1. The programme leading to the degree of Bachelor of Medicine shall be of six years' duration.
   
   
2. Candidates for admission to the programme must satisfy the following requirements:
   
   
   • Admission to, and continuation on, the programme is subject to completion of satisfactory health and Criminal Records Bureau screening. Students are required to inform the Head of School of health problems relevant to future employment as a health professional.
     
     
   • Candidates would normally be expected to satisfy two of the following:
     
     
     • First generation applicant to Higher Education.
       
       
     • Parent, guardian or applicant in receipt of a means tested benefit.
       
       
     • Living in supported accommodation, or independently of financial support apart from state provision.
       
       
     • Eligible to receive EMA (Educational Maintenance Award) or similar grant.
       
       
     • Living in an area with a postcode which falls within the lowest 20% of the IMD (Index of Multiple Deprivation) or a member of a travelling family (*this will be authenticated by the University).
       
     
     
   • Candidates would normally be expected to offer a minimum of the following as well as meeting the six-year programme's non-academic criteria:
     
     
     • 5 GCSEs grades A-C to include Mathematics, English and Double Award Science; and
       
       
     • AS/A levels at a minimum of 200 points to include passes at a minimum grade B in AS level Biology and Chemistry OR a minimum grade C in those subjects at A level.
       
       
     • Equivalents may be accepted for GCSEs, such as Key Skills Numeracy at level 3 and Communication at level 3 (as alternatives for GCSE Mathematics and GCSE English respectively).
       
       
     • Equivalents may be accepted for the 4 Advanced Subsidiary levels. These include:
       
       The Advanced Vocational Certificate in Education at grade B with Advanced Subsidiary levels at grade B in Chemistry and Biology; or
       
       The National Diploma in Health Studies with passes at Merit level in 8 units plus Advanced Subsidiary level Chemistry at grade B. These 8 units would normally include; Unit 3 Applied Science, Unit 4 Human Anatomy and Physiology, Unit 6 Psychology and Development, Unit 12 Biochemistry, Unit 13 Microbiology, Unit 17 Advanced Physiology A, Unit 18 Advanced Physiology B, plus a choice of one other; or
       
       Approved Access courses.
       
       
3. The degree of Bachelor of Medicine may be awarded with honours.
   
   
4. Except as provided in the regulations for the Bachelor of Medicine four-year graduate entry programme and the five-year programme, in order to qualify for the degree of Bachelor of Medicine candidates must:
   
   
   1. have followed the six-year medical curriculum and have passed the four compulsory Year 0 units, Primary examination, the Intermediate examination and the Final examination and satisfactorily completed the fourth year Study in Depth; and
      
      
   2. have completed satisfactorily all practical work, clinical work and other coursework as required.
      
      
5. Progress from one year of the programme to the next will depend upon the successful completion of the appropriate examination and course work requirements, satisfactory completion of clinical and other practical work, and freedom from health, behavioural and conduct problems relevant to future employment as a medical practitioner. Failure to achieve this may lead to a recommendation from the School Board for termination of programme, a requirement to pass an examination (Year 2), or to a requirement to repeat a year of the programme. Students undertaking Year 0 of the programme have the right to resit the assessment of each individual Unit but are not normally permitted to undertake a repeat year. Those students in subsequent years who are permitted to repeat the year as a result of previous poor academic performance will be required to demonstrate satisfactory attendance, and will be expected to pass each assessment at the first attempt in order to progress. Failure to meet these requirements will normally result in termination of the programme. Students who fail the BM Final examination at the first attempt will normally be required to repeat the final year before retaking the examination. Failure to pass the BM Final examination at the second attempt will normally result in a recommendation for termination of the programme.
   
   
6. Students may apply for the award of the following exit qualifications if they successfully complete a proportion of the Bachelor of Medicine programme but leave the programme, for whatever reason, before successfully completing 6 years. Credit Accumulation and Transfer (CATS) points will be awarded for completion of every component of a whole year only and will not be awarded for separate components or a partially completed year (CATS points are not awarded for Year 0):
   
   

   Award	Exit Point	CAT Points
   Certificate of Higher Education in Biomedical Sciences	Successful completion of Year 1 including the BM Primary examination	120 lvl 1
   Diploma of Higher Education in Biomedical Sciences	Successful completion of Year 2	120 lvl 2
   Bachelor of Medical Sciences (ordinary)	Successful completion of Year 3 including the BM Intermediate examination	120 lvl 2
   Bachelor of Medical Sciences Honours	Successful completion of Year 4	120 lvl 3
   Bachelor of Medicine	Successful completion of Final Year including the BM Final examination	120 lvl 3

   
   Should the student be permitted to rejoin the BM programme within two years of the award of the certificate, diploma or degree, the exit qualification would be converted to a BM degree following successful completion of the BM programme.
   

