MEDI8203 – Critical Care, Patient Safety and Quality, and Research

2021 – Medicine and Health Sciences MDB, Weekday attendance, North Ryde

Session 2 Learning and Teaching Update

The decision has been made to conduct study online for the remainder of Session 2 for all units WITHOUT mandatory on-campus learning activities. Exams for Session 2 will also be online where possible to do so.

This is due to the extension of the lockdown orders and to provide certainty around arrangements for the remainder of Session 2. We hope to return to campus beyond Session 2 as soon as it is safe and appropriate to do so.

Some classes/teaching activities cannot be moved online and must be taught on campus. You should already know if you are in one of these classes/teaching activities and your unit convenor will provide you with more information via iLearn. If you want to confirm, see the list of units with mandatory on-campus classes/teaching activities.

Visit the MQ COVID-19 information page for more detail.

General Information

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Unit convenor and teaching staff	Unit convenor and teaching staff Unit Convenor Dr Grant Shalaby grant.shalaby@mq.edu.au 75 Talavera Road Research Lead Prof Frances Rapport frances.rapport@mq.edu.au 75 Talavera Road Patient Safety & Quality Lead Prof Cliff Hughes cliff.hughes@mq.edu.au 75 Talavera Road Year Lead Dr John Turchini john.turchini@mq.edu.au 75 Talavera Road Stage Lead A/Prof Bernard Champion bernard.champion@mq.edu.au 75 Talavera Road Joy Kennedy joy.kennedy@mq.edu.au
Credit points	Credit points 10
Prerequisites	Prerequisites (MEDI8200 or MEDI920) and (MEDI8201 or MEDI921) and (MEDI8202 or MEDI922)
Corequisites	Corequisites
Co-badged status	Co-badged status
Unit description	Unit description This 8 week unit provides you with focused learning on the patient safety and quality aspects of health systems, framed within the clinical context of critical care and anaesthetics. You will explore evaluation of system-wide safety interventions and high-quality care; medical error; open disclosure and incident management; digital technology in healthcare, and the role of systems, people and services in the development and delivery of resilient healthcare. The unit incorporates an experiential learning component contextually focused on patient-centred health care delivered in the clinical disciplines of critical care and anaesthetics. The unit includes weekly lectures/seminars, case based learning sessions, clinical bedside tutorials, clinical simulation sessions, as well as clinical placements to ensure you are prepared for Stage 2 of the Macquarie MD. Your learning is integrated with advanced learning about research methodologies to prepare you for your Research Project which you will complete in Stage 2. You are expected to use these learning opportunities to demonstrate significant progress toward the development of the 4 Macquarie MD Graduate Capabilities: Scientist and Scholar, Clinical Practitioner, Engaged Global Citizen and Professional, and the Entrustable Professional Activities, at a standard appropriate to end of Stage 1 of the Macquarie MD.

Important Academic Dates

Information about important academic dates including deadlines for withdrawing from units are available at https://www.mq.edu.au/study/calendar-of-dates

Learning Outcomes

On successful completion of this unit, you will be able to:

ULO1: Apply knowledge of relevant medical sciences, clinical presentations, scientific principles and mechanisms of disease to explain a variety of common or clinically-significant disease states, as well as how drugs and other treatments are used to manage or prevent disease in various population sub-groups (Capability 1: Scientist and Scholar)
ULO2: Identify questions and learning needs arising from clinical cases, and work individually or as part of a group to create appropriate responses to clinical scenarios, relevant to critical care, by evaluating evidence from a range of sources, including medical scientific literature (Capability 1: Scientist and Scholar)
ULO3: Construct appropriate research questions and critique methodologies that might be applied to address research questions (Capability 1: Scientist and Scholar)
ULO4: Apply basic research methodology and information search strategies to identify evidence to answer relevant clinical research questions (Capability 1: Scientist and Scholar)
ULO5: Perform clinical interviews and examinations efficiently with patients presenting with health conditions covered in Stage 1; and employ sound clinical reasoning skills in deriving diagnoses and management plans that encompass the multiple aspects of the given health issue (Capability 2: Clinical Practitioner)
ULO6: Evaluate system-wide safety interventions and high-quality care, including evaluation of the importance of patient safety and quality, the measurement and assessment of patient safety and quality, and the role of technology, systems, people and services (Capability 3: Engaged Global Citizen)
ULO7: Discuss factors affecting and promoting patient safety and quality in private and public healthcare settings, including medical error, open disclosure and incident management, use of technology in healthcare, and patient management and transference (Capability 3: Engaged Global Citizen)
ULO8: Recognise patient safety measures and the impact adverse events have on health service delivery and patient outcomes (Capability 4: Professional)
ULO9: Use feedback from teachers, clinicians, peers and patients, to inform self-evaluation and critical reflection (Capability 4: Professional)

