MEDIC ST 5015ARU - Paediatrics and Child Health Part 1

Teaching Hospitals - Semester 1 - 2017

The clinical attachments are a program of clinical education through a selection of placements so that students will be competent 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 for an extended period of time in a rural or remote setting.

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Course Details

Course Code	MEDIC ST 5015ARU
Course	Paediatrics and Child Health Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	attachments, common program & research
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 4000AHO and 4000BHO
Restrictions	Available to MBBS students on rural placement only
Assessment	details provided at start of year

Course Staff

Course Coordinator: Dr Lawrence McArthur

Course Coordinator - Dr Shirley Sthavan
Email: shirley.sthavan@sa.gov.au
Location: Paediatric Unit, Lyell McEwin Hospital

Year 5 Rural Program Coordinator: Bronwyn Herde
Phone: +61 8 8313 4528
Email: bronwyn.herde@adelaide.edu.au
Location: Rural Clinical School, 122 Frome Street, University of Adelaide

Course Timetable

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

Course component 1: Online Theory Modules
Duration: 1 hour
Enrolment capacity: na
Quantity: 1 x 1 hour

Course component 2: Video Conference Tutorial
Duration: 1 hour
Enrolment capacity: na
Quantity: 16 x 1 hour

Course component 3: Rural Paediatric Specialist Clinical Placement
Duration: 2 weeks
Enrolment capacity: na
Quantity: 20 sessions of 4 hours

Course component 4: Rural General Practice Clinical Placement
Duration: semester
Enrolment capacity: na
Quantity: 16 weeks

Course component 5: Rural Group Learning Tutorial
Duration: 1 hour
Enrolment capacity: na
Quantity: 16 x 1 hour

Course Learning Outcomes

1	Knowledge of normal growth, development, puberty, immunisation, sleep, feeding requirements with demonstrated competency in identifying normal and abnormal variations in these areas. Competency in the ability to carry out developmental assessments.
2	Knowledge of common general paediatric conditions such as fever, vomiting and diarrhoea, UTI’s respiratory infections, asthma, cardiac murmur, rashes, obesity, failure to thrive, abdominal pain, enuresis, seizures and development problems.
3	Knowledge of the common chronic conditions of childhood with demonstrated ability in taking a detailed clinical history, examination, discussion of appropriate differential diagnoses, investigations and treatment for each organ system with an understanding of the different roles and responsibilities of the treating clinical team. (A detailed list of common organ system disorders will have been provided to each student)
4	Knowledge of the emergency care of children, common surgical conditions, resuscitation procedures, competency in common procedures such as blood sampling, urine sample collection.
5	Knowledge of child and adolescent mental health with the demonstrable ability to take a psychiatric history from children and their families, the ability to engage e.g. with a reluctant or angry young person and the formulation of appropriate treatment plans. The demonstrable ability to understand the responsibilities and approaches to revelations of child physical/sexual abuse and the structure of Psychiatric services in South Australia. Knowledge of attachment theory and its implications for psychological health and the principles of transference and counter transference and how this is applied in a paediatric setting.
6	Knowledge of the role of the family and the community in providing for the needs of the child with an clear understanding of the rights of children and young people and the relevant health and welfare agencies and their roles.
7	Knowledge of the privacy issues that apply to children, proven ability to communicate and empathise with children and their families

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)
Deep discipline knowledge informed and infused by cutting edge research, scaffolded throughout their program of studies acquired from personal interaction with research active educators, from year 1 accredited or validated against national or international standards (for relevant programs)	1,2,4,5
Critical thinking and problem solving steeped in research methods and rigor based on empirical evidence and the scientific approach to knowledge development demonstrated through appropriate and relevant assessment	3,5
Teamwork and communication skills developed from, with, and via the SGDE honed through assessment and practice throughout the program of studies encouraged and valued in all aspects of learning	5
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	6,7
Intercultural and ethical competency adept at operating in other cultures comfortable with different nationalities and social contexts able to determine and contribute to desirable social outcomes demonstrated by study abroad or with an understanding of indigenous knowledges	5,6,7
Self-awareness and emotional intelligence a capacity for self-reflection and a willingness to engage in self-appraisal open to objective and constructive feedback from supervisors and peers able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate	7

Learning Resources

Required Resources

Essential Reading:

Practical Paediatrics (7th ed, 2012)
ISBN: 9780443102806
Dist: Elsevier
RRP: $153.00

Paediatric Handbook (2004)
Women’s and Children’s Hospital
Dist: Available from the Emergency Department
RRP: $25.00 (folder), $15.00 (insert only)

Adelaide Rural Clinical School – online learning and ePBL tutorial resources through MyUni and Zoom videoconferencing platforms

Recommended Resources

Recommended Reading

Paediatric Clinical Examination Made Easy (5th ed revised, 2006)
ISBN: 9780443103957
Dist: Elsevier
RRP: $ 47.00

