Unit Outline

CAM305 strengthens the foundations for clinical practice as students develop and apply their clinico-pathological knowledge and history taking and examination skills in the clinical setting. Concurrently, students undertake further clinical rotations in both hospital and community settings, with an emphasis on integrating scientific knowledge and clinical skills. Students advance their skills in history taking and examination and their understanding of professional ethics and the Australian Health Sector. Students continue the clinical rotations across CAM304 and CAM305 in the areas of Medicine, Surgery, Primary Care and Clinical Specialties (Psychiatry, Paediatrics and Child Health, and Obstetrics and Gynaecology). Students develop differential diagnostic formulations based upon clinical findings; formulate rational investigation plans based upon diagnostic formulations and develop skill in appraisal of diagnostic test results. Students begin the process of formulating management plans. The principles of health economics are reinforced. The CAM305 lecture series encompasses clinical applications of knowledge presented in previous units, with emphasis on multi-system and complex disease. In order to commence workplace learning outside of the University of Tasmania (including clinical placements and visits) students are required to demonstrate compliance with the College of Health and Medicine and Tasmanian School of Medicine policies relevant to workplace based learning. These include the Police Check Policy and Procedures, Infectious Disease Policy, Code of Conduct and Student Placement Agreement. Students who do not comply with these policies will not be placed or will be removed from placements and therefore will not be able to complete this unit. Students who have not complied or are unsure of the policies should seek guidance from the School.

Intended Learning Outcomes

As per the Assessment and Results Policy 1.3, your results will reflect your achievement against specified learning outcomes.

On completion of this unit, you will be able to:


1.	Describe the legal and ethical rights and responsibilities of patients, health care consumers and medical practitioners in the regulation and provision of medical practice.
2.	Understand the Australian Health Care system, specifically the roles of medical and allied health disciplines/providers, community and hospital-based resources, the interface between the hospital and community, and the roles of health care providers in health promotion, disease prevention and treatment.
3.	Take a whole patient approach to healthcare, including family and community context, and recognise the roles of doctors, health professionals and community in multi-disciplinary care.
4.	Demonstrate knowledge of the epidemiology, pathophysiology and clinical features of common medical problems in the disciplines of General Practice, General Medicine, General Surgery, Paediatrics, Obstetrics and Gynaecology, and Psychiatry.
5.	Further develop and demonstrate clinical and communication skills, including obtaining a comprehensive and/or focussed history; accurate elicitation of clinical signs; effective and appropriate written communications; and procedural skills defined in the Rotation Handbooks.
6.	Develop and justify appropriate differential diagnoses and related management plans, including the rational and effective use of investigations, therapeutic interventions, and educational, preventative and multidisciplinary care strategies.
7.	Demonstrate the ability to source, evaluate and communicate clinical and research evidence, use an evidence-based approach to healthcare practice and medical care.
8.	Develop independence and self-direction in the acquisition of knowledge and skills.
9.	Describe the structure and function of the nervous system in detail, including motor, somatosensory, auditory and visual systems.
10.	Use knowledge of neuroanatomy and physiology to localise disorders of the nervous system, like spinal cord disorders, mononeuropathies and brain stem disorders.
11.	Understand the anatomical and physiological basis of some clinical neurological examinations, like clinical examination of the visual fields.
12.	Describe in detail the anatomy of the head and neck, including imaging and surface anatomy.
13.	Describe the physiology and common pathophysiology of the endocrine system.
14.	Describe and differentially diagnose some common pathologies of the nervous and endocrine systems including dementia, trauma, stroke, tumours and infections.
15.	Describe the epidemiology, aetiology, pathogenesis and clinical presentation of tropical infectious disease in the returned traveller, pre-travel assessment and health problems that may be encountered in refugees and asylum seekers.
16.	Describe the epidemiology, aetiology, pathogenesis and clinical presentation of common immune disorders, including HIV related disease, transplantation, and auto-immune disorders.
17.	Describe the epidemiology, pathophysiology, diagnosis and management of haemato-lymphoid malignancies and common solid cancers, including principles of cancer genetics.
18.	Describe the impact of cancer on the patient, their family and community, patient-centric principles of care and symptom management for the dying patient, and end of life discussion.


19.	Describe the ‘biopsychosocial’ approach to psychiatric illness, and the assessment, diagnosis and management of common psychiatric disorders.
20.	Describe the ‘biopsychosocial’ approach to acute and chronic pain management including the roles of pharmacotherapy, psychology, psychiatry and physiotherapy.
21.	Describe the legal and ethical responsibilities of medical practitioners in the provision of health care, including the Coroners Act, Public Health Act, Therapeutic Goods Act and Poisons Act under Tasmanian and/or Australian jurisdictions. Describe the rights and responsibilities of patients and consumers of health care services, and discuss ethical aspects of consent, patient restraint, certification, living wills and resuscitation, medical error and disclosure.
22.	Describe the role of the forensic pathologist.
23.	Outline the principle concepts of global health including: distinctive health profiles & beliefs of diverse populations, measuring health status, identifying international health targets, climate change, pandemics, geopolitics, human security /migration, trends in disease epidemiology and access to health care.

Requisites


REQUISITE TYPE	REQUISITES
Pre-requisite	CM304

Alterations as a result of student feedback

CAM304/305 Unit Coordinators undertake a regular annual review of the curriculum. Student feedback is an integral part of this process and informs the decisions we make. As a result of previous years feedback, we will:
1. Provide timetables as early as possible in a semester with the understanding that updates may be required throughout the semester;
2. Ensure assessment tasks and due dates are clearly stated.
Effective unit review is critically dependent on students notifying the relevant coordinator of any difficulties or problems. We value this feedback highly as it allows us to deliver a better unit. Your student experience depends on the input we have had from previous year groups, so we hope you will continue the process of improvement for your own and others’ benefit.

How will I be Assessed?

For more detailed assessment information please see MyLO.

Assessment schedule


ASSESSMENT TASK #	ASSESSMENT TASK NAME	DATE DUE	WEIGHT	LINKS TO INTENDED LEARNING OUTCOMES
Assessment Task 1:	Professional Portfolio	See the MyLO site for the due date	0 %	LO1, LO2, LO3, LO4, LO5, LO6, LO7, LO15, LO16, LO17, LO18, LO19, LO20, LO21, LO23
Assessment Task 2:	OSCE	See the MyLO site for the due date	0 %	LO1, LO2, LO3, LO4, LO5, LO6, LO8, LO10, LO11, LO14, LO15, LO16, LO18, LO19, LO20
Assessment Task 3:	Written examination	See the MyLO site for the due date	30 %	LO1, LO2, LO4, LO6, LO11, LO13, LO15, LO16, LO17, LO18, LO19, LO20, LO21, LO22, LO23
Assessment Task 4:	Note – the remaining assessments are undertaken in CAM304	See the MyLO site for the due date	30 %	LO1, LO2, LO3, LO4, LO5, LO6, LO7, LO8, LO9, LO10, LO11, LO12, LO13, LO14
Assessment Task 5:	Clinical rotations written examination	See the MyLO site for the due date	40 %	LO1, LO2, LO3, LO4, LO5, LO6, LO8, LO10, LO13, LO14, LO16, LO17, LO18, LO19, LO20

Assessment details

Assessment Task 1: Professional Portfolio

Task Description:

Satisfactory completion of all in-semester and clinical rotation requirements.

