Information on undergraduate studies


Bachelor of Medicine and Bachelor of Surgery

The normal way for a person to become a medical practitioner in Victoria is by doing a university course leading to the degrees of Bachelor of Medicine and Bachelor of Surgery (MB BS). The graduate is then eligible for provisional registration by the Medical Practitioners Board of Victoria and after serving a compulsory internship year in an approved hospital, is eligible for final registration in Victoria, and for registration in other States of Australia.
The Australian Medical Council (AMC) has the responsibility for the accreditation of medical schools in Australia. This accreditation 'is required to provide assurance to State and Territory Medical Boards of the continued satisfactory standard of graduates from all Australian medical schools.' In 1993 the Monash Medical course was accredited for ten years - the maximum period attainable.

Selection and admission

Quota

In 1998 the first year of the medical course had 145 places which included students who were permitted to repeat the year, and those who took up a reserved place after deferring admission. In addition to these places the faculty offers up to fifteen first-year places to suitably qualified overseas students on a full-fee paying basis.

Selection

Selection into the course will continue to be based primarily on academic merit as indicated by VCE results. In addition, the results of a structured interview to assess personal qualities will be used as part of the selection process. Structured interviews are used as an adjunct to our selection procedure for several reasons.
1 The recommendation of the Federal Government's Inquiry into Medical Education and the Medical Workforce (the Doherty Committee) that personal qualities be taken into account in selection of medical students.
2 A perceived community attitude that selection for medicine courses based solely on academic success at secondary school, may not be entirely appropriate.
3 The curriculum places greater emphasis on humanistic issues than previously, so it is appropriate that selection procedures should be modified accordingly.
4 The structured interview process has been tested since 1991 when all school leavers who obtained a place were interviewed on enrolment. An analysis of the data from student interviews indicates that the interview can predict how well students perform in some aspects of the curriculum where Year 12 results are not predictive (eg the Health, Illness and Human Behaviour and the Clinical and Communication Skills subjects).

VCE prerequisites

The prerequisites for entry into medicine at Monash are:
(a) a grade average of B in English;
(b) a grade average of B in Chemistry;
(c) a grade average of B in Specialist Mathematics or Mathematical Methods and a grade average of C in Physics or Biology; or
(d) a grade average of C in Specialist Mathematics or Mathematical Methods and a grade average of B in Physics or Biology.

Selection procedures
1 Tertiary Entrance Rank (ENTER)

VTAC will calculate a ENTER as a percentile (eg 99.00) for each applicant. The ENTER will be calculated using English and the next three best study scores (other than English) and 10 per cent increments for two additional studies (one may be a first-year university subject). The university will receive this information in January, not December when it is received by students.

2 General selection criteria

Selection into the medical course is based upon a combination of the applicant's ENTER and performance at a structured interview. It is expected that few, if any, applicants will be selected on the basis of an ENTER score alone. Two groups of applicants who have met the prerequisites will be called for a structured interview.
(a) Those who have reached a certain threshold ENTER (eg above 99.00) - approximately 200 applicants.
(b) Approximately 200 additional applicants who have obtained a somewhat lower ENTER (eg 98.00 or above) and have demonstrated:

Applicants who have taken more than two years for units 3 and 4 may be accorded lower priority for eligibility and not be called for interview. The ENTER score used by the Faculty of Medicine will include an increment of up to one percentage point for those applicants who have achieved at least a grade of C for Physics. The faculty reserves the right to offer places to some applicants without interview.

3 Interviews

Approximately 400 applicants, identified as indicated above, will be invited to attend a structured interview during early to mid January.

4 Special early interview

In exceptional circumstances where applicants will be unavailable or have planned overseas travel commitments in January, the faculty may grant an early interview. Such an interview will be conducted during the first two weeks of December. Applications in writing must be received by the faculty office by mid November and include written support from the school principal and documentation of reasons for unavailability in January.

