MEDIC ST 3102BHO - Clinical Practice III Part 2

Teaching Hospitals - Semester 2 - 2022

In Year 3, students continue to develop and improve on the clinical interviewing skills required to elicit and record a clinical history and to perform a physical examination. Students move out of the clinical skills laboratory and are placed within a teaching hospital for one day a week.

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Course Details

Course Code	MEDIC ST 3102BHO
Course	Clinical Practice III Part 2
Coordinating Unit	Medical Studies
Term	Semester 2
Level	Undergraduate
Location/s	Teaching Hospitals
Units	6
Contact	Weekly lectures, CBL sessions & resource sessions
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 3000A, MEDIC 3102AHO, MEDIC ST 3103A and MEDIC ST 3104OL in addition to all previous years core courses, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students only
Assessment	Refer to Course Outline

Course Staff

Course Coordinator: Dr Hannah Pham

see CANVAS courses for details

Course Timetable

The full timetable of all activities for this course can be accessed from Course Planner.

The full timetable of all activities for this course can be accessed from Course Planner.
Relevant site specific details and timetables are available on CANVAS.

Course Learning Outcomes

1	Conduct a focused patient history in a professional manner, including demonstrating respect for the patient’s cultural, religious, and social background, to determine the nature of patients presenting issues.
2	Conduct a clinical examination, relevant to the patient’s history, with appropriate components in a systematic, safe, logical approach while maintaining respect for patient comfort.
3	Analyse and communicate the information both in writing and verbally, gathered in the history and clinical examination to justify a provisional diagnosis and possible differential diagnoses for common medical conditions.
4	Select and interpret the appropriate initial investigations for common medical conditions to appropriately investigate the presenting complaint, relevant to the formulated differential diagnosis list.
5	Explain the non-pharmaceutical, pharmaceutical, interventional, and surgical management of common medical conditions and the role of in hospital allied health and medical professionals in providing patient centred care.
6	Demonstrate a comprehensive understanding of the hospital environment including the role of in-hospital staff allied health staff, non-medical staff and medical staff digital technologies, and support services required to facilitate patient centred care.
7	Apply critical self-evaluation to improve professional practice, and provide ongoing ethical, compassionate patient centred care.

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1,2,3,4,5,6
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	1,2,3,4,5
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	3,5,6
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	3,6
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	1,2,7
Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.	1,7
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	4,5,6
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	1,2,5,7

Learning Resources

Required Resources

A stethoscope and University ID badge are essential equipment. You may find it useful to carry a pen torch, ophthalmoscope and tendon hammer to the wards. Other equipment such as neurological examination kits are usually available for loan from the precinct staff. Students may have already purchased a standard medical examination kit.

Australian Medicines Handbook is available online and is a required resource.
Clinical Examination Checklists are provided in the handbook.

Recommended Resources

Recommended resources will be advised as appropriate.

Suggested texts
•    Talley & O’Connor – Clinical Examination
•    Swartz – Textbook of Physical Diagnosis: History and Examination
•    Tierney & Henderson – The Patient History: Evidence-based Approach
•    Lloyd & Bor – Communication Skills for Medicine
•    Hampton – The ECG Made easy
•    Australian Medicines Handbook (AMH)
•    SGRHS DVD – A Guide to Clinical Examination

Clinical Education Offices Resources
There are also limited numbers of neurological examination kits, copies of the AMH, textbooks and Physical Examination DVDs available in the clinical education offices.

Online Learning

see MyUni website for this course
Learning & Teaching Activities
Learning & Teaching Modes
The clinical skills course includes lectures, bedside tutorials, case presentations, case write-ups, workshops. There is also an emphasis be self-directed learning.

Clinical Learning
The core element of the clinical program is learning from patients seen on the wards. Students must see patients in pairs and should see at least one patient per week per pair. It is expected one student takes the entire history and perform a physical examination on the patient while the other student observes. The following week roles will be reversed.

Case Write-Ups:
The examining student will then submit a case write-up by the end of the day. Students will be expected to enter their details and the patients’ details on the sign-off sheet for every case write up that they hand in to ensure patient confidentiality and to authenticate the patient. Students are encouraged to take notes even when acting as the observer, so as to provide feedback to their colleague (see "assessment" for sunbmission details).

Oral Presentations:
Students will be rostered to small group tutorials in which they will present a patient they have seen on the wards. This will usually encompass discussion on various aspects of the case, including formulating a problem list with differential diagnoses and demonstrating clinical reasoning to support differential diagnoses. Some time may be spent discussing an appropriate management plan. Time will also be spent on discussing presentation skills such as communication skills/ format and chronology of presentation/ amount of relevant detail to include etc. The aim of the oral presentations is to introduce students to what will be expected of them on ward rounds in their clinical years.

