School of Medicine 1001MED_Y1 1001MED_Y2 Year 1 course booklet 2008 School of Medicine 1001MED_Y1 1001MED_Y2 Year 1 course booklet 2008 Academic Organisation: Griffith University Faculty: Griffith Health Student Contribution Band (HECS/Cluster Band): Band 3 Course level: Undergraduate Campus/Location/Instruction Mode: Gold Coast/Southport/In person on campus Convenor/s: Associate Professor Ray Tedman Enrolment Restrictions N/A This document was last updated: January 2008 BRIEF COURSE DESCRIPTION In Year 1, MBBS students enrol in a single course, Medicine 1, which consists of four major integrated themes: a) b) c) d) The Doctor and Knowledge of Health and Illness (DKHI), The Doctor and Patient (D&P) The Doctor, Law, Ethics and Professional Practice (DLEPP) and The Doctor and Health in the Community (DHC) The course will involve problem-based learning through facilitated, small group tutorials supported by lectures, practical classes, workshops and other formats including on-line activities. Although there is a maximum contact time of 20 hrs per week, it is anticipated that most students will need to devote an additional 20 to 30 hours per week of individual study. This course examines the structure, function and development of the normal human body at all levels and the changes that occur as a result of disease, injury and abnormal development. Students acquire abilities in location, appraisal and interpretation of the biomedical information required for understanding and management of common medical and health problems. Students will be introduced to the legal, ethical and professional boundaries of medical practice. They will also examine the importance of psychological, family and cultural factors in health and illness from an individual, community and population perspective. Clinical skills are developed through participation in the clinical skills centre, general practice and hospital-based sessions. These cover communication and interaction skills, history taking, physical examination and clinical procedures in medical practice. Griffith University Medicine 1 Course Booklet Page 2 of 30 SECTION A - TEACHING, LEARNING AND ASSESSMENT COURSE AIMS Theme 1 – The Doctor and Knowledge of Health and Illness This theme aims to: 1. Provide knowledge and understanding of the structure, function and development of the normal human body at all levels of organisation, from the molecular and cellular, to organ systems and the total individual. 2. Provide knowledge and understanding of the changes to structure and function that occur as a result of disease, injury and abnormal development. 3. Provide an understanding of the aetiology of the disease process and the factors, both intrinsic and extrinsic, which affect its outcome, as well as the factors affecting the transmission of disease in the community. 4. Provide an introduction to the scientific basis for understanding human behaviour at individual, group and societal levels, and the factors which may affect the normal behaviour and interpersonal relationships of the individual. 5. Develop the ability to locate, critically appraise, interpret and apply biomedical information required for the understanding and management of medical and health problems. Theme 2 – The Doctor and Patient This theme aims to: 1. Develop a basic competence in communication and patient interaction skills. 2. Provide knowledge and understanding of introductory physical examination, basic life support and minor clinical procedures, as well as history taking in medical practice. Theme 3 – The Doctor, Law, Ethics and Professional Practice This theme aims to: 1. Familiarise students with the structure of the Australian legal system and legal processes as they apply to the provision of health care services. 2. Provide introductory knowledge of the legal and ethical principles that control medical practice. 3. Develop broad understanding of the role of the doctor in society. 4. Develop an understanding of the role and significance of professionalism in the practice of medicine. Theme 4 – The Doctor and Health in the Community This theme aims to: 1. Develop broad understanding of the role of the doctor in society 2. Provide knowledge and understanding of health and disease from a population perspective 3. Provide knowledge and understanding of the sciences which underpin the acquisition and application of clinical knowledge in day to day medical practice 4. Provide grounding in research methods that will form the basis of a life long process of knowledge acquisition and encourage critical thinking about the nature of medical practice, 5. Understand the key social and cultural issues affecting patients’ behaviour and access to health care 6. Understand some economic determinants in the 7. Develop knowledge of service provision in the community and provide experience of the spectrum of clinical management in local delivery of health care, and communities Griffith University Medicine 1 Course Booklet Page 3 of 30 LEARNING OUTCOMES Medicine 1 students should acquire an understanding of: 1. The structure, function and development of the normal human body at all levels and the changes that occur as a result of disease, injury and abnormal development. 2. Location, appraisal and interpretation of the biomedical information required for understanding and management of common medical and health problems. 3. The importance of social, cultural, behavioural and economic factors in the health, illness and injury considered from an individual and population perspective. 4. The delivery of health care in a community setting. 5. The legislation and case law relevant to the practice of medicine, the ethical principles that guide medical practice and the professional issues that regulate, support and enhance medical practice. and should develop skills in 6. Communication and history taking, basic physical examination and basic life support. CONTENT, ORGANISATION AND TEACHING STRATEGIES ORGANISATION An important aim of the medical program is to foster a commitment to life-long learning and to provide the necessary skills for this. The philosophy underlying the program involves students assuming more responsibility for their education, as is appropriate for adult learners. To this end the program is built around problem-based learning, which is a self-directed approach and involves students working with a tutor in small groups using real clinical problems as the basis for learning. Hence the process of how students learn assumes great importance. Unlike a more traditional curriculum where much of the material to be learnt is delivered in lectures, the medical curriculum expects much of the learning to be driven by the students themselves. Two features of the program have been designed to facilitate this process. First, the learning objectives for each week are developed in a series of PBL tutorials, commonly centred upon a real clinical case. Second, there are relatively few timetabled lectures in any week. In general, there are no more than 9 hours of lectures, practicals or workshops a week (maximum 20 hours total contact time per week). This allows ample time in the week for students to pursue their own learning goals. TEACHING STRATEGIES The Medicine 1 course of the Griffith medical program will expose students to a wide variety of teaching strategies including: Small group learning sessions (PBL tutorials for groups of 9) Lectures Practicals Workshops On-line resources and modules Practical skill-development simulations Clinical medical placements. These sessions are aimed at developing the skills and knowledge necessary to enable students to graduate as a doctor who is ready to commence internship and further postgraduate specialty training at the end of the four-year course. Problem Based Learning (PBL) Tutorials Much of the material to be learnt each week is introduced through the PBL tutorials. PBL tutorials are designed to raise learning issues in a planned way, so that over time, students cover the areas of biomedical science that are important as a basis for medical practice. PBL tutorials also provide the opportunity to practice and develop the interpersonal and professional skills essential to the process of health professionals co-operating effectively in a team. Griffith University Medicine 1 Course Booklet Page 4 of 30 Each case consists of three PBL tutorials, taking a total of about 5 timetabled hours per week. The first tutorial of each case is on Tuesday, the second tutorial is on Friday, and the third tutorial is on the following Tuesday. PBL tutorials will be held in purpose-built rooms on Levels 3 & 5 of the Griffith Centre for Medicine and Oral Health next to the Gold Coast Hospital at Southport. Located in the same building are the Medical Library and the Learning Centre. Within the PBL tutorials, students work as a group together with a tutor who has been trained in the PBL process. Membership of each tutorial group has been selected to provide some balance with respect to gender, age and place of origin of students, but otherwise at random. Membership of the groups will be changed mid-year. BECAUSE OF THE CENTRAL POSITION OF PBL IN THE CURRICULUM, ATTENDANCE AT THE PBL TUTORIALS IS COMPULSORY (see further comments under Assessment). The materials related to PBL cases are copyright and provided to each student for their personal use in collaboration with their PBL group only. Year 1 PBL case materials including lists of learning objectives, must not be made available in any form to people outside the Year 1 class. Information relating to the cases can be obtained from a variety of sources (in addition to text and reference books) including lectures, practicals and other scheduled sessions, nominated resource people, the Library, and special resources provided for tutorial groups from time to time. PBL cases are delivered on-line. Case related material (subject to time release as