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Dr Jo Thomas is Coordinator of Year 3 Clinical skills program

There are Clinical Skills Lecturers at each site, who are responsible for the program:
NALHN: Dr Jenny Cook-Foxwell, Dr Wing Cheung
TQEH: Dr. Robin Limb
RAH: Dr John Agzarian and a Medical Education fellow

There are Professional staff at each clinical site (precinct), who assist with the program.

We provide a handbook and  relevant site specific details and timetables are posted on the MyUni site. Updates may also occur in email and morning briefings will occur at each site.

1	Able to confidently approach appropriate patients in hospital and general practice settings
2	Able to take a full history from a variety of patients including exploration of the patient’s presenting problems in detail, maintaining respect for the patient’s cultural, religious and social background
3	Able to conduct a physical examination on a real patient, appropriate to the history and with respect for patient comfort at all times
4	Able to detect common physical signs on real patients
5	Able to process history and examination findings to formulate a problem list, limited differential diagnosis and basic management plan
6	Able to present findings in both a written and oral presentation (as would be appropriate for clinical attachments e.g. ward rounds)
7	Develop an awareness of hospital and general practice care, including investigation and management of common conditions
8	Increase knowledge of medications used for common conditions and familiarisation with hospital medication charts
9	Behave in a professional manner in all clinical encounters

A stethoscope and 最新糖心Vlog ID badge are essential equipment. You may find it useful to carry a pen torch, ophthalmoscope and tendon hammer to the wards.  Other equipment such as neurological examination kits are usually available for loan from the precinct staff. Students may have already purchased a standard medical examination kit.

最新糖心Vlogn Medicines Handbook is available online and is a required resource.
Clinical Examination Checklists are provided in the handbook.

Recommended resources will be advised as appropriate.

Suggested texts
Talley & O’Connor, Clinical Examination
Swartz, Textbook of Physical Diagnosis: History and Examination
Tierney & Henderson, The Patient History: Evidence-based Approach
Lloyd & Bor, Communication Skills for Medicine
Hampton, The ECG Made easy
最新糖心Vlogn Medicines Handbook (AMH)
SGRHS DVD, A Guide to Clinical Examination

Clinical Education Offices Resources
There are also limited numbers of neurological examination kits, copies of the AMH, textbooks and Physical Examination DVDs available in the clinical education offices.

MyUni

Resources for this course can be found on the MyUni website, under year 3 clinical skills.

Details for allocation and clinical placement requirements will also be provided through the dedicated medical curriculum website: http://curriculum.medicine.adelaide.edu.au/index.asp

The clinical skills course includes lectures, bedside tutorials, case presentations, case write-ups, workshops. There is also an emphasis be self-directed learning.
Clinical Learning
The core element of the clinical program is learning from patients seen on the wards. Students must see patients in pairs and should see at least one patient per week per pair. It is expected one student takes the entire history and perform a physical examination on the patient while the other student observes. The following week roles will be reversed
Case Write-Ups:
The examining student will then submit a case write-up by the end of the day. Students will be expected to enter their details and the patients’ details on the sign-off sheet for every case write up that they hand in to ensure patient confidentiality and to authenticate the patient. Students are encouraged to take notes even when acting as the observer, so as to provide feedback to their colleague
(see "assessment" for sunbmission details).
Oral Presentations:
Students will be rostered to small group tutorials in which they will present a patient they have seen on the wards. This will usually encompass discussion on various aspects of the case, including formulating a problem list with differential diagnoses and demonstrating clinical reasoning to support differential diagnoses. Some time may be spent discussing an appropriate management plan. Time will also be spent on discussing presentation skills such as communication skills/ format and chronology of presentation/ amount of relevant detail to include etc. The aim of the oral presentations is to introduce students to what will be expected of them on ward rounds in their clinical years.
Bedside Tutorials:
Students will have a bedside tutorial most weeks, where they will meet as a small group with a clinical tutor (intern, resident, registrar or consultant) to see patients and develop techniques in physical examination and history taking.
Checklists for components of specific clinical examinations are included in the handbook all students receive at the beginning of their rotation (also available online in MyUni). There will be timetabled topics to be covered each week – see the list for your Hospital.
Lectures:
Each week students may receive a lecture/s regarding that week’s specific learning objectives. The lecture may be given by their specific Clinical Education Lecturer or other academic/clinical staff
Pre-reading:
Pre-reading is required most weeks (see MyUni website)
Workshop activities:
All students will be rostered to attend a number of sessions outside of their main hospital site:

• Adelaide Health Simulation & Skills Centre simulation sessions- will include ECG lead placement, basic life support, venepuncture, injection technique and sharps safety.
• Hampstead Rehabilitation Centre – you will be exposed to the challenges of living with spinal injury.
• Sexual Health Workshop – sexual health history and intervention will be covered in this session
• Eye (ophthalmology) outpatient visits at Hospital sites
• Ear (ENT) outpatient visits at Hospital sites
• Vascular 'round robin' involving real patients
• Cancer voices discussion groups with patient tutors

On most days students will be expected to arrive at 8.00 a.m. and stay until 5.00 p.m. not including personal study and preparation time. In Years 1-3, the standard total student workload for 24 units is 48 hours a week.

The structure of the Year 3 Clinical Skills Program will be provided and discussed at the start of the program and is discussed in detail in the student handbook (provided to students on the first day of their rotation).

All students will be allocated to a hospital site (NALHN, TQEH, RAH). However, students will need to travel to other sites for some sessions.
All students must complete "ready for practice" requirements and maintain up to date documnentation on their Mahara "ready for practice page" to be elible to attend clinical placement. This includes:

• Medical indemnity Insurance (must be valid)
• Criminal history clearance x3 (these are valid for 3 years)
  • Child related
  • Vulnerable person
  • Aged care sector
  • Nb. overseas students need local clearance after they have been in 最新糖心Vlog for 3 years, but must have clearance from their country of origin up until that time.
• TB screening completion – copy of email from SATB or Chest Clinic slip
• Health care worker screening and vaccination statement of compliance
• Hand hygiene certificate (valid in the year of completion)

Further details are available on MyUni and Mahara e-portfolio.

The predominant learning method for the MBBS Program is small group discovery learning.

Assessment Task Task Type Timing Weighting Case write ups (x6) Formative semester 1 and 2 0 Case write ups (x2) Summative semester 2 60% Assignment tasks- Spinal injury reflection, Cancer voices reflection. Summative after scheduled attendance at workshop sessions 40% Simulation sessions- competence in BLS, injection technique, venepuncture Summative- hurdle as scheduled 0 Confidentiality quiz. Summative- hurdle semester 1 (before attending wards) 0

All assessment items will be standard set for competency and the marks used to calculate the composite score adjusted according to standard setting. Students are required to attain an overall composite score from all assessment tasks equal to or greater than 50% to achieve an NGP

An additional assessment will be offered to students who fail the course with a composite score of 45-49%

Formative assessment tasks, including
a) 2 oral case presentations
b) Professional behaviour (punctuality, engagement, workload management, respectful behaviour)
will occur in Semester 1 or 2 and students will receive feedback.

In circumstances where students do not meet the hurdle requirements but satisfactorily pass the course, the course coordinator may use their discretion to offer additional assessment.

Material covered during the Year 3 Clinical Skills course will also be tested during mid-year and end-of-year written examinations as well as end of year OSCE examinations.

Students should review the Assessment Document provided at the beginning of the year.  This outlines the assessment requirements for Clinical Skills.

Students are advised to read in detail the information in the Year Level Assessment Document - Part A and Part B. Students will be expected to be aware of the contents of these documents and to abide by the requirements as stated. Students should note that requirements for professional behaviour standards are set out in the year level assessment documents. As medical students, you are registered with the Medical Board of 最新糖心Vlog. Students are required to maintain the expectations of the professionalism standards and associated behaviours required of the profession.

There are formative and summative tasks which must be completed (see summary for weightings)

In this course, students will be assessed on the following:

Professional Behaviour
• Attendance (students are required to sign in for sessions)
• Punctuality
• Work load management and ability to adhere to deadlines
• Display active engagement with clinical skills activities
• Demonstrates respectful behaviour towards others including staff, lecturers, clinicians, patients and fellow students
• Maintaining a high level of confidentiality at all times.

Medical Competence
• Case write-ups: at least 4 to be completed in each semester, including:
- 1 formative case write-up in semester 1
- 2 summative case write-ups in semester 1
• Oral Case presentations (formative)
• Satisfactory completion of simulation Training
• Reflective tasks for spinal injury and cancer voices workshops

Material covered during the Year 3 Clinical Skills course will also be tested during mid-year and end-of-year written examinations as well as end of year OSCE examinations.In Semester I, at least four case write-ups will be submitted for Formative Assessment and in Semester II each student will select two case write-ups for Summative Assessment as well as another at least two formative case write-ups.

Students have specific submission dates for case write ups based on their allocated A or B grouping (alternating weeks for A and B).
Submission is due by midnight on the day following the clinical skills Tuesday session (ie. Wednesday).
Swapping the date of submission is at the discretion of each site coordinator on an individual student basis.
Students see patients in pairs and partners but may NOT use the same patient for their case write-up.

Case write-ups receive a grading out of 6 possible points.

LATE SUBMISSION: 1-2 days late penalty is one point, 3-6 days lose 2 points. After 7 days, “NOT SUBMITTED” will be recorded.
EXTENSION TO SUBMISSION DEADLINES: If a student is absent from the Clinical Skills day, they may be allocated an alternative week for case write up submission. If a student feels they are unable to complete the patient assessment on the Clnical Skills day, they may apply to the clinical skills lecturer (in person or by email) at that site for a 2-day extension. If there is any other reason that a case write up cannot be submitted on time, a student may apply to the clinical skills lecturer (in person or by email) at that site for an extension.


Complete assessment requirements for the MBBS Program are set out in the year level assessment documents distributed at the start of each year.

As outlined above

Grades for your performance in this course will be awarded in accordance with the following scheme: GS4 Non-graded pass.

For the purpose of feedback to students a banded result will be provided for each course and examination. This result will not appear on students’ academic transcripts.

Bands of achievement are:
A Above expected competency for year level
B Clearly at expected competency for year level
C Just reaches expected competency for year level
D Below expected competency for year level
E Far below expected competency for year level

Students should familarise themselves with the 最新糖心Vlog Policy on Additional Assessment/Replacement Assessment.

The MBBS Program has a regular program of evaluation.  In addition, student representatives are appointed to MBBS committees and are encouraged to report on issues of importance to students.

The MBBS Program website has details on Student well-being resources which can be accessed on MyUni.

Students may access the 最新糖心Vlog Health Practice:
61+ 08 83135050

Please read the MBBS Program Code of Conduct