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Masters Degrees (Surgical Science)

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The MSc in Surgical Science and Practice is a part-time, modular course completed in two to three years by surgical trainees. Read more
The MSc in Surgical Science and Practice is a part-time, modular course completed in two to three years by surgical trainees.

Delivered in collaboration with the Nuffield Department of Surgical Sciences (http://www.nds.ox.ac.uk/) it is designed to prepare senior surgical trainees for life as independent specialists by providing key skills and knowledge essential for modern practice, which are not fully represented or are omitted from most postgraduate training curricula. The course is unique as its part-time nature is designed to allow students to fit their study around work.

The MSc in Surgical Science and Practice provides a foundation in some of the most important additional life long skills which the future leaders of the profession need to acquire. Surgeons in the future will work as part of multi-disciplinary teams in complex organisations, and will need to adapt and develop new skills and roles throughout their professional lives. Thus the syllabus covers management skills, quality improvement, leadership, teamwork and patient safety, as well as an introduction to the principles of medical education and clinical research methods. The knowledge gained during this course will stand students in good stead throughout their careers.

Visit the website https://www.conted.ox.ac.uk/about/msc-in-surgical-science-and-practice

Programme details

The MSc in Surgical Science and Practice is organised around six compulsory modules, plus a work-based research project and dissertation. The programme is normally completed in two to three years. Students are full members of the University of Oxford and are matriculated as members of an Oxford college.

The course features a significant component of online and distance learning, as well as one week of intensive teaching in Oxford per module.

Modules:

- Becoming a Medical Educator
- Human Factors, Teamwork and Communication
- Introduction to Surgical Management and Leadership
- Quality Improvement Science and Systems Analysis
- Surgical Technology and Robotics
- The Practice of Evidence-Based Health Care (Surgery)

Each module takes place once a year, giving students the opportunity to individualise their patterns of study.

During the course there is an exceptional opportunity for an introduction, with hands-on experience, to leading edge modern surgical technology such as the Da Vinci robot. The programme also features lectures by staff from the Centre for Evidence Based Medicine based in the world-renowned Department of Primary Care Health Sciences.

Taught by global experts, the modules in this programme can also be taken as individual stand-alone courses.

Course aims

The overarching aim of the MSc in Surgical Science and Practice is to provide the next generation of surgeons with the tools to build and lead successful surgical units delivering safe, high quality, high reliability care.

By the end of the course candidates will be able to understand the following important principles:

- How to evaluate clinical research evidence critically and understand how it should be interpreted and applied to one’s own context and practice;

- How to design, conduct and evaluate teaching and training for postgraduate clinicians, and how to assess curricula and teaching programmes;

- Financial and quality management ideas, and methods for analysing and restructuring the systems in which surgeons work;

- A theoretical understanding of the use of modern surgical technology linked to baseline practical training in minimally invasive and robotic surgical techniques;

- The teamwork, leadership and communication skills required for effective and safe working in a modern surgical environment.

What will you gain from attending the programme?

At the end of the programme you will be able to:

- Critically appraise relevant clinical research and estimate its validity and relevance to your practice;

- Understand in principle how to design your own clinical research studies, and what expert support you need to be successful;

- Understand basic business and financial planning in the health care industry;

- Develop your own business plans and cases for your practice;

- Understand the principles of leading a team and how to foster an appropriate culture to promote good teamwork and communication;

- Analyse and improve systems of work within surgery using standard industrial quality improvement and human factors principles;

- Understand how to act as a mentor and trainer for postgraduate trainees, how to set up and run courses and curricula, and how to evaluate and improve trainee progress;

- Understand and have some experience of using up to the minute surgical technology which is likely to become important during your career.

Teaching methods

The class-based modules include a period of preparatory study, a week of intensive face-to-face lectures and tutorials, followed by a period for assignment work. Attendance at modules is a requirement for study. Some non-classroom activities are provided at facilities elsewhere in the University, including surgical simulators and operating theatres on the University's hospital sites. The course includes taught material on research skills.

The taught modules include group work, discussions, guest lectures, and interaction and feedback with tutors and lecturers. Practical work develops the student's knowledge and understanding of the subject. This includes supervised access to surgical simulators and robots as part of the Surgical Technology and Robotics module.

A virtual learning environment (VLE) provides extensive support between modules.

Resources available:

University of Oxford libraries, including:

- The Cairns Library at the John Radcliffe Hospital
- Radcliffe Science Library
- Rewley House Continuing Education Library
- Bodleian Libraries e-Resources

Plus facilities from the Department of Continuing Education, including:

- The Graduate School
- WebLearn virtual learning environment

Assessment methods

To complete the MSc, students will need to:

- Attend the six compulsory modules in Oxford, and undertake assessed written assignments for each module;
- Complete a dissertation on a topic selected by the candidate in consultation with the supervisor and approved by the Standing Committee.

Dissertation

The dissertation will be founded on a work-based research project that will build on the material studied in the taught modules. The dissertation should normally not exceed 15,000 words.

The project will normally be supervised by an academic supervisor from the University of Oxford, and an employer-based mentor.

Find out how to apply here - http://www.ox.ac.uk/admissions/graduate/applying-to-oxford

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This MSc has the approval of the Royal Colleges of Surgery and aims to improve the level of scientific appreciation of surgical trainees by exposing them to scientific principles and methods. Read more
This MSc has the approval of the Royal Colleges of Surgery and aims to improve the level of scientific appreciation of surgical trainees by exposing them to scientific principles and methods. The programme is suitable for both surgical and dental trainees and is primarily intended to provide scientific research experience prior to or as part of the surgical training programme.

Degree information

Students gain skills in the verbal and written communication of science, together with an in-depth understanding of science-based subjects of clinical relevance. Students also undertaken in-depth scientific research project (50% of final mark) and an appreciation of scientific research which further trains them to appraise the current scientific literature/evidence and experimental design, practice and analysis.

Students undertake modules to the value of 180 credits.

The programme consists of three core modules (45 credits), three optional modules (45 credits), and a research project (90 credits).

