THE UNIVERSITY of EDINBURGH

DEGREE REGULATIONS & PROGRAMMES OF STUDY 2022/2023

Timetable information in the Course Catalogue may be subject to change.

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DRPS : Course Catalogue : Edinburgh Medical School : MBChB

Undergraduate Course: Year 4 - Process of Care 1 (MBCH10020)

Course Outline
SchoolEdinburgh Medical School CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 10 (Year 4 Undergraduate)
Course typePlacement AvailabilityNot available to visiting students
SCQF Credits180 ECTS Credits90
SummaryThe emphasis throughout Year 4 - Process of Care 1 is on achieving a solid foundation in the generalities of medical practice,

The year is organised into three 10 week semesters with a week vacation at the end.

Students rotate through these semesters which are based on 10 weeks in General Practice and 20 weeks in Hospital settings. The emphasis throughout is on learning the fundamentals of how patients present, how the clinical team works and how clinical management is determined and implemented by teams in partnership with the patient and carers.

In the Hospital and General Practice settings, students will put into practice the foundational knowledge and skills developed in Years 1 and 2 of the MBChB programme. They will assess patients in the specialties through history-taking and clinical examination, will propose and interpret investigations and learn to create clinical management plans. Throughout, there will be an emphasis on communication and consultation skills within a holistic and patient-centred approach that recognises and addresses the physical, social and psychological perspectives of wellbeing and ill health.

Hospital-based placements will be complemented by an attachment in a primary care setting. Students will also focus on inter-professional teamwork, the life of a ward and patient safety.

There are opportunities for formative feedback throughout the Course.

Assessments occur throughout the year with students required to complete a Clinical ePortfolio, and at the end of the year in the form of written exams (MCQ and very short answer questions) and clinical exams (Objective Structured Clinical Examination).
Course description Specialty areas include Cardiovascular, Respiratory, GP with Psychiatry, Neurosciences, Diabetes & Endocrinology, Rheumatology, GI and Liver, and Infection, with introductions to Orthopaedics & Surgical Principles, Haematology, Renal and Dermatology.

The teaching and learning experiences are varied and will include interactive lectures, small group tutorials, directed reading using a range of materials including online lectures and computer based learning packages, resuscitation, clinical skills and communication workshops, clinical teaching in GP surgeries, clinics, wards, operating theatres, imaging and investigative labs.

The curriculum and its teaching and learning methods continue to guide the development of self-directed learning. . Less of the required knowledge is provided in face to face or online lectures but there will be clear guidance to prioritise students' reading and these methods are complemented by interactive tutorials, often in the clinical setting. Completion of the Clinical ePortfolio allows students to explore in depth the needs of individual patients, and to reflect on and critique current approaches to clinical management. Students are expected to challenge themselves to undertake observations, capture feedback and store it in their portfolio to help them recall it and use it to improve their performance. At the end of placements, tutors review the evidence of performance (e.g. clinical observations) with students and provide additional written and verbal comments on l progress, with suggestions for developments.

There are many other opportunities for feedback. Students are expected to reflect on this feedback, discuss it with their Undergraduate Supervisors and use it to further direct and regulate their own learning.
Entry Requirements (not applicable to Visiting Students)
Pre-requisites Co-requisites
Prohibited Combinations Other requirements None
Course Delivery Information
Academic year 2022/23, Not available to visiting students (SS1) Quota:  None
Course Start Full Year
Timetable Timetable
Learning and Teaching activities (Further Info) Total Hours: 1800 ( Lecture Hours 85, Seminar/Tutorial Hours 65.5, Supervised Practical/Workshop/Studio Hours 28, Online Activities 28, Feedback/Feedforward Hours 7, Summative Assessment Hours 10, Programme Level Learning and Teaching Hours 36, Placement Study Abroad Hours 746, Directed Learning and Independent Learning Hours 794 )
Assessment (Further Info) Written Exam 70 %, Coursework 0 %, Practical Exam 30 %
Additional Information (Assessment) IN-COURSE ASSESSMENT
ePortfolio: Students are required to submit a clinical portfolio and submit a variety of items to this throughout the year. This includes:
Activity log with self-reflections
Mini Cex
Module specific activities
Case based discussions
Clinical skills sign offs

Professionalism: For each placement across the year, this includes attendance, engagement, and professional conduct.

WRITTEN EXAMS
The exam is a year long assessment, students will undertake paper 1 and paper 2 (and a sequential paper 3 if required).

CLINICAL EXAM
OSCE at the end of the year (and a sequential OSCE if required).

WEIGHTING OF ASSESSMENT
e-portfolio - 0%
Written exams - 70%
Clinical exam - 30%

PROGRESSION CRITERIA
Students can progress to Year 5 if they have passed written, clinical exams and professionalism requirements.
Students must achieve a pass for the Clinical Exam (OSCE) and pass 50% of the stations.

PROGRESSION CRITERIA for IN-COURSE ASSESSMENT
Professionalism: Students must complete all attachments, without any Professionalism issues being raised. This requires students to:
- attend all teaching and learning sessions in the clinical setting, all small-group sessions and those with patients or guest speakers, and all interactive sessions
- engage by submitting evidence of required learning and assessment activities on attachment, by submitting / resubmitting all required portfolio items
- demonstrate professional conduct listed under the four GMC domains - Knowledge, skills and performance; Safety and Quality; Communication, partnership, and teamwork; Maintaining trust

RESUBMISSION /RESIT LOOP for IN-COURSE ASSESSMENTS
Professionalism: If a placement raises a Concern/Issue about a student's professionalism (including attendance, engagement and professional conduct), the Board of Examiners will ratify or change the award and decide appropriate further attendance, remedial learning or another opportunity to demonstrate professional conduct, as appropriate. All Issues must have been satisfactorily addressed by the end of the course to progress to Year 5 Process of Care 2.

WRITTEN EXAMS
The exam is a year-long assessment, students will undertake paper 1 and paper 2 (and a sequential paper 3, if required).

CLINICAL EXAM
Objective Structured Clinical Examination (OSCE) at the end of the year. Students will undertake a sequential OSCE, if required.

PROGRESSION CRITERIA
Students can progress to Year 5 if they have passed written, clinical exams and professionalism requirements.
Students must achieve a pass for the Clinical Exam but must also pass 50% of the stations.

RESIT LOOP for EXAMS
Students will have one opportunity to resit written Exams and the Clinical Exam
The Resit loop would be repeat of the year of a student did not pass after sequential exams.
Feedback FEEDBACK ON FORMATIVE TASKS.
There are two formative online Knowledge Tests. Students are sent a performance report, can see their own answers, the correct answers and explanations.

Students are required to undertake some (listed) clinical tasks such as practical skills or clerking patients, for practice and feedback. Tutors will directly observe students undertaking some of these tasks and will offer verbal and/or written feedback, some of which will be recorded on online and uploaded to the students' electronic portfolios to support recall and direct further learning.

FEEDBACK ON SUMMATIVE ASSESSMENT
This will be provided when in-course work is returned or, in the case of exams, after the Board of Examiners ratifies marks, and includes:

Portfolio: Written feedback on portfolio case summaries by tutors based on their subjective impression.
Professionalism: Written narrative feedback and an opportunity to discuss this with the module tutors at the end of each attachment.
Knowledge Tests: Students will receive a performance report.
Clinical exam: Students will receive a performance report.
Exam Information
Exam Diet Paper Name Hours & Minutes
Main Exam Diet S2 (April/May)Knowledge Test Paper 14:00
Main Exam Diet S2 (April/May)Knowledge Test Paper 24:00
Outwith Standard Exam Diets JuneKnowledge Test Paper 3 (Sequential)2:00
Main Exam Diet S1 (December)Progress Test 14:00
Learning Outcomes
On completion of this course, the student will be able to:
  1. as a scholar and scientist, apply the principles, methods and knowledge of the relevant disciplines of academic study to selected specialities, and take a scholarly and scientific approach to questions in patient care and health service delivery. More specifically: 1. Biomedical Sciences (BMS) - students will be able to apply to a defined list of specialties, the biomedical scientific principles, method and knowledge relating to relevant sciences including anatomy, biochemistry, cell biology, genetics, immunology, microbiology, molecular biology, nutrition, pathology and physiology. 2. Psychological Aspects of Medicine (PAM) - students will be able to recognise and ask patients about important psychological and behavioural aspects of health, illness and disease; and respond appropriately to these aspects, using strategies such as explanation and advice to address them. 3. Social Sciences and Public Health (SSPH) - students will be able to implement, at a clinical level, knowledge of how to understand the experience of illness and illness behaviour for a defined list of specialties and describe how to prevent disease, prolong life and promote health through the organised efforts of society, analyse a population's health problems, establish the causes and effects of these problems and assist appropriately in implementing effective solutions. 4. Evidence-Based Medicine and Research (EBM&R) - students will be able to use the best available medical evidence, found through a systematic search and appraisal of the relevant information sources, to inform their clinical thinking, in a defined list of specialties; and develop new knowledge or personal understanding through the application of basic research methods and skills.
  2. as a practitioner under supervision, assess patients with presentations relating to selected specialities, propose clinical management, review and ongoing care, and seek help from colleagues appropriately. More specifically: 5. The Consultation (TC) - students will be able to undertake an effective and efficient consultation that is sensitive to the needs of the patient in defined list of specialties and contexts. 6. Presentation, Diagnosis and Management (PDM) - students will be able to describe the modes of presentation and natural history of diseases, recognise and interpret the signs and symptoms with which people present to doctors, construct a differential diagnosis, and suggest appropriate methods to investigate, treat and care for patients in a multi-professional setting for a defined list of specialties and contexts. 7. Clinical Communication (CC) - students will be able to communicate clearly, sensitively and effectively with patients and their relatives, and with colleagues from the medical and other professions in a defined list of specialties and contexts. 8. Emergency Care, Clinical And Resuscitation Skills (ECCARS) - students will be able to recognise and systematically assess acutely unwell patients, and institute immediate management, including first aid and resuscitation in a simulated setting, and perform a defined range of clinical skills and procedures safely and effectively in defined contexts. 9. Clinical Pharmacology And Therapeutics (CPT) - students will be able to describe how drugs act and apply this knowledge to clinical practice to match appropriate drugs to the clinical context, to review the appropriateness of medication and to evaluate the potential benefits and risks in a defined list of specialties and contexts; and to prescribe clearly and accurately in simulated situations. 10. Medical Informatics (MI) - students will be able to use computers, computing, information and information technology effectively in a medical context, for a defined list of specialties and contexts, within the legal and professional constraints that relate to person-identifiable information.
  3. as a professional, take a reflective and self-directed approach to the study of medicine, demonstrate understanding of the ethical, professional and legal responsibilities expected in clinical practice, participate in a multi-professional team, and contribute to enhancing patient care when opportunities arise, whilst paying attention to personal health, wellbeing and professional development. More specifically: 11. Medical Ethics, Legal And Professional Responsibilities (MELPR) - students will be able to demonstrate understanding of how to practise medicine, in a defined list of specialties and contexts, within an ethical framework, with insight and compassion, according to the legal requirements and professional expectations of medical practice in the UK. 12. Personal Professional Development (PPD) - students will be able to take a reflective and self-directed approach to the ongoing study of medicine in a defined list of specialties and contexts, work effectively in a team, and develop others' learning in order to enhance safe patient care, maximise effectiveness and enjoyment.
Learning Resources
Information is given on the virtual learning environment, Learn, to guide students to a range of learning resources that include online lectures, computer based learning packages, quizzes, reading, and videos (of clinical skills, practical procedures and other content). Increasingly tutors use the University Resource Lists to keep all recommended reading in one location.
Additional Information
Graduate Attributes and Skills GRADUATE ATTRIBUTES, PERSONAL AND PROFESSIONAL SKILLS
Throughout the MBChB programme, the curriculum offers challenging opportunities and support to ensure all successful students develop the University graduate attributes of Enquiry and Lifelong Learning, Aspiration and Personal Development, and Outlook and Engagement.

More specifically the list below describes how the Process of Care 1 Course Learning Outcomes map to the 4 sets of Graduate Attributes and Skills, Knowledge and Understanding and Technical/Practical Skills.


Knowledge and Understanding.
The successful student completing this Course will apply to clinical practice, research and teaching their extensive knowledge and understanding described within the following themes:

Biomedical Sciences
Psychological Aspects of Medicine
Social Sciences and Public Health
Presentation, Diagnosis and Management
Clinical Pharmacology and Therapeutics
Medical Ethics, Legal and Professional Responsibilities


Graduate attributes: Skills and abilities in Research and Enquiry.
The successful student completing this Course will apply to clinical practice, research and teaching, the skills and attributes described within the following themes:

Evidence-Based Medicine and Research
Medical Informatics
Personal Professional Development


Graduate attributes: Skills and abilities in Personal and Intellectual Autonomy.
The successful student completing this Course will demonstrate socially-responsible independent thinking and take responsibility for their own actions through the application of skills and attributes described within the following themes:

Medical Ethics, Legal And Professional Responsibilities
Personal Professional Development


Graduate attributes: Skills and abilities in Communication.
The successful student completing this Course will use a range of communication skills in common clinical settings described within the following themes:

The Consultation
Clinical Communication
Medical Informatics


Graduate attributes: Skills and abilities in Personal Effectiveness.
The successful student completing this Course will be reflective and self-regulating, preparing for high levels of professional achievement and able to work well with others as described within the following theme:

Personal Professional Development (PPD)


Technical / practical skills.
The successful student completing this Course will have the skills and technical abilities to permit them to function as a Foundation Doctor and postgraduate learner as described within the following themes:

The Consultation
Emergency Care, Clinical and Resuscitation Skills
Clinical Pharmacology
Therapeutics
Medical Informatics
KeywordsCardio,Resp,GP,Psychiatry,Neuro,Othopaedics,Surgery,Rheumatology,GI&Liver,Team,Infection,Endocrin
Contacts
Course organiserDr Karen Fairhurst
Tel: (0131 6)50 9495
Email: Karen.Fairhurst@ed.ac.uk
Course secretaryMs Shereen Arabshahi
Tel: 0131 242 6703
Email: Shereen.Arabshahi@ed.ac.uk
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