2018/19 Taught Postgraduate Module Catalogue

MEDS5100M Classroom to Clinic 1 for Physician Associates

30 creditsClass Size: 25

Module manager: Dr Helen Millott
Email: h.e.millott@leeds.ac.uk

Taught: Semesters 1 & 2 (Sep to Jun) View Timetable

Year running 2018/19

Pre-requisite qualifications

n/a

Co-requisites

MEDS5101M

Foundation of Clinical Practice 1 for Physician Associates

This module is not approved as an Elective

Module summary

This module will introduce students to the attitudes, skills and knowledge required of a Physician Associate to enable students to deliver holistic care and treatment within the general medical and/or the general practice team under defined levels of clinical supervision. Spiralled learning, with a focus on increasing integration at a patient level and as a team member in the wider healthcare workforce provides the framework for professional behaviour underpinned by clinical knowledge. A clinical skills e portfolio will be maintained as evidence of attainment. The learning outcomes will be met through both taught sessions and compulsory placementsThis module is integrated with Classroom to Clinic 2 but will also provide introductory material to enable learning to be appropriately spiralled.

Objectives

This module will provide an introduction to the following core concepts:
Professional Behaviour & Probity
The patient relationship
Common core skills and knowledge when working with children, young people and families
History taking and consultation skills
Examination (general)
Clinical judgement in diagnosis and management
Therapeutics and prescribing
Clinical planning and procedures
Documentation and information management
Risk management
Moving and Handling
Teamwork
Time/resource management
Ethical and legal issues
Equality and diversity

Learning outcomes
This module maps to core competencies and professional attributes outlined in the Curriculum Framework for the Physician Assistant 2012:

Successful completion of this module will enable students to:

Clinical Skills:

- Develop effective routine clinical examination skills
- Recognise the importance of patient comfort, dignity, privacy, wishes, concerns and when the use of chaperones is appropriate.
- Demonstrate infection control techniques.
- Demonstrate a range of basic practical skills and procedural skills in a simulation environment as listed in the CCF (Appendix).

Communication:
- Demonstrate communication skills to underpin the effective gathering of information from the patient, both adults and children, taking their ideas, concerns and expectations into account, in a timely manner.
- Communicate effectively with their parents and their carers, using easily understood language, and be able to pick up on non-verbal cues from them.
- Communicate in situations that present further challenges, including those patients where English is not their first language, those who are hearing-impaired or those with speech or learning difficulties.
- Demonstrate shared mutual understanding clearly and effectively, with patients/carers, medical colleagues and other health professionals
- Demonstrate fluency in medical language, and be able to communicate effectively and efficiently (both written and verbally) with other health professionals.

Clinical Science, prescribing and informatics:
- Recognise how conditions present in Primary Care, with learning facilitated by a series of clinical cases
- Demonstrate understanding of the pathophysiology underlying these conditions and how this translates into symptoms and signs
- Demonstrate an appreciation of the cause and effect of these conditions in the context of a patient’s life
- Maintain confidentiality, understanding the legal and ethical implications of verbal, written and electronically communicated/stored information
- Demonstrate an understanding of the role of the basic principles of prescribing, recognising the contribution of the patient
- With regards to prescribing, students will:
Describe and demonstrate the factors involved in safe prescribing
- describe and show the different routes used when prescribing
- Apply this knowledge in context with a range of common drugs
(A PA will be prepared for a prescribing role however this will not be practised until the profession is regulated in the UK)

Consultation, ethical/medico-legal practice and management
- Exhibit understanding of patients’ strengths, resources and problems in the context of illness
- Form a hypothesis regarding diagnosis and how to apply and correctly interpret simple investigations
- Formulate a shared management plan, including the basic principles of prescribing, recognising the contribution of the patient
- Demonstrate awareness of the different organisational settings in which medicine is practiced
- Demonstrate understanding and application of key ethical and legal principles in relation to clinical care
- Elicit a clinical history which is thorough yet succinct and integrates the patient's perspectives including mental state examination, under supervision

Professionalism & key attributes
- Clearly demonstrate professionalism and appropriate behaviour in a clinical setting
- Recognise the importance of patient safety and demonstrate this in practice
- Show respect towards patients and carers, appreciating the part they play in care
- Demonstrate empathy and an understanding of patient and carer perspectives
- Show self-awareness and the ability to reflect on practice
- Work in clinical teams, showing respect for professional colleagues

Skills outcomes
Clinical examination
Communication skills
Professionalism in clinical context of Physician Associate

Syllabus

Term 1: Clinical skills simulation, introduction to the multi professional team in the community and primary care, becoming a reflective practitioner, communication skills
Term 2 and 3: General Practice placement, clinical skills practise and completion of directly observed procedures, communication skills, reflective exercises

Teaching methods

Delivery type	Number	Length hours	Student hours
On-line Learning	7	1.00	7.00
Other - Clinical Placement days	37	6.00	222.00
Small Group Learning	22	3.00	66.00
Class tests, exams and assessment	1	4.00	4.00
Fieldwork	1	4.00	4.00
Lecture	75	1.00	75.00
Practical	55	2.00	105.00
Seminar	24	2.00	48.00
Tutorial	2	1.00	2.00
Private study hours			37.00
Total Contact hours			533.00
Total hours (100hr per 10 credits)			570.00

Private study

The placement provision and hours are dictated by the requirements of the Competence and Curriculum Framework for Physician Associates hence these do not fit the standard model of university hours for a 30 credit module.
One hour of private study is timetabled on each of 37 placement days
Opportunity for self-directed study and independent learning is facilitated through use of mobile technology, Technology enhanced learning (lecture capture) access to the Virtual Learning Environment and the Virtual Community.

Independent online learning - Student contact hours are variable

Opportunities for Formative Feedback

Progress will be monitored through the acquisition of skills documented in the e portfolio, a formative OSCE, the completion of workplace-based assessments and a satisfactory attendance record since the student must complete a specified number of hours in practice in order to meet the requirements of the United Kingdom and Ireland Universities Board for Physician Associate Education (UKIUBPAE).
Students will be assigned to a clinical educational supervisor who will deliver verbal feedback on their progress each term in addition to the feedback points above. Once a term students will also meet their campus based personal Tutor, drawn from the core team supporting the programme.

1500 word introductory essay
3000 word focussed literature review on a student selected topic
Completion of portfolio and clinical skills tasks on placement - variable contact hours
MiniCEX (work placed based assessment) e portfolio - pass/fail assessment format
Formative OSCE (Objective Structured Clinical Examination)

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Essay	1500 word introductory essay	10.00
Literature Review	3000 word Focussed literature review on a student selected topic	30.00
Total percentage (Assessment Coursework)		40.00

Portfolio - MiniCEX (work placed based assessment) e portfolio - 1 month remedial time allowed for satisfactory completion

Exams

Exam type	Exam duration	% of formal assessment
OSCE (Objective Structured Clinical Exam)	2 hr	60.00
Total percentage (Assessment Exams)		60.00

Year 2 commences in late July. An earlier resit for assessment is available.

Reading list

The reading list is available from the Library website

Last updated: 29/04/2015

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