Great Ormond Street Colour Handbook of Paediatric Medicine and Surgery (2007)
ISBN: 9781874545279
Dist: Woodslane Pty Ltd
RRP: $ 120.00

Jones’ Clinical Paediatric Surgery (6th ed, 2008)
ISBN: 9781405162678
Dist: Wiley and Sons
RRP: $ 130.00

Illustrated Textbook of Paediatrics (4th ed, 2011)
ISBN: 9780723435655
Dist: Elsevier
RRP: $ 62.00

Paediatrics and Child Heath (3rd ed, 2011)
ISBN: 9781405194747
Dist: Wiley
RRP: $77.95

Understanding Children and Young People's Mental Health
Claveirole, Anne & Martin Gaughan
ISBN: 9780470723456
Dist: Wiley

Further useful reading

Apley’s Concise System of Orthopaedics and Fractures (3rd ed, 2005)
ISBN: 9780340809846
Dist: Cengage
RRP: $87.95

Lecture Notes on Diseases of the Ear, Nose and Throat (10th ed rev, 2007)
ISBN: 9781405145084
Dist: Wiley & Sons
RRP: $49.95

Nelson’s Essentials of Paediatrics (6th ed, 2010)
ISBN: 9781437706437
Dist: Elsevier
RRP: $ 104.00

Vaughn and Ashbury’s General Ophthalmology (18th ed, 2011)
ISBN: 9780071634205
Dist: McGraw-Hill Education Aust
RRP: $ 100.00

Lecture Notes – Paediatrics (8th Ed, 2011)
ISBN: 9781405145091
Dist: Wiley & Sons
RRP: $47.95

Major text references

Nelson’s Textbook of Paediatrics (19th ed, 2011)
ISBN: 9781437707557
Dist: Elsevier
RRP: $ 150.00

Useful websites

Online Medelian Inheritance in Man (OMIM)
http://www.ncbi.nlm.nih.gov/Omim/

American Academy of Paediatrics
http://www.aap.org/

Online Learning

MyUni Online Course
Content: Online Interactive Modules, PBL cases and Video lectures delivered via MyUni.
Communication: Announcements and discussion boards will be used for asynchronous communications.
Assessment: Placement and assessment report forms will be submitted and marked online.

Web Conference Tutorials
Weekly video/web conference tutorials will be held with students at all rural placement sites.

Learning & Teaching Modes

Rural Placement
This course is part of an community based, longitudinal, integrated year of clerkship, clinical placement and training in rural hospitals and clinical settings. This comprised experiencing and learning about community, emergency, inpatient and specialist paediatrics, that follows the core competencies of the Department of Paediatrics fifth year medical program. Each student is based in an ARCS rural training centre for the two semesters of the full year. These will be clinical attachments, where the student will be part of the clinical unit providing patient care in general practice, and hospital inpatient and emergency care. This includes a two week rural specialist paediatric intensive placement at Pt Augusta hospital. Students will be responsible to the unit Registrar and Consultant. Students will take part in all unit activities i.e. acute and elective admissions, outpatient sessions and other ambulatory care, operating theatre sessions, unit audit and teaching meetings, etc.

Throughout the semester, there are scheduled ePBL tutorials with a specialist paediatrician and facilitated small group tutorials with a community doctor with paediatric expertise.They will involve learning and practice of clinical skills in taking histories in Paediatrics, and undertaking physical examination of children at different ages. The tutorials will provide teaching around the core competencies in paediatric knowledge, skills, attitudes and attributes, expected of a fifth year medical student. These sessions will also involve specific aspects of Paediatric Medicine, Paediatric Surgery, Child and Adolescent Mental Health, Paediatric Emergency Care, Resuscitation, Pathology, neonatology & practical skills.

Structured Learning Program
Whilst on placement, a formal paediatric learning program will be delivered. This course will take a ‘flipped classroom’ approach to learning. The WCH Paediatric Competencies inform this approach which consists of a high yield online interactive module or video lecture followed by a problem based learning tutorial facilitated by a paediatrician.

RESUS4KIDS
Students will undertake the ‘RESUS4KIDS’ programs as part of a week-long intensive mid-year workshop in a rural location.

Learning in Child and Adolescent Mental Health (iLAB)
Students will add to their knowledge of child and adolescent mental health by:
• Learning how to take a developmental and psychiatric history from children and their families
• Being able to assess mental health symptoms in children and adolescents, and generating a relevant management plan
• Gaining an understanding of the inter-relationship between the mental health of children and adolescents and other health problems, family problems and social circumstances
• Developing a working knowledge of other health and welfare agencies
• Gaining confidence in approaching clinical situations that contain an element of risk e.g. self-harm and suicidality
• Developing an approach to interviewing young people and their families with a focus on enhancing therapeutic alliance and obtaining accurate historical information.

