Study Guide Department of Psychiatry Psychiatry and Social Dysfunction 2025 Block chair: Prof N Khamker Co-chair: Dr Z. Tsolekile- DeWet Module code: GNK 581 © 2023 University of Pretoria Table of Contents 1. Module Calendar 1 1.1 Theoretical Contact Sessions and weekly timetable 1 2. Introduction 7 2.1. Welcome ............................................................................................................................. 7 2.2. Educational approach 7 2.3 Learning in the Discipline 8 2.4 Absence 8 2.5 Professional integrity and Honesty 9 3. Administrative information 9 3.2 Study material and purchases .............................................................................................. 11 ∙ ACCESS TO THE WEB PAGE 11 4. Module information 11 4.1 Purpose of the module ........................................................................................................ 11 4.2 Articulation with other modules in the programme ............................................................. 12 4.3 Learning presumed to be in place ....................................................................................... 12 4.4. Overall competencies/module outcomes ............................................................................ 13 4.5 Module overview & structure ............................................................................................. 14 4.6 Credit map .......................................................................................................................... 43 4.7 Assessment opportunities ................................................................................................... 43 4.8 Administration regarding assessment results ....................................................................... 45 4.9 End of semester examinations and Promotion ..................................................................... 45 5. General Academic Regulations and Student Rules………………………………………………………………….49 ● 1. Module Calendar ● 1.1 Theoretical Contact Sessions All lectures (contact sessions) will take place on campus. Lectures will take place in Tswelopele room 4 unless otherwise specified. MONDAY 13/01 13/01/2025 17/01/2025 TUESDAY 14/01 Orientation WEEK 1 14:00-14:30 14:30-15:00 Prof N Khamker Dr Z Tsolekile-De Wet Psychiatric symptoms & signs Dr MP Nkondo-Ndaba 15:00-15:30 15:30-17:00 20/01/2025 24/01/2025 WEEK 2 14:00-15:00 15:00-15:30 15:30-16:00 16:00-17:00 WEDNESDAY 15/01 Assessment & diagnostic classification Dr Z Tsolekile -DeWet Schizophrenia spectrum & other psychotic disorders Prof N Khamker & Dr Z Tsolekile-DeWet THURSDAY 16/01 Schizophrenia spectrum & other psychotic disorders Pharmacotherapy: Antidepressants Substance related & addictive disorders Dr AUD Sibanyoni Prof N Khamker & Dr Z Tsolokile-DeWet Psychiatric disorders due to other medical conditions Dr M Joubert 20/01 Depressive disorders Dr D Naicker FRIDAY 17/01 Neurocognitive disorders Prof C Kotze 21/01 22/01 Bipolar & related disorders Dr D Naicker Depressive disorders in children Prof D van der Westhuizen/ Dr W Botha Pharmacotherapy: Mood Stabilisers Electroconvulsive therapy Dr AUD Sibanyoni 23/01 Progress Test Computer labs (13:30-16:30) 24/01 Suicide and family murders Dr T.Palliweni-Zwane Sleep-wake disorders Dr M Joubert Prof G Lippi Prof Lippi 27/01/202531/01/2025 1 03/02/202507/02/2025 WEEK 3 14:00-14:30 15:00-17:00 MONDAY 03/02 Progress test feedback Prof N Khamker Dr Z Tsolekile De Wet TUESDAY 04/02 Anxiety disorders Prof PM Joubert/ Dr KB Mogase/ Dr L Mgweba-Bewana Anxiety disorders WEDNESDAY 05/02 Anxiety disorders in children: Separation anxiety disorder Prof D van derWesthuizen/ Dr W Botha 10/02 11/02 Obsessive-compulsive & related disorders Prof PM Joubert/ Dr KB Mogase/ Dr L Mgweba-Bewana 12/02 10/02/202514/02/2025 WEEK 4 14:00-14:30 The aggressive person Dr MP Nkondo-Ndaba Dissociative disorders Prof C. Krüger Public health: Mental illness epidemiology 15:00-16:00 Personality disorders Prof PM Joubert/ Dr KB Mogase/ Dr L Mgweba-Bewana THURSDAY 06/02 Trauma- & stressor-related disorders Prof PM Joubert/ Dr KB Mogase/ Dr L Mgweba-Bewana 13/02 14/02 Intellectual Disability Dr TG Magagula The Mental Health Care Act & other related issues Prof FB Sokudela Public health: Mental health promotion & policy Prof FB Sokudela TUESDAY 18/02 Interviewing skills & psychoeducation Ms TGN Mtetwa Dr I Swanepoel Ms M Fernihough (A-Mo) WEDNESDAY 19/02 Interviewing skills & psychoeducation Ms TGN Mtetwa Dr I Swanepoel Ms M Fernihough Autism spectrum disorders Dr TG Magagula 16:00-17:00 WEEK 5 14:00-16:00 16:00-17:00 Discussion of Block Test Prof N Khamker/ Dr Tsolekile De Wet Dr Phashe Prof C Krüger 17/02/202521/02/2025 FRIDAY 07/02 Somatic symptom & related disorders Prof PM Joubert/ Dr KB Mogase/ Dr L Mgweba-Bewana MONDAY 17/02 Feeding & eating disorders in childhood & adolescence Dr T Moeketsi Cognitive Behavioural therapy Prof G Grobler Ethics of psychiatry Prof CW van Staden & Prof G Grobler (Mp-Z) Attention deficit hyperactivity disorder (ADHD) Prof D vdWesthuizen/ Dr T Moeketsi THURSDAY 20/02 FRIDAY 21/02 SELF-STUDY BLOCK TEST (Computer Labs, Prinshof Campus) (Mp-Z) Ethics of psychiatry Prof CW van Staden & Prof G Grobler (A-Mo) 2 Details of daily timetables WEEK 1 PSYCHIATRIC SYMPTOMS & SIGNS TIME 14:30 - 17:00 MONDAY 13/01 Psychiatric symptoms & signs. ASSESSMENT & DIAGNOSTIC CLASSIFICATION TUESDAY 14/01 Psychiatric assessment of adults. DSM 5 diagnosis. Psychiatric assessment of children & adolescents. Diagnostic classification. PSYCHIATRIC DISORDERS DUE TO OTHER MEDICAL CONDITIONS TIME 14:00 - 16:00 TUESDAY 14/01 Discussion of HIV & psychiatry. Discussion of Psychiatric conditions due to medical conditions. Case studies about psychiatric conditions due to medical conditions SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS TIME 14:00 - 17:00 WEDNESDAY 15/01 Introduction; diagram of symptomatology of schizophrenia; core questions about patients with schizophrenia; discussion of typical and atypical antipsychotics. neuroleptic induced movement disorders. THURSDAY 16/01 The role of the general practitioner in the management of a patient with schizophrenia; discussion of other schizophrenia spectrum disorders; discussion about other schizophrenia spectrum disorders. SUBSTANCE-RELATED AND ADDICTIVE DISORDERS TIME 14:00-15:30 FRIDAY 17/01 Substance use disorders; substance intoxication; substance withdrawal; substance induced disorders. Evaluation; psychoeducation & emergency management NEUROCOGNITIVE DISORDERS TIME FRIDAY 1/01 15:30 – 17:00 Neurocognitive Disorders. WEEK 2 DEPRESSIVE DISORDERS, BIPOLAR DISORDERS & RELATED TOPICS TIME 14:00 15:00 15:30-17:00 MONDAY 20/01 Major depressive disorder (MDD). Clinical picture, DSM 5 criteria, aetiology, epidemiology. General guidelines for management of MDD. Persistent depressive disorder; premenstrual dysphoric disorder; substance/medication-induced depressive disorder and depressive disorders due to another medical condition Pharmacotherapy Antidepressants of MDD: TUESDAY 21/01 Bipolar & related disorders: Clinical picture, DSM 5 criteria, aetiology, epidemiology. Guidelines for management of bipolar & related disorders. Pharmacotherapy of Bipolar Disorder: Mood stabilizers WEDNESDAY 22/01 Depressive disorders in children: Major depressive disorder Electroconvulsive therapy DISSOCIATIVE DISORDERS TIME 14:00 – 15:30 FRIDAY 24/01 Dissociative disorders. SLEEP-WAKE DISORDERS TIME 16:00 – 17:00 FRIDAY 24/01 Sleep-wake disorders. WEEK 3 ANXIETY DISORDERS MONDAY 03/02, TUESDAY 04/02 (14:30 - 17:00) Introduction; Handing out of workbooks; Anxiety disorders. WEDNESDAY 05/02 (14:00-15:00) Anxiety disorders in children & adolescents – separation anxiety disorder. OBSESSIVE-COMPULSIVE AND RELATED DISORDERS TIME 15:00 – 17:00 WEDNESDAY 05/02 Obsessive-compulsive and related disorders. TRAUMA - AND STRESSOR-RELATED DISORDERS TIME 14:00 – 17:00 THURSDAY 06/02 Trauma - and stressor-related disorders. 4 SOMATIC SYMPTOM AND RELATED DISORDERS TIME 14:00 – 17:00 FRIDAY 07/02 Somatic symptom and related disorders. WEEK 4 THE AGGRESSIVE PERSON TIME 14:00 – 15:00 MONDAY 10/02 The aggressive person; causes and management. PERSONALITY DISORDERS TIME 15:00 – 17:00 MONDAY 10/02 What is a personality disorder? How do personality disorders develop? Defence mechanisms associated with various personalities Personality traits vs personality disorders Overview of personality disorders Managing personality pathology appropriately in a general practitioner context SUICIDE THE MENTAL HEALTH CARE ACT & OTHER RELATED LEGAL ISSUES TIME 14:00-15:00 TUESDAY 11/02 Suicide and Family Murders 15:00 – 17:00 Overview Of legislation with reference to psychiatric issues; An interactive discussion on: ● The management of a person with symptoms resembling mental illness in terms of the Mental Health Care Act No 17 of 2002 and the Regulations. ● The admission & management of a Mental Health Care User in terms of the Mental Health Care Act No 17 of 2002 and the Regulations. PUBLIC HEALTH TIME WEDNESDAY 12/02 14:00 – 15:30 Mental illness epidemiology: Epidemiology of common psychiatric disorders. Global burden of disease due to mental illness. Disease frequency & prevalence. Measures of association. Mental health promotion & policy Promotion of mental health. Mental health & related policies. 15:30 - 17:00 INTELLECTUAL DISABILITY TIME 14:00 – 15:30 THURSDAY 13/02 Intellectual disability; case presentation. AUTISM SPECTRUM DISORDERS 5 TIME 15:30 – 17:00 TIME 15:30 – 17:00 THURSDAY 13/02 Autism spectrum disorders; case presentation. ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) FRIDAY 14/02 Attention deficit hyperactivity disorder (ADHD); case presentation. WEEK 5 FEEDING AND EATING DISORDERS IN CHILDHOOD AND ADOLESCENCE TIME 14:00 - 15:30 15:30-17:00 MONDAY 17/02 Anorexia nervosa; bulimia nervosa; binge-eating disorder; avoidant/restrictive food intake disorder; case presentation. Cognitive Behavioural Therapy (CBT) ETHICS OF PSYCHIATRY & INTERVIEWING SKILLS & PSYCHO-EDUCATION TUESDAY 18/02 WEDNESDAY 19/02 (14:00 – 17:00) (14:00-17:00) Interviewing skills; Interviewing skills; Psycho-education. Psycho-education. TUESDAY 18/02 WEDNESDAY 19/02 (14:00 – 17:00) (14:00-17:00) Problem cases 1-5 for group discussion. Problem cases 1-5 for group discussion. 