MEDIC ST 4015AHO - Medical Home Unit Part 1

Teaching Hospitals - Semester 1 - 2021

The clinical attachments are a program of clinical education through a selection of placements so that students can gain competence 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. Some students will have the opportunity to undertake their training in a rural or remote setting.

  • General Course Information
    Course Details
    Course Code MEDIC ST 4015AHO
    Course Medical Home Unit Part 1
    Coordinating Unit Medicine
    Term Semester 1
    Level Undergraduate
    Location/s Teaching Hospitals
    Contact Attachments, common program & research
    Available for Study Abroad and Exchange N
    Prerequisites MEDIC ST 3000A/B, MEDIC ST 3101A/B, MEDIC ST 3102AHO/BHO, MEDIC ST 3103A/B, MEDIC ST 3104A/B or by approval of the Dean of Medicine.
    Restrictions Available to MBBS students only
    Course Description The clinical attachments are a program of clinical education through a selection of placements so that students can gain competence 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. Some students will have the opportunity to undertake their training in a rural or remote setting.
    Course Staff

    Course Coordinator: Professor Hubertus Jersmann



    Course Timetable

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

    Students are strongly advised to check MyUni prior to the commencement of their rotation. Further information can be found in the Course Handbook and students also need to consult with their allocated home team to determine which clinical activities they are required to attend.

    The School of Medicine Teaching Series (SMTS) also runs during the MHU/SHU semester and students. The SMTS is an examinable component of the course and attendance is compulsory.
  • Learning Outcomes
    Course Learning Outcomes
    On successful completion of this course students will be able to:

    1. Apply knowledge of normal human structure, function and the impact of pathological and
    psychosocial processes in the clinical setting
    2. Demonstrate skills in history taking, physical examination and
    mental state assessment
    3. Analyse findings and formulate differential diagnoses
    4. Demonstrate knowledge and understanding of evidence-based patient management for
    important and commonly seen conditions, and assessment of risk
    5. Describe the strengths, values and limitations of key investigations, including the
    appropriate sequence, urgency and application of results to confirming or refuting
    diagnostic hypotheses
    6. Demonstrate safe prescribing skills for a limited range of conditions
    7. Perform simple procedures
    8. Deliver clear and concise clinical documentation and verbal case presentations
    9. Display professional attitudes and behaviour in interactions with patients, relatives,
    colleagues and all other clinical staff
    10. Describe
    legislation relevant to health, including end of life and mental health
    11. Contribute as a member of the clinical team to achieve the best patient outcomes

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

    UNIVERSITY GRADUATE ATTRIBUTES & COURSE LEARNING OUTCOMES
    Deep discipline knowledge 1, 2, 4, 5, 10
    Critical thinking and problem solving 3,5,8,11
    Teamwork and communication skills 8, 9, 11
    Career and leadership readiness 9, 4,5,6,7,8, 9, 11
    Intercultural and ethical competency 9, 10, 11
    Self-awareness and emotional intelligence 9, 11
    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)
    1,2,3,4,5
    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
    5
    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
    3,5
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    1,2,3,4,5
    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
    5
    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
    5
  • Learning Resources
    Required Resources
    Not applicable
    Recommended Resources
    General Medicine is a broad field, and students are advised to seek out resources that will assist them in consolidating their clinical learning.
    Online Learning
    4th year MHU is delivered in the same semester as the School of Medicine Teaching Series and there is a wealth of online content available through MyUni. Students are highly encouraged to work through this material as it is examinable content.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    The primary mode of teaching and learning in this course is in the clinical context. This includes ward rounds, consultant rounds, outpatient clinics and bedside tutorials with the student’s preceptor.

    Learning is supplemented with the School of Medicine Teaching Series lectures, lectures and tutorials organised as part of the MHU schedule and online content delivered via MyUni.

    Students are also advised to participate in academic teaching occurring at the hospital – journal clubs, unit meetings and grand rounds.

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

    Workload for the individual students will vary from week to week but students can assume that on average they will work a 45 hour week which will include clinic sessions, lectures (both delivered and online), seminars, tutorials and private study but does not include after hours call.
    Workload

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

    See above - Learning and Teaching Modes
    Learning Activities Summary
    See Teaching & Learning Modes above
    Specific Course Requirements
    It is an MBBS entry requirement to obtain a police checks as set out in letters of offer to prospective students. Other requirements will be advised at the start of the course.
    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
    Summative Assessment

    1. Ward Reports (one midterm = 10% and one at the end of rotation = 20% ) 30%
    2. Two Case Reports (structured written case histories - First = 10%, second = 20%) 30%
    3. Two Observed clinical long cases (direct bedside interaction with a supervisor - First 10%, second 20%) 30%
    4. Diary of Learning experiences (documentation of patient encounters with peer review)                          HURDLE 0%
    5. MCQ exam item writing. Two questions (each worth 5%) 10%
    6. Pharmacology IPL reflection                                                                                                             HURDLE 0%

    Details regarding the assessment items listed above can be found in the course handbook and on the MHU page in MyUni.

    To pass this course and the Fourth 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 4000AHO and MEDIC ST 4000BHO Fourth Year MBBS Exam 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.


    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.

    Core structured learning activities in this course include: ward rounds, clinical unit educational activities, tutorials.

    Assessment Detail
    See Assessment Summary above.
    Submission
    Details regarding submissions can be found in the  course handbook.
    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.

    MEDIC ST 4015 AHO

    Grades for your performance in this course will be awarded in accordance with the following scheme: GS8

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

    Any submission details will be outlined at the beginning of the attachment.
  • 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.

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.