MEDN40100 Medicine II

Academic Year 2022/2023

The aim of the module is to help students develop the knowledge, skills and professionalism necessary to become a good doctor.
This six-week module aims to build upon the foundation of the basic sciences and clinical medicine already learned and focus on developing the student's skills in critical thinking, clinical reasoning and data interpretation. There is a blended approach to teaching including, clinical placements, lectures, and small group tutorials . Clinical placements are an important part of clinical and professional training and provides students with the opportunity to observe medical teams in practice and engage with patients and real world issues of patient safety, ethics and professionalism preparing them for their future role as doctors. During this module, students will have clinical placements in medicine, emergency medicine, anaesthesia and radiology. Clinical placements comprise of a 3-week rotation in medicine, and 1-week rotations in emergency medicine, anaesthesia and radiology. Students will do a 1 week rotation in ophthalmology during medicine or surgery. Attendance at lectures, tutorials, and clinical attachments is required to satisfactorily complete this module.

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Curricular information is subject to change

Learning Outcomes:

On completion of this module students should be able to:

Knowledge
• Describe the pathology and pathophysiology underlying various diseases and conditions.
• Describe the most frequent clinical, laboratory, imaging, and pathologic manifestations of common disease states
• Demonstrate competency in the safe and effective use of medications

Skills
1. Diagnostic Decision Making
• Formulate a differential diagnosis based on the findings from the history and physical examination.
• Use the differential diagnosis to help guide diagnostic test ordering and its sequence.
• Recognise patients with immediately life-threatening or serious conditions requiring critical care and institute appropriate initial therapy.
• Reason deductively in solving clinical problems.

2. Test Interpretation
• Recommend the diagnostic studies with the greatest likelihood of useful results.
• Interpret the results of commonly used diagnostic procedures and tests in terms of the related pathophysiology.

3. Therapeutic Decision Making
• Design and explain the basis for appropriate management strategies (preventive, diagnostic and therapeutic) for common acute and chronic conditions.
• Describe factors that frequently alter the effects of medications, including drug interactions and compliance problems.

Values and Attitudes
• Demonstrate understanding of the 8 domains of good clinical practice
• Demonstrate respect for patients, health care professionals and other students.
• Attend scheduled teaching and clinical placements
• Behave and dress in a professional manner

Indicative Module Content:

Clinical reasoning and data interpretation

Student Effort Hours: 
Student Effort Type Hours
Lectures

40
Small Group

10
Tutorial

10
Autonomous Student Learning

50
Placement/Work Experience

90
Total

200
Approaches to Teaching and Learning:
Key learning approaches used in the module will include lectures and tutorials, small group problem-based learning, autonomous reflective learning, and direct observation during clinical placements.

 
Requirements, Exclusions and Recommendations
Learning Requirements:

Students must have taken and passed either MDSA40020, MDSA40030 and MDSA40050/CLIP40050 OR MDSA40070 and MDSA30120/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, MEDN40090 - Medicine I

Additional Information:
Students must have taken and passed either (MDSA40020, MDSA40030)/MDSA30300 and CLIP40050/MEDN30000 OR MDSA40070 and CLIP30230 plus co-requisite MEDN40090.

Equivalents:
Medicine II (MDSA40100)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Assignment: Anesthesia: A patient case describing pre-assessment, inter-operative and postoperative clinical course. An alternative assignment may be available for students that cannot attend due to COVID-19. Week 6 n/a Pass/Fail Grade Scale No

5
Examination: Clinical reasoning and data Interpretation Exam 2 hour End of Trimester Exam No Graded No

85
Assignment: A long case that demonstrates the students understanding of clinical reasoning and data interpretation. An alternative assignment may be available for students that cannot attend due to COVID-19. Week 6 n/a Graded No

10

Carry forward of passed components
No
 
Resit In Terminal Exam
Summer Yes - 1 Hour
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Group/class feedback, post-assessment

How will my Feedback be Delivered?

Not yet recorded.

These are suggestions and not recommended reading

Medical text book:
Whatever text book you had for medicine 1 is probably fine. e.g. Kumar and Clarke, Harrisons, Davidson's etc.

Revision text books:
e.g. Master the boards Step 2 CK or Step 2 CK Lecture notes internal medicine (Kaplan). These are not a substitution for a text book but can be useful in revision and narrowing down what is important within a topic. Both have space to make your own notes in the margins.

Clinical prescribing
Top 100 drugs & BNF

Pocket books:
Oxford handbook - reassuring to have in your pocket but not so useful for preparing for this exam.

Question banks
UK units: passmedicine for medical students
USMLE Step 2 CK: kapest or Uworld - Ask the friends doing the USMLE step 2 CK for their recommendations.



Name Role
Mr Patrick Ryan Lecturer / Co-Lecturer
Dr Ahmed Abdelaatti Tutor
Dr Paul Bergin Tutor
Dr Avinash Bhupalan Tutor
Dr Joanne Byrne Tutor
Dr Orla Cotter Tutor
Dr Ellen Horgan Tutor
Dr Karl Kavanagh Tutor
Dr Evelyn Lynn Tutor
Assoc Professor Cormac McCarthy Tutor
Dr Daragh McGee Tutor
Dr Marissa O'Callaghan Tutor
Dr Fiona O'Hannigan Tutor
Dr Paul Rushe Tutor
Dr John Shaker Tutor
Dr Jehangir khan Tutor