3rd Years

3rd Years


Welcome to your Hospital-based Medicine & Surgery (HMS) placement here at Walsall. Over the next 14 weeks (Semester 1) or 11 weeks (Semester 2), we aim to help you build on your existing clinical knowledge and skills by providing you a thorough introduction to clinical practice in the hospital setting and to experience the practice of clinical medicine and surgery ‘at first hand’. Both placements are long and we encourage you to manage your time effectively and make the most of the learning opportunities here in Walsall.

Working closely with Birmingham Medical School, we will strive to help train the very best doctors who are safe, competent, good communicators and well placed to meet the demands of a changing National Health Service.

As Senior Academy Tutors for the 3rd year firms, we will be meeting our individual firms on a regular basis and we and our colleagues look forward  to teaching you.

 

Overview of Placement

Key Staff

Semester 1 (14 week placement)

Timetable

History taking / Clinical Examination  

Investigation / Management

Student Case Notes

Clinical Procedural Skills Passport 

Group Rep 

Sessions

Pharmaceutical Cardiac Stress Testing

Hospital at Night 

Case Synopses

Six on-takes

Senior Academy Tutor 

Forms 

Work Ethos

Professional Behaviour and Attitudes (PBA)

Raising Concerns About Patient Safety

 

Key Staff

 Jaumdally  Mirza   Sental_  Abbotts  Blank   Blank
  Dr Jaumdally (Firm 1)       Mr Mirza (Firm 2)         Dr Senthill (Firm 3)      Miss Abbott (Firm 4)       Dr Awasti (Firm 5)          Dr Jervaid (Firm 6)

 

 

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Semester 1 (14 week placement)

Semester_1

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Timetable 

Timetable

  • During the introductory block of semester 1, students will not be on placement on Thursdays
  • No teaching will be scheduled on the timetables for Wednesday afternoons. If students choose to remain on site, then they will need to organise their own teaching/learning

Rotations - We organise your timetables to ensure that you have exposure to different specialties and wards.

 

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History Taking / Clinical Examination

  • Take and record accurately a complete history
  • Summarise / present the clinically important features from a history
  • Demonstrate the ability to elicit common physical signs; distinguishing normal from abnormal as appropriate
  • Identify clinical conditions commonly associated with abnormal symptoms and signs

 

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Investigation / Management

  • Explain the ‘clinical process’ as an interrelated sequence of steps that includes history-taking, clinical examination, investigation, diagnosis and management
  • Identify key points from a patient history that guides the next steps in the clinical process​

 

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Student Case Notes 

Student_Case_Notes

You should aim to complete 20 case histories in the Student Case Notes booklet by the time of your SAT’s appraisal at the end of semester 1. This will provide evidence that you have been adequately involved with patients. The Medical School advises that for the first few weeks, until you have had time to learn the basic principles of history taking and examination, you should use photocopied pages or similar before starting to use the actual booklet.

 

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Clinical Procedural Skills Passport 

Please ensure you always have your Clinical Procedural Skills Passport with you. Opportunities to be observed undertaking clinical skills can arise at any time. Trying to get your handbook completed retrospectively can be tedious and time consuming. 

Clinical_Procedural_Skills_Passport

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Group Rep

We request that one of you kindly agree to become the group representative – the role is to meet up with Mr Pepper HOA every few weeks for a short feedback session. 

 

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Sessions

Theatre Taster Sessions (STSs)

Andy Tams runs Theatre Taster Sessions (STSs) allowing you an opportunity to go to theatres, observe operations and undertake clinical skills. These sessions are very popular and will timetabled during your surgical wards rotation.

Walkabout Sessions

Phil Jevon runs Walkabout sessions for 2 students at a time. He takes the students around the hospital, including A & E, looking for interesting patients, clinical skills opportunities etc. He is normally able to organize bedside teaching with ward doctors. To sign up – please see him directly and he will book a mutually convenient date/time.

Simulation Sessions

Simulation training is being provided for you on Monday mornings – 8am-8.45am in room 15, MLCC. Each week one firm will be timetabled to attend (on Monday 22 September it will be firm 2). The session will provide you with opportunities to practice your examination and clinical skills. 

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Pharmaceutical Cardiac Stress Testing

Phil Jevon runs Pharmaceutical Cardiac Stress Tests in Nuclear Medicine (Imaging A), which are good for undertaking a number of clinical skills including recording 12 lead ECGs, cannulation and running through an IV infusion. Please see notice board to sign up.

 

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Hospital at Night

There is an opportunity for one student at a time to shadow the Hospital at Night Advanced Nurse Practitioner (ANP). Emma Nicholls the lead for this service is happy to have one student with her for a shift. She spends most of the shift going around the hospital reviewing sick patients. This is an excellent opportunity. You will have plenty of opportunity to undertake clinical skills etc.

Please email Emma on emma.nicholls@walsallhealthcare.nhs.uk  to book on. She will confirm your place and advise where and at what time to meet her.

 

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Case Synopses

During semester 2, you are required to write up 6 cases you have seen. These will form be the portfolio of cases that you will take to your Year 3 OSCE exam. Each case synopse should include:

  • Set of case note sheets (similar to Case Notes Booklet in Semester 1) & summary
  • Diagnosis, treatment & management – not just a list but explanations
  • Patient’s journey
  • Summary of what you have learnt from the case

 

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Six on-takes 

You are required to undertake at least six on-takes over the two semesters Please can you all arrange your own on-take FY1 shadowing - in both medicine (AMU) and surgery (wards 10 & 11). If you intend to stay overnight and attend the post-take ward round, we may be able to arrange hospital accommodation for you (liaise with the Medical Education Team). If you are going to leave the hospital late in the evening it would be sensible to consider going 'home' with another colleague who has also been shadowing a FY1 doctor.

On-takes can also be organised at weekends. This is actually the best time to do them, particularly if they can be arranged so that they have minimal or no impact on your weekly timetable of teaching. Please remember to let the Medical Education Team know if you are coming in later or are not going to be in if you book an on-take session – please indicate this in advance on the signing-in register 

 

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Senior Academey Tutor

Mr Pepper HOA has requested that you meet up with your firm’s Senior Academy Tutor (SAT) on a regular basis. Hopefully you have all already met your SAT. If not please can you contact your SAT’s secretary as soon as possible to arrange.    

 

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Forms

Doctors as Teachers forms

Mr Pepper HOA has requested that you complete these forms for the Consultants who are teaching you. These forms are available in the common room. Please leave completed forms at MLCC reception. Thank you.

Evaluation forms

Please can you complete an evaluation form following every lecture – they will be in the lecture room. Please leave completed forms at MLCC reception. Thank you.

Attendance: signing-in sheets

For health & safety reasons and requirements from the Medical School to monitor you attendance on placement, it is important to ensure you sign-in every day. Failure to do so may result in an absence being recorded. 

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Work Ethos

  • Self-reliant
  • Time management
  • Making the most of learning opportunities as they arise
  • Learning that is not just directed to passing assessments

 

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Professional Behaviour and Attitudes (PBA)

End of semester/year clinician assessment:

  • Demonstrate appropriate attitudes
  • Communicate appropriate attitudes
  • Learning behaviour
  • Attendance
  • Appearance

NB: Serious or repeated concerns may be a fitness to practise issue

Please collect your PBA form from MLCC reception.  

 

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Raising Concerns About Patient Safety

    Promoting_excellence 

Click on the cover above to read more about Promoting Excellence

We take patient safety very seriously. In line with the GMC’s Promoting excellence: standards for medical education & training (GMC, 2015), we strive to create a culture of promoting patient safety. We will endeavour to ensure that your education & training takes place where patients are safe, the care & experience of patients is good & education and training is valued. 

We strive to demonstrate a culture that allows learners & educators to raise concerns about patient safety, and the standard of care or of education and training, openly and safely without fear of adverse consequences. Should you have any concerns while on placement here in Walsall please speak to an appropriate member of Trust Staff as soon as possible.