MED5001

Medicine and surgery ( 20 points, SCA Band 3, 0.417 EFTSL)

Leader: Mr John Gribbin, Dr W Sievert, Dr Harvey Newnham, Dr I Rasaratnam, and Prof Paul O'Brien

Offered:
Clayton FY-32 2005 (Day)

Synopsis: Medicine/Surgery is taught as an integrated discipline allowing students to understand clinical reasoning underlying appropriate diagnostic and treatment strategies. Involvement in day-to-day functioning of general medical and surgical services includes patient care by clerking patients and participation in ward rounds, and medical/surgical procedures. This is complemented by lectures, bedside teaching, group tutorials and supervision by clinical teachers, presentation of detailed case reports with relevant literature review plus combined medical-surgical seminars that provide multi-disciplinary approaches to management. Emphasis is placed on problem definition and problem-solving skills.

Objectives: At completion of the unit, each student should be able to: 1. demonstrate appropriate communication skills and interaction in the hospital environment; 2. elicit a clinical history, identify signs and symptoms and formulating a problem list and differential diagnosis; 3. perform appropriate physical examination eliciting signs relating to the presenting complaint and co-morbidities; 4. take a history and perform a physical examination relevant to the elective and emergency procudures; 5. identify the presenting signs and symptoms of medical and surgical patients; 6. demonstrate the clinical skills, including procedural skills important for patient care; 7. interpret and explain the pathophysiological basis of investigations; 8. recognise the impact of illness on the patient, particularly in psycho-social and community contexts; 9. demonstrate critical evaluation of medical literature; 10. discuss the peri-operative and day-today management of surgical patients; 11. describe the basic principles of anaesthesia and post-operative pain management; 12. describe the resuscitation and fluid management of patients; and 13. identify the resources available to facilitate early management of patients in the community.

Assessment: Continuous assessment activities (clinical tasks, written and oral reports, and written and audiovisual case presentations with literature reviews - satisfactory completion required) + OSCE: 50% + MCQ exam: 50%

Contact Hours: An 18-week rotation. Continuous attachment in a hospital environment.

Prerequisites: Pass at year 4 of MBBS

Corequisites: Must be enrolled in the MBBS or MBBS/LLB