Program
Overview

Year 1

Learning and Placement

Year 2

Learning and Placement

Year 3

Learning and Placement

Year 4

Learning and Placement

Year 1

Learning and Placement

Year 2

Learning and Placement

Year 3

Learning and Placement

Year 4

Learning and Placement

The Doctor of Medicine (MD) Program is a four-year course, with clinical placement experiences beginning in Year 1. The following information provides an overview of each of the four years of the course, to inform you about the expected level of knowledge of our students and allow you to tailor your teaching and assessment accordingly.

Longitudinal Teaching Themes

Alongside the Medical Sciences and Clinical Practice themes, learning encompassing Indigenous Health, Public Health Medicine, and Ethics, Law & Professionalism are integrated across all four years of the MD program. This begins from day one, and is supported by the Research Scholar Program.

Ethics, Law and Professionalism (ELP)

From Year 1 students are introduced to issues of ethics and justice in healthcare. Students explore the ethical and legal foundations of medical practice and are provided with opportunities to reflect on their development as medical professionals. Throughout the following years, the ELP curriculum focuses on some of the more complex types of decision-making in clinical practice including issues in end-of-life care and those related to professional conduct. Ethical, legal and professional obligations relating to the quality and safety of prescribing medicine and the management of mistakes are considered. Students are also introduced to the concept of health justice and ethical theories and principles that may be used to guide resource allocation. Students will also develop their knowledge and skills in investigation, analysis and management of issues in health ethics, law and professionalism, in preparation for clinical rotations and the Research Scholar Program in third year.

In the clinical years of Year 3 and Year 4, students learn to apply foundational knowledge of ELP in the clinical setting and develop their practical skills in these domains. There is a specific focus on issues relevant to their clinical rotations.

Indigenous Health (IH)

Learning about Indigenous Health begins early in Year 1 with the Cultural Immersion program.  Teaching and learning activities throughout Years 1 and 2 then continue to build on the foundational knowledge in Indigenous Health and cultural safety. Students learn about advocacy and human rights in Indigenous Health, considering how they, as future health practitioners, can best advocate for change and develop strategies to address inequities for individual patients, families and the wider community.

In the clinical years of Year 3 and Year 4, students have further opportunities to apply their cumulative knowledge of Indigenous Health and cultural safety from the pre-clinical years to the clinical and community environments in which they are working. They continue to develop skills to become culturally safe practitioners, and to work effectively in partnership with relevant communities, organisations and individuals to advocate for health systems free of racism.

 In the clinical years of Years 3 and 4, students build on their foundational knowledge in IH by engaging with a series of online modules and facilitated discussions, to support interactions with Indigenous people and patients in the clinical environment.

Public Health Medicine (PHM)

Students are introduced to basic principles of epidemiology and public health, and explore determinants of health, including the impact of psychological, relational, environmental and cultural factors on the health of individuals, with a particular focus on Indigenous Health. Skills in advocacy are covered, aiming to provide students with an understanding of how these skills can be applied across settings: from a conversation with a patient or colleague, to encouraging change at community and national levels. They explore solutions to population health problems, such as non-communicable diseases, infectious disease and environmental health risks, using public health and preventive medicine interventions focused on behaviours and environments, including the use of social media. Equity in public health is considered and how best to deliver health care to diverse populations. The curriculum aims for students to develop insight into racism, living with disability, sexuality and gender and explore some of the lived experiences of individuals, the health impacts, implications for the practice of public health medicine and wider societal implications and solutions.  

In the clinical years of Year 3 and Year 4, students apply their PHM knowledge from the preclinical years to the clinical and community environments in which they are immersed, to best equip them to meet the needs of these communities beyond graduation.

Research Scholar Program (RSP)

The Research Scholar Program (RSP) is a self-guided program where students develop advanced knowledge and understanding of research principles and methods applicable to health research and health professional practice by designing and planning a research project. Students gain familiarity with recent and emerging developments in public health, health ethics, law or professionalism and Indigenous health as the scope of RSP is defined by these themes. The RSP is supported by learning activities and time with a dedicated RSP advisor for each student. The RSP builds on the foundational research training provided in Years 1 and 2, culminating in a scholarly output and student conference in Year 4.

