PROGRAMME SPECIFICATION PROGRAMME SPECIFICATION Programme title: Medicine Final award (BSc, MA etc): M.B.,B.S. Undergraduate entrants also take an integrated BSc in year 3 Approx 55 Oxbridge student join the course in year 4 A100 (where stopping off points exist they should be detailed here and defined later in the document) UCAS code: (where applicable) Cohort(s) to which this programme specification is applicable: 2016 onwards (e.g. from 2008 intake onwards) Awarding institution/body: University College London Teaching institution: University College London Faculty: Medical Sciences Parent Department: Medical School (the department responsible for the administration of the programme) Departmental web page address: http://www.ucl.ac.uk/medicalschool/ (if applicable) Method of study: Full-time Full-time/Part-time/Other Criteria for admission to the programme: Three GCE A-levels with grades A*AA to include Biology and Chemistry (with the A* to be in either Biology or Chemistry). A pass in a further subject at AS-level. International Baccalaureate diploma with 39 points overall. A total of 19 points in three higher level subjects to include Biology and Chemistry with one at score 7 and the other at score 6. No score below 5. Grade B at GCSE or IGCSE (or the equivalent) in both Mathematics and English Language plus Grade C at GCSE in a modern foreign language. Any further requirements prescribed by the Medical School. Information for alternative qualifications is available on the Medical School website. Length of the programme: (please note any periods spent away from UCL, such as study abroad or placements in industry) Level on Framework for Higher Education Qualifications (FHEQ) (see Guidance notes) Relevant subject benchmark statement (SBS) (see Guidance notes) 6 years: 5 years M.B.,B.S. + 1 year BSc at UCL 5 years: graduate entrants with exemption from the IBSc 3 years: Oxbridge transfers 9 years: MB PhD students Level 6 Medicine Brief outline of the structure of the programme and its assessment methods: (see guidance notes) The course structure and assessments, and the outcomes for graduates, are based on the curricula recommendations outlined in the General Medical Council’s document “Tomorrow’s Doctors” (2012). The MBBS at UCL is a 6-year integrated programme of study: Year 1: fundamentals of clinical science 1 Year 2 : fundamentals of clinical sciences 2 Year 3: integrated BSc Year 4: integrated clinical care Year 5: the life cycle and specialist practice Year 6: Preparation for Practice Students who are already graduates are exempt from the integrated BSc and move directly from year 2 to year 4. Running through the 6 year programme are the vertical modules Known as Clinical and Professional Practice (CPP): Student centred learning, patient centred learning o The portfolio o The patient pathways The Integrated vertical strands o Anatomy and imaging o Clinical skills and practical procedures o Pathological sciences o Use of evidence o Use of medicines The overarching themes o Mental health o Social determinants of heath o Synthesis and professional practice (including Ethics & Law and Clinical Communication) Elements of choice for students include Student Selected Components (SSCs) in years 1, 2 and 6 and in the elective period in year 6. SSCs cover four broad domains to allow students to pursue special interests and develop a range of generic skills; clinical/vocational, underpinning science (clinical or basic sciences), research oriented/library projects & arts/humanities/social sciences. Students are permitted an eight- week elective period of clinical study in a subject area and geographical location of their own choice. In both the elective and selective periods, some project work is expected from the students. The integrated BSc provides a whole year of selective study and includes a research project. Student Selected Components and the elective period are required course work and must be completed to a satisfactory standard in order to progress. Year 1: Fundamentals of Clinical Sciences 1 In addition to the vertical modules, as described above, year 1 is arranged as a series of system-based consecutive modules each of which builds on knowledge, understanding and skills acquired in previous modules and which provides for the acquisition of further knowledge and skills in subsequent modules. Each module is based on a physiological system and provides integrated teaching across all disciplines. The modules are: Foundations of Health and Medical Practice; Infection and Defence; Circulation and Breathing and Fluids, Nutrition and Metabolism. The vertical modules include teaching and learning sessions in a wide range of topics relevant to clinical and professional practice. Formative assessment is via the portfolio and practice written and clinical/practical examinations in February. Summative assessment is by written and clinical/practical examinations and the submission of a satisfactory portfolio. The aggregate scores obtained in these assessments determine progression into year 2. A scaled mark harmonised with UCL mark schemes contributes to the Year 3 IBSc degree award. Year 2: Fundamentals of Clinical Sciences 2 Year 2 is organised in a similar way to year 1 with both vertical and horizontal modules. The Horizontal modules are: Movement and Musculoskeletal Biology; Neuroscience; Endocrine Systems and Regulation; Development, Genetics and Cancer. The vertical modules again include teaching and learning sessions in a wide range of topics relevant to clinical and professional practice. Formative assessment is via the portfolio, practice written examinations in February and a practice clinical/practical examination in May. Summative assessment is by written and practical/clinical examination and the submission of a satisfactory portfolio. The aggregate scores obtained in these assessments determine progression. A scaled mark harmonised with UCL mark schemes determines progression into year 3 and contributes to the final IBSc degree award. Year 3: Integrated BSc Year 3 allows students to obtain a BSc by following a specifically designed integrated BSc year or, in some cases, joining the final year of an existing BSc programme. The IBSc year is completed at UCL. Common to all IBSc programmes is a compulsory research project/dissertation. Summative assessment is by written examinations and required coursework. The IBSc degree classification is calculated using a ratio of 1:1:6 where Y1 = 1, Y2 = 1 and Y3 = 6. The award of the IBSc is a requirement for progression to Year 4. Year 4: Integrated Clinical Care Begins with a three-week introductory course in clinical methods followed by three, twelve-week integrated modules of clinical attachments each preceded by a related core teaching week. The clinical attachments are largely, but not exclusively, spent at the three main University NHS Trusts and in the community. The clinical attachments for all students address integrated clinical care and cover acute care and hospital admissions, hospital based care, outpatient care, & community based care in medical, surgical and mental health domains. The vertical modules include teaching and learning sessions in a wide range of topics relevant to integrated care and clinical and professional practice and include a patient-based cancer patient pathway throughout the year. Formative assessment is by means of workplace based assessments and other required course work maintained in the e-portfolio. A practice written paper takes place mid-session. Summative assessments, in the form of written papers, an Objective Structured Clinical Examination (OSCE) and submission of a satisfactory portfolio take place at the year end. The aggregate scores obtained in these assessments determine progression to Year 5. Year 5: The life cycle & Specialist practice Following a one-week introductory module year 5 is organised three, twelve-week integrated modules of clinical attachments each preceded by a related core teaching week. These modules are themed around the lifecycle: Child and Family Health with Dermatology, Women’s & Men’s Health, ageing and palliative care plus a brief rotation in a range of clinical specialities (cancer medicine, ENT, ophthalmology and adult psychiatry. There is a mid year consolidation, integration and feedback week. The vertical modules include teaching and learning sessions in a wide range of topics relevant to the life cycle and specialist practice and more generally to clinical and professional practice and include a patient-based patient pathway throughout the year. Formative assessment is by means of workplace based assessments and other required course work maintained in the e-portfolio. Summative assessments, in the form of written papers, an Objective Structured Clinical Examination (OSCE) and submission of a satisfactory portfolio take place at the year end. The aggregate scores obtained in these assessments determine progression to Year 6. Year 6: Preparation for Practice While professional practice is a theme running through the entire programme, it assumes paramount importance in the final year. The year provides choices to fulfil personal interests and to allow exploration of career possibilities through the elective period and student selected components. A key aim of the final year is to prepare for entry into the Foundation Year 1 programme that follows immediately on qualification. This preparation involves a clinical attachment at a District General Hospital (DGH) including all areas of practice (medicine, surgery, specialist practice, emergency care) and an assistantship sharing the work of a named FY1, plus a 4-week GP placement. Students also maintain a portfolio of workplace based assessments and completed required course work. After successful completion of the final examinations, students return to an eight week elective period usually, but not exclusively, spent overseas, and a final four-week of study; completing a ‘preparation for practice’ SSC of their choice designed to orientate them to future work in the Foundation programme . Students who are not successful in their final examinations will instead undertake an intensive revision period including clinical experience and then re-sit their final examinations. The final MB.,BS examination includes: Submission of a satisfactory portfolio Integrated written assessments, and Integrated clinical assessments. These assessments address all areas of practice including Medicine, Surgery, Paediatrics, Obstetrics and Gynaecology, Psychiatry, and all vertical modules domains. The written assessments consist of case-based written tests in papers designed to integrate separate “subject” materials under broad headings and presentations including exercises in data interpretation. The clinical examination is divided