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Texila American University
Georgetown, Guyana, South America
PG Regular Program
Students Handbook
2013
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PREFACE
Texila American University (TAU), college of Medical and Allied Health
Sciences welcomes the prospective candidates to the MD/MS Program. This
hand book provides information on the rules, regulations, policies and
procedures pertaining to the award of MS/MD degree.
The material containing in the hand book is subject to periodical review at
least once in a year and the alterations like additions and deletions will be
updated and posted on the University website. All enquiries or suggestions
should be directed to:-
Texila American University
Critchlow, Woolford Avenue
Georgetown, Guyana, South America.
E-mail: [email protected]
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GENERAL INFORMATIONAn Overview
TAU Credentials
About Texila American University
PG Regular Program
REGULATIONSEntry Level
Duration of the Program
EnrollmentHospital
COURSE DELIVERY AND CONTENTSAcademic Process
Program Requirements
Case Studies
Conferences
CME Programs
Interesting Cases Attended
RESEARCH ACTIVITIESArticle Reviews
Whats an Article Review?
Research and Publication
ASSESSMENTExamination
CONTENTS
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Practical
Award Of Degree
ACADEMIC STANDARDSPostgraduate Advisory Committee
COURSE FEES: SESSIONTuition Fee Structure
TAU- AFFILIATED HOSPITALS IN INDIA
ACADEMIC CODE OF CONDUCTAcademic Integrity
Academic misconduct
Plagiarism
Improper influence
General code of conduct
Withdrawal
Refunds
Deferrals
Supplementary fees
Convocation fees
Duplicate Transcript and Degree fees
Academic requirements
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EXAMINATION
CONTACT DETAILS
APPENDIX
ACKNOWLEDGE OF RECEIPT AND UNDERSTANDING
OF STUDENT HANDBOOK
AN OVERVIEW
ABOUT TEXILA AMERICAN UNIVERSITY
Texila American University (TAU) is located in Guyana, the only English speaking country
in South America. TAU offers Health Science programs with a high level of professionalism,
exactness and problem solving skills, upon which the foundations of specialist training and
an independent medical practice can be built, which facilitates further education and
development of their knowledge throughout their life. The curriculum at the TAU is
structured after the best U.S. medical schools. The academic program is both acceleratedand rigorous, with a focus on preparing students for licensure in the United States,
Caribbean and India.
TAU CREDENTIALS
Registered with National Accreditation council of Guyana (which is governed byMinistry of Education).
Listed in WHO (World Health Organization) Handbook. Member of IADR (International Association for Dental Research). Member of GAME (Global Alliance for Medical Education). Member of AMEE (International Association for Medical Education).
TAU offers National Accreditation Commission (NAC) registered Programs, full-time
programs in Medicine, Dentistry, Nursing, Pharmacy and other Allied Health Science
GENERAL INFORMATION
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programs including Clinical Research. TAU offers Behavioral Science programs such as
public health, clinical psychology, counseling psychology etc into distance learning mode.
TAUs distance learning program helps the doctors, working professionals and employees
to study along with their job and family commitments.
PG Regular Program:
PG Regular program is an unique program offered by TAU, whereby students who have
completed their Under Graduation in MBBS can pursue the MD/MS program through
Texila.
ENTRY LEVEL
Students are selected based on their educational qualification.
Students who have completed their MBBS are enrolled in the program in university
approved hospital for training.
DURATION OF THE PROGRAM:
Three Years
ENROLLMENT
Enrollment of students takes place twice a year March and September.
REGULATIONS
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COURSE DELIVERY & CONTENTS
ACADEMIC PROCESS
Students undergo the program as per the prescribed curriculumincluding the clinical rotations.
During the period of their stay, they will have to maintain the logbook prescribed by the university.
SUBMISSION OF PERIODICAL REPORTS
The Formative Assessment Report (FAR) will have to be sent to theuniversity at 6 months interval.
The Clinical assessment report (CAR) will have to be submitted afterthe completion of every clinical rotation.
The Assignment and Log book has to be submitted on every week. These report has to be sent to the academic coordinator PG
program ([email protected]) Reports will be reviewed by the Dean.
Clinical Rotation
Clinical rotations will be coordinated by the Academic Coordinator ofthe approved hospital.
COURSE DELIVERY & CONTENTS
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Students have to abide by the regulations and norms of the hospital.
RESEARCH ACTIVITIES
The university expects a clinical based research work to be done by the
students.
THESIS SUBMISSION:
Students pursuing regular PG programs are encouraged to conduct clinical
based research. They will submit FIVE copies of hard bound thesis to the
university.
Out of the five copies one will be retained by the university, one by the studentand the other three will be for the examiners.
The student will have to send the draft format of the final thesis to the
Dean - PG programs for his final consent and approval.
Students are advised to print the final hard copy after the approval of the
Dean or the University.
Research Activities/ Article Reviews
Students will have to submit the research proposal by the end of the1st
Students will have to submit at least 2 research articles before thecompletion of the course.
year.
The Thesis has to be submitted before the examination. The format of the thesis protocol is given in Appendix 2.
