AOGP Student Clinical Training Manual.pdf - Adelaide to Outback ...

AOGP Health Student
Clinical Training Manual
2012

Important Contacts
For queries regarding the AOGP Health Student Clinical Training Program please contact:
Dr Tim Kelly
Strategic Operations Manager
8366 3100
tim.kelly@adelaide.edu.au
Ms Michelle Pitot
Strategic Operations Officer
8 366 3100
michelle.pitot@adelaidetooutback.com.au
Adelaide to Outback GP Training Program
Lower Level 183 Melbourne Street
NORTH ADELAIDE SA 5006
T: (08) 8366 3100
F: (08) 8361 8967
Document Control Information
Document Custodian Strategic Operations Manager
Current version 1.1 Last modified: 5 July 2012 –Michelle Pitot

Contents
1. AOGP Health Student Clinical Training
1.1 Health Student Clinical Training in the General Practice Environment 09
1.2 Health Workforce Australia 09
• Student Training Linkages Diagram 10
1.3 University of Adelaide 11
1.4 AOGP in the Health Student Clinical Training Context 12
• Environment Scan 13
2. AOGP Profile
2.1 About AOGP 15
2.1.1 AOGP as an Education Organisation 15
• AOGP Framework Diagram 16
2.1.2 AOGP Governance 17
2.1.3 AOGP Staff 17
• AOGP Organisational Chart 18
2.2 AOGP Training Region 19
2.3 AOGP Health Student Clinical Training Post Network 20
2.4 AOGP Education Framework 20
3. Medicine
3.1 Introduction 21
3.2 Program Structure 21
3.3 Program Objectives 22
3.4 Program Requirements 23
3.5 Supervision Requirements 25
3.6 Assessment Requirements 25
3.7 Training Post Requirements 25
4. Nursing
4.1 Introduction 27
4.2 Program Structure 27
4.3 Program Objectives 28
4.4 Program Requirements 30
4.5 Supervision Requirements 31
4.6 Assessment Requirements 31
4.7 Training Post Requirements 31
5. Psychology
5.1 Introduction 33
5.2 Program Structure 33
5.3 Learning Objectives 33
5.4 Education Program Requirements 34
5.5 Supervision Requirements 36
5.6 Reporting, Feedback and Assessment Requirements 37
5.7 Training Post Requirements 38
1

6. Grievance Policy and Process 39
7. Appendix 41
1. Orientation of Medical Students: Checklist Series
2. AOGP Medical Students Clinical Training – Clinical Skills Checklists
3. Orientation of Nursing Students: Checklist Series
4. AOGP Nursing Students Clinical Training – Clinical Skills Checklists
5. Orientation of Psychology Students: Checklist Series
2

Companions to this Manual
The documents listed below can be found on the AOGP website
(http://adelaidetooutback.com.au/TrainingOpportunities/HSCT.aspx)
All disciplines
AOGP Health Student Clinical Training Calendar
AOGP Health Student Clinical Training Network Summary
Medicine
Third year Medicine Clinical Skills Program: Student Handbook 2012
AOGP Health Student Clinical Training Medical Student Placement Manual
Nursing
University of Adelaide Scope of Practice
University of Adelaide Guidelines for Administration of Medication
AOGP Health Student Clinical Training Nursing Student Placement Manual
Psychology
Master of Psychology (Clinical) Placement Handbook 2012
The University of Adelaide School of Psychology: Master of Psychology Program Handbook 2012
AOGP Health Student Clinical Training Psychology Student Placement Manual
3

Foreword
Welcome to the inaugural edition of the AOGP Health Student Clinical Training Manual.
This manual aims to assist you to understand how AOGP operates within the context of Health
Student Clinical Training. Further it provides you with information about AOGP from a regional,
governance and operational perspective. A significant proportion of the manual is dedicated to
the provision of AOGP Health Student Clinical Training information. The manual summarises the
key issues regarding University of Adelaide student clinical training across the disciplines of
Medicine, Nursing and Psychology.
As a core stakeholder of the AOGP Health Student Clinical Training, please take the time to read
this manual in its totality —at least once! It is structured so that you may continue to use it as a
reference resource throughout your involvement with AOGP.
5

Chapter 1: Health Student Clinical Training
1.1 Health Student Clinical Training in the General Practice Environment
General Practice in the private setting has shown that it can provide a high quality clinical training
experience and has been successfully involved in medical student, pre-vocational and vocational
General Practice training through urban, rural and remote Australia for more than 35 years.
Whilst historically health student clinical training and education has been predominantly delivered
in hospitals, it is recognised that patients are now mainly diagnosed and treated in the community
by the community-based health team with only short in-patient stays in hospital. Increasingly, there
has been demand for a higher proportion of core clinical training of health students to be delivered
in the primary care General Practice environment.
Primary care based clinical training placements are of equal value to tertiary hospital based clinical
training placements and other simulated clinical training environments. In addition to meeting the
learning requirements as set out in University curricula, the primary care setting allows health
students to gain an understanding of the whole health system and patient care beyond the tertiary
setting.
1.2 Health Workforce Australia (HWA)
HWA is an initiative of the Council of Australian Governments (COAG). It was established to meet
the future challenges of providing a health workforce that responds to the needs of the Australian
Community. A key HWA program is Clinical Education and Training which looks at improving and
expanding access to quality clinical training for health professionals in training across the public,
private and non-government sectors.
In June 2010, Adelaide to Outback GP Training Program (AOGP) successfully submitted a
proposal to Health Workforce Australia to increase the clinical training capacity for health
students at the University of Adelaide across the disciplines of Medicine, Nursing and Psychology.
AOGP as the Clinical Training Provider, in partnership with the University of Adelaide as the
Higher Education Provider, have committed to provide and support clinical training for Nursing
students, Medical students and Master of Psychology (Clinical) students. This clinical training will
be delivered by the AOGP Health Student Clinical Training Practice Network who will be the
direct providers of Clinical Training. The network covers urban, outer metropolitan, rural and
remote South Australia (see page 19 for training region details).
All three parties are key partners in the Training Collaboration Linkage Model, which provides a
framework for clinical training delivery in the General Practice setting. The students who train
under this model will be provided with a quality clinical learning experience with the opportunity to
integrate and apply knowledge, skills and attributes taught in the classroom. Please refer to page
10, Diagram 1. Student Training Linkage Model
Whilst not the brief of the above proposal, this model allows for the development of interdisciplinary
teaching that crosses the boundaries of the currently three distinct curricula. Equally it
offers the opportunity to create a collaborative care ethos that has been locally and nationally
recognised as a necessary ingredient for optimal health services.
7

Diagram 1. Student Training Linkage Model
Customised
Personalised
Specialised
Adelaide to Outback
GP training program
Customised
Personalised
Specialised
Student Training Linkage Model
Training collaboration partnership
Higher Education Provider
University of Adelaide
Faculty of Health Sciences
Clinical Training Provider
AOGP
Direct Clinical Training
Provider
AOGP Teaching Practice Network
Recruitment/Placement coordination
Recruitment
Feeder of Students
Coordinator of Placements Clinical Places
Clinical training/Education program (in-practice and out-of-practice)
Education Program
Teacher Upskilling
Education support and
resources
Clinical Training Program
Teacher Upskilling
Clinical training support and
resources
Supervision
Teaching
Feedback/Assessment
.
Student orientation
Orientation Level 1
Orientation Level 2
Orientation Level 3
8

