MMED8102 Doctor and Patient 1B

2012

4.5

14 x 3-hour tutorials per semester
9 x 1-hour practicals per semester
1 x 3-hour clinical placement once-only
1 x 5-hour independent study weekly
1 x 1-hour on-line exercises weekly

1 Admission into BMBSG-Bachelor of Medicine and Bachelor of Surgery (Graduate Entry)
1a Admission into BCLSBMBS-Bachelor of Clinical Sciences/Bachelor of Medicine, Bachelor of Surgery
1b Admission into BMBS-Bachelor of Clinical Sciences/Bachelor of Medicine, Bachelor of Surgery
1c Admission into MD-Doctor of Medicine
1d Admission into BCLSMD-Bachelor of Clinical Sciences/Doctor of Medicine
1e Admission into MDJ-Doctor of Medicine
1f Admission into MDC-Bachelor of Clinical Sciences/Doctor of Medicine
Must Satisfy: ((1 or 1a or 1b or 1c or 1d or 1e or 1f))

Assignment(s); Oral; Practical work; Tutorial participation and presentation; Project; Placement

This topic follows on from MMED8101 Doctor and Patient 1A.

Students participate in programmed sessions dealing with communication and interaction skills, introductory clinical procedures, physical examination and history taking in medical practice. The following knowledge, skills and procedures are introduced: clinical interviewing, communication skills, history taking; physical examination, introductory procedures, first aid, resuscitation, basic emergency care; public health, drugs and ethics concerns related to clinical skills; personal development, student-patient, student-hospital, student-doctor and student-allied health professional relationships; the effects of gender, class and ethnicity on communication and the development of professional relationships.

Students will be expected to cover a more detailed approach to history taking and physical examination based around three body systems, namely cardiovascular, respiratory and renal systems (abdomen examination).

The specific objectives of the semester are:

• Build on the communication skills introduced in semester 1

• Perform a comprehensive history for each of the 3 body systems including all of the major and common symptoms in a logical sequence

• Perform a comprehensive physical examination for each of the 3 body systems in a logical sequence

• Present the symptoms and signs in a comprehensive but succinct verbal and written format

• Have a basic understanding of clinical reasoning and be encouraged to demonstrate their hypothesis testing during the clinical process, and

• Perform Basic Life Support - to save a life of a patient who collapses in the community.

On completion of the topic, the students should demonstrate competence in:

• Taking a detailed history from a patient with a cardiovascular, respiratory and renal system problem including asking system and diagnostic questions

• Performing physical examination of the following body systems: cardiovascular, respiratory and generic abdomen

• Demonstrating an understanding of how to elicit physical signs

• Understanding the relationship between history taking and physical examination, including the reasoning behind determining what to look for on examination

• Showing sensitivity with examining patients and the ability to interact effectively during physical examination

• Writing up physical examinations in a clear and logical manner

• Demonstrating the ability to summarise a patient¿s history and physical findings in both verbal and written format

• Demonstrating an understanding of the process of clinical reasoning, and

• Demonstrating the ability to successfully perform basic life support.
  (this adds on the skills developed in topic D & P 1A in semester 1)