Research and Publication:
TAU is a research oriented university and firmly believes in promoting the
research capability of its postgraduate students and also assists students to
publish their articles in the International journals. Accordingly, the students
should have the following number of articles published as shown below:-
RESEARCH ACTIVITIES
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At least 2 article reviews should be done before the final examination.
Article reviews will be published in International referral and indexed
journals.
(A format of the Article Review is given in Appendix- 1)
ARTICLE REVIEWS
Writing Article Review is an essential component of higher learning which will-
Enhance students understanding in to the subject. Orient students to the contemporary development in the field. Help students to contextualize his learning skills.
Whats an Article Review?
An Article review is an attempt by one or more writers to sum up the
current state of the research on a particular topic. Ideally, the writer searches
for everything relevant to the topic and then sorts it all out into a coherent
view of the state of the art as it now stands. Article Review will teach you
about:
The main people working in a field. Recent major advances and discoveries. Significant gaps in the research. Current debates. Ideas of where research might go next.
Article Reviews are virtual gold mines if you want to find out what the key
articles are for a given topic. Unlike research articles, review articles are good
places to get a basic idea about a topic.
Note: All article reviews submitted to the University will be subjected to
review and later published in an International journal.
(Reviewers Guideline is given in the Appendix- 1)
Research and Publication:
TAU is a research oriented university and firmly believes in promoting the
research capability of its postgraduate students and also assists students to
publish their articles in the international journals.
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The university will assist the students to publish their article reviews
and research in international referral and indexed journals.
INTERNAL ASSESSMENT:
Weekly Assignment:
Student has to submit weekly assignments, every week he/she will submitone short and long answer assignments. The assignments should reach the PG
coordination office by every Monday
Weekly Logbook:
Students will submit their log entries every week; the report should reach the
PG coordination office by every Monday
FAR and CAR:
Every SIX months students will send the Formative Assessment Report and
Clinical Assessment Report
Internal Assessment Examination:
At the end of the each year an internal Examination will be conducted
FINAL EXAMINATION
After the end of the term, students will have to give the final exams. Itconsists of 4 theory papers and 1 practicals.
Normally there will be 1 to 2 papers in applied basic sciences and 2 to 3papers in Clinical subjects. The number of basic science subjects would
depend on the specialty under taken.
ASSESSMENT
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Practical
Long Case Short Case Table Viva Thesis Viva
Students should have submitted the following before the final
examinations to receive the Masters Degree
Case studies Conferences CME programs Interesting cases attended Article Reviews Proof of publication
NOTE: 40% OF MARKS WILL BE FOR THE PERIODICAL SUBMISSION OF
LOG BOOKS, Assignments, CAR, FAR ETC..,
AWARD OF DEGREE
After successful completion of the program and passing theexamination, the students will receive the transcripts and the Masters
Degree from Texila American University.
The academic advisory board periodically reviews the PG regular program. It
monitors the conduct of the program through the program consultant and
also checks the quality through the students
POSTGRADUATE ADVISORY COMMITTEE
Dr. Vinod K. Srivastava
Vice Chancellor - College of Medicine
ACADEMIC STANDARD
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Dr. A. Anand, PhD
Director- External Programs
Texila American University
ANAESTHESIA
Dr. T. Kanagarajan. MBBS, MD
Anaesthesiologist.
CMC- Coimbatore.
Dr. T. Ashok Hariharan, MD, FRCA
Consultant Intensivist/Anaesthesiologist.
K.G. Hospital- Coimbatore.
GENERAL SURGERYDr. V.P. Shanmugasundaram. MS, FICS
Chief Laparoscopic & General Surgeon.
K.G. Hospital- Coimbatore.
FAMILY MEDICINE
Dr. Sindu. J. Punnooran. MBBS, DNB, MNAMS
Physician
K.G. Hospital- Coimbatore.
CLINICAL CARDIOLOGY
Dr. Nithiyan. MD, DNB (CARD), FIC (IC)
Cardiologist
K.G. Hospital- Coimbatore.
DIABETOLOGY
Dr. j. Giri. MD, PGDipDC (Australia)
Director- Regional Diabetic Center.
K.G. Hospital- Coimbatore
COURSE FEES: SESSION
Tuition Fee Structure
Annual fees must be paid before the commencement of the term.
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TAU- AFFILIATED HOSPITALS IN INDIA
1.
Ruby Hall Clinic - Pune
Ruby Hall Clinic had a humble beginning when the founder chairman Dr. K.B.
Grant, an eminent cardiologist himself, started a small nursing home in 1959
in the bungalow Ruby Hall, owned by General David Sassoon at the present
location of the hospital with just two beds. In 1966 it was converted from a
private institution to a public charitable trust Poona Medical Foundation. It
was later converted to the Grant Medical Foundation in 2000. Today Ruby
Hall Clinic boasts of 550 inpatient beds including 130 intensive care beds;
with staff strength of 150 consultants, 500 panel doctors and 1400paramedical staff.
2. KG Hospital as an affiliated hospital of Texila American UniversityK.G. Hospital & Post Graduate Medical Institute, a multi and super speciality
hospital, run by K. Govindaswamy Naidu Medical Trust, Coimbatore, an
approved medical trust, is in the forefront in the country in providing
advanced medical care at affordable cost. An NABH accredited hospital, it has
treatment options conforming to international standards in all specialities.The hospital has state-of-the-art equipments in all disciplines.