Core modules
-Advanced Surgical Skills (Microsurgery)
-Advanced Surgical Skills (Robotics)
-Research Methodology and Transferable Skills (Part I)

Optional modules - students choose three of the following optional modules:
-Research Methodology and Transferable Skills (Part II)
-Applied Tissue Engineering
-Biomaterials in Tissue Regeneration: Micro and Nanoscale Surface Structuring
-Clinical Experience in Musculoskeletal Surgery
-Experimental Models in Surgical Research
-Heart and Circulation
-Musculoskeletal Biology (Part I)
-Musculoskeletal Biology (Part II)
-Musculoskeletal Biomechanics and Biomaterials (Part I)
-Musculoskeletal Biomechanics and Biomaterials (Part II)
-Nanotechnology
-Pain
-Performing Systematic Reviews of Interventions (Part I)
-Performing Systematic Reviews of Interventions (Part II)
-Surgical Oncology
-Translation of Nanotechnology and Regenerative Medicine (Bench to Bedside)
-Translation of Nanotechnology and Regenerative Medicine (Bench to Bedside)

Dissertation/report
All students undertake an independent research project on a subject of relevance to their clinical interests which culminates in a dissertation of 13,000 words and contributes 50% of the final mark. We encourage students to submit their work for presentation at conferences and for publication.

Teaching and learning
The programme is delivered through a combination of lectures, seminars, workshops and tutorials. Student performance is assessed through unseen written examination papers, written reports, oral presentations, written coursework and oral examinations, and a dissertation and oral examination for the research project.

Careers

First destinations of recent graduates as junior surgeons in surgical training include: Southend Hospital: Surgeon; Bangor Hospital: Doctor; Royal Derby Hospital: Core Surgical Trainee; Royal National Orthopaedic Hospital: Academic Clinical Fellow; King's College Hospital NHS Trust: Specialist Registrar in Cardiothoracic; Greater Glasgow NHS: Paediatric Surgery Registrar and Training Surgeon. The majority of older graduates have become consultants in specialist surgical fields, e.g. at the Royal Free Hospital, Birmingham, Great Ormond Street, UCLH and generally throughout the UK and abroad.

Why study this degree at UCL?

The Division of Surgery & Interventional Science is part of one of the most prestigious medical schools in Europe, with a team of nearly 400 people, from surgeons and oncologists to clinical trials specialists and researchers. Our aim is to understand the causes of human disease and develop innovative therapies and technology to improve the quality of life of the people around us.

The UCL Medical School has highly rated science expertise within its academic and clinical departments thus guaranteeing an excellent research environment.

Students have the advantages of studying in a multi-faculty university with a long tradition of excellence, situated within the heart of one of the world's greatest cities.

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All part-time students must register for the PG Diploma in the first instance. MEd and PG Diploma in Surgical Education. The MEd and PG Diploma in Surgical Education programme aims to challenge your thinking and develop your practice as a surgical educator. Read more
All part-time students must register for the PG Diploma in the first instance

MEd and PG Diploma in Surgical Education

The MEd and PG Diploma in Surgical Education programme aims to challenge your thinking and develop your practice as a surgical educator. The programme offers a sound theoretical background to the principles of surgical education, an introduction to educational research methods, and the opportunity for intellectual growth and development within a stimulating and supportive environment. Its face-to-face nature enables dynamic discussion amongst your peers and tutors and fosters a community atmosphere from which to collaborate and develop your educational interests.

Programme structure
The PG Diploma consists of Modules 1-7, is available in part-time study mode only, and is delivered over a ten-month period.

The MEd qualification consists of eight modules (Modules 1-8), completed in full or part-time study mode.

The programme comprises five core modules (Modules 1-5) each consisting of one week intensive contact teaching time with further private study required to complete module preparation, coursework and assessment.

The modules consist of:

Module 1 - Policy and context of surgical education (mid October)
Module 2 - Introduction to learning and teaching (late November)
Module 3 - Introduction to assessment and appraisal (mid January)
Module 4 - Introduction to simulation and technology enhanced learning (late February)
Module 5 - Theory and practice of learning, teaching and assessment (late March)

Modules 1-5 are assessed by extended writing. Module coursework can be done in a range of formats but is typically carried out in small groups, often during the module.

Module 6a/b - Surgical Education Specialty Stream and Design Project: Selected at the beginning of the course this module provides an opportunity for students to study an area of interest at greater depth. The module includes individual study, three days face-to-face teaching (mid May 2017), and assessment.

Module 7 - Reflection for Surgical Education Project: Spans the PG Diploma stage and draws on learning across the modules to produce a reflective portfolio on teaching and learning.

Those continuing on to the MEd, or doing the MEd in full-time study mode, will also complete:

Module 8a/b - Research methods (8a) and educational research project (8b): Comprises a taught educational research methods element (8a) and conducting an individually supervised research project, written up as a dissertation (8b).

Part-time MEd students complete Module 8 during year-two of the course (e.g. in November).

Entry requirements

Minimum academic requirement:
Normally a 2.1 UK honours degree in a science, engineering, computing, healthcare or education subject plus basic computing experience. We also accept international qualifications of an equivalent standard. For guidance see our Country Index.
Additional requirements
Normally three years’ relevant experience in a healthcare field and/or relevant teaching/education development and research experience are necessary to take full advantage of this challenging programme.

English language requirements
All candidates must demonstrate English language proficiency for admission to Imperial College. Standards of proficiency are available on the College website.

Is this programme for you?
This programme is designed to: produce graduates equipped to further careers in healthcare and surgery –related education;

Our graduates are positioned to take increasing educational responsibility in Universities, Trusts and professional bodies.

Career prospects
We anticipate that graduates of this programme will be well placed to advance their careers in a range of directions. Many are likely to be fairly senior in their ‘first’ profession; for this group the programmes will represent professionalisation for their existing role. Participants are likely to be seeking career advancement through possession of an appropriate degree at Masters level for careers in royal colleges, NHS trusts (or their national equivalents) and in universities, for example in academic departments of surgery.

Key benefits

The PG Dipoma and MEd programmes in Surgical Education aim to challenge your thinking about surgical education. They embrace surgical education’s interdisciplinary nature by engaging, not only clinical educators, but also scholars from the social sciences, humanities and craft professions to illuminate teaching and learning in surgery. The PG Dip programme develops new areas of teaching to reflect contemporary research and scholarship, and ensures that the themes of surgery and education are always linked.

The MEd component provides the opportunity to learn research skills and carry out a research project under supervision.



