MEDIC ST 4015BHO - Medical Home Unit Part 2

Teaching Hospitals - Semester 2 - 2016

The course information on this page is being finalised for 2016. Please check again before classes commence.

The clinical attachments are a program of clinical education through a selection of placements so that students can gain competence in history-taking, patient examination and management. This includes problem formulation, investigations, treatment (pharmacological and non-pharmacological), counselling, good communication skills, the practice of empathetic medicine and a sound knowledge base that allows diagnosis and management of common disorders to be carried out under appropriate supervision. Some students will have the opportunity to undertake their training in a rural or remote setting.

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Course Details

Course Code	MEDIC ST 4015BHO
Course	Medical Home Unit Part 2
Coordinating Unit	Medical Studies
Term	Semester 2
Level	Undergraduate
Location/s	Teaching Hospitals
Units	6
Contact	attachments, common program & research
Available for Study Abroad and Exchange	N
Prerequisites	Year 3 MBBS Exam
Restrictions	Available to MBBS students only
Assessment	details provided at start of year

Course Staff

Academic Contact
RAH Course Coordinator
Prof Hubertus Jersmann
Phone: 8222 4901
Email: hubertus.jersmann@adelaide.edu.au

Administrative Contacts
RAH secretary
Ebony Dukic
Phone: 8222 5566
Email: ebony.dukic@adelaide.edu.au

QEH Clinical Studies Office
Phone: 8222 7480
Email: mary.denys@adelaide.edu.au

Course Timetable

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

The timetable for MHU is available from the MLTU website. Students are strongly advised to check the website prior to the commencement of their rotation. Further information can be found in the Course Handbook and students also need to consult with their allocated home team to determine which clinical activities they are required to attend.

The School of Medicine Teaching Series (SMTS) also runs during the MHU/SHU semester and students should be aware of when these are scheduled. Students are required to attend SMTS days. The SMTS will consist of one full day of face-to-face teaching per month. The exact monthly dates will be determined and students will be advised of these dates via the MLTU website. The SMTS is an examinable component of the course and attendance is compulsory. Non-attendance will result in students being barred from sitting their exams. SMTS is established as a 2 year program and extends across year 4 and year 5 of the MBBS program. The year 5 SMTS program is delivered in the MSAs semester.

Learning Outcomes

Course Learning Outcomes

The course objectives from the course handbook are replicated in part below. For a full listing of the course learning objectives, particularly the system specific history and examination skills, please consult the course handbook.

1.   Simple procedural skills
•   Handwashing and universal precautions

•   Assessing vital signs – pulse, respiratory rate and BP

•   Urinalysis

•   Venepuncture

•   Injection techniques – subcutaneous and IM

•   ECG lead placement

•   Basic life support skills

•   Blood glucose testing

2.   Ordering and interpretation of basic investigations, including correlation of results with clinical setting
•   ECG ordering and interpretation

•   Radiology – chest, abdominal and skeletal XRs

•   Ordering and interpretation of basic blood tests – complete blood picture, urea and electrolytes, liver function tests, iron studies

3.   Prescribing skills
•   Write a prescription on the National Inpatient Medication Chart

•   Give advice to a patient on common and serious adverse events and drug interactions

•   Antibiotic prescription – based on microbiological sensitivity, empiric therapy

•   Analgesics – simple and opioid

•   Antihypertensive therapy

•   Oral rate control therapy for atrial fibrillation

•   Aspirin for cardiovascular disease prevention

•   Venous thromboembolism prophylaxis

•   Topical therapies for common dermatological conditions, including steroids and antifungals

•   Inhaled therapy for asthma – preventers and relievers

4.   Presentation skills
•   Clear and efficient oral and written presentation skills

•   Formal and informal oral case presentations on the ward

•   Formal case write ups

•   Use of abbreviated ISBAR format for oral handover

5.   System-specific history and examination skills for common presenting problems
•   Non-specific systemic symptoms
•   Tiredness

•   Fever

•   Confusion
•   Cardiovascular system
•   Chest pain

•   Shortness of breath

•   Palpitations

•   Ankle swelling

•   Claudication

•   Comprehensive cardiovascular examination including peripheries
•   Respiratory system
•   Dyspnoea

•   Cough

•   Wheeze

•   Chest pain

•   Haemoptysis

•   Comprehensive respiratory examination
•   Gastrointestinal system
•   Abdominal pain

