Unit information: Senior Medicine and Surgery in 2014/15

Unit name	Senior Medicine and Surgery
Unit code	MEDI35180
Credit points	0
Level of study	H/6
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Professor. Smith
Open unit status	Not open
Pre-requisites	Must have progressed from previous year of the MB ChB Programme
Co-requisites	None
School/department	Bristol Medical School
Faculty	Faculty of Health Sciences

Description including Unit Aims

For MB ChB students only. Includes Neurology teaching.

Intended Learning Outcomes

• To be able to demonstrate understanding and knowledge of the symptoms and signs of common medical and surgical conditions.
• To be able to take a full and accurate clinical history and to be able to present this succinctly this to others.
• To be able to undertake a full and comprehensive clinical examination within an approriate time frame.
• To be able to undertake intimate examinations (breast and rectal) appropriately and effectively.
• To be able to formulate a differential diagnosis.
• To be able to employ appropriate and economical investigations to confirm a diagnosis.
• To be able to devise an appropriate initial plan of management.
• To have an understanding of and to be able to demonstrate principles of safe prescribing, including analgesia.
• To be able to recognise, assess and manage the acutely ill or collapsed patient, including immediate life support.
• Understand and be able to demonstrate recognition of medical priorities.
• To have an understanding of and to demonstrate good practice in medical record keeping.
• To have an understanding of and to demonstrate safe use of approriate medical devices (eg: sphygmomanometer; oxygen saturation monitor; I.V. infusion set; hand-held Doppler; urinary catheter).
• To be able to demonstrate performance of appropriate diagnostic and therapeutic practical procedures, with respect to medicine and surgery, as listed in Appendix 1 Tomorrow's Doctors (2009) Pages 77-81.
• To be able to handle surgical instruments and sharps safely and appropriately.
• To be able to demonstrate basic suturing skills.
• To develop and be able demonstrate professionalism in the workplace (Polite, respectful and non-judgemental with patients, relatives and staff. Respects patients' privacy and dignity. Maintains patient confidentiality).
• To develop and demonstrate appropriate communication skills with patients and relatives including breaking bad news.
• To have a comprehension of the law, ethics and guidance surrounding "Do not attempt resuscitation orders".
• To have an awareness of the ethics, principles and legalities of valid consent.
• To develop awareness of assessment and planning for home discharge and management of chronic disease.
• To have an understanding of and be able to demonstrate principles of infection control (Hand washing; aseptic techniques; personal protection; sharps disposal and injuries; use of antibiotics; development of resistance; blood borne viruses.
• To have a basic understanding of nutritional care.

Teaching Information

Across the elements there is a mixture of lectures, seminars small group discussion around cases and short classroom-based teaching. Plus surgical skills training in the clinical skills training centre.

Assessment Information

• Spot Tests
• EMQs
• Data Interpretation Question
• Tutorial or Practical Formative Performance
• OSCE / DOSCE
• Objective Long Case
• Log book / Portfolio review

Reading and References

Library link

https://www.ole.bris.ac.uk/webapps/cmsmain/webui/_xy-136348_5-t_hYyAB8mF