Teaching
Our Student Placements:
The Department of General Practice is committed to enhancing general practice and primary health care through excellent education that engages with the community and the wider health care system.
Doctor of Medicine (MD) students at the University of Melbourne undertake general practice placements throughout the course. All students have a previous undergraduate degree, usually (but not always) from a biomedical, science or allied health field.
MD Year 3: General Practice Block (GPB)
Placement length: Eighteen days (Tuesday-Thursday for six weeks)
Placement period: Six rotations of five or six weeks, from February- October
The GP block placement is the general practice specialty training for students in the penultimate year of the MD. The objective of this placement is to develop medical students' knowledge and skills in primary health care. Students participate in all practice activities and meet regularly with GP supervisors to review progress and receive feedback. Supervisors complete ongoing formal assessments of students throughout the placement.
Learning will predominantly occur in the practice through:
- advanced history taking and examination;
- formulating a problem list and determining diagnoses;
- constructing a management plan that ensures that the goals of optimum acute care, preventative care and continuing care are met;
- contributing to chronic disease management plans;
- spending time with nursing, allied health, pharmacy and other practice functions such as home visits, clinical audits and research.
MD Year 4: Transition to Practice
Placement length: 6-8 sessions per week for four weeks
Placement period: Six rotations of four weeks, from February- September
This MD4 placement is for students who were unable to complete their GP block placement in 2020 due to the pandemic. The objective of this placement is to develop medical students' knowledge and skills in primary health care to a pre-intern level. Students participate in all practice activities, including consulting independently with patients and meet regularly with GP supervisors to review progress and receive feedback. Supervisors complete ongoing formal assessments of students throughout the placement.
Learning will predominantly occur in the practice through:
- advanced history taking and examination;
- formulating a problem list and determining diagnoses;
- constructing a management plan that ensures that the goals of optimum acute care, preventative care and continuing care are met;
- contributing to chronic disease management plans and mental healthcare plans;
- spending time with nursing, allied health, pharmacy and other practice functions such as home visits, clinical audits and research.
MD Year 4: Trainee Internship Selective
Placement length: Sixteen days (four days a week for four weeks)
Placement period: 27th September- 22nd October
Trainee Internship Selective occurs in the final semester of the MD program as part of the Transition to Practice (TTP) capstone subject. In this elective placement, final semester students explore in further detail a discipline that is of interest to them and that they may consider as a future vocation. Students work closely with a GP supervisor who will introduce them to the many facets of their discipline, attending the clinic daily. They also contribute to their placement site through undertaking a small quality assurance project.
Learning activities in the term may include:
- reinforcement and extension of knowledge from the MD3 GP block rotation;
- further exploration of general practice as a discipline including developing appreciation for GP special interests; and
- completing a small quality assurance project.
GP Supervisor Training Modules
The GP Supervisor Online Training Modules have been developed to train GP Supervisors to enrich the educational quality of general practice placements for our students. Clinical supervision skills and educational standards are covered in the modules, as well as general information on the GP component of the Doctor of Medicine course.
Click the button below which will take you to the log-in page to access the modules:
Need a log-in and password to access the modules?
If you are a GP involved in teaching our MD students you may complete and submit your details by clicking below, you will be sent an email with your log-in and password.
Request access to GP Training Modules
GP Supervisor/Practice Manager Guide
For your information, please see the GP Supervisor/Practice Manager Guide which has useful information to assist practice staff in organising the clinical placements for our students, it covers student attendance, orientation, practice based learning activities, and other resources that will be invaluable to teaching students at your practice.
GP Supervisor/Practice Manager Guide 2019
Below are excerpts from the MD3 student guide that you may find useful when supervising your student. The PDFs contain information around Core Topics and Presentations, Assessment, and the Clinical Workshops that 3rd year students complete during their GP rotation.
If you are teaching an MD Year 2 student for their Ambulatory Care (AC) placement, you will find useful information in the document below about the purpose of the placement and various learning activities while your student is at your practice.
Below is the PCCB Year 2 student guide to be used as a reference when hosting your Northern or Western Clinical School students.
Excellence in Clinical Teaching (E.X.C.I.T.E) online modules
http://excite.mdhs.unimelb.edu.au/E.X.C.I.T.E online modules cover:
- clinical teaching,
- effective feedback skills,
- teaching clinical reasoning,
- scoring miniCEX assessments* and
- a 30 second video about the Melbourne Medical School’s vocational selective.
*The Scoring mini-CEX assessments module will help you to set a standard for expected performance.Registration is free and we strongly recommend that all GPs involved in teaching watch these videos.
MD Connect
The student curriculum portal MD Connect https://mdconnect.medicine.unimelb.edu.au (contact DGP to gain access) provides access to the medical students’ lectures and resources
- Supervisor and practice manager guidebooks for block and PCCB placements; access by clicking Curriculum – Year 2 –PCCB – click on the green dot or Curriculum – Year 3 – General Practice – click on the green dot
- Term guides for each of the clinical rotating terms
- Library resources; accessed via Curriculum –Library on the left hand side
- Lectures, particularly on:
- Perspectives in health care: the four lenses - used by the students for their reflective piece during the GP block rotating term
- Discussing sensitive issues (sexual, drug and alcohol, abuse and violence; downloadable video).