7. Year 0 of the medical curriculum consists of 4 units which are all compulsory (two units per semester). There are no option units. Each unit consists of approximately 240 learning hours of study. Approximately one third of the study hours of each unit will involve direct tutor contact, one-third tutor directed learning and one third self-directed study. Candidates are required to pass all four units before proceeding to Year 1. The four units are:
   
   Human Structure and Function I
   Human Structure and Function II
   Professional Practice I
   Professional Practice II
   
   The two Human Structure and Function units incorporate aspects of Biology and Chemistry and key skills. The Professional Practice units include work-based learning, key skills, sociology and psychology.
   
   Students who do not achieve D or over in each unit, but obtain a minimum of E in each unit, will be awarded a pass in the Professional Practice and Human Structure and Function units of the Year 0 University of Southampton BM6 programme without progression to Year 1 of the BM5 programme.

8. Instruction in the first year of the Medical Curriculum will take place on an integrated basis. There will be a Foundation Course, which will introduce the Biological Basis of Medicine and Psychology and Sociology. Candidates will also undertake the Interprofessional Learning Unit 1: Collaborative Learning.
   
   
9. During the rest of the year instruction will be organised according to the systems of the human body, and will cover the biochemical, morphological, pathological, pharmacological and physiological aspects of the following systems:
   
   Cardio-vascular
   Respiratory
   Locomotor
   There will also be instruction in the relevant aspects of Psychology and Sociology.
   
   
10. During the year candidates will take part in a scheme for gradual introduction to patients and to patient care in a variety of health care settings, particularly during the Medicine in Practice component.
    
    
11. The BM Primary examination will take place in June, and will include papers covering subjects studied during the year. A candidate's performance in course work and in the practical part of the examination (including 'problem-solving') shall be taken into account in deciding the examination result. Candidates will also be required to pass the Medicine in Practice course and Interprofessional Learning Unit 1 in order to progress.
    
    
12. A Distinction in the BM Primary Examination may be awarded to candidates who achieve the equivalent of a grade A standard in this examination at the first attempt.
    
    
13. A candidate who fails to satisfy the examiners in the June examination will be re-examined in September. Failure at the second attempt will normally result in a recommendation for termination of the programme. Students who fail either the Medicine in Practice course or the Interprofessional Learning Unit 1, or both, will be required to satisfactorily complete a repeat period of study in that course/unit, or both, before September in order to progress.
    

14. Instruction in the second year of the medical curriculum shall cover the following:
    
    Immunology
    Nervous Systems Course
    Endocrine Systems Course
    Renal Systems Course
    Reproductive, Development and Ageing Course
    Gastrointestinal Systems Course
    Student Selected Unit
    Medicine in Practice course
    Interprofessional Learning Unit 2: Team Working
    
    
15. In addition, students will cover subjects such as biochemistry, human genetics, oncology, infection, immunology, sociology and psychology, many of which will have begun in Year 1 and will continue to Year 3.
    
    Some of the subjects will be incorporated in a topic-based, integrated course throughout the third year entitled 'The Scientific Basis of Medicine' as well as within the clinical attachments. There will also be instruction in the relevant aspects of Public Health, Sociology, Psychology, Research Methods and Critical Appraisal.
    
    In order to progress to Year 3, students must achieve an overall average mark of grade D or above for Year 2, and no less than a grade E in either semester 3 or semester 4. If these conditions are not satisfied, students will be required to successfully complete the Progression to Year 3 examination in September. Students who fail either the Medicine in Practice course or the Interprofessional Learning Unit 2, or both, will be required to satisfactorily complete a repeat period of study in that course/unit, or both, before September in order to progress.
    
    
16. The third year of the medical curriculum shall extend over forty-two weeks and shall include clinical attachments (mainly undertaken in health care settings in the Southampton area) in the following:
    
    Introduction to Year 3
    Medicine and Elderly Care
    Palliative Care
    Surgery and Surgical Specialties
    Child Health
    Obstetrics and Gynaecology
    Mental Health
    Primary Medical Care
    Student Selected Unit
    Research Methods and Preparation for the Study in Depth week
    
    
17. The BM Intermediate examination shall be held in the summer of the third year of the medical curriculum and shall consist of three components: two in-course assignments (submitted during the year), written examination and Objective Structured Clinical Examination. The written examination will consist of not more than two papers (essay and 'problem-solving') covering all the formal courses of instruction during the first, second and third years of the medical curriculum.
    
