General Practitioner Involvement in Tutoring and Examining Medical Students

Dr Philip Burns – Senior Lecturer (Teaching Focussed) and Acting Lead for CBMEDr Mark Perry – Clinical Lecturer (Teaching Focussed)Dr Rebecca Farrington – Clinical Lecturer (Teaching Focussed)Dr Pip Fisher– Clinical Lecturer (Teaching Focussed)Dr Rachel Lindley – Clinical Lecturer (Teaching Focussed)Dr Harish Thampy – Clinical Lecturer (Teaching Focussed)Dr Julia Humphreys – Clinical Lecturer (Teaching Focussed)Dr Kurt Wilson – Clinical Lecturer (Teaching Focussed)Dr Enam Haque – Clinical Lecturer (Teaching Focussed)

Goals for today

•Get to know us•Get to know you•Get to know each other•Get to know about opportunities in

undergraduate education!

The Manchester Curriculum

MBChB Outcomes• Confident FY1 Doctors• Preparing students for NHS careers• To work in complex environments• To cope with uncertainty• To become masters of their trade• To understand their role in clinical teams• To understand how the health service works• Leadership, Teaching…etc. etc.

Curriculum Structure• Spiral Curriculum

▫ Integrated• Problem Based Learning

▫ Lifelong learning skills▫ Student Centred, Self Directed

• Core plus options▫ Personal Excellence Pathways▫ Project Options

• Early patient contact• Continuing patient contact

Spiral of learning

Entry

Phase 3 : Year 5 Preparationfor practice

Phase 2: Year 3 - 4 Developing clinical competence

Cardiorespiratoryfitness

Abilities & disabilities

LifeCycle

Qualification

Nutrition & metabolism

Phase 1: Year 1 – 2Developing basic knowledge

Dr as a Scholar and a Scientist

Dr as a Practitioner

Dr as a Professional

Nutrition, metabolism &

excretion

Families & children

Research Project

Heart, lungs & blood

Mind & Movement

What is Problem Based Learning?

Problem based learning

FIRSTTUTORIAL

CLINICAL & SELF STUDY

SECONDTUTORIAL

Define problemand set

learning needs

Pool answersDiscuss clinical

experience

Community Based Medical Education (CBME)

What do medical students need from community placements?

What do medical students need in the community?

Active learning•Take and present

histories•Clinical

examinations

•Not sitting in corner bored

Community Set-Up

ManchesterMedical School

CBME

MRI

SalfordRoyal

South

Preston

GP’s GP’s &CSU’s GP’s

Phase 1

Years 1 & 2(Early

Experience)

Phase 2

Years 3 & 4(NME, HLB, M&M, F&C)

Phase 3

Year 5

Pre-clinical Clinical

Early Clinical Experience (ECE) in Years 1&2

•Six half days a year

•Communication feedback sessions

•Gentle introduction for you and them

A day a week in Years 3 & 4

•4 modules•Active

participation•Link to PBL•Debrief•CSUs•Workplace based

assessments (U-PSAs)

4 week blocks in Year 5

•Apprentice model•Own

consultations •Close supervision•Tutorials•Exempting exam•Work place based

assessments (U-PSAs)

Personal Excellence Pathways (PEPs)

•In year 3•4 weeks (x2)•Quality &

EvidenceOr

•Lay Document

What can GPs help with in the hospital and University environment?

Opportunities

Small Group Tutor

•Community Focussed Teaching (CFT Stopford OR Preston)▫Year 3 Manchester or Preston delivery▫Same content▫Cover topics in

dermatology/ophthalmology/ENT, occupational health, diabetes, cardiovascular systems.

▫Payment £440 per day

Clinical Intelligence Tutor

•Year 3 in all Manchester sectors•During HLB block, 6-8 students for 7

weeks•Discuss issues raised by cases seen in

hospital and GP – clinical presentation / differential diagnosis/ drugs/ ethics/ professionalism/ patient expectations

•Payment £75 per hour•Session usually lasts 2-3 hours

PBL Tutor

•Based in all sectors in teaching hospitals and some DGHs

•Years 3 and 4 students – groups of 8 students

•Required to attend ½ day training through the Staff Development Unit:▫http://www.medicine.manchester.ac.uk/pri

me/•Payment: £75 per hour•Session usually lasts 2-3 hours

Y3 Group (Hub & Spoke) PEP Lead• Hub & Spoke PEP = a central Hub for teaching

and support plus Spokes for clinical experience• Hub is a group of 8 students, 1 day/week for 4

week block• Hub Lead teaches specialist topic to the group,

sets quality & evidence based projects for the students to complete in Spoke placements and marks assessments

• Runs twice per year, Jan/Feb and June/July• Payment: £2475 in total• Contact Jacqueline Pass on

Jacqueline.Pass@manchester.ac.uk

Academic Advisor• Starts in Year 1 and goes through all years• Required to meet with the student twice a year

(yr 1&2), four times a year (Yr 3 onwards) and write up notes for file.

• Summative assessments portfolio reviews end Yr4 and 5.

• Required to attend ½ day training• Receive an honorary contract• Payment: £220 per student per year – includes

administration time• Contact Kenny Borland (

kenny.borland@manchester.ac.uk)

Community focused prescribing•Small group teaching around different

prescribing scenarios•Consider how to prescribe, what to

prescribe, explaining risk and benefit, and issues of concordance

•Must attend a training session prior to starting

•£75 per hour•Contact Kurt Wilson (

kurt.wilson@manchester.ac.uk)

Early Clinical Experience Tutor

•Based in Clinical Skills Lab, Stopford Building, University of Manchester

•Years 1 & 2 students – groups of 16-20 students, facilitator with 2-3 others

•Must attend a training session prior to starting

•£75 per hour•Contact Enam Haque for further

information▫Enam.haque@manchester.ac.uk

OSCE examiner

•Need to be involved in teaching on the course

•Required to attend ½ day training through the Staff Development Unit:▫http://www.medicine.manchester.ac.uk/pri

me/•OSCEs occur in all sectors for Years 3-5,

twice per year•Payment: £220 per session (1/2 day)

Student Selection Panel

•Opportunity to recruit future medics•November to March•Required to attend training for ½ day•Must be able to commit for half days from

a selection of dates•Held in Stopford, MMS. Parking supplied.•Contact

Linda.m.harding@manchester.ac.uk•Please note this is an interesting but

unpaid opportunity

CBME Annual Tutor Conference

Reebok stadium

Thursday 20th November 2014

www.mms.manchester.ac.uk/CBME

GP support pack.Quick Guide to Medical Students.