HURDLE TASK

Task Length:

Due Date:

See the MyLO site for the due date

Weight:

0 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Satisfactory completion of all in course assessments and activities including rotation requirements	LO1, LO2, LO3, LO4, LO5, LO6, LO7, LO15, LO16, LO17, LO18, LO19, LO20, LO21, LO23

Assessment Task 2: OSCE

Task Description:

OSCE

HURDLE TASK

Task Length:

3 hours

Due Date:

See the MyLO site for the due date

Weight:

0 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Six stations, pass mark for each station is determined by the borderline regression method. Students need to pass 9 or more stations across the combined semester 1 and semester 2 OSCEs	LO1, LO2, LO3, LO4, LO5, LO6, LO8, LO10, LO11, LO14, LO15, LO16, LO18, LO19, LO20

Assessment Task 3: Written examination

Task Description:

CAM305 written examination, closed book, including MCQ/EMQ and SAQ type questions

Task Length:

2 hours

Due Date:

See the MyLO site for the due date

Weight:

30 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Apply Domains 1, 2, 3 and 4 knowledge to provide correct responses to MCQ/EMQ/SAQ type questions on academic material covered in CAM305	LO1, LO2, LO4, LO6, LO11, LO13, LO15, LO16, LO17, LO18, LO19, LO20, LO21, LO22, LO23

Assessment Task 4: Note – the remaining assessments are undertaken in CAM304

Task Description:

Note - the remaining assessments are undertaken in CAM304

Task Length:

Due Date:

See the MyLO site for the due date

Weight:

30 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	x	LO1, LO2, LO3, LO4, LO5, LO6, LO7, LO8, LO9, LO10, LO11, LO12, LO13, LO14

Assessment Task 5: Clinical rotations written examination

Task Description:

Clinical rotations written examination. MCQ,EMQ and SAQ type questions.

Task Length:

3 hours

Due Date:

See the MyLO site for the due date

Weight:

40 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)

How your final result is determined

To pass this unit, you need to demonstrate your attainment of each of the Intended Learning Outcomes, achieve a final unit grade of 50% or greater, and pass any hurdle tasks.

To pass CAM305 (and year 3 overall), you need to demonstrate your attainment of each of the Intended Learning Outcomes.
Additionally, students are required to pass ALL THREE components, according to the criteria detailed below:
1.   Written examinations- To pass each student will obtain a total mark obtained from the marks for individual exams, weighed as detailed above. The pass mark for each written exam will be determined by the EBEL method; and
2.   Objective structured clinical examinations (OSCEs)- To pass each student will pass 9/12 ordinary, deferred ordinary or supplementary OSCE. To be eligible to sit a supplementary OSCE students need to have passed 6, 7 or 8 OSCES in the ordinary period; and
3.   In-course requirements- To pass the student must demonstrate completion of all required in-course and rotation assessments and activities, and achievement of a satisfactory standard in these requirements.

Upon successful completion of CAM304/5 the final result will be an Ungraded Pass

Submission of assignments

Where practicable, assignments should be submitted to an assignment submission folder in MYLO. You must submit assignments by the due date or receive a penalty (unless an extension of time has been approved by the Unit Coordinator). Students submitting any assignment in hard copy, or because of a practicum finalisation, must attach a student cover sheet and signed declaration for the submission to be accepted for marking.

Requests for extensions

If you are unable to submit an assessment task by the due date, you should apply for an extension.

A request for an extension should first be discussed with your Unit Coordinator or teaching support team where possible. A request for an extension must be submitted by the assessment due date, except where you can provide evidence it was not possible to do so. Typically, an application for an extension will be supported by documentary evidence: however, where it is not possible for you to provide evidence please contact your Unit Coordinator.

The Unit Coordinator must notify you of the outcome of an extension request within 3 working days of receiving the request.

Late penalties

Assignments submitted after the deadline will receive a late penalty of 5% of the original available mark for each calendar day (or part day) that the assignment is late. Late submissions will not be accepted more than 10 calendar days after the due date, or after assignments have been returned to other students on a scheduled date, whichever occurs first. Further information on Late Penalties can be found on the Assessments and Results Procedure.

Review of results and appeals

You are entitled to ask for a review of the marking and grading of your assessment task if there is an irregularity in the marking standards or an error in the process for determining the outcome of an assessment. Details on how to request a review of a mark for an assignment are outlined in the Review and Appeal of Academic Decisions Procedure.