MBBS Undergraduate Rural Clinical Program 2018 - Year 4 & 5 Guidelines - University of Tasmania
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C O N T E N T S 1. PURPOSE ...................................................................................................................................................... 4 2. ABOUT THE RURAL CLINICAL SCHOOL ............................................................................................................ 4 2.1 Introduction .................................................................................................................................................. 4 2.2 Rural Medicine Learning Outcomes ............................................................................................................. 4 3. STAFF CONTACTS FOR UNDERGRADUATE PROGRAM ..................................................................................... 5 4. THE PROGRAM ............................................................................................................................................. 8 4.1 Overview of the Program ............................................................................................................................. 8 4.2 Support ......................................................................................................................................................... 8 4.3 Group Learning Programs and clinical attachments..................................................................................... 8 4.3.1 Group Learning Program ......................................................................................................................... 8 4.3.2 Clinical Attachments ................................................................................................................................ 9 4.4 Clinical Attachments ..................................................................................................................................... 9 4.4.1 Year 4 Clinical Attachment Overview ...................................................................................................... 9 4.4.2 Year 4 & 5 Clinical Attachments ............................................................................................................ 10 4.4.3 Year 4 Specific Attachments .................................................................................................................. 11 4.4.4 Year 5 Specific Attachments & Requirements....................................................................................... 13 5. STUDENT LEAVE ARRANGEMENTS ............................................................................................................... 14 5.1 Attendance ................................................................................................................................................. 14 5.2 Student Leave ............................................................................................................................................. 14 6. ASSESSMENT .............................................................................................................................................. 14 6.1 Year 4 – Assessment Due Dates.................................................................................................................. 15 6.2 Year 5 – Assessment Due Dates.................................................................................................................. 17 6.3 Year 4 – RCS Written Assessment Due Dates ............................................................................................. 19 6.4 Year 5 – RCS Written Assessment Due Dates ............................................................................................. 21 7. LEARNING RESOURCES ................................................................................................................................ 23 7.1 Library and Information Technology Support ............................................................................................ 23 8. SIMULATED LEARNING ENVIRONMENT (SLE) ............................................................................................... 23 9. STUDENT SUPPORT ..................................................................................................................................... 23 9.1 Academic Supervisors ................................................................................................................................. 23 9.2 General Mentoring ..................................................................................................................................... 23 9.3 Vertical/Horizontal Integration in the Year 4 & 5 RCS Medical Undergraduate Program ......................... 24 2|P a g e
