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HME301 - Medicine 3A

Enrolment modes:

Cloud (online)^

Credit point(s):4
EFTSL value:

0.500

Cohort rule:

Available to H311 Bachelor of Medicine Bachelor of Surgery students only

Unit chair:

C Shaw

Prerequisite:

HME202

Note:

 

1) The third year of the Bachelor of Medicine Bachelor of Surgery course consists of two integrated semester units of four credit points each (HME301 and HME302). Semester 1 enrolled credit points, 4; achievable credit points at the end of Semester 1.

2) ^This unit is delivered in Cloud (online) mode, with online delivery of most curriculum materials to ensure that students working away from major centres are well supported.
3) Upon completion of HME301 students are awarded an initial grade of RP (Result not applicable) and are graded for both units at the completion of HME302.

 

Laptop computer requirement

Students enrolled in the BMBS require a wireless-enabled, personal laptop computer* to undertake scheduled learning activities. You will need to access substantial learning resources and experiences in CloudDeakin (Deakin’s online learning environment). Compliance with the Standards in computing, connectivity and student capability are a condition on your enrolment. 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. Students will also be required to hold a current Working With Children Check and will 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, Service agreement information kit for funded organisations 2006–2009, State Government of Victoria, Melbourne, retrieved 26 May 2009.

Content

HME301 represents the first half (Semester 1) 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, the majority of students begin a two-year clinical attachment to 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 is 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 and Professional Development (ELPD) 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 clinical rotations with additional study modules addressing a range of thematic topics.

 

Each year a group of students will undertake the Integrated Model of Medical Education in Rural Setting (IMMERSe) in which the material contained in the six clinical rotations (including Pathology, Pharmacology and Imaging) is studied concurrently during a year-long attachment to a regional general practice. IMMERSe students study the same curriculum and undertake the same assessment as hospital-based students.

Assessment

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 (including a mid-year Progress Test) which do not contribute to the final mark. More details of summative assessment in Year 3 are provided in the handbook description for HME302 Medicine 3B.

 

Students are required to meet the attendance requirements of each of the three clinical rotations during HME301 (or within the IMMERSe program) and to demonstrate competence in clinical assessments and assessment tasks associated with the ELPD and PHM themes during each rotation (see below). Students who have satisfied these requirements will receive an initial mark of RP (result not applicable), which upon successful completion of HME302 will be converted to a single mark and grade for the two integrated units.

 

Students who do not meet these requirements or whose performance is borderline will be reviewed by the Academic Progress Committee who will arrange support and / or reassessment as appropriate. 

 

Doctor and Patient

The Doctor and Patient (DP) theme constitutes 37.5% of the marks for HME301. DP is assessed both within each individual clinical rotation (combined value of 40% 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 (60% of the total DP mark). Intra-rotation assessment has three 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, oral or written case commentaries or analyses, presentations of pre-operative assessments, completion of hospital admission notes, mental state examination presentations, or completion of written or oral referrals of patients with multiple problems.

 

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 (in the mini-clinical evaluation exercise, (mini-CEX) format), a focused presentation on a ward round, a written or oral referral of a less complicated patient or observed performance of one or more specified procedures.

 

c.    'log book' 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 (e.g. admitting a patient, completing a drug chart or ordering investigations, inserting an intravenous line, attending operating or procedural sessions or participating in a multidisciplinary team meeting).

 

*Students enrolled in the IMMERSe program will undertake comparable assessment within the Doctor and Patient theme to that outlined above for hospital-based students, namely  case synthesis components, clinical skills assessment components and logbook components for each of the 6 rotation Disciplines. Due to the integrated delivery of Disciplines in the IMMERSe program the precise format of some assessments within the IMMERSe program may vary from hospital-based rotations.

 

Ethics Law and Professional Development

The Ethics, Law and Professional Development (ELPD) theme constitutes 12.5% of the marks for HME301 and HME302. Assessment for ELPD is integrated across HME301 and HME302, and it includes a 3000 word surgical risk management (patient journey) assignment (35%), 5 journals with reflections on ELPD issues in clinical practice -1 Formative and 4 Summative (50%), attendance and case presentation in a seminar in each rotation (15%) and completion of the Professional Competence Process (hurdle requirement).


Knowledge of Health and Illness
The Knowledge of Health and Illness theme constitutes 37.5% of the marks for HME301 but there will be no summative assessment of KHI during HME301. A combined mark for HME301 and HME302 will be awarded based on performance in a 3 hour MCQ summative Progress Test at the end of Year 3.
 
Students will sit a 3 hour MCQ formative Progress Test during the School of Medicine Semester 1 examination period. 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 HME301. Pass scores will also be determined for each clinical rotation completed during HME301 and for Pathology, Pharmacology and Imaging by addition of marks for all questions relevant to that rotation or discipline. Pass scores will also be determined for students undertaking the IMMERSe.
 
Students who are borderline will be reviewed by the Academic Progress Committee, who will arrange additional support during HME302 as appropriate.

Public Health Medicine
The Public Health Medicine theme constitutes 12.5% of the marks for HME301 and HME302. Assessment for PHM is integrated across three submissions in HME301 and two in HME302. All assessments are equally weighted and total approximately 4500 words.

Prescribed texts

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 also 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.

Unit Fee Information

Student Contribution Rate*Student Contribution Rate**Fee rate - Domestic Students Fee rate - International students
$5042$5042$25164$28140

* Rate for all CSP students, except for those who commenced Education and Nursing units pre 2010
** Rate for CSP students who commenced Education and Nursing units pre 2010
Please note: Unit fees listed do not apply to Deakin Prime students.

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8th June 2007