The University of Southampton
Courses

MEDI3053 Specialty Weeks (Dermatology, Head & Neck, Neurology & Ophthalmology)

Module Overview

This module focuses on the dermatology, neurology, ophthalmology and head & neck knowledge and understanding, practitioner and professional skills required of an F1 doctor, and the assessments within this module will focus on these areas. The BM programmes are however highly contextualised and integrated programmes in which the application of knowledge and understanding, clinical skills and professional practice applicable to medicine are learned through a range of modules none of which are stand alone modules and therefore this module should be recognised by teachers and students alike as part of the whole year and programme. The Specialties Module in year 4 of the BM programmes is studied along with 4 other clinical teaching modules in Psychiatry, Acute Care, Obstetrics & Gynaecology/GUM and Child Health; a year long Clinical Ethics & Law (CEL) module; and an assessment module called Year 4 Written Assessment. The emphasis of the assessments for each of the 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 modules studied in earlier years as well as modules studied in that year. In addition, the CEL module and Year 4 assessment modules have been purposely designed to assess learning outcomes covered in any of the 5 clinical modules from the year. The module will normally take the format of a 4 week placement in one or more of our University of Southampton partner trusts (one week in each specialty). The timing will vary for different student groups and the teaching staff will vary for different trusts and student groups. As is the nature of clinical placements, the exact learning experiences of each student will be variable however all students will receive the same broad opportunities sufficient to achieve the learning outcomes of the module and it is expected that students will take responsibility for making the most of the opportunities provided and being pro-active in securing experiences in areas in which they feel they have weak and/or they have had least learning experiences.

Aims and Objectives

Module Aims

The module comprises four equally weighted and compulsory elements: • Dermatology • ENT and Head and Neck • Neurology • Ophthalmology The aim of this module is to enable the student to gain basic knowledge and expertise in these specialties in order to equip them for training posts as junior doctors in hospital posts and general 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). On successful completion of the module you will be able to: The doctor as a scholar and a scientist 1. Demonstrate knowledge of normal structure and function, the scientific basis for disease presentation and the selection of appropriate management for relevant common diseases [1.1a, 1.1b, 1.1e] 2. Appreciate the psychosocial impact of certain diseases this will cover things such as “adaption to major life changes”, e.g. stroke, cancer and chronic disease [1.2e, 1.2f] 3. Identify and explain why specific procedures are important [1.1e] The doctor as a practitioner 4. Take a history with a focus on points relevant to ENT, Neurological, Dermatological and Eye symptoms [2.1a, 2.5a] 5. Perform a basic examination in the relevant specialty [2.1c] 6. Justify the selection of appropriate investigations [2.2c] 7. Identify and/or describe the diagnosis and treatment of certain common conditions [2.2b, 2.2f, 2.2g] 8. Formulate a differential diagnosis, investigation and management plan for patients with common conditions [2.2b, 2.2c, 2.2g, 2.5b] 9. Describe the signs and symptoms that are associated with serious disease [2.2a] 10. Recognise those emergency conditions that require immediate referral to a specialist [2.4a] The doctor as a professional 11. Demonstrate that you have taken responsibility for your learning by maintaining a portfolio [3.2b] 12. Demonstrate you have reflected on practice by completing a formal assessment of the knowledge you have assimilated during your attachment [3.2c] 13. Behave in a manner befitting the role of a doctor [3.1a, 3.1b, 3.1c] 14. Take responsibility for your own learning and your continuing professional development [3.2b]

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Demonstrate knowledge of normal structure and function, the scientific basis for disease presentation and the selection of appropriate management for relevant common diseases [1.1a, 1.1b, 1.1e]
  • Recognise those emergency conditions that require immediate referral to a specialist [2.4a]
  • Demonstrate that you have taken responsibility for your learning by maintaining a portfolio [3.2b]
  • Demonstrate you have reflected on practice by completing a formal assessment of the knowledge you have assimilated during your attachment [3.2c]
  • Behave in a manner befitting the role of a doctor [3.1a, 3.1b, 3.1c]
  • Take responsibility for your own learning and your continuing professional development [3.2b]
  • Appreciate the psychosocial impact of certain diseases this will cover things such as “adaption to major life changes”, e.g. stroke, cancer and chronic disease [1.2e, 1.2f]
  • Identify and explain why specific procedures are important [1.1e]
  • Take a history with a focus on points relevant to ENT, Neurological, Dermatological and Eye symptoms [2.1a, 2.5a]
  • Perform a basic examination in the relevant specialty [2.1c]
  • Justify the selection of appropriate investigations [2.2c]
  • Identify and/or describe the diagnosis and treatment of certain common conditions [2.2b, 2.2f, 2.2g]
  • Formulate a differential diagnosis, investigation and management plan for patients with common conditions [2.2b, 2.2c, 2.2g, 2.5b]
  • Describe the signs and symptoms that are associated with serious disease [2.2a]

