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  • Print student guide
  • SH3 AKA MFAC2505

Outcomes

  1. Integrate knowledge of social determinants of health into clinical practice
  2. Describe health care provision in community contexts
  3. Enhance skills in patient assessment & management in context of community clinical settings
  4. Identify & use aspects of population health in clinical practice
  5. Understand the principles of evaluating population health interventions
  6. Interpret & use scientific evidence in clinical practice
  7. Explain how a health system balances differing needs & priorities when allocating resources
  8. Develop skills in teamwork, ethical practice & reflective practice within context of community health care
  • Clinical time is for you to gain experience of resource allocation in the community

Ecological model of health

  1. Broad social, economic cultural, health and environmental conditions and policies at the global, national, state and local levels
  2. Living and working conditions
  3. Social, family and community networks
  4. Individual behaviour
  5. Innate biology, race, sex, age. Biology of disease

Term weekly themes

  1. Prevention & Screening
  2. Mental Health & Well-being
  3. Drugs & Violence
  4. Indigenous & Cross Cultural Health
  5. Environmental Health
  6. Population Health

SH3Overview1.png

  • We get an extra week to do our projects because of midsession break
  • Wednesday week 6 is the last official day of this term; Thu and Fri are to work on project

CMTs: P2-SH style

  • Without your active participation, CMTs become boring, tedious & a useless learning activity
  • Refer to CMT Resource Panel handout:
    • CMT resource panel list on 1 side
    • your name on other side – display sign on desk
  • ALL students are to attempt answering case Qs & participate in discussions
  • Download CMT materials (case notes & readings) from eMed Map
  • Laptop use only for reading CMT materials
  • Verbal roll call taken during CMT – latecomers may NOT be recorded & therefore marked absent
  • CMT is basically the same as SG

CMT Resource Panels

Resource panel members: be extra well prepared

  • read standard readings & any extra readings, answer case Qs & make significant contribution to class discussion
  • you may divide extra readings b/w yourselves
  • sit in centre section: 1st 2 rows of seats, overflow to 3rd row
  • if absent / forget to prepare / poorly prepared / not participate, then reassign to another CMT panel - punishment
  • Students who miss out on being on the panel during term
    • need to either present to me & other academics in a private session after term end OR repeat CMT in later term
  • If you know you’ll be absent for your allocated week: you must arrange a swap with another student. Both students must email Sarah Jacob with details to obtain approval
  • 80% attendance - so you shouldn't miss a CMT

Public health dilemmas

  • Each Monday, a PhD (Public health Dilemma) question will be posted on Bb discussion board
  • Each student to:
    • reflect on the PhD during the week
    • write 3 short bullet points – to support and to refute the PhD question. Either typed/handwritten, and de-identified. Not graded or read by tutor.
    • submit their two PhD responses on arrival at the fortnightly PhD session (last session on Fridays)
    • review a peers’ PhD response during the PhD session, which will form the basis for the PhD class discussion
  • PhD class discussion will only work if each student submits written responses

PhD 1

  • Question for Week 1: Prevention and Screening
    • “Although preventive and screening programs may improve public health, the government should not be interfering with an individual's lifestyle choices.”

Do you agree or disagree?”

  • For:
  • Against

Clinical Attachments

  • Every Tue / Wed / Thu *
    • Not on Thu 28/3/13, as campus day (Good Friday P/H)
  • Explore the provision of health care in the community
  • Interaction with patients
  • Develop individual clinical skills
  • Complete Task List
  • Case finding - for your tutorial group
  • Contact your Clinical Supervisor today if not done yet
    • Fairfield students’ Interprofessional Learning Pilot Study

If your Clinical Supervisor is MIA

  • today b/w 12-1pm attempt to contact:
    • your Clinical Supervisor again
    • their secretary / dept receptionist
    • their registrar / RMO
    • a fellow consultant in that dept
  • If still no luck, contact Sarah & me before 1pm today:
    • we’ll RSVP to you by email

P2-SH Clinical Supervisors

  • New in 2013
    • Dr Judith Silberberg, Marcus Loane House
    • Dr Jan Maree Davis, Calvary Healthcare
    • Ms Traci Wilkins, William Booth House
    • Dr Kannie Chuang & Dr Grant Pickard, Ambulatory Care & General Medical Unit, St George Hospital
    • Ms Jennifer Weatherstone, Gandangara 114 Family Practice
    • Dr Phillip Read, Kirketon Road Centre
  • Resumption after hiatus
    • Dr Lucy Harvey Dodds, SESLHD Drug & Alcohol Service
    • Mr Martin Royce, Aboriginal Medical Service Redfern
    • A/Prof Gideon Caplan, Post Acute Care Services, POWH

NSW Health Compliance

  • All students listed on ClinConnect – includes check of your compliance with NSW Health policies
  • You must be confirmed as fully compliant - provide necessary documentation relating to:
    • Immunisations
    • a National Police Certificate
    • sign a CCYP Student Declaration form
  • Students not fully compliant will not be able to attend a clinical site during term. You won’t be able to complete clinical training placements in other Phase 2 & 3 courses – so your progress in UMP will be delayed.
  • Any problems, contact Leila Zhu (Phase 2 Administrative Assistant). Ph: 9385 8677 (ext. 58677) / email: phase2@unsw.edu.au

Clinical Attachment: Suggested Task List

  • You should try to complete as many of these tasks as is feasible during your attachment
  • Not all tasks will be relevant / appropriate to your attachment
  • Also, attempt to complete tasks listed in:
  • P2 Clinical Skills guide
  • P2 Clinical Procedural & Physical Examination Skills Log
  • You must be proactive with your self-directed learning
  • Download from Bb & print