    
18. Students are required to pass each of the three components of the BM Intermediate examination (in-course assignments, Objective Structured Clinical Examination, written papers).
    
    
19. Candidates failing to satisfactorily pass their in-course assignment(s) will be permitted to submit one further in-course assignment before the start of the supplementary examinations.
    
    
20. A candidate failing to satisfy the examiners in the examination in the summer will be required to undertake a Supplementary examination in the component(s) they have failed in the following September. Failure at the second attempt will normally result in a recommendation for termination of the programme or a requirement to repeat the year.
    
    
21. A distinction in the BM Intermediate examination may be awarded to candidates whose overall performance was of Distinction standard in this examination at the first attempt.
    
    
22. A candidate who reaches a sufficiently high standard in the BM Intermediate Examination may be allowed to undertake an additional year's study in the School of Biological Sciences for the degree of Bachelor of Science with honours. These degrees are awarded on the satisfactory completion of that year's courses and examinations, together with a related project to be completed by March/April of the following year. A candidate following this course will undertake the normal clinical elective after the third year and a further period of clinical work before beginning the final year clinical attachments.
    

23. The fourth year of the medical curriculum shall extend over forty weeks at the beginning of which candidates shall undertake an elective clinical attachment of 8 weeks' duration in a specialty and hospital of their choice, following approval by the Elective Working Group. Candidates who are retaking the Intermediate examination, however, will be required to undertake this attachment in Southampton.
    
    
24. Candidates will undertake advanced study, including project work and submission of a project report at the end of the year in topics selected in consultation with the Head of School. There will also be instruction in Law and Ethics in Medicine and Research Methods. A candidate whose project report is judged to be unsatisfactory will be required to submit a revised report by November of the Final year. A candidate whose performance throughout the year is judged to be unsatisfactory will normally be required to repeat the year before progressing to the final year. If a repeat year or a revised report is judged to be unsatisfactory, the School Board may recommend termination of the programme.
    
    
25. In addition to the elective attachment there will be an obligatory minimum number of clinical courses during the year in the following:
    
    Cardio-pulmonary Resuscitation
    Dermatology
    Genito-Urinary Medicine
    Head and Neck
    Neurology
    Ophthalmology
    Orthopaedics and Rheumatology
    Primary Medical Care
    
    Students who do not satisfactorily complete their clinical work, their clinical elective attachment or their Interprofessional Learning Unit, may be required to undertake a directed elective during their final year or repeat study. In some cases, this may lead to a recommendation from the School Board for termination of programme or a requirement to repeat a year of the programme.
    

26. The final year of the medical curriculum shall extend over forty-eight weeks during which candidates shall undertake clinical attachments in appropriate subjects in hospitals and General Practices in Dorset, Hampshire and the Isle of Wight, Surrey, Sussex and Wiltshire. The attachments shall be in the following:
    
    Medicine
    Surgery
    Obstetrics and Gynaecology
    Child Health
    Mental Health
    Medicine in Practice including Primary Medical Care
    Student Selected Unit
    Interprofessional Learning Unit 3: Enabling Change in Practice
    Interprofessional Learning Unit 4: Problem Solving
    
    Normally, attachments in hospitals outside Southampton will be residential.
    
    
27. The final examination will be held in June. It will consist of clinical examinations together with written papers covering all the clinical subjects studied in the third, fourth and final years of the BM5 medical curriculum. Candidates may be expected to display background knowledge of other material.
    
    
28. An additional progression requirement will be that students are expected to satisfactorily attend all compulsory parts of the year, and satisfactorily complete all clinical attachments. Students who do not pass the stipulated clinical competencies will not meet the requirements to sit the BM Final examination.
    
    
29. Partial exemption from the requirements for the clinical component of the BM Final examination may be granted to candidates as a result of satisfactory performance in clinical assessments undertaken during the year.
    
    
30. Any candidate failing to satisfy the examiners in the BM Final examination at the first attempt may present him/herself for re-examination on one subsequent occasion, i.e. the occasion immediately following a repeat of the final year. Failure at the second attempt will normally result in a recommendation for termination of the programme. Students who fail the Interprofessional Learning Unit will normally be required by the Postgraduate Dean to undertake repeat study during their time as a Pre-registration House Officer (first year of Foundation Programme). A pass with Distinction in the BM Final Examination may be awarded to a candidate who has shown excellence in clinical studies, including the BM Final examination.
    

Submitted by the Editors
on behalf of the the Secretariat.
Last reviewed: 30/06/06
© University of Southampton