Syllabus

In order to meet the learning outcomes, the syllabus will most likely contain teaching in the following areas: OPHTHALMOLOGY Lectures: Basic Anatomy and Physiology of the Eye The Painful Red Eye The Eye in Casualty Living with Low Vision General Disease and the Eye Gradual Visual Loss Neuro-ophthalmology and Squint Acute Visual Loss Living with low vision Tutorials including practicals, problem solving scenarios, role play and portfolios: History taking Ophthalmoscopy Eye casualty Optometry Orthoptics Visual fields Drugs and prescribing tutorial Learning Profile Anatomy Practical Patient Based Learning Outpatient clinic Eye Theatres Eye Casualty Teaching Clinic Guided Self Study Virtual Patients DERMATOLOGY Lectures: Structure and Function of Skin History and Examination Common inflammatory skin diseases Acute dermatology Dermatological Treatments and Surgical Techniques Skin cancer Tutorials including practicals, problem solving scenarios, role play and portfolios: Structured clinical teaching with volunteer patients Small group practical sessions Small group sessions on prescribing treatment in dermatology – topical and systemic Patient Based Learning Outpatient clinics Guided Self Study Learning log Handbook eLearning NEUROLOGY Lectures: Neurological Assessment of a Patient Clinical Neuroanatomy Headache Neuroradiology Tutorials including practicals, problem solving scenarios, role-play and portfolios: Seminar Room Teaching including • Clinical Neurology and Neurosurgery seminar sessions • Lumbar Puncture • Neurophysiology • Neuro ICU • Prescribing in neurological conditions Patient Based Learning Neurology and Neurosurgical ward-based teaching Outpatient clinics Neurosurgical Theatres Guided Self Study Learning log Handbook Specialist Nursing e-learning module N.B. In the BM(EU), some Neurology teaching will be covered in the Psychiatry module. HEAD & NECK Lectures: Anatomy, Physiology and Examination of the Ears Anatomy, Physiology and Examination of the Nose Anatomy, Physiology and Examination of the Throat, Larynx and Neck Head and Neck cancer Oral and Maxillofacial diseases Rhinology Pathology, Diagnosis and Treatment Otology diagnosis and treatment Tutorial: Clinical skills hands on session; how to use otoscopes, headlamps and tuning forks; examination of the ears nose throat and neck Emergency ENT Prescribing in ENT Tracheostomy Care Audiology Patient Based Learning: Outpatient clinics Theatres Ward Hearing tests Guided Self Study: Learning log

Learning and Teaching

Teaching and learning methods

The module will be taught through a range of learning and teaching strategies which will include: • Lectures • Tutor led tutorials • Practical sessions • Guided self-study • Problem solving scenarios • Role play • Group work • Portfolios • Study packs • Patient based learning including structured clinical teaching with volunteer patients and participation in working clinics and operating rooms Dermatology will include clinical sessions for some students in Portsmouth.

TypeHours
Independent Study47.5
Placement Hours140
Total study time187.5

Resources & Reading list

Dhillon R, et al (1999). Nose & Throat and Head & Neck Surgery: an Illustrated Colour Text. 

Hunter, Savin & Dahl. Clinical Dermatology. 

Weller (2008). Clinical Dermatology. 

Bull T R (1995). Colour Atlas of ENT Diagnosis. 

Jack J. Kanski, Brad Bowling. Synopsis of Clinical Ophthalmology. 

The British Association of Dermatology.

O Donoghue G et al (2000). Clinical Ent: An Illustrated Textbook. 

University of Erlangen on-line Atlas of Dermatology.

Hawke M (1995). Colour Atlas of Otorhinolaryngology. 

Scott-Brown ( 1997). Otolaryngology. 

G Fuller and M Manford (2005). Neurology : An illustrated Colour Text. 

Buxton (2009). ABC of Dermatology. 

David J Gawkrodger. Dermatology. An Illustrated Colour Text. 

Blackboard.

Richard Ashton & Barbara Leppard. Differential diagnosis in Dermatology. 

Peng Khaw, Peter Shah, Andrew R Elkington:. ABC of Eyes:. 

The New Zealand Dermatologists’ website..

Collier JAB, Longmore JM & Brown TJD (1999). Oxford Handbook of Clinical Specialties. 

Graham Brown & Burns.. Lecture notes on Dermatology. 

Gawkrodger D. (2002). Dermatology: an Illustrated Text.. 

American Academy of Dermatology.

Assessment

Summative

MethodPercentage contribution
End of Placement Evaluation 100%

Repeat Information

Repeat type: Internal

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