cases unfold) may be accessed via the Medicine website. There is a website for each intake of the graduate entry medical program within the Learning@Griffith environment. The address for Learning@Griffith is https://learning.griffith.edu.au/ and the website for the program will be accessible to enrolled students via a link in the “Courses in which you are enrolled” section. Students are encouraged to visit this site regularly, particularly to check for administrative notices and documents. The web site includes: An Announcements section (electronic notice board) for notices from the School of Medicine lecturers and administration staff Problem Based Learning (PBL) cases and associated digital resources Various other information and resources associated with the program Lectures In some parts of the course (such as in parts of The Doctor, Law, Ethics and Professional Practice and The Doctor and Health in the Community), lectures have the familiar academic role of covering key content of the theme. For those parts of the program covered within a PBL framework, the lectures have somewhat different functions – generally designed to complement and assist independent learning driven by PBL cases, rather than to represent the central statement of the curriculum. In the PBL context, lectures may present overviews or road maps of relatively broad topics or they may focus on difficult areas or ones not well explained in textbooks. There will be important areas of curriculum that are not directly covered in lectures. In addition to providing specific information, lectures provide opportunities for students to meet and interact with staff with specific areas of expertise. Inevitably, staff adopt a variety of different approaches in lectures. Lecture notes will normally be available on-line after the lecture is presented. The Year 1/2 Committee encourages lecturers to provide copies of key visual materials used in lectures to facilitate student note taking but the ease and economy with which this can be done obviously depends on the materials used. Given the varied backgrounds of students and their differing expectations of lectures, together with the differing styles of individual lecturers, there will always be varied views about the success/value/comprehensibility, etc of lectures. Year committees are certainly interested in feedback (see page 29 - Staff Student Interactions and Mechanisms for Giving Feedback) but for any problems or interesting issues arising from lectures, it is clearly most productive if students follow up with the individual lecturers concerned. Griffith University Medicine 1 Course Booklet Page 5 of 30 Practical classes Practical classes provide different perspectives on some of the program content. In general, they provide an informal environment, within which students can work through particular areas of interest with the assistance of teaching staff. Most classes involve examination and interpretation of anatomical, histological and pathological material. Practical classes are 2 hours in length. Seminars, workshops, discussions and debates At various times in the course, scheduled sessions will take the form of a seminar, workshop, group discussion, a debate or something similar. The aim of such sessions is to provide an interesting and interactive environment in which to raise and discuss controversial issues or areas where there are differing schools of thought. Clinical skills In the first part of the year, there will be 15 tutorials, each of 2 hours duration. They will consist of group discussion, practising history and examination on each other and patients. The tutors are mainly local GPs and other experienced doctors with an interest in teaching. The emphasis in these tutorials is on history taking skills. In the second part of the year, tutorials will be scheduled in one of the following public hospitals: Gold Coast, Logan and Tweed, or the Wesley private hospital and be complemented by workshops held at the Clinical Skills Centre. The emphasis in these sessions is on physical examination skills and further experience in history taking. ATTENDANCE AT ALL CLINICAL SKILLS TUTORIALS IS COMPULSORY. Further details of the Clinical Skills component of the course are found in the Doctor and Patient booklet. Attendance at timetabled sessions Apart from PBL tutorials and Clinical Skills tutorials where participation is an essential part of the learning process and of professional development, other timetabled sessions are not “compulsory” although it is recommended that all students attend them. Various activities throughout the medical program involve interaction with health professionals within or outside Griffith School of Medicine or with patients, carers, families, community organisations, etc. Where a student has signed up for any such interaction, it is appropriate and expected professional courtesy to attend arranged meetings punctually, or to notify those involved in a timely way if this attendance is not possible. Observation of Clinical Practice outside normal scheduled Clinical Sessions The School supports students who wish to spend extra time, with the agreement of a designated clinical supervisor, in observation of clinical practice in hospitals or general practices, outside their normally scheduled clinical sessions. Such experience must fall within the assessable curriculum and be consistent with the student’s level of training and competencies. CONTENT SUMMARY Medicine 1 is divided into four themes: The Doctor and Knowledge of Health and Illness, The Doctor and Patient, The Doctor Law, Ethics and Professional Practice and The Doctor and Health in the Community. The Doctor and Knowledge of Health and Illness is presented as five blocks of teaching: 1. 2. 3. 4. 5. Human Homeostasis Identity, Microbes and Defence Cardiovascular system Respiratory system Renal system. Detailed content information for Medicine 1 is found in separate booklets for The Doctor and Patient, The Doctor, Law, Ethics and Professional Practice and The Doctor and Health in the Community themes plus the blocks within The Doctor and Knowledge of Health and Illness theme. Griffith University Medicine 1 Course Booklet Page 6 of 30 The following information provides a summary of the content of the four themes: The Doctor and Knowledge of Health and Illness Human Homeostasis Students will study: 1. The structure and function of the human body 2. The anatomy and physiology of the body’s main organ systems 3. The molecular, genetic and chromosomal basis of inheritance and genetic disorders 4. Embryology, particularly during the first 8 weeks of human development, when all the basic structures of the body and their life-long inter-relationships are laid down 5. Some key concepts of cell biology, biochemistry and pharmacology 6. Regulatory mechanisms at cell and organ level 7. Basic terminology in the anatomy, physiology and biochemistry of the human body 8. Relevant psychosocial and public health issues 9. Basic features of the ageing process Identity, Microbes and Defence Students will study: 1. General pathological mechanisms in inflammation and tissue injury 2. Bone marrow structure and function and its role in haemostasis 3. The role of microbes in health and disease and host defences, including innate and adaptive immune response 4. Carcinogenesis and aspects of neoplasia 5. Public health issues in a clinical context Cardiovascular System Students will study: 1. Structure, function and control of the normal heart and vascular system (including circulatory aspects of the lymphatic system) 2. Cardiac development 3. The relevant physiology, biochemistry and pharmacology of the cardiovascular system 4. The mechanisms by which the major cardiovascular diseases affect cardiovascular function 5. Diagnostic testing and treatment to illustrate underlying biomedical science principles 6. Relevance of individual psychological factors, and of family and cultural contexts, to health and illness 7. Ageing: what is inevitable, what is not and why, and the consequences for management of the elderly patient Respiratory System Students will study: 1. Structure, function and control of the normal respiratory system 2. Respiratory system development 3. The relevant physiology, biochemistry and pharmacology of the respiratory system 4. The mechanisms by which the major respiratory diseases affect respiratory and cardiovascular function 5. Diagnostic testing and treatment to illustrate underlying biomedical science principles 6. Relevance of individual psychological factors and of family and cultural context to health and illness 7. Ageing: what is inevitable, what is not and why, and the consequences for management of the elderly patient Renal System Students will study: 1. Structure, function and control of the normal renal system 2. The relevant physiology, biochemistry and pharmacology of the renal system 3. The mechanisms by which the major diseases of the urinary system affect functioning of urinary system, respiratory system and cardiovascular system 4. Diagnostic testing and treatment to illustrate underlying biomedical science principles 5. Relevance of individual psychological factors, and of family and cultural contexts, to health and illness 6. Ageing: what is inevitable, what is not and why, and the consequences for management of the elderly patient. Griffith University Medicine 1 Course Booklet Page 7 of 30 The Doctor and Patient Students will develop basic skills in: 1. Communication, history taking, and medical interviewing 2. Physical examination 3. Life support 4. Minor clinical procedures 5. Doctor–patient relationship The Doctor, Law, Ethics and Professional Practice Students will study: 1. The legislation and case law relevant to the practice of medicine 2. The ethical principles that guide medical practice 3. Professional issues that regulate, support and enhance medical practice This theme consists