MEDIC ST 4015BHO - Medical Home Unit Part 2

Teaching Hospitals - Semester 2 - 2022

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	MEDIC ST 4000AHO, MEDIC ST 4013AHO, MEDIC ST 4014AHO, MEDIC ST 4015AHO, MEDIC ST 4016AHO, MEDIC ST 4017AHO and MEDIC ST 4018AHO in addition to all previous years core courses, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students only
Assessment	details provided at start of year

Course Staff

Course Coordinator: Professor Hubertus Jersmann

Course Timetable

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

Students are strongly advised to check MyUni 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. The SMTS is an examinable component of the course and attendance is compulsory.

Course Learning Outcomes

On successful completion of this course students will be able to:

1	Apply knowledge of normal human structure, function and the impact of pathological and psychosocial processes in the clinical setting.
2	Demonstrate skills in history taking, physical examination and mental state assessment.
3	Analyse findings and formulate differential diagnoses.
4	Demonstrate knowledge and understanding of evidence-based patient management for important and commonly seen conditions, and assessment of risk.
5	Describe the strengths, values and limitations of key investigations, including the appropriate sequence, urgency and application of results to confirming or refuting diagnostic hypotheses.
6	Demonstrate safe prescribing skills for a limited range of conditions.
7	Perform simple procedures.
8	Deliver clear and concise clinical documentation and verbal case presentations.
9	Display professional attitudes and behaviour in interactions with patients, relatives, colleagues and all other clinical staff.
10	Describe legislation relevant to health, including end of life and mental health.
11	Contribute as a member of the clinical team to achieve the best patient outcomes.

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, 4, 5, 10
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.	3, 5, 8, 11
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.	8, 9, 11
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.	4, 5, 6, 7, 8, 9, 11
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.	9, 10, 11
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.	2, 4, 9
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	4, 6, 8
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.	9, 11

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

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

See above - Learning and Teaching modes

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 Task	Assessment % Weighting
Ward Reports (one midterm = 10% and one at the end of rotation = 20%)	30%
Two Case Reports (structured written case histories - First = 10%, second = 20%)	30%
Two Observed Clinical Long Cases (direct bedside interaction with a supervisor (First = 10%, second = 20%)	30%
Diary of Learning Experiences (documentation of patient encounters with peer review)	0% (HURDLE)
MCQ Exam Item Writing. Two questions (each worth 5%)	10%
Pharmacology IPL Reflection 0%	0% (HURDLE)

Details regarding the assessment items listed above can be found in the course handbook and on the MHU page in MyUni.

To pass this course (Medical Home Unit) students must obtain a score 50% or higher after adding up all 8 items of assessment as listed above and pass the hurdle requirements. Students who miss the pass grade by 5% or less will be offered additional assessment, students who miss the pass grade by > 5% would need to enrol in a remedial course of the same value and successfully complete this course.

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 4000AHO and MEDIC ST 4000BHO Fourth Year MBBS Exam 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 an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit an Additional Assessment examination.

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.

Assessment Related Requirements

It is compulsory for students to attend clinical placements and their specific activities in line with the principles and guidelines outlined in the Medical Student Clinical Hours document.

Exemptions to mandatory clinical placement attendance requirements may be granted by the Program Coordinator in consultation with the relevant course coordinator and year level advisor if there are exceptional medical, compassionate or extenuating circumstances as defined by the Modified Arrangements for Coursework Assessment Policy.

Core structured learning activities in this course include: ward rounds, clinical unit educational activities, tutorials.

In addition, the University has developed a Scope of Practice document which outlines appropriate activities for Year 4 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and here.

Assessment Detail

Assessment Task	Task Type	Due	Weighting	Learning Outcome
Ward Report	Summative	Mid Term	10%	1,2,3,4,5,6,7,8,9,11
Ward Report	Summative	End of Term	20%	1,2,3,4,5,6,7,8,9,11
Case Report	Summative	Mid Term	10%	1,2,3,4,5,6,7,8,9,10
Case Report	Summative	End of Term	20%	1,2,3,4,5,6,7,8,9,10
Observed Clinical Long Case (direct bedside interaction with a supervisor)	Summative	Mid Term	10%	1,2,3,4,5,6,7,8,9
Observed Clinical Long Case (direct bedside interaction with a supervisor)	Summative	End of Term	20%	1,2,3,4,5,6,7,8,9
Diary of Learning Experiences (documentation of patient encounters with peer review)	Summative	End of Term	0% (HURDLE)	2,3,7,10
MCQ Exam Item Writing. Two questions	Summative	End of Term	10% (5% each)	1,4,5,6
Pharmacology IPL Reflection	Summative	End of Term	0% (HURDLE)	1,4,6,11

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.

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

Any submission details will be outlined at the beginning of the attachment.

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
Students may access the University Health Practice, 61+ 08 83135050
http://www.adelaide.edu.au/student/health/
The MBBS Program website has details on Student Well-being resources which can be accessed.
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