Course coordinator
Dr Claire O'Halloran
Course overview
- Study period
- Semester 2, 2024 (01/07/2024 - 09/11/2024)
- Study level
- Postgraduate Coursework
- Location
- St Lucia
- Attendance mode
- In Person
- Units
- 2
- Administrative campus
- St Lucia
- Coordinating unit
- UQ Medical School
This course completes the Clinical Practice Program of Year 1 and 2 of the MD program and consolidates the skills learned in MEDI7121, MEDI7122 and MEDI7221. Development of the skills from the previous courses is facilitated by exposure to patients under supervision and possibly, in their own time*. The course learning activities are: Clinical Coaching, Clinical Communication Skills tutorials, and Clinical Skills workshops. Clinical Coaching conducted under supervision at the patient's bedside enables students to progress their skills in comprehensive and focused history taking, systemic and focused physical examination*, and to develop the complex clinical reasoning skills necessary to progress into Year 3. Clinical Communication Skills tutorials are dedicated skills development sessions based on difficult and challenging communication scenarios faced by medical professionals on a regular basis. Additional clinical skills are introduced and developed in the Peripheral Intravenous Cannulation Workshop (PIVC), the Breast and Gynaecological Health Workshop, Suturing and Endocrine Workshops. * As and if COVID-19 restrictions permit.
Clinical Practice 4 (MEDI7222) is an integrated semester-long course.ﾠ You will be based at a clinical teaching site. Throughout this course, you will continue to build on the clinical skills learned in Clinical Practice 3 (MEDI7221), Clinical Practice 2 (MEDI7122) and Clinical Practice 1 (MEDI7121). In combination with knowledge learned in the companion courses MEDI7212 and MEDI7232, you will learn how to apply clinical skills in the context of patient care in the clinical setting.ﾠClinical Practice 4 has the following components:
- Clinical Coaching tutorials
- Clinical Communication Skills tutorials
- Clinical Skills workshops:
- Peripheral Intravenous Cannulation
- Breast & Gynaecological Health
- Clinical Ophthalmology*
- Suturing*
- Endocrine (thyroid and diabetic leg examination)*
*Timetabled in either Clinical Practice 3 or Clinical Practice 4.
Clinical Coaching (CC) will further develop the skills learned previously and will give you the opportunity to practise a range of history taking and clinical examination skills. It is conducted in clinically based, physician led, compulsory tutorials over the semester, and you are to displayprofessionalism expected of a medical professional, including being respectful of colleagues, teachers, hospital and university staff, patients and members of the public.
The goals of Clinical Coaching are to:
- Take comprehensive and focused medical history
- Perform general and focused physical examinations
- Recognise and interpret clinical manifestations of common and important diseases
- Apply clinical reasoning skills to clinical problems to generate and test differential diagnoses
- Communicate medical information, including clinical reasoning
The Clinical Communications Skills (CCS) component aims to equip you with skills to communicate with patients and carers in a sensitive, caring, and non-judgemental manner. This will build on the skills learned in the Clinical Practice 3 and Year 1 Clinical Practice courses. CCS is taught in module format.
The Clinical Skills workshops provide an opportunity to practice, amongst other skills, procedural skills and focused physical examinations requiring the use of additional examination devices.ﾠﾠ
In addition to the skills above, you must consistently demonstrate professional behaviour appropriate to the profession of medicine as reflected in the Medical Board of Australia's Code ofﾠConduct:ﾠhttps://www.medicalboard.gov.au/codes-guidelines-policies/code-of-conduct.aspxﾠﾠand to maintain School and University expectations of professionalism. Participation and engagementﾠin all learning activities; capacity to self-reflect; response to feedback; cultural awareness;ﾠrespectful communication; and appropriate behaviour towards peers, is expected. These are assessable components of MEDI7222ﾠand will be assessed longitudinally in the MD program.
All clinical practice skills taught in MEDI7222ﾠembodied in the above learning activities are integral to safe performance as doctors, so participation inﾠall timetabled classes is a requirement of this course.
Course requirements
Prerequisites
You'll need to complete the following courses before enrolling in this one:
MEDI7221 and MEDI7211
Companion or co-requisite courses
You'll need to complete the following courses at the same time:
MEDI7212 and MEDI7232
Restrictions
MD students only
Course contact
Course staff
Lecturer
Dr Claire O'Halloran
Block coordinator
Ms Belinda Swyny
Timetable
The timetable for this course is available on the UQ Public Timetable.