of three elements: Law Ethics Professional Practice The Doctor and Health in the Community Students will study: 1. The structural and economic frameworks within which health care is delivered 2. Sciences that underpin the acquisition and application of clinical knowledge in day-to-day medical practice 3. Research methods that will form the basis of a life-long process of knowledge acquisition and critical thinking about the nature of medical practice 4. The scientific basis for the population approach to the primary, secondary and tertiary prevention of disease 5. The key social and cultural issues affecting patients’ behaviour and access to health care 6. The economic determinants in the delivery of health care 7. The care of patients in a general practice setting, including the doctor-patient relationship and the interaction between the general practitioner and community health services and 8. The spectrum of community health services available to patients in the community This theme addresses Community Health through an integrated understanding of Population Health, and Research Methods from a community perspective and Evidence-Based Medicine, and involves lectures, community health visits, a GP attachment and experience in a community-focused research project. The GP attachment also supports learning for the Doctor and Patient theme by offering an opportunity for the acquisition of clinical skills in a community setting. Griffith University Medicine 1 Course Booklet Page 8 of 30 Month MED Week January February March April May June July August September Teaching Year 1 Year 2 21-25 Year 3 Year 4 Public Holidays & Critical Dates GU Semester Timings Block 1 Block 7 1 28-01 Orientation day 01/02/08 Gastrointestinal 1 Block 1 Block 7 2 04-08 Homeostasis 1 Gastrointestinal 2 Block 1 Block 7 3 11-15 Homeostasis 2 Gastrointestinal 3 Block 1 Block 7 4 18-22 Homeostasis 3 Gastrointestinal 4 Block 1 Block 7 5 25 - 29 Homeostasis 4 Endocrine/ Reproductive 1 Block 1 Block 7 Orientation 6 03 - 07 Homeostasis 5 Endocrine/ Reproductive 2 Block 1 Block 7 Classes commence 7 10 - 14 Homeostasis 6 Endocrine/ Reproductive 3 Block 2 Block 8 8 17 - 21 Homeostasis 7 Endocrine/ Reproductive 4 Block 2 Block 8 21 Mar - Good Fri 9 24 - 28 Homeostasis 8 Endocrine/ Reproductive 5 Block 2 Block 8 24 Mar – Easter Mon VACATION 10 31 - 04 Homeostasis 9 Study Week Block 2 Block 8 11 07 - 11 Homeostasis 10 Block 2 Block 8 12 14 - 18 Break Exams GIT, Endo/Repro, DLEPP, DHC Break Block 2 Block 8 13 21 - 25 Microbes 1 Musculoskeletal 1 Block 2 Block 8 14 28 - 02 Microbes 2 Musculoskeletal 2 Block 3 Block 9 15 05 - 09 Microbes 3 Musculoskeletal 3 Block 3 Block 9 16 12 - 16 Microbes 4 Musculoskeletal 4 Block 3 Block 9 17 19 - 23 Microbes 5 Musculoskeletal 5 Block 3 Block 9 18 26 - 30 Microbes 6 Musculoskeletal 6 Block 3 Block 9 19 02 - 06 Microbes 7 Block 3 Block 9 20 09 - 13 Microbes 8 Brain 1 Supp/Deferred exams GIT, ERS Brain 2 Block 3 Block 9 21 16 - 20 Microbes 9 Brain 3 Break Break Examinations 22 23 - 27 Study week Brain 4 Block 4 Selective 1 Examinations 23 30 - 04 Exams HH, IMD, DLEPP, DHC Brain 5 Block 4 Selective 1 VACATION 24 07 - 11* Break Break Block 4 Selective 1 25 14 - 18 Cardiovascular 1 Brain 6 Block 4 Selective 1 26 21 - 25 Cardiovascular 2 Brain 7 Block 4 Study week 27 28 - 01 Cardiovascular 3 Brain 8 Block 4 28 04 - 08 Cardiovascular 4 Brain 9 Block 4 Exams OSCE & Written Break 29 11 - 16 Cardiovascular 5 Study week Block 5 Elective 1 30 18 - 22 Respiratory 1 Block 5 Elective 1 31 25 - 29 Respiratory 2 Exams MSK, Brain, DLEPP, DHC Integration 1 Block 5 Elective 1 32 01 - 05 Respiratory 3 Integration 2 Block 5 Elective 1 33 08 - 12 Respiratory 4 Integration 3 Block 5 Elective 1 28/1 Australia Day 25 Apr – Anzac Day 5 May – Labour Day End of teaching 9 Jun – Queen’s B’day Study week Classes commence 13 Aug – Qld Show 29 Aug – GC Show Supp/Deferred exams HH,IMD October 34 15 - 19 Respiratory 5 Integration 4 Block 5 Elective 2 35 22 - 26 Respiratory 6 Integration 5 Block 5 Elective 2 School Holidays 36 29 - 03 Break Break Block 6 Elective 2 School Holidays 37 06 - 10 Renal 1 Integration 6 Block 6 Elective 2 MBBS Interviews 38 13 - 17 Renal 2 Block 6 Elective 2 MBBS Interviews 39 20 - 24 Renal 3 Integration 7 Supp/Deferred exams MSK, BB Integration 8 Block 6 Selective 2 40 27 - 31 Renal 4 Integration 9 Block 6 Selective 2 41 03 - 07 Study week Integration 10 Block 6 Selective 2 End of teaching Study Week 42 10 - 14 Exams CVS/Resp, Renal DLEPP, DHC, D&P OSCE Study week Block 6 Selective 2 Examinations 43 17 - 21 Exams Integration, DLEPP, DHC, D&P OSCE 44 24 - 28 Study week Exams 45 01 - 06 46 8 - 12 47 15-19 Mid Sem Break Supp/Defer Exams November December Examinations Supp/Deferred Exams Supp/Deferred Exams Supp/ CVS/Resp, Renal, DLEPP, Integration, DLEPP, DHC, D&P Deferred DHC, D&P Exams Years 1/2, Year 3 Final Assessment Panels Griffith University Medicine 1 Course Booklet Page 9 of 30 ASSESSMENT 1. Introduction Assessment plays a key role in ensuring that the aims of any curriculum are realised. The planning of the assessment procedures for the MBBS has acknowledged this as a guiding principle and all assessment is designed to reinforce the themes of the program. All assessment at the School of Medicine is conducted in accordance with GU Assessment Policy available at http://www.griffith.edu.au/ua/aa/sta/policies/ Important principles of assessment in the Griffith University medical program are: The assessment in the program will be integrated. The assessment will be criterion-referenced, that is, students’ performance will be compared to pre-determined standards rather than to the performance of other students. This will apply in all years of the program. There are two categories of assessment, Formative and Summative. The program will be assessed by formative means for feedback purposes and by summative means to determine progression from year to year and ultimately graduation and commencement of internship. Formative assessment tasks will be placed throughout the program. opportunity to ‘practise’ forms of summative assessment. The influence of summative assessment strategies in guiding student learning is important. Assessment formats are selected to align with the required knowledge, skills and attributes and the contexts in which they are being learned. Challenges posed to students and judgements made of their performance are designed to encompass the range of specified learning outcomes and to align with formative learning opportunities. Summative assessment is ongoing throughout the year and some tasks will need to be completed during the teaching periods. Ongoing summative assessment also assists in identifying students in need of extra support as early as possible and in providing a profile of their strengths and weaknesses. Medicine 1 and 2 will award non-graded passes to students. This is in keeping with the emphasis on group process and collaborative learning in the PBL approach used predominantly in those years. All assessment is criterion-referenced. The Education Committee, reporting to the School Committee is responsible for setting overall policy direction for assessment in the program. The School Assessment Panel will review results and make recommendations on progression/graduation. The Assessment Expert Reference Group will have the brief to monitor and advise on assessment throughout the program. Student representatives on the School Committees will provide substantial and valuable input to this process. They will include the 2. Formative Assessment Formative Assessment is mainly designed to provide a guide to students about expectations staff have for student learning, about how well each student is matching expectations and consequently about how well the teaching and learning mechanisms are working. Griffith University Medicine 1 Course Booklet Page 10 of 30 Procedures for Formative Assessment (i) Discussion and assessment of tutorial performance This will have informal and slightly more formal elements. All PBL groups are encouraged to review their performance informally at the end of each case. Students and tutor might spend about 10 minutes reviewing the way the group has worked over the preceding week. This might include the balance of contributions, the way the group’s learning issues were written, whether the level of detail in discussion was too much or too little, whether the discussion was adequately captured on the board, the different roles of group members and so on. Goodwill and candour can help ensure that everyone gets the best possible value from PBL discussions. The “Formative Assessment of PBL Tutorial Participation” form lists significant elements in the PBL process and is included at the end of this booklet (Appendix 1). This can be used as a focus in informal group discussions. Tutors will also use it as a guide in one-on-one meetings with each student in the group. These individual meetings between tutor and students will occur at least once during most of the Year 1 units. Again a key aim is to foster optimal operation of PBL groups with the additional function of providing feedback to individuals on their contributions and progress. Generally tutors will use the form (Appendix 1) to summarise their view of each student’s participation and to indicate any areas that need attention. The purpose of these feedback sessions is to support and inform individuals and to help maximise the effective working of groups. The feedback forms are retained in the Program Support Office until the student has progressed to Year 3. They may be accessed by the Year Coordinator for guidance on issues such as the composition of tutorial groups. However, they are not used in any way to determine progression. (ii) Practice of summative assessment Practice exam questions will be available as a guide to the types of assessment to be expected in summative examinations. Some of the questions are accompanied by sample answers. Practice assessments will generally consist of a smaller, but representative sample, of the assessment material, compared with the summative examinations. Practice assessments are optional for students. A timetabled session is available to discuss the trial assessment with staff. It is most important that students attempt these exercises. This is especially true for those who have had little or no previous experience in writing in the same question formats under examination conditions. This is the easiest and most helpful way to find out if the breadth and depth of knowledge and understanding of your answers is at the right level. 