1.3 University of Adelaide
The University of Adelaide provides a range of courses and programs in the Health Sciences.
Those participating in the AOGP Health Student Clinical Training include a 6 year undergraduate
Medical course, a 3 year undergraduate Nursing course, a 2 year Graduate Nursing course and a
2 year Master of Clinical Psychology. For each of these courses clinical placements are a core
component of university training. They are also a mandatory requirement for the completion of their
programs and attainment of professional entry qualifications.
Nursing
Two nursing programs/courses participate in the AOGP Health Student Clinical Training. These
are the Bachelor of Nursing, a 3 year undergraduate program and the graduate entry Masters of
Clinical Nursing, a 2 year program aimed at graduates seeking a career in nursing who have a
three year degree in another discipline.
Nursing at the University of Adelaide has approximately 1000 more clinical placement hours than
any other nursing program in Australia. Successful completion of either of these courses allows
entry into the nursing profession and the degrees are accredited with the Australian Health
Practitioners Regulation Agency.
Medicine
The University of Adelaide offers a 6 year undergraduate medical degree- Bachelor of Medicine
and Surgery (MBBS). Years 1 - 3 focus on the scientific basis of medicine, clinical skills and
medical personal and professional development. In Years 4 - 6, students expand their knowledge
and skills in these key areas. Clinical placements also form an essential component of these later
years. The Australian Medical Council (AMC) accredits the course and upon successful
completion the graduates will be registered with the Australian Health Practitioners Regulation
Agency.
Psychology
Students enrolled in the Master of Psychology (Clinical), which is the professional entry course for
Clinical Psychologists, participate in the AOGP Health Student Clinical Training Program. This is a
two-year course, consisting of 3 clinical placements of approximately 45 days each. Currently the
program has accreditation for membership entry of the Australian Psychological Society (APS) and
specific approval from the APS College of Clinical Psychologists and meets the requirements for
registration with the Australian Health Practitioners Regulation Agency.
As illustrated in the Student Training Linkage Model (Diagram 1) the University of Adelaide, as the
higher education provider, is responsible for the recruitment and allocation of health students
across the three disciplines to the AOGP Clinical Training Program. The Schools of Medicine,
Nursing and Psychology set the curricula and education program requirements which AOGP
uphold in the delivery of the Clinical Training Program.
9

1.4 AOGP in the Health Student Clinical Teaching Context
AOGP is a mature education organisation which was established over 10 years ago. Since
2001, General Practice specialist training has been delivered through a regionalised model by
Regional Training Providers (RTPs). AOGP is one of 17 RTPs who deliver the Australian General
Practice Training Program. More recently General Practice has become involved in training at the
prevocational doctor level with the advent of the Prevocational GP Placement Program (PGPPP)
in 2005.
AOGP, through it’s experience in the delivery of vocational and pre-vocational training in the
Australian General Practice setting, and support of the Supervisors and Teaching Practices that
participate in this teaching, provides an ideal framework and structure that has been expanded to
incorporate the training of medical, nursing and psychology students.
As illustrated in the Student Training Linkage Model (Diagram 1), AOGP is responsible for the
management and co-ordination of placements in the AOGP Clinical Training Practice Network.
The AOGP Clinical Training Program upholds the University of Adelaide requirements for the
curricula and education program. AGOP provides teacher up-skilling and the resources to
support the delivery of the Clinical Training Program.
The AOGP Clinical Training Practice Network provide clinical placements and access to high
quality supervision, teaching, feedback and assessment.
The Environment scan (Diagram 2 on page 13) provides an overview of the AOGP in the Health
Student Clinical Teaching Context.
10

Diagram 2. Environment Scan
11

Chapter 2: AOGP Profile
2.1 About AOGP
2.1.1 AOGP as an Education Organisation
The AOGP Framework diagram (Diagram 3 on page 16) provides an overview of AOGP as an
education organisation. The underpinning quality assurance framework and integrated use of
adult learning principles inform the way in which the education program is delivered to all learners
General Practice Specialty Training
The Adelaide to Outback GP Training Program is a premier provider of pre-vocational and
vocational General Practice Training. Since January 2002 it has delivered the training program for
doctors who have been selected to specialise in General Practice. AOGP adheres to the curricula
and training standards set by the Royal Australian College of General Practitioners (RACGP)
and/or the Australian College of Rural and Remote Medicine (ACRRM). Further it adheres to the
contractual guidelines set by General Practice Education and Training Limited (GPET).
Whilst providing the core clinical training in general practice, AOGP also strives to maintain an
innovative, high quality yet adaptive education and training program. A key tenet for AOGP is that
it accurately reflects the needs of their learners, teachers and local regional community. The
AOGP educational framework provides the necessary educational expertise to ensure the GP
speciality program is a diverse and inspiring education experience that creates competent General
Practitioners who are a dynamic and passionate force in health.
Prevocational Doctor Training
Since 2005 AOGP has delivered intern and PGY2+ level prevocational junior doctor training
within the General Practice environment. Accredited by both the college/s and the Postgraduate
Medical Council of South Australia (now referred to as South Australian Institute of Medical
Education and Training - SA IMET) AOGP has been recognised as a national leader in the
delivery of this program within private General Practice. The size of this program has only been
restricted because the federal funding for this program is capped for South Australia.
International Medical Graduates
AOGP has been providing support to rural-based International Medical Graduates (IMGs) within
the AOGP training region preparing for the RACGP examination via the alternative pathway since
2003. This was enabled through vision and funding from Rural Doctors Workforce Agency
(RDWA). The model for this support is based around a regionally distributed team of IMG Medical
Educators to provide localised support, and an Education Support Team to coordinate the
process. The acquisition of recent additional funding has allowed for important enhancement of
the existing support program. We believe this is essential for the sustainability of our program.
Health Student Clinical Training
AOGP – in alliance with a significant proportion of its Clinical Training Practices – and in
partnership with the University of Adelaide, is involved in the formal delivery of core clinical training
for university students across Medicine, Nursing and Psychology, beginning 2012. The intent is to
embrace this opportunity as a next step towards integrated and multi-level learning within the
General Practice environment, both vertically and horizontally.
13

3. AOGP Framework Diagram
14

2.1.2 AOGP Governance
AOGP is a private, not-for-profit organisation, incorporated under the South Australian
Associations Incorporation Act (1985).
AOGP is governed by an independent Board comprised of people selected for their personal
skills, expertise and affiliations relevant to medical education and General Practice specialty
training. The Board also includes two organisational nominees, namely the AOGP CEO and the
University of Adelaide Executive Dean of Health Sciences. All Board Members annually renew
their agreement to fulfill their fiduciary responsibilities to AOGP, the organisation.
Table 1. Board profile summary
Mandatory Desirable Actual
General Practitioners 70% 73%
• Rural-based Practitioners 30% 40% 36%
• AOGP active
10% 18%
(immediate past) Registrar
• AOGP active Supervisor 10% 27%
Non-medical expertise 25% 30% 27%
Allied Health Practitioner 10% 18%
Females 25% 50% 36%
Under 45 10% 25% 18%
2.1.3 AOGP Staff
The AOGP team comprises clinical, academic, administrative and professional staff who support
clinical training in the General Practice setting throughout the AOGP region.
Diagram 4 AOGP Organisation Chart provides an overview of the organizational structure and
introduces the AOGP teams:
• Education
• Program Support
• Research and Development
• Strategic Operations
The Strategic Operations team is responsible for the management and coordination of the
AOGP Health Student Clinical Training Program, with integrated support from the other AOGP
teams.
15

Diagram 4. AOGP Organisation Chart
16

2.2. AOGP Training Region
AOGP maintains a large region, which provides an extensive array of training opportunities: from
remote practice in the north and west of the state, to training in diverse rural regions, through to
outer-metropolitan and urban General Practice.
The AOGP region covers a large proportion of metropolitan and rural South Australia. In
metropolitan Adelaide, AOGP includes the area from the city North, East, and West, with two
training posts in the Southern Region. The AOGP region includes high and low socio-economic
status areas, areas of non-English-speaking populations, and areas of GP shortage.
The rural AOGP region follows Highway One north and west. It includes the Yorke Peninsula,
Mid North, Flinders and Far North, and Eyre Peninsula, and shares the Adelaide Hills, Murray
Mallee, and Southern rural region. The rural AOGP region ranges from inner rural suburbs to
popular tourist locations, to industrial and agricultural regions. Our rural region includes Practices
that are as close as two hours’ drive from Adelaide, to those that range from three to seven
hours’ drive.
Maps illustrating our region coverage are on our website www.adelaidetooutback.com.au
17