The hospital founded in the year 1974 has achieved EXCELLENCE by
performing breakthrough surgeries of a high order, including AWAKE HEART
SURGERY, dialysis of a new born baby, kidney transplant from a brain dead
victim by transporting him from Trivandrum in our Responder 2000 and
MULTI ORGAN CADAVER SURGERIES.
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Academic Integrity:
Academic integrity is a vital part of the culture of all successful institutions of
higher learning. The value of the degrees, certificates and coursework offered
by TAU greatly depends, now and in the future, on its reputation as an
institution dedicated to academic honesty. This Academic Integrity Policy
provides guidance in helping students and faculty understand the meaning
and importance of academic integrity; defines academic dishonesty; and
outlines the procedures for handling infractions of academic integrity. No
provision or section of this policy shall be construed as infringing upon the
academic freedom of any member of TAU to pursue and participate in any
academic endeavor ordinarily considered appropriate. Each member of the
TAU community is charged with honoring and upholding the policies andstudents are responsible for understanding the Universitys policy regarding
academic integrity and academic misconduct as well as the sanctions that may
be imposed as a result of academic misconduct. Students are also responsible
for understanding their appeal rights associated with findings of any policy
violation. Students are responsible for reading the email notices posted to the
students email on time to time basis. Students shall practice the provisions of
the Universitys Code of Academic Integrity and uphold integrity in their
academic pursuits. The students of TAU are expected to:
Conduct themselves in accordance with principles of academic integrity Behave so as to foster an atmosphere of honesty and fairness Avoid plagiarism and other forms of academic misconduct Give truthful information to any University professional educator or to
any other University employee regarding issues concerning academic
integrity or academic misconduct, or suspected academic misconduct
Not alter, misuse, or forge any College document, record, or instrumentof identification.
The students are not excused from these provisions because of any failure orinability on the part of the professional educator to prevent other instances of
academic misconduct.
ACADEMIC CODE OF CONDUCT
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Academic Misconduct:
Academic misconduct includes any act that improperly affects the evaluation
of a students academic performance or achievement, or any act designed to
deceive a professional educator. Specific infractions include, but are notlimited to, the following:
Plagiarism:
Plagiarism means presenting someone elses ideas or words as ones own. It is
an act of fraud since it involves both stealing someone elses ideas and/or
words and lying about it afterwards. Plagiarism may involve some degree of
intent or may be the result of carelessness or ignorance of acceptable forms
for citation. Not knowing how or when to cite a source does not excuse an act
of plagiarism. Each of the four kinds of plagiarism below is a breach ofacademic integrity.
a. Copying without citation, the most serious form of plagiarism, involvescopying part or all of a paper from the Internet, from a book or
magazine, or from another source without indicating that the work is
someone elses. To avoid this form of plagiarism, quoted material must
be placed in quotation marks and one of the standard forms of
documentation (APA, MLA, etc.) must be used to indicate where the
material came from.
b. Copying from an external source and citing the source but failing toshow (by the use of quotation marks, for example) that the material is a
direct quotation is another form of plagiarism. Simply documenting the
source does not indicate that the words themselves are someone elses.
Avoiding this form of plagiarism involves putting all quoted material in
quotation marks or using the format designated by APA, MLA etc. to
indicate quoted material.
c. Incorrect paraphrasing is another form of plagiarism. Paraphrasinginvolves putting a lengthy phrase, sentence, or group of sentences
written by another into ones own words, thereby making it significantlydifferent from the original. Changing a few words, or rearranging words,
is not proper paraphrasing, and though the source is cited (as is always
required with paraphrased material), wording remains substantially
that of another and cannot rightfully be represented as original.
Avoiding this form of plagiarism involves either making the material a
direct quote by using quotation marks and citing the source, or
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paraphrasing properly by substantially changing the original to new
words; again, making sure to cite the source.
d. Presenting arguments, lines of reasoning, or facts learned fromsomeone else without citing the source, even if the material is
paraphrased, is another form of plagiarism. The source must beproperly cited
Improper Influence:
Attempting to influence a grade or to receive any other academic benefit not
earned through the normal exercise of academic effort by offering anything of
value, including the performance of services, to a professional educator,
College employee, other College student, or any other person, is prohibited.
A student may appeal against any decision as a result of academic misconduct
through the established Grievance Procedure and Official Review Process forAcademic Standards of TAU.
General Code of Conduct
The Student shall strictly follow and adhere to rules and regulation of TAU
which is included in this handbook, student indemnity form and periodic
notices published by TAU which shall be updated from time to time. Students
should not be involved in any activities directly or indirectly which would
tarnish the image of the University or any other activities such as: Making negative remarks about TAU or its Students to other fellow
students, staff or others.
Disrespect TAU Staff and Peers group in any form.1. Withdrawal:
It is the permanent discontinuation from the program and quitting the
education with the University. Student may decide to discontinue the program
and quit the University, ideally before the beginning of the program and not
later than the 1st week of the program. There shall be no REFUND forwithdrawal.
2. Refunds: (want to check with CEO sir)There will be NO refunds on application, registration, examination or any
other fees to the students who withdraw from the program before the
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completion of the program. Students withdrawing within one week from their
joining date will be refunded with the tuition fees paid by the student after
deducting 1000 USD. There will be no refund on tuition or hostel or any other
fees for the students withdrawing after 3 weeks from the date of their joining.