3. Summative Assessment Summative assessment in Years 1 and 2 provides the basis for deciding, at the end of each year, whether each student has an adequate base of knowledge and skills to progress to the next stage of the course. The Medical School ultimately uses summative assessment to certify that each graduate has a level of training appropriate to commence as a hospital intern. Years 1 and 2 of the curriculum have been designed as a continuum, with various areas of knowledge and skills needing to be adequately mastered before progressing to third year. Students have to demonstrate in summative assessments that they have adequately mastered (i.e. passed) all the key areas of the course by the end of second year. Formative assessment should provide all students with a reasonable idea about expectations for summative assessment and also an approximate idea of their progress in various aspects of the course. 3.1 Pass/Fail Assessment To pass Year 1 students must pass each of the four themes. Guidelines for requirements to pass each of the themes are shown under 3.8. Griffith University Medicine 1 Course Booklet Page 11 of 30 Students who pass each of the four themes will receive a non-graded pass (NGP) result for Medicine 1. The decision to have non-graded assessment reflects the view that each student should achieve an acceptable mastery of the various components of the course – as indicated by a Pass. At the same time, the format for learning in the course strongly emphasises co-operation, with students working together to support the learning of every member of the PBL group. In part, the use of non-graded assessment is designed to support co-operative rather than competitive learning. Remember though that even in Years 3 and 4 where assessment is graded, this is criterionreferenced and not norm-referenced. 3.2 Requirement to “pass everything” Consistent with the notion that progression should depend on students adequately mastering all key elements of the program, a pass in Year 1 depends on satisfactorily completing each theme. Assessment procedures for individual themes are spelled out under 3.7. Participation Requirement - The medical program is a highly participatory one and some of the procedures reflect the importance placed on this by requiring participation in PBL groups and in Clinical Skills sessions. Non-participation or repeated lateness is viewed seriously as this can be very disruptive for groups. Understandable reasons such as illness or family crises will be taken into account. The consequences of non-participation are outlined under 3.7.1. Elements of assessment and requirements for passing Year 1 overall are discussed in more detail under 3.7. 3.3 Feedback on Assessment The School will provide feedback to students about their performance in summative assessments as soon as possible after the examination period. 3.4 Evaluation of Assessment Students will be asked to complete evaluation forms about the summative assessments and feedback from these evaluations will be given to staff involved in designing and developing assessments. 3.5 Weightings for each Theme in summative Assessment The relative weightings for the four themes in the Year 1 curriculum are shown in the table below. These weightings are reflected in the relative amount of assessment in each theme. Theme The Doctor and Knowledge of Health and Illness The Doctor and Patient The Doctor, Law, Ethics and Professional Practice The Doctor and Health in the Community % of total year 50% 25% 10% 15% Further information about the assessment procedures for each theme and its components, will be provided in the theme booklets. The summary under 3.7 aims to cover the key points. Note that “weightings” of various elements within each theme, where given, are a reflection of approximate times devoted to different elements of the program. Griffith University Medicine 1 Course Booklet Page 12 of 30 3.6 Assessment Methods A variety of assessment methods will be utilised. These are appropriate to the problem-based nature of the curriculum. In the written assessments, the following types of instruments are used: (i) (ii) (iii) (iv) (v) Mini-cases Clinical Scenarios Short Answer Questions Extended Matched Questions Multiple Choice Questions Some of the assessment methods will be familiar - for example Short Answer Questions whereas others like Mini-Cases and Extended Matched Questions, may not be. The purpose of using these latter methods is to enable the assessment of skills acquired through problem-based learning. Written examination papers will include a mix of mini-cases with other types of questions including multiple choice and short answer questions. In Years 1 and 2 the mini-case questions follow the form of the first PBL tutorial of a case, in which students are given a patient presentation and asked to generate and prioritise mechanistic hypotheses about the pathophysiology behind the presentation and suggest further investigations to confirm or rule out their hypotheses. Following this the students are given more information and asked to explain its significance and review their hypotheses. By this means students demonstrate their understanding of the basic mechanisms of body function. It is important to appreciate that written examinations will test these skills as well as recall of a sound knowledge base. Accordingly, time allocated for the written examinations is generous and takes into account the need for students to have time to reflect and not simply regurgitate information. Other assessment formats used through the medical program include: Clinical examinations (Objective Structured Clinical Examinations (OSCEs)) Practical examinations In-Training assessment Assignment/project/case reports A session describing the assessment methods will be held during first semester and students will have the opportunity to practise them before the examinations. 3.7 Components in summative assessment with approximate “weightings” The summative assessment for Medicine 1 includes a combination of written papers sat under examination conditions, an OSCE and a variety of other assessment tasks through the year. The written examinations are integrated papers, covering 3 themes of Medicine 1. The table below shows which themes contribute to each block examination period Contribution of Themes to Written Paper Examinations Theme Doctor and Knowledge of Health and Illness Doctor, Law, Ethics and Professional Practice Doctor and Health in the Community June Exams (Homeostasis, Identity Microbes and Defence Blocks) November Exams (Cardiovascular, Respiratory, Renal blocks) Griffith University Medicine 1 Course Booklet Page 13 of 30 3.7.1 The Doctor and Knowledge of Health and Illness - 50% of year Assessment: Approx % of theme Blocks, Semester 1 Human Homeostasis - written block examination (up to 3 hours) and practical examination, June Identity, Microbes and Defence - written block examination (up to 3 hours), June 25% 25% Approx % of theme Blocks, Semester 2 Cardiovascular and Respiratory systems – combined written block examination (up to 3 hours) and practical exam, November Renal - written block examination (up to 2 hours) and practical exam, November Practical examination covering Cardiovascular, Respiratory and Renal blocks is up to 1.5 hours. 38% 12% The mark for the practical exam for each block will be added to the DKHI component of the written exam for that block. Scores from The Doctor and Knowledge of Health and Illness components of the block examinations will be combined into an aggregate score, according to the percentages listed in the table above. Students will be expected to pass on their aggregate score. Participation requirements: Students must attend PBL tutorials. Non-approved absences may lead to deductions from examination marks. Each PBL tutor will have a logbook which each student will be asked to sign when they arrive for each tutorial. For most people, this minor bit of bureaucracy will be the end of the participation issue. For most students there will be an odd occasion when they are unable to attend a tutorial or must arrive late. Students are asked to keep these occasions to a minimum, but where there is a good reason – illness, graduations, family emergencies and the like – the absence would be regarded as a “reasonable absence” with no consequences. Situations which require a student to be absent for more than a single day should be discussed in advance with the Year Coordinator who can give written approval. This could include late return of up to a week after a vacation period, where there is good reason. If you know you will be absent, you should inform your Tutor. An absence which includes the end of one case and the start of the next, will count as one non-attendance. Students who attend tutorials but who are identified by the tutor as regularly late (to the degree that the work of the rest of the group is compromised) will be formally warned, first by the tutor and then by the Year Coordinator, that the behaviour is unacceptable. Further late arrivals may be treated as non-attendance and the penalties (below) would apply. Episodes of non-attendance (i.e. single absences not deemed “reasonable”, or longer absences without written approval) will be recorded for each block of Doctor and Knowledge of Health and Illness and reviewed by the Year Coordinator. Any penalties arising will be communicated to relevant students. Griffith University Medicine 1 Course Booklet Page 14 of 30 The following penalties will apply for non-attendance at PBL tutorials (a ‘tutorial’ here refers to either the tutorial on Tuesdays or the tutorial on Fridays: Number of Absences Penalty % Penalty Consequence Up to 2 unapproved absences No penalty Written warning from Year Coordinator after 2 unapproved absences 3 unapproved absences -10% Subtracted from final examination mark in the relevant block 4 unapproved absences -15% Subtracted from final examination mark in the relevant block 5 unapproved absences -20% Subtracted from final examination mark in the relevant block For more than 5 unapproved absences, the penalty will continue to accrue at 10% per unapproved absence. This means that students missing 8 or more PBL tutorials in any given block automatically will have failed the block, regardless of their examination performance. Penalties will apply to the initial attempt at an examination. Supplementary examinations will not have penalties applied. 