General Information
Year 3 is framed around the understanding and recognition of illness. Learning builds on the experiences and foundation knowledge gained in years 1 and 2, with a focus on the knowledge and skills fundamental to the principles of diagnosis, interpretation of common investigations, clinical reasoning, and initial patient management. The year is structured around core rotations; the first semester around child health, mental health, and emergency medicine. The core rotations encompass the impact of psychosocial and cultural constructs on illness and exploring community and population health and healthcare. The experiential learning is supported with a placement at a general practice and in the community.
Students will work through a variety of authentic patient cases. These cases will be facilitated by experienced clinicians in the Bond Virtual Hospital, an innovative interactive application delivering curriculum content in a format that allows students to progress their learning in small groups supplemented with supportive feedback from a clinical tutor. Contemporary, simulation-based education activities prepare students for clinical practice and take place at the Bond University Clinical Education and Research Centre located in the Robina Hospital. Professional development will continue to guide the development of competencies to effectively manage complex and stressful situations, involving both individuals and groups. Students gain the necessary skills to be able to practise evidence based healthcare, and development of research skills will equip students with skills in core evaluation and basic research techniques.
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Details
Academic unit: Faculty of Health Sciences and Medicine Subject code: MEDI13-YR3 Subject title: Understanding and Recognition of Illness Subject level: Undergraduate Semester/Year: January 2021 Credit points: -
Delivery & attendance
Timetable: https://bond.edu.au/timetable Delivery mode: Standard Workload items: - Group Learning: x36 (Total hours: 108) - Bond Virtual Hospital (BVH) Case-based learning
- Group Learning: x36 (Total hours: 83) - Facilitated Bond Virtual Hospital (BVH) Case-based learning
- Lecture: x36 (Total hours: 164) - Lecture
- Workshop: x36 (Total hours: 90) - Workshops and forums (Skills, Evidence-based medicine, pharmacology, Indigenous health, etc)
- Clinical: x36 (Total hours: 12) - Clinical skills (procedural)
- Clinical: x36 (Total hours: 60) - Clinical skills (communication, patient assessment)
- Clinical: x36 (Total hours: 8) - Clinical skills (simulation)
- Placement: x12 (Total hours: 38.5) - Placement
- Personal Study Hours: x36 (Total hours: 617) - Recommended Study Hours
- Personal Study Hours: x36 (Total hours: 616) - Recommended Study Hours
Attendance and learning activities: There are compulsory attendance requirements for this subject. Students can fail this subject if they do not meet the attendance requirements. Consult your subject iLearn site for the detailed attendance policy. -
Resources
Prescribed resources: Books
- Talley NJ, O'Connor S (2017). Clinical examination: a systematic guide to physical diagnosis. 8th, Sydney Elsevier Australia
- Purtilo RB, Doherty RF (2016). Ethical Dimensions in the Health Professions. 6th, St Louis, USA Elsevier
- Kumar V, Abbas AK, Aster JC, (2018). Robbins basic pathology. 10th, Philadelphia Saunders
- Lee G, Bishop P (2016). Microbiology and Infection Control for Health Professionals. 6th, Pearson
- Glasziou PP, Del Mar C, Salisbury J (2007). Evidence-based practice workbook. 2nd, Massachusetts Blackwelll Publishing
- Chowdhury R. (2017). Radiology at a glance. 2nd, Newark USA John Wiley and sons
Others
- Therapeutic Guidelines.
- Australian Medicines Handbook Australian Medicines Handbook.
iLearn@Bond & Email: iLearn@Bond is the online learning environment at Bond University and is used to provide access to subject materials, lecture recordings and detailed subject information regarding the subject curriculum, assessment and timing. Both iLearn and the Student Email facility are used to provide important subject notifications. Additionally, official correspondence from the University will be forwarded to students’ Bond email account and must be monitored by the student. To access these services, log on to the Student Portal from the Bond University website as www.bond.edu.au
Class recordings: The primary workload items for this subject will be recorded for the purpose of revision.
