GEMP3GEMP3IntroductionIntroduction

Dr L.P. Green-ThompsonDr L.P. Green-Thompson

CHSECHSE

Clinical RotationsClinical Rotations

Internal MedicineInternal Medicine SurgerySurgery ObstetricsObstetrics PaediatricsPaediatrics Mixed I – Psychiatry, Family Med, ENTMixed I – Psychiatry, Family Med, ENT Mixed II – Urology, Ophthalmology, Mixed II – Urology, Ophthalmology,

Public HealthPublic Health Acute and Peri-operative CareAcute and Peri-operative Care

Forensics, Emergency, Trauma, AnaestheticsForensics, Emergency, Trauma, Anaesthetics

Clinical Rotations: Mixed 1Clinical Rotations: Mixed 1

PsychiatryPsychiatry All students will go to SterkfonteinAll students will go to Sterkfontein Transport is arrangedTransport is arranged

Family MedicineFamily Medicine All start in the department on 10All start in the department on 10 thth floor floor Need to do prereading for pre test on day 1Need to do prereading for pre test on day 1 Current group should have had their test this Current group should have had their test this

morningmorning ENTENT

Clinical Rotations: Mixed 2Clinical Rotations: Mixed 2

UrologyUrology Regular rotationsRegular rotations Wednesdays may go to cystoscopy list at JHBWednesdays may go to cystoscopy list at JHB Need to inform the CHSENeed to inform the CHSE

Public HealthPublic Health Meet in the department on Monday of rotationMeet in the department on Monday of rotation Need to give Mrs Strelec your bank details for Need to give Mrs Strelec your bank details for

payments nowpayments now Religious commitments prearrangedReligious commitments prearranged

OphthalomolgyOphthalomolgy

Clinical Rotations: APCClinical Rotations: APC

Forensic Medicine (20)Forensic Medicine (20) Starts at the medico-legal laboratory at HillbrowStarts at the medico-legal laboratory at Hillbrow

Emergency Medicine (20)Emergency Medicine (20) Theory components in workshops over next five weeksTheory components in workshops over next five weeks Clinical work to be done during the first two weeks of Clinical work to be done during the first two weeks of

APC blockAPC block Assessed during the APC block, remediation at the end Assessed during the APC block, remediation at the end

of the yearof the year Anaesthesia and Trauma (30 each)Anaesthesia and Trauma (30 each)

Theory in week 2 of APCTheory in week 2 of APC Two full weeks each of clinical rotationTwo full weeks each of clinical rotation

2010 Rotation 42010 Rotation 4

Rotation 4 is a five week blockRotation 4 is a five week block No medical school days No medical school days Mixed rotationsMixed rotations

10 May – 19 May10 May – 19 May 20 May – 31 May20 May – 31 May 1 June – 10 June1 June – 10 June 11 June assessments11 June assessments

INTEGRATED PRACTICEINTEGRATED PRACTICE

Comprises the content of medical school Comprises the content of medical school daysdays

Multidisciplinary approachesMultidisciplinary approaches Attendance compulsoryAttendance compulsory Student driven teaching and learningStudent driven teaching and learning Structure of a MSDStructure of a MSD

07h30 – 08h4507h30 – 08h45 discipline based discipline based timetime 09h00 – 16h0009h00 – 16h00 topic of the daytopic of the day

INTEGRATED PRACTICEINTEGRATED PRACTICE

Rotation using the early morning session:Rotation using the early morning session: Surgery: plastics and cardiothoracicsSurgery: plastics and cardiothoracics Medicine: dermatology and haematologyMedicine: dermatology and haematology Obstetrics: theme related Obstetrics: theme related Paediatrics: paeds surgeryPaediatrics: paeds surgery

STUDENTS RESPONSIBLE FOR CHECKINGSTUDENTS RESPONSIBLE FOR CHECKINGVENUES AND TIMESVENUES AND TIMES

INTEGRATED PRACTICEINTEGRATED PRACTICE 06 Jan: 06 Jan:

AM: Clinical Practice ( assignment)AM: Clinical Practice ( assignment) PM: Emergency MedicinePM: Emergency Medicine

13, 20, 27 Jan:13, 20, 27 Jan: 3 workshops each day3 workshops each day Workshop titlesWorkshop titles

Emergency MedicineVentilation and OxygenationEndotracheal IntubationCPR/AEDDefibrillation

Generic SkillsSuturingGloving and gowningVenepuncture and IV cannulationIV Fluids and CVP

INTEGRATED PRACTICEINTEGRATED PRACTICE

Assessment:Assessment: Year markYear mark 4040

Research projectResearch project 3535 Health Promotion portfolioHealth Promotion portfolio 55

End of Year assessmentEnd of Year assessment 6060 18 November 201018 November 2010 MCQ – A and X typesMCQ – A and X types 3030 MEQMEQ 3030

INTEGRATED PRACTICEINTEGRATED PRACTICE

Research Project:Research Project: 35% of mark35% of mark Topics will be published by next FridayTopics will be published by next Friday Aim to submit to ethics committee for March Aim to submit to ethics committee for March

meetings (after first block assessments)meetings (after first block assessments) Done in clinical groupsDone in clinical groups Graduates with research experienceGraduates with research experience Increase the impact of the peer evaluationIncrease the impact of the peer evaluation