Assessment Tasks

Name	Weighting	Hurdle	Due
Research Project Plan	20%	Yes	MDB Week 4
Clinical Quiz	20%	No	MDB Week 5
Bedside tutor report and logbook	0%	No	MDB Week 6
Objective Structured Clinical Examination (OSCE)	60%	Yes	MDB Week 7

Research Project Plan

Assessment Type ¹: Report
Indicative Time on Task ²: 24 hours
Due: MDB Week 4
Weighting: 20%
This is a hurdle assessment task (see assessment policy for more information on hurdle assessment tasks)

Submit a draft research proposal that includes the research question (s), aim (s) and objective (s) for the project to be completed in Stage 2. Overall performance and capability aspects will be assessed and recorded in your Macquarie Assessment Portfolio.

On successful completion you will be able to:

Construct appropriate research questions and critique methodologies that might be applied to address research questions (Capability 1: Scientist and Scholar)
Apply basic research methodology and information search strategies to identify evidence to answer relevant clinical research questions (Capability 1: Scientist and Scholar)
Evaluate system-wide safety interventions and high-quality care, including evaluation of the importance of patient safety and quality, the measurement and assessment of patient safety and quality, and the role of technology, systems, people and services (Capability 3: Engaged Global Citizen)
Discuss factors affecting and promoting patient safety and quality in private and public healthcare settings, including medical error, open disclosure and incident management, use of technology in healthcare, and patient management and transference (Capability 3: Engaged Global Citizen)
Recognise patient safety measures and the impact adverse events have on health service delivery and patient outcomes (Capability 4: Professional)
Use feedback from teachers, clinicians, peers and patients, to inform self-evaluation and critical reflection (Capability 4: Professional)

Clinical Quiz

Assessment Type ¹: Examination
Indicative Time on Task ²: 12 hours
Due: MDB Week 5
Weighting: 20%

The Clinical Quiz is a written examination consisting of mainly multiple choice and some short answer questions which will be mapped to capability aspects. Overall and capability aspects performance will be recorded in your Macquarie Assessment Portfolio.

On successful completion you will be able to:

Apply knowledge of relevant medical sciences, clinical presentations, scientific principles and mechanisms of disease to explain a variety of common or clinically-significant disease states, as well as how drugs and other treatments are used to manage or prevent disease in various population sub-groups (Capability 1: Scientist and Scholar)
Identify questions and learning needs arising from clinical cases, and work individually or as part of a group to create appropriate responses to clinical scenarios, relevant to critical care, by evaluating evidence from a range of sources, including medical scientific literature (Capability 1: Scientist and Scholar)
Evaluate system-wide safety interventions and high-quality care, including evaluation of the importance of patient safety and quality, the measurement and assessment of patient safety and quality, and the role of technology, systems, people and services (Capability 3: Engaged Global Citizen)
Discuss factors affecting and promoting patient safety and quality in private and public healthcare settings, including medical error, open disclosure and incident management, use of technology in healthcare, and patient management and transference (Capability 3: Engaged Global Citizen)
Recognise patient safety measures and the impact adverse events have on health service delivery and patient outcomes (Capability 4: Professional)

Bedside tutor report and logbook

Assessment Type ¹: Clinical performance evaluation
Indicative Time on Task ²: 4 hours
Due: MDB Week 6
Weighting: 0%

The bedside tutor will provide a supervision rating on the Stage 1 Entrustable Professional Activities and review your logbook and provide an assessment of capability aspect. The results which will be recorded in your Macquarie Assessment Portfolio.

