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Unit information: Clinical Practice in Perfusion Science in 2023/24

Unit name Clinical Practice in Perfusion Science
Unit code BRMSM0071
Credit points 20
Level of study M/7
Teaching block(s) Academic Year (weeks 1 - 52)
Unit director Mr. Oliver
Open unit status Not open
Units you must take before you take this one (pre-requisite units)

None

Units you must take alongside this one (co-requisite units)

None

Units you may not take alongside this one

None

School/department Bristol Medical School
Faculty Faculty of Health Sciences

Unit Information

Why is this unit important?

This unit encompasses your clinical training in an accredited hospital in Great Britain or Ireland. It is essential for you to develop and demonstrate your practical competence and application of theoretical knowledge. It is a basic standard requirement for the safe application of perfusion techniques to patients undergoing cardiac or cardiovascular therapy. You must be able to demonstrate that you can competently and independently manage cardiopulmonary bypass and critically respond to changing clinical parameters and the demands of the patient. This unit is a pivotal part of the MSc and PGCert in Clinical Perfusion Science to enable you to become a fully qualified clinical perfusion scientist accredited to practice independently in Great Britain or Ireland.

How does this unit fit into your programme of study?

Your practical clinical training runs alongside the other units for the duration of your study until you complete your qualification. During this time, you will be required to complete and log a minimum number of supervised work-based cardiopulmonary bypass training cases before you can apply for your practical exam. MSc Clinical Perfusion Science trainees are required to perform at least 150 cases; PGCert ‘Limited Registrants’ are required to perform at least 75-150 cases depending on the period of absence from perfusion practice. Tutorials later in the programme will help prepare you for your practical work-based assessment.

Your learning on this unit

An overview of content

This unit will provide you with training and experience in technical and non-technical skills relating to the conduct of cardiopulmonary bypass and its associated procedures. You will be exposed to a variety of different procedures, depending on your training centre. This may include, but not be limited to, coronary artery bypass grafting, aortic valve replacement, organ transplantation, extracorporeal membrane oxygenation and use of cardiac assist devices in adult and / or paediatric patients. You will learn how to respond to and manage the physiological parameters of the patient undergoing cardiac or cardiovascular therapy of increasing complexity. In-hospital practical training will be complemented by teaching sessions including perfusion-focussed case-based discussion. 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.

How will students, personally, be different as a result of the unit

You will gain the practical skills to enable you to operate the cardiopulmonary bypass machine and ancillary equipment. You will develop your clinical competency so that you can independently manage cardiopulmonary bypass to effectively respond to the changing needs of your patients safely and confidently. Your non-technical skills will be developed, including cognitive (e.g. decision making) and social skills (e.g. communication and team working), which complement knowledge and technical skills and contribute to your safe performance.

Learning Outcomes

  • Demonstrate experience and competence to independently run the cardiopulmonary bypass (CPB) machine and ancillary equipment as part of the surgical team.
  • Critically evaluate a wide range of clinical parameters and be able to respond appropriately and safely with a suitable clinical intervention.
  • Analyse the individual perfusion requirements of the patient and plan appropriately to meet the needs of the patient.
  • Demonstrate knowledge and understanding of the rationale for appropriate clinical practice of CPB.

How you will learn

  • Supervised work based CPB training cases
  • Self-reflection
  • Clinical evaluation exercises
  • Case-based discussion

How you will be assessed

Tasks which help you learn and prepare you for summative tasks (formative):

Formative assessment of practical and clinical skills will occur through direct observation and feedback on practical skills and self-reflection, clinical evaluation exercises (CEXs) and case-based discussion (CBD). A CEX is a structured assessment of an observed clinical encounter 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. You will be required to complete a practical / clinical skills reflective logbook that lists the skills expected to be developed during training and evidence of performing under supervision a minimum specified number CPB cases (150 for trainees; 75-150 for ‘Limited Registrants’ depending on depending on the period of absence from perfusion practice). You will be given verbal feedback and direction in technical and non-technical skills to help inform your reflection and self-assessment. You must demonstrate adequate engagement and attainment in the development of practical and clinical skills as evidenced by the logbook and through discussion with your clinical tutor. You are expected to have a formal interim progress discussion with your clinical tutor halfway through the programme. You will be required to complete your practical / clinical skills reflective logbook with the minimum specified number of CPB cases before being permitted to undertake your work-based clinical exam.

Tasks which count towards your unit mark (summative):

  • Work-based clinical exam (Observation of clinical practice and Viva examination)

Competency in clinical skills and associated knowledge will be assessed using the CEX and case-based discussion CBD framework. Work-based clinical skills are assessed by two examiners appointed by the Society of Clinical Perfusion Scientists who 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 voce. Students will be marked as pass or fail.

When assessment does not go to plan

If the candidate fails either the practical or viva voce exam component, they fail the unit and must re-sit both parts.

Candidates can apply for one practical re-sit per application. One re-sit is permitted per application; thereafter a full re-application will apply.

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. BRMSM0071).

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 University 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. For appropriate assessments, if you have self-certificated your absence, you will normally be required to complete it the next time it runs (for assessments at the end of TB1 and TB2 this is usually in the next re-assessment period).
The Board of Examiners will take into account any exceptional circumstances and operates within the Regulations and Code of Practice for Taught Programmes.

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