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DRPS : Course Catalogue : Edinburgh Medical School : MBChB

Undergraduate Course: HCP-Med: Process of Care 1 (MBCH10024)

Course Outline
SchoolEdinburgh Medical School CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 10 (Year 3 Undergraduate)
Course typeOnline Distance Learning AvailabilityNot available to visiting students
SCQF Credits90 ECTS Credits45
SummaryHCP-Med: Process of Care 1: follows on from HCP-Med: Foundations of Medicine 1 and 2. It equips students with a solid foundation in the generalities of medical practice. Most of the knowledge-based curriculum will be presented online. Clinical experience will be gained through placements in a variety of secondary care settings as well as three sessions per week in general practice.
The course covers the fundamentals of how patients present, how the clinical team works, communication and consultation skills, and how clinical management is determined and implemented by healthcare teams, in partnership with the patient and their carers.

In hospital and primary care settings, students will put into practice the foundational knowledge and skills developed in HCP-Med: Foundations of Medicine 1 and 2. They will assess patients by taking clinical histories and clinical examination, they will propose and interpret investigations and formulate clinical management plans. The course emphasises a holistic, patient-centred approach, which recognises and addresses the physical, social and psychological dimensions of illness and wellbeing.
Course description HCP-Med: Process of Care 1 consists of 40 weeks of teaching and comprises three residential weeks, each of which include 41 hours of student effort. The remaining 37 weeks of include online teaching and time in clinical placements. The online/clinical weeks each involve 21 hours of student effort.

Teaching and learning includes the following approaches:
Online teaching has two broad aims:
(i) To present high quality resources which engage and challenge students and
(ii) To create and support a community of learning.

A range of teaching methods will be used:
- Each module will start with a video introduction, including the learning outcomes
- Pre-recorded narrated lectures, with slides which will cover the main learning points
- Discussion boards will be used for both general discussion and specific tasks
- Students will monitor their learning through frequent online quizzes
- Virtual tutorials will use problem-based or case-based learning
- Students will be provided with links to curated online resources

Residential weeks will include lectures, tutorials, group-work, workshops for communication skills and clinical skills, and practical demonstrations for anatomy.
General practices placements will use a variety of teaching methods:
(i) apprentice-style observation of surgeries, which will provide early exposure to a wide range of clinical cases and allow ad-hoc discussion of cases relevant to the online curriculum;
(ii) tutorials covering aspects of professional knowledge, skills and behaviours to complement online teaching; and
(iii) shadowing members of the primary care team to reinforce online teaching.

Other clinical placements will include teaching in outpatient clinics, wards, operating theatres, and sessions to learn about imaging and the work of investigative laboratories.

Throughout the course, students will be encouraged to develop self-directed learning, This will pose a challenge for the students and they will be supported in this approach. Clear guidance will be given so that students can prioritise their reading. Self-directed learning will be supplemented by interactive tutorials, online and often in clinical settings.

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: 900 ( Programme Level Learning and Teaching Hours 18, Directed Learning and Independent Learning Hours 882 )
Assessment (Further Info) Written Exam 70 %, Coursework 0 %, Practical Exam 30 %
Additional Information (Assessment) Knowledge-based assessment
The Knowledge Test within Year 3 consists of two papers. The papers will be a mixture of all specialties across the year. These will include Single Best Answer Questions (SBAs) and Very Short Answers Questions (VSAQs). All exams will take place on campus.
The Pass score will be set by modified Anghoff. Students who do not achieve a pass score after Paper 1 and Paper 2 will be require to sit Paper 3.
For those students who are required to undertake Paper 3, then an overall pass in Papers 1, 2 and 3 will be required to progress.

Practical exam
The OSCE will consist of 9 stations, delivered as a mixture of remote and face to face.
Students who have not achieved the pass score plus 1 standard error of the estimate or have not passed »50% of stations will take the sequential test of a further 9 stations. Students will need to achieve the pass score AND pass » 50% of stations to pass the OSCE.
Students who fail following the Sequential OSCE will be offered a resit of Year 4 as a second sitting.

Clinical portfolio
A Clinical workbook will be used for placement requirements and sign off, clinical skills and all other requirements. It is expected that sign offs should be performed by colleagues representing the entire range of seniority, this should include consultant / GP and registrars as well as FY
All requirements will need to be completed to progress. This includes submission of case summaries.

This will be assessed by reports from hospital and GP tutors, focusing on the four GMC domains of professionalism:
1. Knowledge, skills and performance
2. Safety and quality
3. Communication, partnership and teamwork
4. Maintaining trust
This assessment must be passed but will not contribute to the total mark for the course.
Feedback Feedback on formative tasks -
There will be a formative online knowledge test before each diet of summative examinations. Students will be sent a performance report, which includes their own answers, the correct answers and explanations.

Feedback on summative assessments -
This will be provided when course-work is returned or, in the case of exams, after the Board of Examiners ratifies marks, and will include:
In-course assignments written narrative feedback and an opportunity to discuss the feedback with the relevant HCP-Med module organiser.
Written feedback from the GP-tutor and the relevant HCP-Med module organiser will be provided, and an opportunity given to discuss the feedback with the at the end of each module.
Knowledge tests:
Students will complete weekly online quizzes to monitor their own progress.

Direct Observations of Practice:
These offer students another opportunity to take responsibility for their own learning and in that respect emulates the requirements of postgraduate medical training. Students can challenge themselves to be observed in new tasks, capture the feedback and use it to improve their performance. At the end of modules, tutors will review the evidence of performance (e.g. clinical observations) with students and provide additional written and verbal comments on general progress, with suggestions for improvement

Feedback from personal tutors:
Personal tutors will provide feedback on CVs and the record of generic professional skills and can discuss feedback to help students build on their current performance.
Exam Information
Exam Diet Paper Name Hours & Minutes
Outwith Standard Exam Diets JanuaryHCP- Med: Process of Care Paper 12:00
Outwith Standard Exam Diets MarchHCP- Med: Process of Care Paper 22:00
Outwith Standard Exam Diets MayHCP- Med: Process of Care Paper 32:00
Outwith Standard Exam Diets JulyHCP - Med: Process of Care 1 Paper 42:00
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.
Reading List
Students will have access to the HCP-Med Resource List.
Additional Information
Graduate Attributes and 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
Medical Informatics
Keywordsmedicine,medical-ethics,Human Physiology,Human anatomy,Medical Sociology,Evidence-based medicine
Course organiserDr Helen Richards
Tel: (0131 6)51 4362
Course secretaryMs Susan Maitland
Tel: (0131) 242 7119
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