Course Coordinator

Name	Phone	Email	Location
Associate Professor Paul Duggan	+61 8 8313 7619	wch@adelaide.edu.au	Women’s and Children’s Hospital

Additional Acacdemic Staff

Name	Phone	Email	Location
Professor Jodie Dodd	+61 8 81617619	Jodie.dodd@adelaide.edu.au	Women’s & Children’s Hospital
Professor Ben Mol	+61 8 81617619	Ben.mol@adelaide.edu.au	Women’s & Children’s Hospital & Lyell McEwin Hospital
Professor Gus Dekker	+61 8 81829306	Gus.dekker@adelaide.edu.au	Lyell McEwin Hospital
Dr Alphonse Roex	+61 8 81829306	Alphosne.roex@adelaide.edu.au	Lyell McEwin Hospital

Administration

Name	Email	Location
WCH & CALHN Precinct Support Officers	wch@adelaide.edu.au	Women’s & Children’s Hospital
LMH Precinct Support Officers	lmh@adelaide.edu.au	Lyell McEwin Hospital

The course timetable for the  rotation is made available to students on the first day of the placement.

OUTCOMES (Curriculum Mapping)

1. On completion of Year 5 Human Reproductive Health, students will demonstrate knowledge and understanding of the:

There are no required resources. Recommended resources will be advised as appropriate.

General Texts suitable for student purchase  

Obstetrics & Gynaecology. An evidence-based guide. Abbott Jason, Bowyer Lucy, Finn Martha. (2nd edition) 2014 Elsevier.

Essential Obstetrics & Gynaecology. Ian M Symonds and S Arulkumaran. (5th edition) 2013 Churchill Livingstone.


Electronic Based Reference

Cochrane Library - access via http://www.thecochranelibrary.com/view/0/index.html or type “Cochrane Library” in to the library catalogue and follow the links.

Sexual Health Website - www.mshc.org.au

Global Library of Women's Medicine free electronic O & G textbook website at www.glowm.com

Perinatal Practice Guidelines website – http://www.health.sa.gov.au/ppg/

Now also a free app – search app store for “practices guideline reader”. The correct spelling is essential.

Motherisk: www.motherisk.org

OTIS: http://www.teratology.org/OTIS_fact_Sheets.asp

LACTMed : http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

UKMi: http://www.midlandsmedicines.nhs.uk

On line Lectures: refer to Canvas course, plus

eMedicihttp://emedici.com

There are numerous teaching and learning methods used, with the emphasis on active learning methods including, but not limited to: case based learning, large group lectures, seminars, tutorials and clinics and other sessions in hospital. There will be self-directed research and/or study, case presentations, and critical analysis.


Clinical Learning

Obstetric Duties
Attendance at antenatal clinics, conduct of normal labour and delivery and observation of abnormal cases gives insight into the spectrum of common conditions, most of which will be met at some time in practice.        

Students’ personal cases and deliveries require detailed observation of antenatal, labour and postnatal care and infant care.  Adequate postnatal care includes observation of lactation, involution and the psychological development of the mother-child relationship.

Labour Ward
Students are rostered to the labour ward four times during their rotation. These are all day sessions and include weekend and after-hours work. They aim to provide students with the opportunity to conduct spontaneous vaginal deliveries with the help of the midwifery staff in charge.

Gynaecological duties
Students are rostered to attend gynaecological outpatient sessions where there will be the opportunity to take a history and examine outpatients with the Consultant/Registrar attending the Clinic. Students should clerk patients being admitted for elective gynaecological surgery, with the opportunity to attend theatre sessions when a patient they have clerked is having an operation. Students should also attend enough other theatre sessions to ensure a familiarity with the commonly performed gynaecological procedures. The postoperative progress of the patient(s) who have been clerked should be followed and the pathology reports should be examined before discharge

Neonatal Medicine
Students will have weekly neonatal tutorials and will also be rostered to follow the neonatal registrar for one morning.  It is expected that students will be able to demonstrate skills in the examination of the normal neonate and knowledge of common problems that occur in the neonatal period.

Friday Afternoon Tutorials
Members of the academic and visiting staff will run whole-of-class tutorials in weeks 3-8 in selected topics, between 2:00pm and 5:00pm in the seminar room in the Robinson Institute, 55 King William Rd North Adelaide. The tutorials will be interactive.


e-Learning
Students without their own devices may borrow an iPad for use during the 9 weeks of their attachment. iPads provided by the Discipline must be used to undertake on-line written assessments.

On Line Lectures
A series of on line lectures is available in the Canvas course. 

The site includes optional multi-choice questions based on these topics.  There is no restriction on the number of attempts at the MCQ's, which are intended to stimulate students’ thinking about the topics.

eMedici
eMedici now includes case material and related formative assessment in Obstetrics and Gynaecology.

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. After hours and weekend work may also be required to meet clinical requirements.

The thematic structure of the Year 5 MBBS 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). Please note that the following applies only to the metropolitan students undertaking Human Reproductive Health. Students attached to the Discipline of Rural Health undergo separate orientation and clinical learning opportunities.

Week	Topic	Lecture
Week 1	Warm up week	Introduction to the course including whole-of-class tutorials covering the basicsand including small group clinical skillssessions.
Weeks  2 - 9	Students are allocated to specific hospital-based attachments and have individual learning timetables for the clinical component of the course.	On line lectures are available in Intellilearnand additional on line resources areavailable in eMedici and MyUni, includingaccess to on line formative assessments.A separate lecture timetable for Friday afternoon tutorials held in the RobinsonInstitute seminar room will be announced.
Week 9	Summative assessment week	Assessment of knowledge, reasoning and clinical skills will be undertaken from mid week onwards in week 9.