Additional timetable information
Please review your individual my SI-Net timetable on at least a weekly basis as learning activity sessions may change.ﾠ Infrequently, there may be a SHORT NOTICE change to your timetable which will be accompanied by an email informing you of the change.
Participation and Engagement
The MD Program at The University of Queensland (UQ) is a full-time, professional degree program that prepares you for safe and effective clinical practice. You should be aware of theﾠMedical Program Participation Guidelines.
Aims and outcomes
You will continue to develop history taking, examination, clinical reasoning and diagnostic skills in a range of clinical activities building on skills learnt in the pre-requisite courses AND continue to refine your clinical communication and professional conduct in preparation for clinical placements in Years 3 and 4 of the MD Program.
Learning outcomes
After successfully completing this course you should be able to:
LO1.
Demonstrate the ability to take a time-efficient, accurate, and organised comprehensive and focused history.
LO2.
Describe or demonstrate time-efficient systematic and focused examinations.
LO3.
Derive provisional and differential diagnoses from history and examination findings (when available) in clinical cases, including cases with complex and multiple co-morbidities.
LO4.
Demonstrate effective and professional communication and ethical awareness with patients, carers, colleagues and educators in varying and challenging circumstances.
LO5.
Communicate medical information, including clinical reasoning, effectively to other health professionals.
LO6.
Demonstrate the performance of, or explain the principles underlying, common procedural skills covered to date, including basic life support, advanced life support, venepuncture, peripheral intravenous cannulation and suturing.
LO7.
Demonstrate professional conduct including social and cultural competence, respect for peers, staff and tutors and completion of tasks (including assessment) in a timely manner
Assessment
Assessment summary
| Category | Assessment task | Weight | Due date |
|---|---|---|---|
| Participation/ Student contribution |
Clinical Participation Assessment(CPA) - Formative
|
Compliance Hurdle |
2/08/2024 1:00 pm |
| Participation/ Student contribution |
Clinical Participation Assessment(CPA) - Summative
|
Compliance & Performance Hurdle |
4/10/2024 1:00 pm |
| Examination, Practical/ Demonstration, Role play/ Simulation |
Objective Structured Clinical Examination (OSCE)
|
Performance Hurdle |
End of Semester Exam Period 2/11/2024 - 16/11/2024
Exam date may vary from UQ Central End-of-Semester Exam period. |
A hurdle is an assessment requirement that must be satisfied in order to receive a specific grade for the course. Check the assessment details for more information about hurdle requirements.
Assessment details
Clinical Participation Assessment(CPA) - Formative
- Hurdle
- In-person
- Mode
- Activity/ Performance
- Category
- Participation/ Student contribution
- Weight
- Compliance Hurdle
- Due date
2/08/2024 1:00 pm
- Other conditions
- Work integrated learning, Longitudinal.
- Learning outcomes
- L04, L07
Task description
Participation and engagement in small group learning activities such as clinical coaching and other tutorials are fundamental aspects of the MD program. Meaningful participation in these activities improves clinical competence whilst promoting the development of important capabilities including self-directed and life-long learning. In multiple Year 1 and 2 courses you are assessed on your contribution and engagement in these learning activities (clinical coaching and other tutorials).
The Clinical Participation Assessment (CPA) - Formative will be conducted approximately mid-way through the bedside clinical coaching rotation, and is compulsory. The same criteria and marking rubric are used for both the formative and summative CPA and have components which assess:
- Participation and contribution
- Clinical Communication
- Behaviour towards patients, peers and staff
- Social and cultural competence
- Considers and acts on feedback
You are responsible for submitting the CPA form on time and obtaining proof of submission, as timely submission forms part of the assessment requirements.
Hurdle requirements
You must submit the CPA-Formative by the submission deadline.Submission guidelines
Submission details will be provided on the course Blackboard site.
Deferral or extension
You may be able to apply for an extension.
Clinical Participation Assessment(CPA) - Summative
- Hurdle
- In-person
- Mode
- Activity/ Performance
- Category
- Participation/ Student contribution
- Weight
- Compliance & Performance Hurdle
- Due date
4/10/2024 1:00 pm
- Other conditions
- Work integrated learning, Longitudinal.
- Learning outcomes
- L04, L07
Task description
Participation and engagement in small group learning activities such as clinical coaching and other tutorials are fundamental aspects of the MD program. Meaningful participation in these activities improves clinical competence whilst promoting the development of important capabilities including self-directed and life-long learning. In several Year 1 and 2 courses you are assessed on your contribution and engagement in these learning activities (clinical coaching and other tutorials).