3.7.2 The Doctor and Patient - 25% of year Assessment: Case reports - two formative and one summative in semester 1, one formative and one summative in semester 2. The semester 1 report covers history taking and is produced following an interview with a simulated patient in the Medical School. The assessment will take place on Wednesday 12 June and will be conducted under exam conditions. The semester 2 report includes history and examination, covering Cardiovascular, Respiratory and Renal systems. (Refer to Doctor and Patient booklet for due dates for formative case reports). In-training Assessments by Clinical Skills Tutor – one each semester, semester 1 is formative, semester 2, one of two assessments must be satisfactory. Clinical Skills In-Training assessments are made by clinical tutors on the basis of the approach and skills exhibited by each student during weekly sessions. Clinical Examination – History and Examination. The clinical exam will comprise of Objective Structured Clinical Examination (OSCE)-style stations. Basic Life Support - assessment of competency (undertaken in the last session of each student’s three scheduled BLS sessions). The Clinical Examination, held in the November examination period, is an OSCE-style examination and involves stations on history taking and examination. The other practical clinical examination is the assessment of skills in Basic Life Support (BLS) which occurs in the last teaching session of BLS. In each case there will be opportunities to remediate and, if considered necessary, undertake further assessment. Participation requirements: Attendance at Clinical tutorials is compulsory, reflecting the importance for each student of gaining continuous hands-on experience and small-group guidance from clinicians. Non-attendance may lead to failure of in-training assessment for the corresponding semester, except where there are medical reasons or where absence is approved by the Academic Lead for Doctor & Patient. Griffith University Medicine 1 Course Booklet Page 15 of 30 The arrangements for documenting “reasonable” absences for non-attendance will be the same as for PBL tutorials. Non-attendance at Clinical Skills workshops in GH 1 will attract penalties (10% per absence) applied to the OSCE exam mark, except for medical reasons or where absence is approved by the D&P Theme Lead. To avoid penalty, absences need preapproval from the D&P theme lead or production of a medical certificate. Students are required to sign-in at the beginning of each clinical skills workshop. There is a 10 min grace period (after scheduled start time as indicated in the timetable) for entry into the clinical skills laboratory. After the 10 mins has expired, the clinical skills laboratory will be locked and attendance sheets removed. Late arrivals will need to see the workshop convenor. There will be no make-up workshops for students with unapproved absences or without medical certificates. For this Theme, where a pass is required in individual components, students will generally be given opportunities to retake or resubmit assessments (see In-Training Assessment and Basic Life Support above). If a student fails the OSCE, the School of Medicine Assessment Panel has the discretion to require that the student undertakes a Supplementary OSCE during the supplementary exam period beginning December 8. Case Reports for Doctor and Patient must be submitted by the due date, but formative Case Reports should ideally be submitted earlier, for feedback purposes. 3.7.3 The Doctor, Law, Ethics and Professional Practice - 10% of year Assessment: The examination questions for this theme are integrated into the block examinations in June and November. Further details about assessment are found in the theme booklet. Theme components: Doctor and Law, Ethics and Professional Practice June and November exams 3.7.4 The Doctor and Health in the Community - 15% of the year Assessment: Details of summative assessments are shown below: Component Assessment Item Primary Health Care - Community Activity Community health report (1500 words) – graded (15%) In-training assessment (by 4 community supervisors) - 2 of 4 must be satisfactory One case presentation in debriefing tutorials – graded as satisfactory/unsatisfactory GP Case report (1500 words) – graded (15%) In-training assessment (by GP trainer) – must be satisfactory Questions integrated into the Block exams (15%) Questions integrated into the Block exams (20%) Questions integrated into the Block exams (15%) Research Project Proposal (1500 words) – graded (20%) Primary Health Care - GP Attachment Primary Health Care - social, cultural, behavioural and economic issues Population/Public Health Evidence-based Medicine Population Health Research Methods Griffith University Medicine 1 Course Booklet Page 16 of 30 3.7.5 Timing of Written Examinations The first set of written examinations is held in the week beginning June 30 following the end of the Identity, Microbes and Defence Block. There will be 2 papers (up to 3 hours each), one on Human Homeostasis and one on Identity, Microbes and Defence. These papers will incorporate relevant aspects of DKHI, DLEPP and DHC. The practical examination of about 60 minutes duration will involve a series of practical stations assessing aspects of gross anatomy, histology and physiology. Students who fail any of the theme components of the block examinations after the initial attempt, may be offered supplementary examinations in the week commencing 8 September 2008. The second set of examinations is held in the week beginning November 10. There will be written examinations in the Cardiovascular/Respiratory and Renal blocks, integrating relevant material from the DKHI, DLEPP and DHC themes (up to 3 hours each) and a practical examination covering elements of the Cardiovascular, Respiratory and Renal blocks. The practical examination of about 75 minutes duration will involve a series of practical stations assessing aspects of gross anatomy, histology and physiology. Students who fail any of the theme components of the block examinations after the initial attempt, may be offered supplementary examinations in the week commencing 8 December 2008. The Doctor and Patient OSCE will also take place on Wednesday November 12. 3.7.6 Year 1 and 2 Supplementary Exams The Doctor and Knowledge of Health and Illness If students fail a block exam for the theme they may be offered a supplementary exam in the supplementary/deferred exam period for that block. Students who have failed The Doctor and Knowledge of Health and Illness theme on the basis of their aggregate score and have been previously offered supplementary exams in blocks they have failed, will be deemed to have failed the year. The Doctor, Law, Ethics and Professional Practice Students who fail the DLEPP component of an integrated block exam will be notified of this result at the time. Pass/fail decisions for the theme are made by the School’s Assessment Panel at the end of the year and are based on an overall score derived from scores for all DLEPP assessment components for the year. Supplementary exams are offered at the discretion of the School Assessment Panel and are held in the final supplementary exam period for the year. The supplementary exam may cover work from the whole year, even if students have previously passed one or more components during the year. The Doctor and Health in the Community If students fail the DHC component of an integrated block exam, the student will be notified of this result. Pass/fail decisions for the theme are made by the School’s Assessment Panel at the end of the year and are based on an overall score derived from scores for all DHC assessment components for the year. Supplementary exams are offered at the discretion of the School Assessment Panel and are held in the final supplementary exam period for the year. The supplementary exam may cover work from the whole year, even if students have previously passed one or more components during the year. Students who fail The Doctor and Patient OSCE may be required to take a supplementary assessment in the week commencing 8 December 2008. Griffith University Medicine 1 Course Booklet Page 17 of 30 3.8 Overview of assessment tasks Summary of Requirements to Pass Year 1 Students Must Pass Each of The Four Themes To Pass The Year Item Assessment Task Length Weighting/ Relevant Due Day and Time * Contribution to Learning *Subject to change - students will be Final Outcomes notified via announcements Assessment To pass the theme Doctor and Knowledge of Health and Illness Scores from The Doctor and Knowledge of Health and Illness components of block exams will be combined into an aggregate score. Students will be expected to pass on their aggregate score. The aggregate score will be calculated by combining scores from individual papers from the blocks. 