9.3.1 Year 4 Peer Support Program ................................................................................................................ 24 9.3.2 Final Year Peer Support Program .......................................................................................................... 24 9.3.3 Horizontal Integration ........................................................................................................................... 24 9.4 Additional Educational Support .................................................................................................................. 24 9.4.1 RCS Staff ................................................................................................................................................ 25 9.4.2 Personal GP Services ............................................................................................................................. 25 9.4.3 Counselling Services .............................................................................................................................. 26 10. 2017 RCS Calendar ...................................................................................................................................... 27 3|P a g e
1. PURPOSE The Rural Clinical School guidelines are designed to be a practical resource that: • Outlines the learning and assessment requirements for students undertaking the final two years of the five year MBBS course through the Rural Clinical School (RCS). • Provides informative on the resources available to medical students at the RCS. Students should use this document in conjunction with the Year 4 or 5 School of Medicine (SoM) Handbook. 2. ABOUT THE RURAL CLINICAL SCHOOL 2.1 Introduction The Rural Clinical School has a charter to provide a rural and remote health context for learning to ensure that students have competencies and attributes that will equip them to practice in rural and remote settings. The University of Tasmania’s Rural Clinical School: • Is part of a national rural education and training network funded through the Australian Government’s Department of Health – Rural Clinical School program, a Regional Health Strategy. • Provides students with clinical education and training, and supports health practitioners in rural and remote areas. • Delivers clinical education, training and experience through the Tasmanian Health Service North West (THS) via the North West Regional Hospital (NWRH) Burnie, the Mersey Community Hospital Latrobe (MCH), the North West Private Hospital (NWPH) Burnie, and a network of general practices, district hospitals and community health facilities. 2.2 Rural Medicine Learning Outcomes Students will be able to describe or give examples of participation in the following rural medicine learning outcomes to reduce health inequality for patients in rural areas. 1. Socio-demographic and cultural differences between rural and city life, and their effect on professional/patient/community relationships. 2. Participation in Community Engagement 3. Aboriginal health care issues in a regional context. 4. Conduct of referrals, and the relationships between the referring rural GP and their city and/or provincial specialist. 5. Impact of isolation on patient and family behaviour in addressing health problems. 6. Impact of geographic isolation of patients on medical management. 7. Impact of professional isolation on medical practice and on the personal lives of medical and other health professionals. 8. Inter-relationship between rural and urban health care providers and facilities. 9. Development and operation of a health care team. 10. Medical evacuation of the injured or ill patient. 11. Potential of Telehealth developments for rural health care delivery. 12. Techniques for maintaining professional competence and standards for professionals outside of tertiary clinical environments. 13. Knowledge of the social services in the community in which they are working. 4|P a g e
3. STAFF CONTACTS FOR UNDERGRADUATE PROGRAM RCS Reception ph: 03 6430 4550. Most staff can be contacted on this number. Year 4 & 5 Rural Medical Undergraduate Program (Personnel/roles may change through the year to allow for leave) RCS ACADEMIC STAFF - please email rcsstudent.enquiries@utas.edu.au should you need email contacts for academic staff. Associate Professor Lizzi Shires (Director) Director, Rural Clinical School Co-ordinator for community based medical education and Associate Professor Lizzi Shires community engagement (Assoc Prof. Community Based Medical Education) Attachment Co-Ordinator - General Practice and Rural & Remote Luanne Steven Educational support (Medical Education Advisor) Dr Alison Tasker (Clinical Associate Lecturer – Therapeutics programme, tutorial program Pharmacy) Dr Heinrich Weber Paediatrics teaching and clinical attachments, CBL, tutorial program (Clinical Senior Lecturer - Paediatrics) Mr Russell Furzer Surgical clinical attachments NWRH, tutorial program (Clinical Senior Lecturer – Orthopaedic Surgery) Mr Trevor Leese Surgical clinical attachments NWRH, CBL, tutorial program (Clinical Senior Lecturer – General Surgery) Dr James Roberts-Thomson Surgical clinical attachments Mersey Hospital, CBL, tutorial program (Clinical Senior Lecturer – General Surgery) Dr Albert Nwaba Medicine clinical attachments, CBL, tutorial program, mentoring (Clinical Senior Lecturer – Gastroenterology) Dr Alex Clifford Anaesthetic clinical attachments (Anaesthetics) Dr Nick Towle Co-ordinator Aboriginal and Global Health, CBL, tutorial program, Head of Clinical Simulation assessment, mentoring, educational support in clinical skills and (Clinical Lecturer) simulation Dr Rosemary Ramsay Nursing Home programme, tutorial program (Clinical Senior Lecturer – Nursing Home) Dr Satish Kumar GP liaison, tutorial program, CBL, assessment, mentoring (Clinical Senior Lecturer - GP) Dr George Mabeza General Medicine clinical attachments, CBL, tutorial program, Clinical Co-ordinator Medicine mentoring (Clinical Senior Lecturer - Medicine) Dr Raimaish Thangamaini Obstetrics & Gynaecology - Clinical attachments, CBL, tutorial (Clinical Senior Lecturer – Obstetrics & program Gynaecology) Miranda Stephens Psychiatry attachment and tutorials (Clinical Senior Lecturer - Psychiatry) Dr Balaji Bakshandi ICU ward teaching and tutorials 5|P a g e
