HME302 - Medicine 3B
|Year||2018 unit information|
Medicine Semester 2: Waurn Ponds (Geelong)^
Available to H311 Bachelor of Medicine Bachelor of Surgery students only
Must have passed HME301
Laptop computer requirement
Students enrolled in the BMBS require a wireless-enabled, personal laptop computer* to undertake scheduled learning activities. Wireless access to the Deakin network is available within the teaching spaces of the Deakin Medical School.
* Information about minimum computer standards will be communicated to students upon acceptance into the BMBS.
Police Clearance and Working with Children requirements
In accordance with Department of Human Services policy*, all students are required to undertake a National Police Record Check prior to clinical placements in each calendar year of their course. To satisfy the requirements of health organisations where students will undertake their clinical learning experience, students are required to hold a current Working With Children Check and to declare their immunisation status.
HME302 represents the second half (Semester 2) of Year 3 of the Bachelor of Medicine Bachelor of Surgery (BMBS) course. Year 3 consists of two semester-long units, which are combined into an integrated year-long program of study of 8 credit points.
In Year 3, students begin a two year clinical attachment at one of four clinical schools and continue their study of the four themes of the BMBS. During Year 3, students will typically undertake the equivalent of three days of clinical activity, one day of formal teaching activities and one day of private study each week.
The four themes of the BMBS continue in Year 3. Teaching in the Knowledge of Health and Illness (KHI) and Doctor and Patient (DP) themes are fully integrated, comprising 75% of the Year 3 curriculum and assessment. During Year 3, students undertake six 7-week rotations at hospitals and other sites attached to the clinical schools: Medicine, Surgery, Musculoskeletal/Medicine, Children’s Health, Women’s Health and Mental Health. The Disciplines of Pathology, Pharmacology and Imaging are integrated across all six rotations. Three rotations are completed in Semester 1 (HME301) and three in semester 2 (HME302). As the order of clinical rotations varies for individual cohorts of students, the grading of HME301 is combined with HME302 (Semester 2) so that a year grade is awarded only after assessments in all rotations and themes have occurred.
The Ethics, Law, Professionalism and Communication (ELPC) and Public Health Medicine (PHM) themes each comprise 12.5% of the Year 3 curriculum and its assessment. Teaching in these themes is integrated into the KHI/DP clinical rotations with additional study modules addressing a range of thematic topics.
Each year a group of students will be attached to a rural general practice where they will complete a Longitudinal Integrated Clerkship with the Rural Community Clinical School in which the material contained in the six clinical rotations (including Pathology, Pharmacology and Imaging) is studied simultaneously during a year-long attachment to a regional general practice. RCCS students study the same curriculum and undertake the same assessment as hospital-based students.
In order to comply with Commonwealth Department of Health requirements for rural clinical placements, at least 50% of students will need to complete at least 4 weeks of a dedicated rural attachment within their clinical years. For students attached to Geelong and Eastern Health Clinical Schools throughout year 3 and 4, this is most likely to occur within the GP rotation in HME401 or the Elective/ Selective/ Pre-internship program in HME402. John Flynn Scholarship placements occurring outside of Deakin semester periods cannot fulfil these requirements.
Student performance in HME301 and HME302 is assessed using a numerical scale of marks from 0-100% and graded as High Distinction (80% and over), Distinction (70%-79%), Credit (60-69%), Pass (50%-59%) or Fail (below 50%).
There are a number of formative assessment tasks (including a mid-year Progress Test), which do not contribute to the final mark.
Grades will be calculated using the following weightings:
- End of Year 3 Progress Test = 37.5% of mark (100% of Knowledge of Health and Illness theme)
- End of Year 3 OSCE = 30% of mark (80% of Doctor and Patient theme)
- Rotations / Rural Community Clinical School ongoing assessments = 7.5% of mark (20% of Doctor and Patient theme)
- Ethics, Law and Professionalism ongoing assessments = 12.5% of mark
- Public Health Medicine ongoing assessments = 12.5% of mark
Students are required to satisfactorily complete all rotations and must pass each theme, rotation and the end of Year 3 OSCE to progress to HME401. Students are required to meet the attendance requirements of each of the six clinical rotations during HME301 and HME302 (or within the RCCS program) and to demonstrate competence in clinical assessments and assessment tasks associated with the ELP and PHM themes during each rotation (3-5 above). Students who do not meet these requirements will be reviewed by the Academic Progress Committee, who will arrange support and/or further assessment as appropriate.
