MEDIC ST 5016AHO - Human Reproductive Health Part 1

Teaching Hospitals - Semester 1 - 2024

The clinical attachments are a program of clinical education through a selection of placements so that students will be competent in history-taking, patient examination and management. This includes problem formulation, investigations, treatment (pharmacological and non-pharmacological), counselling, good communication skills, the practice of empathetic medicine, and a sound knowledge base that allows diagnosis and management of common disorders to be carried out under appropriate supervision.

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Course Details

Course Code	MEDIC ST 5016AHO
Course	Human Reproductive Health Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	Attachments, common program & research
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 4000AHO/BHO, MEDIC ST 4013AHO/BHO, MEDIC ST 4014AHO/BHO, MEDIC ST 4015AHO/BHO, MEDIC ST 4016AHO/BHO, MEDIC ST 4017AHO/BHO, MEDIC ST 4018AHO/BHO, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students only
Assessment	Details provided at start of year

Course Staff

Course Coordinator: Catherine McCormack

Course Coordinator

Name	Phone	Email	Location
Assoc Prof Dee McCormack	+61 8 8161 7619	dee.mccormack@adelaide.edu.au	Women’s and Children’s Hospital

Additional Acacdemic Staff

Name	Phone	Email	Location
Professor Gus Dekker	+61 8 8182 9306	gustaaf.dekker@adelaide.edu.au	Lyell McEwin Hospital

Administration

Name	Email	Location
WCH & CALHN Precinct Support Officers	wch@adelaide.edu.au	Women’s & Children’s Hospital
LMH Precinct Support Officers	lmh@adelaide.edu.au	Lyell McEwin Hospital

Course Timetable

The full timetable of all activities for this course can be accessed from Course Planner.

The course timetable for the rotation is made available by Clinical Placements and supplementary material provided by precinct support staff following your arrival.

Course Learning Outcomes

OUTCOMES (Curriculum Mapping)

1. On completion of Year 5 Human Reproductive Health, students will be able to demonstrate knowledge and understanding of the:

• physiology and pathology of the female reproductive system in childhood, adult life and old age
• physiology of pregnancy, parturition and the puerperium and its effect on medical and surgical disorders
• diagnosis and management of simple gynaecological disorders and an understanding of the principles and essential features of more complex gynaecological conditions
• epidemiology of the major health and social problems related to obstetrics and gynaecology
• embryology, developmental, physiological, biochemical, anatomical, endocrinological, immunological, morphological, pathological and psychological aspects underpinning obstetrics and gynaecology
• pharmacology of drugs commonly used during pregnancy and in gynaecology
• cultural, legal and social variation in attitudes towards obstetrics and gynaecology
• effect of the woman’s social circumstances on pregnancy or a gynaecological condition
• effect of drugs (prescribed or other) on pregnancy or gynaecological conditions

2. Students will be able to demonstrate competency, as expected of a Year 5 student under appropriate supervision, in the following areas of clinical skills and reasoning:
• conducting an interview that considers the special physical, psychological and social characteristics required to take a full history relevant to human sexuality, obstetrics and gynaecology
• conducting a physical examination which takes into account the special problems encountered in human sexuality, obstetrics and gynaecology, in order to confirm or refute an hypothesis or diagnosis
• providing specific advice to the woman about the arrangements necessary for confinement in an appropriate setting, including referral to a Specialist Obstetrician for further management if risk factors have been identified
• providing specific advice to the woman on the potential hazards of drugs to the conceptus
• requesting appropriate laboratory, psychological or social data in order to reach an appropriate diagnosis
• observing and recording the progress of labour, delivery and the early puerperium
• formulating a plan for care of the patient(s)

3. Students will be able to demonstrate the following professional attributes:
• applying the principles of evidence based medicine in obstetrics and gynaecology
• maintaining the dignity and privacy of the woman
• practising empathetic medicine

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1-3
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	1-3
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	1-3
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	1-2
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	1-3
Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.	1-3
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	1-3
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	2-3

Learning Resources

Required Resources

There are no required resources. Recommended resources will be advised as appropriate.

Recommended Resources

Recommended resources are regularly updated to reflect changes in knowledge and practice. There is a substantial component of online material. We do not recommend text books for purchase. However, a small range of online and hard texts are identified for those interested in pursuing such options. Full details are provided in the Academic Resources section of the My Uni course accessible to enrolled students approximately one week prior to commencemet of studies.

Online Learning

Refer to My Uni.
Learning & Teaching Activities

Learning & Teaching Modes

We emphasise active learning methods including: case based learning, large group lectures, seminars, tutorials and clinics and other sessions in our teaching hospitals. Self-directed research and/or study, case presentations, and critical analysis are encouraged.

Clinical Learning
Obstetric Duties – Obstetric care involves all aspects of the journey to parenthood for couples, and will involve Antenatal clinics, emergency presentations, delivery and post-partum care of Mother and baby. Insight into common medical conditions that may impact on the pregnancy will be included.

