UNIVERSITY OF THE WITWATERSRAND, JOHANNESBURG
DEPARTMENT OF MEDICINE
MEDICINE COURSE FOR GEMP IV STUDENTS
TABLE OF CONTENTS
1
INTRODUCTION ........................................................................................................................... 2
2
OBJECTIVES ................................................................................................................................. 2
3
CORE TOPICS AND CASE COMPETENCIES ................................................................................... 3
4
A TYPICAL GEMP 4 WEEK IN THE WARDS (6 WEEK BLOCK) ........................................................ 4
5
STUDY, CLERKING TIME AND BEDSIDE TUTORIALS..................................................................... 6
6
PROBLEM BASED LEARNING (PBL) SESSIONS ............................................................................. 6
7
THEME SESSIONS ........................................................................................................................ 8
8
SEMINARS.................................................................................................................................... 8
9
NEUROLOGY, DERMATOLOGY, RADIOLOGY, CHEMICAL PATHOLOGY AND CARDIOLOGY ........ 8
10 PROCEDURES TO BE WITNESSED/PERFORMED ........................................................................... 9
11 THREE WEEK BLOCK ................................................................................................................... 10
12 LOG BOOK .................................................................................................................................. 10
13 ASSESSMENT AND EXAMINATION………………………………………………………………………….…….…………10
14. RECOMMENDED BOOKS ........................................................................................................... 12
1
INTRODUCTION
Welcome to the Internal Medicine GEMP IV course, which is a formal qualifying course. A
total of nine weeks is devoted to Internal Medicine. The nine weeks are split into a ‘standalone’ 6 week Medicine block and a further 3 week period which forms part of the Mixed
block, in which Medicine is coupled with Orthopaedics. Students who fail the six week
Medicine block will have to repeat the block immediately. This will also mean that they will
graduate later than their peers.



ATTENDANCE OF 90% OF WARD AND HOSPITAL ACTIVITIES (TUTORIALS,
SEMINARS, PBLs etc) CONSTITUTE THE MINIMUM DP REQUIREMENTS.
STUDENTS WHO DO NOT FULFIL ATTENDANCE AND LOGBOOK REQUIREMENTS
WILL NOT BE PERMITTED TO WRITE THE EXAM.
STUDENTS ARE REQUIRED TO BE IN THE WARDS ON THE MONDAY, WEDNESDAY
AND FRIDAY OF THE FINAL WEEK OF THEIR BLOCK.
AT THE END OF THE FIFTH WEEK OF THE BLOCK, UNIT HEADS WILL ADVISE THE
ADMINISTRATION OFFICE IF A STUDENT HAS NOT FULFILLED THE DP
REQUIREMENTS AND SHOULD NOT BE PERMITTED TO WRITE THE
EXAMINATION.
Students who experience any difficulties in their clinical work or their teaching programme
should approach the Academic Head of the Department of Internal Medicine, Professor P
Manga, Area 553, Charlotte Maxeke Johannesburg Academic Hospital.
An introductory talk will be given at the start of each block. At Charlotte Maxeke
Johannesburg Academic Hospital this will be given by Dr I Kalla at 12 noon on the first
Thursday of the block in the Conference Room, Department of Internal Medicine, Area 553.
At Chris Hani Baragwanath Academic Hospital Prof M Patel will give the introductory talk at
11:00am on the first Friday of the block before his Haematology tutorial.
2
OBJECTIVES
The objective of the GEMP 4 Internal Medicine rotation is to optimize the clinical skills learnt
in GEMP 3, and to integrate the clinical and theoretical knowledge in the management of
patients with common medical problems. GEMP 4 (particularly the 6 week block) could be
regarded as an extension and expansion of GEMP 3 (including enhancing the level of
competencies in core clinical topics to a 2T level, including 2E where relevant).
All the clinical skills taught and applied in GEMP 3 need to be consolidated.
The clinical skills include:
i)
Communication with patients and the art of obtaining a concise, goal-directed medical
history,
ii)
Eliciting and demonstrating physical signs, and
iii)
Formulating a clinical assessment.
