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Medical school

A medical school, medical college, or medical university is a tertiary educational institution, professional school, or forms a part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, MBChB, MBBCh, BMBS), Master of Medicine (MM, MMed), Doctor of Medicine (MD), or Doctor of Osteopathic Medicine (DO). Many medical schools offer additional degrees, such as a Doctor of Philosophy (PhD), master's degree (MSc) or other post-secondary education. Medical schools can also carry out medical research and operate teaching hospitals. Around the world, criteria, structure, teaching methodology, and nature of medical programs offered at medical schools vary considerably. Medical schools are often highly competitive, using standardized entrance examinations, as well as grade point averages and leadership roles, to narrow the selection criteria for candidates. In most countries, the study of medicine is completed as an undergraduate degree not requiring prerequisite undergraduate coursework. However, an increasing number of places are emerging for graduate entrants who have completed an undergraduate degree including some required courses. In the United States and Canada, almost all medical degrees are second-entry degrees, and require several years of previous study at the university level. Medical degrees are awarded to medical students after the completion of their degree program, which typically lasts five or more years for the undergraduate model and four years for the graduate model. Many modern medical schools integrate clinical education with basic sciences from the beginning of the curriculum (e.g.). More traditional curricula are usually divided into preclinical and clinical blocks. In preclinical sciences, students study subjects such as biochemistry, genetics, pharmacology, pathology, anatomy, physiology and medical microbiology, among others. Subsequent clinical rotations usually include internal medicine, general surgery, pediatrics, psychiatry, and obstetrics and gynecology, among others. Although medical schools confer upon graduates a medical degree, a physician typically may not legally practice medicine until licensed by the local government authority. Licensing may also require passing a test, undergoing a criminal background check, checking references, paying a fee, and undergoing several years of postgraduate training. Medical schools are regulated by each country and appear in the World Directory of Medical Schools which was formed by the merger of the AVICENNA Directory for Medicine and the FAIMER International Medical Education Directory.

Africa

By 2005 there were more than 100 medical schools across Africa, most of which had been established after 1970.

Ghana There are seven medical schools in Ghana: The University of Ghana Medical School in Accra, the KNUST School of Medical Sciences in Kumasi, University for Development Studies School of Medicine in Tamale, University of Cape Coast Medical School and the University of Allied Health Sciences in Ho, Volta Region, the private Accra College of Medicine, and Family Health University College(Accra), another private medical school. Basic Medical education lasts 6 years in all medical schools. Entry into these medical schools is highly competitive and it is usually based on successful completion of the Senior High School Examinations. The University of Ghana Medical School and the University of Cape Coast have, however, introduced a graduate entry medical program to admit students with mainly science-related degrees into a 4-year medical school program (four and half years for the University of Cape Coast). Students graduating from any of these medical schools get the MBChB degree and the title "Dr". For the first 3 years, students are awarded BSc in the field of Medical Sciences from the University of Ghana medical school; and Human biology for KNUST and UDS medical schools. The University of Ghana Medical School and KNUST School of Medical Sciences in Kumasi use a traditional medical education model whiles the University for Development Studies School of Medicine and School of Medical science of the University of Cape Coast use the problem-based learning model. Medical graduates are then registered provisionally with the Medical and Dental Council (MDC) of Ghana as House Officers (Interns). Upon completion of the mandatory 2-year housemanship, these medical doctors are permanently registered with the MDC and can practice as medical officers (General Practitioners) anywhere in the country. The housemanship training is done only in hospitals accredited for such purposes by the Medical and Dental Council of Ghana. Following the permanent registration with the Medical and Dental Council, doctors can specialize in any of the various fields that is organized by either the West African College of Physicians and Surgeons or the Ghana College of Physician and Surgeons. Medical officers are also sometimes hired by the Ghana Health Service to work in the District/Rural areas as Primary Care Physicians.