Structure:
• Students will have an opportunity to practice interviewing and generating management plans for young people facing emotional challenges in a simulated clinical environment.
• Structured feedback and on-the-fly review of interview footage is undertaken after each session to enhance skill development for students.
• Seminars in child and adolescent mental health will cover common issues in developmental mental health and illness.

Workload

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

TYPE	NO OF SESSIONS	DURATION	TOTAL HOURS
Clinical Placement	20	4 hours	80 hours
Online Modules	16	1 hour	16 hours
Video Conference Tutorial	16	1 hour	16 hours
Rural Group Learning Tutorials	16	1 hour	16 hours
		TOTAL	128 hours

Learning Activities Summary

LECTURE TOPICS

Week 1: Course Overview and Paediatric Psychiatry iLab
Week 2: Introduction to Paediatrics, Assessment and Growth
Week 3: Respiratory Illness
Week 4: Cardiology
Week 5: Haematology
Week 6: Recognition of a Sick Child
Week 7: Renal
Week 8: Gastroenterology
Week 9: Seizures
Week 10: Orthopaedics
Week 11: Paediatric Emergencies
Week 12: Endocrine (Diabetes)
Week 13: Neonatology
Week 14: Childhood behavioural Problems
Week 15: Asthma
Week 16: Paediatric Surgery
Week 17: Puberty and Thyroid

Specific Course Requirements

Please refer to MyUni.

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

ASSESSMENT TASK	TASK TYPE	WEIGHTING	COURSE LEARNING OUTCOMES
3000 Word Essay	Summative	30%	1, 5, 7
Tutorial Participation	Formative & Summative	10%	1, 2, 4
1000 Word Presentation	Summative	20%	1 - 3
Exam	Summative	40%	3 - 7

ASSESSMENT TASK	TASK TYPE	WEIGHTING	COURSE LEARNING OUTCOMES
Placement Supervisor Assessment	Summative	N/A (submitted/ not submitted)	1 - 7
Observed Clinical Assessment	Summative	10%	1 - 3
Medical & Surgical OSCEs	Summative	50%	1 - 7
Mental Health Attachment iLab component	Summative	40%	5

Assessment Related Requirements

Compulsory attendance at tutorials and all clinical sessions.

Assessment Detail

3000 word essay:
students will be required to write a 3000 word research essay - 30% weighting.
Tutorial participation:
students engage in interaction in class activities and the cooperative sharing of materials and information - 10% weighting.
1000 word presentation:
a presentation which incorporates tutorial discussions - 20% weighting.
Exam:
a 2-hour exam to be held at the end of semester - 40% weighting.

Placement Supervisor - Final Assessments
The ‘Summative Clinical Assessment' form is provided on the first day of the student’s attachment. Guides to performance (Clinical Knowledge and Clinical Skills) are also provided. Forms should be given to the placement supervisor (Unit Consultant or Registrar) at the end of the placement, and the supervisor will complete these with the student, using the guide provided. Forms will be signed by the supervisor and the student, and will be submitted by the student to MyUni. If a student receives a Borderline/ Unsatisfactory assessment from a supervisor, they should discuss remediation with their Clinical Academic at the earliest opportunity.

Observed Clinical Assessment (OCA)
This assessment is undertaken with a clinician. Each student will be observed performing a 10-minute clinical short case. These cases could be, for example, examination of the chest of a child with asthma, or examination of the abdomen of a child with an enlarged liver. It is expected that students will demonstrate competence in their examination technique and be able to detect important signs such as wheeze or hepatomegaly. Assessments will encompass the domains of Clinical Examination technique, and identification and interpretation of clinical signs. Feedback regarding performance in this assessment will be provided in the final clinical skills tutorial.

OSCE (Medical & Surgical)
The Medical OSCE consists of 5 stations each 5 minutes in duration testing core competencies in Paediatric Medicine. There may be a combination of 4 active stations (with examiners) and 1 static station (written responses to questions).

The Surgical OSCE consists of 3 stations each 7 minutes in duration on Paediatric surgical topics. There may be a combination of 2 active stations (with examiners) and 1 static station (written responses to questions).

Mental Health Attachment – iLab component
This assessment consists of participation in 7 simulated patient consultations and video debriefs and a 1 hour online written exam.

Submission

Details will be posted on MyUni.

Course Grading

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

NOG (No Grade Associated)
Grade	Description
CN	Continuing

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.

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.

SELT forms will be given to each student on the last day of their attachment. Students may also be asked to fill in SELT forms on a particular tutor or lecturer.

An iLab evaluation form will be given to all students on the last day of their attachment.
Student Support
Students are encouraged to meet with the Clinical Studies Officer if they have any problems or queries while on their Paediatrics attachment.
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Information regarding University and Hospital OH&S policies and Incident Reporting is given to each student on their Introductory Day.
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