Master of Medicine

The MMed programme at KCMU College is designed for qualified medical practitioners who are strongly motivated towards a specialist career in Medical Sciences and Academic Medicine.  Those who graduate in these courses will be expected to augment the national need for specialists in medical disciplines, which will improve the roles expected of Tanzanian Consultant Hospitals in teaching, service and research.

MMed degree programmes offered

The following four-year Master of Medicine (MMed) degree programmes are offered:

  • Anaesthesia
  • Dermato-Venereology
  • Diagnostic Radiology
  • General Surgery
  • Internal Medicine
  • Obstetrics and Gynaecology
  • Ophthalmology
  • Orthopaedic Surgery
  • Otorhinolaryngology
  • Paediatrics and Child Health
  • Pathology
  • Urology

Duration of training

The length of training must be at least 48 calendar months, including appropriate short periods for vacation, special assignments, or exceptional individual circumstances approved by the programme coordinator.  Approval for an extended curriculum must be obtained prior to implementation.

The length of residency training for a particular resident may be extended by the programme coordinator if a resident progresses at a slower pace than provided by the standard rotations. If the extension is six months or less, the programme coordinator must notify the Director of Postgraduate Studies. Further extension may be allowed provided the candidate’s period of MMed registration does not exceed five years.

Programme support and administration

For each specialty MMed programme a coordinator has to be appointed, who is preferably the Head of Department. The coordinator shall be a qualified senior specialist and licensed to practice medicine in Tanzania. As administrator, educator and research coordinator he must devote sufficient time to the residency training programme. The Director of Postgraduate Studies will evaluate his overall effectiveness.

The responsibilities of the coordinator include:

  • Defining and disseminating the goals and requirements of residents at each stage of the programme.
  • Evaluating the  quality of patient care.
  • Supervising the teaching staff.
  • Creating and maintaining a conducive and safe teaching and learning environment.
  • Monitoring and reporting the academic and professional progress of the residents
  • Monitoring the physical, mental and emotional well-being of his/her residents.
  •  Annually, residents will evaluate their programme anonymously.

Curriculum outline

An overview of the four years is schematically presented below and described hereafter.

The course lasts 4 years, divided over 8 semesters

Course Module Master of Medicine

Overview of Semesters 1-8 (years 1-4)  Semester 1

In semester one all MMed candidates whatever the specialty will be full time engaged in 8 Basic Sciences modules (modules 1-8) from beginning of the Academic Year in October until the middle of January the following year.  From the middle of January, candidates will be in their respective specialty departments.

Semester 2

From March to July the candidates will be in the respective departments belonging to their specialty. In this period there will be another three Basic Sciences modules specific for the discipline (modules 9 and 10).

Semesters 3 and 4

Semester 3 and 4 of year 2: main emphasis is on learning and experiencing the specialty of training, and on rotations through different sub-specialties of the specialty. Also she/he takes part in the academic activities of the department (Journal Club, case presentations, protocol meetings, post-mortem meetings, etc).

A part from that, the candidate has to identify a topic for research and prepare a research proposal, to be submitted in July in semester 4

Semester 5 and 6

Semesters 5 and 6 of year 3: in semester 5 data collection for the research has to take place and the data have to be analysed and reported in a dissertation, to be submitted early July in semester 6 for assessment.

A part from the research work, the resident continues to be involved in clinical work (both caring for in- and out-patients, performing procedures, operations etc as appropriate to the specialty), as well as taking part in academic activities of the department

Semester 7 and 8

Semesters 7 and 8 in year 4: in this final year the resident works semiindependently under global supervision of the consultants, participating fully in all activities of the department and also teaching selected topics to undergraduates.

At the end of semester 8 he/she sits for the Final University Examination.

Rotations can be undertaken inside or outside (external rotation) KCMC/KCMU College. Each rotation has to be assessed according to a given format. Prior approval for external rotations (= outside KCMC/ KCMU College) must be obtained from the Director of Postgraduate Studies.

Duty hours

Residents should average no more than 80 hours per week in patient care activities.  They should have at least one day in seven free of patient care and be on call no more than one night in three.

Programme evaluation

  • The effectiveness of the programme shall be regularly evaluated by faculty and residents with respect to the quality of the curriculum and the extent to which the educational goals are met.
  • The teaching faculty shall be regularly evaluated, and shall include evaluation of clinical knowledge, teaching ability and commitment.
  • Residents shall be evaluated regularly with respect to their knowledge, skills and overall performance. All evaluations will be kept by the coordinator.

Dissertations

The dissertation options for MMed residents therefore are:

  • the present formal research project
  • series of minimally 10 cases with different diagnoses, which were largely managed by the MMed resident
  • series of minimally 5 cases with the same or similar diagnosis, which were largely managed by the MMed resident
  • Cochrane review-like meta-analysis of a clinical entity, leading to a new or improved management protocol