Kenya In Kenya, medical schools are faculties of a university. Medical education lasts for 6 years after which the student graduates with an undergraduate (MBChB) degree. This is followed by a mandatory 12-month full-time internship at an approved hospital after which one applies for registration with the Kenya Medical Practitioners and Dentists Board if they intend to practice medicine in the country. The first two years of medical school cover the basic medical (preclinical) sciences while the last four years are focused on the clinical sciences and internship. Completion of formal specialty training in Kenya is followed by two years of supervised clinical work before one can apply for recognition as a specialist, in their respective field, by the medical board. There are no medical school entry examinations or interviews and admission is based on the student's performance in the high school exit examination (Kenya Certificate of Secondary Education - KCSE). Students who took the AS Level or the SAT can also apply but there is a very strict quota limiting the number of students that get accepted into public universities. This quota does not apply to private universities.

Nigeria There are several medical schools in Nigeria. Entrance into these schools is highly competitive. Candidates graduating from high school must attain high scores on the West African Examination Council's (WAEC) Senior School Certificate Exam (SSCE/GCE) and high scores in five subjects (Physics, Mathematics, English, Chemistry, and Biology) in the University Matriculation Examination (UME). Students undergo rigorous training for 6 years and culminate with a Bachelor of Medicine and Bachelor of Surgery (MBBS/MBChB). The undergraduate program is six years and one year of work experience in government hospitals. After medical school, graduates are mandated to spend one year of housemanship (internship) and one year of community service before they are eligible to be fully licensed by the Medical and Dental Council. Candidates are required to score at least 280 in the UME. Though this score may vary due to different performances per year and it also depends on the college standards.

South Africa

There are eleven medical schools in South Africa, each under the auspices of a public university. As the country is a former British colony, most institutions follow the British-based undergraduate method of instruction, admitting students directly from high school into 6 or 5-year programs. Some universities such as the University of the Witwatersrand in Johannesburg have started offering post-graduate medical degrees that run concurrently with their undergraduate programs. In this instance, a student having completed an appropriate undergraduate degree with basic sciences can enter into a four-year postgraduate program. South African medical schools award the MB ChB degree, except the University of the Witwatersrand, which styles its degree MB BCh. Some universities allow students to earn an intercalated degree, completing a BSc (Medical) with an additional year of study after the second or third year of the MBChB. The University of Cape Town, in particular, has spearheaded a recent effort to increase the level of medical research training and exposure of medical students through an Intercalated Honours Programme, with the option to extend this to a PhD. Following successful completion of study, all South African medical graduates must complete a two-year internship as well as a further year of community service in order to register with the Health Professions Council and practice as a doctor in the country. Specialisation is usually a five- to seven-year training process (depending on the specialty) requiring registering as a medical registrar attached to an academic clinical department in a large teaching hospital with appropriate examinations. The specialist qualification may be conferred as a Fellowship by the independent Colleges of Medicine of South Africa (CMSA), following British tradition, or as a Magisterial degree by the university (usually the M Med, Master of Medicine, degree). The Medical schools and the CMSA also offer Higher Diplomas in many fields. Research degrees are the MMed and PhD or MD, depending on the university. Medical students from all over the world come to South Africa to gain practical experience in the country's many teaching hospitals and rural clinics. The language of instruction is English but a few indigenous languages are studied briefly. The University of the Free State has a parallel medium policy, meaning all English classes are also presented in Afrikaans, therefore students who choose to study in Afrikaans, do so separately from the English class.

Sudan In Sudan, a medical school is a faculty of a university. Medical school is usually 5–6 years, and by the end of the 5–6 years, the students acquire a bachelor's degree in Medicine and Surgery. Post graduating there is a mandatory one-year full-time internship at one of the universities or Government Teaching hospitals in the four major Specialty in 3 months rotation, then a license is issued after a written exam conducted by the Sudan medical council (SMC). During the first 3–4 years the curriculum is completed, and throughout the next 2 years it is repeated with clinical training. Students with high grades in high school are accepted for free in Government Universities. Private faculty accept low grades than governmental faculty but their grades still high. Students who take foreign examinations other than the Sudanese High School Examination are also accepted in Universities, students taking IGCSE/SATs and other Arabian countries. All medical students who want to be enrolled in an internship program should undergo registration under the Sudanese Medical Council. Postgraduate training is conducted by Sudan medical specialisation board (SMSB) and the degree obtained is medical doctor (MD). The duration of training varies from 4–6 years depend on the scientific Council of the specific speciality.

Tanzania In Tanzania, medical school is a school within a university or can be an independent university dealing with health related courses only affiliated with a large sized hospital. Medical education lasts for 5 years after which the student graduates with an undergraduate (MD) degree. This is followed by a mandatory 12-month full-time internship at an approved hospital after which one applies for registration with the Medical Council of Tanzania (MCT) if they intend to practice medicine in the country. The first two years of medical school cover the Bio medical sciences or simply basic (pre-clinical) sciences while the last three years are focused on the clinical sciences. There are no medical school entry examinations or interviews and admission is based on students' performance in the high school exit examination (Advanced Certificate of Secondary Education Examination - ACSEE). Alternatively are student who took diploma in clinical medicine with an average of G.P.A 3.5 distinction who have very few seats.

Uganda

As of April 2017, there are nine accredited medical schools in Uganda. Training leading to the award of the degree of Bachelor of Medicine and Bachelor of Surgery (MBChB) lasts five years, if there are no re-takes. After graduating, a year of internship in a hospital designated for that purpose, under the supervision of a specialist in that discipline is required before an unrestricted license to practice medicine and surgery is granted by the Uganda Medical and Dental Practitioners Council (UMDPC). There is Postgraduate training such as the degree of Master of Medicine (MMed) which is a three-year programme, available at Makerere University School of Medicine in several disciplines. Makerere University School of Public Health, offers the degree of Master of Public Health (MPH) following a 22-month period of study, which includes field work.

Zimbabwe In Zimbabwe, there are three medical schools is offering Medical degrees. For undergrads, these are University of Zimbabwe - College of Health Sciences {MBChB}, National University of Science and Technology (NUST) Medical school {MBBS} and Midlands State University (MSU) {MBChB}. Only UZ is offering postgrad degrees in the Medical faculty. Training lasts 5+1⁄2 years. The curriculum is as follows:

Part 1 (1 year) – Biochemistry, Communication Skills for Academic Purposes, Anatomy, Physiology and Behavioral Sciences. Professional exams are written in the first two and failure to attain a pass in Biochemistry warranties a repeat of first year. Part 2 (1 year) – Communication Skills for Professional Purposes, Anatomy, Physiology, Behavioral Sciences. Professional exams are written at the end of second year and failure to attain a passmark in any of the last three courses on the list warranties a repeat of the year. Communication Skills can be carried to the next year, but the student should pass the course before graduation. Part 3 (1.5 years) – Pathology (Histopathology), Medical Microbiology, Chemical Pathology, Hematology, Forensic Pathology, Immunology and Toxicology. A professional exam is written at the end of the third year and the student has to pass to proceed. There are also surgery and medicine rotations during the year. Also, the students cover most of the basic Pharmacology during the third stage of the degrees. Part 4 (1 year) – Community Medicine, Psychiatry and Clinical Pharmacology Part 5 (1 year) – Medicine, Surgery, Obstetrics and Gynecology, Pediatrics Internships are two years in duration, with the first year spent in medicine and surgery and the second year doing pediatrics, anesthesia/psychiatry and obstetrics and gynecology. Thereafter one can apply for MMED at the university which last 4–5 years depending on specialty. Currently no subspecialist education is available.

