Students

MEDI911 – Clinical Practice 1

2019 – S1 Day

General Information

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Unit convenor and teaching staff Unit convenor and teaching staff Procedural Skills Coordinator
Wanda McDermott
Clinical Skills Tutorial Rooms
Consultation by appointment Email wanda.mcdermott@mq.edu.au
Tutor
Dayna Griffin
Consultation by appointment. Email dayna.griffin@mq.edu.au
Tutor
Mark Lee
Consultation by appointment. Email mark.y.lee@mqhealth.org.au
Tutor
Luke Morphett
Consultation by appointment Email luke.morphett@mqhealth.org.au
Tutor
Janani Mahadeva
Consultation by appointment Email janani.mahadeva@mqhealth.org.au
Stage 1 Lead
Bernard Champion
Consultation by appointment Email bernard.champion@mq.edu.au
Tutor
Jo Lobb
Consultation by appointment Email jo.lobb@mqhealth.org.au
Tutor
Kim Chau-Vo
Consultation by appointment Email kim.t.chau-vo@mqhealth.org.au
Joy Kennedy
Collette Tosen
Credit points Credit points
4
Prerequisites Prerequisites
Admission to MD
Corequisites Corequisites
MEDI910 and MEDI912
Co-badged status Co-badged status
Unit description Unit description
This unit introduces students to the principles underpinning the clinical practice of medicine. It provides students with opportunities to develop and practice consulting (communication and history taking) skills, physical examination skills, basic procedural skills and simple diagnostic skills within a safe learning environment. Clinical knowledge relating to several body systems and regions will be developed by studying the disciplines of cardiology, respiratory medicine, nephrology, urology and gastroenterology. Clinical skills training will occur in both small and large group experiential learning activities. Students will progressively develop and integrate basic consulting, communication and procedural skills with a focus on the mastery of normal systems.

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:

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

General Assessment Information

Detailed Information regarding the assessment for the Macquarie MD is available on the iLearn Macquarie MD Year Noticeboard 2019 Intake site. Further details for each assessment task will be available on iLearn.

Grading

In this unit two types of grading will be used, and a supervision recommendation will be given where a clinical assessment relates to a Stage 1 Entrustable Professional Activity (EPA). The written examination will be graded numerically with a standardised mark out of 100, while the OSCE will be coarse graded. Coarse grades (P+, P, P-, F) will be assigned to the focused and generic MD Capability Aspects as well as overall task performance. The numeric marks for the examinations and overall coarse grade for the assessment task weighted according to their contribution will be used to calculate the overall  Unit aggregate. Unit outcomes, based on the Unit aggregate, will be reported to the University using the standard Macquarie grades (High Distinction, Distinction, Credit, Pass, Fail). Because most assessment tasks in the program are coarse graded, a single standardised numerical grade (SNG) equivalent will be reported for each University grade. Both the numeric equivalents for the coarse grades used in the calculation of the unit aggregate and the conversion of the aggregate to a single SNG are available on the iLearn Macquarie MD Year Noticeboard 2019 Intake site. 

All final grades in the Macquarie MD are reviewed by the MD Program and Faculty Assessment Committees and are not the sole responsibility of the Unit Convenor.

To pass this unit, students must demonstrate sufficient evidence of achievement of the learning outcomes, attempt all assessment tasks, meet any ungraded requirements which include professionalism, submission of sufficient number and satisfactory performance in Direct Observation of Procedural Skills (DOPS) and Mini Clinical Evaluation Exercise (Mini-Cex)  and achieve a unit aggregate of 50% or better.

Extensions for Assessment tasks

Applications for assessment task extensions must be submitted via www.ask.mq.edu.au. For further details please refer to the Special Consideration Policy available at https://students.mq.edu.au/study/my-study-program/special-consideration

 Professional Expectations

Professionalism is a key capability embedded in the Macquarie MD. As part of developing professionalism, Macquarie MD students are expected to attend all small group interactive sessions including tutorials, clinical and laboratory practical sessions, and Team Based Learning activities. Students are also expected to attend the weekly Clinical Practice Masterclass. If attendance is deemed to be of concern, this will be referred to the Lead (Student Professionalism) for remediation, subsequent monitoring, and recording in the portfolio. All lectures, practicals and clinical colloquium sessions are scheduled in the Macquarie MD year 1 Session 1 Timetable available on the iLearn Macquarie MD Year Noticeboard 2019 Intake site. 

Similarly, as part of developing professionalism, Macquarie MD students are expected to submit all work by the due date.  Late submission without prior approved extension will result in a professionalism breach notification in the portfolio. 

 

Assessment Tasks

Name Weighting Hurdle Due
AT1: OSCE 60% No Week 15
AT2: Final Exam 40% No Week 14
AT3: DOPS 0% No During Session
AT4: Mini-CEX 0% No During Session

AT1: OSCE

Due: Week 15
Weighting: 60%

Objective Structured Clinical Examination


On successful completion you will be able to:
  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.

AT2: Final Exam

Due: Week 14
Weighting: 40%

Written Final Examination


On successful completion you will be able to:
  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.

