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Unit details

HME401 - Medicine 4A

Year2015 unit information
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:

Cameron Shaw

Prerequisite:

Must have passed HME302

Note:

^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.

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.

Content

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 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 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.


In order to comply with Commonwealth Department of Health requirements for rural clinical placements, all 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. There will likely be a necessity for directed Selective placements in the event that the rural criterion is not met during the preceding placements. John Flynn Scholarship placements occurring outside of Deakin semester periods cannot fulfil these requirements.

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 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 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 and Professional Development
The Ethics, Law and Professional Development theme constitutes 12.5% of the marks for HME401. Assessment for ELPD is preparation and participation in a hypothetical presentation, including a group task of 2500 word written submission (58%), participation in 4 interactive, online virtual simulations (MedeSims) for end-of-life communication (32%), seminar attendance with submission of answers to a number of short answer questions (10%) and completion of the Professional Competence Process (hurdle requirement).

Public Health Medicine
The Public Health Medicine 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 Doctor and Patient (DP) theme constitutes 37.5% of the marks for HME401. 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, HME302 and HME401 at the end of Year 4, Semester 1 (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, 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.    '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 Objective Structured Clinical Examination at the end of Year 4 comprises a multi station OSCE 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.

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 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.

Ethics Law and Professional Development

The Ethics, Law and Professional Development theme constitutes 12.5% of the marks for HME401. Assessment for ELPD is preparation and participation in a hypothetical presentation, including a group task of 2500 word written submission (58%), participation in 4 interactive, online virtual simulations (MedeSims) for end-of-life communication (32%), seminar attendance with submission of answers to a number of short answer questions (10%) and completion of the Professional Competence Process (hurdle requirement).

 

Public Health Medicine

The Public Health Medicine theme constitutes 12.5% of the marks for HME401. Assessment for PHM is integrated across two equally weighted written submissions totalling ~12502500 words per submission (50% each). Students are encouraged to choose elective placements in public health medicine and interested students should contact theme staff about national and international placement opportunities

 

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 (combined value of 40% 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 (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, a focused presentation on a ward round, a brief history and clinical assessment of a patient etcetera (in the mini-clinical evaluation exercise, (mini-CEX) format).

 

c.    '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 Objective Structured Clinical Examination at the end of Year 4 comprises 10 to 15 stationsa multi station OSCE 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 will be graded for each OSCE station and their mark and grade determined from the sum of the scores for each station.  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.

 

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 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. Students will sit a 3 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 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.

Unit Fee Information

Student Contribution Rate*Student Contribution Rate**Fee rate - Domestic Students Fee rate - International students
$5133$5133$25920$28988

* 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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