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Geriatrics
A. On completion of Year 5 Geriatrics, students will demonstrate knowledge and understanding of the:
1. concepts and facts regarding problems of hospitalized patients and patients in the community
2. physiologic changes related to ageing
3. consequences of iatrogenesis on health outcomes
4. management of conditions common to older people, including geriatric syndromes
5. range of services for the elderly, including those outside the acute hospital setting
6. work of the various members of the healthcare, aged care and rehabilitation teams
7. influence of environmental, social and financial circumstance on the older person’s health outcomes

B. Students will demonstrate competency, as expected of a Year 5 student, in the following areas of clinical skills and reasoning:
1. obtaining a history, performing an appropriate physical examination and assessing elderly patients in all domains including cognition, emotion, physical function, falls, nutrition, integument, bone health and continence
2. documenting medications, discussing the evidence for and against the use of these medications, the adverse effects and drug interactions that may occur, and the monitoring requirements
3. performing supervised procedures as deemed appropriate by the preceptor
4. interpreting data commonly collected from patients
5. documenting the history and physical examinations and developing a problem list with proposed management and review plan
6. verbal presentation and discussion of assigned patients
7. the concept and application of advanced care planning and capacity assessment
8. communicating with general practitioners, allied health members in the community and family about management plans, ensuring clinical handover

C. Students will demonstrate the following professional attributes:
1. working and communicating with other members of the healthcare team to achieve best outcomes for their patient
2. interacting with the patient and the healthcare team in a professional manner that includes punctuality, attention to appropriate dress code, ensuring dignity in care and attention to confidentiality
3. understanding of and adherence to concepts of patient autonomy, benevolence, and distributive justice of healthcare

General Practice

D. On completion of Year 5 General Practice, students will demonstrate knowledge and understanding of:
1. the normal structure and function of the body (at all levels from molecule to organism), epidemiological, social and behavioural sciences
2. the common problems presenting to general practice and the approaches for their recognition, investigation, treatment and prevention
3. integrating and applying core medical and scientific knowledge to individual patients, population and health systems
4. integrating the principles of disease prevention and health promotion into clinical practice
environmental and psychosocial issues and their effect on the patient
5. the care of people who have one or more chronic illnesses
6. identifying, accessing, critically appraising, interpreting and applying evidence from the medical and scientific literature

E. Students will demonstrate competency, as expected of a Year 5 student, in the following areas of clinical skills and reasoning:
1. diagnostic reasoning skills including integration and weighted interpretation of findings from history and physical examination to arrive at an initial differential diagnosis
2. selecting and justifying common investigations, with regards to the pathological basis of disease, utility, safety and cost effectiveness, and interpret their results
3. applying therapeutic reasoning skills including identification of appropriate therapeutic objectives in both differentiated and undifferentiated clinical problems
4. formulating and justifying appropriate management options, individually and as a member of a team
prescribing therapy safely, effectively and economically, using objective evidence, in acute, chronic and palliative care settings
5. performing and explaining to patients a range of procedures (listed in year 4/5 objectives)
assisting with completion of an Extended Primary Care assessment of a patient

F. Students will demonstrate the following professional attributes:
1. the ability to communicate effectively and professionally, in a variety of media, with patients, colleagues and others
2.accepting responsibility to protect and advance the health and wellbeing of individuals, communities and populations
3.understanding the environmental, social and psychological determinants of disease, including issues relating to health inequalities, 4.cultural diversity, and socio-economic and physical environment factors
5. the ability to contribute to the teaching and professional development of others

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