MEDIC ST 3102AHO - Clinical Practice III Part 1

Course Details

Course Code	MEDIC ST 3102AHO
Course	Clinical Practice III Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	Weekly lectures, CBL sessions & resource sessions
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 2000A/B, MEDIC ST 2101A/B, MEDIC ST 2102A/B, MEDIC ST 2103A/B, MICRO 2506 and an approved level II elective; or by approval of the Dean of Medicine
Restrictions	Available to MBBS students only
Assessment	Refer to course outline

Course Staff

Course Coordinator: Chien-Li Liew

See CANVAS courses for details

Course Timetable

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

Relevant site specific details and timetables are available on CANVAS.

Course Learning Outcomes

1	Able to confidently approach appropriate patients in clinical settings
2	Able to take a full history from a variety of patients including exploration of the patient’s presenting problems in detail, maintaining respect for the patient’s cultural, religious and social background
3	Able to conduct a physical examination on a real patient, appropriate to the history and with respect for patient comfort at all times
4	Able to detect common physical signs on real patients
5	Able to process history and examination findings to formulate a problem list, limited differential diagnosis and basic management plan
6	Able to present findings in both a written and oral presentation (as would be appropriate for clinical attachments e.g. ward rounds)
7	Develop an awareness of clinical care, including investigation and management of common conditions
8	Increase knowledge of medications used for common conditions and familiarisation with hospital medication charts
9	Behave in a professional manner in all clinical encounters

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)	2,3,4,8
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	4,5
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	1,6
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	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	2,3
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	3,4,9

Required Resources

A stethoscope and University ID badge are essential equipment. You may find it useful to carry a pen torch, ophthalmoscope and tendon hammer to the wards. Other equipment such as neurological examination kits are usually available for loan from the precinct staff. Students may have already purchased a standard medical examination kit.

Australian Medicines Handbook is available online and is a required resource.
Clinical Examination Checklists are provided in the handbook.

Recommended Resources

Recommended resources will be advised as appropriate.

Suggested texts
Talley & O’Connor, Clinical Examination
Swartz, Textbook of Physical Diagnosis: History and Examination
Tierney & Henderson, The Patient History: Evidence-based Approach
Lloyd & Bor, Communication Skills for Medicine
Hampton, The ECG Made easy
Australian Medicines Handbook (AMH)
SGRHS DVD, A Guide to Clinical Examination

Clinical Education Offices Resources
There are also limited numbers of neurological examination kits, copies of the AMH, textbooks and Physical Examination DVDs available in the clinical education offices.

Online Learning

See MyUni website for this course

Learning & Teaching Modes

The clinical skills course includes lectures, bedside tutorials, oral case presentations, case write-ups, workshops. There is also an emphasis on self-directed learningin the clinical environment.
Clinical Learning
The core element of the clinical program is learning from patients seen on the wards. Students must see patients in pairs and should see at least one patient per week per pair. It is expected one student takes the entire history and perform a physical examination on the patient while the other student observes.
Case Write-Ups:
The examining student will submit a case write-up by the end of the day. Students will be expected to enter their details and the patients’ details on the sign-off sheet for every case write up that they hand in to ensure patient confidentiality and to authenticate the patient. Students are encouraged to take notes even when acting as the observer, so as to provide feedback to their colleague
(see "assessment" for submission details).
Oral Presentations:
Students will be rostered to small group tutorials in which they will present a patient they have seen on the wards. This will usually encompass discussion on various aspects of the case, including formulating a problem list with differential diagnoses and demonstrating clinical reasoning to support differential diagnoses. Some time may be spent discussing an appropriate management plan. Time will also be spent on discussing presentation skills such as communication skills/ format and chronology of presentation/ amount of relevant detail to include etc. The aim of the oral presentations is to introduce students to what will be expected of them on ward rounds in their clinical years.
Bedside Tutorials:
Students will have a bedside tutorial most weeks, where they will meet as a small group with a clinical tutor (intern, resident, registrar or consultant) to see patients and develop techniques in physical examination and history taking.
Checklists for components of specific clinical examinations are included in the handbook all students receive at the beginning of their rotation (also available online in MyUni). There will be timetabled topics to be covered each week – see the list for your Hospital.
Lectures:
Some clincially oriented lectures occur as part of the program
Pre-reading:
Pre-reading is required most weeks, particularly as preparation for bedside tutorials (see MyUni website)
Workshop activities:
All students will be rostered to attend a number of sessions outside of their main hospital site:

Adelaide Health Simulation & Skills Centre simulation sessions- will include ECG lead placement, basic life support, venepuncture, injection technique and sharps safety.
Hampstead Rehabilitation Centre – you will be exposed to the challenges of living with spinal injury.
Sexual Health Workshop – sexual health history and intervention will be covered in this session
Eye (ophthalmology) outpatient visits at Hospital sites
Ear (ENT) outpatient visits at Hospital sites
Vascular 'round robin' involving real patients
Cancer voices discussion groups with patient tutors

Workload

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

On most days students will be expected to arrive at 8.00 a.m. and stay until 5.00 p.m. not including personal study and preparation time. In Years 1-3, the standard total student workload for 24 units is 48 hours a week.