1. DKHI Homeostasis written and practical Up to 3 hrs (plus practical) 25% DKHI 2. DKHI IMD written Up to 3 hrs 25% DKHI 3. DKHI CVS/Respiratory written and practical Up to 3hrs (plus practical) 38% DKHI DKHI Renal written and practical Up to 2hrs (plus practical) 12% DKHI DKHI participation NA Penalties for unapproved absences See Section 3.7.1 1,2 Each block 4. 5. 1,2 Written Paper Mon 30 June 2008 Practical Wed 2 July 2008 1.2 Written Paper Tues 1 July 2008 1,2 Written Paper Mon 10 Nov 2008 Practical Wed 12 Nov 2008 Written Paper Tues 11 Nov 2008 Practical Wed 12 Nov 2008 1,2 To pass the theme Doctor and Patient 6. D&P Case Report 1 NA 15% 6 Week 20 : Thursday 12th June - this report is produced on this day in GH1, under exam conditions, using a simulated patient 7. D&P Case Report 2 < 1000 words 15% 6 Week 38 : Friday 17th October 8. D&P In Training Assessment 2 – 1 in each of 2 blocks NA 1 of 2 must be satisfactory 6 End of cardiovascular and respiratory blocks 9. D&P Clinical OSCE – stations covering history and physical examination skills To be announced 70% 6 Week 42 : Wednesday 12th November 10. D&P Basic Life Support To be announced Must be satisfactory (2 re-sits allowed) 6 Week 39 : October 23 or 24 11. D&P participation NA Penalties for unapproved absences See Section 3.7.2 6 Each block Griffith University Medicine 1 Course Booklet Page 18 of 30 Item Assessment Task Length Weighting/ Relevant Contribution to Learning Outcomes Final Assessment Due Day and Time To pass the theme Doctor Law, Ethics and Professional Practice 12. Questions integrated into the block exams Part of written papers Pass on aggregate score from both examinations 5 June 30 & July 1, November 10 & 11 To pass the theme Doctor and Health in the Community 13. Primary Health Care Written report on Community visits 1500 words 15% 4,5,7 Week 18 : Friday June 6 14. Primary Health Care - Intraining assessment reports by 4 community supervisors NA 2 out of 4 must be satisfactory 4,5,7 Week 22 : Friday June 20 15. Primary Health Care - GP Attachment Case Report 1500 words 15% 4,5,6 Group 1: Friday August 22 Group 2: Friday September 26 Group 3: Friday October 31 16. Primary Health Care - GP Attachment in training assessment by GP trainer NA Must be satisfactory 4,5,6,7 Group 1: Friday August 22 Group 2: Friday September 26 Group 3: Friday October 31 17. Primary Health Care social, cultural, behavioural and economic issues Part of written papers 15% Questions integrated into block exams 4,5 June 30 & July 1, November 10 & 11 18. Population/Public Health Part of written papers 20% Questions integrated into block exams 1,2,3 June 30 & July 1, November 10 & 11 19. Evidence-based Medicine Part of written papers 15% Questions integrated into block exams 1 June 30 & July 1, November 10 & 11 20. Research project proposal 1500 words 20% 1,2,3 Group 3: Friday September 26 Groups 1 and 2: Friday October 31 3.9 Reporting of results in Medicine 1 As stated previously, a pass in each of the four themes would result in a non-graded pass (NGP) (satisfactory performance) for Medicine 1. Failures in any of the four themes would result in a fail (unsatisfactory performance) for Medicine 1. No graded results will be awarded in Medicine 1 and 2. 3.10 Determination of results and progression to Medicine 2 At its December meeting, the School Assessment Panel will determine the final results for Medicine 1 themes and thus which students should be allowed to progress to Medicine 2 according to Guidelines for the School Assessment Panel and the Griffith University Assessment Policy. 3.11 Supplementary examinations Griffith University Medicine 1 Course Booklet Page 19 of 30 The University's policy on the award of supplementary examinations is described in the Griffith University Assessment Policy. At the discretion of the School Assessment Panel, in accordance with the School Assessment Panel Guidelines and the University’s Policy on Assessment, students with failing or incomplete grades may be offered supplementary examinations on medical/compassionate or academic grounds. These supplementary exams are held in the weeks beginning 8 September 2008, and 8 December 2008. Students who wish to accept the offer to sit supplementary examinations must make themselves available on the Gold Coast to sit the examinations in these periods. It is not possible to make special arrangements for students who are out of town or out of the country. A student offered supplementary examinations and who does not attend the examinations will normally be deemed to have failed those examinations. A final School Assessment Panel meeting in December will review the overall performance of each student in the year as a whole, including results from summative assessments throughout the Year, and the results of any supplementary examinations undertaken. The School Assessment Panel will decide whether each student has passed or failed Year 1. Refer to section 3.7.6 for details of supplementary examinations in each of the themes. Travel insurance and supplementary examinations A small number of students will probably be required to sit supplementary examinations at the end of 2008. Some students may find that this causes considerable difficulty and extra expense because they hold airline bookings which cannot be changed. We understand that there may be travel insurance policies available which cover this type of unforeseen event, and will cover the extra expenses involved. Typically the policy must be taken out in the country in which the booking is made, and before any travel commences. We hope that all students will do well in the exams, but experience suggests that a few will have supplementary exams and associated travel problems. Therefore, any student who intends to make an airline booking in December 2008 needs to consider obtaining the appropriate insurance. 3.12 Submission of Written Work Written work is required to be submitted by the specified deadline. If a student is unable to submit their work by the specified deadline, they must seek an extension from the Academic Lead of the Curriculum element prior to the specified deadline (eg. Academic Lead in Doctor or Patient or Academic Lead in Doctor and Health in the Community). Unless arranged otherwise by the Academic Lead, all assessable written work must be submitted through Assignment Handling (usually the GH1 Library) using the appropriate coversheet. 3.13 Academic misconduct The University expects honest work at all levels from students. Cheating, plagiarism, and fabrication or falsification of data are not acceptable. The University regards academic dishonesty as a very serious matter and imposes strict penalties on those students who are found to be guilty of an offence under the terms of the University's policy on Academic Misconduct. The University recognises that some acts of academic dishonesty, particularly plagiarism, may arise from genuine ignorance of the use of academic conventions but will not accept ignorance as an excuse. It is therefore the obligation of all students to understand and respect the rules concerning academic dishonesty. Students are referred to the University’s Policy on Academic Misconduct. Griffith University Medicine 1 Course Booklet Page 20 of 30 GRADUATE SKILLS The Medicine 1 course will begin the development of all the Griffith Graduate skills: Taught Graduate Skills Assessed Effective communication Information literacy Problem solving Critical evaluation Working autonomously and in teams Creativity and innovation Ethical behaviour in social/professional/work commitments, and Responsible, effective citizenship. Practised Effective communication (written) Effective communication (oral) Effective communication (interpersonal) Information literacy Problem solving Critical evaluation Work autonomously Work in teams Creativity and innovation Ethical behaviour in social/professional/environments Responsible, effective citizenship. TEACHING TEAM Course Convenor Convenor Details Campus Convenor Email Office Location Phone Fax Consultation times Gold Coast Associate Professor Ray Tedman r.tedman@griffith.edu.au School of Medicine GH 1 Room 3.17 07 56780317 07 56780303 Email or telephone for appointment Additional teaching team members Phone Ext. (567) Email 80317 r.tedman@griffith.edu.au YEARS 1 & 2 COORDINATOR A/Prof Ray Tedman Centre for Medicine and Oral Health GH1 Room 3.17 Griffith University Medicine 1 Course Booklet Page 21 of 30 YEARS 3 & 4 COORDINATOR Centre for Medicine and Oral 80321 Health GH1 Room 3.21 THE DOCTOR AND PATIENT – CLINICAL SKILLS Academic Lead Centre for Medicine and Oral Ms Marise Lombard 80327 Health GH1 Room 3.27 THE DOCTOR AND KNOWLEDGE OF HEALTH AND ILLNESS Academic Lead Centre for Medicine and Oral A/Prof Ray Tedman 80317 Health GH1 Room 3.17 THE DOCTOR, LAW, ETHICS AND PROFESSIONAL PRACTICE Academic Lead Centre for Medicine and Oral TBA Health GH1 A/Prof Simon Broadley simon.broadley@griffith.edu.au marise.lombard@griffith.edu.au r.tedman@griffith.edu.au THE DOCTOR AND HEALTH IN THE COMMUNITY Dr Peta Stapleton Logan Campus L03 2.45 21289 p.stapleton@griffith.edu.au Dr Megan Young Logan Campus L03 2.15 21508 megan.young@griffith.edu.au A/Prof Michael Yelland Logan Campus L03 2.43B 21358 m.yelland@griffith.edu.au Centre for Medicine and Oral Health GH1 Room 3.19 80319 TBA 80315 c.baldwin@griffith.edu.au 80312 e.brown@griffith.edu.au Clinical Placements 80308 s.caldwell@griffith.edu.au Erin Catran School Reception 80704 MedReception@griffith.edu.au Linda Edwards Education Program Support Yrs 1 & 2 80312 l.edwards@griffith.edu.au Tenille Griffiths School Reception 80704 MedReception@griffith.edu.au Maxine Hughes Admissions Officer 80305 maxine.hughes@griffith.edu.au Sonya Jewitt School Administration Officer 80324 