MEDI4001 and MEDI4002

Rotation: Elective

Rotation: Psychological and Addiction Medicine

Rotation: Senior Medicine and Surgery

Rotation: Acute Care (Topics: Intensive Care Medicine, Emergency Medicine and Anaesthetic Medicine)

Rotation: Rotation: Women's Health

On completion of Psychological and Addiction Medicine students should be able to discuss and/or demonstrate:

• The assessment of a patient's mood and mental status in routine clinical practice
• How to take a full history of mental illness
• How to assess and manage the drug or alcohol intoxication patient and associated withdrawal syndromes
• The Psychological aspects of chronic disease
• The Psychological aspects of trauma and major stressful events
• The Psychological aspects of eating disorders
• Emotional and behavioural problems in childhood and adolescence, including:
• Attention deficit disorders
• School refusal
• Learning difficulties
• Child abuse
• Teenage suicide
• Family dysfunction
• How to recognise and assess common and/or important psychiatric presentations including:
• Anxiety
• Mania
• Psychosis
• Depression
• The assessment of mood and mental status in older people, with emphasis on:
• Depression
• Dementia
• Delirium
• How to work with patients, families and carers to optimise
• Personal and social strengths
• Motivation
• Compliance
• Problem solving strategies
• Prevention of self harm
• The basic pharmacology of commonly used psychotherapeutic agents, including antipsychotics, mood stabilisers, antidepressants, and anxiolytics
• The basic principles and practice of psychotherapy

On completion of Senior Medicine component of Senior Medicine and Surgery students should be able to discuss and/or demonstrate:

• All MEDI3001 and MEDI3002 FIMS Medicine skills
• How to take a comprehensive history and undertake a full physical examination from any patient (including interviews with carers and relatives)
• An ability to engage and counsel distressed patients, carers and families
• An ability to undertake a functional assessment of patients across all ages
• How to write clinical notes that are contemporaneous, legible, succinct, structured, and effective
• Accurate and safe writing of prescriptions
• The ability to effectively discuss medications with patients and their carers and relatives, including dosing routines, potential side effects, self-management of side effects, adherence strategies, potential drug-drug interactions, ways to find further information if required.
• How to write a referral letter, expressing necessary information clearly, accurately and in an orderly way; presenting problem(s), examination, investigation, and treatment to date, past history, current medications, relevant social and family history, together with a clear indication to what is expected of the referral.
• How to formulate a comprehensive management plan that covers acute care, chronic disease management, symptomatic treatment, patient education, self-care strategies, risk management, communication, and follow-up & review.

On completion of Senior Surgery component of Senior Medicine and Surgery students should be able to discuss and/or demonstrate:

• All MEDI3001 and MEDI3002 FIMS Surgery skills
• The assessment of the acute abdomen
• The assessment of a neck mass
• The assessment of a suspected inguinal hernia
• The assessment of a scrotal mass and scrotal pain
• The assessment of a breast lump
• The assessment of haematuria
• The assessment of burns
• The assessment of prostatism and prostatomegaly
• Management of the perioperative patient, including:
• Preoperative assessment
• Consent
• Prevention of venous thrombosis
• Diabetes mellitus
• Fluid balance
• Pain management
• Antibiotic prophylaxis
• Wound management
• Antiemetics
• Postoperative complications
• Imaging techniques used in the investigation of liver, biliary tract, and pancreatic disease
• The investigation of obstructive jaundice
• The investigation of the arterial supply and venous drainage of the lower limb
• The clinical anatomy of the following surgical and endoscopic procedures:
• Cholecystectomy
• Appendicectomy
• Colectomy
• Upper GI endoscopy
• Colonoscopy
• Inguinal herniorrhaphy
• Transurethral prostatectomy
• Thyroidectomy
• Craniotomy
• Abdominal aortic aneurysm repair
• Femoral-popliteal bypass
• ORIF fractured neck of femur
• Arthroscopy
• Tonsillectomy

Rotation: Acute Care

Topic:  Intensive Care Medicine

On completion of Intensive Care Medicine students should be able to discuss and/or demonstrate:

• How to interpret arterial blood gas measurement results
• Appropriate withdrawal of acute & intensive care
• The indications for and management of oxygen therapy
• The assessment of the shocked patient, including
• Intravenous fluid therapy - fluid types and management
• Inotropic agents - types and management
• Assessment of brain death

Topic:  Emergency Medicine

On completion of Emergency Medicine students should be able to discuss and/or demonstrate:

• The assessment of the patient with acute chest pain
• The assessment of the patient with acute dyspnoea
• The assessment of the patient with acute abdominal pain
• The assessment of the patient with reduced conscious state
• The assessment of the confused patient
• The assessment of the shocked patient
• Basic Life Support techniques
• Advanced Life Support techniques
• The physical examination of eyes
• The physical examination of the ears, nose and throat
• The management of common and/or important causes of intoxication
• Suturing techniques for simple wounds
• Splinting techniques for simple fractures
• Insertion of a peripheral intravenous catheter
• Electrocardiography and interpretation of common and important ECG abnormalities

Topic:  Anaesthetic Medicine

On completion of Anaesthetic Medicine students should be able to discuss and/or demonstrate:

• Insertion of a peripheral intravenous catheter
• The clinical anatomy of the upper and lower respiratory tract
• The assessment of a patient's airway and breathing
• Assisted ventilation using a ‘bag & mask'
• Insertion of an endotracheal tube
• The basic pharmacology of commonly used local anaesthetic agents
• The basic pharmacology of commonly used general anaesthetic agents

Rotation: Women's Health

On completion of Women's Health students should be able to discuss and/or demonstrate:

• The clinical anatomy of the female pelvis and gravid uterus
• How to take a gynaecologic and sexual history
• How to take an antenatal history
• How to undertake a physical examination in the third trimester of pregnancy
• How to assist a woman experiencing a normal vaginal birth
• The preparation of a woman for pelvic examination
• A safe and effective technique for vaginal examination and pap smear
• How to examine a newborn baby
• How to advise a woman on methods of contraception

Additionally, on completion of MEDI4001 and MEDI4002 students should be able to:

• Engage in population health activities as a student doctor
• Appreciate the role of the doctor in policy development, preventive action and evaluation of health care from the individual to national scale
• Apply skills in accessing and critically assessing the literature for clinical and population health practice
• Have knowledge of the population burden and risk factors for diseases in patients met during the clinical term
• Apply knowledge of mulitfactorial and mulit-level determinants of health to individual patients and groups. This includes prevention strategies for proximal 'lifestyle' factors and more distal determinants of health
• Be aware of the processes, priorities and the role of the doctor in the control of outbreaks of communicable diseases and bioterrorism