About the Medicine Program

About the Medicine Program

The UNSW Medicine program has a curriculum where medical science and clinical disciplines are highly integrated to ensure an optimum learning experience.

UNSW Medicine has developed an innovative six year, three Phase undergraduate Medicine program. The program leads to the awards of Bachelor of Medical Studies/Doctor of Medicine (BMed/MD).

The program has been developed to reflect dramatic changes in the environment of medical practice to meet:

  • changing community expectations of doctors
  • major shifts in the patters of health and disease, such as the increased burden on society caused by chronic illness
  • a huge expansion of knowledge in the biomedical sciences
  • the information technology revolution allowing access to expanding sources of information

Assessment

Assessment

Assessment of learning in the Medicine program has been designed to support and direct student learning. Key features of the system include:

  • An assessment system that is outcome or capability based, requiring students to demonstrate their ongoing development in the eight capability areas. Progression will not be based solely on satisfactory completion of individual courses, nor will it correspond solely to annual stages;

  • A focus on assessment for learning, with learning tasks, carried out individually or in groups, forming a significant part of the assessment, opportunities for formative assessment;

  • Coarse grading of summative assessments, with repeated sampling. Most assessments are graded on a four point scale;

  • Examinations that require students to integrate basic, clinical and social sciences; with no discipline-specific assessments;

  • Assessment of clinical skills during clinical placements as well as in formal clinical examinations (performance assessments);

  • A learning portfolio examination in each phase that requires students to collect evidence of their performances in specified areas of capability, select their best examples and submit these, together with a commentary on their learning, for review. In phase three this examination involves an oral defence;

  • Grading systems which are criterion referenced, making the expected standards of performance clear and explicit to students and to examiners alike;

  • Development of student autonomy in regard to assessment through involvement in some self and peer assessment, some negotiation of assignments and projects, and the process of selecting and reflecting on student's evidence for learning in the capabilities for the portfolio examinations.
     

These characteristics of the assessment scheme have been designed to encourage active learning and to support interdisciplinary integration.

Assessment Methods

A wide-range of appropriate assessment methods are used to ensure students have achieved the level of knowledge and skill required. Methods include:

  • Assignments
  • Group Projects
  • Practical Exams
  • Written exams with multiple choice, short answer and essay questions
  • Objective structured clinical exams
  • Verbal viva exams
  • Short cases, long cases and focused clinical exams
  • Thesis (Independent Learning Project)

Capabilities

Graduate Capabilities

The UNSW Medicine program is based on the achievement of eight desired capabilities by graduation. Each graduate capability has an average of 5-6 elements to be achieved in each phase and the assessment system is structured to measure achievement of these elements.

The eight graduate capabilities are grouped into a set of three central pillars that run through the entire program (see table below). The development of core personal attributes in students and interactional abilities will occur through specific activities and as an inherent part of the learning process. The third capability emphasises the application of knowledge and skills in medical practice.

 

Summary of desired capabilities of students at graduation

Applied Knowledge
and Skills

Interactional Abilities

Personal Attributes

Using basic and clinical sciences in the practice of medicine

Effective communication with patients, team members, colleagues and the community

Self-directed learning and critical evaluation skills

Understanding the social and cultural aspects of health and disease

Working as a member of a team

Understanding ethics and legal responsibility in medicine and acting in an ethical and socially responsible manner

Patient assessment and management

 

Development as a reflective practitioner

 

Structure

Program Structure

The six-year program is divided into three Phases: scenario based learning, practice based learning and independent reflective learning.

Four domains organise the program throughout the three Phases. Three of these domains represent the stages of the human life cycle, the fourth represents the environment in which life exists.

Within each domain there are four major themes, which are key concepts important to understanding health, illness and medical practice. Themes provide a broad issue for students to explore and students will revisit the theme in different contexts throughout the three Phases.

The content includes aspects of proactive and reactive approaches to health issues in individuals and populations, and is organised into three content streams, biomedical sciences, the social and psychological aspects of health and illness, and medical practice.

