Maria Victoria Alvarez,M.D., Maj, USAF, MC Maria Victoria Alvarez,M.D., Maj, USAF, MC Staff Neurologist - Movement Disorders Specialist

A neurologist at Wilford Hall Medical Center is working to provide relief for patients suffering from movement disorders, read more »

Pre-clinical Sciences

Courses are spread out into two trimesters.
Trimesters of this phase includes an Introduction to Clinical Medicine I and II, Surgery, Pediatrics, Psychiatry, Physical Diagnosis and Gynecology and Obstetrics.

INTRODUCTION TO CLINICAL MEDICINE I

OTORHINOLARYNGOLOGY (ENT)

This orients students with synopses that provide information on the commonly encountered problems in otology/neurotology, rhinology, and laryngology. The content reflects the central responsibility of the otorhinolaryngology in treating patients with diseases affecting the senses of smell, taste and balance and in the disorders of human communication affecting hearing, voices, speech and language.

RESPIRATION

This course is designed to understand various pulmonary disorders, general pulmonary symptoms and signs. To evaluate a patient with pulmonary dysfunctions, by learning pulmonary functions tests. It also conceptualizes acute respiratory failure and pulmonary insufficiency.

NEUROLOGY

This course emphasizes on understanding a comprehensive history and examination of the Nervous System and also deals with understanding signs and symptoms of common neurological conditions, including the major disorders of the central nervous system, peripheral nerves, neuromusclular junction and muscles. The course includes also the elements of the neurologic examinations, to provide a full understanding of clinical neurology.

CARDIOLOGY

This course stresses the evaluation and handling of cardiovascular diseases, as well as the knowledge and application of non-invasive and invasive techniques. This course introduces the student to routine and emergent cardiovascular conditions commonly encountered in the primary care setting, with emphasis on clinical manifestations, assessment and appropriate therapeutic.

FLUIDS/ELECTROLYTES AND RENAL

Theory and practical lessons develop the nephrology program focused on the students acquiring the basic notions for the diagnosis and handling of kidney patients.
This course review how the kidneys adapt to extra-disturbances and explores disorders that arise from primary defects in kidney function. In addition, the course explores the pathogenesis and therapy of chronic kidney disease and the consequences of kidney failure.

ENDOCRINOLOGY

This subject has a broad and update endocrine metabolic pathology program. The students participate in the most commonly used diagnostic tests to learn to diagnose certain endocrine pathologies and to adequately handle the complications of the entities.

INFECTIOUS DISEASES

This course has been designed to train students to recognize characteristics and pathogenicity of the clinical important bacterial, fungal, viral, and parasitic pathogens. Each infection disease is examined in terms of etiology, pathology, signs and symptoms, diagnostic testing clinical course, complication, prognosis and treatment.

DERMATOLOGY

This course focuses primarily on the clinical assessment of common dermatologic conditions expressed in the skin. It includes emphasis on dermatologic terminology, techniques and procedures. Focuses on pertinent basic science material as it relates to dermatology: the eczematous dermatoses, papulosqumous diseases, bacteria, fungal and viral infections of the skin, acne, and seborrhoea, bullous diseases, exfoliate dermatitis, skin tumors, as well as external manifestation of internal diseases.

PSYCHIATRY

The ability to recognize non-organic pathology and mental unbalance is a challenge in the exercise of medicine. The psychiatry program places emphasis on the correct complication and organization of the data in the psychiatry clinical history, differential diagnosis, and treatment methods, handling of psychopharmacology and knowledge of their adverse effects, and the abuse of controlled substances.

ANESTHESIOLOGY

In this course the students acquire a basic knowledge in the handling of the different modalities of anaesthetics and anaesthesia.
The Anesthesia course is designed to teach the principles of drug use (both anesthetic and others) in inducing and maintaining anesthesia in patients. The Pharmacological properties of the drugs are conveyed. So are the advantages and disadvantages of different forms of anesthesia. Preparation for the clinical rotations in Anesthesia is given important consideration.

