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Welcome lecture to preclinical medical students.
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Welcome to Year 4Welcome to Year 4
Clinical PathologyClinical Pathology
Dr. Shashidhar Venkatesh MurthyAssoc. Professor & Head of Pathology
ShaSha--ShiShi
Foundation of Clinical Science
Man is the maker of himself….
You are the stone, You are the chisel, and You are the sculpture….!
www.akshardham.com
““Life’s battles don’t go always to Life’s battles don’t go always to the stronger or faster man, sooner the stronger or faster man, sooner or later, the man who wins is the or later, the man who wins is the
man man who thinks he canwho thinks he can””
Aim for the Aim for the MoonMoon… even if you miss, … even if you miss, you will land among you will land among StarsStars…..!…..!
JCU PathologyJCU PathologyResourcesResources
Many New ToolsLectures (Podcasts, Keepad, Video). Notes, reading materialsOnline Pathology Museum, Digital Webslides, Discussion boards, Winners club, Authors club, GLS (practical) videos, ,, links, Youtube videos, comprehensive pathology website.
http://www.jcu.edu.au/path/Index.htm
If you fail to plan, If you fail to plan, You plan to fail..!You plan to fail..!
Term 1CVS, RS, Hemat.7 CPC + 2 Web CPC
Term 2GIT, Hepatobil7 CPC + 2 Web CPC
Term 3Endocrine, CNS 7 CPC + 2 Web CPC
Term 4Urinary, Genital
7 CPC + 2 Web CPC
Year 4 curriculum outline:Year 4 curriculum outline:
CPC
EthicsProfessionalism
BasicScienceClinical
Science
PublicHealth
EBMResearch
3 major domains of competency:
Personal domain - ValuesProfessional domain - EthicsFunctional domain -Knowledge &
skills
L0L1 L1L2 L2L3 L3L4 L4L5
Time line
CPC-5CPC-4CPC-3CPC-2CPC-1
PBL learning
Personal Professional Functional
CLI - SLICLI - SLI
CLI-Core Learning Issues (major topic), SLI-Side learning issues (minor)
Average CPC Week..Average CPC Week..Day1 – Intro, History, Presentation.
Day2 – Clinical skills, D.Diagnosis.
Day3 – Pathology– Lecture wed 3pm
Day4 – Pathology GLS Thus 2pm.
Day5 – Consolidation.. Answer SAQ
Day6 – Study Additional case/diff.diag.
Day7 – Relax & recover or Repair…!
Review & Link basic science & Build on Pathology to understand the Patient (disease).
Key to success - “Be a doctor” Dress like a “doctor” Think like a “doctor” every question is a patient.. Talk like a “doctor” Behave like a “doctor” .. You will be soon…!You will be soon…!
Pathology, the key to be a successful Doctor.
Tips for success in Year 4:Tips for success in Year 4:
Common Problems in exams:Common Problems in exams:Questions are clinical case based.Understand questions – great skill
common mistake in exam.Treat the patient *Think simple* “common sense”Exams - simple, Common & Basic You are allowed to “kill” 50% of your
patients only in an exam, not later…!Aim for high rank… not just pass.
What motivates senior clinicians to What motivates senior clinicians to teach Medical students in Australia?teach Medical students in Australia?
Positive: Altruism * Intellectual
satisfaction Personal skills Truth seeking
Negative: No strong involvement
(course) Heavy work load Feeling it was a waste
of time.
Jane Dahlstrom et. al. ANU, Canberra, AustraliaBMC Medical Education 2005, 5:27 doi:10.1186/1472-6920-5-27
Selfless concern Selfless concern for the welfare for the welfare
of others.of others.
Altruism……!Altruism……!
Winners Club: Joining Criteria (voluntary) – email me. MB3 2008 marks <55% (over all) Those who failed or took supps & think
they are not good… !!! (to be approved)
Winners club Activities: Initial discussion and plan for change. Periodic group meetings. Private discussion forum for club. Personal coaching by team of experts. Personal tutoring by senior students* Close follow-up of progress.
Authors Club: Plan to publish “Year 4 Pathology book” . Students are the authors. Criteria to join: (voluntary, all welcome) Every CPC week - email me,
Brief Notes / points / diagrams etc. New questions (MCQ & KFP). New clinical cases with questions to system.
All contributing club members will be authors of this new Pathology note book.
I will compile, Edit & publish the book.
Challenge….!Challenge….!
Jan 2009:
4th Year Students at JCU School of Medicine set new record.…!!!100% Pass & Class Average of over 70%99% Pass & Class Average of 68%
Highest
Are you ready for the Challenge….?Are you ready for the Challenge….?
Yes We Can…!
Sent: Monday, 11 August 2008 11:04 AMTo: [email protected]: [email protected]; [email protected]: internal medicine exam success at the Townsville HospitalDear Richard,I would like to share with you, and with the rest of the school a
significant "win" for internal medicine training at The Townsville Hospital.
We have recently experienced significant success in the very difficult clinical exams for physician training, with an impressive 70% pass rate for our candidates. This follows on from a nearly 90% pass rate in the written exams in March 2008, which is one of the highest in the state. Over the past few months, the physicians at TTH have put enormous effort into preparing the candidates - I have been very impressed and proud to be a part of this collective effort. In previous years, we have had only a handful of candidates attempting these exams, and have had no-where the pass rate of 2008, so we are all very pleased at these developments and proud of all of our candidates.
Final advice…..
Aim to be the best, many lives depend on your knowledge & skills.