2.3 AOGP Health Student Clinical Training Practice Network
All AOGP Clinical Training Practices are accredited to RACGP standards. Rural Practices are
additionally accredited to ACRRM standards. Over 20 practices in the AOGP region form the
AOGP Health Student Clinical Training Practice Network
The Medical, Nursing and Psychology Supervisors within AOGP Health Student Clinical Training
Practice Network are highly experienced and skilled in teaching learners across the health
student training continuum. They understand and uphold the requirements associated with
teaching in their General Practice environment. Further AOGP has developed an education
framework that underpins these practices in their supervision and teaching. They have in place a
comprehensive infrastructure of mature systems, human and physical resources e.g. Clinical
Educators, access to Online Learning tools, educational material and resources, and an
integrated Teacher skill development program.
2.4 AOGP Education Framework
The AOGP Health Student Clinical Training Program is underpinned by the appropriate use of
adult learning principles. AOGP requires all learners to be active partners throughout their
training program.
AOGP works to the three key principles in the delivery of its training programs:
Customised: AOGP reflects the person and adapts to the needs of the person wherever
possible with a view to maximizing the work we are doing with them
Personalised: AOGP respects the person we are working with and works hard to adapt
communication and interaction to suit that person, as a way of demonstrating this respect
Specialised: AOGP at all times adheres to externally set regulations to ensure all work and
activity meets relevant competency requirements.
The following Chapters detail the way in which the AOGP Education Framework is applied to the
delivery of the Health Student Clinical Training Program.
18

Chapter 3: Medicine
3.1 Introduction
Welcome to the AOGP Third Year Medicine Clinical Skills Training Program.
The AOGP Clinical Training Practice based component of the University of Adelaide Third Year
Medicine Clinical Skills Training Program is a valuable opportunity to contribute to the
development of the communication and clinical skills required to provide comprehensive patient
care. The General Practice setting provides an excellent opportunity to develop a broad range of
clinical skills in a variety of different patient groups. In addition to clinical skills development
through direct patient contact, Medical students will gain an introduction to the Primary Health
Care system and the resources available to effectively manage patients.
3.2 Program Structure
Medical Students are allocated to AOGP Clinical Training Practices in pairs and will complete a
two-day clinical placement over a two-week period (on Tuesdays). Whilst the University of
Adelaide is responsible for the allocation of students, AOGP manages and co-ordinates the
Clinical Training Placements. The dates of the Clinical Placements are provided in the AOGP
Health Student Clinical Training Education Calendar.
A summary table is provided below:
Program
MBBS
Year 3
Curriculum
Area
Clinical Skills
Program
Requirement
2 day placement
(1day per week x
2 weeks) x 10 rotations
Timeframe
March- October
(Tuesdays)
The suggested timetable of each AOGP Medical Student Clinical Placement day is presented in
the table below. This format will ensure that the education program requirements and learning
objectives are met. It is expected that the student will complete their case write up after hours.
The 2 nd tutorial provides an opportunity for observation of/discussion with other health
disciplines, e.g. practice nurse, as an introduction to interdisciplinary learning.
Week 1
0830 Students Arrive at Practice
0830-0930 Orientation to Practice
0930-1030 Clinical Tutorial
1030-1230 Patient Clinical Work
1230-1300 Lunch
1300-1400 Clinical Tutorial
1400-1700 Patient Clinical Work
1700 Students Depart
Week 2
0830 Students Arrive at Practice
0830-0930 Clinical Tutorial
0930-1230 Patient Clinical Work
1230-1300 Lunch
1300-1400 Clinical Tutorial
1400-1645 Patient Clinical Work
1645-1700 Students Complete Online Evaluation
1700 Students Depart
19

3.3 Program Objectives
The AOGP Medical Student Clinical Training program contributes significantly to the
development of third year Medical students’ core clinical skills. Whilst the focus is on clinical skill
development through direct patient contact, there are additional professional and organisational
learning objectives.
Professional
• Work as a valued member of a team involving health professionals from various
disciplines, and value other members of the team
• Exhibit attitudes and behaviors of a health care professional
• Engage in furthering ethical, personal and professional development
• Consider career path development
Organisational
• Enhance understanding of the integration between primary and secondary and tertiary
health care
• Develop an awareness of the need for preventative primary health care in General Practice
• Improve understanding of information technology in the General Practice context
Clinical
• To be able to confidently approach patients in the General Practice setting
• To be able to take a full history from a variety of patients including exploration of the
patient’s presenting problems in detail, maintaining respect for the patient’s cultural,
religious and social background
• To be able to conduct a physical examination on a real patient, appropriate to the history
and with respect to patient comfort at all times
• To be able to detect common physical signs on real patients
• To be able to process history and examination findings to formulate a problem list, limited
differential diagnosis and basic management plan
• To be able to present findings in both a written and oral presentation
• To develop an awareness of primary health care- including investigation and management
of common conditions
• To increase knowledge of medications used to treat common conditions and to become
familiar with the principles of electronic prescribing
• To behave in a professional manner in all clinical encounters
20

3.4 Program Requirements
3.4.1 Orientation
A key element to the success of a clinical placement is a comprehensive orientation, tailored to
the scope and objectives of the AOGP Clinical Skills Training clinical placement. Medical
Students will participate in an orientation program on the first day of the placement to ensure that
they are well prepared to gain maximum benefit from General Practice- based placement. Please
see the Appendix 1: Orientation of Medical Students: Checklist Series for further details
3.4.2 Education Program Requirements
Clinical Skill development through direct patient contact
During the AOGP Medical Student Clinical Placement, each student pair will have the
opportunity to see at least 4-5 patients per day, for a minimum of 30 minutes per patient.
The Clinical Training Practice will book suitable patients to see the students according to
individual practice protocols and processes. When patients are booked to the student,
consideration will be given to the learning objectives of the placement.
Case Write Ups
A core element of the Clinical Skills Placement is the case write up and the guidelines for this
activity and examples can be found in the Third Year Medicine Clinical Skills Program Student
Handbook.
Each student will have the opportunity to complete one case write up each per AOGP Clinical
Placement.
It is important to note that a case write up has a different objective from the notes recorded in the
General Practice clinical record, and whilst the content of the clinical record will include the
relevant and pertinent information it is an abridged version of what would be expected to be
included in a case write up. Students will not be expected to write notes in the patient clinical
record, however, during orientation will be provided with guidelines for the use of the Medical
Record.
21

Clinical Tutorials
The table below highlights what the Medical Student may be exposed to in the General Practice
setting during placement.
The clinical tutorial topics presented by the Medical Student Supervisor may include, but are not
limited to those summarised below.
System
Ear, Nose and Throat
Ophthalmology
Diabetes
Asthma
Multiple Morbidity
Hypertension
Dermatology
Prescription Writing
Medico Legal Medicine (including recall
and audit systems)
Counselling and Ordering of Investigations
Counselling/ breaking bad news
Medication Management
Enhanced Primary Care (EPC) Items
Musculoskeletal Medicine
Respiratory
History and Examination of Patient
Presenting with Undifferentiated Symptoms
Example
Normal examination and common
conditions e.g. Otitis media
Acuity Assessment, common conditions
and Driver’s licence examination
Chronic Disease care- HbA1C
measurement, routine examination
Chronic Disease care- including asthma
action plans
Person centred care
BP Measurement, treatment, monitoring of
medication
Skin cancers and common rashes
PBS, authority systems
Pap smear register, abnormal result followup
IT systems, information to include on
referral, informed consent
Providing patient information when
prescribing e.g. common and serious
adverse effects
Diabetic care plans, allied health referral
Back pain, shoulder pain
Asthma, COPD
Dealing with uncertainty
22

3.5. Supervision Requirements
Medical students are directly supervised by the Medical Student Supervisor throughout their
placement. It is intended that the Medical Student Supervisor will be the General Practice
Registrar, with overall supervision by the Health Student Principal Supervisor. From Semester 2
2012 the Health Student Clinical Teaching program and requirements will form part of the
Registrar Placement Process (P5).
The Medical Student Supervisors within AOGP Health Student Clinical Training Practice
Network understand and uphold the requirements associated with teaching in their General
Practice environment. AOGP has developed an education framework that underpins these
Supervisors in their supervision and teaching and includes an integrated Teacher skill
development program.
3.6 Student Assessment Requirements
Attendance
Students are required to sign in and out at the beginning and end of each day. It is expected that
students will arrive at 8.30am and stay until 5.00 pm. An attendance sheet has been added to
Section 4 of this manual. This is to be completed by the Student and Medical Student
Supervisor/Practice Manager and returned to the University, by the students, upon completion of
the Student’s placement.
Case Write-ups
Students are expected to complete one case write up during their placement. This is to be
written up in the student’s own time after the initial placement day. This case write up will be
discussed with the Medical Student Supervisor on the second placement day, and refined in
conjunction with the Medical Student Supervisor to be presented to the University of Adelaide
School of Medicine upon completion of the placement.
Further details regarding the University requirements for Assessment can be found in Third Year
Medicine Clinical Skills Program Student Handbook.
3.7 Training Post Environment Requirements
The Clinical Training Practice and the Health Student Principal Supervisor are be accredited in
accordance with the Standards for General Practice Education and Training: Trainers and
Clinical Training Practices 2005 required by the RACGP, and/or the Standards for Supervisors
and Teaching Posts in Primary Rural and Remote Training required by ACRRM. Both colleges’
standards are upheld by AOGP.
The AOGP Clinical Training Practice will ensure that the Medical students have access to the
resources required to meet the learning objectives for the Clinical Placemen. This will include
appropriate access to
• Desk/Office Space (which may be shared)
• Equipment
• Supplies
• Internet
23

Chapter 4: Nursing
4.1 Introduction
Welcome to the AOGP Nursing Student Clinical Training Program.
The AOGP Clinical Training Practice based component of the University of Adelaide Nursing
Student clinical skills training program is a valuable opportunity to contribute to the development
of the skills required to provide comprehensive patient care. The General Practice setting
provides an excellent opportunity to develop a broad range of clinical skills in a variety of different
patient groups. In addition to clinical skills development through direct patient contact, nursing
students will gain an introduction to the Primary Health Care system and the resources available
to effectively manage patients.
4.2 Program Structure
Two University of Adelaide Nursing programs participate in the AOGP Nursing Student Clinical
Training Program. These are the Bachelor of Nursing, a three year undergraduate program; and
the Masters of Clinical Nursing, a two year program aimed at graduates seeking a career in
nursing who have a three year degree in another discipline.
Within this Chapter, information relevant to the following curriculum areas is presented:
B. Nursing Year 1 Home Placement
B. Nursing Year 2 Rural Placement
B. Nursing Year 2 Community Placement
M. Clinical Nursing Year 1 Clinical Placement
Nursing students in all program and curriculum areas will be allocated to AOGP Clinical Training
Practices in pairs. Whilst the University of Adelaide is responsible for the allocation of students,
AOGP manages and co-ordinates the Clinical Training Placements
24

The table below summarises the requirements against each Nursing Programs and Curriculum
areas involved in the AOGP Nursing Clinical Training Program.
Program Curriculum
Area
Requirement
B Nurs Year 1 Home placement 2 day placement
per week x
19weeks, once
B Nurs Year 2 Community 3 day placement
Placement per week x 6
weeks, twice
B Nurs Year 2 Rural placement 5 day placement
per week x 3
weeks, once
M Clin Nurse
Year 1
Clinical
Placement
4 day placement
per week x 2
weeks, x 3
Timeline
April- October
(Thursday and
Friday)
July-August
August- Sept
(Monday-
Wednesday)
February
(Monday- Friday)
August
September
October
Please note that the dates for each of the Clinical Placements outlined in the above table are
provided in the AOGP Health Student Training Education Calendar (see Companion
Documents).
4.3 Program Objectives
Experiential learning is a key component of the University of Adelaide Nursing programs. The
AOGP Nursing Student Clinical Training Program contributes to the development of the required
knowledge, skills and attributes in the following domains:
• Professional
• Organisational
• Clinical
The learning objectives within each of these domains are presented below.
Professional
• Work as a valued member of a team involving health professionals from various
disciplines, and value other members of the team;
• Exhibit attitudes and behaviors of a health care professional;
• Engage in furthering ethical, personal and professional development;
• Consider career path development;
Organisational
• Enhance understanding of the integration between primary and secondary and tertiary
health care;
• Develop an awareness of the need for preventative primary health care in General Practice;
• Improve understanding of information technology in the General Practice context;
25

Clinical
The scope of Clinical Skills development is presented in the following Checklists provided in
Appendix 3. The Checklists are to be used as a guide, relevant to the individual student’s level of
training. The Checklists present skills at 3 points on the Nursing student training continuum
• First Year Semester 1
• First Year Semester 2
• Second Year
The Checklists provide an overview of the learning objectives for clinical skill development in the
Following Clinical Skills domains: -
• Activities of Daily Living
• Nutrition
• OHS and W
• Standard and Additional Precautions
• Basic Life Support
• Vital Signs
• Vital Care
• Observation
• Equipment
• Medication Management
• Documentation
26

4.4 Program Requirements
Orientation
A key element to the success of a clinical placement is a comprehensive orientation, tailored to
the scope and objectives of the clinical training program. Nursing students will participate in a
comprehensive three tier orientation program to ensure that they are well prepared to gain
maximum benefit from the General Practice-based placement.
The three tier orientation program includes:
Phase 1: University orientation - the University provides orientation to all students prior to the
clinical placements - both hospital and general practice based. This orientation covers the
broader issues including an overview of the curriculum and assessment requirements.
Phase 2: AOGP orientation - AOGP provides orientation to clinical placements in the General
Practice environment. Key issues covered include professionalism, communication, and an
orientation to health care in the primary care setting.
Phase 3: In-Practice orientation. The third phase of orientation will include orientation to the
individual practices. Students will be oriented to the practice environment and patient
demography and be introduced to key practice staff, processes as well as supervisors and
teachers. An orientation check list series has been developed to support and guide the inpractice
orientation. Please see Appendix 3 for the Orientation of Nursing Students: Checklist
Series
Clinical Skill Development through direct patient contact
The AOGP Clinical Training Practice will provide an educational environment appropriate to the
Nursing Students’ stage of training and the clinical opportunities available in the Clinical Training
Practice.
The Clinical Training Practice is to ensure that the range of patients seen by the Student is
appropriate to the Student’s level of experience and is, as far as possible, inclusive of the clinical
skill areas required by the University of Adelaide School of Nursing as presented in the
Checklists provided in Appendix 4.
These lists are not exhaustive, and space has been allocated for individual practices and
Students to add additional skills
Nursing students will be required to record their clinical skill development using these checklists
Students will record whether a clinical skill has been
• Observed
• Performed with assistance
• Performed independently
• Not observed
Students will be required to submit a copy of the completed checklists to AOGP at the
completion of their placement.
Please use these checklists to inform the development of the Nursing Student Learning Plan in
consultation with the Nursing Supervisor.
27

4.5 Supervision Requirements
The Nursing students will be under the Supervision of the Nurse Supervisor throughout the
duration of their placement. The Primary Nurse Supervisor is nominated by the Health Student
Principal Supervisor. Registered and Enrolled Nurses are both eligible to supervise Nursing
students.
The Nursing Supervisors within AOGP Health Student Clinical Training Practice Network
understand and uphold the requirements associated with teaching in their General Practice
environment. AOGP has developed an education framework that underpins these Supervisors in
their supervision and teaching. They have in place a comprehensive infrastructure of mature
systems, human and physical resources e.g. Clinical Educators, access to Online Learning tools,
educational material and resources) and an integrated Teacher skill development program.
4.6 Student Assessment Requirements
Practices will be provided with an assessment framework outlining the requirements for each of
the Nursing Program Curriculum areas.
4.7 Training Post Environment Requirements
The Clinical Training Practice and the Health Student Principal Supervisor are be accredited in
accordance with the Standards for General Practice Education and Training: Trainers and
Clinical Training Practices 2005 required by the RACGP, and/or the Standards for Supervisors
and Teaching Posts in Primary Rural and Remote Training required by ACRRM. Both colleges’
standards are upheld by AOGP.
The AOGP Clinical Training Practice will ensure that the Nursing student has access to the
resources required for the Nursing Students to meet the learning objectives. This will include
appropriate access to:
• Desk/Office Space (which may be shared)
• Equipment
• Supplies
• Internet
28