On successful completion you will be able to:

Apply knowledge of relevant medical sciences, clinical presentations, scientific principles and mechanisms of disease to explain a variety of common or clinically-significant disease states, as well as how drugs and other treatments are used to manage or prevent disease in various population sub-groups (Capability 1: Scientist and Scholar)
Identify questions and learning needs arising from clinical cases, and work individually or as part of a group to create appropriate responses to clinical scenarios, relevant to critical care, by evaluating evidence from a range of sources, including medical scientific literature (Capability 1: Scientist and Scholar)
Evaluate system-wide safety interventions and high-quality care, including evaluation of the importance of patient safety and quality, the measurement and assessment of patient safety and quality, and the role of technology, systems, people and services (Capability 3: Engaged Global Citizen)
Discuss factors affecting and promoting patient safety and quality in private and public healthcare settings, including medical error, open disclosure and incident management, use of technology in healthcare, and patient management and transference (Capability 3: Engaged Global Citizen)
Recognise patient safety measures and the impact adverse events have on health service delivery and patient outcomes (Capability 4: Professional)
Use feedback from teachers, clinicians, peers and patients, to inform self-evaluation and critical reflection (Capability 4: Professional)

Objective Structured Clinical Examination (OSCE)

Assessment Type ¹: Clinical performance evaluation
Indicative Time on Task ²: 35 hours
Due: MDB Week 7
Weighting: 60%
This is a hurdle assessment task (see assessment policy for more information on hurdle assessment tasks)

The OSCE will have numerous stations and cover all of Stage 1 content. For each station, overall performance, capability aspects and Stage 1 Entrustable Professional Activities will be assessed and recorded in your Macquarie Assessment Portfolio.

On successful completion you will be able to:

Apply knowledge of relevant medical sciences, clinical presentations, scientific principles and mechanisms of disease to explain a variety of common or clinically-significant disease states, as well as how drugs and other treatments are used to manage or prevent disease in various population sub-groups (Capability 1: Scientist and Scholar)
Identify questions and learning needs arising from clinical cases, and work individually or as part of a group to create appropriate responses to clinical scenarios, relevant to critical care, by evaluating evidence from a range of sources, including medical scientific literature (Capability 1: Scientist and Scholar)
Perform clinical interviews and examinations efficiently with patients presenting with health conditions covered in Stage 1; and employ sound clinical reasoning skills in deriving diagnoses and management plans that encompass the multiple aspects of the given health issue (Capability 2: Clinical Practitioner)
Evaluate system-wide safety interventions and high-quality care, including evaluation of the importance of patient safety and quality, the measurement and assessment of patient safety and quality, and the role of technology, systems, people and services (Capability 3: Engaged Global Citizen)
Discuss factors affecting and promoting patient safety and quality in private and public healthcare settings, including medical error, open disclosure and incident management, use of technology in healthcare, and patient management and transference (Capability 3: Engaged Global Citizen)
Recognise patient safety measures and the impact adverse events have on health service delivery and patient outcomes (Capability 4: Professional)
Use feedback from teachers, clinicians, peers and patients, to inform self-evaluation and critical reflection (Capability 4: Professional)

¹ If you need help with your assignment, please contact:

the academic teaching staff in your unit for guidance in understanding or completing this type of assessment
the Writing Centre for academic skills support.

² Indicative time-on-task is an estimate of the time required for completion of the assessment task and is subject to individual variation

Delivery and Resources

TEACHING AND LEARNING STRATEGY

This unit will be delivered over a 5-week block, followed by a 3-week assessment period. Each week will consist of 2-3 hours longitudinal lecture series, 2 hours unit-specific tutorials, 2 hours case-based tutorials, 2 hours bedside tutorials and 8 hours of immersive clinical experience and clinical simulation in critical care to enhance knowledge and skill development. 4 hours of lectures are assigned to the research component of the unit.

MACQUARIE MD TEXTBOOK LIST - YEAR 2 2021

Primary Texts:

Medicine: Davidson’s principles and practice of medicine (22nd edition). Colledge et al (2014). ISBN: 9780702050350.
Surgery: Davidson's Principles and Practice of Surgery. 7th Ed (2017). Garden OJ, Bradbury AW, Forsythe JLR, Parks RW editors. Philadelphia: Churchill Livingstone Elsevier.