3. Deferrals:Students are entitled to deferral, where they can be entitled absence from
starting the program for a maximum of ONE month due to a valid reason, if
the student is not responding for more than a month will be automatically
moved to next batch. Continuous to be non-responding the students will be
automatically considered as withdrawn.
4. Supplementary fee.Students who fail to clear the subjects in their first attempt will have to give
the supplementary exams. This exam can be given after paying the prescribed
amount to the university.
5. Convocation fee.The degree and Transcript will be awarded to successful students who have
cleared the final exams conducted by TAU. The students will have to fill up the
Graduation form with the Convocation fee of 350 USD transferred to theuniversity bank. Convocation dates will be informed to the students and will
be conducted yearly once the discretion of the university.
6. Duplicate Transcripts and Degree.Duplicate Transcripts and Degree can be obtained from the university upon
sending a formal request by the student stating the reason for the duplicate
with supporting documents. A fee of 500 USD will have to be paid to the
university for the preparation of the Transcript and Degree and attesting thesame.
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7. Academic requirements.Students will have to submit all the academic requirements on time. The
academic reports submitted will be evaluated and will be taken for the
Internal Assessment. All the academic reports need to be submitted throughLMS Learning Management System and only reports submitted through
LMS will be evaluated. Non submission of reports through LMS can reduce
your internal assessment scores and also lead to extension of your program.
Examination
Internal Assessment
End of 1st
year
1st Internal
Assessment Paper IThe question will be
from Assignment topics.
You will ask to write 10
answers out of12. Each
question will carry 10
marks
End of 2nd
year
2nd Internal
Assessment
Paper II and
Paper III
End of 3rd
Year
3 rd Internal
Assessment Paper IV
Final Examination at the 3rd Year
Paper I
External
Examination
The questions will be based on the
curriculum topics
Paper II
External
Examination
Paper III
External
Examination
Paper IV
External
Examination
ClinicalsExternalExamination
Apart the Examination the student will have Dissertation and Viva
EXAMINATION
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As for as the Internal examination is concerned, these are the policies
Internal Assessment Policy:
1. You will be given 12 questions from the assignment topics and you will
have to answer 10.2. Each question will carry 10 marks.
3. Your internal marks will be based on the end of the year exam, assignments,
and other reports and will be evaluated for 40%.
4. Final external exam will be at the end of the 3rd year for 100 marks which
will be converted to 60%.
APPENDIX- I
Reviewer Guidelines
How to Review a Journal Article:Suggestions for First-Time Reviewers and Reminders for Seasoned Experts
Guidelines for Reviewing
Here are nine things you should consider as you examine the manuscript and writeyour review:
Look for the "intellectual plot-line" of the article. You can do this from first skimming
through the manuscript and then giving it a once-over read. As you do this, ask the five
major questions that are central to the research review process:
What do the researchers want to find out?
Why is that important to investigate or understand?
How are the researchers investigating this? Are their research methods appropriateand adequate to the task?
What do they claim to have found out? Are the findings clearly stated?
How does this advance knowledge in the field? How well do the researchers place their
findings within the context of ongoing scholarly inquiry about this topic?
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Look at the organization of the article. Can you find answers to the above questions
quickly and easily?
Can you trace the logic of investigation consistently from the opening paragraphs to the
conclusion?
Then go back to the opening paragraphs of the article. Are the research questions
specifically stated? Is it clear what the authors want to find out? Do they make the case
that this is an important area for research inquiry?
The next section is usually a review of the existing research literature on this topic. Do
the authors present a convincing line of argument here--or does it appear that they are
just name-dropping (citing sources that may be important, without a clear underlying
logic for how they may be important)? Do the authors focus on ideas, or merely on
discrete facts or findings? Have they given sufficient attention to theory--the cumulative
attempts at prior explanations for the questions they are investigating? Are theresearch questions or hypotheses clearly derivative of the theory and the literature
review? In short: How well do the authors set the stage for the research problem they
are reporting?
The methods and procedures section is usually next; and this is where neophyte
reviewers often start (unwisely) to sharpen their knives. The selection of methods by
which the researchers collect data always involve compromises, and there are few
studies that cannot be criticized for errors of commission or omission in terms of
textbook criteria for research design and data collection procedures. You could focus on
three questions here:
Do the authors clearly describe their research strategies? Do they present sufficientdetail about the sample from which they have collected data; the operationalization of
measures they have attempted to employ; and the adequacy of these measures in terms
of external and internal validity? In addition, there should be no surprises here: The
measures should be clearly matched to the research questions or the hypotheses.
Are their choices of methods adequate to find out what they want to find out in this
study? Would other methods provide a substantial improvement; if so, would
employing these methods be feasible or practical?
Do they provide some justification for the methods they have chosen? Does this appear
to be adequate?The section presenting research results is surely the heart of the article--though not its
soul (which the reader should find in the opening paragraphs and in the discussion
section). Reviewers might consider four questions here:
Does the results section tell a story--taking the reader from the research questions
posed earlier to their answers in the data? Is the logic clear?