•   Altered bowel habit

•   Nausea and vomiting

•   GIT bleeding

•   Jaundice

•   Comprehensive gastrointestinal examination
•   Neurological system
•   Fits, faints and funny turns

•   Headache

•   Weakness and paraesthesiae

•   Memory loss

•   Visual and speech disturbance

•   Tremor

•   Comprehensive neurological system examination including cranial and peripheral nerves and mini-mental state exam
•   Endocrine system
•   Diagnosis and complications of diabetes mellitus

•   Features of thyroid and parathyroid disease

•   Examination of a diabetic patient

•   Physical examination with a view to detecting signs of endocrine disease (thyroid, parathyroid, Cushing’s etc)
•   Musculoskeletal system
•   Painful joint

•   Soft tissue pain

•   Stiffness

•   Limitation of movement

•   Deformity

•   Musculoskeletal examination relevant to joint or presenting complaint
•   Haematological system
•   Excessive bleeding

•   Lymph node enlargement

•   Pallor

•   Recurrent infection

•   Comprehensive haematological examination
•   Renal/urological system
•   Dysuria

•   Haematuria

•   Prostatic disease

•   Sexually transmitted infections

•   Renal failure

•   Comprehensive renal examination
•   Ears/Eyes
•   Competent use of ophthalmoscope

•   Competent use of auroscope
•   Skin
•   Onset, evolution and features of a rash including systemic features

•   Able to describe the features of a skin lesion or rash
•   Psychiatry
•   Basic psychiatric history including symptoms of psychosis, depression and anxiety

•   Psychiatric mental state examination
•   Sexual Health
•   Have knowledge of the components of a complete sexual health history

•   Understand the importance of taking a sexual health history as part of the routine medical history

•   Have knowledge and understanding of the communication skills and techniques required to initiate, discuss, diagnose and manage sexual health issues and complaints

•   Have knowledge of the ways sexual health issues can present

•   Have knowledge of how chronic disease can affect sexual health

•   Have knowledge of the history and examination required for assessment of erectile dysfunction

•   Understand the PLISSIT model used in sexual health interventions

University Graduate Attributes

No information currently available.
Learning Resources

Required Resources

Not applicable

Recommended Resources

General Medicine is a broad field, and students are advised to seek out resources that will assist them in consolidating their clinical learning.

Online Learning

4th year MHU is delivered in the same semester as the School of Medicine Teaching Series and there is a wealth of online content available through MyUni. Students are highly encouraged to work through this material as it is examinable content.
Learning & Teaching Activities

Learning & Teaching Modes

The primary mode of teaching and learning in this course is in the clinical context. This includes ward rounds, consultant rounds, outpatient clinics and bedside tutorials with the student’s preceptor.

Learning is supplemented with the School of Medicine Teaching Series lectures, lectures and tutorials organised as part of the MHU schedule and online content delivered via MyUni.

Students are also advised to participate in academic teaching occurring at the hospital – journal clubs, unit meetings and grand rounds.

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

Workload for the individual students will vary from week to week but students can assume that on average they will work a 45 hour week which will include clinic sessions, lectures (both delivered and online), seminars, tutorials and private study but does not include after hours call.

Workload

No information currently available.

Learning Activities Summary

See Teaching & Learning Modes above

Specific Course Requirements

It is an MBBS entry requirement to obtain a police checks as set out in letters of offer to prospective students. Other requirements will be advised at the start of the course.

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

Summative Assessment
Assessment of clinical ability: non-graded pass/borderline/fail, based on a progressive summative assessment and includes:
1.   Ward Reports – the Consultant on both of your MHU’s completes a report on your performance on the unit
2.   Case Report – you are required to submit two written case reports to your MHU Preceptor for assessment
3.   Your MHU Preceptor will assess your performance in clinical sessions, tutorials and from your ‘Diary of Learning Experiences with Patients’.
4.   At the completion of the 9-week MHU attachment, an ‘OSCE’ of 3 clinical and 3 data stations will be held, which contributes to your assessment.

Details regarding assessment can be found in the course handbook.

Assessment Related Requirements

Attendance > 90%; attendance below 90% will result in failure of this rotation.

Assessment Detail

See Assessment Summary above

Submission

Details regarding submissions can be found in the course handbook.

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.

MEDIC ST 4015 BHO

Grades for your performance in this course will be awarded in accordance with the following scheme: GS4

GS4

Grade	Description
NGP	Non-Graded Pass
S	Satisfactory
U	Unsatisfactory
F	Fail

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

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.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
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