成人大片

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: 0438 821 744
Email: bronwyn.herde@adelaide.edu.au
Location: Adelaide Rural Clinical School, The 成人大片

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

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. (A detailed list of common organ system disorders will have been provided to each student)
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 an 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

Essential Reading:

Practical Paediatrics (7th ed, 2012)
ISBN: 9780443102806
Dist: Elsevier
RRP: $153.00
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 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)
http://www.ncbi.nlm.nih.gov/Omim/

American Academy of Paediatrics
http://www.aap.org/

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.

Rural Placement
This course is part of a community based, longitudinal, integrated year of clerkship, clinical placement and training in rural hospitals and clinical settings. This comprised experiencing and learning about the 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. These will be clinical attachments, where the student will be part of the clinical unit providing patient care in general practice, and hospital inpatient and emergency care. This includes a two-week rural specialist paediatric intensive placement at Pt Augusta hospital. Students will be responsible to the unit Registrar and Consultant. Students will take part in all unit activities i.e. acute and elective admissions, outpatient sessions and other ambulatory care, operating theatre sessions, unit audit and teaching meetings, etc.

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.

Structured Learning Program
Whilst on placement, a formal paediatric learning program will be delivered. This course will take a ‘flipped classroom’ approach to learning. The WCH Paediatric Competencies inform this approach which consists of a high yield online interactive module or video lecture followed by a problem-based learning tutorial facilitated by a paediatrician.


Learning in Child and Adolescent Mental 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.

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

Details will be made available on MyUni.

Assessment Task	Task Type	Weighting	Hurdle?	Coure Learning Outcome(s) Assessed
Midyear written exam (MCQ)	Summative	35%	N	1 - 7
Paediatrician Mini-CEX	Summative	15%	N	1 - 4
Case presentation	Summative	30%	N	1 - 4, 6, 7
Paediatric psychiatry assessment	Summative	20%	N	5
Students not participating in scheduled sessions will be given feedback	Formative	-	-	N/A
Online paediatric module completion	Formative	-	-	1 - 7
ARCS Midyear OSCE	Formative	-	-	1 - 4
Monthly Quizzes MCQ	Formative	-	-	1 - 7

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.

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 .

Tutorial participation:
Students engage in interaction in class activities and the cooperative sharing of materials and information

Midyear written exam (MCQ)

Paediatric Mini-Cex

Case Presentation

Social and emotional childrens health - iLab component

SELT forms will be given to each student on the last day of their attachment.  Students may also be asked to fill in SELT forms on a particular tutor or lecturer.  

An iLab evaluation form will be given to all students on the last day of their attachment.  

Students are encouraged to meet with the Clinical Studies Officer if they have any problems or queries while on their Paediatrics attachment.

Information regarding University and Hospital OH&S policies and Incident Reporting is given to each student on their Introductory Day.