These recordings are not a substitute for attending classes. Students are encouraged to attend all sessions as there may be instances where a session is not recorded due to the presence of a guest speaker, the inclusion of sensitive or protected content, or technical issues. Students are advised not to rely solely on these recordings for revision.
See the Recording policy for further details.
| Academic unit: | Faculty of Health Sciences and Medicine |
|---|---|
| Subject code: | MEDI13-YR3 |
| Subject title: | Understanding and Recognition of Illness |
| Subject level: | Undergraduate |
| Semester/Year: | January 2021 |
| Credit points: |
| Timetable: | https://bond.edu.au/timetable |
|---|---|
| Delivery mode: | Standard |
| Workload items: |
|
| Attendance and learning activities: | There are compulsory attendance requirements for this subject. Students can fail this subject if they do not meet the attendance requirements. Consult your subject iLearn site for the detailed attendance policy. |
| Prescribed resources: | Books
Others
|
|---|---|
| iLearn@Bond & Email: | iLearn@Bond is the online learning environment at Bond University and is used to provide access to subject materials, lecture recordings and detailed subject information regarding the subject curriculum, assessment and timing. Both iLearn and the Student Email facility are used to provide important subject notifications. Additionally, official correspondence from the University will be forwarded to students’ Bond email account and must be monitored by the student. To access these services, log on to the Student Portal from the Bond University website as www.bond.edu.au |
| Class recordings: | The primary workload items for this subject will be recorded for the purpose of revision. These recordings are not a substitute for attending classes. Students are encouraged to attend all sessions as there may be instances where a session is not recorded due to the presence of a guest speaker, the inclusion of sensitive or protected content, or technical issues. Students are advised not to rely solely on these recordings for revision. See the Recording policy for further details. |
Enrolment requirements
| Requisites: |
Nil |
|---|---|
| Assumed knowledge: |
Assumed knowledge is the minimum level of knowledge of a subject area that students are assumed to have acquired through previous study. It is the responsibility of students to ensure they meet the assumed knowledge expectations of the subject. Students who do not possess this prior knowledge are strongly recommended against enrolling and do so at their own risk. No concessions will be made for students’ lack of prior knowledge.
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| Restrictions: |
Nil |
Assurance of learning
Assurance of Learning means that universities take responsibility for creating, monitoring and updating curriculum, teaching and assessment so that students graduate with the knowledge, skills and attributes they need for employability and/or further study.
At Bond University, we carefully develop subject and program outcomes to ensure that student learning in each subject contributes to the whole student experience. Students are encouraged to carefully read and consider subject and program outcomes as combined elements.
Program Learning Outcomes (PLOs)
Program Learning Outcomes provide a broad and measurable set of standards that incorporate a range of knowledge and skills that will be achieved on completion of the program. If you are undertaking this subject as part of a degree program, you should refer to the relevant degree program outcomes and graduate attributes as they relate to this subject.
Subject Learning Outcomes (SLOs)
On successful completion of this subject the learner will be able to:
- Apply core medical and scientific knowledge to patients of all ages in the clinical setting.
- Apply underlying pathophysiological mechanisms to describe the aetiology, pathology, clinical features, natural history and prognosis of common and important clinical presentations.
- Describe the scientific basis underpinning common and important bedside, laboratory and medical imaging investigations.
- Identify core social and behavioural science principles as they apply to individual patients, populations and healthcare systems.
- Apply foundational knowledge of clinical pharmacology to rationalise drug choice in the management of common disease processes and prescribe safely and cost-effectively.
- Apply principles of evidence-based practice to the clinical setting, including the identification and critical appraisal of appropriate literature.
- Develop narrative literature review skills appropriate for writing the justification and introduction to a research paper or problem.