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Are the tables and figures clear and succinct? Can they be "read" easily for major
findings by themselves, or should there be additional information provided? Are the
authors' tables consistent with the format of currently accepted norms regarding data
presentation?
Do the authors present too many tables or figures in the form of undigested findings?Are all of them necessary in order to tell the story of this research inquiry; or can some
be combined? Remember that tables and figures are very expensive (from the
standpoint of the journal) and that undigested data obscure rather than advance the
cumulative development of knowledge in a field.
Are the results presented both statistically and substantively meaningful? Have the
authors stayed within the bounds of the results their data will support?
The discussion section is where the authors can give flight to their findings, so that they
soar into the heights of cumulative knowledge development about this topic--or crash
into the depths of their CV's, with few other scholars ever citing their findings. Of coursefew research reports will ever be cited as cornerstones to the development of
knowledge about any topic; but your review should encourage authors to aspire to
these heights. Consider the following as you evaluate their discussion section:
Do the authors present here a concise and accurate summary of their major findings?
Does their interpretation fairly represent the data as presented earlier in the article?
Do they attempt to integrate these findings in the context of a broader scholarly debate
about these issues? Specifically: Do they integrate their findings with the research
literature they presented earlier in their article--do they bring the findings back to the
previous literature reviewed?
Have they gone beyond presenting facts--data--and made an effort to present
explanations--understanding? Have they responded to the conceptual or theoretical
problems that were raised in the introduction? This is how theory is developed.
Do the authors thoughtfully address the limitations of their study?
The writing style is important. Consider the three guidelines for successful
communication--to be clear, concise, and correct---and whether the authors have
achieved it:
Is the writing clear? Do the authors communicate their ideas using direct,straightforward, and unambiguous words and phrases? Have they avoided jargon
(statistical or conceptual) that would interfere with the communication of their
procedures or ideas?
Is the writing concise? Are too many words or paragraphs or sections used to present
what could be communicated more simply?
Is the writing correct? Too many promising scientists have only a rudimentary grasp of
grammar and punctuation that result in meandering commas, clauses in complex
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sentences that are struggling to find their verbs and adjectives or even nouns that
remain quite ambiguous about their antecedents in the sentence. These are not merely
technical issues of grammar to be somehow dealt with by a copy-editor down the line.
Rather they involve the successful communication of a set of ideas to an audience; and
this is the basis of scholarship today.
Your evaluation to the editor: Should this paper be (a) rejected for this journal? (b) or
does it show sufficient promise for revision, in ways that you have clearly demonstrated
in your review, to encourage the authors to invest weeks and months in revision for this
journal?
Your bottom-line advice to the editor is crucial. Make a decision; state it clearly (in your
confidential remarks to the editor on the page provided).
Remember that only a few of the articles submitted to a journal will result in
publication. Rates vary from 5% to 25% of initial submissions.
Some reasons to reject a manuscript:
(a) The research questions have already been addressed in prior studies;
(b) The data have been collected in such a way as to preclude useful investigation;
(c) The manuscript is not ready for publication--incomplete, improper format, or error-
ridden.
Good Reviews and Bad Reviews
A good review is supportive, constructive, thoughtful, and fair. It identifies both
strengths and weaknesses, and offers concrete suggestions for improvements. It
acknowledges the reviewer's biases where appropriate, and justifies the reviewer's
conclusions.
A bad review is superficial, nasty, petty, self-serving, or arrogant. It indulges the
reviewer's biases with no justification. It focuses exclusively on weaknesses and offers
no specific suggestions for improvement.
APPENDIX-2
Sample Article Review
Review Article Specification:
Maximum 6500 words, including up to 50 references
Structured abstract of up to 250 words
Up to six key words
Introduction
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Critical review of the published literature in the area, examining the validity of
conclusions, conflicting observations and interpretations, and not simply a summary of
published papers
Conclusions
Your review paper should have the following sections:
A. Title: As for a research paper, this should be short and inform your reader of themajor ideas that will be discussed.
B. Abstract: Again this should be written last and should summarize the major points
made within the body of your paper.
C. Introduction: Your introduction should be short and concise and is not given a
separate heading from the body of the paper. The purpose of the introduction is to
introduce your reader to the ideas that you will be addressing in the body of your
paper. In your introduction you should be trying to bring readers from differentbackgrounds up to speed with the "thesis" or objective of your paper and explain to
them why it is that this issue is important. It is not a review of the field... that is what the
body of the paper is for! It is generally written after the body of the paper is completed
(so that you know where you've "gone" intellectually in the paper and thus can
effectively communicate to your reader what to expect).
D. Body: In this portion of your paper you will outline the background for your idea and
begin to synthesize ideas from the papers you've read in order to build a coherent
"thesis". Before you write this section, figure out what your perspective is going to be
(what are you trying to show?). Having done this, try to present your ideas in such a
way that they build your discussion logically towards your goal. Outlines will be a bighelp to you at this stage. Frequently using headings (e.g. History of the idea, Specific
conflicts etc.) can help you to systematically address each important point that you wish
to make, as well as helping your reader to follow your arguments. Once you've
developed your headings you can then go back and place topic sentences for each
paragraphs of information you wish to convey under the appropriate heading. Each
paragraph should have clear, well thought out points, and should contain only the
information needed to make or support that point. Fill in each paragraph with more
details until you have a coherent argument building towards your final, concluding
statement.
