General Practice and Subspecialties 2

Course code MEDI3018Units 20Level 3000Faculty of Health and MedicineSchool of Medicine and Public Health

This course is designed to allow students to continue to develop clinical skills and knowledge required to deal with patients with disorders common to Primary Health Care, Inpatient and Outpatient services, with a particular focus on subspecialty areas, as well as exposing students to factors affecting health equity. Part of this term may involve exposure to rural general practice, which may be quite different from urban practice.

This course also reinforces the integration of medical and clinical sciences which underpin student learning.

Full-time students who enrol in General Practice and Subspecialties 2 must enrol concurrently in Health Equity Selectives.

This course is a Compulsory Program Component and students must pass in order to progress in the Bachelor of Medicine program.

This course is offered in Semester 2 only.

Available in 2015

Callaghan CampusSemester 2
Previously offered in 2014
ObjectivesDemonstrate the ability to:
1. take an accurate, organised and focused medical history for a range of common medical and surgical conditions;

2. appreciate and integrate questions regarding demographic, educational and psychological factors into the medical history, regardless of the medical or surgical presentation;

3. perform a systematic and confident physical examination with a particular focus on ophthalmology, dermatology, immunology, rheumatology and orthopaedics;

4. recognise common presentations of medicine and surgery with a particular focus on ophthalmology, dermatology, immunology, rheumatology and orthopaedics;

5. interpret and integrate the history and physical examination findings to develop appropriate differential diagnoses;

6. select and use the most appropriate and cost effective diagnostic procedures, including an appreciation of principles of efficient and equitable resource allocation and use of finite resources;

7. formulate a management plan that integrates relevant factors affecting the physical and psychological wellbeing of patients (eg. demographic, educational, psychological factors) along with management of their physical condition, and to plan management in conjunction with the patient;

8. communicate with patients and their families in a respectful, sensitive manner, which is also mindful of demographic and educational issues relevant to the family;

9. work effectively in a team with other health care professionals; and

10. identify and critique research literature relevant to a person's presentation and apply this clinical evidence appropriately in therapeutic choices.

Demonstrate an appreciation and understanding of:
11. how to deal with diagnostic uncertainty often inherent in primary health care with a particular focus on ophthalmology, dermatology, immunology, rheumatology and orthopaedics;

12. interaction between humans and their social and physical environment, and ways in which these factors may impact on a person's clinical presentation, access to health care and ability to adhere to a management plan;

13. the effect of resource maldistribution in the delivery of health to a population; and diagnosis and management plans for an individual in this population;

14. the role of primary health care in Australia and internationally;

15. epidemiology, public health issues, evidence-based medicine and risk factor management of common conditions seen in primary health care with a particular focus on ophthalmology, dermatology, immunology, rheumatology and orthopaedics;

16. principles of prevention and screening for common disease in primary health care including risk factor management and public health issues with a particular focus on ophthalmology, dermatology, immunology, rheumatology and orthopaedics;

17. the complexity of ethical issues related to illness;

18. mechanism of action of vaccines currently used in Australia and the programs to ensure high population coverage;

19. epidemiology of epidemics and appropriate preventive measures;

20. appropriate inter-professional communication and behaviour with colleagues;

21. effective and sensitive history-taking and examination of Indigenous patients;

22. how the history, social and cultural determinants of health might affect an Indigenous person's current health status;

23. Indigenous Health challenges;

24. key health indicators for Indigenous Australians and ways of redressing health inequity issues; and

25. centrality of family and kinship ties for Indigenous Australians in regard to health.
ContentClinical skills, including history-taking, physical examination, diagnosis, formulation of management plans, communication skills and teamwork, with specific consideration to:

General Practice
Public Health
Risk Factor Management
Clinical Ethics
Evidence-Based Medicine
Access to Health Care
TransitionStudents must successfully complete all requirements of Year 3 before progressing to Year 4.
Industrial Experience0
Assumed KnowledgeMEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013 and MEDI2014
Modes of DeliveryInternal Mode
Teaching MethodsCase Study
Email Discussion Group
Problem Based Learning
Individual Supervision
Self Directed Learning
Assessment Items
Essays / Written AssignmentsCare Plan Report
General Practice Case Write-up
Examination: FormalMCQ, SAQ
Other: (please specify)Log Book
General Practice Supervisor Report
Contact HoursLecture: for 6 hour(s) per Week for 10 weeks
Practical: for 12 hour(s) per Week for 10 weeks
Case Study: for 4 hour(s) per Week for 10 weeks
Self Directed Learning: for 12 hour(s) per Week for 10 weeks
Problem Based Learning: for 4 hour(s) per Week for 10 weeks
Compulsory Components
Requisite by EnrolmentThis Course is only available to students enrolled in the Bachelor of Medicine program.

WorkCover approved First Aid Certificate
Working with Children and Young People Declaration
ClinConnect compliance
Timetables2015 Course Timetables for MEDI3018