Not less than two lectures will be given in the fifth year of the course in the University.
Clinical instruction in Diseases of the Throat, Nose and Ear consists of not less than five didactic lectures and not less than six out-patient ses- sions of clinical demonstrations to ensure familiarity with common con- ditions, their recognition and treatment, conducted at:
(i) The Royal Victorian Eye and Ear Hospital, Mondays to Fridays at 2 p.m., and at 9.30 a.m. on Saturdays the department of Oto- laryngology conducts a course of lectures. (A course of 12 lectures given twice per year commencing on the first Saturday in February and September respectively.)
(ii) Royal Melbourne Hospital, Mondays and Thursdays, 9-11 a.m.
(iii) St. Vincent's Hospital, Thursdays at 9 a.m.
(iv) Royal Children's Hospital, selected Thursdays at 12 noon.
(v) Austin Hospital, to be arranged.
Clinical lectures and demonstrations will be given.
Stress will be laid on methods of examination and a knowledge should be acquired of the commonly found conditions in the following areas:
The Ear
(i) Surgical Anatomy and basic Physiology of the part.
(ii) Deafness and tests of hearing including elementary Audiometry.
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(iii) Differential diagnosis and management of Aural pain and Aural dis- charge.
(iv) Vertigo and differential diagnosis.
(v) Intracranial complications of ear and nose disease.
(vi) Minor procedures such as: removal of wax; paracentesis of ear drum; removal of foreign body from ear canal.
The nose
(i) Surgical Anatomy and basic Physiology of the part.
(ii) Nasal obstruction: deviated nasal septum, allergic rhinitis, acute and chronic sinusitis, foreign body and neoplasma.
(iii) Epistaxis.
(iv) Headache. The relation of nose and sinuses to this.
(v) Minor procedures such as: nasal cautery; nasal and post-nasal pack- ing; antrum washout.
The throat
(i) Surgical Anatomy and basic Physiology of the part.
(ii) Tonsils and Adenoids.
(iii) Differential diagnosis of sore throat, hoarseness and lump in the throat.
(iv) Stridor; includes foreign bodies of the larynx and bronchus.
(v) Dysphagia including oesophageal foreign bodies.
(vi) Surgical procedures: tonsils, adenoids; tracheotomy.
(vii) Cough.
BOOKS (a) Prescribed textbooks:
Ballenger J J Diseases of the Nose, Throat and Ear, 11th ed Lea and Febiger 1969
Foxen E H M Lecture Notes on Diseases of Ear, Nose and Throat, 3rd ed Blackwell 1968
(b) Recommended for reference:
Wilson T G Diseases of the Ear, Nose and Throat in Children, 2nd ed Heinemann 1962
EXAMINATION There is no formal examination, but, at the end of his period of clinical instruction, the student may be required to satisfy his clinician that he has reached the required standard of proficiency. A question may be included in the final examination in Surgery.
VENEREAL DISEASES
This subject will be covered by instruction in the medical, surgical and gynaecological clinics in each of the teaching hospitals, special attention being given by lecture and by demonstration to the principles of diagnosis and of treatment.
BOOK Prescribed textbook:
McLachlan A E W Handbook of Diagnosis and Treatment of Venereal Diseases, 5th ed Livingstone 1969
EXAMINATION There is no formal examination, but questions may be included in the examinations in Medicine and Surgery.
Faculty of Medicine
PAEDIATRICS
See details under Medicine.
804
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4. OBSTETRICS AND GYNAECOLOGYA course of at least thirty-four lectures in the Sixth Year in Obstetrics and Gynaecology supplemented by lectures and demonstrations during the periods of clinical instruction at the recognized teaching hospitals.
SYLLABUS The lectures and demonstrations embrace the whole subject.
(i) OBSTETRICS
A course of clinical instruction extending over twelve weeks under the direction of the Professors of Obstetrics and Gynaecology. This includes the personal conduct of not less than twenty cases of childbirth under the direction of
a
registered medical practitioner.Students of the Royal Melbourne and St Vincent's Hospitals Clinical Schools will undertake clinical instruction in this subject at the Royal Women's Hospital and students of the Austin Hospital Clinical School will undertake instruction at the Mercy Maternity Hospital. The clinical instruction will be conducted by members of the Royal Women's and Mercy Maternity Hospital, Clinical Schools.
Each student is required to attend at the appropriate hospital for twelve weeks at times arranged. Of this time, ten weeks in Division IV (Fifth Year) are residential and are devoted to a major course of instruc- tion. The remaining two are residential in Sixth Year. Students must keep detailed records of all patients allotted to them in the wards.
(ii) GYNAECOLOGY
A course of clinical instruction, extending over twelve weeks, under the direction of the Professors of Obstetrics and Gynaecology.
Part of this instruction will be given at the Gynaecological departments of The Royal Women's and Mercy Maternity Hospitals, this instruction being concurrent with attendance in the major course in Obstetrics. The re- mainder will be given at the Gynaecological Department of one of the recognized general hospitals.
BOOKS(a) Prescribed textbooks:
`Townsend L Obstetrics for Students, 2nd ed MUP 1969
`Townsend L Gynaecology for Students, 2nd ed MUP 1966.
(b) Recommended for reference:
Greenhill J P Principles and Practice of Obstetrics, 13th ed Saunders 1965
Baird D Combined Textbook of Obstetrics and Gynaecology, 8th ed Livingstone 1969
Jeffcoate T N A Principles of Gynaecology, 3rd ed Butterworth 1967 EXAMINATION One 3-hour written paper; one 3-hour commentary paper (involving cases in Obstetrics and Gynaecology); clinical examinations (in Obstetrics and in Gynaecology); oral examinations (in Obstetrics and in Gynaecology).
