MEDIC ST 2103B - Medical Professional & Personal Development II Pt2

North Terrace Campus - Semester 2 - 2019

Through this stream students will develop competency in communication with patients, patients' relatives, peers and other health professionals. Alongside communication competency; students are assisted to develop ethical and medico-legal knowledge; use ethical principles to analyse and resolve ethical dilemmas; develop strategies and skills for stress management and self care; and professional capabilities for life as a medical practitioner. Cross cultural capabilities and skills in managing complex doctor-patient interactions are also developed . Knowledge of the broader context of health care is encouraged through an understanding of public health, epidemiology and population health issues.

  • General Course Information
    Course Details
    Course Code MEDIC ST 2103B
    Course Medical Professional & Personal Development II Pt2
    Coordinating Unit Medicine
    Term Semester 2
    Level Undergraduate
    Location/s North Terrace Campus
    Units 6
    Contact Weekly lectures, CBL sessions & resource sessions
    Available for Study Abroad and Exchange N
    Prerequisites MEDIC ST 2103A in previous Semester, MEDIC ST 1000A/B, MEDIC ST 1101A/B, MEDIC ST 1102A/B, MEDIC ST 1103A/B, BIOLOGY 1310A/B, or by approval of the Dean of Medicine
    Restrictions Available to MBBS students only
    Course Description Through this stream students will develop competency in communication with patients, patients' relatives, peers and other health professionals. Alongside communication competency; students are assisted to develop ethical and medico-legal knowledge; use ethical principles to analyse and resolve ethical dilemmas; develop strategies and skills for stress management and self care; and professional capabilities for life as a medical practitioner. Cross cultural capabilities and skills in managing complex doctor-patient interactions are also developed . Knowledge of the broader context of health care is encouraged through an understanding of public health, epidemiology and population health issues.
    Course Staff

    Course Coordinator: Emily Cooper

    Course Coordinator: Dr Kristen Wilson
    Phone: +61 8 8313 6221
    Course Timetable

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

    Further details of the timetable structure will be made available at the start of the course. 
  • Learning Outcomes
    Course Learning Outcomes
    In Semester 1 medical ethics the aim is that you will:

    •    Develop your abilities to locate, synthesise and integrate information relevant to an ethical issue;
    •    Develop your ability to independently gain an understanding of arguments and topics in medical ethics, to identify the issues at stake, and to locate these within a broader theoretical framework;
    •    Gain skills in the critical evaluation of arguments and the justification of ethical conclusions, using ethical principles and concepts;
    •    Gain confidence in the resolution of difficult ethical problems;
    •    Develop your ability to work productively with others in the evaluation and resolution of difficult ethical issues.


    The objectives for Semester 2 are as follows:

    1.    Professional Communication skills: Year 2

    Doctor-Patient Communication
    •    Understand and develop core doctor-patient communication skills
    •    Demonstrate doctor-patient communication skill competencies appropriate to Year 2
    •    Knowledge and understanding of the phases and components of the medical interview
    •    Understand what is meant by the patient-centred approach to the medical interview
    •    Demonstrate patient-centered skills appropriate to Year 2
    •    Demonstrate knowledge and understanding of the basic principles of ‘giving information’ and ‘explanation and planning’ in the medical interview appropriate to Year 2 level
    •    Demonstrate ‘giving information’ and ‘explanation and planning’ skills
    •    Knowledge and understanding of how to manage complex patient interviews e.g ‘angry patient’, breaking bad news, distressed patient, differences of opinion and treatment adherence issues
    •    Demonstrate capacity to manage complex patient interviews appropriate for Year 2
    •    Demonstrate capacity to maintain appropriate ‘confidentiality’ in the context of patient care  and in relation to working with peers
    •    Demonstrate capacity to discuss ‘informed consent’ appropriate to Year 2
    •    Understand and demonstrate what is meant by an ethical approach to patient care
    •    Demonstrate an ethical approach in simulated patient interviews
    •    Understand the principles of conducting interviews with patients from a variety of psychosocial and cultural backgrounds and with patients of varying abilities
    •    Knowledge and understanding of the  principles of giving lifestyle advice and behaviour  modification and demonstrate capacity to give lifestyle advice  appropriate to Year 2 level.

    Academic Writing
    •    Complete an assignment using appropriate research; referencing and writing skills.