COMMUNITY SUPPORT Aryelle Sargent Administration Officer (Community Engagement) rcs.ce@utas.edu.au Anne-Maree Temple Administration Officer (Community Engagement) RCS CLINICAL SKILLS AND SIMULATION CENTRE Lynn Greives Clinical Simulation Educator Heather Bryer Clinical Simulation Educator rcs.simulation@utas.edu.au Luanne Steven Clinical Medical Educator Hannah Eley Administration Officer (SLE) RCS ADMINISTRATIVE STAFF Burnie Campus Elvie Jean elvie.jean@utas.edu.au School & Community Manager Renee Harvey Statewide Academic Administration Coordinator Kylie Bennett Academic Administration Supervisor Lucy Titmus rcsstudent.enquiries@utas.edu.au Administration Officer (Academic) (Maternity Leave from February 2018) Ruth Gray Administration Officer (Student Services) Teena Cooper teena.cooper@utas.edu.au Administration Officer (Accommodation) Christine Reynolds Christine.reynolds@utas.edu.au Administration Officer (Finance) Louise Lee Louise.lee@utas.edu.au Administration Assistant (Reception) Emily Nasiukiewicz Emily.Nasiukiewicz@utas.edu.au Junior Administration Officer Richard Rozendaal Richard.rozendaal@utas.edu.au Administration Officer (Operations & Projects) Clinton Weber Clinton.weber@utas.edu.au ICT Officer 6|P a g e
Mersey Campus Karen Lowe rcs.gp@utas.edu.au Administration Officer (Primary Care) Anne-Maree Temple annemaree.temple@utas.edu.au Administration Officer (Mersey & Comm. Eng.) RESEARCH STAFF Colleen Cheek colleen.cheek@utas.edu.au (Research Fellow - Burnie) Dr Penny Allen penny.allen@utas.edu.au (Research Fellow - Mersey) Dr Sarah Prior (Wynwood) sarah.wynwood@utas.edu.au (Post Doctoral Research Fellow) Linda Jaffray linda.jaffray@utas.edu (PhD Student) Nicole Reeves nicole.reeves@utas.edu.au (Research Support Officer) 7|P a g e
4. THE PROGRAM 4.1 Overview of the Program The RCS delivers the SoM curriculum in a rural setting. Students are able to achieve their learning outcomes through specialty placements and in General Practice and Emergency care. The RCS does not offer sub-speciality attachments, however students are likely to see these core presentations in Emergency and General Practice and their General rotations. Most common presentations in Dermatology, ENT, ophthalmology are seen during attachments and additional self-directed study or selective experience may be required. Students work as part of the clinical teams to acquire their clinical skills. Please refer to the 2018 RCS Calendar (10). 4.2 Support The programme includes: • Structured tutorials, practical procedural skills instruction, CBL sessions and opportunities to reflect on professional practice. • Opportunities for self directed learning around patients. • Support from the team based in the Clinical Attachment site. • Full support and direction from the RCS academic team including regular meetings with your Academic Supervisor. 4.3 Group Learning Programs and clinical attachments 4.3.1 Group Learning Program The tutorial program occurs during the group learning program (GLP/GLW). The complete program is available on MyLO (My Learning Online learning management system), although it is subject to change throughout the year. Students are expected to prepare and participate in Case Based Learning, CBL’s. Resources for CBL’s will be available through MyLO and will be updated throughout the year. The CBL topics form the core curriculum for the SoM . The RCS has an active skills and communication programme which supports the clinical placements. 8|P a g e
4.3.2 Clinical Attachments Clinical attachment handbooks are available on InPlace. Students should access these at least one week before hand to ensure that they know where to attend and any special requirements for that rotation. During the attachments students should maintain a clinical log book and their log of skills. At the end of rotation, students are expected to get Clinical Attachment Report signed off by the clinical supervisor, if the placement is of a duration of 2 weeks or less a Short Duration Report will be required. At all times, students are expected to wear their medical student identification, dress and conduct themselves in a professional manner (please refer to the SoM Handbook). 