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Unit information: Work-based assessment in 2020/21

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Unit name Work-based assessment
Unit code SOCSM0015
Credit points 10
Level of study M/7
Teaching block(s) Teaching Block 2 (weeks 13 - 24)
Unit director Professor. George
Open unit status Not open
Pre-requisites

NONE

Co-requisites

NONE

School/department Bristol Medical School
Faculty Faculty of Health Sciences

Description including Unit Aims

After completing a minimum of 150 supervised work based cardiopulmonary bypass (CPB) training cases, the student must demonstrate that he/she can competently and independently manage CPB and critically respond to changing clinical parameters and the demands of the patient. The student will demonstrate sufficient experience in CPB through a log-book documenting performing under supervision a minimum of 150 CPB cases. The work-based training will empower student to critically evaluate the specific perfusion needs of individual patients

Intended Learning Outcomes

  • Demonstrate competence to independently run the cardiopulmonary bypass (CPB) machine along with ancillary equipment
  • Demonstrate adequate experience in running CPB
  • Critically evaluate a wide range of clinical parameters and be able to respond appropriately and safely with a suitable clinical treatment
  • Analyse the individual perfusion requirements of the patient and plan appropriately to meet the needs of the patient
  • Independently run the cardiopulmonary bypass machine along with ancillary equipment

Teaching Information

Standards of training, the suitability of the training centre and the suitability of an individual to practice are monitored by The College of Clinical Perfusion Science. The content of the training will be dependent upon the specialities of the individual unit and so is not prescribed.

Assessment Information

Assessment of practical skills will occur through self-reflection, direct observation and feedback. Students will be required to complete a practical skills reflective log-book that lists the skills expected to be developed during training and evidence of performing under supervision at least 150 CPB cases. Students are under supervision and will be given verbal feedback and direction in practical skills to help inform their reflection and self-assessment. In order to pass this assessment the students must demonstrate adequate engagement in the development of practical skills as evidenced by the log-book and in discussion with their clinical tutor. Students are encouraged to have an interim discussion with their clinical tutor half way through the programme.

As Unit 7 has a significant focus on clinical skills training and hence the assessments are linked to determining clinical competency. For these assessments it is not pedagogically appropriate to grade the student’s achievement and hence they will be marked as pass or fail and hence no final unit mark will be given. In Unit 7 competency in clinical skills and associated knowledge will be assessed using recognised clinical workplace-based assessment tools such as clinical evaluation exercises (CEXs) and Case based Discussions (CbD), and will be based on the methods set out by Carr (2004) (UPAF 1.5). A CEX is a structured assessment of an observed clinical encounter. It is designed to assess and provide feedback on skills essential to the provision of good clinical care. CbD is a structured interview designed to assess professional judgement in clinical cases. The work-based assessment will be performed by the two examiners appointed by The Society of Clinical Perfusion Scientists who will evaluate student competence by observing the student’s ability to conduct cardiopulmonary bypass as an independent practitioner in the clinical setting and during a viva.

Reading and References

Linda B. Mongero (2008) On Bypass: Advanced Perfusion Techniques (Current Cardiac Surgery Humana Press

Balazs Gasz, (2008) Inflammatory Response and Oxidative Stress Related to Cardiopulmonary Bypass VDM

Frederick A Hensley (2007) A Practical Approach to Cardiac AnesthesiaLippincott Williams & Wilkin

A.C. Perrino (2003) Respiratory Physiology: the essentials Lipincott Williams and Wilkins

H.C. Adrogue, D.E. Wesson (2000) Acid Base (Blackwells Basics of Medicine)Blackwell

J.B. Zwischenberger, R.H. Bartlett (2006) Extracorporeal Cardiopulmonary Support in Critical Care ELSO 3rd edition

O.H. Frazier, M.P. MacRis, B. Radovancevic, R. Teaf (2003) Support and replacement of the failing heart Lippincott Williams and Wilkins

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