SURGERY 7011HO - Minimally Invasive Surgery-Clinical Practice I

Course Details

Course Code	SURGERY 7011HO
Course	Minimally Invasive Surgery-Clinical Practice I
Coordinating Unit	Surgical Specialties
Term	Quadmester 2
Level	Postgraduate Coursework
Location/s	Teaching Hospitals
Units	3
Contact	Up to 12 hours per week
Available for Study Abroad and Exchange	N
Restrictions	Available to MMIS students only
Assessment	Exam, clinical immersion workshop, logbook content

Course Staff

Course Coordinator: Dr Markus Trochsler

Additional Academic Staff:

Name	Phone	Email	Location
Mr (Chrys) Indran Chrysantha Sri Lal Hensman MBBS (Hons) FRACS	03 9760 2777	chris.hensman@adelaide.edu.au	Melbourne
Mr Alex Karatassas MBBS, FRACS	08 8222 6750	alex.karatassas@adelaide.edu.au	The Queen Elizabeth Hospital
Dr Dinesh TrehanMBBS, MS (Gen.Surg), DNB (Gen.Surg)FRACGP, FRACS	08 8182 9000	dinesh.trehan@adelaide.edu.au	Royal Adelaide Hospital
Dr. Santosh Antony 0lakkengil, MBBS, DNB (Gen.Surg.), M.MinInvSu.(Aus), FIAGES	08 8123 6826	santosh.olakkengil@adelaide.edu.au	Royal Adelaide Hospital

Course Timetable

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

Course Learning Outcomes

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

1	Appreciate how to perform minimally invasive surgery techniques at a high level of competency under supervision.
2	Demonstrate operative techniques by using a high fidelity computerised virtual laparoscopic skills trainer with haptic feedback.
3	Be aware of the equipment and instrumentation used in minimally invasive surgery.
4	Understand how to review audio visual material on minimally invasive surgical cases.
5	Understand the emphasis of pre-operative patient assessments and counselling.
6	Understand the importance of post-operative case management.
7	Demonstrate knowledge of suturing, surgical simulators, models and methods of virtual trainers and techniques in minimally invasive surgery.

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.	1,2,3,4,6
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.	3,4,6
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.	1,3,5,6,
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.	1,2,5,6
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.	N/A
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.	N/A
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	3,4,7
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.	1,5,6

Learning & Teaching Modes

Clinical Practice I will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. They will be working with a clinical mentor (a surgical consultant) who will be supervising their surgical experience. The assessment of this skill acquisition will also be based on the Royal Australasian College of Surgeons' (RACS) practical logbook assessment and performance. The logbook data will be recorded to allow assessment of the experience of the student in minimally invasive surgery. Total operative experience is also required to be recorded and a formal assessment of this experience is undertaken at the completion of each six-month period by the student’s mentor.

All mentors supervising the students in their geographical locality are required to be Fellows of the Royal Australasian College of Surgeons (RACS) or Fellows of the Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG). Students of the Master of Minimally Invasive Surgery, in their locality, will receive ongoing specialty medical training which is attained under the auspices of these Colleges and is delivered by appropriately trained and accredited Fellows. All Fellows are required to participate in their own Continuing Professional Development programs and fulfil requirements in all aspects of surgical practice including supervision of other surgeons. They are required to submit a recording of their Continuing Professional Development on an annual basis, with additional random auditing taking place each year. So whilst some mentors will not have specific University oversight, by the nature of their position all Fellows are required to fulfil the Colleges’ standards and clinical governance which will thus be enforced within the University of Adelaide and the individuals.

Workload

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

This workload table provides an overview of the student workload across the MMIS Program

Type	No of sessions	Duration of sessions (hrs)	Total hours
Practicals	10	4	40
Exam	1	1	1
Clinical Workshop	3	6	18
Updating log book	10	2	20
Debrief with mentor	10	2	20
Weekly reading/study	10	2	20
Operative preparation	10	2	20
Test preparation	10	2	20
Exam preparation	1	5	5
Total workload per term			164

Learning Activities Summary

Term 2

Week	Topic	Lecture
1 - 9	Clinical role in hospital	Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital.
10	Surgical skills workshop weekend	A variety of aspects in minimally invasive surgery will be taught under full supervision. • Laparoscopic suturing workshop. • Surgical simulators. • Techniques to learn and teach in minimally invasive surgery. • Models and methods of virtual trainers.

Specific Course Requirements

In order to be eligible for this program, applicants must meet the following requirements:

Professional requirements:
•   Students must be an experienced surgeon who has completed, or be within 1 year of completing, the FRACS, FRACOG (or equivalent).
•   Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery.

Visa requirements:
•   Permanent residency or citizenship - to be a domestic applicant
•   or hold a Temporary Business (Long Stay) Visa (Subclass 457) – to be an international applicant.
•   Students must be a resident in Australia.

Work placement:
Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery. This surgical position is not automatically offered with the Master of Minimally Invasive Surgery and students are personally responsible for obtaining a suitable position. Job dates should coincide with the University of Adelaide quadmester dates.

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

This assessment table reflects all assessment tasks across the MMIS Program

Assessment Task	Assessment Type	Weighting	Learning outcome(s) being assessed
Surgical skills weekend	Summative	60%	1-7
Surgical Video project	Summative	20%	1-7
Mentor instruction and feedback	Participation	10%	1-7
RACS logbook	Summative non-graded pass	10%	1-7

Assessment Related Requirements

Attendance at the Clinical Immersion workshop is compulsory.

Assessment Detail

Surgical skills weekend
Assessment is via the student’s performance at the surgical skills weekend where they will be assessed on:
•   Laparoscopic suturing
•   Surgical simulators
•   Techniques to learn and teach in minimally invasive surgery
•   Models and methods of virtual trainers.

Surgical Video project
The student’s Surgical Video project will be formally assessed for content and innovation. The video should be between 5 and 15 minutes in duration and content should be a teaching or descriptive video based on an aspect of minimally invasive surgery. The video must be produced by the student. Assessment will be on topic, content, production and presentation.

Mentor instruction and feedback

RACS logbook

Submission

•   All submissions relating to tutorials will be delivered online via Colloquy’s online system.
•   Examination location and date will be communicated by the Program Director
•   Exam result turnaround time will be a maximum of 14 days.
•   Any queries relating to classroom contribution can be discussed directly with the Program Director
•   Students should refer to the University’s Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework

Students: Academic Dishonesty Procedures for information regarding written submissions

•   Students should contact the Program Director if:

o They are unable to complete their tutorial obligations;

o They are unable to attend an examination;

o They are unable to attend the surgical skills workshop;

o They are unable to meet any deadlines that are set during the course.

Course Grading

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

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
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.

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.

Academic:

Professor Peter Hewett
Program Coordinator
The Queen Elizabeth Hospital
Email: peter.hewett@health.sa.gov.au
Phone: 08 8222 6248

Professor Guy Maddern
Program Director
Head of Discipline, Surgery
The Queen Elizabeth Hospital
Email: guy.maddern@adelaide.edu.au
Phone: 08 8222 8492 (Departmental Secretary)

Administrative:

Ms Sally Lauder
Program Administrator
The Queen Elizabeth Hospital
Email: sally.lauder@health.sa.gov.au
Phone: 08 8222 7024

This section contains links to relevant assessment-related policies and guidelines - all university policies.

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.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator