1. GEMP3 Introduction Dr L.P. Green-Thompson CHSE

2. Clinical Rotations  Internal Medicine  Surgery  Obstetrics  Paediatrics  Mixed I – Psychiatry, Family Med, ENT  Mixed II – Urology, Ophthalmology, Public Health  Acute and Peri-operative Care Forensics, Emergency, Trauma, Anaesthetics Forensics, Emergency, Trauma, Anaesthetics

3. Clinical Rotations: Mixed 1  Psychiatry All students will go to Sterkfontein All students will go to Sterkfontein Transport is arranged Transport is arranged  Family Medicine All start in the department on 10 th floor All start in the department on 10 th floor Need to do prereading for pre test on day 1 Need to do prereading for pre test on day 1 Current group should have had their test this morning Current group should have had their test this morning  ENT

4. Clinical Rotations: Mixed 2  Urology Regular rotations Regular rotations Wednesdays may go to cystoscopy list at JHB Wednesdays may go to cystoscopy list at JHB Need to inform the CHSE Need to inform the CHSE  Public Health Meet in the department on Monday of rotation Meet in the department on Monday of rotation Need to give Mrs Strelec your bank details for payments now Need to give Mrs Strelec your bank details for payments now Religious commitments prearranged Religious commitments prearranged  Ophthalomolgy

5. Clinical Rotations: APC  Forensic Medicine (20) Starts at the medico-legal laboratory at Hillbrow Starts at the medico-legal laboratory at Hillbrow  Emergency Medicine (20) Theory components in workshops over next five weeks Theory components in workshops over next five weeks Clinical work to be done during the first two weeks of APC block Clinical work to be done during the first two weeks of APC block Assessed during the APC block, remediation at the end of the year Assessed during the APC block, remediation at the end of the year  Anaesthesia and Trauma (30 each) Theory in week 2 of APC Theory in week 2 of APC Two full weeks each of clinical rotation Two full weeks each of clinical rotation

6. 2010 Rotation 4  Rotation 4 is a five week block  No medical school days  Mixed rotations 10 May – 19 May 10 May – 19 May 20 May – 31 May 20 May – 31 May 1 June – 10 June 1 June – 10 June 11 June assessments 11 June assessments

7. INTEGRATED PRACTICE  Comprises the content of medical school days  Multidisciplinary approaches  Attendance compulsory  Student driven teaching and learning  Structure of a MSD 07h30 – 08h45discipline based time 07h30 – 08h45discipline based time 09h00 – 16h00topic of the day 09h00 – 16h00topic of the day

8. INTEGRATED PRACTICE  Rotation using the early morning session: Surgery: plastics and cardiothoracics Surgery: plastics and cardiothoracics Medicine: dermatology and haematology Medicine: dermatology and haematology Obstetrics: theme related Obstetrics: theme related Paediatrics: paeds surgery Paediatrics: paeds surgery STUDENTS RESPONSIBLE FOR CHECKING VENUES AND TIMES

9. INTEGRATED PRACTICE  06 Jan:  AM: Clinical Practice ( assignment)  PM: Emergency Medicine  13, 20, 27 Jan:  3 workshops each day  Workshop titles Emergency Medicine  Ventilation and Oxygenation  Endotracheal Intubation  CPR/AED  Defibrillation Generic Skills  Suturing  Gloving and gowning  Venepuncture and IV cannulation  IV Fluids and CVP

10. INTEGRATED PRACTICE Assessment:  Year mark40 Research project35 Research project35 Health Promotion portfolio5 Health Promotion portfolio5  End of Year assessment60 18 November 2010 18 November 2010 MCQ – A and X types30 MCQ – A and X types30 MEQ30 MEQ30

11. INTEGRATED PRACTICE  Research Project: 35% of mark 35% of mark Topics will be published by next Friday Topics will be published by next Friday Aim to submit to ethics committee for March meetings (after first block assessments) Aim to submit to ethics committee for March meetings (after first block assessments) Done in clinical groups Done in clinical groups Graduates with research experience Graduates with research experience Increase the impact of the peer evaluation Increase the impact of the peer evaluation Peer Evaluation 20% research mark Professional Research Competence