Both are accessed by clicking Curriculum – Year 3 – General Practice – Introductory Day.
Below are a list of additional resources for GP supervisors:
RACGP: Supervising medical students and pre-vocational doctors in general practice
http://www.racgp.org.au/education/meandsupervisors/supervision
RACGP provide guidance for general practitioners supervising medical students:
This booklet is designed for use by general practitioners and the primary care team to assess their suitability and capability to take on the responsibility for supervising medical students and pre-vocational doctors.
A series of articles originally published in the Medical Journal of Australia. These practice teaching tips for busy clinicians also include hospital training, but the principles apply to supervision in the general practice setting. Each topic focuses on how the clinical environment provides enormous opportunities for effective experiential learning.
http://www.meddent.uwa.edu.au/teaching/on-the-run/tips
Free podcasts and videos; list of useful medical podcasts and videos from various international medical websites
http://www.racgp.org.au/support/library/online/podcastsvideos/
Melbourne East GP Network
Have made a series of short videos:
- Effective supervision
- A student’s perspective on clinical placements
- Ideas for student activities when in placement
- Planning for increasing the student's responsibility observation to hands on, independent practice
- Keeping a student safe during and after a critical incident in the workplace
- Best practice for the clinical learning environment
- Supervising international students
- Giving feedback
- 4 step method of teaching from TOTR (Teaching on the run; uses hand washing as an example)
- The supervisor's perspective
- A team approach to student placementshttps://www.youtube.com/user/IEMMedicareLocal/videos
WA Clinical Training Network
A free online eLearning package covering planning, commencing, carrying and evaluating student placements. Designed for rural and remote allied health and nursing professionals and appropriate for both experienced supervisors and those new to supervision, the course can be completed singularly or together as a whole course. http://health.wa.gov.au/wactn/home/wachs_resources.cfm
Bayside Medicare Local
http://gpstudentplacements.com.au/
Bayside Medicare Local has an online training module for practice managers with CPD points covering: Prepare key areas of your clinic; Student Activities; Patient Consent; Forms and Templates; Insurance; PIP Funding.
There are downloadable forms and templates to prepare your practice for medical students:
- Orientation Checklist
- Patient Consent Form
- Student Confidentiality Agreement
- Student Registration Form
- Student Timetable Sample
- Student Welcome Letter
Practical Doc: By rural doctors for rural doctors
http://www.practicaldoc.ca/teaching/
Calgary Cambridge: teaching and learning communication skills in medicine
http://www.gp-training.net/training/communication_skills/calgary/
These Calgary Cambridge pages are mostly derived from the work of Kurtz SM, Silverman JD, Draper J and is clearly referenced in full in the two books:
- Kurtz SM, Silverman JD, Draper J (1998) Teaching and Learning Communication Skills in Medicine. Radcliffe Medical Press (Oxford)
- Silverman JD, Kurtz SM, Draper J (1998) Skills for Communicating with Patients. Radcliffe Medical Press (Oxford)
Journal articles
The following articles are available on open access:
- Armstrong E, Parsa-Parsi R. How Can Physicians’ Learning Styles Drive Educational Planning? Academic Medicine. 2005;80(7):680-4. Based on the Kolb learning styles, the authors offer a framework for teaching. Available from http://journals.lww.com/academicmedicine/Fulltext/2005/07000/How_Can_Physicians__Learning_Styles_Drive.13.aspx Or http://journals.lww.com/academicmedicine/toc/2005/07000 (It is under Article near the bottom of the page)
- Best J. Teaching medical students - tips from the frontline. Aust Fam Physician. 2012;41(1-2):22-4. A case study illustrates key aspects of supervising medical students in general practice. It includes a description of wave or parallel consulting. Available from http://www.racgp.org.au/afp/2012/januaryfebruary/teaching-medical-students/
- DeWitt D. Incorporating medical students into your practice. Aust Fam Phys 2006; 35 (1/2): 24-26Available from http://www.racgp.org.au/afp/200601/3469
- Howe A. Twelve tips for community-based medical education. Medical teacher. 2002;24(1):9-12. Available from http://informahealthcare.com/toc/mte/24/1 (it’s the first research article)
- Laurence C, Docking D, Haydon D, Cheah C. Trainees in the practice - practical issues. Aust Fam Physician. 2012;41(1-2):14-7.Describes the key aspects of patient and financial management when trainees are present in the practice and suggests solutions to potential issues. Please note that the links in the table of useful resources are not current – updated links are proved in this guidebook. Available from http://www.racgp.org.au/afp/2012/januaryfebruary/trainees-in-the-practice/
Each teaching practice within the Primary Care Community has a practice profile page containing detailed information which can be viewed by using the search function below.