C21: Modernising Medical Education in Cardiff Annual Curriculum Away Day Friday 16 th September 2011, All Nations’ Centre Harmonisation: Smoothing the transition from student to doctor Dr Tom Yapp Dr Steve Riley Co-directors Harmonisation project

The Challenge!!!

Why Harmonise? Patient – Adjusted in-hospital mortality 6% higher after change over 1 – 85,000 patients harmed by medical error annually Student – Feel un-prepared for life as doctor – Psychological stress and apprehension 2 Multidisciplinary Team – Defining Roles and Responsibilities 1 Plosone:Sept 2009 | Volume 4 | Issue 9 | e7103 2

Core Principles Work-place based education around Wales Predominantly clinical experience enhanced with supplementary simulation Increasing responsibility in an assistantship model Frequent formative assessment/feedback Major NHS/Patient safety issues delivered in whole year groups

Clinical Placements 3 clinical blocks – 8 weeks each – Primary Care Clinical placement – Junior Clinical assistantship – Senior Clinical assistantship Elective – 8 weeks Shadowing – prior to commencing FY1

Themed teaching To meet GMC TD’09 and NHS requirements – Preparing for practice NHS Structure/Patient Safety/e-portfolio – Changing practice Clinical Governance/Audit Principles – Science in practice Developing evidence based practice – Practise to practice Foundation outcomes

Structure Junior Assistantship Primary Care Placement Elective Senior Assistantship Preparing for Practice Changing Practice Science in Practice Practise for Practice Simulation/Formative Assessment/Feedback

Final year assessment No final examinations!!! A new 4 th year assessment to be developed to ensure students have necessary skills E-portfolio Work-place based assessments

Increasing responsibility Students will be embedded into the clinical team As year progresses take on more supervised responsibility – Ordering investigations – Prescription writing – Practical procedures Required to do out of hours work

Help required! Leaders of the core teaching blocks Writing learning outcomes Local Co-ordinators/champions Ideas regarding assessment Writing indicative cases

Meeting the challenge

C21: Modernising Medical Education in Cardiff Annual Curriculum Away Day Friday 16 th September 2011, All Nations’ Centre Questions “Medical education is about knowing why you are doing what you are doing, thinking about ways in which you can improve it – and then doing it again only better” Medical Education for the Future. Bleakley, Bligh and Browne