Australian Medical Council Limited Accreditation of The University of Sydney Sydney Medical School Medical School Accreditation Committee December 2015 Digital edition 2018 ABN 97 131 796 980 ISBN 978-1-938182-98-3 Copyright for this publication rests with the Australian Medical Council Limited Australian Medical Council Limited PO Box 4810 KINGSTON ACT 2604 Email: [email protected] Home page: www.amc.org.au Telephone: 02 6270 9777 Facsimile: 02 6270 9799 Contents Executive summary 2015 .............................................................................................................. 1 Introduction ....................................................................................................................................... 8 1 The context of the medical program ............................................................................. 11 1.1 Governance........................................................................................................................................... 11 1.2 Leadership and autonomy .............................................................................................................. 18 1.3 Medical program management .................................................................................................... 19 1.4 Educational expertise ....................................................................................................................... 20 1.5 Educational budget and resource allocation ........................................................................... 21 1.6 Interaction with health sector and society .............................................................................. 22 1.7 Research and scholarship ............................................................................................................... 23 1.8 Staff resources ..................................................................................................................................... 24 1.9 Staff appointment, promotion and development .................................................................. 25 2 The outcomes of the medical program ......................................................................... 26 2.1 Purpose .................................................................................................................................................. 26 2.2 Medical program outcomes ........................................................................................................... 27 3 The medical curriculum .................................................................................................... 30 3.1 Duration of the medical program ................................................................................................ 30 3.2 The content of the curriculum ...................................................................................................... 33 3.3 Curriculum design ............................................................................................................................. 37 3.4 Curriculum description ................................................................................................................... 38 3.5 Indigenous health .............................................................................................................................. 39 3.6 Opportunities for choice to promote breadth and diversity............................................. 40 4 Learning and teaching ........................................................................................................ 41 4.1 Learning and teaching methods ................................................................................................... 41 4.2 Self-directed and lifelong learning .............................................................................................. 43 4.3 Clinical skill development .............................................................................................................. 43 4.4 Increasing degree of independence ............................................................................................ 44 4.5 Role modelling .................................................................................................................................... 45 4.6 Patient centred care and collaborative engagement ........................................................... 45 4.7 Interprofessional learning.............................................................................................................. 46 5 The curriculum – assessment of student learning ................................................... 48 5.1 Assessment approach ...................................................................................................................... 48 5.2 Assessment methods ........................................................................................................................ 49 5.3 Assessment feedback ....................................................................................................................... 51 i 5.4 Assessment quality ........................................................................................................................... 51 6 The curriculum – monitoring .......................................................................................... 53 6.1 Monitoring ............................................................................................................................................ 53 6.2 Outcome evaluation .......................................................................................................................... 55 6.3 Feedback and reporting .................................................................................................................. 56 7 Implementing the curriculum - students .................................................................... 57 7.1 Student Intake ..................................................................................................................................... 57 7.2 Admission policy and selection .................................................................................................... 58 7.3 Student support .................................................................................................................................. 60 7.4 Professionalism and fitness to practise .................................................................................... 62 7.5 Student representation.................................................................................................................... 63 7.6 Student indemnification and insurance .................................................................................... 64 8 Implementing the curriculum – learning environment ......................................... 65 8.1 Physical facilities ................................................................................................................................ 65 8.2 Information resources and library services ............................................................................ 66 8.3 Clinical learning environment ...................................................................................................... 67 8.4 Clinical supervision ........................................................................................................................... 69 Appendix One Membership of the 2015 assessment team .......................................... 71 Appendix Two Groups met by the 2015 assessment team ........................................... 72 ii Figures and Tables Figure 1: Organisational structure of the Executive ....................................................................... 12 Figure 2: Clinical schools and university rural health sites ......................................................... 13 Figure 3: Committee structure................................................................................................................ 15 Figure 4: Revised committee structure ............................................................................................... 16 Figure 5: Program duration and structure ......................................................................................... 32 Figure 6: Curriculum components......................................................................................................... 34 Figure 7: Relationship between Advocate, the Statement of Provisions, and coursework policy ................................................................................................................................................................. 62 Table 1: School organisational chart .................................................................................................... 17 Table 2: Duration of academic years .................................................................................................... 30 Table 3: Stage 3 blocks by stream ......................................................................................................... 31 Table 4: Stages 1 and 2: face-to-face time distribution in a typical week .............................. 41 Table 5: Student numbers by offer type, 2011 – 2015 .................................................................. 57 Table 6: Student allocation by clinical school ................................................................................... 68 iii