MEDIC ST 5009ARU - Geriatrics and General Practice Part 1

Teaching Hospitals - Semester 1 - 2022

The clinical attachments are a program of clinical education through a selection of placements so that students will be competent in history-taking, patient examination and management. This includes problem formulation, investigations, treatment (pharmacological and non-pharmacological), counselling, good communication skills, the practice of empathetic medicine, and a sound knowledge base that allows diagnosis and management of common disorders to be carried out under appropriate supervision. Some students will have the opportunity to undertake their training for an extended period of time in a rural or remote setting.

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Course Details

Course Code	MEDIC ST 5009ARU
Course	Geriatrics and General Practice Part 1
Coordinating Unit	Medical Studies
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	Attachments, common program & research
Available for Study Abroad and Exchange	N
Prerequisites	MEDIC ST 4000AHO/BHO, MEDIC ST 4013AHO/BHO, MEDIC ST 4014 AHO/BHO, MEDIC ST 4015 AHO/BHO, MEDIC ST 4016 AHO/BHO, MEDIC ST 4017 AHO/BHO, MEDIC ST 4018 AHO/BHO, or by approval of the Dean of Medicine
Restrictions	Available to MBBS students on rural placement only
Assessment	Details provided at start of year

Course Staff

Course Coordinator: Dr Katrina Morgan

Course Coordinator - Dr Toby Commerford
Email: toby.commerford@sa.gov.au
Location: Royal Adelaide Hospital

Year 5 Rural Program Coordinator: Bronwyn Herde
Phone: +61 8 8313 4528
Email: bronwyn.herde@adelaide.edu.au
Location: Adelaide Rural Clinical School, The 最新糖心Vlog of Adelaide

Course Timetable

The full timetable of all activities for this course can be accessed from .

Course component 1: Video Conference Tutorials & Medical Case Presentations
Duration: 1.5 hours
Enrolment capacity: na
Quantity: 11 x 1.5 hours

Course component 2: Geriatric Rehab Case Presentation & Clinical Skills Day
Duration: 1- 2 days
Enrolment capacity: na
Quantity: 1 each per rural site

Course component 3: Rural Geriatrics Outpatient Clinics, Residential Care Visits, Domiciliary Care & ACAT Eposure
Duration: semester
Enrolment capacity: na
Quantity: 16 weeks

Geriatrics tutorials are generally on a Tuesday afternoon from 3.30pm - 5.00pm

Course Learning Outcomes

Geriatrics
A. On completion of Year 5 Geriatrics, students will demonstrate knowledge and understanding of the:
1. concepts and facts regarding problems of hospitalized patients and patients in the community
2. physiologic changes related to ageing
3. consequences of iatrogenesis on health outcomes
4. management of conditions common to older people, including geriatric syndromes
5. range of services for the elderly, including those outside the acute hospital setting
6. work of the various members of the healthcare, aged care and rehabilitation teams
7. influence of environmental, social and financial circumstance on the older person’s health outcomes

B. Students will demonstrate competency, as expected of a Year 5 student, in the following areas of clinical skills and reasoning:
1. obtaining a history, performing an appropriate physical examination and assessing elderly patients in all domains including cognition, emotion, physical function, falls, nutrition, integument, bone health and continence
2. documenting medications, discussing the evidence for and against the use of these medications, the adverse effects and drug interactions that may occur, and the monitoring requirements
3. performing supervised procedures as deemed appropriate by the preceptor
4. interpreting data commonly collected from patients
5. documenting the history and physical examinations and developing a problem list with proposed management and review plan
6. verbal presentation and discussion of assigned patients
7. the concept and application of advanced care planning and capacity assessment
8. communicating with general practitioners, allied health members in the community and family about management plans, ensuring clinical handover

C. Students will demonstrate the following professional attributes:
1. working and communicating with other members of the healthcare team to achieve best outcomes for their patient
2. interacting with the patient and the healthcare team in a professional manner that includes punctuality, attention to appropriate dress code, ensuring dignity in care and attention to confidentiality
3. understanding of and adherence to concepts of patient autonomy, benevolence, and distributive justice of healthcare

General Practice

D. On completion of Year 5 General Practice, students will demonstrate knowledge and understanding of:
1. the normal structure and function of the body (at all levels from molecule to organism), epidemiological, social and behavioural sciences
2. the common problems presenting to general practice and the approaches for their recognition, investigation, treatment and prevention
3. integrating and applying core medical and scientific knowledge to individual patients, population and health systems
4. integrating the principles of disease prevention and health promotion into clinical practice
environmental and psychosocial issues and their effect on the patient
5. the care of people who have one or more chronic illnesses
6. identifying, accessing, critically appraising, interpreting and applying evidence from the medical and scientific literature

E. Students will demonstrate competency, as expected of a Year 5 student, in the following areas of clinical skills and reasoning:
1. diagnostic reasoning skills including integration and weighted interpretation of findings from history and physical examination to arrive at an initial differential diagnosis
2. selecting and justifying common investigations, with regards to the pathological basis of disease, utility, safety and cost effectiveness, and interpret their results
3. applying therapeutic reasoning skills including identification of appropriate therapeutic objectives in both differentiated and undifferentiated clinical problems
4. formulating and justifying appropriate management options, individually and as a member of a team
prescribing therapy safely, effectively and economically, using objective evidence, in acute, chronic and palliative care settings
5. performing and explaining to patients a range of procedures (listed in year 4/5 objectives)
assisting with completion of an Extended Primary Care assessment of a patient

F. Students will demonstrate the following professional attributes:
1. the ability to communicate effectively and professionally, in a variety of media, with patients, colleagues and others
2.accepting responsibility to protect and advance the health and wellbeing of individuals, communities and populations
3.understanding the environmental, social and psychological determinants of disease, including issues relating to health inequalities, 4.cultural diversity, and socio-economic and physical environment factors
5. the ability to contribute to the teaching and professional development of others

最新糖心Vlog Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

最新糖心Vlog Graduate Attribute	Course Learning Outcome(s)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1,2
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	B 1,2,4,6,7
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	B 8, C 1,2
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	C 3
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	C 1,2,3
Attribute 6: 最新糖心Vlogn Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, 最新糖心Vlogn Aboriginal and Torres Strait Islander values, culture and knowledge.	TBA
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	TBA
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	B 6,8

Learning Resources

Recommended Resources

Learning Textbooks:
Kane. Essentials of Clinical Geriatrics – 5th Edition (American) Ratnaike. Practical Guide to Geriatric Medicine – (最新糖心Vlogn)
Isaacs. The Challenge of Geriatric Medicine –1992, Oxford 最新糖心Vlog Press
Coni. Lecture Notes on Geriatric Medicine – 6th Edition, 2003, Blackwell Publishing Jackson. Prescribing for Elderly Patients – 1st Edition,2009, Wiley-Blackwell

Resource Texts
Evans. Oxford Textbook of Geriatric Medicine – 2nd Ed, 2000
Brocklehurst. Textbook of Geriatric Medicine and Gerontology – 5th Ed, 1998 Hazzard. Principles of Geriatric Medicine and Gerontology – 5th Ed, 2003

Journals
Age and Ageing; Journal of American Geriatrics Society Australasian Journal on Ageing International Journal of Geriatric Psychiatry

Internet sites

Online Learning

MyUni Online Course
Content: Video lectures, topic pre readings and related articles
Communication: Announcements and discussion boards will be used for asynchronous communications.

Web Conference Tutorials
Weekly video/web conference tutorials will be held with students at all rural placement sites.
Learning & Teaching Activities

Learning & Teaching Modes

Rural Placement: This course is part of an community based, longitudinal, integrated year of clerkship, clinical placement and training in rural hospitals and clinical settings. Teaching during the Geriatrics component of the rotation is primarily delivered in the clinical setting but supplemented with lectures and tutorials.

Topic tutorials by video conference: Tutorials will be interactive, based on themes of self-directed learning and the clinical sciences program. Resources are available here in MyUni. Students are encouraged to seek other resources and references.

Medical case history: Preparation and ORAL presentation of a Medical Case involving history, examination and case discussion

Rehabilitation case: Preparation and ORAL presentation of a Rehabilitation Case. The case should be followed over several weeks, where possible, from time of presentation to hospital, through rehabilitation and monitoring progress on discharge. See the Rehab Case guidelines provided

Geriatric outpatient clinic: Attendance at Outpatient Clinic

Residential care visits: Visits to a nursing home (high level care) or hostel (low level care) accompanying the general practitioner Domiciliary care and ACAT: Exposure to Domiciliary Care and the Aged Care Assessment Teams Psycho-geriatric services as available at each rural location

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

Please refer to MyUni.

Learning Activities Summary

LECTURE TOPICS:

Week 1: Course Overview
Week 2: Introduction to Geriatrics, Demography
Week 3: Rehabilitation Principles / Sleep
Week 4: Falls / Osteoporosis
Week 5: Cognitive Dysfunction Part 1
Week 6: Cognitive Dysfunction Part 2
Week 7: Nutrition / Polypharmacy & Iatrogenic Disease
Week 8: Incontinence / Pressure Area Care / Sexuality
Weeks 9 - 12: Medical Case Presentations
Assessment
The 最新糖心Vlog's policy on Assessment for Coursework Programs is based on the following four principles:
1. Assessment must encourage and reinforce learning.
2. Assessment must enable robust and fair judgements about student performance.
3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
4. Assessment must maintain academic standards.
Assessment Summary

This course is the first semester of the community based, integrated Adelaide Rural Clinical School Geriatrics and General Practice Course and the assessment continues over the 36 weeks of the MBBS calendar year. A CN (continuing) grade will be awarded to Part 1 and summative assessment carried out in Part 2.

Summative assessment:
See MEDIC ST 5009BRU for the assessment for this full year course

In addition to the above, in order to pass this course and the Fifth Year MBBS Examination Annual Examination Part 2 course, students must obtain:

• a satisfactory result in each of the components of the summative assessment in semesters 1 and 2; and
• a satisfactory performance in the examinations overall

If an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit a Replacement/Additional Assessment examination.

Academic Progression Requirements
Progression from one year to the next in the MBBS is dependent on the student successfully completing a compulsory annual examination course in which a full year’s learning is assessed.

To successfully complete the MEDIC ST 5000AHO and MEDIC ST 5000BHO Fifth Year MBBS Examination Part 1 and Part 2 courses, the student must pass the end of year examinations and have successfully completed all year level component courses (24 units).

IF a student fails the compulsory examination course no passing grade will be received for any core medical studies courses.

IF a student has not completed all required MEDIC ST units of the year they must successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.

Assessment Related Requirements

Students are expected to attend all core structured learning activities to achieve a pass in this course. Exemptions to attendance requirements may be granted by the Program Coordinator in consultation with the relevant course coordinator and year level advisor if there are exceptional medical, compassionate or extenuating circumstances as defined by the Modified Arrangements for Coursework Assessment Policy.

The 最新糖心Vlog has developed a Scope of Practice document which outlines appropriate activities for Year 5 students. Students should be familiar with this document, and adhere to its guidelines. The document can be found in MyUni and .

Assessment Detail

Formative Assessment
Students must participate satisfactorily in all components of the geriatrics course, i.e. tutorials, medical case, rehabilitation case, geriatrics outpatient clinics, visits to aged care facilities, ACAT, Domiciliary Care. The tutor must be informed should the student not be able to attend tutorials or any of the visits for a valid reason. Where possible, students must try and organize an alternative time for these experiences (except for tutorials). If the geriatrics tutor has concerns with student participation or attendance, feedback will be provided via e-mail, telephone, in person or via GP preceptors. Tutorial attendance and participation is very important. Failure to provide an explanation for absence will result in a score of 0. Absence without explanation at 3 or more sessions will mean that the student has not completed this component satisfactorily.

Summative Assessment
It is the responsibility of the student to be aware of the date of their medical and rehabilitation case presentations. If changes are required, it is their responsibility to make the tutor and coordinator aware of this. Failure to do this may result in a fail grade in that component.

Submission

Please refer to MyUni.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

NOG (No Grade Associated)

Grade Description

CN Continuing

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through .
Student Feedback

The 最新糖心Vlog places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the 最新糖心Vlog to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

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.
Please refer to CANVAS with regards to the academic response to SELTs.
Student Support
Students may access the 最新糖心Vlog Health Practice, 61+ 08 83135050

The MBBS Program website has details on Student Well-being resources which can be accessed.
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Please read the MBBS Program Code of Conduct
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

NOG (No Grade Associated)
Grade	Description
CN	Continuing

The 最新糖心Vlog of Adelaide is committed to regular reviews of the courses and programs it offers to students. The 最新糖心Vlog of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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