6 ● 2. Introduction 2.1. Welcome Dear student, welcome to Block 15 and the Department of Psychiatry. We trust that students’ experience of the block and rotation within the Department will be a fruitful, insightful and enriching learning experience. The purpose/aim/objective of this block is to introduce concepts of mental illness so as to enable students to skilfully and competently manage a patient with a psychiatric disorder. Despite psychiatry having evolved into a highly sophisticated branch of medicine, it remains a discipline that deals holistically with the person behind the illness or disorder. Psychiatry has made major advances over the past decades. This is reflected in the HPCSA’s recognition of psychiatry as the fifth major clinical specialty. It is now generally agreed, all over the world, that psychiatry should occupy a major position in the medical curriculum. There are three reasons for this :(1) ● Psychiatry’s generalised approach stresses the unity of body and mind; ● Skills learned in psychiatry are useful to all medical practitioners; ● Psychiatric problems are common among patients seen by doctors working in all disciplines of medicine. In primary care, a quarter to a third of all disorders are of a psychiatric nature. These patients often present with physical symptoms. Taking into account the limited number of psychiatrists available in South Africa, as well as the population density, all future doctors should know more about psychiatric problems. At present a high proportion of these disorders are not identified or are mismanaged, leading to considerable distress, disability and wasteful expenditure. (1) Sartorius N, Costa de Silva A. Core curriculum in psychiatry for medical students. Medical Education 1999;33:204-211. ● 2.2. Educational approach This Block employs blended and hybrid teaching, learning and assessment approaches. Every contact session (theoretical, skills, clinical site), on-line tasks, case studies contribute to your professional development and learning. Whilst the theoretical sessions and logbook covers a major part of the syllabus, this is by no means exhaustive. As an adult student, you are expected to supplement the teaching and learning with additional resources. You will have to apply and integrate your previous and newly gained knowledge into theory and practice. The entire focus will be on an authentic learning experience, and you will take ownership of your own learning. Online teaching and learning: Continuous student engagement in the online environment is essential for successful learning. Although it is understandable that circumstances may not always be always conducive for student engagement, it remains your responsibility as a student to ensure continuous engagement in this module. 7 ● 2.3 Learning in the Discipline As a mature and responsible student, we expect that you will actively participate in your own learning. This implies that you will prepare for and attend all contact sessions (face-to-face or virtual). That you will participate in and contribute to class discussions and group activities and where tutorials have been arranged, attend those sessions as well. Preparation expected of you will vary depending on the type of session and the content that we will discuss. It is therefore of the utmost importance, that you look at your study units (nr 18) and prepare accordingly. Important: It is your responsibility to ensure that you have access to a device (preferably a laptop) and data to attend online sessions, engage with the content and complete the required activities and assignments. Please click here for more information. The theoretical component of the block will be presented face-to-face, therefore preparation for class is vital. This encourages student engagement and interaction with content, peers, and lecturers. Quality instruction requires students to come to classes prepared, as this enables teaching to build actively on common prior knowledge. As a future doctor and (we believe) 2026 UP-graduate, we expect certain professional and ethical behaviour from you as a student. Professionalism is embedded in who you are and forms part of your clinical assessment. This includes empathy towards your patients as well as respect towards patients/clients and their family members, lecturers, and fellow students. We therefore expect a professional appearance (dress code) or uniform that is appropriate and respectful towards the patients and the community while adhering to infection control and occupational health and safety protocols. Students MUST wear a nametag while in uniform and in the clinical environment. Familiarize yourself with the Patients’ Rights Charter and the Batho Pele Principles. ● 2.4 Absence Attendance to all theoretical teaching sessions is strongly recommended. Interpersonal and ethical skills sessions are practical sessions and attendance is therefore, along with all activities during your practical rotation, compulsory as per policy of the Health Professions Council of South Africa (HPCSA). The Department of Psychiatry enforces the policy of the School of Medicine about students not completing an entire training block. The School of Medicine does not support missing days or block activities for personal reasons that do not have the support of the School of Medicine. Any under-graduate student who misses a day of the block must provide a reason. Students must contact the Department to obtain explicit advance approval for any planned absence from the block/rotation. Legitimate reasons for absence include illness (with a medical certificate), family death (with proof provided) or attendance at a sanctioned (by the Chair of the School of Medicine) congress, academic meeting, sporting event or leadership course. Unanticipated absences for illness or emergency must be communicated to the Department (see contact details below) and the group leader as promptly as possible. Students must also hand-in or send a sick certificate within 72 hours of the illness to: Mrs.H.A.Fourie Department of Psychiatry, Weskoppies Hospital, Auditorium Building, Room 1.13 (012) 319 9720 erna.fourie@up.ac.za If students are unable to complete a block, if more than 20% of the block is missed, they must return at the stipulated time as indicated by the University to redo the entire block. If students are absent for more than two days for any reason during the rotation, they will be required to make up missed time. It is your responsibility to view the recording (if available), submit activities 8 and/or catch up on any theoretical work or clinical skills missed because of your absence. It is also your responsibility to arrange for a suitable time to complete the missed skills workshop. ● 2.5 Professional integrity and Honesty You are now a member of the healthcare profession and therefore, in line with our profession’s Code of Conduct, the expectations of honesty and integrity for you as an individual are extremely high. Any unethical behaviour, copying or cheating will be dealt with according to the University’s disciplinary policies and procedures. On the first day of the rotation in the Department students will be given a logbook with which they must monitor their attendance of activities by getting signatures to prove attendance. Note: forging of signatures is a criminal offence. Please note that only the student may make entries into his/her logbook – any other handwriting in the logbook will be considered fraudulent. The person testing you in the specific skill or chairing the session you are attending is the person who must sign the logbook. A registrar at Weskoppies Hospital may, for example, not sign off a session at one of the private hospitals. It is strongly recommended that the skills be signed off immediately as facilitators are often unavailable when needed later. Please Note: Specimen signatures are collected from all those who are permitted to sign the logbooks. When a logbook is evaluated, signatures in the logbook will be assessed. Unfortunately, this elaborate system is necessary to detect forged signatures. Disciplinary steps will be taken against students whose logbooks contain forged signatures, as per the regulations of the University. ● 3. Administrative information Please consult this study guide AND the ClickUp-page, should you need any information regarding contact details or class-schedules. Please contact the administrative assistant, Mrs. Erna Fourie for any enquiries. If she is not available for any reason, the departmental administrator, Mr. Stephen James may be contacted. Both Mrs. Fourie and Mr. James have offices at Weskoppies Hospital, Auditorium Building. If an issue cannot be resolved via this route, the relevant lecturer may be contacted during office hours. 