- Develop an understanding of research methodology to meet best practice, including how to avoid exposing research participants to potential harm for no scientific gain.
- Demonstrate effective communication with patients, their family/carers, and other members of the healthcare team in an Australian environment and a healthcare setting.
- Elicit an accurate, organised and problem-focused medical history, incorporating the principles of patient-centred care and the biopsychosocial approach.
- Perform a full and accurate physical examination, including a mental state examination, or an integrated examination.
- Document findings from patient assessment in a structured format which includes patient encounters, admission notes, progress notes, handover letters and referral letters.
- Present patients’ clinical findings, differential diagnoses and proposed further initial management to a senior doctor with an emphasis on integrated safety skills (handover, SBAR and closed loop communication).
- Demonstrate effective clinical reasoning, including the ability to generate a differential diagnosis for a presenting complaint.
- Choose, describe and interpret common investigations, including pathology and medical imaging results.
- Select and perform safely a range of common procedural skills, including intravenous cannulation, urinary catheter insertion, suturing, aseptic technique, and gowning and gloving.
- Demonstrate effective communication with patients about their care, including provision of information relevant to informed consent and end-of-life decision making.
- Engage in the principles of shared decision-making.
- Describe and demonstrate the practical approach to prescribing of common medications, and the resources used to support evidence based principles of the "quality use of medicines" in an environmentally sustainable way.
- Recognise and assess critically unwell patients who require immediate care. Perform common emergency and life support procedures, including caring for the unconscious patient and performing Basic Life Support (BLS) with a knowledge of Advanced Life Support (ALS).
- Demonstrate safety skills including infection control, graded assertiveness, open disclosure, adverse event reporting, effective clinical handover, and use of checklists, and clinical pathways.
- Discuss strategies for mitigation of errors at patient, practitioner, team and system level.
- Demonstrate respect for the psychological impact of acute and chronic illness and death on individuals, family and healthcare services.
- Integrate clinical skills previously developed and demonstrate synchronous practice of these skills in a virtual clinical encounter.
- Demonstrate respect for gender, age, cultural, spiritual, and socioeconomic influences on health and healthcare delivery at individual and population levels.
- Recognise the importance of natural resource stewardship to ensure good health for future generations.
- Explain Indigenous conceptions of health and illness, including social and emotional well-being with the current models of healthcare.
- Explain the concepts of paternalism, community control, racism, and discrimination, and their impact on healthcare, patients, and families across cultures.
- Compare the various models of healthcare of Aboriginal and Torres Strait Islander patients.
- Explain the concept of medicalisation and its role in social stigma and health economics as well as ecological impact.
- Discuss the strengths and weaknesses of disease models of addiction, as well as the clinical, financial, ecological and social burdens of addiction.
- Identify issues related to the financing and delivery of health services and their impact on medical decision-making, health economics and ecological footprint.
- Identify and describe common population health screening and health promotion and prevention initiatives.
- Apply knowledge of different healthcare roles in the management of patients.
- Foster a duty of care while promoting social justice and resource stewardship.
- Explain legal responsibilities of a medical practitioner, including good documentation practices, human research regulations, organ and tissue donation regulation, occupational medicine obligations, reproductive technologies, and neonatology care.
- Demonstrate integrity, honesty, empathy, compassion and professionalism when interacting with patients, other professionals and society.
- Respect the doctor's authority and ethical duty to withhold/cease futile interventions.
- Demonstrate self-management, professionalism and integrity through ethical behaviour.
- Demonstrate the interpersonal and communication skills necessary to be an effective team member; i.e collaboration, peer, interprofessional learning, inclusivity, negotiation, conflict resolution, leadership and followership.
- Evaluate one’s values, beliefs, strengths and weaknesses through reflection, self-assessment, feedback and adapt one's learning approaches and strategies according to the task.
- Apply constructive, objective and experienced-based feedback for continuous self-development.
- Actively provide constructive, objective feedback to peers and educators.
