成人大片

General Practice

Student Contact
Nicky Bennett
Urban Student Coordinator
Telephone: 08 8313 3460
Facsimile: 08 8313 3511
Email: nicky.bennett@adelaide.edu.au

GP Contact
Professor Nigel Stocks
Head of Discipline
Telephone: 08 8313 3462
Email: nigel.stocks@adelaide.edu.au

Geriatrics

TQEH
Professor Renuka Visvanathan
Director & University Academic
Telephone: 08 8222 8178
Facsimile: 08 8222 8593
Email: renuka.visvanathan@adelaide.edu.au

Adelaide G-TRAC
Dr Kareeann Khow
Senior Lecturer
Telephone: 83132144
Email: kareeann.khow@adelaide.edu.au

RAH
Dr Robert Prowse
Contactable via the secretary
Department of Geriatric Medicine
Extension 25215 at the RAH

The course timetable for the Geriatrics and General Practice placement is complicated due to the combining of two separately organised and co-ordinated rotations. Detailed information about the GP rotation timetable is available in the Course Handbook, available via the MLTU website and should be referred to. Information regarding the placement site is available via the 成人大片 Discipline of GP website

As the GP clinics operate independently of the University, students will need to liaise with the clinical director at their placement site to determine useful learning opportunities and develop a timetable that ensures all assessment requirements are met.

Tutorials will be held in the School of Population health & Clinical Practice, Level 7 Terrace Towers 178 North Terrace on the Monday 3.00pm – 5.00pm, Tuesday 10.00am - 12.30pm & Thursday 9.00am – 11.30am.

The typical timetable for the 2 week GP rotation can be seen below.  Students will need to ensure that they are aware of School of Medicine Teaching Series session that may be organised during the GP rotation. If a clash occurs, students are to attend SMTS and inform the clinical director of their placement site of their absence in advance.

Week A

Monday	Tuesday	Wednesday	Thursday	Friday
	GP Tutorial	GP Placement	GP Tutorial
GP Tutorial		GP Placement

Week B

Monday	Tuesday	Wednesday	Thursday	Friday
GP Placement	GP Placement	GP Placement	GP Placement	GP Placement
GP Placement		GP Placement		GP Placement

For the Geriatrics rotation, students will be evenly divided between QEH and RAH. At RAH the group will be split into 2 parallel streams, each doing 2 weeks acute and then 2 weeks rehabilitation with a final combined + GP week.


GERIATRICS AT QEH
The Geriatrics component of the placement delivered at the QEH is complicated and comprises 3 separate timetables: a master timetable for the lecture series, a rehabilitation medicine clinical placement timetable and the geriatrics clinical placement timetable. Unfortunately, this structure cannot be altered. However, time has been allocated for students during their rotation orientation session on the first day to consolidate these timetables and ask questions directly to Prof Visvananathan.

Students are expected to discuss their individual geriatrics placement timetable with their preceptor. While undertaking the clinical geriatrics placement, students are advised to attend, where it doesn’t clash with other learning commitments:
1) 0900-1000 Mon unit meeting – Level 5B Seminar Room- except first Monday of every month
2) 1400-1500 Friday Radiology Meeting Radiology Room behind the information counter,Ground Floor


GERIATRICS AT RAH
The Geriatrics component of the placement delivered at the RAH has its own detailed timetable available on the MLTU website. Students are advised to consult the MLTU website prior to the commencement of their placement. Further information is also available in the student handbook.

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

Geriatrics – not applicable
GP – not applicable

Geriatrics: The Course Handbook contains a wealth of journal articles, reports and links to online material that has been carefully selected to assist students in meeting clinical and placement learning objectives. Students are advised to consult the handbook.

GP: General Practice is a broad field, and students are advised to seek out resources that will assist them to consolidate their clinical learning.

Geriatrics: The Course Handbook contains a wealth of journal articles, reports and links to online material that has been carefully selected to assist students in meeting clinical and placement learning objectives. Students are advised to consult the handbook. An extremely useful website is the Victorian Geriatric Medicine Training Program portal, which has a number of interactive modules that are extremely relevant:

GP: students are expected to have completed the e-learning module on Medicare and prescribing prior to attending their tutorials in the first week of the GP block. It is available here:http://www.medicareaustralia.gov.au/provider/business/education/e-learning.jsp

Other useful online resources are:
Therapeutic Guidelines: available via The 成人大片 Library
The Clinical Practise Guidelines Portal:
Online databases such as UpToDate: available via The 成人大片

Geriatrics
Teaching during the Geriatrics component of the rotation is primarily delivered in the clinical setting but supplemented with lectures and tutorials.

Clinical teaching
Students are expected to attend and participate in ward rounds, outpatient clinics and academic teaching sessions such as unit meetings and hospital grand rounds. Students need to discuss with their preceptor when these activities take place and how they should engage themselves in them.

Students are also expected to work up and present patients and as part of the clinical learning experience, students must clerk at least one patient during their geriatric medicine placement for formal assessment. The mode of the assessment of this case write up will be up to the student’s preceptor.

Lectures
Each week specific lectures will be provided at TQEH, RAH and Modbury Hospital. Students to refer to master timetable.

Visits
To: Aged Care Assessment Team, Aged care complex (nursing home), Alzheimer’s Association, Centre for physical activity in Ageing, Day Therapy Centre


General Practice
Teaching during the GP component of the rotation is delivered primarily in the clinical setting. It is supplemented by the tutorials and lectures in Week 1.

As there is limited clinical session time in which to achieve the learning objectives for this program, it is important that time spent observing in clinics is kept to a minimum and that you take a hands-on role as much as possible, reflecting on your learning and making patient management decisions under supervision. You should make every effort to undertake an Extended Primary Care Assessment for a patient. Examples of this include the 75+ Assessment, Asthma 3+ assessment, Indigenous Health Assessment other chronic disease management items.

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

Workload for the individual students will vary from week to week but students can assume that on average they will work a 45 hour week which will include clinic sessions, lectures (both delivered and online), seminars, tutorials and private study but does not include after hours call.

See Teaching and Learning Modes above

Geriatrics: A copy of your valid (within 2 years) police check and the original (to be sighted) on the first day of placement.

The predominant learning method for the MBBS Program is small group discovery learning.

The final mark comprises both the individual marks for GP and Geriatrics. A pass in both the Geriatric and GP areas of Geriatrics & General Practice is required to achieve a pass in this subject.

QEH GERIATRICS ASSESSMENT SUMMARY
All TQEH Clinical Placement students are expected as a minimum to attend a mini CEX session with the advanced trainee (or basic trainee) in each of the 2 weeks in geriatric medicine. In terms of rehabilitation mini CEX sessions, these will be coordinated by Dr Nigel Quadros who will provide you with details at the start of you rehabilitation clinical placement attachment. Further information is available in the student handbook.

Students must clerk at least one patient during their geriatric medicine placement and the preceptor will determine how they will assess this.

Formative Assessment
Mini CEX opportunities and clinical skills development opportunities have been scheduled and feedback will be provided to students during these learning opportunities. Mini CEX are short 5-15 minute sessions with approximately 5 minute feedback opportunity. They may be completed in a group or individually depending on clinician preference.

Summative Assessment
•    95% expected attendance rule and where leave is because of an illness, a sick certificate needs to be handed in to preceptor. Any other leave needs to be applied for prospectively and it should not be taken for granted that it will be approved.
•    Completion of the log book
•    Completion of 4 mini CEX and signed off
•    Preceptor Assessments for both clinical geriatrics and rehabilitation medicine rotations.
•    Submission of completed log book (with all 4 mini CEXs), and the 2 preceptor assessments on the final day of rotation
•    Pass on the MCQ test on the final day of rotation
•    Pass on the OSCE on the OSCE on the final day of rotation

RAH GERIATRICS ASSESSMENT SUMMARY
This will be gathered from 5 components
1.    Rehabilitation case presentation: Students are asked to select a patient, and prepare a case presentation which illustrates the problems involved in assessing and planning the rehabilitation of an elderly disabled person. Detailed information regarding the case presentation is available in the student handbook.
2.    Case Taking: During the acute program students are expected to take a history and perform a thorough examination on one patient for presentation to the consultant in the second week. Each student will present their case; with the aim to practise thorough, accurate, concise and logical case taking.
3.    Lecture attendance
4.    Summary session participation
5.    Clinical tutorial performance


GENERAL PRACTICE ASSESSMENT
Assessment in the GP requires completion of the GP Workbook, found in the Course Handbook and completion of the assessment for, also in the Course Handbook by the student’s preceptor.

The Assessment Form provides a banded grade for the placement and must be completed by the GP and returned in the envelope provided to:

Nicky Bennett
Student Coordinator
Discipline of General Practice
The 成人大片
Level 11Terrace Towers
178 North Terrace
Ph: 08 8313 3460
Fax: 08 8313 3511
Email: nicky.bennett@adelaide.edu.au

Please note that it is the student’s responsibility to ensure that the Assessment Form is returned to Nicky Bennett. Failure to do this could result in failing the GP component of Geriatrics & General Practice.

See Assessment Summary above

Geriatrics (TQEH) Assessment

Grades/Marks
Geriatrics (RAH) Assessment
This will be gathered from 5 components
6.    Rehabilitation case presentation (25%)
7.    Case taking (second week) (25%)
8.    Lecture attendance (15%)
9.    Summary session participation (15%)
10.    Clinical skills demonstrated – clinical tutorials (20%)

Not applicable

Submission details will be outlined at the beginning of the attachment.

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.

Students may access the University Health Practice, 61+ 08 83135050 

The MBBS Program website has details on Student Well-being resources which can be accessed.

Please read the MBBS Program Code of Conduct