Course Coordinator

Catherine Toben | PhD
Lecturer/ MBBS Yr 6 Psychiatry Selective Coordinator

Discipline of Psychiatry
Level 6, AHMS
Cnr North Tce & George St, University of Adelaide  SA   5005
Ph : +61 8 8313 7318
Email:psych_selective@adelaide.edu.au

The timetable for this course varies and students need to liaise with their clinical preceptor to develop a timetable that
ensures learning and assessment requirements are achieved.

Students are required to attend emergency department placements as per their timetable.

Students will be advised of the timing of tutorials during their rotation.

1	Have experience of managing common conditions in specialist, community or ambulatory settings.
2	Have practice in settings other than in teaching hospital wards.
3	Be active learners, self-directed learners and have a fostering of evidence based medicine.
4	Understand the scientific basis of diagnosis and management in the relevant discipline, i.e. integration with relevant basic sciences.
5	Understand the health care systems, including urban and rural locations.
6	Have exposure to changes in the health system.
7	Have exposure to the use of cost effective investigation and management.
8	Have opportunities to work with a range of health care providers.
9	Experience using information technology as part of their work.

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

General Texts

A Primer of Clinical Psychiatry 2nd edition (David Castle Darryl Bassett Joel King Andrew Gleason, 2013 Elsevier Australia)

Foundations of Clinical Psychiatry (Sidney Bloch, Stephen A. Green, Aleksandar Janca, Philip B. Mitchell, Michael Robertson, Melbourne University Press 4th Ed 2017)

Psychopathology

Casey P and Kelly B. Fish’s clinical psychopathology. Signs and Symptoms in Psychiatry (3rd ed).
Gaskell, London, 2007

Oyebode F. Sims’ Symptoms in the Mind. An introduction to Descriptive Psychopathology (6th ed.).
Saunders Elsevier: London, 2018

Psychopharmacology

Psychotropic Expert Group. Therapeutic guidelines: psychotropic (version 8). Therapeutic Guidelines
Limited: Melbourne, 2021.

Stahl SM. Stahl’s essential psychopharmacology. Neuroscientific basis and practical applications (3rd
Ed). Cambridge University Press: New York, 2008.

Further references 

Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5). American Psychiatric
Association: Arlington, 2013

The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization: Geneva,
1992

RANZCP Clinical Practice Guidelines https://www.ranzcp.org/publications/Guidelines-and-resources-for-practice

ANZJP (Australian & New Zealand Journal of Psychiatry, RANZCP)

Australasian Psychiatry (A second journal of the RANZCP)

Gelder MG, López-Ibor JJ, Andreasen NC. New Oxford textbook of psychiatry (2nd Ed). Oxford
University Press: Oxford, 2012.

Black DW, Andreasen NC. Introductory textbook of psychiatry (6th Ed). American Psychiatric
Publishing: Arlington, 2014.


Electronic Based References

eCentreClinic
http://www.ecentreclinic.org

SANE Australia
http://www.sane.org/
   
Beyond Blue
http://www.beyondblue.org.au/index.aspx?

Headspace
http://www.headspace.org.au/

Orygen Youth Health
http://tc.oyh.org.au/

Schizophrenia Research Forum
http://www.schizophreniaforum.org/

Bipolar Disorder
http://www.bipolar.com.au/
 
Royal Australian and New Zealand College of Psychiatrists
(RANZCP)
http://www.ranzcp.org/
 
Moodgym
http://www.moodgym.anu.edu.au

Suicide Prevention
http://www.suicideprevention.com.au/

Black Dog Institute
http://www.blackdoginstitute.org.au/
     
Positive Psychology
http://www.ppc.sas.upenn.edu/

Material for the course will also be provided through the MBBS Program website: http://curriculum.medicine.adelaide.edu.au/index.asp
or  MyUni  https://myuni.adelaide.edu.au/webapps/login/

eMedici   http://emedici.com

Students will be allocated to a supervisor in each service and, under his/her direction, will participate in clinical work during the four week period.  This may include assessment of acute admissions as well as any emergency situations that may arise. 

Teaching and learning methods may vary depending upon which setting students are allocated to.

Tutorials will also be provided to students.

Emergency Psychiatry
Emergency psychiatry forms a part of the rotation and experience. Students are required to accompany the on-call registrar for either 1 evening (5pm - 10 pm) and 1 weekend day (9am - 2 pm),  OR 2 weekend days (9am - 2pm),  OR 2 evenings nights (5pm - 10 pm).

Students attending an evening ED shift may negotiate with their supervisor to either leave their placement earlier that day to allow for a break between their placement and the ED shift, or to start their usual placement later in the day.

