Medicine 4 is the fourth and final year of the ANU Medical program. Medicine 4 is delivered in four clinical rotation blocks over the course of the fourth year of the program: Women's Health and Newborn Care, Psychiatry and Addictive Medicine, Senior Medicine and Surgery and Acute Care. The Year 4 blocks are designed to consolidate clinical reasoning and practical skills through immersion within a range of clinical environments. All students conclude Year 4 by undertaking the Pre Internship (PRINT) block.
The emphasis throughout each block is on self-directed, experiential learning and deep involvement in the day-to-day care of patients. Students will have clear requirements for attendance, patient clerking and unit involvement. The prolonged attachments will allow them practice in the synthesis of information and the development of concise management plans for their patients. Elements of Population Health, Professionalism and Leadership, Evidence Based Practice and Clinical Skills will be integrated throughout the course.
Course Structure and Content
Four clinical rotations blocks:
Senior Medicine and Surgery
Acute Care
Psychiatry and Addiction Medicine
Women's Health and Newborn Care
Pre Internship (PRINT) block
MEDI8030, MEDI8035, MEDI8040 and MEDI8045 form part of Phase 2 of the MCHD program.
Learning Outcomes
Upon successful completion, students will have the knowledge and skills to:
- Demonstrate excellent communication skills that are patient-centred and enable patients and carers to understand their health problems and share decision making around their health care choices; support the maintenance of a patient’s privacy and dignity; recognise the impact of their own values and their professional status in engaging with patients, carers and colleague; demonstrate culturally safe practice and deliver safe and accessible health care.
- Demonstrate skills in comprehensive history taking, examination and appropriate selection and use of investigations for more complex presentations including the recognition of clinicial deterioration; establish relevant differential diagnoses and interpret results to determine a working diagnosis; distinguish between encounters in which a targeted approach is appropriate and those where a thorough and comprehensive history is essential.
- Synthesise a patient’s history and physical findings to provide a succinct summary of a patient’s main problems and any other relevant intercurrent issues that may impact on investigations and management; demonstrate effective handover of this information to other members of the team involved in patient care.
- Formulate a comprehensive management plan based on evidence that includes appropriate medications and therapeutic agents and if necessary, interventional and/or allied health management; work collaboratively as a member of an interprofessional team to optimise patient outcomes.
- Apply medical sciences and population health knowledge to the patient presentation, diagnosis and management; critically appraise information and integrate quality and safety frameworks in clinical decision making.
- Contrast the structure and function of the health system in community and acute settings; evaluate the challenges of access and equity for community groups who experience health inequities and Aboriginal and/or Torres Strait Islander communities and identify and explain the doctor’s role in responding to these challenges.
- Demonstrate fitness for the practice of medicine through a commitment to professional behaviours including respect, teamwork, patient safety, ethics, quality and regulatory obligations; and evaluate and manage their own professional practice and ability to uphold these professional behaviours.
Work Integrated Learning
Placements
All students engage with WIL partners (internal/external) as a major component of the course
Other Information
Academic progress required for medical programs (Academic Progress Rule 2019 )
(1) If a medical student fails 1 or more courses in the student’s medical program in any year of enrolment in the program, the student is considered to have failed to maintain a satisfactory standard of academic progress in the student’s medical program, and is regarded as on probation for the remainder of the program.
(4) If a medical student to whom subsection (1) applies fails, for a second or subsequent time, any course in the student’s medical program in any year of enrolment in the program, the Delegated Authority may exclude the student from medical programs for a specified period of no longer than 5 years.
(7) If a medical student fails any course in the final year of the student’s medical program, the student is considered to have failed to maintain a satisfactory standard of academic progress in the student’s medical program and the Delegated Authority may exclude the student from medical programs for a specified period of no longer than 5 years.
(8) If a medical student fails a second or later year ANU Medical School [since 2023 School of Medicine and Psychology] professional practice course, the student is considered to have failed to maintain a satisfactory standard of academic progress in the student’s medical program and the Delegated Authority may exclude the student from medical programs for a specified period of no longer than 5 years.
Inherent Requirement Descriptors continued:
Insight into their own health and behaviour
- Medical students will be expected to demonstrate an ability to recognise when they experience poor health and put in place effective processes to ensure their own health or behaviours do not pose a risk to others.
Cognition, critical thinking and problem solving skills
- Medical students will be expected to have an aptitude for problem solving, based on scientific principles to understand and solve the complex medical needs of patients, whilst also considering the context of the patient’s circumstances and the health system they are working in.
Team work
- Medical students will be expected to work willingly and cohesively as part of a team, taking responsibility for their actions as well as recognising and respecting the skills of other professionals.
