Faculty of Health & Life Sciences BSc (Hons) Diagnostic Imaging BSc (Hons) Radiotherapy PROGRAMME HANDBOOK 2007 - 2008 D:\687285005.doc 1 Contents 1.0 2.0 2.1 2.2 2.3 2.4 3.0 3.1.1 3.1.2 3.1.3 3.2.1 3.2.2 3.3. 3.4.1 3.4.2 3.5 3.6.1 3.6.2 3.7.1 3.7.2 3.7.3 3.8 3.9 4 Hello and Welcome Course Philosophy Principles Course Aims Learning outcomes Students’ rights and responsibilities Course Structure Overview Annual Leave Working Hours Academic Curriculum Module sequence Teaching methods Clinical curriculum Clinical placements Practice Learning Unit Staff structure Clinical Assessment Personnel Examinations and Assessment Reading draft work Assessment issues Your Personal Tutor Graduate Development Programme Course Evaluation Year Plan School of Allied Health Professions Radiography Staff Team Appendix A. Health Professions Council Standards of Conduct, Performance and Ethics D:\687285005.doc 3 4 4 4 5 6 8 8 8 8 8 9 18 18 19 20 21 22 22 22 22 23 24 25 26 28 29 2 Hello, and welcome from the staff of the diagnostic imaging and radiotherapy undergraduate programmes Who are the staff? We are a small team within the School of Allied Health Professions (AHP). You will meet the respective members of the diagnostic imaging and radiotherapy teams during induction week. The programme leader for BSc (Hons) Radiotherapy is Jan Chianese and for BSc (Hons) Diagnostic Imaging is Simon Messer. Names and details of team members are listed on page 27. Where are we situated? The radiography lecturers' offices are situated in either E or K block, on the Glenside site. Julie Bellamy, our secretary is located in the admin office (room 2G24), with the Allied Health Professions' Administrative support team. What can we do for you? The team is happy to help you with queries you may have related to any aspect that might affect your studies. All lecturers on the team are module leaders and also act as personal tutors and project supervisors. A list summarising all the modules appears on page 9. Your personal tutor will meet with you in induction week. For more about the personal tutor role see page 22. Finally These guidelines have been produced with the intention that they are read alongside the Faculty and University Student Handbooks. The information contained within these guidelines is relevant to the programmes stated on the front cover of this booklet. We hope you enjoy your time here with us at UWE! From “the team” D:\687285005.doc 3 2. Course Philosophy As professional healthcare workers, Radiographers are committed to the development of working and learning environments which are free from unlawful discrimination, in accordance with the Health Professions Councils’ Standards of Conduct, Performance and Ethics (see appendix A). 2.1 Principles: The radiography staff at UWE are committed to provide a challenging and distinctive programme which successfully combines academic achievement with the development of the highest standards of clinical care. A BSc (Hons) in Diagnostic Imaging or Radiotherapy from UWE produces practitioners who can, with sensitivity, assess the needs of patients and respond appropriately; it also produces practitioners who are capable of analysing and evaluating their own practice in terms of established scientific theory and current, evidence based research. Graduates should also be able to contribute to the professional knowledge base, improve professional practice and ultimately enhance the quality of the patient experience. To achieve this, practitioners need to be competent in a number of skill areas and the course is structured to provide and monitor opportunities for acquiring these competencies in all of the following: Communication. Radiographers must be able to communicate effectively with patients, members of the public and other healthcare professionals. Evaluation and response to Patient needs. Radiographers must be able to utilise role specific technical skills and knowledge to implement all facets of the proposed examination/treatment safely and accurately. Management skills. Radiographers must be able to effectively manage human and other resources in order to respond to the needs of patients and of the service. Professional Growth. Radiographers must accept responsibility for their own practice and for actively maintaining their personal and professional development. 2.2 Course Aims: The programmes aim to enable students to: Fulfil the requirements for certification/State registration/qualification Appreciate the broader context of health and social care activities Be self-aware, self-directed and sensitive to the needs of others Evaluate knowledge which arises from practice. Evaluate knowledge and practice in relation to theory. Develop key skills. Develop effective and appropriate relationships with service users, colleagues and other agencies. Function effectively within the interprofessional team Be effective in self management approaches Develop leadership potential Develop and promote a value base in practice that respects diversity Understand and implement research-based and evidence-based practice to the field/scope of practice Engage in the analysis of academic discourse D:\687285005.doc 4 2.3 Learning Outcomes 2.3.1 Knowledge and Understanding. Graduates should demonstrate understanding of: The legislation which governs the delivery of ionising and non-ionising radiations The clinical and radiation science which underpins radiographic/oncology and radiotherapy practice The legal and ethical frameworks within which they practice Current imaging technology and its most appropriate applications/current management strategies for the patient with cancer The routine or most appropriate protocols and techniques which may be utilised to demonstrate different anatomical structures and systems/the most appropriate imaging modalities which may be utilised to diagnose malignant disease and are implemented in radiotherapy localisation and planning techniques The implications of research evidence for professional practice in radiography/radiotherapy 2.3.2 Intellectual Skills: Graduates should demonstrate The capacity for enquiry, inductive and deductive reasoning and critical analysis The ability to analyse and present information in an appropriate format to inform radiographic/radiotherapy practice The capacity for evaluation of alternative strategies for examination or treatment The ability to debate and apply the legal and ethical issues, which underpin radiographic/radiotherapy practice and may influence decisions of investigation or treatment A proactive approach to future academic and/or professional development 2.3.3 Subject/practical skills: Graduates must demonstrate the ability to: Communicate effectively with users, general public and interprofessional groups Work competently and independently within clinical or healthcare settings Demonstrate a proactive approach to problem solving in a clinical setting Organise and manage their own practice Utilise radiographic/radiotherapy equipment appropriately and effectively Reflect and evaluate their performance in radiographic/radiotherapy practice Select and employ appropriate research methodologies for the retrieval and production of data and demonstrate the ability to analyse and report the outcomes Plan and manage the workload of themselves and/or others for an extended period or more complex situation D:\687285005.doc 5 2.3.4 Transferable/Key skills: Graduates from this programme should demonstrate the ability to Extract. evaluate, synthesise, summarise and present information gained from primary and secondary sources (critical thinking) Problem manage Utilise investigative skills to research issues pertaining to radiographic practice (research skills and methods) Communicate effectively, via the relevant media, utilising appropriate professional terminology (communication) Manipulate the numerical data that underpins radiographic/radiotherapy practice (application of number) Use IT competently and effectively to support both academic studies and radiographic/radiotherapy practice (information technology) Organise and manage radiographic practice within a team framework (working with others) Plan and act independently in planning and effecting tasks (organisation) Reflect on own practice and learning. 2.4.1 Students’ Rights. The staff in the Radiography School recognise the rights of the individual. We operate under, and are committed to, a policy of equal opportunity and seek to promote the acquisition and retention of good health. In support of the above, we believe students have the right to: say “I don’t understand” question and receive an informed answer question educational methods and curriculum content practice safely under supervision decline responsibility for situations outside their sphere of practise of competence bring to the attention of the appropriate authority any act of patient abuse or poor standard of care be treated as a responsible adult express their feelings, opinions and beliefs privacy in respect of their personal lives state their individual needs, independent of their role as a student 2.4.2 Student responsibilities. Given the principles outlined in 2.4 above, we expect students to: display a proactive attitude towards learning throughout the course take responsibility for their own learning contribute to the course/module evaluation process conduct themselves with due regard to the feelings of others give full attendance due to the professional nature of the course act in such a manner as to uphold and enhance the good standing and reputation of the profession D:\687285005.doc 6 2.4.3 The Clinical learning environment 2.4.3.1 Students’ responsibilities. In addition to the responsibilities outlined in 2.5 above, students should: be sensitive at all times to the welfare and needs of patients contribute to the placement evaluation process give full attendance familiarise themselves with, and adhere to, the relevant legislation and local protocols that relate to working in the clinical environment including: The Health and Safety at Work Etc. Act 1974 The Ionising Radiations Regulations 1999 The Ionising Radiations (Medical Exposure) Regulations 2000 Manual Handling Operations Regulations 1992 Data Protection Act 1998 Reporting of Injuries Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR) The Personal Protective Equipment at Work Regulations 1992 Control of Substances Hazardous to Health Regulations 1994 (COSHH) respect the confidential nature of information gained through interaction with patients peers and others. 2.4.3.2 Students’ Rights. Students are entitled to: fair and equitable treatment at all times regular feedback – on the basis of regular informal meetings with senior radiographers in each placement area and through clinical documentation. opportunity to practice for and to undertake clinical assessments with suitable trained and experienced staff access to suitable library and study facilities – to include wherever possible, use of word processing facilities. study leave at a rate of one day per placement. This will be taken at a mutually convenient time by arrangement with the responsible supervising radiographer or head of department. D:\687285005.doc 7 3. Course Structure 3.1.1 Overview. As students, you are expected to become accountable professional members of healthcare teams. In order to fulfil this expectation, the course has been designed to integrate theory and practice very closely and has been carefully planned to ensure a progressive development of knowledge, skills and competencies required for professional practice. The course is spread over three academic years with some extension into what are normally considered vacation periods. This enables students to acquire the necessary clinical experience. Each clinical placement lasts for 14 weeks. Autumn semester Spring semester Summer semester (Mid September – Mid December) (Early January – Late March) (Mid April to Mid June) Year 1 Academic Academic Year 2 Academic Year 3 Clinical Clinical (Finishes Early April) Academic Clinical (Finishes late July) Academic Academic/clinical 3.1.2 Annual Leave: This is in accordance with the traditional university’s pattern although there will be deviation from this to accommodate the clinical placements. 3.1.3 Working Hours. The academic working day commences at 09:30 and finishes at 17:30. Wednesday afternoons are allocated for study/sport. There may be some evening sessions arranged until 18:30. During clinical placement, students will usually work a 7 hour day, five days a week although local working policies may be applied whilst on placement. There is one day off allowed during the placement. 3.2.1 Academic Curriculum. The academic content of the course has been broken into units referred to as modules. A team of lecturers work together to plan and deliver the module. These teams are led by the module leader who has overall responsibility for the planning, implementation and assessment of the module. At the commencement of each module, a module handbook will be made available giving details of the learning outcomes, the assessments and a reading strategy. A number of modules are common to both disciplines, however approximately half are specific to the skills required by either diagnostic or therapy radiographers. These are designated uniprofessional or profession specific modules. Within each year, there is also a profession specific practice module. D:\687285005.doc 8 3.2.2 Module Sequence. The order the modules are delivered in is led by the needs of clinical practice. A summary of the modules is given below: First Year Module Credits Module Leader Interprofessional module 1 20 Patricia White (Standard Module. Diagnostic and Therapy) Syllabus Outline Orientation to Enquiry Based Learning and Personal Learning Group work; working collaboratively; problem solving; communication skills; engagement; active listening; facilitation; negotiation; personal learning and sharing; Interprofessional working Factors that influence an individuals willingness and commitment to work interprofessionally. Relational skills within interprofessional working. Organisational factors that influence interprofessional working. Difficulties in interprofessional working. Professional Roles and Collaborative Working Contemporary roles of a range of professional groups within health and social care. Ethical issues. Collaborative working; opportunities and constraints. User centred service provision Social Policy Health and social care policies advocating interprofessional working. User and carer perspectives and professional power Module Credits Module Leader Radiographic Science 30 Sally Perry (Standard Module. Diagnostic and Therapy) Syllabus Outline Physical principles: Concept of energy and electromagnetic radiation. Ionising and non-ionising radiations in the environment. Interaction of ionising radiation with matter. Inverse square law; half value-thickness. Biological effects of ionising radiation. Radiation protection: principles; diagnostic or radiotherapy. Detection and measurement of ionising radiation. Radioactivity; decay process; half-life Radiographic equipment: Imaging principles; film screen systems. Rotating anode/metal-ceramic x-ray tube. x-ray geometry. Image intensifier. Digital/computed radiography. Basic/full wave rectified x-ray generator circuit; voltage ripple. High frequency x-ray generator circuit. Principles of basic filament circuit/timer circuit. Uses of ionising radiation in medicine; role of imaging modalities; image viewing. Diagnostic imaging equipment or radiotherapy equipment. General x-ray equipment or megavoltage equipment. Static equipment design or superficial/orthovoltage equipment. Computerised tomography and radionuclide imaging: principles; equipment; radiation protection/typical radiation doses; advantages/limitations. Magnetic resonance and ultrasound imaging: principles; equipment; biological effects/safety; advantages/limitations D:\687285005.doc 9 Module Foundation Clinical Sciences (Standard Module. Diagnostic and Therapy) Credits Module Leader 30 Rob Stewart Syllabus Outline Introduction Regions of the body and surface anatomy, definition of terms and language, overview of the organs and systems of the body. How to study the module, guidelines on note taking and student centred learning. Locomotor System Introduction to the skeleton and the study of osteology and arthrology. Osteology and arthrology related myology, bone growth and development, fractures and healing processes, common pathologies. Transportation and Defence Cardio-vascular and respiratory systems, the lymphatic system and associated organs, defence and immunity, common pathologies. Integumentary system, effects of radiation on the skin. Cell Biology, Growth and Division The chemical level of organisation. Cell structure, cell membranes, transport across membranes, structure and function of organelles. Classification of tissues, mitosis, cell cycle, meiosis. Cell dysplasia, introduction to oncology and related pathological processes. Effects of radiation on the cell. Control Systems Neural and hormonal control of homeostatic mechanisms. Central nervous system, sensory motor and integrative systems, autonomic nervous system & endocrine system, related pathologies. Special senses. Digestive System Metabolism, energy relationships and role of enzymes. The digestive tract, physiology of digestion, absorption and assimilation, elimination. Common pathologies. Urinary System Anatomy and physiology, common pathologies. Reproductive System Anatomy and physiology of male and female systems, to include female breast and life cycle changes, embryology, pregnancy, effects of radiation on the foetus. Module Principles of Diagnostic Imaging (Standard Module. Diagnostic only) Credits Module Leader 20 Karen Dunmall Syllabus Outline Study Skills Guidelines on note taking, student centred-learning, case studies and student seminars. Professional Skills Theoretical principles of: Radiographic technique and protocols including the qualitative assessment of the resulting radiographic appearances for: Axial and appendicular skeleton; Thoracic and abdominal cavities; Respiratory and cardiovascular systems; Patient preparation and care prior to, during and after specific imaging procedures; Management of electronic and non-electronic patient data Radiation Protection Practical methods of dose measurements, dose reduction and the radiation dose received from specific examinations. Applied radiation protection to incorporate; Core of knowledge, Schemes of work and local rules. Radiographic Imaging Theoretical principles of: The imaging process and methods of producing, manipulation and viewing images in analogue and digital formats. Storage and transferral of images. Quality control tests on radiographic and processing equipment (Sensitometry) and the interpretation of the quality of radiographic images. Environmental issues relating to imaging processes. Departmental routine Overview of the main areas in a diagnostic department. Clinical placement practice in General radiography, Accident and Emergency, Fluoroscopy Experiential learning of the process for the management and care of patients in a radiography department. D:\687285005.doc 10 Module Principles of Radiotherapy & Oncology (Standard Module. Therapy only) Credits Module Leader 20 Sarah Zelley Syllabus Outline Study skills: How to retrieve information, using sources of evidence effectively, developing a portfolio Principles of Oncology: Epidemiology and aetiology of cancers. Characteristics of tumours, classification of malignant tumours, staging and grading. The biological basis of cancer formation, routes of spread Pre-treatment work up: Role of clinical investigations in diagnosis. Basic imaging principles, role of imaging in oncology radiotherapy planning and monitoring tumour response Aim of cancer management tools: Overview of how cancer services are organised and delivered in a multicultural society; the multidisciplinary nature of cancer care. Radiotherapy modalities and overview of radiotherapy equipment, concept of radical, palliative, prophylactic and adjuvant treatments. Overview of the role of surgery, chemotherapy and hormone therapy. Radiotherapy procedures: Oncological principles related to anatomical sites. Standard non-complex treatment models for radical and palliative applications and their use in relation to anatomical location; head and neck, thorax, abdomen and pelvis, skeleton External beam dosimetry: Isodose charts, applied dose, mid-plane dose, multifield techniques electrons; methods of beam modification, wedge filters, tissue compensators, bolus, build-up; immobilisation devices. Radiation protection: Current ionising radiation regulations; professional responsibilities of the radiotherapy radiographer within the context of the multidisciplinary health care team Health and Safety: Principles of infection control; manual handling; basic life skills Communication skills: Importance of appropriate communication skills, impact of a cancer diagnosis for patient, family and friends Code of Conduct: Professional behaviour; ethical and legal responsibilities; data protection, health infomatics Module Foundation Diagnostic Imaging Practice (Practice Module. Diagnostic only) Credits Module Leader 20 Angela Bailey Syllabus Outline Study Skills How to study for this module, guidelines on note taking, student centred-learning, case studies and student seminars. Professional Skills Practical application of : Radiographic technique and protocols including the qualitative assessment of the resulting radiographic appearances for: Axial and appendicular skeleton; Thoracic and abdominal cavities; Respiratory and cardiovascular systems; Patient preparation and care prior to, during and after specific imaging procedures; Management of electronic and non-electronic patient data Radiation Protection Practical methods of dose measurements, dose reduction and the radiation dose received from specific examinations. Applied radiation protection to incorporate; Core of knowledge, Schemes of work and local rules. Health & Safety at Work Act, to include COSHH legislation and professional codes of conduct, basic life skills and manual handling. Radiographic Imaging Practical application of : The imaging process and methods of producing, manipulation and viewing images in analogue and digital formats. Storage and transferral of images. Quality control tests on radiographic and processing equipment (Sensitometry) and the interpretation of the quality of radiographic images. Environmental issues relating to imaging processes. Departmental routine Overview of the main areas in a diagnostic department. Clinical placement practice in General radiography, Accident and Emergency, Fluoroscopy, Experiential learning of the process for the management and care of patients in a radiography department. D:\687285005.doc 11 Module Foundations of Radiotherapy Practice (Practice Module. Radiotherapy only) Credits Module Leader 20 Jan Chianese Syllabus outline Cancer classification in relation to radiotherapy practice Classification of malignant tumours, staging, grading and relevance to radiotherapy management and treatment prescription. Concept of radical, palliative, prophylactic or adjuvant treatment. Pre-treatment work up Role of clinical investigations in diagnosis, interpretation of results relevant to practice. Observation of the role of imaging in oncology and pre-treatment in practice. Cancer management The Multidisciplinary team (MDT) in radiotherapy, interprofessional communication. Multimodality approaches Adjuvant roles of surgery, chemotherapy and hormone therapy. Professional personal development Portfolio construction and development. Practice in relation to: Standard non-complex treatment models for radical and palliative applications, use of treatment accessories and immobilisation devices. Radiobiology: Principles of radiobiology, recognition of standard fractionation schedules. Side effects of radiotherapy and their management in relation to anatomical site, commonly used medications in the radiotherapy department and oncology, methods of administration and dosage. Principles of fractionation, concept of tolerance doses. Application of external beam dosimetry: Use of patient data and isodose plans in the delivery of radiotherapy treatment. Radiation protection: Current ionising radiation regulations [IR(MER)]; professional responsibilities of radiotherapy radiographer within the context of the multidisciplinary health care team. Health and Safety: Application of Infection control procedures, safe manual handling techniques and basic life skills. Communication skills: Utilisation of appropriate communication skills in practice, the giving of information and advice to patients under supervision, recognition of the important and ethical issues behind obtaining informed consent. Communicate in the context of a multidisiplinary team. Recognition of the impact of a cancer diagnosis for patient, family and friends. Code of Conduct: Adoption of appropriate professional behaviour; ethical and legal responsibilities; data protection, health informatics. D:\687285005.doc 12 Second Year Module Interprofessional module 2 (Standard Module. Diagnostic and Therapy) Credits Module Leader 20 Helen Martin Syllabus Outline Knowledge, Understanding & Intellectual Skills: Professional Identity, Power and Responsibility. Research and quality assurance. Working in Partnership. Professional identity, power and responsibility. Equal Opportunities. User Perspective. Ethical issues Skills for Professional Practice to include: Client centered practice. Communication within groups Introduction to Management of Personal Practice to include: Professional accountability. Reflective practice. Problem solving and decision making process. Information retrieval and research Module Credits Research Methods for Radiography 20 Module Leader Stuart Grange (Standard Module. Diagnostic and Therapy) Syllabus Outline Accessing research literature: Use of databases and other sources Understanding research design: Qualitative and quantitative methodologies - their differences and potential integration. Evaluating research and its potential for informing practice. Developing research questions and devising methods for their investigation. Ethical issues in research Analysis: Analysis of qualitative and quantitative data. Utilisation of appropriate software to assist in the retrieval of information and data analysis Clinical audit: Distinctiveness of research and audit processes and their function Module Patient Health and Wellbeing in Radiography (Standard Module. Diagnostic and Therapy) Credits Module Leader 20 Mandy Harbottle Syllabus Outline The disease process and the patients journey Clinical and imaging investigations that assist in diagnosis of diseases and conditions. Common pathological conditions and the biological basis for pathological change. Recognising common signs and symptoms of pathological change. Diagnostic and radiotherapy radiographers roles in the patient management process Examining the links between diagnostic and radiotherapy radiographer’s respective roles and their places in the healthcare team. Preparing patients for investigations, their results and treatment. Communicating effectively with patients and the healthcare team. Breaking bad news. Professional behaviour and working within professional boundaries. Health promotion, education and screening Health promotion and screening: e.g. breast and prostate cancer, aneurysm screening. Psychosocial issues related to screening. Sources of evidence available to patients and health care professionals, user involvement. Health and disease. Public health. Aetiological factors linked to some of the commoner Western pathologies e.g. diet and cardiovascular disease, bowel cancer. Examining sources of information including the use of IT in radiographic practice. D:\687285005.doc 13 Module Intermediate Diagnostic Imaging Studies (Practice Module. Diagnostic Only) Credits Module Leader 40 Simon Messer Syllabus Outline Anatomy, disease and clinical applications in radiography Promote a broad understanding of anatomy/physiology, common clinical applications/pathologies, patient care and radiographic procedures that involve the use of contrast media; evaluate the efficacy of these procedures alongside alternative examinations utilising other imaging modalities: to demonstrate the following anatomical systems: digestive; reproductive; nervous and endocrine; urinary; hepato-biliary; cardio-vascular; musculo-skeletal; respiratory. Specialised imaging areas: accident and emergency; mammography; neuroradiography; interventional procedures; maxillo-facial/orthodontic procedures; operating theatre and mobile radiography. Special