Zambia Zambia has several institutions offering medical education at undergraduate and postgraduate levels. The country's medical schools operate under the oversight of the Health Professions Council of Zambia (HPCZ), which regulates training, accreditation, and licensing of medical practitioners. Medical education in Zambia typically follows a six-year MBChB program, which includes pre-clinical and clinical phases, followed by a mandatory one-year internship at a recognized hospital. Graduates must register with the HPCZ to practice as medical doctors. The University of Zambia School of Medicine in Lusaka, established in 1966, was the country's first medical school. Since then, several other public and private institutions have emerged to meet the growing demand for medical professionals. Notable medical universities in Zambia include:

University of Zambia School of Medicine (UNZA–SoM) – Lusaka Copperbelt University School of Medicine (CBU–SoM) – Ndola Texila American University Zambia (TAU–Z) – Lusaka Levy Mwanawasa Medical University (LMMU) – Lusaka Lusaka Apex Medical University (LAMU) – Lusaka Medical students undergo intensive academic and clinical training in affiliated teaching hospitals. Upon graduation and completion of internship, they may pursue postgraduate specialization within Zambia or abroad, through recognized programs such as Master of Medicine (MMed) and Doctor of Medicine (MD).

Asia and Oceania

Australia

Historically, Australian medical schools have followed the British tradition by conferring the degrees of Bachelor of Medicine and Bachelor of Surgery (MBBS) to its graduates whilst reserving the title of Doctor of Medicine (MD) for their research training degree, analogous to the PhD, or for their honorary doctorates. Although the majority of Australian MBBS degrees have been graduate programs since the 1990s, under the previous Australian Qualifications Framework (AQF) they remained categorised as Level 7 Bachelor degrees together with other undergraduate programs. The latest version of the AQF includes the new category of Level 9 Master's (Extended) degrees which permits the use of the term 'Doctor' in the styling of the degree title of relevant professional programs. As a result, various Australian medical schools have replaced their MBBS degrees with the MD to resolve the previous anomalous nomenclature. With the introduction of the Master's level MD, universities have also renamed their previous medical research doctorates. The University of Melbourne was the first to introduce the MD in 2011 as a basic medical degree, and has renamed its research degree to Doctor of Medical Science (DMedSc).

Bangladesh

In Bangladesh, admission to medical colleges is organized by the Governing Body of University of Dhaka. A single admission test is held for government and private colleges. Due to the highly competitive nature of these exams, the total number of applicants across the country is around 78 times the number of students accepted. Admission is based on the entrance examination, as well as students' individual academic records. The entrance examination has a time limit of one hour. 100 marks are allocated based on objective questions, in which the mark allocation is distributed between a variety of subjects. Biology questions carry 30 marks, Chemistry carries 25, Physics carries 20, English carries 15, and general knowledge carries 10. Additionally, students' previous SSC (Secondary School Certificate) scores carry up to 75 and HSC (Higher Secondary School Certificate) scores carry up to 125 marks towards the overall examination result. English students prepare themselves for the admission exam ahead of time. This is because as the GCSE and A-Level exams do not cover parts of the Bangladesh syllabus. The undergraduate program consists of five years study, followed by a one-year internship. The degrees granted are Bachelor of Medicine and Bachelor of Surgery (MBBS). Further postgraduate qualifications may be obtained in the form of Diplomas or Degrees (MS or MD), MPhil and FCPS (Fellowship of the College of Physicians and Surgeons). The University of Dhaka launched a new BSc in "Radiology and Imaging Technology," offering 30 students the opportunity to contribute towards their entrance exam grade. For students who have passed the HSC, this course contributes towards 25% of the mark. The course contributes up to 75% for Diploma-holding students. The duration of the course is four years (plus 12 weeks for project submission). The course covers a variety of topics, including behavioural science, radiological ethics, imaging physics and general procedure.

Cambodia After six years of general medical education (a foundation year + 5 years), all students will graduate with a Bachelor of Medical Sciences (BMedSc) (បរិញ្ញាប័ត្រ វិទ្យាសាស្រ្តវេជ្ជសាស្ត្រ). This degree does not allow graduates to work independently as Physician, but it is possible for those who wish to continue to master's degrees in other fields relating to medical sciences such as Public Health, Epidemiology, Biomedical Science, Nutrition. Medical graduates, who wish to be fully qualified as physicians or specialists must meet these conditions:

