CLINICAL MEDICINE, CLINICAL SURGERY, CLINICAL OBSTETRICS AND GYNAECOLOGY, AND CLINICAL PSYCHIATRY
Students must keep records of the patients allotted to them and must sub- mit these records for inspection as often as required by the Associate Dean, Clinical, of the Clinical School. The clinical work performed by each student in Fourth. Fifth and Sixth Years may be taken into account by the examiners in assessing the results of the final examination.
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BOOKS (a) Prescribed textbooks:
Lovell R R H & Doyle A E An Introduction to Clinical Medicine, 2nd ed MUP 1971
Davies B An Introduction to Clinical Psychiatry, 2nd ed MUP 1971 Clain A Hamilton Bailey's Physical Signs in Clinical Surgery 14th ed,
Wright 1967
ROYAL MELBOURNE HOSPITAL FOURTH YEAR
Commencing In early February, there will be a two-weeks Introductory Course of clinical demonstrations to small groups of students and lecture/demonstrations to the whole year to familiarize them with the methods of history taking and physical examination.
Following this, students will commence clinical clerking In the medical and surgical wards of the hospital. Two terms will be devoted to Medicine and two to Surgery, over a period of 36 weeks. Clinical sessions in Psychiatry will be held regularly. During the surgical clerking terms. groups will be rostered to the Orthopaedic Unit for periods of six weeks at a time and Radiological Pathology Demonstrations will be given.
A course of lectures in Special Pathology will be arranged and autopsies or organ demonstrations will be held in the latter part of the mornings each week. A programme of lectures in Medicine and Surgery will also be presented. Other interdisciplinary teaching sessions are also planned.
Periods of residence will be arranged.
FIFTH YEAR
Beginning in mid-January, students will attend the Royal Women's Hos- pital in groups in residence for ten weeks and for a similar period (non- resident) the Royal Children's Hospital.
Those not so engaged will spend four weeks In residence In Casualty duty, rotating with two periods of four weeks in the Department of Psychiatry—one spent in the Hospital Psychiatric Unit, the other at Parkville Psychiatric Hospital.
Ten weeks will be devoted to Medicine (Therapeutics) in which students will be rostered to a number of special units and have instruction In various aspects of Therapeutics and Pharmacology of Anaesthetics. Two days will be spent by each group in the Radiology Department under the direction of the Professor of Radiology to observe common radio- logical procedures.
Instruction in Clinical Chemistry will be arranged during this time and the study of Pathology will continue.
Two weeks will be spent at Fairfield Infectious Diseases Hospital.
There will be a vacation period of four weeks during June and July.
FINAL YEAR
Commencing in mid-February, there will be four terms devoted to clinical clerking in Medicine and Surgery either at Royal Melbourne or Western General Hospitals. Students will change clinics each term. During sur- gical clerking students will be rostered to a specialist surgical unit as well as a general surgical unit.
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Faculty of Medicine
During the first two terms there will be an opportunity for students, if they so desire, to undertake a Faculty option of varying duration in various fields including general practice, community medicine and various special disciplines.
Two weeks will be spent at the Royal Women's and Royal Children's Hospitals during June and July in a refresher course.
There will a four weeks vacation during these months.
The Clinical examinations in Medicine and Surgery will be held at the end of the last two terms devoted to a clinical clerking and will be followed by a short vacation and finally a multiple choice examination paper.
A course of lectures in Medicine and Surgery will be arranged during the year, together with lectures and demonstrations in Neurology. The study of Pathology will continue.
Professorial Units
(i) Medical Professorial Unit. Clinical demonstrations are given to all students by the Professor of Medicine or his deputy each Friday afternoon. In addition, as many students as possible are rostered to the Professorial Units during their time at the hospital.
(ii) Surgical Professorial Unit. Students are rostered to attend clinics in the Professorial Units throughout the year. Late afternoon demon- strations for all students are arranged by the Professor or his deputy at various times through the year.
Saturday morning clinics. On certain Saturday mornings special clinical demonstrations are given by the Honorary Medical Staff.
Students are able to visit the Royal Victorian Eye and Ear Hospital, Western District Hospital, and the Box Hill and District Hospital at weekends and to obtain extra casualty work during vacations.