Clinical Attachment Task Log

  • Follow instructions on how to complete Parts A-E of task log, noting:
    • When to complete?
    • Who to complete?
    • Supervisor cf. clinician
    • Who submits what at end of Week 4:
      • Sections A-D: you
      • Section E: Supervisor
    • You may need to prompt your Supervisor/clinicians to complete

Clinical Attachment: Day 1

  • Use this form to facilitate a discussion & plan with your Supervisor at the beginning of your attachment
  • Be up-front with your Supervisor about your:
    • prior knowledge in that medical specialty
    • preferences/interests during the placement
  • Ask your Supervisor to organise experiences that enable you to complete ‘Suggested Task List’ items

Clinical Attachment: During

  • You must record the tasks/activities completed throughout your clinical attachment
    • not at the end of term! And must be signed!
  • Hence, take this with you at all times during your placement
  • Either your Supervisor or another clinician must sign to:
    • confirm completion of specific activities daily
    • review & sign off on the record after weeks 2 & 4

Clinical attachment: Mid term and end

  • Supervisor must comment on your performance at mid and end of term

Term Tutor Sessions

  • 3 tutorials every 2nd week (wk 1, 3, 5)
  • Aims:
  1. Share clinical experiences across group
  2. Explore weekly theme in context of each clinical placement 3. Discuss cases in preparation for CMTs (on Fridays)
  3. Provide support for project groups if required (help with resources, solving difficulties, feedback on progress from peers)
  • NB: 1 group member to contact your Term Tutor this week

Case presentation

  • If you don't know biopsychosocial stuff about the patient, say that you would have liked to have known that

SH3Overview2.png

Term tutor's assessment form

  • Assessment of your:
  1. Attendance
  2. Case presentations
  3. Contribution to group discussion
  • Term Tutor submits forms to SPHCM (so no need for you to download/print off form from Bb)
    • You need to attend all of them

Textbook

  • Required Text
    • Population Health: Concepts and Methods T. K. Young, 2nd Edition, Oxford University Press, 2005
      • Electronic access via UNSW Library (single use only)

Assessment

  • Group Project: must do presentations in order to submit project for marking:
    • Poster presentation (week 6)
      • NB: prior to this afternoon’s lecture, read pp.9-17 of Student Guide
      • OR lookup project AAF in eMed MAP
  • Attendance & Participation
    • Term Tutor sessions
    • Case Method Tutorials
    • Other campus learning activities
    • Clinical Supervisor assessment
  • End of Phase 2 Examination
    • ICE - clinical stations on P2-SH material

Attendance

All 6 CMTs & these campus activities are compulsory

  • Week 1
    • Tutorial: Health Promotion
  • Week 2
    • Tutorial: CBT
    • Communication Tutorial: Depression & Anxiety Assessment
  • Week 3
    • Tutorial: Violence + Injury
  • Week 4
    • Tutorial: Communicating with Indigenous Patients
    • Tutorial: Cross-Cultural Communication
  • Week 6
    • Tutorial: Population Health Ethics
    • Group Project Presentations

Attendance: Campus LAs

  1. Verbal roll-call will be taken during CMTs & the 8 compulsory campus activities – so latecomers who arrive after the roll-call may NOT be recorded
  2. RANDOM attendance rolls at other lectures &/or tutorials
  3. Minimum 80% attendance of campus learning activities

(but we expect 100%):

    • Lectures
    • Tutorials
    • CMTs (+ participation)
    • Practical classes
  1. All SH course material is EXAMINABLE

==Attendance: Off-Campus==

  • 100% attendance for:
    • clinical placement days: if NOT met requirement by end of week 4, use Weeks 5 +/- 6 to catch up
    • term tutor sessions: may need to attend make-up session on campus:
      • if not attend ALL 3 sessions
      • if case presentation not presented or poorly done
      • will need to prepare & present case presentation to me & academic staff
      • arrangements will be negotiated with SH Term Supervisor

Ethical & Professional Behavior

  • Behavior in class activities & attendance
    • active learning: participate
  • Disruptive behaviors = unacceptable
    • chit chat, using mobile phones
    • laptop use or reading newspapers/magazines not related to class
    • show respect to your peers & teachers
    • you’re a future doctor, so act professional
  • Satisfactory attendance for clinical placements
  • Academic misconduct
    • Signing attendance for another student
    • Forging signatures of clinicians

Avoid the Consequences

  • Unsatisfactory attendance &/or performance in any P2-SH component may result in:
    • attending private sessions with me & academic staff for missed campus activities OR attend sessions in a later term
    • doing another 4 week clinical attachment during P2
    • formal report to Faculty of Medicine:
      • not being allowed to sit P2 ICE
      • Unsatisfactory Fail (UF) recorded as your SH term result
    • delayed progression into P3
  • Heed and respond to any email warnings
  • Case studies of past students ...

Timetable Updates

  • Campus timetable: provided via email & in hardcopy
  • Any activity changes:
    • Latest timetable: may contain changes from the emailed

version

    • Check eMed timetable regularly (& your emails for timetable change announcements)
    • Announcements at CMTs on Fridays

Term materials

  • eMed and Blackboard

P2 Blackboard

  • Click ‘Phase 2 Coursework 2012’
  • Go to ‘MFAC2505 ICSA’
  • click ‘Society and Health term’