General Practitioner's (GP) course is 8 years (BMedSc + 2-year internship). Clinical rotation in the internship is modulated within 4 main disciplines (general medicine, surgery, gynecology, pediatrics). The medical degree awarded is the Doctor of Medicine (MD) (សញ្ញាប័ត្រ វេជ្ជបណ្ឌិត), equivalent to a master's degree. After graduating with BMedSc; any students, who wishes to enter Residency Training Programs, are required to sit for a rigorous and Entrance Exam. The duration of residency programs lasts from 3 to 4 years after BMedSc (BMedSc + 3–4 years of specialization). Once the graduates, after successful defense of their practicum thesis, are officially awarded the Degree of Specialized Doctor (MD-with specialization) (សញ្ញាប័ត្រវេជ្ជបណ្ឌិតឯកទេស) "Professional Doctorate". All Medical graduates must complete a thesis defense and pass the national exit exam (ប្រឡងចេញថ្នាក់ជាតិក្នុងវិស័យសុខាភិបាល) to become a GP or a medical or surgical specialist.

China

Medical education is normally a five-year Bachelor degree, including a one-year internship (or clinical rotation, during which students are actively involved in patient care) before the final degree is awarded. Although some medical schools run three-year programs, hospitals tend to recruit physicians who have graduated from five-year programs. Students who graduate from medical school must work 1–3 years in a university-affiliated hospital, after which the student is eligible to take the National Medical Licensing Examination (NMLE) for physician certification, which is conducted by the National Medical Examination Center (NMEC). Candidates who pass are certified as physicians by the Ministry of Health. Clinical specialization usually involves a two-or three-year Master degree. Acceptance is based on the national entrance examination used for all universities. In all over China, the Bachelor of Medicine and Bachelor of Surgery (MBBS) Degree courses have been always taught in Chinese medium. There are a few colleges that teach in English and accept foreign medical students. Some of those universities have increased their course duration to 6 years. The degree conferred is known as Bachelor of Clinical Medicine (BCM).

Fiji Medical education is normally a six-year Bachelor of Medicine and Bachelor of Surgery degree, including a one-year of trainee internship (or clinical rotation, during which students are actively involved in patient care) before the final degree is awarded. Students who graduate from medical school must complete an year of graduate training in a government hospital, after which they are eligible to practice medicine. There are two accredited medical schools in Fiji:

Fiji National University, College of Medicine, Nursing and Health Sciences (Formerly, Fiji School of Medicine). University of Fiji, Umanand Prasad School Medicine and Health Sciences. Clinical specialization usually involves a three-year master's degree. Acceptance into Medical School is based on the Fiji Year 13 Certificate Examination used for all universities. In all over Fiji, the Bachelor of Medicine and Bachelor of Surgery (MBBS) Degree courses have been always taught in English medium.

Hong Kong

In Hong Kong, medical programmes are bachelor's degrees with a usual duration of six years, leading to the degrees of Bachelor of Medicine and Bachelor of Surgery. Students are eligible upon graduating secondary school, and sitting the local Hong Kong Diploma of Secondary Education Examination (HKDSE) (JUPAS candidates) or other international examinations such as the International Baccalaureate and GCE A-Level (non-JUPAS candidates). There are two medical schools in Hong Kong:

Li Ka Shing Faculty of Medicine, University of Hong Kong (HKU) Faculty of Medicine, The Chinese University of Hong Kong (CUHK) Both medical faculties are also the sole two institutes offering pharmacy programmes. Meanwhile, other healthcare programmes (like nursing) can also be found in universities which do not host a medical faculty. The CUHK Faculty of Medicine offers the Dynamic Year 2 (DY2) option, which allows high-achieving students who have acquired a certain minimum level in relevant academic qualifications to be admitted directly to Year 2. Prior to the introduction of the HKDSE in 2012, both medical programmes had a duration of five years for students taking the Hong Kong Advanced Level Examination (HKALE). Admission to a medical program is highly competitive as the number of intakes each year is limited. As of 2024, the first year intake of each program is 295 (590 in total). Hence, candidates need to attain an excellent examination result and good performance in interviews. The schools put a great emphasis on students' languages (both Chinese and English) and communication skills as they need to communicate with other healthcare professionals and patients or their families in the future. During their studies at the medical schools, students need to accumulate enough clinical practicing hours in addition before their graduation. To obtain full registration as registered medical practitioners, medical graduates must undertake and complete at least one year of supervised practice in approved hospitals, generally known as an internship, with satisfactory performance. During this year, interns (house officers) are rotated to four specialties (medicine, surgery, and two of the following: obstetrics and gynaecology, paediatrics, orthopaedics and traumatology, emergency medicine, psychiatry, and ophthalmology). Each of them lasts three months. There is no work hour limit in Hong Kong and interns are expected to work 80–100 hours per week.

