MEDIC ST 5015ARU - Paediatrics and Child Health Part 1

Teaching Hospitals - Semester 1 - 2024

The clinical attachments are a program of clinical education through a selection of placements so that students will be competent in history-taking, patient examination and management. This includes problem formulation, investigations, treatment (pharmacological and non-pharmacological), counselling, good communication skills, the practice of empathetic medicine, and a sound knowledge base that allows diagnosis and management of common disorders to be carried out under appropriate supervision. Some students will have the opportunity to undertake their training for an extended period of time in a rural or remote setting.

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Course Details

Course Code	MEDIC ST 5015ARU
Course	Paediatrics and Child Health Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	attachments, common program & research
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 4000AHO/BHO, MEDIC ST 4013AHO/BHO, MEDIC ST 4014AHO/BHO, MEDIC ST 4015AHO/BHO, MEDIC ST 4016AHO/BHO, MEDIC ST 4017AHO/BHO, MEDIC ST 4018AHO/BHO, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students on rural placement only
Assessment	details provided at start of year

Course Staff

Course Coordinator: Dr Katrina Morgan

Rural Paediatrics Course Coordinator - Dr Shirley Sthavan
Email: shirley.sthavan@adelaide.edu.au
Location: Paediatric Unit, Lyell McEwin Hospital

Year 5 Rural Program Coordinator: Bronwyn Herde
Phone: +61 8 8313 4528
Email: bronwyn.herde@adelaide.edu.au
Location: Adelaide Rural Clinical School, The 成人大片

Course Timetable

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

Course component 1: Online Theory Modules
Duration: 1 hour
Enrolment capacity: na
Quantity: 1 x 1 hour

Course component 2: Video Conference Tutorial
Duration: 1 hour
Enrolment capacity: na
Quantity: 16 x 1 hour

Course component 3: Rural Paediatric Specialist Clinical Placement
Duration: 2 weeks
Enrolment capacity: na
Quantity: 20 sessions of 4 hours

Course component 4: Rural General Practice Clinical Placement
Duration: semester
Enrolment capacity: na
Quantity: 16 weeks

Course Learning Outcomes

1	Knowledge of normal growth, development, puberty, immunisation, sleep, feeding requirements with demonstrated competency in identifying normal and abnormal variations in these areas. Competency in the ability to carry out developmental assessments.
2	Knowledge of common general paediatric conditions such as fever, vomiting and diarrhoea, UTI’s respiratory infections, asthma, cardiac murmur, rashes, obesity, failure to thrive, abdominal pain, enuresis, seizures and development problems.
3	Knowledge of the common chronic conditions of childhood with demonstrated ability in taking a detailed clinical history, examination, discussion of appropriate differential diagnoses, investigations and treatment for each organ system with an understanding of the different roles and responsibilities of the treating clinical team.
4	Knowledge of the emergency care of children, common surgical conditions, resuscitation procedures, competency in common procedures such as blood sampling, urine sample collection.
5	Knowledge of child and adolescent mental health with the demonstrable ability to take a psychiatric history from children and their families, the ability to engage e.g. with a reluctant or angry young person and the formulation of appropriate treatment plans. The demonstrable ability to understand the responsibilities and approaches to revelations of child physical/sexual abuse and the structure of Psychiatric services in South Australia. Knowledge of attachment theory and its implications for psychological health and the principles of transference and counter transference and how this is applied in a paediatric setting.
6	Knowledge of the role of the family and the community in providing for the needs of the child with a clear understanding of the rights of children and young people and the relevant health and welfare agencies and their roles.
7	Knowledge of the privacy issues that apply to children, proven ability to communicate and empathise with children and their families

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)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1,2,4,5
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	3,5
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	5
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	6,7
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	5,6,7
Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.	.
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	.
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	7

Learning Resources

Required Resources

Essential Reading:

Practical Paediatrics
ISBN: 9780443102806
Dist: Elsevier
Full text available online and free through university of adelaide library