Physical and observational capabilities
- Medical students will be expected to demonstrate their ability to acquire information, carry out a range of procedures suitable to their level of capability, and understand and carry out their role in assisting during a medical emergency.
Sustainable performance
- Medical students will be expected to demonstrate both physical and mental performance at a consistent and sustained level to perform multiple tasks in an assigned period of time that provides safe and effective care without compromise.
Indicative Assessment
- Assessment for this course requires students to meet the passing standard in each of the three hurdles: (100) [LO 1,2,3,4,5,6,7]
- Clinical Knowledge and Application Hurdle (null) [LO 3,4,5,6]
- Clinical Practice Hurdle (null) [LO 1,2,3,4,5,6,7]
- Professionalism and Engagement Hurdle (null) [LO 1,2,3,4,6,7]
The ANU uses Turnitin to enhance student citation and referencing techniques, and to assess assignment submissions as a component of the University's approach to managing Academic Integrity. While the use of Turnitin is not mandatory, the ANU highly recommends Turnitin is used by both teaching staff and students. For additional information regarding Turnitin please visit the ANU Online website.
Workload
This course must be enrolled in twice over two consecutive semesters (24 units +24 units)
The general expectation in Medicine 4 is a minimum of 6 clinical sessions (4 hour sessions) per week in addition to the structured teaching commitments eg. all day Friday. Please see Class Summary for more information.
Inherent Requirements
During the Clinical placements, students will participate in the medical care of patients including vulnerable persons. This requires students to put into practice a range of professional competencies developed in earlier courses.
These competencies are guided by the Medical Deans of Australia and New Zealand Inclusive Medical Education guidance note and require students to be able to:
Communication skills – verbal, non-verbal and written
- Medical students will be expected to communicate effectively and sensitively with a range of different people to establish rapport, involve patients and carers in decision making, and practise in a culturally safe way to deliver high quality, safe care. This applies to listening, speaking, reading, writing, and the capability to use these different modes to elicit information from people, often under pressure and in difficult situations.
Professionalism
- Medical students will be expected to demonstrate capabilities consistent with those of a medical professional, including a commitment to making the care of patients their priority, and to practise safely and effectively, treat people with dignity and respect, and be aware of the limits of their own knowledge, skills and health. They will also be required to comply with the law, regulations and any other university codes or policies.
Insight into their own health and behaviour
Cognition, critical thinking and problem solving skills
Team work
Physical and observational capabilities
Sustainable performance
(See the Other Information for the full descriptors of the final five areas).
It should be recognised that there may be cases where students will not be able to meet the requirements of the program, even with reasonable adjustments. Students unable to meet the course inherent requirements will be unable to complete the Doctor of Medicine and Surgery and will be offered a transfer to the Master of Preclinical Science.
Requisite and Incompatibility
Prescribed Texts
Please refer to the Learning Management System.
Fees
Tuition fees are for the academic year indicated at the top of the page.
Commonwealth Support (CSP) Students
If you have been offered a Commonwealth supported place, your fees are set by the Australian Government for each course. At ANU 1 EFTSL is 48 units (normally 8 x 6-unit courses). More information about your student contribution amount for each course at Fees.
- Student Contribution Band:
- 3
- Unit value:
- 24 units
If you are a domestic graduate coursework student with a Domestic Tuition Fee (DTF) place or international student you will be required to pay course tuition fees (see below). Course tuition fees are indexed annually. Further information for domestic and international students about tuition and other fees can be found at Fees.
Where there is a unit range displayed for this course, not all unit options below may be available.
Units | EFTSL |
---|---|
24.00 | 0.50000 |
Course fees
- Domestic fee paying students
Year | Fee |
---|---|
2025 | $22320 |
- International fee paying students
Year | Fee |
---|---|
2025 | $47760 |
Offerings, Dates and Class Summary Links
ANU utilises MyTimetable to enable students to view the timetable for their enrolled courses, browse, then self-allocate to small teaching activities / tutorials so they can better plan their time. Find out more on the Timetable webpage.
Class summaries, if available, can be accessed by clicking on the View link for the relevant class number.
First Semester
Class number | Class start date | Last day to enrol | Census date | Class end date | Mode Of Delivery | Class Summary |
---|---|---|---|---|---|---|
3206 | 10 Feb 2025 | 24 Feb 2025 | 31 Mar 2025 | 09 May 2025 | In Person | View |
Second Semester
Class number | Class start date | Last day to enrol | Census date | Class end date | Mode Of Delivery | Class Summary |
---|---|---|---|---|---|---|
8173 | 12 May 2025 | 28 Jul 2025 | 31 Aug 2025 | 17 Oct 2025 | In Person | N/A |