5 Final selection

The final ranked list of applicants from which places will be offered will take into account the applicant's ENTER and performance at interview. Applicants will be offered places in the order of this final ranking until the quota of places is filled.

Structured interview

There are four criteria that distinguish between a structured and unstructured interview.
1 Interview content is derived from an analysis of what the selected people will be expected to do.
2 The questions are standardised, ie similar questions are put to each applicant.
3 Some sample answers are provided to the interviewers to enable them to give consistent ratings.
4 The interview is conducted by a panel of interviewers.
The interview questions have been designed to determine which applicants have relevant personal qualities such as leadership ability and motivation to succeed in a long and difficult course. The style of questions will fall into two groups.
(a) Accomplishment questions. Applicants are asked about what they have accomplished in the past that would indicate to the panel that they have a particular personal quality.
(b) Situational questions. Applicants are asked what they would do in the future if a particular situation arose.

Interview panels

Interviewing panels consist of three members: a member of the Faculty of Medicine, a doctor in practice and an outside person who is not involved in medicine. The composition of the panels is deliberately broad because panels composed solely of faculty members or practicing doctors have in the past been legitimately criticised on the grounds that they perpetuated the personality style of medical graduates by selecting new students in the image of themselves.
Interviewers have attended at least one of the half-day training programs. In training the interviewers, emphasis is placed on the following interview techniques: (i) creating a friendly and purposeful atmosphere; (ii) indicating that we are more interested in exploring what the candidates sincerely think and feel about a range of issues rather than simply their verbal 'slickness'; and (iii) ensuring that all the topics listed for discussion are adequately sampled in the course of the interview.

Personal qualities

The personal qualities sought in the applicant at interview fall into several fields - quality of motivation, appropriateness of interpersonal style and verbal communication skill.
1 Quality of motivation. This can be looked at in three stages: knowledge and understanding of what is involved in the medical course and in a career in medicine; motivating factors - a realistic desire to become a doctor, including underlying issues such as idealism, developmental history and identification; and perseverance - the ability to persist in the face of setbacks and frustrations.
2 Appropriateness of interpersonal style. Leadership - the ability to inspire other people; teamsmanship - ability to work within a collaborative unit; the ability to listen and be nonjudgemental; maturity - an indication that a person has reached an age-appropriate level of psychological development with an emerging sense of an independent self; flexibility - the ability to adapt to new situations.
3 Communication skill. The ability to communicate effectively with others, both in statement and in manner. As part of the assessment of communication skill, applicants will be asked to 'detechnicalise' a scientific issue, ie to explain the issue in non-technical terms. Applicants will also participate in an 'active listening exercise' in which they will be expected to summarise and answer specific questions concerning a saga. The saga will be presented by one of the panel members.

Interviews

Interviews will be conducted at the Faculty of Medicine, Wellington Road, Clayton, during early to mid January, following the university's receipt of VCE results from VTAC.
The Faculty of Medicine will determine those applicants who are to be interviewed. Applicants may not request an interview.

Admission to first year with equivalent qualifications

Students who have not achieved their entrance qualifications in Victoria must hold qualifications which in the faculty's opinion are equivalent to those held by local candidates. The qualifications must include the same prerequisite subjects as those for local candidates outlined above. Such applicants must demonstrate at least the same level of academic merit as that which is required for local applicants. As an indication, local applicants who gain entry usually come within the top 2 per cent of all VCE students within Victoria.