4.4 Clinical Attachments 4.4.1 Year 4 Clinical Attachment Overview Students will experience 6 x 5 week attachments in different areas of acute services to assist in fulfilling learning objectives and are expected to take part in ward activities during the day, as well as after hours as scheduled, or where learning opportunities arise. Each attachment has an Attachment Timetable that details a series of clinical experiences that students are expected to participate in during their attachment. The attachments for 2018 at the RCS are: • Medicine • Surgery (General & Orthopaedic) • Psychiatry • Emergency Medicine • Paediatrics and • Obstetrics & Gynaecology Clinical attachments in Surgery; Medicine; Paediatrics, Emergency Medicine and Obstetrics & Gynaecology will involve rotations at the North West Regional Hospital or the Mersey Community Hospital campus to maximise clinical learning opportunities. Throughout year 4, students will attend General Practice every Tuesday. Example overview of a year 4 six week attachment: Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Group Learning DEM DEM DEM DEM DEM Program Please refer to InPlace for details of your 2018 Year 4 Attachment Allocations. Students will be grouped into teams of four or five for attachments and will maintain that group for the year. Students are expected to participate in all activities of the clinical unit to which they are attached. This will include presenting cases on ward rounds or at departmental meetings. Students may be rostered on after hours/weekend shifts or required to be on-call during a clinical attachment to gain experience outside normal working hours. 9|P a g e
4.4.2 Year 4 & 5 Clinical Attachments Clinical Attachments are provided at North West Regional Hospital, North West Private Hospital and the Mersey Community Hospital, and community placements across the North West Coast. Accommodation is automatically provided in Latrobe for students undertaking attachments at Mersey Community Hospital. Preference for accommodation is given to students with on-call requirements. Students are encouraged to car pool for travel to and from Mersey Hospital. Communications It will be the student’s responsibility to inform wards of their contact number (eg mobile phone) so they can be contacted out of hours for deliveries, emergencies etc. Academic and administrative staff regularly update students by use of the UTAS email system. Students should check their emails at least twice per day and should ensure that all communication in relation to their program of study is via their UTAS email account. It is important that you also check the Newsfeed section in MyLO on a regular basis and this will be used as a form of communication during 2018. Please refer to MyLO instructions on how to receive instant notifications via email for MyLO updates: http://www.utas.edu.au/mylo/student-support/student-resources/section-01/setting-notifications Surgery Mr Trevor Leese and Mr James Roberts-Thomson will co-ordinate the medical student program in Surgery for 2018. Students are requested to download a copy of the Surgical Guidelines document from InPlace prior to commencement of the attachment. Students will be rotated through different Surgical teams to maximise learning opportunities. There will be a mixture of theatre, ward work and clinics. Individual student programs will be developed with participating students in the week prior to the commencement of the attachment. Orthopaedic Surgery Mr Russell Furzer co-ordinates the student attachments. Students are requested to download a copy of the Surgical Guidelines document from InPlace prior to commencement of the attachment. The Orthopaedic attachment is based at the North West Regional Hospital. General Medicine Dr George Mabeza will coordinate the student attachment program for medicine. A detailed attachment timetable is available on InPlace. In 2018 the medicine rotation will incorporate a week of medical specialties (final year students only), including Gastroenterology, Renal and Radiology. Please refer to timetable on InPlace. Students are requested to download a copy of the General Medicine Guidelines document from InPlace prior to commencement of the attachment. The General Medicine attachment year 4 students will be primarily based at the NWRH campus. Year 5 students will be based at the MCH. 10 | P a g e
Students will be assigned to a Registrar and Consultant during the medical attachment and undertake a range of tasks including ward work, clinics, Unit education program and focused student bed-side teaching and case discussions. DEM Dr Marielle Ruigrok coordinates the student attachments. Students are requested to download a copy of the DEM Guidelines and the Super Suturing documents from InPlace prior to commencement of the attachment. Students participate in all activities of the unit including the Thursday morning DEM teaching program. This includes the 0830 student case presentations. A roster for each attachment is also available on InPlace. Students are expected to be available for morning, evening, night and weekend shifts. A clinical log book should be completed and is available via the electronic log book. 4.4.3 Year 4 Specific Attachments Psychiatry Miranda Stephens, clinical psychologist coordinates the student attachments. The psychiatry attachment will use the Spencer Clinic at the NWRH, the North West Private Hospital and various community settings on the North West coast. Obstetrics & Gynaecology Dr Raimesh