3.1 Staff Department Name Psychiatry Erna Fourie Psychiatry (Administrative Assistant Stephen James Telephone Email (012) 319 9720 erna.fourie@up.ac.za 972099979720 (012) 319 9755 stephen.james@up.ac.za 9755 9 BLOCK CHAIR & LECTURING STAFF 2022 DEPARTMENT Department of Psychiatry Public Health Medicine LECTURER Prof FB Sokudela (Head of Department Psychiatry) Prof N Khamker (Block Chair) Dr Z Tsolekile-DeWet (Co-chair) Dr AUD Sibanyoni Dr T Moeketsi Prof GP Grobler Dr M Joubert Prof PM Joubert Prof C Kotzé Prof C Krüger Prof G Lippi Dr TG Magagula Dr K Mogase Dr L Mgweba-Bewana Dr MP Nkondo-Ndaba Dr T Palliweni-Zwane Prof D vd Westhuizen Dr W Botha Dr D Naicker Prof CW van Staden Ms TGN Mtetwa Dr I Swanepoel Ms M Fernihough Dr Phashe TELEPHONE (012) 319-9720 ADDRESS Weskoppies Hospital E-MAIL ADDRESS erna.fourie@up.ac.za (012) 319-9811 Weskoppies Hospital erna.fourie@up.ac.za (012-319-9720) Weskoppies Hospital tsolekiledewet@gmail.com (012) 319-9720 (012-319-9720) (012) 354-3191 (012) 319-9722 (012) 3199744 (012) 319-9878 (012) 319-9720 (012) 319-9842 (012) 319-9720 (012) 319-9720 (012) 319-9720 (012 319-9720) (012) 319-9720 (012) 319-9720 (012 354-3191) (012 354-3191) (012) 319-9720 (012) 319-9762 (012) 319-9805 (012) 319-9778 (012) 356-3264 Weskoppies Hospital Weskoppies Hospital Steve Biko Academic Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Weskoppies Hospital Steve Biko Academic Hospital Steve Biko Academic Hospital Weskoppies Hospital Weskoppies: Psychology Division Weskoppies: Psychology Division Weskoppies: Psychology Division School of Health Systems & Public Health erna.fourie@up.ac.za tshepisom@moeketsione.co.za sbahpsychiatry@gmail.com drmarindajoubert@gmail.com pierre.joubert@up.ac.za carla_kotze@yahoo.com christa.kruger@up.ac.za gian.lippi@up.ac.za gladys30200@yahoo.com kmogase@live.co.za lihle.mgweba-bewana@up.ac.za mp.nkondo@gmail.com erna.fourie@up.ac.za erna.fourie@up.ac.za sbahpsychiatry@gmail.com sbahpsychiatry@gmail.com werdie.vanstaden@up.ac.za mtetwathandazile@gmail.com info@ispractice.co.za melissa.fernihough@up.ac.za 10 3.2 Study material and purchases The PowerPoint lectures (where appropriate) as well as all the recorded Blackboard Collaborate sessions will be posted on ClickUp. Note that PowerPoints contain only the essential and basic information and do not replace the contact session or your prescribed material. Copyright, fair use and infringements: Please remember that all content created by the lecturer (including PowerPoint presentations and online recordings) are the legal property of the University of Pretoria and are for your personal use (as a student). When you access the content, you agree per implication to NOT share or distribute it. Transgression of this privilege will be dealt with according to UP-policy. A list of prescribed and recommended textbooks as well as journal articles, protocols and guidelines that you will need, are published on ClickUP and listed under each study Unit. However, the primary textbook (that we will use most often) is: i. ● OPTIONAL STUDY MATERIAL i. ii. ● Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Baumann SE. editor. Primary Care Psychiatry: A practical guide for southern Africa. 2nd ed. Cape Town: Juta; 2014. Sadock BJ, Sadock VA, Ruiz P. editors. Kaplan & Sadock’s synopsis of psychiatry: behavioural sciences/clinical psychiatry. 11th ed. Philadelphia. Wolters Kluwer; 2015. ACCESS TO THE WEB PAGE URL: http://www.library.up.ac.za/health/blocks/block15/block15.htm ● 4. Module information 4.1 Purpose of the module Block 15 is a block devoted to mental illnesses – How do they present? How are they evaluated? How are they diagnosed? How are they categorized? How are they managed and treated? What is the effect of mental illnesses on families and communities? The purpose/aim/objective of this block is to introduce concepts of mental illness so to enable students to skilfully and competently manage a patient with a psychiatric disorder. Despite psychiatry having evolved into a highly sophisticated branch of medicine, it remains a discipline that deals holistically with the person behind the illness or disorder. Psychiatry has made major advances over the past decades. This is reflected in the HPCSA’s recognition of psychiatry as the fifth major clinical specialty. It is now generally agreed, all over the world, that psychiatry should occupy a major position in the medical curriculum. There are three reasons for this :(2) ● Psychiatry’s generalised approach stresses the unity of body and mind; ● Skills learned in psychiatry are useful to all medical practitioners; ● Psychiatric problems are common among patients seen by doctors working in all disciplines of medicine. In primary care, a quarter to a third of all disorders are of a psychiatric nature. These patients often present with physical symptoms. Taking into account the limited number of psychiatrists available in South Africa, as well as the population density, all future doctors should know more about psychiatric problems. At present a high proportion of these disorders are not identified or are mismanaged, leading to considerable distress and disability. This block/module has been designed to align with the outcomes expected/stipulated for a Bachelor of Medicine and Surgery (MBChB) degree by the South African Qualifications Authority (SAQA) (http://allqs.saqa.org.za/showQualification.php?id=5557). Furthermore, the block/module incorporates many of the core competencies as are set out by the CanMEDS framework that describes the abilities physicians require to effectively meet the health care needs of the people they serve (http://canmeds.royalcollege.ca/en/framework). This alignment with the SAQA outcomes and CanMEDS core competencies are within the context of training/teaching in the field of psychiatry. On completion of this block a student should have gained the knowledge & skills to properly evaluate, diagnose, treat and manage patients with various psychiatric disorders. (2) Sartorius N, Costa de Silva A. Core curriculum in psychiatry for medical students. Medical Education 1999;33:204211. This study guide contains all information regarding the format and expectations for the next 5 weeks. It includes the weekly timetables, contact details and learning outcomes that students have to meet. Students must please consult their study guide on a daily basis and use it when preparing for a contactsession. (virtual or face-to-face). A wide range of topics will be covered during the 5-week period (refer to 5-week grid). This block has been developed according to the South African Qualifications Authority (SAQA) critical outcomes based education. 4.2 Articulation with other modules in the programme This block draws on students’ knowledge of anatomy, physiology, embryology, pharmacology and from certain blocks where the content taught is closely related to that of this block – for example, Block 2. Students are referred to content taught, and knowledge acquired in previous blocks and activities, since this block builds on that which has been taught and learned. For every study unit in the study unit section, students are referred to previously completed specific blocks and activities where their content is closely related to that of the specific study unit being taught in this block. It is the students’ responsibility to ensure that they are familiar with the content. Contact-time cannot be used to revise work that has already been covered. 4.3 Learning presumed to be in place The educational objectives of Block 15 are described under the headings of ‘Knowledge’, ‘Skills’ and ‘Attitudes’:(3) Knowledge objectives: These include knowledge of psychiatric symptoms and syndromes, psychological aspects of medical disorders and psychosocial issues, including stigmatisation. Psychiatric symptoms and syndromes and their treatment are taught and learned in the context of an integrated biological, psychological and social approach. Skills objectives: The skills required by medical students range from those with which they only need to be fimiliar with (in the sense of being aware that they are practised by others, like dynamic psychotherapy), to those skills which students should be able to perform by themselves, like examination of the mental state. Attitude objectives: The acquisition of appropriate attitudes is of primary importance in practising medicine. Most of the attitudes listed below have been emphasised in previous blocks, but should be translated into corresponding action as you near the end of the curriculum. Attitudes concerned with medical practice in general. Students should: ● Recognise that the profession of medicine requires lifelong learning; ● Show capacity for critical thinking and constructive self-criticism; ● Be able to tolerate uncertainty and be open minded to the views of others; ● Be able to work constructively with other health professionals. Attitudes towards patients and their families. Students should: ● Respect patients and understand their feelings; ● Recognise the necessity of good doctor-patient relationships; ● Appreciate the value of the developmental approach to clinical problems emphasising the stages of the life cycle and longitudinal perspective of illness; ● Recognise the importance of the family and the wider environment of the patient. Attitudes towards psychiatry as a medical discipline Students should: ● Recognise the value of psychiatry as a medical discipline; ● Integrate humanistic, scientific and technological aspects of knowledge of psychiatry; ● Recognise the importance of the promotion of mental health and the prevention of psychiatric disorders. (3) Metz, TJ, Stoelinga, GBA, Pels Rijcken, EH & Van den Brand. 1994. Training of doctors in the Netherlands: objectives of undergraduate medical education. University of Nijmegen. 4.4. Overall competencies/module outcomes The learning outcomes and associated assessment criteria that you need to reach are specified below and include learning outcomes per study unit, your preparation as well as your learning activities. It is imperative that you do not fall behind, but that you stay on schedule. Core concepts in psychiatry include the history taking and mental state examination of the psychiatric patient; psychiatric symptoms and signs; interpersonal skills and psychoeducation; and ethics related to psychiatry – all of which are formally covered during the afternoon lecture programme, either through lectures or practical sessions. Terminology unique to psychiatry is summarised in a glossary in the prescribed textbook. Some of these terms are explained in more detail during the lecture on psychiatric symptoms and signs. 