Programme Specification Awarding institution: Teaching institution: Final award: Programme title: Duration: Programme accredited by: Programme approved by: Recommendation by: Date revised: University of Bradford Bradford and Airedale teaching Primary Care Trust PG Dip/PGC [FHEQ level M] PG Dip in Cardiology for Practitioners with a Special Interest PGC in [specified module(s)] for Practitioners with a Special Interest Normally 18 months part-time, but up to five years Royal College of General Practitioners; Royal College of Physicians (September 2003) the Primary Care Cardiovascular Society August 2009 This course is one of a series of courses which is taught by the Bradford and Airedale teaching Primary Care Trust (B&AtPCT) and awarded by the University of Bradford. The courses fall under the collaborative provision regulations, so although the courses are taught wholly from within the NHS, quality assurance and assessment are governed by University of Bradford regulations. (www.brad.ac.uk/admin/acsec/taught_courses.html ordinance 5 and regulation 6) This part-time diploma course contains a large element of work-based and shared learning. As attendance in Bradford only requires a total of 7 study days on 4 separate occasions throughout the 18 months, the course is accessible to students nationally. It enables Practitioners with a Special Interest to gain a formally recognised standard of competence in the area of cardiology as a special interest. It is the first postgraduate competence-based course for PwSIs to offer national accreditation in this subject, and is run from within the NHS and taught by consultants and Practitioners with a Special Interest. In this regard, the course has been well received by key professional medical bodies. The course structure is specifically designed to encourage the development of the specialist practitioner role, by encouraging collaborative clinical work-based training between the practitioner and the consultant. However, it does not necessarily provide you with a formal registration to practice as a GPwSI. The course links the practitioner's training with the host Primary Care Trust (PCT) service, in order to try to ensure that newly acquired skills are put to appropriate use within the PCT after qualification. A1 Programme Aims for the PG Certificate The programme is intended to: A1.1 develop the subject-specific knowledge and skills to enable GPs and other practitioners to practice subject-specific cardiology at a higher level and to deal with complex clinical situations systematically; A1.2 develop a subject-specific understanding of the role and responsibilities of consultant specialists and the multidisciplinary team in secondary care and to establish appropriate relationships with these professionals; A1.3 position practitioners at the forefront of their subject-specific area of cardiac care to develop and establish the most appropriate integrated care pathways for that area between primary and secondary care for the patient within current NHS guidelines; A1.4 engage practitioners in life-long learning through the enhancement of key skills, a thorough knowledge of critical appraisal and reflective practice; A1.5 provide practitioners with a special interest with transferable nationally recognised training in cardiology. A2 Programme Aims for the PG Diploma The programme is intended to: A2.1 develop wider specialist knowledge and skills to enable GPs and other practitioners to practice cardiology at a higher level and to deal with complex clinical situations systematically; A2.2 develop a thorough understanding of the role and responsibilities of consultant specialists and the multidisciplinary team in secondary care and to establish appropriate relationships with these professionals; A2.3 A2.4 A2.5 position practitioners at the forefront of their area of cardiac care to develop and establish the most appropriate integrated care pathways between primary and secondary care for the patient within current NHS guidelines; engage practitioners in life-long learning through the enhancement of key skills, a thorough knowledge of critical appraisal and reflective practice; provide practitioners with a special interest with transferable nationally recognised training in cardiology. B1. Programme Learning Outcomes for the PG Certificate These learning outcomes indicate what you will know, understand and be able to do on the successful completion of this Certificate. The outcomes are compatible with the Framework for Higher Education Qualifications and the Academic Infrastructure. On successful completion of this award, you will be able to: B1.1 Subject knowledge and understanding B1.1.1 critically analyse and apply current and emerging knowledge at the forefront of the subject- specific area(s) of study with regard to the pathophysiology and epidemiology of that subject; B1.1.2 contribute to the development of clinical protocols and practice within the subjectspecific care pathway linking primary and secondary care in line with current recommendations; B1.1.3 make strategic and appropriate clinical decisions within the relevant subject-specific care pathway with regard to the treatment and referral of patients. B1.2 Discipline skills B1.2.1 Diagnose and manage/refer patients whose symptoms may be due to cardiac disease in the subject-specific area(s) studied. B1.2.2 Critically reflect and make sound clinical judgments on the most appropriate treatment modality for patients who present with cardiac disorders in the subject-specific area(s) studied and treat or refer accordingly; B1.2.3 Communicate complex clinical conclusions clearly to patients and the clinical team; B1.2.4 Critically appraise and update your own clinical knowledge and skills in the subjectspecific area(s) studied. B1.2.5 Evaluate the PwSI role and its implications for the whole patient pathway and current techniques for improving the delivery of patient care. B1.3 Personal Transferable Skills B1.3.1 Act autonomously and collaboratively in a multidisciplinary context. B1.3.2 Communicate effectively. B1.3.3 Critically reflect on and evaluate a wide range of information, and make complex decisions as a result of this process. B1.3.4 Use information technology as a medium for communication and presentation of data. B1.3.5 Gain the skills to enable continuous professional development. B2 Programme Learning Outcomes for the PG Diploma These learning outcomes indicate what you will know, understand and be able to do on the successful completion of this Diploma. The outcomes are compatible with the Framework for Higher Education Qualifications and the Academic Infrastructure. On successful completion of this award, you will be able to: B2.1 Subject knowledge and understanding B2.1.1 critically analyse and apply current and emerging knowledge at the forefront of the discipline with regard to the pathophysiology and epidemiology of cardiac disease; B2.1.2 contribute to the development of clinical protocols and practice within the care pathway linking primary and secondary care in line with current recommendations; B2.1.3 make strategic and appropriate clinical decisions within the relevant care pathway with regard to the treatment and referral of patients. B2.2 Discipline skills B2.2.1 Diagnose and manage/refer patients whose symptoms may be due to cardiac disease. B2.2.2 Critically reflect and make sound clinical judgments on the most appropriate treatment modality for patients who present with cardiac disorders and treat or refer accordingly; B2.3 B2.2.3 Communicate complex clinical conclusions clearly to patients and the clinical team; B2.2.4 Critically appraise and update your own clinical knowledge and skills. B2.2.5 Evaluate the PwSI role and its implications for the whole patient pathway and current techniques for improving the delivery of patient care. Personal Transferable Skills B2.3.1 Act autonomously and collaboratively in a multidisciplinary context. B2.3.2 Communicate effectively. B2.3.3 Critically reflect on and evaluate a wide range of information, and make complex decisions as a result of this process. B2.3.4 Use information technology as a medium for communication and presentation of data. B2.3.5 Gain the skills to enable continuous professional development. C The Curriculum Each of the three clinical modules lasts six months. The fourth module is the Applied Methodologies module (AM) which can be taken alongside one or more of the other modules, over a maximum period of 18 months. Each module is worth 30 credits, amounting to a total of 120 credits. For the Postgraduate Diploma, all 30-credit modules are core modules. For the Postgraduate Certificate, the only core module is the Applied Methodologies (AM) module. One option should be chosen from the clinical modules to form your programme of study. Any 30-credit module can be studied independently, outside of a Postgraduate award. However, it is recommended that you study for the diploma in order to gain the value of a broad education, and the course provides flexibility to enable this. The curriculum is summarised in the following table: Module title Certificate Diploma Credits Applied Methodologies C C 30 Hypertension, Arrhythmias and Conduction O C 30 Disorders Ischaemic Heart Disease O C 30 Heart Failure and Valvular Disease O C 30 C = Core O = Optional you must pass one optional module to gain a Certificate Duration 18 months 6 months 6 months 6 months D Teaching Learning and Assessment Strategies The Postgraduate Diploma is run by Bradford and Airedale teaching Primary Care Trust (B&AtPCT) and the award is made through the University of Bradford. It articulates with the Postgraduate requirements and assessment is carried out under University of Bradford rules and regulations (including Mitigating Circumstances Panels, Assessment Committees and Examination Boards) and chaired by a senior member of the Division of Service Development and Improvement. A variety of teaching and learning methods is employed in the programme, to enable you to fulfil the varied modular learning outcomes. The learning within the programme is gained through: 1 face-to-face tuition: this occurs at the beginning of each module in Bradford. Tutors are available by email if required during placement periods to handle learning queries. Tutors are clinical practitioners (consultant specialists and PwSIs). 2 work-based learning: this forms the central part of the programme of study, in the form of clinical placements – each six month module should contain at least 14 weeks of hands-on practical study in a secondary care environment. This learning is undertaken on placement in the locality, under the supervision of a clinical mentor. You will approach the mentor in the first instance: they must be a GMC registered consultant in cardiology whose name appears on a national register of practitioners, and who has teaching experience. The clinical mentor will receive a specific Mentor Guide including advice and support from the course management team in fulfilling the role of mentor. 3 guided reading (given by tutor and mentor): this complements the placement and enables you to fulfil the theoretical background necessary for your placement activities, and prepares you for your written and presentational assignments. 4 e-learning: the virtual learning environment gives access to the peer group and tutors during placement, facilitating learning through clinical discussion, as well as providing support. 5 local research and application: The AM module involves working within the healthcare community to apply 3 different methodologies; learning takes place during the activities of researching and reading information, planning, preparation and application of these. Assessment is designed to enable you to have a rounded measurement of the skills needed for your role in the healthcare community. Clinical competence is verified through mentor signature after observation (by mentor and where appropriate other relevant clinical professionals) and discussion during the placement periods. The issues of ethics and informed consent are an integrated part of the students’ daily practice, and it is implicit in all the modules that there is conformity to the usual standards and guidelines in these areas. All written work and the case study presentation must be submitted on assessment day, in order for you to progress to the next module, unless an extension has been granted. The results of assessments will normally be made known in the six weeks following assessment day. Assessments will be marked in accordance with the University of Bradford, Division of Service Development and Improvement, Master's level marking criteria. The learning outcomes are fulfilled as described in the following table: Learning Outcomes Assessment Teaching/learning environment 1 Subject Knowledge and Assessment Understanding B1.1 Critically analyse and apply Clinical case studies and Teaching day; current and emerging knowledge at the presentations Assessment day (listening to forefront of the discipline with regard to other presentations). the pathophysiology and epidemiology Reading list; of cardiac disease. Clinical placement with mentor observation and discussion; B1.2 Contribute to the development of Applied Methodologies PIM Teaching day; clinical protocols and practice within and PPI essays. Reading list; the care pathway linking primary and Clinical placement with secondary care in line with the current mentor observation and recommendations. discussion. Own clinical environment. B1.3 Make strategic and appropriate Clinical case studies and Teaching & assessment day clinical decisions within the relevant presentations; Clinical placement with care pathway with regard to the Verified clinical competency mentor observation and treatment and referral of patients. forms; Learning diary discussion. recording. 2. Discipline skills B2.1 Diagnose and manage/refer patients whose symptoms may be due to cardiac disease. Clinical case studies and presentations; Verified clinical competency forms; Learning diary recording B2.2 Critically reflect and make sound clinical judgments on the most appropriate treatment modality for patients who present with cardiac disorders and treat or refer accordingly; B2.3 Communicate complex clinical conclusions clearly to patients and the clinical team. Clinical case studies; Verified clinical competency forms; Learning diary recording B2.4 Critically appraise and update own clinical knowledge and skills; Verified clinical competencies; Verified clinical competency forms; Learning diary recording. Clinical placement with mentor observation and discussion; Reading list; Teaching and assessment day; Clinical placement with mentor observation and discussion; Reading list; Teaching and assessment day; Clinical placement with mentor observation and discussion, and interaction with others. Own clinical environment. Clinical placement and own clinical environment; Learning diary recording; Case studies; Presentations. Teaching day; Assessment day; Reading lists. Applied Methodologies essays Applied Methodologies teaching sessions; Clinical placement. B3.1 Act autonomously and collaboratively in a multidisciplinary context. Verified clinical competencies; Learning diary recording. B3.2 Communicate effectively. Verified clinical competencies; Presentations; Case studies. B3.3 Critically reflect on and evaluate a wide range of information, and make complex decisions as a result of this process. Verified clinical competencies; Case studies; Learning diary recording Presentations. Presentations; Case studies; Word processed clinical competencies sheets; Clinical placement with mentor observation and discussion; Own clinical environment Clinical placement with mentor observation and discussion; Own clinical environment; Assessment day Clinical placement with mentor observation and discussion; Own clinical environment. B2.5 Evaluate the PwSI role, and its implications for the whole patient pathway and current techniques for improving the delivery of patient care. 3. Personal transferable skills B3.4 Use information technology as a medium for communication and presentation of data. B3.5 Gain the skills to enable continuous professional development. E F Presentations; Written case studies; Verified clinical competencies; Learning diary recording. Throughout all modules; Assessment days. VLE Clinical placement with mentor observation and discussion; Own clinical environment; Teaching and assessment days. Admission Requirements To be accepted onto the Diploma, and to benefit from this course of study: you must be a suitably qualified registered primary or secondary care practitioner, demonstrating successful study skills at level 3 with at least two years relevant work experience; GPs are required to provide their GP Qualification details and GMC registration number. It is desirable, but not essential, for GPs to be members of the Royal College of Practitioners. you must obtain support from the local NHS hospital trust consultant (GMC Registered) in Cardiology for mentorship and the provision of a placement; you must obtain support from the local Primary Care Trust, for approval and direct or indirect support for training. Without this evidence of support, you cannot be admitted to the programme; it is desirable for you to have experience in postgraduate education. All applications will be judged on their own merit and prior learning experience. Admissions Policy The application process is divided into three parts: 1. Submission of an application form indicating that you meet the professional/educational criteria. 2. Identification of a suitable mentor. 3. Submission of letters of support showing suitability for you to undertake this course of study. There will be a maximum of 12 participants per clinical module, all of whom can access the Applied Methodologies module. The certificate/diploma is offered twice a year, with entry points in September and March. Groups must usually have a minimum of 6 participants to run. Applications are welcomed from candidates with disabilities, who will be considered on the same academic grounds as all other applicants. As the assessment elements of the postgraduate diploma require a substantial amount of written work at masters level, in accordance with regulations from the University of Bradford we ask that non-native speakers complete an IELTS English Language Exam at a minimum of 6.5 before they begin their studies. Representatives from the university and the Education Programmes Team will jointly consider requests from students wishing to enter the programme through APL (Accreditation of Prior Learning) G Progression You are required to pass all components of assessment (except the clinical competence element) for each module at 40% without compensation. The clinical competence element of the course will not be awarded a mark, but will attract a pass or fail only and must be passed. The course would normally last 18 months but may be taken over a three year period, although in exceptional family or other personal circumstances this may be extended to five years. The PG Diploma will be awarded to those who complete all 4 modules, while a PG Certificate is awarded to students who successfully complete the Applied Methodologies module plus one or two other modules. H Student support and guidance You will be provided with a detailed student handbook which will support you in all aspects of workbased learning and assessment. Tutor support will be available via email. The Education Programmes co-ordinator handles enquiries of a general nature or allocates queries to tutors. Peer support is available to assist you with clinical questions through participation in the online virtual learning environment (Blackboard). It is anticipated that a significant amount of discussion relating to cases, working arrangements, progress and approaches to study will result from this group. You must ensure that patient confidentiality is strictly maintained at all times, whether discussing patients online, in print or face-to-face. In addition to Blackboard, students can access other virtual and physical resources provided by the University through the Learner Development Unit, library and Learner Support Services. Support that can be expected from the mentor is outlined in the mentor guide. Mentors have the responsibility to ensure your appropriate induction, in order to identify any learning needs and direct the programme accordingly. Feedback and time for case discussion should be provided, allowing for confidential and focused discussion of pertinent professional experiences, as well as to encourage self-appraisal and assessment of clinical competence. The guide also enables mentors to understand the support they will receive automatically, and can gain if required, from the course tutors. The team will be in regular mail contact with the mentor throughout each module to provide support and ensure your progress in the module. Participants will be represented on a Course Management Committee, and may give feedback about the course through this, in addition to the paper-based evaluation processes for end of unit (module) and stage (course). Whilst you are made aware of support offered, you should also be aware of your responsibilities in the participant course manual: i.e. taking responsibility for organising your own learning, ensuring placement arrangements are acceptable; returning course forms/assessment submissions on time; attendance at the first teaching day and the concluding assessment day for each clinical module and at the initial teaching day for the applied methodologies module; patient confidentiality; working to a professional code of conduct; and alerting the course tutors to problems which will affect your training. You are normally also expected to have access to an Athens Password. Any complaints should be made to the Education Programmes Co-ordinator in the first place, who will then forward this to the Education Programmes team. The team will review the case, involving the appropriate tutor and/or mentor at its discretion if necessary. Appeals against Examination Board decisions should be directed to the Chair of the Examination Board within the appropriate time restriction, who will invoke the University’s appeals procedure. Copies of all such appeals will be forwarded to the Education Programmes Team. I Further Information/Disclaimers. For further details about the course including course dates and costs please email: psi@bradford.nhs.uk. Changes in the above specification may be made at any time, but notification will be made to you as appropriate. Elements of the programme are subject to University conditions including its status as an approved course. The University reserves the right to alter or withdraw these elements at any time, and you will be notified should this occur.