The Clinical Participation Assessment-Summative will provide a longitudinal assessment of your performance across the whole semester of clinical coaching. This is a performance hurdle.
As for the formative CPA, this assessment has components which assess:
- Participation and contribution
- Clinical Communication
- Behaviour towards patients, peers and colleagues
- Social and cultural competence
- Considers and acts on feedback
You are responsible for submitting the CPA form on time and obtaining proof of submission, as timely submission forms part of the assessment requirements.
Hurdle requirements
You must submit the CPA-Summative by the submission deadline.Submission guidelines
Submit the Summative CPA form via link provided in the Clinical Participation Assessment (CPA)- Summative assessment folder in the course Blackboard site. Late penalties apply.
Deferral or extension
You may be able to apply for an extension.
Objective Structured Clinical Examination (OSCE)
- Hurdle
- Identity Verified
- In-person
- Mode
- Activity/ Performance
- Category
- Examination, Practical/ Demonstration, Role play/ Simulation
- Weight
- Performance Hurdle
- Due date
End of Semester Exam Period
2/11/2024 - 16/11/2024
Exam date may vary from UQ Central End-of-Semester Exam period.
- Other conditions
- Time limited.
- Learning outcomes
- L01, L02, L03, L04, L05, L06, L07
Task description
The Objective Structured Clinical Examination (OSCE) consists of up to eight (8) skills-based stations in which you must demonstrate knowledge of, or competency in, various clinical skills. Drawing upon clinical skills covered in all four Clinical Practice courses you have completed during Year 1 and 2, and relying on knowledge of common and important conditions and diseases covered in other Year 1 and 2 courses, the stations will assess a combination of the following clinical skills:
- History Taking
- Physical Examination
- Clinical Reasoning
- Clinical Communication Skills
- Procedural Skills
The OSCE stations are each based on a clinical scenario and are 10 minutes in length. The 10 minutes consist of:
- 2-minute reading time
- 8-minute skills demonstration time
During the 2-minute reading time, students are to read the written clinical scenario that is provided at each station. The written clinical scenario is followed by instructions on what clinical skills tasks are to be covered.
In the following 8 minutes of the station, the student performs the clinical skills tasks, which will be assessed.
Simulated patients are used as part of the scenario where required, to set up a simulated clinical environment, and an examiner will be assessing at most, if not all, stations.
The Associate Dean (Academic), Faculty of Medicine has waived the requirement for this assessment item to be recorded. You will receive feedback on your performance via an OSCE feedback report.
If you are unable to attend the scheduled OSCE must apply for a deferral by following the processes outlined in Deferring an Exam. The OSCE is considered mid-semester examinations for this deferral process - for advice on the timing of the deferred OSCE, please contact the Medical School (med.medsch@uq.edu.au).
Hurdle requirements
You must attempt and pass the OSCE to pass the course.Exam details
| Planning time | no planning time minutes |
|---|---|
| Duration | 120 minutes |
| Calculator options | No calculators permitted |
| Open/closed book | Closed Book examination - no written materials permitted |
| Exam platform | Other |
| Invigilation | Invigilated in person |
Submission guidelines
Deferral or extension
You may be able to defer this exam.
Course grading
Full criteria for each grade is available in the Assessment Procedure.
| Pass/Fails | Description |
|---|---|
| P |
Course grade description: See below. |
| F |
Course grade description: See below. |
Additional course grading information
Non-graded pass: Demonstrated evidence of competency in meeting course learning objectives:
To receive a course grade of Pass (P) you must:
- Meet the standard for all Performance hurdle assessments; AND
- Meet the requirements of all Compliance hurdle assessment tasks.
Non-graded fail: Insufficient evidence of competency in meeting course learning objectives:
You will receive a course grade of Fail (N) if you:
- Do not meet the standard for any Performance hurdle assessment task; OR
- Do not meet the requirements of any Compliance hurdle assessment task; OR
- Do not attempt all assessment tasks.
You may be considered a marginal fail if you:
- Do not meet the requirements for any assessment items; AND
- Attempt all assessment tasks.
Supplementary assessment
Supplementary assessment is not available for some items in this course.
Additional assessment information
Examination Dates:
Please note that examination dates for this course may differ from the standard UQ examination period. Please contact the Medical School (med.medsch@uq.edu.au) directly for advice on examination dates for this course.