Applications from non-school leavers

Applicants presenting with either partially complete or completed tertiary qualifications may be considered for entry to the medical course. In considering such applications the faculty selection committee will take account of an applicant's entire academic record and motivation as evidenced by extracurricular or employment experience. These are two of the criteria used in short-listing applicants for interview. Interviews are usually conducted in the December or January preceding entry. Many more applicants are able to demonstrate some suitability for the course than there will ever be available places. The demand for places in the medical course is extremely competitive both for school and non-school leavers. Each year there are approximately 1200 non-school leaver applicants for a maximum of six to eight places. In most cases applications are only considered for entry to the first year of the medical course. In exceptional circumstances applications for later-year entry may be considered. Applicants for later-year entry must clearly demonstrate to the faculty selection committee that the content of their previous studies is at least equivalent to the appropriate Monash medical course components for which they are seeking exemption.
If you wish to apply for the Monash medical course, please note that the Guide for prospective students which contains the appropriate application form is published by the Victorian Tertiary Admissions Centre (VTAC), 40 Park Street, South Melbourne, Vic. 3205. This guide is available from VTAC in July or August and applications for courses close during September.
Non-school leaver applicants must also complete the faculty's supplementary information form, obtainable from the faculty office during September. Applicants must include copies of all relevant documentation with the supplementary information form.
Monash University students applying solely for a transfer to the Monash medical course must complete a form obtained from the faculty office during September. A VTAC application is not necessary.

International students

Faculty board has determined that up to fifteen places are available in the first year of the medical course for international students (overseas full-fee paying students). These students come from overseas to study in Australia under student visas and return overseas upon completion of their medical degree.
Selection of international students is determined on the basis of the equivalency of each applicant's academic qualifications to those admitted in the quota for Australian citizens. In particular the faculty selection committee will give full regard to internationally recognised secondary qualifications such as the General Certificate of Education (A levels) in the United Kingdom and its equivalents. In addition to original documentary evidence of such qualifications, applicants may be required to attend for an interview which would assess their verbal command of the English language. In the latter years of the course medical students are given a considerable measure of responsibility in the hospital wards under the supervision of hospital staff. It is vital, in the interests alike of patients and staff in the hospital, that students should be able to communicate fluently and accurately in this situation.
The faculty selection committee accepts applications throughout the year and meets at regular intervals to make offers of places for the following year.
Prospective applicants should be aware that the fee charged for the course will be set annually, taking into account inflation and other factors. International students who during the life of their course become permanent residents of Australia are not automatically guaranteed a place in the local quota for the following year. All such students are required to compete for a place in that quota and it is possible that insufficient places may preclude a student from continuing in the course. Applicants should note that there is no guarantee of an internship place for international students. Prospective international students should ascertain the mutual recognition procedures and internship policies of their home country government authorities.

Credit transfer and recognition of prior learning

All subjects within the medical course are interdisciplinary in that they have input from several departments.
Teaching by an individual department is appropriate to each 'bodily system' being studied and therefore does not follow a conventional sequential pattern. It is therefore not possible to equate a subject in the medical course to an equivalent subject elsewhere.
The small number of medical students who have previously undertaken tertiary studies may individually, after consultation with subject conveners, be exempt from some components (eg practical classes) of a subject.
However, all students must participate in a common assesment process and pass all prescribed subjects within the medical course.

Enrolment and re-enrolment

Responsibility for subject choice

Students are advised that, while the faculty will endeavour to give every possible assistance and advice concerning subject choice, the onus is on the student to ensure that the subjects selected meet the course regulations and requirements. This is not the faculty's responsibility and the faculty does not take any responsibility for error in subject selection.

Student advisers

Students who require academic advice or guidance concerning the subjects studied should initially contact the relevant teaching staff or the subject coordinator. In addition, students may consult with the semester or year coordinators. In years four to six the offices of the clinical subdeans should be consulted.
Students experiencing general problems which are affecting their academic performance may seek advice from the faculty office. The assistant dean, faculty manager and the administrative officers (campus and teaching hospitals) are available to provide assistance. The University Counselling Service should be consulted for problems of a general nature.
In special circumstances a student may wish to make an appointment to see the dean.

Where to enrol

Students enrol in person at the faculty office prior to the commencement of the first year of the course. In later years the faculty office automatically processes re-enrolment into the appropriate year of the medical course. The university administration mails out re-enrolment information and requires forms to be returned and payments to be made before the re-enrolment process is completed.

