Year 4

‌‌‌‌‌Community Orientated Medical Practice (COMP 2): Primary Health Care, Dermatology and Medicine for Older People

If you are a prospective student, please visit the relevant page in our prospectus for the most up to date information.

The course is 9 weeks long and runs 4 times a year, comprising 8 weeks of clinical placements and 5 days central teaching in Bristol. The clinical time is divided into a 4-week GP placement and a 4-week Medicine for Older People placement with Dermatology clinics and tutorials throughout. During this time the students are academy-based. They all attend central teaching in Bristol for two days of the first week and the final three days of week 9.


To develop the students' skills in management of common and chronic problems encountered in primary health care, dermatology and care of the elderly.

COMP 2 explores and provides experience in the following vertical themes:

  • Communication Skills
  • Whole Person Care
  • Disability

Objectives (specific to Primary Care)

By the end of the unit each student should be able to:

  • Describe the role of the GP, other members of the primary health care team and the other systems that provide open access health care in the UK
  • Conduct a complete consultation on any of the Core Clinical Problems (PDF, 277kB) listed. Including:
    • Consulting effectively with a patient with a disability
    • Identifying patients at risk of intimate partner violence and having strategies to help them
    • Understanding how the delivery of bad news impacts on patients and carers
  • Describe the risks and benefits of commonly prescribed medication used in the treatment of these Core Clinical Problems and understand the rationale behind making treatment decisions
  • Help patient reduce their risk of developing chronic disease and use data interpretation e.g. blood pressure measurement and cardiovascular risk to inform management
  • Understand the impact of multi-morbidity on the individual and health care services
  • Describe methods by which the impact of disability on patients can be minimised

University-based Primary Care teaching

  • Lectures, workshops and seminars, including ‘Effective consultation skills’ and a ‘Disability seminar'
  • Small group tutorials with supervisor of student selected components.

General Practice-based Primary Care teaching

The majority of GP placements are a single 4-week attachment. Some students have residential placements and these tend to be 2-week placements followed by a second 2-week placement in a different practice. Each attachment offers the student one-to-one tuition which is a unique opportunity during their MBChB course.

Links relevant to Year 4 GP Teaching


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