Curtin Medical School – What you need to know to get in

Just another WordPress site

Curtin Medical School – What you need to know to get in

>> Good morning ladies and gentlemen and welcome to the Curtin Medical School Well done for making it through the storms, it’s great to see so many interested people here today My name is William Hart, I’m the dean of the new Curtin Medical School and I’m the MC for the morning First of all I want to acknowledge the traditional custodians of this land the Whadjuk or Swan River people of the Noongar nation, and to pay my respects to their elders Now who have we got in the room? Can I just have a quick show of hands how many of you in the room are medical practitioners? Just one or two Ok I expected to have a larger number of colleagues in the room. How many of you are aspiring colleagues and would like to be colleagues in the future, medical student applicants? Ok the vast majority of people. And how many of you are parents of prospective medical student applicants? All right well it’s nice to meet you and thanks very much for coming to the talk We anticipate that the Medical School will open in February and have a cohort of students commencing in February. There are still some details to finalise with the Australian Medical Council on accreditation but there’s no reason to suspect that they will be any hiccup in that. So we’ll be taking our first intake of students all being well in February. The session is being filmed so if anybody is nervous about appearing on camera and didn’t realise when you came in that was actually a notice at the front, but if you didn’t realise when coming in that the session was going to be filmed and that if you ask any questions you might appear on film, please feel free to leave. There’s no problem if you don’t want to stay to be filmed Today’s introduction to the medical school has got four presentations and the presenters include Professor Michael Berndt who is the Pro-vice Chancellor of the Faculty of Health Sciences, myself Associate Professor Fraser Brims the Consultant Respiratory Physician at Sir Charles Garden hospital and Associate Professor Sandra Kemp who’s the Director of Teaching and Learning for the new Medical School The Curtin Medical School is part of a large and vibrant faculty of health sciences that has many many courses in it. And it’s now my pleasure to introduce the leader of the faculty the Pro Vice-Chancellor Health Sciences Professor Michael Berndt. So would you please join me in welcoming professor Berndt >> Kaya, ngarn kwerl Michael Berndt What I’ve just said in the language of the Noongar nation is “Hello my name is Michael Berndt” and I would also like to acknowledge the land on which we stand today the Whadjuk river people land of the Noongar nation. So first of all let me congratulate you all on coming here today in braving the weather I know it must have been a temptation to have lined up for the new Harry Potter book instead but nevertheless you’ve made the right decision to learn about the Medical School here today Curtin University teaches more students and covers more types of courses than any other university in the southern hemisphere. We train over 20 different health professionals and rather than listen to me talk about it I’d like to show you a short video >> Okay well Professor Berndt is going to stay for questions at the end so if any of

you have any questions about the broader faculty and the other courses that are run through the faculty you can ask them off him after we give the introduction to the Medical School So I’m going to start by giving you an overview of the structure of the new Medical School and the curriculum, and start with talking about foundations, because you couldn’t safely diagnose and treat any condition without understanding a lot about the underlying causes of it Say for example a person comes to see you with swollen ankles Well how are you going to know what the cause and the treatment of those swollen ankles should be, unless you understand about the causes of fluid retention, is it the venus blockage, a lymphatic blockage, is it kidney disease, is it liver disease, is at heart disease All of those things can cause swollen ankles so you have to know a lot about underlying causes. And that’s why we spent such a long time in the five-year medical course, talking about the normal structure and function of the human body and how it can go wrong and introducing you to applied clinical work through a thorough understanding of anatomy and physiology. So building this medical career that many of you are hoping to embark upon, has to start from the ground up and have strong foundations. So I thought that using this very building as a metaphor would be an interesting diversion for a few minutes >> Ok so that’s how we come to be in this beautiful new building. We just moved in

last week. Took three years to build and you saw how much time was spent on getting the strong foundation in place first. So in the five-year medical course that you get, you do get a lot of exposure to clinical work, working with patients and treating patients and working with their families. But it’s very important that the scientific foundations be in place as well Why have we opened a new Medical School in Western Australia? Fundamentally it’s because there is a shortage of medical workforce in particular areas, both geographic areas and in various disciplines of medicine And so although we’ll train general doctors to be general interns and you’ll be able to work after you graduate anywhere in Australia as an intern, we will have a focus on trying to meet this need for doctors to work in rural areas, undersupplied outer metropolitan areas and in undersupplied areas of medicine such as general practice, aged care palliative care and mental health If you want to you will still be able to go on and study postgraduate, specialise as an interventional cardiologist or whatever it is that you want to do But in this medical course we will have a bit of a focus on these generalist areas of medicine to try and meet that need So what are the elements of training that leads you into a medical career? First of all you’ve got your five years at University and then for almost everyone, there’s a two-year period of internship and hospital residency, learning the basic practical skills before you can go into practice as a fully registered medical practitioner It is actually theoretically possible to practice in a limited way as a medical practitioner after one year of internship but most people don’t do it They do at least two and then in fact these days most people go on to specialised to obtain a fellowship of the Royal College or learning at college such as a fellowship in general practice or a fellowship in surgery or medicine And then some people spend up to five more years doing sub specialty training with in that discipline to become a super specialist in interventional cardiology or whatever the sub specialty area might be. And then some people spend their life in private practice treating their own private patients. Other people work primarily in the public sector in large hospitals or a mixture of both The great thing about a medical degree as you’ll hear from both Fraser Brims and myself, is that it opens lots of different doors to many different roles and it is possible to do clinical or non clinical work in a wide variety of areas after you finish training in your medical degree. But the important thing to remember and to keep at the forefront of your mind as you go through your training is that medicine is all about providing care to people in need and so being a competent practitioner and practicing with care and compassion is really what it’s all about So my own career just so that you know a little bit about the kind of person that’s going to be leading this Medical School. I undertook took six years of medical training as it then was back in the sixties and seventies and graduated from Monash University in 1973 In those days it was common to only do one year of internship which is what what I did and then some post graduate hospital training and general practice I worked in general practice on and off for ten years, mostly part time while I was doing some research and the early field of research that I was involved in was the cardiovascular system and how it’s affected by human pregnancy and why some pregnant women develop hypertension or heart failure and so on I then took a second degree in psychology because I got interested in in what makes people tick. I wasn’t so interested in mental illness, I didn’t become a psychiatrist, I wanted to learn about normal human behavior and how it interfaces with diseases and with treatments and so I did a second

training in psychology and ultimately into the social aspects of medicine and public health, which is where I’ve spent most of my career I specialised as a public health physician, become a fellow in public health in the College of Physicians and then worked for ten years in the Victorian Government Department of Public Health finishing up there is the Deputy Director of Public Health. Then went back into medical education, worked at Monash University also had a six year stint running a neuroscience research consortium and then came over here to Perth in September 2012 to begin the process of setting up this Medical School. So it’s a great feeling as you can imagine to have come to this point now where we are on the verge of enrolling our first cohort of students and starting to think about the kind of lives that the students will have after they graduate in 2021 and go on to become interns and ultimately treat their own patients So what can you expect if you come here what would you learn here? There are basically four themes of learning that run throughout the five years of the course and Professor Kemp will tell you more about them when she gives you her talk. But basically there’s a biomedical sciences theme, strong foundations in biomedical science learning about the anatomy, physiology pharmacology, microbiology and so on and how that occurs in the normal human being and how it can be affected by disease. We learn about personal and professional development issues including ethics and law professionalism and also have to keep yourself healthy in and undergoing the stresses and strains of being a medical student and a doctor It’s very important that you look after your own mental health and physical health throughout the course Public health and population health focus is strong but of course the major component of the course particularly in the later years is the actual clinical interaction with patients and learning how to diagnose and treat patients. Well I guess a lot of you will be very keen to know how you get into this course. I think the website does a pretty good job of describing the combination of school leaving results UMAT score, selection for interview which is a multiple mini interview process where you get a chance to talk about a variety of scenarios to a variety of different people. And then from that in our first intake we’ll select 60 people to form the cohort of our February 2017 intake There is a pathway for indigenous students to come into the course through the Centre for Aboriginal studies. They have to do a special interview process and background of study if they’re going to get into medicine. And we’re also targeting, trying to attract students from outer suburbs, from educationally disadvantaged backgrounds, from rural backgrounds because as I told you before we have a particular focus on providing the workforce of the future for areas that are currently under supplied with doctors and so we’re particularly keen on getting applications from people from rural and outer metropolitan backgrounds How many of you did UMAT last week? Good. Well good luck. I hope your results come back the way you would like them and we’ll see you at interview It’s quite tricky being a doctor. I mean it’s a great career It’s no surprise that so many people aspire to being a doctor. But there are quite a lot of requirements of medical students and doctors Some of them we call the inherent requirements of being a doctor It’s very important that you don’t transmitted infections to patients that you’re treating. Passing them on from one patient to another by being a carrier And so it’s very important that you get fully immunised against all the immunisingable infectious diseases and also that you don’t pass on any blood-borne viruses during exposure prone procedures like doing minor operations or even giving injections. And so people who are applying for medicine have to show that they’re fully immunised against infectious diseases and that their negative for blood borne viruses You need to have some proficiency in first aid Very importantly you need to be able to demonstrate your commitment to professional and ethical behaviour You’ve got to have a police check and a working with children check It’s important that you have good communication skills and that’s of course one of the things that will be looking for in the interviews. Ability to empathise with people, to feel what other people are feeling to put yourself into their shoes

Of course you do need to have pretty good intelligence believe me I’m the living proof that you don’t need to be a genius to be a doctor But you do need to have reasonable IQ and to do reasonably well academically It wouldn’t be any point getting into medicine only to fail We don’t bring people into the course to have them failed, but it is a difficult course to get through so you have to do pretty well at school to get in There are also quite a lot of procedures that doctors have to be able to do and so we do look for adequate mobility and motor control and good vision Ability to use variety of scopes of one kind or another. But I don’t want to give you the impression that if you do have a disability of some sort that you won’t be able to do medicine, because we do encourage application from people with various sorts of disabilities and wherever possible the University strongly supports the inclusion and assistance of people with disabilities You’ll encounter many different types of teaching methods while you’re here the University and Sandra Kemp will tell you about some of them in a bit more detail But I just wanted to highlight one of the area’s where Curtin University excels and that’s in interprofessional team work and the use of clinical simulation to assist clinical training in the early years of the course So this is that just an example of medical students working with midwifery students learning some of the basic skills in assisting women to give birth during childbirth So who knows where you’ll end up when you finish your degree and become ready to do your internship. The world’s your oyster you could end up working in China who knows or anywhere. But the important thing is that while you do your degree here we will be ensuring that you meet all of the standards required of a graduating doctor to be able to do an internship anywhere in Australia and ultimately to go on and train in whatever specialty you want to train in But what we want to ensure is that we’ve planted some seeds in your mind about the value of a career in general practice, in rural or outer metropolitan practice, the issues of palliative care, mental health and aged care where we so much need to have a more effective and larger workforce So I’ll leave my talk there thank you very much for your attention. What I’d like to do now is to introduce my colleague Associate Professor Fraser Brims Professor Brims is responsible for the units in foundations of medicine and medical practice in first and second year of the course. He’s a consultant physician at Sir Charles Gardener Hospital and Head of Department of General Medicine there So please join with me in welcoming Professor Brims >> Good morning everybody and I’d like to extend my welcome for you to come to Curtin University and Curtin Medical School Professor Heart in his talk sort of mention that his career was not typical And my career certainly hasn’t been typical either. But I think that reflects what one of the great things about medicine is that it’s quite hard to have a typical day and it’s certainly hard to have a typical degree– sorry a typical career. And I’m going to just talk through the next few minutes the kind of things I’ve done and you’ll see I’ve got a wide experience in all sorts of different areas of medicine Certainly when I was a medical school many of them I didn’t really know were out there and were possible for doctors So I guess what is a typical career where I guess classically it would be to being in the community working as a general practitioner, perhaps in rural areas or otherwise it would be perhaps in hospital work as a physician as I do or a surgeon working in the emergency department, radiology, pathology, there’s lots and lots of different areas of interest for people. But what’s for sure is that it’s hard to have a typical day because you never know what’s going to come in through the door and that’s one of the really exciting things. You never know who or what’s going to get a face you on the day. It is hard work not just the medical school bit but beyond, there’s a lot of learning to go afterwards and as Professor Hart said it is very rewarding indeed So my career started actually in the UK, you might have been able to tell by accent. I did a five year undergrad degree, same as hopefully perhaps some of you will be embarking on next year Towards the end of my time at medical school, I actually joined the Royal Navy Now I’m not here to endorse joining the armed forces that’s a very different area, but what it did do was exposed me to a really broad, many different

