MED5091 - Advanced clinical practice 1 - 2017

MED5091 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.

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

Theme I: Professional attributes and behaviour

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.

    Theme II: Population, Society, Health and Illness

17. Analyze social, environmental and occupational factors that impact on the capacity to perform work
18. Use medical, behavioural and socio-environmental approaches to health promotion
19. Evaluate a health intervention/screening program
20. Identify and evaluate relevant programs and community resources available to patients and their families
21. Justify selection of a health promotion strategy/program
22. Source, interpret and evaluate biostatistical information relevant to health and disease in populations across a range of contexts (e.g. rural, indigenous, vulnerable/'at-risk' populations)
23. Critique study designs used in population health and clinical research publications/reports/projects
24. Describe the impact of public health policy and the essential roles of systems on the delivery of health care to the individual across a range of contexts (e.g. rural, indigenous, vulnerable/'at-risk' populations)
25. Justify clinical decision making processes and strategies at both individual patient and healthcare system levels
26. Participate in patient health care quality improvement activities
27. Synthesize and effectively communicate observations and analysis in written and oral formats appropriate for scientific/medical audiences
28. Evaluate and critique data and information relevant to the care and management of a clinical problem of a patient
29. Organise and manage information from medical research literature, lay press and clinical practice guidelines according to discipline guidelines/practices
30. Evaluate research data and evidence sourced in medical and health care literature
31. Justify the evidence used to make clinical decisions.

    Theme III: Scientific Basis of Clinical Practice

32. Use knowledge of the causative factors and pathophysiology in clinical reasoning
33. Identify and assimilate presenting problems in the development of appropriate therapeutic treatments and a management plan
34. Describe the acute, chronic, ambulatory and psychological contexts of illness and analyse how these influence the clinical presentation and management.

    Theme IV: Clinical Skills

35. Conduct a structured and organised patient centred interview
36. Elicit a structured, comprehensive and logical history for neonates, babies, children, adolescents, adults and the elderly
37. Perform an appropriate examination (in medical units, surgical units, a specialty unit and aged care)
38. Perform specified clinical procedures and tasks in clinical environments
39. Justify selection of investigations for the patient's presenting problems or conditions
40. Request/order relevant investigations correctly
41. Interpret results of specified investigations and use to guide patient management
42. Prioritises patient care in order of urgency
43. Generate a ranked problem list
44. Develop a differential diagnosis (list) and justify the most likely options relevant for the patient
45. Develop and justify management plans for common problems and conditions an for a patient whose illness remains undifferentiated
46. Selects and justifies their choice of medication, dose and mode of administration for the patient, including empirical choice of 'best guess' antibiotic
47. Monitors the patient, recognises common complications and plans and justifies an immediate response under structured supervision
48. Develops, implements and justifies an individualised patient management plan for fluid, electrolyte and blood product use
49. Performs admissions, discharges and referrals including documentation and patient preparation
50. Provides structured and effective case presentations and justifies reasoning
51. Accurately records case details and clinical activities in appropriate formats.

This unit requires students to undertake off-campus clinical placements. In the clinical setting students will have an opportunity to apply theory to practice under supervision. Attendance is mandatory for the clinical component of each unit.Students must be aware of the faculty's Clinical Placement Guidelines.Students will not be permitted to attend any clinical placements unless they have current valid Working with Children and Police checks, and have a satisfactory immunisation status, all of which must be submitted to Faculty.

There will be multiple approaches to assessment in MED5091 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 requirement: Students must attend a minimum of 80% tutorials and clinical placements to pass this unit.

   If you are unable to attend a session, you may be eligible for In Semester Special Consideration for this component of in-semester assessment. Application forms for In Semester Special Consideration are available at: http://www.med.monash.edu.au/current/student-forms.html

Associate Professor Peter Barton (Clayton)

Professor Parasakthi Navaratnam (Malaysia)

Medicine and surgery

MED4000, MED4190 and MED4200.

MED5092, MED5102 and MED5100. Must be enrolled in courses 0040, 1074, 3856, 3952, 4531, 4533 or 4532.