The first column should be:
example:
CREATE TABLE `patient` ( `id_patient` INT UNSIGNED NOT NULL AUTO_INCREMENT PRIMARY KEY , ...//Others instructions ) ENGINE = MYISAM CHARACTER SET latin1 COLLATE latin1_swedish_ci
`gender` ENUM( 'Male', 'Female', 'Unknown' ) NOT NULL
`npa` MEDIUMINT UNSIGNED NOT NULL COMMENT 'Postal Code',
`lastmodification` TIMESTAMP ON UPDATE CURRENT_TIMESTAMP NOT NULL
`firstname` VARCHAR( 40 ) NOT NULL