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Unit of study_

INIM5112: Clinical Immunology and Immunotherapy

Semester 2, 2023 [Normal day] - Camperdown/Darlington, Sydney

In this unit students will learn how to apply their knowledge of fundamental immunology to understanding the clinical diagnosis and management of a broad range of immune-mediated human disease. Taught across six disease themes, namely autoimmunity, immunodeficiency, cancer, infectious disease, transplant rejection and allergy, the unit will explore topics relevant to clinical practice. Within each theme, students will explore the underlying immunopathology of disease and learn how laboratory assays are used to inform clinical decision making about diagnosis and disease management. Students will learn how immunotherapies, including therapeutic monoclonal antibodies, cellular therapies and therapeutic vaccines, are changing the treatment landscape for many conditions. Instruction will comprise of lectures, tutorials and laboratory classes. The lectures will be given by scientists and clinicians who are leaders in their respective fields. Tutorials will reinforce material covered in lectures, with an emphasis on understanding concepts through clinical cases and appreciating how laboratory investigations contribute to the diagnostic pathway. Laboratory classes will focus on techniques central to the diagnostic lab and taught with the perspective of real-world situations.

Unit details and rules

Unit code INIM5112
Academic unit Department of Medical Sciences
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
None
Corequisites
? 
None
Assumed knowledge
? 

Understanding of basic biochemistry and cell biology

Available to study abroad and exchange students

No

Teaching staff

Coordinator Kylie Shaddock, kylie.shaddock@sydney.edu.au
Lecturer(s) Kylie Shaddock, kylie.shaddock@sydney.edu.au
Type Description Weight Due Length
Supervised exam
? 
Final exam
Final exam: MCQ and SAQ
45% Formal exam period 2 hours
Outcomes assessed: LO1 LO2 LO3 LO4 LO5 LO6
Tutorial quiz Post-practical quizzes
Quizzes on practical content
12.5% Multiple weeks 10 min
Outcomes assessed: LO2 LO6 LO3
Presentation Grand Rounds presentation
Oral presentation on a case study in the style of hospital 'Grand Rounds'
15% Week 05
Due date: 29 Aug 2023 at 10:00
15 min
Outcomes assessed: LO1 LO6 LO3 LO2
Small test In semester quiz
Quiz on weeks 1-5 unit content
10% Week 07
Due date: 12 Sep 2023 at 14:00
45 min
Outcomes assessed: LO1 LO6 LO3 LO2
Assignment Commentary article
Commentary style article and figure on immunotherapy
15% Week 12
Due date: 23 Oct 2023 at 23:59
1000 words
Outcomes assessed: LO1 LO4 LO5 LO6
Tutorial quiz Lecture quizzes
Formative quizzes on lecture content. Mark awarded for completion.
2.5% Weekly 5 min
Outcomes assessed: LO1 LO5 LO4 LO2

Assessment summary

  • Lecture quizzes: MCQ quizzes to help students gauge their understanding of lecture content. Marks awarded for completion of quizzes.
  • Post-practical quizzes: MCQ quizzes to test student knowledge on theory of laboratory practicals and skills in data interpretation.
  • Grand Rounds presentation: Oral presentation of a case study.
  • In-semester quiz: Quiz on Weeks 1-5 unit content.
  • Commentary article: Written report in the format of a journal commentary article. Commentary to be written on an assigned journal article about an immunotherapy approach for disease. Article is to also include a summary figure.
  • Final exam: Final exam on unit content from lectures, tutorials and practicals.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

Result name

Mark range

Description

High distinction (HD)

85-100

- Demonstrate breadth and depth of understanding as well as an insight and awareness of many of the deeper more subtle aspects about the immune system.

- Have highly developed analytical skills and consistently demonstrate high levels of critical analysis.

- Deliver outstanding work (on time) that showcases original ideas, concepts and/or thoughts - Present clear & concise work in a scientific manner appropriate to the study of immunology

- Demonstrate higher order conceptualisation and integration of material from various sources (lectures, tutorials, practicals, journal articles, text books as well as online)

- Discuss and/or express original opinions that are articulate, strong and persuasive.

- Be able to support their opinions with solid, scientifically sound, peer reviewed evidence from reputable sources

- Demonstrate a high level capacity to solve complex problems in a variety of circumstances

- Be able to communicate difficult immunological concepts to a wide variety of audiences using a diverse range of delivery systems.

- Meet all deadlines and strictly adhere to any formatting instructions

- Attend all timetabled teaching activities (lectures, tutorials and practicals)

- Show leadership and initiative in group activities

- Provide inspiration and direction to their peers with regards to their participation in all teaching activities (e.g. Asking many insightful questions, offering constructive feedback)

Distinction (D)

75-84

- Demonstrate breadth and depth of understanding as well as an insight and awareness of more subtle aspects about the immune system.

