Community Health in the Sixth Year is a faculty option and up to 40 places are offered in primary medical care (general practice) in the 77
Faculty of Medicine
metropolitan and rural areas throughout Victoria. Country base hospital options are arranged by the department; there are also opportunities in epidemiology and health services research.
The elective is for a period of eight weeks. Those students undertaking primary medical care will have a full attachment to a general practice or a community health centre, either metropolitan or rural, on a 1:1.
basis with seminar teaching on four separate days during the course.
Within legal limitations the students will act to all intents as primary care physicians and will be required to undertake an assignment and a case commentary.
Assessment of work based on reports of supervisors, assignments, case commentary and contribution to seminars will be made but will not be counted for examination purposes.
CLINICAL INSTRUCTION AT RECOGNIZED TEACHING HOSPITALS 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.
ROYAL MELBOURNE HOSPITAL FOURTH YEAR
Commencing early in February, there will be one week 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. There will be six periods, each of six weeks, equally divided between Medicine and Surgery. All students are attached to the Professorial Units in Medicine and Surgery for one period, instruction in Orthopaedics and Vascular Surgery will also be arranged. During the periods of medical clerking, students attend autop- sies or organ demonstrations in the Department of Anatomical Pathology in the latter part of the mornings on four days in the week. During sur- gical clerking, students attend radiological pathology demonstrations at similar times. Clinical sessions in Psychiatry are held regularly. Sessions in geriatric medicine are also held at the Mt. Royal Hospital. Teaching in the Principles of Clinical Pharmacology will be undertaken concurrently with clinical teaching.
A course of lectures covering Medicine, Surgery, Pathology, Microbiology and Clinical Pharmacology will be offered throughout the year.
Periods of residence are arranged during the year.
78
Degrees of M.B., B.S.
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 simler 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 in liaison psychiatry at the Royal Melbourne Hospital.
Ten weeks will be devoted to Medicine (Therapeutics) in which students will be rostered to a number of special units such as Nephrology, Cardiology, Neurology, Thoracic Surgery, Diabetes, Clinical Oncology, Dermatology, Ophthalmology, Neurosurgery and Otolaryngology. Visits to Royal Talbot Rehabilitation Hospital are arranged in addition, As well, there will be Instruction in various aspects of Therapeutics and Pharmacology of Anaesthetics, and one week is devoted to the study of anaesthetic theory and practical techniques. The emphasis throughout the ten-weeks period in all disciplines involved, is on Therapeutics. 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 end a series of 15 lectures in General Therapeutics afd five in Psychiatry will be undertaken.
There will be a vacation period of four weeks during June and July.
Students are able to visit the Royal Victorian Eye and Ear Hospital at weekends to obtain extra casualty experience, either during the year or in vacation.
FINAL YEAR
Commencing in mid-February, the first two periods, each of eight weeks, are devoted to Options. In this time, students may elect to undertake study in the pre- or para-cllnical disciplines, In primary medical care or in the Department of Community Health, to sub-specialties of Medicine or Surgery, in peripheral or country base hospitals or in medical schools interstate or overseas.
No lectures will be arranged during this time.
Two weeks will be spent at both the Royal Women's and Royal Chil- dren's Hospitals during June and July in a refresher course. There will be a four weeks vacation during these months also. Students then commence two six-weeks' periods of clinical clerking in Medicine and Surgery, supplemented by a series of case presentations and tutorials.
The clinical examination in Surgery will be held at the end of students' final period of clinical clerking in Surgery and the clinical examination ii Medicine will be held at the end of students' final period of clinical clerking in Medicine.
The study of Pathology will continue during the final year.
Professorial Units:
(1) The Medical Professorial Unit. Clinical Demonstrations are given to all students by the Professor of Medicine or his deputy In the latter half of the year.
(11) Surgical Professorial Unit. Late afternoon demonstrations for all 79
Faculty of Medicine
students are arranged by the Professor or his deputy at various times through the year.
GENERAL
Students should acquaint themselves with the Library, the Hospital Pathology Museum, the Radiology Museum. the collections of electro•
cardiographic tracings 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.
(li) 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 final year student on the result of an oral test conducted by the Surgical staff of the Hospital.
(iv) The Alison Howorth Prize ($70) 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.