Medicine and Elderly Care | MEDI3065 | University of Southampton

Module overview

This module provides the students with the opportunities to gain clinical experience in General internal and Geriatric Medicine within the ward and outpatient clinic environment. This module builds on earlier learning in the programme. This module focuses on the obtaining the foundations of knowledge and understanding, practitioner and professional skills required of a newly qualified doctor. These include but are not limited to obtaining a history, including collateral histories, systems examination, understanding investigations and how to initiate a clinical plan for the patient. Students are expected to spend a significant proportion of their time in the clinical environment to learn and perfect these skills in addition to learning about the nuances of effective communication with patients as well as performing common clinical skills e.g., venesection, cannulation, blood pressure recording and ECG lead placement. Content of these modules will be assessed summatively in the end of year Applied Knowledge Test and CPSA. However, whilst emphasis of the assessments for each of the modules aligns with the focus of learning for that module, the integrated nature of the course means that there will be substantial overlap and the assessment of each module will draw upon learning obtained not only from these module but also from early years. This module will normally take the format of a placement in one or more partner trusts. The timing will vary for different student groups and the teaching staff will vary for different practices and student groups. As is the nature of clinical placements, the exact learning experiences of each student will be variable however all students will have access to equivalent learning opportunities to achieve the learning outcomes. Students are expected to be pro-active in securing experiences in areas in order to achieve the programme learning outcomes unique to their needs.

Aims and Objectives

Learning Outcomes

Having successfully completed this module you will be able to:

Demonstrate awareness of professional responsibility both to patients and to members of the multi-professional team and to student colleagues and reflect on how poor performance or poor professional behaviour should be addressed
Demonstrate an understanding of different team roles in multi-professional settings
Demonstrate an ability to take a medication history, including details of any complementary or alternative therapies the patient is using, and apply understanding of pharmacological principles to the role of medication on the presentation and management of patients
Demonstrate an ability to effectively communicate with patients and relatives who have sensory and/or cognitive impairment.
Establish a relationship with a patient, explore and acknowledge their concerns
Justify the selection of appropriate investigations for common clinical cases
Show an understanding of the duties of confidentiality in your contact with colleagues and patients
Assess and recognise the severity of a clinical presentation and a need to immediate emergency care
Demonstrate competency in performing stipulated clinical skills as per the student portfolio requirements
Develop insight into your learning needs in the professional workplace and recognise the need for support and guidance in managing challenging situations; and reflect on your own learning style and how it may need to be adapted to the clinical environment
Demonstrate an ability to take a focused history, perform a competent examination, integrate the information you have gained to formulate a basic differential diagnosis and present the case in oral and written formats
Recognise characteristic presentations of disease in the older patient and the impact of social, economic and cultural factors on health, illness and recovery
Describe the scientific and physiological framework underlying the common disorders and the rationale for treatment
Recognise common clinical disorders and the effects of disease on patients and their families and/or carers
Demonstrate concern for the interests and dignity of patients with sensitivity to the balance between prolongation of life and quality of life, and also to values and cultures which may differ from your own
Take responsibility for your own learning and your continuing professional development
Make accurate observations of clinical phenomena
Show awareness of a wide variety of ways in which you learn in the workplace, often not defined by the curriculum, and which includes role models

Syllabus

Teaching in this module consists of a series of clinical placements with clinical tutors within Medicine and Geriatric Medicine. Placement time will be complemented by additional lectures, seminars as well as the Clinical Teaching Series. The combined clinical teaching covers the topics outlined below. This list is not exhaustive: you might not see patient presenting with the following but might see patients with other interesting conditions. Please always cross reference the GMC MLA content MAP. Cardiovascular • Ischaemic heart disease • Cardiac Failure • Arrhythmias • ECG interpretation • Valvular heart disease Respiratory • Asthma • Chronic Obstructive Airways Disease • Pneumonia • Pulmonary Embolus • Pneumothorax • Lung Cancer Gastrointestinal • GI haemorrhage • Inflammatory Bowel Disease • GI cancer • Hepatitis • Liver failure • Cirrhosis • Jaundice • Coeliac disease • Irritable bowel syndrome • Anaemia General • Rehabilitation • Ethical issues CNS • Stroke • Coma • Epilepsy • Meningitis • UMN/LMN lesions • Parkinson’s Disease • Acute Confusion (delirium) • Dementia Endocrine/Diabetes • Diabetic Ketoacidosis • Hypoglycaemia • Hyperthyroidism • Hypothyroidism • Cushing’s Syndrome • Pituitary Disease • Addison’s Disease Renal • Acute Renal failure • Chronic Renal failure • Hypertension • Nephrotic Syndrome Rheumatology • Osteoarthritis • Rheumatoid arthritis • Osteoporosis Geriatric Syndromes • Falls • Incontinence • Frailty/Sarcopenia • Polypharmacy • Terminal illness and the dying patient

Learning and Teaching

Teaching and learning methods

The module will be taught through a range of learning and teaching strategies which will include: •Patient based learning •Tutor led tutorials •Practical sessions •Guided self-study •Problem solving scenarios •Group work •Lectures & online recorded lectures •Learning logbooks •eLearning resources •Reflection •Formative ACC Within this module there may be some activities that will take place in the evenings, nights or weekends, students are encouraged to make the most of these opportunities.

Study time
Type	Hours
Independent Study	100
Placement	200
Total study time	300

Resources & Reading list

General Resources

Please see . the Blackboard module page for current resources and the full reading list for this module is available on the Library Online Reading List at http://soton.rl.talis.com/

Assessment

Assessment strategy

Formative assessments: -2 formative Assessments of Clinical Competence (ACC) based on a focussed observed history and examination with feedback and suggestions for improvement. The second of these will be carried out by a clinical tutor. The first can be carried out by any member of the medical team. Summative assessments: - Professional behaviour - Evaluation of clinical and overall performance relative to learning outcomes - Formal feedback from all tutors - The student learning portfolio recording the breadth of activity and experience during the module including completion of clinical skills training - Two short (< 500 words) pieces of reflective writing on 1) their performance in the practice ACC, the feedback they received and how this will impact their future performance, and 2) their experience and understanding of different team roles in multi-professional settings. There is no compensation between any of the summative components.

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Clinical Formative Assessment

Assessment Type: Formative
Feedback: Feedback and suggestions for improvement from a clinical tutor or a member of the medical team
Final Assessment:
Group Work: No

Summative

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

Breakdown
Method	Percentage contribution
Assessments of Clinical Competence	100%

Referral

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

Breakdown
Method	Percentage contribution
Supplementary activity	100%

Repeat Information

Repeat type: Internal