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Unit information: Senior Medicine and Surgery in 2016/17

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Unit name Senior Medicine and Surgery
Unit code MEDI35180
Credit points 0
Level of study H/6
Teaching block(s) Teaching Block 1 (weeks 1 - 12)
Teaching Block 2 (weeks 13 - 24)
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

Senior Medicine and Surgery: 12 week unit

  • Senior medicine to include Neurology teaching
  • Senior surgery + first part of the Surgical Skills course
  • Palliative Care and Oncology core teaching + tutorials + clinical placements
  • Acute Care - week of Emergency Medicine/acute admission unit work
  • Radiology

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 appropriate 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 appropriate 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 details

There are core lectures and seminars on palliative care and oncology.

Within Academies, teaching is centred on patients, such as by bedside teaching and small group discussion of cases. There is classroom-based teaching on prescribing, neurology and radiology. There is also surgical skills training in the clinical skills training centres.

Assessment Details

Finals will be comprised of:

  • a written exam (two best-of-five papers),
  • the Prescribing Safety Assessment (PSA) which may be sat three times,
  • a Bristol Clinical Data Examination (BCDE, previously called the DOSCE),
  • a clerking portfolio (marked by the students’ Senior Medicine / Surgery Academy),
  • a series of Clinical Competency Assessments (CCAs).

Reading and References

Library link

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

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