A course in the principles of Pathology comprising general and introduc- tory Special Pathology; approximately 180 hours consisting of lectures, practical classes in histopathology, tutorials and special demonstrations.
SYLLABUS The major topics will include: congenital and acquired abnormalities, cell and tissue damage and degeneration, necrosis, auto- lysis, acute and chronic inflammation, infection, oedema, shock and other general consequences of injury, wound healing, repair, haemorr- hage, haemostasis, thrombosis, embolism, vascular disease and its consequences, infarction, disorders of metabolism, abnormalities of pigmentation and calcification, calculus formation, abnormalities of growth, differentiation and regeneration, neoplasia. Knowledge of the commoner examples of these processes in the various organs and systems will be required.
LECTURES A course of 72 lectures and 36 hours of lecture-demonstra- tions in general pathology, the basic pathology of the main organ systems, and introductory applied pathology.
PRACTICAL WORK
(i) Laboratory work in pathological histology (2 hours per week through- out both terms).
(il) Tutorial classes in anatomical pathology and applied pathology (2 hours per week throughout both terms).
(iii) Students are advised to use the museum for private study.
BOOKS (a) Prescribed textbooks:
Robbins S L Pathological Basis of Disease, Saunders 1974 or
Cappell D F & Anderson J R Muir
's
Textbook of Pathology, 9th ed Arnold 1971.
(b) Recommended for reference:
Anderson W A D Pathology, 6th ed Mosby 1971 or
Payling Wright G & Symmers W St C Systemic Pathology, 2 vols 1st ed Longmans 1987
Hurley J V Acute Inflammation, Churchill Livingstone, 1972
Florey H General Pathology, 4th ed Lloyd-Luke Medical Books Ltd 1970 or
Walter J B & Israel M S General Pathology 4th ed, Churchill 1974 Willis R A Pathology of Tumours, 4th ed Butterworth 1968
Willis R A Spread of Tumours in the Human Body 3rd ed, Butterworth 1973
Curran R C Colour Atlas of Histopathology 1st ed revised, Harvey Miller
& Medcalf 1972 or
Sandritter W & Wartman W B Colour Atlas and Textbook of Tissue and Cellular Pathology, 3rd ed Year Book Medical Publishers Inc
1969
Pinniger J L & Tighe J R Pathology 3rd ed, Baillière Tindall &
Cassell 1972
Gray C H Clinical Chemical Pathology 6th ed, Arnold 1971
Thompson R H S& Wootton I D P Biochemical Disorders in Human Disease, 3rd ed Churchill 1970
111
Faculty of Medicine
In addition, reference should be made to the pathology sections in the textbooks prescribed for Medicine, Surgery, and Obstetrics and Gynaeco- logy.
EXAMINATION One 3-hours' written examination, one 3-hours' prac- tical examination, progress assessments. A viva voce examination may be required. Terminal tests may also be given.
CONTINUATION OF COURSE
The course in Pathology will continue throughout the 4th-6th Years and will be clinically orientated, and integrated with the clinical programme.
It will occupy 180 hours and will consist of the following major components:
(i) Lecture course in Special Pathology.
(ii) Autopsy demonstrations. (a) Students are required to attend a minimum of 65 demonstrations (4th-6th Years). (b) Each student must personally assist at one autopsy and study the case with the aid of the clinical notes and autopsy material in order to present his descriptions and conclusions for assessment.
(iii) Clinicopathological instruction integrated with the teaching in Medicine and Surgery (4th-6th Years).
(iv) Lecture-demonstrations and tutorials in Surgical Pathology, haema- tology and Chemical Pathology.
Special aspects of gynaecological and paediatric pathology are included in the clinical courses in Obstetrics and Gynaecology and Paediatrics.
EXAMINATION In the Fourth Year questions on Special Pathology will be included in the Medicine/Surgery written paper. In Final Year questions on Special Pathology will be included in the final examinations for Medicine, Surgery, and Obstetrics and Gynaecology.
534
-
031 PHARMACOLOGYLECTURES Three lectures per week throughout the year.
TUTORIALS One 1-hour tutorial per week throughout the year.
PRACTICAL CLASSES DEMONSTRATION SEMINARS Each student will attend a 3-hours' session each fortnight throughout the year. Details will be posted on notice boards.
SYLLABUS The course will be concerned with the general principles of pharmacology and with the mechanisms of action of drugs in common use in medicine under the following headings:
The nature of receptors. The physiological basis of drug action and the kinetics of drug action. Absorption, distribution, excretion and meta- bolism of drugs. The pharmaceutical aspects of drug administration.
Pharmacogenetics. The mechanism of drug interaction. Principles of selective toxicity. Drugs affecting water and electrolyte balance. The biochemistry, physiology and pharmacology of junctional transmission in the peripheral autonomic and somatic neuroeffector systems and in the central nervous system. The effects of drugs on neurohumoural trans- mission. Local hormones and other pharmacologically active substances occurring naturally in tissues; their role in physiological and pathological processes and the modification of their actions by drugs. Drugs affect- ing the central nervous system; psychotropic drugs; centrally acting drugs to treat disorders of motor function; sedatives and hypnotics;
analgesics; and general anaesthetics. Drugs acting on the cardiovascular, 112
Degrees of M.B., B.S.
respiratory and gastrointestinal systems. Drugs affecting fertility and reproduction. Ocular pharmacology. The pharmacology of the endocrine system including hormone preparations, their synthetic analogues and antagonists and drugs which interact with hormone and endocrine glands.
Drugs affecting haematopoiesis and coagulation. Anti-inflammatory drugs.
Mechanisms of drug dependence and abuse.
BOOKS Prescribed textbooks:
•Bowman W C and Rand M J Text-book of Pharmacology, Blackwell Scientific Pub 1977
•Rand M J Raper C and McCulloch M W An Introduction to the Physi- ology and Pharmacology of the Autonomic Nervous System rev 1st ed, Aust Pharmaceutical 1973
Goodman L S and Gilman A The Pharmacological Basis of Therapeutics, Macmillan 1975
Di Palma J R Drill's Pharmacology in Medicine 4th ed, McGraw-Hill 1971
Goldstein A Aronow L and Kalman S M Principles of Drug Action 2nd ed, Harper & Row 1974
Meyers F H and Jawetz E and Goldfin A Medical Pharmacology, Lange 1974
Laurence D R Clinical Pharmacology 4th ed, Churchill 1973
Passmore R and Robson J S A companion to Medical Studies Vol 2, Pharmacology Microbiology General Pathology and Related Sub- jects, Blackwell Scientif Pub' 1970
Martindale's Extra Pharmacopeia 26th ed, Pharmaceutical 1972 EXAMINATION A 2-hours' written examination consisting of multiple choice type questions will be held after the 1st term. Marks allotted to this examination will be used in making the end of the year assess- ment. The final examination will consist of one 3-hour written paper.
Oral examinations may be required for some students, who will be notified after assessment of the written paper. A terminal test may also be given.
526
-
032 MICROBIOLOGYA course of 71 lectures, 18 three-hour practical sessions with associated tutorials, 18 two-hour museum sessions, and a small number of hospital clinical sessions.
SYLLABUS The characteristics of pathogenic bacteria, viruses, fungi, protozoa and helminths; the properties that enable them to cause disease;
the immunological response of the host; the principles of epidemiology, chemotherapy, sterilization and immunization; and the techniques used in laboratory diagnosis of microbial diseases.
PRACTICAL WORK Lays stress on case studies that relate laboratory diagnosis to clinical data. Supplemented by museum demonstrations.
BOOKS
(a) Preliminary reading:
Burnet F M & White D 0 Natural History of Infectious Disease, CUP 1972
(b) Prescribed textbook:
113
Faculty of Medicine
Davis B D et al Microbiology 2nd ed, lieber 1973 or
Cruickshank R Medical Microbiology Vol 1 12th ed, Churchill Living- stone 1973
or
Jawetz E et al Review of Medical Microbiology 12th ed, Lange 1976 (c) Recommended for reference:
Benenson A S Control of Communicable Diseases in Men, 12th ed, Amer Pub 11th Assoc 1974
Fanner F & White D O Medical Virology 2nd ed, Academic 1976 Gillies R R & Dodds T C Bacteriology Illustrated, 3rd ed Livingstone
1973
Roil I M Essential Immunology 2nd ed, Blackwell 1974
EXAMINATION 3-hour written paper, a practical examination, and, in certain cases, an oral or equivalent examination. A terminal test may be given.
FOURTH YEAR
500-491 MEDICINE
CLINICAL INTRODUCTORY COURSE
A systematic course in clinical methods to be conducted with small groups of students. Class demonstrations on history taking will be given.
MEDICAL CLERKING
Medical clerking involves the appointment of a small group of students to a teaching unit with Inpatient and/or Outpatient facilities. In respect of Inpatients: Patients will be allocated on admission to individual students who will clerk them. Clerking involves history taking, physical examination, following the investigation, course and treatment of the patient and recording all of this in a systematic way. In respect of Outpatients: Clerking involves initially the observation by a small group of students of an experienced doctor handling an Outpatient consultation, then gradually increasing the involvement of individual students in the process until they assume, under supervision, much of the role of the doctor.
Medical Inpatient clerking will generally be based on an allocation of not less than three patients suitable for clerking per student at any one time.
During tenure of a medical clerking appointment, students will receive daily organized instruction in small groups in wards and/or Outpatients.
MEDICAL LECTURES
Lectures will be designed as commentaries on the course. The details of the programmes will be the responsibility of individual clinical schools.
EXAMINATION Continuing assessment throughout the year. A clinical examination in general Medicine. A written examination covering Medi- cine and Surgery and including Special Pathology and Microbiology.
500-492 SURGERY
This year will be spent entirely within the clinical schools, with in- struction in medicine and surgery and continuing teaching in the pre and para clinical subjects. Following an Introductory clinical period of 114
Degrees of M.B., B.S.
six weeks students will be allocated in groups to clinical units in Medicine and Surgery, where they will receive bedside instruction in clinical methods and patient care. Throughout the year the clinical teaching will be combined with continuing instruction in Special Pathology, Anatomy, Physiology, Pharmacology and Microbiology.
Emphasis will be placed on the relevance of these subjects to clinical practice.
BOOKS These are listed under "General Surgery".
EXAMINATION The Fourth Year examination will comprise three sec- tions as follows:
1. Continuing assessment on progress during the year;
2. A clinical examination;
3. One 3-hour written paper comprising one-third Medicine, one-third Surgery and one-third multi-discipline including Special Pathology and Microbiology.
COMMUNITY HEALTH
A course in Community Health will commence in July 1977 in which students will be introduced to the problems of primary diagnosis and develop an appreciation of the multi factorial nature of illness.
This is a two-week course comprising attachment to Health Centres and Teaching General Practices, seminars and student projects.
CLINICAL PSYCHIATRY
Fourth Year teaching in psychiatry will commence with a short introduc- tory course. This will be followed by sessions which will be conducted by psychiatrists associated with medical teams.
BOOk
Davies B An Introduction to Clinical Psychiatry, MUP
FIFTH AND SIXTH YEARS
500-691. MEDICINE GENERAL MEDICINE
Clinical practice, demonstrations and lectures in the recognized teaching hospitals (see 'Clinical Instruction at Recognized Teaching Hospitals').
SYLLABUS The syllabus embraces the whole subject.
BOOKS (a) Prescribed textbooks:
Lovell R R H & Doyle A E An Introduction to Clinical Medicine, 2nd ed MOP 1971
Davidson S (ed) The Principles end Practice of Medicine, 10th ed Livingstone 1971
Laurence D R Clinical Pharmacology 4th ed, Churchill 1973 (b) Recommended for reference:
Beeson P B & McDermott W Textbook of Medicine, 13th ed Saunders 1971
115
Faculty of Medicine
Harrison T R Principles of Internal Medicine 7th ed, McGraw-Hill 1974 de Gruchy G C Clinical Haematology in Medical Practice, 3rd ed Black-
well 1970
Sussex M W & Watson W Sociology in Medicine, OUP 1971 Brain W R Brain's diseases of the Nervous System, 7th ed OUP 1969 Jones A Gummer J W P & Lennard-Jones J F Clinical Gastroenterology,
2nd ed Blackwell 1968
Sherlock S Diseases of the Liver and Bilary System, 4th ed Blackwell 1968
Black D A K Renal Disease 3rd ed, Blackwell 1972 Williams R Textbook of Endocrinology, 4th ed Saunders 1968
Wood, P Diseases of the Heart and Circulation, 3rd ed Eyre and Spottis- wood 1968
EXAMINATION Written questions in Medicine including General Medi- cine, Paediatrics, Psychiatry, Therapeutics, Social Medicine, Clinical Pathology and Diagnostic Methods. Clinical examination in General Medicine. Oral Examinations in Paediatrics and Psychiatry.
Candidates who present a certificate of competency in taking histories, examining patients and presentation of findings may be excused part of the clinical examination.
THERAPEUTICS
The syllabus embraces the principles of treatment of diseases generally and the details of treatment of common and acute conditions, the com- position of official preparations of drugs, and the regulations on prescrib- ing and on dangerous drugs. Lectures supplement instruction in the wards and outpatients' departments.
EXAMINATION Questions are included in the final examination in Medi- cine.
BOOKS (a) Prescribed textbooks:
Laurence D R Clinical Pharmacology 4th ed, Churchill 1973 (b) Recommended for reference:
Bowman W C Rand M J & West G B Textbook of Pharmacology, Black- well 1968
Dunlop D M & Alstead S Textbook of Medical Treatment, 12th ed Livingstone 1971
Goodman L S & Gilman A Pharmacological Basis of Therapeutics—a Textbook of Pharmacology, Toxicology and Therapeutics for Physi- cians and Students, 4th ed Macmillan 1970
British Pharmacopoeia and Codex, 1968 editions PAEDIATRICS
SYLLABUS 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.
116
Degrees of M.B., B.S.
This is followed by clinical instruction in the wards and 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 Cowrie 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 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:
Kempo C H Silver H K and O'Brien D Current Pediatric Diagnosis апд Treatment, Lange 1976
•Iilingworth R S The Normal Child, 6th ed Churchill 1975 (b) Recommended for reference
Jones P G ed Clinical Paediatric Surgery, Ure Smith 1970 Nelson W E Text-book of Paediatrics 10th ed, Saunders 1975
•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).
Oral examinations in Sixth Year.