MED4190 - Specialty clinical practices - 2019

Specialty Clinical Practices 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 Economics components will be integrated with placement activities.

Upon successful completion, for the disciplines relevant to each of the clinical placements undertaken, students should 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 judgments 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

17. Discuss occupational and environmental factors that affect health, well-being and safety and the capacity to perform work
18. Explain medical, behavioural and socio-environmental approaches to health promotion
19. Explain the rationale for a health intervention/screening program
20. Identify and explain relevant programs and community resources available to patients and their families
21. Critique appropriate strategies for disease prevention and health promotion for patients
22. Source and interpret biostatistical information relevant to health and disease in populations across a range of contexts (e.g. rural, indigenous, refugee, vulnerable/'at-risk' populations)
23. Compare 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, refugee, vulnerable/'at-risk' populations)
25. Evaluate the rationale, methodology and application of clinical decision making processes and strategies
26. Identify organisational factors which impact on patient care and participate in quality improvement processes
27. Explain the economic perspective on health issues and health care
28. Synthesize and effectively communicate observations and analysis in written and oral formats appropriate for scientific/medical audiences
29. Formulate and conduct an effective search for information relevant to the clinical care of a patient
30. Organise, manage, interpret and apply information from medical research literature, lay press and clinical practice guidelines according to discipline guidelines/practices
31. Critique data and information sourced in medical literature
32. Outline the evidence used to make a clinical decision.

    Theme III: Foundations of Clinical Practice

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

    Theme IV: Clinical Skills

36. Conduct a structured and organised patient centred interview
37. Elicit a structured, comprehensive and logical history for neonates, babies, children, adolescents, and adults
38. Perform an appropriate examination (relevant to practice in general practice, psychiatry, women's health and children's health)
39. Perform specified clinical procedures and tasks in clinical environments
40. Justify selection of investigations for the patient's presenting problems or conditions
41. Request/order relevant investigations correctly
42. Interpret results of specified investigations and use to guide patient management
43. Prioritise patient care in order of urgency under structured supervision
44. Generate a ranked problem list
45. Develop a differential diagnosis (list) and justify the most likely options relevant for the patient
46. Develop and justify management plans for common problems and conditions for a patient whose illness remains undifferentiated
47. Select and justify their choice of medication, dose and mode of administration for the patient
48. Monitor the patient, recognise common complications and plan an immediate response under structured supervision
49. Develop and implements an individualised patient management plan for fluid, electrolyte and blood product use
50. Perform admissions, discharges and referrals including documentation and patient preparation
51. Provide structured and effective case presentations
52. Accurately record 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.

Summative assessment tasks (written and practical) specific for the discipline area of the clinical attachments (i.e. Children's Health, General Practice Women's Health, Psychiatry) with a total of 24 assessment workload points for in-semester assessment (100%)

Hurdle requirements for each area of clinical attachment (ie Children's Health, General Practice Women's Health) such as specified clinical tasks and completion of logbooks. Successful completion of web-based Evidence-Based Clinical Practice, Health Economics, and Health Systems Management components.

Students must attend a minimum of 80% tutorials and clinical placements in all four (4) clinical discipline rotations (General Practice, Psychiatry, Women's Health, Children's Health) to pass this unit. Attendance must be passed "per discipline", not just 80% over the whole year.

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

Medicine and surgery