Stage 3 Handbook 2012 (1)

SYDNEY MEDICAL SCHOOL NORTHERN

INFORMATION HANDBOOK

STAGE 3 CORE BLOCKS

2012

Sydney Medical School Northern

Stage 3 Core Blocks 2012 Handbook

Contents

GENERAL

Welcome From Associate Dean ............................................................................... 2

General Information ........................................................................................... 3

CRS, EBM & Acute Pain Round ................................................................................ 4

ESSENTIAL INFORMATION

Attendance Policy, Dress Code & General Information .................................................. 5

Student Access to Medical Records .......................................................................... 6

Elective Placements at Northern ............................................................................ 7

SCHEDULES

CRS Groups Term A ............................................................................................ 8

CRS Schedule .................................................................................................... 9

EBM/PEARLS ................................................................................................... 10

Dermatology .................................................................................................. 11

CPCs ............................................................................................................ 12

Sydney Eye Hospital Visits .................................................................................. 13

Pt-Dr Groups .................................................................................................. 14

Radiology Tutorials ........................................................................................... 15

Student Dates ........................................................................................... 16 & 17

RESOURCES

RNSH Schedule of Meetings ........................................................................... 18 & 19

Northern Contacts List ...................................................................................... 20

CRS Forms .............................................................................................. 21 & 22

January 2012

Sydney Medical School - Northern Level 7, Kolling Building Royal North Shore Hospital St Leonards NSW 2065 Australia

T +61 2 9926 4651 F +61 2 9438 2170 E [email protected] sydney.edu.au/medicine/northern

ABN 15 211 513 464CRICOS 00026A

WELCOME FROM THE ASSOCIATE DEAN

Welcome to Stage 3 at Northern! Over the next two years you will gain experience in a variety of clinical settings. There are four 8 week “Core” blocks and four 8 week “Specialty” blocks as well as an Elective period and a Pre-internship term. This handbook contains information about the running of the Core blocks in Medicine, Surgery and Critical Care. The Specialty blocks are run by each relevant discipline and you will receive information on them at the appropriate times throughout the year. I am sure you will enjoy the clinical attachments arranged for you at the various locations throughout our Clinical School. In this part of the medical program, you will concentrate on perfecting your clinical skills of history-taking and physical examination, while broadening your knowledge-base and experience of patient management in the various disciplines. The staff at the Clinical School have put a lot of work into preparing materials to support your learning, as well as making the arrangements for you to join the clinical teams involved in the program. Remember that you will each experience a wide range of placements, but at the same time no-one will have a rotation in every specialty, as this is not possible in the 32 week period available to us over the next two years. Great care is taken to ensure that each student has a balanced series of attachments, including the required experiences in Critical Care (Emergency Medicine, Anaesthetics, and Intensive Care) and in Geriatric Medicine. In addition, most students will have the opportunity to experience a placement in a rural centre, either in the Northern Rivers area (Lismore/Grafton), in Dubbo/Orange, or in the Northern Territory. In all locations you will find there are well-briefed and enthusiastic supervisors to look after you. Your principal activity during Stage 3 is ward-based clerkships, and most of your learning will be in the context of active patient care. However, during the Core Blocks there is an important program of structured teaching scheduled to occur on each Friday. For students placed at hospitals in Sydney, but outside RNSH, this will involve travelling to St Leonards for these sessions. Your supervisors will be aware of this commitment and will support your attendance, but at all other times you should do as much as you can to take an active role in the clinical teams to which you have been attached. An important part of your assessment will be the report of your nominated Supervisor on your participation. Don’t forget also that the SMP web site contains a variety of useful materials to support your learning in this part of the program. Look out particularly for the learning objectives provided online and in the various handbooks, and for the assessment requirements. Sophie Cher and all the staff in the Clinical School Office are available to help you with any logistical problems which may arise, while Rory Clifton-Bligh (Medicine) and Leigh Delbridge (Surgery) are the academic coordinators for the year and can offer advice if problems arise in your clinical placements. You should also feel free to approach Kirsty Foster, Sub Dean (Education) & Senior Lecturer in Medical Education, especially if you need assistance in learning or studying skills, or for other personal guidance. My own door is open at all times, and I would be happy to see anyone who wants a word about their progress through this part of the course. Professor Jonathan Morris MB ChB MM FRANZCOG DDU CMFM PhD Associate Dean

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General Information - Stage 3 Core Blocks Students are reminded that it is their responsibility to check the SMP web site for all course information and assessment information. The standard themes have specific information available as well as information on assessment, who to contact etc. Log in regularly to the SMP Bulletin board to keep informed of any changes or clarifications from the Office of Medical Education. Students each have a unique experience throughout Stage 3 Core Blocks, with a basic pattern of 4 days clinical experience and 1 day structured teaching. All scheduled activities, clinical, teaching and visits are compulsory, 100% attendance is required. Important:

Please go through this handbook, check all your personal dates for visits, presentations, clinics etc and place them in your diary immediately. In addition, please check the assessment section of the SMP site.

There are a number of group and individually scheduled tutorials and visits you must attend. It is essential that you attend as per the schedules outlined in the handbook as it’s not possible to reschedule missed activities.

Please ensure that you regularly check your email for the confirmed Friday teaching timetable and any other communication from the Sydney Medical School Northern staff.

The weekly structured teaching timetable may change, due to lecturer availability, examinations and other unforeseen circumstances.

Contact the following staff regarding any conflicting scheduled dates, issues or concerns that you may have during Stage 3: Core Blocks & Pre-internship: Sophie Cher, Education Support Officer Specialty Blocks

o Perinatal & Women’s Health: Claire Bridgman, Executive Officer o Child & Adolescent Health: Kay Worrell, Education Support Officer, or Vikki Cheetham

([email protected]) o Discipline of Psychiatry: Trudy Henson, Education Support Officer o Community: Tracey Bayliss, Hornsby (see contacts page)

For contact details of those above, please see the contact list on page 20. Core Block Attachments & Teaching

Students MUST contact the Supervisor of their new Clinical Attachment one week prior to commencing to organise the details (time/place), for the commencement day. See the Clinical School website: http://sydney.edu.au/medicine/northern/student/index.php for the supervisor’s contact details.

Please advise your Clinical Attachment Supervisor, in advance of any dates, where you will not be present at your Clinical Attachment due to a scheduled activity.

Forms Please ensure you keep your forms/log books in very good condition, use black pen only and don’t staple them as they need to be scanned for filing. It is your responsibility to submit the forms to Sophie Cher by hand, fax, email or mail no later than one week after completing each attachment. Please ensure you keep copies of all forms for your records as the clinical school will not photocopy them for you. Core Block Clinical Attachment Feedback Forms Towards the end of each Clinical Attachment you must complete the “Student Self-Assessment” sections on both pages of the Clinical Attachment Feedback Form, sign it and then submit it to your supervisor to complete and sign.

Required Forms

From Term A to C you must submit: o Medicine Bedside form o Surgery Bedside form o Rectal examination form

On completion of each Clinical Attachment you must submit: o Clinical Attachment form (details above)

On completion of the Critical Care block you must submit: o 4 x Clinical Attachment forms (ED, ICU, Anaesthetics & Acute Surgery)

On completion of year 4 you must submit: o Ophthalmology log book o CRS forms (details next page)

PPD Topics – see ‘Submitting Activities’ on SMP, Themes, PPD, Assessment

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CRS The Clinical Reasoning tutorials are student led. At the beginning of each block, please allocate the topics amongst your group. It is expected that each student will lead at least two tutorials during the Stage 3 Core Blocks. For the cases you lead, ensure you have the CRS forms (pages 21 & 22) completed, signed by the facilitating tutor on the day and submit copies to Sophie. EBM/PEARLS Tutorials & Presentation

Each student is required to complete 3 compulsory EBM tutorials followed by an EBM Presentation; these usually occur in 3 consecutive weeks.

Prior to attending tutorial 1 students should read ‘A guide to Student PEARLS’ on the SMP web site on the EBM PEARLS page.

The EBM presentation needs to be 15 minutes (maximum) in duration followed by a couple of minutes for question and answers.

If presenting at RNSH, please ensure you don’t go over time due to the tight lecture schedule. Also ensure your presentation is loaded on the auditorium PC prior to the commencement of the presentations. If you encounter any IT issues, contact the AV Coordinator on x64528.

If you’re allocated to complete the EBM at a rural/peripheral site, please ensure you coordinate the dates/details with the Student Coordinator at that site.

Assessment of your EBM PEARLS includes tutorial attendance, as well as your presentation and handout. The handout must be no longer than one page and you must make photocopies at your own expense.

The ‘Pearls Assessment’ forms (filled out by your Assessors) will be returned to you via the Education Support Officer/Student Coordinator from the presentation site.

After your presentation, please take the ‘Pearls Audience Feedback’ forms with you for your reflective statement.

All students, regardless of where they present, must then submit a reflective statement about the process to the Student Coordinator at their site within one week of their presentation.

Once you satisfy all of these requirements you will be notified by Professor Lyn March, Academic EBM Coordinator.

All students allocated to clinical attachments in Sydney must attend all presentations as audience members. ‘Pearls Audience Feedback’ forms must be completed by all audience members on the day. Students who do not attend the presentations that occur whilst they’re allocated to Clinical Attachments in Sydney may fail the EBM component of Stage 3.

Acute Pain Round

RNSH is a world leader in pain management! For the students completing the Critical Care block at RNSH, you'll be allocated a date to attend the Acute

Pain Round. For the students completing the Critical Care block at a peripheral hospital who would like to attend the

RNSH Acute Pain Round, there are plenty of places available. A date can be arranged by contacting Sophie. On the Acute Pain Round, you'll be the only student accompanying the Consultant and occasionally a

Registrar. You'll have the opportunity to see how to deal with complicated patients, severe burns, spinal cord injuries, etc.

Once a date has been confirmed, please meet the team at the Department of Anaesthetics and Pain Management, Level 4, Main Block promptly at 8am. The Round will be completed by 12 noon.

If you arrive late, or need to speak to someone, please contact the Pain Service Nurse on pager 41219. Critical Care RNSH Timetable

For the students allocated to Critical Care at RNSH, you’ll receive the timetable via email prior to commencement of the term.

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Attendance, Dress Code & General Information

Attendance Attendance is expected at all activities during the stage 3 Core and Specialty blocks. Planned leave for exceptional circumstances must be approved by the Associate Dean or the Sub Dean, Education and the faculty Stage 3 Coordinator. To seek permission for planned absence, submit a ‘Short leave’ form (SMP, Admin/Forms) to the Education Support Officer (ESO). For sick leave, contact the ESO and your placement supervisor on the first day of illness. A ‘Short leave’ form and medical certificate must be submitted as soon as possible and certainly by the end of the first week of absence. Please see the attendance policy on SMP for more information. Non attendance is a serious PPD issue and may result in failure to progress. Students who are repeatedly absent will be referred to the Sub Dean, Education and/or the Associate Dean.

Dress Code for Medical Students As a medical student you will be involved in day-to-day interactions with patients, members of the public and medical staff, including the discussion of sensitive issues and the performance of a range of clinical duties. Therefore, while attending the ward, clinics or general practice, your dress and general appearance should be appropriate. As an overall guideline:

A medical student should appear well groomed and professional. Your official hospital ID badge should be displayed prominently at all times so that your status as a student

is clear to all. For males, a collared shirt is strongly recommended. Ties have been discouraged in some areas because of

infectious control issues. Be guided by the senior male doctors on your team. Females should avoid wearing tops that are low-cut or bare the midriff. Shoes should be closed in. Sandals or open-toed shoes are inappropriate for ward areas as sharp objects such

as dropped needles may pierce the foot. Stilettos and high platform shoes are also inappropriate for ward areas. This is an OH&S issue.

Trainers, jeans, shorts and mini-skirts are not acceptable items of clothing while on ward attachments. Theatre gowns/clothing can only be worn within designated areas. Wearing of jewellery in Theatres is not

allowed. Harassment Prevention Policy For queries relating to harassment, please see the University's official policy at www.usyd.edu.au/eeo/harass_discrim/harass_prevpolicy.shtml. For any further questions, please see a member of the Northern staff. GENERAL INFORMATION

Lockers: Lockers are located in the Common Room Level 4 (Ground Floor) Kolling Building. They can only be used on a daily basis. Find a locker that is empty and follow the instructions for use. Pigeon holes are also provided in the common room.

Copying facilities: The BEAR system is working for the photocopier in the Library 24/7 room and this is the copier that the students will have access to. Copy cards can be purchased from the front desk of the Library during opening hours (Mon-Fri 8am-5pm) at a cost of $2.20. The students can then add money to the card as required (also during Library opening hours only at this stage). Receipts will be issued for card purchases and recharges. Copies cost 11c per page for black and white. Printers are available in the common room and the 24/7 room. You must provide your own paper.

Student Support: Every student should have their own GP. Please refer to SMP (Course Info, Student Support) for more information.

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Student Access to Patient Medical Records

Health Information Services (HIS) primary functions are managing and guaranteeing the availability, security, privacy, and confidentiality of patient information

It is your responsibility to ensure medical records are safe, secure, available and that the information is kept private to maintain the patient’s confidentiality

It is important that you are aware of the policies in place to safeguard medical records, and its enclosed information, and of the impact on you.

Medical records must not leave HIS unless for patient care eg. admission, emergency, or outpatient clinic appointment.

Under no circumstances is a medical record to leave the hospital grounds including private consulting rooms, NSP, nursing homes etc. There are exceptions to this between RNSH and Ryde Hospitals – however always check with your supervisor

Medical records must not be photocopied – the more copies of personal health

information that exist the more likely it is that a breach of privacy may occur.

You are permitted to look at patients’ medical records and to enter appropriate content (e.g. history or examination). All entries you make must be signed and dated with your name and designation legibly printed in black or blue pen

It is also possible for you to visit HIS at RNSH where you may view records for patient care. You must have your identification badge with you.

If conducting research, you must have a Research Request Form signed by the Clinical School Executive Officer before you request records from HIS. Forms are available from the Student Common Room and through HIS at RNSH. Any notes you make must not include information which would allow the patient to be identified.

In preparing case presentations you must ensure that the patient is not identifiable. If you incorporate results or images you must ensure that the patient’s name is not legible and that there are no other identifying features (DOB, Address etc).

Ask for permission from any person whose photograph you wish to take or to use in a visual presentation. You are of course required to comply with any University or Health Service policies and directives at all times and this forms part of your PPD theme learning.

Links on the Intranet can be found under http://intranet.nsccahs.nswhealth.net/areagov/nsgovsys/corpgov/pages/privacy.aspx The Privacy and Personal Information Protection Act 1998 http://www.legislation.nsw.gov.au/maintop/view/inforce/act+133+1998+cd+0+N Health Records and Information Privacy Act (HRIPA) 2002 document your responsibilities. http://www.legislation.nsw.gov.au/maintop/view/inforce/act+71+2002+cd+0+N More information available from NSW Privacy Manual Version 2: www.health.nsw.gov.au/policies/pd/2005/PD2005_593.html

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Applying for an Elective placement at

Sydney Medical School Northern

For a number of reasons, there are a very limited number of placements available at Sydney Medical School Northern* during the Elective Term. Applications will be considered on an individual basis by the Electives Coordinator. Due to problems in the past, we’ve had to include a rule that students don’t apply directly to potential supervisors. Even if a Supervisor says they can accommodate the student, this is often not the case as the Department may have other Elective or Stage 3 students booked in at that time, which the Supervisor is unaware of. This is just one of the reasons why initial enquiries MUST go via the Clinical School Electives Coordinator. NOTE:

the Electives Coordinator will only assist with arranging clinical placements at Northern. You should refer to SMP (stage 3, elective section) for information on faculty requirements with regard to the Elective term, including the Faculty Elective Term application form, deadlines, insurance, Elective Term report, etc.

• Students should view the ‘Available placements’ chart at: Process:

http://sydney.edu.au/medicine/northern/electives/placements/index.php If the Department a student would like to do an Elective in, is not listed on the website, this means it is not an available Elective. Students can only apply for Electives listed on the Available placements chart.

• Students who then wish to then apply should email Kelly Bird, Electives Coordinator, at

[email protected] for an application form to complete.

• The completed application form should be returned to Kelly Bird who will then liaise with the student regarding details of the elective placement(s).

• The online faculty elective application must only be completed after Kelly Bird has

approved the place. Sydney Medical School Northern accommodates visiting elective students all year round. Places fill up quickly with most students applying at least 6 months in advance. An early application is strongly advised. Northern students are not required to pay fees if their application is accepted. Due to the limited number of places available over the Christmas/New Year period, there are no places available for medical students from other Clinical Schools of the University of Sydney during this time. * Northern hospitals for this purpose include Royal North Shore Hospital, Hornsby, Manly, Mona Vale, Ryde and a few places at North Shore Private Hospital.

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CRS Groups

Group12345

Group Surname First

Hoon Baek SeungRom Darren

McGrath-Cadell LucyAlexander Lachlan

Dunn CameronPatmanidis Anastasia

Salehi SaraKumar NikhilVigours Samuel

Novis ElanMaccioni Andrew

MacKenzie JessicaGill Navraj

Adunuri NikeshTsui VanessaPrice ChristopherKim Sooyoun

Goltsman David

Wiseman AimeeMicallef Milton

Schlosberg ArranSalmers GabrielleBaltinas JulijanaKozlovski JenniferWestaway Darin

Chen EwenStanton Christopher

Alley SoniaDabro PeterLackey Alan

Ho JenniferHolmes Belinda

Ting JasonSarkis LebaShe George

Modesto DanielOfford Joanna

Andrici JulianaGuiney LiamGarcia BarbaraHall James

Davidson MarkHemmerter Stephane

Yusof Vessey JohanChong Shang Wei

Elangovan Preeya

Term A23 January - 16 March

Tutors NameTutors & Rooms

Student GroupsRobert Read

Anna McNaught

Doug ChesherCate Storey

Group 5Room 5

Pankaj Arora

Group 4Room 4

Group 3Room 3

Group 1Room 1

Group 2Room 2

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Term Friday Time Title Format

8-9am 1 Aching Joints A CRS

9-915am

8-830am 1 Aching Joints B CRS

830-930am 2 Getting Worse A CRS

8-830am 2 Getting Worse B CRS

830-930am 3 A Lump in the Neck A CRS

8-830am 3 A Lump in the Neck B CRS

830-930am 4 Short of Breath A CRS

8-830am 4 Short of Breath B CRS

830-930am 5 A Dull Ache A CRS

8-830am 5 A Dull Ache B CRS

830-930am 6 Still Sick A CRS

8-830am 6 Still Sick B CRS

830-930am 7 Out of Puff A CRS

16-Mar 8-845am 7 Out of Puff B CRS

8-9am 8 Awful Colic A CRS

9-915am

8-830am 8 Awful Colic B CRS

830-915am 9 An Uncomfortable Fortnight CRS

915-10am 10 What Does This Mean? A CRS

6-Apr

8-830am 9 An Uncomfortable Fortnight CRS

830-9am 10 What Does This Mean? B CRS

9-10am 11 Glomerulonephritis A CRS

8-830am 11 Glomerulonephritis B CRS

9-10am 12 End stage renal failure A CRS

830-9am 12 End stage renal failure B CRS

9-10am 13 Loin pain and acute renal CRS

8-830am 13 Loin pain and acute renal CRS

830-930am 14 A Bad Reaction A PBL

11-May 8-845am 14 A Bad Reaction B PBL

18-May

8-9am 15 Burning Up A PBL

9-915am

8-830am 15 Burning Up B PBL

830-930am 16 An Uphill Battle A CRS

8-830am 16 An Uphill Battle B CRS

830-930am 17 I Think I’m Losing It A CRS

8-830am 17 I Think I’m Losing It B CRS

830-930am 18 Lost Control A CRS

8-830am 18 Lost Control B CRS

830-930am 19 Pre-Op Check A CRS

8-830am 19 Pre-Op Check B CRS

830-930am 20 Love Hurts A CRS

8-830am 20 Love Hurts B CRS

830-930am 21 Flat as a Tack A CRS

13-Jul 8-845am 21 Flat as a Tack B CRS

VACATION

Term C

25-MayStudents to allocate topics for the term

1-Jun

8-Jun

15-Jun

22-Jun

29-Jun

6-Jul

Term B

23-MarStudents to allocate topics for the term

30-Mar

PUBLIC HOLIDAY - GOOD FRIDAY

13-Apr

20-Apr

27-Apr

4-May

CRS SCHEDULE 2012

Term A

27-JanStudents to allocate topics for the term

3-Feb

10-Feb

17-Feb

24-Feb

2-Mar

9-Mar

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1-2pm Fridays(Auditorium)

Surname First Tutorial 1 Tutorial 2 Tutorial 3EBM

Presentation

Holmes Belinda

Kim Sooyoun

Alley Sonia

Hoon Baek Seung

McGrath-Cadell Lucy

Lackey Alan

Rom Darren

Tsui Vanessa

Baltinas Julijana

Adunuri Nikesh

Chen Ewen

Salmers Gabrielle

Modesto Daniel

Kumar Nikhil

Vigours Sam

Dabro Peter

Sarkis Leba

Guiney Liam

Garcia Barbara

Davidson Mark

Yusof Vessey Johan

Mackertich Michael Novis Elan Offord Joanna

Athavale Akshay Wiseman Aimee Alexander Lachlan

Treble Alex Schlosberg Arran Dunn Cameron

Irwin Saskia Price Christopher Ho Jennifer

Djajadikarta Caroline Chong Shang Wei Micallef Milton

Emerson Michelle Gill Navraj Kozlovski Jennifer

King William Andrici Juliana Westaway Darin

Hardwick Laura Hall James She George

Hillhouse James McKenzie Jessica

Plunkett Phillip Patmanidis Anastasia Davis Alexander

Salehi Sara Cummings Matt

Maccioni Andrew Goltsman David Tran Tara

Elangovan Preeyadarsini Hemmerter Stephane Davis Elizabeth

Stanton Christopher Kehoe Peter

Ting Jason

SRH SAH Hornsby

Manly/MVH

3-Apr 10-Apr 17-Apr 20-Apr

Rural/Peripheral Students - please contact student coordinator for EBM details

9 Mar1230-130pm

TERM B

27-Mar 3-Apr 10-Apr 13-Apr

14-Feb 21-Feb 28-Feb 2-Mar

21-Feb 28-Feb 6-Mar

31-Jan 7-Feb 14-Feb 17-Feb

7-Feb 14-Feb 21-Feb 24-Feb

Lismore

EBM/PEARLS

2-3pm Tuesdays(tutorial room TBA week prior to 1st tute)

TERM A

24-Jan31 Jan1-2pm

7 Feb1-2pm

10-Feb

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Last Name First Name Term Attachment Last Name First Name Term Attachment

1 Yusof Vessy Johan 1 Adunuri Nikesh

2 Gill Nav 2 Tsui Vanessa

3 Hall James 3 Alexander Lachlan

4 Salehi Sara 4 Offord Joanna

5 Goltsman David

6 Dabro Peter

7 Chen Ewen

1 Lackey Alan 1 McGrath-Cadell Lucy

2 Holmes Belinda 2 Cummings Matt

3 Garcia Barbara 3 Tran Tara

4 Davidson Mark 4 Davis Alex

5 McKenzie Jessica

6 Kim Sooyoun

1 Goh Ruoxuan 1 King William

2 Leung Helen 2 Vigours Samuel

3 Leung James 3 She George

4 Tan Elaine 4 Hardwick Laura

5 Stanton Chris

6 Ting Jason

7 Patmanidis Anastasia

1 Kwan Mary 1 Westaway Darin

2 Linebarger Annie 2 Modesto Daniel

3 Tam Karen 3 Salmers Gabrielle

4 Crassini Kyle 4 Kumar Nikhil

5 Stretch Claudia

6 Sarkis Leba

7 Andrici Juliana

8 Hemmerter Stephane

9 Guiney Liam

1 Vandervord Elle 1 Novis Elan

2 Parkinson Michael 2 Athavale Akshay

3 Reichle Rene 3 Dunn Cameron

4 Yu Jessica 4 Kehoe Peter

5 Hoon Baek Seung 5 Schlosberg Arran

6 Elangovan Preeya 6 Treble Alex

7 Wiseman Aimee 7 Djajikarta Caroline

8 Micallef Milton 8 Mackertich Michael

9 Irwin Saskia

1 Champion Joel 1 Maccioni Andrew

2 Howard Andrew 2 Plunkett Phillip

3 Smith Michael 3 Davis Elizabeth

4 Anuno Sarmento Noeno 4 Alley Sonia

5 Rom Darren 5 Kozlovski Jennifer

6 Ho Jennifer 6 Price Christopher

7 Baltinas Julijana 7 Chong Shang Wei

8 Emerson Michelle

C I

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2ndattachment

B H

2ndattachment

2012 2013

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Dermatology Objectives

• Students will be expected to be familiar with morphological terms used in dermatology, and will be expected to be able to confidently describe diseases encountered in the clinic and formulate an appropriate differential diagnosis for cases examined

• Students will be expected to be familiar with the management of common skin diseases

DERMATOLOGYStudents will attend 4 Dermatology clinics during a Medical or Surgical attachment (attendance is compulsory)

Students are responsible to advise relevant Clinical Attachment Supervisors that you'll be absent for:

4 x Dermatology Clinics on Thursdays 9-1030am - Clinic 8, Outpatients Department

You can work out your allocated dates from the Term/Attachment details on the table below

The Australasian College of Dermatologists online teaching support modules need to be completed prior to commencing clinics. The website details, login & password have been emailed to each student.

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Last Name First Name Date Last Name First Name Date1 Salmers Gabrielle 1 Patmanidis Anastasia2 Garcia Barbara 2 Westaway Darin3 Guiney Liam

1 Kumar Nikhil 1 Stanton Chris2 Vigours Samuel 2 Ting Jason3 Modesto Daniel 3 She George

1 Gill Nav 1 Parkinson Michael2 Hall James 2 Reichle Rene3 3 Rom Darren

4 Maccioni Andrew1 Dabro Peter 1 Yu Jessica2 Sarkis Leba 2 Anuno Sarmento Noeno3 Salehi Sara 3 Coolican James

4 Chong Shang Wei1 Kwan Mary 1 Hoon Baek Seung2 Crassini Kyle 2 Elangovan Preeya3 Leung James 3 Alley Sonia

1 Andrici Juliana 1 Dunn Cameron2 Hemmerter Stephane 2 Schlosberg Arran3 Lee David 3 Chen Ewen

4 Cahill Andrew

McGrath-Cadell Lucy 1st half Baltinas Juljana 1st halfNovis Elan 2nd half Davis Elizabeth 1st halfTsui Vanessa 2nd half Kozlovski Jennifer 1st half

Adunuri Nikesh 2nd half Micallef Milton 2nd halfEmerson Michelle either Kehoe Peter 2nd halfGoltsman David 1st half Alexander Lachlan 2nd halfHardwick Laura 2nd half Treble Alex 2nd halfLackey Alan 1st half Djajikarta Caroline 2nd half

Kim Sooyoun 2nd half King William eitherHolmes Belinda 2nd half Ho Jennifer 1st halfIrwin Saskia 2nd half Price Christopher 1st halfDavis Alex 1st half Wiseman Aimee 1st half

Plunkett Phillip 1st half Offord Joanna 1st half

Cummings Matt Davidson MarkTran Tara McKenzie Jessica

Mackertich Michael Hillhouse JamesAthavale Akshay Yusof Vessey Johan

I

I

G

H

30-Mar 29-Jun

13-Apr 6-Jul

CPC - Dubbo/Orange

20th April

17th Feb 11-May

2-Mar 1-Jun

16-Mar 15-Jun

2013 Terms - Dates TBC

3rd Feb

CLINICOPATHOLOGICAL CONFERENCES (CPCs)

CPCs involve presentation and discussion of the clinical, radiological and pathological findings associated with specific disease processes and will be run by a multidisciplinary team comprising physicians, surgeons, radiologists

and pathologists

CPCs are scheduled fortnightly on Friday afternoons as part of the lecture schedule

Attendance is compulsory for all students

For each CPC session 2-5 students are rostered to be involved in the presentation

Those rostered for the CPC should arrange to meet the CPC co-ordinator Dr Anthony Gill in the Department of Anatomical Pathology (x 67085) 2 weeks before the scheduled presentation to discuss their roles. If Dr Gill is

unavailable, either Dr Bryn Atmore or Dr Antony Kaufman (contactable on the same no) will provide assistance.

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Last Name First Name Date Last Name First Name DateHoyle Alex Wed 1 Feb Rom Darren Wed 30 MayGoh Ruoxuan Wed 1 Feb Novis Elan Wed 30 May

Linebarger Annie Thur 2 Feb Schlosberg Arran Thur 31 May

Leung Helen Thur 2 Feb Alexander Lachlan Thur 31 MayDavidson Mark Tue 7 Feb Tsui Vanessa Tue 5 JunFardell Nicole Wed 8 Feb Baltinas Julijana Tue 5 Jun

McGrath-Cadell Lucy Wed 8 Feb Ho Jennifer Wed 6 JunKwan Mary Thur 9 Feb Adunuri Nikesh Wed 6 JunSarkis Leba Thur 9 Feb Wiseman Aimee Wed 20 Jun

Goltsman David Wed 7 Mar Offord Joanna Wed 20 JunPatmanidis Anastasia Wed 7 Mar Dunn Cameron Thur 21 Jun

Salehi Sara Wed 14 Mar Kozlovski Jennifer Thur 21 JunHollows Cam Tue 27 Mar Hoon Baek Seung Wed 27 JunArmellin Justin Tue 27 Mar Chong Shang Wei Wed 27 JunStanton Christopher Wed 28 Mar Micallef Milton Wed 4 July

Hemmerter Stephane Wed 28 Mar Maccioni Andrew Wed 4 JulyWestaway Darin Thur 29 Mar Price Christopher Wed 11 July

Holmes Belinda Thur 29 Mar Elangovan Preeya Wed 11 JulyShe George Wed 4 Apr Irving Ed Wed 25 Jul

Gough Katherine Wed 4 AprDabro Peter Wed 18 Apr Cummings MattLackey Alan Thur 19 Apr Tran TaraTing Jason Thur 19 Apr Athavale Akshay

Vigours Samuel Thur 26 Apr Hardwick LauraKim Sooyoun Wed 2 May Davis Elizabeth

Modesto Daniel Wed 2 May Kehoe PeterGill Nav Thur 3 May Treble AlexHall James Thur 3 May Andrici Juliana

McKenzie Jessica Wed 9 May Djajadikarta CarolineYusof Vessey Johan Wed 9 May Emerson Michelle

Kumar Nikhil Thur 10 May King WilliamAlley Sonia Tue 29 May Salmers GabrielleChen Ewen Tue 29 May Garcia Barbara

Guiney LiamMackertich Michael

Davis AlexIrwin Saskia

Plunkett Philllip

SYDNEY EYE HOSPITAL VISITS

Please ensure you take your Ophthalmology log book to Sydney Eye Hospital

Students have been allocated to a day at SEH in various Outpatients Clinics to enhance your Ophthalmology teaching.

Students are to arrive by 9am in the clinic and ask for the Nurse in charge of Outpatients (Lesley Thwaites, Office in ground floor, Unit D).

2013 - Dates TBC

Tony can also be contacted via email for any general questions regarding your ophthalmology curriculum ([email protected]).

If there is a problem, students should seek assistance at the Save Sight Institute (Ph 93827300) University of Sydney Clinic located across the courtyard from the main Outpatients (If you encounter problems, you can contact Tony Succar

on 0422 318 065).

The Outpatients Clinic is located on the Ground Floor, Clinical Services Block, Sydney Eye Hospital, Macquarie Street, Sydney.

Students are required to complete an Ophthalmology log book during stage 3 (by the end of year 4)The log book is located on SMP, Links, On-Line Ophthalmology Teaching

Its recommended you take your log book onto the wards during all Core & Specialty blocks.Students are encouraged to test their clinical reasoning skills by using The Virtual Ophthalmology Clinic (VOC) to

diagnose and manage virtual patients with simluated eye disorders. Please contact Tony regarding the VOC program.

13

Pt-Dr (bedside) Tutorials RNSH

Group Place

1Chest clinic

Main block lvl 8

2 Main Foyer

Group Group

Chen Ewen MacKenzie Jessica

Garcia Barbara Salehi Sara

Dabro Peter Kumar Nikhil

Sarkis Leba Vigours Samuel

Hall James Kim Sooyoun

Lackey Alan Modesto Daniel

Gill Navraj Goltsman David

Guiney Liam Salmers Gabrielle

Holmes Belinda Yusof Vessey Johan

Davidson Mark

Dates/times/tutors will be advised by Sophie during terms

Surgery Block

1

2

Students

Bedside tutorials will be held once per week during medical and surgical clinical attachments. Arrangements for RNSH, NSPH and Mater are shown below.

At metropolitan and rural sites, arrangements will be made locally and students need to contact the relevant student coordinator for details.

Term A

Tutor/Days

Chris DennisThursdays 4pm

Les SchrieberThursdays 330pm

Medicine Block

Students

1

2

14

9-10amRadiology-Neurology (head,neck,spine emergency)

9-10amRadiology - Cardiology/Respiratory - CXR

10-11amNuclear Medicine-Cardiology & Thromboembolism

10-11am Radiology - Musculoskeletal Imaging

11-1130amNuclear Medicine - Musculoskeletal Scintigraphy

9-10amNuclear Medicine - Endocrine & Oncology

10-11amNuclear Medicine - Gastro & Renal Imaging

10-11am Radiology - Abdominal Imaging

10AM - Radiology - Musculoskeletal Imaging followed with 11AM - Nuclear Medicine - Musculoskeletal Scintigraphy

9 Feb - Clinical Attachment 1 8 Mar - Clinical Attachment 2

4th Thursday of each Clinical Attachment

10AM - Nuclear Medicine - Gastro & Renal Imaging

16 Feb - Clinical Attachment 1 15 Mar - Clinical Attachment 2

10AM - Radiology - Abdominal Imaging

2 Feb - Clinical Attachment 1 1 Mar - Clinical Attachment 2

3rd Thursday of each Clinical Attachment

9AM - Radiology - Cardiology/Respiratory — CXR

9 Feb - Clinical Attachment 1 8 Mar - Clinical Attachment 2

10AM - Nuclear Medicine - Cardiology & Thromboembolism

26 Jan - Clinical Attachment 1 23 Feb - Clinical Attachment 2

2nd Thursday of each Clinical Attachment9AM - Nuclear Medicine - Endocrine & Oncology

2 Feb - Clinical Attachment 1 1 Mar - Clinical Attachment 2

Attachment 1 Attachment 2

1st Thursday of each Clinical Attachment

9AM - Radiology - Neurology (head, neck, spine emergency)

26 Jan - Clinical Attachment 1 23 Feb - Clinical Attachment 2

Once scheduled, you must attend (if unforeseen circumstances occur and you can' attend, you must advise the Radiology Dept at least 24 hours prior)

The Radiology tutorials will be held in the Dept of Radiology Toshiba room & Nuclear Medicine tutorials in the Dept of Nuclear Medicine (report to reception desk)

1st Thursday of each Clinical Attachment 3rd Thursday of each Clinical Attachment

2nd Thursday of each Clinical Attachment 4th Thursday of each Clinical Attachment

RADIOLOGY TUTORIALSRadiology Dept Contact - Anne Streeter x68805

Add your name to the hardcopy of this timetable displayed in the Dept of Radiology Toshiba room

Please allocate yourself to the Radiology and Nuclear Medicine tutorials when you don't have other activities scheduled

Names must be added at least 1 week prior to the tutorial

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Student Dates

Surname First EBM 1 EBM 2 EBM 3 EBM pres Eye Hosp CPC Derm block Derm Attach

ADUNURI NIKESH 14-Feb 21-Feb 28-Feb 2-Mar 6 Jun Term G 2013 Term G 2013 1st attach

ALEXANDER LACHLAN Hornsby Hornsby Hornsby Hornsby 31 May Term I 2013 Term G 2013 1st attach

ALLEY SONIA 24-Jan 31-Jan 7-Feb 10-Feb 29 May 29 Jun Term I 2013 2nd attach

ANDRICI JULIANA SAH SAH SAH SAH 2013 13 Apr Term B 2nd attach

ATHAVALE AKSHAY SRH SRH SRH SRH 2013 SRH Term I 2013 1st attach

BAEK SEUNG 31-Jan 7-Feb 14-Feb 17-Feb 27 Jun 29 Jun Term C 1st attach

BALTINAS JULIJANA 7-Feb 14-Feb 21-Feb 24-Feb 5-Jun Term I 2013 Term C 2nd attach

CHEN EWEN 14-Feb 21-Feb 28-Feb 2-Mar 29 May 6 Jul Term A 1st attach

CHONG SHANG WEI SAH SAH SAH SAH 27 Jun 15 Jun Term I 2013 2nd attach

CUMMINGS MATTHEW Lismore Lismore Lismore Lismore 2013 SRH Term G 2013 2nd attach

DABRO PETER 27-Mar 3-Apr 10-Apr 13-Apr 18 Apr 16 Mar Term A 1st attach

DAVIDSON MARK 3-Apr 10-Apr 17-Apr 20-Apr 7 Feb SRH Term A 2nd attach

DAVIS ELIZABETH Lismore Lismore Lismore Lismore 2013 Term I 2013 Term I 2013 2nd attach

DAVIS ALEXANDER Lismore Lismore Lismore Lismore 2013 Term I 2013 Term G 2013 2nd attach

DJAJADIKARTA CAROLINE SRH SRH SRH SRH 2013 Term I 2013 Term I 2013 1st attach

DUNN CAMERON H b H b H b H b 21 J 6 J l T I 2013 1 t tt h

Important: this does not include all dates such as Radiology Tutorials and Bedside tutorials - please see separate pages for these allocations. Please go through this handbook, check all your dates and advise Sophie ASAP if you have any clashes

DUNN CAMERON Hornsby Hornsby Hornsby Hornsby 21 Jun 6 Jul Term I 2013 1st attach

ELANGOVAN PREEYA Manly/MVH Manly/MVH Manly/MVH Manly/MVH 11 Jul 29 Jun Term C 1st attach

