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MEDIC ST 1102B - Clinical Practice I Part 2

North Terrace Campus - Semester 2 - 2020

From the first week of the course, students are introduced to the skills required for medical practice. Emphasis is placed on developing the clinical interviewing skills required to elicit and record a clinical history and to perform a physical examination. Clinical skills will be gained within a state-of-art Clinical Skills Laboratory Located within the Medical School building.

  • General Course Information
    Course Details
    Course Code MEDIC ST 1102B
    Course Clinical Practice I Part 2
    Coordinating Unit Medical Studies
    Term Semester 2
    Level Undergraduate
    Location/s North Terrace Campus
    Units 6
    Contact Weekly lectures, CBL sessions & resource sessions
    Available for Study Abroad and Exchange N
    Prerequisites MEDIC ST 1102A in previous Semester
    Restrictions Available to MBBS students only
    Assessment Refer to Course Outline
    Course Staff

    Course Coordinator: Alison Robinson

    Email: inta.rudaks@adelaide.edu.au
    Ph: 83138362
    Course Timetable

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

    Further details of the timetable structure will be made available at the start of the course.
  • Learning Outcomes
    Course Learning Outcomes
    1 outline, recognise the consequences of and apply good OH&S and infection control practices;
    2 understand and appreciate the importance of the team approach to health care;
    3 identify the behaviours, characteristics and communications skills of a doctor that would promote an effective doctor patient relationship;
    4 appreciate and practice confidentiality regarding patient information;
    5 demonstrate knowledge of interviewing skills;
    6 describe the content, structure and function of a complete health history;
    7 apply clinical reasoning to the data gathered and thereby form a hypothesis about the patient’s condition;
    8 demonstrate an understanding of vital signs and the implications for a patient’s health;
    9 develop interviewing and history taking skills in the designated body systems;
    10 develop physical examination skills in the designated body systems;
    11 demonstrate ability to record assessment data using a prescribed framework;
    12 develop strategies to ensure doctors cope with their encounters with difficult patients;
    13 understand the requirements for appropriate professional behaviour;
    14 develop a commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life.
    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)
    1,5,6,7,8
    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
    8,9,10,11
    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
    2,3,12
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    4,13,14
    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
    12,
    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
    12,13,14
  • Learning Resources
    Required Resources
    Students will be required to purchase a standard medical examination kit and textbooks.
    Details will be available through the University’s bookstore. Other required resources will be advised as appropriate.
    Recommended Resources
    Extensive electronic and paper-based resources will be advised as the course progresses.
    Online Learning
    Material for the course will also be provided through the dedicated medical curriculum website: http://curriculum.medicine.adelaide.edu.au/index.asp
  • Learning & Teaching Activities
    Learning & Teaching Modes
    The course will comprise both structured and self-directed learning. Hands-on small group tutorials will link to the specific case being undertaken by the students. Students will be required to develop a portfolio of guidelines.
    Workload

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

    Students will be required to attend weekly 2 hour tutorials in the clinical skills laboratory. Students will also be expected to assimilate learning from the Medical Personal and Professional Development tutorials, Case-based Learning tutorials and the didactic lectures provided throughout the course, as well as and directed and self-directed study and translate this learning to the weekly tutorials and required assignments. In Years 1-3, the standard total student workload for 24 units is 48 hours a week.
    Learning Activities Summary
    Students will be required to attend weekly 2 hour tutorials in the clinical skills laboratory. You will be given the learning objectives and the guidelines to be developed the week prior to the tutorial. This means that prior reading is compulsory. You will also required to develop a Portfolio of Clinical Guidelines. Each few weeks a different body system will be covered. Within the few weeks students will work through History Taking (HT), Physical Examination (PE), the relationship between HT and PE. Students will work with a tutor and Standardised Patients. There will be additional skills to be learnt – such as Blood Pressure – and these will also be assessable throughout the year, and in the end of year CS Practical Exam, the OSCE (observed structured clinical examination).
    Specific Course Requirements
    Students must meet the requirements set out in the letter of offer. It is an MBBS entry requirement to obtain a valid first aid certificate. As a medical student you will be registered with the Medical Board of Australia. All commencing students in Medicine, Dentistry, Oral Health and Nursing will be required to obtain a satisfactory criminal history clearance (CHC). Information on acquiring the clearance is outlined in the letter of offer.
    Small Group Discovery Experience
    The predominant learning method for the MBBS Program is small group discovery learning.
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Please refer to the course outline for MEDIC ST 1102A - Clinical Practice 1 Part 1 for the Assessment Summary.

    To pass this course and the First 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 1000A and MEDIC ST 1000B First 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.


    Modified arrangements have been made to assessments and the details provided here reflect recent updates:

    Clinical competency: Hx and PE S1: 0%
    Vital Signs Assessment: Hurdle: 0%
    Case Write-Up Reports S1: 10%
    Oral Case Presentation: 10%
    Readiness Assurance Test S1: 15%
    Clinical competency: Hx and PE S: 0%
    Case Write-Up Reports S2: 30%
    Oral Case Presentation: 10%
    Readiness Assurance Test S2: 15%
    NEW: Participation and engagement, professionalism S1+S2: 10%
    Assessment Related Requirements
    Attendance

    Students must learn and appropriately use a complex set of skills to
    achieve the learning outcomes in the MBBS courses. These skills cannot be
    learnt without repeated practice, constructive feedback and then practice
    again. In addition, the professional competencies required of a medical professional
    need to developed.  Development of competency is through discussions,
    observing, practicing and demonstrating. Attendance at the mandatory learning
    activities is essential for the progressive development of the attributes and
    competencies required of a medical professional. As such, attendance at core
    structured learning activities is mandatory as per the Assessment for
    Coursework Policy – Procedures Section 1c.

    Students must attend 90% of the core structured learning activities to
    achieve a pass in this course. Exemptions to mandatory attendance requirements
    may be granted by the Program Coordinator in consultation with the relevant
    course coordinator and year level advisor if there are exceptional medical,
    compassionate or extenuating circumstances as defined by the Modified
    Arrangements for Coursework Assessment Policy.

    Core structured learning activities for this course are weekly clinical
    practice tutorials, inter-professional learning sessions and simulation
    centre sessions. Students are required to engage in the pre-reading activities.


    Late submissions

    If an extension is not applied for, or not granted then a penalty for
    late submission will apply. A penalty of 10% of the value of the assignment for
    each calendar day that the assignment is late (i.e. weekends count as 2 days),
    up to a maximum of 50% of the available marks will be applied.
    This means that an assignment that is 5 days late or more without an approved
    extension can only receive a maximum of 50% of the marks available for that
    assignment.


    Assessment Detail
    Complete assessment requirements for this course are detailed in the corresponding Canvas Course.
    Submission
    Students may be required to submit assessments via Turnitin.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    GS8 (Coursework Grade Scheme)
    Grade Description
    CN Continuing
    FNS Fail No Submission
    NFE No Formal Examination
    F Fail
    NGP Non Graded Pass
    P Pass
    C Credit
    D Distinction
    HD High Distinction
    RP Result Pending

    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: GS4 Non-graded pass.




    Final results for this course will be made available through .

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

    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.
  • Student Support
    Students may access the University Health Practice:
    61+08 8313 5050



    If you need help with any issues that are affecting your study, you may contact Dr Andrew Linn, Years 1-3 Coordinator. Please phone 8313 6221 to make an appointment.



  • Policies & Guidelines
  • Fraud Awareness

    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鈥檚 disciplinary procedures.

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