Length and structure
Senior Cycle (SC) is delivered over the final two years of the Medicine programme in RCSI-affiliated teaching hospitals located throughout Ireland, providing you with different learning opportunities.
The SC structure is as follows:
|Medicine and Surgery, Ophthalmology, Ear, Nose and Throat (ENT)
||Medicine and Surgery (24 weeks)
|Medicine and Surgery of Childhood
and Neonatal Medicine
||Sub-internship (4 weeks)
|Obstetrics and Gynaecology
||Student Selected Clinical Attachment (4 weeks)
Senior Cycle 1
Senior Cycle 1 is a year of two semesters, divided into five seven-week rotations. It comprises modules in General Practice (GP), Obstetrics & Gynaecology, Paediatrics, Psychiatry and Medicine and Surgery. The Medicine and Surgery module (formerly known as C-Med) is a blended one comprising Ophthalmology, Otorhinolaryngology (ENT), prescribing instruction, ethics and clinical competencies.
For the greater part of this year students are attached to clinical teams in RCSI Bahrain's three affiliated teaching hospitals: King Hamad University Hospital, Bahrain Defence Force Hospital and Salmaniya Medical Complex, and Bahrain’s Family Medicine Health Centres. The students’ clinical immersion is underpinned by their participation in a structured programme of active teaching and formative assessment delivered by senior academic staff in all departments. Written and clinical summative assessments are carried out at the end of each rotation (except GP) and the end of the academic year (except Medicine and Surgery).
Senior Cycle 2
Senior Cycle 2 is comprised of a single module – Clinical Medicine and Surgery – delivered over two semesters in seven 4-week rotations. The focus is on four immersive clinical rotations in Medicine and Surgery, and their major sub-specialties, in our three partner hospitals that are complemented by comprehensive online lectures, taught revision lectures, small group classroom instruction during 3 teaching weeks and extensive bedside clinical teaching.
In addition, students are formally prepared for internship and autonomous clinical practice during their Sub-Internship rotation and the ‘Essentials of Clinical Practice’ (ECP) sub-module. In ECP simulated emergencies in Medicine, Surgery and Anaesthesia are taught by senior academic staff, along with delivery of interactive small group sessions on professionalism, communication, legal medicine and medical therapeutics.
Students are supported in applying for North American clerkships during their Student Selected clinical component (SSCA) and Sub-Internship rotations to increase their opportunity to match directly into residency programmes in the US and Canada after their internship.
Students engage in continuous assessment activities throughout the year (case presentations, TOSBAs , ethics case presentations, and assessment of sub-internship administrative and procedural competencies). Written and clinical high-stakes’ assessments, including OSCEs and combined medical and surgical direct observed histories (‘long cases’), happen between March and May.
Each rotation is assessed independently by a selection or combination of continuous assessment, portfolio, logbook, case presentations, end of rotation clinical examination of both a child and a newborn infant and end of year written examination.
Below is an example of a seven-week rotation in Paediatrics/Neonatal Medicine for a SC1 student.
- Week 1-6: All students attend RCSI Bahrain on Day 1 for orientation. Students are then assigned for two-week rotations to the Paediatric Departments in our three affiliated teaching hospitals. During this time, students will also gain experience in Neonatal Medicine and other Paediatric subspecialties.
- Week 7: All students spend the last week undertaking self-directed learning outside the hospitals. The end of rotation exams are held over three days in week 7 of your rotation. You will be assessed in a clinical examination of both a child and a newborn infant.
During your attachments, you will do ‘on-call’ in the Emergency Department at each of the three affiliated teaching hospitals.