units

MED4171

Faculty of Medicine, Nursing and Health Sciences

Monash University

Undergraduate - Unit

This unit entry is for students who completed this unit in 2015 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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12 points, SCA Band 3, 0.250 EFTSL

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

LevelUndergraduate
FacultyFaculty of Medicine, Nursing and Health Sciences
OfferedNot offered in 2015
Coordinator(s)Associate Professor Christopher Wright

Synopsis

Specialty Clinical Practices I provides clinical teaching in Children's Health, General Practice, Psychiatry and Women's Health. Students will undertake clinical placements in at least 2 specialty areas across the semester. Learning activities, tailored to the specific placement, may include lectures, tutorials, case-based learning, bedside tutorials, practical skills sessions, and specialty teaching clinics and directed learning activities. Students are expected to attend clinical settings, undertake independent learning activities and consolidate knowledge and skills from previous learning. EBCP and Health Systems Management components will be integrated with placement activities.

Outcomes

On successful completion, for the disciplines relevant to each of the clinical placements undertaken, students are expected to be able to:

Theme I: Personal and Professional Development

  1. Apply the legal requirements and protocols to 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. Recognise issues related to justice and the role of advocacy that are evident within the health system.
  4. Practice and discuss ethical decision making and consultation in clinical environments.
  5. 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. Explain the potential harm created by risks and errors in health care settings and the responsibilities of health care professionals in ensuring the quality of patient care.
  9. Identify activities in clinical settings that contribute to research and quality improvement in healthcare.
  10. Review and critically reflect upon judgements and health care practices relating to patient outcomes.
  11. Recognise peers experiencing difficulty and identify support strategies.
  12. Use appropriate environments and strategies for sensitive and effective communication and interaction with others in clinical environments (patients and carers, peers and health care professionals).
  13. Acknowledge the roles and responsibilities of patient centred health care team members be willing to assist by taking on appropriate roles.
  14. Engage in learning opportunities and participate in peer learning, leadership and teaching activities.
  15. Articulate own strengths, acknowledge own limitations which impact upon performance, seek support and self-advocate for improvement.
  16. Take responsibility for own self-care and health issues.

Theme II: Population, Society, Health and Illness

  1. Explain the economic perspective on health issues and health care.
  2. Critique evaluations of a health intervention.
  3. Identify organisational factors which impact on patient care and participate in quality improvement processes.
  4. Identify the impact of public health policy on the delivery of health care to the individual.
  5. Identify relevant programs and community resources available to patients and their families.
  6. Identify relevant approaches to health education, illness prevention and rehabilitation.

Theme III: Foundations of Clinical Practice

  1. Apply the knowledge and concepts of basic biological, psychological and social science to common and important clinical conditions.
  2. Identify biological, psychological and social factors pertinent to understanding the illness and its management.
  3. Identify common and important illnesses, conditions and disorders.

Theme IV: Clinical Skills

  1. Conduct a structured and organised patient centred interview
  2. Elicit a structured, comprehensive and logical history for neonates, babies, children, adolescents, and adults
  3. Perform an appropriate examination (relevant to practice in general practice, psychiatry, women's health and children's health).
  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. Prioritise patient care in order of urgency under structured supervision.
  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 for a patient whose illness remains undifferentiated.
  12. Select and justify their choice of medication, dose and mode of administration for the patient.
  13. Monitor the patient, recognise common complications and plan an immediate response under structured supervision.
  14. Develop and implements an individualised patient management plan for fluid, electrolyte and blood product use.
  15. Perform admissions, discharges and referrals including documentation and patient preparation.
  16. Provide structured and effective case presentations.
  17. Accurately record case details and clinical activities in appropriate formats.

Fieldwork

18 weeks in continuous rotations through clinical attachments.

Assessment

Summative in-semester assessment tasks (written and practical tasks) specific for the discipline area of the clinical attachments (i.e. Children's Health, General Practice Women's Health, and Psychiatry) (100%)

Hurdle requirements for each area of clinical attachment (i.e. Children's Health, General Practice Women's Health) such as completion of specified clinical tasks and completion of logbooks. Successful completion of web-based Evidence-Based Clinical Practice and Health Systems Management components.
80% minimum attendance hurdle requirement.

Workload requirements

This is a 12 point unit over 18 weeks in continuous rotations through clinical attachments.

See also Unit timetable information

Chief examiner(s)

This unit applies to the following area(s) of study

Prerequisites

MED3051, MED3062 and MED3200 or GMB3031, GMB3042 and GMB3200.

Co-requisites

MED4182, MED4200 and MED4000; Must be enrolled in courses 0040, 1074, 3856, 3952, 4531, 4533 or 4532.