patient needs: psycho-social aspects of patients with special needs in a multi-cultural society (children, elderly, pregnancy, physically challenged) Pharmacology: Pharmacodynamics. pharmacokinetics. Contrast media. Contrast reaction drugs; other drugs commonly used in diagnostic imaging Radiobiology: cell development and disorders. neoplasia and oncogenesis. spread patterns of malignant disease. the effects of radiation. cell survival curves. risk versus benefit of various techniques. dose and dose limitation Health and safety issues: Radiation protection, infection control, basic life skills. Legal and ethical frameworks e.g. Manual handling, Health and Safety at Work, Ionising Radiation Regulations Radiographic practice: Development of skills on organisation and management of radiographic practice within a team framework Module Science and Instrumentation in Diagnostic Imaging (Standard Module. Diagnostic Only) Credits Module Leader 20 Fiona Chamberlain Syllabus Outline Practical radiation applications: Sources of Radiation. Industrial and medical uses of radiation. Radiation dosimetry, dosimeters, and detectors Digital Imaging: Computerised Radiography and Digital Radiography systems. Post-processing of digital images. Digital Imaging and Communication in Medicine (DICOM). Patient Archiving and Communication Systems (PACS) and networking topologies. Teleradiography. Data security. Radiographic equipment: accident and emergency; mammography; neuroradiography; interventional procedures; maxillo-facial/orthodontic procedures; operating theatre and mobile radiography; patients with special needs (children, elderly, pregnancy, physically challenged) Application of Radiographic Equipment: Evaluate the technical performance and the "fitness for role" of radiographic equipment, and alternative imaging modality/ies (e.g. ultrasound, nuclear medicine and PET, CT, MRI, digital radiography) Quality and safety issues: quality assurance testing, safety devices, automatic exposure devices Health and safety issues: e.g. radiation protection, Infection control, manual handling D:\687285005.doc 14 Module Credits Module Leader Intermediate Radiotherapy Science and Technology 20 Ben Roe (Standard Module – Radiotherapy only) Syllabus Outline Treatment simulator Design, role; localisation and verification techniques Imaging for radiotherapy Radiography; fluoroscopy; digital systems; portal imaging; imaging recording; processing Treatment planning Role of imaging modalities; computer planning; methods of conformation therapy External beam radiotherapy: Multifield isocentric techniques and dosimetry; electron techniques and dosimetry; linear accelerator acceptance and commissioning tests; quality control checks; treatment room design/radiation protection; mould room role/techniques; superficial/orthovoltage techniques and dosimetry Radiobiology: Models of cell survival; factors affecting cell survival; principles of neutron and proton treatment beams; therapeutic ratio; cell kinetics; fractionation schedules Brachytherapy: Principles; techniques; dosimetry Module Credits Module Leader Intermediate Radiotherapy Clinical Practice (Practice Module – Radiotherapy only) 40 Mandy Harbottle Syllabus Outline Management of specific malignancies that require complex treatment strategies Oncological management of tumours that may require complex treatment strategies e.g. malignancies of the haemopoietic system & myeloproliferative systems, upper respiratory tract, cross sectional anatomy of the head and trunk. Pharmacology, cytotoxic chemotherapy and hormone therapy, applications in practice and current regimes. Potential side effects of treatment and strategies for patient care. Management of diverse patient groups Management of patients that may require specialised care. Consideration of psychological issues and appropriate communication skills. Paediatric oncology and management of the child with cancer. The radiographer as part of the healthcare team The role of the radiographer within the healthcare team. Interprofessional relationships and team working, extended roles. Professional boundaries and accountability Clinical placement Clinical placement providing opportunities for development of clinical competencies.: Structured experience with more complex techniques, developing new strategies to successfully interact with patients, Discuss strategies used in practice, adapting learned skills to new clinical environments. Delivery of care to meet diverse needs. D:\687285005.doc 15 Third Year Module Interprofessional Module 3 (Standard Module. Diagnostic and Therapy) Credits Module Leader 20 Matthew Hughes Syllabus Outline Research Skills and Management: The role of evidence based practice within health and welfare Critical Thinking: The impact of contemporary government policies affecting health and welfare eg Governance Problem Management: The legal and ethical issues eg Resource Allocation, equal opportunities Working with Others: Human resource management eg Leadership, team working , user perspective Planning and Organisation: Total quality management eg accountability Communication: Education issues, CPD, interprofessional, advanced communication skills eg Mediation, ICT Module Advanced Diagnostic Imaging Studies (Practice module - Diagnostic only) Credits Module Leader 40 Karen Dunmall Syllabus Outline Radiographic equipment and practice: Design and function of equipment and accessories and their application to practice. The design specifications, function and fitness for role of the modern imaging modalities and their application in practice. Interventional procedures. Ethical issues: Patients rights, autonomy, empowerment, informed consent, confidentiality, screening, resource allocation. Management: Consider functions, activities and skills; applications for management of patients, ones own job, a unit/service, health care needs of a population. Health and social policy: The role of radiography in supporting social policy, and in the promotion of health and social wellbeing, interventional procedures, health screening and management of the patient. Radiographer role: Existing role and its extension, raising awareness of health issues, development, technical reporting, red dot systems, continuing professional development. Strategies in parient-radiographer interactions. Intravenous injections. Preparing for employment. Health and safety issues: Basic Life Skills, Manual Handling techniques, radiation protection. Presentation of information: Electronic presentation skills. Module Research Project for Radiography (Standard Module – Diagnostic and Radiotherapy) Credits Module Leader 40 Julie Woodley Syllabus Outline: Current developments in research governance policy and practice for health and social care professionals . D:\687285005.doc 16 Module Advanced Radiotherapy Studies (Practice Module – Radiotherapy only) Credits Module Leader 40 Gill Springett Syllabus Outline Study skills: critical literature review, presentation skills. Biological basis of cancer: proto-oncogenes, retro-viruses, oncogenesis, apoptosis, growth factors, development of metastases; gene therapy; radioimmunotherapy. Biology of radiation oncology: radiation morbidity; radiotherapy errors. Strategies for improving delivery of radiotherapy: evaluation of current clinical trials and protocols; equipment and technical innovations; implications of research, innovations and changes for the radiotherapy radiographer and service . Radiotherapy in the 21 st Century. Implications of advances in imaging and modalities for oncology. Ethical and legal responsibilities of a radiotherapy radiographer: Clinical Governance; Role extension and CPD; patient assessment skills: implications of intercurrent disease for patient management, pharmacology and drug interactions; decision making and the influence of attitudes and values. Holistic approach to cancer management: psycho-social issues, role of complementary therapies; empowerment, social support as a buffer, local and national support networks; pain management; special needs of the terminally ill; bereavement; role of radiotherapy within the context of a holistic, multidisciplinary approach; strategies for improving patient- radiographer interactions. Health and Safety issues: Manual Handling, Basic Life Skills, and Infection Control. Practice Placement: megavoltage equipment, simulator and treatment planning. Module Fundamentals of Radiographic Image Interpretation (Standard Module – Diagnostic Only) Syllabus Outline: Credits Module Leader 20 Marc Griffiths Principles of radiographic image interpretation Impact of disease processes and trauma on radiological appearances, critical image evaluation of frequent conventional general radiological examinations, relevant terminology and abbreviations, normal and abnormal image appearances of axial and appendicular images, pattern recognition, decision making, red dot reporting, image interpretation criteria framework and associated impact upon patient management. Current and future developments Impact of digital imaging on patient management, role of the radiographer within forensic practice and cross sectional image reporting. Practitioner autonomy: Legal and ethical responsibilities of practitioners, issues related to self-registration and professional indemnity, competence, negligence, clinical governance, clinical supervision, risk management, record and document keeping, quality control of general x-ray equipment Reflection: Reflection and utilisation of reflective skills within modern clinical practice, implementation of reflective models, clinical decision making