Thangamaini co-ordinates the student attachments. Students are requested to download a copy of the Obstetrics & Gynaecology Guidelines document from InPlace prior to commencement of the attachment. The Obstetrics & Gynaecology attachment will be based at both the North West Regional Hospital and the Mersey Community Hospital. Paediatrics Dr Heinrich Weber co-ordinates the student attachments. Students are requested to download a copy of the Paediatrics Guidelines document from InPlace prior to commencement of the attachment. The Paediatrics attachment will be based across North West Regional Hospital and the Mersey Community Hospital. Students should note that most clinical experience occurs in the outpatient setting and students should be actively involved in the relevant clinics of these disciplines. 11 | P a g e
Primary Care (1 day per week) Assoc. Prof Lizzi Shires and Karen Lowe co-ordinate student attachments. For the first five weeks of the academic year each Year 4 medical student will participate in the Primary Care Program (PCP1-5), which is designed to prepare you for the Primary Care attachment which will run for the remainder of the program on a Tuesday. Students will attend two different practices during the year. During general practice sessions students may be allocated patients for consultation, review their findings with the doctor and use this to trigger self-directed learning. The program is designed to provide a longitudinal in-depth and interactive teaching experience. Each week, the Primary Care experience will focus on general practice consultation and clinical skills, patient follow up and Primary Care for one session and the other session can be used for assorted tasks. These tasks can include other primary care visits, audits, in depth consultations with patients with chronic diseases. This will allow time for students to accompany patients on other visits and observe health care across the whole team of providers. Observation and involvement with Practice Nurses and other health professionals is an essential part of this attachment. A detailed workbook for Primary Care is provided. Students may work with one, or across a team of GPs, but the practice GP supervisor will be the facilitator responsible for all activities to do with Primary Care teaching and learning, including marking the Complex Rural Longitudinal GP Oral Case Presentation and completing the Clinical Attachment reports. All students will give the oral presentation to the staff and students at their allocated General Practice and their GP academic supervisor. Advice on the oral and written presentations is available in the GP handbook and on MyLO. The GP Attachment Roster is available on InPlace for students. Students should consult the Practice Manager the week before they start for advice about local arrangements. It is expected that students would be physically present in their general practices no later than 0845 on the Tuesday. If students are going to be late on a Tuesday, they must inform the Practice Manager and Karen Lowe at the RCS. Practices schedule patients and activities for students and lateness and non attendance is not acceptable. Elective Planning in Year 4 The SoM handbook outlines the requirements for summer elective attachments at the end of Year 4. Students are reminded that electives Must be organised in advance, students should confirm important university key dates before making firm travel plans. Information about the requirements for electives can be found at: http://www.utas.edu.au/medicine/programs/smile. Please ensure you start planning your elective early in the year. You must inform the Electives Co- ordinator and the RCS of your placement details in writing. The Director of Electives, Dr Nick Cooling will be visiting the RCS during 2018 Orientation Week to speak with Year 4 students. Year 4 Elective reports presented in Year 5 All students are expected to present a report of the elective undertaken during the preceding summer break. For 2018, these presentations will be in the form of a poster presentation during orientation week and a brief oral presentation to the year group and RCS staff. The posters will remain on display to a wider audience of students, RCS academic staff and hospital staff. A suitable template for a poster can be found at www.posterpresentations.com 12 | P a g e
Selective Planning for Year 5 Please refer to the Year 5 SoM Unit Handbook. Students will be asked to nominate their preferred attachment dates for 2018 selective, once the attachment dates have been finalised. This usually occurs in October. 