MEDIC ST 6017AHO - Emergency Department Internship VI Part 1

Teaching Hospitals - Semester 1 - 2024

Students undertake a 6 week placement in a major teaching hospital.

Course Details

Course Code	MEDIC ST 6017AHO
Course	Emergency Department Internship VI Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	6 week placement
Available for Study Abroad and Exchange	N
Prerequisites	All MBBS5 Metro and/or Rural courses, in addition to all previous years core courses, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students only
Assessment	To be advised at the start of the year

Course Staff

Course Coordinator: Andrew Giles

Clinical teaching staff in the hospitals

Course Timetable

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

Student will be allocated a roster for the 6 week term. It comprises a variety of day and evening shifts and is designed toprovide them with experience in all facets of Emergency medicine

Learning Outcomes

Course Learning Outcomes

General Objectives
* To practice and apply information synthesis and evaluation
* To develop further skills in medical decision making
* To assume greater responsibility for patient care

Student should be familiar with the management of patients presenting with:
* Abdominal pain:
* Chest pain:
* Acute respiratory distress
* Dehydration* Diabetes
* Vomiting and diarrhoea
* Drug overdose
* Renal colic
* Behavioural disturbance
* Collapse
* Fractures
* Soft tissue injury
* Multi-trauma
* Alcohol/Drug Intoxication and Withdrawal
* Common Eye and ENT problems
* Vaginal bleeding

When possible students should observe the management of patients with:
* Cardio-Respiratory arrest
* Cardiac Arrhythmias
* Acute Pulmonary Oedema
* Coma
* Shock
* Acute blood loss
* Severe multi-system trauma
* Acute psychiatric emergencies

Technical procedures that should be performed:
* Venipuncture
* IV cannulation
* Arterial blood gases
* Suturing
* NGT Placement
* Bladder Catheterisation
* Performing an ECG
* Plaster application

Students should learn to interpret the following tests:
* Common blood tests
* ABGs
* ECGs
* Plain radiographs

The Emergency Department experience should also be used to develop the following communication skills:
* Patients and relatives:Information transfer, reassurance, explanation of tests and procedures, preparation for tests and procedures
* Learning to work as part of a team

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)
Learning Resources

Required Resources

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

Recommended Resources

The Barr-Smith Library has the following texts available for loan:
* Clinical procedures in Emergency Medicine
* Emergency Medicine: A comprehensive study guide
* On call: principles and protocols
* Presenting signs and symptoms in the ED

There are also a number of texts available in the ED and hospital library, which may be of use to students

Online Learning

Material for the course will also be provided through the dedicated medical curriculum website or MyUni.
Learning & Teaching Activities

Learning & Teaching Modes

There are numerous teaching and learning methods used, with the emphasis on active learning methods including, but not limited to: lectures, bedside tutorials, case presentations, write-ups and other sessions in hospital. There will be self-directed research and/or study.

Year 6 students also take part in the Year 6 teaching program during their internship semester. This work-ready program aims to equip students for internship through a mixture of didactic sessions, online preparation and face-to-face workshops.

CLINICAL LEARNING
The core element of the emergency medicine internship program is based on providing students with a basic understanding of emergency medicine. Students are encouraged and expected to involve themselves in the department’s activities. Following orientation, students should begin evaluating patients on a semi-independentbasis. During their term, they will be expected to see at least 8 of the 10 patient problems listed in the student handbook. Students will be expected to see patients and perform a full history, examination and formulate a management plan. It is an expectation they will perform all the necessary tasks (under
supervision) required to manage the patient in ED. This includes completing all the necessary paperwork, procedures (where appropriate) and monitoring the patient’s progress whilst in ED (including handover of patient, if applicable)

TUTORIALS
Students will receive a copy of the Trainee Medical Officer Handbook. Tutorials are designed specifically for students. Times may vary between hospitals; studentsshould check with their supervisor for specific tutorial times.
Students are expected to attend the tutorials whether or not they are scheduled to work that day. Tutorials involve a mixture of didactic, interactive and skills sessions. Topics that may be covered include but are not limited to: ED procedures, toxicology, airway workshop, ALS/BLS, Assessment of the deteriorating patient and trauma assessment.

Student interns should work the same hours that interns are rostered on their Units including attending “Takes” and post take ward rounds

Workload

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.

Learning Activities Summary

Student interns need to obtain initial direction/orientation from their supervisor at the commencement of the internship regarding the
appropriate learning activities

Specific Course Requirements

Some Internships may have specific requirements. Student must consult with their supervisor(s) on any requirements.
Assessment
The University's policy on Assessment for Coursework Programs is based on the following four principles:
1. Assessment must encourage and reinforce learning.
2. Assessment must enable robust and fair judgements about student performance.
3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
4. Assessment must maintain academic standards.
Assessment Summary

Assessment Task Task Type Weighting Learning Outcome(s)

Supervisor report Summative 70%

Clinical cases x 5 Summative 30%

Clinical cases x 3 Formative 0%

Academic Progression Requirements
To pass this course and the Final (Sixth Year) MBBS Assessment Part 1 and Part 2 courses, students must obtain:

• a satisfactory result in the components of the summative assessment in semesters 1 and 2

If a student fails one course or placement, they must undertake a remedial course or placement and must obtain a pass.

If a student fails two courses or placements, they will fail the year and must repeat the entire 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.

In addition, the University has developed a Scope of Practice document which outlines appropriate activites for Year 6 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and here.

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

Assessment Detail

No information currently available.

Submission

No information currently available.

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.

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.

NOG (No Grade Associated)
Grade	Description
CN	Continuing

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