In addition, GEMP 4 brings with it greater emphasis on clinical management (formulating a
plan for appropriate investigation and treatment of the individual patient).
Knowledge of basic pharmacology and commonly used drugs is therefore essential.
The 3 week period devoted to Medicine in the mixed block will be used to gain further clinical
expertise and competence in the management of patients. The objective is to prepare the
students to become competent junior interns who will manage patients under supervision.
2
3
CORE TOPICS AND CASE COMPETENCIES
The list of clinical topics covers a wide variety of conditions encountered in Internal Medicine.
Each of these topics has been allocated a level of competence which the student should attain
before graduation. Objectives have been written for each of these topics and they should be
considered to be core knowledge for both written and clinical assessments. To maintain
awareness of the level of competence required, a list of topics sorted by discipline and the
associated levels of competence will be available to both students and staff in the Medicine
department. The objectives are available on the CHSE website.
It is unlikely that students will be able to see all of the conditions listed during their GEMP 4
block. However, students who make full use of the wards and of the vast numbers of
patients available to them should have little difficulty in seeing patients with most of these
conditions. It is up to the students to seek out patients and to use their log books
intelligently in order to cover the objectives. Good interpersonal relationships with the
resident staff will make this task much easier.
Explanation of levels of competence;
1 = Be able to recognize or place:
The student does not have to be able to deal with this clinical picture, but he is supposed
to have heard of it. This means that, when confronted with it in a patient or in the
literature, he can place this clinical picture and knows how and where to acquire more
information. This level indicates an overview of the condition.
2 = Be able to cope with clinically:
The student must be able to cope with this clinical picture in practice. This means, that
in an actual situation he must be able to consider this clinical picture as a diagnosis. This
assumes knowledge of the clinical picture. The extent of this knowledge varies according
to the clinical picture, but contains at least knowledge of the presentations and
complaints, and knowledge of diagnostic and therapeutic possibilities.

2 D = Able to diagnose:
For level 2D, able to diagnose means that the diagnosis must be made personally by
means of physical examination, simple aids or additional investigation requested by the
doctor himself (simple laboratory or x-ray investigation).

2 T = Able to treat:
For level 2T, able to treat means that the therapy must be carried out by the doctor
personally, referring to the most common therapy for an uncomplicated illness.

2 E = Emergency management:
For level 2E, emergency management means that the student should be able to cope
with the emergency situation at least. The student should be able to make the
appropriate referral for more specialised care. The common emergencies in Medicine
are covered in a booklet “A Guide to the Management of Common Medical Emergencies
in Adults”, a copy of which was given to students in GEMP III. However, copies are
obtainable from the Department of Medicine.
Levels of competence are intended only as a guide. Students must not feel restricted by the
level as even the rarest condition will illustrate the basic principles of Clinical Medicine and may
be used in a clinical examination for this purpose. For example, the signs of an upper motor
neurone lesion are as valid in amyotrophic lateral sclerosis (level 1) as in a cerebrovascular
accident (cerebral infarction level 2D).
3
4
A TYPICAL GEMP 4 WEEK IN THE WARDS (6 WEEK BLOCK)
THE TIMETABLE BELOW IS INTENDED AS A GUIDE. THE ACTUAL TIMETABLE IN USE IN EACH
OF THE WARDS AND AT THE DIFFERENT HOSPITALS MAY DIFFER DEPENDING ON THE
AVAILABILITY OF STAFF AT A PARTICULAR TIME AND THE FACILITIES AT THE RESPECTIVE
HOSPITAL. HOWEVER, IRRESPECTIVE OF THIS, THE MEDICAL STAFF HAVE A COMMITMENT
TO COMPLETE AND HONOUR ALL THE ACTIVITIES ALLOCATED TO THEM.
The general principles are as follows:
 Students are expected to spend the whole day in the hospital, except on Thursday afternoons
from 12:30 hrs onwards.(Medical School Day – MSD).
 The wards are available to students at all times, including evenings and at week-ends.
 Most of the bedside teaching related to individual wards will take place in the mornings.
 Midmornings and afternoons will be used for hospital-based activities. Students allocated to
the wards will form a single group for these activities (6 to 18 students).