Each student returned as not passed or absent is required to attend the appropriate hospital for at least fourteen days' residence before being eligible for re-examination.
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804-1. FORENSIC MEDICINE
SYLLABUS A course of twenty-six lectures including the following topics:
(a) Forensic Pathology and Medicine: dealing with such subjects as un- expected deaths, wounds, trauma, abortion, infanticide and sexual offences.
(b) Law: relevant fundamental concepts of law including legal pro- cedures, statutes, common law, testamentary capacity, drug regulations and prescribing, medical witnesses, dying declarations, negligence and liability, professional confidence and secrecy, consent, workers' com- pensation, examination of minors.
(c) Toxicology: accidental and criminal poisoning.
(d) Forensic Psychiatry: legal aspects of insanity and senility, certifica- tion procedures, antisocial conduct.
(c) Medical Ethics: the physician's obligations to his patients, his colleagues and to the State.
BOOKS (a) Prescribed for study:
'Brett P & McCallum N E W Lecture Notes on Forensic Medicine, 2nd ed 1970 (Arranged in department of Forensic Medicine)
"Burton A W Medical Ethics and the Law, Australasian Medical Pub- lishing Company Ltd 1970
Legal documents issued during course (b) Recommended for reference:
Simpson K Forensic Medicine, 6th ed Arnold 1969
Simpson K (ed) Taylor's Principles and Practice of Medical Jurispru- dence, 2 vols Churchill 1965
EXAMINATION One 3-hour paper.
CLINICAL INSTRUCTION AT RECOGNIZED TEACHING HOSPITALS
CLINICAL MEDICINE, CLINICAL SURGERY, CLINICAL OBSTETRICS AND GYNAECOLOGY, AND CLINICAL PSYCHIATRY
Students must keep records of the cases 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 Division II and IV may be taken into account by the examiners in assessing the results of the final examination.
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 ROYAL MELBOURNE HOSPITAL
THIRD YEAR
The introductory course in Medicine and Surgery commences three weeks after the end of examinations in Division II and continues for
Faculty of Medicine
six weeks. During this period students attend the Clinical School on four afternoons each week.
The course is designed to introduce the student to hospital organization and procedure and to give basic training in clinical methods.
Instruction by means of explanation, demonstration and practical applica- tion of methods under supervision is given by members of the Medical and Surgical Staff of the Clinical School to small groups of students.
Short lectures supplement the practical work in both Medicine and Sur- gery during this period.
FOURTH YEAR
Students attend the University in the mornings and the Clinical School in the afternoons when they continue instruction in Medicine, Surgery and Pathology.
Seminars on selected topics are conducted Medicine and tutorials by the Department November and mid-March.
Commencing in February, on three afternoons, students attend the Medical and Surgical Wards for teaching in small groups by tutors.
Between February and July, the Department of Psychiatry arranges tutorial sessions in the latter part of one afternoon each week.
Pathology. Post-mortem demonstrations are given each day at 12 noon.
A two-week introductory lecture demonstration course in Anaesthe- tics will be held on recommencement after the Pathology Examina- tion in the Interim Term of Division IV. A minimum of 12 anaesthe- tic procedures must be performed during surgical clerking prior to the final examinations.
During the last eight weeks of the Interim Term, students attend the hospital all day and are rostered to Medical or Surgical Units. One week is spent in residence during this term.
FIFTH YEAR
Commencing at the beginning of February, students continue their studies in Medicine and Surgery and receive detailed instruction in the various specialties. They attend the hospital each week-day (except Wednesday.
afternoons) excluding the periods spent at the Royal Women's Hospital and the Royal Children's Hospital.
1. Royal Women's Hospital and Royal Children's Hospital. Students spend ten weeks in residence at the Royal Women's Hospital and ten weeks (non-resident) at the Royal Children's Hospital.
2. 'Specials'. A period of eight weeks is spent in instruction in the various specialties. These include: Otolaryngology, Ophthalmology, Orthopaedics, Communicable Diseases (at Fairfield Hospital), Clini- cal Pathology, Urology, Thoracic Surgery, Clinical Chemistry, Dia- betes, Dermatology, Physical Medicine.
Students visit the Government Chest Clinic, Heatherton Sanatorium and the Peter MacCallum Clinic.
A series of Clinico Pathological demonstrations on 'Brush up your Pathology' are conducted weekly in conjunction with the University Department of Pathology.
Two days are spent by each group in the Radiology Department under the direction of the Professor of Radiology to observe com- mon radiological procedures.
1.
2.
3.
4.
5.
6.
by the Department of of Psychiatry between
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3. A series of five lectures in Otorhinolaryngology and four lectures on Ophthalmology are given at 12.00 midday on selected Wednes- days during the year.
4. A series of approximately sixteen Symposia are arranged by the University Departments of Medicine and Surgery between 10.00 a.m.
and 11.30 a.m. on selected Wednesdays.
5. Casualty Duty. Students spend three weeks in residence on casualty duty. Further opportunities for casualty work are available in the vacations.
6. Psychiatry: A six weeks' clinical course is conducted in association with the University Department of Psychiatry.
7. General Medicine and Surgery.
(i) Lectures. A course of lectures in Medicine and Surgery is given during the third clinical term by members of the Honorary Medical Staff. This course includes lectures in Therapeutics, 12 lectures in Surgical Anatomy and lectures and demonstrations in Neurology.
(ii) Attendance in the wards and Out-Patient Department. Students are rostered in small groups to the wards and Out-Patient Clinics for approximately 12 weeks during the year. Anaes- thetics are given while attached to surgical wards.