Monash University

Leader(s): Associate Professor Daryl Pedler & Associate Professor Elmer Villanueva

Offered

Gippsland Second semester (extended) 2009 (Day)

Synopsis

GMB 3042 is an integrated medicine/surgery curriculum based on the four themes of the medical curriculum: personal and professional development; population, society, health and illness; foundations of medicine; and, clinical skills. Evidence-based educational approaches support students in acquiring appropriate knowledge, attitudes and skills in medicine, surgery, clinical skills, evidence-based clinical practice, occupational and environmental medicine, pathophysiology, pharmacology, ethics and law. Previous learning in Year A will be extended in a vertically integrated manner.

Objectives

By the end of Year B, students are expected to be able to:

Theme I: Personal and Professional Development

1. Describe ethical and legal issues pertinent to clinical contexts;
2. Articulate professional rights and responsibilities including advocacy for patients and their families;
3. Demonstrate ability to work as part of multi-professional teams;
4. Identify, develop and use strategies to meet professional and personal challenges and needs.

Theme II: Population, Society, Health and Illness

5. Correctly apply principles and key steps in evidence based clinical practice;
6. Demonstrate application of the principles of evidence-based medicine to the diagnosis, management and prevention of occupational and environmental disease;
7. Elicit an accurate occupational and environmental history;
8. Describe how to certify a patient's fitness for work;
9. Effectively advise patients on the cause and prevention of the better-known occupational and environmental diseases;
10. Recognise human and institutional factors relevant to risk management in health care settings.

Theme III: Foundations of Medicine

11. Describe the diagnosis, management and therapy of common diseases in general internal medicine and surgery;
12. Describe the pathogenesis, morphological and clinical manifestations of basic pathological processes and specific diseases at the molecular, cellular, tissue, organ and whole body levels;
13. Interpret clinical manifestations of disease and disease progression in terms of the underlying pathology;
14. Describe commonly used diagnostic testing (clinical, laboratory and imaging) including underlying rationale for use;
15. Observe, describe and interpret diseased tissue at cellular, tissue and organ levels and explain the underlying pathology;
16. Describe pre-operative assessment including anaesthetics;
17. Describe and demonstrate relevant operating theatre procedures;
18. Describe post-operative care;
19. Formulate and work through a differential diagnosis to arrive at a preferred or definitive diagnosis;
20. Select and interpret laboratory and other relevant investigations and relate the results to underlying pathology;
21. Describe request procedures for laboratory and other relevant investigations;
22. Describe and use methods for collection of common laboratory specimens;
23. Outline the contribution of the pathologist to diagnosis and patient management;
24. Describe the autopsy procedure and recognise the role of the autopsy in understanding human disease;
25. Describe the rational use of therapeutic drugs in general medical and surgical conditions, including mechanism of action, pharmacokinetics, indications, adverse effects and adverse interactions and adverse events for specified groups of drugs;
26. Describe the pharmacological principles underlying adverse drug reactions.

Theme IV: Clinical Skills

27. Communicate clearly, considerately and sensitively with peers, patients, relatives, doctors, nurses, other health care professionals and the general public;
28. Conduct a patient-centered interview that is tactful, accurate, organized and problem-focused;
29. Describe principles for giving information to patients (e.g. applied to procedural information, patient education skills);
30. Conduct relevant and appropriate physical and clinical examinations.
31. Describe and use clinical reasoning skills;
32. Frame appropriate diagnoses/differential diagnoses in commonly presenting complaints;
33. Correctly perform specified practical techniques, tasks and procedures;
34. Describe normal and abnormal reactions to illness, disability and loss.

Assessment

Assessments are continuous and will be both formative and summative. Formative assessments will include written instruments such as EMQs and short answer questions linked with PBLs together with observation of clinical skills and completion of a clinical skills logbook.
Students must demonstrate satisfactory participation and performance in clinical skills activities during clinical attachments. Portfolio components must be completed as required. Pass grade only (PGO).

Formative Assessments
1. Formative Critical Appraisal Activity
2. EBCP Critical Appraisal Activity
3. Formative Monash Mini Case Record (MCR):
+Formative MCR 1: To be completed early in semester 1.
+Formative MCR 2: To be completed mid-semester 1.
4. Extended Matching Question Examination (EMQ)
a. To be held at end of semester 1 (2 hours) at each clinical teaching site
5. Tutor Group Assessments:
Three group assessments from tutors and peers assess student participation in the following group activities for each semester.
+Problem-based learning
+Clinical Skills tutorials
+Pathology group work
6. Clinical skills logbook
7. Critical Observation Tasks
8. Portfolio -submission for formative feedback Semester 1

Summative Assessments
Summative assessments and their weighting are summarised as follows:
1. Monash Mini Case Record (MCR) X 6 (25%)
2. EBCP Critical Appraisal Activity X 2 (10%)
3. Extended Matching Question Examination (EMQ) (30%)
4. Objective Structured Clinical Examination (OSCE) (35%)
5. Portfolio (Hurdle)
6. Clinical Skills Logbook (Hurdle)

Contact hours

Weekly there will be approximately 13 hours of structured teaching and
learning, 10 hours of unstructured learning in clinical settings and 25 hours of unstructured individual learning (private study).

Prerequisites

GMA1011, GMA2022, GMB3031