MEDIC ST 1102A - Clinical Practice I Part 1

North Terrace Campus - Semester 1 - 2021

From the first week of the course, students are introduced to the skills required for medical practice. Emphasis is placed on developing the clinical interviewing skills required to elicit and record a clinical history and to perform a physical examination. Clinical skills will be gained within a state-of-art Clinical Skills Laboratory located within the Medical School building.

  • General Course Information
    Course Details
    Course Code MEDIC ST 1102A
    Course Clinical Practice I Part 1
    Coordinating Unit Medicine
    Term Semester 1
    Level Undergraduate
    Location/s North Terrace Campus
    Contact Weekly lectures, CBL sessions & resource sessions
    Available for Study Abroad and Exchange N
    Restrictions Available to MBBS students only
    Course Description From the first week of the course, students are introduced to the skills required for medical practice. Emphasis is placed on developing the clinical interviewing skills required to elicit and record a clinical history and to perform a physical examination. Clinical skills will be gained within a state-of-art Clinical Skills Laboratory located within the Medical School building.
    Course Staff

    Course Coordinator: Christian Mingorance

    Contact details:
    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
    1 outline, recognise the consequences of and apply good OH&S and infection control practices;
    2 understand and appreciate the importance of the team approach to health care;
    3 identify the behaviours, characteristics and communications skills of a doctor that would promote an effective doctor patient relationship;
    4 appreciate and practice confidentiality regarding patient information;
    5 demonstrate knowledge of interviewing skills;
    6 describe the content, structure and function of a complete health history;
    7 apply clinical reasoning to the data gathered and thereby form a hypothesis about the patient’s condition;
    8 demonstrate an understanding of vital signs and the implications for a patient’s health;
    9 develop interviewing and history taking skills in the designated body systems;
    10 develop physical examination skills in the designated body systems;
    11 demonstrate ability to record assessment data using a prescribed framework;
    12 develop strategies to ensure doctors cope with their encounters with difficult patients;
    13 understand the requirements for appropriate professional behaviour;
    14 develop a commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life.
    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)
    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
    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
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    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
    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
  • Learning Resources
    Required Resources
    Students will be required to purchase a basic medical examination kit and textbooks.
    All students will require a stethoscope, watch and a pen torch. Suggestions for the selection of these will be available at the first tutorial.
    Other required resources will be advised as appropriate.
    Recommended Resources
    Extensive electronic and paper-based resources will be advised as the course progresses.
    Online Learning
    Material for the course will also be provided through MyUni
  • Learning & Teaching Activities
    Learning & Teaching Modes
    The course will comprise both structured and self-directed learning. Hands-on small group tutorials will link to the specific case being undertaken by the students. Students will be required to develop an understanding of best evidence based practice in relation to examination, investigation and management of common medical presentations.

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

    Students will be required to attend weekly 2 hour tutorials in the clinical skills laboratory. Students will also be expected to assimilate learning from the Medical Personal and Professional Development tutorials, Case-based Learning tutorials and the didactic lectures provided throughout the course, as well as and directed and self-directed study and translate this learning to the weekly tutorials and required assignments. 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 weekly 2 hour tutorials in the clinical skills laboratory. You will be given the learning objectives the week prior to the tutorial. This means that prior reading is compulsory. Within the few weeks students will work through History Taking (HT), Physical Examination (PE), the relationship between HT and PE. Students will work with a tutor and Standardised Patients.
    Specific Course Requirements
    Students must meet the requirements set out in the letter of offer. As a medical student you will be registered with the Australian Health Practitioner Regulation Agency, and are advised to read the student information porvided at:
    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
    Students are required to take both the Part A and the matching Part B course.

    Requirements to achieve a NGP in MEDIC ST 1102A/B are as follows:
    Assessment Task Task Type Timing Weighting
    1. Hand hygiene  Hurdle Semester 1 0%
    2. Vital Signs  Hurdle Semester 1 0%
    3. Clinical competency Formative 1-3 Formative* Semester 1 0%
    4. Clinical competency Summative 4 Summative* Semester 1 3.5%
    5. Clinical competency Summative 5 Summative* Semester 1 4.0%
    6. Case presentation Formative Semester 1 0%
    7. Letter to GP Summative Semester 1 7.5%
    8. Quizzes Summative Semester 1 5%
    9. Reflection Summative Semester 1 7.5%
    10. Hand hygiene audit Hurdle Semester 2 0%
    11. Clinical competency Summative 6 Summative* Semester 2 6.5%
    12. Clinical competency Summative 7 Summative* Semester 2 8.5%
    13. Clinical competency Summative 8 Summative* Semester 2 9.5%
    14. Clinical competency Summative 9 Summative* Semester 2 10.0%
    15. Clinical competency Summative 10 Summative* Semester 2 10.5%
    16. Case write up Summative Semester 2 7.5%
    17. Case presentation Summative Semester 2 7.5%
    18. Quizzes Summative Semester 2 5%
    19. Reflection Summative Semester 2 7.5%
    * It is a hurdle requirement that 5 clinical competencies must be signed off in semester 1 AND 5 clinical competencies must be signed off in semester 2. A maximum of one competency can be counted each week. A minimum of two competencies per semester must be allocated to history taking, and a minimum of one competency per semester be allocated to physical examinations. If a student fails a competency assessment, they will be eligible for one remediation opportunity per competency assessment - a student must contact the course coordinator to organise any remediation.

    Students must also demonstrate competency in the vital sign hurdle AND hand hygiene hurdles in order to successfully pass this course. If a student fails the vital signs and/or hand hygiene hurdles, they  will be eligible for remediation - a student must contact the course coordinator to organise any remediation.

    There are no units associated with the Part A (Semester 1, Part 1). Assessment for MEDIC ST 1102A/B is combined. Students will be awarded a Continuing Grade for MEDIC ST 1102A. Students must complete both MEDIC ST 1102A/B to gain a pass mark.

    Students are required to attain an overall composite score from all assessment tasks equal to or greater than 50% and pass all hurdle requirements to achieve an NGP. An additional assessment will be offered to students who fail MEDIC ST 1102A/B with a composite score of 45-49%.

    If a student passes the course but does not meet the hurdle requirement, the course coordinator may use their discretion to offer additional assessment.

    In addition to the above, in order to pass this course and the First Year MBBS Examination Annual Examination Part 2 course, students must obtain:

    •    a satisfactory result in each of the components of the summative assessment in semesters 1 and 2; and
    •    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 1000A and MEDIC ST 1000B First 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 must successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.

    A student will only be eligible for summer school if the following criteria are met:
    • The student does not have a recorded breach of genuine academic misconduct;
    • The student has completed all core assessment tasks within the failed course;
    • The student has attended more than 80% of core teaching activities across the academic year, within the failed course.

    Assessment Related Requirements
    There are attendance requirements which must be met. Students should also note that there are also requirements for professional behaviour standards which are set out in MEDIC ST 1000A/B - First Year MBBS Examination Part1/2 assessment criteria.
    Assessment Detail
    Complete assessment requirements are contained within the relevant MyUni course.
    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:

    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.

    Grades for your performance in this course will be awarded in accordance with the following scheme: GS4 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 ( 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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