E. Conclusion: Like the introduction, the conclusion section is not usually separatedfrom the body of the paper, although it can be if it is really long. In this section you
should restate the objective(s) of your paper and point out how you have satisfied these
goals. It should also reiterate what the major conclusions (ideas) of your study are.
F. Acknowledgements: Again this should include only people who made considerable
impact on your research... people with whom you had fruitful discussions, a librarian
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who spent hours with you trying to track down an elusive publication that was key to
your research etc.
G. Literature Cited. Should follow the standard format outlined by the journal in whichyou will publish.
APPENDIX-3
Guidelines to the Writing of Case Studies
General Instructions
This set of guidelines provides both instructions and a template for the writing of casereports for submission to TAU and publication. While the guidelines and template
contain much detail, your finished case study should be only 500 to 1,500 words in
length. Therefore, you will need to write efficiently and avoid unnecessarily flowery
language.
These guidelines for the writing of case studies are designed to be consistent with the
Uniform Requirements for Manuscripts Submitted to Biomedical Journals
After this brief introduction, the guidelines below will follow the headings of our
template. Hence, it is possible to work section by section through the template to
quickly produce a first draft of your study. To begin with, however, you must have aclear sense of the value of the study which you wish to describe. Therefore, before
beginning to write the study itself, you should gather all of the materials relevant to the
case clinical notes, lab reports, x-rays etc. and form a clear picture of the story that
you wish to share with your profession. At the most superficial level, you may want to
ask yourself What is interesting about this case? Keep your answer in mind as your
write, because sometimes we become lost in our writing and forget the message that we
want to convey.
Another important general rule for writing case studies is to stick to the facts. A case
study should be a fairly modest description of what actually happened. Speculation
about underlying mechanisms of the disease process or treatment should be restrained.Field practitioners and students are seldom well-prepared to discuss physiology or
pathology. This is best left to experts in those fields. The thing of greatest value that you
can provide to your colleagues is an honest record of clinical events.
Finally, remember that a case study is primarily a chronicle of a patients progress, not a
story about chiropractic. Editorial or promotional remarks do not belong in a case
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study, no matter how great our enthusiasm. It is best to simply tell the story and let the
outcome speak for itself.
With these points in mind, lets begin the process of writing the case study:
Title page:Title: The title page will contain the full title of the article. Remember that many people
may find our article by searching on the internet. They may have to decide, just by
looking at the title, whether or not they want to access the full article. A title which is
vague or non-specific may not attract their attention. Thus, our title should contain the
phrase case study, case report or case series as is appropriate to the contents. The
two most common formats of titles are nominal and compound. A nominal title is a
single phrase, for example A case study of hypertension which responded to spinal
manipulation. A compound title consists of two phrases in succession, for example
Response of hypertension to spinal manipulation: a case study. Keep in mind that title
of articles in leading journals average between 8 and 9 words in length.
Remember that for a case study, we would not expect to have more than one or twoauthors. In order to be listed as an author, a person must have an intellectual stake in
the writing at the very least they must be able to explain and even defend the article.
Someone who has only provided technical assistance, as valuable as that may be, may
be acknowledged at the end of the article, but would not be listed as an author. Contact
information either home or institutional should be provided for each author along
with the authors academic qualifications. If there is more than one author, one author
must be identified as the corresponding author the person whom people should
contact if they have questions or comments about the study.
Key words: Provide key words under which the article will be listed. These are the
words which would be used when searching for the article using a search engine suchas Medline.
Abstract: Abstracts generally follow one of two styles, narrative or structured.
A narrative abstract consists of a short version of the whole paper. There are no
headings within the narrative abstract. The author simply tries to summarize the paper
into a story which flows logically.
A structured abstract uses subheadings. Structured abstracts are becoming more
popular for basic scientific and clinical studies, since they standardize the abstract and
ensure that certain information is included. This is very useful for readers who search
for articles on the internet. Often the abstract is displayed by a search engine, and on
the basis of the abstract the reader will decide whether or not to download the fullarticle. With a structured abstract, the reader is more likely to be given the information
which they need to decide whether to go on to the full article, and so this style is
encouraged.
Since they are summaries, both narrative and structured abstracts are easier to write
once we have finished the rest of the article.
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Introduction: This consists of one or two sentences to describe the context of the case
and summarize the entire article.
Case presentation: Several sentences describe the history and results of any
examinations performed. The working diagnosis and management of the case are
described.
Management and Outcome: Simply describe the course of the patients complaint.
Where possible, make reference to any outcome measures which you used to
objectively demonstrate how the patients condition evolved through the course of
management.
Discussion: Synthesize the foregoing subsections and explain both correlations and
apparent inconsistencies. If appropriate to the case, within one or two sentences
describe the lessons to be learned.
Introduction: At the beginning of these guidelines we suggested that we need to have a
clear idea of what is particularly interesting about the case we want to describe. Theintroduction is where we convey this to the reader. It is useful to begin by placing the
study in a historical or social context. If similar cases have been reported previously, we
describe them briefly. If there is something especially challenging about the diagnosis
or management of the condition that we are describing, now is our chance to bring that
out. Each time we refer to a previous study, we cite the reference (usually at the end of
the sentence). Our introduction doesnt need to be more than a few paragraphs long,
and our objective is to have the reader understand clearly, but in a general sense, why it
is useful for them to be reading about this case.
