MED4182 - Specialty clinical practices 2 - 2018

12 points, SCA Band 3, 0.250 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

Coordinator(s)

Associate Professor Christopher Wright

Unit guides

Offered

Clayton

  • Second semester (extended) 2018 (On-campus)

Prerequisites

MED3051, MED3062 and MED3200 or GMB3031, GMB3042 and GMB3200.

Co-requisites

MED4000 and MED4200. Must be enrolled in courses 0040, 1074, 3856, 3952, 4531, 4533 or 4532.

Synopsis

Specialty Clinical Practices II provides clinical teaching in Children's Health, General Practice, Psychiatry and Women's Health. Students will undertake clinical placements in at least 2 specialty areas across the semester. Learning activities, tailored to the specific placement, may include lectures, tutorials, case-based learning, bedside tutorials, practical skills sessions, and specialty teaching clinics and directed learning activities. Students are expected to attend clinical settings, undertake independent learning activities and consolidate knowledge and skills from previous learning. EBCP and Health Economics components will be integrated with placement activities.

Outcomes

Upon successful completion, for the disciplines relevant to each of the clinical placements undertaken, students should be able to:

Theme I: Personal and Professional Development

  1. Apply the legal requirements and protocols to 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. Recognise issues related to justice and the role of advocacy that are evident within the health system
  4. Practice and discuss ethical decision making and consultation in clinical environments
  5. Display a respectful, non-judgemental and empathic approach to others
  6. Maintain an appropriate standard of professional behaviour including demeanour, appearance and meeting commitments and acts as a role model for junior students
  7. Communicate clearly, effectively and appropriately in oral, written and electronic formats
  8. Explain the potential harm created by risks and errors in health care settings and the responsibilities of health care professionals in ensuring the quality of patient care
  9. Identify activities in clinical settings that contribute to research and quality improvement in healthcare
  10. Review and critically reflect upon judgements and health care practices relating to patient outcomes
  11. Recognise peers experiencing difficulty and identify support strategies
  12. Use appropriate environments and strategies for sensitive and effective communication and interaction with others in clinical environments (patients and carers, peers and health care professionals)
  13. Acknowledge the roles and responsibilities of patient centred health care team members be willing to assist by taking on appropriate roles
  14. Engage in learning opportunities and participate in peer learning, leadership and teaching activities
  15. Articulate own strengths, acknowledge own limitations which impact upon performance, seek support and self-advocate for improvement
  16. Take responsibility for own self-care and health issues.

    Theme II: Population, Society, Health and Illness

  17. Explain the economic perspective on health issues and health care
  18. Critique evaluations of a health intervention
  19. Identify organisational factors which impact on patient care and participate in quality improvement processes
  20. Identify the impact of public health policy on the delivery of health care to the individual
  21. Identify relevant programs and community resources available to patients and their families
  22. Identify relevant approaches to health education, illness prevention and rehabilitation.

    Theme III: Foundations of Clinical Practice

  23. Apply the knowledge and concepts of basic biological, psychological and social science to common and important clinical conditions
  24. Identify biological, psychological and social factors pertinent to understanding the illness and its management
  25. Identify common and important illnesses, conditions and disorders.

    Theme IV: Clinical Skills

  26. Conduct a structured and organised patient centred interview
  27. Elicit a structured, comprehensive and logical history for neonates, babies, children, adolescents, and adults
  28. Perform an appropriate examination (relevant to practice in general practice, psychiatry, women's health and children's health)
  29. Perform specified clinical procedures and tasks in clinical environments
  30. Justify selection of investigations for the patient's presenting problems or conditions
  31. Request/order relevant investigations correctly
  32. Interpret results of specified investigations and use to guide patient management
  33. Prioritise patient care in order of urgency under structured supervision
  34. Generate a ranked problem list
  35. Develop a differential diagnosis (list) and justify the most likely options relevant for the patient
  36. Develop and justify management plans for common problems and conditions for a patient whose illness remains undifferentiated
  37. Select and justify their choice of medication, dose and mode of administration for the patient
  38. Monitor the patient, recognise common complications and plan an immediate response under structured supervision
  39. Develop and implements an individualised patient management plan for fluid, electrolyte and blood product use
  40. Perform admissions, discharges and referrals including documentation and patient preparation
  41. Provide structured and effective case presentations
  42. Accurately record case details and clinical activities in appropriate formats.

Fieldwork

18 weeks in continuous rotations through clinical attachments.

Assessment

Summative assessment tasks (written and practical) specific for the discipline area of the clinical attachments (i.e. Children's Health, General Practice Women's Health, Psychiatry) with a total of 12 assessment workload points for in-semester assessment (100%)

Hurdle requirements for each area of clinical attachment (ie Children's Health, General Practice Women's Health) such as specified clinical tasks and completion of logbooks. Successful completion of web-based Evidence-Based Clinical Practice and Health Economics components.

80% minimum attendance hurdle requirement.

Workload requirements

This is a 12 point unit over 18 weeks in continuous rotations through clinical attachments.

See also Unit timetable information

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