Medicine (Final)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• 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
• Work with colleagues, leading to effective team working, and understand the contribution this has to the delivery of safe, high-quality care.
• Communicate effectively with health care professionals across disciplines including the presentation of cases to peers, tutors and medical colleagues
• Take responsibility for your own learning and continuing professional development
• Carry out practical procedures relevant to practicing post graduation in medicine
• Keep accurate, legible and complete clinical records
• Select appropriate investigations for common clinical cases and explain the fundamental principles underlying such investigative techniques
• Recognise when a vulnerable adult may be suffering from abuse or neglect and know what action to take to safeguard their welfare
• Know about and demonstrate behaviour consistent with the guidance of the GMC in Duties of a Doctor including ethical and leagal issues raised in clinical settings.
• Undertake a full physical examination
• Demonstrate responsibility for reflection on practice and self-directed learning
• Take a full history including family and social history, talking to relatives or other carers where appropriate
• Assess the presentation of patients with acute medical emergencies, and describe the initial assessment and management with reference to the MLA
• Understand how to communicate appropriately in a variety of circumstances incorporating patients’ wishes regarding decisions about their care
• Prescribe drugs safely, effectively, and economically including establishing an accurate drug history and accessing reliable information about medicines
• Integrate information in order to formulate a differential diagnosis
• Contribute to the care of patients and their families at the end of life including management of symptoms and safe and effective teamworking
• Undertake the assessment and describe the management of patients with a wide variety of common medical conditions with reference to the MLA
• Demonstrate familiarity with commonly used drugs in the management of medical patients across a range of specialties in the emergency and in-patient setting

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 with reference to the MLA •Recognition, investigation and management of a wide variety of medical conditions including with reference to the MLA •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. 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 • Learning portfolio • 3 Assessments of Clinical Competence (ACCs) • Simulation Doctors work in shift patterns and rotas throughout much of their working lives and to prepare you for such working once you graduate within this module there may be some core/compulsory activities that will take place in the evenings, nights or weekends. Therefore students with committments 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 can gain exemption from ACCs at Finals if they evidence satisfactory completion of 3 ACCs during this module (see Finals Assessment Module for further details). The Learning Portfolio The purpose of this Learning Portfolio 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 Portfolio 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 Portfolio 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.