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					Outcomes for graduates                            Overarching outcome for graduates: 7. Medical students are tomorrow's
Appendix 1 procedures                             Q44. Please complete make the ‘Domain 5 – Q44’ in first concern, applyin
                                                  Practice, graduates willworksheet care of patients theirAnnex 2 to show whe
                                                  graduates’ [TD 8 to 23] and the procedures in Appendix 1 are taught and as
                                                  Tips:
TD 2003 TD 2009 TD 2009 paragraph wording Please use the dropdowns when they appear. When you click in a cell to po
                                               Teaching and                     Assessment
no.     no.                               Year/s Name of unit / Year/s Assessment format
                                                   module / theme




Outcomes 1 – The doctors as a scholar and a
scientist 8
13                Apply to medical practice     1,2 & 4    Molecular &       12&4     MCQs, EMQs, text
                  biomedical scientific                    Cellular Basis of          matching questions,
                  principles, method and                   Medicine,                  short questions,
                  knowledge relating to:                   Systems 1 & 2,             anatomy spot test,
                  anatomy, biochemistry, cell              Applied Clinical           image based
                  biology, genetics,                       Sciences                   questions, data
                  immunology, microbiology,                                           handling questions.
                  molecular biology, nutrition,
                  pathology, pharmacology and
                  physiology.

14         8a      Explain normal human           1&2      Molecular &       1&2      MCQs, EMQs, text
                   structure and functions.                Cellular Basis of          matching questions,
                                                           Medicine,                  short questions,
                                                           Systems 1 & 2,             anatomy spot test,
                                                                                      image based
                                                                                      questions, data
                                                                                      handling questions.

14         8b      Explain the scientific bases   1 2 4 & 5 Molecular &       12&4    MCQs & EMQs. In
                   for common disease                       Cellular Basis of         PPP students record
                   presentations.                           Medicine,                 he scientific basis of
                                                            Systems 1 & 2,            the patient's
                                                            Applied Clinical          presentation, where
                                                            Sciences &                appropriate, for cases
                                                            Preparing for             recorded it the
                                                            Professiona               portfolio. Assessed by
                                                            Practice (PPP)            case-based
                                                                                      discussion (CBD) in
                                                                                      tutorial &/or portfolio
                                                                                      review.
Not        8c      Justify the selection of       34&5     All units from 3 4 & 5 MCQ, EMQs,
explicit           appropriate investigations for          year 3 onwards         DOSCE, OSCE,
                   common clinical cases.                                         observed long cases,
                                                                                  observation on
                                                                                  student assistantship,
                                                                                  portfolio review &
                                                                                  CBD within tutorials
16         8d    Explain the fundamental       3 4& 5   All units from 3, 4 & 5 MCQ, EMQs,
                principles underlying such              year 3 onwards          DOSCE, OSCE,
                investigative techniques.                                       observed long cases,
                                                                                observation on
                                                                                student assistantship,
                                                                                portfolio review &
                                                                                CBD within tutorials

16         8e   Select appropriate forms of    34&5     All units from 3 4 & 5 MCQ, EMQs,
                management for common                   year 3 onwards         DOSCE, OSCE,
                diseases, and ways of                                          observation on
                preventing common                                              student assistantship,
                diseases, and explain their                                    portfolio review &
                modes of action and their                                      CBD within tutorials
                risks from first principles.

16c        8f   Demonstrate knowledge of       134&5    Molecular &        1 3 4 5 MCQ EMQ OSCE
                drug actions: therapeutics              Cellular Basis of
                and pharmacokinetics; drug              Medicine -
                side effects and interactions,          element 5 (term
                including for multiple                  2) aims to teach
                treatments, long-term                   students the
                conditions and non-                     basic principles
                prescribed medication; and              of
                also including effects on the           pharmacology.T
                population, such as the                 here is teaching
                spread of antibiotic                    about
                resistance.                             prescribing in all
                                                        units from year
                                                        3 onwards.




Not        8g   Make accurate observations 1 2 3 4 & All units          1234     Observation &
explicit        of clinical phenomena and        5                      &5       interrogation of
                appropriate critical analysis of                                 students on all clinical
                clinical data.                                                   placements + OSCE,
                                                                                 DOSCE EMQs &
                                                                                 Observed Long
                                                                                 Cases + CBD within
                                                                                 tutorial &/or portfolio
                                                                                 review in PPP
13   9    Apply psychological           13&5       Human Basis Of 1 3 & 5     Observation in small
          principles, method and                   Medicine                   groups, tutorials,
          knowledge to medical                     (Society Health            essays & written
          practice.                                & Medicine &               examinations
                                                   Whole Person
                                                   Care),
                                                   Psychiatry &
                                                   Ethics &
                                                   Oncology &
                                                   Palliative Care

13   9a   Explain normal human          1&3        Human Basis Of           1 Observation in small
          behaviour at an individual               Medicine                   groups, tutorials,
          level.                                   (Society Health            essays & written
                                                   & Medicine &               examinations
                                                   Whole Person
                                                   Care),
                                                   Psychiatry &
                                                   Ethics

13   9b   Discuss psychological         1 3 4 & 5 Human Basis of 1 & 5        Observation in small
          concepts of health, illness             Medicine                    groups, tutorials,
          and disease.                            (Society Health             essay, written
                                                  & Medicine &                examinations, porfolio
                                                  Whole Person                review and CBD
                                                  Care),                      within tutorials
                                                  Psychiatry &
                                                  Ethics, COMP2
                                                  & PPP


13   9c   Apply theoretical frameworks 1 4 & 5     Human Basis of 1 & 5       Observation in small
          of psychology to explain the             Medicine,                  groups, tutorials,
          varied responses of                      COMP1 & PPP                essays,written
          individuals, groups and                                             examinations,
          societies to disease.                                               portfolio review &
                                                                              CBD within tutorials
13   9d   Explain psychological factors 1 4 & 5    Human Basis of 1 4 &5      Observation in small
          that contribute to illness, the          Medicine                   groups, tutorials,
          course of the disease and the            (Society Health            essays, written
          success of treatment.                    & Medicine &               examinations,
                                                   Whole Person               portfolio review within
                                                   Care), COMP2               tutorials
                                                   & PPP

13   9e   Discuss psychological                   4 COMP2 teaches           4 Role play facilitated
          aspects of behavioural                    students how to           by actor + OSCE
          change and treatment                      facilitate
          compliance.                               behaviour
                                                    change (eg
                                                    smoking
                                                    cessation)
                                                    particularly in
                                                    Primary Care
13, 35    9f    Discuss adaptation to major 1 3 & 5        Human Basis of 1& 5       Observation in small
                life changes, such as                      Medicine,                 groups, tutorials,
                bereavement. Compare and                   Psychiatry &              essays & written
                contrast the abnormal                      Ethics,                   examinations
                adjustments that might occur               Oncology &
                in these situations.                       Palliative Care
                                                           have teaching
                                                           sessions
                                                           dedicated to
                                                           these topics
35        9g    Identify appropriate strategies 3 4 & 5    Psychiatry &     34&5     MCQ, EMQ & OSCE
                for managing patients with                 Ethics, COMP2
                dependence issues and other                (tobacco &
                demonstrations of self-harm.               alcohol) & units
                                                           in year 5



13        10    Apply social science             1          This is covered        1 Observation in small
                principles, method and                      in Year 1                groups, tutorials,
                knowledge to medical                        Human Basis of           essays & written
                practice.                                   Medicine                 examinations
13, 34,   10a   Explain normal human                      1 This is covered        1 Observation in small
35              behaviour at a societal level.              in Year 1                groups, tutorials,
                                                            Human Basis of           essays & written
                                                            Medicine                 examinations
13, 34,   10b   Discuss sociological                      1 Human Basis of         1 Observation in small
35              concepts of health, illness                 Medicine                 groups, tutorials,
                and disease.                                                         essays & written
                                                                                     examinations
35        10c   Apply theoretical frameworks              1 Human Basis of         1 Observation in small
                of sociology to explain the                 Medicine                 groups, tutorials,
                varied responses of                                                  essays & written
                individuals, groups and                                              examinations
                societies to disease.

34        10d   Explain sociological factors    14&5       Human Basis of 1 4        Observation in small
                that contribute to illness, the            Medicine. Public          groups, tutorials,
                course of the disease and the              Health in                 essays & written
                success of treatment -                     COMP1 has as              examinations
                including issues relating to               its learning
                health inequalities, the links             objective
                between occupation and                     "Describe
                health and the effects of                  magnitude and
                poverty and affluence.                     trends in UK
                                                           socioeconomic
                                                           inequalities and
                                                           goals to combat
                                                           global
                                                           inequalities in
                                                           health".
                                                           Emergency
                                                           Medicine in Year
                                                           5 teaches this
                                                           too.
13, 34,    10e   Discuss sociological aspects 1 & 4          Human Basis of 1 & 5    Observation in small
35               of behavioural change and                   Medicine &              groups, tutorials,
                 treatment compliance                        COMP1                   essays & written
                                                                                     examinations
33a, 33b, 11     Apply to medical practice the   This is     Human Basis of 1 & 4    Tutorials & written
33c              principles, method and          covered     Medicine &              examinations
                 knowledge of population         in Year 1   COMP1.
                 health and the improvement      Human       Learning
                 of health and health care.      Basis of    objectives of
                                                 Medicine    Public Health in
                                                 , with      COMP1 include
                                                 further     "Define public
                                                 supporti    health and
                                                 ng          distinguish
                                                 teaching    different types
                                                 in Year 4   and approaches
                                                 Public      to disease
                                                 health      prevention and
                                                 Medicine    health
                                                 .           strategies"


33, 17     11a   Discuss basic principles of    1&4       Human Basis of 1 & 4       Observation in small
                 health improvement,                      Medicine &                 groups, tutorials,
                 including the wider                      COMP1. One of              essays & written
                 determinants of health, health           the learning               examinations
                 inequalities, health risks and           objectives in
                 disease surveillance.                    Public Health
                                                          (COMP1) is
                                                          "appreciate
                                                          health
                                                          determinants'
                                                          influence on
                                                          disease
                                                          prevention and
                                                          health
                                                          promotion
17         11b   Assess how health                      1 Human Basis of 1 5          Observation in small
                 behaviours and outcomes are              Medicine                    groups, tutorials,
                 affected by the diversity of the                                     essays & written
                 patient population.                                                  examinations
Not        11c   Describe measurement             1&4        Human Basis of         1 Essay, MCQ, EMQ &
explicit         methods relevant to the                     Medicine                 data interpretation
                 improvement of clinical                     (Clinical
                 effectiveness and care.                     Epidemiology)
                                                             puts a strong
                                                             emphasis on
                                                             this. Revised in
                                                             COMP1
28a-f      11d   Discuss the principles           1&4       Human Basis of 1 & 4       Observation in small
                 underlying the development                 Medicine &                 groups, tutorials,
                 of health and health service               COMP 1                     essays & written
                 policy, including issues                                              examinations
                 relating to health economics
                 and equity, and clinical
                 guidelines.
Not        11e    Explain and apply the basic             4 Learning               4 Written examination
explicit         principles of communicable                 objectives for
                 disease control in hospital                COMP1 include
                 and community settings.                    " understand
                                                            key concepts in
                                                            infectious
                                                            disease
                                                            epidemiology,
                                                            immunisation &
                                                            control of
                                                            infectious
                                                            diseases

28         11f   Evaluate and apply            1& 4         Human Basis of 1 & 4       Written examination
                 epidemiological data in                    Medicine &
                 managing healthcare for the                COMP1
                 individual and the community.

Not        11g   Recognise the role of                      Unknown
explicit         environmental and
                 occupational hazards in ill-
                 health and discuss ways to
                 mitigate their effects.
17         11h   Discuss the role of nutrition in 4 & 5     COMP1 (Child 4 & 5         MCQ & EMQ
                 health.                                    Health), COMP2
                                                            (Care of Elderly)

Not        11i   Discuss the principles and               4 COMP2 puts a           4 MCQ, EMQ & OSCE
explicit         application of primary,                    strong emphasis
                 secondary and tertiary                     on this
                 prevention of disease
Not        11j   Discuss from a global                    1 Human Basis of         1
explicit         perspective the determinants               Medicine.
                 of health and disease and                  Students also
                 variations in health care                  have
                 delivery and medical practice.             opportunities to
                                                            learn about this
                                                            in an SSC & in
                                                            an intercalated
                                                            degree on
                                                            global health

26d, 40a 12      Apply scientific method and      1&4       Human Basis of 1 & 4       Data analysis, MCQs
                 approaches to medical                      Medicine &                 & EMQs
                 research.                                  COMP1
Not        12a       Critically appraise the results 1 & 4     Human Basis of 1 & 4      Data analysis, MCQs
explicit            of relevant diagnostic,                    Medicine.                 & EMQs
                    prognostic and treatment                   Stated learning
                    trials and other qualitative               objectives in
                    and quantitative studies as                COMP1 include
                    reported in the medical and                "demonstrate
                    scientific literature.                     the knowledge
                                                               and skills to
                                                               critically
                                                               appraise a
                                                               range of study
                                                               designs"

Not        12b       Formulate simple relevant    1&4          One of the key 1 & 4      EMQ, MCQ & essay
explicit            research questions in                      learning
                    biomedical science,                        outcomes in
                    psychosocial science or                    COMP1 is to
                    population science, and                    "demonstrate an
                    design appropriate studies or              ability to
                    experiments to address the                 formulate
                    questions.                                 clinical
                                                               questions & to
                                                               research the
                                                               medical
                                                               literature"
Not        12c      Apply findings from the        1&4         Learning           1&4    EMQ, MCQ & essay
explicit            literature to answer questions             objectives in
                    raised by specific clinical                COMP1 include
                    problems.                                  "demonstrate an
                                                               ability to weigh
                                                               up several
                                                               sources of
                                                               evidence of
                                                               different
                                                               strengths and
                                                               arrive at a
                                                               reasonable
                                                               conclusion in
                                                               response to the
                                                               clinical question"



Not        12d    Understand the ethical and                 3 Ethics element           3 Case study report &
explicit          governance issues involved                   of Psychiatry &            MCQ
                  in medical research.                         Ethics
Outcomes 2 - The doctor as a practitioner (TD
2003 11 - 27)
           13     Carry out a consultation with     1 2 3 4 & Primary Care      234&     Observation on
                  a patient.                        5         element of        5        clinical placements,
                                                              HBoM,                      during role play in
                                                              Introduction to            workshops, long
                                                              Clinical Skills &          cases & OSCEs +
                                                              all units from             Reflection on
                                                              year 3 onwards             portfolios.
19a     13a   Take and record a patient's     2 3 4 & 5 Introduction to 2 3 4 &   Observation on
              medical history, including                Clinical Skills & 5       clinical placements,
              family and social history,                all units from            during role play in
              talking to relatives or other             year 3 onwards            workshops, long
              carers where appropriate.                                           cases & OSCEs +
                                                                                  Reflection on
                                                                                  portfolios.
36      13b   Elicit patients’ questions, their 2 3 4 & 5 Introduction to 2 3 4 & Observation on
              understanding of their                      Clinical Skills & 5     clinical placements,
              condition and treatment                     all units from          during role play in
              options, and their views,                   year 3 onwards          workshops, long
              concerns, values and                                                cases & OSCEs +
              preferences                                                         Reflection on
                                                                                  portfolios.
19b     13c   Perform a full physical           2 3 4 & 5 Introduction to 2 3 4 & Observation on
              examination.                                Clinical Skills & 5     clinical placements,
                                                          all units from          long cases & OSCEs
                                                          year 3 onwards          + Reflection on
                                                                                  portfolios +
                                                                                  Completion of
                                                                                  logbooks
19b     13d   Perform a mental-state            2 3 4 & 5 Intruduction to 2 3 4 & Observation on
              examination.                                Clinical Skills,  5     clinical placements,
                                                          Junior Medicine         long cases & OSCEs
                                                          & Surgery,              + Reflection on
                                                          Psychiatry &            portfolios +
                                                          Ethics, COMP2           Completion of
                                                          & all units in          logbooks
                                                          Year 5

30a-e   13e   Assess a patient’s capacity to 1 3 4 & 5   Human Basis of 3 4 & 5   MCQ, EMQ, case-
              make a particular decision in              Medicine,                based discussion in
              accordance with legal                      Psychiatry &             small groups + on-line
              requirements and the GMC’s                 Ethics, COMP1            assessments
              guidance (in Consent:                      (Child Health),
              Patients and doctors making                COMP2 (Care
              decisions together ).                      of Elderly) +
                                                         Oncology &
                                                         Palliative Care
                                                         in Year 5

6c      13f   Determine the extent to which 3 4 & 5      Psychiatry &      34&5   Discussion in small
              patients want to be involved               Ethics, COMP2            groups during role
              in decision-making about                   (particularly            play workshops, on
              their care and treatment.                  Primary Care) &          clinical placments &
                                                         all units in Year        OSCEs
                                                         5.