broad aspects of medicine that I’m going to talk about if I can move things on So I learnt areas of general practitioner, areas of a trauma medicine, emergency department medicine and as you can imagine working in some of these environments exposed you to all sorts of different challenges and we did a lot of what’s called occupational medicine so that would be how someone’s work can affect their health and indeed how someone’s health affects their ability to work. And if you imagine being a pilot or even an air stewardess or otherwise as you go up in the air pressure in the air is less oxygen levels drop that can have an effect on the ability to concentrate simply and to make critical decisions at the right point in time. Or if you’re flying someone with an illness or an injury that change in pressure can have a profound impact on people’s health as well Similarly diving. Who’s a scuba diver or done some snorkelling in the past? So you’ve all dived down, you’ve had to clear your ears because that’s the pressure increasing but at the same time if you stay down deep for any length of time that dissolves gases into the blood that can have its own complex effects on your physiology and health as well. We have an experience where you’ll have an opportunity to provide medicine in rural areas or even overseas in developing countries Now infectious diseases is the leading cause of death in many developing countries still and providing some simple interventions, such as in the middle picture there, providing some running water and teaching kids to wash their hands can have a dramatic impact on people’s health and even lives. Some really simple processes again, very very rewarding indeed. The remaining picture is a bunch of royal marines who are jumping into water which is about two or three degrees. The reason I put that there is just remind me about also the effects of temperature and the environment as well. So clearly jumping into cold water has an effect on you but also say working up north and the Pilbara region or in the mines, these guys can be exposed to at least 50 degrees c (celcius) of temperature and that can have a profound effect on physiology and you get heat illness and heat stresses and all of these things can very interesting to learn about, very interesting to look after as well. So as my career progressed I stayed with the Navy for some while and did all sorts of various things and in the middle top picture there’s me actually in a four-bedded emergency department at sea, taking patients and treating patients. And I’ve been to a few other hot and sandy places as well. As one progresses, and as Professor Hart spoke about, is you specialise, sometimes within hospital medicine you have an opportunity to travel overseas. And I actually came from the UK to Sir Charles Gardiner Hospital, down the road and learnt about various aspects of respiratory medicine that I wasn’t really able to to detail and to learn some of the specific specialist procedures in the UK. And that’s a really exciting opportunity for many doctors is to be able to travel around. Because medicine is medicine wherever you go and what you learn as you move around is there’s many ways to do the same thing and its really good to get a really broad experience of different ways of treating things. For about the last 10 years or so I’ve been part of a course teaching immediate care for injured athletes and injured rugby players and that’s now part of a world rugby course and we get to travel around different countries teaching doctors and physios how to manage athletes and indeed elite athletes. So again have a different responses to injuries and illness as well That picture was taken when the Western Force used to win games, that was a few years ago sadly. But their quality of health care is still very good I assure you I did a research degree, a two-year research degree and more recently a post graduate diploma in clinical trials and I now oversee an area, lots of different clinical studies and areas of clinical research and I find that very interesting because you get to ask the question why. Why does some people get sick and others don’t? Why do some people respond very well to a certain antibiotic and others don’t? What can we do to improve treatment for the future. And once you perform some decent quality research, you can have it published in medical and scientific journals and even start to get things, your opinions and otherwise published as editorials and start to influence people’s thinking or even national policy. And that’s tremendously interesting and rewarding and something that’s a lot of work within Curtin University and that area as well More recently I’ve joined Curtin Medical School and I’m going to be

looking forward to teaching and mentoring hopefully some of you in the future. But teaching and education is also really a good aspect of medicine as well Once you left medical school, there’s a lot of learning to do and a lot of that teaching, and a lot of that mentoring actually comes from your seniors and the other doctors around you as well. And that’s tremendously rewarding and good fun and that can be informal, or it can be formal lectures and postgraduate courses and otherwise. But there’s a lot of different avenues, a lot of very interesting areas to be part of So my career has been tremendously diverse and yours certainly doesn’t have to be at all. But I think of what you may find is even if people were to follow a more, I guess traditional career path being a general practitioner, you’re probably going to end up being a general practitioner with an interest in something like dealing with diabetes or elderly care, palliative care or maybe obstetrics and helping deliver babies in more rural areas People often just can develop their areas of interest and what excites them as well. I guess just to finish, I was just reflecting when I was thinking about doing this, is what is a career in medicine give, or what does it need. Well you will be giving a lot of your time and that’s not five years of medical school, this is time in the future. You’re going to be on call on weekends, you going to miss Christmas’, you’re going to miss birthdays and there’s times where you’re going to meet people who don’t live their life by the same values and ethics and behaviors that you do. And that can be challenging but it also is tremendously interesting and exciting to meet people who just come from different walks of life. And you learn there’s lots of different ways to live your life and it’s about communicating and listening and understanding people’s views and respecting those views along the way You’re going to be able to make a difference to people’s lives and that’s not just the classic saving someone’s life in the emergency department, but it can simply be just reassuring someone about their symptoms that they’re not serious, or just providing someone some additional dignity and comfort and care in their last few days of life. Whatever it is, it’s tremendously rewarding and I look forward to hopefully helping some of you on that path in the years to come So I’m gonna hand back over to Professor Hart >> Thanks very much Fraiser It’s now my very great pleasure to introduce Associate Professor Sandra Kemp Professor Kemp is responsible for the curriculum of the Medical School, she’s the Director of Learning and Teaching and will explain to us all how the five-year progress through Medical School and the transition from being a school leaver to being a graduate in medicine actually happens So please join me in welcoming Professor Kemp >> Thank you Professor Hart and good morning everybody I would like to share a little bit with you today about the curriculum that as a prospective student you will experience across the next five years. With a five-year course we’re looking at a very high quality curriculum. We use evidence-based methods of teaching. There is a lot knowing now about how students learn and how to learn to become a doctor. And the curriculum is a very complex area and it is designed by many different people So not only doctors are involved but we have scientists, we have education scientists, we have allied health professionals, we have representatives from Aboriginal communities, we have a lot of different perspectives taking into account when we’re designing a curriculum because we are not only designing a curriculum for today but we are trying to prepare you as students for medicine in the future as well And with the curriculum not only what you learn and what you experience, but we also have mentoring systems and supportive systems that help you through what can be a challenging five years ahead and beyond that So we do make sure that we give you the very best opportunity to succeed as a medical student As Professor Hart mentioned we have four themes in our curriculum and these are longitudinal themes that run across the five years but they shift in emphasis as we proceed through So in the early years of the curriculum there’s a very strong emphasis on the science of medicine. So the scientific foundations of medicine is a very key theme in those early years It’s still important in the later years

but it decreases a little bit in emphasis and we pick up a bit on other themes for example the patient and doctor clinical practice theme. So that is where you learn physical examination, you’ll learn procedures as a doctor, you learn how to consult with patients and that increases as you proceed through the course. Health and illness in society here you’re looking at public health, epidemiology, how different populations experience our health care, all of those areas come in under that theme and that runs throughout the five years as well The professional and personal development theme here you’re looking at ethics, law, what Professor Brims mentioned about different values that you have that may be different to your patients, these are the sorts of things that we’re looking into under that theme. And in the curriculum then there are different components so depending whether it’s a first year or second year, we may place a certain emphasis on things at that time in the curriculum, they’re very important for you to develop. In the very first year for example we have senior citizen partnership visits where you gon visit and develop a partnership with senior citizens. And then as we move through later years, an increasing emphasis on remote and rural health In the first year we begin to look already at the law and ethics you will need to understand as a doctor And we also begin very early clinical communication and clinical skills because that’s such a critical aspect of becoming a doctor Learning in medical school will be a little bit different to the way that you may have learned in secondary school We use a problem-based learning curriculum, this is very common in medical schools because it’s a very good way for you to learn all of the knowledge and skills that you will need And this type of pedagogy uses patient-centered scenarios So when Professor Hart mentioned before about swollen ankles for example, that may be the scenario that you encounter, a patient with swollen ankles, where do you proceed from there. And these scenarios integrate both biomedical sciences and the clinical sciences so that you can understand how the science connects with medicine. There is a very strong emphasis on how you develop and control and regulate your own learning. So self-directed learning is very big part not only being a medical student but setting you up for a later life is a doctor as well. And you working teams and this mirrors your experience in medicine where you’ll work in healthcare teams as well. And then also in addition to learning in class room type settings you will have learning in clinical settings. And you’ll be exposed to a wide range of clinical specialists, allied health professionals, patients and also in a lot of different settings It could be a setting in a GP practice, could be in a hospital, it may be a remote location or a rural location. So you will experience not any different people as you learn but different places as well. But again I’ve added to reiterate this idea that there is a lot of self-directed learning so you can take control of your own learning and how you proceed through the course. Working with interprofessional health care teams is a very big part of learning in clinical settings as well So as I mentioned in our early years in addition to problem-based learning one of the strengths of Curtin University’s that we have a strong focus on interprofessional education and that will also be a strong focus of this course, particularly in the first year But you will experience clinical skills tutorials, very small, smaller numbers in those tutorials where you’ll learn your clinical procedures, physical examination, how to communicate with patients. There are some lectures, there are some practicals, workshops for areas like anatomy, aboriginal health and other aspects of the curriculum. We do use simulation quite a bit in medical courses and in Curtin we have a strong emphasis on simulation where you have a simulation experiences with other health care professionals such as nursing students, physiotherapy students. We use simulated patients, sometimes volunteer patients, so you do get exposed in a very safe and comfortable environment, for the sorts of things that you will need to do later in a real and authentic environment And also early experiences as I mentioned in the first year particularly with senior citizen partnership visits, aged care, could be GP practices and aboriginal medical service. And the later years the emphasis shift slightly towards clinical postings

so the emphasis is different healthcare environments You may be in a hospital, you could be in a GP practice, you could be in both, it could be rural, it could be outer metropolitan, it could be remote But the emphasis will be working in real clinical environments and we’ve also included longitudinal clinical postings which are very, shown to give very good learning outcomes for students in terms of medicine But I’d just like to remind you that becoming a successful doctor does require some aspects that you need, I’d like to bring to your attention early. There is a longer medical school year for medical students, so you need to be prepared that there may be times when your fellow university students are on holiday but you will need to be continuing to study. There are rigorous assessment processes as part of medical school because we need to be very confident that at the end of five years you will be very competent and skilled as a medical doctor. And as medical students from the very beginning we expect high standards of professional behavior because these will be the standards that you will build and grow on and develop and continue in your career as a doctor So it’s learning for the long term not just in the five years but beyond that as Professor Brims highlighted earlier So success as a medical student means that you need to understand health care involves teamwork. So being a student we also help you to learn those teamwork skills in teams with other students Communicating it’s very important lifelong learning, so that the attributes of resilient being resilient, being persistent, working hard, all of those things will set you up for various strong success as a medical student and as a doctor And just to finish just to remind you, a medical degree at Curtin is a great choice because you can leverage on the University’s strong reputation for technology enhanced learning and we will be able to incorporate that in the medical course, interprofessional education for healthcare professionals, lots of different other allied health courses in the University and we can work with those students. We have research in the Health Sciences, very high quality teaching and as today is a good example vibrant student life on campus. So thank you very much >> Thanks Sandra. I’ve just been reminded that students here will spend the first two and a half to three years of their training based on this campus and a lot of that will be in this building However the final two years of the course is very strongly oriented towards clinical work with patients in clinical settings and after the first three years you then move out off this campus with occasional return to base sorts of visits and spend most of the time in hospital or GP settings One of the major new clinical schools that’s being prepared for students which will be ready to open in 2019 is the new Clinical School at Midland in association with the new Midland Hospital It won’t be the only clinical school though Students will be posted to a wide variety of different settings but the major clinical placement point for years four and five will be at Midland Thank you very much for your attendance And good luck with your results