Participation:
You should be aware of the Medical Program Participation Guidelines.ﾠParticipationﾠis required in all scheduled learning activities of this course, and level of participation will be considered when finalising the summative Clinical Participation Assessmentﾠfor this course, which may impact course grade.
You should refer to theﾠGeneral Assessment Guidelines - MDﾠProgramﾠfor further information on matters related to assessment.
Re-mark of Assessment:
- TheﾠClinical Participation Assessmentﾠ(CPA) - Summative is based on observations and recordings throughout the semester, and cannot be remarked.
- The Objective Structured Clinical Examination cannot be remarked.
Students with previous academic difficulties
If you have experienced academic difficulties in previous years and/or clinical placements you are strongly encouraged to reflect on the nature of these difficulties and discuss any need for extra assistance with their Course Coordinator and clinical teachers at the beginning of the course.
Learning resources
You'll need the following resources to successfully complete the course. We've indicated below if you need a personal copy of the reading materials or your own item.
Library resources
Library resources are available on the UQ Library website.
Additional learning resources information
Clinical examination
- Bates online :ﾠA visual guide to physical examinationﾠhttps://batesvisualguide.com/index.aspx
- Bickley LS, Szilagyi PG, Bates B. (2007)ﾠBates' guide to physical examination and history taking.ﾠ9th ed. Philadelphia: Lippincott Williams & Wilkins. Library Call number RC76 .B37 2007
- Dennis M, Bowen W, Cho L,ﾠMechanisms of Clinical SignsﾠChatswood, N.S.W. : Churchill Livingston/Elsevier, c2012. Library Call number RC69 .D46 2012
- Macleod, J., Douglas, G., Nicol, E. F., & Robertson, C. (2009).ﾠMacleod's clinical examinationﾠ(12th ed.). Edinburgh ; New York: Elsevier Churchill Livingstone. Library call number RC71 .C62 2009
- McGee, S. R. (2007).ﾠEvidence-based physical diagnosisﾠ(2nd ed.). St. Louis, Mo.: Saunders/Elsevier. Library call number C76 .M347 2007
- McRae, R. (2010)ﾠClinical Orthopaedic Examinationﾠ(6th ed). Edinburgh: Churchill Livingstone. Library call number: RD734.M3 2010
- Simel, D. L., Rennie, D., & Keitz, S. A. (2008).ﾠThe Rational Clinical Examination : evidence-based clinical diagnosis. New York: McGraw-Hill. Library call number RC71 .R368 2008
- University of California, San Diego:ﾠA Practical Guide to Clinical Medicineﾠhttps://meded.ucsd.edu/clinicalmed/
Clinical Communication
Fitzgerald, J. & Byrne, G. (2016) Psychosocialﾠdimensions of medicine. Melbourne, Vic: IP Communications. Library call number R726.5 .F58 2016ﾠ
Learning activities
The learning activities for this course are outlined below. Learn more about the learning outcomes that apply to this course.
Filter activity type by
Please select
| Learning period | Activity type | Topic |
|---|---|---|
Multiple weeks |
Workshop |
Clinical Skills Workshops Clinical Skills Workshops (Workshop): Clinical Ophthalmology, Breast & Gynaecological Health, Endocrine Examination, and Suturing are all clinical workshops that may be scheduled in the Clinical Practice 3 or 4 courses. Each student is scheduled to attend one of each type of workshop during the year. Pre-reading is required. |
Workshop |
Peripheral Intravenous Cannulation Workshop |
|
Tutorial |
Clinical Communication Skills Tutorials Module 8 Motivational Interviewing (3 tutorials). |
|
Tutorial |
Clinical Coaching Tutorials Small group bedside tutorials, facilitating history, examination and clinical reasoning skills in weekly sessions. |
|
Lecture |
Clinical Practice 4 - Lectures (Lecture Series): Infrequent lectures, as per timetable, to support Clinical Practice 4 learning and assessment activities |
Additional learning activity information
Learning activities in this course are subject to change.
Policies and procedures
University policies and procedures apply to all aspects of student life. As a UQ student, you must comply with University-wide and program-specific requirements, including the:
- Student Code of Conduct Policy
- Student Integrity and Misconduct Policy and Procedure
- Assessment Procedure
- Examinations Procedure
- Reasonable Adjustments - Students Policy and Procedure
Learn more about UQ policies on my.UQ and the Policy and Procedure Library.
You'll also need to be aware of the following policies and procedures while completing this course:
School guidelines
Your school has additional guidelines you'll need to follow for this course: