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Course profile

Medicine (MEDI7314)

Study period
Sem 2 2024
Location
Herston
Attendance mode
In Person

Course overview

Study period
Semester 2, 2024 (17/06/2024 - 16/11/2024)
Study level
Postgraduate Coursework
Location
Herston
Attendance mode
In Person
Units
3
Administrative campus
Herston
Coordinating unit
UQ Medical School

The year 3 Medicine course provides an introduction to clinical medicine and therapeutics. The placement component takes place in (mainly) general medicine units located in each Clinical Unit as a framework for clinical learning in medicine, coupled with clinical discussion sessions for each week of the placement. The clinical discussion sessions will be coordinated by a consultant physician. In some cases, a sub-specialist with a clinical interest in the topic of the week will be involved. In this course you will continue to use your self-directed learning techniques and knowledge acquired during Years 1 and 2 of the MD to focus your learning within a hospital ward environment.

The Medicine course will be conducted inᅠteaching hospitals located in each Clinical Unit. Hospital Practice typically includes a clinical placement to a single hospital but may involve attachments to varying medical units within that hospital.ᅠHospital Practice Plus will include placements across more than one hospital.

Hospital Practice (HP) refers to all those students completing the 9 week Medicine and Surgery blocks.

Hospital Practice Plus (HP+) refers to all those students completing 6 week Medicine, Surgery and Rural blocks. There are three sequences of HP+:

·        Medicine > Rural > Surgery (MRS)

·        Surgery > Medicine > Rural (SMR)

·        Rural > Surgery > Medicine (RSM)

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester (3x 6 week blocks).

Please be aware that the shorthand noted above will be referenced in relation to assessment due dates later in the Course Profile. (E.g., HP or HP+ (SMR))

The course will cover formal teaching,ᅠcase learning sessions, facilitated clinical teaching and unscheduled clinical work.ᅠStudents will be exposed to a variety of medical specialties.ᅠThe course consists of hospital-based teaching in which practical skills and attributes are acquired.ᅠThe main focus is on patient contact.ᅠStudents should refer to the individual timetable as per their allocated hospital.

Course requirements

Assumed background

This course builds on learnings from courses in Years 1 and 2 of the MD Program, and in particular from courses in Clinical Science and Clinical Practice. The knowledge we expect you to have gained from these courses includes but is not limited to teaching and learning in human structure and function, disease processes and pathophysiology, and approaches to clinical assessment. You are urged to review notes and learning materials from earlier courses in the program as appropriate during this course.

Prerequisites

You'll need to complete the following courses before enrolling in this one:

MEDI7212, MEDI7222, and MEDI7232

Incompatible

You can't enrol in this course if you've already completed the following:

MEDI7304

Restrictions

MD & MD (Ochsner) students only

Course contact

Timetable

Additional timetable information

Clinical unit specific timetables are available on Learn.UQ (Blackboard).

Participationᅠand

Students should be aware of theᅠMedicalᅠProgramᅠParticipation Guidelines. Non-compliance may result in failure in this course.ᅠ

Formal teaching. Formal supervised teaching time amounts to at least 8 hours per week, includingᅠcase tutorials, grand rounds or equivalent, ward rounds and outpatient clinics, and long and short case presentation tutorials. Mandatory Clinical Reasoning Tutorials are available on Blackboard to be followed weekly, for different subspecialty areas.ᅠOther tutorials vary from site to site.ᅠAt some sites, subspecialty experience is part of the clinical placement, but generally this is scheduled during MEDI7414 Medical Specialties.

Structured/Unstructured Learning. Year 3 students are expected to spend at least 32 hours per week learning from patients in the Medical Wards immersing in the clinical environment.ᅠStudentsᅠwill be attached to medical units throughout theirᅠplacementᅠand will be given timetables with structured activities. The content of the timetable is variable between hospitals. In general, eight hours of “facilitated activity” is defined as protected time during which the students MUST be on the wards, seeing patients, with a clinical preceptor available to give them advice or help. In practical terms, this role is most commonly filled by the junior ward staff. The Discipline believes that during unscheduled/unstructured time, students should spend as much time as possible in the wards – attending ward rounds, clerking patients and participating in the general activities of the unit. Spending evenings in the hospital “on take” with the admitting team is very worthwhile.

Aims and outcomes

The overall aim of the Year 3 Medicine course is to provide students with an introduction to clinical aspects of internal medicine as well as an introduction to therapeutics. It will also provideᅠan opportunity for students to gain exposure to a variety of medical specialties, and to refine their clinical skills through repeated patient interactions in inpatient and outpatient settings.ᅠ

Learning outcomes

After successfully completing this course you should be able to:

LO1.

Demonstrate high standards of ethical conduct, rapport and empathy in all interactions with peers, patients and their families

LO2.

Develop necessary critical thinking and clinical reasoning skills for the clinical environment.

LO3.

Explain the epidemiology, pathophysiology and clinicopathological correlates of conditions that are important and/or common in the context of hospital-based medicine

LO4.

Effectively assess a patient and their medical condition through appropriate history taking and physical examination

LO5.

Select investigations appropriate to the diagnosis or management of medical conditions, and correctly interpret results in the context of the individual patient

LO6.

Describe appropriate management plans for conditions seen commonly in hospital-based medical practice (as outlined in the syllabus)

LO7.

Select pharmacological and other therapies relevant to the management of common medical conditions, and demonstrate an awareness of important side-effects and contraindications.

LO8.

Recognise the varying roles of medical, nursing and allied health staff within an acute care ward, and demonstrate skills and attributes which allow for effective interactions with those staff as part of a health care team

Assessment

Assessment summary

Category Assessment task Weight Due date
Examination Written Component
  • Hurdle

End of Semester Exam Period

2/11/2024 - 16/11/2024

Examination, Practical/ Demonstration, Presentation Oral Component
  • Hurdle
  • In-person

HP: Week 9 Mon - Week 9 Fri

HP+ (MRS): Week 12 Mon - Week 12 Fri

HP+ (SMR): Week 18 Mon - Week 18 Fri

HP+ (RSM): Week 18 Mon - Week 18 Fri

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Practical/ Demonstration, Presentation Practice Long Case Examination
  • Hurdle

HP: Week 6, Fri 5:00 pm

HP+ (MRS): Week 6, Fri 5:00 pm

HP+ (SMR): Week 12, Fri 5:00 pm

HP+ (RSM): Week 6, Fri 5:00 pm

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Notebook/ Logbook Long Case Logs
  • Hurdle

HP: Week 9, Fri 5:00 pm

HP+ (MRS): Week 12, Fri 5:00 pm

HP+ (SMR): Week 18, Fri 5:00 pm

HP+ (RSM): Week 18, Fri 5:00 pm

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Participation/ Student contribution, Placement Clinical Participation Assessment - Medicine
  • Hurdle
  • In-person

HP CPA 1: Week 4, Fri 5:00 pm

HP CPA 2: Week 9, Fri 5:00 pm

HP+ (MRS) CPA 1: Week 6, Fri 5:00 pm

HP+ (MRS) CPA 2: Week 12, Fri 5:00 pm

HP+ (SMR) CPA 1: Week 12, Fri 5:00 pm

HP+ (SMR) CPA 2: Week 18, Fri 5:00 pm

HP+ (RSM) CPA 1: Week 6, Fri 5:00 pm

HP+ (RSM) CPA 2: Week 18, Fri 5:00 pm

Two (2) CPAs to be completed and submitted.

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

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

Written Component

  • Hurdle
Mode
Written
Category
Examination
Due date

End of Semester Exam Period

2/11/2024 - 16/11/2024

Other conditions
Time limited.

See the conditions definitions

Learning outcomes
L03, L04, L05, L06, L07

Task description

In the event of disruption during the end of semester exam period that prevents the scheduled assessment occurring as planned, the assessment will be changed to a ProctorU exam. The timing of the assessment may also be impacted.

The Written Component consists of one (1) Multiple Choice Examination. The examination will consist of questions designed to assess the knowledge base in medicine that include pathophysiology, symptoms and signs and the management of common medical conditions. Students will sit the MCQ exam during the Year 3 and 4 examination week.

The pass mark for this assessment is 60%. This pass mark may be modified in accordance with standard setting methods.

Hurdle requirements

Performance Hurdle: You must complete and meet the passing standard to pass the course.

Exam details

Planning time no planning time minutes
Duration 90 minutes
Calculator options

(In person) Casio FX82 series or UQ approved , labelled calculator only

Open/closed book Closed Book examination - no written materials permitted
Exam platform ExamSoft
Invigilation

Invigilated in person

Submission guidelines

Deferral or extension

You may be able to defer this exam.

Oral Component

  • Hurdle
  • In-person
Mode
Oral
Category
Examination, Practical/ Demonstration, Presentation
Due date

HP: Week 9 Mon - Week 9 Fri

HP+ (MRS): Week 12 Mon - Week 12 Fri

HP+ (SMR): Week 18 Mon - Week 18 Fri

HP+ (RSM): Week 18 Mon - Week 18 Fri

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Learning outcomes
L01, L03, L04, L05, L06, L07

Task description

Long Case Examination

Duration: 95 minutes - 60 minutes with patient, 10 minutes to collect thoughts / prepare presentation, 25 minutes with examiners

In the Long Case Examination you will take a history and examine a patient and then present and discuss their findings with the examiners.

Components:

  1. Accuracy of history - exploration of diagnostic problems
  2. Accuracy of history - exploration of active medical problems and complications
  3. Impact of Illness on patient and family
  4. Accuracy of Physical Examination
  5. Synthesis and prioritisation of Clinical Problems
  6. Discussion


You should be aware that you may not get the full 60 minutes with the patient. In that case, you should notify your facilitating professional staff member and the examiners. Examiners will decide whether to proceed. If the decision is to proceed with the exam, the examiners will take this into consideration. A decision may be for you to see another patient; this could be on the same or a different day.

You must be aware that you are not to be in the hospital (excluding for personal medical treatment) from the Saturday before your Long Case until the end of Week 9 unless specifically directed by your clinical site or course staff.


Standardised Clinical Scenario

Duration: 15 minutes + 5 minutes reading time

The Standardised Clinical Scenario is a form of standardised clinical examination. You will be presented with a scenario where you will make determinations regarding investigations and management. The key objective is to assess the basic principles of investigation of common medical conditions in a standardised approach.

Components:

  1. Approach to differential diagnosis 
  2. Investigation choice 
  3. Investigation interpretation 
  4. Management

The clinical scenario presented will relate to one of the key learning areas within the Internal Medicine Year 3 and 4 Syllabus (available on the course Learn.UQ (Blackboard) site).


The Associate Dean (Academic), Faculty of Medicine has waived the requirement for the Long Case Examination and Standardised Clinical Scenario assessment items to be recorded. The MEDI7314 Oral Component Mark Sheets 2024 (available on the course Learn.UQ (Blackboard) site) will be used to document student performance through the provision of comments. 

Criteria & Marking:

To pass the Oral Component, you must achieve 58% over both assessments combined AND achieve at least a ‘satisfactory’ in 7 out of the 10 domains. These ten domains are;

  • Accuracy of history – exploration of diagnostic problems (Long Case)
  • Accuracy of history - exploration of active medical problems and complications (Long Case)
  • Impact of illness on patient and family (Long Case)
  • Accuracy of physical examination (Long Case)
  • Synthesis and prioritisation of clinical problems (Long Case)
  • Discussion (Long Case)
  • Approach to differential diagnosis (Standardised Clinical Scenario)
  • Investigation choice (Standardised Clinical Scenario)
  • Investigation interpretation (Standardised Clinical Scenario)
  • Management (Standardised Clinical Scenario)

Further information regarding marking of these assessments, including the marking rubric can be found on the course Learn.UQ (Blackboard) site. 

For information on how to approach the clinical examinations, please refer to the file "2024 MEDI7314 Medicine Examination Guide" available on the course Learn.UQ (Blackboard) site.

The pass mark may be modified in accordance with standard setting methods.

Ochsner Clinical School and Rural Clinical School may begin examinations in Week 8 if needed.

Hurdle requirements

Performance hurdle: You must complete and meet the passing standard to pass the course

Exam details

Planning time no planning time minutes
Duration 115 minutes
Calculator options

(In person) Casio FX82 series or UQ approved , labelled calculator only

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.

Practice Long Case Examination

  • Hurdle
Mode
Oral
Category
Practical/ Demonstration, Presentation
Due date

HP: Week 6, Fri 5:00 pm

HP+ (MRS): Week 6, Fri 5:00 pm

HP+ (SMR): Week 12, Fri 5:00 pm

HP+ (RSM): Week 6, Fri 5:00 pm

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Learning outcomes
L01, L03, L04

Task description

In the Practice Long Case Examination, the student will take a history and examine a patient and then present and discuss their findings with the examiner/s.

Duration: 95 minutes - 60 minutes with patient, 10 minutes to collect thoughts / prepare presentation, 25 minutes with examiners

Components:

  1. Accuracy of history - exploration of diagnostic problem
  2. Accuracy of history - exploration of active medical problems and complications
  3. Impact of Illness on patient and family
  4. Accuracy of Physical Examination
  5. Synthesis and prioritisation of Clinical Problems
  6. Discussion

This assessment should be arranged by the student with their supervisors in consultation with their site Student Coordinator. 

For information on how to approach the clinical examinations, please refer to the files "2024 MEDI7314 Medicine Examination Guide" and "MEDI7314 PRACTICE Long Case Mark Sheet 2024" available on the course Learn.UQ (Blackboard) site.

The Associate Dean (Academic), Faculty of Medicine has waived the requirement for the Practice Long Case Examination assessment item to be recorded. The MEDI7314 PRACTICE Long Case Mark Sheet 2024 will be used to document student performance through the provision of comments. 

Hurdle requirements

Compliance Hurdle

Submission guidelines

Practice Long Case will be marked by hard copy mark sheet. Your Student Coordinator will advise you whether you will complete this exercise with your clinical supervisor or in a tutorial setting. Students must submit a scanned copy of their hard copy mark sheets via the Blackboard submission link by the due date.

Deferral or extension

You may be able to apply for an extension.

Late submission

If you fail to meet the submission deadline for the Practice Long Case without an approved extension, it will be considered as a lapse in professional conduct. Late submission longer than 7 calendar days will be considered as not meeting the passing standard for this assessment, in addition to being considered a lapse in professional conduct. 

Long Case Logs

  • Hurdle
Mode
Written
Category
Notebook/ Logbook
Due date

HP: Week 9, Fri 5:00 pm

HP+ (MRS): Week 12, Fri 5:00 pm

HP+ (SMR): Week 18, Fri 5:00 pm

HP+ (RSM): Week 18, Fri 5:00 pm

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Learning outcomes
L01, L02, L04, L05, L06, L07

Task description

Students must complete eight (8) Long Case Logs throughout the Block using the hard copy template available on Blackboard or the online forms. The hard copy template (and online forms) lists a number of specialty cases that you can use as suggestions for suitable cases. These are important conditions commonly seen in Internal Medicine; however, this list is not exhaustive or exclusive. Any condition / diagnosis may form the basis of your clinical case.

Case logs must NOT include patient names (initials are acceptable). All scanned / photographed images must be legible. 

Hurdle requirements

Compliance Hurdle

Submission guidelines

Eight (8) Long case logs must be submitted via the online form or Blackboard submission of the Long Case Logbook (as a PDF) by the due date for review and approval.

Deferral or extension

You may be able to apply for an extension.

Late submission

If you fail to meet the submission deadline for the Long Case Logs without an approved extension, it will be considered as a lapse in professional conduct. Late submission longer than 7 calendar days will be considered as not meeting the passing standard for this assessment, in addition to being considered a lapse in professional conduct. 

Clinical Participation Assessment - Medicine

  • Hurdle
  • In-person
Mode
Activity/ Performance
Category
Participation/ Student contribution, Placement
Due date

HP CPA 1: Week 4, Fri 5:00 pm

HP CPA 2: Week 9, Fri 5:00 pm

HP+ (MRS) CPA 1: Week 6, Fri 5:00 pm

HP+ (MRS) CPA 2: Week 12, Fri 5:00 pm

HP+ (SMR) CPA 1: Week 12, Fri 5:00 pm

HP+ (SMR) CPA 2: Week 18, Fri 5:00 pm

HP+ (RSM) CPA 1: Week 6, Fri 5:00 pm

HP+ (RSM) CPA 2: Week 18, Fri 5:00 pm

Two (2) CPAs to be completed and submitted.

For HP students, please be aware your due dates are referenced against the 9-week Block.

For HP+ students, please be aware your due dates are referenced against the 18-week Semester.

Other conditions
Work integrated learning.

See the conditions definitions

Learning outcomes
L02, L04, L05, L06, L07, L08

Task description

The Medical School considers that participation and attendance at clinical placements are fundamental aspects of the MD program, consistent with the framework of self-directed and life-long learning and indicative of the need for clinical competence and professional conduct in addition to theoretical knowledge.

In all clinical courses during Years 3 and 4 of the MD Program, students are assessed on their professional and clinical skills and the extent to which they have contributed and engaged in their clinical placement and clinical learning activities. The nature of these activities will vary according to the placement, but may include admitting/clerking patients, assessing patients at outpatient clinics, presenting at ward rounds and demonstrating initiative in attending other activities such as grand rounds.

Scoring in the Clinical Participation Assessment (CPA) is based on conduct and contribution during ward rounds and case discussions, initiative in seeking learning opportunities, patient assessment, ability to succinctly present a patient case including differential diagnosis, behaviour towards peers and medical (and all other) colleagues and awareness of social and ethical issues including risk assessment.

The CPA has components which assess Clinical Communication, History Taking, Examination Skills, Clinical Reasoning, Professional Practice, Reflective Practice, Social/Cultural Competence and Safety. There is also a Student Flag component which allows a supervisor to report a student with concerning unprofessional or unsafe behaviour. The Student Flag component also provides a mechanism for notifying exemplary performance to the School.

To maximise your learning students are encouraged to actively seek feedback from their clinical teacher/s during their clinical placement. This will assist in identifying any areas requiring further improvement before your final Clinical Participation Assessment is completed. Passive attendance without active engagement in the clinical setting may contribute to a FAIL for this assessment task.

The CPA rubric can be found in the Blackboard Course Site for guidance so that you are familiar with marking criteria for each component. 

Criteria & Marking: 


The CPA is a global assessment of professional and clinical practice and contribute to your overall performance in the following ways: 

  1. If you are enrolled concurrently in the WLP course, four components contribute to this MEDI7314 course (Clinical Communication, History Taking, Examination Skills, Clinical Reasoning) and the remaining components (Engagement in Practice, Professional Practice, Reflective Practice, Social/Cultural Competence and Safety and Student Flag) contribute to the WLP course. 
  2. If you are not enrolled concurrently in the WLP course all components contribute to this MEDI7314 course. 


Additional information may be received by staff from clinical placement site/s where you completed this course. This will be reviewed by the Course Coordinator and ratings completed by your supervisor in the CPA may be revised. For example, if your supervisor rated you as satisfactory related to professional conduct but the Medical School has other information available, the supervisor’s ratings may be moderated based on this additional information. 

Your performance will also be reviewed at the End of Semester Examiner’s meeting and following discussion you may receive a non-graded fail for the course, if: 

  • There are any unsatisfactory results recorded in any of the CPA components contributing to this course (including moderations made by the Course Coordinator) 
  • There are four or more borderline results recorded in any of the CPA components contributing to this course (including moderations made by the Course Coordinator) 
  • The required number of CPAs have not been submitted to your supervisor for completion by the due date. 

Factors that will be taken into account during the review undertaken at the End of Semester Examiner’s meeting include: 


  • Evidence of temporal improvement in performance across the course (if applicable) 
  • Completion and content of the WLP Task Review in response to unsatisfactory or borderline ratings 
  • Relative opportunity available across the semester 
  • Other factors relevant to your performance 

Hurdle requirements

Performance Hurdle: You must complete and meet the passing standard to pass the course.

Submission guidelines

A function of the CPA discussion and form completion is to consider information from the whole placement.


For HP students, you are expected to complete your CPA discussion and submit your CPA form during mid-placement and the final week of placement. Given clinician availability, there may be times when this is not always possible. If you complete your CPA discussion and submit your CPA form before the specified due dates, additional information obtained by your supervisor or Course Coordinator maybe considered to add to that discussed and submitted. Therefore, you are discouraged from completing the CPA discussion and form submission early.

For HP+ students, you are expected to complete your CPA discussion and submit your CPA form during the final week of placement. Given clinician availability, there may be times when this is not always possible. If you complete your CPA discussion and submit your CPA form before the penultimate week of placement, additional information obtained by your supervisor or Course Coordinator maybe considered to add to that discussed and submitted. Therefore, you are discouraged from completing the CPA discussion and form submission early.

 

You are expected to engage in discussions about your performance with your supervisor or their delegate throughout the course, preferably face-to-face. To ensure you receive synchronous feedback from your supervisor or their delegate, you are encouraged to request your supervisor to complete the assessment in real-time before the end of your placement. However, if your supervisor is unable to assess in real-time, you have the option to submit your CPA to your supervisor or their delegate, on or before the due date specified in the Assessment Section of this Course Profile, using the Email for later option in MyProgress. CPAs submitted after the due date without an approved extension will not be accepted and may result in a course failure.

 

If your supervisor has not assessed your CPA within 7 days after submission, you are encouraged to send a gentle reminder email to your supervisor via MyProgress. If there are problems contacting your supervisor or if your CPA remains unassessed, please contact your local Student Coordinator.

Deferral or extension

You may be able to apply for an extension.

Late submission

If you fail to meet the submission deadline for any Clinical Participation Assessment without an approved extension, it will not be accepted and may result in course failure regardless of whether the supervisor has rated your participation at a satisfactory or proficient level in the related course components. 

Course grading

Full criteria for each grade is available in the Assessment Procedure.

Pass/Fails Description
Pass

Course grade description: Demonstrated evidence of competency in meeting course learning objectives.

Fail

Course grade description: Insufficient evidence of competency in meeting course learning objectives.

Additional course grading information

PASS: Awarded where you achieve ALL of the following:

  • Complete all assessment items, 
  • Meet the criteria for the Clinical Participation Assessment/s (CPA) detailed in the Assessment detail section,
  • Meet the passing standard for the Oral Component,
  • Meet the passing standard for the Written Component.


Marginal Fail: You will receive a Marginal Fail if you:


  • Meet the criteria for the Clinical Participation Assessment/s (CPA) detailed in the Assessment detail section 

AND

  • fail any ONE of the following marked assessment tasks:
  • Oral Component
  • Written Component

OR

  • have a late penalty applied for the Long Case Logs or the Practice Long Case


Non-Marginal Fail: You will receive a Non-Marginal Fail grade if you:


  • Fail BOTH of the following marked assessment components:
  • Oral Component
  • Written Component

OR

  • Do not meet the criteria for the Clinical Participation Assessment/s (CPA)

Supplementary assessment

Supplementary assessment is not available for some items in this course.

If you fail the Clinical Participation Assessment (CPA), you will not be eligible for a supplementary assessment/examination. These assessments are based on the successful development and demonstration of professional competencies over the entire clinical placement and a record of attendance at all clinical placement days throughout the entire clinical placement, as required in the Medical Program Participation Guidelines.

Supplementary assessment will only be awarded where, in the judgement of the Associate Dean (Academic), you have marginally failed to attain the level of competence required for a passing grade in this course as per Assessment Procedures .

If you are eligible for a supplementary assessment, you will generally be required to complete the assessment task or tasks where you did not meet the expected standard.

Additional assessment information

ExamSoft Examinations

Examinations in this course may be administered on the ExamSoft and Examplify electronic assessment platforms. The use of this system enables the provision of more detailed feedback to students and better tracking and ongoing refinement of examination items by staff.


Remark of assessment

Long Case Examinations and case based scenarios are clinical examinations which are not eligible for requests for remark. Such assessments comprise expert evaluation by experienced, trained specialist clinician examiners which cannot be replicated or duplicated.

The Clinical Participation Assessment is not eligible for requests for re-mark. This assessment comprises expert evaluation over an extended period within an authentic clinical learning environment which cannot be duplicated. This assessment therefore cannot be re-marked, and it cannot be cross-marked by another examiner.


Previous academic difficulties 

If you have experienced academic difficulties in previous years of the Program or during clinical placement, you are encouraged to reflect on the nature of these difficulties and discuss any need for extra assistance with your Course Coordinator/s and clinical unit / Learning Community at the beginning of the course. 


Use of Artificial Intelligence in Assessments 

Assessment evaluates your abilities, skills and knowledge without the aid of Artificial Intelligence (AI). You are advised that the use of AI technologies to develop responses is strictly prohibited and may constitute student misconduct under the Student Code of Conduct. 

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.

Learning activities

The learning activities for this course are outlined below. Learn more about the learning outcomes that apply to this course.

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Learning period Activity type Topic
Workshop

Introductory Week: 17 - 21 June 2024

Introductory week for the Hospital Practice (and Hospital Practice +) Semester

Learning outcomes: L01, L08

Multiple weeks

From Week 1 To Week 18

Clinical coaching

Clinical Bedside Coaching

The Year 3 Clinical Bedside Coaching sessions are designed to train students in clinical history taking and examination skills. This is essential preparation for their clinical examinations at the end of the relevant clinical block. The examination format is roughly parallel to that of the Royal Australasian College of Physicians (FRACP) clinical examination but the standard to be reached is that expected of a Year 3 medical student.

CLINICAL EXAMINATIONS In the long case examination, the student has one hour to take a history from a patient and perform physical examination. Ten minutes should be allowed to formulate the history and examination findings for presentation and prepare for discussion of the case with two examiners. As in the FRACP, the discussion is focused on the particular case the student has interviewed and examined.

AIMS OF CLINICAL BEDSIDE COACHING The Year 3 students have limited experience of clinical examinations. Without specific practice directed towards developing skills in history taking and clinical examination they find this examination difficult.

Clinical bedside coaching sessions are the main preparation they receive for the clinical examination. These sessions should provide instruction in:

  • how to take a reliable medical history
  • how to make a systematic examination of the main organ systems
  • how to elicit physical signs correctly
  • how to detect abnormal signs and the pathophysiology underlying the signs, using available clinical case material.

Tutors should also provide students with the opportunity to practice performing history taking, physical examinations and presentations within the required time frame and have the opportunity to practise dealing with questioning related to the case.

Examination of the following major systems should be included:

  • Cardiovascular
  • Respiratory
  • Gastrointestinal
  • Haematological
  • Musculo-skeletal
  • Endocrine
  • Neurological.

Learning outcomes: L01, L03, L04, L05, L06, L07

Placement

Long Case log book

Students to document 8 clinical cases seen during their Medicine placement/s in their Clinical case logbook or using the online forms.

Learning outcomes: L01, L03, L04, L05, L06, L07

Tutorial

Tutorial and Clinical Placement Program

1. Formal teaching. Formal supervised teaching time amounts to at least 8 hours per week, including case tutorials / clinical reasoning tutorials, grand rounds or equivalent, ward rounds and outpatient clinics, and long and short case presentation tutorials. Other tutorials vary from site to site. At some sites, subspecialty experience is part of the placement but generally this is left to Year 4.

2. Clinical Placement. Year 3 students will be attached to medical units throughout their placement and will be given timetables with structured activities. The content of the timetable is variable between hospitals. In general, 8 hours of facilitated activity is defined as protected time that the students MUST be on the wards, seeing patients, with someone available to give them advice or help. In practical terms, this is most commonly the junior ward staff.

The Discipline requires that during unscheduled/unstructured time, students should spend as much time as possible in the wards attending ward rounds, clerking patients and participating in the general activities of the unit. Spending evenings in the hospital on take with the admitting team is very worthwhile.

Learning outcomes: L01, L02, L03, L04, L05, L06, L07, L08

Tutorial

Clinical Reasoning Tutorials

Face-to-Face, weekly interactive tutorials.

Learning outcomes: L01, L02

Policies and guidelines

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:

Learn more about UQ policies on my.UQ and the Policy and Procedure Library.

School guidelines

Your school has additional guidelines you'll need to follow for this course: