Psychiatry/Primary Health Care Selective

Course code MEDI5012
Not available in 2015

Description

In relation to psychiatry the course is a type of clinical apprenticeship. Students will be expected to attend all functions of the unit to which they are attached, including participating in ward rounds, clinical clerking of patients, and other unit activities. There will be regular discussion of issues pertaining to diagnosis and treatment of patients with registrars and consultant psychiatrists. Students will learn how to identify, assess and manage common psychiatric disorders and psychosocial problems.

In relation to the primary health care selective, students will work primarily in rural and urban centres with community health staff and general practitioners focusing on the management of chronic illness and disability in the community. This course is offered in both Semester IX and Semester X, on a rotating basis. Full-time students who enrol in Psychiatry/Primary Health Care Selective must enrol concurrently in Medicine. In exceptional circumstances, such as when a student fails one of the concurrent courses, enrolments outside of these concurrent arrangements may be approved by the Head of School.

Availability

Not currently available.

Learning Outcomes

1. Understand the aetiology, pathology, symptoms and signs, natural history and prognosis of common mental ailments in children, adolescents, adults and the aged. A more detailed knowledge is required of those conditions that require urgent assessment and treatment

2. Understand common diagnostic procedures in relation to psychiatry including their uses and limitations

3. Understand management of common psychiatric conditions

4. Understand the doctor's role within the context of the primary health system

5. Management of common conditions encountered in general practice and primary health care

6. The role of the general practitioner and the primary health care team in chronic care

7. The impact of social context on health care, with particular focus on health care in a rural community

8. Understand the effect of cultural, physical, language, religious, education and economic backgrounds on patient's access to and communication with the primary health care team as outlined in the Alma Ata

9. Obtain an accurate, problem-oriented, tactful and organised medical history in relation to psychiatry and the general practice consultation.

10. Perform an accurate, problem-oriented, tactful and organised physical and mental state examination.

11. Interpret and integrate the history and physical examination findings to arrive at an appropriate diagnosis and differential diagnosis, and to identify the personal and social problems to which the illness may give rise in relation to psychiatry and the general practice/community health setting

12. The capacity to formulate a plan addressing the investigation and management of the patient's illness in relation to psychiatry and the general practice/community health setting, 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 in relation to psychiatry and the general practice/community health setting, and of the need, in all cases, to plan management in concert with the patient.

14. Convey and receive information in a manner appropriate to the primary health care setting, including colleagues, other health providers and patients.

15. Function in the primary health care team, involving collaboration and cooperation with other team members and understanding the role of each member.

16. Understand the principles of ethics related to health care and shall demonstrate the capacity to apply those principles to the care of patients and the legal responsibilities, particularly with respect to patients with psychiatric illness

17. Understand the factors that affect the quality and safety of health care.

18. Understand how the cost of care may affect optimal patient care and the benefit to the community of available resources

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

20.  

Content

Responsibilities and obligations under the Mental Health Act
Assessment, diagnosis and management of the psychiatric patient; acute and chronic
General treatment modalities; biological, psychological, social / community based.
Dual diagnosis and relationship between psychiatric illness and substance abuse

The Primary Health Care Selective course will consist of 4 weeks of experiential learning. Students will be placed in 1 to 3 primary health care settings one of which must include general practice, they may attend these serially or in parallel. Students will be expected to act as a member of the primary health care team as much as possible, and may take histories, perform physical examinations, develop management plans, participate in case conferences, do home visits and attend educational events within the level of their abilities, and under the general supervision of the team leader/GP.

Assumed Knowledge

This course is only available to students enrolled in the Bachelor of Medicine program. Students must have successfully completed the first four years of the Bachelor of Medicine program. Full time students enrolled in MEDI5012 must enrol concurrently in MEDI5011.

Assessment Items

Presentation: Presentations - Individual

Formal Examination: Examination: Formal

Participation: Group/tutorial participation and contribution

Participation: Group/tutorial participation and contribution

Written Assignment: PHCS Student Contract

Presentation: PHCS Supervisor Rating Form and Dot Point Presentation

Log / Workbook: Psychiatry Logbook of Professional Skills

Contact Hours

Clinical

Face to Face Off Campus 30 hour(s) per Week for 8 Weeks

The course involves a full time clinical work load. Included in this will be an average of 5 hours per week of scheduled teaching.

Self-Directed Learning

Self-Directed 2 hour(s) per Week for 8 Weeks

Tutorial

Face to Face On Campus 2 hour(s) per Week for 8 Weeks