Chapter 5: Psychology
5.1 Introduction
Welcome to the AOGP University of Adelaide Master of Psychology Clinical Placement.
The Master of Psychology Clinical Placement program is a valuable opportunity to contribute to
the development of skills required to provide comprehensive client care. This program provides
an excellent opportunity to develop a broad range of skills in a variety of different patient groups.
5.2 Program Structure
During the Master of Psychology (Clinical) program, students will complete three field
placements under the supervision of clinical psychologists who are members or eligible for
membership of the APS College of Clinical Psychologists. Masters of Psychology (Clinical)
placements will total 1000 hours over the two years of the Masters program and will include 3
clinical placements.
The table below summarises the requirements against each Master of Psychology (Clinical)
curriculum areas involved in the AOGP Health Student Clinical Training.
Program
M. Psych
(Clinical)
Curriculum
Area
Clinical
Placement
Requirement
Program
54 days M. Psych
(Clinical)
5.3 Program Objectives
Practical experience is an important component of the preparation for students for independent
professional clinical roles. The objective of clinical placements is to ensure that students have
appropriate opportunities to apply, under supervision, the knowledge and skills they have
acquired in the education and training program
On completion of the postgraduate program in clinical psychology, the student should be
capable of:
• Researching a detailed problem formulation on the basis of both standardised and unstandardised
assessments
• Designing and conducting appropriate individual, group and family treatment intervention
programs, with ongoing monitoring, and revision of problem formulation and interventions
where necessary.
30

5.4 Program Requirements
Orientation
A key element to the success of a clinical placement is a comprehensive orientation, tailored to
the scope and objectives of the clinical placement. You will participate in an orientation program
on the first day of your placement to ensure that you are well prepared to gain maximum benefit
from your placement. Please see the Orientation of Psychology Students: Checklist Series for
further details
A comprehensive three-tier orientation package has been developed for Psychology students
undertaking their clinical practice training through AOGP. This includes:
Phase 1: University orientation - the University provides orientation to all students prior to the
clinical placements. This orientation covers the broader issues including an overview of the
curriculum and assessment requirements.
Phase 2: AOGP orientation - This takes the form of an informal meeting where the Students get
an opportunity to meet their Supervisors and AOGP Personnel as well as receiving information in
regards to their placement.
Phase 3: In-Practice orientation. The third phase of orientation will include orientation to the
individual practices. Students will be oriented to the practice environment and patient
demography and be introduced to key practice staff, processes as well as supervisors and
teachers.
Pre-placement Requirements
Prior to commencing the placement the following documentation is required:
Provisional Registration
All students must ensure that they are provisionally registered as a clinical psychologist before
commencing placements
Insurance
The University holds public liability insurance for students engaged in approved clinical
placements. See:
http://www.adelaide.edu.au/legalandrisk/insurance/Masters_of_Psychology_2012_FORM.pdf
Placement Contract
The conditions of the placement will be set out in a contract. This will specify the following
details:
• agency's service plan,
• the details of the placement duration,
• times of attendance,
• agency requirements,
• the goals of the placement,
• the specific placement objectives and details of supervision,
• mid-placement review date, and
• valuation.
Where more than one person is involved in field supervision the contract will detail respective
supervisory responsibilities and specify who will accept ultimate responsibility for the placements
as a whole.
31

Please note carefully that it is the student's responsibility to prepare a draft contract, in
consultation with both the internal supervisor and the AOGP Supervisor (field supervisor), at the
beginning of the placement.
The AOGP supervisor will check the contract for accuracy and feasibility; and the internal
supervisor will check it for content and quality. The objectives and activities should be as
detailed and specific as the placement will allow.
Clinical Skills Development through direct client contact
The preferred model of clinical training is the problem formulation and hypothesis testing
approach. Following this model, individualised treatment programs are constructed on the basis
of detailed psychological assessments and history taking, and a preliminary formulation of the
problem, with hypotheses to be tested. Following monitoring of a client’s response to the initial
intervention, the process is revised appropriately.
Supervisors should ensure that trainees undertake an appropriate quantity of clinical work. The
amount of clinical work will be dependent on student’s level of training and competency as
determined by the Supervisor throughout the placement.
The total face-to-face client contact over the course of the placement should be at a minimum
140 hours. This equates to a minimum of approximately 3 hours per day. In addition to discussing
clinical work, it is essential that trainees and supervisors have opportunities of seeing each other
at work.
Clinical work may include:
• Student observation of supervisor consulting
• Supervisor observation of student consulting
• Student and supervisor co-consulting
• Student consulting independently,
32

5.5 Supervision Requirements
Each student will have an internal (University) and AOGP Psychology Supervisor
Role of the AOGP Psychology Supervisor
All AOGP Psychology Supervisors are accredited to the standards required by the Australian
Psychological Society (APS). Each week a scheduled session of a minimum of one hour duration
is required.
Trainees can learn much from watching their supervisors. Also, it is essential if the supervisors
are to give the trainees accurate and constructive feedback that they should make first-hand
observations of the trainee's performance. Placements differ in the most appropriate
opportunities for such direct contact. Some may use joint clinical work of some kind. Others may
prefer audiotape, videotape or one-way screen. However, some form of mutual observation of
clinical work should be regarded as essential.
Role of University Supervisor
Students will be allocated to an Internal Supervisor for each of their Clinical Placements. The
Internal Supervisor is responsible for the following:
• Check the contract at a face-to-face meeting at the placement setting, ensuring that it
meets required standards and format (set out clearly in the Handbook).
• Receive the Mid-placement review from the student and the AOGP Supervisor and
facilitate a meeting of all parties if any one of them requests it, or if there are any
concerns.
• Attend a face-to-face final meeting at the placement setting, at which the student and
AOGP Psychology Supervisor both provide reports of the Placement, and the AOGP
Psychology Supervisor completes appropriate ratings (comparing the student with
others at the same level of experience), and the student presents a written log of the
learning experiences and one or two case reports (in verbal and written form) that
exemplify the work undertaken at the agency. Four case reports must be submitted in
total, usually two for the first placement and one for each of the others.
33

5.6. Reporting, Feedback and Assessment Requirements
Clinical Placement Logbook
The student will complete a detailed logbook of client contact, placement experience and
supervision sessions, to demonstrate the amount and scope of supervised practice.
The logbook will include a record of:
• total hours of clinical experience,
• total hours of formal supervision and
• total hours of other contact with the supervisor, and
• total face-to-face client contact hours,
The Clinical Placement logbook will be signed by the student and AOGP Psychology Supervisor
once completed. It is essential that logbooks be completed in detail, and that copies are
retained by the student, AOGP and the School of Psychology. In reviewing graduates’ eligibility
for registration or membership, and/or the accreditation of the School, Registration Boards and
professional bodies are entitled to view this information on request. The placement logbooks
establish that each trainee has seen an adequate range of presenting problems occurring across
the lifespan, and under supervision has applied a range of assessment and treatment methods.
Case Reports
At each placement, the student will complete either one or two detailed de-identified case
reports addressed to a relevant professional (e.g. GP, referring professional) and in the format
required by the placement setting. Each case report will include details of the presenting case,
the trainee’s work, and a formal justification of the methods used and conclusions reached. A
total of four case reports, of at least 2,000 words each, is required for completion of the degree.
Student Evaluation Report
The student will submit a report to the internal supervisor at the end of the placement, reviewing
their activities and the procedures observed and practised, and providing a critical assessment of
their own skills development. The AOGP Psychology Supervisor will be invited to comment on
this evaluative report.
During Placement 1, the student will also need to complete the Reflective Practice Self Directed
Learning (SDL) exercise set by Professor Anna Chur-Hansen. This exercise is designed to help
you develop the important skills of Reflective Practice, and must be completed successfully
before Placement 1 will be considered complete. Professor Chur-Hansen will provide and set
the due date for this exercise during the Evidence Based Practice Course completed in
Semester 1.
Placement Supervisor Report
Consistent with APS requirements for supervision, the AOGP Psychology Supervisor will also
submit his/her evaluation of the student’s performance on the placement to the internal
supervisor, at the final interview, at which it will be discussed. The completed form will be
submitted to the Program Coordinator.
34