Adelaide Rural Clinical School – online learning and ePBL tutorial resources through MyUni and Zoom videoconferencing platforms

Recommended Resources

Recommended Reading

Paediatric Clinical Examination Made Easy (5th ed revised, 2006)
ISBN: 9780443103957
Dist: Elsevier
RRP: $ 47.00

Great Ormond Street Colour Handbook of Paediatric Medicine and Surgery (2007)
ISBN: 9781874545279
Dist: Woodslane Pty Ltd
RRP: $ 120.00

Jones’ Clinical Paediatric Surgery (6th ed, 2008)
ISBN: 9781405162678
Dist: Wiley and Sons
RRP: $ 130.00

Illustrated Textbook of Paediatrics (4th ed, 2011)
ISBN: 9780723435655
Dist: Elsevier
RRP: $ 62.00

Paediatrics and Child Heath (3rd ed, 2011)
ISBN: 9781405194747
Dist: Wiley
RRP: $77.95

Understanding Children and Young People's Mental Health
Claveirole, Anne & Martin Gaughan
ISBN: 9780470723456
Dist: Wiley

Further useful reading

Apley’s Concise System of Orthopaedics and Fractures (3rd ed, 2005)
ISBN: 9780340809846
Dist: Cengage
RRP: $87.95

Lecture Notes on Diseases of the Ear, Nose and Throat (10th ed rev, 2007)
ISBN: 9781405145084
Dist: Wiley & Sons
RRP: $49.95

Nelson’s Essentials of Paediatrics (6th ed, 2010)
ISBN: 9781437706437
Dist: Elsevier
RRP: $ 104.00

Vaughn and Ashbury’s General Ophthalmology (18th ed, 2011)
ISBN: 9780071634205
Dist: McGraw-Hill Education Aust
RRP: $ 100.00

Lecture Notes – Paediatrics (8th Ed, 2011)
ISBN: 9781405145091
Dist: Wiley & Sons
RRP: $47.95

Major text references

Nelson’s Textbook of Paediatrics (19th ed, 2011)
ISBN: 9781437707557
Dist: Elsevier
RRP: $ 150.00

Useful websites

Online Medelian Inheritance in Man (OMIM)

American Academy of Paediatrics

Online Learning

MyUni Online Course
Content: Online Interactive Modules, PBL cases and Video lectures delivered via MyUni.
Communication: Announcements and discussion boards will be used for asynchronous communications.
Assessment: Placement and assessment report forms will be submitted and marked online.

Web Conference Tutorials
Weekly video/web conference tutorials will be held with students at all rural placement sites.
Learning & Teaching Activities

Learning & Teaching Modes

Rural Placement
This course is part of an community based, longitudinal, integrated year of clerkship, clinical placement and training in rural hospitals and clinical settings. This comprised experiencing and learning about community, emergency, inpatient and specialist paediatrics, that follows the core competencies of the Department of Paediatrics fifth year medical program. Each student is based in an ARCS rural training centre for the two semesters of the full year. Students will have the opportunity to be exposed to paediatric patients through placements in primary care, hospital emergency departments and in-patient care.

Structured Learning Program
Throughout the semester, there are scheduled ePBL tutorials with a specialist paediatrician and facilitated small group tutorials with a community doctor with paediatric expertise.They will involve learning and practice of clinical skills in taking histories in Paediatrics, and undertaking physical examination of children at different ages. The tutorials will provide teaching around the core competencies in paediatric knowledge, skills, attitudes and attributes, expected of a fifth year medical student. These sessions will also involve specific aspects of Paediatric Medicine, Paediatric Surgery, Child and Adolescent Mental Health, Paediatric Emergency Care, Resuscitation, Pathology, neonatology & practical skills.

Social and Emotional Childrens Health (iLAB)
Students will add to their knowledge of child and adolescent mental health by:
• Learning how to take a developmental and psychiatric history from children and their families
• Being able to assess mental health symptoms in children and adolescents, and generating a relevant management plan
• Gaining an understanding of the inter-relationship between the mental health of children and adolescents and other health problems, family problems and social circumstances
• Developing a working knowledge of other health and welfare agencies
• Gaining confidence in approaching clinical situations that contain an element of risk e.g. self-harm and suicidality
• Developing an approach to interviewing young people and their families with a focus on enhancing therapeutic alliance and obtaining accurate historical information.

Structure:
• Students will have an opportunity to practice interviewing and generating management plans for young people facing emotional challenges in a simulated clinical environment.
• Structured feedback and on-the-fly review of interview footage is undertaken after each session to enhance skill development for students.
• Seminars in child and adolescent mental health will cover common issues in developmental mental health and illness.

Workload

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

Students are expected to join weekly Zoom tutorials each Tuesday from 1230 - 1330. You will need to engage in the relevant eLearning modules prior to the Zoom tutorials. This is a 6 unit course in which your workload is expected to be 24 hours per week. The majority of this time will consist of clinical placement in your rural site.

Learning Activities Summary

LECTURE TOPICS

Week 1: Course Overview and Paediatric Psychiatry iLab
Week 2: Introduction to Paediatrics, Assessment and Growth
Week 3: Respiratory Illness
Week 4: Cardiology
Week 5: Haematology
Week 6: Recognition of a Sick Child
Week 7: Renal
Week 8: Gastroenterology
Week 9: Seizures
Week 10: Orthopaedics
Week 11: Paediatric Emergencies
Week 12: Endocrine (Diabetes)
Week 13: Neonatology
Week 14: Childhood behavioural Problems
Week 15: Asthma
Week 16: Paediatric Surgery
Week 17: Puberty and Thyroid

Specific Course Requirements

Please refer to MyUni.
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

This course is the first semester of the community based, integrated Adelaide Rural Clinical School Rural Paediatrics and Child Health course and assessment continues over the 36 week MBBS calendar year. A CN (Continuing) grade will be awarded in Part 1 and summative assessment with be carried out in Part 2.

Summative Assessment:
See MEDIC ST 5015BRU for the assessment for this full year course

To pass this course and the Fifth 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 5000AHO and MEDIC ST 5000BHO Fifth 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 may be offered an appropriate remedial course of the same or greater value as specified in term 4 of the same academic year.

Assessment Related Requirements

It is compulsory for students to attend clinical placements and their specific activities in line with the principles and guidelines outlined in the Medical Student Clinical Hours document.

Exemptions to mandatory clinical placement attendance requirements may be granted by the Education Lead 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.

Compulsory attendance at tutorials and all clinical sessions.

The University has developed a Scope of Practice document which outlines appropriate activities for Year 5 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and .

Assessment Detail

MEDIC ST 5015BRU - Paediatrics and Child Health Part 2

Submission

Midyear written exam (MCQ)

Monday 27^th May, 2024

EOS(1) Exams

35%

Paediatrician Mini-CEX

By end of paediatric placement

15%

Case presentation

See MyUni (Semester 2)

30%

Social & Emotional Children’s Health Assessment

See MyUni

20%

Total

100%

Course Grading

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

NOG (No Grade Associated)

Grade Description

CN Continuing

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.

Final results for this course will be made available through .
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.

SELT forms will be given to each student on the last day of their attachment. In addition, all students will be asked to complete a short "Surveymonkey" questionnaire that specifically requests feedback on their experience with clinical tutours, internship placements, lectures, and tutorials.

An iLab evaluation form will be given to all students on the last day of their attachment.
Student Support
Students are encouraged to meet with the Clinical Studies Officer if they have any problems or queries while on their Paediatrics attachment.
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Information regarding University and Hospital OH&S policies and Incident Reporting is given to each student on their Introductory Day.
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.

NOG (No Grade Associated)
Grade	Description
CN	Continuing

The 成人大片 is committed to regular reviews of the courses and programs it offers to students. The 成人大片 therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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