4.5 Module overview & structure Unit overview: Psychiatric symptoms and signs Module outcome(s) aligned with this unit Psychiatric symptoms and signs Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources Describe the psychiatric Read the section on Attend the in-person lecture on Answer the single Prescribed textbook- symptoms and signs related to depressive disorders in the topic, engage in topic best answer Burns J, Roos JL. South general behaviour and prescribed textbook: discussion and seek clarification questions in the African Textbook of psychomotor activity, “Textbook of Psychiatry, where necessary. augmentative Psychiatry 2nd ed. Cape Define mood and affect Burns/Louw” Chapter 7 study material that Town. Oxford University and relevant definitions in is on Click-UP Press; 2015. Understand the terms used to define mood and affect. glossary section Additional material: Boland R, Verduin ML, Understand the concepts of Ruiz P editors. Kaplan & thought flow and thought form amp; Sadock’s synopsis of Define the abnormalities in psychiatry: 12th ed. thought form Study material on the Describe symptoms related to topic, available on Click15 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria perceptions UP Powerpoint slides Unit overview: Assessment & diagnostic classification Module outcome(s) aligned with this unit Overview of the Assessment of psychiatric disorders & diagnostic classification according to the DSM 5 - TR Unit objective (assessment criteria) Describe & demonstrate understanding of different components of a full psychiatric evaluation which include: ● Initial greeting & observation ● Demographics ● History ● Mental status examination ● Physical examination ● Special investigations ● Summary ● Diagnosis ● Sources of collateral information Prepare Engage Read the sections on assessment & diagnostic classification in Chapters 2, 7, 8 & 9 of the prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Attend the face to face lecture on the topic. Engage in topic discussion and seek clarification where necessary Consolidate Answer the single best answer (SBA) and short answer questions Demonstrate knowledge and understanding of how psychiatric diagnosis are made according to the Diagnostic and Statistical Manuel of Mental Disorders (DSM 5) Materials/ resources Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML, Ruiz P. editors. Kaplan & Sadock’s synopsis of psychiatry: 12th ed. Wolters Kluwer; 2022. Study material on the topic, available on ClickUP: PowerPoint slides 16 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Psychiatric disorders due to other medical conditions Module outcome(s) aligned with this unit Psychiatric disorders due to other Medical conditions Unit objective (assessment criteria) ● ● ● ● ● Students should have the ability, knowledge and skills of the following: DSM 5 criteria for all psychiatric disorders due to other medical conditions. Signs in the psychiatric evaluation that will prompt this diagnosis. Most common medical conditions that can cause psychiatric symptoms. Principles of managing Prepare Engage Lecture notes available on click up prior to the lecture. Formal lecture Articles available on click up. Consolidate Progress test. A case study will be available on click in the form of a mock test. Materials/ resources Lecture notes available on click up prior to the lecture. Articles available on click up. Read the relevant chapters in the prescribed textbook Read the relevant chapters in the prescribed textbook. 17 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria psychiatric disorder due to other medical conditions. Unit overview : Schizophrenia spectrum & other psychotic disorders Module outcome(s) aligned with this unit Unit objective (assessment criteria) Delusional disorder ● Brief psychotic disorder ● Schizoaffective disorder ● Schizophreniform disorder ● Schizophrenia Psychotic disorder due to AMC Substance/mediation induced psychotic disorder ● Know the DSM 5 - definitions & criteria of Schizophrenia spectrum & other psychotic disoders. Diagnose Schizophrenia spectrum & other psychotic disorders. Formulate a differential diagnosis of Schizophrenia Spectrum & other psychotic disorders. Describe the diagnostic markers associated with Schizophrenia spectrum & other psychotic disorders. Compare different schizophrenia spectrum and other psychotic disorders (ie distinguishing features of each disorder according symptoms, duration and level of impairment. Prepare Engage Consolidate Materials/ resources Read the section on eating disorder in Chapter 11 of the prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Attend the face to face lecture on the topic. Engage in topic discussion and seek clarification where necessary Answer the single best answer (SBA) and short answer questions Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML, Ruiz P. editors. Kaplan & Sadock’s synopsis of psychiatry: 12th ed. Wolters Kluwer; 2022. Study material on the topic, available on ClickUP: PowerPoint slides 18 Catatonia GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Other/Unspecified schizophrenia & related disorders ● ● ● ● ● Discuss cormobidities associated with Schizophrenia spectrum and other psychiotic disorders. Discuss course and prognosis schizophrenia spectrum and other psychotic disorders. Know the management of schizophrenia spectrum & other psychotic disorders in general practice and psychiatric setting, including biopsychosocial interventions. Inform & guide the patient & family appropriately (psycho-education Rehabilitation Unit overview: Pharmacotherapy of Antipsychotics Module Unit objective (assessment criteria) outcome(s) aligned with this unit Pharmacotherapy: Antipsychotics ● Understand basic background physiology of synapses and neurotransmitters ● Understand the pharmacodynamics of the different categories of antipsychotics ● Understand and manage the most common and life-threatening sideeffects of the typical and atypical antipsychotics: ❖ Acute Dystonia ❖ Neuroleptic Malignant syndrome ❖ Extrpyramidal side effects ❖ Metabolic syndrome Prepare Engage Consolidate Materials/ resources ● Read the section on antipsychotics in Chapter 35 of the prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary ● Answer the single best answer questions in the augmentative study material that is on Click-UP ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Study material on the topic, available on Click-UP: ● Single best answer questions 19 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ❖ Explain the choice and use of specific antipsychotics in particular clinical situations Unit overview: Substance related and addictive disorders Module Unit objective (assessment criteria) outcome(s) aligned with this unit Substance related ● Describe the classification of substance- related and addictive disorders according to the DSM VTR disorders ● Understand the neurochemical/ anatomical changes associated with substance use. ● Understand the approach in taking a substance use history- screening, scales used for each substance use disorder if applicable ● Describe intoxication and withdrawal for the different substances Prepare Engage Consolidate Materials/ resources Read the section on Alcohol- related disorders and Other substance-related and addictive disorders in Chapters 20 and 21of the prescribed textbook - Burns J, Roos JL. editors. South African Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary Answer the single best answer questions in the augmentative study material that is on ClickUP Prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: 20 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ● Biopsychosocial management of each of the substance use disorders ● Name and describe the specific substance related disorders including: Alcohol, Stimulants, Cocaine, Cannabis, Opioids, Hallucinogens, Inhalants, Sedatives, Nicotine, Caffeine, Gambling. ● Describe Alcohol withdrawal delirium including the symptoms and management of this condition ● Describe Opioid overdose and management ● Describe harm reduction strategies ● Describe medical complications associated with substance use. Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. Block13: Nervous System Study material on the topic, available on Click-UP. Block17: Traumatology PowerPoint slides Unit overview : Neurocognitive Disorders Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Neurocognitive disorders ● Describe the clinical presentation , cause and a diagnostic approach of neurocognitive disorders (incl. delirium, mild and major neurocognitive disorder). Read recommended articles / videos and textbook chapter Prepare for class by reading through Engage Discuss case examples Consolidate Case studies Block tests Question and answer session based on material presented GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Materials/ resources Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. 21 ● Describe the risk factors including modifiable risk factors associated with developing neurocognitive disorders. ● Demonstrate the ability to identify delirium and to exclude potential reversible causes of mild/major neurocognitive disorders ● Describe the non-pharmacological and pharmacological management approaches to neurocognitive disorders. provided PowerPoint presentation Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. Study material on the topic, available on Click-UP. PowerPoint slides Unit overview: Depressive disorders Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources 22 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Depressive and related disorders Knowledge, diagnoses and Read the section on Attend the in-person lecture on Answer the single application of depressive disorders in the topic, engage in topic best answer DSM-5 criteria including prescribed textbook: discussion and seek clarification questions in the specifiers and of the clinical “Textbook of Psychiatry, where necessary. augmentative study features of the different Burns/Louw” Chapter 12 material that is on ClickUP depressive disorders Understanding the pathogenesis and bio-psycho-social treatment and management of depressive disorders Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. Study material on the topic, available on Click-UP. Understand grief vs MDD PowerPoint slides Unit overview: Pharmacotherapy of Antidepressants Module Unit objective (assessment criteria) outcome(s) aligned with this unit Prepare Engage Consolidate Materials/ resources 23 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Pharmacotherapy, including the pharmacodynamics and pharmacokinetics of antidepressants ● Understand basic background ● Read the section on physiology of synapses and antidepressants in neurotransmitters Chapter 35 of the ● Understand the prescribed textbook pharmacodynamics of the - Burns J, Roos JL. different categories of editors. South antidepressants African Textbook of ● Give the name and dose range of Psychiatry. 