Welcome To Y4 J C U

1. Welcome To Y4 J C U Welcome to Year 4 Clinical Pathology Dr. Shashidhar Venkatesh Murthy Assoc. Professor & Head of Pathology Sha - Shi Foundation of Clinical Science

2. Man is the maker of himself…. You are the stone, You are the chisel, and You are the sculpture….! www.akshardham.com Man is the maker of himself…. You are the stone, You are the chisel, and You are the sculpture….! www.akshardham.com

3. “ Life’s battles don’t go always to the stronger or faster man, sooner or later, the man who wins is the man who thinks he can ” Aim for the Moon … even if you miss, you will land among Stars …..! “ Life’s battles don’t go always to the stronger or faster man, sooner or later, the man who wins is the man who thinks he can ” Aim for the Moon … even if you miss, you will land among Stars …..!

4. 5. JCU Pathology Resources Many New Tools Lectures (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.

5. 7. http:// www.jcu.edu.au/path/Index.htm

6. 9. If you fail to plan, You plan to fail..!

7. 10. Year 4 curriculum outline: Term 1 CVS, RS, Hemat . 7 CPC + 2 Web CPC Term 2 GIT, Hepatobil 7 CPC + 2 Web CPC Term 3 Endocrine, CNS 7 CPC + 2 Web CPC Term 4 Urinary, Genital 7 CPC + 2 Web CPC

8. 11. CPC 3 major domains of competency: Personal domain - Values Professional domain - Ethics Functional domain -Knowledge & skills L0L1 L1L2 L2L3 L3L4 L4L5 Time line  CPC -5 CPC -4 CPC -3 CPC -2 CPC-1 PBL learning Personal Professional Functional Ethics Professionalism Basic Science Clinical Science Public Health EBM Research

9. 12. CLI - SLI CLI -Core Learning Issues (major topic), SLI -Side learning issues (minor)

10. 13. Average CPC Week.. <ul><li>Day1 – Intro, History, Presentation. </li></ul><ul><li>Day2 – Clinical skills, D.Diagnosis. </li></ul><ul><li>Day3 – Pathology– Lecture wed 3pm </li></ul><ul><li>Day4 – Pathology GLS Thus 2pm. </li></ul><ul><li>Day5 – Consolidation.. Answer SAQ </li></ul><ul><li>Day6 – Study Additional case/diff.diag. </li></ul><ul><li>Day7 – Relax & recover or Repair…! </li></ul>

11. 14. <ul><li>Review & Link basic science & Build on Pathology to understand the Patient (disease). </li></ul><ul><li>Key to success - “ Be a doctor ” </li></ul><ul><ul><li>Dress like a “ doctor ” </li></ul></ul><ul><ul><li>Think like a “ doctor ” every question is a patient.. </li></ul></ul><ul><ul><li>Talk like a “ doctor ” </li></ul></ul><ul><ul><li>Behave like a “ doctor ” .. You will be soon…! </li></ul></ul><ul><li>Pathology, the key to be a successful Doctor . </li></ul>Tips for success in Year 4:

12. 15. Common Problems in exams: <ul><li>Questions are clinical case based. </li></ul><ul><li>Understand questions – great skill common mistake in exam. </li></ul><ul><li>Treat the patient * </li></ul><ul><li>Think simple* “common sense” </li></ul><ul><li>Exams - simple, Common & Basic </li></ul><ul><li>You are allowed to “kill” 50% of your patients only in an exam, not later…! </li></ul><ul><li>Aim for high rank… not just pass. </li></ul>

13. 16. What motivates senior clinicians to teach Medical students in Australia? <ul><li>Positive: </li></ul><ul><li>Altruism * </li></ul><ul><li>Intellectual satisfaction </li></ul><ul><li>Personal skills </li></ul><ul><li>Truth seeking </li></ul><ul><li>Negative: </li></ul><ul><li>No strong involvement (course) </li></ul><ul><li>Heavy work load </li></ul><ul><li>Feeling it was a waste of time. </li></ul>Jane Dahlstrom et. al. ANU, Canberra, Australia BMC Medical Education 2005, 5:27  doi:10.1186/1472-6920-5-27 Selfless concern for the welfare of others.

14. 17. Altruism……!

15. 18. Winners Club: <ul><li>Joining Criteria (voluntary) – email me. </li></ul><ul><li>MB3 2008 marks <55% (over all) </li></ul><ul><li>Those who failed or took supps & think they are not good… !!! (to be approved) </li></ul><ul><li>Winners club Activities: </li></ul><ul><li>Initial discussion and plan for change. </li></ul><ul><li>Periodic group meetings. </li></ul><ul><li>Private discussion forum for club. </li></ul><ul><li>Personal coaching by team of experts. </li></ul><ul><li>Personal tutoring by senior students * </li></ul><ul><li>Close follow-up of progress. </li></ul>

16. 19. Authors Club: <ul><li>Plan to publish “ Year 4 Pathology book ” . </li></ul><ul><li>Students are the authors. </li></ul><ul><li>Criteria to join: (voluntary, all welcome) </li></ul><ul><li>Every CPC week - email me, </li></ul><ul><ul><li>Brief Notes / points / diagrams etc. </li></ul></ul><ul><ul><li>New questions (MCQ & KFP). </li></ul></ul><ul><ul><li>New clinical cases with questions to system. </li></ul></ul><ul><li>All contributing club members will be authors of this new Pathology note book. </li></ul><ul><li>I will compile, Edit & publish the book. </li></ul>

17. 20. Challenge….! Jan 2009: 4 th 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….? Yes We Can…!

18. 21. <ul><li>Sent: Monday, 11 August 2008 11:04 AM </li></ul><ul><li>To: richard.murray@jcu.edu.au </li></ul><ul><li>Cc: 625Staff@jcu.edu.au; Lynden_Roberts@health.qld.gov.au </li></ul><ul><li>Subject: internal medicine exam success at the Townsville Hospital </li></ul><ul><li>Dear Richard, </li></ul><ul><li>I would like to share with you, and with the rest of the school a significant &quot;win&quot; for internal medicine training at The Townsville Hospital. </li></ul><ul><li>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. </li></ul>

19. 22. Final advice….. <ul><li>Aim to be the best , many lives depend on your knowledge & skills. </li></ul><ul><li>Planning ahead is the key to success...Plan your time , money, resource & life. </li></ul><ul><li>Little work daily – Check every Friday! </li></ul><ul><li>Exam should not be a surprise or stress! </li></ul><ul><li>only in an exam you can kill 50% of your patients and pass …  </li></ul>

20. 23. I am here for you…. <ul><li>Email: [email_address] </li></ul><ul><li>[email_address] </li></ul><ul><li>Office Tel: 4781 4566 </li></ul><ul><li>Office location – MS136 </li></ul><ul><li>Need personal guidance? </li></ul><ul><ul><li>Email me for appointment. </li></ul></ul><ul><li>Emergency? .. Mobile 0416933704 </li></ul><ul><li>Useful resource: </li></ul><ul><ul><li>Scottish medical students guide to 4 th year </li></ul></ul><ul><ul><li>Guide to Clinical Years </li></ul></ul>

21. 24. <ul><li>Where am I going..? </li></ul>Where I want to be in 5-10 years time…? Your progress toward success begins with a simple fundamental question <ul><li>What am I doing..? </li></ul>

22. 25. &quot;The end of education is character &quot; - SAI BABA

23. 26. Self Assessment Quiz Get ready with your remotes… Keepad – Student Response System

24. 27. Learning in Year 4 is to… <ul><li>Learn clinical medicine & Pathology. </li></ul><ul><li>Behave like a doctor professionally. </li></ul><ul><li>Integrate clinical knowledge & Pathology for Treating patient. </li></ul><ul><li>Integrate basic science & Pathology in learning clinical practice </li></ul><ul><li>Learn Pathology and clinical skills. </li></ul>

25. 28. Major objective of CPC tutorial group discussion is… <ul><li>To find a solution to the patient problem </li></ul><ul><li>Make a diagnosis and learn about patient case </li></ul><ul><li>To learn clinical practice through case study. </li></ul><ul><li>learn in group to answer questions and </li></ul><ul><li>To identify questions & learning issues in a clinical case. </li></ul>

26. 29. Key to success in year 4 is to dress, think & behave like a… <ul><li>Good student </li></ul><ul><li>Doctor </li></ul><ul><li>Professional </li></ul><ul><li>Medical Student </li></ul><ul><li>Teacher </li></ul>

27. 30. The components of final exam includes all EXCEPT <ul><li>Objective Structured Practical Examination (OSPE) </li></ul><ul><li>OSC(clinical)E </li></ul><ul><li>KFP Paper </li></ul><ul><li>MCQ Paper </li></ul><ul><li>Case presentation </li></ul>

28. 31. Regarding attendance policy, All the following statements are true EXCEPT, <ul><li>All school of medicine arranged activities are compulsory. </li></ul><ul><li>Tutorial attendance is compulsory to be eligible for final examination. </li></ul><ul><li>Student must have at least 80% attendance for eligibility to take final examination </li></ul><ul><li>Non-attendance is only acceptable in serious & unforeseeable events </li></ul><ul><li>The reason for non-attendance must have documentary support </li></ul>

29. 32. Non essential skill for MB4 <ul><li>Clinical examination </li></ul><ul><li>Clinical diagnosis </li></ul><ul><li>Clinical Management </li></ul><ul><li>Clinical investigations </li></ul><ul><li>History taking </li></ul>

30. 33. In the assessment policy, unacceptable reasons for extensions include all the following EXCEPT <ul><li>work commitments including clinical placement </li></ul><ul><li>sporting or other community commitments </li></ul><ul><li>Rural placements without computer facility </li></ul><ul><li>routine, non-urgent medical, dental or other appointments </li></ul><ul><li>computer or printer failure </li></ul>

31. 34. “ 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

32. 35. Mark Loane: Qld, Rugby Hero, Ophthalmologist. <ul><li>Completed his medical degree while still a Wallaby </li></ul><ul><li>Interest in visual art and landscape – became an ophthalmologist at 28y. </li></ul><ul><li>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. </li></ul><ul><li>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.” </li></ul><ul><li>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”. </li></ul><ul><li>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” </li></ul><ul><li>Ref: http://www.theaustralian.news.com.au/story/0,25197,22182611-5012694,00.html </li></ul>

33. 36. MB4 – Summary: <ul><li>Knowledge: </li></ul><ul><ul><li>Basic Science </li></ul></ul><ul><ul><li>Clinical Pathology </li></ul></ul><ul><li>Skills </li></ul><ul><ul><li>Professional – be a ‘doctor’. </li></ul></ul><ul><ul><li>Problem solving – Responsible, Creative </li></ul></ul><ul><ul><li>Clinical skills. </li></ul></ul><ul><li>Attitude </li></ul><ul><ul><li>Professional - Patient oriented </li></ul></ul><ul><ul><li>Caring, Responsible, humility. </li></ul></ul><ul><ul><li>Think, dress, behave like a “ doctor ”. </li></ul></ul>

34. 37. Tutorial – PBL Learning. Fixed Resource Question  Resources  Answer (Tutorial) ? Peer group Lecture Senior Students Text Books Laboratory Library Hospital/clinics Internet Community A