Additional Optional Texts:

Surgery: Henry MM, Thompson JN, editors. Clinical Surgery. 3rd Edition. Edinburgh: Saunders; 2012
Microbiology: Goering et al (2013). Mims’ medical microbiology (5th edition). ISBN: 9780723436010.
Pathology: Kumar et al. Robbins and Cotran pathologic basis of disease (9th edition). ISBN: 9781455726134.
Pharmacology: Rang et al (2016). Rang and Dale’s pharmacology (8th edition). ISBN: 9780702053627
Clinical Skills: Talley, N., O'Connor, S. (2017) Clinical examination. A systematic guide to physical diagnosis (8th ed.) Elsevier. ISBN 9780729542869.
Procedural Skills: Dehn, R & Asprey, D. (2013). Essential Clinical Procedures (3rd ed.) Elsevier Saunders. ISBN 9781455707812.

MEDI8203 Critical Care, Patient Safety and Quality, and Research

Critical Care: Bersten, A., (Ed.). (2013). Oh's Intensive Care Manual (7th ed.). Elsevier Health Sciences
Research Methodology: Harris, M., & Taylor, G. (2014). Medical Statistics Made Easy: 3rd Edition. Scion Publications.

TECHNOLOGY AND EQUIPMENT

Macquarie University is a BYOD environment where students are encouraged to bring their personally owned devices (laptops, tablets, etc.) to learning activities and to use these devices to access information and study.

On-campus

Teaching rooms are equipped with state of the art audio-visual and ICT equipment including iPads, internet connection and multiple LCD screens. Students will use a range of specific equipment typically used in the assessment and management of people with a range of health conditions.

Off-campus

To study optimally when off campus you will need to have access to a reliable internet connection to retrieve unit information, and at times to submit assessment tasks via iLearn.

CONSULTATION WITH STAFF

Staff will be available for individual consultations, please see iLearn site for information on staff availability for consultation.

iLEARN

Unit specific content will be located on the MEDI8203 Critical Care, Patient Safety and Quality, and Research 2020 Intake iLearn site.
Research content will be located on the MQMDResearch Macquarie MD Research - Intake 2020 iLearn site.
The longitudinal lecture series will be located on the Macquarie MD Year 2 - 2020 Intake iLearn site.
Assessment information will be available on the Macquarie MD Assessment 2020 Intake iLearn site.
Logistical and organisational information specific to the cohort will be located on the Macquarie MD 2020 Intake Noticeboard iLearn Site.
Policy and Guidelines for the Macquarie MD will be located on the MDCU Doctor of Medicine Community iLearn site.

Policies and Procedures

Macquarie University policies and procedures are accessible from Policy Central (https://policies.mq.edu.au). Students should be aware of the following policies in particular with regard to Learning and Teaching:

Students seeking more policy resources can visit Student Policies (https://students.mq.edu.au/support/study/policies). It is your one-stop-shop for the key policies you need to know about throughout your undergraduate student journey.

To find other policies relating to Teaching and Learning, visit Policy Central (https://policies.mq.edu.au) and use the search tool.

Student Code of Conduct

Macquarie University students have a responsibility to be familiar with the Student Code of Conduct: https://students.mq.edu.au/admin/other-resources/student-conduct

Results

Results published on platform other than eStudent, (eg. iLearn, Coursera etc.) or released directly by your Unit Convenor, are not confirmed as they are subject to final approval by the University. Once approved, final results will be sent to your student email address and will be made available in eStudent. For more information visit ask.mq.edu.au or if you are a Global MBA student contact globalmba.support@mq.edu.au

Student Support

Macquarie University provides a range of support services for students. For details, visit http://students.mq.edu.au/support/

Learning Skills

Learning Skills (mq.edu.au/learningskills) provides academic writing resources and study strategies to help you improve your marks and take control of your study.

The Library provides online and face to face support to help you find and use relevant information resources.

Student Services and Support

Students with a disability are encouraged to contact the Disability Service who can provide appropriate help with any issues that arise during their studies.

Student Enquiries

For all student enquiries, visit Student Connect at ask.mq.edu.au

If you are a Global MBA student contact globalmba.support@mq.edu.au

IT Help

For help with University computer systems and technology, visit http://www.mq.edu.au/about_us/offices_and_units/information_technology/help/.

When using the University's IT, you must adhere to the Acceptable Use of IT Resources Policy. The policy applies to all who connect to the MQ network including students.

Changes since First Published

Date	Description
10/09/2021	Updated staff contacts and iLearn site information