4.4.4 Year 5 Specific Attachments & Requirements Students should refer to InPlace for the 2018 Year 5 Attachment Allocations. Selective Please refer to the Year 5 SoM Unit Handbook for information regarding your selective. Rural & Remote Medical Practice Remote attachments are located in the communities such as Smithton, King Island, Huonville and West Coast (Queenstown/Strahan). Students will have an attachment of five weeks at one location. Students are required to liaise with the Remote GP Administration Officer (Karen Lowe – 6430 5903) prior to commencing this attachment. Students who wish to undertake remote attachments at other locations must discuss this with Associate Professor Lizzi Shires. An accommodation kit is available for collection and students are expected to make personal contact with the Practice to confirm their attendance at least a week prior to taking up their attachment. To appreciate the particular challenges and limitations of medical care in remote communities, it is strongly recommended that students remain in their community for the full duration of the attachment. Students are required to complete and present a Complex Rural Longitudinal Oral Case Presentation on return from their attachment as part of the summative assessments. It is expected that students will do their summative Chronic Disease Case including Complex Therapeutics written case based on the oral case and this should be submitted on the Friday at the end of your remote attachment. Further advice on the oral and written presentations is available on MyLO. Anaesthetics/ICU Dr Alex Clifford coordinates this rotation . During this rotation you will be attending a wide range of Departmental activities ranging from ward rounds to attending elective and emergency lists in theatre. Please download etc.. A Medical Student Anaesthetic Logbook & Orientation Manual should be completed. The log book is also available within your electronic log book. 13 | P a g e
Nursing Home and Palliative Care Dr Rosemary Ramsay coordinates this rotation A two week placement in a residential care home and palliative care will give students experience in managing ageing patients and patients requiring palliative care. This rotation has a detailed rotation book with resources and learning activities that should be accessed before the placement starts. 5. STUDENT LEAVE ARRANGEMENTS 5.1 Attendance As outlined in the SoM Handbook, students are expected to attend 100% of clinical placements and scheduled teaching. A minimum of 80% of attendance at clinical placements and 80% attendance of the scheduled teaching sessions must be completed to pass the unit. To ensure that minimum requirements are met, students will be monitored and are required to sign the attendance register (when provided) for tutorials and other group sessions. 5.2 Student Leave Students are required to complete the Student Leave Application which can be found in a Dropbox on MyLO for any sick leave, leave for conference attendance or research/study related purpose, and any other personal leave that may be required. Please submit in the relevant attachment Dropbox. These applications will be approved by the Associate Head and you will receive notification of approval or otherwise via MyLO. Students should notify their Supervisor of sick leave prior to shift commencement and email rcsstudent.enquiries@utas.edu.au or should notify their Practice Manager if absent during Primary Care time and email karen.lowe@utas.edu.au. Students who are still sick after a days should reconfirm their absence with rcsstudent.enquiries@utas.edu.au Sick leave of 5 days, or more, will need to be supported by a Medical Certificate. Please see 9.5.2 for Personal GP contact details, If students are away they are required to include in their leave submission, plans to make up for loss of time and discuss this with attachment Supervisor/s and/or GP contact prior to submission. 6. ASSESSMENT Please refer to the relevant SoM Handbook for details of assessment and portfolio requirements. 14 | P a g e
6.1 Year 4 – Assessment Due Dates 15 | P a g e
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6.2 Year 5 – Assessment Due Dates 17 | P a g e
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6.3 Year 4 – RCS Written Assessment Due Dates 19 | P a g e
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6.4 Year 5 – RCS Written Assessment Due Dates 21 | P a g e
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7. LEARNING RESOURCES Clinical teaching is based on the Case Based learning and discipline topics listed in the SoM Handbook. The RCS will supply useful reading and references to support many of these topics via MyLO and the CBL handbook however students will be expected to supplement their learning through extensive reading and electronic resources. 7.1 Library and Information Technology Support An excellent clinical library is located at the North West Regional Hospital with a satellite branch at the Mersey. Students have access to additional library support through the hospital library and to the statewide University library network, through the RCS computers. The Cradle Coast Campus offers an additional access point into web based services. 8. SIMULATED LEARNING ENVIRONMENT (SLE) The RCS has a well equipped Simulated Learning Environment (SLE) at Burnie RCS and the Mersey hospital, with trained and dedicated staff, where students learn and practice procedural and other practical and professional skills, including videotaping to improve consultation skills. This may be in a multi-disciplinary learning environment with nurses, paramedics or other health professionals. The SLE’s provide an excellent opportunity to learn the essentials and practice these skills before performing them on a patient. Students wishing to obtain additional practice in clinical skills outside scheduled sessions must contact the Skills Centre staff on rcs.simulation@utas.edu.au The simulated environment complements, but does not substitute for the clinical environment. Students are strongly encouraged to take full advantage of the vast amount of clinical opportunities available in the hospital and general practice settings. 