Delivery Suite
Students will be rostered to attend Delivery Suite on two occasions during their rotation. These will be for at least 6 hours minimum, and longer if possible, to witness at least two labour and deliveries, whether they are normal deliveries or Emergency Caesarean Sections. They need to participate in the routine intrapartum observations of the Mother and baby, as well as the immediate post-partum observations of Mother and baby. These sessions will be under the direct supervision of Midwives and the daily Medical Team, comprising Trainee medical officers, and Consultants.

Gynaecological duties
Students are rostered to attend gynaecological outpatient sessions where there will be the opportunity to take a history and examine outpatients with the Consultant/Registrar attending the Clinic. Students will attend operating theatre sessions and participate in the immediate preoperative round before attendance in the operating room. Students should ensure a familiarity with the commonly performed gynaecological procedures. The postoperative progress of the patient(s) who have been clerked should be followed and the pathology reports should be examined before discharge

Neonatal Medicine
Students will have regular neonatal tutorials and will also be rostered to follow neonatology staff for a session. Students should be able to demonstrate skills in the examination of the normal neonate and knowledge of common problems that occur in the neonatal period.

Friday Afternoon Tutorials
Lectures will be held on a Friday Afternoon, at the times listed in My Uni, and are provided by Specialists from the discipline. They will cover a wide range of topics, and attendance will be monitored, especially as these Contributors give up their free time to prepare and give these talks. They are available for questions after their presentations.

e-Learning
Students are strongly encouraged to familiarise themselves thoroughly with all of the sections in the My Uni course and to access the eLearning modules.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

Students will be expected to attend according to their individual timetables. This will not exceed 30-35 hours per week, for the Clinic sessions, lectures, seminars, tutorials and private study. After hours and weekend involvement is not common, but may be needed for students to achieve their ‘Clinical Core Competencies’.

Learning Activities Summary

The thematic structure of the Year 5 MBBS Program will be provided and discussed at the start of the program and is discussed in detail in My Uni.

Specific Course Requirements

All students will be allocated to Lyell McEwin Hospital or the Women’s and Children’s Hospital in the metropolitan area. Although allocated to one hospital all students should expect to travel to other hospitals (Modbury, The Queen Elizabeth Hospital, Royal Adelaide Hospital) and other places for specialty sessions.

All students undertaking studies in clinical environments in adult and paediatric medicine must have in-date certification including a criminal history check and cetification for work with vulnerable persons both adult and child. Full details are provided by the Clinical Placements office.

Some students may need to do some after-hours and weekend work in order to complete their competencies.
Assessment
The University's policy on Assessment for Coursework Programs is based on the following four principles:
1. Assessment must encourage and reinforce learning.
2. Assessment must enable robust and fair judgements about student performance.
3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
4. Assessment must maintain academic standards.
Assessment Summary
Assessment Task Task Type Weighting

Clinical Core Competencies Log Summative 40%

Case presentations (2 x 10%) Summative 20%

Online module exams (5 x 8%) Summative 40%

Formative Assessment
A wide range of formative assessment oportunities is provided, including in one-to-one teaching in clinical environments, teaching of examination of the female genital tract, and in the online resources in My Uni

Full details of the formatibve and summative assessment tasks are available in the Assessment section of the My Uni course.

To pass this course and the Fifth Year MBBS Examination Annual Examination Part 2 course, students must obtain:
1. a satisfactory result overall in the summative assessments for this course;
2. a satisfactory result in all year level component courses, and
3. a satisfactory performance in the examinations overall

If an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit a Replacement/Additional Assessment examination.

Academic Progression Requirements
Progression from one year to the next in the MBBS is dependent on the student successfully completing a compulsory annual examination course in which a full year’s learning is assessed.

To successfully complete the MEDIC ST 5000AHO and MEDIC ST 5000BHO Fifth Year MBBS Examination Part 1 and Part 2 courses, the student must pass the end of year examinations and have successfully completed all year level component courses (24 units).

IF a student fails the compulsory examination course no passing grade will be received for any core medical studies courses.

IF a student has not completed all required MEDIC ST units of the year they may be provided with an opportunity to successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.
Assessment Related Requirements

It is compulsory for students to attend clinical placements and their specific activities in line with the principles and guidelines outlined in the Medical Student Clinical Hours document.

Exemptions to mandatory clinical placement attendance requirements may be granted by the Program Coordinator in consultation with the relevant course coordinator and year level advisor if there are exceptional medical, compassionate or extenuating circumstances as defined by the Modified Arrangements for Coursework Assessment Policy.

The University has developed a Scope of Practice document which outlines appropriate activities for Year 5 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and here.

Assessment Detail

Submission

No information currently available.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

NOG (No Grade Associated)

Grade Description

CN Continuing

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Please refer to My Uni.

Final results for this course will be made available through Access Adelaide.

For details please refer to My Uni.
Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

A student course evaluation is completed online by all students at the end of the rotation. SELTS of individual teaching are done on a regular basis.
Student Support
Not applicable
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Please read the MBBS Program Code of Conduct available in My Uni.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

NOG (No Grade Associated)
Grade	Description
CN	Continuing

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator