SYLIABUS Students attend the Royal Children's Hospital, Melbourne, full-time daily for a period of ten weeks during their Fifth Year and for two weeks during their Sixth Year.
An integrated programme of teaching organized by the Professor of Paediatrics is given at the Royal Children's Hospital. This commences with an orientation week during which students are introduced by means of lectures, films, demonstrations and clinical sessions to various aspects of growth and development in normal children and to clinical problems of infancy and childhood.
This is followed by clinical instruction in the wards an d out-patient de- partment and a course of lectures in paediatric medicine and surgery given by members of the senior medical staff of the hospital and of the Depart- ment of Paediatrics. Clinical tutors assist in the teaching programme In the wards. Students attend sessions in the Psychiatric department and are given demonstrations in the departments of Pathology and Radiology, and clinical sessions in other specialist departments.
Students pay a series of visits to Institutions caring for children in the community. These institutions include the Lady Gowrie Child Centre, an Infant Welfare Centre and Kew Children's Cottages. The Maternal and Child Welfare Branch of the Health Department arranges a tour of infant welfare centres, creches and pre-school centres. Other institutions are visited by groups of students in the course of investigatory problems allotted to them. All students are given an assignment in clinical or 109
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social paediatrics and report the results of their investigation to the group as a whole. While at the Royal Women's Hospital each student is allotted an infant, whom he has delivered, for the purpose of study and follow-up at home over the next nine or twelve months. At the end of the period of study. the student writes a report on the progress and development of this child.
Students are resident in the Royal Children's Hospital for two weeks in the Fifth Year.
Instruction in Neonatal Paediatrics is organized by the First Assistants in Neonatal Paediatrics in conjunction with Paediatric staff and neonatal paediatricians in the Professorial Units at the Royal Women's Hospital and Mercy Maternity Hospital during the students' period there.
BOOKS (a) Prescribed textbooks:
Hutchison J H Practical Paediatric Problems, Lloyd-Luke 1972
•I1lingworth R S The Normal Child, 5th ed Churchill 1972 (b) Recommended for reference
Jones P G ed Clinical Paediatric Surgery, Ure Smith 1970
Campbell K & Wilmot A E A Guide to the Care of the Young Child 7th ed, Public Health Dept of Vic 1973
Nelson W E Text-book of Paediatrics 9th ed, Saunders 1969
• Barnett H L & Einhorn A H Paediatrics 15th ed, Appleton-Century..
Crofts 1972
EXAMINATION Paediatric topics are included in the examinations in Medicine, Surgery and Obstetrics and Gynaecology (neonatal aspects).
Short oral examinations are held for each Sixth Year group at the end of the two-week period at the Royal Children's Hospital.
PSYCHIATRY
Psychiatry is an important clinical discipline and teaching in the subject is carried out in the 4th, 5th and 6th years.
In the 5th Year, all students spend 8 weeks full-time clerking on psychi- atric patients (in-patients, out-patients and day patients). For the Royal Melbourne Hospital and St. Vincent's Hospital students, four weeks of this time is spent at the student's teaching hospital and four weeks at the Parkvilla Psychiatric Unit. The eight weeks is organized by the Professor of Psychiatry and tutors include University teachers, honoraries at the teaching hospitals and selected consultants in the Mental Health Authority. For Austin Hospital students, psychiatric clerking takes place for eight weeks at that hospital, Larundel Hospital and the Malvern Clinic.
Ten University lectures are given in the 5th Year.
Sixth Year teaching takes the form of case discussions in the medical wards of the general hospitals on patients with psychiatric and medical problems.
6th year teaching takes the form of case discussions in the medical wards of the general hospitals on patients with psychiatric and medical prob- lems.
BOOKS
Davies B An Introduction to Clinical Psychiatry, MUP 1973
EXAMINATION The assessment format in 5th Year takes the form of an examination conducted at the end of the 8-week term in psychiatry.
This comprises a multiple choice examination, a clinical assessment of a patient based upon a video-tape recording, an assessment of the student by tutors and any other format which the department employs in that teaching hospital. In final year, a multiple choice examination in psychiatry is Included as part of the medicine paper. The finals mark for psychiatry is based on the total of 4th, 5th and 6th Year marks.
POST
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MORTEM DEMONSTRATIONSPost-mortem demonstrations are arranged at the teaching hospitals (see 'Clinical Instruction at Recognized Teaching Hospitals') and students must obtain a minimus of forty attendances during the final two years.
OPHTHALMOLOGY
Clinical demonstrations and lectures in Ophthalmology are given at:
(i) The Royal Victorian Eye and Ear Hospital, Mondays to Fridays at 9 a.m. and 2 p.m. A course of 8 lectures is given on Saturdays at 9 a.m. twice per year commencing on the first Saturday in February and September respectively.
(ii) Royal Melbourne Hospital, on Tuesday and Friday mornings.
(Ili) St. Vincent's Hospital, on Mondays at 9 a.m. and Thursdays at 2 p.m.
(iv) Austin Hospital, at times to be arranged.
(v) Repatriation General Hospital, Heidelberg, at times to be arranged.
Students are expected to have an ophthalmoscope at all clinics.
BOOKS Recommended for reference
Jackson C R S The Eye in General Practice 6th ed, Livingstone 1972 Bedford M A A Colour Atlas of Ophthalmological Diagnosis, Wolfe
1971
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. Ques- tions on Ophthalmology may be included in the final M.B., B.S. examina- tion.
VACCINATION
Students are required to attend instruction in Vaccination at Fairfield Hospital.
COMMUNICABLE DISEASES
Clinical instruction consists of six lecture demonstrations arranged at Fairfield Hospital by the Medical Superintendent at 2 o'clock on two afternoons per week.
BOOKS Recommended for reference:
Krugman S & Ward R Infectious Diseases of Children 5th ed, Mosby 1973
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Faculty of Medicine
Horsfall F L & Tamm I Viral and Rickettsia/ Diseases of Man, 4th ed J B Lippincott Co Philadelphia 1965
Top Franklin H et ai Communicable and Infectious Diseases: Diagnosis, Prevention and Treatment 7th ed, Mosby 1972
EXAMINATION Questions are included in the final examination in Medi- cine.
500-692. SURGERY GENERAL SURGERY
Clinical practice, demonstrations and lectures in the recognized teaching hospitals.
SYLLABUS The syllabus embraces the whole subject.
BOOKS (a) Standard textbooks:
Adams J C Outline of Fractures, 6th ed Churchill Livingstone 1972 Adams J C . Outline of Orthopaedics, 7th ed Livingstone 1971
Bailey H & Love McN A Short Practice of Surgery, 15th ed Lewis 1971
Macfarlane D A & Thomas L P Textbook of Surgery, 3rd ed Churchill Livingstone 1972
(b) Recommended for reference:
Illingworth C F W & Dick B M A Textbook of Surgical Pathology, 10th ed Churchill 1968
Jamieson R A & Kay A W A Textbook of Surgical Physiology, 3rd ed Churchill Livingstone 1972
Montgomery D A D & Wellbourn R B Clinical Endocrinology for Sur- geons, Arnold 1963
Schwartz S I Principles of Surgery Vol 1, McGraw-Hill
Scott P R An Aid to Clinical Surgery, Churchill Livingstone 1971 Taylor S & Cotton L A Short Textbook of Surgery 2nd ed, EUP 1968 EXAMINATION Written, oral and clinical. Questions may be included in any of the surgical specialties, Paediatrics (including the examination of patients), Surgical Anatomy, Surgical Pathology, and Anaesthetics.
SURGICAL ANATOMY
Surgical Anatomy will be incorporated in Surgery lectures and Clinical teaching in each Clinical School.
SYLLABUS The anatomy involved in medical and surgical diagnosis and practice
BOOKS Recommended for reference:
McGregor A Lee Synopsis of Surgical Anatomy, 10th ed Wright 1969 Bruce J Walmsley R & Ross J A Manual of Surgical Anatomy, Living-
stone 1964
EXAMINATION There is no separate examination, but questions may be included in the final examination in Surgery.
ANAESTHETICS
Instruction consists of (1) lectures either at the University or the Clinical Schools to cover (i) cardiac resuscitation, (ii) care of the unconscious patient, (iii) applied pharmacology, (iv) the scope of anaesthetic tech- niques, (v) pre-operative assessment and post-operative care, (vi) the management of respiratory failure, (vii) intravenous therapy in relation to anaesthesia and surgery, and (2) attendance at a department of Anaes- thetics of a recognized teaching hospital for an introduction to anaes- thetic procedures. The student is required to perform at least twelve anaesthetic procedures to the satisfaction of the director of Anaesthesia.
The names of Instructors in Anaesthetics recognized by the Faculty of Medicine appear in the List of Staff published elsewhere in this Hand- book.
BOOKS (a) Prescribed textbook:
Norris W & Campbell D Anaesthetics, Resuscitation and Intensive Care. A Textbook for Students and Residents, 3rd ed Livingstone 1971
(b) Recommended for reference:
Dripps R D Eckenhoff J E& Vander L D Introduction to Anaesthesia, 4th ed Saunders 1972
EXAMINATION There is no formal examination, but the student may be required by his instructors to show that his knowledge of the principles of anaesthesia is satisfactory at the end of his apprenticeship. Questions may be included in the final examination in Surgery.
RADIOLOGY
Opportunities are provided to learn (1) the value and limitations of radiological diagnosis in various clinical circumstances, (2) what Ia in- volved for the patient when undergoing certain radiological examinations, (3) the appearance of the more commonly encountered radiological ab- normalities.
Students are encouraged to visit the Departments of Radiology in the Clinical Schools, where arrangements are made to observe the perform- ance of the following examinations; Barium Meal, Barium Enema, Cholecystogram, Intravenous Pyelogram, Bronchogram, Myelogram, Cerebral Angiogram, Aortogram. Film libraries in these Departments are available for studying the radiological appearances of various common pathological conditions.
BOOKS
Recommended for reference:
Hodges F J Lampe I & Holt J F Radiology for Medical Students, 3rd ed Year Book Co 1958
Meehan I An Atlas of Normal Radiographic Anatomy, 2nd ed Saunders 1959
EXAMINATION Questions involving this subject may be included in the final examination in Medicine, Surgery, and Obstetrics and Gynaecology.
An oral examination will be conducted at the time of the clinical examination in Medicine.
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