Unit name | Year 4 MB ChB |
---|---|
Unit code | BRMS30002 |
Credit points | 0 |
Level of study | H/6 |
Teaching block(s) |
Academic Year (weeks 1 - 52) |
Unit director | Dr. Wong |
Open unit status | Not open |
Pre-requisites |
Successful completion of Year 3 MB ChB BRMS30001. |
Co-requisites |
None |
School/department | Bristol Medical School |
Faculty | Faculty of Health Sciences |
Unit directors: Dr Liang Fong Wong and Dr Fergus Caskey
Year 4 is the ‘Lifecycle’ year and covers medicine from conception to death. It includes Reproductive Health and Care of the Newborn RHCN, Child Health CH, Mental Health MH, Primary Care and Community PCC and Complex Medicine in Older People CMOP with end of life care and life limiting illness.
Year 4 aims to
Structure of Year 4
Year 4 will have two 18-week teaching periods. Students will spend 18 weeks in a Bristol academy and 18 weeks in an out of Bristol academy. Secondary Care specialities are organised as continuous blocks with PCC placements every Wednesday seeded through them over the year. This means that Secondary Care teaching weeks are four days long. There are three shorter six weeks long Secondary Care blocks (RHCN, MH, CH) and 18 week long block (CMOP). In one half of the year students will rotate through the shorter blocks, in the other they will be in CMOP.
CMOP and PCC placements are longitudinal clerkships which will provide continuity of place of learning, tutor and patients. This enables students to participate in patient care over time, helps students to maintain empathy with patients, promotes clinical learning and enhances professional development.
Learning methods
Experiential and Case Based learning, simulation and Hub learning sessions.
Year 4 students will be placed in clinical academies where the focus will be on experiential learning with patients. Learning will start with symptoms and patient experiences rather than facts about diseases.
Learning in Primary & Secondary Care
Students will spend every Wednesday in PCC and help care for patients through first contact consultations and home visits. In Secondary Care, students will consult with patients in Outpatients and on the wards, carry out ward tasks, attend diagnostics (e.g. radiology) and operating theatres.
Clinical Case Based Learning and Helical Themes
Fourth year students will practice clinical reasoning by working through cases in small groups. There will be core cases, a curriculum of topics and exemplar cases including prevention, differential diagnosis and management. Helical Themes will be seeded through the cases.
Biomedical Sciences Learning
Students will apply their biomedical science knowledge to appropriate investigation and management of common conditions. Safe and effective prescribing, Polypharmacy and ‘deprescribing’ will be explored.
Simulation & Interprofessional Learning
Students will work through interprofessional clinical scenarios, including patient safety.
The Year 4 Intended Learning Outcomes (ILO) are a progression from Year 3 ILOs and additional ILOs from Year 4 specialist clinical areas. These comprise of Complex Medicine in Older People (CMOP), Reproductive Health and Care of the Newborn (RHCN), Mental health (MH), Child health (CH) and Primary Care and Community. They are designed to extend students’ ability to manage a wide range of clinical encounters at increasing levels of clinical complexity and uncertainty.
By the end of Year 4 students should be able to:
Recognise a wide range of common conditions, presentations and situations and provide initial management for them in Primary and Secondary Care settings
All learning Outcomes specified in the General Medical Council’s Outcomes for Graduates will be mapped to the MB21 curriculum using SLS Curriculum Map
The year will be delivered using a blended learning style. The major focus will be on experiential learning in the clinical environment, enhanced and supported by facilitated small group case-based learning (CBL), simulation and interactive cross-disciplinary sessions, Microsoft Hub sessions, specialised small group tutorials, practical sessions and online learning. In 20-21 a variable proportion of these sessions may be delivered virtually due to pandemic restrictions.
Formative Assessment Year 4 students will continue to sit Progress tests of applied medical knowledge. They will sit the first two Progress tests of the academic year which will be formative. Students can trace their personal achievement trajectory and compare this to their cohort. Year 4 students will not sit the third Progress Test of the year but instead take the end of Year 4 written exam and a practical clinical assessment. In MB21 Year 4 students will undertake a number of workplace-based assessments. These include Case based discussions (CBDs) and Mini clinical examinations (MiniCex). These assessments are used for Foundation doctors and will prepare students for the assessment schedule in Year 5 and the Foundation Years of postgraduate training. As in year 3, students will be required to complete a Team Assessment of Behaviour (TAB) and to collect patient feedback. Students will receive feedback and are expected to reflect these experiences through use of their online portfolio and multi-source feedback. Students will have an opportunity to sit the Mock Prescribing Skills Assessment (PSA) in Year 4. The PSA is a national exam that all medical students must pass in order to graduate.
The full list of all required engagement and assessment is detailed in the relevant Management of Marks document.
Medical Sciences 2nd edition, Naish J, Court DS.
Macleod’s Clinical Diagnosis 2nd Edition, Japp AG, Robertson.
Macleod’s Clinical Examination 14th edition, Innes JA, Dover AR.
Details of further reading materials for Year 4 are available to students on Blackboard.