INTRODUCTION TO CLINICAL MEDICINE II

GASTROENTEROLOGY

This course is designed as a complete curriculum in gastroenterology, hepatology and nutrition for preclinical students. The course provides students with theoretical and clinically applied aspects of their discipline with a focus on the relevant basic sciences and research techniques.

ONCOLOGY

This course will provide student’s with the fundamentals of clinical oncology. Malignant conditions, their etiology and methods of treatment will be discussed. Attention is given to patient prognosis, treatment results, and effects of combined therapies. Understanding of the tumor process and the different ways of dissemination and the tumor biology, are developed in this course.

HEMATOLOGY

Lecture instruction covers concepts of blood cells development, abnormal blood cell morphology in all types of hematologic disease. Course covers the normal blood coagulation, the pathophysiology of hemorrhagic and thrombotic diseases and the principles of assays performed in investigation of hemostasis. The instruction includes discussion of all major blood group systems, antibody characteristics and problems, accepted use of blood components, donor screening, evaluation of transfusion reactions, and prenatal testing.

ORTHOPEDICS AND TRAUMATOLOGY

This course concentrates on the care and treatment of the orthopedic patient. Focus is on the establishment of diagnosis and management of Orthopedics conditions commonly encountered in a primary care setting. Orthopedics physical examination and casting skills are included.

PHYSICAL DIAGNOSIS & PRINCIPLES OF CLINICAL MEDICINE

This course is intended to acquire a set of the basic skills in taking the history and the physical examination of the patient in beginning students of medicine, to prepare them to become clinicians. The goals of this course is to training and educate the students to be familiar with the basics of data collection and information system rather than the specifics of the disease, etiology, pathophysiology, diagnosis and treatment.

RADIOLOGY

This Radiology course will enable students to understand the basic imaging techniques, understanding conventional topography, fluoroscopy, angiography, ultrasound and magnetic resonance imaging. In this course the chest, lungs and cardiac areas will be studied. The study of the abdomen, the plain abdomen and constrated abdomen. Studies of the gastrointestinal tract, abdominal organs. The muscle skeletal system, vascular and the central nervous system.

OBSTETRICS AND GYNECOLOGY

The intended of the course is to teach all phases of human reproduction, pregnancy adaptations, fetal development, parturition, puerperal adaptations, breastfeeding and gonadal senescense. Moreover this course is designed to learn the impact of human reproduction, the aspects of the fetal development of the woman and different diseases that affect the fertility: congenital anomalies, organic and functional disorders and infectious diseases.

PEDIATRICS

The course is designed to trace the growth and physical development from the neonatal period up to adolescence. Common childhood problems are discussed as well as the diagnosis and management of disease in children.

GENERAL SURGERY

This course is designed to immerse the students in the wide field of surgery. This course is designed as a pre-clinical discipline to provide information about the disorders and conditions that require both emergency and elective surgical care. It also includes an introduction to pre-operative, operative and post-operative management of the patient.

OPHTHALMOLOGY

This course is designed to teach students the disorders and conditions that affect the eye. It also includes studying various examination techniques that could be used during the management of the patients suffering from diseases of the eye.

CHILD/SPOUSAL ABUSE AND HUMAN SEXUALITY

Growing problem facing physicians today is the presentation of molested children in the clinics. Child abuse has become an everyday occurrence in the society and it is the responsibility of the caring physician to detect, report and treat child neglect and abuse cases.
This course will emphasize the methodology of detecting molested children and how to report to the appropriate agency of government for the catering process of these unfortunate children, so that they can grow up with love and affection.
Spouse abuse has also become a very common domestic problem and occurs in families of every racial and religious background. It ranges between a mere verbal abuse to a more severe form such as homicide. Spouse abuse and has also been re-enforced by the increased use of substances of abuse in recent years.
During the course of the study of this subject, you will also have the opportunity to learn about aspects of the human sexuality such as, development, sexual dysfunctions and their management.
The course consists of a twenty hour class. Most of which are lectures and a few class discussions (seminar) about specific topics.