20-23   13g   Provide explanation, advice,    34&5       All units from 3 4 & 5 Observation on
              reassurance and support.                   year 3 onwards         clinical placements &
                                                                                OSCE
           14    Diagnose and manage           34&5      All units from 3 4 & 5 MCQ, EMQ,
                 clinical presentations.                 year 3 onwards         observation on clinical
                                                                                placments, observed
                                                                                long cases, OSCEs +
                                                                                case-based
                                                                                discussion & portfolio
                                                                                review within tutorials


19c        14a   Interpret findings from the    234&5    Introduction to 2 3 4 &   Observation on
                 history, physical examination           Clinical Skills & 5       clinical placements,
                 and mental-state                        all units from            observed long cases
                 examination, appreciating the           year 3 onwards            & OSCEs + case-
                 importance of clinical,                                           based discussion &
                 psychological, spiritual,                                         portfolio review within
                 religious, social and cultural                                    tutorials
                 factors.

Not        14b   Make an initial assessment of 3 4 & 5   All units from 3 4 & 5 Observation on
explicit         a patient's problems and a              year 3 onwards         clinical placemens,
                 differential diagnosis.                                        observed long cases,
                 Understand the processes by                                    OSCEs + case-based
                 which doctors make and test                                    discussion & portfolio
                 a differential diagnosis.                                      review within tutorials


19f        14c   Formulate a plan of             34&5    All units from 3 4 & 5 Observation on
                 investigation in partnership            year 3 onwards         clinical placements &
                 with the patient, obtaining                                    student assistantship
                 informed consent as an                                         (year 5), observed
                 essential part of this process.                                long-cases, OSCEs,
                                                                                case-based
                                                                                discussion & portfolio
                                                                                review in tutorials


19d        14d    Interpret the results of     34&5      All units from 3 4 & 5 Observation on
                 investigations, including               year 3 onwards         clinical placements,
                 growth charts, x-rays and the                                  OSCEs, Data
                 results of the diagnostic                                      interpretation
                 procedures in Appendix 1.                                      objective structured
                                                                                clinical examinations
                                                                                (DOSCEs), MCQs &
                                                                                EMQs

Not        14e   Synthesise a full assessment 3 4 & 5    All units from 3 4 & 5 Observation on
explicit         of the patient's problems and           year 3 onwards         clinical placements,
                 define the likely diagnosis or                                 observed long cases
                 diagnoses.                                                     & OSCEs + case-
                                                                                based discussion &
                                                                                portfolio review within
                                                                                tutorials
19e        14f   Make clinical judgements and 4 & 5       COMP2 & all        4&5     Observation on
                 decisions, based on the                  units in year 5.           student assistantship,
                 available evidence, in                                              OSCE & on-line
                 conjunction with colleagues                                         assessments
                 and as appropriate for the
                 graduate’s level of training
                 and experience. This may
                 include situations of
                 uncertainty.

29, 30     14g   Formulate a plan for            4&5      All units in year 4 & 5    Observation on
                 treatment, management and                4 & 5. In                  clinical placements &
                 discharge, according to                  COMP2 there is             student
                 established principles and               a strong                   assistantships, OSCE
                 best evidence, in partnership            emphasis on                & case-bsed
                 with the patient, their carers,          working with               discussion
                 and other health                         patients to
                 professionals as appropriate.            agree a
                 Respond to patients’                     management
                 concerns and preferences,                plan
                 obtain informed consent, and
                 respect the rights of patients
                 to reach decisions with their
                 doctor about their treatment
                 and care and to refuse or
                 limit treatment.

Not        14h   Support patients in caring for          4 Primary Care             4 Discussion &
explicit         themselves.                               element of                 observation on GP
                                                           COMP2                      attachments &
                                                                                      OSCEs


Not        14i   Identify the signs that suggest 4 & 5    Child Health in       4 Identification &
explicit         children or other vulnerable             COMP1. There            management fo of
                 people may be suffering from             is specific             domestic violence
                 abuse or neglect and know                teaching on             may be assessed in
                 what action to take to                   domestic                OSCE (COMP2)
                 safeguard their welfare.                 violence in
                                                          COMP2.
16h-i      14j    Contribute to the care of     4&5       Care of Elderly 4 & 5   Observation in
                 patients and their families at           (COMP2) +               workshops, on line
                 the end of life, including               Oncology &              assessments, MCQs,
                 management of symptoms,                  Palliative Care         EMQs & OSCE
                 practical issues of law and              modules withing
                 certification, and effective             both units of
                 communication and                        year 5.
                 teamworking.
20-23      15    Communicate effectively with All years The teaching of All          Observation in role
                 patients and colleagues in a           communication years          play, clinical settings
                 medical context.                       skills forms a               & OSCEs
                                                        strong vertical
                                                        theme
                                                        throughout the
                                                        programme
20      15a   Communicate clearly,              All years   The teaching of All   Observatio in role
              sensitively and effectively                   communication years   play, clinical settings
              with patients, their relatives or             skills forms a        & OSCEs
              other carers, and colleagues                  strong vertical
              from the medical and other                    theme
              professions, by listening,                    throughout the
              sharing and responding.                       programme.
                                                            New teaching
                                                            on advanced
                                                            consulatation
                                                            skills have been
                                                            introduced into
                                                            PPP (year 5)
                                                            which focus
                                                            specifically on
                                                            conducting 3-
                                                            party
                                                            consultations

23a-e   15b   Communicate clearly,             All years Human Basis of 3 4 & 5   Observation in role
              sensitively and effectively                Medicine (GP             play, clinical settings
              with individuals and groups                attachments),            & OSCEs. The Final
              regardless of their age,                   Introduction to          OSCE regularly
              social, cultural or ethnic                 Clinical Skill &         includes a station on
              backgrounds or their                       all units from           communicating with a
              disabilities, including when               year 3 onwards.          patient who has a
              English is not the patient’s               There are                disability, or with their
              first language.                            dedicated                carer.
                                                         communication
                                                         skills sessions
                                                         throughout
                                                         years 2-
                                                         5,including one
                                                         on
                                                         communicating
                                                         with those who
                                                         have a sensory
                                                         impairment.
                                                         Disability,
                                                         Disadvantage &
                                                         Diversity is also
                                                         a strong vertical
                                                         theme
                                                         throughout the
                                                         programme
23a-e   15c   Communicate by spoken,       All years   Human Basis of 3 3 & 5    Observation in role
              written and electronic                   Medicine (GP              play & clinical settings
              methods (including medical               attachments),             + OSCE & DOSCE
              records), and be aware of                Introduction to           which regularly
              other methods of                         Clinical Skill &          include assesment of
              communication used by                    all units from            note-taking during
              patients. Appreciate the                 year 3 onwards.           ward rounds & writing
              significance of non-verbal               There are                 discharge summaries
              communication in the medical             dedicated
              consultation.                            communication
                                                       skills sessions
                                                       throughout
                                                       years 2-5. In
                                                       PPP there is a
                                                       workshop on
                                                       communication
                                                       across the
                                                       Primary Care-
                                                       Secondary Care
                                                       interface.

23a-e   15d   Communicate appropriately     All years There are         3 4 & 5 Observation in role
              in difficult circumstances,             specific teaching         play, clinical settings
              such as breaking bad news,              sessions on               & OSCEs
              and when discussing                     breaking bad
              sensitive issues, such as               news in years
              alcohol consumption,                    2,3 4 & 5. There
              smoking or obesity.                     are also specifc
                                                      teaching
                                                      sessions and on-
                                                      line learning
                                                      resources on
                                                      how to facilitate
                                                      behaviour
                                                      change (such as
                                                      smoking
                                                      cessation).



23a-e   15e   Communicate appropriately     2&3        Communication 2 & 3       Obervation in role
              with difficult or violent                skills workshops          play
              patients.