Learning and
Placements

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Years 1 and 2

Foundations of Medicine

Years 1 & 2 are ‘Foundations of Medicine’ years, structured around major body systems as a framework for learning.

Foundational principles of the medical sciences (including physiology, anatomy and pathology) are introduced in a clinical context, using clinical cases with case-based learning to illustrate required knowledge. Students develop foundational skills relating to patient communication, rapport building and understanding of the patient’s unique context and circumstances; obtaining a clinical history, examining a patient and performing basic clinical procedures on manikins. Students learn through small group work as well as larger classes, under the supervision of highly engaged clinical tutors and scientists.

Students are also exposed to the clinical environment through a series of health placements, and commence the development of person-centred, culturally appropriate professional and interprofessional communication skills. Students are introduced to issues of ethics and justice in healthcare, and develop core knowledge and skills in research, research ethics and evidence-based practice. Principles of public health medicine are introduced and applied to the clinical context, and students begin learning about Indigenous Health, including through the Cultural Immersion program early in Year 1.

Throughout Years 1 & 2, students are supported to develop professional self-awareness, appropriate self-regulated learning skills and personal well-being strategies. Students meet with a facilitator to conduct Learning Needs and Wellbeing Check-In (LNWs) each semester, to review learning and well-being goals to assist each student with their learning journey. Year 2 concludes with a ‘Transition to Clinical Practice’ rotation designed to prepare students for the clinical learning environment of Years 3 and 4.

Hear from Bryony McNeill Unit Chair for Deputy Course Director, Foundations of Medicine
bryony.mcneill@deakin.edu.au

YEAR 1

Learning

Human Biology

This block introduces the fundamentals of Human Biology, which encompasses genetics, pharmacology and cell biology. Medical Science lectures and workshops integrate anatomy, physiology and pathology, and lead into the Practical Experiences (Clinical Skills) which build on both the clinical context and the relevant practical skills. In Practical Experiences (Clinical Skills), students will begin to develop procedural competency and explore concepts of clinical communication, including clinical interviewing (“history- taking”).

Infection, Defence & Repair

In the second block of HME911 students are provided with an integrated foundation for understanding the medical sciences of haematology, oncology, pathology, immunology and microbiology. Course content includes general pathological mechanisms in inflammation and tissue injury, bone marrow structure and function, haemostasis, the role of microbes in health and disease and host defences including innate and adaptive immune responses. Carcinogenesis and aspects of neoplasia are also considered. These concepts are reinforced in integrated workshops and applied further in Practical Experiences (Clinical Skills). In this block, the fundamentals of physical examination skills are explored, and students expand further on their procedural competence.

Cardiovascular & Respiratory

Undertaken in Semester 2 and focusing on the Cardiovascular and Respiratory systems students study the development and anatomy. Learning the measurement and key clinical procedures for the diagnosis and treatment of these systems. Including how to gather social and physical information to support patients.

Renal & Gastrointestinal

Developing sound clinical skills to continue their studies in these systems identifying anatomy, diagnoses and treatments. In a supported team-based environment to enable further growth in knowledge and practice from their Semester 1 studies.

Placements

The primary aim of these clinical and community-based healthcare placements is for students to develop an appreciation of the nature of healthcare delivery to patients. They will also observe and learn about the interactions between patients, their carers and healthcare professionals and how interprofessional teams work together.

Placements, in general, are designed to provide opportunities for students to consider:

  • Communication between all stakeholders – patients, carers, healthcare professionals
  • Teamwork and the different roles of healthcare providers in providing care for patients, individuals and communities
  • Ethical and professional development concepts that impact on patients, carers and healthcare professionals
  • Emotional impact of working in healthcare
  • Further developing knowledge of anatomy, physiology, communication skills and clinical reasoning based on interacting with patients and health professionals
  • The patient’s experience of illness and wellness

Student are required to complete a written reflection as the assessment for these placements.