During the final year, students are rostered in groups to live in residence for periods of two weeks to observe the management of acute medical and surgical emergencies.
GENERAL
Students should acquaint themselves with the Library, the Hospital Pathology Museum, the Radiology Museum, the collections of electro- cardiographic tracings, and the students' box of surgical instruments in the office of the Dean.
The following scholarships and prizes are open for competition to students of The Royal Melbourne Hospital:
(i) The T F Ryan Scholarship in Medicine ($200) is awarded on the result of an examination conducted by the Royal Australasian Col- lege of Physicians shortly after the final examination.
(ii) The J P Ryan Scholarship in Surgery ($200) is awarded on the re- sult of an examination conducted by the Royal Australasian Col- lege of Surgeons at the end of the first year after graduation.
(iii) The Stirling Prize in Clinical Surgery is awarded to a student on the result of a test conducted by the Surgical staff of the Hospital.
(iv) The Alison Howorth Prize (970) is awarded triennially to the stu- dent from the Royal Melbourne Hospital who submits the best essay on the Rheumatic Disorders or a related subject.
(v) The Leonard Mitchell Prize in Ophthalmology is awarded annually to a student on the result of an examination arranged by the
Ophthalmologist.
ST. VINCENT'S HOSPITAL
FOURTH YEAR
1. Introductory Course. This will consist of a six-week period during which clinical methods in Medicine and Surgery will be demon- strated.
2. Medicine. There will be two blocks of seven weeks for instruction.
Students are rostered to a general medical unit, and also attend some specialist medical units; some of this teaching is conducted at Preston & Northcote Community Hospital.
З. Surgery. There will be two blocks of seven weeks for instruction.
Students are rostered to a general surgical unit, and also attend some specialist surgical units; some of this teaching is conducted at Preston & Northcote Community Hospital.
4. Community Medicine. A course of Lectures, Seminars and Field Visits is undertaken.
5. Psychiatry. Preliminary instruction will be given during the intro- ductory course, and when students are rostered to a medical unit there will be one tutorial per week.
6. Post-mortem Demonstrations are given on Mondays and Tuesdays at midday. A series of lectures In clinical pathology will also be given.
7. Lectures in Medicine and Surgery are given throughout the year.
8. Microbiology. A series of lectures in clinical microbiology are given throughout the year.
9. Casualty Duty. During the year students are required to spend two weeks in residence in Casualty.
10. Visits to other Hospitals. Students are encouraged throughout the year to attend the Royal Victorian Eye and Ear Hospital, Preston &
Northcote Community Hospital, and Box Híii & District Hospital at weekends to gain further clinical experience.
FIFTH YEAR
1. Obstetrics and Gynaecology. Instruction is conducted during ten weeks' residency at the Royal Women's Hospital.
2. Paediatrics. There is a course of ten weeks' instruction (non- residence) at the Royal Children's Hospital.
З. Anaesthetics. An intensive course in Anaesthetics and Resuscitation techniques occupies one week.
4. Psychiatry. A course of eight weeks' instruction is conducted in conjunction with the University Department of Psychiatry. Students spend half of this period at Parkville Psychiatric Unit and the other half at St. Vincent's Hospital.
5. Infectious Diseases. The students attend the Fairfield Infectious Diseases Hospital for two weeks' training.
6. Therapeutics. There is a nine weeks' course at St. Vincent's Hos- pital, during which time the students attend two ward rounds and two seminars each week. Each student is required to undertake projects in Therapeutics during this period.
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Faculty of Medicine
7. Casualty Duty. Two weeks are spent in residence for training in various casualty procedures.
FINAL YEAR
1. Medical and Surgical Clinics. During the year students are rostered to two general medical and two general surgical units. Part of this time is spent in residence so that experience in management of acute medical and surgical conditions may be gained.
2. Specialist Clinics. Medical specialties including Neurology, Derma- tology, Ophthalmology, Diabetes, Endocrinology and Asthma are taught during the student's attachment to general medical units, and similarly surgical specialties including Orthopaedics, Urology, Thoracic Surgery, Neurosurgery, Plastic Surgery, Otolaryngology and Gynaecology are taught during the student's attachment to general surgical units. Some of this teaching is conducted at Preston &
Northcote Community Hospital.
3. Radiology tutorials are given during attachment to one medical and one surgical unit.
4. Lectures in Medicine and Surgery are held throughout the year.
5. Visits to other Hospitals include the Peter MacCallum Clinic, Austin Hospital Spinal Unit and Heatherton Sanatorium.
6. Royal Women's Hospital and Royal Children's Hospital. Students visit each of these hospitals for a two-week refresher course.
7. General Practice. In the first two weeks of term, students are rostered to attend a General Practice for tuition.
GENERAL
The following Scholarships and Prizes are open for competition to stu- dents at St. Vincent's Hospital.
1. The Andrew Brenan Prize is awarded to the student with the highest marks in Pathology in the fourth Year examinations.
2. The Dean's Prize ($50) is awarded annually to the Final Year student considered to be the outstanding student (is judged on personal qualities as well as academic achievement).
3. The Michael and Margaret Ryan Scholarships in Medicine and Surgery, valued at $200 each, are awarded as a result of special examinations at the end of the sixth Year in Medicine, and at the end of the first Year of residency in Surgery.
AUSTIN HOSPITAL AND REPATRIATION GENERAL HOSPITAL The new curriculum for fourth year will commence in 1976, that for sixth year having commenced in 1975, and for fifth year in 1974.
It is anticipated that the Box Hill and District Hospital will become an associated hospital with this Clinical School in 1976 and be available for clinical instruction in sixth year and for Casualty attendance. The Professorial Departments of Pathology and Microb ology in this Clinical School will be maintained and Staff of these departments will participate in an integrated programme of teaching in the clinical years. The Profes- sorial Department of Clinical Pharmacology and Therapeutics and the
Department of Psychiatry will also participate, as will members of the Staff of the Austin Hospital, the Repatriation General Hospital and the Box Hill and District Hospital who hold University teaching appointments.
The anticipated programme of teaching will also include appropriate instruction in Anatomy, Biochemistry and Physiology during the three clinical years.
FOURTH YEAR (NEW CURRICULUM)
1. The first week of the thirty-six weeks of Instruction will be devoted to an orientation week in which students will become familiar with these hospitals and their services and will be taught the funda- mentals of clinical examination of patients.
2. An integrated programme of formal instruction consisting of lectures, group discussions, seminars and attendance at prepared demonstra- tions will occupy 36 weeks, these sessions being held at least twice daily for one hour. Teaching in each subject will cover the necessary aspects of clinical Medicine and Surgery, Psychiatry, Special Pathology, Microbiology, Anatomy, Physiology, Pharmacology and Biochemistry. The subjects for which an appropriate programme will be developed and the time allocated to each will be Cardiology and Vascular Disease (five weeks); Renal Disease (four weeks); Pul- monary Disease, Gastroenterology, Endocrinology, Haematology, Neurology and Neurosurgery, Rheumatology and Clinical Immunology
(all of three weeks' duration); Trauma (two weeks); Common Surgical Conditions, Dermatology, Oncology, Bone Disease and Infectious Diseases (all of one week's duration).
3. Displays (macroscopic and microscopic pathology, microbiology, medicine and surgery, etc.) will be mounted each week demon- strating the subject matter under discussion and students will familiarize themselves with this display material during each week.
A member of the teaching staff will be available for discussion with students on the displayed material at stated times each week.
Necropsy demonstrations will take place regularly during the year.
4. All other times during each week will be spent in the wards, both at the Austin Hospital and the Repatriation General Hospital, small groups being allocated to clinical units for teaching. Students will be required to clerk at least five patients and to present the findings on these patients at group meetings. In general, two terms will be spent in the medical wards and one in surgical wards. Students will be expected to undertake ward procedures, attend their patients at the Radiology Department, Operating Theatres, etc. and be available for clerking emergency admissions.
5. At the completion of each section of the teaching programme an assessment of each student's progress will be made either by a clinical test or by a short multiple choice question paper. The marks obtained may be used for a candidate's assessment in the final examination.