    Communication with peers/tutors
    •    Continue to develop capacity to work in small groups
    •    Develop oral presentations skills
    •    Demonstrate appropriate peer feedback skills


    2.    Ethical Basis and Social Responsibilities of Medical Practice: Year 2

    Medical Ethics Year 2
    (Please see Semester 1 Medical Ethics Year 2 Handbook for more details.)
    •    Develop higher order thinking skills to help resolve ethical problems
    •    Gain skills in the identification, analysis and resolution of ethical problems
    •    Develop the ability to work productively with others to make informed decisions about ethical problems 

    Population Health/Public Health
    •    Understand the importance of epidemiological information (incidence, prevalence,
    •    demographics, risk factors) in understanding individual patients’ problems
    •    Understand some basic principles of public health and preventive medicine
    •    Understand basic statistical principles to allow informed reading of medical literature


    3.   Indigenous Health
    .   
    Explain the role and influence of the social determinants of health in the context of health inequities experienced by  
         Aboriginal peoples.   
    .    Develop skills for effective and culturally safe communication in a clinical setting with Aboriginal patients.

    4.  Professional and Personal Development for Medical Practice: Year 2

    •    Continue to develop capacity for working in small groups/teams
    •    Continue developing skills and strategies for information management, time management and  stress management
    •    Develop an understanding of issues faced by professionals who work with chronically ill or  terminally ill people.

    In addition there are MPPD case objectives as part of Case Based Learning.
    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)
    Deep discipline knowledge
    • informed and infused by cutting edge research, scaffolded throughout their program of studies
    • acquired from personal interaction with research active educators, from year 1
    • accredited or validated against national or international standards (for relevant programs)
    1,2,3
    Critical thinking and problem solving
    • steeped in research methods and rigor
    • based on empirical evidence and the scientific approach to knowledge development
    • demonstrated through appropriate and relevant assessment
    1,2
    Teamwork and communication skills
    • developed from, with, and via the SGDE
    • honed through assessment and practice throughout the program of studies
    • encouraged and valued in all aspects of learning
    1,2,3
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    1,2,3
    Intercultural and ethical competency
    • adept at operating in other cultures
    • comfortable with different nationalities and social contexts
    • Able to determine and contribute to desirable social outcomes
    • demonstrated by study abroad or with an understanding of indigenous knowledges
    1,2
    Self-awareness and emotional intelligence
    • a capacity for self-reflection and a willingness to engage in self-appraisal
    • open to objective and constructive feedback from supervisors and peers
    • able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
    1,3
  • Learning Resources
    Required Resources
    There are no required resources for this course.
    Recommended Resources
    Recommended Texts

    Lloyd, Margaret & Robert Bor (2009) Communication Skills for Medicine, Churchill Livingston
    (Please note: many of the tutorial  readings are set from this text.)


    Reference texts

    Silverman, Kurtz & Draper, (2005) Skills for Communicating with Patients, Radcliff Publishing

    Tierney, Lawrence & Mark Henderson  (2005) The Patient History, Lange Medical Books
    Online Learning

    Learning materials and course information will be available through the corresponding Canvas course.
  • Learning & Teaching Activities
    Learning & Teaching Modes

    Lectures in general
    MPPD related lectures are scheduled throughout the year. Lectures, seminars and set readings aim to give key background or conceptual information on a topic. These will often be scheduled at the beginning of a semester or topic. Lectures are not compulsory but missing them may mean that you miss out on important orientation and foundation information.
    Although not compulsory the content of the lectures is examinable.

    Medical Practice Tutorials
    In MPPD2 Medical Practice tutorials you will further develop the skills you gained in MPPD1 to enable you to manage more complex doctor-patient interactions. These more challenging interactions will include breaking bad news; interviews with patients from different cultural backgrounds; patients who are distressed or angry; patients who have different views and opinions from your own.

    The focus skills for this year will be ‘patient-centred interview’ skills; information giving skills and skills for the ‘explanation and planning’ phase and closing phases of the medical interview.

    Active participation is an assessment criteria and strongly encouraged.

    Medical Practice Tutorial Session notes
    Session notes will be available on the relevant Canvas module attached to the relevant MPPD tutorial of the approximately one week before each tutorial. Please ensure you read the session notes prior to the tutorial and do any pre-reading or preparation requested.

    MPPD Online Learning: Effective Clinical Communication
    You will use the online clinical communication program to develop your knowledge and
    understanding of clinical communication skills and the tasks and phases of the medical interview. Further details in the relevant Canvas module.

