MEDN40100 Medicine II

Academic Year 2023/2024

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 1 or 2. Attendance at lectures, tutorials, and clinical attachments is required to satisfactorily complete this module.

Professionalism - 'must pass' Component:

Professionalism is integral to and will be assessed throughout the module. Any behavior which is considered to be in breach of professional behavior will be formally noted. This forms part of the ‘must pass’ component of the assessment.
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:

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.

Professional Behaviours 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
• Submit assignments on time
• 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

Not applicable to this module.


Module Requisites and Incompatibles
:
-

Equivalents:
Medicine II (MDSA40100)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade In Module Component Repeat Offered
Continuous Assessment: Attendance forms are submitted weekly and monitored as a index of professionalism Throughout the Trimester n/a Other No

0

No
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 illness. Week 6 n/a Pass/Fail Grade Scale No

5

No
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 illness Week 6 n/a Graded No

10

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

85

No

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

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

How will my Feedback be Delivered?

Feedback is given individually for the medicine case report

These are suggestions of reading material and electronic resources that you can use for medicine 2

uptodate.com (available to all UCD students through the hospitals)
BMJ best practice (accounts available to all UCD students through UCD library)

Pocket resource (to support clinical reasoning):
I recommend Kumar and Clarke Cases in Clinical Medicine (NOT the oxford handbook!!!). The oxford handbook will not prepare students for the exam as it does not teach how to prioritise and interpret tests or how to prioritise different management strategies.

Textbook that emphasises clinical reasoning:
I recommend The Hands-on Guide to Clinical Reasoning in Medicine. These two books (hands-on and K&C) do not cover the entirety of clinical medicine, but both present the common clinical problems you will encounter, data you will interpret and management decisions using a very systematic approach.

Data interpretation text:
The Hands-on Guide to Data Interpretation. It is quite an in-depth text, but it explains all data you may encounter. Some students may prefer to study from Data interpretation for medical students (more simplified) and use the former as a reference.

Clinical prescribing (useful for reviewing important interactions and adverse effects)
Top 100 drugs & BNF

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.

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 Alexandra McCreery Tutor
Dr Daragh McGee Tutor
Rosa McNamara Tutor
Dr Marissa O'Callaghan Tutor
Dr Fiona O'Hannigan Tutor
Dr Paul Rushe Tutor
Dr John Shaker Tutor
Dr Jehangir khan Tutor