units

PHC5303

Faculty of Medicine, Nursing and Health Sciences

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This unit entry is for students who completed this unit in 2016 only. For students planning to study the unit, please refer to the unit indexes in the the current edition of the Handbook. If you have any queries contact the managing faculty for your course or area of study.

6 points, SCA Band 3, 0.125 EFTSL

Postgraduate - Unit

Refer to the specific census and withdrawal dates for the semester(s) in which this unit is offered.

Faculty

Medicine, Nursing and Health Sciences

Organisational Unit

Department of General Practice

Coordinator(s)

Associate Professor Peter Schattner

Offered

Clayton

  • Second semester 2016 (Online)

Synopsis

This unit has been created in collaboration with the Department of General Practice for students undertaking studies in ONE of the following six topics:

  • Depressive and anxiety disorders in General Practice
  • Issues in General Practice prescribing
  • Chronic disease management
  • Mindfulness-based stress management
  • Dermatology, and Prevention in General Practice and Primary Care.

Students undertaking this unit must choose only one topic.

Each topic is equivalent to 6 credit points.

Outcomes

Depressive and anxiety disorders in General Practice

  1. Interpret the principal psychiatric classification system currently in use, and apply it, in conjunction with appropriate clinical reasoning skills, to determine whether or not a patient has a depressive or anxiety disorder.
  2. Determine the risk factors and underlying causes of depressive and anxiety disorders, and argue how these influence treatment.
  3. Devise and implement a systematic approach to assessing the severity of different types of depressive and anxiety disorders, including their morbidity and mortality.
  4. Devise and implement a systematic approach to the management of depressive and anxiety disorders, which includes a synthesis of the best available evidence, in addition to considering patient wishes and circumstances, community resources and the clinician's experience.
  5. Distinguish between the presentations in General Practice of different types of depressive and anxiety disorders.
  6. Devise a plan for future personal practice and professional development in the diagnosis and management of patients with depressive and anxiety disorders.

Issues in General Practice prescribing

  1. Discuss the Australian and international use of prescribed medication in terms of research directions, funding, rates of prescribing, the major stakeholders, the influences on prescribing and policy directions such as quality use of medicines initiatives
  2. Demonstrate the use of a particular model for deciding the most appropriate therapeutic medication for a particular condition
  3. Demonstrate knowledge, practice and skill in a chosen prescribing situation in general practice, including the therapeutic medications used, and the particular steps necessary for safe prescribing
  4. Demonstrate critical thinking in reviewing the evidence about a medication via a planned and recorded interview with a pharmaceutical detailer
  5. Create a plan for improving the quality of prescribing in your own practice or within the clinic, using audit and feedback

Chronic disease management

  1. Describe the burden, distribution and determinants of chronic disease within their own country and internationally
  2. Analyse the place of Primary Care (General Practice) in the management of chronic diseases with particular reference to their own country and health care system
  3. Describe responses to the challenges of chronic disease management as embodied in models such as the chronic care model (Wagner) and their own country's responses to the challenges of this field
  4. Evaluate their current work-place performance in managing chronic disease, utilising audit and comparison with chosen standards or guidelines
  5. Plan change within the student's current work-place to improve chronic disease management, utilising their previous evaluations, known effective interventions and published guides, templates and financial modelling

Mindfulness-based stress management

  1. Critically review the significant body of research linking psychological states like stress with a range of illnesses and lifestyle including disciplines within mind-body medicine such as neuroplasticity, psychoneuroimmunology and psychogenomics.
  2. Critically review research demonstrating the benefits of psychological interventions like stress management and mindfulness
  3. Practice the mindfulness meditation exercises in their various forms and critique their effectiveness.
  4. Apply the principles of the mindfulness-based cognitive strategies and critique their effectiveness.
  5. Critically reflect on their own experience of stress and ways in which they manage it.
  6. Develop and implement mindfulness-based stress management in practice.
  7. Demonstrate professional skills as a counsellor in mindfulness-based stress management.

Dermatology

  1. Analyse how the structural components of the skin function in both healthy and diseased states
  2. Demonstrate a systematic approach to generating and exploring an appropriate list of differential diagnoses, in a patient with a dermatological complaint
  3. Deduce what further investigations, if any, are required, to aid diagnosis
  4. Devise and implement a systematic approach to the management of dermatological disorders, which includes a synthesis of the best available evidence, patient wishes and circumstances, community resources and the clinician's experience
  5. Devise a plan for future personal practice and professional development in the diagnosis and management of patients with dermatological conditions

Fieldwork

See individual topic guides for details - some topics will require students to write up cases on patients they have seen in practice, to write up journals based on clinical activity and/or to perform audits on clinical activity

Assessment

1. Depressive and anxiety disorders in General Practice
Case study - Depressive Disorder (2,500 words) (40%)
Case study - Anxiety Disorder (2,500 words) (40%)
Short answer questions (1 hour) (20%)
Hurdle - Completion of all Activities

2. Issues in General Practice prescribing
Essay (1,500 words) (25%)
Report - (1,500 words) (25%)
Plan - (1,500 words) (25%)
Hurdle - Report of a planned interview

3. Chronic disease management
Essay (1,800 words) (30%)
Audit (900 words) (15%)
Change Management Plan (1,800 words) (30%)
On-line quizzes (1,500 word equiv.) (25%)
Hurdle - Completion of all Activities

4. Mindfulness-based stress management
Assignment (1,500 words) (25%)
Essay (1,500 words) (25%)
Journal - personal (2,000 words) (30%)
Journal - clinical (1,000 words) (20%)
Hurdle - Completion of all Activities

5. Dermatology
Case studies (1.5 hours) (25%)
Case studies (1.5 hours) (25%)
Case report (2,500 words) (50%)
Hurdle - Completion of all activities

6. Prevention in General Practice and Primary Care
Literature review (2,000 words) (30%)
Practice policy document (2,000 words) (40%)
Intervention report (2,000 words) (30%)
Hurdle - Online activities: 15-20 brief written tasks (2,000 words)

Workload requirements

Equivalent of 12 hours a week in 6 credit point units run over 12 weeks

See also Unit timetable information

Chief examiner(s)

This unit applies to the following area(s) of study

General Practice

Prohibitions

Students must NOT choose a topic previously competed in PHC5301 or PHC5302