Surgery/Emergency Medicine

Course code MEDI5014Units 20Level 5000Faculty of Health and MedicineSchool of Medicine and Public Health

As part of a pre-internship year, this course develops the skills required in surgery and emergency medicine for independent clinical practice, by giving students the opportunity to review and apply previously learned topics.

In relation to surgery the focus in this course is orthopaedic surgery with some exposure to other surgical areas. The course will be delivered through clinical attachments and small group tutorials. Students will learn the assessment, diagnosis and management of patients presenting with common orthopaedic conditions.

In relation to emergency medicine, students will observe and participate in the assessment and management of common medical emergencies. Students will be expected to participate in the Emergency Department (ED) at a level similar to the work requirements they will be experiencing in postgraduate year 1 (PGY1). Students will also develop clinical skills, administrative skills and knowledge required for PGY1s including; rational planning of investigations, when to refer patients to medical and surgical teams within the hospital, liason with general practitioners and a focus on early treatment of the undifferentiated patient.

This course is offered in both Semester IX and Semester X, on a rotating basis. Full-time students who enrol in Surgery/Emergency Medicine must enrol concurrently in Anaesthesia & ICU/Oncology & Palliative Care. 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.

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

Not available in 2014

Previously offered in 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005
ObjectivesBy the end of the course, the student will demonstrate the following attributes, to a level similar to that of an intern:

Understanding of:
1. the aetiology, epidemiology, pathology, symptoms and signs, natural history and prognosis of common mental and physical ailments with respect to surgery and emergency medicine.
2. common diagnostic procedures in relation to surgery and emergency medicine, including their uses and limitations
3. the basic principles of management of common surgical and emergency conditions, including the use of appropriate pharmacological, physical, nutritional, psychological and unorthodox therapies.
4. the ability to recognise those common conditions that require urgent assessment and treatment.
5. the ability to recognise those conditions whose management current practice places within the responsibility of new graduate medical practitioners.
6. The public health impact of emergency surgical procedures in the community, including the epidemiology of common risk factors and early intervention strategies
7. The psycho-social and cultural significance of surgery, including understanding of cultural differences in response to these procedures.

Skills:
1. the capacity to obtain an accurate, problem-oriented, tactful and organised medical history in relation to surgical and emergency procedures.
2. the capacity to perform an accurate, problem-oriented, tactful and organised physical and mental state examination, with particular consideration of surgical and emergency procedures
3. the capacity to 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.
4. The ability to choose, from the repertoire of clinical skills, those that are appropriate and practical to apply in a given situation.
5. the capacity to formulate a plan addressing the investigation and management of the patient's illness, and the personal and social problems to which the illness may give rise.
6. an appreciation of 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.
7. the capacity to communicate clearly and sensitively with patients and their families and with other health professionals.

Appropriate Professional Attitudes:
1. the principles of ethics related to health care and demonstrate the capacity to apply those principles to the care of patients and the legal responsibilities.
2. the factors that affect the quality and safety of health care.
3. how the cost of care may affect optimal patient care and the benefit to the community of available resources.
4. the interaction between the health of individuals and the well-being of populations.

The student's practice must Take Account of New Knowledge.

At the end of the course, students shall demonstrate the capacity to evaluate and interpret medical evidence in a scientific manner at a level similar to that of an intern, and to use information sources to pursue independent inquiry.
ContentOrthopaedic surgery
Pathology, anatomy, and mechanism of injury of common orthopaedic presentations
Clinical skills
Emergency medicine and related topics
Emergency skills: securing patent airway, applying oxygen therapy, external cardiac massage, bag valve mask ventilation, defibrillation, insertion of IV cannula, set up IV infusion, administer blood transfusion, and identify conditions requiring urgent referral.
Interactional skills
Indigenous / Migrant health
Integrated basic science
Health, Law & Ethics
Population Health
Oral Health
Industrial Experience0
Assumed KnowledgeThis 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 MEDI5014 must enrol concurrently in MEDI5013.
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Lecture
Practical
Tutorial
Assessment Items
Essays / Written AssignmentsQuality in Health Care Assignment
Examination: FormalEmergency Medicine Clinical OSCEs
Other: (please specify)Orthopaedic Surgery Logbook
Other: (please specify)Attendance will be monitored throughout the Course and students who do not fulfil attendance requirements may be deemed to fail the Course. Students should be punctual in arriving for FRS's and Clinics
Other: (please specify)Orthopaedic Surgery Clinical Supervisors Report
Other: (please specify)Emergency Medicine Log Book
Contact HoursLecture: for 2 hour(s) per Week for Full Term
Practical: for 4 hour(s) per Week for Full Term
Student Projects: for 2 hour(s) per Week for Full Term
Tutorial: for 2 hour(s) per Week for Full Term
Compulsory Components
Requisite by EnrolmentThe enrolment is limited by the program enrolment in B Med.

Students must have successfully completed

MEDI1011, MEDI1012, MEDI1013, MEDI1014,
MEDI1015, MEDI2011, MEDI2012,MEDI2013 AND MEDI2014.
MEDI3011, MEDI3012, MEDI3013 AND MEDI3014
MEDI4011, MEDI4012, MEDI413 AND MEDI4014.