Planning ahead is the key to success...Plan your time, money, resource & life.
Little work daily – Check every Friday! Exam should not be a surprise or stress! only in an exam you can kill 50% of your
patients and pass…
I am here for you….I am here for you….
Email: [email protected] [email protected] Office Tel: 4781 4566 Office location – MS136 Need personal guidance?
Email me for appointment.
Emergency? .. Mobile 0416933704 Useful resource:
Scottish medical students guide to 4th yearGuide to Clinical Years
•Where am I going..?Where am I going..?
Where I want to be in 5-10 years time…?Where I want to be in 5-10 years time…?
Your progress toward success begins Your progress toward success begins with a simple fundamental questionwith a simple fundamental question
•What am I doing..?What am I doing..?
"The end of "The end of education is education is charactercharacter" "
- - SAI BABASAI BABA
Self Assessment Self Assessment QuizQuiz
Get ready with your remotes…Keepad – Student Response System
Learning in Year 4 is to…Learning in Year 4 is to…
1 2 3 4 5
9%4%
7%
63%
17%
1. Learn clinical medicine & Pathology.
2. Behave like a doctor professionally.
3. Integrate clinical knowledge & Pathology for Treating patient.
4. Integrate basic science & Pathology in learning clinical practice
5. Learn Pathology and clinical skills.
Major objective of CPC tutorial Major objective of CPC tutorial group discussiongroup discussion is…is…
1 2 3 4 5
2% 2%
86%
0%
9%
1. To find a solution to the patient problem
2. Make a diagnosis and learn about patient case
3. To learn clinical practice through case study.
4. learn in group to answer questions and
5. To identify questions & learning issues in a clinical case.
Key to success in year 4 is to dress, think & behave like Key to success in year 4 is to dress, think & behave like a…a…
1 2 3 4 5
15%
43%
1%
33%
8%
1. Good student2. Doctor3. Professional4. Medical Student5. Teacher
The components of final exam includes all The components of final exam includes all EXCEPTEXCEPT
1 2 3 4 5
66%
1%
33%
0%0%
1. Objective Structured Practical Examination (OSPE)
2. OSC(clinical)E3. KFP Paper4. MCQ Paper5. Case presentation
Regarding attendance policy, All the following Regarding attendance policy, All the following statements are true EXCEPT,statements are true EXCEPT,
1 2 3 4 5
17%
12%
7%
16%
48%
1. All school of medicine arranged activities are compulsory.
2. Tutorial attendance is compulsory to be eligible for final examination.
3. Student must have at least 80% attendance for eligibility to take final examination
4. Non-attendance is only acceptable in serious & unforeseeable events
5. The reason for non-attendance must have documentary support
Non essential skill for MB4 Non essential skill for MB4
1 2 3 4 5
1%
21%
1%3%
74%
1. Clinical examination2. Clinical diagnosis3. Clinical Management4. Clinical investigations5. History taking
In the assessment policy, unacceptable reasons for In the assessment policy, unacceptable reasons for extensions include all the following EXCEPTextensions include all the following EXCEPT
1 2 3 4 5
4% 6% 6%
17%
67%
1. work commitments including clinical placement
2. sporting or other community commitments
3. Rural placements without computer facility
4. routine, non-urgent medical, dental or other appointments
5. computer or printer failure
“Fixing your objective is like identifying the North Star--you sight your compass on it and then use it as the means of getting back on track when you tend to stray”--Marshall Dimock
Mark Loane: Mark Loane: Qld, Rugby Hero, Qld, Rugby Hero,
Ophthalmologist.Ophthalmologist. Completed his medical degree while still a Wallaby Interest in visual art and landscape – became an ophthalmologist at 28y. By the early ’90s Loane had joined the Queensland Trachoma and Eye
Health Project and for six years he toured distant outposts such as Woorabinda, Birdsville, Thargomindah and Goondiwindi. But while he revelled in the work, he also resolved to build a new, more effective program that used the premier laser equipment and delivery systems.
By all accounts, he has done just that. The Cape York project’s lead optometrist, Rowan Churchill, notes that the system of care Loane devised is being copied in other corners of Australia, such as the Torres Strait. “It’s just a good system,” says Churchill. “It just works. We get great outcomes.”
For his part, Loane reckons his has been a “modest contribution”, one that the 200-odd Australian ophthalmologists working in remote communities and Third World countries make every year. But he intends to keep making it as long as Aboriginal people want him. He never tires of the Outback and its people, “a big space where big characters grow”.
As for what inspires him, Loane nominates his love of Australia and the sacrifices made by his wife, Elizabeth, and two daughters. “This country is a fair and just country, and it’s one that my father and grandfather thought was worth fighting for. You need to give something back – because if you keep on taking, there will be nothing left for your children”
Ref: http://www.theaustralian.news.com.au/story/0,25197,22182611-5012694,00.html
MB4 – Summary: MB4 – Summary: Knowledge:
Basic Science Clinical Pathology
Skills Professional – be a ‘doctor’. Problem solving – Responsible, Creative Clinical skills.
Attitude Professional - Patient oriented Caring, Responsible, humility. Think, dress, behave like a “doctor”.
?
Fixed Resource
Peer group
Lecture
Senior Students
Text Books
Laboratory
Library
Hospital/clinics
Internet
Community
A
Tutorial – PBL Learning.Tutorial – PBL Learning.
Question Question Resources Resources AnswerAnswer(Tutorial)(Tutorial)
