School of Medicine Keele University Session for students families - - PowerPoint PPT Presentation

School of Medicine Keele University

Session for students’ families Visit Day 2014 RK McKinley

Who are we?

• A new medical school (11 years old)
• Started in conjunction with

Manchester University

• An independent school with a fully

accredited new curriculum

• A vibrant place with 650 medical

students, great facilities and experienced teachers

Excellent facilities: 2 counties, 4 hospitals, 100+GP surgeries Promotion of professional, socially responsible, globally-aware attitudes Student-centred Learning: Feedback Engagement Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Excellent facilities: 2 counties, 4 hospitals and 2 mental health trusts 100+GP surgeries Promotion of professional, socially responsible, globally-aware attitudes Student-centred Learning: Feedback Engagement

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Excellent facilities: 2 counties, 4 hospitals and 2 mental health trusts 100+GP surgeries Promotion of professional, socially responsible, globally-aware attitudes

Student-centred Learning: Feedback Engagement

Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Excellent facilities: 2 counties, 4 hospitals and 2 mental health trusts 100+GP surgeries

Promotion of professional, socially responsible, globally-aware attitudes

Student-centred Learning: Feedback Engagement Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Excellent facilities: 2 counties, 4 hospitals and 2 mental health trusts 100+GP surgeries

Promotion of professional, socially responsible, globally-aware attitudes Student-centred Learning: Feedback Engagement Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Excellent facilities: 2 counties, 4 hospitals and 2 mental health trusts 100+GP surgeries Promotion of professional, socially responsible, globally-aware attitudes Student-centred Learning: Feedback Engagement Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

What? GMC themes:

Doctor as a 1.Clinician 2.Scholar 3.Professional

• Scientific basis of medicine
• Clinical, Communication and IT Skills
• Individual, Community and Population Health
• Quality and Efficiency in Healthcare
• Ethics, Personal and Professional

development

The Keele Curriculum

Discovery Learning

PBL  Experiential learning  Mentored reflection

The Keele Curriculum

How?

• A variety of learning methods
• Early clinical exposure
• High level of integration
• Small groups
• Self-directedness

Course outline

Year 1

Getting started, acquire knowledge of normal structure & function, test vocation, exposure to all areas of medicine

Years 2, 3 & 4

Learning in context, develop competence in clinical, scientific and social settings

Year 5

Extended placements in clinical settings, preparation for practice

Years 1 and 2

• Majority of time spent on campus

– Learning underpinning basic and behavioural sciences – Developing communication and some

• ther clinical skills
• Regular time spent off campus

– Healthcare and 3rd sector placements – Developing skills – Understanding healthcare settings

Years 1 and 2

• A blend of Problem Based Learning,

lectures, practicals, early clinical experience, skills sessions and anatomy

• Emphasis on learning about normal

functions of the human body, behavioural and social science

Case 2: A respiratory emergency

Meanwhile Ravi has been put on a trolley and has had his pulse and blood pressure checked by a junior nurse… Suddenly Ravi complains of sudden difficulty in breathing and collapses… he is transferred immediately to the resuscitation room. A team

• f nurses and doctors start his resuscitation…

an initial “airway, breathing, circulation” (ABC) assessment is carried out quickly. It is noted that the airway is clear, there are decreased breath sounds in the left lung, and there is a strong regular Radial pulse. Basic observations are taken and these show that the respiratory rate is 35/min, oxygen saturation 90%, pulse 90 beats per minute and blood pressure 120/75 mmHg.

Lectures that week

• Ventilation and gas exchange
• Gas transport and blood gases
• Anatomy of the chest
• Imaging of the chest
• Data Handling
• Introduction to medical ethics

Other teaching that week

• Experiential learning –working in

groups

• Laboratory session-vital signs-pulse

and BP

• Skills session-basic life support
• Laboratory session-respiratory

histology

• Anatomy of the lungs-dissection

room+resource room

Year 3

Year 3

• 6 x 4-week blocks in hospital placements

– Medical x 2 – Surgical – Child health – Mental health – Elderly Care – Case Based Learning each week

• 1 day/week on campus
• 4 week GP placement consolidating

clinical skills

• 2 student-selected 4-week blocks

Year 4

• 3 x 12-wk blocks – all clinical placements

1. Medicine + Neuroscience/Musculoskeletal 2. Surgery + Women’s health 3. Child + Mental Health + Higher Consultation Skills (GP)

Case Illustrated Learning each week

• 4-week student selected component

Career focus

• 2-week reading prior to final knowledge

assessment

Year 5

5 weeks 5 weeks 5 weeks 5 weeks 5 weeks 5 weeks 9 weeks 1 week GP Assistantship Surgical assistant- ship Medical assistant

• ship

Critical Care Elective Preparation for practice Surgical assista nt-ship Medical assistant- ship Critical Care GP Assistantship

Course location

Years 1-3: Based mainly in North Staffordshire Years 4-5: Bases in North Staffs, Shropshire & ‘Rest of Staffs’

Most students spend one of Years 4 or Year 5 in either Stafford or Shropshire

Settings for clinical experience

• North Staffordshire

– University Hospital of North Staffs – General practices and other community settings

• Shropshire

– Shrewsbury and Telford hospitals – General practices and other community settings

• Mid-Staffordshire

– Mid-Staffordshire NHS Foundation Trust – General practices and other community settings

Helping individual students achieve excellence

• Tutors

– PBL tutors in Years 1+2 – CBL tutors in Year 3 – CIL tutors in Year 4 – Educational Supervisors in Year 5 – Professional Development Tutors

• Appraisers/portfolio
• Practice exams (see Blackboard)
• Innovative feedback systems (see demo)
• Student Support Service

Medical Research Pathway at Keele

• All students learn about principles of medical

research, critical appraisal skills

• Research pathway for those who want to go further

– Student selected component “Learning how to do research” – Summer internship ARC National Primary Care Centre – Intercalated year (MPhil, MSc, MMedSci)

• Postgraduate pathway

– Academic Foundation programme – Academic clinical fellowships

Opportunities for Intercalated Degrees at Keele

• A year away from the undergraduate curriculum
• End of Year 4 (some at end of Year 2)
• Opportunity to gain a Masters degree in:

– Lab science: – Clinical Research (M Phil) – Masters in Medical Science (MMedSci) – Masters in Medical Education (MAMedED – Medical ethics (MA) – Humanities (M Res)

Student Engagement and Involvement

• Regular evaluation of all parts of the

course

• Staff Student Liaison Committee
• Students sit on major decision-making

committees

• Student Council
• Thriving student societies (e.g.

Surgical & GP Societies, Charities)

And if it goes wrong…

• Student support

– Pastoral and welfare – Enhanced professional and academic support service EPASS – Progress committee

• Fitness to Practice pathway

– Yellow cards – Health and conduct committee – Removal

How can you help?

• Life skills:

– Household – Budgeting – Organisation

• Campus vs. home

– Medicine takes over their lives

• Professionalism

– Expectations

Excellent facilities: 2 counties, 4 hospitals, 100+GP surgeries Promotion of professional, socially responsible, globally-aware attitudes Student-centred Learning: Feedback Engagement Effective learning : Modern, spiral integrated curriculum

Keele: Excellent Clinicians

Extensive clinical experience: 100 weeks

• f placements in

Primary Care, Secondary Care and community

• rganisations

Signs of excellence

National Student Survey: “Overall, I am satisfied with the quality of the course” 2012: 1st Oxford, St Andrews; 3rd Edinburgh; 4th Keele (96%), 2013: 1st Oxford, 2nd Keele, St Andrews (97%) General Medical Council: Very positive follow up visit of our Foundation Year 1 doctors and their supervisors Exit Survey: “My experience at Medical School prepared me well for my Foundation post” At graduation, 93.5% of responders agreed or strongly agreed 3 months later, 95% of respondents still agreed or strongly agreed Employability: National F2 Career Destination Survey entry to specialist training: 2012: 1st Cambridge; 2nd Keele (85.9% -0.5) 2013: 1st Cambridge; 2nd UEA; 3rd Keele (75.6% -2.2)

Questions?

Resources for talk

OSCE Feedback