MEDN40090 Medicine I

Academic Year 2022/2023

Indicative Module Description: The Medicine 1 module encompasses 6 continuous weeks of clinical medicine in one of the UCD-affiliated teaching hospitals. This module introduces the student to a detailed curriculum of core clinical medicine with ongoing focus on clinical assessment, differential diagnosis and management of common clinical presentations and disease entities. The key components of the module are: Didactic lectures, small group tutorials and clinical attachments. Case work is comprised of 2 x 3 week attachments to 2 medical teams. During these attachments the students will attend the main ward and clinic activities of the relevant team to which they are attached. They are expected to attend conferences ( e.g. grand rounds) and other scheduled tutorials. Please note 100% attendance at module activities is mandatory, including scheduled lectures. Please note also that the clinical component of the end of module assessment (i.e. the OSCE) is a 'must pass' examination. Changes to how the module content is provided to students is anticipated to arise from the ongoing COVID-19 pandemic with the potential need at times for remote teaching and learning through electronic means, and remember to repeatedly seek out the module administrative updates for further details that will be provided on Brightspace.
Professionalism: Professionalism is integral to and will be assessed throughout the module. Any behaviour which is considered to be in breach of professional behaviour will be formally noted. This forms part of the 'must pass' component of the assessment. N.B: Any behaviour which is considered to be in breach of professional behaviour as set out in the School's Statement on Fitness to Practice (in addition to the University's policy) will be formally noted.

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Curricular information is subject to change

Learning Outcomes:

Indicative Learning Outcomes: On completion of this module students should:- should be proficient in clinical history taking and in targeted systems-based physical examination- should be able to formulate a differential diagnosis for common clinical presentations- should appreciate the indications for and interpretation of basic laboratory, radiological and other investigations- should have a basic knowledge of the management of common diseases, and of the pharmacology and toxicology of commonly prescribed medications.

Indicative Module Content:

The module content will largely come from themes addressed in didactic lectures from experienced clinician educators that will orientate students to the most common clinical presentations, supplemented by learning from clinical rotations which include subspecialty-specific education sessions, multi-disciplinary team meetings, journal clubs and medical grand rounds, small group teaching and self-directed reading. Suggested reading list is provided.

Student Effort Hours: 
Student Effort Type Hours
Lectures

36
Tutorial

24
Specified Learning Activities

15
Autonomous Student Learning

20
Placement/Work Experience

200
Total

295
Approaches to Teaching and Learning:
Active task-based learning such as history-taking and targeted physical examination; peer and group work such as the experiences gained from clinical attachment; lectures on a broad range of clinical medicine subspecialty topics that will alert students to be common medical presentations that will be assessed; case-based learning from following the course of individual patient journeys to discharge and in ambulatory day care; student presentations such as presenting your patient's history and physical exam findings/differential diagnoses/investigations/management plan to senior colleagues on the team to which you are attached. We encourage you to circulate learnings from having had clinician-supervision of your own cases by critically/constructively appraising each others examination and presentation technique when seeing a patient on the wards with a student colleague, a good example of professionalism/collegiality. 
Requirements, Exclusions and Recommendations
Learning Requirements:

Students must have taken either MDSA40020, MDSA40030 and MDSA40050/CLIP40050 OR MDSA40070 and MDSA30230/CLIP30230


Module Requisites and Incompatibles
Pre-requisite:
CLIP30230 - GI/GU Therapeutics, CLIP40050 - Therapeutics, MDSA40020 - History taking, MDSA40030 - Physical examination, MDSA40070 - Adv Clinical Skills Course

Co-requisite:
MDSA30300 - Clinical Skills, MEDN30000 - Therapeutics

Additional Information:
“Pre-requisites: CLIP40050/MEDN30000, (MDSA40020, MDSA40030)/MDSA30300 OR CLIP30230, MDSA40070.

Equivalents:
Medicine I (MDSA40090)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Practical Examination: Clinical OSCE - 8-minute-long stations x 6 (examiner with patient or actor: cardiac, resp, abdo, neuro, misc, communication station). Exam week: Monday 21st November 2022, in-module re-sit if failed. 1 hour End of Trimester Exam n/a Alternative non-linear conversion grade scale 50% Yes

60
Multiple Choice Questionnaire: "Single Best Answer" format (SBA). 60 item paper of clinical vignettes covering all medicine subspecialties. Exam week commences Monday November 21st 2022. Exact date/time closer to the time. 1 hour End of Trimester Exam n/a Alternative non-linear conversion grade scale 50% No

40

Carry forward of passed components
Yes
 
Resit In Terminal Exam
Spring Yes - 1 Hour
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

Feedback can be provided after the assessments. Feedback can also be provided where required at other times.

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Talley & O'Connor Clinical Examination

Name Role
Mr Patrick Ryan Lecturer / Co-Lecturer
Dr Paul Bergin Tutor
Dr Avinash Bhupalan Tutor
Dr Joanne Byrne Tutor
Dr Orla Cotter Tutor
Dr Stephen Hatton Tutor
Dr Ellen Horgan Tutor
Dr Karl Kavanagh Tutor
Dr Jehangir Khan Tutor
Dr Aoife Catriona Lally Tutor
Dr Rachel Lockhart Tutor
Ihtisham Malik Tutor
Dr Alexandra McCreery Tutor
Dr Marissa O'Callaghan Tutor
Dr Ross O'Carroll Tutor
Dr Clíona O'Donnell Tutor
Dr Fiona O'Hannigan Tutor
Professor Yvonne O'Meara Tutor
Dr Aoife O'Reilly Tutor
Dr Paul Rushe Tutor
Dr Muhammad Naeem Sheikh Tutor
Dr Miray Unal Tutor