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Available to H311 Bachelor of Medicine Bachelor of Surgery students only
J Watson (G)
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 1 July 2007.
Note: Online teaching methods require internet access. Please refer to the most current computer specifications.
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 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 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/ Procedures, 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 and Professional Development (ELPD) and Doctors, Peoples, Cultures, and Institutions (DPCI) 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 Integrated Model of Medical Education in Rural Settings (IMMERSe) 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.
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 ELPD and DPCI themes during each rotation (see below).
Students who do not meet these requirements or whose performance is borderline will be reviewed by their Director of Clinical Studies or by the ELPD or DPCI Coordinator, 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 HME401. DP is assessed both within each individual clinical rotation (15% per rotation = 60% of the 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 (40% 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 patient or observed performance of one or more specified procedures.
c. log book Each student will be required to complete and record 6-10 clinical activities in a log book 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).
Knowledge of Health and Illness
The Knowledge of Health and Illness theme constitutes 37.5% of the marks for HME401. A mark for HME401 will be awarded based on performance in a 2.5 hour MCQ summative Progress Test at the end of HME401.
The Progress Test is a continuation of the assessment mode used in HME301/302. Students will sit a 2.5 hour MCQ summative 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 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 do not achieve an overall pass score, a pass score for the clinical rotations they have completed or a pass score for Pathology, Pharmacology or Imaging will be reviewed by their Director of Clinical Studies, who will arrange additional support during HME402 as appropriate.
Ethics Law and Professional Development
The Ethics, Law and Professional Development theme constitutes 12.5% of the marks for HME401. Assessment for ELPD includes preparation and participation in a hypothetical presentation (including a 1500 word written submission) (36%), participation in 4 interactive, online MedeSims with an end of life focus (32%) and tutorial attendance and short quiz results (32%).
Doctors, Peoples, Cultures and Institutions
The Doctors, Peoples, Cultures and Institutions theme constitutes 12.5% of the marks for HME401. Assessment for DPCI is based on entries into a personal and professional portfolio (approximately 1000 words per rotation).
Students 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|
* 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.