s.jewitt@griffith.edu.au Nicole Jones de Rooy Senior Scientific Officer – Clinical Skills Centre 80329 N.JonesdeRooy@griffith.edu.au Catherine Kilpatrick Personal Assistant to the Dean 80702 c.kilpatrick@griffith.edu.au Robert Loudon INS Support Staff 80740 r.loudon@griffith.edu.au Nickola Lukacs Academic Staff Support 80719 n.lukacs@griffith.edu.au Helen Pountney Assessment & Evaluation Officer 80304 h.pountney@griffith.edu.au Stephen Royds INS Support Staff 80738 s.royds@griffith.edu.au Debbie Smith Clinical Placements 80308 debbie.smith@griffith.edu.au 80330 k.tagi@griffith.edu.au 80776 Carolyn.M.Taylor@griffith.edu.au 80326 b.wallace@griffith.edu.au MEDICAL EDUCATION Academic Lead Dr Louise Alldridge ADMINISTRATIVE STAFF Carol Baldwin Emily Brown (on leave till 6/08) Sonya Caldwell (on leave till 7/08) Kirsty Tagi Carolyn Taylor Barbara Wallace Education Program Support Yrs 3 & 4 Education Program Support Yrs 1 & 2 Administration Officer (Clinical Skills) Clinical Coordinator, Gold Coast Hospital Years 3 & 4 Learning Resources Officer Griffith University Medicine 1 Course Booklet Page 22 of 30 Griffith University Medicine 1 Course Booklet Page 23 of 30 CLINICAL COORDINATORS Jodie Cass Kelly Jenkings Bev Korn Lyn Preston Kirsty Tagi Carolyn Taylor Clinical Coordinator, Logan Hospital Clinical Coordinator, Tweed Hospital Gold Coast Division of General Practice Coordinator, Medical Education Unit, Tweed Hospital Clinical Coordinator, Gold Coast Hospital, Years 1 & 2 Clinical Coordinator, Gold Coast Hospital Years 3 & 4 3299 9591 j.cass@griffith.edu.au 5506 7797 kellyjen@nrahs.nsw.gov.au 5507 7777 Bevk@gcdgp.com.au 5506 7620 lynp@nrahs.nsw.gov.au 80330 k.tagi@griffith.edu.au 80776 Carolyn.M.Taylor@griffith.edu. au Griffith University Medicine 1 Course Booklet Page 24 of 30 Block representatives on the Year 1 and 2 Committee: Human Homeostasis Professor Laurie Howes Ms Melinda Spencer Clinical Pharmacology, Gold Coast Hospital Nutrition Unit, School of Medical Science, Griffith University Identity, Microbes and Defence Associate Professor Darrell Price (Paediatrician, Pacific Private Clinic) Cardiovascular System Professor Laurie Howes, Clinical Pharmacologist, Cardiology, Gold Coast Hospital Professor Rohan Jayasinghe, Director of Cardiology, Gold Coast Hospital Respiratory System Professor Lewis Adams, School of Physiotherapy and Exercise Science Dr Nick Buckmaster, Director, General Medicine Gold Coast Hospital Renal System Dr Alan Parnham, Renal Physician, Southport COURSE COMMUNICATIONS Medicine program web site There is a website for each intake of the graduate entry medical program within the Learning@Griffith environment. The address for Learning@Griffith is https://learning.griffith.edu.au/ and the website for the Medicine program will be accessible to enrolled students via a link in the “Courses in which you are enrolled” section on the Learning@Griffith tab of the main portal page. Students are encouraged to visit this site regularly, particularly to check for administrative notices and documents. The web site includes: An Announcements section (electronic notice board) for notices from the School of Medicine lecturers and administration staff Problem Based Learning (PBL) cases and associated digital resources Various other information and resources associated with the program Email Email is used extensively by administrative and academic staff to communicate with students using their Griffith University email account (i.e. youraccount@griffith.edu.au). Students can redirect their Griffith email account to a preferred account using links on the HELP pages but they should note that email communication from staff will only be via the Griffith email address. Students must check their email regularly and also ensure that they university account does not fill up and cause messages to ‘bounce back’. ALL STUDENTS SHOULD DEVELOP A ROUTINE FOR CHECKING THEIR PERSONAL GRIFFITH UNIVERSITY EMAIL AND THE NOTICE BOARD (ANNOUNCEMENTS) REGULARLY. THE PRIMARY MECHANISM FOR COMMUNICATION WITH STUDENTS, PARTICULARLY ON INDIVIDUAL MATTERS, IS EMAIL SO IT IS IMPORTANT THAT YOU CHECK YOUR UNIVERSITY EMAIL EVERY DAY OR SO. Griffith University Medicine 1 Course Booklet Page 25 of 30 TEXTS AND SUPPORTING MATERIALS The list below covers the recommendations of teaching staff for books considered most appropriate as texts for Year 1 of the medical program. However some explanation is needed. Because the program is problem-based in Years 1 and 2, there is no distinct separation of material into discipline areas and there are no parts of the program which closely follow particular texts - indeed references from various sources are either provided on-line, as printed reading lists or on reserve in the library to accompany cases. For this reason, staff recommend some possible textbooks (below) but suggest that a variety of books could be useful/adequate. Thus, for instance, if you already have physiology or biochemistry texts from previous studies, these may be quite adequate and we would suggest delaying further purchases until it is clear you need them. The choice of book in a particular area often depends on the extent of background you already have. For Year 1, the following list has been prepared following a survey of the Year 1 students in 2006 and 2007. Anatomy Tortora, G J (2005) Principles of Human Anatomy, 10th Ed John Wiley and Sons Inc Anatomy and Physiology*: very useful book for students with little or no anatomy/physiology background Martini, F (2005) Fundamentals of Anatomy & Physiology (7th Edition) Benjamin Cummings or Marieb, E N & Hoehn, K (2006) Human Anatomy and Physiology (7th Edition) Addison-Wesley or Tortora, G J and Derrickson, B (2006) Principles of Anatomy and Physiology 11th Edition John Wiley and Sons. Recommended Anatomy Atlas Agur A M R & Dailey A F (2005) Grant’s Atlas of Anatomy 11th Ed Lippincott Williams & Wilkins (includes CD) Optional or Netter, F H (2003) Atlas of Human Anatomy 3rd Ed Icon Learning Systems. (includes CD) Optional or Rohen J W, Yokochi C & Lutjen-Drecoll (2002) Color Atlas of Anatomy: A photographic Study of the Human Body 5th Ed Lippincott Williams & Wilkins. Optional Clinical Skills Talley N J & O’Connor S (2005) – Clinical Examination: A Systematic Guide to Physical Diagnosis, 5th ed. Maclennan & Petty. Evidence-based medicine Strauss, S E, Richardson, W S, Glasziou P P, & Haynes, R B (2005) Evidence-based medicine: How to practice and teach EBM.. Edinburgh ; New York : Elsevier/Churchill Livingstone. Recommended General Practice Murtagh, J (2003) General Practice. Third Edition. McGraw Hill. Sydney. Optional Law Kerridge, I et al, (eds) (2005) Ethics and Law for the Health Professionals, 2nd Edition Medical Dictionary Dorland, W A (2001) Dorland’s Pocket Medical Dictionary, 26th ed WB Saunders. Optional Martin, E A (2002) Oxford Concise Medical Dictionary, 6th ed Oxford. Optional Medicine Braunwald, & Fauci, (2005) Harrison’s Principals of Internal Medicine 16th Ed McGraw Hill or Kumar, P & Clark, M (2005) Clinical Medicine 6th Ed WB Saunders Recommended Griffith University Medicine 1 Course Booklet Page 26 of 30 Pathology Kumar, V, Abbas, A K & Fausto, N (2004) Robbins and Cotran Pathologic Basis of Disease, 7 th ed Saunders or Kumar, V Cotran, R S and Robbins, S L (2003) Robbins Basic Pathology 7th ed Saunders or Klatt, E C and Kumar, V (2000) Robbins Review of Pathology Saunders (Paperback) Recommended Pharmacology Rang, H R, Dale, M M, Ritter, J M and Flower, R J (2006) Rang and Dale’s Pharmacology, 6th ed, Churchill Livingstone. Physiology Rhoades, R & Pflanzer, R G (2003) Human Physiology, 4th ed Brookes-Cole. Recommended or Silverthorn, D U (2003) Human Physiology An Integrated Approach 3rd ed Prentice Hall Inc Population Health and Population Health Research Methods Webb, Bain, Pirozzo (2005) Essential Epidemiology: An Introduction for Students and Health Professionals. Cambridge University Press Optional Stethoscopes The only piece of medical equipment which all students must purchase is a stethoscope. There are many brands with costs ranging from $40 up to $600+. They come in different styles, designs and colours. Unless you are very familiar with stethoscopes we would suggest purchasing a quality mid range stethoscope in the $100 - $150 range. This will allow you to get the feel of how they work and if you wish to change or upgrade then you do so with experience and knowledge. Whichever brand you buy, check replacement ear pieces are easily available. Purchasing a top of the range cardiology stethoscope may well send the message that you have some expertise in the area! If the style of stethoscope doesn’t suit you there is really no market for second hand stethoscopes. Whichever type you buy you must have it engraved with your name. There is nothing more frustrating than losing a stethoscope and seeing one on a hospital ward you think is yours and trying to determine if any honest mechanism exists to retrieve it. An engraved stethoscope will remove any such concerns. Stethoscopes are available for purchase in the GH1 bookshop. Laboratory Coats White laboratory coats must be worn to all anatomy practical sessions. Details regarding coats, appropriate footwear and various occupational health and safety issues will be discussed during Week 1. Griffith University Medicine 1 Course Booklet Page 27 of 30 SECTION B - ADDITIONAL COURSE INFORMATION Students with disabilities Policy on Students with Disabilities – The University’s Disability Action Plan Griffith University is committed to providing access and equity for students with disabilities to enable them to participate fully and independently, to the greatest extent possible, in the academic, cultural and social life of the University. In the University context, ‘disability’ refers to any disability, impairment or medical condition that inhibits a student’s access to education. Detailed information about the