23a-e   15f   Communicate appropriately     3&4        Psychiatry &     3&4      Observation in clinical
              with people with mental                  Ethics &                  settings & pyschiatry
              illness.                                 COMP2                     clinical exam.
23a-e      15g   Communicate appropriately       23&4     Disablity Matters 2 3 & 4 Obervation in clinical
                 with vulnerable patients.                course,                   settings & OSCE
                                                          Psychiatry &
                                                          Ethics &
                                                          COMP2




23a-e      15h   Communicate effectively in    All years All units         3 4 & 5 Student presentations
                 various roles, for example as                                     & peer-assisted
                 patient advocate, teacher,                                        learnign programmes
                 manager or improvement
                 leader.




Not        16    Provide immediate care in       4&5      Advanced Life           5
explicit         medical emergencies.                     Support Course
                                                          in PPP
19m        16a   Assess and recognise the        234&     Introduction to 3 4 & 5     MCQs, EMQs, small
                 severity of a clinical          5        Clinical Skills,            group discussion,
                 presentation and a need for              Junior Medicine             student presentations,
                 immediate emergency care.                & Surgery,                  DOSCE & OSCE
                                                          Musculoskeletal
                                                          Medicine & all
                                                          units in years 4
                                                          &5

19m        16b   Diagnose and manage acute 3 4 & 5        All units from 3 4 & 5 MCQs, EMQs, small
                 medical emergencies.                     year 3 onwards         group discussion,
                                                                                 student presentations,
                                                                                 DOSCE & OSCE

19m        16c   Provide basic first aid.




19m        16d   Provide immediate life                 5 PPP                  5 Intermediate Life
                 support.                                                        Support Course
19m        16e   Provide cardio-pulmonary        4&5      COMP1 & PPP      4&5   Basic Paediatric Life
                 resuscitation or direct other                                   Support assessed in
                 team members to carry out                                       year 4
                 resuscitation.
19         17    Prescribe drugs safely,       34&5      All units in years 3 4 & 5     Review of prescribing
                 effectively and economically.           3,4 & 5. The                   recorded in year 5
                                                         new PPP unit in                logbook. Abillity to
                                                         Year 5 places a                review & write up
                                                         strong emphasis                drug charts is always
                                                         on safe &                      assessed in Final
                                                         effective                      OSCE & DOSCE.
                                                         prescribing, both              There is also an on-
                                                         in hospital and                line tutorial on
                                                         in primary care                prescribing in
                                                                                        oncology & palliative
                                                                                        care which must be
                                                                                        signed-off.

19a        17a   Establish an accurate drug    2 3 4 & 5 Introducation to 3 4 & 5     Review of clerking
                 history, covering both                  Clinical Skills &            portfolio during
                 prescribed and other                    all units from               tutorials. OSCE in
                 medication.                             year 3 onwards               COMP2 contains a
                                                                                      station on taking a
                                                                                      drug history
Not        17b   Plan appropriate drug therapy 3 4 & 5   All units in years   3 4 & 5 Discussion in clinical
explicit         for common indications,                 3,4 & 5. The                 settings. MCQs,
                 including pain and distress.            new PPP unit in              EMQs & on-ine
                                                         Year 5 places a              assessments (such
                                                         strong emphasis              as tutorial on
                                                         on safe &                    prescribing in
                                                         effective                    oncology & palliative
                                                         prescribing, both            care which must be
                                                         in hospital and              signed off. Review of
                                                         in primary care              prescribing recorded
                                                                                      in year 5 logbook.
                                                                                      Abillity to review &
                                                                                      write up drug charts is
                                                                                      always assessed in
                                                                                      Final OSCE &
                                                                                      DOSCE.

16c        17c   Provide a safe and legal      4&5       Prescribing                  5 Review of prescribing
                 prescription.                           workshop in                    recorded in year 5
                                                         COMP2 (year                    logbook. Abillity to
                                                         4). In PPP (year               review & write up
                                                         5) students                    drug charts is always
                                                         receive teaching               assessed in Final
                                                         during themed                  OSCE & DOSCE.
                                                         GP surgeries,                  There is also an on-
                                                         on hospital                    line tutorial on
                                                         wards and in                   prescribing in
                                                         tutorials                      oncology & palliative
                                                                                        care which must be
                                                                                        signed-off.
16c        17d   Calculate appropriate drug      4&5     COMP2           4&5        EMQ & DOSCE in
                 doses and record the                    includes                   Finals
                 outcome accurately.                     teaching on how
                                                         to calculate
                                                         doses for
                                                         children. PPP
                                                         includes
                                                         teaching on how
                                                         to use the BNF
                                                         and calculate
                                                         drug doses


20-23      17e   Provide patients with         4&5       COMP2 & PPP        4&5     OSCEs + Students
                 appropriate information about                                      observed explaining
                 their medicines.                                                   discharge medication
                                                                                    to patients during
                                                                                    their student
                                                                                    assistantship

Not        17f   Access reliable information     4&5     COMP1,             4&5     Discusssion on
explicit         about medicines.                        COMP2 & all                clinical placements +
                                                         units in year 5            OSCEs


Not        17g   Detect and report adverse              5 PPP                     5 Adverse drug
explicit         drug reactions.                                                    reactions recorded in
                                                                                    portfolio and
                                                                                    discussed within
                                                                                    tutorials
18         17h   Demonstrate awareness that             1 Whole person            1 Small group
                 many patients use                        care element of           discussion & essays
                 complementary and                        Human Basis of
                 alternative therapies, and               Medicine
                 awareness of the existence
                 and range of these therapies,
                 why patients use them, and
                 how this might affect other
                 types of treatment that
                 patients are receiving.

19         18    Carry out practical             All years See appendix 1 2,3 4 & See appendix 1
                 procedures safely and                                    5
                 effectively.


19         18a   Be able to perform a range of All years See appendix 1 2,3 4 & See appendix 1
                 diagnostic procedures, as                              5
                 listed in Appendix 1 and
                 measure and record the
                 findings.
19         18b   Be able to perform a range of All years See appendix 1 2,3 4 & See appendix 1
                 therapeutic procedures, as                             5
                 listed in Appendix 1.


19         18c   Be able to demonstrate         All years See appendix 1      2,3 4 & See appendix 1
                 correct practice in general                                  5
                 aspects of practical
                 procedures, as listed in
                 Appendix 1.
Not        19    Use information effectively in 2 3 4 & 5 Introduction to     2 3 4 & Observation on
explicit         a medical context.                       Clinical Skills &   5       student assistantship
                                                          all units from              & GP attachments,
                                                          year 3 onwards              observed long cases
                                                                                      + case-based
                                                                                      discussion & review
                                                                                      of porfolios in tutorials


Not        19a   Keep accurate, legible and     2 3 4 & 5 All units from 3 4 & 5 Review of clerking
explicit         complete clinical records.               year 3 onwards         portfolios during
                                                                                 tutorials & in OSCE.
                                                                                 Final DOSCE assess
                                                                                 students' ability to
                                                                                 take notes on a ward
                                                                                 round
Not        19b   Make effective use of         4&5      On GP             4&5   Observation of using
explicit         computers and other                    attachments in          computer on GP
                 information systems,                   COMP2 & PPP             attachments on on
                 including storing and                  students gain           wards
                 retrieving information.                experience of
                                                        using computers
                                                        within the
                                                        consultation in
                                                        order to access
                                                        information. In
                                                        PPP they learn
                                                        how to make
                                                        clinical entries
                                                        on GP computer
                                                        systems and
                                                        collect data for
                                                        audits. During
                                                        their student
                                                        assistantships in
                                                        PPP they learn
                                                        how to retrieve
                                                        pathology and
                                                        imaging reports
                                                        from hospital
                                                        computer
                                                        systems




Not        19c   Keep to the requirements of   1 2 3 4 & All GP &         3&5   Written case report,
explicit         confidentiality and data      5         hospital               MCQs & discussion in
                 protection legislation and              attachments            tutorials
                 codes of practice in all                emphasise this.
                 dealings with information.              The ethics & law
                                                         surrounding
                                                         confidentiality
                                                         are taught in
                                                         Psychiatry &
                                                         Ethics. PPP
                                                         includes a
                                                         tutorial
                                                         discussion
                                                         oabout date
                                                         protection &
                                                         confidentiality
Not         19d    Access information sources                 4 Primary Care             4 Workshops & small
explicit           and use the information in                   element of                 group discussion
                   relation to patient care, health             COMP puts a
                   promotion, advice and                        strong emphasis
                   information to patients, and                 on this
                   research and education.

