Transcript Educating Undergraduate Medical Students in the community

General Practitioner Involvement in Tutoring and
Examining
Medical Students
Dr. Sarah Smithson – Clinical Senior Lecturer and Lead for CBME
Dr. Mark Perry – Senior Teaching Fellow
Dr. Rebecca Farrington – Teaching Fellow
Dr. Pip Fisher– Teaching Fellow
Dr. Rachel Lindley – Teaching Fellow
Dr. Paula McDonald – Teaching Fellow
Dr. Kurt Wilson – Teaching Fellow
Dr. Enam Haque – GP Clinical Lecturer (Teaching)
Goals for today
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Get to know us
Get to know you
Get to know each other
Get to know about opportunities in
undergraduate education!
The Manchester Curriculum
MBChB Outcomes
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Confident FY1 Doctors
Preparing students for NHS careers
To work in complex environments
To cope with uncertainty
To become masters of their trade
To understand their role in clinical teams
To understand how the health service works
Leadership, Teaching…etc etc
Curriculum Structure
• Spiral Curriculum
▫ Integrated
• Problem Based Learning
▫ Lifelong learning skills
▫ Student Centred, Self Directed
• Core plus options
▫ Student Selected Components (Personal Excellence Pathway)
▫ Project Options
• Early patient contact
• Continuing patient contact
Spiral of learning
Dr as a
Professional
Dr as a
Practitioner
Phase 3 : Year 5
Preparation
for practice
Phase 2: Year 3 - 4
Developing clinical
competence
Nutrition,
metabolism &
excretion
Phase 1: Year 1 – 2
Developing basic knowledge
Cardiorespiratory
fitness
Dr as a
Scholar
and a
Scientist
Qualification
Research
Project
Heart, lungs & blood
Families
& children
Mind & Movement
Life
Cycle
Abilities & disabilities
Nutrition &
metabolism
Entry
What is Problem Based Learning?
Define problem
and set
learning needs
Problem based learning
FIRST
TUTORIAL
Pool answers
Discuss clinical
experience
CLINICAL &
SELF STUDY
SECOND
TUTORIAL
Community Based Medical
Education (CBME)
What do medical students need from
community placements?
What do medical students need in
the community?
Active learning
• Take and present
histories
• Clinical
examinations
• Not sitting in corner
bored
Community Set-Up
Clinical
Pre-clinical
Phase 1
Phase 2
Phase 3
Years 1 & 2
Years 3 & 4
Year 5
(Early Experience)
(NME, HLB, M&M, F&C)
MRI
Manchester
Medical
School
CBME
GP’s
Salford
Royal
GP’s &
CSU’s
South
Preston
GP’s
Early Clinical Experience in
Years 1&2
• Six half days a year
• Communication
feedback sessions
• Gentle introduction
for you and them
A day a week in Years 3 & 4
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4 modules
Active participation
Link to PBL
Debrief
CSUs
Workplace based
assessments (UPSAs)
4 week blocks in Year 5
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Apprentice model
Own consultations
Close supervision
Tutorials
Exempting exam
Work place based
assessments (UPSAs)
Student Selected Components
• In years 3 & 4
• 3-4 weeks
• Personal Excellence
Pathways (PEPs) in
yr 3 from 2013
What can GPs help with in the hospital
and University environment?
Opportunities
Small Group Tutor
• Community Sign-Up group teaching
▫ Year 3 Manchester sectors
▫ Cover topics in dermatology/opthalmology/ENT,
occupational health, diabetes, cardiovascular
systems.
▫ Payment £440 per day
• Community Focussed Teaching (CFT)
▫ Preston sector, topics as above
▫ Payment £440 per day
Clinical Intelligence Tutor
• Year 3 in all Manchester sectors
• During HLB block, 6-8 students for 7 weeks
• Discuss issues raised by cases seen in hospital
and GP – clinical presentation / differential
diagnosis/ drugs/ ethics/ professionalism/
patient expectations
• Payment £75 per hour
• Session usually lasts 2-3 hours
PBL Tutor
• Based in all sectors in teaching hospitals and
some DGHs
• Years 3 and 4 students – groups of 8 students
• Required to attend ½ day training through the
Staff Development Unit:
▫ http://www.medicine.manchester.ac.uk/prime/
• Payment: £75 per hour
• Session usually lasts 2-3 hours
Academic Advisor
• Starts in Year 1 and goes through all years
• Required to meet with the student twice a year (yr 1&2),
four times a year (Yr 3 onwards) and write up notes for
file
• Required to attend ½ day training
• Receive an honorary contract
• Payment: £220 per student per year – includes
administration time
• Contact Kenny Borland
([email protected])
Community focused prescribing
• Small group teaching around different
prescribing scenarios
• Consider how to prescribe, what to prescribe,
explaining risk and benefit, and issues of
concordance
• Must attend a training session prior to starting
• £75 per hour
• Contact Kurt Wilson
([email protected])
Early Clinical Experience Tutor
• Based in Clinical Skills Lab, Stopford Building,
University of Manchester
• Years 1 & 2 students – groups of 16-20 students,
facilitator with 2-3 others
• Must attend a training session prior to starting
• £75 per hour
• Contact Enam Haque for further information
▫ [email protected]
OSCE examiner
• Need to be involved in teaching on the course
• Required to attend ½ day training through the
Staff Development Unit:
▫ http://www.medicine.manchester.ac.uk/prime/
• OSCEs occur in all sectors for Years 3-5, twice
per year
• Payment: £220 per session (1/2 day)
Student Selection Panel
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Opportunity to recruit future medics
November to March
Required to attend training for ½ day
Must be able to commit for half days from a
selection of dates
• Held in Stopford, MMS. Parking supplied.
• Contact [email protected]
• Please note this is an interesting but unpaid
opportunity
Undergraduate Teaching Conference
Reebok stadium
Thursday 28th November 2013
www.medicine.manchester.ac.uk/CBME
GP support pack.
Quick Guide to Medical
Students.