Faculty of Medicine, Nursing and Health Sciences

Monash University

Undergraduate - Unit

This unit entry is for students who completed this unit in 2014 only. For students planning to study the unit, please refer to the unit indexes in the the current edition of the Handbook. If you have any queries contact the managing faculty for your course or area of study.

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24 points, SCA Band 3, 0.500 EFTSL

Refer to the specific census and withdrawal dates for the semester(s) in which this unit is offered, or view unit timetables.

FacultyFaculty of Medicine, Nursing and Health Sciences
OfferedClayton First semester (extended) 2014 (Day)
Malaysia First semester (extended) 2014 (Day)
Clayton Second semester (extended) 2014 (Day)
Malaysia Second semester (extended) 2014 (Day)
Coordinator(s)A/Prof Christopher Wright


MED5092 is focused on facilitating the transition of students into the medical workplace as beginning interns. Students will participate in a range of learning experiences which are designed to substantially enhance their clinical reasoning, diagnostic and case management skills. Students will participate in supervised clinical practice and related learning activities (learning modules). Furthermore, students will have the opportunity to broaden their knowledge and skills in self selected areas of clinical practice which may include electing a remote community, health or medicine related field.


On successful completion of the unit students are expected to be able to:

Professional attributes and behaviour (Theme I)

  1. Comply with legal requirements and protocols in clinical practice including documentation, patient care and safety.
  2. Respect and maintain privacy and confidentiality (peers, university & health care staff, external stakeholders, patients, clients).
  3. Articulate issues related to justice and act as an advocate within the health system.
  4. Use ethical decision making and consultation in clinical practice including complex situations.
  5. Consistently display a respectful, non-judgemental and empathic approach to others.
  6. Maintain an appropriate standard of professional behaviour including demeanour, appearance and meeting commitments and acts as a role model for junior students.
  7. Communicate clearly, effectively and appropriately in oral, written and electronic formats.
  8. Identify strategies to address the potential harm created by risks and errors in health care settings and comply with the requirements of health care professionals in ensuring the quality of patient care.
  9. Engage in research and quality improvement activities in clinical settings where possible.
  10. Evaluate and critically reflect upon judgements and health care practice relating to patient outcomes.
  11. Recognise peers experiencing difficulty and refer them to appropriate support.
  12. Arrange appropriate environments and use strategies for sensitive and effective communication and interaction with others in clinical environments (patients and carers, peers and health care professionals).
  13. Actively contribute to the health care team to maximize the team's effectiveness by participating as a student member.
  14. Engage in learning and teaching opportunities, participate in peer learning, leadership and teaching activities and mentor junior students.
  15. Evaluate strengths, acknowledge own limitations that impact upon professional performance and self-advocate and seek support for improvement.
  16. Take responsibility for own self-care and health issues.

Population, Society, Health and Illness (Theme II)

  1. an understanding of the social contexts of illness and how these influence the clinical presentation and management;
  2. an understanding of the 'continuum of care' in patient management across diverse settings including rural health;
  3. an awareness of health care quality improvement activities;

Scientific Basis of Clinical Practice (Theme III)

  1. an understanding of the causative factors and pathophysiological basis of health and disease;
  2. an ability to identify and assimilate presenting problems in the development of appropriate therapeutic treatments and a management plan;
  3. an understanding of the acute, chronic, ambulatory and psychological contexts of illness and how these influence the clinical presentation and management;

Clinical Skills (Theme IV)

  1. Conduct a structured and organised patient centred interview
  2. Elicit a structured, comprehensive and logical history for neonates, babies, children, adolescents, adults and the elderly
  3. Perform an appropriate examination (in medical units, surgical units, a specialty unit and aged care)
  4. Perform specified clinical procedures and tasks in clinical environments.
  5. Justify selection of investigations for the patient's presenting problems or conditions
  6. Request/order relevant investigations correctly
  7. Interpret results of specified investigations and use to guide patient management
  8. Prioritises patient care in order of urgency
  9. Generate a ranked problem list
  10. Develop a differential diagnosis (list) and justify the most likely options relevant for the patient
  11. Develop and justify management plans for common problems and conditions an for a patient whose illness remains undifferentiated
  12. Selects and justifies their choice of medication, dose and mode of administration for the patient, including empirical choice of 'best guess' antibiotic
  13. Monitors the patient, recognises common complications and plans and justifies an immediate response under structured supervision
  14. Develops, implements and justifies an individualised patient management plan for fluid, electrolyte and blood product use
  15. Performs admissions, discharges and referrals including documentation and patient preparation
  16. Provides structured and effective case presentations and justifies reasoning
  17. Accurately records case details and clinical activities in appropriate formats.


There will be multiple approaches to assessment in MED5092 as follows: Apart from the PIA 'in-training' assessment, which will be graded, all assessment tasks will be a 'hurdle' requirement. Each assessment item will need to be successfully completed to Pass the unit.
1. Formative assessment;
2. Moderated online discussions;
3. Case presentations;
4. Clinical Knowledge Test;
5. Pre-Intern Appraisal (PIA);
6. Portfolio.

Hurdle: Students must attend a minimum of 80% tutorials and clinical placements to pass this unit.

Chief examiner(s)

A/Prof Peter Barton (Clayton), Prof Parasakthi Navaratnam (Malaysia)


2012 pre-reqs: MED4071, MED4082 and MED4000
2014 pre-reqs: MED5091 or GMD5071


MED5102 and MED5100; Must be enrolled in the MBBS or MBBS/LLB