Peer Evaluation20% research mark

•Professional•Research Competence

INTEGRATED PRACTICEINTEGRATED PRACTICE

Health PromotionHealth Promotion 5% of mark5% of mark Directed portfolioDirected portfolio Based in case study from another blockBased in case study from another block

INTEGRATED PRACTICEINTEGRATED PRACTICE

Final ExamFinal Exam MCQMCQ mean 65% range 49 - 89mean 65% range 49 - 89 MEQMEQ mean 70% range 40 – 80mean 70% range 40 – 80 Total mean 63% range 45 - 80Total mean 63% range 45 - 80 52 (7) people below 60% in exam component52 (7) people below 60% in exam component Content covered all days Content covered all days Year Mark mean 77% range 65 – 87Year Mark mean 77% range 65 – 87 1 student wrote the remedial examination1 student wrote the remedial examination

ELECTIVESELECTIVES

Four week period for elective Four week period for elective Start 22 November 2008Start 22 November 2008 Anytime between the end of GEMP3 and Anytime between the end of GEMP3 and

start of GEMP4start of GEMP4 Can use the extended break in June 2010Can use the extended break in June 2010 Start looking at what interests youStart looking at what interests you Local and abroadLocal and abroad Faculty run, please check your guide booksFaculty run, please check your guide books

ELECTIVESELECTIVES

Choose the area you wish to work inChoose the area you wish to work in Ask department to give an internal Ask department to give an internal

supervisorsupervisor Together set objectives for the elective Together set objectives for the elective

periodperiod If outside of the academic complex, an If outside of the academic complex, an

external supervisor is requiredexternal supervisor is required Portfolio report to be marked by internal Portfolio report to be marked by internal

supervisorsupervisor

ELECTIVESELECTIVES

Important DatesImportant Dates End of June GEMP3End of June GEMP3

Selection must be submitted to Faculty with Selection must be submitted to Faculty with host and internal supervisor documentshost and internal supervisor documents

Registration Day GEMP4Registration Day GEMP4 Evaluation of performance to FacultyEvaluation of performance to Faculty

End of First Rotation GEMP4End of First Rotation GEMP4 Elective Portfolio with assessment Elective Portfolio with assessment

Two year activitiesTwo year activities

Radiology log bookRadiology log book Registration packRegistration pack

Chronic Patient AttachmentChronic Patient Attachment Through GEMP 3 and 4Through GEMP 3 and 4 Find a chronic patient to followFind a chronic patient to follow Four visits over two yearsFour visits over two years Four portfoliosFour portfolios Contributes to GEMP4 integrated examContributes to GEMP4 integrated exam

ASSESSMENTSASSESSMENTS End of each six week rotationEnd of each six week rotation Structure varies per rotation with Structure varies per rotation with

combinations of MCQ, MEQ, computer combinations of MCQ, MEQ, computer based exams and OSCEbased exams and OSCE

Clinical components are defined and Clinical components are defined and must be passedmust be passed

Check the procedures for your particular Check the procedures for your particular rotation at the beginningrotation at the beginning

Results will be published by midday of Results will be published by midday of the Saturday following each rotationthe Saturday following each rotation

ASSESSMENTSASSESSMENTS

Each rotation must be passedEach rotation must be passed All components of mixed rotations must be All components of mixed rotations must be

passedpassed Return to original group after repeating Return to original group after repeating

a blocka block Sign agreement with Faculty about the Sign agreement with Faculty about the

remainder of yearremainder of year

Remediation ProceduresRemediation Procedures

Long rotationsLong rotations Competence not attained – repeat rotation Competence not attained – repeat rotation

immediately afterimmediately after Short rotations (1 or 2 weeks)Short rotations (1 or 2 weeks)

11stst block– repeat end of year block– repeat end of year 22ndnd block – repeat both in the rotation which block – repeat both in the rotation which

followsfollows One long and two shorts are permissible in One long and two shorts are permissible in

current systemcurrent system

Deferment Procedures Deferment Procedures

Rotation Rotation When both clinical and assessment When both clinical and assessment

procedures are incompleteprocedures are incomplete AssessmentAssessment

Only assessment is delayedOnly assessment is delayed Deferred assessment is at the discretion of Deferred assessment is at the discretion of

the departmentthe department Student must make arrangement for deferred Student must make arrangement for deferred

assessmentassessmentSTUDENTS MAY NOT USE END OF YEAR STUDENTS MAY NOT USE END OF YEAR

TIME FOR DEFERED ASSESSMENTSTIME FOR DEFERED ASSESSMENTS

WHERE TO GOWHERE TO GO Departments on Monday morning:Departments on Monday morning:

Family medicineFamily medicine SurgerySurgery Public HealthPublic Health

Paediatrics:Paediatrics: JHB Lecture theatre 154/33 Level 5JHB Lecture theatre 154/33 Level 5 Coronation Media centre Third floorCoronation Media centre Third floor CHB Metabolic UnitCHB Metabolic Unit

All other departments check time tablesAll other departments check time tables

General InformationGeneral Information

Feedback buttonFeedback button Regular checking of the notice boardRegular checking of the notice board

PRESCRIBED BOOKSPRESCRIBED BOOKS

Available at all learning centresAvailable at all learning centres Check the details in your introduction to Check the details in your introduction to

the rotationsthe rotations

AND NOW FOR THE AND NOW FOR THE WEBSITEWEBSITE