Slides from Vanessa's presentation "year 3 overview", presented at the MUMUS introduction to clinical years day, held at Clayton campus. A student's perspective on what to expect from year 3 MBBS, typical timetables and a few tips to get the most out of it. Enjoy!

1. Introduction
to clinical
years: year 3
overview

2. How do you feel about the upcoming
VIA?

3. Perspective on assessments
40% MED2031 40% MED3051
10% Y1 20%Y2 30%Y3 30% Y4 10% Y5

4. For the VIA, the difference between receiving
the median 70% mark and the top
90% mark makes :
20% to your VIA score
4% to your year 2 score
0.8% to your MBBS score
Learning is important.
Study well, do the best you can.
Don’t stress!

5. Content delivery
Year 2
• Lectures
• Tutorials
• Written assignments
• Exams
• OSCEs
• Patients
Year 3
• Lectures
• Tutorials
• Written assignments
• Exams
• OSCEs
•Patients

6. Travelling to year 3
Sites and rotations

7. Where?
Metropolitan
• Central Clinical School
o Alfred Hospital
o Epworth Hospital
o Sandringham Hospital
o Cabrini Hospital
o Frankston Hospital
• Eastern Health Clinical School
o Box Hill Hospital
o Maroondah Hospital
o Angliss Hospital
• Southern Clinical School
o Casey Hospital
o Cranbourne Hospital
o Dandenong Hospital
o Monash Medical Centre
o MMC Moorabbin
Rural
• Bendigo Regional Clinical School
o Bendigo Health
• East Gippsland Regional Clinical
School
o Central Gippsland Health Service
(“Sale”)
• Gippsland Regional Clinical School
o Latrobe Regional Hospital
o West Gippsland Healthcare Group
(“Warragul”)
• Mildura Regional Clinical School
o Mildura Base Hospital

8. Clinical school liaisons
• New positions (previously clinical site liaisons)
– will be elected with other MUMUS positions
• Liaison between you and the clinical school if
you have any issues (mini academic rep)
• Run smaller social events (mini social rep)

9. Logistics
• Accommodation: at home, at a residential hall
(Clayton, Berwick), student accommodation
apartments, sharehouse
• Travel: public transport, parking
• Tips can be found in the MUMUS Year 3B
Guide

10. Rotations
• Medical or surgical
• General or specialty
• 2-7 weeks depending on site
• ‘Home’ team of doctors for:
– Ward rounds
– Outpatient clinics
– Theatre/endoscopy
– Answering questions if they’re free

11. A typical week (surg rotation)
Monday Tuesday Wednesday Thursday Friday
7:30 Ward round Ward round Ward round Ward round Ward round
9 Theatre Outpatient’s clinic,
radiology meeting,
consultant ward
round
Anatomy,
radiology,
pathology,
pharmacology etc.
lectures (all clinical
schools)
Theatre
10 Case presentations
11 PBL
12
1
2 Medical bedside 5th year
mentorship tute
EBCP, occupational
medicine, PBL etc.
lectures (all clinical
schools)
Theatre Theatre
3 Theatre/
endoscopy
4 Site-specific
lecture
Surgical bedside
5 Site-specific
lecture

12. A typical week (med rotation)
Monday Tuesday Wednesday Thursday Friday
8 Ward round 7:30 start
Grand round
Ward round Interdisciplinary
meeting
Interdisciplinary
meeting
Morning Anatomy,
radiology,
pathology,
pharmacology etc.
lectures (all clinical
schools)
Case presentations
& PBL
Afternoon Medical bedside &
site-specific
lectures
Outpatients clinic EBCP, occupational
medicine, PBL etc.
lectures (all clinical
schools)
Surgical bedside

13. PBL
Patient cases and paper cases

14. Patient cases
• Similar to PBL in second year except the ‘case’
is a real patient seen and presented by a
group member
• Based on conditions
• Run in small groups
• Depending on your tutor your group may
research an aspect of the task each and
present or the tutor may give a PowerPoint
presentation.

