C21: Developing Tomorrow’s Doctors
Overview
Wales Deanery
All-Wales Health Information & Library Services
Friday 13th May 2011, Glamorgan Council Chamber
C21
developing
tomorrow’s
doctors
C21: Overview
“I keep six honest serving-men
(They taught me all I knew);
Their names are What and Why and When
And How and Where and Who.”
Rudyard Kipling
C21
developing
tomorrow’s
doctors
C21: Overview...
The Background
Increased student numbers and expectations:
• 190 students in 1997 to 360 students in 2009
• Free education in 1997 to £9,000 per year in 2013
• Decline in overall student satisfaction (National Student Survey)
Increased regulatory pressures
• GMC’s Tommorrow’s Doctors (2009)
Strategic necessity
• Cardiff aspires to be a “world-leading university”
• WAG’s For our Future Higher Education Strategy
• WAG’s Setting the Direction policy
Research evidence
“curriculum design and delivery must take into account modern educational theory and
current research.” Tomorrow’s Doctors (2009)
C21
developing
tomorrow’s
doctors
C21: Overview...
The Purpose, Vision, and Values
The Purpose
to improve the quality of medical education delivered by Cardiff University
The Vision
to create a world-class educational environment incorporating evidence
based best practice which will produce, attract and retain the best doctors
for Wales
The Values
Partnership, Quality and Innovation
The core Themes:
Teaching Excellence, Patient Safety, Scholarship, Science and Service
C21
developing
tomorrow’s
doctors
C21: Overview...
The Objectives
For Students and doctors in training
1. To ensure teaching of the highest standards
2. To provide an inspiring and rewarding learning experience
3. To be well-regarded by the NHS and professional bodies
4. To establish a culture of excellence, accountability and reward
For clinical practice
5. To be the location of choice for the best students and trainees
6. To act as a magnet for high quality clinical specialists, family doctors and researchers
7. To build on collaborative links between PGMDE, the university, the profession, and the NHS
8. To be recognised internationally for the quality of our training and teaching
For the community
9. To be recognised for the positive relationship between clinical outcomes, clinical care, and
clinical teaching
10. To act as a catalyst for the enhancement of clinical service in Wales
11. To be recognised for the scientific and clinical quality of our graduates
C21
developing
tomorrow’s
doctors
C21: Overview...
The Principles: CARDIFF Curriculum
Cutting Edge
Assessment of Learning
Realistic
Deeper Approaches to Learning
Integrated
Future Proofed
Flexible
C21
developing
tomorrow’s
doctors
C21: Overview...
PHASE 1: Core Science and Clinical
Practice
 Clinical Case led
 Systems based
 Chronological Life Cycle
30 week duration
Year 1
PHASE 2: Learning to Care
 Integrated contemporary clinical
experience following patient
pathways
 Extended clinical placements
45 week duration
Year 3
Harmonisation: Consolidated
Preparation for Practice
40 week duration
Year 2
Year 4
Year 5
Conception
Feotal Life
1
Infancy
Childhood
1
Adolescence
Young
Adult
1
Maturity
1
Old Age
1
Research
Block
1
Conception
Feotal Life
2
Infancy
Childhood
2
Adolescence
Young
Adult
2
Maturity
2
Old Age
2
Research
Block
2
In Patient Care
Oncology
Core
Clinical
Teaching
Clinical
Attachment
Primary
Placement
Out Patient Care
Chronic Care
Acute Care
Palliative Care
Junior
Hospital
Professional
Practice
Elective
Senior
Hospital
Professional
Practice
Cross Cutting Themes
‘Doctoring’, Clinical Skills and Simulation, Options Programme
Core Science, Scholarship and Research, Y Meddyg Cyrmeig
The Draft MB BCh Programme
What will students learn? / how will it be organised?
Discipline and
speciality T&F
groups
Phase 1 & 2
Management
groups
Year by year
‘editorial’
groups
Learning Unit
teams
Learning
outcomes
C21
developing
tomorrow’s
doctors
What will students learn? / how will it be organised?
Discipline and
speciality T&F
groups
Phase 1 & 2
Management
groups
Year by year
‘editorial’
groups
Structured
small group
session:
‘case
scenarios’
Learning Unit
teams
Learning
outcomes
C21
developing
tomorrow’s
doctors
Seminars
Life sciences
Assessment
Practicals
Structured
small group
session:
case
scenarios
e-Learning
Plenaries
Placements
Clinical skills
Learning
outcomes
C21
developing
tomorrow’s
doctors
C21: Overview...
The Draft MB BCh Programme Timetable
Years 1 & 2
Day
Monday
AM
Clinical Placement
Group work 1
Lecture 1
Clinical Skills
LSRC
PM
Tuesday
Wednesday
Thursday
Friday
Lecture 2
Clinical Placement
Group work 2
Lecture 4
Free
Lecture 3
LSRC
‘Doctoring’
Years 3, 4 & 5
Day
AM
PM
Monday
Tuesday
Class room
based
Clinical Skills
Clinical
Placement
Clinical
Placement
Wednesday
Thursday
Friday
Lecture
Clinical
Placement
Consultant
Led Feedback
Free
Clinical
Placement
Clinical Skills
Doctoring
C21: Overview...
Project Timeline
Preparation
Exploration
Development
Implementation
September 2010 –
March 2011
March 2011 –
September 2011
September 2011 –
September 2012
September 2012 –
September 2013
C21
developing
tomorrow’s
doctors
C21: Overview…
“Like a human being, a project
has to have an effective
communication mechanism, a
‘nervous system’, to coordinate
its actions”
Bill Gates
C21
developing
tomorrow’s
doctors
C21: Overview...
Communication and Development
Conference
Consult
March 2011/12
Engage
Development
Stage
‘Next Steps’
Exploration Stage
Engage
Away Day
September 2011
C21
developing
tomorrow’s
doctors
C21: Overview...
Communication and Development
Conference
March 2012
Review
Engage
Implementation
Stage
Engage
Development
Stage
Away Day
September 2012
C21
developing
tomorrow’s
doctors
C21: Overview...
Project Structure
Existing Programme
Renewal Project
Curriculum Review
Project
Resources Project
Quality and
Governance Project
Year 1
Phase 1
Phase 2
Quality and
Governance
Student
Support
Funding
Year 2
Harmonisation
DFLOGs
Modularisation
Lindsey Jones
Assessment
and Feedback
Infrastructure
and Facilities
Year 3
Flexible Routes
Community
Based Learning
Recruitment
& Admissions
Year 4
Y Meddyg
Cymreig
Clinical Skills
and Simulation
Year 5
Doctoring
Leadership
and Service
Staff
Development
E-Learning
C21
developing
tomorrow’s
doctors
C21: Overview…
“If I had eight hours to cut down a tree, I’d
spend the first six hours sharpening my axe”
Abraham Lincoln
C21
developing
tomorrow’s
doctors
C21: Overview...
Progress So Far...
Preparation
September 2010 –
March 2011
Exploration
Development
Implementation
March 2011 –
September 2011 –
September 2012 –
September 2011
September 2012
September 2013
• developed the project initiation documentation
• built relationships and established the Project Board
• carried out the initial consultation exercise
• hosted the inaugural curriculum conference
• appointed several project leads
• created 24 DFLOGs
• produced SciGEM proposals
• developing the ‘harmonised’ year 5
• developed the task briefs and plans
• continued to develop the existing programme
C21
developing
tomorrow’s
doctors
C21: Overview...
The Next Steps...
Preparation
Exploration
September 2010 –
March 2011
March 2011 – September 2011
Development
Implementation
September 2011 –
September 2012 –
September 2012
September 2013
• commencing work across 24 task groups
• increasing communications with stakeholders
• preparing the consultation response
• appointing the final project leads
• developing the learning outcomes for the programme
• developing proposals for the curriculum structure and delivery
• creating best practice guidelines
• capacity mapping and identifying new opportunities for delivery
• presenting the new ‘harmonised’ year 5 and revised year 4 curriculum
• developing a student recruitment plan
• considering the resource implications
developing
tomorrow’s
• planning the September Away Day
doctors
C21
C21: Overview...
Getting Involved
“Currently there is a very small number of people
involved and a large number feeling excluded”
Response to the consultation from an academic member of staff from within the School of Medicine
C21
developing
tomorrow’s
doctors
C21: Overview...
“Surround yourself with the best
people you can find, delegate,
and don’t interfere as long as
the policy you’ve decided upon is
being carried out”
Ronald Reagan
C21
developing
tomorrow’s
doctors
C21: Overview...
“Ability is of little account without opportunity”
Napoleon
Change in learning style:
• More self-directed learning
• More reflective learning
• More continuous learning
Change in location:
• Extended placements
• More distance learning and e-technologies
C21
developing
tomorrow’s
doctors
C21: Overview
C21@cardiff.ac.uk
www.cardiff.ac.uk/C21
Wales Deanery
All-Wales Health Information & Library Services
Friday 13th May 2011, Glamorgan Council Chamber
C21
developing
tomorrow’s
doctors