- Perform in accordance to codes and policies that define legal, ethical and professional responsibilities of a medical student and a future doctor.
- Demonstrate the ability to think critically and ethically, analyse and synthesise information logically, using initiative and the best available evidence when facing challenges, solving problems and making decisions including forming practical clinical action plans.
- Explain lifestyle and professional activities that have an impact on others locally and globally.
- Manage one's health and well-being through responsiveness to feedback from others and self.
Generative Artificial Intelligence in Assessment
The University acknowledges that Generative Artificial Intelligence (Gen-AI) tools are an important facet of contemporary life. Their use in assessment is considered in line with students’ development of the skills and knowledge which demonstrate learning outcomes and underpin study and career success. Instructions on the use of Gen-AI are given for each assessment task; it is your responsibility to adhere to these instructions.
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Assessment details
Type Task % Timing* Outcomes assessed Computer-Aided Examination (Closed) Semester 8: Students conduct Computer-based examination/s using BYOD 20.00% Final Examination Period 1, 2, 3, 4, 5, 6, 8, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 Computer-Aided Examination (Closed) Semester 7: Students conduct Computer-based examination/s using BYOD. 20.00% Final Examination Period 1, 2, 3, 4, 5, 6, 8, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 Computer-Aided Examination (Closed) Semester 6: Students conduct Computer-based examination/s using their own iPad or laptop, known as Bring Your Own Device (BYOD). Please view iLearn/Medical Program Community/Online Assessment Policy for full details. 20.00% Final Examination Period 1, 2, 3, 4, 5, 6, 8, 12, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 *Portfolio Artefact^ Semester 8: Two Online Research Modules contribute 10 points towards MD portfolio of Assessment Activities. C Week 1 8 Skills Assignment^ Semester 6: Survival Analysis using SPSS statistical software C Week 4 6, 8 *Online Discussion^ Semester 8: Medication Adherence. Clinical activity to explore the burden of adhering to long-term medication. C Week 8 9, 19, 22, 26, 30, 32, 46 Presentation^ Semester 7: EBM Critical Appraisal and Case Presentation contributes 5 points to MD Portfolio of Assessment Activities. C Week 9 6, 8, 9, 41, 42, 43, 44, 45 Workplace Performance Report^ Semester 6: GP Placement In-training Assessment (ITA) evaluating overall competency of performance on placement C Week 11 9, 12, 13, 14, 15, 17, 18, 20, 21, 22, 23, 25, 32, 33, 34, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47 *Portfolio Artefact^ Semester 7: Literature Review contributes 10 points towards MD Portfolio of Assessment Activities C Week 12 6, 7, 8, 44 Skills Test Semester 7: Clinical Skills History, Case presentation and documentation 15.00% Week 12 10, 12, 13, 14, 15, 45 *Online Activity^ Semester 8: Blood Safe e-Learning. Online e-Learning program to develop knowledge of blood and blood components. C Week 12 2, 3, 15 Computer-Aided Examination (Closed) Semester 6: End of GP Block Examination Students sit a Computer-based examination using Bring Your Own Device (BYOD) in secure, invigilated mode C Week 12 1, 2, 3, 4, 5, 6, 14, 15, 19, 20, 21, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 Assignment^ Semester 6: Small Group Learning Ethics assignment. C Week 12 38, 39, 40, 42 OSCE Semester 8: Objective Standardised Clinical Examination 25.00% Week 14* 9, 10, 11, 13, 14, 15, 17, 19, 20, 21, 37, 39, 44, 45 *Procedural Skills Test^ Semester 8: Evaluation of competency in conducting an Intravenous Cannulation C Progressive 16 *Procedural Skills Test^ Semester 7: Evaluation of competency in conducting an indwelling Catheter C Progressive 16 - ^ Students must pass this assessment to pass the subject
- * Assessment timing is indicative of the week that the assessment is due or begins (where conducted over multiple weeks), and is based on the standard University academic calendar
- C = Students must reach a level of competency to successfully complete this assessment.