2nd ed. an antidepressant in each category Cape Town. Oxford ● Name the most common sideUniversity Press; effects of these antidepressants 2015. ● Explain the choice and use of ● Watch the narrated specific antidepressant in PowerPoint video on particular clinical situations the topic that is ● Explain serotonin syndrome available on clickUP including the symptoms and signs of the syndrome ● Explain the treatment of serotonin syndrome ● Explain the term antidepressant discontinuation syndrome including the symptoms and signs of this syndrome ● The management of antidepressant discontinuation syndrome ● Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary ● Answer the single best answer questions in the augmentative study material that is on ClickUP ● Refer to the correct answer to each question and the related explanation and make sure you understand why that is the best answer ● Listen to the podcast on the topic that is on ClickUP and make sure you understand how to use antidepressants in the clinical setting ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Study material on the topic, available on ClickUP: - PowerPoint slides - Narrated PowerPoint video - Single best answer questions - Podcast Unit overview: Depressive Disorders: Major Depressive Disorder(Child and Adolescent) Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources 24 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Depressive disorders in childhood and adolescence Distinguish between depressive disorders and normal adolescent behaviour . Knowledge, skills, clinical features, comorbid conditions and differential diagnoses of the depressive disorders that commonly occur during childhood and adolescence: Major depressive disorder, (MDD), Disruptive Mood Dysregulation Disorder (DMDD), Persistent depressive Disorder (PDD) Understand how these conditions differ from presentation in adulthood. Assess and manage depressive disorders in children and adolescents including the family unit, using the bio- psychosocial model. ● Read the available lecture PowerPoint on ClickUp. ● Read the DSM-5TR criteria of Major Depressive Disorder and differential diagnosis. ● Read the applicable chapter in the IACAPAP e-book. ● Read the case study and Watch the IACAPAP e-book WHO video, by clicking on the link provided. ● Classroom activity. ● Use the PowerPoint lecture for discussion ClickUp ● Read the applicable chapter in the IACAPAP e-book. ● Read the case study and Watch the IACAPAP ebook WHO video, by clicking on the link provided. ● Lecture/PowerPoint notes. ● The prescribed textbook. ● IACAPAP e-book Case-studies for self-training and assessment. ● https://iacapap.org/_Resour ces/Persistent/e7d7c9baad3 49c8618bdd6aa9aba849e2b eb161c/E.1-Depression2015-update.pdf ● Video clip from the WHO: https://www.who.int/healthtopics/depression#tab=tab_ 1 ● Understand when to appropriately refer to a paediatrician or mental health care practitioner for further assessment and management. ● Unit overview: Electroconvulsive Therapy 25 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Module outcome(s) aligned with this unit Understanding of the use of Electroconvulsive therapy (ECT) in psychiatric disorders Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources ● Describe what ECT is ● Understand the mechanism of ECT ● Describe the indications for ECT ● Describe the relative contraindications of ECT ● Describe the side effects of ECT ● Have a brief understanding of other neuromodulation treatmentsTranscranial magnetic stimulation, vagus nerve stimulation, deep brain stimulation. Read the section Electroconvulsive therapy in Chapter 36Pharmacological and other treatments in psychiatry in the prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary Answer the single best answer questions in the augmentative study material that is on ClickUP Refer to the correct answer to each question and the related explanation and make sure you understand why that is the best answer ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022 26 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Bipolar and related disorders Module Unit objective (assessment criteria) outcome(s) aligned with this unit Bipolar and ● Describe the different type of mood related disorders presentations clinically. ● Knowledge, diagnoses, classification and application of all bipolar and related disorders including the DSM 5 criteria and specifiers. ● Epidemiology, aetiology and clinical features of bipolar I and II disorders ● Comparing the clinical presentation of a depressive episode and a manic episode ● Describe the differential diagnoses of bipolar disorders. ● Biopsychosocial management of bipolar disorders and each phase within bipolar disorders. Prepare Engage Consolidate Materials/ resources Read the section on Bipolar disorders in Chapters 13 and Chapter 36 of the prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary Answer the single best answer questions in the augmentative study material that is on Click-UP ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. ● Study material on the topic, available on Click-UP. ● Powerpoint slides 27 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Pharmacotherapy of Mood stabilisers Module Unit objective (assessment criteria) outcome(s) aligned with this unit Pharmacotherapy ● Describe the indications for the use of mood including stabilisers in general and the use of specific pharmacodynamic mood stabilisers in particular clinical s and conditions. pharmacokinetics ● Name the categories of mood stabilisers. of Mood stabilisers ● Describe the indications for the use of individual mood stabilisers. ● Name the special investigations that need to be conducted prior to commencing a patient on a mood stabiliser and explain why they are necessary . ● Name the special investigations that need to be done when monitoring a patient on mood stabilisers and explain why they are necessary. ● Explain the most common side -effects of each mood stabiliser. ● Know the dose ranges of the mood stabilisers. ● With regards to lithium, explain the concepts of dosing, narrow therapeutic index, trough levels of serum lithium and monitoring of lithium levels. ● Explain lithium toxicity including symptoms, signs and treatment. Prepare Engage Consolidate Materials/ resources Read the section on mood stabilisers in Chapter 35 of the prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Watch the narrated PowerPoint video on the topic that is available on click-UP Attend the inperson lecture on the topic, engage in topic discussion and seek clarification where necessary ● Answer the single best answer questions in the augmentative study material that is on ClickUP ● Refer to the correct answer to each question and the related explanation and make sure you understand why that is the best answer ● Listen to the podcast on the topic that is on Click-UP and make sure you understand how to use antidepressants in the clinical setting ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Study material on the topic, available on Click-UP: - PowerPoint slides - Narrated PowerPoint video - Single best answer questions - Podcast 28 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Dissociative disorders Module outcome(s) aligned with this unit Dissociative disorders Unit objective (assessment criteria) Prepare Read Chapter 19 in Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Recognise the spectrum from normal dissociation, through traumatic dissociation, to dissociative disorders; Recognise dissociative pathology in presenting patients; Engage Attend the in-person lecture on the topic, engage in topic discussion and seek clarification where necessary Consolidate Materials/ resources Integrated discussion ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. ● Study material on the topic, available on Click-UP. ● Powerpoint slides Psycho-educate patients and their families about the consequences of complex relational trauma; Manage dissociative pathology appropriately in a general practitioner context. 29 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Sleep-wake disorders Module outcome(s) aligned with this unit Unit objective (assessment criteria) Sleep-wake and related disorders Knowledge, DSM 5 diagnoses, classification and application of: ● Insomnia disorder, ● Hypersomnolence disorder, ● Narcolepsy, ● circadian rhythm sleep- Prepare Engage 1)Click-up lecture notes Attend the in-person lecture on the topic, engage in topic discussion and seek clarification where necessary 2)Prescribed textbook wake disorders, ● restless leg syndrome, ● substance and medication induced sleep disorder. Knowledge of how medical conditions and other psychiatric disorders can impact on sleep. Consolidate Materials/ resources ● Prescribed textbook Burns J, Roos JL. 2)Mock test case studies editors. South African on click up Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. ● Study material on the topic, available on Click-UP. ● Powerpoint slides 1)Progress test Biopsychosocial management of sleep-wake and related disorders. 