Medicine & Surgery

Course code MEDI4016Units 40Level 4000Faculty of Health and MedicineSchool of Medicine and Public Health

During the course students will be attached to medical and surgical teams in both rural and urban teaching hospitals, which will enable them to experience differences in healthcare according to location.

This course integrates previously learned basic sciences knowledge and professional skills in intensive medical and surgical clinical settings. It enables students to build on their knowledge and clinical skills in a range of patient scenarios. Learning is focussed on medical and surgical problems from presentation to diagnosis, including management and the associated issues arising. Clinical experience will develop knowledge of the pathophysiology of common disease. Conditions encountered through participation in ward rounds, ward work, operating theatre, clinics and doctors rooms will enable students to gain exposure in a variety of disciplines. Students will experience the management of common conditions of adult medicine and surgery and the impact of urban and rural location on the pattern of health services.

This course is offered in both Semesters 1 and 2, on a rotating basis.

Available in 2015

Central Coast Clinical SchoolSemester 1, Semester 2
Hunter Clinical SchoolSemester 1, Semester 2
Manning Base HospitalSemester 1, Semester 2
Tablelands Clinical SchoolSemester 1, Semester 2
Tamworth Base HospitalSemester 1, Semester 2
Previously offered in 2014
ObjectivesUpon completion of this course, the student will be able to demonstrate understanding, skills and professional attitudes to a level that will prepare them for common and important illnesses of a medical and surgical nature in the pre-internship year, including;

1. analyse the aetiology, pathophysiology including pathology, presentation, and prognosis of medical and surgical conditions as presented in clinical settings;

2. demonstrate appropriate skills in the history taking, physical examination, investigation and use of diagnostic techniques for diagnosing medical and surgical conditions;

3. articulate the basic principles of the management of medical and surgical conditions, including the use of appropriate pharmacological, surgical, physical, nutritional, psychological and unorthodox therapies;

4. justify the presentation of those medical and surgical conditions that require urgent assessment and treatment, along with plans for the emergency procedures for such;

5. assess the public health impact of clinical problems for both medicine and surgery in the community, including the epidemiology of common risk factors and early intervention strategies;

6. describe and discuss the relationship between psychiatric illness and medical or surgical conditions, including an understanding of the common psychiatric presentations;

7. demonstrate awareness of the cultural significance of medical and surgical problems, including understanding of cultural differences in response to illness;

8. obtain an accurate, problem-oriented, tactful and organised history for medical and surgical conditions;

9. perform an accurate, problem-oriented, tactful and organised physical examination for medical and surgical conditions;

10. interpret and integrate the history and physical examination findings to arrive at an appropriate diagnosis and differential diagnosis for medical and surgical conditions;

11. choose, from the repertoire of clinical skills, justifying those that are appropriate and practical to apply in a given situation;

12. formulate a plan addressing the investigation and management of the patients illness, and the personal and social problems to which the illness may give rise;

13. appreciate the importance of taking into account the values and preferences of the patient when considering the investigation and management of illness, and of the need, in all cases, to plan management in concert with the patient;

14. communicate clearly and sensitively with patients and their families and with other health professionals;

15. function in the healthcare team, involving collaboration and cooperation with other team members and understanding the role of each member;

16. discuss the principles of ethics related to healthcare and demonstrate the capacity to apply those principles to the care of patients and the legal responsibilities, particularly with respect to patients with medical and surgical illnesses;

17. articulate the factors that affect the quality and safety of healthcare;

18. compare and contrast how the cost of care may affect optimal patient care and appreciate the benefit to the community of using available resources;

19. analyse the interaction between the health of individuals and the well-being of populations; and

20. demonstrate an appreciation of the responsibility to maintain standards of medical practice at the highest possible level throughout a professional career.
ContentOpportunities will be available in the following areas (depending on the clinical site)

Aged Care Medicine
Cardiovascular Medicine and Cardio Thoracic Surgery
Clinical Toxicology and Clinical Pharmacology
Ear, Nose and Throat Surgery
Endocrinology and Endocrine Surgery
Gastroenterology and Gastrointestinal Surgery
General Surgery
Haematology
Neurology and Neurosurgery
Oncological Surgery
Oral and Maxillofacial Surgery
Rheumatology
Respiratory Medicine
Traumatology
Urology
Vascular Surgery
TransitionStudents must successfully complete all requirements of Year 4 before progressing to Year 5.
Industrial Experience0
Assumed KnowledgeMEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013, MEDI2014, MEDI3014, MEDI3017 and MEDI3018
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Problem Based Learning
Lecture
Practical
Self Directed Learning
Tutorial
Assessment Items
Examination: OralMedicine Long Case
Surgery Viva
Essays / Written AssignmentsMedicine Logbook - including Mini CEX, attendance log, evidence-based review and formative long case assessment
Examination: Formalwritten assessment (MCQ)
Group/tutorial participation and contributionattendance, participation and professional behaviour during tutorials, skills sessions, presentations and seminars will be monitored throughout the course by tutors
Other: (please specify)Clinical Supervisor Rating Form
Contact HoursPractical: for 12 hour(s) per Term for Full Term
Lecture: for 25 hour(s) per Term for Full Term
Problem Based Learning: for 36 hour(s) per Term for Full Term
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 MEDI4016