The University of Southampton
Courses

MEDI6113 Medicine Year 5

Module Overview

This module provides the students with the opportunity to develop the knowledge, skills and attitudes which are necessary to practice in Medicine as a newly qualified doctor. This module builds on earlier Medicine attachments and the Acute Care and Ethics & Law modules. This module focuses on the knowledge and understanding, practitioner and professional skills required of a newly qualified doctor in General Internal Medicine, 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 Medicine Module in BM Year FIVE is studied along with 5 other clinical teaching modules in Primary Care, Surgery, a student selected unit, an assistantship module, an elective module; a 6 month long Personal and Professional Development (PPD) module; and an Assessment and ILS module. 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 Year 5 assessment & ILS module has been purposely designed to assess learning outcomes covered in any of modules within the programme. The module will normally take the format of an 8 week placement in one or more partner trusts. The timing will vary for different student groups and the teaching staff will vary for different practices 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 are weak and/or they have had least learning experiences.

Aims and Objectives

Module Aims

The aims of this module are to: • consolidate the clinical skills of history taking and physical examination • experience and understand working in a multi-professional team on duty for acute admissions to medical wards • gain experience in the management of patients with the conditions usually encountered on medical wards and clinics in hospital • understand safeguarding in vulnerable adults • gain a balanced view of health needs in old age • understand the role of healthcare professionals in end of life care • continue development of communication skills with patients, their families and other health professionals • develop the knowledge, skills and professional behaviours which are necessary to practise medicine at FY1 level During your Medicine attachment you should clerk, record and present patients with a variety of conditions (minimum 30 cases). You should also attend clinics and tutorials in Rheumatology (minimum of 3 sessions). Within either your Medicine OR your Surgery Module you are also expected to attend : • a session on intravenous procedures • 2 pharmacist-led rounds/clinical teaching sessions In addition you are expected to complete two self-assessment drug folders which can be found in the pharmacy prescribing handbook

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Interpret and analyse clinical information [1.1g]
  • Undertake the assessment and describe the management of patients with a wide variety of common medical conditions [2.2a, 2.2b, 2.2c, 2.2d, 2.2e, 2.2f, 2.2h, 2.5b]
  • Demonstrate familiarity with commonly used drugs in the management of medical patients across a range of specialties in the emergency and in-patient setting [2.5b]
  • Prescribe drugs safely, effectively, and economically including establishing an accurate drug history and accessing reliable information about medicines [2.5a, 2.5b, 2.5c, 2.5d, 2.5e, 2.5f, 2.5g, 2.5h]
  • Determine the extent to which patients want to be involved in decision-making about their care and treatment [2.1f]
  • Recognise when a vulnerable adult may be suffering from abuse or neglect and know what action to take to safeguard their welfare [2.2i]
  • Contribute to the care of patients and their families at the end of life including management of symptoms and safe and effective teamworking [2.2j]
  • Start to keep accurate, legible and complete clinical records [2.7a]
  • Carry out practical procedures relevant to practicing post graduation in medicine [2.6a, 2.6b, 2.6c]
  • Communicate effectively with patients and their relatives from all backgrounds [3.1c, 3.1d]
  • Communicate effectively with health care professionals across disciplines including the presentation of cases to peers, tutors and medical colleagues [3.3a, 3.3b. 3.3c]
  • Select appropriate investigations for common clinical cases and explain the fundamental principles underlying such investigative techniques [1.1e]
  • Describe and reflect on the role of the newly qualified doctor in the medical team [3.3a, 3.3b, 3.3d, 3.4c]
  • Know about and demonstrate behaviour consistent with the guidance of the GMC in Duties of a Doctor [3.1a, 3.1b, 3.1c, 3.1d, 3.4a]
  • Work with colleagues, leading to effective team working, and understand the contribution this has to the delivery of safe, high-quality care [3.3c]
  • Demonstrate responsibility for reflection on practice and self-directed learning [3.2a, 3.2b, 3.2c, 3.2d, 3.2e]
  • Reflect and uphold the values and ethics of the profession [3.1a, 3.2c]
  • Explore and discuss ethical and legal issues raised in different clinical settings [3.1a, 3.1g]
  • Demonstrate awareness of the interests and dignity of patients [3.1c]
  • Promote, monitor and maintain health and safety in the clinical setting [3.4i, 3.4j]
  • Understand the importance of, and the need to keep to, measures to prevent the spread of infection, and apply the principles of infection prevention and control [3.4h]
  • Take responsibility for your own learning and continuing professional development [3.2b]
  • Apply scientific method and approaches to medical research [1.5a,c.]
  • Take a full history including family and social history, talking to relatives or other carers where appropriate [2.1a, 2.5a, 2.5h]
  • Provide explanation, advice, reassurance and support [2.1g]
  • Undertake a full physical examination [2.1c]
  • Integrate information in order to formulate a differential diagnosis [2.2a, 2.2b]
  • Assess the presentation of patients with acute medical emergencies, and describe the initial assessment and management [2.4a, 2.4b, 2,5b]
  • Provide immediate care in medical emergencies, including provision of cardio-pulmonary resuscitation [2.4b, 2.4d, 2.4e]

Syllabus

The topics covered in this module will include: • Taking, recording and presenting a clinical history from patients with a wide variety of medical conditions • Physical examination • Recognition and management of the deteriorating patient • Cardiopulmonary resuscitation • Assessment, differential diagnosis and investigation of common presentations of medical emergencies including: o Chest pain o Acute delirium o Acute breathlessness o Transient loss of consciousness o Headache o Sepsis Gastrointestinal bleeding • Recognition, investigation and management of a wide variety of medical conditions including (not exclusive) ? Ischaemic heart disease, ? valvular heart disease, ? heart failure, ? hypertension, ? acute respiratory disease, ? chronic obstructive pulmonary disease, ? thyroid disease, ? diabetes mellitus, ? inflammatory disorders of the gastro-intestinal tract, ? haematological disorders, ? cerebro-vascular disease, venous ? thrombo-embolism, ? acute and chronic disturbances of liver and kidney function, ? common systemic and infectious disorders of the joints and musculo-skeletal systems, ? malignancie ? self-poisoning • Inter-professional team working, including effective communication • Practical prescribing • Safeguarding vulnerable adults You will be expected to undertake a range of therapeutic and diagnostic procedures during the placement which includes the practical procedures competency sign offs that are necessary to pass the Assessment and ILS module.

Learning and Teaching

Teaching and learning methods

The module will be taught through a range of learning and teaching strategies which may include: • Tutor led tutorials • Practical sessions • Problem solving scenarios • eLearning • Patient based learning • Self-directed study • Clinical skills teaching • personal Learning Logbook • 3 Assessments of Clinical Competence (ACCs) • 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 Although students are NOT required to complete or pass 3 formative ACCs to complete this module, those who can evidence satisfactory marks in 3 ACCs will be able to use these for successful completion of the ACCs assessment component of the “Finals Assessment” module in final year. Students who complete all of their ACC assessment components in the Finals Assessment module through ACCs within other modules will be exempt from the ACC final examination (see Finals Assessment Module for further details). The Learning Logbook The purpose of this Learning Logbook is to record your activities during your medicine attachment. It should act as both a record of your clinical experience and a means of reflecting on your learning. You are expected to clerk and present a minimum of 30 cases during your final year medicine attachment and can include patients seen in outpatients. At least 3 of these patients should be followed through the hospital journey. You will find space within your Learning Logbook to record your clinical experience during each of these interactions on a case-by-case basis. You should briefly summarise the cases/clinical conditions seen within each section, and reflect on the learning points that each has afforded (for example any ethical, diagnostic, management, or communication challenge experienced). These should be used to inform your further learning, and the Learning Logbook and its contents should then be discussed with your consultant at the end of your attachment as part of the assessment of your performance.

TypeHours
Preparation for scheduled sessions13
Work based learning300
Completion of assessment task10
Tutorial16
Supervised time in studio/workshop20
Seminar16
Total study time375

Resources & Reading list

Warrell, DA et al (2004). Oxford Textbook of Medicine. 

Graham D. (2009). Macleod’s Clinical examination. 

Epstein, O et al. (2008). Clinical Examination. 

Kumar P, Clark M (2009). Clinical Medicine.. 

Adejabo A (2010). ABC of Rheumatology. 

Davidson’s Principles and Practice of Medicine. 

Radiology.

Hutchinson’s Clinical Methods,. 

Rheumatology.

Longmore M, Wilkinson I, Davidson E, Foulkes A, Mafi A (2010). Oxford Handbook of Clinical Medicine. 

Assessment

Summative

MethodPercentage contribution
End of Placement Evaluation 100%

Referral

MethodPercentage contribution
Individual Activity’ 100%

Repeat Information

Repeat type: Internal

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