block in each of the third and fourth years. It provides the student with the opportunity to gain experience in the care of women. Students will be assigned to a hospital for their third year core rotations. The third year block will be accomplished as part of the core rotations and may include office in addition to hospital practice, and will include maternity care and delivery. The fourth year block may address other aspects of women's health and does not require obstetrics and/or gynecology. As the result of both blocks, the student is expected to gain experience in prenatal care, labor and delivery, gynecology and breast health, and the unique aspects of the care of women in areas such as cardiovascular health, osteoporosis and breast cancer.
CLIN 7410 Clinical Elective Clerkship (7 blocks) This course is a clinical clerkship providing the student with the opportunity to gain experience in any specialty with approval. Students will be required to do one 4-week block in the third year and seven 4-week blocks in the fourth year. The clinical clerkships will be accomplished at the assigned facility in the third year and an affiliated facility in the fourth year. The student is expected to learn the diagnosis and treatment of patients appropriate for the selected specialty, including interprofessional team based care, outpatient care, hospital care, surgical care, and post hospital care and office care. An elective at a site not affiliated with SHSU-COM would need to be identified so that an affiliation agreement can be put in place prior to the student beginning the rotation.