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This unique programme offers the opportunity to develop and extend expertise in the established and rapidly developing areas of laparoscopic surgery and gastrointestinal endoscopy. Read more

Programme description

This unique programme offers the opportunity to develop and extend expertise in the established and rapidly developing areas of laparoscopic surgery and gastrointestinal endoscopy. The MSc accelerates surgical training and improves surgical skills that are essential for building confidence in clinical practice. The programme will provide you with a unique opportunity to gain postgraduate training and development in cognitive and motor skills using the surgical simulators. Our state-of-the-art Virtual Reality Surgical Simulation Centre removes the patient from the equation to allow novice learning and skill mastery to occur in a low-stress, high-feedback environment while protecting the patient from procedural inexperience.

You will be taught techniques of secure suturing, knot tying and bowel anastomosis using non-biological materials. You will also gain a clear understanding of the concept and theories surrounding the issues of research and critical appraisal along with academic writing.

This programme is designed to enhance your future career prospects in surgery. If you perform well and express an interest you may be given the opportunity to proceed to MD(Res) or PhD studies.

Programme Outline

The programme comprises of the following compulsory modules:
Laparoscopic Skills
Laparoscopic Suturing Skills
Laparoscopic Procedure Skills
Endoscopy Skills
Research Methods
Dissertation

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* One-year masters studentships are available for this stream. Each studentship will be worth £5000 and can be taken either as a reduction in fees or as a bursary. Read more

Studentships

* One-year masters studentships are available for this stream. Each studentship will be worth £5000 and can be taken either as a reduction in fees or as a bursary. Studentships will be awarded based on academic merit and are open to all applicants, regardless of fee status (home/EU/overseas). Please indicate 'Data Science' in the first line of your personal statement.

* Two PhD Studentships targeted at successful graduates from this stream. Two 3-year PhD studentships will be on offer, targeted at students obtaining a minimum of a Pass with Merit on the Data Science stream. These studentships will cover the cost of tuition fees for home/EU applicants and a stipend at standard Research Council rates.

Stream overview

The Data Science stream provides an interdisciplinary training in analysis of ‘big data’ from modern high throughput biomolecular studies. This is achieved through a core training in multivariate statistics, chemometrics and machine learning methods, along with research experience in the development and application of these methods to real world biomedical studies. There is an emphasis on handling large-scale data from molecular phenotyping techniques such as metabolic profiling and related genomics approaches. Like the other MRes streams, this course exposes students to the latest developments in the field through two mini-research projects of 20 weeks each, supplemented by lectures, workshops and journal clubs. The stream is based in the Division of Computational and Systems Medicine and benefits from close links with large facilities such as the MRC-NIHR National Phenome Centre, the MRC Clinical Phenotyping Centre and the Centre for Systems Oncology. The Data Science stream is developed in collaboration with Imperial’s Data Science Institute.

Who is this course for?

Students with a degree in physical sciences, engineering, mathematics computer science (or related area) who wish to apply their numeric skills to solve biomedical problems with big data.

Stream Objectives

Students will gain experience in analysing and modelling big data from technologically advanced techniques applied to biomedical questions. Individuals who successfully complete the course will have developed the ability to:

• Perform novel computational informatics research and exercise critical scientific thought in the interpretation of results.
• Implement and apply sophisticated statistical and machine learning techniques in the interrogation of large and complex
biomedical data sets.
• Understand the cutting edge technologies used to conduct molecular phenotyping studies on a large scale.
• Interpret and present complex scientific data from multiple sources.
• Mine the scientific literature for relevant information and develop research plans.
• Write a grant application, through the taught grant-writing exercise common to all MRes streams.
• Write and defend research reports through writing, poster presentations and seminars.
• Exercise a range of transferable skills by taking short courses taught through the Graduate School and the core programme of the
MRes Biomedical Research degree.

Projects

A wide range of research projects is made available to students twice a year. The projects available to each student are determined by their stream. Students may have access from other streams, but have priority only on projects offered by their own stream. Example projects for Data Science include (but are not limited to):

• Integration of Multi-Platform Metabolic Profiling Data With Application to Subclinical Atherosclerosis Detection
• What Makes a Biological Pathway Useful? Investigating Pathway Robustness
• Bioinformatics for mass spectrometry imaging in augmented systems histology
• Processing of 3D imaging hyperspectral datasets for explorative analysis of tumour heterogeneity
• Fusion of molecular and clinical phenotypes to predict patient mortality
• 4-dimensional visualization of high throughput molecular data for surgical diagnostics
• Modelling short but highly multivariate time series in metabolomics and genomics
• Searching for the needle in the haystack: statistically enhanced pattern detection in high resolution molecular spectra

Visit the MRes in Biomedical Research (Data Science) page on the Imperial College London web site for more details!

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We are pleased to deliver an innovative Level 7 Masters, MCh in Surgery with four individual awards in the specialist surgical pathways of. Read more
We are pleased to deliver an innovative Level 7 Masters, MCh in Surgery with four individual awards in the specialist surgical pathways of:
-Orthopaedics and Regenerative Medicine
-Otorhinolaryngology
-Urology
-Ophthamology*

*Subject to validation

Surgical pathways such as in General Surgery and Gynaecology and Emergency Obstetrics are planned to be included for the near future.

The theme of regenerative medicine and the teaching of practical skills through simulation runs through each of the specialist pathways and modules.

Orthopaedics and Regenerative Medicine

The specialist surgical field of orthopaedics has been central in the use of regenerative medicine. The focus in modern orthopaedics is changing as research exposes ever greater knowledge widening the spectrum of therapeutic options encompassing reconstruction, regeneration and substitution (Kim, S-J. and Shetty, A.A., 2011; Shetty, A.A. and Kim, S-J., 2013; Kim, J-M., Hans, J.R. and Shetty, A.A., 2014).

Research methods, studies in regenerative medicine and other emerging technologies feature poorly in the standard curriculum of the orthopaedic trainee. This limits the quality of research output, reduces the potential for innovation and slows the rates of adoption of transformative treatments for patients, while leaving the surgeon unable to critically evaluate new treatments.

This programme targets this deficiency with a strong emphasis on research methodology and critical analysis that is based on a platform formed of in-depth scientific knowledge and proven by translation into clinical practice.

Otorhinolaryngology

Otorhinolaryngology (Ear, Nose and Throat surgery – ENT) is a diverse surgical specialty that involves the management of both children and adults. In contrast to other surgical specialties the management of a significant number of conditions requires a non-surgical approach. An understanding of the pathogenesis and progression of pathology is essential. This surgical specialty is rapidly evolving. Significant progress has been made through regenerative medicine and technology, some locally through mobile platforms.

Entry into Otorhinolaryngology is competitive. This is often despite the fact that whilst at University many medical students may have had little, if any, formal training in ENT. Some junior trainees entering the specialty have had limited exposure which may affect their decision making.

The MCh in Surgery (Otorhinolaryngology) course aims to prepare a trainee to meet the challenges of the current and future challenges in Otorhinolaryngology. It provides an evidence based approach for the management of patients, and provides a foundation for those who will eventually undertake formal exit examinations in this specialty.

Urology

Urology is a surgical specialty dealing with the problems associated with the urinary tract and it deals with cancer, non-cancer, functional problems and diseases (Khan, F., Mahmalji, W., Sriprasad, S. and Madaan, S., 2013). In urology many problems can be managed with medications (for example treating erectile dysfunction and lower urinary tract symptoms have become largely by pharmaceutical agents) and this underpins the importance of understanding the basic science and molecular biology as applied to the specialty.

This surgical field is constantly evolving with technology being the main driver. Improvements have been made through lasers, optics, gadgets and robotics (Jeong, Kumar and Menon, 2016). Regenerative medicine is fast evolving in urology. The architectural simplicity of hollow structures (such as bladder) and tubes (such as the ureters and urethra) make them particularly amenable.

Despite the fact that many medical students may not have had a urology placement during their training (Derbyshire and Flynn, 2011) the specialty is very much sought after. Getting into urological training is very competitive. Doctors typically undertake research, obtain higher degrees and publish papers in peer-reviewed journals in order to advance their surgical training. A MCh in Surgery (Urology) will therefore be significantly valuable to you for not only your professional knowledge and skills but also to help you reach your goals of becoming a Consultant.

The MCh in Surgery (Urology) will prepare you to meet the challenges of current and future urologic medicine and surgery. All this provides a platform for further advancement of your scientific knowledge, innovative and forward thinking, career progression and camaraderie with fellow students.

Ophthalmology

Ophthalmology is a surgical specialty dealing with disorders of the eye and visual pathways. Although the treatment of eye conditions involves a range of therapeutic options, including medicine, laser and surgery, the surgical field in particular is constantly evolving with technology being the main driver. Improvements are being made through lasers, optics, and minimally invasive surgical procedures with enhanced outcomes for patients.

There is very little ophthalmology teaching in modern medical school curricula. However, the speciality is highly sought after with intense competition for a limited number of training positions. Therefore, doctors typically undertake research, obtain higher degrees and publish papers in peer-reviewed journals in order to advance their surgical training and improve their chances of achieving a training number. A MCh in Surgery (Ophthalmology) will provide you with a solid foundation and valuable qualification to enhance selection onto a career pathway in this highly competitive field, culminating in a Consultant appointment. The MCh in Surgery (Ophthalmology) will prepare you as a trainee surgeon to meet the challenges of current and future ophthalmology. Specifically, you will be taught to critically analyse and evaluate data through learning research methodology. You will then learn to apply this to clinical practice and to evaluate the different treatment options and new technologies with respect to patient benefit and outcomes. There will be the opportunity of studying a range of conditions and treatments in depth. All this provides a platform for further advancement of your scientific knowledge, innovative and forward thinking. A unique aspect of the MCh programme is the teaching of regenerative medicine. Regenerative medicine is fast evolving in ophthalmology, and this programme will help you to appreciate this area of medicine as applied to eye conditions. This is especially so in retinal conditions, optic neuropathies and glaucoma. The knowledge gained is critical not just for the local students from the United Kingdom but to any trainee from anywhere in the world.

The theme of regenerative medicine will run through each of the specialist pathway modules with its application, research and emerging technologies being critically explored. Although a key component and theme through this programme will be regenerative medicine, a further theme that will run through each of the modules is the teaching of practical surgical skills in each of the pathways and modules through simulation.

Aims of the Course

In order for you to be able to think in an innovative manner and to be prepared for modern challenges in surgery, this programme aims to develop your scientific insight into current and emerging technologies that will inform your clinical practice and help you to apply basic scientific discoveries to your clinical work for the benefit of your patients.

It aims to facilitate you to develop a critical understanding of current novel and potentially beneficial therapies that use regenerative medicine and digital health platforms in a way that will inspire and encourage you to use this knowledge and develop your own ideas. To be a competent, safe and compassionate surgeon, you need to be able to develop your critical, analytical and problem solving abilities.

The programme therefore will enable you to critically and analytically consider the evidence base presented to you, to confidently challenge this evidence and make comprehensive, considered and robust decisions on patient care. In doing so you will be enabled to think and work creatively and intellectually which in turn will stimulate you to search for new knowledge for the benefit of your patients and health care provision.

Further, this programme will enable you to be a lifelong learner, having developed critical, analytical and evaluative skills at Masters level, to undertake your own high quality research and search for innovation, which in turn will further progress your area of expertise. Integral to the programme is the need to develop and enhance a culture in you that ensures a willingness to challenge poor or bad clinical practice, improve service delivery and effect change.

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The MSc in Biomedical Science (via Distance Learning) is ideal for those interested in earning a Master’s degree while continuing to work. Read more

About the Programme

The MSc in Biomedical Science (via Distance Learning) is ideal for those interested in earning a Master’s degree while continuing to work. Developed for working graduates of engineering, technology or science who wish to upskill or change career direction, the 14 module course will introduce students to interdisciplinary research using technologies and skills from scientific, engineering and clinical disciplines. Modules include: Molecular & Cellular Biology, Anatomy (gross and histology), Innovation & Technology Transfer, Biomaterials, Molecular & Regenerative Medicine, Pharmacology & Toxicology, Tissue Engineering, Stereology, Biomechanics, Project Management, Experimental Design and Data Analysis, Monitoring for Health Hazards at Work, Lasers & Applications, Product Development, Validation and Regulation. Course contributors include senior academics, industry experts and scientists who are actively engaged in research in all areas of biomedical science.
The NUI Galway programme is based within the National Centre for Biomedical Engineering Science (NCBES), an interdisciplinary centre of research excellence with a primary focus on five research themes that include; Biomedical Engineering, Cancer, Infectious Disease, Neuroscience and Regenerative Medicine (see http://www.ncbes.ie for more details).

