MED3100 - Medicine and surgery - 2019

This unit 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. Learning activities specific to each specialty area will be linked to the specific clinical placement and may include lectures, tutorials, case-based learning, bed- side tutorials, and practical skills sessions. Previous learning will be extended. By the end of the year students must be capable of undertaking history and clinical examinations of patients with straightforward conditions.

Upon successful completion of this unit, students will be able to:

THEME I

1. Comply with the code of conduct for Monash medical students.
2. Use key ethical and legal principles to discuss and evaluate issues relevant to public health, clinical research practice, and professional standards for patient care.
3. Communicate effectively and appropriately with others in academic and clinical settings (patients, family and carers, peers, and health care professionals).
4. Interact appropriately and work collaboratively with others in clinical settings.
5. Identify, develop and use strategies to meet academic and personal challenges and needs.

   THEME II

6. Explain the impact of social and environmental determinants of health on health status in marginalised groups, including the Indigenous population.
7. Evaluate available programs, interventions and community resources for prevention and health promotion to determine their suitability for a patient or community.
8. Apply key concepts in population health, epidemiology and measurement of health and disease in populations.
9. Describe how the delivery of health care services has its impact on the health of individuals at all levels of the health care system.
10. Effectively search, appraise and implement information from medical research literature, lay press and clinical practice guidelines.

    THEME III

11. Explain the structure and function of the human body at cellular, organ, system and whole body levels.
12. Apply the knowledge and concepts of basic biological, psychological and social science to common and important clinical conditions.
13. Relate presenting complaints and clinical signs to common and important illnesses, conditions and disorders.
14. Explain the pathological processes and causes underlying clinical signs and symptoms for specified illnesses and conditions.
15. Discuss appropriate pharmacological approaches to the management of specified conditions and diseases.

    THEME IV

16. Elicit and record an accurate clinical history appropriate for the patient and the clinical context.
17. Perform and accurately record an appropriate physical examination.
18. Synthesise symptoms and signs to determine the most likely diagnosis and relevant differentials.
19. Competently perform specified clinical procedures.
20. Explain investigations and select appropriately for the patient's presenting problems or conditions.
21. Describe management principles for specified clinical problems.
22. Effectively communicate medical information to patients.

Students are in clinical placements for 2 x 18 week semesters. In the clinical setting students will have opportunities to develop practical skills and to apply theory to practice under supervision.

• Monash Case Records (MCR) (6 x 20 minute = 120 minutes) (60%)
• Integrated clinical appraisal (EBCP) assignments (2 x 1,000 words = 2,000 words) (20%)
• Pathology MCQ exams (4 x 1 hour = 4 hours) (20%)

Hurdle requirements:

• Research skills on-line module (2,000 words)
• On-time submission of a satisfactory Portfolio - see Unit Guide for details (notional word equivalent 4,000 words)
• Although students are expected to have 100% attendance, the Faculty has determined 90% as a minimum attendance HURDLE requirement for specified activities. These activities are specified in the unit guide.

Medicine and surgery