Pass requirement
Please refer to iLearn/Medical Program Community/Medical Program Rules of Assessment and Progression
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Assessment criteria
Assessment criteria
High Distinction 85-100 Outstanding or exemplary performance in the following areas: interpretative ability; intellectual initiative in response to questions; mastery of the skills required by the subject, general levels of knowledge and analytic ability or clear thinking. Distinction 75-84 Usually awarded to students whose performance goes well beyond the minimum requirements set for tasks required in assessment, and who perform well in most of the above areas. Credit 65-74 Usually awarded to students whose performance is considered to go beyond the minimum requirements for work set for assessment. Assessable work is typically characterised by a strong performance in some of the capacities listed above. Pass 50-64 Usually awarded to students whose performance meets the requirements set for work provided for assessment. Fail 0-49 Usually awarded to students whose performance is not considered to meet the minimum requirements set for particular tasks. The fail grade may be a result of insufficient preparation, of inattention to assignment guidelines or lack of academic ability. A frequent cause of failure is lack of attention to subject or assignment guidelines. Quality assurance
For the purposes of quality assurance, Bond University conducts an evaluation process to measure and document student assessment as evidence of the extent to which program and subject learning outcomes are achieved. Some examples of student work will be retained for potential research and quality auditing purposes only. Any student work used will be treated confidentially and no student grades will be affected.
| Type | Task | % | Timing* | Outcomes assessed |
|---|---|---|---|---|
| Computer-Aided Examination (Closed) | Semester 8: Students conduct Computer-based examination/s using BYOD | 20.00% | Final Examination Period | 1, 2, 3, 4, 5, 6, 8, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 |
| Computer-Aided Examination (Closed) | Semester 7: Students conduct Computer-based examination/s using BYOD. | 20.00% | Final Examination Period | 1, 2, 3, 4, 5, 6, 8, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 |
| Computer-Aided Examination (Closed) | Semester 6: Students conduct Computer-based examination/s using their own iPad or laptop, known as Bring Your Own Device (BYOD). Please view iLearn/Medical Program Community/Online Assessment Policy for full details. | 20.00% | Final Examination Period | 1, 2, 3, 4, 5, 6, 8, 12, 14, 15, 17, 18, 19, 20, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 |
| *Portfolio Artefact^ | Semester 8: Two Online Research Modules contribute 10 points towards MD portfolio of Assessment Activities. | C | Week 1 | 8 |
| Skills Assignment^ | Semester 6: Survival Analysis using SPSS statistical software | C | Week 4 | 6, 8 |
| *Online Discussion^ | Semester 8: Medication Adherence. Clinical activity to explore the burden of adhering to long-term medication. | C | Week 8 | 9, 19, 22, 26, 30, 32, 46 |
| Presentation^ | Semester 7: EBM Critical Appraisal and Case Presentation contributes 5 points to MD Portfolio of Assessment Activities. | C | Week 9 | 6, 8, 9, 41, 42, 43, 44, 45 |
| Workplace Performance Report^ | Semester 6: GP Placement In-training Assessment (ITA) evaluating overall competency of performance on placement | C | Week 11 | 9, 12, 13, 14, 15, 17, 18, 20, 21, 22, 23, 25, 32, 33, 34, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47 |
| *Portfolio Artefact^ | Semester 7: Literature Review contributes 10 points towards MD Portfolio of Assessment Activities | C | Week 12 | 6, 7, 8, 44 |
| Skills Test | Semester 7: Clinical Skills History, Case presentation and documentation | 15.00% | Week 12 | 10, 12, 13, 14, 15, 45 |
| *Online Activity^ | Semester 8: Blood Safe e-Learning. Online e-Learning program to develop knowledge of blood and blood components. | C | Week 12 | 2, 3, 15 |