Career Opportunities

Current participants work in medical device and pharmaceutical companies including Boston Scientific, Abbott, Medtronic, Elan, Stryker, Allergan, Advanced Surgical Concepts, Pfizer, and Tyco Healthcare. Whether industry- or healthcare-based, precise job descriptions vary from sales, to R&D engineers. Completion of this new distance-learning biomedical science programme will broaden career prospects of new graduates and those who have already joined the work force.
As a current participant has said, “I feel the course has enhanced my position in my company, as well as opening up other career opportunities. It is a course well-worth pursuing,” Dermot, Senior Process Development Engineer.

A Prime Location

The NUI Galway campus offers students the vibrancy and activity of a bustling community with over 40,000 students. Offering an extensive range of academically-challenging undergraduate and postgraduate degrees and diplomas of international quality, NUIG’s programmes provide students with opportunities for personal and academic development, as well as equipping them with the skills and knowledge necessary to embark on successful careers. The University's long-standing policy of innovative programme development ensures that the teaching programmes respond to the ever-changing needs of employers and of the economy.
Being a University City, Galway is a lively energetic place throughout the year. The University, situated close to the heart of Galway, enjoys an intimate relationship with the city and during the academic year, 15% of the population of the city are students. A compact, thriving city, Galway caters to youth like few other places can. The University's graduates have played a pivotal role in all areas of the development of Galway, including the arts, industry and commerce.

Programme Delivery

The course is delivered over two years, based on a blended learning format; a mixture of face-to-face contact (approximately 9 hours per module) in addition to 12-18 hours per week of self-directed study combined with e-tutorial on-line support. Students attend on-campus lectures/tutorials on a Friday afternoon and/or Saturday, approximately once every 5 weeks. The final module of year one consists of practical experimentation, when students obtain hands-on experience of a range of biomedical and engineering techniques. Students are required to attend 3-4 practical sessions during this module. Completion of a research project (preferably at place of work) is also required. Semester 1 exams are held in January and Semester 2 exams are held in June. Students will also be required to produce a thesis based on a research project preferably carried out at their place of work.

Minimum entry requirements

Second Class Honours in any science, engineering, medical or technology discipline. Candidates with a general (ie non-honours), or third class honours, B.Sc./B.E. can still apply provided they have at least three years relevant work experience.

Apply

Apply online at http://www.pac.ie (look for college of science postgraduate course code GYS19). Selection is based on the candidate’s academic record at an undergraduate level and their relevant work experience.

First-hand Testimonials

“The masters in distance learning is ideal for anyone who wants to continue with their education without having the full time commitment of other courses that are 9-5, 5 days a week. The modules undertaken during the courses are varied and regardless of a physics or biology background the work is challenging without being too involved. The lab work is excellent-getting to work with new and exciting technologies the module notes are excellent and the tutors and lectures are brilliant.” Sinead, Physicist, self-employed
"A great course. Hard work, but fun. Well designed to meet the needs of the biomedical/medical device industry. It has added hugely to my understanding of the body, its function and the requirements of medical devices and the materials which go into them. I feel that it has expanded my horizons hugely." Martin, Senior Quality Engineer, Boston Scientific

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Chelmsford. If you're currently a trainee surgical care practitioner, working as part of a surgical team in a hospital and would like to develop your knowledge and skills, our part-time course accredited by the Royal College of Surgeons of England is for you. Read more

Campus

Chelmsford

Overview

If you're currently a trainee surgical care practitioner, working as part of a surgical team in a hospital and would like to develop your knowledge and skills, our part-time course accredited by the Royal College of Surgeons of England is for you.
You’ll work under the direction of a clinical consultant surgeon, as well as academics and explore techniques to evaluate, develop and influence practice to make sure that everything you do maintains and enhances patient care.
You’ll develop your skills in clinical reasoning and problem solving and understand professional, ethical and legal limitations.
You’ll learn on our Chelmsford campus through a mix of lectures, seminars and practical workshops, using our simulated skills laboratories, which mirror real-life clinical situations. You’ll gain experience in applied practice in clinical placements, within Trusts across the East of England, where you’ll be directly supervised and assessed by a dedicated medical practitioner.
By completing this course you'll achieve an MSc Surgical Care Practice, which leads to the title of Surgical Care Practitioner (SCP). SCPs work in surgical teams in a number of specialities, including urology, trauma and orthopaedics, cardiothoracic, plastic and reconstructive surgery, neurosurgery, paediatrics, general, vascular, maxillofacial, otorhinolaryngology and gynaecology.

Core Modules

Introduction to the Surgical Care Practitioner Role
Clinical Consultation and Assessment Skills
Surgical Care Practitioner Skills
Research Studies
Major Project
Please note that you will need to complete all of the above core modules. This course does not have any optional modules. Modules are subject to change and availability.

Start dates

January 2017
September 2017

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Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Trauma and Orthopaedic Surgery). Read more
Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Trauma and Orthopaedic Surgery). Consider approaches to care delivery, investigate the surgical patient experience and conduct a research investigation into a topic tailored to your own needs, enabling you to practice at an advanced level in this emerging specialist role. PLEASE NOTE: You must have completed the corresponding PgDip Surgical Care Practitioner programme to enrol for this award.

Key features

-Advance your professional expertise and specialist knowledge through learning tailored to your specialty.
-Consider research approaches to care delivery and investigate the surgical patient experience.
-Expand your research knowledge and skills to design and conduct your own study.
-Benefit from professorial academic, and theoretical teaching. Visiting lecturers include current practising qualified Surgical Care Practitioners and Consultant Surgeons.
-Further your career progression through the Knowledge and Skills Framework on completion of the MSc - national examples include practitioners achieving Band 8a and 8b, who manage their own operation lists, or organise and deliver screening and follow-up programmes.
-Royal College of Surgeons accredited programme.

Course details

Programme overview
Note: students must have completed a PgDip Surgical Care Practitioner in Trauma and Orthopaedic Surgery to enrol for this award.

Postgraduate certificate - to achieve a postgraduate certificate, you will need to earn 60 credits.

Postgraduate diploma - to gain a postgraduate diploma, you will need to earn 120 credits.

Master of Science - for a full masters degree, you will need to earn a total of 180 credits. You will study the same core modules as the postgraduate diploma, with the extra 60 credits coming from a research project in a related area of study.

Conduct a research investigation into a topic tailored to your own speciality and workplace.