AT3: DOPS

Due: During Session
Weighting: 0%

Direct Observation of Procedural Skills


On successful completion you will be able to:
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

AT4: Mini-CEX

Due: During Session
Weighting: 0%

Mini-Clinical Evaluation Exercise


On successful completion you will be able to:
  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

Delivery and Resources

Textbooks and Readings

The following text is compulsory. Students will be required to have a copy of this text to complete the unit.

Talley, N., O'Connor, S. (2017) Clinical examination. A systematic guide to physical diagnosis (8th ed.) Elsevier. 

Other useful texts include:

Dennis M, Bowen W, Cho L. Mechanisms of Clinical Signs (2nd Ed) Elsevier

Silverman JD, Kurtz SM, Draper J (1998) Skills for Communicating with Patients. 3rd Ed (Sept 2013) Radcliffe Medical Press (Oxford)

Dehn, R & Asprey, D. (2013). Essential Clinical Procedures (3rd ed.) Elsevier Saunders

Technology and equipment

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

 

On-campus

Teaching rooms are equipped with state of 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.

Teaching and Learning Strategy

This unit will have a 2 hour masterclass, 2 hour tutorial and 2 hour core skills tutorial every week. Masterclass tutorials will provide foundation knowledge and also use large and small group demonstrations and discussion with clinical specialists. Core skills tutorials will enable students to practice clinical skills covered during the masterclass and other tutorials.  

iLearn

This unit's iLearn site will provide weekly resources for students, including:

  • tutorial notes
  • tutorial worksheets
  • preparation and consolidation material
  • videos
  • other teaching resources
  • assessment details

Policies and Procedures

Macquarie University policies and procedures are accessible from Policy Central (https://staff.mq.edu.au/work/strategy-planning-and-governance/university-policies-and-procedures/policy-central). Students should be aware of the following policies in particular with regard to Learning and Teaching:

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

If you would like to see all the policies relevant to Learning and Teaching visit Policy Central (https://staff.mq.edu.au/work/strategy-planning-and-governance/university-policies-and-procedures/policy-central).

Student Code of Conduct

Macquarie University students have a responsibility to be familiar with the Student Code of Conduct: https://students.mq.edu.au/study/getting-started/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 improve your marks and take control of your study.

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.

Graduate Capabilities

PG - Capable of Professional and Personal Judgment and Initiative

Our postgraduates will demonstrate a high standard of discernment and common sense in their professional and personal judgment. They will have the ability to make informed choices and decisions that reflect both the nature of their professional work and their personal perspectives.

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

PG - Discipline Knowledge and Skills

Our postgraduates will be able to demonstrate a significantly enhanced depth and breadth of knowledge, scholarly understanding, and specific subject content knowledge in their chosen fields.

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

PG - Critical, Analytical and Integrative Thinking

Our postgraduates will be capable of utilising and reflecting on prior knowledge and experience, of applying higher level critical thinking skills, and of integrating and synthesising learning and knowledge from a range of sources and environments. A characteristic of this form of thinking is the generation of new, professionally oriented knowledge through personal or group-based critique of practice and theory.

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

PG - Research and Problem Solving Capability

Our postgraduates will be capable of systematic enquiry; able to use research skills to create new knowledge that can be applied to real world issues, or contribute to a field of study or practice to enhance society. They will be capable of creative questioning, problem finding and problem solving.

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

PG - Effective Communication

Our postgraduates will be able to communicate effectively and convey their views to different social, cultural, and professional audiences. They will be able to use a variety of technologically supported media to communicate with empathy using a range of written, spoken or visual formats.

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

PG - Engaged and Responsible, Active and Ethical Citizens

Our postgraduates will be ethically aware and capable of confident transformative action in relation to their professional responsibilities and the wider community. They will have a sense of connectedness with others and country and have a sense of mutual obligation. They will be able to appreciate the impact of their professional roles for social justice and inclusion related to national and global issues

This graduate capability is supported by:

Learning outcomes

  • Clinical Practitioner: Demonstrate the ability to design and conduct a concise and accurate medial history of people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate the ability to plan and conduct a comprehensive physical examination, including the appropriate procedural skills, on people simulating health conditions of the cardiac, respiratory, gastrointestinal, renal and urological systems.
  • Clinical Practitioner: Demonstrate competency in performing basic procedural skills on people simulating health conditions including respectfully adapting communication to address environmental and personal factors.
  • Clinical Practitioner: Interpret and analyse information obtained from a comprehensive history and examination to generate a list of differential diagnoses, impairments and activity limitations.
  • Clinical Practitioner: Explain scientific and clinical information effectively to peers and tutors using the most appropriate scientific sources.
  • Clinical Practitioner: Demonstrate competency in formulating relevant clinical questions about diagnosis, prognosis and treatment of conditions for which people seek healthcare.
  • Engaged Global Citizen: Explains how psychological, social and cultural issues affect the health of individuals and populations and how these might be mediated, while respecting diversity.
  • Professional: Participate effectively in classes and peer teams, by seeking feedback on own performances and reflecting on the feedback to generate strategies that improve individual and team performance.

Assessment tasks

  • AT1: OSCE
  • AT2: Final Exam
  • AT3: DOPS
  • AT4: Mini-CEX

Changes from Previous Offering

Based on staff and student feedback, changes to the order of content and timing of assessments have been maded to improve the student experiences.