Educating Undergraduate Medical Students in the community

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General Practitioner Involvement in
Tutoring and Examining Medical
Students
Dr Enam Haque (Clinical Lecturer,
teaching focused)
Aims
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Get to know you
Get to know each other
Get to know about opportunities in
undergraduate education!
The Manchester Curriculum
MBChB Outcomes
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Confident FY1 Doctors
Preparing students for NHS careers
To work in complex environments
To cope with uncertainty
To become masters of their trade
To understand their role in clinical teams
To understand how the health service works
Leadership, Teaching…etc. etc.
Curriculum Structure
• Spiral Curriculum
– Integrated
• Problem Based Learning
– Lifelong learning skills
– Student Centred, Self Directed
• Core plus options
– Personal Excellence Pathways
– Project Options
• Early patient contact
• Continuing patient contact
Spiral of learning
Dr as a
Professional
Dr as a
Practitioner
Phase 3 : Year 5
Preparation
for practice
Phase 2: Year 3 - 4
Developing clinical
competence
Nutrition,
metabolism &
excretion
Phase 1: Year 1 – 2
Developing basic knowledge
Cardiorespiratory
fitness
Dr as a
Scholar
and a
Scientist
Qualification
Research
Project
Heart, lungs & blood
Families
& children
Mind & Movement
Life
Cycle
Abilities & disabilities
Nutrition &
metabolism
Entry
What is Problem Based Learning?
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Problem based learning
Define problem
and set
learning needs
FIRST
TUTORIAL
Pool answers
Discuss clinical
experience
CLINICAL &
SELF STUDY
SECOND
TUTORIAL
Community Based Medical
Education (CBME)
What do medical students need
from community placements?
What do medical students need
in the community?
Active learning
• Take and present
histories
• Clinical
examinations
• Not sitting in
corner bored
Community Set-Up
Clinical
Pre-clinical
Phase 1
Phase 2
Phase 3
Years 1 & 2
Years 3 & 4
Year 5
(Early Experience)
(NME, HLB, M&M, F&C)
MRI
Manchester
Medical
School
CBME
GP’s
Salford
Royal
GP’s &
CSU’s
South
Preston
GP’s
Preston HEZ
Salford HEZ
CPEF
Clinical Lecturer
HEZL
Base Admin
Senior/
Established
Lecturer
HEZL
Central HEZ
South HEZ
Early Clinical Experience (ECE) in
Years 1&2
• Six half days a year
• Communication
feedback sessions
• Gentle introduction
for you and them
A day a week in Years 3 & 4
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4 modules
Active participation
Link to PBL
Debrief
CSUs
Workplace based
assessments (UPSAs)
4 week blocks in Year 5
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Apprentice model
Own consultations
Close supervision
Tutorials
Exempting exam
Work place based
assessments (UPSAs)
Personal Excellence Pathways (PEPs)
• In year 3
• 4 weeks (x2)
• Quality & Evidence
Or
• Lay Document
What can GPs help with in the hospital and
University environment?
Opportunities
Small Group Tutor
Community Focused Teaching (CFT Stopford OR
Preston)
• Year 3 Manchester or Preston delivery
• Same content
• Cover topics in dermatology/ophthalmology/ENT,
occupational health, diabetes, cardiovascular
systems.
• Payment £440 per day
• Contact: asad.zaman@manchester.ac.uk
Clinical Intelligence Tutor
• Year 3 in all Manchester sectors
• During HLB block, 6-8 students for 7 weeks
• Discuss issues raised by cases seen in hospital and GP
– clinical presentation / differential diagnosis/ drugs/
ethics/ professionalism/ patient expectations
• Payment £75 per hour
• Session usually lasts 2-3 hours
• Contact: asad.zaman@manchester.ac.uk
PBL Tutor
• Based in all sectors in teaching hospitals and
some DGHs
• Years 3 and 4 students – groups of 8 students
• Required to attend ½ day training through the
Staff Development Unit:
– http://www.medicine.manchester.ac.uk/prime/
• Payment: £75 per hour
• Session usually lasts 2-3 hours
Y3 Group (Hub & Spoke) PEP Lead
• Hub & Spoke PEP = a central Hub for teaching and support plus
Spokes for clinical experience
• Hub is a group of 8 students, 1 day/week for 4 week block
• Hub Lead teaches specialist topic to the group, sets quality &
evidence based projects for the students to complete in Spoke
placements and marks assessments
• Runs twice per year: Jan/Feb and May/June
• Payment: £2475 in total
• Contact cbmephase2-3@manchester.ac.uk
Academic Advisor
• Starts in Year 1 and goes through all years
• Required to meet with the student twice a year (yr 1&2), four
times a year (Yr 3 onwards) and write up notes for file.
• Summative assessments portfolio reviews end Yr4 and 5.
• Compulsory ½ day training
• Receive an honorary contract
• Payment: £220 per student per year – includes administration
time
• Contact Luke Robinson ppd@manchester.ac.uk
Community focused prescribing
• Small group teaching around different
prescribing scenarios
• Consider how to prescribe, what to prescribe,
explaining risk and benefit, and issues of
concordance
• Must attend a training session prior to starting
• £75 per hour
• Contact kurt.wilson@manchester.ac.uk
Early Clinical Experience Tutor
• Based in Clinical Skills Lab, Stopford Building,
University of Manchester
• Years 1 & 2 students – groups of 16-20 students,
facilitator with 2-3 others
• Must attend a training session prior to starting
• £75 per hour
• Contact Enam Haque: Enam.haque@manchester.ac.uk
OSCE examiner
• Need to be involved in teaching on the course
• Required to attend ½ day training through the
Staff Development Unit:
– http://www.medicine.manchester.ac.uk/prime/
• OSCEs occur in all sectors for Years 3-5, twice
per year
• Payment: £220 per session (1/2 day)
Student Selection Panel
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Opportunity to recruit future medics
November to March
Required to attend training for ½ day
Must be able to commit for half days from a
selection of dates
• Held in Stopford, MMS. Parking supplied.
• Contact Linda.m.harding@manchester.ac.uk
• Please note this is an interesting but unpaid
opportunity
CBME Annual Tutor Conference
Makron stadium
29th April 2015
GP support pack.
Quick Guide to Medical Students.
www.mms.manchester.ac.uk/CBME
Download