9. STUDENT SUPPORT 9.1 Academic Supervisors All students will be allocated a clinical Academic Supervisor. Meetings with your academic supervisor will be arranged within the GLP/GLW weeks. While the meetings will be relatively informal, they should follow an agenda which reflects the student’s interests and concerns. Students will be expected to bring a hard copy of end of attachment assessments and log books to these meetings. Academic Supervisors are available by email and phone at other times and students may arrange additional meetings. 9.2 General Mentoring Other staff and junior doctors are also available for mentoring if required. Dr Lizzi Shires and the GP team will be available to assist students having difficulties with professional issues such as the doctor-patient relationship, breaking bad news, dealing with grief etc. Luanne Steven is available to students for academic issues and other issues that they feel they are unable to take to their usual Academic Supervisors / clinical supervisors or have been unable to resolve through the usual channels. 23 | P a g e
9.3 Vertical/Horizontal Integration in the Year 4 & 5 RCS Medical Undergraduate Program 9.3.1 Year 4 Peer Support Program The RCS is committed to a program where vertical integration is an important aspect of the learning environment. Year 4 and Year 5 students learn on the wards. Year 5 students provide peer support to Year 4 students. In turn, when Year 1, 2 and 3 students visit the campus on short attachments, Year 4 and 5 students provide them with peer support. Part of the Year 4 Peer Support Program includes Year 5 students, along with an Intern/Junior Medical Officer/Registrar (JMO) (in particular RCS graduates), offering clinical support and clinical discussions and practice for OSCEs during the year. 9.3.2 Final Year Peer Support Program Year 5 students are supported by NWRH interns (especially RCS graduates) and there are a number of common tutorials and discussion groups. On the wards, interns provide valuable support to Year 5 students. In particular, final year students “shadow” the interns of the clinical unit to which they are attached. Interns, SLE educators and RCS academics/other clinicians can provide opportunities for further skills practice. 9.3.3 Horizontal Integration One of the strengths of the RCS program is the availability of other health professionals to assist with learning opportunities. Students may find themselves learning from, or alongside, people in other disciplines, a situation which mirrors, and best prepares them for real life situations on the wards and in the community. The concept of teamwork to share the load and deliver the best outcomes for patients is integral to the Teaching and Learning at RCS. 9.4 Additional Educational Support Additional Educational support is co-ordinated by Luanne Steven and provided by onsite academic staff. Conferences Students may be eligible for support from the RCS to attend relevant conferences and other educational events. Application to the Director should be made well in advance of the event (appropriate forms available on MyLO). Students attending conferences and educational events with support from the RCS or in RCS time, are expected to provide a brief report on what they have gained from these experiences and will generally be required to make a brief presentation to their peers. Consideration for support will only be given to activities that do not conflict with the RCS teaching program. Research Students wishing to undertake research projects should discuss this with Colleen Cheek, Assoc Prof. Lizzi Shires or Dr Penny Allen. 24 | P a g e
9.4.1 RCS Staff Professional and personal support for students is a priority for the Rural Clinical School. We have a small staff committed to the successful implementation of the Rural Clinical Program. Please refer to ‘Administrative Staff’ list on page 7 for RCS staff available to assist with operational matters ranging from accommodation, transport and educational requirements including IT support within the broader rural health workplace. 9.4.2 Personal GP Services Should a student require medical assistance, the following practices have agreed to see students and bulk bill a consultation, provided that when seeking an appointment at any of the practices below, the student identifies themselves as a medical student from the Rural Clinical School Burnie. International students will be given an account which they can claim through Medibank and the rebate will be accepted as full payment of account. 25 | P a g e
9.4.3 Counselling Services Students can contact Student Support Services at the Cradle Coast Campus for psychological health issues http://www.cradle-coast.utas.edu.au/campus-information/student-support 26 | P a g e
10. 2017 RCS Calendar 27 | P a g e
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