TECHNICAL STANDARDS FOR THE DOCTOR OF MEDICINE DEGREE
The curriculum, as established by the
faculty, represents a core curriculum essential to all physicians. Therefore,
Temple University School of Medicine expects that each student admitted will be
capable of completing the full curriculum of required courses and electives
under the established School policies. In the admission of students, all
individuals are considered on the basis of total personal and academic
qualifications. This includes assessment of prior academic achievements, scores
on standardized national examinations, and such personal qualifications as
motivation and interest in medicine, resourcefulness, leadership,
problem-solving ability, personality and character. Applicants to Temple
University School of Medicine are considered without regard to handicap but with
the expectation that all parts of the curriculum can be completed. The presence
of a handicap may impede that individual’s ability in one or more of these
areas. In these cases, the School must be fully satisfied that the applicant can
make normal progress through the curriculum.
As outlined by the Association of
American Medical College’s Advisory Panel on Technical Standards, candidates for
the MD degree must have the functional use of the senses of vision and hearing.
Candidates’ diagnostic skills will also be lessened without the functional use
of the senses of equilibrium and smell. Additionally, they must have sufficient
exteroceptive sense (touch, pain and temperature), and sufficient motor
functions to permit them to carry out the activities described in the sections
that follow. They must be able to integrate consistently, quickly and accurately
all information received by whatever sense(s) employed, and they must have the
intellectual ability to learn, integrate, analyze arid synthesize data.
A candidate for the MD degree must
have abilities and skills of five varieties, including: observation;
communication; motor, conceptual; integrative and quantitative; and behavioral
and social. Technological compensation can be made for some handicaps in certain
of these areas but a candidate should be able to perform in a reasonably
independent manner. The use of a trained intermediary means that a candidate’s
judgment must be mediated by someone else’s powers of selection and observation,
and is not acceptable.
Observation: The candidate must be able to observe demonstrations and
experiments in the basic sciences, including but not limited to physiologic and
pharmacologic demonstrations, microbiologic cultures, and microscopic studies of
micro-organisms and tissues in normal and pathologic states. A candidate must be
able to observe a patient accurately at a distance and close at hand.
Observation necessitates the functional use of the sense of vision. It is
enhanced by the functional use of the sense of smell.
Communication: A candidate should be able to speak, to hear and to
observe patients in order to elicit both verbal and non-verbal information, and
must be able to communicate effectively and sensitively with and about patients.
Communication therefore includes speech, reading and writing. The candidate must
be able to communicate effectively and efficiently in oral and written form with
the patient, the patient’s family, and all members of the health care team,
including referral sources such as agencies and other physicians.
III. Motor: Candidates should have sufficient motor function to carry out basic
laboratory techniques and to elicit information from patients by palpation,
auscultation, percussion, and other diagnostic maneuvers. Candidates must be
able to perform anatomical dissections. They must have sufficient motor ability
to use a microscope. A candidate should have the motor skills which will allow
him/her to do basic laboratory tests (urinalysis, gram stain, preparation of a
blood smear. etc.), carry out diagnostic procedures (proctoscopy, paracentesis,
etc.), perform and read EKGs and read x-rays. A candidate should be able to
execute motor movements reasonably required to provide general care and
emergency treatment to patients. Examples of emergency treatment reasonably
required of physicians are cardiopulmonary resuscitation, the administration of
intravenous medication, the application of pressure to stop bleeding, the
opening of obstructed airways, the suturing of simple wounds, and the
performance of simple, general gynecologic procedures. Such actions require
coordination of both gross and fine muscular movements, equilibrium and
functional use of the senses of touch and vision.
Intellectual-Conceptual, Integrative and Quantitative Abilities: These
abilities include measurement, calculation, reasoning, analysis and synthesis.
Problem-solving, the critical skill demanded of physicians, requires all of
these intellectual abilities. In addition, the candidate should be able to
comprehend three-dimensional relationships and to understand the spatial
relationships of structures.
V. Behavioral and
Social Attributes: A candidate must possess the physical and emotional
health required for full utilization of his/her intellectual abilities, the
exercise of good judgment, the prompt completion of all responsibilities
attendant to the diagnosis and care of patients, and the development of mature,
sensitive and effective relationships with patients. Candidates must be able to
adapt to changing environments, to display flexibility and to learn to function
in the face of uncertainties inherent in the clinical problems of many patients.
Compassion, integrity, concern for others, interpersonal skills, interest, and
motivation are all personal qualities that are assessed during the admission and