2018/19 Taught Postgraduate Module Catalogue

MEDS5120M Classroom to Clinic 2 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

Classroom to Clinic 1 (MEDS5100M) and Foundation of Clinical Practice 1 (MEDS5101M) must be completed successfully

Pre-requisites

MEDS5100M	Classroom to Clinic 1 for Physician Associates
MEDS5101M	Foundation of Clinical Practice 1 for Physician Associates

Co-requisites

MEDS5121M

Foundation of Clinical Practice 2 for Physician Associates

This module is not approved as an Elective

Module summary

This module builds on Classroom to Clinic 1 to enable students to develop competence, skills, knowledge and attitudes required of a Physician Associate to enable them 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 placements.

Objectives

In the medical context, a newly qualified PA must be able to perform their clinical work at the same standard as a newly qualified doctor.
This module will build on 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
-Take an appropriate history from patients both adults and children
-Show critical awareness of sensitivities involved in practices such as Mental Health, end of life care, Clinical Gynaecology, Obstetrics and Sexual Health etc. in all communications
-Utilise advanced communication skills, applying and developing an integrated bio-psychosocial assessment with clinical problem solving and communication skills
-Apply highly developed approaches to difficult communication challenges including patients where English is not their first language
-Demonstrate appropriate patient confidentiality in communication with patients’ relatives and other clinical staff in both verbal and written communications applying knowledge of the legal and ethical implications of verbal, written and electronically communicated/stored information
-Integrate basic science, clinical method and clinical skills into initial and subsequent patient management plans.
-Demonstrate an appropriate use and knowledge of routine investigations employed in the management of patients. Students should be able to recognise appropriate timing and limitations of investigations.
-Work with patients as individuals, employing a holistic and ethical framework, in order to understand and manage a patient’s problems in the hospital, community, family and social contexts.
-Understand the principles of medical error in the context of patient care and demonstrate ability to work within a proscribed framework of clinically supervised practice
-Know how to keep coherent, legible and comprehensive patients records, including safe and effective use of IT, and the use of IT for effective continued learning
-Devise simple logical early management plans for patients, including the safe use and prescribing of medication and basic knowledge of common and emergency drug doses.
-Communicate clearly, sensitively and effectively with all individuals irrespective of gender, age, disability, social, cultural or ethnic background.
-Recognise the importance of the patient’s religious and cultural background on all aspects of medical care
-Perform a physical examination and assess a patient’s functional abilities, for example the Activities of Daily Living
-Competent synthesis of the findings from the history, physical examination & commonly used investigations to formulate a basic differential diagnosis.
-Demonstrate the ability to perform a range of clinical skills as described in the practical procedures detailed in the CCF
-Maintain and produce portfolio evidence of competence prior to final examinations, using the Practical Skills Portfolio.
-Explain basic procedures to patients simply and comprehensively, checking that the patient has understood and allowing the patient to ask questions
-Manage a range of practical skills and procedural skills in a clinical environment as listed in the CCF (Appendix).
-Recognise the role and importance of multidisciplinary team working in all aspects of patient care, including the role of the PA as team member, and when appropriate, leader.
-Recognise the limits of their own competence & know how and to whom to refer – the techniques of effective handover and referral to other specialities/colleagues.
-Understand the ethical and legal implications of consent and assent
-Act in an emergency (in the absence of a correctly drafted and legally binding advance directive stating otherwise) to do what is necessary to save the life or to prevent permanent and serious disability of adults who are unconscious or otherwise unable to give consent
-Understand the legal requirement for disclosure of patient information
-Understand the legal aspects of the medical record by writing appropriate entries which reflect sound judgement and noting objectively those elements relevant to the patient’s clinical progress.
-Understand the principles and statutory regulations of infectious disease reporting. Show self-awareness and reflect on practice.

Skills outcomes
Communication skills
Clinical examination
Professional conduct and ethical practice
Reflective practice
Application of scientific knowledge in management of patients

Syllabus

Term 1: Clinical placements in Accident and Emergency, Medical Admissions Unit, Surgical attachments
Term 2 Medical/Surgical Clinics in ENT, Dermatology, Ophthalmology; Obstetrics and Gynaecology; Medicine - Long term Conditions, Cancer & Palliative care; Medicine - Care of the Elderly
Term 3: General Practice, Musculo Skeletal and Orthopaedics, Student selected placement,

Teaching methods

Delivery type	Number	Length hours	Student hours
Rotations of 13 day blocks	13	6.00	1,014.00
Day of Student selected placements	9	6.00	54.00
Class tests, exams and assessment	2	2.00	4.00
Practical	2	4.00	8.00
Private study hours			178.00
Total Contact hours			1,080.00
Total hours (100hr per 10 credits)			1,258.00

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.
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 and on 1 hour per placement day

Opportunities for Formative Feedback

Progress will be monitored through the acquisition of skills documented in the e portfolio, 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.

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Report	Case Study 1 - 1500 words	20.00
Report	Case Stydy 2 - 1500 words	20.00
Total percentage (Assessment Coursework)		40.00

MiniCEX (workplace based assessment) and e portfolio - 1 month remedial time allowed for satisfactory completion - Pass/fail Resit assessments will be in the same format as the original

Exams

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

Normally resits will be assessed by the same methodology as the first attempt, unless otherwise stated

Reading list

The reading list is available from the Library website

Last updated: 27/07/2015

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