 Attendance at INTAKE is compulsory including on MSD. Students will be excused for the time
allocated to MSD.
 Additional tutorials in disciplines not mentioned e.g. Respiratory, rheumatology, haematology
etc. can be arranged by the groups at the relevant hospitals.
 It is compulsory that students wear white coats in the wards and name tags at all times.
They should be familiar with the Faculty Dress Code which appears on the GEMP website.
 Before students approach a patient, permission should be sought from the Sister in charge or
from the respective Medical Staff.
4
A TYPICAL WEEK IN A MEDICAL WARD IN GEMP 4
THIS IS INTENDED ONLY AS A GUIDE. INDIVIDUAL UNITS AND GROUPS WILL
DETERMINE THEIR OWN TIME-TABLE WITHIN THESE PARAMETERS.
08:00
08:30
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Bed-side
Tutorial
Bed-side
Tutorial
Bed-side
Tutorial
Bed-side
Tutorial
Study and
Clerking
Time
Study and
Clerking
Time
Study and
Clerking
Time
Study and
Clerking
Time
Study and
Clerking
Time
Cardiology
Neurology
Chemical
Pathology
Bed-side
Tutorial
Dermatology
Haematology
L
U
Seminar
PBL 1 &
Theme
N
C
H
TIME
MEDICAL
Bedside
tutorial
Seminar
Study and
clerking time
PBL 2
SAT/SUN
SCHOOL
Intakes /
Post-intake
Rounds
and
Ward Access
Time
if
Required.
Radiology
DAY
(MSD)
Study and
clerking time
MEDICAL INTAKES AND WARD ACCESS TIME
HOURS PER WEEK
TIME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
1.5
-
-
-
-
1.5
CHEMICAL PATHOLOGY
-
1.5
-
-
-
1.5
CARDIOLOGY
-
-
-
-
1.5
1.5
DERMATOLOGY
-
-
-
1.5
-
1.5
HAEMATOLOGY
-
-
-
-
1.5
1.5
RADIOLOGY
-
-
-
-
1.5
1.5
BED-SIDE TUTORIALS
1.5
3.0
3.0
3.0
-
10.5
STUDY AND CLERKING TIME
1.5
3
1.5
1.5
3.0
10.5
SEMINARS
1.0
-
1.0
-
1.0
2.0
PBL’S
2.0
-
2.0
-
1.5
4.0
NEUROLOGY
INTAKES
Weekdays: Minimum of 4 Hours after 17:00 hrs
Weekends: Minimum of 10 Hours
5
5 STUDY, CLERKING TIME AND BEDSIDE TUTORIALS
The major emphasis will be on learning Medicine at the bedside. Students will be expected to
take histories from, examine patients and formulate an assessment and management plan on
a wide range of diseases. The patients will be discussed with tutors at daily bedside teaching
rounds. Since the course relies on the availability of clinical material, students cannot expect a
systematic exposure to each of the organ systems.
The students themselves will be
responsible for seeking out patients who exhibit features of different diseases, thereby
ensuring that every student sees the full spectrum of pathology. To facilitate this, each
student will be required to keep a Log Book, recording the details of each patient clerked and
presented as well as procedures witnessed and performed during the block. Details on how to
use the Log Book appear on the first page of the Log Book.
6 PROBLEM BASED LEARNING (PBL) SESSIONS
Students already have a working knowledge of PBL sessions, based on their experience in
GEMP III. PBLs should be based on real patients identified in the wards, and will work as
follows:
1.
The PBLs will be run by facilitators in each of the three hospitals.
2.
Each week of the block is devoted to a different Division/discipline, and this will be the
same for each hospital. In general, disciplines covered in GEMP 3 will not be repeated
in GEMP 4.
3.
On the Monday, the facilitator will choose a topic from the list provided by the Division
(see attached time table). Part of this session must incorporate a theme session the
content of which will be available in a pack provided by the theme coordinators (see
Theme sessions below)
4.
The choice of topic will depend on which patients are available in the hospital at that
time.
5.
The PBL must be based on the problem or problems presented by a real patient who is
presently in the hospital. The patient should be clerked and seen by all the students.
