MED1022 - Medicine 2 - 2018

24 points, SCA Band 3, 0.500 EFTSL

Undergraduate - 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

Monash School of Medicine

Chief examiner(s)

Associate Professor Peter Barton (Clayton)

Professor Parasakthi Navaratnam (Malaysia)

Coordinator(s)

Dr Richard Loiacono

Professor Shah Yasin

Unit guides

Offered

Clayton

  • Second semester 2018 (On-campus)

Malaysia

  • Second semester 2018 (On-campus)

Co-requisites

Must be enrolled in courses 0040, 1074, 3856, 4531 or 4533.

Synopsis

THEME 1: 'Health Enhancement Program' develops strategies for personal health enhancement and ethical/legal issues relevant to professional responsibility, the doctor-patient relationship and public accountability.

THEME 2: 'Population Health' develops an understanding of epidemiology, construction of epidemiological study design, function and interpretation of statistical information and critical appraisal of research publications.

THEME 3: The scientific basis of clinical practice of the musculo-skeletal, cardiovascular medicine and human life span.

THEME 4: 'Clinical Skills' develops comprehensive medical history taking skills and examination of the musculoskeletal, cardiovascular and peripheral nervous system. Develop an awareness of key ethical issues involved in communication with patients, family members, carers and health professionals. Rural attachment: a week based at a rural centre will focus on developing an understanding of the practice of medicine in a rural context.

Outcomes

Theme I:

Upon successful completion of this unit, students should be able to:

  1. Recognise the legal requirements and protocols in clinical practice including documentation, patient care and safety
  2. Respect and maintain privacy and confidentiality (peers, university & health care staff, external stakeholders, patients, clients)
  3. Discuss issues related to justice, the importance and role of advocacy within the health system
  4. Practice principles of ethical decision making and consultation with peers and teachers
  5. Describe characteristics of a respectful, non-judgemental and empathic approach to others
  6. Maintain an appropriate standard of behaviour including demeanour, appearance and meeting commitments.
  7. Communicate clearly, effectively and appropriately in oral, written and electronic formats
  8. Identify the types of risks and errors in health care settings and the role of health care professionals in ensuring the quality of patient care
  9. Recognise the importance of research and quality improvement
  10. Recognise the need to evaluate and critically reflect upon judgements and health care practices relating to patient outcomes
  11. Recognise peers experiencing difficulty and identify available support services
  12. Describe appropriate environments and use strategies for sensitive and effective communication and interaction with others (simulated patients, peers, teaching staff)
  13. Identify the roles and responsibilities health care team members and their professions and show the ability to work collaboratively within a team
  14. Engage in learning opportunities and participate in peer learning, leadership and teaching activities
  15. Recognise own strengths and limitations, including personal factors which impact upon performance, and seek support for improvement
  16. Take responsibility for own self-care and health issues.

    Theme II:

    Upon successful completion of this unit, students should be able to:

  17. Describe the concept of primary healthcare and the interrelated themes of social justice and human rights in the context of population health
  18. Describe the effects of the key social determinants of health on health status and outcomes in marginalised groups, including the Indigenous population
  19. Explain the effects of cultural, geographic and economic factors on access to healthcare and health status
  20. Discuss the components, organisation and goals of health systems, and the relationship between health system quality and health outcomes
  21. Define levels of disease prevention
  22. Explain key concepts in medical screening and diagnostic programs including validity and reliability of these programs.
  23. Describe the relationship between exposure, causation and risk factors for disease and morbidity in populations
  24. Describe the purpose of health promotion programs
  25. Describe key concepts in population health, epidemiology and measurement of health and disease in populations
  26. Describe key concepts in biostatistics and interpret biostatistical information in medical research publications
  27. Describe the characteristics of different study designs used in population health and clinical research
  28. Describe the role of health care services in maintaining health and in monitoring, managing and preventing disease
  29. Describe the interaction between health care consumers and health care services
  30. Identify sources of information used to support clinical decision making and management in health care
  31. Identify human and organisational factors that may impact upon patient care
  32. Outline the principles involved in efficient allocation of health care funding
  33. Outline the structure of medical literature and the roles of the different academic styles of writing
  34. Search for medical research information and data from personal, print and electronic sources
  35. Organise and manage information sourced from medical research publications and popular information sources
  36. Critique information on health and health care provided to the public.

