Logbook 2018
Logbook 2018
BLOCK STRUCTURE 3
COURSE OBJECTIVES 3
BLOCK CONTENT 4
Information for students
CORE TOPICS 4
PRESCRIBED TEXTBOOKS 5
PSYCHIATRIC UNITS 5
ETHICAL GUIDELINES 5
D P REQUIREMENTS 6
Attendance
PORTFOLIO GUIDELINES 7
Presentation of Portfolio 7
Case Reports 8
ASSESSMENTS 9
Requirements 9
Exam Structure 9
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1. BLOCK/COURSE STRUCTURE
The duration of the block is 7 weeks. Examinations are conducted in the 7th week.
Tutorials are conducted every Monday at medical school. Attendance at all
tutorials is compulsory and will be registered. Students will be allocated to a general
hospital Psychiatric unit for 3 weeks and a psychiatric hospital for 3 weeks. General
hospital psychiatric units are located at Addington and King Edward VIII Hospitals.
The Psychiatric hospital in the EThekwini District is King Dinuzulu Hospital.
Students will be allocated to groups at the respective hospitals and will be taught in
the relevant wards and the instruction will include: ward etiquette, ethics, history
taking and clinical examination. A list of student allocations will be displayed on the
notice board outside the Undergraduate Teaching Admin office at Medical School.
NO alterations will be allowed to the student allocations. Students have to remain in
their allocated groups.
Clinical Tutorials will be conducted in the wards from Tuesday to Friday at any time
from 8:00am - 4:00pm. The mid-block long case assessments will take place from
week 4 onwards. It is necessary for the group to nominate a representative who will
liaise with the Administrator, Chantal Paul, 0312604331, [email protected] and tutors
regarding any problems that may arise at each of the teaching sites.
2. COURSE OBJECTIVE
The objective of the clinical component in the 6th year of study is to equip the
students with the clinical skills to be able to identify, assess and manage a patient
with a mental health illness.
At the end of the module the student should be able to acquire or improve the
following skills:
1. Elicit, identify and interpret clinical signs and symptoms using psychiatric
terminology
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6. Understand and manage psychiatric disorders within a bio-psychosocial
framework
7. Know and utilize the resources of the community including social welfare
services.
You are expected to join a team in the ward to which you have been
allocated and familiarize yourself with all that registrar’s patients.
You are expected to read around your cases and participate actively in
the ward rounds. Attendance is therefore compulsory.
Discuss all cases with your registrar and have a good understanding of the
drugs utilized in that patient the dose of the drug/s and the results of
investigations that were undertaken.
3. CORE TOPICS
1. Psychiatric Emergencies
2. Mental Health Care Act
3. Schizophrenia Spectrum and other Psychotic disorders
4. Depressive Disorders
5. Anxiety Disorders
6. Trauma and stress related disorders
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7. Bipolar and related disorders
8. Substance Related and addictive disorders
9. Neurocognitive Disorders
10. Neurodevelopmental disorders
11. Neuropsychiatric Manifestations of HIV
12. An approach to Psychotherapy
13. Neuropsychiatric Manifestations of Epilepsy
14. Somatic Symptom Disorder
15. Adjustment Disorder
16. Feeding and Eating Disorder
17. An approach to Insomnia
4. PRESCRIBED TEXTBOOKS
1. Oxford Textbook of Psychiatry for Southern Africa
Second edition
Edited by Jonathan Burns and Louw Roos
5. PSYCHIATRIC UNITS
Students will be allocated to a consultant according to a roster on the notice
board outside the Undergraduate office, main admin building on the 4th floor.
1. Addington Hospital,
Ward O4A
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4. Do not divulge any information about patients. All information given to
you by patients must be regarded as confidential.
5. You must wear ID badges or lab coats. Failure to do so will result in you
being denied access to patients.
Attendance
1. Attendance of this block is compulsory. During the seven weeks you will
spend in Psychiatry, you will be expected to be present in the department from
08h30 to 13h00 every Monday and from 08h00 to 16h00 Tuesday to Friday at the
allocated hospitals.
5. Each student will have a log book which must be presented to the
Consultant/Registrar/Medical officer to sign on the day of the tutorials. It is the
responsibility of the student to ensure the log book is signed on the day of the
ward round/intake/case presentation. No signatures will be given retrospectively.
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PORTFOLIO GUIDELINES
1. You are required to clerk at least one patient from following diagnostic
categories:
1. Schizophrenia spectrum and other psychotic disorders
2. Depressive Disorder
3. Bipolar related disorders
4. Substance related and addictive disorders
5. Any other disorder
2. Students are expected to submit their portfolio of five (5) cases. Failure to
comply with any of the above will result in the student not being granted a DP
certificate.
5. Note in particular, that your learning should be built around typical clinical
presentations, rather than diseases. That is: The approach to and differential
diagnosis of patients presenting with psychotic , mood , anxiety and cognitive
symptoms rather than learning facts about this disease or that disease. This is how
your exams will be constructed.
The Folder:
1. All sheets must be neatly inserted into a file. Cases must be separated with
cardboard inserts. Loose sheets are not acceptable.
3. The front cover or first page must contain the students name, student
number, Hospital and dates of the block.
5. The next page must contain a numbered list of the patients and their
diagnoses. The actual case reports follow.
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The Case Reports:
1. Each case in the portfolio should consist of a focused history, examination
findings, clinical assessment and problem list (which includes the differential
diagnosis) and relevant laboratory plus radiology results. It will also contain follow
up notes detailing the patients clinical course and management to the point of
discharge. When clerking of patients seen by you on a single occasion without
ongoing follow up will not suffice and indeed will risk you failing the portfolio.
2. Each case must represent a patient who was properly interviewed and
examined by you. The emphasis of the assessment is upon your engagement with
the patient over the course of his/her illness. Incorporation of material merely
copied out of hospital notes will result in failure, and if done dishonestly, or copied
from another student or fabricated, will constitute a serious offence.
3. Case reports should not be lengthy dissertations and preferably not more
than 2-3 pages per case. It is important to note that your understanding of the
clinical cases in the portfolio will be assessed and not the aesthetic appearance
of the content.
5. Your portfolio itself will not be marked. All your marks will come from your
ability to discuss the patient’s records verbally in an oral interview. Do not waste
time making the actual folder look beautiful. Your job is to have clerked the
patient properly, thought carefully about how the history and physical findings
relate to the problem list you drew up.
6. Use your experience of clerking the patient to decide what you do and do
not know and take steps to improve your knowledge and skills, and to have used
the opportunity to follow the patient’s course until the time of discharge and see
how this relates to the investigations, management and prognosis.
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8. ASSESSMENTS
Your portfolio contains details of patients whom you clerk and upon whom you
base your self-directed learning. This portfolio will be assessed in the final week of
your block via a dialogue between yourself and an examiner.
Requirements:
You will need to have minimum of 5 cases by the end of the block. 2 cases will be
examined in an oral examination by the Department of Psychiatry. You should be
able to explain your case confidently and discuss any aspect around the case
including the clinical assessment, diagnosis, investigations, management and any
complications which may have arisen.
There are three (3) individual components that need to be passed independently.
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Clerking time : 60 minutes
Consolidation time : 15 minutes
Presentation time : 20 minutes
Question/comments : 10 minutes
The long case examination is formative as well as summative. You will receive feedback
from the examiner although your actual mark will not be revealed.
2. Portfolio - 20%
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