Not         19e   Apply the principles, method        34&5      All units from
explicit          and knowledge of health                       year 3 onwards
                  informatics to medical
                  practice.
Outcomes 3 - The doctor as a professional
1       20        Behave according to ethical         All years All units         1234    Completion of
                  and legal principles.                                           &5      Professional
                                                                                          Behaviour Forms, on-
                                                                                          line assessments,
                                                                                          essays, presentations
                                                                                          for student selected
                                                                                          components, case-
                                                                                          based discussion &
                                                                                          discussion within
                                                                                          tutorials on student
                                                                                          asistantships


1, 4ai      20a    Know about and keep to the All years All units                 1234    Completion of
                   GMC’s ethical guidance and                                     &5      Professional
                   standards including Good                                               Behaviour Forms &
                   Medical Practice , the ‘Duties                                         discussion around
                   of a doctor registered with the                                        worked examples in
                   GMC’ and supplementary                                                 tutorials within PPP
                   ethical guidance which
                   describe what is expected of
                   all doctors registered with the
                   GMC.

6iii, 28a   20b    Demonstrate awareness of       All years All units             1234    Verbal feedback
                   the clinical responsibilities                                  &5      during each clinical
                   and role of the doctor,                                                placement. Review of
                   making the care of the patient                                         portfolio within PPP
                   the first concern. Recognise                                           tutorials
                   the principles of patient-
                   centred care, including self-
                   care, and deal with patients’
                   healthcare needs in
                   consultation with them and,
                   where appropriate, their
                   relatives or carers.
30, 6      20c   Be polite, considerate,          All years All units           1 2 3 4& Verbal feedback
                 trustworthy and honest, act                                    5        during each clinical
                 with integrity, maintain                                                attachment,
                 confidentiality, respect                                                completion of
                 patients’ dignity and privacy,                                          Professional
                 and understand the                                                      Behaviour Forms, on-
                 importance of appropriate                                               line assessments &
                 consent.                                                                review of portfolio
                                                                                         within PPP tutorials

35         20d   Respect all patients,             134&5    Human Basis of 1 3 4 & Essays & OSCE
                 colleagues and others                      Medicine,      5
                 regardless of their age,                   Psychiatry &
                 colour, culture, disability,               Ethics, COMP1,
                 ethnic or national origin,                 COMP2 & PPP
                 gender, lifestyle, marital or
                 parental status, race, religion
                 or beliefs, sex, sexual
                 orientation, or social or
                 economic status. Respect
                 patients’ right to hold religious
                 or other beliefs, and take
                 these into account when
                 relevant to treatment options.

Not        20e   Recognise the rights and the             2 Disablity Matters         2 Small group
explicit         equal value of all people and              course                      discussion
                 how opportunities for some
                 people may be restricted by
                 others’ perceptions.

29         20f   Understand and accept the      134&5       Human Basis of 1 3 4 & Essays, student
                 legal, moral and ethical                   Medicine,      5       presentations, MCQs,
                 responsibilities involved in               Psychiatry &           EMQs & OSCE.
                 protecting and promoting the               Ethics, COMP1,
                 health of individual patients,             COMP2 & PPP
                 their dependants and the
                 public - including vulnerable
                 groups such as children,
                 older people, people with
                 learning disabilities and
                 people with mental illnesses.

4ai,ii     20g    Demonstrate knowledge of 1 3 4 & 5        Human Basis of 1 3 4 &      Essays, student
                 laws, and systems of                       Medicine,      5            presentations, MCQs,
                 professional regulation                    Psychiatry &                EMQs, on-line
                 through the GMC and others,                Ethics, COMP1,              assessments &
                 relevant to medical practice,              COMP2 & PPP.                OSCE. One of the
                 including the ability to                                               Palliative Care &
                 complete relevant certificates                                         Oncology tutorials
                 and legal documents and                                                includes discussion of
                 liaise with the coroner or                                             worked examples of
                 procurator fiscal where                                                writing death
                 appropriate.                                                           certificates &
                                                                                        cremation forms
5          21    Reflect, learn and teach        All years All units          1234     Student essays &
                 others.                                                      &5       presentations
5a         21a   Acquire, assess, apply and              5 Student                   5 Reflective account of
                 integrate new knowledge,                  assistantship in            student assistantship
                 learn to adapt to changing                PPP
                 circumstances and ensure
                 that patients receive the
                 highest level of professional
                 care.
Not        21b   Establish the foundations for   All years All units          1234     Unit logbooks, essays
explicit         lifelong learning and                                        &5       & other student
                 continuing professional                                               selected components
                 development, including a                                              + review of portfolio in
                 professional development                                              year 5
                 portfolio containing
                 reflections, achievements
                 and learning needs.
5          21c   Continually and                 34&5      COMP2,, PPP & 3 4 & 5 Completion of audits
                 systematically reflect on                 External SSCs         in years 3-5, unit log
                 practice and, whenever                                          books, essays,
                 necessary, translate that                                       presentations for
                 reflection into action, using                                   SSCs & review of
                 improvement techniques and                                      portfolio in PPP
                 audit appropriately - for
                 example, by critically
                 appraising the prescribing of
                 others.
26a,b      21d   Manage time and prioritise      All years All units          1234     Feedback on essays,
                 tasks, and work                                              &5       presentations, audits
                 autonomously when                                                     & other SSCs;
                 necessary and appropriate.                                            observation during
                                                                                       student assistantship;
                                                                                       completion of
                                                                                       Professional
                                                                                       Behaviour Forms with
                                                                                       teachers & review of
                                                                                       portfolio in PPP



4di, ii    21e   Recognise own personal and All years All units               1234     Observation on
                 professional limits and seek                                 &5       clinical placements &
                 help from colleagues and                                              student assistantship
                 supervisors when necessary.                                           + completion of
                                                                                       professional
                                                                                       behaviour forms
8a,b       21f   Function effectively as a               5 Peer assisted             5 Observation &
                 mentor and teacher including              learning support            portfolio review with
                 contributing to the appraisal,            tutorial 2                  tutor
                 assessment and review of
                 colleagues, giving effective
                 feedback, and taking
                 advantage of opportunities to
                 develop these skills.

7          22     Learn and work effectively      24&5     Time spent        24&5      Observation on
                 within a multi-professional               working on                  clinical placement &
                 team.                                     nursing shift in            student assistantship.
                                                           Introduction to             Reflection on portfolio
                                                           Clinical Skills;            in PPP
                                                           Care of the
                                                           Elderly
                                                           (COMP2);
                                                           Palliative Care &
                                                           Oncology
                                                           teaching (year
                                                           5) & Student
                                                           Assistantship in
                                                           PPP.
7a         22a    Understand and respect the 3 4 & 5       Psychiatry &      34&5      Small group
                 roles and expertise of health             Ethics, COMP2,              discussion,
                 and social care professionals             COMP1 &                     observation &
                 in the context of working and             Student                     reflective account of
                 learning as a multi-                      Assistantship in            student assistantship
                 professional team.                        PPP.                        & reflection on
                                                                                       portfolio

Not        22b   Understand the contribution 2 3 4 & 5     Introduction to 3 4 & 5     Essays (eg SSC in
explicit         that effective interdisciplinary          Clinical Skills &           COMP2 requires
                 teamworking makes to the                  all units from              students to interview
                 delivery of safe and high                 year 3 onwards.             patients and the
                 quality care.                             For example                 health professionals
                                                           one of                      looking after them),
                                                           Psychiatry's                EMQ & fective
                                                           Learning                    account of student
                                                           Objectives is               assistantship.
                                                           "Describe the
                                                           role of at least 2
                                                           different
                                                           professionals
                                                           (non-medical)
                                                           who can be
                                                           involved with the
                                                           provision of
                                                           services to
                                                           someone with
                                                           these types of
                                                           mental health
                                                           problems".
20         22c   Work with colleagues in ways 2 3 4 & 5   Introduction to 4 & 5   Observation on
                 that best serve the interests            Clinical Skills &       clinical placements &
                 of patients, passing on                  all units from          student assistantship;
                 information and handing over             year 3 onwards          reflective account of
                 care, demonstrating flexibility,                                 student assistantship
                 adaptability and a problem-                                      + Writing notes for
                 solving approach.                                                ward round & writing
                                                                                  discharge letter in
                                                                                  Final OSCE/DOSCE



7          22d   Demonstrate ability to build    4&5    One of the         4&5
                 team capacity and positive             learning
                 working relationships and              objectives of the
                 undertake various team roles           first unit in year
                 including leadership and the           5 is "to work
                 ability to accept leadership by        effectively within
                 others.                                the clinical
                                                        team,
                                                        understanding &
                                                        respecting the
                                                        roles of the
                                                        other team
                                                        members".
Not        23    Protect patients and improve 1 2 3 4 & Inherent in each
explicit         care.                        5         unit
Not        23a   Place patients’ needs and    1 2 3 4 & Inherent in each
explicit         safety at the centre of the  5         unit
                 care process.
7c         23b   Deal effectively with        4&5       Primary Care       4&5    Observation on GP
                 uncertainty and change.                teaching in               attachments
                                                        years 4 & 5
27a,b   23c   Understand the framework in 3 4 & 5   Ethics provides 4 & 5   Case-based
              which medicine is practised in        teaching on the         discussion in tutorials,
              the UK, including: the                relationship            MCQs, EMQs
              organisation, management              between public
              and regulation of healthcare          & private
              provision; the structures,            healthcare in the
              functions and priorities of the       UK. COMP2 has
              NHS; and the roles of, and            as two of its
              relationships between, the            learning
              agencies and services                 objectives
              involved in protecting and            "Describe the
              promoting individual and              role of the GP
              population health.                    and the other
                                                    members of the
                                                    Primary
                                                    Healthcare
                                                    team" and
                                                    "Appraise the
                                                    different
                                                    systems
                                                    providing open
                                                    access
                                                    healthcare in the
                                                    UK. It offers
                                                    lectures on
                                                    Primary Care,
                                                    NHS Direct &
                                                    Walk-in-
                                                    Centres. PPP
                                                    also has a
                                                    tutorial covering
                                                    these topics.
28      23d   Promote, monitor and          3&5     The integrated        5 Within the year 5
              maintain health and safety in         study days in           logbook students
              the clinical setting,                 Year 3 include          have to complete a
              understanding how errors can          teaching on             mock report of a
              happen in practice, applying          safety in the           clinical incident
              the principles of quality             clinical setting.
              assurance, clinical                   Tutorials in PPP
              governance and risk                   include
              management to medical                 discussion on
              practice, and understanding           these topics.
              responsibilities within the
              current systems for raising
              concerns about safety and
              quality.
28          23e    Understand and have           34&5        External SSCs      3 4 & 5 All students have to
                   experience of the principles              & PPP                      complete an audit
                   and methods of                                                       during at least one of
                   improvement, including audit,                                        their SSCs.
                   adverse incident reporting
                   and quality improvement, and
                   how to use the results of
                   audit to improve practice.

5           23f    Respond constructively to the All years All units             All        This is assessed
                   outcomes of appraisals,                                      units       each time a
                   performance reviews and                                                  Professional
                   assessments.                                                             Behaviour Form is
                                                                                            completed and
                                                                                            whenever students
                                                                                            are given one-to-one
                                                                                            feedback.
29f,g       23g    Demonstrate awareness of                5 Discussion with            5
                   the role of doctors as                    a doctor in
                   managers, including seeking               management
                   ways to continually improve               role within
                   the use and prioritisation of             tutorial
                   resources.

10          23h    Understand the importance      24&5       Introduction to    24&5
                   of, and the need to keep to,              Clinical Skills,
                   measures to prevent the                   COMP1 &
                   spread of infection, and apply            Surgical Skills
                   the principles of infection               Course
                   prevention and control.

10          23i    Recognise own personal          All years All units          All         This is assessed
                   health needs, consult and                                    years       each time a
                   follow the advice of a suitably                                          Professional
                   qualified professional, and                                              Behaviour Form is
                   protect patients from any risk                                           completed and
                   posed by own health.                                                     whenever students
                                                                                            are given one-to-one
                                                                                            feedback.
4di, ii; 29f 23j   Recognise the duty to take              5 Discussion
                   action if a colleague’s health,           around worked
                   performance or conduct is                 example in PPP
                   putting patients at risk.                 tutorial

Appendix 1 procedures
Diagnostic procedures
1   Measuring body temperature 1,2 3 & 4 GP attachment 1 3 & 4       Performance
                                         during Human                observed & recorded
                                         Basis of                    on new template
                                         Medicine                    (agreed). Basic
                                         ,Physiology                 proficiency is signed
                                         Practicals in               off in the Introduction
                                         Systems of the              to Clinical Skills
                                         Body, Junior                course. Sometimes it
                                         Medicine &                  is assessed in the
                                         Surgery &                   OSCE for COMP1
                                         COMP1 &                     (Child Health) or
                                         COMP2 (year 4)              COMP2 (GP)

2   Measuring pulse rate and    1 2 3 4 & GP attachment     2, 3 & 4 Performance
    blood pressure              5         during Human               observed & recorded
                                          Basis of                   on new template
                                          Medicine (year             (agreed). Basic
                                          1), Physiology             proficiency is signed
                                          Practical in               off in the Introduction
                                          Systems of the             to Clinical Skills
                                          Body, Junior               course. Sometimes it
                                          Medicine &                 is assessed in the
                                          Surgery,                   OSCE for Junior
                                          COMP1 &                    Medicine. It is always
                                          COMP2                      assessed in the
                                                                     OSCE for COMP2
                                                                     (year 4)

3   Transcutaneous monitoring   1 2 3 & 4 Physiology               2 Performance
    of oxygen saturation                  Practicals &               observed & signed off
                                          Respiratory                during Introduction to
                                          Practicals in              Clinical Skills, using
                                          year 1 & 2,                new template
                                          Junior Medicine            (agreed)
                                          & Surgery (year
                                          3) and
                                          Anaesthetics
                                          (year 4)

4   Venepuncture                34&5     Junior Medicine 3,4 & 5 Observation on
                                         & Surgery,              clinical attachments &
                                         COMP2, Senior           OSCE
                                         Medicine &
                                         Surgery
                                         Preparing for
                                         Professional
                                         Practice
5    Managing blood samples        34&5      Junior Medicine 3,4 & 5 Observation on
     correctly                               & Surgery,              clinical attachments &
                                             COMP2, Senior           OSCE
                                             Medicine &
                                             Surgery
                                             Preparing for
                                             Professional
                                             Practice


6    Taking blood cultures         3&5       Junior Medicine 3 & 5     Performance
                                             & Surgery,                observed & recorded
                                             Senior Medicine           on new template
                                             & Surgery                 (being written)




7    Measuring blood glucose       23&4      Introduction to 3 & 4     Performance
                                             Clinical Skills,          observed & recorded
                                             Junior Medicine           on new template
                                             & Surgery,                (being written)
                                             COMP2



8    Performing and interpreting a 3 4 & 5   Junior Medicine 3 4 & 5 OSCE stations,
     12-lead Electrocardiograph              & Surgery,              written stations &
     (ECG)                                   COMP2, Senior           DOSCE
                                             Medicine &
                                             Surgery
                                             Preparing for
                                             Professional
                                             Practice


9    Managing an                   34&5      Junior Medicine 3 4 & 5   Performance
     Electrocardiograph (ECG)                & Surgery,                observed & recorded
     monitor                                 COMP2, Senior             on new template
                                             Medicine &                (being written)
                                             Surgery
                                             Preparing for
                                             Professional
                                             Practice


10   Basic respiratory function    2 3 4 & 5 Introduction to 2 3 4 &   Ability to record peak
     tests                                   Clinical Skills, 5        flow recorded on new
                                             Junior Medicine           template (agreed).
                                             & Surgery,                Also assessed in
                                             COMP2 &                   OSCEs & DOSCE
                                             Senior Medicine
                                             & Surgery
         11       Urinalysis using Multistix     2 3 4 & 5 Introduction to    4 Performance
                                                           Clinical Skills,     observed & recorded
                                                           Junior Medicine      on new template
                                                           & Surgery,           (agreed). Also
                                                           COMP2 &              assessed in OSCE
                                                           Senior Medicine
                                                           & Surgery


         12       Advising patient on how to            4 COMP2               4 Performance
                  collect a mid-stream urine                                    observed & recorded
                  specimen                                                      on new template
                                                                                (agreed). Also
                                                                                assessed in OSCE

         13       Taking nose, throat and skin   3, 4     Junior Medicine     4 Performance
                  swabs                                   & Surgery +           observed & will be
                                                          Dermatology in        recorded on new
                                                          COMP2                 template (being
                                                                                written)



         14       Nutritional assessment                4 COMP1 &             4 MCQ, EMQ & OSCE
                                                          COMP2