Core modules
-SPP701 Substantive Professional Project
-APP703 Advancing Research Knowledge in Practice 2

Every postgraduate taught course has a detailed programme specification document describing the programme aims, the programme structure, the teaching and learning methods, the learning outcomes and the rules of assessment.

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Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Abdominal, Pelvic and General Surgery). Read more
Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Abdominal, Pelvic and General Surgery). Consider approaches to care delivery, investigate the surgical patient experience and conduct a research investigation into a topic tailored to your own needs, enabling you to practice at an advanced level in this emerging specialist role. PLEASE NOTE: You must have completed the corresponding PgDip Surgical Care Practitioner programme to enrol for this award.

Key features

-Advance your professional expertise and specialist knowledge through learning tailored to your specialty.
-Consider research approaches to care delivery and investigate the surgical patient experience.
-Expand your research knowledge and skills to design and conduct your own study.
-Benefit from professorial academic, and theoretical teaching. Visiting lecturers include current practising qualified Surgical Care Practitioners and Consultant Surgeons.
-Further your career progression through the Knowledge and Skills Framework on completion of the MSc - national examples include practitioners achieving Band 8a and 8b, who manage their own operation lists, or organise and deliver screening and follow-up programmes.
-Royal College of Surgeons accredited programme.

Course details

Note: students must have completed a PgDip Surgical Care Practitioner within a relevant Abdominal, Pelvic or General Surgery specialty to enrol for this award.

Postgraduate certificate - to achieve a postgraduate certificate, you will need to earn 60 credits.

Postgraduate diploma - to gain a postgraduate diploma, you will need to earn 120 credits.

Master of Science - for a full masters degree, you will need to earn a total of 180 credits. You will study the same core modules as the postgraduate diploma, with the extra 60 credits coming from a research project in a related area of study.

Conduct a research investigation into a topic tailored to your own speciality and workplace.

Core modules
-SPP701 Substantive Professional Project
-APP703 Advancing Research Knowledge in Practice 2

Every postgraduate taught course has a detailed programme specification document describing the programme aims, the programme structure, the teaching and learning methods, the learning outcomes and the rules of assessment.

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Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Cardiothoracic Surgery). Read more
Advance your professional expertise and specialist knowledge with MSc Surgical Care Practitioner (Cardiothoracic Surgery). Consider approaches to care delivery, investigate the surgical patient experience and conduct a research investigation into a topic tailored to your own needs, enabling you to practice at an advanced level in this emerging specialist role. PLEASE NOTE: You must have completed the corresponding PgDip Surgical Care Practitioner programme to enrol for this award.

Key features

-Advance your professional expertise and specialist knowledge through learning tailored to your specialty.
-Consider research approaches to care delivery and investigate the surgical patient experience.
-Expand your research knowledge and skills to design and conduct your own study.
-Benefit from professorial academic, and theoretical teaching. Visiting lecturers include current practising qualified Surgical Care Practitioners and Consultant Surgeons.
-Further your career progression through the Knowledge and Skills Framework on completion of the MSc - national examples include practitioners achieving Band 8a and 8b, who manage their own operation lists, or organise and deliver screening and follow-up programmes.
-Royal College of Surgeons accredited programme.

Course details

Note: students must have completed a PgDip Surgical Care Practitioner in Cardiothoracic Surgery to enrol for this award.

Postgraduate certificate - to achieve a postgraduate certificate, you will need to earn 60 credits.

Postgraduate diploma - to gain a postgraduate diploma, you will need to earn 120 credits.

Master of Science - for a full masters degree, you will need to earn a total of 180 credits. You will study the same core modules as the postgraduate diploma, with the extra 60 credits coming from a research project in a related area of study.

Conduct a research investigation into a topic tailored to your own speciality and workplace.

Core modules
-SPP701 Substantive Professional Project
-APP703 Advancing Research Knowledge in Practice 2

Every postgraduate taught course has a detailed programme specification document describing the programme aims, the programme structure, the teaching and learning methods, the learning outcomes and the rules of assessment.

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The Musculoskeletal Science MSc covers a broad spectrum of musculoskeletal topics, including basic science and clinical aspects. Read more
The Musculoskeletal Science MSc covers a broad spectrum of musculoskeletal topics, including basic science and clinical aspects. It aims to give students, in a multidisciplinary setting, a holistic view of musculoskeletal science, orthopaedic bioengineering and medicine, and provides an in-depth knowledge of specific areas appropriate to each student's individual interests.

Degree information

Students on this MSc programme acquire essential scientific knowledge, improve their basic research skills, and are equipped with the ability to solve the musculoskeletal problems emphasised within the NHS framework. The programme emphasises the four major areas as identified by the Bone and Joint Decade - arthritis, osteoporosis, trauma and spinal disorders, and transferable skills and research methodology in orthopaedic bioengineering.

Students undertake modules to the value of 180 credits. The programme consists of eight taught modules (120 credits), and a research project (60 credits).

Students will be awarded an MSc on successful completion of all taught modules and research project; a Postgraduate Diploma on successful completion of eight taught modules (all core modules plus any four from options); and a Postgraduate Certificate on successful completion of four taught modules.

A Postgraduate Diploma (120 credits, full-time nine months and flexible study up to five years) is offered. A Postgraduate Certificate (60 credits, full-time three months and flexible study up to two years) is offered.

Core modules
-Clinical Aspects of Musculoskeletal Medicine and Surgery, Part I
-Musculoskeletal Tissue Biology - Form and Function
-Musculoskeletal Biomechanics and Biomaterials, Part I
-Research Methodology and Generic Skills

Optional modules - up to 60 credits of optional modules (4 modules) drawn from the following:
-Clinical Aspects of Musculoskeletal Medicine and Surgery, Part II
-Musculoskeletal Tissue Biology - Disease and Dysfunction
-Musculoskeletal Biomechanics and Biomaterials, Part II
-Research Governance
-Clinical Experience in Musculoskeletal Surgery
-Surgical Skills in Orthopaedic Surgery

Dissertation/report
All MSc students undertake an independent research project that will contribute to cutting-edge scientific, clinical and industrial research, and culminates in a dissertation and oral examination.

Teaching and learning
The programme is delivered through a combination of taught lectures, seminars, tutorials, group project work and workshops. Assessment is through online MCQs, coursework, and the dissertation and viva voce. Candidates are examined in the year in which they complete the programme.