15. List of patient cases 2013
• Chest Pain
• Acute Glomerulonephritis (GN)
• Breathlessness
• Cough and weight loss
• Deep Venous
Thrombosis/Pulmonary Embolus
• Abdominal Pain
• Diarrhoea
• GI Bleeding
• Obstructive Jaundice
• Anaemia
• Breast Cancer
• Splenomegaly and
lymphadenopathy
• Pneumonia
• Thyroid Disease
• Osteoporosis
• Type 2 diabetes
• Delirium
• Stroke
• Peripheral Neuropathy
• Seizure
• Movement Disorder/Parkinson’s
Disease
• Peripheral Vascular Disease
• Urinary Obstruction
• Skin rash/ulcer

16. Paper cases
• Run in larger groups
• Based on a set of symptoms
• Depending on your site, these will either be
run as a lecture by a doctor or a group of
students, who will be given the topic about a
week in advance to prepare. An expert
facilitator will discuss aspects of the topic
and provide feedback to the presenting
group.

17. List of paper cases 2013
• Mr Lance Patrick - swollen legs
• Ms Ghelani Singh - breathless on
exertion
• Mrs Jessie Johnson - calf pain
• Ms Sophie Panopoulos - tired and
out of sorts
• Mr Peter Hood - cough and loss of
breath
• Mr Michael Todd - jaundiced
• Mr Stephen Tsagakis - severe
stomach pain
• Mr Maxwell Jacobs - fever and
night sweats
• Mr Tony Spencer - severe
headache and flu symptoms
• Ms Jenny Randall - muscle aches,
fever and cough
• Mr Josh Felix - extreme lethargy
• Mr Simon Smith – cannot get out
of bed
• Ms Siu Jung - rash
• Mr Peter Paunch - knee pain and
swelling
• Mr Jules Brady - health check
• Ms Anne Smith - history of
headache
• Mr Branco Vladic – motor
vehicle accident

18. Bedside tutorials
• The style of bedside tutorials varies between tutors
• Format 1: No preparation required, tutor picks a
patient and everyone gets a chance to examine the
patient
• Format 2: Tutor asks group to find a couple of patients,
someone who has not interacted with the patient
examines them
• Format 3: Tutor sends group leader a shortlist of
patients and every patient is seen by someone in the
group before the tutorial and we present back

19. Great opportunity to:
• See patients not related to rotation
• Get feedback on a range of clinical skills
• Ask questions about content
• Learn from watching peers
• Practice MCRs in almost exam conditions
• Have MCRs assessed (don’t worry, not during
actual tutorial)

20. 5 final tips for third year

21. Spot the difference

22. See a patient every day
• Find a patient (ward rounds, day procedure unit
patients or a friend from another unit)
• History: 8 minutes
• Examination: 8 minutes
• Look at drug chart, notes: 4 minutes
• Read more about the condition (Kumar & Clark’s
or BMJ BestPractice): 10 minutes
• If they’re really sick you might spend more time on their
investigation results and less on the examination
• You should complete this in 30 minutes

23. 30 minutes of extra ‘work’ a day
• Potentially on the wards in year 3: 36 weeks in
the year
• Allowing for orientation/consolidation/study
weeks: 32 weeks
• Allowing for Wednesdays and weekends: 128
days
• 128 patients
• That’s more conditions than on the
curriculum!

24. What’s wrong here?

25. Three year job interview?
Perhaps, but if at the end of
it all, you’re too burnt out to
care for your patients,
what’s the point?

26. The last time something will be
summarised on the final slide for you :p
1. Not everyone in the hospital knows what
you’re after so don’t be afraid to ask nicely
2. The content is very manageable if you do a
little bit steadily throughout the year
3. You are colleagues, not competitors
4. Look after yourself first, seek help when you
need it
5. [This line has been intentionally left blank.
What are your hopes/goals for the year?]

27. Good luck!
Any questions?
Feel free to contact me on
vwon9@student.monash.edu