EMERSON MICHELLE SRH SRH SRH SRH 2013 Term H 2013 Term I 2013 2nd attach

GARCIA BARBARA 3-Apr 10-Apr 17-Apr 20-Apr 2013 3 Feb Term A 2nd attach

GILL NAVRAJ SAH SAH SAH SAH 3 May 2 Mar Term A 1st attach

GOLTSMAN DAVID SAH SAH SAH SAH 7 Mar Term H 2013 Term A 1st attach

GUINEY LIAM 27-Mar 3-Apr 10-Apr 13-Apr 2013 3 Feb Term B 2nd attach

HALL JAMES SAH SAH SAH SAH 3 May 2 Mar Term A 1st attach

HARDWICK LAURA SRH SRH SRH SRH 2013 Term H 2013 Term H 2013 1st attach

HEMMERTER STEPHANE SAH SAH SAH SAH 28 Mar 13 Apr Term B 2nd attach

HILLHOUSE JAMES SRH SRH SRH SRH SRH SRH SRH SRH

HO JENNIFER Hornsby Hornsby Hornsby Hornsby 6 Jun Term I 2013 Term C 2nd attach

HOLMES BELINDA 24-Jan 31-Jan 7-Feb 10-Feb 29 Mar Term H 2013 Term A 2nd attach

IRWIN SASKIA SRH SRH SRH SRH 2013 Term H 2013 Term I 2013 1st attach

KEHOE PETER Lismore Lismore Lismore Lismore 2013 Term I 2013 Term I 2013 1st attach

KIM SOOYOUN 24-Jan 31-Jan 7-Feb 10-Feb 2 May Term H 2013 Term A 2nd attach

KING WILLIAM SRH SRH SRH SRH 2013 Term I 2013 Term H 2013 1st attach

KOZLOVSKI JENNIFER Hornsby Hornsby Hornsby Hornsby 21 Jun Term I 2013 Term I 2013 2nd attach

KUMAR NIKHIL 21-Feb 28-Feb 6-Mar 9-Mar 10 May 17 Feb Term H 2013 2nd attach 16

Student Dates

Surname First EBM 1 EBM 2 EBM 3 EBM pres Eye Hosp CPC Derm block Derm Attach

Important: this does not include all dates such as Radiology Tutorials and Bedside tutorials - please see separate pages for these allocations. Please go through this handbook, check all your dates and advise Sophie ASAP if you have any clashes

LACKEY ALAN 31-Jan 7-Feb 14-Feb 17-Feb 19 Apr Term H 2013 Term A 2nd attach

MACCIONI ANDREW Manly/MVH Manly/MVH Manly/MVH Manly/MVH 4 Jul 1 Jun Term I 2013 2nd attach

MACKERTICH MICHAEL SRH SRH SRH SRH 2013 SRH Term I 2013 1st attach

MCGRATH-CADELL LUCY 31-Jan 7-Feb 14-Feb 17-Feb 8 Feb Term G 2013 Term G 2013 2nd attach

MCKENZIE JESSICA SAH SAH SAH SAH 9 May SRH Term A 2nd attach

MICALLEF MILTON Hornsby Hornsby Hornsby Hornsby 4 July Term I 2013 Term C 1st attach

MODESTO DANIEL 21-Feb 28-Feb 6-Mar 9-Mar 2 May 17 Feb Term H 2013 2nd attach

NOVIS ELAN SAH SAH SAH SAH 30 May Term G 2013 Term I 2013 1st attach

OFFORD JOANNA Hornsby Hornsby Hornsby Hornsby 20-Jun Term I 2013 Term G 2013 1st attach

PATMANIDIS ANASTASIA SAH SAH SAH SAH 7 Mar 20 Apr Term B 1st attach

PLUNKETT PHILIP SRH SRH SRH SRH 2013 Term I 2013 Term I 2013 2nd attach

PRICE CHRISTOPHER SAH SAH SAH SAH 11 Jul Term I 2013 Term I 2013 2nd attach

ROM DARREN 7-Feb 14-Feb 21-Feb 24-Feb 30 May 1 Jun Term C 2nd attach

SALEHI SARA SAH SAH SAH SAH 14 Mar 16 Mar Term A 1st attach

SALMERS GABRIELLE 14-Feb 21-Feb 28-Feb 2-Mar 2013 3 Feb Term H 2013 2nd attachSALMERS GABRIELLE 14 Feb 21 Feb 28 Feb 2 Mar 2013 3 Feb Term H 2013 2nd attach

SARKIS LEBA 27-Mar 3-Apr 10-Apr 13-Apr 9 Feb 16 Mar Term B 2nd attach

SCHLOSBERG ARRAN SAH SAH SAH SAH 31 May 6 Jul Term I 2013 1st attach

SHE GEORGE Hornsby Hornsby Hornsby Hornsby 4 Apr 11 May Term H 2013 1st attach

STANTON CHRISTOPHER Manly/MVH Manly/MVH Manly/MVH Manly/MVH 28 Mar 11 May Term B 1st attach

TING JASON Manly/MVH Manly/MVH Manly/MVH Manly/MVH 19 Apr 11 May Term B 1st attach

TRAN TARA Lismore Lismore Lismore Lismore 2013 SRH Term G 2013 2nd attach

TREBLE ALEXANDER SRH SRH SRH SRH 2013 Term I 2013 Term I 2013 1st attach

TSUI VANESSA 7-Feb 14-Feb 21-Feb 24-Feb 5 Jun Term G 2013 Term G 2013 1st attach

VIGOURS SAMUEL 21-Feb 28-Feb 6-Mar 9-Mar 26 Apr 17 Feb Term H 2013 1st attach

WESTAWAY DARIN Hornsby Hornsby Hornsby Hornsby 29 Mar 20 Apr Term H 2013 2nd attachWISEMAN AIMEE SAH SAH SAH SAH 20 Jun Term I 2013 Term C 1st attachYUSOF VESSEY JOHAN 3-Apr 10-Apr 17-Apr 20-Apr 9 May SRH Term A 1st attach

17

SYDNEY MEDICAL SCHOOL - NORTHERN CONTACTS 2012

Phone Fax Email

General enquiries: 9926 4700 9438 2170 [email protected]

Associate Dean's Office:Associate Dean Jonathan Morris 9926 4651 9438 2170 [email protected] (Education) & Senior Lecturer Kirsty Foster 9926 4658 9438 2170 [email protected] to A/Dean Sarah Hartnett 9926 4651 9438 2170 [email protected] Office:Executive Officer & PWH Claire Bridgman 9926 4678 9926 6188 [email protected] Support Officer (Stage 1/PAAM) (M,T,W ) Trudy Henson 9926 4677 9926 6188 [email protected] Support Officer (Stage 2 & CAH) (T,T,F ) Kay Worrell 9926 4687 9926 6188 [email protected] Support Officer (Stage 3 core blocks) Sophie Cher 9926 4680 9926 6188 [email protected] Student Co-ordinator Kelly Bird 9926 4683 9926 6188 [email protected] Officer (M,T,T,F ) Gina Dolphin 9926 4682 9926 6188 [email protected] Assistant & Room Bookings (Mon & Wed ) Kate Drabsch 9926 4685 9926 6188 [email protected] Accountant Swee Mozar 9926 4676 9926 6188 [email protected] Assistant - Finance (M-F 10 - 5 ) Sherry Yam 9926 4686 9926 6188 [email protected]: All IT issues are to be directed to ICT Shared Services

