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MED3051 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 will be extended.
By the end of Year 3, students are expected to be able to:
Theme 1: Personal and Professional Development
- describe ethical and legal issues pertinent to clinical contexts;
- articulate professional rights and responsibilities including advocacy for patients and their families;
- demonstrate ability to work in multi-professional teams;
- identify, develop and use strategies to meet professional and personal challenges and needs;
Theme II: Population, Society, Health and Illness
- correctly apply principles and key steps in evidence based clinical practice;
- demonstrate application of the principles of evidence-based medicine to the diagnosis, management and prevention of occupational and environmental disease;
- elicit an accurate occupational and environmental history;
- describe how to certify a patient's fitness for work;
- effectively advise patients on the cause and prevention of the better-known occupational and environmental diseases;
- recognise human and institutional factors relevant to risk management in health care settings;
Theme III: Scientific basis of clinical practice
History/examination and Differential Diagnosis:
- Identify and apply the scientific bases that underpin the rational approach to eliciting a history and examining a patient in common diseases;
- Formulate a differential diagnosis and problem list relevant to the patient;
Clinical Features, Natural history, Pathogenesis and Pathology of disease
- Describe the natural history, pathogenesis and morphology of pathological processes related to specific diseases and conditions. Relate these to their clinical manifestations;
Recognition of Complexity in Patients' Health and Disease:
- Recognize that patients can present with problems due to multiple causes and contributing factors, including psychosocial factors, which impact upon their management, care and outcomes;
Investigating Health Problems:
- Determine and describe the scientific rationale that underpins the selection of appropriate investigations to confirm the diagnosis and guide the management of the patient;
- Interpret the results of investigations and relate these to the diagnosis and/or management of the patient's condition;
General Principles of Management
- Outline the scientific basis for the range of therapeutic approaches available to manage a patient's problem;
- Analyse the scientific rationale that underpins medical and surgical therapies (the scientific basis of therapies and their implementation);
- Select appropriate management options for patients, medical (including pharmacological) and interventional (particularly surgical);
Surgical Management
- Explain the key features of processes undertaken to provide surgical care for a patient, including preoperative assessment, operating room processes, anaesthetic management and postoperative care;
- Describe the key principles of common operations and procedures important to the effective surgical management of patients' problems;
Pharmacotherapeutics
- Use a rational approach, incorporating knowledge about safety, to select appropriate therapeutic drugs. Describe the basis of their mechanism of action, important aspects of their pharmacokinetics, adverse effects and drug interactions;
The Role of Research in Advancing Medical Knowledge:
- Identify and criticise how research contributes to the body of scientific knowledge available to medical practitioners;
Theme IV: Clinical skills
- communicate clearly, considerately and sensitively with peers, patients, relatives, doctors, nurses, other health care professionals and the general public;
- conduct a patient-centred interview that is tactful, accurate, organised and problem-focused;
- describe principles for giving information to patients (eg applied to procedural information, patient education skills);
- conduct relevant and appropriate physical and clinical examinations;
- describe and use clinical reasoning skills;
- frame appropriate diagnoses/differential diagnoses in commonly presenting complaints;
- correctly perform specified practical techniques, tasks and procedures; and
- describe normal and abnormal reactions to illness, disability and loss.
Mini Case Records (MCRs) ( 70%)
Integrated clinical appraisal activity (30%)
Hurdle requirements: satisfactory attendance of over 80%, log book completion, completion of on-line tasks, satisfactory participation and performance in clinical skills activities and portfolio submission.
Must be enrolled in the MBBS or MBBS/LLB