Unit information: Year 5 MB ChB in 2021/22

Unit name	Year 5 MB ChB
Unit code	BRMS30015
Credit points	0
Level of study	H/6
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Professor. Drake
Open unit status	Not open
Pre-requisites	Successful completion of Year 4 Unit MB21.
Co-requisites	None
School/department	Bristol Medical School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Unit Director: Professor Marcus Drake

Year 5 is made up of an 8-week elective period and three 9-week student assistantships in Acute & Critical Care, Primary & Community Care, and Ward-based Care. Students will be paired with health care professionals during these assistantships, and be engaged in clinical care, patient safety and quality improvement projects. They will be assessed using an e-portfolio on their recorded clinical cases incorporating learning outcomes for the year and for the helical themes, workplace-based assessments, observation and sign-off of entrustable professional activities (EPAs), completion of patient safety and quality improvement projects and through multisource feedback. Students will also have access to a careers fair, career taster days and a final 2-week period to revisit particular specialties or to gain experience to confirm their competencies. The Year provides further exposure to dealing with clinical uncertainty, ambiguity and complexity, and is a total of 38 weeks in duration.

The weekly programme during these attachments will consist of time with direct patient contact in out-patient, in-patient hospital and primary care settings. Clinical skills will be developed through working with clinical teams, bedside teaching and simulated clinical scenarios; learning with students of other healthcare professions (nursing, pharmacy, etc.). The equivalent of one half-day per week will be devoted to structured learning, including biomedical science tutorials, facilitated case-based learning review and radiology/imaging teaching. Students will continue to use case-based learning to guide their acquisition of applied medical and scientific knowledge. The cases will focus on presentation, diagnosis and management of common clinical problems and will integrate clinical learning with biomedical sciences and our 16 helical themes.

Unit Aims

The aims of Year 5 are summarised as follows:

1. To build on the culture developed in Years 1-4 in embedding students within the Bristol Medical School community as valued members of multidisciplinary teams delivering clinical care
2. To continue to inspire students to learn about medicine and the science underpinning medicine
3. To build upon the earlier years in order to understand the presentation, differential diagnosis and management of common clinical problems including emergencies
4. To develop students’ understanding of applying clinical and biomedical sciences to their diagnostic and decision-making capabilities
5. To build students’ confidence in clinical decision-making and coping with the uncertainties that are inherent to medicine
6. To refine students’ effective consultation skills, practical and procedural skills
7. To further develop students’ professional behaviour
8. To allow students to meet patients and their carers (where appropriate) to discuss their disease and how it impacts on them in both hospital and community settings
9. To encourage students to practise as self-reflective practitioners and to give and receive constructive feedback about their own, and others’, performance
10. To prepare students for the role of foundation programme doctor.

Intended Learning Outcomes

Outcomes for Graduates (GMC) Learning Outcomes

Please see the General Medical Council ‘Outcomes for Graduates’ document for details of learning outcomes.

Teaching Information

The year will be delivered using a blended learning style. The major focus will be on experiential learning in the clinical environment, supplemented by lectures, interactive cross-disciplinary plenary sessions, facilitated case-based learning (CBL) small group sessions, specialised small group tutorials, practical sessions, simulation sessions, and online learning.

Assessment Information

To be eligible to graduate at the end of Year 5, a student must have achieved satisfactory engagement with the curriculum.

This requires the student to have engaged satisfactorily* with the following:

1. All clinical placements
2. Assistantship mid- and end-point reviews
3. Case Based Learning (CBL)
4. Consultation and Procedural Skills (CaPS) logbook - MUST PASS
5. Elective placement and reflective diary – MUST PASS
6. Entrustable Professional Activities (EPAs) - MUST PASS
7. Professional Mentorship Scheme and Team Assessment of Behaviour (TAB)
8. Workplace-based assessments (WBAs) - MUST PASS

The student must sit the following formative assessment:
1. Objective Long Case during Ward Based Care Assistantship

The student must sit the following summative assessment:
The student will be required to pass the summative national Prescribing Safety Assessment (PSA) examination to graduate. *For full details of what constitutes satisfactory engagement, please view the Student Progression Requirements (Management of Marks) document.

Resources

If this unit has a Resource List, you will normally find a link to it in the Blackboard area for the unit. Sometimes there will be a separate link for each weekly topic.

If you are unable to access a list through Blackboard, you can also find it via the Resource Lists homepage. Search for the list by the unit name or code (e.g. BRMS30015).

How much time the unit requires
Each credit equates to 10 hours of total student input. For example a 20 credit unit will take you 200 hours of study to complete. Your total learning time is made up of contact time, directed learning tasks, independent learning and assessment activity.

See the Faculty workload statement relating to this unit for more information.

Assessment
The Board of Examiners will consider all cases where students have failed or not completed the assessments required for credit. The Board considers each student's outcomes across all the units which contribute to each year's programme of study. If you have self-certificated your absence from an assessment, you will normally be required to complete it the next time it runs (this is usually in the next assessment period).
The Board of Examiners will take into account any extenuating circumstances and operates within the Regulations and Code of Practice for Taught Programmes.