Medicine / Psychiatry / Palliative Care / PHCS

Course code MEDI5015Units 40Level 5000Faculty of Health and MedicineSchool of Medicine and Public Health

As a component of the pre-internship year, this course develops the skills that will be required for clinical practice by giving students the opportunity to review and apply previously learned topics.

Through active participation in the clinical work of the medical teams to which they are attached, the Medicine attachment will permit students to refine their basic clinical skills and knowledge, to perfect core practical skills that are necessary for internship, and to integrate their knowledge of basic science/physiology with clinical practice. Students will also learn the administrative skills required for internship including rational planning of investigations, appropriate referral to other medical and allied health services, discharge planning, and liaison with community services and general practitioners.

The Psychiatry attachment 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.

Palliative Medicine is the care and study of patients with active, progressive, far advanced disease, where the prognosis is limited and where Quality of Life issues are the central concern. Meticulous management of pain and other symptoms together with psychospiritual care are the main areas of focus in Palliative Medicine. The support of carers / families extends into the bereavement phase.

In relation to the Primary Health Care Selective, students will primarily undertake placements in community settings and with general practitioners, focussing on the management of chronic illness and disability in the community.

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

Available in 2014

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 2013, 2012
ObjectivesUpon completion of this course, the student will be able to:

1. demonstrate understanding of the aetiology, pathophysiology, presentation and prognosis of common mental and physical conditions;
2. demonstrate understanding of the appropriate use of common diagnostic procedures, including their uses and limitations;
3. demonstrate understanding of the basic principles of management of common medical, psychiatric and psychosocial problems;
4. demonstrate understanding of the common medical, psychiatric and psychosocial problems that require urgent assessment and treatment;
5. demonstrate understanding of the public health aspects of common clinical problems in the community, including the epidemiology of common risk factors and the use of early intervention strategies;
6. demonstrate understanding of the doctors and the primary healthcare teams role within the context of the primary health system;
7. demonstrate understanding of the effect of psychosocial, cultural, religious, educational and economic backgrounds on the impact of disease in an individual and the impact of these factors on healthcare;
8. understanding of the principles of palliative care, including pain control, symptom assessment and management and the issues surrounding death in the community'
9. obtain an accurate, problem-oriented, tactful and organised medical history;
10. show the capacity to perform accurate, appropriate, problem-oriented, tactful and organised physical and mental state examinations;
11. show 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 contribute;
12. show the capacity to formulate a plan addressing the investigation and management of the patients illness, and the personal and social problems to which the illness may contribute;
13. show 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;
14. demonstrate the capacity to communicate clearly and sensitively with patients and their families and with other health professionals, including communication regarding death and dying, counseling and education of patients and their families;
15. show the capacity to contribute appropriately as a member of the healthcare team, including referral to other disciplines, interaction with other healthcare professionals and understanding of the role of other members of the healthcare team;
16. 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;
17. demonstrate an appropriate professional attitude to the principles of ethics related to health care and demonstrating the capacity to apply those principles to the care of patients, including understanding legal responsibilities;
18. demonstrate an appropriate professional attitude in response the emotional stresses in professional environments, including those related to the management of the terminally ill patient, and develop strategies for self-care;
19. demonstrate an appropriate professional attitude to factors that affect the quality and safety of healthcare;
20. demonstrate an appropriate professional attitude to how the cost of care may affect optimal patient care and benefit to the community of appropriate use of resources;
21. demonstrate an appropriate professional attitude to the interaction between the health of individuals and the well-being of populations; and
22. demonstrate an appropriate professional attitude to the responsibility to maintain standards of medical practice at the highest possible level throughout a professional career.
ContentThe Medicine clinical attachment focuses on General Internal Medicine. This may include elements of:
• Addiction medicine
• Aged care medicine
• Cardiovascular medicine
• Cerebrovascular medicine
• Clinical pharmacology and toxicology
• Endocrinology
• Gastroenterology
• Haematology
• Immunology & infectious diseases medicine
• Neurology
• Renal medicine
• Respiratory medicine
• Rheumatology and musculo-skeletal diseases medicine
• Therapeutics and quality use of medicines

During the Psychiatry attachment, students will develop the skills for assessment, diagnosis and management of the psychiatric patient and be aware of general treatment modalities; biological, psychological, social / community based. Students will be aware of their responsibilities and obligations under the Mental Health Act. Students will understand dual diagnoses and the relationship between psychiatric illness and substance abuse.

During Palliative Care, emphasis will be placed on equipping students with the necessary knowledge, skills and attitudes to enable them to cope with dying patients in their early years as JMOs and SRMOs. The attachment will place emphasis on practical skills and will aim to familiarise students with medical tasks associated with pain and symptom management, understanding and prescribing analgesics, ethical issues, supporting families, etc. Students will be familiarised with the skills and practices of all members of a multidisciplinary Palliative Care team. This will enable them to understand the benefits not only for patients and their families, but also for themselves in their future roles as doctors.

During the Primary Health Care Selective 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, undertake home visits and attend educational events within the level of their abilities, and under the general supervision of the team leader / GP.

Students are expected to maintain their awareness of Indigenous and migrant health issues by spending time with the Indigenous / migrant liaison officers at their attachment hospitals.

Students are expected to maintain, strengthen and apply their knowledge of integrated basic science, ethics and health law, population health and interactional skills.
Industrial Experience0
Assumed KnowledgeMEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013, MEDI2014, MEDI3014, MEDI3017, MEDI3018, MEDI4015, MEDI4016
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Tutorial
Assessment Items
ClinicalPsychiatry / Interactional Skills Clinical OSCE
Medicine Long Case Assessment
Essays / Written AssignmentsLongitudinal Task - Group Assignment
48 Hour Task
Group/tutorial participation and contributionattendance, participation and professional behaviour during tutorials, skills sessions, presentations and seminars will be monitored throughout the course by tutors
JournalPHCS Journal Entry
Online Learning ActivitiesNational Inpatient Medication Chart - Certificate of Completion
Palliative Care Q Stream Completion Certificate
Other: (please specify)Medicine Logbook and associated tasks
Medicine Supervisor Rating Form
Palliative Care Student Pack
Palliative Care Supervisor Rating Form
PHCS Contract
PHCS Supervisor Rating Form
Psychiatry Logbook
Psychiatry Assessment of Professional Skills and Behaviour Form
Contact HoursClinical: for 35 hour(s) per Week 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
Timetables2014 Course Timetables for MEDI5015