30 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Unit overview: Anxiety Disorders(Adult) Module outcome(s) aligned with this unit Anxiety disorders Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources ● Describe and identify the constructs: generalised anxiety, panic attack, and phobia. ● Diagnose and describe the clinical features of generalised anxiety disorder, panic disorder, specific phobia, social anxiety disorder, agoraphobia, substance/medication induced anxiety disorder, and anxiety disorder due to another medical condition. ● Diagnose and describe the ‘other specified anxiety disorder and what it is used for. ● Describe what the diagnosis, ‘unspecified anxiety disorder’ is used for. ● Describe and identify the differential diagnoses of each anxiety disorder. ● Describe how each anxiety disorder is worked-up to establish a diagnosis. ● Describe the complications of each anxiety disorder. ● Read the available lecture handouts on ClickUp. ● Read the DSM-5 criteria of the individual anxiety disorders. ● Read the applicable chapter in the prescribed textbook. ● Watch the YouTube videos, by clicking on the links provided on ClickUp Class room activity. Use the discussion page on Click-Up ● Read through the DSM-5 criteria of the individual disorders again, but now describe each of the disorders for yourself in terms of ‘core’ and characteristic clinical features in your own words. ● Do the case studies for self-training and assessment on ClickUp Prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML,Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022 Video links. Case-studies for self-training and assessment. 31 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ● Describe the epidemiology, prognosis and complication of each anxiety disorder. ● Describe the best, evidence-based biopsychosocial management for each anxiety disorder and when to appropriately refer. Unit overview: Obsessive-Compulsive and Related Disorders Module Unit objective (assessment criteria) outcome(s) aligned with this unit Obsessive● Describe and identify the constructs: compulsive obsession and compulsion. and related ● Diagnose and describe the clinical features disorders in of obsessive-compulsive disorder, body adults dysmorphic disorder, hoarding disorder, trichotillomania (hair-pulling disorder), excoriation (skin-picking) disorder, substance/medication induced obsessivecompulsive and related disorder and obsessive-compulsive and related disorder due to another medical condition. ● Understand and diagnose “other specified obsessive-compulsive and related disorder’ and the use thereof. ● Describe and identify the differential diagnoses of each obsessive-compulsive and related disorder. ● Describe how each obsessive-compulsive and related disorder is worked-up to establish a diagnosis. Prepare ● Read the available lecture handouts on Click-Up. ● Read the DSM-5 criteria of the individual anxiety disorders. ● Read the applicable chapter in the prescribed textbook. ● Watch the YouTube videos, by clicking on the links provided on Click-Up Engage ● Class room activity. ● Use the discussion page on Click-Up Consolidate ● Read through the DSM-5 criteria of the individual disorders again, but now describe each of the disorders for yourself in terms of ‘core’ and characteristic clinical features in your own words. ● Do the case studies for self-training and assessment on Click-Up Materials/ resources Lecture notes. Video links. Case-studies for selftraining and assessment. Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML, Ruiz P editors. Kaplan & Sadock’s Synopsis of Psychiatry: 12 32 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ● Describe the complications of each obsessive-compulsive and related disorder. ● Describe the epidemiology and prognosis of each obsessive-compulsive and related disorder. ● Describe the best, evidence-based biopsychosocial management of each obsessive-compulsive and related disorder. Unit overview: Trauma- and Stressor-Related Disorders Module Unit objective (assessment criteria) outcome(s) aligned with this unit Trauma- and stressor-related disorders. ● Describe and identify ‘trauma’ and ‘intrusion symptoms’ as relevant to posttraumatic stress disorder and acute stress disorder. ● Diagnose and describe the clinical features of posttraumatic stress disorder, acute stress disorder, adjustment disorder and prolonged grief disorder. ● Diagnose, ‘other specified traumaand stressor-related disorder’ and ‘unspecified trauma- and stressorrelated disorder’ including what they are used for. ● Identify the differential diagnoses of each trauma-and stressorrelated disorder. ● Describe how each trauma-and stressor-related disorder is th ed. Wolters Kluwer; 2022 Prepare Engage Consolidate Materials/ resources ● Read the available lecture handouts on Click-Up. ● Read the DSM-5 criteria of the individual anxiety disorders. ● Read the applicable chapter in the prescribed textbook. ● Watch the YouTube videos, by clicking on the links provided on Click-Up ● Class room activity. ● Use the discussion page on Click-Up ● Read through the DSM-5 criteria of the individual disorders again, but now describe each of the disorders for yourself in terms of ‘core’ and characteristic clinical features in your own words. ● Do the case studies for self-training and assessment on ClickUp Lecture notes. Video links. Case-studies for selftraining and assessment. Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML, Ruiz P editors.Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022. 33 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria worked-up to establish a diagnosis. ● Describe the epidemiology, prognosis and complication of each trauma-and stressor-related disorder. ● Describe the best, evidence-based biopsychosocial management of each trauma-and stressor-related disorder. Unit overview: Somatic Symptom and -Related Disorders Module Unit objective (assessment criteria) outcome(s) aligned with this unit Somatic Diagnose and describe the clinical features of: symptom ● somatic symptom disorder, and related ● illness anxiety disorder, disorders ● functional neurological symptom disorder (conversion disorder) ● psychological factors affecting other medical condition ● factitious disorder. Diagnose and describe the ‘other specified somatic symptom and related disorders’ including unspecified somatic symptom and related disorder’ and the use thereof. Identify the differential diagnoses of each somatic symptom and related disorder. Describe how malingering is differentiated from other somatic symptom and related Prepare Engage Consolidate Materials/ resources ● Read the available lecture handouts on Click-Up. ● Read the DSM-5 criteria of the individual anxiety disorders. ● Read the applicable chapter in the prescribed textbook. ● Watch the YouTube videos, by clicking on the links provided on ClickUp ● Class room activity. ● Use the discussion page on ClickUp ● Read through the DSM-5 criteria of the individual disorders again, but now describe each of the disorders for yourself in terms of ‘core’ and characteristic clinical features in your own words. ● Do the case studies for self-training and assessment on ClickUp ● Lecture notes. ● Video links. ● Case-studies for selftraining and assessment. ● The prescribed textbook. 34 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria disorders. Describe how each somatic symptom and related disorder is worked-up to establish a diagnosis. Describe the epidemiology, prognosis and complications of each somatic symptom and related disorder. Describe the best, evidence-based biopsychosocial management of each somatic symptom and related disorder. Unit overview: Separation Anxiety Disorder Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources Separation Anxiety and related disorders in child and adolescent population Students should have the knowledge, and ability to classify, distinguish and diagnose: ● Read the available lecture PowerPoint on Click-Up. ● Read the DSM-5 criteria of separation anxiety disorder and differential diagnosis. ● Read the applicable chapter in the IACAPAP e-book. ● Read the case study and Watch the IACAPAP e- ● Classroom activity. ● Use the PowerPoint lecture for discussion ClickUp ● Read the DSM-5 criteria of the separation anxiety disorder and describe the disorder for yourself in terms of ‘core’ and characteristic clinical features in your own words. ● See the case study and short video for selftraining and on e-book IACAPAP ● Textbook of Child and Adolescent Mental Health ● Lecture/PowerPoint notes. ● IACAPAP e-book Video links. ● IACAPAP e-book Casestudies for self-training and assessment. ● The prescribed textbook. ● https://iacapap.org/_Res ources/Persistent/a94ba a1d381e935a4365ef2d3 421869c9ebc57f6/F.2SEPARATION-ANXIETY300812.pdf ● 35 Anxiety disorders from developmentally normative fear and anxiety example: Separation anxiety vs separation anxiety disorder. Anxiety symptoms should not be attributable to the physiological effects of a substance or medication or another medical condition or not explained better by another mental disorder. Clinical features, differential diagnoses and comorbid diagnoses of a separation (SAD) anxiety disorder. GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Biopsychosocial assessment and management of the child, parent, and family, to exclude parental mental health problems/anxiety role models and adverse childhood experiences. Refer appropriately to a paediatrician or mental health care practitioner for further assessment and management. book video, by clicking on the link provided after downloading the IACAPAP e-book. Unit overview: The aggressive person Module outcome(s) aligned with this unit Unit objective (assessment criteria) The aggressive person Describe the process of evaluating Engage Consolidate Read the section on Attend the in-person lecture Answer the single Prescribed textbook- an aggressive person. the aggressive person on the topic, engage in topic best answer Burns J, Roos JL. South List the clinical features that may be in prescribed textbook: discussion and seek questions in the African Textbook of used to differentiate between “Textbook of clarification where augmentative Psychiatry 2nd ed. Cape delirium and acute psychosis. Psychiatry, necessary. study material that Town. Oxford University is on Click-UP Press; 2015. Describe the steps taken in the management of an aggressive Prepare Burns/Louw” Chapter 34 Materials/ resources Additional material: Boland R, Verduin ML, patient. Ruiz P editors. Kaplan & List common medical causes amp; Sadock’s synopsis of 36 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria associated with aggressive psychiatry: 12th ed. behavioural disturbances. Study material on the Understand the use of topic, available on Click- pharmacological interventions in the UP sedation of the aggressive person. PowerPoint slides Understand the legal and ethical considerations when managing the aggressive person. Unit overview: Suicide and Family murders Module outcome(s) aligned with this unit Suicide and family murders Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources ● Define the concept of suicide and parasuicide ● Epidemiology of suicide ● Describe the methods of suicide ● Identify risk factors associated with suicide ● Risk assessment/evaluation of a suicidal patient including the management. ● Psychiatric disorders and comorbid diagnoses associated with suicide & family murder ● Read Chapter 34 on Suicide in the prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Attend the in-person lecture on the topic ● Engage in topic discussion ● Seek clarification where necessary ● Active ● Answer the single best answer questions in the augmentative study material that is on ClickUP ● Refer to the correct answer to each question and the related explanation and Prescribed textbook - Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Additional material: Boland R, Verduin ML,Ruiz P editors.Kaplan & Sadock’s Synopsis of Psychiatry: 12 th ed. Wolters Kluwer; 2022 37 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria participation in case study scenarios make sure you understand why that is the best answer American Psychiatric A Diagnostic and statistical manual of mental disorders : Dsm-5. Washington, DC: American Psychiatric Association Publishing; 2022 Study material on the topic, available on Click-UP: PowerPoint slides Engage Consolidate Materials/ resources Formal lecture and discussions Reading for the assessment / test Unit overview: The Mental Health Care Act (MHCA) and related matters Module outcome(s) aligned with this unit Mental Health Care Act Unit objective (assessment criteria) Prepare Knowledge, skills and application of the following: Students should familiarise themselves Mental Health Care Act 17, 2002 and its Regulations. and the Criminal Procedure Act 51, 1977 sections 77, 78 and 79 Determine & apply the legislation for admission of a psychiatric patient. Sources: - The Mental Health Care with Chapter 1 of the Act, No. 17, 2002 and; MHCA and Section 79 of the regulations; the Criminal Procedure - The Criminal Procedure Act 51, 1977 – Sections Act 51, 1977 77, 78 & 79; - Burns J, Roos JL. Describe the legal process 38 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria concerning a person with a mental illness involved in committing a crime. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Unit overview : Mental Health Policy and Mental Health Promotion Module outcome(s) aligned with this unit Mental Policy and Mental Health Promotion Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources Mental Health and related policies completion of this unit the student should have gained knowledge and skills to: Read the Introduction to the Mental Health Policy Framework; Formal lecture and discussions Apply principles of health promotion to mental health. Read the Public mental health Chapter in the textbook described under ‘Materials’ Reading for the assessment test Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Read, understand and interpret mental health and related policies. Ottawa Charter action areas to mental health GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Block 2 lecture notes on ClickUP: 39 Analyse Basic policy with respect to Mental Health Policies Public health lectures: Models related to behaviour change What is public health? Describe mental health systems and policies in South Africa Describe the key areas of the National Mental Health Policy Framework and Strategic Plan 2013-2020 (RSA National Dept. Social determinants of health/Health promotion of Health) Evidence & policy Apply the principles of the Human resources for Health strategies that impact on mental health services. Unit overview: Autism Spectrum Disorder (ASD) Module outcome(s) aligned with this unit Autism spectrum disorder Unit objective (assessment criteria) Students should have the knowledge, and ability to diagnose, classify, specify and distinguish: ● Autism Spectrum Disorder, clinical features, epidemiology, Prepare Engage Consolidate ● Read the available lecture PowerPoint on Click-Up. ● Read the DSM-5 criteria of autism spectrum disorder ● Classroom activity. ● Read the DSM-5 criteria of the separation anxiety disorder ,and describe the disorder for yourself in terms of ‘core’ and characteristic clinical Use the PowerPoint lecture for discussion Click-Up GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Materials/ resources 1.Kaplan and Sadock textbook. Chapter 31 2. Diagnostic and Statistical Manual of Mental Disorders page 50-59 40 ● ● ● differential diagnoses and comorbid diagnoses of ASD. Outline the multi-modal management of ASD. List and explain the investigations indicated for baseline work- up for ASD. Elaborate on the use of medication in ASD and differential diagnosis. ● Read the applicable chapter in the IACAPAP e-book. features in your own words. ● See the case study and short video for selftraining and on e-book IACAPAP Read the case study and Watch the IACAPAP e-book video, by clicking on the link provided after downloading the IACAPAP ebook. 3. Oxford textbook of Psychiatry. Burns and Roos. ● 4. Lecture/PowerPoint notes. ● IACAPAP e-book Video links. ● IACAPAP e-book Casestudies for self-training and assessment. Textbook of Child and Adolescent Mental Health ● Unit overview: Intellectual Disability Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Intellectual Disability Student must be able to correctly make ● Read the available lecture PowerPoint on Click-Up. ● Read the DSM-5 criteria of Intellectual Disability ● Read the applicable ● Classroom activity. Patient presentation Use the PowerPoint lecture for discussion Click-Up Case studies the diagnosis of Intellectual Disability according to the DSM 5. Identify the severity levels of ID the corresponding IQ scores. Consolidate Materials/ resources 1.Kaplan and Sadock textbook. Chapter 31 o Case discussions 2. Diagnostic and Statistical Manual of Mental Disorders page 33-41 o Presentations 3. Oxford textbook of Formative o MCQ 41 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Explain the clinical features of ID chapter in the IACAPAP e-book. Student should be able to elaborate on Read the case study and Watch the IACAPAP e-book video, by clicking on the link provided after downloading the IACAPAP ebook. the different etiological factors associated with ID Outline the multi-modal management of ID. o “Activity book” o Logbook/patient presentation o Skills lab assessment Summative o MCQ o SAQ (integrated case-based assessment) Psychiatry. Burns and Roos 4. IACAPAP e-textbook (online) Discuss primary, secondary and tertiary prevention in relation to the treatment of ID Elaborate on differential and comorbid conditions Unit overview: Attention-Deficit/Hyperactivity disorder (ADHD) Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources Attention Deficit Hyperactivity Disorder Student should have the knowledge, and ability to diagnose, classify and distinguish ADHD from; developmentally normative hyperactivity and impulsivity. ● Read the available lecture PowerPoint on Click-Up. ● Read the DSM-5 criteria of ADHD and differential diagnosis. ● Classroom activity. ● Use the PowerPoint lecture for discussion Click-Up ● Read the DSM-5 criteria of ADHD again and describe the disorder for yourself in terms of ‘core’ and characteristic clinical features in your ● Lecture/PowerPoint notes. ● IACAPAP e-book Video links. ● IACAPAP e-book for selftraining and assessment. 42 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ADHD symptoms that are attributable to the physiological effects of a substance or medication or another medical condition or not explained better by another mental disorder. Clinical features, differential and comorbid diagnoses of ADHD Biopsychosocial management of the condition in the child, parent, and family. ● Read the applicable chapter in the IACAPAP e-book. ● Read the case study and Watch the IACAPAP e-book video, by clicking on the link provided after downloading the IACAPAP e-book. own words. ● See the short video discussions for selftraining and on e-book IACAPAP. ● Textbook of Child and Adolescent Mental Health ● The prescribed textbook. ● https://iacapap.org/_Res ources/Persistent/2d2d6 90595b52c534211e8421 43d46293b223eae/D.1ADHD-2020.pdf Exclude parental mental health problems and adverse childhood experiences. Refer appropriately to a paediatrician or mental health care practitioner for further assessment and management. Unit overview: Feeding & eating disorders in childhood & adolescence Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources 43 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Diagnosis and management of Feeding & eating disorders in childhood & adolescence ● ● ● ● ● ● ● ● ● ● Know the DSM 5 definitions & criteria of feeding and eating disorders. Diagnose feeding and eating disorders. Differential diagnosis of feeding and eating disorders. Describe the associated features found in eating disorders. Describe the diagnostic markers associated with eating disorders. Compare different eating and feeding disorders. Distinguish depressive features in anorexia nervosa and depressive disorders. Discuss comorbidities associated with eating disorders. Discuss course and prognosis of eating disorders. Know the management of eating and feeding disorders in general practice and psychiatric setting, including biopsychosocial interventions. Read the section on eating disorder in Chapter 22 of the prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. Attend the face to face lecture on the topic. Engage in topic discussion and seek clarification where necessary Answer the single best answer (SBA) and short answer questions ● Prescribed textbook Burns J, Roos JL. editors. South African Textbook of Psychiatry. 