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 5 - Process of Care 2 (MBCH10021)

Course Outline
SchoolEdinburgh Medical School CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 10 (Year 5 Undergraduate)
Course typePlacement AvailabilityNot available to visiting students
SCQF Credits180 ECTS Credits90
SummaryIn Year 5 - Process of Care 2 students move on from the generalities of clinical practice to encounter a wide variety of key medical specialties. By the end of the Course students should be able to assist a doctor in providing clinical care.

The year is organised into three semesters with each divided into two 5 week blocks with Objective Structured Clinical Examination (OSCE) assessments at the end of each followed by vacation.

Students build on the knowledge and skills of earlier Courses and increasingly engage in everyday clinical practice within the limits of their competence and under careful supervision. Teaching and learning methods remain varied as in Year 4 with the addition of further modes.

For SSC5 Teaching, students work in small groups to contribute to peer assisted learning. This might be teaching on an established project such as the practice OSCE for students in earlier years or developing something new.

There are opportunities for formative feedback throughout the Course.

Assessments occur at the end of each semester in the form of a clinical exam, usually an OSCE, and at the end of the in the form of written exams (MCQ and very short answer questions) and OSCE. Students are expected to demonstrate a professional approach to their studies and conduct.
Course description The modules include Psychiatry, Child Life & Health, Obstetrics and Gynaecology, Haematology, Oncology, Palliative Care, Breast Diseases, Urology, Renal, Orthopaedics, Dermatology, Ophthalmology, Otolaryngology (ENT), Student Selected Component 5 Teaching and portfolio components on Doctor as a Safe Practitioner, Communicator, and Educator.

The teaching and learning experiences are varied and 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. Students can be based in community, clinics, wards, operating theatres, imaging, and investigative labs. SSC5 Teaching is a group project aimed at developing the learning of others.

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. The portfolio case reports summaries direct students to explore in-depth the needs of individual patients, and to reflect on and critique current approaches to management. The clinical skills observations offer students another opportunity to take responsibility for their own learning, and emulates the requirements of postgraduate medical training for new doctors. Students are expected to challenge themselves to be observed in new tasks, capture the feedback and store it in their portfolio to help them recall it and use it to improve their performance. At the end of modules, tutors review the evidence of performance (e.g. clinical observations) with students and provide additional written and verbal comments on general progress, with suggestions for developments.

There are many other opportunities for feedback, described below. Students are expected to reflect on this feedback, discuss it with their Undergraduate Supervisor (or Year Director) 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 61, Seminar/Tutorial Hours 123, Dissertation/Project Supervision Hours 250, Supervised Practical/Workshop/Studio Hours 7.5, Online Activities 63, Feedback/Feedforward Hours 7.5, Formative Assessment Hours 6, Revision Session Hours 11, Other Study Hours 86, Programme Level Learning and Teaching Hours 36, Placement Study Abroad Hours 750, Directed Learning and Independent Learning Hours 399 )
Additional Information (Learning and Teaching) Other Study Hours: those not specified elsewhere.
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 ePortfolio 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

Clinical case summaries within all modules, a short reflective report for SSC5 Teaching (the peer assisted learning project)

Professionalism: For each placement across the year; this includes measures of 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 EXAMS
OSCE exam at the end of each semester and at the end of the year (and a sequential OSCE, if required)

WEIGHTING OF ASSESSMENT
SSC5 Teaching report and peer marking = 0%
Portfolio = 0%
Written exams - 70%
Clinical exam - 30%

PROGRESSION CRITERIA for EXAMS
For students to progress to Year 6 they must achieve a pass in Knowledge Test and Clinical examination (including a pass in 50% of the stations) and professionalism requirements

PROGRESSION CRITERIA for IN-COURSE ASSESSMENT
ePortfolio: Satisfactory completion of full portfolio and a pass in all case summaries and SSC5 Teaching report.

Professionalism: Students must complete all attachments, modules and theme teaching without 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 four GMC domains - Knowledge, skills and performance; Safety and Quality; Communication, partnership, and teamwork; Maintaining trust

RESUBMISSION /RESIT LOOP for IN-COURSE ASSESSMENTS

ePortfolio:.
Students will be required to resubmit all failed Case Summaries

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 6 Preparation for Practice.

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 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
Outwith Standard Exam Diets JuneYear 5 Knowledge Test (Paper 2)2:00
Outwith Standard Exam Diets JuneYear 5 Knowledge Test (Paper 3)2:00
Outwith Standard Exam Diets JuneYear 5 Knowledge Test (Paper 1)2:00
Outwith Standard Exam Diets MarchYear 5 Progress Test 22:00
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 a broad range of defined specialities, and take a scholarly and scientific approach to questions in patient care, medical research and health service delivery. More specifically: 1. Biomedical Sciences (BMS) apply to a broad range of defined 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) recognise and assess 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) implement, at a clinical level, knowledge of how to understand the experience of illness and illness behaviour for a broad range of defined 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) use the best available medical evidence, found through a systematic search and appraisal of the relevant information sources, to inform their clinical thinking for a broad range of defined specialties; and develop new knowledge or personal understanding through the application of basic research methods and skills.
  2. as a practitioner, undertake initial assessment of patients with presentations relating to a broad range of specialities, propose clinical management, review and ongoing care, and seeking help from colleagues appropriately. More specifically:
  3. as a professional, take a reflective and self-directed approach to the study of medicine, demonstrate professional judgment and understanding of the ethical, professional and legal responsibilities expected in clinical practice, participate in a multi-professional team, teach others, and contribute to enhancing patient care whilst paying attention to personal health, wellbeing and professional development. More specifically: 11. Medical Ethics, Legal And Professional Responsibilities (MELPR) demonstrate understanding of how to practise medicine, in a broad range of defined 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) take a reflective and self-directed approach to the ongoing study of medicine in a broad range of defined 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). Refer to the Resource List on Learn for recommended study materials.
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 Course Learning Outcomes address, with some overlap, the 4 sets of skills and abilities that underpin the graduate attributes. The Course study guides provide further information in the detailed learning outcomes for each module.

The successful student completing this Course will be able to demonstrate the following skills and abilities in RESEARCH and ENQUIRY, contributing to the University Graduate Attributes:

Biomedical Sciences (BMS)
apply to a broad range of defined 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.

Psychological Aspects of Medicine (PAM)
recognise and assess 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.

Social Sciences and Public Health (SSPH)
implement, at a clinical level, knowledge of how to understand the experience of illness and illness behaviour for a broad range of defined 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.

Evidence-Based Medicine and Research (EBM&R)
use the best available medical evidence, found through a systematic search and appraisal of the relevant information sources, to inform their clinical thinking for a broad range of defined specialties; and develop new knowledge or personal understanding through the application of basic research methods and skills.

Presentation, Diagnosis and Management (PDM)
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 broad range of defined specialties and contexts.

Emergency Care, Clinical And Resuscitation Skills (ECCARS)
recognise and systematically assess acutely unwell patients, and institute immediate management, including first aid and resuscitation in a simulated setting, and perform a broad range of clinical skills and procedures safely and effectively in defined contexts.

Clinical Pharmacology And Therapeutics (CPT)
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 for a broad range of defined specialities and contexts; and to prescribe clearly and accurately in simulated situations.

Personal Professional Development (PPD)
take a reflective and self-directed approach to the ongoing study of medicine in a broad range of defined specialties and contexts, work effectively in a team, and develop others' learning in order to enhance safe patient care, maximise effectiveness and enjoyment.


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
KeywordsPsychiatry,O&G,Haem,Oncology,Breast,Pall Care,Renal,Uro,ENT,Ophthalmology,Dermatology,SSC,paediatric
Contacts
Course organiserProf Colin Duncan
Tel:
Email: W.C.Duncan@ed.ac.uk
Course secretaryMiss Judith Bryce
Tel: (0131) 242 6476
Email: judith.bryce@ed.ac.uk
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