Careers

This programme offers students from a wide variety of disciplines the opportunity to gain a higher degree in an exciting and rapidly developing field, and equips them to make a strong contribution to the development of musculoskeletal services. The students can develop their careers in healthcare sector, medical device industry and bio-industry, regenerative medicine, regulatory bodies, as well as academic community.

Top career destinations for this degree:
-Orthopaedic Surgeon, St Thomas' Hospital (NHS)
-MBBS (Bachelor of Medicine, Bachelor of Surgery), King's College London
-Medical Research on Replacement Joints, Cardiff University (Prifysgol Caerdydd)
-Occupational Therapy Assistant, Watford General Hospital (NHS)
-Orthopaedic Surgeon, Assaswa International Hospital

Why study this degree at UCL?

The Division of Surgery & Interventional Science is part of one of the most prestigious medical schools in Europe, with a team of nearly 400 people, from surgeons, biologists, bioengineers and material scientists and oncologists, to clinical trials specialists and researchers. Our aim is to understand the causes of human musculoskeletal disease and develop innovative therapies and technology to improve the quality of life.

Students on this MSc will gain an unparalleled grounding in musculoskeletal science and orthopaedic bioengineering, including a holistic view of clinical care as well as orthopaedic sciences and bioengineering. The programme is run at the internationally renowned Royal Orthopaedic Hospital in Stanmore.

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This award has been designed to facilitate the learning of the generic skills and knowledge essential to successful higher clinical practice and careers in academic medicine by applying the principles of the scientific method to studies in both anatomical research and clinically-applied anatomy. Read more

Overview

This award has been designed to facilitate the learning of the generic skills and knowledge essential to successful higher clinical practice and careers in academic medicine by applying the principles of the scientific method to studies in both anatomical research and clinically-applied anatomy. Anatomy encompasses all levels of structural organisation, topographical, neuroanatomical, histological, cellular and developmental, as well as providing a basis for studies in radiological imaging and pathology. This approach allows students to integrate recent advances in molecular genetics, cell biology, microscopy, imaging and computer simulation to biological and clinical problems concerning the human body.

See the website https://www.keele.ac.uk/pgtcourses/medicalscienceanatomicalsciences/

Course Content

A total of 180 credits are required to achieve the MMedSci (Anatomical Sciences) Intercalated.

One third of the credits are associated with the major dissertation/project, one third are anatomy-related taught modules with practical content, and one third comprises a combination of core generic methodology modules and a choice of modules in areas of cell and molecular biology or applied clinical science.

COURSE MODULES

FOUR CORE modules which are compulsory:

Applied Morphological Techniques and Imaging (30 credits):

This module, taken early in the semester, introduces some of the key research techniques employed in anatomical, experimental and pathological investigations, including whole body methods, optical, confocal and electron microscopy, histochemical and immunocytochemical staining methods, and quantitative techniques such as morphometry and stereology. In general, half-day theory sessions are followed by practicals and visits to various research and pathology laboratories and seminars involve critical analysis of the literature and applications to project design and research grant funding.

Applied Clinical Anatomy 1 (15 credits):

A six-day module spread over semester 1, covering practical, theoretical and applied aspects of the anatomy and development of the muscular, nervous, cardiovascular and respiratory systems. The unit includes anatomy prosection practicals, anthropometry, ultrasound imaging and critical analysis of the research literature particularly in the field of neuromuscular anatomy, variations, anomalies, and applied anatomy.

Applied Surgical Anatomy (15 credits):

This module, spread over both semesters, provides students with the opportunity to acquire a thorough knowledge of anatomy as applied to surgical diagnoses and procedures as a foundation for understanding and developing the scientific and evidence base of current practice. Activities include anatomy dissection labs, small group work and presentations, case-based discussions and critical appraisal work on the anatomical and surgical literature and self-directed learning.

Research Methods in Health (15 credits):

The aims of this module are as follows:

• To develop the students’ understanding of the philosophical and methodological bases of health and social research
• To enable the student to make an informed and appropriate choice of research design and methods
• To equip the student with critical appraisal skills
• To provide the student with the methodological foundation for a research dissertation

THREE OPTIONAL modules, ideally ONE from each of groups A, B, and C by discussion with the course tutors:

Group A

• Statistics and Epidemiology (15 credits)
• Medical Education 15 credits)

Group B

• Stem Cells: Types, Diagnoses and Applications (15 credits)
• Cell & Tissue Engineering (15 credits)

Group C

• Physiology of Neuromusculoskeletal Tissue (15 credits)
• Psychosocial Aspects of Pain (15 credits)
• Concepts of Neurological Rehabilitation (15 credits)
• Physiology and Pharmacology of Pain (15 credits)
• Assistive Technologies in Neuromuscular Rehabilitation (15 credits)
• Dynamic Ultrasound Imaging (15 credits)

Dissertation/Project:
This may take the form of one long (9 month) dissection or laboratory-based research topic written up to include a literature review, methodologies, results and discussion. Alternatively, this could comprise a short dissection or laboratory research project and a related medical education research project written up as above. Some short exploratory anatomy lab research projects may be undertaken in the style of Applied Clinical Anatomy 2.

Additional Costs

Apart from additional costs for text books, inter-library loans and potential overdue library fines we do not anticipate any additional costs for this postgraduate programme.

Find information on Scholarships here - http://www.keele.ac.uk/studentfunding/bursariesscholarships/

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This programme orientates internationally qualified dental graduates to that of a UK dental practitioner by providing a comprehensive grounding in six key training areas. Read more
This programme orientates internationally qualified dental graduates to that of a UK dental practitioner by providing a comprehensive grounding in six key training areas: basic sciences and their application to modern day dental practice, applied principles of clinical dentistry, clinical skills, communication skills, professionalism, management and leadership.

The course is delivered under three broad headings:

1. Taught
Students will acquire knowledge and understanding of:

-Relevant basic sciences including anatomy, physiology, immunology, microbiology and molecular biology with respect to health and how these are altered in disease states
-Patho-physiological and anatomical basis for clinical signs of oral and craniofacial health and disease
-Relationships between dental disease, population risk factors and the preventative measures

And integrate this knowledge to dental areas through discussions in:

-Basic and clinical science associated with pharmacology and therapeutics used in dentistry
-The science underpinning the key properties of dental materials and evaluate their clinical applications


2. Clinical
Students' clinical skills will be augmented through practical, laboratory based sessions using typodont teeth set in a manikin head.

-Operative skills will be taught to ensure students can undertake skilled, competent and safe dental procedures including: cavity design, extra-coronal restorations and non-surgical endodontic treatment.
-Simulated clinical techniques will be undertaken and the student will be introduced to decision making processes leading to tooth loss and replacement and execution of appropriate operative techniques for all stages of planned prosthodontic treatment (excluding bridges and implants) in conjunction, as necessary, with other specialists and technicians.

Students will observe current UK dental practise via clinics in oral medicine, oral and maxillofacial surgery, periodontology, paediatrics, prosthodontics, radiology and orthodontics.

Tutoring in Objective Structured Clinical Reasoning Examinations (OSCE) and Structured Clinical Reasoning (SCR) Exams will be carried out using the advanced facilities in the state of the art dental skills laboratory.

3. Research
The research component consists of a structured literature review and clinical audit report. Students will acquire knowledge and understanding of:

-Critical appraisal and analysis of scientific and clinical literature
-How clinical audit identifies problems in clinical service and helps formulate solutions
-Appropriate tools for searching the literature (search engines, web-based libraries, electronic documents)

Students will develop the analytical skills to be able to:

-Critically appraise, analyse and evaluate scientific papers and clinical literature applying the principles of evidence based dentistry
-Evaluate evidence of the latest developments in Dentistry
-Communication skills will be developed throughout the taught, clinical and research elements of the course with specific topic presentations during seminars as well as through journal club reports and presentations on dental and clinical governance topics.

The application deadline is 30th June 2017. Once we have received applications by the deadline the first selection process will begin. We reserve the right to receive further application after the deadline and make decisions on those applications in July/August subject to places being available.

Why study for your MSc in Dental Science for Clinical Practice at Queen Mary?

The School of Medicine and Dentistry has an unrivalled tradition of excellence in research and teaching extending as far back as 1123 with the founding of St Bartholomew’s Hospital. The London Hospital Medical College was the first Medical School in England, founded in 1785, and our Dental School was established well over a century ago. We are ranked 3rd in the UK for Dentistry (Guardian University Guide 2017) and our research is ranked among the best in the UK according to the most recent Research Excellent Framework (REF 2014).


In April 2014, QMUL’s new Dental School opened its doors to patients and students - the first new dental school in the UK to be built in 40 years. The £78m new school houses the most modern dental facilities in the UK, following more than a decade of planning and work. The new premises provide cutting-edge technology, superb education and research facilities for clinical dentistry and a vastly improved patient experience.


Students’ postgraduate learning experience is enhanced by our fantastic location in the east of London. Not only are we in one of the capital’s most vibrant areas to live and work but we also serve a diverse local community, where students develop their clinical skills and knowledge. Moreover, the Dental School offers students many exciting opportunities to develop an understanding of health and the treatment of disease in a global and international context.


The Institute of Dentistry is a special place to undertake postgraduate studies, bringing together a number of world-leading researchers in basic and clinical sciences who supervise research students in the fields of oral medicine, oral pathology, oral microbiology, oral epidemiology, oncology, dental biomaterials, dental biophysics, dental public health, dental education, periodontology, orthodontics, paediatric dentistry, prosthetic and conservative dentistry.


You will have the opportunity to attend Continuing Development Courses of the London Deanery, Royal Society of Medicine (Odontology Section) as well as internal Departmental and Dental and Blizard Institute seminars.


You will prepare a professional development portfolio based on evidence gathered from lectures, tutorials, clinics, self-study and self-reflection sessions.


Facilities
You will have access to a range of facilities including: medical and dental libraries located at the Royal London and at Barts hospitals, as well as the Mile End library.

Postgraduate Dental students will have access to the Dental Clinical Skills Laboratory based in the Garrod building at the Whitechapel Site.

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Oral and Maxillofacial Surgery is the specialty concerned with the diagnosis and management of diseases, injuries and defects affecting the mouth, jaws, face and neck. Read more
Oral and Maxillofacial Surgery is the specialty concerned with the diagnosis and management of diseases, injuries and defects affecting the mouth, jaws, face and neck.

All units are based on the speciality of oral surgery but within the wider context of maxillofacial surgery. The three year course provides specialist oral surgery clinical training. You will undertake minor oral surgery under supervision, carried out under local anaesthesia, conscious sedation and general anaesthesia. You will also attend theatre to assist and observe major surgery and attend consultation clinics, trauma clinics, ward rounds and carry out ward duties.

The clinical component of the course consists of the following units:
-Surgical Basic Sciences (Basic surgical science, preoperative and postoperative care) and Patient Care (Assessing patients, medical aspects of patient care and control of pain and anxiety)
-Reflective Oral Surgery Practices
-Dental Tissues (Infections and inflammation of the teeth and jaws, removal of teeth and surgical implantology)
-Bone: Disease and Injury (Diseases of bone and the maxillary sinus, oral and maxillofacial injuries)
-Soft Tissues (Cysts, mucosal disease, premalignancy and malignancy)
-Salivary Tissue, Pain and TMJ (Salivary gland disease, facial pain and disorders of the temporomandibular joint)

You will attend weekly interactive seminars led by senior staff and some invited guest speakers. Some of these have actor patients present to allow you to rehearse your clinical skills. If you study the full three year MSc you will also attend external teaching events such as residential blocks for basic science applied to surgery at the Royal College of Surgeons of England.

Aims

The course aims to:
-Provide dental practitioners with the knowledge and skills to undertake oral surgery in the context of wider knowledge of oral and maxillofacial surgery
-Provide you with the appropriate knowledge, understanding, intellectual skills, practical skills and attitude to practice oral surgery in selected cases
-Enable you to carry out critical evaluation, problem solving and use sound judgement for clinical problems
-Give you the knowledge to criticalyl understand the issues involved in the scientific basis of oral and maxillofacial surgery
-Ensure you are competent in the design and interpretation of original clinical research at the forefront of current dental research (including data collection and statistical analysis using appropriate computer software)
-Provide you with the knowledge and experience to plan, implement and complete a research project showing initiative and personal responsibility

Career opportunities

MSc courses are designed for dental practitioners who wish to further their knowledge of surgery and are a useful foundation for specialist training in this field.

The three year course provides specialist oral surgery clinical training.

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