6.
The group of students must be divided up and each sub-group given a different task
(e.g. If the topic is lymphoma, and the patient has NHL, the patient must be clerked
and his/her problems identified. One group could look at the epidemiology and
aetiopathogenesis; another at the clinical spectrum, diagnosis and staging; another at
the treatment options etc. A conscious attempt must be made to incorporate the GEMP
themes into the presentation.
7.
On Wednesday afternoon, the students will present their findings to the facilitator.
8.
Student attendance and performance at PBL sessions will be recorded in the student’s
Log Book.
6
PROBLEM BASED LEARNING (PBL) & SEMINAR TOPICS - 2015
WEEK 3
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
02
16
27
08
03
14
26
Feb – 06 Feb
– 20 March
April –01 May
– 12 June
– 07 Aug
– 18 Sept
– 30 Oct
WEEK 4
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
09
23
04
15
10
21
02
– 13 Feb
– 27 March
– 08 May
– 19 June
– 14 Aug
- 25 Sept
– 06 Nov
WEEK 5
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
16
30
11
22
17
28
09
– 20 Feb
Mar – 03 Apr
– 15 May
– 26 June
– 21 Aug
Sept – 02 Oct
– 13 Nov
WEEK 6
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
23
06
18
29
24
05
16
– 27 Feb
- 10 April
– 22 May
Jun – 03 July
- 28 Aug
– 09 Oct
– 20 Nov
Gastroenterology
26 – 30 Jan
09 – 13 March
20- 24 April
01 – 05 June
27 - 31 July
07 – 11 Sept
19 – 23 Oct
Neurology
WEEK 2
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
– 23 Jan
– 06 March
– 17 April
– 29 May
- 24 July
Aug–04Sept
– 16 Oct
Infectious
Diseases
19
02
13
25
20
31
12
Mixed Week
WEEK 1
Block 1:
Block 2:
Block 3:
Block 4:
Block 5:
Block 6:
Block 7:
Nephrology
DISCIPLINE
Dermatology
DATES
PROBLEM BASED LEARNING TOPICS
SEMINAR TOPICS
1.
2.
3.
4.
Acute Renal Failure
Diabetes and the Kidney
Hypertension and the Kidney
Proteinuria and Glomerular
Disease
5. Acid-Base and Electrolyte
Disorders
6. Infections of the Urinary Tract
1. Chronic Kidney
Disease
1. Approach to Dysphagia
2. Cirrhosis and its
complications
3. HIV and GIT
4. Dyspepsia
5. Hepatitis
6. Inflammatory Bowel Disease
1. Approach to Jaundice
1.
2.
3.
4.
Disorders of the Spinal Cord
Meningitis
Neuropathy
Myopathy / Neuromuscular
Junction Disorders
5. Headache
6. Abnormal Movements/
Movement Disorders
1. Stroke
1. Malaria
2. The Febrile Patient
3. Infectious Diseases of the
Skin
4. Emerging Infectious Diseases
5. Infectious Diseases of the
Lung
6. Infectious Diseases of the
Brain, GIT and Liver
1. Tuberculosis
1. Approach to cardiac
examination
1. Hypertension
2. HIV and the Kidney
2. Functional Bowel
Disorders (Diarrhoea,
Constipation, Irritable
Bowel Syndrome,
Malabsorption)
2. Coma
2. HIV / AIDS
2. Diabetic Emergencies
No PBL sessions in the last week
1. An Approach to
common disorders of
the skin
7
7 THEME SESSIONS



The first PBL session of three of the six weeks will incorporate discussion on the GEMP
themes.
Lists of the topics to be covered and resource material will be available to students and
facilitators.
Facilitators will be drawn from the ward staff.
(See guidelines for theme sessions provided by the CHSE)
8 SEMINARS
Seminars will work as follows:
1. There will be two seminars per week, except for the last week (one seminar).
2. Each week of the 6-week block will be devoted to a particular Division/discipline (e.g.
Nephrology, Neurology, Infectious Diseases etc. – see time table).
3. Topics will be presented by tutors at each hospital (Students at each hospital will group
together for the seminars).