5.7 Training Post Requirements
The AOGP Clinical Training Practice will ensure that the Psychology student has access to the
resources required for the Psychology Students to meet the learning objectives. This will include
appropriate access to:
• Desk/Office Space (which may be shared)
• Equipment
• Supplies
• Internet
35

Chapter 6: AOGP Grievance Policy and
Process
Authorised by: Chief Executive Officer Next revision: January 2013
Resolution at the local level
AOGP’s grievance policy encourages independent resolution of issues of concern in the
environment in which they have occurred. Dealing with an issue at the local level and between
the individuals concerned generally derives the best result. This approach will most often lead to
a positive and reasonable outcome even if it includes a mutually agreed compromise. In order to
ensure that an issue of concern is dealt with in a timely, respectful and appropriate manner,
AOGP recommends that the issue is addressed using the following three-step process:
Step 1: Raised with the relevant individual(s) as soon as possible after the issue has been
highlighted. Step 2: Dealt with at the local level—where the actual issue has occurred. Step 3:
Discussed and resolved with a view to obtaining a ‘win-win’ outcome.
At all times AOGP maintains an ‘open-door’ and ‘direct-query’ policy. This means all parties are
encouraged to speak with any relevant members of the AOGP team, including the Chief
Executive Officer, to discuss an issue of concern. AOGP commits to deal with all parties in a
supportive, objective and confidential manner, and always with a view to achieving a mutually
beneficial local resolution.
The Supervisor Liaison Officers (SLOs) and Practice Manager Liaison Officers (PMLOs) are
equally available to discuss an identified issue of concern that arises, again with a view to
enabling a local resolution (as appropriate).
Resolution at the AOGP Management level
Where efforts at the local level have not been successful, AOGP will provide appropriate formal
assistance at the Management level to again strive for resolution. Any of the parties involved may
take the issue formally to the Chief Executive Officer of AOGP, who will then work through a
four-step mediation process with the relevant parties. This process involves:
Step 1: Clarification of the unresolved issue and/or concern
Step 2: Review of the roles and responsibilities of the relevant parties and determination that
these are mutually understood and agreed.
Step 3: Reconciliation of issue/s with AOGP policies and guidelines to identify pertinent relevant
information (where appropriate) that may assist resolution.
Step 4: Identification and mediation towards a mutually agreeable outcome.
In the instance that the issue relates to AOGP operations and/or personnel independent local
support and assistance, funded by AOGP, will be made available on request to resolve the issue
using the same four-step process.
Any of the parties may choose to involve the SLO and/or PMLO at any time before, during or
after the above action has been taken.
36

Resolution at the AOGP Board Appeals and Grievance Committee level
In the instance that the issue is not able to be resolved at the AOGP Management level, any of
the involved parties are welcome to request that it be elevated for consideration by the AOGP
Board Appeals and Grievance subcommittee. This committee will conduct an independent
review of the unresolved issue that has been unsuccessfully dealt with at the local and AOGP
Management levels. For more information about the structure of this committee please refer to
the AOGP Health Student Clinical Training Manual.
37

Chapter 7: Appendices
Appendix 1. Orientation of Medical Students: Checklist Series
Appendix 2. Orientation of Nursing Students: Checklist Series
Appendix 3. AOGP Nursing Students Clinical Training – Clinical Skills Checklists
Appendix 4. Orientation of Psychology Students: Checklist Series
38

Appendix 1.
Orientation of Medical
Students:
Checklist Series
Section 1: Education Orientation
Section 2: Operational Orientation
Section 3: Clinical Orientation

Appendix 1.
Medical Student Orientation
A key element to the success of a clinical placement is a comprehensive orientation, tailored to
the scope and objectives of the clinical placement.
Each University of Adelaide Third Year MBBS student will spend a total of two clinical training
days learning Clinical Skills in the General Practice Environment.
The following Checklists provide an outline that will assist Supervisors, Practice staff and
Medical Students to ensure that the objective is for Students to commence their placement with
an understanding of the Practice and the clinical environment and the educational experience
that they will be part of for the 2-day placement
The topics in the Orientation Checklist Series have been suggested as a guide and are not
intended to be an exhaustive list. Each of the 3 Sections is likely to have different Practice staff
as the primary person involved (eg Supervisor for Education Orientation, Practice Manager for
Operational Orientation and Practice Nurse for Clinical Orientation). Each Practice is unique and
its individual circumstances will influence what is included in Registrar orientation. Space has
been included for Practices to add any other Practice specific topics. Please allow 60mins at the
beginning of the placement for Medical Student Orientation.
There are three elements to the in-practice Orientation Program
Section 1. Education Orientation
Section 2. Operational Orientation
Section 3. Clinical Orientation

Section 1.Education Orientation
Expectations
Professionalism- dress code, punctuality, confidentiality
Style of Medicine within the practice
Please add any other topics you plan to cover in your practice
Competency
Identify learning needs and objectives for the placement (refer to companion document AOGP
Health Student Clinical Training Manual)
Please add any other topics you plan to cover in your practice
In-practice teaching and learning
Range of in-practice teaching methods that will be used
Timetable and preparation
Where teaching will occur
Whole practice involvement in teaching

Please add any other topics you plan to cover in your practice
Section 2. Operational Orientation
Operational Orientation includes the following 3 checklists:
• Processes and Protocols Checklist
• Systems Checklist
• Physical Environment Checklist
Processes and Protocols Checklist
• Outline the equipment the student will need to bring and what will be provided by the Practice
• Guidelines for use of internet- if available
• Safety/security e.g. duress alarms/procedures, OHS&W, emergency exits/protocols and where
to leave personal and valuable items
Please add any other topics you plan to cover in your practice
Systems Checklist
• Appointment system- describe the process of allocation of patients to medical students
• Computer system- how to read patient files only
• Phone system, who is on what extension and what they can assist with
• Student absences
Please add any other topics you plan to cover in your practice

Physical Environment Checklist
• Orientation to building and location of toilets, tea coffee facilities, parking, staff and their roles
Services provided by the Practice eg procedures, Mental Health, pediatrics, special interest
clinics
• Orientation to their office, what supplies there are and what supplies may particularly be
needed
• Which resources are available at the Practice and which ones may the Medical Student want to
bring with them Where are the resources kept
Please add any other topics you plan to cover in your practice
Contacts
• Emergency contact details for Supervisor and Practice Manager
Please add any other topics you plan to cover in your practice

Section 3: Clinical Orientation
Clinical Orientation includes the following 4 checklists:
• Equipment and Supplies Checklist
• Resources Checklist
• Processes Checklist
• Contacts Checklist
Equipment Checklist
• Consulting Room Equipment
• Commonly used equipment eg stethescope, thermometer, auroscope,
sphygmomanometer, tendon hammer, ophthalmoscope
• ECG Machine
• Nebuliser
• Spirometer
• Eye chart
Please add any other topics you plan to cover in your practice
Resources Checklist
• Therapeutic guidelines- eg antibiotic guidelines
• Online resources
• Books and Journals
• Patient education pamphlets
Please add any other topics you plan to cover in your practice

Processes Checklist
• Practice protocols e.g. infection control
• Practice expectations for access to Medical Records
• How to contact Supervisor
Please add any other topics you plan to cover in your practice
Contacts Checklist
Provide a brief overview of the available resources in the community- including types of services
available rather than specific detail
Please add any other topics you plan to cover in your practice
Summary
Please ensure that your orientation includes elements relevant for your practice from each of the
3 domains presented above.
It is important for all medical students to have an understanding of the Primary Health Care
setting and the services available

Appendix 2.
Orientation of Nursing
Students:
Checklist Series
Section 1: Education Orientation
Section 2: Operational Orientation
Section 3: Clinical Orientation

A key element to the success of a clinical placement is a comprehensive orientation, tailored to
the scope and objectives of the clinical placement.
University of Adelaide Nursing students will complete the following Clinical Placements in the
General Practice setting:
B Nursing Year 1- Home placement
B Nursing Year 2- Rural Placement
B Nursing Year 2- Community Placement
M Nursing Year 1- Clinical Placement
Details of each placement can be found in the AOGP Health Student Clinical Training Manual
and the AOGP Health Student Clinical Training Education Calendar.
A comprehensive three-tier orientation package has been developed for Nursing students
undertaking their clinical practice training in the General Practice setting. This includes:
Phase 1: University orientation - the University provides orientation to all students prior to the
clinical placements - both hospital and general practice based. This orientation covers the
broader issues including an overview of the curriculum and assessment requirements.
Phase 2: AOGP orientation - AOGP provides orientation to clinical placements in the General
Practice environment. Key issues covered include professionalism, communication, and an
orientation to health care in the primary care setting.
Phase 3: In-Practice orientation - The third phase of orientation will include orientation to the
individual practices. Students will be oriented to the practice environment and patient
demography and be introduced to key practice staff, processes as well as supervisors and
teachers.
The following Checklists provide an outline that will assist Supervisors, Practice staff and
Nursing Students to ensure that the objective is for Students to commence their placement with
an understanding of the Practice and the clinical environment and the educational experience
that they will be part of for the duration of their placement.
There are three elements to the in-practice Orientation Program
Section 1: Education Orientation
Section 2: Operational Orientation
Section 3: Clinical Orientation
The topics in the Orientation Checklist Series have been suggested as a guide and are not
intended to be an exhaustive list. Each of the 3 Sections may have different Practice staff as the
primary person involved (eg Nurse Supervisor for Education Orientation, Practice Manager for
Operational Orientation and Nurse Supervisor for Clinical Orientation). Each Practice is unique
and its individual circumstances will influence what is included in Nursing student orientation.
Space has been included for Practices to add any other Practice specific topics. Please allow
adequate time at the beginning of the placement for Nursing Student Orientation.

SECTION 1: Education Orientation
Orientation to the education program for the Clinical Placement includes the following checklists:
Expectations
Competency
In-practice teaching and learning
Expectations
• Professionalism- dress code, punctuality
• Quality and Style of Medicine and Nursing within the practice
• Early discussion of Supervisor/Practice expectations and Student expectations eg
approachability, commitment to teaching and learning, active participation
• In-patient and outpatient care
• Feedback – frequency and methods (360 degree feedback), how will it be giv
• Life skills and self care
• Boundary setting
• Mentor relationships
Please add any other topics you plan to cover in your practice
Competency
Determine competency early in the placement
Education (clinical) history of Nursing Student (what have they done already)
Identify specific learning needs and objectives for the placement
What areas does the Nursing student identify that need developing
Identify specific concerns
Review Skills Checklist
Please add any other topics you plan to cover in your practice

In-practice teaching and learning
Formal and Informal teaching and learning- consider the preferred learning styles and preferred
teaching styles
Range of in-practice teaching methods that will be used
Timetable and preparation
Where teaching will take place
Teaching plan
Learning plans
Whole practice involvement in teaching
Please add any other topics you plan to cover in your practice

SECTION 2: Operational Orientation
Orientation to the Operational elements of the Clinical Placement includes the following checklists:
Processes and Protocols Checklist
Systems Checklist
Physical Environment Checklist
Processes and Protocols Checklist
• Outline the equipment the student will need to bring and what will be provided by the Practice
• Use of internet- if available
• Safety/security eg duress alarms/procedures, OHS&W, emergency exits/protocol, where to
leave personal and valuable items
Please add any other topics you plan to cover in your practice
Systems Checklist
• Appointment system- describe the process of allocation of Nursing students to
patients
• Computer system
• Phone system, who is on what extension and what they can assist with
• Roster
• Student absences
Please add any other topics you plan to cover in your practice

Physical Environment Checklist
• Orientation to building and location of toilets, tea/coffee facilities, parking, staff and their roles
• Services provided by the Practice eg procedures, Mental Health, pediatrics, special
interest clinics
• Orientation to the Nursing student office/treatment area, what supplies there are and what
supplies may particularly be needed
• Which resources are available at the Practice and which ones may the Nursing Student want to
bring with them Where are the resources kept
Please add any other topics you plan to cover in your practice
Contacts
• Emergency contact details for Supervisor and Practice Manager
• Please add any other topics you plan to cover in your practice

SECTION 3. Clinical Orientation
Clinical Orientation includes the following checklists:-
• Equipment and Supplies Checklist
• Resources Checklist
• Processes Checklist
• Contacts Checklist
Equipment Checklist
• Consulting and Treatment Room Equipment
• Commonly used equipment eg thermometer, sphygmomanometer, glucometer
• ECG Machine
• Nebuliser
• Spirometer
• Eye chart
• Doppler
• Dressings and Plaster
• Emergency and Resuscitation Equipment
Please add any other topics you plan to cover in your practice
Supplies Checklist
• Pathology collection equipment and forms
• Scales, tape measure, baby scales
• Eye Charts
• Vaccination- fridge, supplies, written resources, consent forms
• Drug cupboard and schedule
• Relevant stationery and forms

Please add any other topics you plan to cover in your practice
Resources Checklist
• Therapeutic guidelines- eg antibiotic guidelines
• Online resources
• Books and Journals
• Patient education pamphlets
• Tele-medicine
Please add any other topics you plan to cover in your practice
Processes Checklist
• Practice protocols eg infection control, near misses, complaints, needle-stick injury,
blood spill/vomit, cold chain/immunisation, sterilisation
• Practice meetings
• Practice expectations for Medical Record documentation
• Introduction to Chronic Disease Management items
• How to contact Supervisor
Please add any other topics you plan to cover in your practice

Contacts Checklist
Provide a brief overview of the available resources in the community- including types of services
available rather than specific detail
AOGP liaison personnel
Please add any other topics you plan to cover in your practice
Summary
Please ensure that your orientation includes elements relevant for your practice from each of the
3 domains presented above.

Appendix 3.
AOGP Nursing Student
Clinical Training: Clinical
Skills Checklist
Clinical Skills Checklist - B Nursing Year 1 Semester 1
Clinical Skills Checklist- B Nursing Year 1 Semester 2
Clinical Skills Checklist - B Nursing Year 2

Clinical Skills Checklist- B Nursing Year 1
Semester 1
Please note: Students are not to administer medication
Curriculum Area Skill Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
Activities of Daily
Living
Nutrition
OH & S
Standard
Precautions /
Additional
Precautions
Routine handwashing
Use of alcohol gel for
hand cleansing
Weighing a patient
Pressure area care
Emptying a wound
drainage bag
Emptying an ostomy bag
Incontinence
management
Emptying an indwelling
catheter bag
Applying a Urodome
Urine testing
Faecal testing
Bed making- occupied
and unoccupied
Application of antiembolic
stockings
Care of a vomiting patient
Feeding a patient
Safe implementation of
diet
Assessment of
swallowing
Discuss the concept of a
safe and therapeutic
environment
Standard precautions
Personal Protective
Equipment
Sterilisation Process
Additional precautions
Basic Life
Support (BLS)
Emergency procedures
(MET, cardiac arrest,
violent patient, fire)
Triage:
• Taking obs,
monitoring
• Handover to GP
Components of BLS
Identifying patients that
are unconscious/ non
responsive

Curriculum Area Skill Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
Vital signs
(Automated
machines are
not to be used
for recording
BPs
Documentation
Additional
Management of airway,
including Oro-pharyngeal
suction
The measurement of
temperature
Clinical assessment and
recording a pulse rate
Identify radial and apical
pulse assessment
Respiratory assessment
Manual recording of
Blood pressure
Correct use of
Stethoscope &
Sphygmomanometer
Understand principles for
accurate completion of
documentation
Complete various forms
of documentation
Patient Education
- Preventative
health
- Chronic disease
Chronic Disease
management – care
plans
Venepuncture
POCT testing
Vaccinations – childhood
- Travel
Management of vaccine
fridge and vaccines
Stock/supplies
management