India

In India, admission to medical colleges is organized by the central government by NTA (National Testing Agency) through tests known as NEET entrance examination. Students who have successfully completed their 10+2 (Physics, Chemistry and Biology Marks are considered and PCB is mandatory) education (higher secondary school) can appear for the tests the same year. The NEET-UG (National Eligibility cum Entrance Test) for filling up of 15% of total MBBS seats in India, conducted by NTA (National Testing Agency) 1 time in a year in the month of May intakes about only 65,000 students out of a total applicants of over 15,00,000. The Supreme Court Of India has mandated the necessity of entrance examination based upon multiple choice questions and negative marking for wrong answers with subsequent merit over 50% for selection into MBBS as well as higher medical education. The entrance exams are highly competitive. The graduate program consists of three professionals consisting of 9 semesters, followed by one-year internship (rotating housemanship). The degree granted is Bachelor of Medicine and Bachelor of Surgery (MBBS) of five years and six months. The graduate degree of MBBS is divided into three professionals, with each professional ending with a professional exam conducted by the university (a single university may have up to dozens of medical colleges offering various graduate/post-graduate/post-doctoral degrees). After clearing this the student moves into the next professional. Each professional exam consists of a theory exam and a practical exam conducted not only by the same college but also external examiners. The exams are tough and many students are unable to clear them, thereby prolonging their degree time. The first professional is for 1 year and includes preclinical subjects, anatomy, physiology and biochemistry. The second professional is for 1+1⁄2 years and has subjects pathology, pharmacology, microbiology (including immunology) and forensic medicine. Clinical exposure starts in the second professional. The third professional is divided into two parts. Part 1 consists of ophthalmology, ENT, and PSM (preventive and social medicine) and part 2 consists of general-medicine (including dermatology, psychiatry as short subjects), general surgery (including radiology, anaesthesiology and orthopaedics as short subjects) and pediatrics and gynaecology and obstetrics. This is followed by one-year of internship (house-surgeonship). After internship, the degree of MBBS is awarded by the respective university. Some states have made rural service compulsory for a certain period of time after MBBS. Selection for higher medical education is through entrance examinations as mandated by the Supreme Court Of India. Further postgraduate qualifications may be obtained as Post-graduate Diploma of two years residency or Doctoral Degree (MS: Master of Surgery, or MD) of three years of residency under the aegis of the Medical Council of India. The MD/MS seats in India are filled up through NEET PG Examination conducted by the National Board of Examinations (NBE) under the supervision of the Directorate General Of Health Services. Theses/Dissertations are mandatory to be submitted and cleared by university along with examinations (written and clinicals) to obtain MD/MS degree. Further sub-speciality post-doctoral qualification (DM - Doctorate of Medicine, or MCh - Magister of Chirurgery) of three years of residency followed by university examinations may also be obtained. PG (post-graduate) qualification is equivalent to MD/MS, consisting of two/three-years residency after MBBS. A PG diploma may also be obtained through the National Board of Examinations (NBE), which also offers three-years residency for sub-specialisation. All degrees by NBE are called DNB (Diplomate of National Board). DNB's are awarded only after clearance of theses/dissertations and examinations. DNBs equivalent to DM/MCh have to clear examinations mandatorily.

