MBPhD Clinical Programme Handbook 2014/15 Copyright UCL Medical School University College London 1 2 CONTENTS Page Welcome from Prof Gordon Stewart 5 Key Contacts 6 Programme Timetable 7 Regulations 8 UCL Email 8 Portico – Student Information Service 8 Student Feedback 9 Personal Tutors 9 Research Student Log 10 Skills Development Programme 10 Events 10 Annual Symposium Annual Dinner Dean’s Research Prize Cordwainers Prize Journal Club Astor Travel Fund 11 Clinical Teaching Programme 11 Useful UCL contacts/information 17 Appendix 1: Academic Review & Monitoring for MBPhD Students 15 Appendix 2: Cordwainer’s Prize Regulations 16 Supplement 1: For students straight from iBSc (not done clinical prior to PhD) The handbook has been designed to help you by providing you with all the relevant information regarding the MBPhD programme. If there is anything you feel isn't covered by the handbook, please contact the Programme Administrator - Ms Susan Beesley. Please note that any rules and regulations outlined here exist in addition to UCL regulations - No information over-rides any regulation set by UCL. 3 4 WELCOME Welcome to the UCL MBPhD Programme. As you are well aware, the aim of this programme is to get you through both MBBS and a PhD in either six or seven years. Typically, you will first do one year of Clinical, then 3 or 4 years of PhD, then the remaining two years of Clinical. You can do the PhD first, with no clinical, but this is unusual. The MBBS element is run by UCL Medical School; the PhD part is run by whichever Division and supervisor that you choose. We in the MBPhD Office aim to coordinate the show. During the PhD, we offer continuing clinical teaching which typically occurs in the evenings and sometimes at weekends. We have some funding for this Programme, which covers mainly the PhD stage. We cover three years of this and three years only. If you wish to take a fourth year in the PhD, the funding for that year is down to you and your supervisor. One of the most important decisions that you will make is in the selection of your supervisor. We will help you with this. I recommend that you select a challenging project in as basic a lab as you can find, with a good record of funding and publications. The lab needs to have a good record in getting previous students through a PhD in a timely manner. A previous successful MBPhD student is especially meritorious, in my view. You must have a conducive working relationship with the supervisor: you are going to see a lot of each other. The ‘’tricky” supervisors are pretty well known. You need to keep up your ePortfolio when you are in your PhD. This is a record of clinical learning. It can be completed in a number of ways. Keeping it up will not interfere (much) with lab work. YOU MUST HAND IN YOUR THESIS BEFORE YOU GO BACK TO CLINICAL. Perhaps I might repeat myself, for emphasis: YOU MUST HAND IN YOUR THESIS BEFORE YOU GO BACK TO CLINICAL. Do I make myself clear? It is impossible to write a thesis and work on the wards at the same time. You’ll be all over North Thames at hospitals and clinics, the hours will be long, tiring, and irregular. After you’ve got the bally thing handed in, you have to sit your viva exam and perhaps write up some papers, but these tasks are trivial compared to writing the thesis. By and large the MBPhDs really enjoy going back to clinical again. They are a bit older, but so much wiser. Best of luck. GS 5 KEY CONTACTS Prof Gordon W Stewart, Centre for Molecular Medicine Rayne Building, 5 University Street, WC1E 6JJ. Tel: 07776 188438 Email: g.stewart@ucl.ac.uk Prof Raymond MacAllister Division of Medicine Rayne Building, 5 University Street, Email r.macallister@ucl.ac.uk Dr Daniel Marks Centre for Molecular Medicine Rayne Building, 5 University Street Email: d.marks@ucl.ac.uk Tel: 020 7679 6170 Dr Mahdad Noursadeghi Room 3.2.02 Infection & Immunity, Cruciform Building Email: m.noursadeghi@ucl.ac.uk Tel: 02031082128 Dr Chris Hasford UCL Medical School Email: c.hasford@ucl.ac.uk MBPhD Administration: Ms Susan Beesley Room 238, 2nd Floor, The Medical School Building, 74 Huntley Street, WC1E 6AU Tel: 020 7679 0886 Email: s.beesley@ucl.ac.uk www.ucl.ac.uk/mbphd Student Representative: Daniel Snell Email: d.snell@ucl.ac.uk Faculty Tutor Dr Brenda Cross Appointments booked via Student Support Assistant Medical Student Office (Years 4-6), G42, Ground Floor, The Medical School Building Email: m.darrat@ucl.ac.uk Tel: 020 