Learning Activities Summary

The structure of the Year 3 Clinical Skills 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).

Specific Course Requirements

All students will be allocated to a hospital site (NALHN, TQEH, RAH). However, students will need to travel to other sites for some sessions.
All students must complete the requirements fro clinical placement and maintain up to date documnentation on SONIA.
https://health.adelaide.edu.au/study-with-us/student-support/clinical-placements

Small Group Discovery Experience

The predominant learning method for the MBBS Program is small group discovery learning.

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	Timing	Weighting
1. Confidentiality quiz	Summative- hurdle	Semester 1 (before attending wards)	0%
2. Log book of clinical encounters	Formative	semester 1 and 2	0%
3. 4 x Case write ups semester 1 (x2 will be marked)	Summative	semester 1	20%
4. 4 x Case write ups semester 2 (x2 will be marked)	Summative	semester 2	40%
5. Oral case presentation (x1)	Formative	semester 1	0%
6. Oral case presentation (x1)	Summative	semester 2	20%
6. Spinal injury workshop reflection	Summative	after scheduled attendance at workshop session	10%
7. Cancer voices reflection.	Summative	after scheduled attendance at workshop sessions	10%
8. Simulation sessions- competence in BLS, injection technique, venepuncture	Summative- hurdle	as scheduled	0%

All assessment items will be standard set for competency and the marks used to calculate the composite score adjusted according to standard setting. Students are required to attain an overall composite score from all assessment tasks equal to or greater than 50% to achieve an NGP An additional assessment will be offered to students who fail MEDIC ST 3102A/B with a composite score of 45-49%.

All additional assessments will take place during the Semester 2 replacement / additional examination period. The result of a passed additional assessment is 50%.

Material covered during the Year 3 Clinical Practice course will also be tested during mid-year and end-of-year written examinations as well as end of year OSCE examinations.

Due to the current COVID-19 situation, modified arrangements have been made to assessments to facilitate remote learning and teaching. Assessment details provided here reflect recent updates.

1. Confidentiality quiz 0% - no change
2. Log book of clinical encounters Sem 1 0% - deferred to Sem 2
3. 4 x Case write ups Sem 1 - Changed to: 1-2 Case Write-Up Reports Sem 1 15%
4. 4 x Case write ups Sem 2 - Changed to: 1-2 Case Write-Up Reports Sem 2 25%
5. Oral case presentation (x1) Sem 1 0% - Changed to: Oral case presentation Semn 1 15%
6. Oral case presentation (x1) Sem 2 0% - Oral case presentation (x1) Sem 2 25%
7. Cancer Voices reflection 10% - No change
8. Simulation sessions 0% - No change

Course	Unit Value	Grade
MEDIC ST 3102AHO - Clinical Practice III Part 1	3	CN
MEDIC ST 3102BHO - Clinical Practice III Part 2	3	NGP

In addition to the above, in order to pass this course and the Third Year MBBS Examination Annual Examination Part 2 course, students must obtain:

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

• a satisfactory performance in the examinations overall

If an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit a Replacement/Additional Assessment examination.

Academic Progression Requirements
Progression from one year to the next in the MBBS is dependent on the student successfully completing a compulsory annual examination course in which a full year’s learning is assessed.

To successfully complete the MEDIC ST 3000A and MEDIC ST 3000B Third Year MBBS Examination Part 1 and Part 2 courses, the student must pass the end of year examinations and have successfully completed all year level component courses (24 units).

IF a student fails the compulsory examination course no passing grade will be received for any core medical studies courses.

IF a student has not completed all required MEDIC ST units of the year they must successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.

Assessment Related Requirements

CASE WRITE UPS

Students have specific dates allocated for seeing patients for case write ups based on their allocated A or B grouping .
Due dates for submission of case write ups: 2 cases by mid semester break and 2 by end of semester.
However, we encourage you to do this as soon as possible after seeing the case.

Students see patients in pairs, but cannot use the same patient for their case write-up.

Each student will have two case write-ups selected for assessment each semester.

LATE SUBMISSION: marks are deducted by 10% each day

Assessment Detail

No information currently available.

Submission

As outlined above

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.

Grades for your performance in this course will be awarded in accordance with the following scheme: GS8 Non-graded pass.

Final results for this course will be made available through Access Adelaide.

Students should familarise themselves with the University Policy on Additional Assessment/Replacement Assessment.

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.

The MBBS Program website has details on Student well-being resources which can be accessed on MyUni.

Students may access the University Health Practice:
61+ 08 83135050
http://www.adelaide.edu.au/student/health/

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

Please read the MBBS Program Code of Conduct

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