| Computer-Aided Examination (Closed) | Semester 6: End of GP Block Examination Students sit a Computer-based examination using Bring Your Own Device (BYOD) in secure, invigilated mode | C | Week 12 | 1, 2, 3, 4, 5, 6, 14, 15, 19, 20, 21, 22, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 45, 46 |
| Assignment^ | Semester 6: Small Group Learning Ethics assignment. | C | Week 12 | 38, 39, 40, 42 |
| OSCE | Semester 8: Objective Standardised Clinical Examination | 25.00% | Week 14* | 9, 10, 11, 13, 14, 15, 17, 19, 20, 21, 37, 39, 44, 45 |
| *Procedural Skills Test^ | Semester 8: Evaluation of competency in conducting an Intravenous Cannulation | C | Progressive | 16 |
| *Procedural Skills Test^ | Semester 7: Evaluation of competency in conducting an indwelling Catheter | C | Progressive | 16 |
- ^ Students must pass this assessment to pass the subject
- * Assessment timing is indicative of the week that the assessment is due or begins (where conducted over multiple weeks), and is based on the standard University academic calendar
- C = Students must reach a level of competency to successfully complete this assessment.
Pass requirement
Please refer to iLearn/Medical Program Community/Medical Program Rules of Assessment and Progression
Assessment criteria
| High Distinction | 85-100 | Outstanding or exemplary performance in the following areas: interpretative ability; intellectual initiative in response to questions; mastery of the skills required by the subject, general levels of knowledge and analytic ability or clear thinking. |
|---|---|---|
| Distinction | 75-84 | Usually awarded to students whose performance goes well beyond the minimum requirements set for tasks required in assessment, and who perform well in most of the above areas. |
| Credit | 65-74 | Usually awarded to students whose performance is considered to go beyond the minimum requirements for work set for assessment. Assessable work is typically characterised by a strong performance in some of the capacities listed above. |
| Pass | 50-64 | Usually awarded to students whose performance meets the requirements set for work provided for assessment. |
| Fail | 0-49 | Usually awarded to students whose performance is not considered to meet the minimum requirements set for particular tasks. The fail grade may be a result of insufficient preparation, of inattention to assignment guidelines or lack of academic ability. A frequent cause of failure is lack of attention to subject or assignment guidelines. |
Quality assurance
For the purposes of quality assurance, Bond University conducts an evaluation process to measure and document student assessment as evidence of the extent to which program and subject learning outcomes are achieved. Some examples of student work will be retained for potential research and quality auditing purposes only. Any student work used will be treated confidentially and no student grades will be affected.
Study Information
Submission procedures
Students must check the iLearn@Bond subject site for detailed assessment information and submission procedures.
Policy on late submission and extensions
A late penalty will be applied to all overdue assessment tasks unless an extension is granted by the subject coordinator. The standard penalty will be 10% of marks awarded to that assessment per day late with no assessment to be accepted seven days after the due date. Where a student is granted an extension, the penalty of 10% per day late starts from the new due date.
Academic Integrity
University’s Academic Integrity Policy defines plagiarism as the act of misrepresenting as one’s own original work: another’s ideas, interpretations, words, or creative works; and/or one’s own previous ideas, interpretations, words, or creative work without acknowledging that it was used previously (i.e., self-plagiarism). The University considers the act of plagiarising to be a breach of the Student Conduct Code and, therefore, subject to the Discipline Regulations which provide for a range of penalties including the reduction of marks or grades, fines and suspension from the University.
Bond University utilises Originality Reporting software to inform academic integrity.Feedback on assessment
Feedback on assessment will be provided to students within two weeks of the assessment submission due date, as per the Assessment Policy.
Accessibility and Inclusion Support
If you have a disability, illness, injury or health condition that impacts your capacity to complete studies, exams or assessment tasks, it is important you let us know your special requirements, early in the semester. Students will need to make an application for support and submit it with recent, comprehensive documentation at an appointment with a Disability Officer. Students with a disability are encouraged to contact the Disability Office at the earliest possible time, to meet staff and learn about the services available to meet your specific needs. Please note that late notification or failure to disclose your disability can be to your disadvantage as the University cannot guarantee support under such circumstances.
Additional subject information
The Australian Medical Council's Graduate Outcome Statements are organised into four domains. Within this subject, the framework mapped to the learning outcomes are: Science and Scholarship Domain (learning outcomes 1-8), Clinical Practice Domain (learning outcomes 9-24), Health and Society Domain (learning outcomes 25-33) and Professionalism and Leadership Domain (learning outcomes 34-47).
Subject curriculum
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Overview - Bond Virtual Hospital (BVH)
In Year 3, PBL evolves into CBL (case-based learning) in which clinical application of basic science is emphasised. PBL groups are student-led with no facilitator present for the group discussions. The cases are virtual patients, reviewed via the BVH, an iOS-compatible app. In “clinical teams”, students meet in groups twice a week to discuss and manage patients, often several each week. Following these sessions, groups will combine to share information and take part in a discussion of the cases with a clinical tutor, where feedback on the “virtual ward round” is provided, and clinical reasoning further extended.
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Overview of Case Based Learning
Students are required to access a variety of clinical information, ranging from written or videoed patient histories, vital signs and physical examination findings, investigation results, clinical photographs and results from specialist consultations. Students are required to order investigations, prescribe treatments, communicate within clinical teams, handover patients and refer patients for specialist opinions. The cases are sequenced and grouped so that a block of learning relating to a specific clinical discipline can be facilitated. These disciplines include general practice, medicine, surgery, mental health, women’s health, child health and emergency medicine.
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Placements
Throughout the year, students will participate in clinical placements to observe and interact with patient and clinicians, develop professionalism and prepare for immersion in the healthcare system. These may include placements in General Practice, specialty-based clinics, screening and rehabilitation programs.
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Scientist and Scholar Theme
Foundational knowledge of each discipline block within scientist and scholar is applied to clinical scenarios with an emphasis on pharmacology and therapeutics, pathology and evidence-based medicine.
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Scientist and Scholar Theme: GP Block.
The first block of year 3 will introduce the role of the general practice in health care along the practical approach to prescribing of common medications, and the resources used to support evidence-based quality use of medicines will be described. The physiology and pathology of the integumentary, cardiovascular, respiratory and reproductive systems is reviewed as part of common presentations. The response to infection and autoimmune disorders in patients of all ages is assessed are evaluated and the evidence-based approaches to treatment are assessed.
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Scientist and Scholar Theme: Medicine Block.
The structure, function and pathologic processes in cardiovascular, respiratory, neurologic, gastrointestinal, haematologic and renal systems to patient assessment in a simulated acute hospital setting is discussed. The interpretation of investigations in clinical care, including ECGs, CXR and pathology investigations is considered along with pharmacology to clinical therapeutics and medication selection.
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Scientist and Scholar Theme: Surgery Block.
The structure, function and pathologic processes in cardiovascular, respiratory, musculoskeletal, neurologic (including eye and ENT), and gastrointestinal systems to patient assessment in a simulated acute hospital setting that common in surgical admissions are presented. These include head, spinal, abdominal and limb imaging, ECGs, CXR and pathology investigations. Pharmacological applications to clinical issues in surgery are discussed; pain relief, anaesthesia and intravenous fluid management. Comprehension of scientist and scholar disciplines is also considered as part of a patient’s end-of-life management.
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Scientist and Scholar Theme: Women’s health Block.
Consideration of reproduction being a normal human function (not a disease) in the delivery of obstetric care is highlighted. Common maternal and neonatal infections; aetiology, pathogenesis and pathology of common female genital tract and breast disorders are outlined. The pharm team will explore the mechanism and role of drugs commonly used and adverse impact of medication on the unborn baby.