6. During the year students will be rostered for one week to the Department of Anaesthesia at both the Austin Hospital and the Repatriation General Hospital for instruction In anaesthesia and for two weeks to work in the Casualty Department of the Austin Hospital.
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Faculty of Medicine
FIFTH YEAR (NEW CURRICULUM)
1. Department of Medicine: Students will be given a ten weeks period of instruction in Medicine (Therapeutics) during which time they will be taught the drug treatment of disease. The Department of Clinical Pharmacology and Therapeutics at the Austin Hospital will participate in the development and implementation of this teaching programme.
2. Surgical Specialties: A four-week course of instruction will be given in the following surgical specialties—cardiothoracic surgery, neuro- surgery, oncology, orthopaedics, otolaryngology, plastic surgery and urology.
3. Obstetrics and Gynaecology: Students will spend ten weeks in residence at the Mercy Hospital. At the end of this time an exam- ination will be conducted. The marks obtained will make up a proportion of the Obstetric and Gynaecology marks in the final , examination.
4. Paediatrics: Students will spend ten weeks (non-residence) at the Royal Children's Hospital. At the end of this time an examination will be conducted. The marks obtained will make up a proportion of the Paediatric marks in the final examination.
5. Psychiatry: There will be a period of eight weeks' instruction in Psychiatry. Four weeks of this period will be spent at the Austin Hospital and Repatriation General Hospital, and four weeks at the Larundel Hospital. At the end of this time an examination will be conducted. The marks obtained will make up a large proportion of the Psychiatry marks in the final examinations in Medicine.
6. Infectious Diseases: A two-week period of instruction in infectious diseases will be given at the Fairfield Hospital.
7. Casualty experience during appropriate weekends is available at the Box Hill and District Hospital.
8. Physiotherapy and Social Work: Students will receive instruction in these departments.
SIXTH YEAR (NEW CURRICULUM)
The ability of students to undertake an eight or sixteen weeks' option is included in the new curriculum, but since the 1976 sixth year students have had only a limited exposure to clinical Medicine and Surgery during fourth and fifth years all options must be taken in clinical Medicine and Surgery. It is anticipated that most students in 1976 will opt to take clinical Medicine and Surgery in this Clinical School for this period of eight or sixteen weeks, and the current programme of instruction is documented below.
During the last fourteen weeks of clinical instruction in sixth year, all students will spend seven weeks in the Department of Medicine and seven weeks in the Department of Surgery. At the end of each of these two periods clinical examinations in Medicine and Surgery will be held.
At the end of the year and after one week of vacation, multiple choice question papers will be held in Medicine (including Psychiatry), Surgery, Obstetrics and Gynaecology and Paediatrics. All marks obtained by students in the various examinations during their clinical years will be collated to determine the final mark.
1. Medicine and Surgery: Students will be rostered to the Department of Medicine and the Department of Surgery for inpatient and out- patient instruction. A period of residence at the Austin Hospital is included so that experience may be obtained in acute medical and surgical conditions. A course of lectures will be given.
2. Medical Specialties: Instruction will be given in the following medical specialties—cardiothoracic disease, dermatology, endo- crinology, haematology, neurology, renal disease and rheumatic disease.
3. Therapeutics: Tutorials and lectures commenced In fifth year will be continued.
4. Obstetrics and Gynaecology: A refresher course of two weeks in obstetrics and gynaecology will be given in the middle of the year.
At the end of this period an examination will be held.
5. Paediatrics: A refresher course of two weeks in Paediatrics will be given in the middle of the year. At the end of this period an examination will be held.
6. General Practice: This will be organized by the Department of Medicine so that each student will spend one week in a general practice.
7. Clinico-Pathology Conferences: Conferences with the Departments of Pathology and Radiology will be conducted by the Departments of Medicine and Surgery, and integrated teaching of general medicine and medical specialties will take place in the Department of Medicine.
6. Regular meetings are held during the year In the Departments of Medicine and Surgery such as grand rounds, gastroenterology conferences, renal disease and haematology meetings, cardiothoracic medical and surgical conferences, clinical meetings, research meet- ings, surgical review meetings, etc. at which students are welcome.
PRIZE
The Senior Medical Staff of the Austin Hospital will award a medal to the student who receives the highest marks in the final examinations.