Patients as Educators
Mr. Martin Hague
Patients as Educators and Clinical Skills Manager
Miss Emma Hudson
Patients as Educators Assistant Manager
Dr Amir Burney
Academic Lead for Clinical Skills
Drivers for Change
• Changes within the NHS
• Implementation of the outcome focused
curriculum
• Patients’ perspective of their condition
Staffing structure
• 774 Patients as Educators
• Manager
• Administrator
• Clerical Support
4/8/2015
© The University of Sheffield
Centre for Patient Involvement
Clinical Skills Centre
Vickers Corridor
Northern General
Hospital
Sheffield
4/8/2015
© The University of Sheffield
Recruitment
• Identify the type of patient
• Target patient support groups
• Forge links with relevant departments
• Hospital clinics, outpatient departments and primary care
• Word of mouth
4/8/2015
© The University of Sheffield
Interview
To identify
• Why?
• How?
• Are they ready?
• Patient consent
4/8/2015
© The University of Sheffield
Training
• All patients undergo standardised training
• Specific training tailored to a particular
opportunity
• How to interact with students
• Giving feedback on history / physical
examination skills/ communication skills
4/8/2015
© The University of Sheffield
Implementation
• Health and safety
• Risk assessment
• Ongoing support throughout events
4/8/2015
© The University of Sheffield
Delivering and administering the
programme
• Data protection
• Managing the costs
• Organisation
Storing of information
• Data Protection Act
• University and NHS
Trust guidelines
• Secure
• Training records
4/8/2015
© The University of Sheffield
Expenditure
•
•
•
•
Staff
Private transport
Travelling expenses
Refreshments
(inc. lunch for whole day events)
• Postage
4/8/2015
© The University of Sheffield
Monthly cost over 6 months
Monthly
average =
approx. £2800
4/8/2015
© The University of Sheffield
Monthly cost (May) - breakdown
4/8/2015
© The University of Sheffield
Administration
• Contacting
• Maintaining relationships
• Handling of expenses
• Transport
• Hospitality
4/8/2015
© The University of Sheffield
Examples of patient involvement
4/8/2015
© The University of Sheffield
Community attachment scheme
• Students make the initial
contact
• Visit patient at home
• Follow up visit
• Year 1
4/8/2015
© The University of Sheffield
Patient Encounters
1st year –
Cardiovascular and
respiratory
2nd year – Diabetes,
renal & oncology
4/8/2015
© The University of Sheffield
Complimenting clinical skills
teaching
• Vital signs
• ECG
• Respiratory
function tests
4/8/2015
© The University of Sheffield
Teaching & Assessment
• Foundation Clinical Skills
Course
• Basic physical examination
skills
• DOCSS (assessments in
simulation)
• OSCEs
4/8/2015
© The University of Sheffield
Renal and rheumatology ward
rounds (4th yr)
History
Physical examination
Patient feedback
4/8/2015
© The University of Sheffield
General ward round
• Revision
• History
• Physical examination
• Patient feedback
4/8/2015
© The University of Sheffield
External agencies
• AFOM
• MRCS
• MRCP
4/8/2015
© The University of Sheffield
Involvement from 2005 - 2011
4/8/2015
© The University of Sheffield
A Patient’s Perspective……
Tony Mallinder
Patients as Educators Volunteer
4/8/2015
© The University of Sheffield
A Tutor’s Perspective…..
Mr Amir Burney
Academic Lead for Clinical Skills
4/8/2015
© The University of Sheffield
A tutor’s perspective
• Safe and effective involvement of patients
• Opportunity to see a wide range of
patients
• Helps foster a partnership between the
medical school and patients
• Promotes an active role for patients in the
process of medical education.
4/8/2015
© The University of Sheffield
Media coverage
Link to BBC Look
North website:
http://www.bbc.co.uk/mediasele
ctor/check/player/nol/newsid_73
20000/newsid_7326800?redirec
t=7326869.stm&news=1&nbram
=1&bbram=1&nbwm=1&bbwm=
1
4/8/2015
© The University of Sheffield
Thank you party - PaE group
4/8/2015
© The University of Sheffield
Comments from patients
“All the students I spoke with were very polite, respectful and
grateful for the patients’ perspective/contribution. An excellent
group of young people whom I felt had been well briefed about the
session.”
“Enjoyed the sessions immensely. Very polite students and they
were very easy to talk to. Good to feel I can ‘give something back’
for the help and treatment I have received.”
“I found the experience very enlightening and enjoyable. The
students were really considerate”
4/8/2015
© The University of Sheffield
Comments from students
“Direct patient contact. I got to apply what was learned in
lectures/books to real life practise. Taught me how important it is
and how much a Dr can learn by listening carefully”.
“Meeting real patients instead of looking at textbook cases shows
the whole patient not just the symptoms. Meeting patients who were
so knowledgeable about their condition – learnt a lot!”
“Meeting patients, getting their opinions on their conditions and
seeing how the way doctors treat patients can have an impact on
their lives”.
4/8/2015
© The University of Sheffield
Future Developments
• Faculty wide resource
• Enhanced training for patients
• Involving PaE’s in the development of
teaching resources
• Introducing general ward rounds in other
year groups
• Continued recruitment
4/8/2015
© The University of Sheffield
Challenges
Funding
Space – Move to Samuel Fox House, Northern
General Hospital, Sept 2012
4/8/2015
© The University of Sheffield
Questions?
4/8/2015
© The University of Sheffield
Thank You
Mr Martin Hague
: 0114 226 6474
: m.g.hague@sheffield.ac.uk
Miss Emma Hudson
: 0114 271 5453
: e.hudson@sheffield.ac.uk
4/8/2015
© The University of Sheffield