Teaching and learning methods
The child health module takes a hub and spoke based approach to provide small group teaching for the core areas within the hubs and maximise clinical exposure within a large number of spokes. The hubs and spokes and exact teaching timetable may vary from year to year but the following is an indication of the likely delivery and timetable: There are six hubs (Kassel (BM EU), Guildford, Poole, Portsmouth, Southampton and Winchester) and eight spokes (Basingstoke, Dorchester, Frimley Park, Isle of Wight, Salisbury, Jersey, Reading, Wrexham Park). The module will be divided into three sections:
- Week 1 - students based in one of the hubs – cover core child health topics including history and examination.
- Weeks 2-7 – students based in one of many spokes – clinical exposure to breadth of child health plus ACC assessments
- Week 8 – return to hubs to consolidate experience and cover more specialised aspects.
There will be a timetable for each section and a contact for each teaching centre.
Doctors work in shift patterns and rotas throughout much of their working lives and to prepare you for such working once you graduate, throughout your programme you will be expected to undertake placements in the evenings, at nights and at weekends. This will not be an onerous requirement and will be negotiated well in advance so that students with carers’ requirements will be able to ensure appropriate arrangements are in place for cover.
Within this module there may be some core/compulsory activities that will take place in the evenings, nights or weekends therefore students will commitments that will be affected by these should be pro-active in securing details of these activities well in advance of the start of the module. In addition, many non core learning opportunities will be available during these times and students are encouraged to take advantage of them
In light of the pandemic we are mindful of the need to balance in person practical experience with a safe learning environment for students and the patients. We acknowledge that in-person learning is preferable for clinical specialities but have developed a number of online teaching options and will endeavour to balance the use of these to give students a safe and thorough paediatric foundation.
HUB INTRODUCTORY WEEK 1
This week is intended to prepare students for the placement, covering core topics within Child Health and teaching the principles of history taking and examination in children and young people. Students will receive an introduction to safeguarding and guidance on how to raise concerns within their placement. The assessment structure for the module will be introduced and students will encouraged to choose a topic for the presentation in week 8.
SPOKE WEEKS 2-7
- Weekly tutorial on key topics in Child Health. This tutorial system would also provide pastoral support.
- Skills training, system examinations, newborn check. This would be recorded into a skills log book.
- Virtual patients would support learning, with some patients being compulsory to ensure the key presentations are covered by students.
- Other teaching sessions on specific topics such as bruising, diabetes or neonates.
- Paediatric prescribing tutorial
- Attendance at unit meetings, eg M&M, grand round, X-ray meetings
- Attendance for half a day at special school and/or nursery
Expectations about experience gained in spokes: one tutorial based session a week, one ward-based examination skills session a week, two sessions in assessment unit or emergency department a week including time during the evening, two sessions at outpatients clinics a week including at least one developmental clinic, at least four ward rounds, two neonatal sessions and clerking and presenting at least 12 (ideally at least 20) patients with different presentations over the 6 week period.
It is expected that all students will become proficient in the following practical skills: history taking – ED, outpatients, ward-based children; examination of respiratory system, cardiovascular system, abdomen, CNS, skin, ENT and head, musculo-skeletal; developmental examination and neonatal examination.
Additionally 3 Assessments of Clinical Competencies (ACCs) will be undertaken in the spoke weeks, ideally in the later weeks but may occur early if necessary and adequate opportunity to meet the learning needs has been provided prior.
HUB CONSOLIDATION WEEK 8
This week provides an opportunity for students to present cases they have seen and then discuss and reflect on them. Together, these will form a theory, experience, reflection cycle.
- Student presentations and discussion. Students will be informed of presentations in week 1 to allow them to find cases while there are in spokes.
- Question and answer session with key child health professionals
- Additional topics not otherwise covered
|Completion of assessment task
|Wider reading or practice
|Practical classes and workshops
|Preparation for scheduled sessions
|Total study time