HME401 - Medicine 4A
|Year||2018 unit information|
Medicine Semester 1: Waurn Ponds (Geelong)^
Available to H311 Bachelor of Medicine Bachelor of Surgery students only
Must have passed HME302
^ Students enrol at Waurn Ponds (Geelong) but will be based at one of the following Clinical Schools; Eastern Health, Geelong, Rural Community, Warrnambool or Ballarat.
The fourth year of the Bachelor of Medicine Bachelor of Surgery course consists of two semester units of four credit points each (HME401 and HME402), which are combined into a single unit of eight credit points.
Department of Human Services policy
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. Students who fail to obtain a Police Record Check prior to the commencement of clinical placement will not be able to undertake clinical placement. Students may also be required to declare their immunisation status to satisfy the requirements of health organisations where they will be undertaking their clinical learning experience.
* Department of Human Services 2007, Service agreement information kit for funded organisations 2006–2009, State Government of Victoria, Melbourne, retrieved 19 September 2014.
In Year 4 HME401, the majority of students continue a two-year clinical attachment to one of four clinical schools and continue their study of the four themes of the BMBS. During HME401, students will typically undertake the equivalent of 24 hours of clinical activity, 8 hours of formal teaching activities and 8 hours of private study each week.
The four themes of the BMBS continue in HME401. Teaching in the Knowledge of Health and Illness (KHI) and Doctor and Patient (DP) themes is fully integrated, comprising 75% of the Year 4 curriculum and assessment. During HME401, students undertake four 5-week rotations at hospitals and other sites attached to the clinical schools: Emergency Medicine, Aged Care/ Palliative Care/ Rehabilitation, Intensive Care/ Anaesthetics, and General Practice. The Disciplines of Pathology, Pharmacology and Imaging are integrated across all four rotations. Four rotations are completed in Semester 1 of Year 4 (HME401). The order of clinical rotations will vary for individual cohorts of students.
The Ethics, Law, Professionalism and Communication (ELPC) and Public Health Medicine (PHM) themes each comprise 12.5% of the Year 4 curriculum and its assessment. Teaching in these themes is integrated into the clinical rotations with additional study modules addressing a range of thematic topics.
Students who have undertaken the Longitudinal Integrated Clerkship with the Rural Community Clinical School (RCCS) in Year 3 (HME301/302) will be based at hospital sites for HME401, and will undertake the same assessments as other students within the unit.
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 is assessed in 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 which do not contribute to the final mark.
Students are required to meet the attendance requirements of each of the three clinical rotations during HME401 and to demonstrate competence in clinical assessments and assessment tasks associated with the ELPC and PHM themes during each rotation (see below).
Students who do not meet these requirements or whose performance is borderline will be reviewed by the Academic Progress Committee, who will arrange reassessment and/or support as appropriate.
Ethics, Law, Professionalism and Communication
The ELPC theme constitutes 12.5% of the marks for HME401. Assessment for ELPC consists of:
- Draft group report or educational script presenting analysis of the ethico-legal and professional dimensions of a hypothetical clinical case (approximately 2500 words, worth 30% of theme marks)
- Group presentation of the hypothetical case to a professional audience (approximately 30 minutes worth 20% of theme marks)
- Individual peer and self-review of group activities (equivalent to 500 words, worth 20% of theme marks)
- Discussion paper about effective communication on sensitive issues (750 words, worth 30% of theme marks)
- Satisfactory completion of the Professional Competence Process (hurdle requirement)
Public Health Medicine
The PHM theme constitutes 12.5% of the marks for HME401. Assessment for PHM is integrated across two equally weighted written submissions totalling 1250 words per submission (50% each).
Doctor and Patient
The DP theme constitutes 37.5% of the marks for HME401. 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, HME302 and HME401 at the end of Year 4, Semester 1 (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 journeys, 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, a focused presentation on 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 and Clinical Activities Form'
Each student will be required to record clinical activities and procedures in a log book or specific rotation forms available on CloudDeakin during each rotation (for example performing an electrocardiogram, inserting an intravenous line, attending operating or procedural sessions or participating in a multidisciplinary team meeting).
The OSCE at the end of Year 4 comprises multiple stations which assesses material covered in HME301, HME302 and HME401 (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 HME401. Students who fail will be required to repeat all components of Year 4. To pass the OSCE a student must achieve an aggregate mark above borderline (50% or >) and pass a minimum of 7 out of the 12 OSCE stations. A student who has an aggregate mark within the borderline zone (45-49%) or a pass in 6 out of the 12 OSCE stations, may be considered for further assessment. A student who has an aggregate mark below the borderline or who has only achieved a pass in 5 or less of the 12 OSCE stations will be deemed an outright fail. A pass in an OSCE station is defined as a score equal to or greater than the cut score for that station.
Knowledge of Health and Illness
The KHI theme constitutes 37.5% of the marks for HME401. A mark for HME401 will be awarded based on performance in a 3 hour MCQ summative Progress Test at the end of HME401. The Progress Test is a continuation of the assessment mode used in HME301/302. The Progress Test will assess material covered in the six Year 3 clinical rotations and the four Year 4, Semester 1 rotations. Standard setting will be used to determine a pass score on the Progress Test for students completing HME401. Pass scores will also be determined for each clinical rotation completed during HME401 and for Pathology, Pharmacology and Imaging by addition of marks for all questions relevant to that rotation or discipline.
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 HME401. Students who fail will be required to repeat all components of Year 4. Students who are borderline will be reviewed by the Academic Progress Committee, who will arrange reassessment and/or support as appropriate.
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