Medicine (Final)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Assess the presentation of patients with acute medical emergencies, and describe the initial assessment and management [2.4a, 2.4b, 2,5b]
• Undertake a full physical examination [2.1c]
• Demonstrate responsibility for reflection on practice and self-directed learning [3.2a, 3.2b, 3.2c, 3.2d, 3.2e]
• Recognise when a vulnerable adult may be suffering from abuse or neglect and know what action to take to safeguard their welfare [2.2i]
• Carry out practical procedures relevant to practicing post graduation in medicine [2.6a, 2.6b, 2.6c]
• Demonstrate awareness of the interests and dignity of patients [3.1c]
• Interpret and analyse clinical information [1.1g]
• 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]
• Take responsibility for your own learning and continuing professional development [3.2b]
• Reflect and uphold the values and ethics of the profession [3.1a, 3.2c]
• 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 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]
• 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]
• Provide immediate care in medical emergencies, including provision of cardio-pulmonary resuscitation [2.4b, 2.4d, 2.4e]
• Integrate information in order to formulate a differential diagnosis [2.2a, 2.2b]
• 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]
• Communicate effectively with patients and their relatives from all backgrounds [3.1c, 3.1d]
• Describe and reflect on the role of the newly qualified doctor in the medical team [3.3a, 3.3b, 3.3d, 3.4c]
• Apply scientific method and approaches to medical research [1.5a,c.]
• Provide explanation, advice, reassurance and support [2.1g]
• Explore and discuss ethical and legal issues raised in different clinical settings [3.1a, 3.1g]
• 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]
• Start to keep accurate, legible and complete clinical records [2.7a]
• 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]
• Determine the extent to which patients want to be involved in decision-making about their care and treatment [2.1f]
• 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]
• Promote, monitor and maintain health and safety in the clinical setting [3.4i, 3.4j]
• Select appropriate investigations for common clinical cases and explain the fundamental principles underlying such investigative techniques [1.1e]
• Take a full history including family and social history, talking to relatives or other carers where appropriate [2.1a, 2.5a, 2.5h]

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:

oChest pain

oAcute delirium

oAcute breathlessness

oTransient loss of consciousness

oHeadache

oSepsis

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.

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 25 cases, 3 of which need to be from cardiology, 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.

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.