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2019/20 Taught Postgraduate Module Catalogue

HECS5235M Clinical Examination

30 creditsClass Size: 45

If you are applying for a stand-alone Masters level module please note you must meet either the general University entry criteria or the specific module pre-requisite for this level of study.

Module manager: Ian Goulden
Email: i.goulden@leeds.ac.uk

Taught: 1 Sep to 31 Jan (Adv pre 2223), Semester 1 (Sep to Jan), Semester 2 (Jan to Jun) View Timetable

Year running 2019/20

Pre-requisite qualifications

- Applicants will normally possess a good honours degree (2.1 and above) in health science from a recognised higher education institution or certified evidence of an ability to study at level 5 (Master's).
- Current registration with a United Kingdom healthcare professional governing body (eg NMC).
- Applicants should have written endorsement from their employing organisation that they are supported to undertake the programme of study.

Module replaces

DONE 5004 Advancing Assessment & Diagnostic Reasoning

This module is not approved as an Elective

Objectives

On completion of this module, students should be able to:

- synthesis health related information in order to construct a health history;
- reflect upon and critically analyse personal communication skills when undertaking clinical examination;
- undertake a comprehensive and systematic approach to clinical examination of the patient;
- demonstrate competence and safety of practice;
- demonstrate effective communication of clinical examination findings.

Learning outcomes
On completion the student should know:
- models of consultation
- knowledge for effective communication with patients
- clinical signs and symptoms
- documentation requirements.

Skills outcomes
- Consultation and Effective communication
- Patient Observation skills
- Auscultation skills
- Palpation skills
- Percussion skills
- Documentation skills
- Use of investigative equipment e.g. ophthalmoscopes, auriscopes, stethoscopes, tuning forks.


Syllabus

- Models of patient consultation: Calgary-Cambridge Model
- Patient communication
- Health history
- Clinical examination skills of the: respiratory, cardiovascular, gastrointestinal, neurological, musculoskeletal, genitourinary, mental health, eye, ear, nose, throat, and dermatological systems
- Documentation and communication.

Teaching methods

Delivery typeNumberLength hoursStudent hours
Lecture101.0010.00
Practical102.0020.00
Private study hours270.00
Total Contact hours30.00
Total hours (100hr per 10 credits)300.00

Private study

Private study and independent learning will entail preparing for sessions and individual practice of skills.

Opportunities for Formative Feedback

- Student progress will be monitored in class practical sessions through close supervision by module team members.
- Examination practice sessions built into the teaching schedule will also enable monitoring of student progress.
- Students will undertake 4 practice health histories during the module in order to demonstrate development and written communication.

Methods of assessment


Exams
Exam typeExam duration% of formal assessment
Standard exam (closed essays, MCQs etc)1 hr 40.00
Practical Exam / OSCE1 hr 30 mins60.00
Total percentage (Assessment Exams)100.00

The OSCE will have 8 stations each lasting 8 minutes Following a standard setting exercise each station will be awarded a pass mark. A pass mark will be identified for the cumulative of all stations to which students must achieve an overall specified percentage to pass (e.g. 60%). This will account for 60% of the overall examination mark. The written part of the exam will last one hour and will account for 40% of the overall mark. The examination will occur on a different day to that of the OSCE in order to enable students to adequately prepare for different examination approaches. There will be no compensation between the examination and the OSCE. Examinations will occur in the examination periods of semester 1 and 2a. Re-examination will be specified in the module handbook Module team members have considerable experience in the delivery of OSCEs and are well practiced in the running of this kind of examination. Following a standard setting exercise each station will be awarded a mark then the OSCE will be provided with a pass level for an overall pass grade. This is instead of the current pass/fail mark, and will enable students see the success of their achievements. This is also important in relation to awarding certificates with distinction or merit. Building upon successful elements of DONE 5004 Advanced Assessment & Diagnostic Reasoning current stations will be used to help formulate pass grade for each station as well as a standard setting process. This will enable an acceptable pass standard for each station to be identified. Each station will have a different pass mark in relation to its complexity whilst at the same time ensuring competence and patient safety. Students may fail stations on the basis of unsafe practice. The overall pass mark for the OSCE is 60%. This will be calculated from the number of stations and their respective pass marks. The pass mark will be set at 60% in order to emphasise the importance of the examination whilst at the same time not diminishing the importance of the written examination. It also avoids students achieving an overall pass from the OSCE at the cost of knowledge aspects of the written examination. There will be no compensation between examinations in order to ensure each examination maintains its individual importance in relation to content and learning.

Reading list

The reading list is available from the Library website

Last updated: 12/12/2018 16:33:09

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