General Information
Year 4 is undertaken within the healthcare environment, predominantly hospital based through clinical rotations which include Medicine, Surgery, Women’s Health, Child Health and Mental Health. These rotations are supplemented by structured educational sessions within clinical placement and supported with ‘back to base’ all in cohort learning. Throughout Year 4 students will gain a broader and deeper understanding of evidence based medicine, through the application of their clinical reasoning, diagnostic and management skills. Students will work as part of a healthcare team demonstrating professional and ethical practice. During this time, students will be completing a range of research and clinically focussed activities to build on their MD e-Portfolio. These activities are intended to build and reflect evidence of students’ capacity to understand and apply the scientific approaches of inquiry in medicine and related healthcare fields and utilise research evidence in their clinical practice. The e-Portfolio is a points accrual system and requires successful completion of core and elective activities. Importantly, students will apply for and commence preliminary work on a MD project where they will choose a research or professional or capstone experience project for completion across Year 4 to Year 5.
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Details
Academic unit: Faculty of Health Sciences and Medicine Subject code: MEDI71-YR4 Subject title: Core Clinical Practice Subject level: Postgraduate Semester/Year: January 2022 Credit points: -
Delivery & attendance
Timetable: https://bond.edu.au/timetable Delivery mode: Situated Workload items: - Placement: x40 (Total hours: 1680) - Clinical placement
- Lecture: x5 (Total hours: 35) - Back to Base
- Personal Study Hours: x40 (Total hours: 150) - Personal study hours
Attendance and learning activities: Please adhere to the Medical Program Attendance Policy -
Resources
Prescribed resources: No Prescribed resources.
After enrolment, students can check the Books and Tools area in iLearn for the full Resource List.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: | MEDI71-YR4 |
| Subject title: | Core Clinical Practice |
| Subject level: | Postgraduate |
| Semester/Year: | January 2022 |
| Credit points: |
| Timetable: | https://bond.edu.au/timetable |
|---|---|
| Delivery mode: | Situated |
| Workload items: |
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| Attendance and learning activities: | Please adhere to the Medical Program Attendance Policy |
| Prescribed resources: | No Prescribed resources. After enrolment, students can check the Books and Tools area in iLearn for the full Resource List. |
|---|---|
| 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 current medical and scientific knowledge to individual patients, populations and health systems.
- Integrate evidence based and environmentally sustainable healthcare practice in patient care and research methodology.
- Commence MD Project and collect evidence in MD portfolio.
- Demonstrate cognitive, technical and interpretive skills in undertaking an accurate, detailed system-focussed history from a range of patients within a variety of clinical settings.
- Perform an accurate and complete physical examination in any body system including a mental state examination.
- Use knowledge of common and important conditions, the patient history and physical examination findings, and clinical data, to undertake clinical reasoning and formulate probable and differential diagnoses.
- Recognise deteriorating and critically unwell patients who require immediate care and act appropriately.
- Safely perform a range of common procedures relevant to the rotation.
- Safely apply the principles of "quality use of medicines" in an environmentally sustainable way relevant to the rotation.
- In consultation with their supervisors, select and justify common investigations, based on the pathological basis of disease, utility, safety, cost effectiveness, sustainability and resource stewardship and interpret their results.
- Formulate an initial management plan in consultation with patients, family and carers across a variety of clinical settings with consideration of psychosocial and cultural aspects that may influence management.
- Using evidence from behavioural science and population health research to integrate prevention, early detection, health maintenance and chronic disease management into clinical practice.
- Discuss and critically reflect on the diversity of populations regarding health issues applicable to the relevant unique historical, social, and cultural contexts in the clinical and community settings including First Nations peoples.
- Discuss the complex interactions between the healthcare systems and environment, as well as the doctor and patient, while reflecting on power and privilege, to understand the role of these to ensure a culturally responsive and safe working context.
- Communicate effectively in all roles including health advocacy, education, assessment, appraisal and with the First Nations peoples.
- Continue to observe and initiate contribution to teams providing care to patients according to “Good Medical Practice: A Code of Conduct for Doctors in Australia” and “Good Medical Practice: A Guide for Doctors in New Zealand”.
- Explain and begin to apply the principles and concepts of medical ethics including physician virtue and the ‘four principles of autonomy, beneficence, non-maleficence, and justice in the context of team-based patient care.
- Begin to apply the legal responsibilities of a medical practitioner across a range of professional and personal contexts in the practice of team-based patient care.
- Perform as a self-regulated and effective member of a diverse healthcare team in the management of a caseload, respecting the roles of all healthcare professionals within the clinical and community settings, demonstrating foundation and essential skills.
- Demonstrate skills to support the planned and active development of a career.
- Demonstrate the active management of self-care in a clinical environment as part of a clinical team managing patients.