- Deliver work (on time) that is of a very high standard that demonstrates some original ideas, concepts and/or thoughts

- Have good analytical skills and is capable of good levels of critical analysis.

- Present clear & concise work in a scientific manner appropriate to the study of immunology

- Demonstrate some evidence of higher order conceptualisation and integration of material from a number of different sources

- Argue and/or express opinions that are articulate, strong and mostly persuasive.

- Be able to support their opinions with solid, scientific evidence.

- Demonstrate a capacity to solve complex problems in a variety of circumstances

- Be able to communicate immunological concepts to a wide variety of audiences using a diverse range of delivery systems.

- Meet all deadlines and adhere to any formatting instructions

- Attend the timetabled teaching activities (lectures, tutorials and practicals)

- Show some leadership in group activities

- Participate in teaching activities (e.g. Asking many questions and offering constructive feedback)

Credit (C)

65-74

- Demonstrate a thorough understanding of material presented in the lectures, tutorials, practicals, textbook and other recommended readings.

- Deliver work that is of a high standard demonstrating the ability to present some original ideas, concepts and/or thoughts

- Present work in a scientific manner appropriate to the study of immunology

- Demonstrate the ability to conceptualise immunology concepts and integrate this with material from more than one source

- Present well reasoned arguments and/or express opinions about the immune system as it relates to medical science

- Be able to back up their opinions with scientific evidence.

- Demonstrate a capacity to recognise and potentially solve complex problems in a variety of circumstances

- Be able to communicate immunological concepts using a diverse range of delivery systems.

- Meet deadlines and adhere to the formatting instructions

- Attend the timetabled teaching activities (lectures, tutorials and practicals)

- Participate in teaching activities (e.g. Asking some questions and offering feedback)

Pass (P)

50-64

- Demonstrate a basic understanding of the material presented in lectures, tutorials, practicals and the textbook.

- Deliver work that demonstrates some evidence of analytical and evaluative skills

- Present work in a professional manner appropriate to a unit of study in the sciences

- Have limited ability to conceptualise difficult concepts and often fails to integrate this with material from more than one source

- Present arguments that either are not supported by evidence or are unscientific

- Either not express original ideas or arguments or often will fail to support their opinions with scientific evidence.

- Demonstrate basic skills for solving simple problems and addressing key assessment tasks.

- Be able to communicate some immunological concepts but not in a way that is easily understood by different audiences.

- Not meet all deadlines and often not adhere to the formatting instructions

- Fail to attend all the timetabled teaching activities (lectures, tutorials and practicals)

- Demonstrate limited leadership skills and or show little participation in teaching activities.

Fail (F)

0-49

- Are unable to demonstrate a basic understanding of the material presented in lectures, tutorials, practicals and the textbook.

- Deliver work that does not demonstrates some evidence of analytical and evaluative skills

- Present unprofessional work inappropriate to a unit of study in the sciences

- Cannot conceptualise immunological concepts or do not integrate this with material from at least one source

- Present incoherent, unscientific arguments that are not supported by evidence

- Are unable to demonstrate basic skills for solving simple problems or fail to address key assessment tasks.

- Are unable to communicate effectively (written and/or oral)

- Do not submit assessment tasks within the time frame outlined for each assessment task

- Attend less than 80% of the timetabled teaching activities (lectures, tutorials and practicals)

- Do not participate in teaching activities.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

5% of the maximum awardable mark per day.

Academic integrity

The Current Student website  provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.  

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week 01 Overview of clinical immunology and immunotherapy Lecture (1 hr) LO2 LO3 LO4
Clinical immunology laboratory techniques Lecture (1 hr) LO2 LO3
Quality control and troubleshooting in the diagnostic laboratory Tutorial (2 hr) LO2 LO3 LO6
Laboratory induction and flow cytometry Independent study (2 hr) LO2 LO3 LO6
Week 02 Flow cytometry Lecture (1 hr) LO2 LO3
Introduction to immunotherapy Lecture (1 hr) LO4 LO5
Flow cytometry data analysis Tutorial (2 hr) LO2 LO3 LO6
Week 03 Primary immunodeficiency Lecture (1 hr) LO1 LO2 LO4
Molecular diagnosis of primary immunodeficiencies Lecture (1 hr) LO1 LO2 LO3
Molecular diagnosis of primary immunodeficiencies Computer laboratory (2 hr) LO1 LO2 LO3 LO6
Laboratory diagnosis of HIV infection Lecture (1 hr) LO1 LO2 LO3
Week 04 Autoimmune disease: organ-specific Lecture (1 hr) LO1 LO2 LO4
Autoimmune disease: systemic Lecture (1 hr) LO1 LO2 LO4
Applications of flow cytometry Practical (3 hr) LO1 LO2 LO3 LO6
Week 05 Coeliac disease and IBDs Lecture (1 hr) LO1 LO2
Grand Rounds presentations Tutorial (2 hr) LO1 LO2 LO3 LO6
Week 06 Vasculitis Online class (0.5 hr) LO1 LO2
HLH Online class (0.5 hr) LO1 LO2
ITP Online class (0.5 hr) LO1 LO2
Inflammatory eye diseases Online class (0.5 hr) LO1 LO2
Principles and applications of immunofluorescence Practical (3 hr) LO1 LO2 LO3 LO6
Week 07 Neurological conditions and immunotherapy Lecture (1 hr) LO1 LO2 LO4 LO5
Immunotherapy in autoimmune disease Lecture (1 hr) LO1 LO4 LO5
Therapies for autoimmune and inflammatory diseases Tutorial (2 hr) LO2 LO3 LO4 LO6
Week 08 Cancer and the immune system Lecture (1 hr) LO1 LO4
Immunotherapy for melanoma Lecture (1 hr) LO1 LO4 LO5
Principles and applications of enzyme immunoassays Practical (3 hr) LO1 LO2 LO3 LO6
Week 09 Tumour immunotherapy using CAR-T cells Lecture (1 hr) LO1 LO4 LO5
CAR-T cell production 'virtual laboratory' Independent study (2 hr) LO3 LO4 LO6
B cell malignancies Lecture (1 hr) LO1 LO2 LO5
Week 10 Transplantation immunology and HLA typing Lecture (1 hr) LO1 LO2 LO5
Serum electrophoresis for multiple myeloma Practical (3 hr) LO1 LO2 LO3 LO6
Week 11 Immunotherapy against infectious diseases Lecture (1 hr) LO1 LO4 LO5
Immunology and cancer Tutorial (2 hr) LO1 LO4 LO5 LO6
Allergy and allergic diseases Lecture (1 hr) LO1 LO2
Week 12 Allergen immunotherapy Lecture (1 hr) LO1 LO2 LO4 LO5
Emerging strategies in immunotherapy Lecture (1 hr) LO1 LO4 LO5
Revision tutorial Tutorial (2 hr) LO1 LO4 LO6
Week 13 Emerging strategies in immune cell characterisation Lecture (1 hr) LO1 LO2 LO3
Revision lecture Lecture (1 hr) LO1 LO2 LO4 LO5

Attendance and class requirements

  • Attendance: Attendance is expected for all learning activities, including lectures, tutorials and practicals. The only exceptions are those designated as online, self-guided learning activities in Canvas. If a student cannot attend a class due to illness or misadventure they are required to inform the unit coordinator.
  • Practical documentations: Students must keep notes, observations, records of raw data and calculations in their online lab manual in Kuracloud.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

Unit textbook: Clinical Immunology & Serology a Laboratory Perspective.  Christine Dorresteyn Stevens and Linda E. Miller.  4th Edition, 2017.

For revision of concepts taught in 'INIM5111 - Principles in Immunology', refer to: Basic Immunology: Functions and disorders of the immune system.  Abbas AK, Lichtman AH, Pillai S.  6th Edition, Elsevier, 2020.

These textbooks will be available through Reading List.

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. Compare and contrast the immunological mechanisms that underpin immune-mediated conditions including primary and secondary immunodeficiency, autoimmune and inflammatory disease, transplant rejection, allergy and cancer.
  • LO2. Describe how knowledge of the immunological basis of disease has been specifically exploited in the design of diagnostic laboratory tools and evaluate these techniques for their strengths and limitations.
  • LO3. Determine the utility and justify the choice of different laboratory assays in the diagnosis of specific immune-mediated diseases, perform assays covered in practical classes and analyse and critically evaluate experimentally generated data.
  • LO4. Describe the different types of immunotherapy and explain how they modulate the immune system and treat disease.
  • LO5. Critically evaluate the successes and failures of immunotherapy and assess how different approaches may solve the challenges faced by immunotherapy in the future.
  • LO6. Develop skills in communication and self-directed learning

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9

This section outlines changes made to this unit following staff and student reviews.

The focus of the written assignment has changed from a 'Comment' style article to a 'Commentary' style article. The final exam is now an on-campus, supervised exam.

Work, health and safety

We are governed by the Work Health and Safety Act 2011, Work Health and Safety Regulation 2011 and Codes of Practice. Penalties for non-compliance have increased. Everyone has a responsibility for health and safety at work. The University’s Work Health and Safety policy explains the responsibilities and expectations of workers and others, and the procedures for managing WHS risks associated with University activities.

General Laboratory Safety Rules

  • No eating or drinking is allowed in any laboratory under any circumstances 
  • A laboratory coat and closed-toe shoes are mandatory 
  • Follow safety instructions in your manual and posted in laboratories 
  • In case of fire, follow instructions posted outside the laboratory door 
  • First aid kits, eye wash and fire extinguishers are located in or immediately outside each laboratory 
  • As a precautionary measure, it is recommended that you have a current tetanus immunisation. This can be obtained from University Health Service: unihealth.usyd.edu.au/

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.