MEDICAL AND SURGICAL SPECIALITY ROTATIONS - 2024/5

Module code: PASM009

Module Overview

Following a preparatory week, students will be spending clinical placement time at our Trust partner hospitals rotating through the clinical disciplines of Obstetrics and Gynaecology, Paediatrics, Psychiatry, Emergency Care, General Medicine and Surgery.
During their clinical placements, students will also spend one day in every three weeks in consolidation/ clinical skills learning back in the University.
Module 9 includes a Reading Week.

Module provider

School of Health Sciences

Module Leader

DOULTON Jia (Health Sci.)

Number of Credits: 30

ECTS Credits: 15

Framework: FHEQ Level 7

Module cap (Maximum number of students): N/A

Overall student workload

Clinical Placement Hours: 258

Lecture Hours: 42

Module Availability

Semester 1

Prerequisites / Co-requisites

A student has to complete Module 9 before being able to sit the relevant section of the SBA at the end of the First Semester in Year 2.

Module content

¿ Application of the above Learning Outcomes to the clinical disciplines of Paediatrics, Mental Health, Obstetrics and Gynaecology, Emergency medicine , General Medicine and Surgery building on knowledge, skills and attitudes acquired from Year 1 of the programme.
¿ Students will consolidate:
Professional Values
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.
The Life-course Case-Based learning
Pharmacology and Therapeutics
The core procedural skills

Assessment pattern

Assessment type Unit of assessment Weighting
Examination Single Best Answer 100 questions (2 hours) 100
Coursework Professional Behaviour and Clinical Practice (PBCP) portfolio Pass/Fail

Alternative Assessment

None

Assessment Strategy

Students are required to pass the SBA paper. The pass mark for the SBA paper will be 50% or above.
Pass in Professional Behaviour and Clinical Practice (PBCP) portfolio work (to include the Educational Supervisor report, Clinical Skills log showing satisfactory progression in designated core procedural skills, and engagement with University and placement coursework, to include case presentations, short essays and Journal Club). (This is a Pass / Fail assessment and needs to be passed in order to pass the module, but does not contribute to the module mark).

Module aims

  • ¿ Provide students with the opportunity to build on their learning from virtual cases and clinical experience in Primary Care from Year 1, learning to apply knowledge and skills effectively through clinical reasoning, professional judgement, and in a patient-centred manner for the management of core medical conditions in the relevant specialties.
  • ¿ Give students clinical experience of working in secondary care settings in these disciplines, and to understand ¿patients¿ journeys¿ on admission to hospital. Students will follow patients admitted to hospital, clerking and making the initial medical assessment (under supervision), learning how to make differential diagnoses in situations that are sometimes complex and uncertain. They will be involved in all stages of management of their patients to their discharge from hospital.
  • ¿ Broaden students¿ knowledge of patient presentations, building on those learned in Year 1.
  • ¿ Give students the opportunity to learn core procedural skills, and continue practising core procedural skills learnt in Year 1, now with ¿real¿ patients, and to show competence in these skills.
  • ¿ Develop students¿ professional and reflective approach to their patients and to their clinical responsibilities as Physician Associates working with Health and Social Care Teams in the NHS setting.
  • ¿ Develop deeper understanding of people¿s right in accordance with the Equality Act 2010, acting with respect towards all patients, colleagues and students, and to know how to take action to protect patients if needed.

Learning outcomes

Attributes Developed
001 Demonstrate a comprehensive understanding and delivery of professional behaviour and probity, and an ability to maintain effective relationships with colleagues, on clinical placements and on campus. P
002 Prioritise workload, using time and resources effectively. Effectively and efficiently hand over responsibility to other health and social care professionals P
003 Recognise and work within the limits of their professional competence and scope of practice, and within the scope of practice of the supervising clinician. Demonstrate a commitment to lifelong learning T
004 Participate in clinical governance activity, using evidence, guidelines and audit to benefit patient care and improve practice C
005 Recognise and appraise the need to manage resources in the NHS cost-effectively T
006 Initiate and maintain accurate timely and relevant medical records T
007 Show an understanding of patients¿ rights, in accordance with legislation, policies and procedures, particularly for vulnerable groups (children, vulnerable adults eg with learning difficulties), applying this knowledge to specific patient situations. T
008 Keep a log of patients seen, ensuring that core clinical conditions have been covered in the placement disciplines of paediatrics, obstetrics and gynaecology and mental health, emergency medicine, general medicine and surgery K
009 Demonstrate the ability to maintain effective clinician-patient relationships, showing effective communication with patients, carers and children and young people. T
010 Perform a tailored and holistic assessment, working with the patient and his/her carer(s) to make the best therapeutic use of the consultation and develop an appropriate management plan. C
011 Recognise and justify when to take appropriate action in safeguarding and promoting the welfare of vulnerable patients, in particular children, and patients with mental health problems. C
012 Demonstrate how to take a patient-centred history and perform a sensitive, focussed clinical examination K
013 Perform a comprehensive mental state examination. Interpret evidence, exercise clinical judgement and manage risk: K
014 Build on learning from Year 1 cases and placements, interpreting and applying the clinical anatomy, physiology and basic sciences, as well as the clinical learning from virtual cases, to ¿real¿ patient cases and settings, keeping a reflective log of selected patients and taking part in case based discussions with educational supervisors. C
015 Work safely in situations of diagnostic uncertainty when information/ data is incomplete. Recognise risks to self, the team, patients and others and able to take appropriate action to eliminate/ minimise danger. CT
016 Revise and practise clinical skills learnt in Year 1, this time on real patients under supervision, that are relevant to these clinical placements P
017 Working under medical delegation clauses, determine and propose appropriate therapeutic interventions from the full range of available prescription medicines used in the clinical setting, with justification. Write accurate and legible prescriptions in all clinical settings for review and signature by a supervising clinician. K
018 Maintain confidentiality, but know when confidentiality needs to be broken to keep patients or others safe. P
019 Practice in a manner which is grounded in the underlying principles of the NHS as a patient centred service, free at the point of delivery, Understand and be able to critique the applications of principles promoting health and preventing disease. KP
020 Maintain an awareness of national and local guidelines relevant to the areas of practice in the clinical placements of this module, and of any new developments in these areas. K

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Methods of Teaching / Learning

The building of knowledge and understanding will be achieved by an integrated learning strategy following a spiral curriculum design. Following the full life course cycle of virtual cases in Year 1, this design with ensure that in Year 2, this learning 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.

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.

Reading list

https://readinglists.surrey.ac.uk
Upon accessing the reading list, please search for the module using the module code: PASM009

Other information

There is no alternative assessment

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 2024/5 academic year.