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 (Open) Written examination containing sample of intern-relevant topics from all medical disciplines C Final Examination Period 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 Computer-Aided Examination (Open) Written examination containing sample of intern-relevant topics from all medical disciplines C Final Examination Period 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 Computer-Aided Examination (Open) Written examination containing sample of intern-relevant topics from all medical disciplines C Final Examination Period 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 OSCE^ MD OSCE: Objective Standardised Clinical Examination C Week 7 1, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 18 *Guided Practical Mental Health First Aid C Progressive 4, 7, 19, 21 Workplace Performance Report^ Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. C Progressive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 Workplace Performance Report^ Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. C Progressive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 Workplace Performance Report^ Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. C Progressive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 *Portfolio Artefact^ MD Portfolio of Assessment Activities: 3 Clerked Cases contribute 15 points C To Be Negotiated 3 - ^ 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 in Year 4 is competency-based, ungraded pass, designed to promote the progressive development of core clinical skills and medical knowledge in an authentic and active learning environment.
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Assessment criteria
Assessment criteria
Pass Usually awarded to students whose performance meets the requirements set for work provided for assessment. Fail 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 (Open) | Written examination containing sample of intern-relevant topics from all medical disciplines | C | Final Examination Period | 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 |
| Computer-Aided Examination (Open) | Written examination containing sample of intern-relevant topics from all medical disciplines | C | Final Examination Period | 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 |
| Computer-Aided Examination (Open) | Written examination containing sample of intern-relevant topics from all medical disciplines | C | Final Examination Period | 1, 2, 4, 6, 7, 10, 11, 12, 13, 14, 17, 18 |
| OSCE^ | MD OSCE: Objective Standardised Clinical Examination | C | Week 7 | 1, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 18 |
| *Guided Practical | Mental Health First Aid | C | Progressive | 4, 7, 19, 21 |
| Workplace Performance Report^ | Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. | C | Progressive | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
| Workplace Performance Report^ | Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. | C | Progressive | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
| Workplace Performance Report^ | Students will be situated in the healthcare setting for multiple clinical placements throughout YR4. Students must complete a variety of specified workplace based assessments (WBA) in order to evaluate their overall competency. | C | Progressive | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
| *Portfolio Artefact^ | MD Portfolio of Assessment Activities: 3 Clerked Cases contribute 15 points | C | To Be Negotiated | 3 |
- ^ 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 in Year 4 is competency-based, ungraded pass, designed to promote the progressive development of core clinical skills and medical knowledge in an authentic and active learning environment.
Assessment criteria
| Pass | Usually awarded to students whose performance meets the requirements set for work provided for assessment. |
|---|---|
| Fail | 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 1-3), Clinical Practice Domain (learning outcomes 4-11), Health and Society Domain (learning outcomes 12-15) and Professionalism and Leadership Domain (learning outcomes 16-21).
Subject curriculum
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Medicine
In this rotation students see patients whose clinical problem requires non-operative management. This rotation will allow student to further their medical history taking and examination skills. Students will build on their existing knowledge of general medicine and the numerous medical subspecialties. Learning will take place in a variety of environments including inpatient and outpatient settings.
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Surgery
The aim of the surgical rotation is to provide students with an opportunity to gain skills and knowledge in the evaluation, investigation and management of common acute and elective surgical illnesses. Students will build on their existing learning, seeing patients in the preoperative, operative and postoperative settings. In addition to general surgery, students will also gain an appreciation of the various surgical subspecialties.
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Child Health
The child health (paediatric rotation) encompasses medical, surgical, subspecialty and community medicine. Its aim is to allow students to gain skills, knowledge and clinical reasoning expertise in the care of neonates, infants, children and adolescents.
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Women's Health
The goal for the women’s health rotation is to provide students with an overview of the common health issues that affect women at all stages of their lives. The students will see patients in a variety of clinical settings including (but not limited to) antenatal clinics, outpatient clinics, labour and inpatient wards and the operating theatre.
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Mental Health
The mental health rotation will provide opportunities for the student to learn about the management of common psychiatric illnesses and care for patients in extremis. The rotation will occur in a variety of environments allowing students to gain an appreciation of the various settings and specialties involved with the care of a mental health patient.
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Community/Specialty
The community placement is a 7-week placement of a work-place based immersion across several clinical and community sites. Students will complete relevant workplace-based assessments during their placement and a project based on their community placement site. They will then present their work during week 7 of the rotation. The community rotation will be considered to have a volume of learning that is the equivalent of 7-weeks or half a semester of the MD clinical program.
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COVID Elective
The COVID-Elective is a remote learning elective that students who are unable to complete a clinical placement can be directed to take a maximum of once during their MD program. It is designed to provide a structured learning experience for students whose program is interrupted by the COVID-19 pandemic. From 2022 onwards the COVID-Elective may be offered when to students when there are insufficient clinical placements available. It may also be offered when a student encounters difficulty because of health or other personal reasons that will be considered by the Dean of the Medical program or their delegate on a case-by-case basis.
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Year-long
During this time, students will be completing a range of research and clinically focussed activities to build up their MD e-Portfolio. These activities are intended to build and reflect evidence of students' capacity to understand and apply the scientific approaches of inquiry in medicine and related healthcare fields, and utilise research evidence in their clinical practice. The e-Portfolio is a points accrual system and requires successful completion of core and elective activities. Importantly, students will apply for and commence preliminary work on a MD project where they will choose a research or professional or capstone experience project for completion across Year 4 to 5.