Clinical Skills Checklist- B Nursing Year 1
Semester 2
Please note: These skills are in addition to those outlined for Semester 1
Curriculum Area Skill Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
Medication
Management
Vital Care
OH & S
Standard
Precautions /
Additional
Precautions
Medication
Administration
(under direct supervision
of an RN)
• Oxygen Therapy
Coughing and deep
breathing exercises
Use of tri-flow meters
Care of Indwelling (IDC)
& Suprapubic catheter
(SPC)
Positioning of a
hypotensive patient
Oropharyngeal suctioning
Assist with Insertion of an
oropharyngeal Airway
Positioning of an
unconscious patient
Positioning and care of
the unconscious patient
Awareness of Sharps
safety and environment
Aseptic technique
• Wound care
• Drain Care
Collection of sterile
wound swabs
Equipment
Observations
Insert GP setting
appropriate
Reporting faulty
equipment
Nebulizers
Spirometry
ECG
Accessing equipment
During Hours
After Hours
Wound Assessment
Blood Glucose
Monitoring
Pain Assessment
Pulse Oximetry

Curriculum Area Skill Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
Documentation
Additional
Admission of a patient
Transfer of a patient
Discharge of a patient
Last Offices
Computer systems
Appriopriate Recording
of patient contact
Management of patient
files
Medication Charts
Auditing of pharmacy
requests

Clinical Skills Checklist - B Nursing Year 2
Please note: These skills are in addition to those outlined for Year 1
Curriculum
Area
Skill
Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
Medication
Management
Medication
Administration (under
direct supervision of an
RN) -via all routes except
DDA’s
• IV Therapy
Vital Care
OH & S
Standard
Precautions /
Additional
Precautions
Equipment
• IV Medication
administration
Basic Life Support
Management of a PEG
tube
Insertion of an
oropharyngeal airway
Restraints (including hard
shackles)
Insertion of female
catheter
Awareness and
adherence to all
legislative and facility
requirements
Standard
precautions/Additional
Precautions
Awareness and
adherence to all Infection
Control Protocols
Sterile Gloving
Use and management of
Observations
Assessment of
neurological functions
Neurovascular
observations
Performing a 12 lead
ECG
Bladder scan

Curriculum Area Skill Not
Observed
Observed
Performed
with
Assistance
Performed
Independently
All aspects of patient
assessment and
observation
Planning and
implementation of
appropriate
management processes
and evaluation of care
provided
Documentation
All patient care and
interventions must be
documented according
to ANMC and facility
guidelines
Additional

Appendix 4.
Orientation of
Psychology Students:
Checklist Series
Section 1: Education Orientation
Section 2: Operational Orientation
Section 3: Clinical Orientation

Psychology Student Orientation
A key element to the success of a clinical placement is a comprehensive orientation,
tailored to the scope and objectives of the clinical placement.
Details of each placement can be found in the AOGP Health Student Clinical Training
Manual and the AOGP Health Student Clinical Training Education Calendar.
A comprehensive three-tier orientation package has been developed for Psychology
students undertaking their clinical practice training in the General Practice setting. This
includes:
Phase 1: University orientation
The University provides orientation to all students prior to the clinical placements - both
hospital and general practice based. This orientation covers the broader issues including
an overview of the curriculum and assessment requirements.
Phase 2: AOGP orientation
AOGP provides orientation to clinical placements in the General Practice environment.
Key issues covered include professionalism, communication, and an orientation to health
care in the primary care setting.
Phase 3: In-Practice orientation
The third phase of orientation will include orientation to the individual practices. Students
will be oriented to the practice environment and patient demography and be introduced
to key practice staff, processes as well as supervisors and teachers.
The following Checklists provide an outline that will assist Psychology Supervisors,
Practice staff and Psychology Students to ensure that the objective is for Students to
commence their placement with an understanding of the Practice and the clinical
environment and the educational experience that they will be part of for the duration of
their placement.
There are three elements to the in-practice Orientation Program
Section 1: Education Orientation
Section 2: Operational Orientation
Section 3: Clinical Orientation
The topics in the Orientation Checklist Series have been suggested as a guide and are
not intended to be an exhaustive list. Each of the 3 Sections may have different Practice
staff as the primary person involved (eg Psychology Supervisor for Education
Orientation, Practice Manager for Operational Orientation and Psychology Supervisor for
Clinical Orientation). Each Practice is unique and its individual circumstances will
influence what is included in Nursing student orientation. Space has been included for
Practices to add any other Practice specific topics. Please allow adequate time at the
beginning of the placement for Nursing Student Orientation.

SECTION ONE: Education Orientation
Orientation to the education program for the Clinical Placement includes the following
checklists:
Expectations
Competency
In-practice teaching and learning
Expectations
• Professionalism- dress code, punctuality, confidentiality
• Quality and Style of Psychology within the practice
• Early discussion of Supervisor/Practice expectations and Student expectations eg
approachability, commitment to teaching and learning, active participation
• In-patient and outpatient care
• Feedback – frequency and methods (360 degree feedback), how will it be given
• Life skills and self care
• Boundary setting
• Mentor relationships
Please add any other topics you plan to cover in your practice
Competency
Determine competency early in the placement
Education (clinical) history of Psychology Student (what have they done already)
Identify specific learning needs and objectives for the placement
What areas does the Psychology student identify that need developing
Identify specific concerns
Review Skills Checklist
Please add any other topics you plan to cover in your practice

In-practice teaching and learning
Formal and Informal teaching and learning- consider the preferred learning styles and
preferred teaching styles
Range of in-practice teaching methods that will be used
Timetable and preparation
Where teaching will take place
Teaching plan
Learning plans
Whole practice involvement in teaching
Please add any other topics you plan to cover in your practice

SECTION 2: Operational Orientation
Orientation to the Operational elements of the Clinical Placement includes the following
checklists:
Processes and Protocols Checklist
Systems Checklist
Physical Environment Checklist
Processes and Protocols Checklist
• Outline the equipment the student will need to bring and what will be provided by the
Practice
• Use of internet- if available
• Safety/security eg duress alarms/procedures, OHS&W, emergency exits/protocol,
where to leave personal and valuable items
Please add any other topics you plan to cover in your practice
Systems Checklist
• Appointment system- describe the process of allocation of clients to
Psychology student
• Computer system/ clinical record system
• Phone system, who is on what extension and what they can assist with
• Roster
• Student absences
Please add any other topics you plan to cover in your practice

Physical Environment Checklist
• Orientation to building and location of toilets, tea/coffee facilities, parking, staff and
their roles
• Services provided by the Practice eg procedures, Mental Health, paediatrics, special
interest clinics
• Orientation to the Psychology student office/treatment area, what supplies there are
and what supplies may particularly be needed
• Which resources are available at the Practice and which ones may the Psychology
Student want to bring with them Where are the resources kept
Please add any other topics you plan to cover in your practice
Contacts
• Emergency contact details for Supervisor and Practice Manager
• Please add any other topics you plan to cover in your practice

SECTION 3. Clinical Orientation
Clinical Orientation includes the following checklists:-
• Equipment and Supplies Checklist
• Resources Checklist
• Processes Checklist
• Contacts Checklist
Equipment Checklist
Consulting and Treatment Room Equipment
Testing
Please add any other topics you plan to cover in your practice
Supplies Checklist
Relevant stationery and forms
Please add any other topics you plan to cover in your practice

Resources Checklist
• Therapeutic guidelines-
• Online resources
• Books and Journals
• Patient education pamphlets
• Tele-medicine
Please add any other topics you plan to cover in your practice
Processes Checklist
• Ensure student has provisional Registration
• Ensure that the Student has insurance
• Complete the placement contract
• Practice protocols eg patient non-attendance at appointments
• Practice meetings
• Practice expectations for Medical Record documentation
• Introduction to Medicare items
• How to contact Supervisor
Please add any other topics you plan to cover in your practice

Contacts Checklist
Provide a brief overview of the available resources in the community- including types of
services available rather than specific detail
AOGP liaison personnel
Please add any other topics you plan to cover in your practice
Summary
Please ensure that your orientation includes elements relevant for your practice from
each of the 3 domains presented above.