Case Presentation: This is the part of the paper in which we introduce the raw data.
First, we describe the complaint that brought the patient to us. It is often useful to usethe patients own words. Next, we introduce the important information that we
obtained from our history-taking. We dont need to include every detail just the
information that helped us to settle on our diagnosis. Also, we should try to present
patient information in a narrative form full sentences which efficiently summarize the
results of our questioning. In our own practice, the history usually leads to a differential
diagnosis a short list of the most likely diseases or disorders underlying the patients
symptoms. We may or may not choose to include this list at the end of this section of the
case presentation.
The next step is to describe the results of our clinical examination. Again, we should
write in an efficient narrative style, restricting ourselves to the relevant information. Itis not necessary to include every detail in our clinical notes.
If we are using a named orthopedic or neurological test, it is best to both name and
describes the test (since some people may know the test by a different name). Also, we
should describe the actual results, since not all readers will have the same
understanding of what constitutes a positive or negative result.
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X-rays or other images are only helpful if they are clear enough to be easily reproduced
and if they are accompanied by a legend. Be sure that any information that might
identify a patient is removed before the image is submitted.
At this point, or at the beginning of the next section, we will want to present our
working diagnosis or clinical impression of the patient.
Management and Outcome: In this section, we should clearly describe the plan for care,
as well as the care which was actually provided, and the outcome.
It is useful for the reader to know how long the patient was under care and how many
times they were treated. Additionally, we should be as specific as possible in describing
the treatment that we used. It does not help the reader to simply say that the patient
received chiropractic care. Exactly what treatment did we use? If we used spinal
manipulation, it is best to name the technique, if a common name exists, and also to
describe the manipulation. Remember that our case study may be read by people who
are not familiar with spinal manipulation, and, even within chiropractic circles,nomenclature for technique is not well standardized.
We may want to include the patients own reports of improvement or worsening.
However, whenever possible we should try to use a well-validated method of
measuring their improvement. For case studies, it may be possible to use data from
visual analogue scales (VAS) for pain, or a journal of medication usage.
It is useful to include in this section an indication of how and why treatment finished.
Did we decide to terminate care, and if so, why? Did the patient withdraw from care or
did we refer them to another practitioner?
Discussion: In this section we may want to identify any questions that the case raises. Itis not our duty to provide a complete physiological explanation for everything that we
observed. This is usually impossible. Nor should we feel obligated to list or generate all
of the possible hypotheses that might explain the course of the patients condition. If
there is a well established item of physiology or pathology which illuminates the case,
we certainly include it, but remember that we are writing what is primarily a clinical
chronicle, not a basic scientific paper. Finally, we summarize the lessons learned from
this case.
Acknowledgments: If someone provided assistance with the preparation of the case
study, we thank them briefly. It is neither necessary nor conventional to thank the
patient (although we appreciate what they have taught us). It would generally beregarded as excessive and inappropriate to thank others, such as teachers or colleagues
who did not directly participate in preparation of the paper.
References: References should be listed as described elsewhere in the instructions to
authors. Only use references that you have read and understood, and actually used to
support the case study. Do not use more than approximately 15 references without
some clear justification. Try to avoid using textbooks as references, since it is assumed
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that most readers would already have this information. Also, do not refer to personal
communication, since readers have no way of checking this information.
Legends: If we used any tables, figures or photographs, they should be accompanied by
a succinct explanation. A good rule for graphs is that they should contain sufficient
information to be generally decipherable without reference to a legend.
Tables, figures and photographs should be included at the end of the manuscript.
Permissions: If any tables, figures or photographs, or substantial quotations, have been
borrowed from other publications, we must include a letter of permission from the
publisher. Also, if we use any photographs which might identify a patient, we will need
their written permission.
In addition, patient consent to publish the case report is also required.
Template
Title:
Running Header:
Authors:
Name, academic degrees and affiliation
Name, address and telephone number of corresponding author
Disclaimers
Statement that patient consent was obtained
Sources of financial support, if any
Key words: (limit of five)
Abstract: (maximum of 150 words)
Introduction
Case Presentation
Management and Outcome
Discussion
(Sample)
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Introduction:
Provide a context for the case and describe any similar cases previously reported.
Case Presentation:
Introductory sentence: e.g. This 25 year old female office worker presented for the
treatment of recurrent headaches.
Describe the essential nature of the complaint, including location, intensity and
associated symptoms: e.g. Her headaches are primarily in the suboccipital region,
bilaterally but worse on the right. Sometimes there is radiation towards the right
temple. She describes the pain as having an intensity of up to 5 out of ten, accompanied
by a feeling of tension in the back of the head. When the pain is particularly bad, she
feels that her vision is blurred.
Further development of history including details of time and circumstances of onset,
and the evolution of the complaint: e.g. This problem began to develop three years agowhen she commenced work as a data entry clerk. Her headaches have increased in
frequency in the past year, now occurring three to four days per week.
Describe relieving and aggravating factors, including responses to other treatment: e.g.