YEAR 2

Learning

Endocrine & Life Cycle

This block provides an understanding of the basic structure and function of the endocrine and reproductive systems and patho-physiological mechanisms of disease. The nature of hormones, their glands of origin and biochemical modes of action, and the control mechanisms limiting hormonal secretion are studied. The structure and function of the reproductive systems and the control mechanisms affecting fertility and pregnancy are considered in normal and pathological conditions. The block further addresses key concepts in developmental biology (embryology) relevant to common and rare congenital abnormalities that are encountered in the clinic. It is also a vehicle for learning about key developmental processes and changes from birth to old age and the process of ageing. The clinical manifestations, complications and treatment of some common endocrine and reproductive disorders are explored. Clinical skills, including clinical communication, physical examination, and select procedural skills, particularly those relating to development, aging, reproductive health, endocrine, metabolic and musculoskeletal medicine, are consolidated and developed further.

Musculoskeletal and Metabolism

This block provides an understanding of the major metabolic pathways in the body and how metabolism is integrated and regulated at the cellular, tissue and whole-body levels. This knowledge underpins the study of the factors that contribute to metabolic disease states. The structure and function of the musculoskeletal system is considered from both a microscopic and macroscopic perspective and this knowledge is applied to explain the causes and consequences of common injuries to the musculoskeletal system. The pathogenesis, diagnosis and treatment of common diseases affecting the musculoskeletal system are studied.

Brain and Behaviour

This Brain and Behaviour block deals with the workings of the nervous system as a whole and aims to provide a sound scientific basis for the understanding of disorders of the nervous system. Cases are used to illustrate the fundamental workings of the nervous system. The block covers a broad spectrum of approaches to nervous system function beginning with a revision of basic cellular neurobiology and progressing to neurobiological and behavioural views of the whole person. This will be accompanied by workshops and Practical Experiences (Clinical Skills) which provide clinical contextualisation and practical clinical skills. Brain and Behaviour concludes with a Mental Health block which provides a basic introduction to the concepts of mental health, spectrums of normal function and mental health disorders. Students will be introduced to the concept of Social and Emotional Wellbeing as part of the Mental Health block, exploring the social and cultural factors influencing a patient’s health needs and considering their healthcare experience holistically.

Transition to Clinical Practice (TCP)

This is the final learning block for the year for Year 2 students and has been specifically designed as preparation for Year 3, ensuring a seamless transition for student to learning in a clinical setting. Clinical practice teaching continues to develop a broad range of important skills relevant for the clinical setting, including critical thinking and reasoning skills, communication skills, physical examination skills and specified procedural and technical skills. Part of the focus in TCP is on students learning how to be more self-directive and autonomous in learning, so as to prepare for learning in the clinical environment as a senior medical student and eventually, as a clinician.

Placements

As in Year 1, the primary aim of these clinical and community-based healthcare placements in Year 2 is for students to further develop their appreciation of the nature of healthcare delivery to patients. They will have additional opportunities to observe and learn about the interactions between patients, their carers and healthcare professionals and how interprofessional teams work together. 

Placements, in general, are designed to provide opportunities for students to consider:

  • Communication between all stakeholders – patients, carers, healthcare professionals
  • Teamwork and the different roles of healthcare providers in providing care for patients, individuals and communities
  • Ethical and professional concepts that impact on patients, carers and health professionals
  • Emotional impact of working in healthcare
  • Further developing knowledge of anatomy, physiology, communication skills and clinical reasoning based on interacting with patients and health professionals
  • The patient’s experience of illness and wellness

Student are required to complete a written reflection as the assessment for each of their placements.

General Practice
Students in Year 2 also all undertake a specific placement in General Practice, with the purpose of providing students with an opportunity to observe clinician/patient interactions, acknowledging the vital role that the General Practitioner has in providing care to the community. Students should also develop an understanding of the nature of long-term clinician/patient relationships, and begin to experience the wide range of health conditions managed in the community, which is further developed during the Year 4 GP Rotation. It is not expected that the GPs will be providing dedicated content “teaching”, however if they have the capacity and the opportunity arises, students may be given the chance to interview/examine a patient or be involved with a minor procedure under supervision.

Years 3 and 4

Professional Practice of Medicine

In the ‘Professional Practice of Medicine’ years, during third and fourth year, students work closely with patients and health professionals, located wholly within Deakin Medical School sites and health services in Geelong, Ballarat, Warrnambool and Eastern Melbourne; or within General Practices in the central and southwest region of Victoria.