Within each Phase, vertical integration occurs with students working together collaboratively. (For example, first and second year students are combined in Phase 1 in the second half of the year.) This means that students play both learner and mentor roles as they progress through Phases 1, 2 and 3.
 

An example of courses studied in the Medicine Program

image - Structure

Note: The sequence of courses is illustrative of one possible sequence. Course sequences will vary for individual students.

 

Themes

Within each domain, there are four major themes (see table below). These 16 themes are key over-arching concepts considered critical to understanding health, illness and medical practice.

Domain

Major Themes

Beginnings, Growth and Development
Study of the biological and social science principles relevant to the life cycle from conception to adulthood

Conception, pregnancy and birth
Childhood growth and development
Puberty, adolescence, sexuality and relationships
Nutrition, growth, and body image

Health Maintenance
Focuses on the internal and external processes that maintain a state of health in ‘middle-life’, and how the disturbance of these leads to disease

Homeostasis, sustenance, and equilibrium
Education, health promotion, and disease prevention
Host defence
Lifestyle factors that risk health

Ageing and Endings
Focuses on health issues that arise as people age

Menopause
The ageing process
Degenerative disease
Death, dying and palliative care

Society and Health
Emphasises the inter relationship between the health of the individual or a population and the environment in which they live
 

Society, culture and genes
Socioeconomic determinants of health
Health delivery systems
Health and human rights

 

Teaching Methods

Teaching Methods

The majority of teaching in Phase 1 of the curriculum (first 2 years) occurs on the main university's Kensington campus and includes lectures, small group work, tutorials and practical classes held in laboratories. During this Phase, clinical sessions are held in hospitals.

In Phase 2 of the program (next 2 years), the clinical sessions held in hospitals increase to 3 days per week. Campus teaching (lectures, small group work, tutorials and practical classes) are held on the other 2 days per week at the Kensington campus. Phase 2 also includes the Independent Learning Project. In this unique learning experience, students undertake a supervised research project of their choosing.

In Phase 3 of the program (final 2 years), almost all teaching is conducted in hospitals. It incudes bedside tutorials, classroom tutorials, ward rounds and attendance at clinics. Lectures held on the main university campus also form part of the teaching program in this Phase.

In all three Phases of the program, students will be required to travel to various clinical environments associated with UNSW. These will be the predominant locations for learning in Phases 2 and 3, and will include at least 4 weeks in a non-metropolitan setting and for a quarter of students will include between one and two academic years in a non-metropolitan setting in Phase 2 and/or 3.

UNSW Medicine Teaching Hospitals

The main hospitals located in Sydney used for clinical teaching are:

  • Prince of Wales Hospital, Randwick
  • St George Hospital, Kogarah
  • St Vincent's Hospital, Darlinghurst
  • Liverpool Hospital, Liverpool
  • Sydney Children’s Hospital, Randwick
  • Royal Hospital for Women, Randwick
  • Sutherland Hospital, Caringbah
  • Bankstown Hospital, Bankstown
  • Fairfield Hospital, Fairfield

 

The main hospitals located outside of Sydney and in rural New South Wales and Victoria used for clinical teaching are:

  • Wagga Wagga Base Hospital, Wagga Wagga
  • Albury Base Hospital, Albury
  • Wodonga Regional Health Service, Wodonga (Victoria)
  • Port Macquarie Base Hospital, Port Macquarie
  • Coffs Harbour Hospital, Coffs Harbour

 

It is expected that students who gain entry via the Rural Student Entry Scheme will be allocated to a rural hospital and undertake at least either Phase 2 or Phase 3 in rural hospitals. Other local students may have the option or be required to undertake at least either Phase 2 or Phase 3 in rural hospitals and all local students should expect at least 4 weeks in a rural rotation in Phase 3.

Students considering applying for entry into UNSW Medicine must be willing to undertake their training in a range of hospital and health care facilities. For further information please refer to the UNSW Medicine Policy on Allocation of Students to Clinical Environments.

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