and self evaluation Technology and management of information: Impact of modern technology infrastructures upon working practice, potential influence on image quality and patient care, health and safety issues, Government strategies, role development, data storage and security. Interprofessional roles: Fundamental interpretation of non-radiology medical tests, application of image interpretation in a multidisciplinary environment. D:\687285005.doc 17 Module Communication in Cancer and Palliative Care (Standard Module –Radiotherapy only) Credits Module Leader 20 Hillary Holman Syllabus Outline Ethical and Professional Issues Support/supervision. Boundary setting inc consent and confidentiality. Models for reflection and critical incident analysis Psychological/Social/Spiritual Psychosocial responses to acute and chronic illness including a cultural perspective. Frameworks of loss, transition and grief. Models of grief theory and bereavement care. Use of narrative and metaphor Communication Information needs of people with cancer and their carers. Overview of major theories of communication Approaches to specific emotions including anger/depression/sadness. Coping styles - patients and carers Barriers to listening. Practical skills - active listening, reflecting, paraphrasing, summarising. Frameworks for managing bad news and collusion Multi-professional working Communication skills within the context of multidisciplinary and inter-professional working . 3.3 Teaching Methods. It is your responsibility to organise your own learning. The key to success is to achieve a balance between the social and academic aspects of the course. Modules vary in their teaching and learning methods and some have a higher proportion of lectures than others. Lectures are supplemented by the use of self directed learning centred on the medium of student-led seminars and group workshops. As the course progresses, students’ analytical skills develop and you will move towards independence in your learning. This is recognised and indeed encouraged by the changing emphasis of the teaching methods, which moves from a high proportion of lectures in the first year to a much greater proportion of student led seminars and workshop session in the third year. 3.4.1 Clinical curriculum. The clinical component of the course consists of three fourteen week placements. During the course of their training, you will rotate between at least two departments to allow you to gain a very wide range of clinical experience. D:\687285005.doc 18 3.4.2 Clinical placements. The following centres are used for clinical placement: Radiotherapy Hospital Link Lecturer Bristol Haematology & Oncology Centre Ben Roe Royal United Hospital, Bath Sally Perry Royal Devon & Exeter Oncology Centre Mandy Harbottle Plymouth Oncology Centre Jan Chianese Petra Jacobs Truro Hospital, Sarah Zelley Poole Hospital Jan Chianese Petra Jacobs Cheltenham General Hospital Gill Springett Torbay Mandy Harbottle North Bristol Trust (Frenchay & Southmead) Sub hospitals: Cheltenham General Hospital Sub hospital: Sub hospitals: D:\687285005.doc Rob Stewart Bristol Oncology Centre Bristol Children’s Hospital Bristol General Hospital Bristol Dental Hospital Breast Screening Unit, Bristol The Great Western Hospital, Swindon Sub hospital: Simon Messer Dilke Lydney Stroud United Bristol Trust (Bristol Royal Infirmary) Diagnostic Imaging Jeanne Scolding Cirencester hospital Gloucester Royal Hospital Sub hospitals: Fiona Chamberlain Cosham Karen Dunmall Savernake, Marlborough Royal United Hospital, Bath Angela Bailey Weston General Hospital Suzanne Easton Salisbury Hospital Marc Griffiths 19 3.5 Practice Learning Unit (PLU). The following Student Allocation Policy has been provided by the PLU: All practice placements for Nursing, Midwifery, Physiotherapy and Radiography students are arranged through the academically led Practice Learning Unit (PLU). The administrative staff responsible for the “allocation” function of the unit work to ensure that each student has a practice placement arranged for them, which is appropriate to the programme and the students learning needs. Currently the allocation officers deal with approximately 2000 placement areas and/or providers per year, across all of the above professions. The aim of the PLU is to ensure that students receive a fair and transparent allocation of practice placements. In order to achieve this, students will be placed within appropriate Quality Assured practice placements on the basis of programme learning needs, but with due regard to: The student’s selected zone (Nursing and Midwifery ) Placement availability Capacity of the placement Student’s profile/additional information Student’s term time and / or home address Number of students already in the placement Previous practice placement location Extenuating / special circumstances Previous travel to placements Student numbers Student’s willingness to use their own transport whilst on placement In order to achieve the above, the PLU: Liaises with practice placement providers to ensure the placements can accommodate the number of students placed Liaises with the Practice Education Facilitators (for Nursing and Midwifery or equivalent in the Allied Health Professions) to confirm the appropriateness of the placements identified and understand the implications, of any service changes. Acts on student evaluation of practice placements to ensure the quality of the placement experience is maintained Acts on the outcomes of practice placement Audit to ensure the quality of the learning environment is maintained Endeavours to notify students a minimum of 6-8 weeks in advance of their practice placement, with regard to location information and contact details, once the allocation of placements has been confirmed. Once published the allocation list will not normally be altered. However if a student has exceptional circumstances, they should bring this to the attention of the appropriate allocation officer as soon as possible. The allocation officer may discuss the student issues with the Director of the Practice Learning Unit and appropriate programme leader. D:\687285005.doc 20 The PLU is always willing to listen to student concerns but as general principles : Students will not be allowed to swap/change their placement without the express agreement of the designated allocations officer. Under exceptional circumstances students may request a change of placement allocation, but only through the designated Allocation Officer. Unless it is a specific requirement of the programme, the PLU can no longer support a placement request service. However requests can be made to the appropriate allocation officer on the basis of exceptional individual circumstances, and again where appropriate the advice and support will be sought from the Director of the PLU. Students will not be allowed to swap placements across zones (Nursing and Midwifery) however students may request a change of zone through the approved change of zone policy (reference student practice placement information manual). Because of the complexity of placements and the need to ensure transparency, tracking and equity, students will not be allowed to contact and/or organise their own placements. The PLU expects students to take holiday leave entitlement during the periods stated within the programme handbook, and students are therefore not permitted to negotiate a change of holiday directly with the practice placement. In exceptional circumstances a request can be made through the programme leader who will then discuss the possibility of a change with the Director of the PLU. Until we have signed agreements from Nursing and Midwifery community placement providers and Physiotherapy we cannot guarantee this. 3.6.1 Staff Structure The academic staff at the School of Radiography are qualified teachers who have worked as clinical radiographers/specialists before moving into teaching. The current academic staffing consists of: The Head of School (Allied Health Professions) – who is responsible for the strategic planning and management of the school of Allied Health Professions. Programme Leaders for Diagnostic Imaging and Radiotherapy who are responsible for the planning, implementation and monitoring of their particular programmes. Module Leaders who are responsible for the planning, implementation and monitoring of their particular modules. Senior Lecturers who, together with the above, are responsible for the planning and delivery of individual modules. They also have a role as clinical link lecturers, supporting students whilst they are on placement. D:\687285005.doc 21 3.6.2 Clinical Personnel. Each clinical department has named radiographers who are responsible for supervising students whilst on placement and arranging clinical assessments. 3.7.1 Examinations and Assessment. Examinations occur at several points during the academic year as detailed in the year plan on page 25. However, these are only a part of the assessment process and in order to pass from one year to the next and eventually receive their degree, students are required to pass all of the academic and clinical components of the course. Much thought has been given to the appropriate assessment method in each module. Coursework is used extensively throughout the course and includes essays, poster and seminar presentations and Objective Structured Clinical Examinations (OSCE’s). 3.7.2 Reading Draft Work. Feedback on draft work is available. The precise nature of what constitutes a draft submission will vary from module to module, according to the nature of the coursework, and will be detailed, along with the feedback process, in the module handbook. 3.7.3 Assessment Issues. Please read the section on Assessment in the Faculty Student Handbook, which refers to the Modular Assessment Regulations given in the UWE Student Handbook. Use the year plan on pages 26 and 27 to organise your study around assessment dates. N.B. some of these dates may be subject to change. Note some resit/resubmission dates are during the summer holidays. Please note that if you are required to undertake a reassessment it is your personal responsibility to verify the date, time and nature of such assessment. Some modules are prerequisite to modules in the following year. This means you must pass either the initial or resit/resubmission assessment opportunity in order to enrol on certain modules in the following year. If you are unsuccessful at the first attempt, you may be given a second attempt (with two assessment opportunities) at the same time as the intake of students below you. This may delay your eventual graduation and have fee/bursary implications. A second assessment opportunity at Professional practice modules is at the discretion of the Award Board. If you have any problems, please ask for help sooner rather than later D:\687285005.doc 22 3.8 Your Personal Tutor. All students are allocated a personal tutor to provide guidance and advice in respect of students' academic and personal well being (see Faculty Student Handbook). If you are ill you need to inform: Julie Bellamy, Tel: 0117 328 8435 email: Julie.Bellamy@uwe.ac.uk Office: 2G24 and also your clinical area if you are on placement (see Faculty Student Handbook for more details). However, if you anticipate that you are going to miss a significant amount of time for whatever reason it is important that you inform the programme leader and also maintain contact with your personal tutor. A progress review is undertaken each year with your personal tutor, who is also responsible for writing a reference for your future employer. If you want to see your tutor, you must make an appointment. This can be done either by email or phone or alternatively sign up to an available slot on their door. Remember you do not have to be in crisis to see your tutor, we would rather see you before you ever get to that stage. In fact your personal tutor may ask to see you in the first instance, just to see if you’re getting on OK! There is a University Counselling Service should you need it (see your UWE Student Handbook). Telephone:0117 328 2561 Also there are student advisors on Campus. Telephone either:John Benefield on 0117 328 8828 Annette Britton on 0117 328 8864 Jo Spencer on 0117 328 8419 Sue Ollis on 0117 328 8779 Study skills tutor Elizabeth Langford, telephone 0117 328 8883 Study Skills tutor Carolyn Britton, telephone 0117 328 8813Information can also be found on the student net – click on student intranet UWE homepage H&S Care – quick link to HSC student net. D:\687285005.doc 23 3.9 Graduate Development Programme (GDP). All undergraduate students at UWE participate in GDP. This has been developed for students by the University and the Student Union. GDP is an essential and integral part of your course and we hope very much that you will enjoy and benefit from participating in GDP sessions. GDP has been planned to enable you to: Manage the transitions from pre-entry to your first year at UWE and between your different stages and levels at UWE Feel a valued member of UWE and your subject group Develop your ‘learning skills and styles’ Learn how to work effectively within a peer group Develop a rounded appreciation of radiography and to see the connections between your modules and further afield Plan your own ‘preferred future’ and develop those graduate skills, abilities and attributes that you feel you need; and last, but certainly not least Recognise, describe and demonstrate your academic achievements and development of graduate skills 3.9.1 What happens in GDP? GDP operates in two ways – firstly, by identifying where personal development activities happen in your course and then making these explicit to students and staff and secondly, by supporting student progression via small peer-group sessions facilitated by a staff tutor. These ‘FLAG’ (facilitated learning group) sessions aim to develop group and cohort identity, encourage peer-group activities and prompt you to think about your personal development planning. These sessions will be timetabled either within or outside subject module time. 3.9.2 What’s GDP about? The key educational aims of GDP (see the GDP Specification) relate to Student Experience; Learner Development; Personal Development and Employability and ‘preferred futures’ and GDP Outcomes are listed under the headings Knowledge and understanding; Intellectual skills; Subject, professional and practical skills and Transferable skills and other attributes. 3.9.3 How long is GDP and how much time does it involve? GDP lasts throughout all your course, with the focus changing at different stages – for example, recognizing and developing your learning styles and skills is emphasised in the first year (Level One), whereas ‘employability’ is a predominant focus in the second year (Level Two) and academic achievement and ‘the future’ are obviously important for Level Three. FLAG sessions are timetabled for a minimum of 12 hours in Level One, eight in Level Two and four at Level Three, but details vary with each programme and there will be the chance to organize your own student-led sessions. 3.9.4 What happens in FLAG sessions? An important aspect of GDP is the small peer-group FLAG sessions. You’ll meet your fellow student FLAG members and your FLAG tutor (from your course) at the beginning of the year. FLAG sessions are not like lectures or seminars but are places where ‘students learn with and from each other’. They are designed to give you the chance to discuss and reflect on important aspects of graduate development, how GDP relates to your subject programme and on topics relevant to you and your own personal development and progression at UWE. FLAG sessions will be themed on specific GDP topics – sometimes planned by tutors but also with opportunities for you to decide what the FLAG topic should be. Clearly your participation in and contributions to FLAG sessions are expected and essential – not just for you but for your fellow students. D:\687285005.doc 24 3.9.5 Attendance and achievement on GDP. It’s essential that you attend the FLAG sessions – really important not just for you but for the rest of the group as well (you’ll be meeting the same group every session). Successful completion of GDP requires attendance at the FLAG sessions (minimum attendance of 75%) and completion of the ‘GDP Record of Engagement’. Details of when and how this is to be completed will be discussed by your FLAG tutor. A GDP Certificate will be awarded to successful students at the end of each year. In addition, students who complete all three years of GDP will be awarded a ‘UWE GDP Certificate of Achievement’ with their degree certificate 4 Course Evaluation. All courses within UWE are subject to annual and periodic review and the process of evaluation is seen as continuous and dynamic. As a student, you are expected to participate in this evaluation process. 4.1 Module Evaluation. Learning and teaching, resources, support and assessment of each module is reviewed by the students at the end of each module run. 4.2 Clinical Placement Evaluation. At the end of each placement, students will be asked to complete a confidential questionnaire addressing the following issues: The departments’ environs and resources Accommodation Support from clinicians Support from UWE 4.3 Programme evaluation. On completion, you will be invited to comment on your experiences of the whole course. 4.4 Programme Management Committee. This is a group consisting of staff and student representatives from each year. The PMC meets every six months and allows you the opportunity to express your views through the student representatives. D:\687285005.doc 25 Radiography/School of Allied Health Professions 2006/2007 Year Plan NB assessment dates to be confirmed: check in module handbooks/with module leaders Radiography Timetable 2007/8 Week No. 1 Date Year 1 Year 2 06.08.07 Holiday 2 3 4 5 13.08.07 20.08.07 27.08.07 03.09.07 Holiday Holiday Holiday Holiday Holiday Resit Holiday Holiday Holiday Holiday Holiday Holiday Holiday Resit Holiday Holiday Holiday Holiday until 5th. UWE 6th & 7th for Y3 intro and clinical docs Placement 1 Holiday Academic Academic Placement 2 Placement 3 Placement 4 Field Board 6 10.09.07 Year 3 Award Board 7 8 9 17.09.07 24.09.07 01.10.07 Holiday Induction Academic 10 11 12 13 14 15 16 08.10.07 15.10.07 22.10.07 29.10.07 05.11.07 12.11.07 19.11.07 Academic Academic Academic (IP1) Academic (IP1) Academic (IP1) Academic Academic 17 18 26.11.07 03.12.07 Academic Academic 19 20 10.12.07 17.12.07 Academic Academic 21 22 23 24.12.07 31.12.07 07.01.08 Holiday Holiday Reading/revision week IP2 Conference Academic Academic Academic Academic Academic Academic Academic Placement 5 Placement 6 Placement 7 Placement 8 Placement 9 Placement 10 Placement 11 IP2 Submission Academic Academic Placement 12 Placement 13 Academic Clinical Skills Placement 14 Reading Week IP1 Submission PHWR Assessment 24 14.01.08 Assessment Holiday Holiday Placement 1 Holiday Holiday Academic RM Critique ADIS/ARTS Portfolio Submission Placement 2 Academic ADIS/ARTS RS1/FCS1/PODI1/PORO1 25 21.01.08 Academic Placement 3 26 27 28.01.08 04.02.08 Academic Academic Placement 4 Placement 5 11.02.08 Academic Placement 6 18.02.08 Academic Placement 7 Placement 8 Placement 10 Academic ADIS/ARTS ADIS/ARTS Field Board 28 29 Academic Academic Award Board 30 25.02.08 31 03.03.08 Academic Assessment RS report Academic 32 10.03.08 Academic Placement 9 Academic FRII/SRS/Comms Academic FRII/SRS/Comms Academic FRII/SRS/Comms Academic IP3 FRII/SRS/Comms ADIS/ARTS assignment D:\687285005.doc Academic FRII/SRS/Comms 26 33 34 35 36 17.03.08 24.03.08 31.03.08 07.04.08 Holiday Holiday Reading/revision week Assessment Placement 11 Placement 12 Placement 13 Placement 14 Holiday Holiday Academic Academic 37 38 14.04.08 21.04.08 Clinical Skills Placement 1 Holiday Holiday 39 28.04.08 Placement 2 Directed self-study Academic Assessment FRII/SRS Draft project RS2/FCS2/PODI2/PORO2 Academic Academic Assessment FRII/SRS 40 05.05.08 Placement 3 Portfolio Submission Academic RM2 41 12.05.08 Placement 4 Academic Academic IRCP Assignment IDIS Assignment Project Submission Academic Clinical Skills 42 19.05.08 Placement 5 Academic PHWR Resit 43 26.05.08 Placement 6 Academic Assessment Final placement IP3 Submission SIDI/IDIS IRCP/IRTS 44 45 46 02.06.08 09.06.08 16.06.08 Placement 7 Placement 8 Placement 9 Field Board 47 23.06.08 Academic Academic Academic Final placement Final placement Final placement Research Proposal Placement 10 Academic Final placement Research Proposal Intro Y3 & Clinical docs 48 30.06.08 Placement 11 Holiday Placement 12 Placement 13 Placement 14 Holiday Holiday Holiday Holiday Holiday Clinical portfolio submission Resits Holiday Holiday Common resit date Common resit date Award Board 49 50 51 0 07.07.08 14.07.08 21.07.08 28.07.08 1 04.08.08 D:\687285005.doc Degree Ceremonies 27 School of Allied Health Professions Radiography Staff Team Name Role Ext Room e-mail 88903 2E19 Angela.Bailey@uwe.ac.uk Bellamy Senior Lecturer Clinical Coordinator (DI) Admin Support 88435 2G23 Julie.Bellamy@uwe.ac.uk Fiona Chamberlain Senior Lecturer 88825 2K16 Fiona.Chamberlain@uwe.ac.uk Jan Chianese 88529 2K05 Janette.Chianese@uwe.ac.uk Karen Dunmall Programme Leader BSc(Hons) Radiotherapy Snr Lecturer 88903 2K02 Karen.Dunmall@uwe.ac.uk Suzanne Easton Snr Lecturer 88898 1K17 Suzanne.Easton@uwe.ac.uk Vivien Gibbs Snr Lecturer 88412 2K04 Vivien.Gibbs@uwe.ac.uk Stuart Grange Snr Lecturer 88843 2E19 Stuart2.Grange@uwe.ac.uk Marc Griffiths Snr Lecturer 88488 1K02 Marc.Griffiths@uwe.ac.uk Mandy Harbottle Snr Lecturer 88509 2K06 Mandy.Harbottle@uwe.uk Simon Messer 88797 2E20 Simon.Messer@uwe.ac.uk Petra Jacobs Programme Leader BSc(Hons)Diagnostic Imaging Clinical Coordinator (RT) 88445 2E19 Petra.Jacobs@uwe.ac.uk Sally Perry Snr Lecturer 88543 2K03 Sally.Perry@uwe.ac.uk Rita Phillips Snr Lecturer 88789 2K17 Rita.Phillips@uwe.ac.uk Ben Roe Snr Lecturer 88650 2K07 Benjamin.Roe@uwe.ac.uk Antonio Sassano Snr Lecturer 88600 2K17 Antonio2.Sassano@uwe.ak.uk Jeanne Scolding Snr Lecturer 88508 2K16 Jeanne.Scolding@uwe.ac.uk Gill Springett Snr Lecturer 88615 1K01 Gillian.Springett@uwe.ac.uk Rob Stewart Snr Lecturer 88920 1K18 Rob.Stewart@uwe.ac.uk Julie Woodley Snr Lecturer 88528 2K01 Julie.Tonks@uwe.ac.uk Sarah Zelley Snr Lecturer 88493 1K17 Sarah.Zelley@uwe.ac.uk Angela Bailey Julie To contact staff by telephone from outside UWE, dial 0117 for Bristol if necessary, then 32 followed by the extension number. Fax 0117 328 8408 (admin office) All academic staff have pigeon holes in which messages etc may be left. These are situated on the second floor of E Block or the ground floor of K block. D:\687285005.doc 28 Appendix A Health Professions Council Standards of Conduct Performance and Ethics (available at: http://www.hpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/ ) 1. You must act in the best interests of your patients, clients and users. You are personally responsible for making sure that you promote and protect the best interests of the people you care for. You must respect and take account of these factors when providing care, and must not exploit or abuse the relationship with a patient, client, user or carer. You must not allow your views about patients’, clients’ or users’ sex, age, colour, race, disability, sexuality, social or economic status, lifestyle, culture or religious beliefs to affect the way you treat them or the professional advice you give. You must, at all times, act to protect the interests of patients, clients, users, carers and other members of the public. You must try to provide the best possible care, either alone or with other health and social-care professions. You must not do anything, or allow anything to be done, that you have good reason to believe will put the health or safety of a patient, client or user in danger. This includes both your own actions and those of others. When working in a team you are still responsible for your professional conduct, any care or professional advice you provide, any failure to act and any tasks you ask someone else to carry out. You must protect patients if you believe that they are threatened by a colleague’s conduct, performance or health. The safety of patients, clients and users must come before any personal and professional loyalties at all times. As soon as you become aware of any situation that puts a patient, client or user at risk, you should discuss the matter with a senior professional colleague. If you feel that you cannot raise the matter with a senior colleague, you can contact the HPC Registrar. 2. You must respect the confidentiality of your patients, clients and users. You must treat information about patients, clients or users as confidential and use it only for the purpose for which it was given. You must not knowingly release any personal or confidential information to anyone who is not entitled to it, and you should check that people who ask for information are entitled to it. You must only use information about a patient, client or user: – to continue to care for that person; or – for purposes where that person has given you specific permission to use the information. You must also keep to the conditions of any relevant data protection legislation and follow best practice for handling confidential information relating to individuals at all times. Best practice is likely to change over time, and you must stay up to date. You must be particularly careful not to reveal, deliberately or accidentally, confidential information that is stored on computers. 3. You must keep high standards of personal conduct. You must keep high standards of personal conduct, as well as professional conduct. You must not do anything that may affect someone’s treatment by, or confidence in, you. The HPC can take action against you if you are convicted of a criminal offence or have accepted a police caution. But they will always consider each case individually and will take decisions in the light of the circumstances of the case. However, as guidance, the HPC will seriously consider rejecting an application for registration, or striking you off if you are already registered, if you are convicted of a criminal offence that involves one of the following types of behaviour. – Violence – Abuse – Sexual misconduct – Supplying drugs – Drink-driving offences where someone was hurt or killed – Serious offences involving dishonesty – Any serious criminal offences which you received a prison sentence for D:\687285005.doc 29 This is not a complete list. The HPC will always look at any conviction or caution that they learn of, and they have arrangements in place to be told about cautions and convictions involving registrants. 4. You must provide any important information about conduct, competence or health. Normally, the police will contact the HPC about people claiming to be members of Allied Health Professions who have been convicted or cautioned. Even so, you must also tell them (and other relevant regulators and professional bodies) if you have any important information about your conduct or competence, or about other registrants and health professionals you work with. In particular, you must let them know straight away if you are: – convicted of a criminal offence (other than a minor motoring offence) or accept a police caution; – disciplined by any organisation responsible for regulating or licensing a health or social-care profession; or – suspended or placed under a practice restriction by an employer or similar organisation because of concerns about your conduct or competence. You should co-operate with any investigation or formal inquiry into your professional conduct, the conduct of any other healthcare provider or the treatment of a patient, client or user, where appropriate. If anyone asks, and they are entitled to it, you should give them any relevant information in connection with your conduct or competence. You should also provide information about the conduct or competence of other healthcare providers if someone who is entitled to know asks you for it. This is related to your duty to act in the best interests of your patients, clients and users, which is explained earlier in this document. You should also tell the HPC about any significant changes in your health, especially if you have changed your practice as a result of medical advice. Theye will keep this information private but it is vital that you tell them and if you do not, they could take action against you. 5. You must keep your professional knowledge and skills up to date. You must make sure that your knowledge, skills and performance are of a high quality, up to date, and relevant to your field of practice. You must be capable of meeting the standards of proficiency that relate to clinical practice. You have