Transcript 1st Annual Curriculum Conference All Wales Teaching

Harmonisation:
Smoothing the transition from student to
doctor
Dr Tom Yapp
Dr Steve Riley
Co-directors
Harmonisation project
C21: Modernising Medical Education in Cardiff
Annual Curriculum Away Day
Friday 16th September 2011, All Nations’ Centre
C21
developing
tomorrow’s
doctors
The Challenge!!!
C21
developing
tomorrow’s
doctors
Why Harmonise?
• Patient
– Adjusted in-hospital mortality 6% higher after
change over1
– 85,000 patients harmed by medical error annually
• Student
– Feel un-prepared for life as doctor
– Psychological stress and apprehension2
• Multidisciplinary Team
– Defining Roles and Responsibilities
1 Plosone:Sept
2
2009 | Volume 4 | Issue 9 | e7103
C21
developing
tomorrow’s
doctors
Core Principles
• Work-place based education around Wales
• Predominantly clinical experience enhanced
with supplementary simulation
• Increasing responsibility in an assistantship
model
• Frequent formative assessment/feedback
• Major NHS/Patient safety issues delivered in
whole year groups
developing
tomorrow’s
C21 doctors
Clinical Placements
• 3 clinical blocks – 8 weeks each
– Primary Care Clinical placement
– Junior Clinical assistantship
– Senior Clinical assistantship
• Elective – 8 weeks
• Shadowing – prior to commencing FY1
C21
developing
tomorrow’s
doctors
Themed teaching
• To meet GMC TD’09 and NHS requirements
– Preparing for practice
• NHS Structure/Patient Safety/e-portfolio
– Changing practice
• Clinical Governance/Audit Principles
– Science in practice
• Developing evidence based practice
– Practise to practice
• Foundation outcomes
C21
developing
tomorrow’s
doctors
Structure
Junior
Assistantship
Primary Care
Placement
Senior
Assistantship
Elective
Simulation/Formative Assessment/Feedback
C21
developing
tomorrow’s
doctors
Final year assessment
• No final examinations!!!
• A new 4th year assessment to be developed to
ensure students have necessary skills
• E-portfolio
• Work-place based assessments
C21
developing
tomorrow’s
doctors
Increasing responsibility
• Students will be embedded into the clinical
team
• As year progresses take on more supervised
responsibility
– Ordering investigations
– Prescription writing
– Practical procedures
• Required to do out of hours work
C21
developing
tomorrow’s
doctors
Help required!
•
•
•
•
•
Leaders of the core teaching blocks
Writing learning outcomes
Local Co-ordinators/champions
Ideas regarding assessment
Writing indicative cases
C21
developing
tomorrow’s
doctors
Meeting the challenge
C21
developing
tomorrow’s
doctors
Questions
“Medical education is about knowing why you are
doing what you are doing, thinking about ways in
which you can improve it – and then doing it again
only better”
Medical Education for the Future.
Bleakley, Bligh and Browne
C21: Modernising Medical Education in Cardiff
Annual Curriculum Away Day
Friday 16th September 2011, All Nations’ Centre
C21
developing
tomorrow’s
doctors