         15       Pregnancy testing                     4 RHCN &              4 Performance
                                                          COMP2                 observed & will be
                                                                                recorded on new
                                                                                template (being
                                                                                written)



Therapeutic procedures
1   Administering oxygen   34&5   Junior Medicine 3,4 5   Observation on
                                  & Surgery,              wards, A&E & in the
                                  Applied Clinical        theatre
                                  Sciences
                                  (Anaesthetics)
                                  Senior Medicine
                                  & Surgery,
                                  Preparing for
                                  Professional
                                  Practice (PPP)
2   Establishing peripheral        34&5    Junior Medicine 3, 4 5     Observation on wards
    intravenous access and                 & Surgery, all
    setting up an infusion; use of         units in year 4,
    infusion devices                       Senior Medicine
                                           & Surgery,
                                           Preparing for
                                           Professional
                                           Practice (PPP)




3   Making up drugs for         3, 4 & 5   Junior Medicine 3, 4 & 5   This will be taught &
    parenteral administration              & Surgery,                 assessed in the skills
                                           Senior Medicine            lab in year 3. Basic
                                           & Surgery,                 proficiency will be
                                           Preparing for              signed off in
                                           Professional               Preparing for
                                           Practice (PPP)             Professional Practice.
4   Dosage and administration of 3 4 & 5   There will be      3, 4 & 5   The knowledge
    insulin and use of sliding             opportunities for             required for
    scales                                 stduents to learn             administering insulin
                                           about giving                  is assessed
                                           insulin injections            summatively in years
                                           from specialist               3 & 5.
                                           nurses and
                                           expert patients
                                           in year 3. The
                                           concept of
                                           sliding scales
                                           will be
                                           introduced
                                           during
                                           Anaesthetics in
                                           Year 4.


5   Subcutaneous and             34&5      GP attachments 4 & 5          At present there is no
    intramuscular injections               during all units              comprehensive
                                           in year 3,                    summative
                                           COMP2 (Year                   assessment of this
                                           4) & all units in             skill but all students
                                           year 5.                       should have a
                                                                         formative assessment
                                                                         uring their GP
                                                                         attachment in year 4.
6   Blood transfusion                          5 Preparing for        5 During PPP all
                                                 Professional           students are
                                                 Practice (PPP)         assessed giving a
                                                                        "mock" blood
                                                                        transfusion by a
                                                                        transfusion specialist
                                                                        nurse or by a
                                                                        haematologist of
                                                                        grade ST3 or above.
                                                                        Satisfactory
                                                                        performance of this
                                                                        skill is signed off in
                                                                        the year 5 logbook.
7   Male and female urinary        4&5          Female            4&5   Observation in
    catheterisation                             catheterisation         hospital & sometimes
                                                is taught during        summative
                                                Reproductive            assessment, using
                                                Healthcare &            manikins, in Final
                                                Care of the             OSCE
                                                Newborn. Male
                                                catheterisation
                                                is taught during
                                                the units in year
                                                5.

8   Instructing patients in the use 3, 4 & 5    Junior Medicine 3,4 & 5   Following the Clinical
    of devices for inhaled                      (year 3), GP              Skills Symposium
    medication                                  attachment in             held in April 2010 a
                                                COMP2 (year 4)            new template for
                                                                          assessing this skills
                                                                          was written. It was
                                                                          agreed that this skill
                                                                          would always be
                                                                          assessed in the
                                                                          OSCE for Junior
                                                                          Medicine. Basic
                                                                          proficiency will be
                                                                          signed-off in the log-
                                                                          book during GP
                                                                          attachment. This skill
                                                                          may also be
                                                                          assessed in the
                                                                          OSCE for COMP2.
                                                                          Sometimes it may be
                                                                          assessed in the Final
                                                                          OSCE as part of a
                                                                          more complex
                                                                          scenario
          9         Use of local anaesthetics       4&5         Applied Clinical           5 Basic proficiency is
                                                                Sciences                     signed-off in the
                                                                (Anaesthetics) &             surgical skills course
                                                                Surgical Skills
                                                                Course (year 5)


          10        Skin suturing                              5 Surgical Skills           5 Basic proficiency is
                                                                 Course (year 5)             signed-off in the
                                                                                             surgical skills course.
                                                                                             Sometimes it is
                                                                                             assessed in the Final
                                                                                             OSCE.
          11        Wound care and basic wound 3 4 & 5          Junior Surgery             5 Partly assessed
                    dressing                                    (year 3),                    during Surgical Skills
                                                                sometimes                    Course
                                                                druing Care of
                                                                the Elderly in
                                                                COMP2 (year 4
                                                                ) and always in
                                                                Emergency
                                                                Medicine &
                                                                Surgical Skills
                                                                course (year 5)

          12        Correct techniques for          2,3, 4 &    Introduction to     2,3 4 & Each trust is
                    ‘Moving and handling’,          5           Clinical Skills     5       responsible for this
                    including patients                          Course & Trust
                                                                Induction at
                                                                each Academy
General aspects of practical procedures
         1         Giving information about the                3 Consultation              3 Role play in small
                   procedure, obtaining and                      Skills Teaching             groups with facilitator
                   recording consent, and                        in Junior
                   ensuring appropriate                          Medicine &
                   aftercare                                     Surgery
         2         Hand washing (including                     5 Surgical Skills           5 Observation during
                   surgical ‘scrubbing up’)                      Course (year 5)             clinical placements &
                                                                                             on Surgical Skills
                                                                                             Course

          3         Use of personal protective                 5 Surgical Skills           5 Observation during
                    equipment (gloves, gowns,                    Course (year 5)             clinical placements &
                    masks and so on) in relation                                             on Surgical Skills
                    to procedures                                                            Course

          4         Infection control in relation to 2 & 5      Introducation to           5 Observation during
                    procedures                                  Clinical Skills &            clinical placements &
                                                                Surgical Skills              on Surgical Skills
                                                                Course                       Course
5   Safe disposal of clinical   5 Surgical Skills   5 Observation during
    waste, needles and other      Course (year 5)     clinical placements &
    ‘sharps’                                          on Surgical Skills
                                                      Course
Formative




Both
cal students are tomorrow's doctors. In accordance with Good Medical
 ts their first concern, applying in the curriculum each of in ‘Outcomes for
Q44’ in Annex 2 to show when their knowledge and skillsthe a competent and
 ppendix 1 are taught and assessed. Please provide as much information as
                                  Self-assessment and in the corner,
When you click in a cell to populate it, an arrow will appear action plan click on
 ssment
             Summati     Self        Details of        Indicative   Challenges
             ve /        assessm     planned change    timeline     to
             formativ    ent on      or areas under    for          implementati
             e / both?   complian    review            change or    on
                         ce                            review



             Both        Compliant All units subject   Revised
                                   to curriculum       units to
                                   review - in         start Sept
                                   progress            2011




             Both        Compliant All units subject   Revised
                                   to curriculum       units to
                                   review - in         start Sept
                                   progress            2011




             Both        Compliant




             Both        Compliant
Both   Compliant




Both   Compliant




Both   Some        One of the main      Revised
       work is     aims of the          units to
       needed to   curriculum review    start Sept
       fully       is to identify the   2011
       comply      gaps in
                   pharmacology
                   teaching. Not
                   sure of all points
                   in programme
                   where antibiotic
                   resistance is
                   taught but
                   COMP1 aims to
                   teach students
                   about the control
                   of infections



Both   Compliant
Both   Some        There may be
       work is     opportunities to
       needed to   teach application
       fully       of psychological
       comply      prinicples in other
                   units




Both   Some        There may be          Sep-11
       work is     opportunities to
       needed to   teach application
       fully       of psychological
       comply      prinicples in other
                   units



Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both   Compliant




Both   Compliant Learning
                 objectives for
                 COMP2 will be
                 expanded next
                 year to include
                 management of
                 drug misuse in
                 Primary Care
Both   Compliant



       Compliant



Both   Compliant



Both   Compliant




Both   Compliant
Both   Compliant



Both   Compliant




Both   Compliant




Both   Compliant



Both   Compliant
Both      Compliant There may be
                    opportunities to
                    teach about
                    application of
                    clinical guidelines
                    in other units

Summativ Compliant
e




Summativ Compliant
e



Formative Significant
          change
          required


Summativ Compliant
e


Both      Compliant



Both      Compliant




Both      Compliant
Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both     Compliant