to meet these standards, whether you are in clinical practice or not, and this includes managers, educators and researchers. However, it is important to recognise that the standards of proficiency are minimum standards of clinical practice. If you want to be on the HPC Register and use a professional title, you must maintain your clinical standards so that you are able to practise the basic skills of your profession safely, even if this no longer forms the basis of your day-to-day work. You must stay up to date with the changes to the standards of proficiency that are made for your profession as technology and techniques develop. The HPC cannot and will not test all registrants to check that they are still meeting the standards of proficiency. However, they can and will test you if they have reason to believe that you might not meet the standards of proficiency any more. 6. You must act within the limits of your knowledge, skills and experience and, if necessary, refer the matter to another professional. You must keep within your scope of practice. This means that you should only practise in those fields in which you have appropriate education, training and experience. When accepting a patient, client or user, you have a duty of care. This includes the obligation to refer them for further professional advice or treatment if it becomes clear that the task is beyond your own scope of practice. A person is entitled to a referral for a second opinion at any time and you are under an obligation to accept the request and do so promptly. If you accept a referral from another health or social-care professional, you must make sure that you fully understand the request. You should only provide the treatment or advice if you believe this is appropriate. If this D:\687285005.doc 30 is not the case, you must discuss the matter with the practitioner who has made the referral, and also the patient, client or user, before you begin any treatment. 7. You must maintain proper and effective communications with patients, clients, users, carers and other professionals. You must take all reasonable steps to make sure that you can communicate properly and effectively with your patients, clients and users, and their carers and family. You must also communicate effectively, co-operate, and share your knowledge and expertise with professional colleagues for the benefit of patients, clients and users. 8. You must effectively supervise tasks you have asked others to carry out for you. People who consult you or receive treatment or services from you are entitled to assume that a person who has the knowledge and skills to practise their profession will carry out their treatment. Whenever you give tasks to another person to carry out on your behalf, you must be sure that they have the knowledge, skills and experience to carry out the task safely and effectively. If they are not health professionals, you must not ask them to do the work of health professionals. If they are health professionals, you must not ask them to do work that is outside their scope of practice. If they are training to be health professionals, you should be sure that they are capable of carrying out the task safely and effectively. Whoever you ask to carry out a task, you must always continue to give adequate and appropriate supervision and you will stay responsible for the outcome. If someone tells you that they are unwilling to carry out a task because they do not think they are capable of doing so safely and effectively, you must not force them to carry out the task anyway. If their refusal raises a disciplinary or training issue, you must deal with that separately, but you should not endanger the safety of the patient, client or user. 9. You must get informed consent to give treatment (except in an emergency). You must explain to the patient, client or user the treatment you are planning on carrying out, the risks involved and any other treatments possible. You must make sure that you get their informed consent to any treatment you do carry out. You must make a record of the person’s treatment decisions and pass this on to all members of the health or social-care team involved in their care. In emergencies, you may not be able to explain treatment, get consent or pass on information to other members of the health or social-care team. However, you should still try to do all of these things as far as you can. If someone refuses treatment and you believe that it is necessary for their wellbeing, you must make reasonable efforts to persuade them, particularly if you think that there is a significant or immediate risk to their life. You must keep to your employers’ procedures on consent and be aware of any guidance issued by the Department of Health or other appropriate authority in the country in which you practise. 10. You must keep accurate patient, client and user records. Making and keeping records is an essential part of care and you must keep records for everyone you treat or who asks for professional advice or services. All records must be complete and legible, and you should write, sign and date all entries. If you are supervising students, you should also sign any student’s entries in the notes. Whenever you review the records, you should update them and include a record of any arrangements you have made for the continuing care of the patient, client or user. You must protect information in records against loss, damage or use by anyone who is not authorised. You can use computerbased systems for keeping records, but only if they are protected against anyone tampering with them (including other health professionals). If you update a record, you must not erase information that was previously there, or make that information difficult to read. Instead, you must mark it in some way (for example, by drawing a line through the old information). D:\687285005.doc 31 11. You must deal fairly and safely with the risks of infection. You must not refuse to treat someone just because they have an infection. Also, you must keep to the rules of confidentiality when dealing with people who have infections. For some infections, such as sexually transmitted infections, these rules may be more restrictive than the rules of confidentiality for people in other circumstances. You must take appropriate precautions to protect your patients, clients and users, their carers and families, your staff and yourself from infection. In particular, you should protect your patients, clients and users from infecting one another. You must take precautions against the risks that you will infect someone else. This is especially important if you suspect or know that you have an infection that could harm others, particularly patients, clients and users. If you believe or know that you may have such an infection, you must get medical advice and act on it. This may include the need for you to stop practising altogether, or to change your practice in some way in the best interests of protecting your patients. 12. You must limit your work or stop practising if your performance or judgement is affected by your health. You have a duty to take action if your health could be harming your fitness to practise. The HPC can take action against you if you do not take action and your physical or mental health is harming your fitness to practise. You should get advice from a consultant in occupational health or another suitably qualified medical practitioner and act on it. This advice should consider whether, and in what ways, you should change your practice, including stopping practising if this is necessary. You should also tell the HPC about significant changes to your health and any changes you make to your practice as a result. 13. You must carry out your duties in a professional and ethical way. You must carry out your duties and responsibilities in a professional and ethical way. Patients, clients and users are entitled to receive good and safe standards of practice and care. We want to protect the public from unprofessional and unethical behaviour, and we aim to make sure that health professionals know all about the standards we expect them to meet. These standards are needed to protect the public and, as a health professional, you have special responsibilities that go beyond those expected of other people. 14. You must behave with integrity and honesty. You must make sure that you behave with integrity and honesty and keep to high standards of personal and professional conduct at all times. 15. You must follow our guidelines for how you advertise your services. Any advertising you do in relation to your professional activities must be accurate. Any advertisements must not be misleading, false, unfair or exaggerated. In particular, you should not claim your personal skills, equipment or facilities are better than anyone else’s unless you can prove that this is true. If you are involved in advertising or promoting any product or service, you must make sure that you use your scientific knowledge, clinical skills and experience in an accurate and professionally responsible way. You must not make or support unjustifiable statements relating to particular products. Any potential financial rewards to you should play no part at all in your advice or recommendations of products and services that you give to patients, clients and users. 16. You must make sure that your behaviour does not damage your profession’s reputation. You must not get involved in any behaviour or activity which is likely to damage your profession’s reputation or undermine public confidence in your profession. D:\687285005.doc 32