MEDI2039 Clinical Medicine 1
The BM4 course in years 1 and 2 is a highly contextualised and integrated course in which the application of knowledge and understanding, clinical skills and professional practice applicable to medicine are learned through clinical topic weeks in which students learn in a style similar to problem based learning This module focuses on the “doctor as a practitioner and professional” in the context of primary medical care and hospital based medicine and application of knowledge and understanding to real patients. In particular the module has a strong focus on practical procedures, consultation skills and taking historys.. The assessment is predominantly assessing this. However it is not a stand alone module and should be recognised by teachers and students alike as part of the whole course which is achieved by this module alongside 2 other modules – Integration of knowledge 1, and Clinical Medicine 1. The emphasis of the assessments for each of these modules aligns with the focus of learning for that module, however the integrated nature of the course means that there will undoubtedly be overlap and aspects of the assessment in each module will draw upon learning from all 3 modules.
Aims and Objectives
This module will enable students to apply the knowledge and skills gained from the other modules (Foundations of Medicine 1, Clinical Skills 1 and Integration of Knowledge and Clinical Medicine 1) to clinical practice in primary medical care and hospital based medicine. .This module will enable students to develop both a deep knowledge and understanding of the core skills required in common medical practice along with sound basic skills in some of the core practical procedures in common medical practice. The learning outcomes below map directly to one or more of the Programme learning outcomes [as indicated in square brackets] which in turn are taken from the GMC’s Tomorrow’s Doctors (2009).
Having successfully completed this module you will be able to:
- Carry out elements of a consultation with a patient relevant to the topics studied, including taking and recording a history, performing a physical examination, eliciting questions from a patient and providing explanations, advice and reassurance [1.2b, 2.1a, 2.1b, 2.1c, 2.1d, 2.1f, 2.1g, 2.2h, 2.5a, 2.5e, 2.5h]
- Understand and be able to apply the principles of diagnosis and management of clinical presentations relevant to the topics studied, in a clinical setting [1.1c, 1.1e, 1.1f, 1.2d, 1.2g, 2.2a, 2.2b, 2.2c, 2,2d, 2.2e, 2.2f, 2.2g, 2.2j, 2.4d, 2.5b]
- Communicate effectively and appropriately with patients and colleagues in a medical context [2.2a, 2.2b, 2.2c, 2.2d, 2.2f, 2.2g, 2.2h]
- Carry out practical procedures relevant to the topics studied safely and effectively [2.6a, 2.6b, 2.6c]
- Interpret investigations including radiology relevant to each clinical topic week [1.1d, 2.2c, 2.2d]
- Demonstrate professional behaviour in attitudes towards patients and colleagues, and in continual personal development including reflective practice [3.1b, 3.1c, 3.1d, 3.1e, 3.1f, 3.2b, 3.2c, 3.3a, 3.3b, 3.4a, 3.4f]
The module will cover clinical skills relevant to the clinical topic areas covered in this year which are listed below: 1. Start in Life 2. Congenital Disorders 3. Malignancies (Breast Cancer) 4. Metabolic Disorders (Obesity) 5. Metabolic Disorders (Diabetes) 6. Respiratory 1 (introduction) 7. Respiratory 2 (Infections) 8. Respiratory 3 (Failure) 9. Respiratory 4 (Malignancy) 10. Circulation (Hypertension) 11. Circulation (Peripheral Arterial Disease and Deep Vein Thrombosis) 12. Cardiac Function (Ischaemic Heart Disease) 13. Cardiac Function (Heart Failure) 14. Acute Kidney Injury 15. Chronic Kidney Disease 16. Anaemia 17. Gastrointestinal (Malabsorption) 18. Gastrointestinal (Hepatobiliary) 19. Gastrointestinal (Malignancies) 20. End of Life 21. The patient in Shock 22. Seriously Inured Patient For each of these clinical topics detailed learning outcomes are provided to guide you in the biomedical, social, psychological, ethical, legal and population health knowledge and understanding that is applied to each topic. These are available along with Resources to support the learning within the Blackboard module pages
Learning and Teaching
Teaching and learning methods
This module is a student-led learning module in which students are provided with multiple teaching sessions but are also expected to undertake significant student-led learning on their own. They are provided with guidance on how to go about talking to patients and going onto the wards in their own time. Taught sessions include weekly hospital based sessions and alternate week GP based sessions. Hospital based sessions will take place at the Royal Hampshire County Hospital (RHCH) in Winchester where an interprofessional and multidisciplinary team provide 1 day of teaching per week in the form of lectures, tutorials, practicals and ward based experiences in both large and small group settings. Teaching will be supported by the use of guest speakers, expert patients and real patients within the wards. GP based sessions will take place in a designated primary medical practice for half a day on alternate weeks. Teaching will be facilitated by GPs in small group settings (4-5 students) and will take the form of various patient based experiences, with some elements of structured teaching.
|Preparation for scheduled sessions||50|
|Wider reading or practice||276.5|
|Completion of assessment task||25|
|Practical classes and workshops||3|
|Total study time||750|
Resources & Reading list
Blackboard. Resources to support the learning will be provided on Blackboard In addition a reading list will be provided on Blackboard
BM4 tutor. Students are provided with an allocated BM4 tutor to support the learning of key subject areas, details can be found within the blackboard pages
Students will not normally be allowed to repeat the year. Mapping of Learning outcomes to Summative Assessment: 1. Carry out elements of a consultation with a patient relevant to the topics studied, including taking and recording a history, performing a physical examination, eliciting questions from a patient and providing explanations, advice and reassurance: OSCE Exam 2. Understand and be able to apply the principles of diagnosis and management of clinical presentations relevant to the topics studied in a clinical setting: OSCE Exam 3. Communicate effectively and appropriately with patients and colleagues in a medical context: OSCE Exam 4. Carry out practical procedures relevant to the topics studied safely and effectively: OSCE Exam 5. Interpret investigations including radiology relevant to each clinical topic week: OSCE Exam 6. Demonstrate professional behaviour in attitudes towards patients and colleagues, and in continual personal development including reflective practice: OSCE Exam Students are not normally permitted to repeat the year.
Costs associated with this module
Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.
In addition to this, students registered for this module typically also have to pay for:
Travel Costs for placements
Travel to GP practices outside of Southampton will be provided. Costs for travel to practices within Southampton will be reimbursed. Costs for travel to Winchester for teaching sessions will be reimbursed. Students will be required to pay a yearly contribution towards travel which is then used to reimburse students costs to ensure parity of costs for all students independent of placement location
Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at www.calendar.soton.ac.uk.