Unit information: Year 3 Junior Medicine & Surgery in 2015/16

Unit name	Year 3 Junior Medicine & Surgery
Unit code	MEDI30021
Credit points	0
Level of study	H/6
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. Wilkins
Open unit status	Not open
Pre-requisites	Must be on the MB ChB Programme.
Co-requisites	None
School/department	Bristol Medical School
Faculty	Faculty of Health Sciences

Description including Unit Aims

The emphasis in this Unit is developing clinical skills. Students will learn how to apply the knowledge they have gained of basic physiology, anatomy, pharmacology and pathology to patients with a wide range of diseases.

Intended Learning Outcomes

AIMS

1. To be competent in assessing, recording and managing patients with common clinical problems

2. To understand and use the concept of a working diagnosis

3. To develop a self directed learning strategy using all the learning opportunities offered

4. To understand and develop the behaviours and attitudes defined in the GMC Tomorrows Doctors (www.gmc-uk.org/education/undergraduate/tomorrows_doctors_2009_foreword.asp)

5. To accrue the knowledge, skills and attitudes to fulfill the objectives detailed below

OBJECTIVES

By the end of the attachment you should be able to

1. Take, record and present a relevant history, including drug history

2. Examine a patient and elicit, demonstrate and interpret common physical signs

3. Demonstrate an adequate knowledge base and an ability to use this knowledge to guide your history taking and examination

4. Integrate the history and physical findings to construct a working diagnosis and differential diagnosis

5. Formulate plans for investigation and management of the core clinical problems detailed on Page 25 in the light of the available evidence base.

6. Develop skills with common clinical procedures as defined in CAPs logbook, including

7. Assessment and resuscitation of the acutely ill patient

8. Diagnose and understand the principles of management of acute medical emergencies

9. Be confident in seeking out and using learning opportunities, and reflecting on these

10. Demonstrate a professional attitude, including the need to:

• Treat patients with courtesy and consideration
• Respect the dignity and privacy of patients and confidentiality of information
• Work efficiently and professionally with other colleagues within the team to maximise the interests of the patient.
• Reflect on learning opportunities and behaviours.

11. Demonstrate an ability to research clinical problems and understand application of the findings of this research to clinical management

12. Demonstrate an ability to communicate:

• Clinical findings to patients and other health care professionals both in clinical (eg ward round) and academic (eg Grand Round) settings
• Diagnosis and management plans to patients and respond to questions about their care, including breaking bad news

Teaching Information

Ward based attachments, GP attachments, Unit tutorials, Unit seminars, small group teaching, e-learning, and clinical skills sessions.

Assessment Information

Formative assessment: is a case report written to a series of guidelines and marked within the Academy. An oral presentation of the case will also be given

Summative Assessment

Clinical Assessment (occurring during and at the end of the Unit):

There are two sections to this clinical component:

• Clerking portfolio (20% of JMS component mark): The clerking portfolio is a sample of the clerkings undertaken by Year 3 students throughout their 18 week JMS attachment, and comprises 32 clerkings covering the necessary specialties, as described in the unit guidance. This is marked in the Academy according to defined processes and quality assured centrally.
• Objective Long Case (OLC) series (80% of JMS component mark): Two long cases are undertaken: the first, worth 40% of the component mark, is assessed by a clinical teaching fellow or equivalent junior doctor (trained in long case assessment) in weeks 10-15 of the unit: the second, worth 60%, is assessed by a more senior doctor, trained in long case assessment (usually a consultant) in weeks 16-17 of the unit. The pass mark is informed by the borderline regression method for the cohort. Students who fail to achieve the pass mark will undertake a third long case, double marked by two senior doctors trained in long case assessment, in week 18 of the second JMS unit. The third long case is assessed on a pass/fail basis. Passing the third long case will result in the student scoring 50% for this component but will not contribute to the unit mark beyond this. To pass ‘Assessments of clinical skills taught in Year 3’ the student must receive a mark of at least 50% overall (after standard setting and scaling)

Written Paper 1: Joint JMS and MDEMO paper taken at the end of the year. Comprising 120 ‘best-of-5’ multiple choice questions of which 80 will be relevant to JMS and 40 will be relevant to MDEMO.

Reading and References

Library link

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