Bedside Tutorials:
Students will have a bedside tutorial most weeks, where they will meet as a small group with a clinical tutor (intern, resident, registrar or consultant) to see patients and develop techniques in physical examination and history taking.
Checklists for components of specific clinical examinations are included in the handbook all students receive at the beginning of their rotation (also available online in MyUni). There will be timetabled topics to be covered each week – see the list for your Hospital.

Lectures:
Some clincially oriented lectures occur as part of the program

Pre-reading:
Pre-reading is required most weeks (see MyUni website)
Workshop activities:
All students will be rostered to attend a number of sessions outside of their main hospital site:
- Adelaide Health Simulation & Skills Centre simulation sessions- will include ECG lead placement, basic life support, venepuncture, injection technique and sharps safety.
- Hampstead Rehabilitation Centre – you will be exposed to the challenges of living with spinal injury.
- Sexual Health Workshop – sexual health history and intervention will be covered in this session
- Eye (ophthalmology) outpatient visits at Hospital sites
- Ear (ENT) outpatient visits at Hospital sites
- Vascular 'round robin' involving real patients
- Cancer voices discussion groups with patient tutors
Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

On most days students will be expected to arrive at 8.30 a.m. and stay until 5.00 p.m. not including personal study and preparation time. In Years 1-3, the standard total student workload for 24 units is 48 hours a week.

Learning Activities Summary

The structure of the Year 3 Clinical Skills Program will be provided and discussed at the start of the program and is discussed in detail in the student handbook (provided to students on the first day of their rotation)

Specific Course Requirements
All students will be allocated to a hospital site (NALHN, TQEH, RAH). However, students will need to travel to other sites for some sessions.
All students must complete "ready for practice" requirements and maintain up to date documnentation on their Mahara "ready for practice page" to be elible to attend clinical placement. This includes:
- Medical indemnity Insurance (must be valid)
- Criminal history clearance x3 (these are valid for 3 years)
- Child related
- Vulnerable person
- Aged care sector
Nb. overseas students need local clearance after they have been in Australia for 3 years, but must have clearance from their country of origin up until that time.
TB screening completion – copy of email from SATB or Chest Clinic slip
Health care worker screening and vaccination statement of compliance
Hand hygiene certificate (valid in the year of completion)

Further details are available on MyUni and Mahara e-portfolio.

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

see MEDIC ST 3102AHO - Clinical Practice III Part 1

To pass this course and the Third Year MBBS Examination Annual Examination Part 2 course, students must obtain:

• a satisfactory result in each of the components of the summative assessment in semesters 1 and 2; and
• a satisfactory performance in the examinations overall

If an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit a Replacement/Additional Assessment examination.

Academic Progression Requirements
Progression from one year to the next in the MBBS is dependent on the student successfully completing a compulsory annual examination course in which a full year’s learning is assessed.

To successfully complete the MEDIC ST 3000A and MEDIC ST 3000B Third Year MBBS Examination Part 1 and Part 2 courses, the student must pass the end of year examinations and have successfully completed all year level component courses (24 units).

IF a student fails the compulsory examination course no passing grade will be received for any core medical studies courses.

IF a student has not completed all required MEDIC ST units of the year they must successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.

A student will only be eligible for summer school if the following criteria are met:
• The student does not have a recorded breach of genuine academic misconduct;
• The student has completed all formative and summative assessment tasks within the failed course;
• The student has attended more than 80% of teaching activities for which attendance is recorded across the academic year, within the failed course.

Assessment Related Requirements

see MEDIC ST 3102AHO - Clinical Practice III Part 1

The University has developed a Scope of Practice document which outlines appropriate activities for Year 3 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and here.

Assessment Detail

see MEDIC ST 3102AHO - Clinical Practice III Part 1

Submission

see MEDIC ST 3102AHO - Clinical Practice III Part 1

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

GS8 (Coursework Grade Scheme)
Grade	Description
CN	Continuing
FNS	Fail No Submission
NFE	No Formal Examination
F	Fail
NGP	Non Graded Pass
P	Pass
C	Credit
D	Distinction
HD	High Distinction
RP	Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through Access Adelaide.

Students should familarise themselves with the University Policy on Additional Assessment/Replacement Assessment.

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

The MBBS Program has a regular program of evaluation. In addition, student representatives are appointed to MBBS committees and are encouraged to report on issues of importance to students.
Student Support
The MBBS Program website has details on Student well-being resources which can be accessed.

Students may access the University Health Practice:
61+ 08 83135050
http://www.adelaide.edu.au/student/health/
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Please read the MBBS Program Code of Conduct
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator