MEDIC ST 5017HO - Human Reproductive Health Exchange

Teaching Hospitals - Semester 1 - 2021

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. Some students will have the opportunity to undertake their training for an extended period of time in a rural or remote setting.

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Course Details

Course Code	MEDIC ST 5017HO
Course	Human Reproductive Health Exchange
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Units	6
Available for Study Abroad and Exchange	N
Restrictions	Available to Aarhus inbound exchange students only
Assessment	Details provided at start of the course

Course Staff

Course Coordinator: Tristan Hardy

Paediatrics and Reproductive Health
Women's and Children's 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)
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 - 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 - 3
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 -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
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 - 3
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	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
Attendance at antenatal clinics, conduct of normal labour and delivery and observation of abnormal cases gives insight into the spectrum of common conditions, most of which will be met at some time in practice.

Students’ personal cases and deliveries require detailed observation of antenatal, labour and postnatal care and infant care. Postnatal care includes observation of lactation, involution and the psychological development of the mother-child relationship.

Labour Ward
Students are rostered to the labour ward on multiple occasions during their rotation. These are all day sessions and include weekend and after-hours work. They aim to provide students with the opportunity to observe the process of labour and delivery, to participate in the routine intrapartum observations of the mother and fetus, and to conduct spontaneous vaginal deliveries including management of the third stage under the direct supervision of the staff in charge. Sound obstetrics practice requires a multi-disciplinary team approach. This includes an important component of interprofessional learning, including direct supervision in labour ward by midwives of medical students.

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
Members of the academic and affiliate staff will run whole-of-class tutorials in selected topics, between 2:00pm and 5:00pm on many Fridays during your rotation.

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.

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. After hours and weekend work may also be required to meet clinical requirements.

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.

All students will be required to do some after-hours and weekend work. Any other requirements will be advised.

Small Group Discovery Experience

A mandatory small group contraception tutorial under expert tuition is held mid-term. A "flipped classroom" approach is used. Advanced preparation by accessing the Contraception module in My Uni is required.

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

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.

Summative Assessment
There are four items of summative assessment: a Core Competencies requirement (10%), a 3,500 word case write up (20%), an online MCQ test (35%) and an OSCE (35%).

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

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.

Assessment Detail

Clinical Competencies
This is a record of observed participation in the clinical activities specified. Supervisors sign off each successfully completed activity. Submission of copies of signed consent forms for each vaginal examination you have undertaken is required.

Case Write Up
This is a 3,500 word analysis of a self-selected case in either obstetrics or gynaecology. You should choose a case that you have had close involvement in, both in the hospital and/or clinic setting and in the post-hospital/clinic community setting and that demonstrates significant health care requirements. Full details including a detailed marking rubric are available in My Uni.

MCQ test
A single best answer MCQ test is undertaken online and covers a broad range of topics as detailed in My Uni.

OSCE
This multi-station clinical examination has questions of 8 minutes’ duration plus 2-minutes' of reading time. The OSCE covers a range of skills including history taking, examination, requesting and interpretation of investigations, diagnosis, management, explanation and counselling. Questions may be in obstetrics, gynaecology or neonatology. Stations will be standardised using surrogate patients and anatomical simulations, where applicable. Each of the stations carries equal weighting. Examiners when present remain silent for the duration of the question. All sessions are recorded and in some instances there may be no examiner present in the examination room.

Submission

For details please refer to My Uni.

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.

For details 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.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
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.

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