University’s policy in this area, about the services for students with disabilities and about the procedures for seeking reasonable adjustments to assessment or teaching method on the grounds of a disability may be found at http://www.gu.edu.au/ua/aa/ss/equity/ The following member of staff will be able to assist you with any enquiries: University Disabilities Services Officer (Gold Coast campus) – Trudy Haak Phone: (07) 5552 7147 Email: T.Haak@griffith.edu.au Location: Student Centre (G33) 1.45 Professional performance and behaviour Medical students are training for a career in which the highest ethical and professional standards of personal behaviour are expected to be upheld. Griffith students are expected to meet those high standards. Developing the skills for professional interactions with patients and other health professionals is a major theme of the course and is monitored not only through formal examinations but also informally through the day-to-day interactions of staff and students. In addition, students are expected to apply these same high standards in any interactions with the public or community groups in which they might be involved as Griffith University medical students. Griffith University has a local and international reputation for high ethical and professional standards and the School of Medicine maintains this reputation. The School relies on its students to act as ambassadors, exhibiting professional responsibility towards colleagues, the medical profession and the wider community, thus helping to foster the goodwill vital to the continuing success of the Medical Program. From time to time, students may not meet the required standards for acceptable professional performance and behaviour in their dealing with patients, members of the public, staff or students. Such students will be brought to the attention of the Professional Behaviour Committee. This Committee has the responsibility to deal sensitively and confidentially with students who have demonstrated unacceptable professional performance or behaviour. The Committee aims to work with students to identify the sources of their problems and determine ways to remedy them. Normally, it is expected that process will produce an entirely satisfactory outcome. However, students who continue to show unacceptable standards of professional performance and behaviour, as determined by the Professional Behaviour Committee, may not be permitted to progress to the following year of the course. Students’ attention is directed to the Professional Behaviour Committee’s Policies and Procedures which may be found on the medicine link at Learning@Griffith web site at https://learning.griffith.edu.au/ University student related policies and procedures Students’ attention is drawn in particular to the Teaching and Learning section of the University’s Student Policies website, which contains information about assessment policies and procedures, academic dishonesty, and student progress. http://www.griffith.edu.au/ua/aa/sta/policies/ Griffith University Medicine 1 Course Booklet Page 28 of 30 STAFF STUDENT INTERACTION AND MECHANISMS FOR GIVING FEEDBACK ABOUT THE MEDICAL COURSE These topics are covered in more detail in the “Information Booklet for Medical Students”. Getting help with problems Students enter Year 1 with varied backgrounds and external responsibilities or pressures. Given the demands of the course, individual students may encounter either academic or personal problems. Mechanisms for providing help are available (see the “Information Booklet for Medical Students”) and we encourage you to seek help as problems arise. The program emphasises independent learning but this does not mean that students have to struggle alone with academic problems: tutors, specific lecturers or coordinators can all be sources of help with problems. Student feedback on the course The Year 1 curriculum (as for all years of the course) will evolve in the light of experience, as well as changes in biomedical science and medical practice. At Griffith, this evolution will be strongly influenced by student input via committees and via feedback on various elements of the course – such as via case evaluation, email or in “corridor conversations”. Thus thoughtful comments from students are truly valued as part of the collaborative process of course development. The “Information Booklet for Medical Students” sets out various mechanisms for student input and suggests ways to give constructive feedback most likely to help with improving the course. For Year 1, the key mechanisms for feedback are via class representatives on the Years 1 and 2 Committee and on the Education Committee; and via the process of evaluation conducted by each PBL group at the end of each week’s case. Year representatives provide a mechanism for input on broader issues of course design and organisation including assessment. The weekly evaluation conducted at the end of the PBL case provides a way of giving considered feedback on more specific aspects of each week’s activities (case design and objectives, lectures, practicals and so on). There is also a facility to provide feedback on any aspect of the course on the Feedback and Evaluation Discussion Board on the Learning @ Griffith MBBS site. In addition to this, students will be asked to complete a Student Evaluation of the Course during the year. Evaluations of sections of the curriculum may also occur through the year. We encourage all students to make effective use of these feedback mechanisms. Election of student representatives to the Year 1 and 2 Committee and the Education Committee will be arranged by the Griffith University Medical Student Society. Two first year representatives are elected to the Years 1 and 2 Committee. One student representative from each year of the course will be elected to the Education Committee in 2008. These Committees meet approximately once monthly. To assist with administrative communication with PBL groups, members of PBL groups will be asked to communicate with tutors about times for tutorials, compile group feedback at the end of each case and enter this information on-line; and distribute and collect Tutor Evaluation forms to and from group members at the end of each block in the Course. These responsibilities can be shared amongst members of the group. GENERAL ADMINISTRATIVE INFORMATION INCLUDING NOTICE BOARDS A variety of topics relating to Program Administration, student lockers and keys, use of facilities and security, is covered under “General Information” in the “Information Booklet for Medical Students”. There are mechanisms by which the School communicates with students collectively or individually. Some individual communications of a formal nature (eg. about enrolment) will be sent to your nominated home address SO IT IS YOUR RESPONSIBILITY TO KEEP THE UNIVERSITY INFORMED OF YOUR CURRENT CONTACT ADDRESS. Other information or documents will be sent to individuals via email (your Griffith email address). The address for Learning@Griffith is https://learning.griffith.edu.au/ and the website for the Medicine program will be accessible to enrolled students via a link in the “Courses in which you are enrolled” section on the Learning@Griffith tab of the main portal page. Students are encouraged to visit this site regularly, particularly to check for administrative notices and documents. The web site includes an Announcements section (electronic noticeboard) for notices from the School of Medicine lecturers and administration staff. All students should develop a routine for checking their personal Griffith university email and the notice board (announcements) regularly. The primary mechanism for communication with students, particularly on individual matters, is email so it is important that you check your university email every day or so. Griffith University Medicine 1 Course Booklet Page 29 of 30 APPENDIX 1 School of Medicine – Formative Assessment of PBL TUTORIAL PARTICIPATION Student Name: A. KNOWLEDGE BUILDING AND REASONING 1. 2. Generates hypotheses with rationales appropriate to problem Evaluates and ranks hypotheses in light of available evidence 3. Suggests relevant investigation strategies 4. Demonstrates ability to locate information relevant to learning issues Demonstrates ability to interpret and apply information to specifics of cases Demonstrates ability to organise and present information, including use of whiteboard diagrams, flowcharts, etc. 5. 6. 7. For the case, level at which information is presented is B. GROUP LEARNING PROCESS 8. Participates in group discussion 9. Contributes relevant information to group discussion 10. Participates in multiple roles in the group (seeking clarification of facts or reasoning, checking relevance, summarising, expanding, checking understanding, encouraging participation from all members of group, time-keeping, etc.) 11. Helps identify topics as possible learning issues and helps to refine learning issues into appropriate form C. PROFESSIONAL BEHAVIOUR 12. Attends tutorials 13. Arrives by the agreed starting time 14. Demonstrates a positive attitude to working cooperatively with the group 15. Prepares thoroughly and thoughtfully for agreed tasks (eg reporting back) 16. Is aware of, and responsive to, needs of other individuals in the group 17. Demonstrates skill in identifying and addressing issues affecting group performance* 18. Modifies behaviour in response to constructive feedback* Often Sometimes Rarely/ Never Area needs Attention Superficial Relevant Excessive Often Sometimes Rarely/ Never Area needs Attention Often Sometimes Rarely/ Never Area needs Attention Yes No Can’t Assess Area needs Attention *May have no opportunity to demonstrate these attributes. Name of Tutor: __________________________Signature: __________________________________ Block: _______________________ Date: Griffith University Medicine 1 Course Booklet Page 30 of 30