    Theme III:

    Upon successful completion of this unit, students should be able to:

  37. Explain the function of peripheral sensory systems, sensory pathways, motor pathways and the importance of sensory feedback
  38. Describe the general and detailed organization of the limbs and back
  39. Identify and test the muscle groups acting on the joints of the upper and lower limb, the cranio-vertebral and the intervertebral joints, and their normal range of movement
  40. Identify the surface markings of the major joints, nerves, blood vessels, ligaments and bony features of the upper and lower limbs and vertebral column and understand the application of imaging technologies to the musculoskeletal systems
  41. Discuss the detailed structure and function of the tissues of the musculoskeletal system, including bone, muscle, tendon, articular cartilage, ligaments and connective tissue
  42. Explain key concepts of human psychology and the neurobiological basis of human behaviour
  43. Discuss the pathogenesis of diseases caused by bacteria and microbes
  44. Outline the pharmacological agents used in the treatment of infectious disease
  45. Describe the trajectory of development, and its importance to an understanding of the individual as a complete human being within a social setting
  46. Describe the structure and function of the healthy cardiovascular system
  47. Discuss the mechanisms and effects of selected common pathologies affecting the cardiovascular system
  48. Outline therapeutic agents commonly used to deal with disorders of the cardiovascular system
  49. Give an account of the interactions of the cardiovascular system in the maintenance of homeostasis
  50. Discuss the structure and function of neurons, signaling mechanisms, drug actions and receptors mechanisms, and the organization, inter relationship and general function of all divisions of the nervous system.

    Theme IV:

    Upon successful completion of this unit, students should be able to:

  51. Conduct a structured patient centred interview in simulated environments
  52. Elicit a structured, comprehensive and logical history in simulated environments
  53. Perform an appropriate examination for specified systems in simulated environments.
  54. Perform specified clinical procedures and tasks in simulated environments
  55. For specified conditions, identify relevant investigations for the patient's presenting problems or conditions
  56. Identify the required information for completion of requests for investigations.
  57. Provide a basic interpretation of results for specified investigations
  58. Outline the reasons for prioritising patient care
  59. Generate a problem list
  60. Formulate a differential diagnosis (list)
  61. Identify the function of management plans in patient care
  62. For specified conditions identify clinically appropriate medications
  63. Explain the importance of monitoring patients
  64. Explain the importance of fluid and electrolyte management
  65. Identify the importance of procedures and documentation for continuity of care
  66. Provide structured and effective case presentations
  67. Recognise the basic elements of patient files

    Rural Attachment:

    Upon completion of this Rural Attachment, students should be able to:

  68. Recognise the importance of place to health, illness, injury and health service delivery
  69. Describe the health, illness, community services and facilities available in a rural location
  70. Recognise how rural health differs across gender, age, race and sexual orientation
  71. Compare and contrast medicine in a rural context with their metropolitan experiences to date.

Fieldwork

This unit requires students to undertake off-campus clinical placements. In the clinical setting students will have an opportunity to apply theory to practice under supervision. Attendance is mandatory for the clinical component of each unit.Students must be aware of the faculty's Clinical Placement Guidelines.Students will not be permitted to attend any clinical placements unless they have current valid Working with Children and Police checks, and have a satisfactory immunisation status, all of which must be submitted to Faculty.

Assessment

Assessment is combined across MED1011 and MED1022

Written mid semester exam (2 hours) (8%)

Written end of semester exam (3 hours) (15%)

Integrative Written exam (2 hours) (2%)

Rural Written Assignment (various word limits) (5%)

Evaluating Popular Information Written Assignment (2000 words) (10%)

Human Life Span Development Written Assignment (1200 words) (5%)

Clinical Skills Simulated Encounters and Competencies (14%)

Hurdle requirement: Students must attend a minimum of 80% of designated small group teaching activities to pass this unit

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