The pain seems to be worse towards the end of the work day and is aggravated by
stress. Aspirin provides some relieve. She has not sought any other treatment.
Include other health history, if relevant: e.g. Otherwise the patient reports that she is in
good health.
Include family history, if relevant: e.g. There is no family history of headaches.
Summarize the results of examination, which might include general observation and
postural analysis, orthopedic exam, neurological exam and chiropractic examination
(static and motion palpation): e.g. Examination revealed an otherwise fit-looking young
woman with slight anterior carriage of the head. Cervical active ranges of motion were
full and painless except for some slight restriction of left lateral bending and rotation of
the head to the left. These motions were accompanied by discomfort in the right side of
the neck. Cervical compression of the neck in the neutral position did not create
discomfort. However, compression of the neck in right rotation and extension produced
some right suboccipital pain. Cranial nerve examination was normal. Upper limb motor,
sensory and reflex functions were normal. With the patient in the supine position, staticpalpation revealed tender trigger points bilaterally in the cervical musculature and
right trapezius. Motion palpation revealed restrictions of right and left rotation in the
upper cervical spine, and restriction of left lateral bending in the mid to lower cervical
spine. Blood pressure was 110/70. Houles test (holding the neck in extension and
rotation for 30 seconds) did not produce nystagmus or dizziness. There were no carotid
bruits.
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The patient was diagnosed with cervicogenic headache due to chronic postural strain.
Management and Outcome:
Describe as specifically as possible the treatment provided, including the nature of the
treatment, and the frequency and duration of care: e.g. The patient undertook a courseof treatment consisting of cervical and upper thoracic spinal manipulation three times
per week for two weeks. Manipulation was accompanied by trigger point therapy to the
paraspinal muscles and stretching of the upper trapezius. Additionally, advice was
provided concerning maintenance of proper posture at work. The patient was also
instructed in the use of a cervical pillow.
If possible, refer to objective measures of the patients progress: e.g. The patient
maintained a headache diary indicating that she had two headaches during the first
week of care, and one headache the following week. Furthermore the intensity of her
headaches declined throughout the course of treatment.
Describe the resolution of care: e.g. Based on the patients reported progress during the
first two weeks of care, she received an additional two treatments in each of the
subsequent two weeks. During the last week of care she experienced no headaches and
reported feeling generally more energetic than before commencing care. Following a
total of four weeks of care (10 treatments) she was discharged.
Discussion:
Synthesize foregoing sections: e.g. The distinction between migraine and cervicogenic
headache is not always clear. However, this case demonstrates several features
Summarize the case and any lessons learned: e.g. This case demonstrates a classical
presentation of cervicogenic headache which resolved quickly with a course of spinal
manipulation, supportive soft-tissue therapy and postural advice.
References: (using Vancouver style) e.g.
1 Terret AGJ. Vertebrogenic hearing deficit, the spine and spinal manipulation therapy:
a search to validate the DD Palmer/Harvey Lillard experience. Chiropr J Aust 2002;
32:1426.
Legends: (tables, figures or images are numbered according to the order in which theyappear in the text.) e.g.
Figure 1: Intensity of headaches as recorded on a visual analogue scale (vertical axis)
versus time (horizontal axis) during the four weeks that the patient was under care.
Treatment was given on days 1, 3, 5, 8, 10, 12, 15, 18, 22 and 25. Headache frequency
and intensity is seen to fall over time.
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APPENDIX - 4
Texila American UniversityCollege of Medicine, Georgetown, Guyana
Protocol
APPLICATION FORM FOR REGISTRATION OF THESIS SUBJECT FOR MD/MS
EXAMINATION
1. Personal Data:Name: Age: M/F
Address:
Phone No. Mobile: Email ID:
University Enrolment No.
MD/MS: (Name of the Discipline)
2. Qualification:a. MBBS College University Country Year of Passingb. Postgraduate Course Diploma/Degree University
Country Year of Passing
3. Particulars of Thesis Subject:i) Name of the topicii) Name of the Supervisoriii) Name of the Co-Supervisor(s), if anyiv) Brief Introductionv) Brief Review of relevant literaturevi) Lacunae in the existing literaturevii) Brief materials and methodsviii) Brief discussionix) Expected resultsx) Summary of expected conclusions
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xi) ReferencesNote: The write-up should be typed on A-4 sized paper in double spacing maximum
of
2000 words.
Candidate to send the proposal in word format as an attachment to theAcademic coordinator [email protected]
UNDERTAKING BY THE APPLICANT
I, Dr..would like to
undertake as under:
That, the research work would be embodied in the thesis,
entitled
shall be my original work to be carried out under the guidance of Supervisor and Co-
Supervisor(s).
That, in the event the above subject of my thesis is approved by university, I shall
not
publish or submit it anywhere else without the permission of the university.
Signature
Date: (Name of the applicant)
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ACKNOWLEDGE OF RECEIPT AND UNDERSTANDING OF STUDENT
HANDBOOK
I, , student at the Texila
American University, have received, read, understood and pledged to abide by
the policies of the University as set forth herein (to be signed by the student
and returned in to the Administrative Office)
Name: .
Signature: ..
Program:
Batch: ..
Enrollment No: ..
Date: ..