Both     Compliant




Both     Some        This should be      Sep-11
         work is     developed within
         needed to   other units
         fully       following the
         comply      curriculum review

Summativ Some        Need to identify    Sep-11
e        work is     more clearly
         needed to   where teaching
         fully       on safeguarding
         comply      children takes
                     place

Both     Compliant




Both     Compliant
Both   Compliant




Both   Some        There may be a    Sep-11
       work is     need to provide
       needed to   more teaching &
       fully       assessment of
       comply      communication
                   with patients
                   whose first
                   language is not
                   English
Both     Compliant




Both     Compliant




Formative Some        Students are
          work is     taught how to
          needed to   communicate
          fully       with angry (but
          comply      not physically
                      violent) patients.
Both     Compliant
Both   Some      There is scope
       work is   for extending the
       needed to teaching &
       fully     assessment of
       comply    this skill in other
                 units. Need to
                 assess students'
                 ability to
                 communicate
                 with people who
                 have a learning
                 disability.
       Some      Need to indentify       Sep-11
       work is   where students
       needed to will learn how to
       fully     communicate as
       comply    managers and
                 improvement
                 leaders


Both   Compliant


Both   Compliant




Both   Compliant




       Some        May need to
       work is     create a basic
       needed to   first aid course in
       fully       year 1
       comply
Both   Compliant

Both   Compliant
Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both     Some
         work is
         needed to
         fully
         comply




Both     Compliant




Both      Some
          work is
          needed to
          fully
          comply
Formative Compliant




Both     Compliant




Both     Some
         work is
         needed to
         fully
         comply
Both     Some
         work is
         needed to
         fully
         comply
Both   Some
       work is
       needed to
       fully
       comply
Both   Some
       work is
       needed to
       fully
       comply
Both   Compliant




Both   Compliant
Formative Some
          work is
          needed to
          fully
          comply




Both     Compliant
Formative Some
          work is
          needed to
          fully
          comply


Both     Compliant




Both     Compliant




Both     Compliant




Both     Compliant
Both     Compliant




Both     Some         These issues          Sep-11
         work is      have been given
         needed to    priority in the
         fully        curriculum review
         comply       which is still in
                      progress.




Formative Some        Need to develop
          work is     summative
          needed to   asessment in
          fully       later years of the
          comply      programme

Both     Some         These issues
         work is      need to have a
         needed to    higher profile in
         fully        all units. The
         comply       curriculum review
                      is scrutinizing the
                      teaching &
                      assessment of
                      this knowledge in
                      all units.


Both     Compliant
Both   Compliant

Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant




Both   Compliant
Both   Some
       work is
       needed to
       fully
       comply




Both   Compliant




Both   Compliant




Both   Compliant
Both     Compliant




Formative Some
          work is
          needed to
          fully
          comply




         Compliant

         Compliant


Formative Some        The curriculum
          work is     review may lead
          needed to   to other units
          fully       incorporating
          comply      teaching and
                      assessment of
                      this skill
Both   Compliant




Both   Compliant
Both   Compliant




Both   Compliant




       Significant
       change is
       required




       Some
       work is
       needed to
       fully
       comply


Both   Compliant




       Some
       work is
       needed to
       fully
       comply
Both   Compliant The template for   Sep-11
                 recording this
                 skill has been
                 written & will
                 become part of
                 the new clinical
                 skills logbook




Both   Compliant                    Sep-11




Both   Compliant The template for   Sep-11
                 recording this
                 skill has been
                 written & will
                 become part of
                 the new clinical
                 skills logbook




Both   Compliant
Both      Compliant




Formative Significant A template for        Sep-11
          change is assessing this
          required skill is being
                      written & will be
                      incorporated into
                      the new clinical
                      skills logbook

Formative Significant A template for        Sep-11
          change      assessing this
          required skill is being
                      written & will be
                      incorporated into
                      the new clinical
                      skills logbook

Both      Some        A template for        Sep-11
          work is     assessing this
          needed to   skill is being
          fully       written & will be
          comply      incorporated into
                      the new clinical
                      skills logbook



Formative Some        A template for        Sep-11
          work is     assessing this
          needed to   skill is being
          fully       written & will be
          comply      incorporated into
                      the new clinical
                      skills logbook



Both      Some        Templates need        Sep-11
          work is     to be written for
          needed to   other respiratory
          fully       tests &
          comply      incorporated into
                      new clinical skills
                      logbook
Both      Compliant




Both      Compliant




Formative Significant A template for      Sep-11
          change is assessing this
          required skill is being
                      written & will be
                      incorporated into
                      the new clinical
                      skills logbook

Summativ Some         Further teaching    Sep-11
e         work is     & assessment
          needed to   may be needed
          fully
          comply
Formative Some        A template for      Sep-11
          work is     assessing this
          needed to   skill is being
          fully       written & will be
          comply      incorporated into
                      the new clinical
                      skills logbook
Formative Some        A template for      Sep-11 In year 5
          work is     assessing this             students are
          needed to   skill is being             expected to
          fully       written & will be          know who to
          comply      incorporated into          prescribe
                      the new clinical           oxgygen for
                      skills logbook             asthma,
                                                 COPD, MI &
                                                 community
                                                 acquired
                                                 pneumonia.
                                                 There is a
                                                 summative
                                                 assessment
                                                 of this
                                                 knowlegde in
                                                 Finals but at
                                                 present the
                                                 relevant skills
                                                 are not
                                                 assessed
                                                 summatively.
                                                 This should
                                                 be addressed
                                                 whent he new
                                                 template is
                                                 completed.
Formative Some        A template for        Sep-11
          work is     assessing this
          needed to   skill is being
          fully       written & will be
          comply      incorporated into
                      the new clinical
                      skills logbook. At
                      the Clinical Skills
                      Symposium in
                      April 2011 it was
                      agreed that basic
                      proficiency will be
                      signed off in Year
                      3. In years 4 & 5
                      each student will
                      have to cannulate
                      a vein 5 times
                      over course of a
                      year - signed-off
                      in log-book by
                      registered
                      nurse/doctor who
                      does this
                      regularly. Lots of
                      opportunities to
                      do this in
                      Reproductive
                      Health Care,
                      Care of Elderly &
                      Anaesthetics.


Formative Significant A template for        Sep-11
          change is assessing this
          required skill is being
                      written & will be
                      incorporated into
                      the new clinical
                      skills logbook
         Some                              Sep-11 Creating a
         work is                                  summative
         needed to                                assessment
         fully                                    for this skill
         comply                                   will be a
                                                  challenge. A
                                                  national
                                                  protocol for
                                                  using sliding
                                                  insulin scales
                                                  should be
                                                  published
                                                  soon &
                                                  should be
                                                  taught and
                                                  assessed in
                                                  Year 5.

Formative Some        At the Clinical      Sep-11 We need to
          work is     Skills Symposium            consider how
          needed to   held in April 2010          & when
          fully       it was agreed that          students wil
          comply      basic proficiency           be taught
                      would be signed-            how to use
                      off in a log-book           Epipen.
                      by a GP or
                      practice nurse
                      during the GP
                      attachment in
                      year 4 (COMP2).
                      Providing
                      students have
                      basic proficiency
                      they can give
                      injections (eg s/c
                      heparin) on drug
                      rounds in Senior
                      Medicine &
                      Surgery in Year
                      5.
Both   Compliant There a plans to
                 move the current
                 teaching in year 5
                 (led by
                 transfusion
                 nurse) to
                 Pathology in
                 Applied Clinical
                 Sciences (ACS)
                 in year 4.



Both   Compliant




Both   Compliant
Both     Some                              Sep-11
         work is
         needed to
         fully
         comply


Both     Compliant




Both     Some         We are               Sep-11
         work is      considering more
         needed to    teaching &
         fully        assessment on
         comply       this by a tissue
                      viability nurse in
                      year 4




Both     Some                              Sep-11
         work is
         needed to
         fully
         comply

Formative Some                             Sep-11
          work is
          needed to
          fully
          comply
Formative Some                             Sep-11
          work is
          needed to
          fully
          comply
Formative Some                             Sep-11
          work is
          needed to
          fully
          comply
Formative Some                             Sep-11
          work is
          needed to
          fully
          comply
Formative Some        Sep-11
          work is
          needed to
          fully
          comply
Summativ Compliant
e
Formative Some
          work is
          needed to
          fully
          comply
Both      Significant
          change
          required

				
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