816. OBSTETRICS
AND GYNAECOLOGY
A course of at least forty lectures in the Fifth Year in Obstetrics and Gynaecology (preceded by an introductory course of not more than ten lectures in Obstetrics before the end of the Fourth Year), supplemented by lectures and demonstrations during the periods of clinical instruction at the recognized teaching hospitals.
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SnLАВus. The lectures and demonstrations embrace the whole subject.
(i) OBSTETRICS.
A course of clinical instruction extending over twelve weeks under the direction of the Professor 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.
Clinical instruction is conducted at The Royal Women's Hospital by members of the Clinical School.
Each student is required to attend at The Royal Women's 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 instruction. 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 Professor of Obstetrics and Gynaecology.
Part of this instruction will be given at the Gynaecological Department of The Royal Women's Hospital, this instruction being concurrent with attendance in the major course in Obstetrics. The remainder will be given at the Gynaecological Depart- ment of one of the recognized general hospitals.
Воокs. (a) Prescribed textbooks:
*Townsend, L.—Obstetrics for Students. (M.U.P., 1964.)
*Townsend, L.—Gynaecology for Students. ( M.U.P., 1961.)
Mayes, B. Т.-- A Text Book of Obstetrics. (2nd ed., Australasian Publishing Co., 1959.)
Stern, D. M., and Burnett, C. W. F.—A Modern Practice of Obstetrics. (2nd ed., Bailiière, Tindall and Cox, 1958.)
(b) Recommended for reference:
Eden, T. W., and Holland, E: Manual of Obstetrics. (12th ed., Churchill, 1963. ) Greenhill, J. P. Principles and Practice of Obstetrics. (12th ed., Saunders,
1960.)
Baird, D.—Combined Textbook of Obstetrics and Gynaecology. (7th ed., Living- stone, 1962.)
Jeffcoate, T. N. A.—Principles of Gynaecology. (2nd ed., Butterworth, 1962.) Roques, F., et al.—Midwifery. (10th ed., Edward Arnold, 1961.)
Reid, Duncan.—A Textbook of Obstetrics. (W. B. Saunders Co., 1962.) EXAMsNATION, Two .3-hour written papers; one 3-hour commentary paper (in- volving cases in Obstetrics and Gynaecology); clinical examination (one in Obstetrics,.
one in Gynaecology); oral examination (one in Obstetrics, one in Gynaecology).
Each student returned as not passed or absent is required to attend The Royal Women's Hospital for at least fourteen days' residence before being eligible for re- examination,
813. FORENSIC MEDICINE
SYLLAВus. (a) IO lectures covering such subjects as:- sudden deaths; trauma to the body wounds; asphyxial deaths; gunshot wounds; sexual offences; etc.
(b) Toxicology. 5 lectures on the common poisons.
( e) Law. 5 lectures to cover such matters as:
(i) Contract—relationship between doctor and patient. Consent.
(1) Standard of care required. Negligence in medical practice, criminal and civil. Negligence in hospitals. Actions for damages.
(iii) Workmen's compensation.
(iv) Practice in relationship to Social Benefits, etc.
(v) Evidence in criminal, civil and Coronial matters.
(d) Medical Ethics. 3 lectures dealing with:
(i) Medical practice in relationship to the State.
(ii) Relationship of Doctors to colleagues in practice.
(iii) Relationship of Doctors to patients.
(e) Insanity and the Law. One lecture on the medico-legal aspects of Insanity.
Воокs. Recommended for reference:
Bowden, Keith—Forensic Medicine ( Jacaranda Press, 1962.) Downes, R. 1.—Medical Ethics. ( Ramsay, 1942.)
East, N. Psychiatry and the Law.
EXAMINATION. One 3-hour paper (Pass standard only).
5. Clinical Instruction at Recognized Teaching Hospitals CLINICAL MEDICINE, CLINICAL SvвcEHY AND
CLINICAL 0ВsтEтвіcs AND GsrлтAEсoLocY
Students must keep records of the cases allotted to them and must submit these records for inspection as often as required by the Dean of the Clinical School. The clinical work performed by each student in Divisions III and IV may be taken into account by the examiners in assessing the results of the final examination.
Вооиs. (a) Prescribed textbooks:
Lovell, R. R. I. and Doyle, A. E..—.An Introduction to Clinical Medicine.
(Arnold, 1961.)
*A Scheтe of Нistоry Taking for the Use of Students during Hospital Practice.
(M.U.P.)
*Pickering, G. W.—Instructions for Medical Note-taking for the Use of Medical Clerks. (M.U.P., 1956. )
ROYAL MELBOURNE HOSPITAL
TШВn YEAH
The introductory course in Medicine and Surgery commences three weeks after the end of examinations in Division II and continues for 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 application of methods under supervision, is given by members of the Honorary Medical and Surgical Staff to small groups of students. Introduction to the functions of the ancillary services is provided by means of short lectures.
Еоцятн YEAR
Students attend the University each morning and the Clinical School each after- noon, when they continue instruction in Medicine and Surgery, and Pathology.
1. On one afternoon each week a symposium is held in the lecture theatre.
A subject of general medical or surgical interest is presented by two or three members of the Honorary Medical Staff or by invited speakers, followed by a general discussion with the students.
2. On three other afternoons, students attend the Medical and Surgical Wards for teaching.
З. Twelve lectures in Normal Psychology are given during the first term.
4. Pathology.
(i) Post-mortem demonstrations are given each day at 12 noon.
(ii) Tutorials in Pathology are conducted each afternoon after the conclusion of the clinical work.
5. During the last two months of the year (after the Pathology Examination), students attend the hospital au day and are rostered to Medical or Surgical Units.
Clinical lectures in Otorhinolaryngoiogy and in Diabetes are given during this period.
Fn• тn YØ
Commencing in the last week in January, 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, 70
and ten weeks ( non-resident) at the Royal Childreå s Hospital.
2. "specials".
A period of eight weeks is spent in instruction in the various "Special- tieš". These include:.
Otorhinolaryngology, Orthopaedics, Epidemic Diseases (at Fairfield Hos- pital ), Clinical Pathology, Psychiatry, Urology, Thoracic Surgery, Clinical Biochemistry, Neurology, Diabetes, Dermatology, Physiotherapy and Allergic.
Diseases. Students visit the Government Chest Clinic, Cresswell Sanatorium and the Peter MacCallum Clinic. Eight Saturday mornings are spent in instruction in Psychiatry at the Royal Park Receiving House.
3. Casualty Duty.
Students spend three weeks in residence on casualty duty. Further opportunities for casualty work are available in the vacations.
4. Anaesthetics.
Students attend the Department of Anaesthesia for three weeks.
5. Psychiatry.
Students are rostered for three weeks to the Psychiatric Ward.
6. 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 16 lectures in Therapeutics, and 12 lectures in Surgical Anatomy.
(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.
Fnaw YEAS . .
1. Medical and Surgical Clinics.
Students are allocated each teen to Medical or Surgical Units. There are four clinical terms ( each of eight weeks) and students change clinics each term.
Arrangements are also made for students to attend the Gynaecology, Plastic Surgery, Allergy and Fracture Clinics.
2. Professorial Units.
(1) Medical Professorial Unit.
Clinical demonstrations are given to all students by the Professor of Medicine each Friday afternoon.
In addition, as many students as possible are rostered to the Professorial Unit during their time at the hospital.
(ii) Surgical Professorial. Unit.
Students are rostered to attend clinics in the Professorial Unit through- out the year.
з. Lectures.
The course of lectures in Medicine and Surgery, which was commenced in the fifth year, is completed in the first and second terms of the final year.
There are also additional lectures in Therapeutics, Radiology, Public Health, Clinical Pathology and Dermatology. Demonstrations in radiological and electrocardiographic diagnosis are also given.
4. Saturday Morning Clinics.
On certain Saturday mornings special clinical demonstrations are given by the Honorary Medical Staff. Students also visit each of the other teaching hospitals on five Saturdays for similar clinics. Clinical demonstrations are also presented on six Saturdays by the Honorary Medical Staff of the Queen Victoria Memorial Hospital, and on four Saturdays by the Honorary Medical Staff of the Footseray District Hospital.
5. Royal Women's Hospital and Royal Children's Hospital.
In the third clinical term students visit each of these hospitals for refresher courses for two weeks.
6. Visits to General Practitioners.
During the first vacation (May-June) students visit selected general practices for a period of two weeks.
7. Students are able to visit The Royal Victorian Eye and Ear Hospital, the 71
Footscray Hospital and the Austin Hospital at weekends, and to obtain extra casualty work during the vacations.
8. During finаl year, students are rostered in groups to live in residence for periods of two weeks.
GENERAL
Students should acquaint themselves with the Library, the Hospital Pathology Museum, the Students' Clinical Pathology Room and the collection of blood slides, the Radiology Museum, the collections of electrocardiographic tracings, and the students' box of surgical instruments in the Professorial Surgical Unit.
The following scholarships and prizes are open for competition to students of The Royal Melbourne Hospital:
(i) The T. F. Ryan Scholarship in Medicine (£ 100) is awarded on the result of an examination conducted by the. Royal Australasian College of Phy- sicians shortly after the final examination.
(ii) The J. P. Ryan Scholarship in Surgery (£ 100) is awarded on the result of an examination conducted by the Royal Australasian College of Surgeons shortly after the final examination.
(iii) The Stirling Prize in Clinical Surgery (2,40) is awarded to the student in Division IV who submits the best essay on a selected surgical subject.
(iv) The Alison Howorth Prize (2.35) is awarded triennially to the student from the Royal Melbourne Hospital who submits the best essay on the Rheumatic Disorders or a related subject.