Leave of absence or deferment

Under special circumstances students may seek deferment once and for up to one year during the medical course.
All applications for deferment must be made in writing to the dean who is the only person who may grant a deferment, and decisions will normally be made following an interview with the dean.
In considering applications the dean will take account of any medical, financial, social, emotional or psychological problems that could potentially be remedied by deferment. The deferment must therefore be used to assist the student to satisfactorily progress through the medical course.
Deferments are not granted automatically. However, students seeking deferral for one calendar year between school and the commencement of first year will be treated sympathetically. Application for the deferment of first year must be made in writing following receipt of an offer of a place in the medical course and must be lodged by the date of enrolment specified at the time of offer.
Because of the regulation requiring students to satisfy all the requirements of each year of the medical course within one calendar academic year, any student granted a deferment at any time through the year will be required to return to studies at the start of the following year and repeat work already completed, unless specific exemptions from parts of work (eg practical classes) are granted by course conveners. Returning students will be required to enrol as full-time students, with HECS and other fee liabilities.

Student progress and assessment

Code of practice

Students are referred to the Student resource guide for information on the university's codes of practice for teaching and learning as set out in its education policy. It also contains other essential information on university policies and procedures.
All Monash University students have a responsibility to make every effort to maintain satisfactory progress in their courses.
Academic staff have the responsibilities of preparing and presenting material at an appropriate standard with the resources available; assessing students' work fairly, objectively and consistently across the candidature for the subject.

Assessment

The assessment procedures for each subject in years one, two and three and for the programs taught in years four, five and six are described more fully in the appropriate manuals made available to students prior to the commencement of studies each year.
The board of examiners for each year level considers all results from examination and other assessment procedures at the end of each semester and/or year.
Students must obtain a passing grade in all subjects attempted in a given calendar year in order to proceed to the subsequent academic year of the course.
The board of examiners may, at its discretion, grant repeat or supplementary examinations to students who have not satisfactorily completed all required assessment procedures.
In years one to three at the end of first semester, the board of examiners may grant a repeat examination in any subject where a student has an unsatisfactory performance. The results of the repeat examination are considered at the second semester board of examiners when supplementary examinations may be granted.
In years four to six, boards of examiners may, at their discretion, grant supplementary assessments where students have an unsatisfactory performance in components of the course.
Repeat examinations are generally held during the second semester and supplementary examinations are generally held in December or January.
The faculty informs students of the assessment procedures at the commencement of each semester/year. Students who are required to complete repeat or supplementary examinations are notified on the posted publication of results or individually by letter from the faculty office.
The Faculty of Medicine uses the grades fail, pass, credit, distinction and high distinction and reports marks for some components of the course.

Special consideration - deferred examinations

A student whose work during the academic year or whose performance in an examination or other assessment has been affected by illness or other serious cause may apply in writing on a 'special consideration form' to the faculty office for special consideration by the examiners or board of examiners concerned.
The application must be accompanied by appropriate evidence and must be made not later than forty-eight hours after the last examination scheduled for the candidate. The faculty manager, where satisfied that the student was unable to make application by the required date, may accept a late application.
The board of examiners may allow a student to sit for a special examination or deferred examination where:
1 the student has been prevented by illness or other serious cause from presenting for all or part of an examination; or
2 the student's work during the academic year or performance in the examination has been gravely affected by illness or other serious cause.
Further details are available from the faculty office.

Unsatisfactory progress

In the case of a student's unsatisfactory progress, the board of examiners may recommend:

Where a student has been recommended for exclusion, a faculty exclusions committee will review the case and determine whether the student should be excluded or be allowed to repeat the year. The faculty office will in writing inform the student of the procedures to be followed including documentation required and the student's opportunity to present their case before the committee. An excluded student may appeal to the university's Appeals Committee.