2nd ed. Cape Town. Oxford University Press; 2015. ● Additional material: Boland R, Verduin ML, Ruiz P. editors. Kaplan & Sadock’s synopsis of psychiatry: 12th ed. Wolters Kluwer; 2022. IACAPAP e-textbook of child and adolescent mental health. Study material on the topic, available on Click-UP: PowerPoint slides Unit overview: Principles of cognitive behaviour therapy Module outcome(s) aligned with this unit Unit objective (assessment criteria) Prepare Engage Consolidate Materials/ resources 44 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria Cognitive Behavioural Therapy Describe the principles of cognitive therapy theory. Self-study: Apply the principles of cognitive theory to depression, anxiety and suicide behaviour. Peer discussion: Recognise and describe some cognitive distortions. Review the resources available Formal lecture during block 15 Complete the case vignette supplied to identify various aspects of CBT Discuss amongst peers in a small group what you understand CBT to be Corsini RJ, Wedding, D. Current psychotherapies Fifth edition. 1995. F.E. Peacock Publishers Hofmann SG, Asmundson, GJG. The science of cognitive behavioral therapy. Academic Press, 2017 Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive therapy and research. 2012. 36: 427-440 List the characteristics of behaviour therapy Illustrate the principles of various types of conditioning . Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitivebehavioral therapy: A review of meta-analyses. Clinical psychology review. 2006. 26 (1): 17-31 Illustrate the application of CBT principles as a general practitioner. Wenzel A. Basic strategies of cognitive behavioral therapy. 2017. 40 (4): 597-609 45 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria 4.6 Credit Map (Time weighting) This module carries a credit weighting of 34 credits. Credits are linked to the time STUDENTS have to spend to reach THEIR outcomes for the module. One credit equals 10 hours of STUDENT INPUT. This implies that STUDENTS should spend at least 340 hours (yes, 340!) working and studying during this module. Apart from the 73 contact hours (lecturing/class contact sessions/practicals), students will have to spend about 267 hours on independent study, ClickUP activities, tutorial attendance, assessment tasks, writing of tests and exams and other relevant activities necessary to master the required outcomes for the module. See table with credit map below. Students will also spend at least 85 hours in the clinical environment (hospital) for Workintegrated-learning (WIL). During those hours students will be exposed to patients, certain clinical assessments, clinical work and academic activities related to patient care and the subject of psychiatry. Please note that these hours are prescribed by the HPCSA, are thus compulsory and are a requirement to progress to the following year. Activity Formal block lectures Practicals Rotation (including patient care, clinical work, tutorials, ward rounds, academic ward rounds and participation at admissions and outpatient departments) Assessments ClickUP access Case study preparation Independent work (reading textbook, summarizing, studying) Proposed time spent on activity (in hours) 67 6 85 8 10 10 154 TOTAL: 340 ÷10 = 34 CREDITS 4.7. Assessment In this module, assessment will consist of formal (scheduled) and informal (during contact-session, bed-side teaching) assessments and assignments. All assessments and assignments will contribute to your semester/ block mark. Assignments and assessments will consist of group activities or groupwork AND individual work and contributions. Unfortunately, if you missed an informal assessment (in class), those marks will be forfeited, and the assessment cannot by rescheduled – that is why it is crucial to attend all contact-sessions (virtual or on-campus). Feedback on assessments will be provided, however perusal of tests cannot be allowed as questions are in a data bank. 46 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria 4.8. Assessment opportunities All rules as it relates to assignments and assessment (honesty and integrity) still applies. In this module assessment will consist of tests, exams and a real-life case study which needs to be handed in at the end of the rotation. The progress test and block exam will consist of a combination of single best answer questions and short questions which will be completed online at the computer skills laboratories on the Prinshof Campus. The second exam will be in the same format as the progress and block test. If a change in the exam format is required, details will be communicated to affected students closer to the time of the exams. A student who misses the progress test and/or block exam, for any reason, (including illness, injury, personal matters or special leave) must write the second exam. The reason for the missed test must be reported to Mrs. Fourie, the Block Chair, the Undergraduate office and the Chair of the School of Medicine. If a student misses a test or exam because of illness or injury, they need to produce a medical certificate from a qualified medical practitioner. Illegitimate reasons for absence include holidays, missed flights, and events where permission to be absent was not approved. The case study must be submitted by the last Monday of the rotation. A signed plagiarism declaration form must be included as part of the case study. If a student misses the deadline for submission because of illness or injury, they need to produce a medical certificate from a qualified medical practitioner within 48 hours to Mrs. Fourie. The student will then have an opportunity to submit the case study by the last day (Friday) of the practical rotation. Late submission of case studies without a valid reason within the final week of the practical rotation will be marked to a maximum of 50%. Late submissions will not be accepted. Any student who does not submit a case study or submits it late will receive zero for the assignment. Since the case study is used to determine a student’s practical rotation mark, and the practical rotation has to be passed in order to pass the block, in essence, late or non-submission of a case study by any student will result in that student having to repeat the rotation. ● BREAKDOWN OF MARKS & WEIGHTING OF TESTS Assessment Progress Test Practical rotation ● Log book ● Participation in firms ● Written case studies (15%) ● Block test Assessing - Clinical application of knowledge; - Paper case studies, short questions, single best answer questions; - Management of patients. A satisfactorily completed practical rotation is a prerequisite to passing the block. Composition of marks 25 % - Attendance & participation in firms & academic programme. - Attendance; knowledge; skills; attitudes. Must be satisfactorily completed with signatures where applicable for the rotation to be assessed as having been completed - One long case study of a real patient with focus on diagnosis & management in the primary health care setting. - Clinical application of knowledge; - Paper case studies, short questions, single best answer questions; - Management of patients. 15 % 60 % 47 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria ● Block mark 100 % The following assessment methods will be used to calculate the block mark: i. Progress test A 120 min computer-based assessment resembling the format that can be expected of the block test will be completed on Thursday 23/01/2025. (Computer skills labs, Prinshof Campus) The purpose of the test is to help students familiarize themselves with the block test format and the type of evaluation questions that can be expected. Furthermore, the results can help students compare their level of performance with that which is expected in the block. Students who are struggling will then have the second half of the block to take remedial action. At the same time lecturers can identify students who are struggling and be available to assist these students to master the subject matter. ii. Practical rotation It is emphasised that the attendance of the clinical practical rotation is compulsory according to the regulations of the Health Professions Council of South Africa and the Faculty of Health Sciences, University of Pretoria. iii. Block exam A 120 min computer-based assessment will be completed on Friday, 21/02/2025 (Computer skills labs, Prinshof Campus). iv. Second exam A 1-hour exam to be written in June by students who still do not have a pass mark following the block exam – date and venue to be confirmed nearer the date. 4.9 Administration regarding assessment results The outcomes of the assessments will be posted in the ClickUp Grade centre. Information regarding feedback on assessments and perusal will be distributed via the clickUp announcement system. Please make sure that you read it daily. End of semester examinations and Promotion PROMOTION & CALACULATION OF FINAL MARKS A block mark 50% is required to pass the block. Students who do not pass, will have to write the second exam in June. A subminimum block mark of 40% must be attained in order to qualify to write the second exam. The final mark will be calculated by adding the block mark to the second exam mark – each of which will counts 50%. Students will need to pass this exam in order to pass Block 15. Students who do not pass the block and those who do not attain the subminimum block mark will have to repeat the block next year. Promotion for this block is dependent on attendance of all tests, satisfactory completion of the logbook) and a 65% or above block mark. TEST & EXAM DATES 48 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria i. ii. Progress Test – 23/01/2025 Block Test – 21/02/2025 5. General Academic Regulations and Student Rules general-academic-regulations-and-student-rules-2024_2024 (1).pdf Ground rules for Class Whatsapp groups - 21 Oct 2024.pdf uppr095765 Social media policy - 21 Oct 2024.pdf uppr104440 Social Media Guidelines - 21 Oct 2024.pdf 49 GNK 581 (Psychiatry and Social Dysfunction) 2021 – Department of Psychiatry, Faculty of Health Sciences, University of Pretoria