Indonesia

In Indonesia, high school graduates who aspires to enroll in public medical schools must apply to medicine undergraduate program available in certain public universities. Most common ways to apply to public universities are SNBP (Achievement-based National Selection, Indonesian: Seleksi Nasional Berdasarkan Prestasi, organized without test, using high school evaluation reports) and SNBT (Test-Based National Selection, Indonesian: Seleksi Nasional Berdasarkan Tes, organized with test), both administered by Institution of Higher Education Admissions Test under The Indonesian Ministry of Education, Culture, Research, and Technology. Another way with fewer places are available through entrance exam conducted autonomously by each university (known as independent admission). These admissions are highly competitive for medicine, especially in prestigious institutions such as University of Indonesia in Jakarta, Airlangga University in Surabaya, and Gadjah Mada University in Yogyakarta. For private medical schools, almost all places offer seats through independently run admission tests. The standard Indonesian medical school curriculum is six years long. The four years long undergraduate program is composed mainly of classroom education, continued with the last two years in professional program which primarily includes rotations in clinical settings where students learn patient care firsthand. If they pass the undergraduate program, they will be granted the title "S.Ked" (Bachelor of Medicine) and if they finish the professional program and pass the national examination arranged by IDI (Indonesian Medical Association) they will become general physician and be assigned the prefix, "dr. (doctor)". Upon graduation, a physician planning to become a specialist in a specific field of medicine must complete a residency, which is a supervised training with periods ranging from three to four years. A physician who sub-specializes or who desires more supervised experience may complete a fellowship, which is an additional one to three years of supervised training in his/her area of expertise.

Japan

In Japan, medical schools are faculties of universities and thus they are undergraduate programs that generally last for six years. Admission is based on an exam taken at the end of high school and an entrance exam at the university itself, which is the most competitive. Medical students study Liberal Arts and Sciences for the first 1–2 years, which include Physics, Mathematics, Chemistry, and Foreign Languages, followed by 2 years of Basic Medicine (Anatomy, Physiology, Pharmacology, Immunology), Clinical Medicine, Public health, and Forensics. Medical students train at the University Hospital for the last two years. Clinical training is a part of the curriculum. Upon completion of the graduation examination, students are awarded an MD Medical graduates are titled as Doctor, as are PhD holders. The university does have an MD/PhD program that enables Doctors of Medicine to become PhD holders, as well. At the end, Medical students take the National Medical License examination and, if they pass it, become a Physician and register in the record in the Ministry of Health, Labour and Welfare. The scope of this exam encompasses every aspect of medicine.

Kyrgyzstan In Kyrgyzstan, the government university Kyrgyz State Medical Academy offers 6 years duration undergraduate (bachelor's degree) program whereas the other institutions mostly private such as the International School of Medicine at the International University of Kyrgyzstan offers a five-year medical program, with a requisite for English knowledge, that is recognized by the World Health Organization, the General Medical Council, and UNESCO. The medical school is also partnered with the University of South Florida School of Medicine, the University of Heidelberg (Germany), the Novosibirsk Medical University (Russia), and the University of Sharjah (UAE). Other medical schools located in Kyrgyzstan include the 5 years duration MD/MBBS undergraduate degree program at International University of Science and Business or Mezhdunarodnyy Universitet Nauki i Biznesa, Kyrgyzstan others are the Asian Medical Institute, Kyrgyzstan and the Medical Institute, Osh State University.

Macau Macau University of Science and Technology offers the only Bachelor of Medicine and Bachelor of Surgery undergraduate clinical medicine program in Macau.

Malaysia

In Malaysia, getting into medical school is regarded as difficult, due to high fees and a rigorous selection process. Some new medical schools do offer a foundation in medicine course before admission into a full-time medical programme. Most government, and some private medical schools offer MD, and others mostly offer MBBS degrees.