Workload for the individual students will vary from week to week but may include clinic sessions, community visits, ward rounds,
ward work, tutorials, and private study and may involve after hours and weekend work.

Students will be allocated to a variety of psychiatry settings including but not limited to community psychiatry, acute
psychiatry services, emergency psychiatry services, psychiatry for the elderly, postnatal psychiatry, child and adolescent psychiatry and rural psychiatry.

There is also the opportunity for students to create their own rural Psychiatry Selective.

Those students on a non-local selective are not required to attend the local face-to-face depression/anxiety/CBT session or complete the 2 ED shifts. However, local tutorial and presentation days are expected to be attended via live Zoom.

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

Assessment will comprise the following:

Assessment Task	Task Type	Weighting	Course Learning Outcome
10 min Presentation	Summative	10%
Case Presentations x 4	Summative/ hurdle	10%
Supervisor Report/Selective assessment form (clinical placement assessment)	Summative/ hurdle	65%
3 NPS MedicineWise modules	Summative/ hurdle	0%
16 Multiple Choice Questions associated with tutorials	Summative	15%

Powerpoint Presentation and Student Seminar Presentation
All students are required to prepare a 10 minute powerpoint presentation on a mental health topic of their choice. There will be a seminar at the end of each rotation where all students will present their work. The presentation must be relevant to mental health, but the format and content is up to the student. They may present a case with a discussion of some interesting aspect of the case, talk about something that has been in the media, present an article or some published research, describe the information available on the internet about a particular topic, or (briefly) review atopic. They may present relevant material from psychology, sociology and related disciplines if they wish. Marking criteria for assessment is available in the student handbook.

Case Presentations
Students are required to present four cases to their supervisor or their nominated delegate (e.g. consultant or registrar not RMO) and represent a hurdle in successfully passing the selective.The  marking sheet is available in the student handbook. 

Supervisor Report (Selective Assessment Form)
This form will be completed with the supervisor and represents a hurdle in successfully passing the selective.

NPS MedicineWise modules
The NPC modules are interactive case-based modules that are intended to encourage and increase confidence in rational prescribing. These modules represent a hurdle to successfully passing the selective.

The 3 learning modules include the following:

• Acute mania in bipolar disorder
• Depression in adolescents
• Insomnia

Multiple Choice Questions 
The 2 online quizzes are intended to help integrate knowledge from both 5 face to face and 3 online presentations. For each presentation 2 MCQs worth 1 point each will be assigned. This means for a total of 8 presentations there will be 16 points worth of MCQs.

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 either semesters 1 and 2

• complete the 3 NPC MedicineWise modules

• complete 4 case presentations

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.

Final assessment is based on the Year 6 Selectve Assessment.

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.

Attendance: As with all Year 6 Selective placements, 95% attendance is expected. In the case of more than two days absence students are expected to notify the course coordinator (Dr Toben) as well as placement staff, and provide a medical certificate through SONIA - https://placementsonline.adelaide.edu.au/SoniaOnline/School.aspx?SchoolId=3. Prolonged absences will require remedial time at the end of the year.

In the event of prolonged absences, 2 ED shifts (half days) are required to be organised with your supervisors for each day over 2 days leave, to a maximum of 4 shifts per week missed. These extra shifts must occur out of hours in addition to normal hours on the ward and are in addition to the 2 existing Emergency Department shifts. ED shifts usually involve direct patient contact and are a great way to ensure equivalent exposure to psychiatry for adequate learning. The course coordinator (Dr Toben) is happy to discuss plans for those with long term illness; however, to adequately pass the ward mark, students will need to have attended their rotation for a meaningful amount to time to learn and be assessed.

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.

More specifically, leave during selective placements is discouraged, and will only be granted in exceptional circumstances. All planned leave (e.g. Med Convention, special leave for high level sporting or other academic commitments, personal leave) needs to be approved in a timely fashion so that make up time can be scheduled. Requests that require 1 or more weeks’ leave should be made early in the year as time can be made up during the semester break. There is no such opportunity after the semester break in the second half of the year. This means that requests for substantial leave in the second half of the year should be made in semester 1. Only in exceptional circumstances will late requests made after midyear break for substantial leave in semester 2 be considered. Applications for leave must be made by lodging a leave form with the Faculty Office at askhealthsc@adelaide.edu.au at least 15 days prior to the start of the proposed leave. Please check the leave policy for further information if needed.

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.

refer to assessment Summary

Details of the case presentation, powerpoint presentation and seminar submissions will be made available at the beginning of the clinical placement.

Details of the case presentation, powerpoint presentation and seminar submissions will be made available at the beginning of the clinical attachment.

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.

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/

Please read the MBBS Program Code of Conduct