Students rotate through 10 key disciplines

In Year 3 these include:

  • Medicine
  • Surgery
  • Children’s health
  • Obstetrics & gynaecology

In Year 4 these include:

  • Emergency medicine
  • General practice
  • Mental health
  • Anaesthesia & Intensive Care
  • Aged care/Rehabilitation/Palliative care
  • Pre-internship

Further information regarding each of the Deakin Medical School sites can be find via the School of Medicine website.

Students are supported with both online resources and face-to-face teaching sessions and bedside tutorials, and encouraged to progressively develop their skills as they learn in the clinical environment. The Learning Needs and Wellbeing Check-In (LNW) process continues in years 3 and 4 of the course, where facilitators support each student’s learning and well-being goals in the clinical environment.

YEAR 3

Learning

Learning in The Professional Practice of Medicine Unit is a combination of self-directed and tutorial-style learning, based around the clinical cases that students encounter in the clinical environment and key patient presentations, conditions and skills for each rotation (see Resources). There is purposeful repetition between rotations as many presentations, conditions and skills do not fall solely into any one discipline. For students at the Deakin Medical School, Rural Communities (DMS-RC) site, the curriculum will be covered throughout the year in a Longitudinal Integrated Clerkship. At the other Deakin Medical School (DMS) sites, the curriculum is taught in six 7-week block rotations: Medicine A & B, Surgery A & B, Children’s Health, and Obstetrics & Gynaecology.

Placements

Students are encouraged to participate actively in as many clinical activities as possible, including attending unit meetings; pathology and medical imaging meetings; multidisciplinary meetings; and grand rounds. They are encouraged to see patients independently (clerking patients), and attend ward rounds and clinics (including presenting patients or writing in patient notes etc). Some rotations may have opportunities for parallel consulting. It is expected that students on procedural rotations will attend the operating theatre and day procedure facilities.

Longitudinal Primary and Community Care (LPCC)

In addition, during year 3 students undertake the Longitudinal Primary and Community Care (LPCC) program that provides a community medicine experience and perspective. It provides an excellent opportunity for students to understand the holistic nature of good health care provision within both the hospital and community context, along with the patient journey within the healthcare system. A key component of the program is understanding the individual’s experiences as they journey between primary, community and secondary/tertiary care; and their social, personal and clinical context. The LPCC program facilitates an increased understanding of patients’ and families’ experience of illness and their journey over time through a series of seven discussion sessions, facilitated by a GP, each with a specific focus. This is supplemented by students following two patients longitudinally through their contact with different aspects of health and community services and observing the integration between community, primary care, hospital, and secondary care services.

YEAR 4

Learning

The Year 4 curriculum builds upon what students have learned in the clinical environment in Year 3, with an increasing focus on the importance of the context in which medicine is practiced. Students gain experience in providing health care in various clinical settings e.g. General Practice, the Emergency Department, Anaesthetics/ICU etc. Similarly to Year 3, students complete a number of rotations, and direct their learning guided by their clinical experiences and key patient presentations, conditions and skills for each rotation (see Resources). Through their Deakin Medical School sites, students complete rotations in 5-week rotation blocks, including: Anaesthetics & Intensive Care, Emergency Medicine, General Practice, Mental Health, and Aged Care, Rehabilitation & Palliative care. Year 4 concludes with a final Pre-internship Rotation (PRINT).

Placements

This year represents a unique opportunity for authentic clinical placements focusing on an apprenticeship model of immersive training. In this final year, it is important that students are increasing their participation in the clinical environment as much as possible. As in Year 3, students should participate actively in as many clinical activities as possible, including attending unit meetings, pathology and medical imaging meetings, multidisciplinary meetings, and grand rounds. They should be actively seeing patients independently (clerking patients), and attend ward rounds including presenting patients or writing in patient notes etc. Some rotations may have opportunities for parallel consulting which provides excellent opportunities for consolidation of clinical knowledge and expertise.

Pre-Internship (PRINT)

Students also participate in two Pre-internship (PRINT) rotations during Year 4 in order to prepare for the transition to independent practice upon graduation as a junior doctor. Students are fully immersed in the clinical environment, as a member of a clinical team delivering patient care. Students are expected to shadow the interns in their assigned unit and undertake the work of an intern under supervision. The PRINT rotations are about being an intern, rather than merely observing their work. Students remain supported by their Clinical School with a series of tutorials to further prepare students for their role as an intern after graduation.