Module overview
The MiP2 course builds on the communication and history taking skills introduced in MiP1 ,to further develop and expand the clinical history . The module also teaches the physical examination of all the major systems , using a variety of methods including working with patients , simulated patients , anatomical models and students themselves. Students spend an afternoon every fortnight with a GP tutor,usually in a GP practice. They are facilitated in small groups by the GP teacher who remains with the same group throughout the year. Students also spend 3-4 afternoons per year in small groups /one to one with clinical teachers at Southampton General Hospital.
To gain experience of interacting with patients and of working in a multidisciplinary team setting in the hospital, students are placed on wards to work several shifts as Healthcare Support Workers ( HCSWs) as part of the nursing team.
Details of these placements will be provided further on Blackboard
Aims and Objectives
Learning Outcomes
Learning Outcomes
Having successfully completed this module you will be able to:
- Describe, from general observation, a patient’s appearance, manner and behaviour, and to reflect on their possible interpretations
- Obtain a full structured history from a patient
- Carry out a physical examination with regard to: a. General appearance b. Cardiovascular system c. Respiratory system d. Locomotor system e. Central nervous system f. Gastrointestinal and genitourinary system
- Function effectively as a junior member of a multi-disciplinary ward team, understanding and respecting all colleagues, and their contributions to safe and effective patient care
- Describe what is meant by patient-centeredness and recognise some of the challenges in delivering patient-centred care
- Identify some of the features of good communication with patients and professional colleagues.
- Identify your personal values and reflect on how your personal attitudes influence the way you work
- Demonstrate effective communication with patients
- List the key criteria of professionalism and describe why each is important to the day-to-day practice of medicine
- Present your findings to either your colleagues, your teacher or an examiner
- Demonstrate a commitment to the workplace by participating fully in ward work rotas, ensuring that you manage your time, arranging cover appropriately if you cannot attend your scheduled rota
- Treat all patients politely, considerately and with respect
- Recognise the importance of effective communication with patients, both verbal and non-verbal
- Carry out basic diagnostic procedures such as urinalysis, and measurement of pulse and blood pressure, and record these in the patient’s health record
- Demonstrate sound understanding of measures required to protect patient safety including infection prevention and control
- Demonstrate that you understand the importance of confidentiality in providing care to patients
Syllabus
To meet the learning outcomes, the syllabus will contain teaching in the following areas:
- Development of history taking skills focussed on the major body systems;
- Ability to examine patients for all the major body systems, notably cardiovascular, respiratory, neurological, gastrointestinal, and locomotor;
- Instruction in basic clinical skills and hospital induction to prepare
for ward familiarisation and work.
Development of skills in working as part of a multi-disciplinary team and will obtain experience of working on the wards in hospital under strict supervision
Interaction with patients, carers, and occasionally simulated patients both in hospital and general practice.
You will need to complete the designated year 2 statutory and mandatory training for working as a healthcare professional in a clinical setting. This includes DBS clearance and applicable EPP cover (as advised by Occupational Health)
Learning and Teaching
Teaching and learning methods
The module will be taught through a range of learning and teaching strategies which will include face to face and online methods of delivery in:
- patient or simulated patient led teaching
- small group work
- guided self-study
- tutor led tutorials
- role-playing
- clinical skills simulation
- workplace learning
| Type | Hours |
|---|---|
| Wider reading or practice | 5.5 |
| Tutorial | 5 |
| Lecture | 3 |
| Practical classes and workshops | 6 |
| Follow-up work | 30 |
| Placement | 70 |
| Preparation for scheduled sessions | 38 |
| Revision | 30 |
| Total study time | 187.5 |
Resources & Reading list
General Resources
See Blackboard. Please see the Blackboard module page for current resources, the full reading list for this module is available on the Library Online Reading List at http://soton.rl.talis.com/
Assessment
Assessment strategy
For assessments with no percentage contribution recorded, students will be assessed on a pass/fail basis.
Summative continuous assessment:
Students are assessed by both GP and hospital teachers during the year and their evaluations graded at the end of the placement as per clinical attachments: Fail, Bare Pass , Clear pass and Excellent.These assessments will be based on attendance, participation, clinical skills shown during sessions, evidence of preparation beforehand, and general engagement. It may involve the use of the learning logbook.
As part of their HCSW attachment, students will be expected to undertake the required induction, obtain sign off from ward staff , reflect on their experiences and feedback in a facilitated group session and upload required evidence.
Formative Objective Structured Clinical Examination (OSCE-1 hour)-(1 hour)- Students will be required to take a short OSCE (objective structured clinical exam). The content of the stations will test practical abilities related to communication, history taking and clinical examination. This will be a formative experience and will prepare students for the summative OSCEs in later years. Failure to attend the OSCE will result in failure of the Hospital Summative assessment component.
Formative Self Assessment
Students keep a record of achievements in each taught session, against the specified learning outcomes. This is done by completing the Assessment sheet provided with the MiP2 handbook.
Formative
This is how we’ll give you feedback as you are learning. It is not a formal test or exam.
Self-assessmentSummative
This is how we’ll formally assess what you have learned in this module.
| Method | Percentage contribution |
|---|
Referral
This is how we’ll assess you if you don’t meet the criteria to pass this module.
| Method | Percentage contribution |
|---|
Repeat Information
Repeat type: Internal