4. The topics will be of the “approach to” type and will be the same at each hospital (see time
table).
5. The Dermatology seminar will be given to the whole group (CMJAH / CHBH / HJH) in
Seminar Room 3A01B, Medical School from 14:00 – 16:00hrs.
9 NEUROLOGY, DERMATOLOGY, RADIOLOGY, CHEMICAL PATHOLOGY AND
CARDIOLOGY

Neurology will be taught as part of Internal Medicine. Special time will be set aside for a
group bedside tutorial as follows:
Charlotte Maxeke Johannesburg Academic Hospital:
Mondays from 10:00 – 11:30am and Fridays from 1:00 -2:00pm in Area 586.
Chris Hani Baragwanath:
Mondays from 11:00 am in Ward H3.
Helen Joseph Hospital:
Tuesdays from 12:00 – 13:00. Meet at the Medicine Secretary’s Office, between Wards
8 and 9, 4th Floor.

Dermatology will be taught as a hospital activity at the outpatient clinic on Thursday
mornings (11:40 – 12:40hrs).

Haematology will be taught as a hospital activity at Chris Hani Baragwanth Hospital on
Friday mornings (11:00 – 12:30hrs).

Radiology will be taught as a hospital activity at the Radiology department as follows:
Charlotte Maxeke Johannesburg Academic Hospital:
On Fridays from 12.00 – 13.00 in X-Ray Department, Area 352.
Chris Hani Baragwanth Hospital:
On Mondays from 1:00 to 2:00pm in the Radiology Department. (Contact person:
Lydia: 011 933 9406.)
Helen Joseph Hospital:
On Tuesdays from 14:00 – 15:00 pm in the Radiology Department. (Main Reception:
011 489 0919.)
8
 Clinical/Chemical Pathology will be taught on Tuesdays from 11:00 – 12:30.
Johannesburg Hospital:
Chemical Pathology Seminar Room, Chemical Pathology Department, 3rd Floor, Medical
School (3Q06).
Chris Hani Baragwanath:
Lecture Room, Ground Floor, NHLS Building.
Helen Joseph Hospital:
Lecture Room 3, Ground floor, Administration Block.

Cardiology will be taught on Friday mornings (09:30 – 11:00hrs).
N.B.: The above are suggested times for the specialised activities delineated. However, the
times may differ at the respective teaching hospitals. The relevant Department at each
Hospital should be contacted regarding time day and venue.
10 PROCEDURES TO BE WITNESSED/PERFORMED
A number of suggested procedures are to be done, performed under supervision or observed
(see level of competency required in document from CHSE, for more details).
Suggested procedures:
 Examination of urine – chemistry, microscopy etc.
 Examination of stool – chemistry, microscopy etc.
 Technique of proper sputum collection
 Performing an E.C.G.
 Venepuncture and venous cannulation for intravenous infusions
 Venesection
 Bladder catheterisation
 Lumbar puncture
 Pleural and peritoneal paracentesis
 Bone marrow aspirate and trephine
 Nasogastric intubation and aspiration
 Cardioversion and resuscitation
Procedures witnessed and performed should be clearly documented in the Log Book. This will
be assessed at the time of reviewing the Log Book and is particularly relevant in the 3 week
block, where students are acting as junior interns.
9
11 THREE WEEK BLOCK
In GEMP 4, an additional 3 weeks is devoted to Medicine. This is part of the Mixed Block, in
which Medicine is coupled with Orthopaedics.
For half of the group, the 3 week block will
follow immediately after the 6 week Medicine block and for the second half of the group; this
will follow after 3 weeks of Orthopaedics. The first Mixed block is an exception (for this first
group, the 6 week Medicine block will be done as the last block of the year).
The objective of the 3 week block is to prepare the students to become competent junior
interns who will manage patients under supervision. A distinctive feature of the 3 week block
is that students will be more involved in patient management. Students are expected to clerk
a minimum of 2 patients per intake, and manage the patients until discharge. A separate
‘Medical Discharge Summary’ section is included in the Log Book for recording the details of
the patients seen. A minimum of 6 patient discharge summaries have to be recorded. At least
two of the six patients should have presented with a ‘medical emergency’, such as asthma,
pulmonary oedema, diabetic coma, acute stroke, myocardial-infarction etc. The discharge
summaries will be reviewed at the time of presentation of the ‘long case’.
