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MEDI71-YR4: Core Clinical Practice

Description

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.

Subject details

Code: MEDI71-YR4

Learning outcomes

  1. Apply current medical and scientific knowledge to individual patients, populations and health systems.
  2. Integrate evidence based and environmentally sustainable healthcare practice in patient care and research methodology.
  3. Commence MD Project and collect evidence in MD portfolio.
  4. 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.
  5. Perform an accurate and complete physical examination in any body system including a mental state examination.
  6. 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.
  7. Recognise deteriorating and critically unwell patients who require immediate care and act appropriately.
  8. Safely perform a range of common procedures relevant to the rotation.
  9. Safely apply the principles of "quality use of medicines" in an environmentally sustainable way relevant to the rotation.
  10. 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.
  11. 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.
  12. Using evidence from behavioural science and population health research to integrate prevention, early detection, health maintenance and chronic disease management into clinical practice.
  13. 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.
  14. 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.
  15. Communicate effectively in all roles including health advocacy, education, assessment, appraisal and with the First Nations peoples.
  16. 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”.
  17. 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.
  18. 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.
  19. 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.
  20. Demonstrate skills to support the planned and active development of a career.
  21. Demonstrate the active management of self-care in a clinical environment as part of a clinical team managing patients.

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.

Restrictions: This subject is not available to
  • Study Abroad Students

This subject is not available as a general elective. To be eligible for enrolment, the subject must be specified in the students’ program structure.