Myanmar

As of 2015, there are six medical institutions in Myanmar - UM 1, UM 2, DSMA, UM Mdy, UM Mgy and the newly established UMTG. Myanmar medical schools are government-funded and require Myanmar citizenship for eligibility. No private medical school exist at this moment. In Myanmar, admission to medical colleges is organized under the Department of Health Science, which is the branch of Ministry of Health and Sport of Myanmar. A student can join one of the six medical universities of Myanmar if he gets the highest scores in the science combination of the matriculation examination. This exam is highly competitive. Entrance is solely based on this examination and academic records have very minor consequences on an application. The undergraduate program is five years plus one year for work experience in government hospitals. After medical school, Myanmar medical graduates are under contract to spend one year of internship and three years of tenure in rural areas before they are eligible for most residency positions. The degree granted is Bachelor of Medicine and Bachelor of Surgery (MBBS). Further postgraduate qualifications may be obtained as a degree (MMedSc) and (DrMedSc).

Nepal

As of 2020, Nepal had 23 medical schools (6 public and 17 private). Medical studies start at undergraduate level and are taught by mostly Indian and Nepalese faculty. Studies typically take four and a half years followed by a one-year internship. Graduates are conferred the MBBS degree. Scholarships are provided to between 10 and 20% of students. Upon graduation, scholarship students have to serve in health facilities in rural Nepal for two years after graduation. In turn, self financing students tend to come from upper socioeconomic status due to the high cost of medical education in Nepal There are four main medical bodies in Nepal:

Tribhuvan University (own college: Institute of Medicine, Maharajgunj, affiliated colleges: National Medical College, Janaki Medical College, Universal College of Medical Sciences, Gandaki Medical College, Chitwan Medical College, Kist Medical College, Nepal Army Institute of Health Science) Kathmandu University (own college: Kathmandu University School of Medical Sciences (KUSMS), Affiliated colleges: Manipal College of Medical Sciences, Kathmandu Medical College, Nepal Medical College, Nepalgunj Medical College, College of Medical Sciences, Nobel Medical College, Lumbini Medical College, Birat Medical College, Devdaha Medical College) B.P. Koirala Institute of Health Sciences. Patan Academy of Health Sciences The Medical Education Commission was established in 2017 with the goal of improving the quality of medical education in Nepal. Nepal Medical Council (NMC) was established in 2020 with the primary role of registering qualified doctors.

New Zealand

New Zealand medical programs are undergraduate-entry programs of six years duration. Students are considered for acceptance only after a year of undergraduate basic sciences or, as alternative, following the completion of a bachelor's degree. There are two main medical schools in New Zealand: the University of Auckland and the University of Otago. Each of these has subsidiary medical schools such as Otago's Wellington School of Medicine and Health Sciences and Auckland's Waikato Clinical School. The first year of the medical degree is the basic sciences year, which comprises study in chemistry, biology, physics, and biochemistry as well as population health and behavioural sciences. The following two years are spent studying human organ systems and pathological processes in more detail as well as professional and communication development. Toward the end of the third year, students begin direct contact with patients in hospital settings. The clinical years begin fully at the beginning of year 4, where students rotate through various areas of general clinical medicine with rotation times varying from between two and six weeks. Year 5 continues this pattern, focusing more on specialized areas of medicine and surgery. Final medical school exams (exit exams) are actually held at the end of year 5, which is different from most other countries, where final exams are held near the very end of the medical degree. Final exams must be passed before the student is allowed to enter year 6. The final year (Year 6) of medical school is known as the "Trainee Intern" year, wherein a student is known as a "Trainee Intern" (commonly referred to in the hospitals as a "T.I."). Trainee interns repeat most rotations undertaken in years 4 and 5 but at a higher level of involvement and responsibility for patient care. Trainee interns receive a stipend grant from the New Zealand government (not applicable for international students). At the current time, this is $NZ 26,756/year (about $US 18,500). Trainee interns have responsibility under supervision for the care of about one-third the patient workload of a junior doctor. However, all prescriptions and most other orders (e.g., radiology requests and charting of IV fluids) made by trainee interns must be countersigned by a registered doctor. New Zealand medical schools currently award the degrees of Bachelor of Medicine and Bachelor of Surg

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