    Learning by doing
    Learning is more effective with active strategies such as ‘practice doing’. To be a competent doctor you will need to learn and appropriately use a complex set of skills. You cannot learn these skills by simply reading a book or going to a lecture. You will need repeated practice , constructive feedback and then practice again. Many of the teaching and learning methods used in MPPD will require you to actively participate and actively practice skills. MPPD closely links to activities in case-based learning and in clinical skills.
    Workload

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

    Attendance at tutorials is compulsory. While lectures are not compulsory, the material presented in a lecture will assist your ability to participate in tutorials and will provide examinable material. The development of time management skills is important for future medical practice. Students are expected to develop study skills and allocate time to self-directed learning. In Years 1-3, the standard total student workload for 24 units is 48 hours a week.
    Learning Activities Summary
    Students will be required to attend small group tutorials, as well as lectures and workshops and undertake directed and self-directed study. Students are expected to translate this learning to weekly tutorials and required assignments. Students will also be expected to assimilate learning from the CBL and Clinical Skills tutorials and spend considerable time in practicing skills. Completion of an on-line tutorial program in communication is also required.
    Specific Course Requirements
    It was an MBBS entry requirement to obtain a police check as set out in letter of offer to prospective students. You may be required to update these depending on the clinical activities or other activities in which you participate. As a medical student you will be registered with the Medical Board of Australia. Any other requirements will be advised.
    Small Group Discovery Experience
    The predominant learning method for the MBBS Program is small group discovery learning.
  • 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
    Complete assessment requirements for this course are detailed in the corresponding Canvas Course. 

    Grades for your performance in this course will be awarded in accordance with the following scheme: GS4 Non-graded pass.

    Students are required to take both the Part A and the matching Part B course.Requirements to achieve a NGP in MEDIC ST 2103A/B are as follows:



    Assessment Task; Task Type;
    Timing, Weighting


    Ethics: Group and Individual Presentation
    Summative
    Semester 1 20%


    Indigenous Cultural Workshops: Online quiz, Tutorials, Presentation
    Summative
    Semester 1 15%


    Medical Practice Tutorials: Tutor Assessment of Knowledge and skills.
    Summative
    Semester 2 30%


    Medical Practice Tutorials: Tutor Assessment of professional competencies
    Summative
    Semester 2 25%


    Written Assignment
    Summative
    Semester 2 10%



    Assessment for MEDIC ST 2103A/B is combined. Students will be  awarded a Continuing Grade for MEDIC ST 2103A. Students must complete both MEDIC ST 2103A/B to gain a pass mark.

    All assessment items will be standard set for competency and the marks used to calculate the  composite score adjusted according to standard setting. Students are required to attain an overall composite score from all assessment tasks equal to or greater than 50% to achieve an NGP. An additional assessment will be offered to students who fail MEDIC ST 2103A/B with a composite score of 45-49%.

     


    Students are provided with criteria and a rubric at the beginning of the relevant semester. The professional competencies will be assessed during the eight Medical Practice Tutorials and account for 25% of the course mark. Students will be advised by email prior to tutorial 6 if there are concerns regarding their ability to reach the required professional competencies standard and will be provided with formative information.

    Assessment Related Requirements
    There are attendance requirements which must be met. Students must learn and appropriately use a complex set of skills to achieve the learning outcomes in the MBBS courses. These skills cannot be learnt without repeated practice, constructive feedback and then practice again. In addition, the professional competencies required of a medical professional need to be developed. Development of competency is through discussions, observing, practicing and demonstrating. Attendance at the mandatory learning activities is essential for the progressive development of the attributes and competencies required of a medical professional. As such, attendance at core structured learning activitiesis mandatory as per the Assessment for Coursework Policy – Procedures Section 1c.

    Students must attend 90% of the core structured learning activities to achieve a pass in this course. Exemptions to mandatory 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. 

    Mandatory core structured learning activities for this course are:

    - Ethics workshops and group presentations/SGDE
    - Indigenous cultural workshops and presentations
    - Medical Practice tutorials/SGDE
    - Professionalism written assignment

     


    Assessment Detail
    Complete assessment requirements for the MBBS Program are set out in the relevant Canvas course.

    Submission
    Students may be required to submit assessments via Turnitin.
    Course Grading

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

    GS8 (Coursework Grade Scheme)
    Grade Description
    CN Continuing
    FNS Fail No Submission
    NFE No Formal Examination
    F Fail
    NGP Non Graded Pass
    P Pass
    C Credit
    D Distinction
    HD High Distinction
    RP Result Pending

    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.

    Grades for your performance in this course will be awarded in accordance with the following scheme: GS8 Non-graded pass.


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

    Students should familarise themselves with the University Policy on Additional Assessment/Replacement Assessment.
  • 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.

    The MBBS Program has a regular program of evaluation. In addition, student representatives are appointed to MBBS committees and are encouraged to report on issues of importance to students.
  • Student Support
  • Policies & Guidelines
  • 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.

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