All students will be allocated to Lyell McEwin Hospital or the Women’s and Children’s Hospital in the metropolitan area.   Although allocated to one hospital all students should expect to travel to other hospitals (Modbury, The Queen Elizabeth Hospital, Royal Adelaide Hospital) and places for specialty sessions.  

All students require a current National Criminal History Record Check for children and vulnerable adults.  A Criminal History Check is valid for 3 years and students MUST have the original with them on the first day of term.

All students will be required to do some after-hours and weekend work (see above). Any other requirements will be advised.

Not applicable

Assessment Task	Assessment Type	Weighting	Learning outcome(s) being addressed
Single best answer written examination end of week 5	Summative and formative	15%	1 and 2
Clinical portfolio end of week 8	Summative	30%	1
Single best answer written examination week 9	Summative	25%	1
OSCE examination week 9	Summative	30%	2

Clinical Portfolio
There are three components to the Clinical Portfolio all requiring on-line submission via My Uni.

1. Case Report and Essay (20% of final grade – see marking rubric in clinical portfolio section of My Uni).
This is a write up and analysis of a self-selected case in either obstetrics or gynaecology. This can be an obstetrics case (antenatal, intrapartum, postpartum – in any combination) or a gynaecology case (outpatient, inpatient – in any combination). You should choose a case that you have had close involvement in, both in the hospital and/or clinic setting and in the post-hospital/clinic community setting and that demonstrates significant health care requirements. If you write up “in-grown toenail at 16 weeks’ gestation” you are unlikely to score well. Please provide the location, patient UR number, dates of your involvement, and name of the local supervisor who will be able to confirm, for random checking purposes, that you were involved in the care of the patient described in your report. The report is to include critical evaluation as outlined in the marking rubric. If you are unsure of your choice please discuss this with either Associate Professor Duggan or Dr Roex for metropolitan students, or Associate Professor Mills for rural students.
2. Clinical Core Competencies. (10% of final grade – see marking rubric in clinical portfolio section of My Uni).
This is a checklist of clinical tasks that you have been observed to have completed satisfactorily by a designated supervisor, who can be either a registered medical practitioner or registered midwife. Random checks will be undertaken.
3. Submission of copies of the signed consent forms for each vaginal examination you have undertaken as part of your core competencies criteria (not graded but mandatory – it is critical that you understand if you don’t obtain signed consent you leave yourself open to later allegations of criminal assault).

For details please refer to Canvas.

Five bands are available to determine the assessment for the Human Reproductive Health rotation in fifth year of MBBS.  The Bands available for determining student performance are
A  Above expected competency for Year 5 (indicative 70+%)
B  Clearly at expected competency for Year 5 (indicative 56-69%)
C  Just reaches expected competency for Year 5 (indicative 50-55%)
D  Below expected competency for Year 5 (indicative 46-49%)
E  Far below expected competency for Year 5 (indicative <45%)

Calculation of Grades
The assessment components of the course are weighted as described elsewhere (above). Indicative percentages for each band are listed. "Indicative" means that standard setting might have been applied to the raw score.

If a replacement or additional assessment is required, this will normally take the form of a clinical viva assessment, which may include an observed long case and oral assessment covering both the long case and a range of other topics.

A student course evaluation is completed online by all students at the end of the rotation.  SELTS of individual teaching are done on a regular basis.

Not applicable

MBBS Incident Reporting
Students are to report incidents in the hospitals via the Clinical Education offices.  The staff in these offices can debrief students, and also provide students with the University’s Incident Reporting form and the relevant Hospital form. See:
http://www.adelaide.edu.au/policies/3058/?dsn=policy.document;field=data;id=5220;m=view

MBBS incidents will be flagged by the relevant School Health & Safety Officer and on the assignment of controls they will be compiled by the Faculty HSW Manager, and finally reported to the School of Medicine OHS Committee.

Clinical Education Offices
Modbury Hospital (MPH)
The MPH Clinical Education Office is situated on Level 5 of the Modbury Hospital main building.
Contact:     
Dr Wing Cheung (Senior Lecturer, Clinical Education)
Ms Danique Chadwick (Administrator)
Phone: 8161 2132
Email::  danique.chadwick@adelaide.edu.au

Royal Adelaide Hospital (RAH)
The RAH Clinical Education Office, is situated on Level 1 of the Eleanor Harrald Building, Frome Road.
Contact:     
Dr Jo Thomas (Senior Lecturer, Clinical Education)     
Ms Ebony Dukic (Administrator)
Email: ebony.dukic@adelaide.edu.au

Lyell McEwin Hospital (LMH)
The LMH Clinical Education Office is situated on Level 2 of the Education Centre in the Lyell McEwin Hospital.
Contact:
Dr Jenny Cook-Foxwell (Senior Lecturer, Clinical Education)
Ms Donna Holloway (Administrator)
Email: Donna.Holloway@adelaide.edu.au     

Dr Peak Mann Mah (Senior Lecturer, and Clinical Dean, LMH)
Mrs Liz Ziebarth (Administrator)      
Phone:    8182 9433     
Email:elizabeth.ziebarth@adelaide.edu.au

The Queen Elizabeth Hospital (QEH)
The TQEH Clinical Education Office is situated on Level 2 of the Queen Elizabeth Hospital.
Contact:
Dr Robin Limb (Senior Lecturer, Clinical Education
Ms Mary Denys (Administrator)    
Phone: 8222 7480    
Email: mary.denys@adelaide.edu.au

The Women’s and Children’s Hospital (WCH)
The WCH Clinical Education Office, is situated on Level 2 of the Rieger Ward, in the Women’s and Children’s Hospital.
Contact:        
Ms Gemma Barnes (Clinical Studies Officer)    
Phone: 8161 6346    
Email: gemma.barnes@adelaide.edu.au