During the third week of the block, the students in each ward will be expected to present a
long case – after spending one hour with the patient (detailed history, examination, problemorientated assessment and management plan) to one of the ward consultants. This, together
with the discharge
summaries will form part of the overall 3 week assessment.
If the performance during the 3 week block is unsatisfactory students will be required to repeat
the block.
12 LOG BOOK
Clear instructions are provided in the Log Book regarding its purpose and its contents. Kindly
note that there are two Log Books, one for the 6 week block and one for the 3 week block.
Please also note the basis of the ward evaluation and the marking system used for the
different components that are evaluated.
Students will also be evaluated on the
professionalism and their attitude towards patients.
13 ASSESSMENT AND EXAMINATION
A. MID-BLOCK ASSSESSMENT
Students will undergo a mid-block assessment at the end of the third week of the block. The
purpose of this assessment will be to identify weaknesses and create a plan to correct
problems before the end of block assessment and OSCE. The mark obtained at the mid-block
assessment will not contribute to the students' final mark but will merely act as a gauge of
performance and a mark which students should strive to improve before the end of the block.
B.
SIX-WEEK BLOCK ASSESSMENT
a. Written examination: This is a combined paper, which consists of an MCQ (±30 questions)
and Objective test (±10 questions – data interpretation, ECG’s, X-rays, photographs). The
time allocated is 2 hours. This will take place on the last Tuesday of the block at 13:00 hrs
(see time table).
b. Clinical examination: Each student will be examined on 3 short cases (20 minutes clerking
time) by 2 pairs of examiners (±15 minutes examination time). In order to pass the block
students are required to pass two out of the three cases and to have an overall pass mark
for the clinicals. The clinical examination will take place on the last Thursday morning of the
respective block. Details of the time and venue will be provided to the students a few days
prior to the examination.
10
c. The Log Book and Ward evaluation assessment are detailed on page 11 and 12 of the Log
Book.
ALLOCATION OF MARKS
Clinical examination:
Written examination:
Log Book:
Ward evaluation:
TOTAL
60%
25%
5%
10%
100%
NB: STUDENTS MUST HAVE THEIR STUDENT CARDS AT BOTH WRITTEN
AND CLINICAL EXAMS. STUDENTS WHO DO NOT HAVE THEIR STUDENT
CARDS WILL NOT BE PERMITTED TO WRITE THE MCQ OR TO
PARTICIPATE IN THE CLINICALS.
STUDENTS ARE NOT ALLOWED INTO THE WARDS TO CHECK CASES THE
DAY BEFORE A CLINICAL EXAMINATION.
EACH STUDENT IS EXPECTED TO BRING A BAUMANOMETER,
STETHOSCOPE, PATELLA HAMMER AND OPHTHALMOSCOPE TO THE
CLINICAL EXAM.
IT IS FORBIDDEN FOR STUDENTS TO HAVE BOOKS, STUDY MATERIAL
OR CELL PHONES WITH THEM IN AN EXAM. ANY STUDENT FOUND
WITH THESE ITEMS IN AN EXAM WILL BE SUBJECT TO DISCIPLINARY
PROCEDURE.
EXAMINATION TIME TABLE – 2015
WRITTEN EXAMINATIONS (MCQ)
CLINICAL EXAMINATION (OSCE)
Venue:
Seminar Room 3A01(B)
Level 3, Med School
Venue:
At one of the three teaching hospitals
Notices will be displayed before the examination
Time : 1.00pm
Time:
Dates:
Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 -
Tuesday 24
Tuesday 07
Tuesday 19
Tuesday 30
Tuesday 25
Wednesday
Tuesday 17
February
April
May
June
August
07 October
November
08:00am
Dates:
Block 1 - Thursday 26 February
Block 2 - Thursday 09 April
Block 3 - Thursday 21 May
Block 4 - Thursday 02 July
Block 5 - Thursday 27 August
Block 6 - Thursday 08 October
Block 7 – Thursday 19 November
11
C.
