INTRODUCTION TO INTEGRATED CASE-BASED MEDICINE - 2023/4
Module code: PASM012
Students will receive a basic introduction to learning clinical medicine, with and individual student needs assessment, and induction to the University and its student support services. They will then start the case based learning section of Year 1, undertaking
the first three cases.
School of Health Sciences
DOULTON Jia (Health Sci.)
Number of Credits: 15
ECTS Credits: 7.5
Framework: FHEQ Level 7
Module cap (Maximum number of students): N/A
Overall student workload
Lecture Hours: 150
Prerequisites / Co-requisites
A student has to complete the module before being able to sit the relevant section of the SBA paper at the end of the first semester.
Introduction to the Physician Associate programme and to Surrey University (including introduction to student support
systems at Surrey), an overview of the course, initial needs assessment of new PA students, and introductions to
professionalism, ethics and law, therapeutics and pharmacology and the clinical method
Courses on Manual Handling, Basic Life Support and Child Protection.
First three cases of the sequence of 18 cases in Year 1: Childhood development, Common childhood complaints, Teenage
and Adolescence, with musculoskeletal injury.
Students will learn:
Public Health and Epidemiology
Ethical and legal issues
Basic sciences relating to the cases in the module
Communication and development of interpersonal skills
The Clinical Method ¿ taking focussed histories and performing clinical examinations in the systems identified by the cases
in the module
Start on the case-based learning
Pharmacology and Therapeutics
|Unit of assessment
|SINGLE BEST ANSWER EXAM
The assessment strategy is designed to provide students with the opportunity to demonstrate progression in their learning in
three domains of learning:
Knowledge and Applied Knowledge of Clinical Medicine and the Basic Biosciences that underpin Clinical Medicine
Clinical Skills, in both core procedural skills, and consulting with patients
Because this is an integrated course, many of the learning outcomes listed above are tested by more than one type of assessment
Knowledge and applied knowledge will be tested mainly by the SBA paper, Clinical skills by the
Clinical Skills log, the portfolio and the end of year OSCE examination, and Professional Behaviour by the SBA paper, the portfolio
and the OSCE examination
Students will receive frequent formative assessment, with rapid feedback and remediation as needed. This will take place at the en
d of each section of the module, ie induction, and the end of each Case.
At the end of the module, students will need to show that they have attained the learning outcomes for Module 1.
Thus, the summative assessment for this module consists of:
50 questions from a 100 question Single Best Answer (SBA) paper at the end of Semester 1 (2 hour paper, 120 minutes). In
order to pass Module 1, students will need to show a mark of 50% or more in the 50 questions relating to Module 1 content.
Pass in Professional Behaviour and Clinical Practice (PBCP) portfolio to end of Case 3 (to include Tutor Report, Clinical
Skills log, engagement with Coursework), successful completion of BLS course and manual handling course, Child
Protection course levels 1 and 2). (This is a Pass/ Fail examination and needs to be passed in order to pass the module, but
does not contribute to the module mark).
Quizzes at the end of each Virtual Case, and formative SBA paper in Week 10 (30 questions, 45 minutes).
Coursework as determined by module content (case studies, short essays on topical related issues in health etc)
Clinical Skills log (formative section with feedback)
Reflective diaries and short essays based on clinical placements Patient feedback (simulated and real patients)
Students will receive rapid feedback from their frequent formative tests, and from the eportfolio marking.
- Introduce students to learning clinical medicine, the medical method of consulting with patients, professional conduct as a
clinician and the NHS structure and function
- Introduce students to some essential clinical skills including a Basic Life Support Course and Manual Handling course
- Start students on the clinical case based learning, completing the first of three cases
|Define and describe aspects of professional behaviour and probity, such as awareness of own limits of professional competence, importance of team working, and importance of good communication with patients and colleagues
|Show understanding of appropriate care for vulnerable patients (in this case, children and young adults), and of children's rights (including Gillick competency).
|Identify when to share information in a timely and accurate manner while respecting legislation on the control and confidentiality of information
|Describe and demonstrate ability to take a patient-centred, focussed musculo- skeletal system history from a patient
|Describe the special aspects of the clinician-patient relationship
|Demonstrate basic ability to use clinical information to put together a likely differential diagnosis
|Introduction to radiology and XRay interpretation.
|Identify relevant psychological and social factors, integrating these perspectives with the biomedical evidence to elucidate current problems
|Perform a focussed musculo-skeletal consultation (history and examination), tailored to the needs of the patient.
|Show basic ability to interpret evidence/ findings from the consultation
|Discuss common drugs used in musculo-skeletal conditions and their side-effects/ interactions
|Show knowledge of the British National Formulary and how to use it.
|Show ability to use reflective thinking and writing to critically evaluate own practice to identify learning/ developmental needs and identify and utilise learning opportunities
|Show knowledge of musculoskeletal presentations and their investigation and management
|Core Procedural Skills: Measure body temperature
|Show understanding of the basic structures and function of the NHS, and its guiding principles
|Core Procedural Skills: Measure pulse rate
|Core Procedural Skills: Draw up and give intra muscular, subcutaneous, and intra-dermal injections
|Core Procedural Skills: Take a venous blood sample on a simulator, using appropriate tubes for required tests
|Core Procedural Skills: Successful completion of manual handling course
|Core Procedural Skills: Successful completion of Child Protection Course Level 2
|Show understanding of the purpose and use of clinical guidelines in general, and where to find them
|Value the roles fulfilled by other members of the health and social care team
|Recognise when to take appropriate action in safeguarding and promoting the welfare of the child
|Undertake and complete Child Protection Courses at Level 1 and Level 2 during Induction period, and Level 2
|Describe the functional anatomy and physiology of the cardiovascular system and the pathophysiology and risk factors of common conditions affecting this system.
|Perform focussed cardiovascular system examination, tailored to the needs of the patient
|Discuss common drugs used in cardiovascular conditions and their side-effects / interactions
|Discuss principles promoting health and preventing disease, in particular healthy lifestyle issues such as smoking, alcohol consumption and diet, with particular reference to Primary and Secondary prevention of cardiovascular disease
|Participate in cardiopulmonary resuscitation to the level expected in Basic Life Support Training
|Perform and interpret a 12 lead ECG, relating abnormalities to the functional anatomy of the heart.
|Obtain a manual blood pressure
|Perform intra-venous cannulation
|Monitor oxygen saturation transcutaneously
|Describe and demonstrate ability to take a patient-centred, focussed cardiovascular system histories from a patient
|Describe the principles of epidemiology as applied to coronary artery disease, the evidence base behind current clinical guidelines for these diseases and the National Institute for Clinical Evidence.
C - Cognitive/analytical
K - Subject knowledge
T - Transferable skills
P - Professional/Practical skills
Methods of Teaching / Learning
The learning and teaching strategy is designed to:
Allow students an opportunity to learn about facilities and support structures available at the University of Surrey, and to settle
into a new learning environment. They will be introduced to the principles of adult and reflective learning, an overview of the i
ntegrated nature of the course and its assessment methods. The building of knowledge and understanding will be achieved by
an integrated learning strategy in Year 1, centred around small group Case Based Learning, following a sequence of virtual cases. Concurrently, they will spend up to one day/ week on clinical pl
acement in a carefully selected GP surgery, learning in the workplace and meeting patients who illustrate and add to their
learning from the virtual cases.
In Year 2 a spiral curriculum design will ensure that learning from the cases and 1 day clinical placements in Year 1 is
consolidated through a range of longer clinical placements in both Primary and Secondary Care, to include: Paediatrics,
Obstetrics and Gynaecology, Acute Medicine, Surgery, Care of the Elderly, Psychiatry and General Practice.
The learning and teaching methods include:
Small group case based learning in Year 1 ¿ each case lasts for 2 weeks. (4.5 hours/ week x 7 week)
Lectures (3-4 hours/ week x 10 weeks)
Practicals in Year 1, to revise and refresh biosciences learning in physiology (1.5 hours/ week x 10 weeks)
Clinical Anatomy teaching based on models, clinical demonstrations, imaging and e learning. (1.5 hours/ week x 10 weeks)
Clinical Skills sessions in the Simulations Suite, to learn consultation skills as well as core procedural skills (3 hours/ week x
Clinical Placements ¿ in Year 1, these will be 1 day/ week in GP surgeries selected by HEKSS following GMC guidelines,
where students will meet a variety of patients, including patients similar to their ¿virtual¿ cases. (8 hours/ week x 7 weeks)
Independent study, guided by the small group case based learning (9 hours/ week x 10 weeks)
Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.
Upon accessing the reading list, please search for the module using the module code: PASM012
This module is only available to students undertaking the Physician Associate programme.
Programmes this module appears in
|Physician Associate Studies PGDip
|A weighted aggregate of 50% overall and a pass on the pass/fail unit of assessment is required to pass the module
Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2023/4 academic year.