into two parts:The Long Station OSCE that tests for consultation skills, clinical reasoning, examination skills of all body systems, with additional assessment of communication skills, ethical problem solving and critical appraisal of evidence. The Short Station OSCE consisting of “short” cases based on clinical scenarios, focused on examination, communication and diagnostic skills in any relevant clinical area and testing of practical procedures. Board of Examiners: Professional body accreditation (if applicable): i) Name of Board of Examiners: MBBS assessments in all years of the programme are overseen by the MBBS Board of Examiners which reports to the Faculty of Medical Sciences Board of Examiners. Year 1 assessments are implemented by the Year 1 Sub Board of Examiners Year 2 assessments are implemented by the Year 2 Sub Board of Examiners Year 3 assessments are overseen by the Year 3 Sub Board of Examiners but implemented by BSc Boards of Examiners Year 4 assessments are implemented by the Year 4 Sub Board of Examiners Year 5 assessments are implemented by Year 5 Sub Board of Examiners Year 6 assessments are implemented by the Year 6 Sub Board of Examiners General Medical Council Date of next scheduled accreditation visit: Autumn 2017 EDUCATIONAL AIMS OF THE PROGRAMME: Overarching aim: The MBBS programme aspires to educate the UCL Doctor: a highly competent and scientifically literate clinician, equipped to practise patient-centred medicine in a constantly changing modern world, with a foundation in the basic medical and social sciences. Aims of the Programme: The overall aims of the MBBS 2012 Programme at UCL are for graduates to: Demonstrate a genuine understanding of the fundamentals of clinical science and how science underpins medical practice Demonstrate competence in a range of professional skills necessary for patient care, including history taking and consultation skills, examination skills and clinical reasoning skills Diagnose and manage, under supervision, a range of common and important clinical problems Understand the basic ethical, professional and legal issues related to clinical practice Understand the epidemiological, environmental, psychological and sociological aspects of health and illness and their application for both the treatment and prevention of disease Consider how knowledge of disease pathology is applied in care and prevention Be able to assess patients’ healthcare needs, taking into account their physical and mental health and personal and social circumstances, and apply their knowledge and skills to synthesise information from a variety of sources in order to reach the best available diagnosis and understanding of the patient’s problem Demonstrate an appreciation of the determinants of health: how health behaviours and outcomes are affected by the diversity of the patient population and how, from a global perspective, health, disease and variations in health care delivery and medical practice are determined and interact Employ a patient centred approach to practice Deliver the most appropriate care by considered and careful use of limited resources Demonstrate the attitudes and behaviours appropriate to being a good doctor by their behaviour with patients, relatives and colleagues Appreciate the nature of contemporary practice including an understanding of: the modern NHS; the need to work in teams to ensure patient safety and improve healthcare; providing leadership and advocacy; and being able to adapt to the changing landscape of medical knowledge and healthcare delivery and transnational challenges to global health Be well prepared to enter the Foundation Programme Be prepared to fulfil a lifelong commitment to requirements of the GMC enshrined in Good Medical Practice (GMC 2012) including a commitment to reflective practice, and working continually to improve their own performance PROGRAMME OUTCOMES: The programme provides opportunities for students to develop and demonstrate knowledge and understanding, qualities, skills and other attributes in the following areas: A: Knowledge and understanding Demonstrate a genuine understanding of the fundamentals of clinical science and how science underpins medical practice In year 1 and 2, this includes the basic medical and social sciences to a degree sufficient primarily to inform students’ clinical studies but also to prepare students to undertake an integrated BSc (Hons) degree in a clinical domain or one of the medical or social sciences allied to medicine In year 3, the extent to which this objective is addressed depends on the chosen BSc In years 4-6, this includes further developing this understanding in the context of providing good clinical care and clinically focused teaching Some SSC choices further develop learning that addresses this objective Throughout the course, students are exposed to cutting edge clinical and biomedical scientists, as teachers, project supervisors and personal tutors Teaching/learning methods and strategies: Years 1& 2: a wide variety of teaching and learning methods are used including small group activities, lectures, self-paced and computer assisted learning, practical work, patient based activities, community based activities and private study. The two years are divided horizontally into a series of modules that are largely systembased. Running through these are a series of vertical modules In addition students in year 1 choose one double or two single SSCs in year 1 and one single SSC in year 2 from a wide range of options. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. All iBSc programmes will include including small group activities, lectures, self-paced learning, practical work, private study and one to one support to undertake a dissertation or project. Some iBSc also include patient based activities, community based activities or laboratory work. In year 4-6: the majority of the learning takes place in workplace settings (NHS Trusts, general practices and other healthcare settings). The practice-based nature of the learning means the integration between knowledge and understanding, clinical, practical and professional skills and attitudinal objectives are very closely woven together. Teaching methods used to help students to understand the fundamentals of clinical science and how science underpins medical practice include lectures, tutorials, case studies, patient based teaching & independent study. Diagnose and manage, under supervision, a range of common and important clinical problems In year 1 and 2 the vast majority of teaching and learning opportunities are based around the core conditions and presentations, and the ‘top 100 drugs’ formulary. The underpinning scientific principles in diagnosis and management are emphasised. The patient pathways in community and intergrated care and cardiometablic illness address chronic disease diagnosis and management. In year 3 the extent to which this objective is addressed depends on the chosen BSc. In years 4-6 building on knowledge and principles developed in years 1-3 developing this understanding is augmented in the context of clincial care. Again the vast majority of teaching and learning opportunities are based around the core conditions and presentations and the ‘top 100 drugs’ formulary but will also include all patient presentations during the course of clinical placements The SSCs and elective period in year 6 provide further opportunities to develop this knowledge and understanding Years 1& 2: a wide variety of teaching and learning methods are used including small group activities, lectures, self-paced and computer assisted learning, practical work, patient based activities, community based activities and private study. Horizontal and vertical modules teaching focus on common and important clinical problems. that are largely system-based. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means learning to diagnose and manage a range of common and important clinical problems occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, case studies, Case of the Month (via the VLE), simulations and practical skills sessions, project work & independent study. Understand the basic ethical, professional and legal issues related to clinical practice In years 1,2,4,5,& 6 this includes teaching within the vertical module: Synthesis and professional practice and through the patient-based and practice- based experiences and placements. Some SSC choices further develop learning that addresses this objective. The exact choice of BSc will determine whether this objective is addressed in year 3 Years 1& 2: teaching and learning methods used including small group activities, lectures, quizzes, patient based activities, community based activities and private study. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, case studies, Case of the Month (via the VLE), simulations, project work & independent study. Understand the epidemiological, environmental, psychological and sociological aspects of health and illness and their application for both the treatment and prevention of disease In years 1,2,4,5,& 6 this includes teaching within the vertical modules: Use of Evidence, Social determinants of health, Mental Health and Synthesis and professional practice and through the patientbased and practice-based experiences and placements. The elective period further extends learning in this domain. Some SSC choices further develop learning that addresses this objective. The exact choice of BSc will determine the extent to which this objective is addressed in year 3 Years 1& 2: teaching and learning methods used including small group activities, lectures, patient based activities, computer assisted and self-paced learning, community based activities, patient-based activities and private study. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, Case of the Month (via the VLE), project work & independent study. Consider how knowledge of disease pathology is applied in care and prevention In years 1,2,4,5,& 6 this includes teaching within the vertical modules: Pathological Sciences and Anatomy and Imaging, to some extent in Mental Health and in the health promotion aspects of Social Determinants of Health and in horizontal module based teaching particularly in years 1 & 2 but also in years 4-6. This knowledge is also developed through the patient-based and practice-based expereinces The elective period, particularly if carried out abroad, further extends learning in this domain. Some SSC choices further develop learning that addresses this objective. The exact choice of BSc will determine the extent to which this objective is addressed in year 3 Years 1& 2: teaching and learning methods used including small group activities, lectures, community based activities, patient based activities and private study. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, case studies, Case of the Month (via the VLE), project work such as the Venous thromboembolism project (VTE) & independent study. Demonstrate an appreciation of the determinants of health: how health behaviours and outcomes are affected by the diversity of the patient population and how, from a global perspective, health, disease and variations in health care delivery and medical practice are determined and interact This is both a knowledge based and attitudinal objective. In years 1,2,4,5,& 6 this includes teaching within the vertical module Social Determinants of Health , to some extent in Mental Health Synthesis and Professional Practice and through the patient-based and practice-based experiences and placements, particularly the patient pathways and the elective period. Some SSC choices further develop learning that addresses this objective The exact choice of BSc will determine whether this objective is addressed in year 3 Years 1& 2: teaching and learning methods used including small group activities, lectures, patient based activities, community based activities and private study. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, case studies, Case of the Month (via the VLE), project work & independent study. Deliver the most appropriate care by considered and careful use of limited resources In years 1,2,4,5,& 6 this includes teaching within the vertical modules: Use of Evidence, Social determinants of health, Use of Medicines and Synthesis and professional practice and through the patient-based and practice-based expereinces and placements. Some SSC choices further develop learning that addresses this objective and the elective period further extends learning in this domain. The exact choice of BSc will determine the extent to which this objective is addressed in year 3 Years 1& 2 teaching and learning methods used including small group activities, lectures, patient based activities and private study. Year 3 the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6 the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, tutorials, case studies, Case of the Month (via the VLE), project work & independent study. Appreciate the nature of contemporary practice including: an understanding of the modern NHS; the need to work in teams to ensure patient safety and improve healthcare; providing leadership and advocacy; and being able to adapt to the changing landscape of medical knowledge and healthcare delivery and transnational challenges to global health This is both a knowledge based and attitudinal objective. In years 1,2,4,5,& 6 this includes teaching within the vertical modules: particularly Synthesis and professional practice but also in Use of Evidence, Social determinants of health, Use of Medicines and through the patient-based and practice-based expereinces and placements. Some SSC choices further develop learning that addresses this objective. The elective period further extends learning in this domain. The exact choice of BSc will determine the extent to which this objective is addressed in year 3 Years 1& 2: teaching and learning methods used including small group activities, lectures, patient based activities and private study. Year 3: the exact configuration of teaching and learning methods are dependent on the chosen iBSc. In year 4-6: the patient-based nature of the learning means developing and understanding in this domain occurs in the context of observing and assisting in the care of patients. Additional teaching methods used include lectures, case studies, reflective practice submissions, the Patient Pathways, Case of the Month (via the VLE), the VTE project & independent study. Assessment Knowledge, ‘know how’ and understanding are examined mainly through written assessments: either as single best answer multiple choice format or within written tasks within the portfolio. Some of this knowledge, particularly ‘know how’ is also tested in an applied way in workplace based assessments within the portfolio and in the practical examinations at the end of years 1, 2, 4, 5, and 6. The assessment of knowledge developed in year 3 is assessed in accordance with the assessment practices of the individual BSc programme. B: Professional skills Demonstrate competence in a range of professional skills necessary for patient care, including history taking and consultation skills, examination skills and clinical reasoning skills The foundations of these skills are developed within the vertical modules synthesis and professional practice and clinical skills and practical procedures. The practice-based and patient-based learning applies this learning to further develop expertise in this domain Teaching/learning methods and strategies: These professional competencies blend knowledge, ‘know-how’, intellectual skills, clinical skills and attitudinal development. The need for these skills to be fostered runs throughout the MBBS programme. While much of the teaching and learning programme outlined develops the skills listed, in the context of medicine, many can only be learned in a workplace, patient-based setting. This learning is supplemented by specific small group work and simulation sessions and a small number of lectures. Be able to assess patients’ healthcare needs, taking into account their physical and mental health and personal and social circumstances, and apply their knowledge and skills