7679 0859 http://www.ucl.ac.uk/medicalschool/staffstudents/welfare/#student-support Divisional Tutor Dr William Coppola Email: w.coppola@ucl.ac.uk MBBS Administration: Miss Karen Picken (MBBS Year 4) Room G42, Ground Floor The Medical School Building 74 Huntley Street Tel: 020 3108 2207 Email : k.picken@ucl.ac.uk Mr Neil McWhirter (MBBS Year 5 & NHS Bursaries) Room G39, Ground Floor The Medical School Building 74 Huntley Street Tel: 020 7679 0843 Internal: 40843 Email: n.mcwhirter@ucl.ac.uk MBPhD Teaching Leads: Medical School: 6 TIMETABLE In the course, the PhD is normally intercalated between MBBS Year 4 and MBBS Year 5. During the PhD, a regular clinical teaching programme keeps students’ clinical skills and knowledge up-to-date. For students following Route C, intercalating the PhD between iBSc and MBBS Year 4, additional information on clinical teaching can be found in Supplement 1. 7 REGULATIONS During the approved PhD period of study the student will be governed by the UCL Research Degree Regulations. Upon their return to MBBS they are governed by the regulations for MBBS degrees. A candidate for the MBPhD degrees must submit a thesis for the PhD before returning to the MBBS programme. A return to the MBBS programme will be determined by an academic review at 24 months of PhD registration (see Academic Review & Monitoring Regulations – Appendix 1). If a student is unable to submit their thesis by the end of their approved period of registration they may register as Completing Research Student Status (CRS) for 12 months while they write up their theses. CRS status means that students do not pay fees but have access to UCL facilities and can have one draft of their thesis read by their Supervisor (Graduate Research Degrees - Code of Practice). Transfer to CRS status is only permitted with the approval of the students’ supervisor and the Faculty Tutor and the student must have successfully upgraded from MPhil to PhD. In addition to the UCL regulation transfer from MPhil to PhD between 9 and 18 months of registration, MBPhD students present to the MBPhD Review Panel at 12 months (see Academic Review & Monitoring Regulations – Appendix 1). UCL EMAIL All students are issued with an email account when they register at UCL and it is UCL Policy that all communications are sent to you at your @ucl.ac.uk email address. Further details of how to manage your UCL email account and other IT matters (including information about mobile devices, printing etc) can be found at http://www.ucl.ac.uk/isd PORTICO: The UCL Student Information Service UCL uses a Student System known as Portico: The UCL Student Information Service. As a student, you can take ownership of your own personal data by logging on to PORTICO. You will be expected to edit your own personal data - e.g. update your home and term addresses, contact numbers and other elements of your personal details. Access to Portico is available to students and staff of UCL via the web portal: http://www.ucl.ac.uk/Portico. You will need to logon using your UCL user id and password, which are issued to you once you have enrolled. These will allow you to access UCL restricted web pages, UCL email and the Windows Terminal Service (WTS). If you do not know your user id and password, you should contact the IS Helpdesk as soon as possible (http://www.ucl.ac.uk/is/helpdesk). Please remember that your password will automatically expire after 150 days, unless it has been changed. Warnings are sent to your UCL email address during a 30 day period. 8 It is vitally important that you ensure that your contact details are kept up to date at all times during your time at UCL. Failure to do so may mean that you miss out on important information which may be sent to you. It is your responsibility to ensure that you keep your record updated. STUDENT FEEDBACK The Programme relies on student feedback as an essential element of its quality assurance procedures. Students are asked to complete an annual questionnaire circulated in August/September. Analysis of the feedback is shared with the MBPhD Management Committee and the Medical School. A second year PhD student is nominated to the MBPhD Management Committee membership and normally serves for 2 – 3 years. Any issues you would like to raise with the Management Committee please do so via your student representative. PERSONAL TUTOR SCHEME UCL requires all students have access to their personal tutor throughout their study at UCL, and MBPhD students have the opportunity to meet on a 1:1 basis on a minimum of 3 occasions in each academic session. In view of the unique duration and scheduling of the MBPhD programme and the location of teaching in the later years, arrangements have been put in place to ensure the most appropriate personal tutor support at each stage. If you are unable to attend any of the arranged sessions or require additional meetings, contact with your personal tutor can be made via email or telephone. MBPhD Personal Tutor 1:1 sessions will be scheduled in December, April and July. Professor Gordon Stewart is the Personal Tutor for all MBPhD Students. Each session is open to all MBPhD Students at any stage of the MBPhD programme, however, the timetable below shows the minimum number of attendances required by UCL for each Year of the Programme. This timetable should be read in conjunction with the complete MBBS arrangements available here... Session MBBS Mid-December Early April Early July Year 4 Year 5 Year 4 Year 5 Year 6 Year 4 Year 5 PhD Students that commenced PhD in September Students scheduled to return to MBBS in September 9 RESEARCH STUDENT LOG A Research Student Log (https://researchlog.grad.ucl.ac.uk/) is provided by the Doctoral School for all research students to record the development of their skills and research. The Log is a mandatory component of all UCL research degree programmes. The Research Log provides a framework for recording details related to your graduate research programme, scheduled supervisory meetings and activities concerning the development of academic and key skills. Your Log will also help you to assess your progress and to plan and chart evidence of the development of academic and discipline specific skills and key skills. SKILLS DEVELOPMENT PROGRAMME All Research Council funded research students are required by their funding bodies to participate in the Doctoral Skills Development Programme and/or appropriate departmental courses to a degree equivalent to two weeks per year of their funded studentship (ie 3 years for 3-year MPhil/PhDs and 4 years for 4-year PhDs, EngDs etc). Students should discuss with their Supervisor which courses from the Graduate School’s Skill’s Development Programme and any Departmental/Faculty training courses they need to attend, and then select a range of courses to be taken over the full period of their research degree programme. Further information regarding the Doctoral Skill’s Development Programme can be found here: http://courses.grad.ucl.ac.uk/ EVENTS Annual Dinner As well as regular social events, the MBPhD Programme hosts in March an Annual Dinner of alumni, current students, staff and honoured individuals. This event is a time to relax and celebrate achievements Annual Symposium Students in their final PhD year are expected to present their research at the MBPhD Annual Symposium in January. This event is a showcase symposium for the Programme. The audience includes present and past students, prospective students, supervisors, funding bodies and senior academics. Dean’s Research Prize The Faculty of Medical Sciences, Dean's Research Prize Event is a unique annual event for the Faculty to celebrate students' success in research. The MBPhD Management Committee will nominate one final year student to give a 15 minutes presentation at this event held in November. A prize of £150.00 is awarded by the Dean to a postgraduate research student, based on academic excellence and presentation skills. 10 Cordwainers Prize (Appendix 2) All students submitting a thesis in the current calendar year are eligible to apply for The Worshipful Company of Cordwainers Prize for the Best MBPhD Thesis of the Year. The prize value is £1000. Journal Club Develop your critical thinking and finesse your presentation skills over a free breakfast. MB/PhD students benefit from fortnightly journal club supervised by UCH consultants Dr Christian Hasford and Dr Mahdad Noursadeghi. The journal club meets every other Monday morning in the second floor seminar room of the Rayne Building at 8am. One of current MBPhD students presents a clinical research paper, ideally published in the preceding 2-4 weeks, from a leading journal (e.g. NEJM, The Lancet, JAMA, etc.). ASTOR TRAVEL FUND The principal aim of the MBPhD Astor Travel Bursary is to encourage MBPhD students to present their research at international conferences. Awards are for a maximum of £500 per student during their programme of study and this can be split over two applications totaling a maximum of £500. In order to apply to this fund you must: be an MBPhD student registered: for an MPhil/PhD at UCL, or with Completing Research Student status, or on the MBBS for the 12 months subsequent to CRS have successfully upgraded at 12 months (see MBPhD Academic Review & Monitoring Regulations). be Presenting a paper or poster, or taking some formal part in the proceedings. Application forms and regulations are available from our website: http://www.ucl.ac.uk/mbphd/ or from the MBPhD Administrator CLINICAL TEACHING PROGRAMME Clinical teaching during the PhD takes place on Thursday evenings. Tutorials are delivered by consultants or registrars, alternate between bedside teaching and seminars, and cover both medical and surgical specialities. Students are informed of topics and venues by e-mail. All MB PhD students are welcome to attend the Clinical Teaching Programme, regardless of their phase of training. In those about to undertake medical school examinations, teaching is often targeted to facilitate revision, and additional support is available to MB PhDs to ensure clinical skills are up to scratch by the time of qualification. 11 Additional clinical teaching opportunities that are open to MB PhD students include: a) Morning report. 1230pm each Tuesday in the UCLH P02 seminar room. b) Junior Clinicopathological Case presentation. 4pm each Tuesday during term time in the Rayne 2nd floor seminar room. c) Grand Round. 1245pm each Wednesday in the Rayne 2nd floor seminar room. d) Clinical Pharmacology Case of the Week. 8am each Thursday in the small training room, 4th floor East, 250 Euston Road. e) Shadowing the A&E Medical Registrar. Each weekend (10am-8pm Saturday, 10am-7pm Sunday in A&E). 1-2 students/day maximum, to be agreed in advance within group and with on-call registrar. Expectations: Students and Teachers We will expect you to: a) complete a minimum of 4 Supervised Learning Events (SLEs) a month b) participate fully in the clinical activities; c) be punctual and demonstrate appropriate standards of dress and appearance (see Year 4 student guide); d) be courteous and respectful towards patients and staff You can expect that we will: a) demonstrate a good understanding of the individual and collective educational needs of students; b) provide an appropriate educational programme including clinical teaching; c) take our teaching commitments seriously and allocate them a high priority; d) be punctual and courteous to students e) take account of your feedback in relation to all aspects of the teaching programme. Aims a) b) c) d) e) f) g) To develop communication and clinical skills; To diagnose and manage common clinical problems; To integrate knowledge of the basic sciences into clinical practice; To develop the attitudes appropriate to being a good doctor; To develop an understanding of the ethical and legal issues involved; To develop an understanding of relevant epidemiology and health promotion; To develop reflective skills essential to lifelong practice Attitudes Students should: a) gain an understanding of the impact of illness on peoples’ lives b) show courtesy and thoughtfulness toward patients and colleagues alike. This includes being punctual and sending apologies if you are unable to attend a session. c) develop self-directed lifelong learning. d) demonstrate a common sense attitude with patients and colleagues Dress and Behaviour In order to gain and maintain the trust and confidence of patients, there are certain rules of behaviour that a doctor or medical student must observe. Obviously you must never appear in front of a patient (or indeed in any other teaching situation in College) the worse for drink or drugs, or even smelling of drink. Remember that abuse of drugs implies that you are not to be 12 trusted with drugs and medicines, and a conviction for a drugs-related offence may mean that we cannot certify you as fit to practise. You should regard the clinical aspects of the course as an apprenticeship for your professional career as a doctor. Certain standards of appearance are necessary, both in your own interests and, most importantly, for the well-being of patients. Please remember that patients come from all sections of society and that people who are ill or worried may more easily become anxious about small details. Many of them will regard you in the same way they will a fully-trained doctor. If your standards of dress and behaviour are professional and reasonably conservative you will be unlikely to cause offence or anxiety to your patients, and you will find that your relationships with them and with hospital staff will be easier. Students should be smartly dressed in an appropriate and professional manner and in compliance with NHS infection control policies whilst on hospitals wards, at GP surgeries, at clinical skills sessions with patients or simulated patients and at OSCEs. Full details of the dress code are given in the dress code policy: (http://www.ucl.ac.uk/medicalschool/staff-students/general-information/a-z/#dress) If this code is not adhered to by students they may be asked to leave that clinical session and asked to see the Faculty Tutor. Please note that local Trust policies take precedence, in particular regarding white coats and ties. SUPERVISED LEARNING EVENTS (SLEs) & ePORTFOLIO The ePortfolio is a collection of documents providing evidence of learning, achievements and personal and professional development. It is a place for you to reflect on and describe your learning and to collect, in a structured way, evidence that will assist you in providing evidence of achievements and competencies and your ability to reflect on practice. MBPhD students are expected to complete 4 SLEs a month throughout their PhD registration. The relevant tutor will sign-off “tickets” and the MBPhD administration will monitor recording of activity. Dr Marks can sign off tickets for attendance at Morning Report or Grand Round. Further information on the MBBS Portfolio can be found here: http://www.ucl.ac.uk/medicalschool/staff-students/course-information/portfolio Possible Supervised Learning Events: Grand Rounds or any case discussion session – (Teaching Event Self form) Attending MBPhD clinical teaching session Attending ward round Attending outpatient clinic Attending Casualty or ward for observation or participation Journal Club Clinical assessment Exercises (CEX) Case Based Discussions (CBD) 13 The Clinical assessment Exercise (CEX) is a snapshot of the student-patient interaction. The observation may be of any interaction between a student and a patient, including taking a history, examination, patient counseling etc, (depending upon the firm/ module) allowing assessment of the clinical skills, attitudes and behaviours of students essential to a high quality history and examination. The encounters should try to represent a range of clinical problems. The Case Based Discussion should be used by a student to have a focused discussion around a patient they have seen with a doctor who then assesses them on the basis of that discussion. The patient is not normally present. The aim of the CBD is to enable an assessor to provide systematic assessment and structured feedback. The student should select a case record from patients they have seen and of whom they have some knowledge. The discussion will start from and be centered on the student’s clerking and is designed to assess clinical decision-making and the application or use of medical knowledge in the care of the patient. It should enable the discussion of the ethical and legal framework of practice, and it allows students to discuss the management and treatment plans for that patient. The student chooses the timing, the cases and the assessor, but normally a consultant or GP should be the assessor for at least one of these exercises in each module. 14 Appendix 1 Academic Review and Monitoring Regulations for MBPhD Students Registered for PhD IN and AFTER January 2009 1. Quarterly review by PhD supervisors for ALL students: Supervisors to review students quarterly and to return a report to the MBPhD Review Panel: i) E Excellent ii) S Satisfactory iii) SC Some concern iv) U Unsatisfactory MBPhD Review Panel to review reports and follow up where appropriate 2. 2-weekly recording of SLE’s via completion of ePortfolio (minimum of 4 events/month). 3. Throughout the PhD registration period, completion of the Research Log 4. At 1 month of graduate research registration, students are required to submit a 4 page outline of their research project and methods for review by the MBPhD Review Panel and for their eLogbook. 5. At 9 – 18 months of graduate research registration, students are examined for MPhil to PhD upgrade. The upgrade will be a two part process involving: A) MBPhD Review Panel review at 12 months; and B) Departmental upgrade at 9 – 18 months. Students are expected to successfully fulfil both parts A and B: A) MBPhD Review Panel review At 12 months of graduate research registration students are reviewed by the MBPhD Review Panel, currently: i) oral presentation of 15 – 20 minute duration B) Departmental Upgrade At 9 – 18 months of graduate registration students are examined by their Departmental, currently: i) 30-40 page written report comprising background (including a brief literature review, the importance of the problem and aims & objectives), methods, results, discussion, future work, references and any presentations or publications arising from the work ii) oral presentation of 30-40 minutes duration iii) supervisor’s report on the written report and oral presentation iv) viva examination of 1-2 hours duration with an internal and external examiner. Outcomes *: i) Pass and transfer registration to PhD. ii) Fail and retake upgrade within 6 months. Develop a work plan based on the examiners and supervisors comments. iii) Fail and withdraw from MBPhD programme. Return to MBBS Yr 4 (Integrated Clinical Care)/ Yr 5 (Life Cycle to complete course requirements for the MBBS. *Department to send copy of Upgrade Panel report to: MBPhD Programme Administrator 6. At 24 months of graduate research registration, progress to be reviewed by a member of MBPhD Review Panel to determine return to MBBS programme subject to submission of thesis at 3 years and completion of the MBPhD programme in 9 years. Or, Continuing Research Status for 12 months with submission of thesis at 4 years and completion of the MBPhD programme in 10 years. MBPhD Review Panel: Sub Dean (MBPhD) Head of Division of Medicine Faculty Tutor Faculty Graduate Tutor (Research) / Vice Head Doctoral School (SLMS) 15 Prof Gordon Stewart Prof Raymond MacAllister Dr Peter Raven Dr Dave Spratt Appendix 2 CORDWAINERS PRIZE For The Best MBPhD Thesis of the Year The Royal Free Hospital was founded in 1828 by William Marsden, at one time the Master of the Worshipful Company of Cordwainers. The Company has maintained a strong link with the hospital ever since and has now generously donated an annual prize for the best PhD thesis presented by an MBPhD student. The prize will consist of a cheque for £1000. The award is open only to MBPhD students at UCL. All students submitting a thesis in the current calendar year are eligible to apply. Applying students are expected to: 1. Submit one copy of the thesis. 2. Submit copies of papers and abstracts published, in press and submitted. 3. Submit a one page summary of the research work, outlining the scientific contribution that has been made. 4. Present their thesis to the selection panel in January. The theses will be examined by a distinguished clinical scientist panel, chosen by the MBPhD management committee. The thesis will be judged on the following grounds: 1. The timeliness of its submission 2. Its contribution to clinical science 3. The quality of its presentation. The award will be made in the autumn term. The winner will be required to attend the Marsden Lecture (third Thursday in November) to receive the award. The Marsden Lecture is held in recognition of the Royal Free Hospital’s founder, William Marsden and is open to the public. The Committee will reserve the right to make no award. Further details of the award are available on the MBPhD website. The honours board of previous prize winners is on display in the Cruciform Building. 16 USEFUL UCL CONTACTS/INFORMATION PhD Submission Mr Toby Whyte - Research Degrees Officer UCL Student and Registry ServicesEmail: toby.whyte@ucl.ac.uk UCL Doctoral School http://www.grad.ucl.ac.uk/ MBBS Online Resources/Moodle Courses http://www.ucl.ac.uk/medicalschool/staff-students/course-information/resources UCL Fees Office Room G19, ground floor, Registrar’s corridor, South Wing, Wilkins building Email: fees@ucl.ac.uk ucl.ac.uk/finance/secure/fin_docs/service_directory/finacc_studfees Portico - UCL Student Information System www.ucl.ac.uk/registry/portico The Student Handbook www.ucl.ac.uk/current-students/ Admissions Office (Enrolment) UCL Registry Student Centre, Ground Floor, Chadwick Building, UCL http://www.ucl.ac.uk/registry/about/division/student_centre_about UCLH TRUST ID ID Office, John Astor House, Foley Street Tel: 0845 155 5000 ext. 8116 (Opening Hours: Mon 10.00 - 11.00; Tue - Thurs 9.00 - 14.00; Fri 8.00 - 13.00) 17 NOTES 18