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Scientist and Scholar Theme: Child Health Block.
During the third semester, knowledge of structure, function and pathologic processes in cardiovascular, respiratory, musculoskeletal, neurologic (including eye and ENT), and gastrointestinal systems to paediatric patient assessment in a simulated acute hospital and clinic setting is required. Selection and interpretation of investigations within paediatric clinical care, including imaging and pathology investigations and adapt knowledge of pharmacology and prescribing to paediatrics is considered. Recovery from fractures and infections are emphasized.
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Scientist and Scholar Theme: Mental Health Block.
Knowledge of structure, function and pathologic processes in neurologic systems to mental health patient assessment in a simulated acute hospital and community settings including the selection and interpretation of investigations in mental health, including imaging and pathology investigations and knowledge of pharmacology and prescribing to mental health issues.
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Scientist and Scholar Block: Emergency Medicine.
You will relate knowledge of structure, function and pathologic processes in cardiovascular, respiratory, musculoskeletal, neurologic (including eye and ENT), and gastrointestinal systems to emergency medicine patient assessment in a simulated acute ED setting This will include imaging and pathology investigations and knowledge of pharmacology and prescribing to emergency care Evidence-based practice, including the identification and critical appraisal of appropriate literature, to the clinical setting prepares the students for their year 4 MD project selection.
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Health Advocate and Professional: Ethics, law and professionalism
Year three extends further the knowledge addressed in years one and two. Challenges of consent and capacity, substitute decision making, medico-legal reasoning, among others are explored both within the Bond Virtual hospital setting and in specific LGRS sessions.
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Health Advocate and Professional: Behavioural sciences
Year 3 continues to develop topics in social epidemiology, psychology, and behavioural biology. Sessions address variation in health risk behaviours, choices to seek medical care, and how practitioner behaviour and biases impact quality of care provision. All analysis is evidence-based and supplemented by the development of professional scientific skills and knowledge.
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Health Advocate and Professional: Indigenous Health.
Students examine racism and its impacts on health and wellbeing. Students will explore the differences between the biomedical and Social and Emotional Wellbeing models of care. Students discuss the philosophy of Aboriginal Community Controlled Health Services as a response to these issues and investigate their continued role in improving health access and outcomes for Aboriginal and Torres Strait Islanders.
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Practitioner Theme: Patient Assessment
During year 3, students are given the opportunity to elicit focused medical histories and perform targeted physical examinations on a variety of simulated and real patients. These sessions form the basis for the integration of communication and physical examination skills learned in year 2. Skills in the presentation of a clinical case and documentation of medical information are developed and assessed.
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Practitioner Theme: Communication in Healthcare
As a clinician, specialised communication skills are required for safe and effective practice. Skills acquired in these sessions include motivational interviewing, graded assertiveness, shared decision making, clinical handover skills, communication with difficult patients and error mitigation and analysis.
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Practitioner Theme: Workshops and simulations
Throughout year 3, several workshops are held to put “theory into practice”. These align with BVH teaching where students are taught the practical skills involved with specialised medical disciplines such as dermoscopy, ophthalmology, ear, nose and throat examination, surgical suturing, antenatal care and childbirth, amongst others. Simulation exercises occur in a dedicated simulation centre and allow for high-fidelity immersion in a clinical scenario, with observation and debriefing by trained clinical tutors.
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Practitioner Theme: Procedural Skills
In year 3, students will maintain skills acquired in years 1 & 2 and will acquire and demonstrate competency in the following procedural skills: i) intravenous cannulation and ii) in-dwelling catheter insertion.
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Practitioner Theme: Clinical reasoning
Building on the synthesis of knowledge in year 2, a structured clinical reasoning program develops students’ skill in formation of differential diagnoses, justification of investigation selection and primary management planning for patients presenting with common medical complaints.