to synthesise information from a variety of sources in order to reach the best available diagnosis and understanding of the patient’s problem The foundations of these skills are developed within the vertical modules synthesis and professional practice and Mental Health and social determinants of Health and the patient pathways. The practicebased and patient-based learning then applies this learning to further develop expertise in this domain Blending knowledge, ‘know-how’, intellectual skills, and attitudinal development, this skills is fostered throughout the MBBS programme. Much of this learning can only be learned in a workplace, patient-based setting. This learning is supplemented by specific small group work, Case of the Month and a small number of lectures. Be well prepared to enter the Foundation Programme This competency requires knowledge, ‘know-how’, understanding, intellectual skills, clinical skills professional skills and attitudinal development. As a vocational course, this preparation begins in year 1, and becomes the increasing focus of learning until year 6 when it becomes the main focus of the year. Learning opportunities occur in every year and every module; horizontal and vertical. Much of the teaching and learning in this domain occurs in workplace, patient-based settings. This learning is supplemented by specific small group work and simulation sessions, clinical skills sessions, lectures & case studies, including Case of the Month. Assessment: This competency is tested in written assessments, workplace based assessments within the portfolio, other portfolio items and in the practical examinations at the end of years 1, 2, 4, 5, and 6. C: Transferable skills The following key skills are developed throughout the programme: structure and communicate ideas effectively orally and in writing The Clinical Communication and Health Informatics elements of the vertical module, Synthesis and Professional practice particularly develop communication skills. These are also developed in presentations, both academic and clinical, and in project work, reflective writing and workplace based activities manage time and work to deadlines The vertical modules, Synthesis and Professional practice and the portfolio particularly develop this skill. These are also developed in required course work and workplace based activities, particularly the assistantship participate constructively in groups This skill is developed in small group work, project work, the SSCs and workplace based learning and the team-working element of the vertical module Synthesis and Professional practice work independently This skill is developed in small group work, project work, self paced learning, the portfolio, the SSCs and elective period, workplace based learning assess evidence critically This skill is developed in the vertical module Use of Evidence, in project work and workplace based learning find information using information technology This skill is developed in the vertical modules Use of Evidence and the health informatics element of Synthesis and Professional practice and in project work, and workplace based learning. Teaching/learning methods and strategies: The importance of communication both in groups and to patients and their families is recognised by the provision of dedicated communication skills teaching and simulations and regular opportunities for students, either individually or in groups, to present cases or the results of library or practical research in addition to the communication competencies practiced in all workplace based learning Project work and the maintenance of the portfolio together with need to structure workplace based learning opportunities to the students own needs encourage the development of this key skill. Many teaching and learning sessions in all years involve discussion and interaction and presentations by groups of students. Workplace based learning opportunities focus of team working. Much learning within the programme depends on reinforcement with independent learning. Individual project work in SSCs & the BS, the maintenance of a portfolio and the personal learning plan developed in year 6; all encourage the development of the skills to work independently. Opportunities to assess evidence and use information technology to enhance this are provided for by dedicated sessions with the Medical Librarians team at various stages in the course as part of the vertical modules and in the BSc year Opportunities to use information technology are provided for by dedicated sessions with the Medical Librarians team at various stages in the course, as part of the vertical modules, and in the iBSc Assessment: Communication skills are formatively assessed in during tutorials & small group work, in SSCs and in workplace based assessments. They are assessed summatively in written answers during Years 1, 2 & 3, in portfolio items and in identifiable components of the long and short station OSCEs latter years Managing time and working to deadlines is assessed via the portfolio and timely course work submissions. Participating constructively in groups is assessed formatively in small group work, project work, the SSCs and the multisource feedback exercises. Working independently is assessed via the portfolio, course work submissions and project work; especially work associated with the patient pathways, the SSCs and the BSc. Assessing evidence critically and finding and using information using information technology is assessed via the portfolio, in written and practical assessment items, in course work submissions and project work; especially work associated with the patient pathways, the SSCs and the BSc. D: Attitudinal attributes Employ a patient centred approach to practice This competency requires knowledge, ‘know-how’, clinical skills and professional skills as well as attitudinal development. As a vocational course, this preparation begins in year 1, and becomes the increasing focus of learning until year 6 when it becomes the main focus of the year. Learning opportunities occur in every year and every module; horizontal and vertical but particularly in workplace based learning and in the vertical modules: Patient Pathways, Synthesis and Professional Practice, Mental Health, Social Determinants of Health Demonstrate the attitudes and behaviours appropriate to being a good doctor by their behaviour with patients, relatives and colleagues This competency requires knowledge, ‘know-how’, clinical skills and professional skills as well as attitudinal development. As a vocational course, this preparation begins in year 1, and continues until year 6. Learning opportunities particularly occur in workplace based learning and in the vertical modules: Patient Pathways, Synthesis and Professional Practice Be prepared to fulfil a lifelong commitment to requirements of the GMC enshrined in Good Medical Practice (GMC 2012) including a commitment to reflective practice, and working continually to improve their own performance As a vocational course, this preparation begins in year 1, and continues throughout the programme. Learning opportunities particularly occur in relation to workplace based learning, maintenance of the portfolio reflective writing and in the vertical modules: Patient Pathways, Synthesis and Professional Practice . Teaching/learning methods and strategies: Much of the development of attitudinal qualities depends on socialisation into the profession developed through attention to the professional expectations and guidance though exposure to practice reflective practice, maintenance of the portfolio and in dedicated small group work within the vertical module Synthesis and Professional Practice. UCLMS is a vanguard medical school for person centred care and a number of initialtive have been developed to ensure students take a whole person approach to medical practice including: Case of the Month, involvement in NHS Change Day the Ask One Question Initiative, the use of Balint Groups and student Schwartz Rounds, Assessment: Attitudinal development is assessed formatively through small group work, workplace based assessments, particularly multisource feedback and self assessment, maintenance of the portfolio, ‘soft’ measures such as attendance and engagement and submission of required course work and through avoiding fitness to practise concerns. They are assessed summatively though practical examinations, particularly OSCEs, and to some extent through written assessments. Absence of a substantial number of fitness to practise/cause for concern statements are also used to determine adequate attitudinal development. The following reference points were used in designing the programme: the Framework for Higher Education Qualifications: (http://www.qaa.ac.uk/en/Publications/Documents/Framework-Higher-Education-Qualifications-08.pdf); the relevant Subject Benchmark Statements: (http://www.qaa.ac.uk/assuring-standards-and-quality/the-quality-code/subject-benchmark-statements); the programme specifications for UCL degree programmes in relevant subjects (where applicable); UCL teaching and learning policies; staff research. General Medical Council requirements – Tomorrow’s Doctors (2012) http://www.gmc-uk.org/education/undergraduate/tomorrows_doctors_2012.asp Please note: This specification provides a concise summary of the main features of the programme and the learning outcomes that a typical student might reasonably be expected to achieve and demonstrate if he/she takes full advantage of the learning opportunities that are provided. More detailed information on the learning outcomes, content and teaching, learning and assessment methods of each course unit/module can be found in the course handbooks. The accuracy of the information contained in this document is reviewed annually by UCL and may be checked by the Quality Assurance Agency. Programme Organiser(s) The M.B.,B.S. programme is designed, reviewed and managed by the Medical School in the Name(s): Faculty of Medical Sciences. Teaching in years 1& 2 depends heavily, but not exclusively, on teachers from the Faculty of Life Sciences. In year 3, teaching is delivered by teachers across UCL. In years 4-6 teaching is delivered by teachers across all four faculties of the School of Life & Medical Sciences and in associated NHS Trusts and other healthcare venues. Programme Lead: Professor Deborah Gill Date of Production: 2003 Date of Review: October 2015 Date approved by Head of Department/FMS Division: 9 October 2015 Professor Deborah Gill, Director of UCL Medical School Date approved by Chair of Departmental Teaching Committee: 9 October 2015 – Professor Deborah Gill, Director of UCL Medical School, by Chair’s action Date approved by Faculty Teaching Committee 12 October 2015 – Dr Brenda Cross, Faculty Tutor, by Chair’s action