Primary Medical Care (Final)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Know how to prescribe commonly used drugs safely, effectively and economically
• Appreciate the use of referral pathways and resources available for management of patients in the community
• Demonstrate respect for patients, carers and other health care workers, regardless of race, culture, status or disability
• Use hypothesis testing to make a clinical diagnosis and suggest appropriate management
• Apply knowledge of symptoms and signs to help differentiate minor illness from serious pathology
• Identify and explore the ethical and legal issues arising from health care encounters in General Practice
• Demonstrate a holistic approach to dealing with patients
• Communicate effectively and sensitively, in a variety of clinical situations with a patient and their family regardless of their age, abilities, social, cultural and ethnic backgrounds
• Demonstrate collaborative interprofessional teamworking within primary care and the wider health and social care community
• Record clinical encounters clearly, accurately and concisely
• Acknowledge, understand and work with patients’ feelings, expectations and concerns and use these skills to involve them in decisions related to their care
• Take responsibility for your own learning and your continuing professional development
• Understand the concepts of primary, secondary and tertiary disease prevention and be able to advise patients regarding health promotion where appropriate in Primary Care consultations.
• Take responsibility for self -directed learning. Use the logbook as a structure to ensure that you achieve all the aims and learning outcomes
• Appreciate the difficulty in management of cases where uncertainty of diagnosis, resources or concordance exists
• Diagnose and manage common clinical conditions, acute and chronic, that present in Primary Care
• Apply scientific method and approaches to medical research

Summary of Syllabus Content

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Students will be placed for three weeks full- time in a General Practice and Community Healthcare settings. They will be under the supervision of a lead GP but will spend time with other members of the primary care team. They will have the opportunity to observe consultations, be observed leading consultations and see patients independently.

The broad areas that will be covered:

• Communication skills
• Focused history taking
• Examination skills
• Use and interpretation of investigations
• Management of patients in primary care
• Common diseases seen in general practice
• Chronic disease management
• Prescribing
• Effective use of resources
• Role of primary care within the wider health service and healthcare systems
• Health promotion
• Use of health information
• Risk management
• Coping with uncertainty
• Ethics and law
• Multidisciplinary team working within primary care and with secondary care
• Patient pathways of care
• Critical Appraisal Skills

Summary of Teaching and Learning Methods

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The module will be taught through a range of learning and teaching strategies which may include:

• One to one teaching with GP and other members of the primary care team
• Patient based learning
• Small group learning
• Lecture/Symposia
• Reflective learning
• Case based learning
• Personal reflective learning logbooks
• Peer discussion
• On line learning including SCRIPT
• 3 Assessments of Clinical Competence (ACCs)

Within this module there may be some core/compulsory activities that will take place in the evenings, nights or weekends therefore students with 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

Students will also undertake three Assessments of Clinical Competencies (ACCs) during the attachment. They will need to gain satisfactory marks in them to achieve exemption from the ACCs at Finals. However, the ACCs will not be an integral element of the assessment of the module itself.

The Learning Logbook

The purpose of the Learning Logbook is to allow you to capture some key learning points from your attachment and demonstrate your ability to reflect on your learning experiences in a way that will promote a deeper understanding

The log book will direct you to reflect on a range of clinical experiences as well as focussing on prescribing, ethical issues and evidence based medicine.

Instructions and guidance on completion will be included in the logbooks. Satisfactory completion of the logbook is mandatory and should be used for discussion with your GP teacher during and at the end of your attachment and will constitute in part your GP teachers assessment of your engagement and 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.