MED2042 - Medicine 4 - 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)

Prerequisites

MED1011, MED1022.

Co-requisites

MED2000 and must be enrolled in courses 0040, 1074, 3856, 4531 or 4533.

Synopsis

This unit builds upon studies completed in MED2031 with further integrated studies to provide the foundations for commencing studies in clinical settings. Student continue to develop deeper understanding of the socio-economic context of health and illness awareness of the non-medical services which support the practice of medicine, and improved health outcomes is developed. Ethical/legal issues relevant to professional responsibility, the doctor-patient relationship, and public accountability link are key component of preparation for immersion in clinical contexts. Skills in basic research skills including data management and critical appraisal of evidence and knowledge which provide the basis for evidence based clinical decision-making are consolidated. Scientific basis of clinical practice extends students with detailed knowledge of major body systems in health and disease. In the clinical skills component of the curriculum, students are expected to draw upon theoretic knowledge, and apply this during the development clinical reasoning as well as consolidating proficiency in key clinical skills tasks. An integral component of this unit is the weekly problem based learning activity (PBL). Each PBL integrates content presented to students across the four themes throughout the week.

Outcomes

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

Theme 1

  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

  17. Discuss the interplay of medical, scientific, social, cultural, political, economic and ethical factors in health promotion
  18. Describe and compare medical, behavioural and socio-environmental approaches to health promotion
  19. Explain key concepts in medical screening and diagnostic programs including validity and reliability of these programs
  20. Describe the relationship between exposure, causation and risk factors for disease and morbidity in populations
  21. Appraise a health promotion program
  22. Source and interpret biostatistical information relevant to health and disease in populations across a range of contexts (e.g. rural, indigenous, refugee vulnerable/'at-risk' populations)
  23. Describe the characteristics of different study designs used in population health and clinical research
  24. Describe the role of health care services and the essential roles of systems in maintaining health and in monitoring, managing and preventing disease across a range of contexts (e.g. rural, indigenous, vulnerable/'at-risk' populations)
  25. Describe sources of information used to support clinical decision making and management in health care
  26. Describe human and organisational factors that may impact upon patient care
  27. Outline the structure of medical literature and the roles of the different academic styles of writing
  28. Search effectively and efficiently medical research information and data from personal, print and electronic sources
  29. Organise and manage information sourced from medical research publications and popular information sources
  30. Critically appraise articles in medical and health care literature.

    Theme III:

  31. Discuss the relevance of biomedical science to the practice of medicine in the areas of sexuality, development and growth, and apply knowledge in these areas in an integrative manner to the understanding of particular cases or clinical issues
  32. Describe the basic processes of reproduction and early development, comprehend infertility and strategies to manage reproduction and contraception, understand how fetal conditions can determine adult disease
  33. Outline therapeutic agents relevant for neurological, reproductive, and psychological conditions
  34. Describe the anatomy of the head and neck including the intracranial region
  35. Describe the physiology of central nervous system function
  36. Demonstrate an introductory level of understanding of human psychology and the neurobiological basis of human behaviour
  37. Demonstrate knowledge and understanding of 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; demonstrate an introductory level of understanding of human psychology and the neurobiological basis of human behaviour.

    Theme IV

  38. Conduct a structured patient centred interview in simulated environments
  39. Elicit a structured, comprehensive and logical history in simulated environments
  40. Perform an appropriate examination for specified systems in simulated environments
  41. Perform specified clinical procedures and tasks in simulated environments
  42. For specified conditions, identify relevant investigations for the patient's presenting problems or conditions
  43. Describe the requirements for requests/ordering relevant investigations.
  44. Interpret results of specified investigations in simulated settings/scenarios
  45. Outlines the reasons for prioritising patient care
  46. Generate a problem list
  47. Formulate and discuss their reasoning for a differential diagnosis (list)
  48. Outline a basic management plan for specified common problems and conditions
  49. For specified conditions identify clinically appropriate medications
  50. Explains the importance of monitoring patients

    Rural placement:

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

  51. Describe and discuss how rural contexts impact on the assessment of health conditions
  52. Recognise the importance of context and clinical reasoning in relation to focused history taking
  53. Describe and discuss how a rural context impacts on the clinical and non-clinical management of patients
  54. Analyse the ways in which rural diversity can impact on rural health, illness and clinical practice
  55. Reflect on the nature of a rural clinical practice from a clinician's perspective.

    Student Project Cases:

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

  56. Integrate information from the four curriculum themes based on the range of learning activities, including self-directed research
  57. Integrate and synthesise information from different body systems and human perspectives in the appreciation of clinical issues
  58. Identify relevant resources and critically analyse information from a variety of sources
  59. Develop skills in problem solving and apply in a medical context
  60. Develop interpretative skills related to the evaluation of endocrine, metabolic, gastrointestinal, nutritional, reproductive and developmental information and issues, interfacing biomedical science with clinical medicine
  61. Work effectively and communicate constructively within small groups in the planning, development and implementation of teamwork tasks, with individual and group responsibilities and adherence to project timelines
  62. Discuss issues and problems in a structured manner and act as spokesperson for a group in a wider forum
  63. Apply skills in audiovisual presentations on particular topics in medicine
  64. Develop skills in preparation of written summaries in the form of notes suitable for effective communication and education
  65. Apply constructive critiques to verbal and written presentations.

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

Some activities may be completed in either MED2031 or MED2042

Two written exams (3 hours each) (MCQ/SAQ) (10% each/ 20% total) [MED2031]

Two written exams (3 hours each) (MCQ/SAQ) (10% each/ 20% total) [MED2041]

Written assignments in Health Promotion (2 x 3000 words) (17%) [Either MED2031 or MED2042], & Additional Piece (a creative piece of work with a variable presentation) (3%) [MED2042]

Written assignments for Rural and or Prevention Science placements (3000 words) (10%) [Either MED2031 or MED2042]

Student project cases (written assignment and oral presentation) (3500 words written, 30 min presentation) (10%) [MED2031]

Clinical skills practical examination (OSCE) (20%) [MED2042]

Assessment of materials presented in the result for MED2042 will be a pass grade only (PGO)

Hurdle requirement: Students must satisfactorily complete a breast examination activity; and 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