12. INTEGRATED PRACTICE  Health Promotion 5% of mark 5% of mark Directed portfolio Directed portfolio Based in case study from another block Based in case study from another block

13. INTEGRATED PRACTICE  Final Exam MCQmean 65% range 49 - 89 MCQmean 65% range 49 - 89 MEQmean 70% range 40 – 80 MEQmean 70% range 40 – 80 Total mean 63% range 45 - 80 Total mean 63% range 45 - 80 52 (7) people below 60% in exam component 52 (7) people below 60% in exam component Content covered all days Content covered all days Year Mark mean 77% range 65 – 87 Year Mark mean 77% range 65 – 87 1 student wrote the remedial examination 1 student wrote the remedial examination

14. ELECTIVES  Four week period for elective  Start 22 November 2008  Anytime between the end of GEMP3 and start of GEMP4  Can use the extended break in June 2010  Start looking at what interests you  Local and abroad  Faculty run, please check your guide books

15. ELECTIVES  Choose the area you wish to work in  Ask department to give an internal supervisor  Together set objectives for the elective period  If outside of the academic complex, an external supervisor is required  Portfolio report to be marked by internal supervisor

16. ELECTIVES Important Dates  End of June GEMP3 Selection must be submitted to Faculty with host and internal supervisor documents Selection must be submitted to Faculty with host and internal supervisor documents  Registration Day GEMP4 Evaluation of performance to Faculty Evaluation of performance to Faculty  End of First Rotation GEMP4 Elective Portfolio with assessment Elective Portfolio with assessment

17. Two year activities  Radiology log book Registration pack Registration pack  Chronic Patient Attachment Through GEMP 3 and 4 Through GEMP 3 and 4 Find a chronic patient to follow Find a chronic patient to follow Four visits over two years Four visits over two years Four portfolios Four portfolios Contributes to GEMP4 integrated exam Contributes to GEMP4 integrated exam

18. ASSESSMENTS  End of each six week rotation  Structure varies per rotation with combinations of MCQ, MEQ, computer based exams and OSCE  Clinical components are defined and must be passed  Check the procedures for your particular rotation at the beginning  Results will be published by midday of the Saturday following each rotation

19. ASSESSMENTS  Each rotation must be passed  All components of mixed rotations must be passed  Return to original group after repeating a block  Sign agreement with Faculty about the remainder of year

20. Remediation Procedures  Long rotations Competence not attained – repeat rotation immediately after Competence not attained – repeat rotation immediately after  Short rotations (1 or 2 weeks) 1 st block– repeat end of year 1 st block– repeat end of year 2 nd block – repeat both in the rotation which follows 2 nd block – repeat both in the rotation which follows  One long and two shorts are permissible in current system

21. Deferment Procedures  Rotation When both clinical and assessment procedures are incomplete When both clinical and assessment procedures are incomplete  Assessment Only assessment is delayed Only assessment is delayed Deferred assessment is at the discretion of the department Deferred assessment is at the discretion of the department Student must make arrangement for deferred assessment Student must make arrangement for deferred assessment STUDENTS MAY NOT USE END OF YEAR TIME FOR DEFERED ASSESSMENTS

22. WHERE TO GO  Departments on Monday morning: Family medicine Family medicine Surgery Surgery Public Health Public Health  Paediatrics: JHB Lecture theatre 154/33 Level 5 JHB Lecture theatre 154/33 Level 5 Coronation Media centre Third floor Coronation Media centre Third floor CHB Metabolic Unit CHB Metabolic Unit  All other departments check time tables

23. General Information  Feedback button  Regular checking of the notice board

24. PRESCRIBED BOOKS  Available at all learning centres  Check the details in your introduction to the rotations

25. AND NOW FOR THE WEBSITE