Uni Help Desk (Mon - Fri 0800 - 2100) 9351 6000 [email protected] (phone option preferred

by ICT)Audiovisual Equipment Co-ordinator Bruno Marion 9926 4528 9926 6188 [email protected]

0403 222 839The Pam McLean Centre:Director Stewart Dunn 9926 4694 9926 6188 [email protected] (M, T, T, F) Jennie Dibley 9926 4691 9926 6188 [email protected] Clinical Skills & Simulation Centre:General enquiries 9926 4646 9926 6755Postgrad Program Co-ordinator Tom Hugh 9438 2277 9438 2278 [email protected] Medical Co-ordinator Ben Cass 9926 7597 9926 6311 [email protected] Manager/Clinical Skills Co-ord (M,T,T,F) Jenny Ludeman 9926 4629 9926 6755 [email protected] Officer (Tues, Thurs & Fri ) Kate Drabsch 9926 4633 9926 6755 [email protected] Hospital Contacts:

Hornsby Ku-ring-gaiSub-Dean Narelle Shadbolt 9477 9709 9482 1642 [email protected] Dean (Educational Development) Chris Roberts 9477 9871 9482 1642 [email protected] Administrative Officer - Stages 1 & 2 (Mon - Thurs) Karyn Mossman 9477 9869 9482 1642 [email protected]

Administrative Officer - Community & Stage 2 (M, T & T) Tracey Bayliss 9477 9165 9482 1642 [email protected]

Administrative Assistant (Stages 1 & 3) (M, W & Th) Sue Baar 9477 9136 9482 1642 [email protected]

Manly & Mona ValeSub-Dean Michele Franks 9976 9802 9976 9599 [email protected] Coordinator (M - W) Clare Barwick 9976 9508 9976 3879 [email protected]

Ryde HospitalSub-Dean Logan Kanagaratnam 9858 7944 9980 9300 [email protected] Manager/Administration Suganthi Premachandran 9858 7622 9858 7718 [email protected]

North Shore Private Hospital

Project Manager Farnaz Nazy Sanaei 0431 772 599 / 8425 3030 8425 3970 [email protected]

Rural Hospital Contacts:NRUDRH (Director of Education) Ellen McGirr 6620 7375 6629 4230 [email protected] (Director of Education) John Graham 6620 7375 6629 4230 [email protected] Hospital Training Co-ordinator Karen Wilson 6620 7379 6629 4230 [email protected] Group Email Reception 6620 7570 6629 4230 [email protected] Hospital Training Co-ordinator Jane Nichols 6640 2484 6640 2499 [email protected]

20

Sydney Medical School Northern

Stage 3 Core Blocks 2012

CRS form

Date

Students Name

Topic

CRS Topic was satisfactorily completed, presented and led by the

above named student.

TUTOR NAME

……………………………………………………………..

TUTOR SIGNATURE

……………………………………………………...

DATE

…………………………………….

What did the student do well? ………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………

Areas needing improvement: ……………………………………………………….

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………

Suggested strategies for improvement: ……………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………

NOTE

Submit this form to Sophie within one week of the tutorial along with the ‘Criteria for Assessment in the Long Case’ form.

: Students are required to have this form signed by the CRS tutor for the sessions they lead.

21

CRS feedback form incorporating ‘Criteria for Assessment in the Long Case’

Assessment Domain →

History Examination Summary and Problem List

Differential Diagnosis and Investigation

Management Impact of illness on

patient and family Level of Performance ↓

Much Better than Expected Standard

• Sophisticated interpretation of the history

• Focuses on key issues • Shows maturity in

extracting difficult information

• Actively seeks subtle signs that might enhance diagnosis

• Superior organisation of difficult examination

• Identifies all major and minor problems

• Vary careful prioritisation which includes a long term view

• Recognises social impact of disease

• Superior differential diagnosis that covers all areas and is well prioritized.

• Sophisticated and discriminating use of investigations

• Mature recognition and interpretation of inconsistent results

• Appropriate management plan in complex issues

• Sophisticated appreciation of risks and benefits

• Confident use of an array of medical, surgical and physical therapies

• Shows mature understanding of subtle, difficult, or intimate aspects of patient’s functioning

• Demonstrates balance when discussing issues and sophisticated use of external social support

Better than Expected Standard

• Emphasis on appropriate details

• Appreciates subtleties • Interprets significant

aspects of the history

• Includes important relative negative signs

• Appreciates significance of more subtle signs

• Confidently identifies essential problems

• Shows maturity in recognising lesser issues

• Well ordered differential diagnosis that covers all the major symptom areas.

• Discriminating use of investigations

• Accurate interpretation of results

• Good management of standard issues

• Appreciation of patient compliance and drug interactions

• Shows persistence in exploring subtle psychological issues, or issues that impact on the patient or family

Expected Standard

• Complete and accurate history

• Minimal need to clarify details

• Timely and well structured

• Some interpretation

• Correctly identifies all important physical signs

• Identifies all key problems

• Arranges problems in order of priority

• Develops a sensible differential diagnosis

• Suggest appropriate investigations to refine the differential diagnosis

• Interprets investigations appropriately

• Sensible management of common problems

• Appreciation of the risks and benefits of management choices

• Understands patient’s physical and psychological functioning in relation to disease

• Appreciates impact of treatment and prognosis on patient and family

Short of Expected Standard

• Poorly organised • Omission of some key

issues • Need to clarify important

details

• Omission of some important physical signs

• Find signs that are not present

• Problems poorly prioritised

• Significant problems under-valued

• Poorly organized differential diagnosis

• Erratic and non-discriminatory use of investigations

• Errors in the interpretation of investigations

• Limited understanding of management implications for the patient

• Poor appreciation of compliance issues

• Fails to recognise some important aspects of the disease on patient or family

• Misses some aspect affecting functioning or reaction to illness

Very Poor Performance

• No clear structure • Focused only on single

problem • Minimal detail

• Minimal attention to detail with the examination

• Most key issues unidentified

• No attempt to establish priority

• No systematic differential diagnosis

• Very poor ordering of investigations; not targeted and without regard to expense or complications

• No attempt to interpret investigations

• Poor or unsafe

management • Poor understanding of

common management modalities

• Impact of disease not explored at all, or unable to be discussed

Tutors – Please circle a cell in each row that most reflects the student’s presentation/leadership role Tutors signature............................…

22