THREE-WEEK BLOCK ASSESSMENT
1. Assessments in the 3 week block will include evaluation of the Log Book, Discharge
summaries, Long case and Ward performance evaluation.
2. The assessment is to be done in the ward in which the student has done the three-week
block.
3. The student will be given 1 hour in which to examine a patient and will then spend 15-20
minutes presenting the patient to a set of examiners.
4. The GEMP IV log book shows the marking system to be used
5. The mark should be filled in the log book and also on the ward report form which will be
sent to each ward before the end of the block.
6. The assessment should be done in the third week of the block at a time and day convenient
to the ward.
7. It is the responsibility of the ward to advice students of the time and date of the
assessment.
8. If the performance during the three-week block is unsatisfactory students will be required to
repeat the block.
ALLOCATION OF MARKS
Ward evaluation:
Discharge summaries:
Long case:
Log Book:
TOTAL
20%
20%
40%
20%
100%
14. RECOMMENDED BOOKS
A list of recommended books is included for the guidance of the students. Students are also
advised to study the topics covered in the Seminars, PBL’s and MSD.
DEPARTMENT OF MEDICINE - RECOMMENDED BOOKS FOR 2015
CLINICAL METHODS:
1.
Clinical Examinations (6th Edition 2010) - (CD included)
Authors: Nicholas Talley and Simon O’Connor
Publisher: Blackwell Scientific Publication
ISBN - 9780729539982
2.
Hutchison’s Clinical Methods (22nd Edition 2007)
Author: Michael Swash
Publisher: Bailliere Tindall
ISBN - 9780702027987
3.
McLeods Clinical Examination (12th Edition)
Author: Munro
Publisher: Harcourt Publishers Limited
ISBN - 9780443068454
12
STANDARD TEXTBOOKS:
1.
Davidson’s Principles and Practice of Medicine (21st Edition 2010)
Editors: Christopher Haslett, Edwin R Chilvers, John AA Hunter and Nicholas A
Boon
Publisher: Churchill Livingstone
ISBN: 9780702030840
2.
Clinical Medicine (Seventh Edition 2009)
Editors: Parveen Kumar and Michael Clark
Publisher: W.B. Saunders
ISBN: 9780702029929
3.
Cecil Essentials of Medicine (7th Edition 2006)
Author: Andreoli
Publisher: WB Saunders
ISBN: 9780808923596
4.
Oxford Handbook of Clinical Medicine (8th Edition 2010)
Authors: RA Hope, JM Longmore et al
Publisher: Oxford University Press
ISBN : 9780199232178
OR
5.
Harrison’s Manual of Medicine (17th Edition 2009)
Editors: Braunewald
Publisher:
McGraw-Hill
ISBN: 9780071635110
6.
A Guide to the Management of Common Medical Emergencies in Adults
(Eighth Edition 2007/2008)
Edited by Dr WGJ Kloeck, President of the College of Emergency Medicine of
South Africa (A new edition will be available in 2012.)
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South African Medicines Formulary (9th Edition 2010)
Produced by: Department of Pharmacology, Medical School, University of
Cape Town Publisher: Publications Department of the South African Medical
Association ISBN: 9781875098439
OPTIONAL ADDITIONAL READING:
1.
Guidelines for Primary Care Evaluation and Management of Common Medical
Problems in Adults (Third Edition )
Prepared by Members of the Department of Medicine, University of Cape Town,
University of Stellenbosch, the Department of Health, Provincial
Administration of the Western Cape: Metropole Region
3.
Practical Diabetes Management
Prepared by the Wits Diabetes Group
Available from the Department of Medicine, Baragwanath Hospital
4.
Antimicrobial Therapy Guide, 2nd Edition 2007
Written by members of the antimicrobial Committee, Johannesburg Hospital
Available from Division of Microbiology
A Guide to the Management of Common Medical Emergencies in Adults available from
the Department of Internal Medicine, Area 553, Johannesburg Hospital between
09:00 and 13:00 daily).
13