MEDIC ST 6017BHO - Emergency Department Internship VI Part 2

Teaching Hospitals - Semester 2 - 2017

Students undertake a 6 week placement in a major teaching hospital

  • General Course Information
    Course Details
    Course Code MEDIC ST 6017BHO
    Course Emergency Department Internship VI Part 2
    Coordinating Unit Medicine
    Term Semester 2
    Level Undergraduate
    Location/s Teaching Hospitals
    Units 3
    Contact 6 week placement
    Available for Study Abroad and Exchange N
    Prerequisites MEDIC ST 5000
    Restrictions Available to MBBS students only
    Course Description Students undertake a 6 week placement in a major teaching hospital
    Course Staff

    Course Coordinator: Andrew Giles

    Course Timetable

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

    Student will be allocated a roster for the 6 week term. It comprises a variety of day and evening shifts and is designed toprovide them with experience in all facets of Emergency medicine
  • Learning Outcomes
    Course Learning Outcomes

    General Objectives

    * To practice and apply information synthesis and evaluation
    * To develop further skills in medical decision making
    * To assume greater responsibility for patient care

    Student should be familiar with the management of patients presenting with:

    * Abdominal pain:
    * Chest pain:
    * Acute respiratory distress
    * Dehydration
    * Diabetes
    * Vomiting and diarrhoea
    * Drug overdose
    * Renal colic
    * Behavioural disturbance
    * Collapse
    * Fractures
    * Soft tissue injury
    * Multi-trauma
    * Alcohol/Drug Intoxication and Withdrawal
    * Common Eye and ENT problems
    * Vaginal bleeding

    When possible students should observe the management of patients with

    * Cardio-Respiratory arrest
    * Cardiac Arrhythmias
    * Acute Pulmonary Oedema
    * Coma
    * Shock
    * Acute blood loss
    * Severe multi-system trauma
    * Acute psychiatric emergencies
     
    Technical procedures that should be performed:

    * Venipuncture
    * IV cannulation
    * Arterial blood gases
    * Suturing
    * NGT Placement
    * Bladder Catheterisation
    * Performing an ECG
    * Plaster application

    Students should learn to interpret the following tests:

    * Common blood tests
    * ABGs
    * ECGs
    * Plain radiographs

    The Emergency Department experience should also be used to develop the following communication skills:

    * Patients and relatives:

    Information transfer, reassurance, explanation of tests and procedures, preparation for tests and procedures

    * Learning to work as part of a team

    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)
    All of the above
    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
    All of the above
    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
    All of the above
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    All of the above
    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
    All of the above
    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
    All of the above
  • Learning Resources
    Required Resources
    There are no required resources. Recommended resources will be advised as appropriate.

    Recommended Resources
    The Barr-Smith Library has the following texts available for loan:
    * Clinical procedures in Emergency Medicine
    * Emergency Medicine: A comprehensive study guide
    * On call: principles and protocols
    * Presenting signs and symptoms in the ED

    There are also a number of texts available in the ED and hospital library, which may be of use to students
  • Learning & Teaching Activities
    Learning & Teaching Modes
    There are numerous teaching and learning methods used, with the emphasis on active learning methods including, but not limited to: lectures, bedside tutorials, case presentations, write-ups and other sessions in hospital. There will be  self-directed research and/or study.

    Year 6 students also take part in the Year 6 teaching program during their internship semester. This work-ready program aims to equip students for internship through a mixture of didactic sessions, online preparation and face-to-face workshops.

    CLINICAL LEARNING
    The core element of the emergency medicine internship program is based on providing students with a basic understanding of emergency medicine. Students are encouraged and expected to involve themselves in the department’s activities.

    Following orientation, students should begin evaluating patients on a semi-independent
    basis. During their term, they will be expected to see at least 8 of the 10 patient problems listed in the student handbook.

    Students will be expected to see patients and perform a full history, examination and formulate a management plan. It is an expectation they will perform all the necessary tasks (under supervision) required to manage the patient in ED. This includes completing all the necessary paperwork, procedures (where appropriate) and monitoring the patient’s progress whilst in ED (including handover of patient, if applicable)

    TUTORIALS

    Students will receive a copy of the Trainee Medical Officer Handbook. Tutorials are designed specifically for students. Times may vary between hospitals; studentsshould check with their supervisor for specific tutorial times. Students are expected to attend the tutorials whether or not they are scheduled to work that day.

     Tutorials involve a mixture of didactic, interactive and skills sessions. Topics that may be covered include but are not limited to: ED procedures, toxicology, airway workshop, ALS/BLS, Assessment of the deteriorating patient and trauma assessment.

    Student interns should work the same hours that interns are rostered on their Units including attending “Takes” and post take ward rounds

    Workload

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

    Please refer to MyUni.
    Learning Activities Summary
    Student interns need to obtain initial direction/orientation from their supervisor at the commencement of the internship regarding the appropriate learning activities

    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 advised to read in detail the information in the Assessment Document - Part A and Part B. Students
    will be expected to be aware of the contents of these documents and to abide by the requirements as stated.

    Assessment Detail
    Please refer to MyUni.
    Submission
    Please refer to MyUni.
    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.

    In addition, students will receive a banded result upon completion of their attachment. Five bands are available to determine the assessment in sixth year of MBBS. The Bands available for determining student performance are
    A  Above expected competency for Year 6
    B  Clearly at expected competency for Year 6
    C  Just reaches expected competency for Year 6
    D  Below expected competency for Year 6
    E  Far below expected competency for Year 6

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

  • 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.