MEDI4021 Clinical Medicine 2
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, history-taking and clinical examination. The assessment covers all of these areas. The module does not stand alone and should be recognised by teachers and students as part of the whole course alongside 2 other modules – Integration of knowledge and BM4 Y2 Foundations of Medicine. 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. Since this module focuses on clinical skills it will also overlap with and be supported by the learning during the fourth year 2 module on the BM4 programme – Medicine, Surgery and Primary Care, which takes place in Semester 2.
Aims and Objectives
This module will enable students to apply the knowledge and skills gained from the other modules (BM4 Y2 Foundations of Medicine and Integration of Knowledge) 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. 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]
- Provide basic life support (manikin only) [2.4a, 2.4c, 2.4e]
- 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. TOPICS Your learning will be structured around a series of clinical topic weeks, which will themselves be grouped around physiological systems. The order of clinical topic weeks has been designed to be mostly systems–based, whilst also allowing for an integrated and spiral curriculum. During this module you will follow a series of topics related to the nervous system, the musculoskeletal system, the endocrine and the reproductive systems and then finish off with a topic that is specifically chosen to be integrative in the systems and disciplines involved. CLINICAL CONTEXT Weekly clinical topics are used to provide a framework for learning and to provide an example of the medical practice context to which the knowledge and understanding applies. Examples of the clinical topics for this module are provided below but are subject to change. 1. Arthritis 2. Low Back Pain 3. Stroke 4. CNS Injury 5. Chronic Neurological Disorders 6. Ageing and Dementia 7. Depression 8. Endocrine Disorders 9. Reproductive Health 10. Pregnancy 11. Medical Emergencies 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 in this module focuses on students being able to integrate learning from these outcomes and relate them to specific patient cases.
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 spend time on 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,
|Preparation for scheduled sessions||22|
|Completion of assessment task||10|
|Wider reading or practice||46.5|
|Total study time||375|
Resources & Reading list
Reading list and tutor. Resources to support the learning will be provided on Blackboard. In addition a reading list will be provided on Blackboard. Students are provided with an allocated BM4 tutor to support the learning of key subject areas, details can be found within the blackboard pages.
Hospital & GP Tutor Assessment
|Basic Life Support||%|
|Objective Structured Clinical Examination||100%|
Repeat type: Internal
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. At present this contribution is £100 but it is subject to change
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.