Rotation marks will be determined by combining results from intrarotational DP assessment, performance in rotation specific MCQs from the Year 3 Progress test and performance in rotation specific OSCE stations.
To pass the OSCE a student must a minimum of 7 out of 12 OSCE stations and an overall pass for the determined 12 station aggregate OSCE score. A pass in an OSCE station is defined as a score equal to or greater than the cut score for that station. Students who do not achieve a pass score will be reviewed by the Academic Progress Committee. The Academic Progress Committee may consider further assessment. For further detail see the course progression rules.
Ethics, Law and Professionalism
The Ethics, Law and Professionalism (ELP) theme constitutes 12.5% of the marks for HME301 and HME302. Assessment for ELP is integrated across HME301 and HME302, and consists of:
- Educational video presentation addressing an issue in quality and safety for junior doctors (pair work) (approx. 10 min; 20% of theme marks, equivalent to 1000 words per student) and self and peer assessment (10% of theme marks, 500 words).
- Written report investigating an issue in health ethics, law or professionalism (40% of theme marks, 2000 words).
- Appraisal of personal professional development with plan for future learning (30% of theme marks, 1500 words).
- Satisfactory completion of the Professional Competence Process (hurdle requirement).
Public Health Medicine
The Public Health Medicine (PHM) theme constitutes 12.5% of the marks for HME301 - HME302. PHM in HME302 focuses on the application of knowledge and development of skills in public health to clinical, community and health service settings. Assessment involves two submissions: an academic poster of 750 words with oral presentation (50%) and a 1250 word written report (50%).
Doctor and Patient
The Doctor and Patient (DP) theme constitutes 37.5% of the marks for HME301 and HME302. DP is assessed both within each individual clinical rotation (combined value of 20% of total DP mark) and by an Objective Structured Clinical Examination (OSCE) of material covered in HME301 and HME302 at the end of Year 3 (80% of the total DP mark). Intra-rotation assessment has four components, the weighting of which varies slightly between rotations:*
a. ‘Case Synthesis’
The precise format and weighting will vary between rotations and may take the form of long case presentations, case journey, oral or written case commentaries or analyses.
b. ‘Clinical Skills Assessment’
The precise format and weighting will vary between rotations and may take the form of a brief clinical examination during a ward round, a brief history and clinical assessment of a patient in the mini-clinical evaluation exercise, (mini-CEX) format.
c. 'Clinical Challenges'
Skills or activities that are considered vital components of the rotation.
d. 'Log Book'
Each student will be required to record clinical activities and procedures in a log book (for example, performing an electrocardiogram, inserting an intravenous line).
*Students enrolled in the RCCS program will undertake comparable assessment within the Doctor and Patient theme to that outlined above for hospital-based students. Namely case synthesis components, OSCE preparation components and logbook components for each of the six rotation disciplines. Due to the integrated delivery of disciplines in the RCCS program the precise format of some assessments may vary from hospital-based rotations.
The end of Year 3 OSCEs comprise of a multiple stations which assess all six clinical rotations undertaken during HME301 and HME302 (0.5 day clinical examination). Standard setting will be used to determine a pass score for each station and an overall pass grade. Students who fail the OSCE will be awarded a fail (N) grade for HME301 and HME302. Students who fail will be required to repeat all components of Year 3.
Knowledge of Health and Illness
The Knowledge of Health and Illness (KHI) theme constitutes 37.5% of the marks for HME301-HME302. A combined mark for HME301 and HME302 will be awarded based on performance in a 3 hour MCQ summative Progress Test during the School of Medicine semester 2 examination period. The Progress Test will assess material covered in the six Year 3 clinical rotations and the four Year 4, Semester 1 rotations. Summative assessment in the progress test is determined from the 6 rotations undertaken in HME301-302. Standard setting will be used to determine a pass score on the Progress Test for students completing HME302. Students must achieve an overall pass mark on the Progress Test to be eligible to progress to HME401. Students who are assessed as borderline may be offered an opportunity for supplemental assessment, in which case a maximum grade of 50% will be awarded for the Progress Test mark. Students who have been assessed as having failed the Progress Test will be considered as having an unsatisfactory performance and will be awarded a fail (N) grade for HME301 and HME302. Students who fail will be required to repeat all components of Year 3.
Students who are accepted into H311 Bachelor of Medicine Bachelor of Surgery will be provided with a booklist detailing prescribed and recommended textbooks. Students will be directed to supplemental electronic resources within the Deakin University Library. Self-directed learning through investigations of the literature is an important learning strategy for all themes of the Deakin medical course.
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