1. C21: Modernising Medical Education in Cardiff Annual Curriculum Away Day Friday 16 th September 2011, All Nations’ Centre Introduction to Phase 1

2. Reminders To produce excellent clinicians who understand their patients and the world in which we all live and work Educational Principles: Realistic Integrated Feedback Learning Evaluation

3. Educational Principles Patients at the Heart of Learning Integrated Science and Learning Increased work and experience based learning More off- campus based learning opportunities Longitudinal panel of patients Understanding academic research Authentic assessments

4. PHASE 1: Core Science and Clinical Practice  Clinical Case led  Systems based  Chronological Life Cycle PHASE 2: Learning to Care  Integrated contemporary clinical experience following patient pathways  Extended clinical placements Harmonisation: Consolidated Preparation for Practice Introduction to Medicine in Cardiff The Mature Family Old Age Adolescence, young adulthood and the young family OncologyHospital Front DoorChronic Disease Women, Children and Family Neuroscience and Mental Health Complex Needs and Rehabilitation Science in Practice Adolescence Young Adult Conception Foetal Life Infancy Childhood Maturity Old AgeResearch Block ElectiveSenior Student Assistantship Primary Care Attachment Junior Student Assistantship C21: The CARDIFF Curriculum

5. Phase 1 working group Ken Woodhouse, MEDIC (Medicine) Ole Petersen, BIOSI Sinead O’Mahony, MEDIC (Medicine) Kamila Hawthorne, MEDIC (Primary Care) David Wilson, BIOSI Jeff Allen, BIOSI

6. So; here’s the framework. What’s the filling. The D-FLOG Process Development of learning outcomes Synthesis Commonalities, and pre-requisite knowledge – foundation course Avoidance of duplication Ensuring comprehensiveness Where in the course Revisiting over the course Introduction to Medicine in Cardiff The Mature Family Old Age The Young Family Adolescence Young Adult Conception Foetal Life Infancy Childhood Maturity Old AgeResearch Block C21: Phase 1

7. Introduction to Medicine Platform – Length to be determined, but includes Introduction to the course Study skills Underpinning Science Cross discipline science Professionalism Clinical introduction Research Block Fundamentals of Research Introduction to Medicine in Cardiff The Mature Family Old Age The Young Family Adolescence Young Adult Conception Foetal Life Infancy Childhood Maturity Old AgeResearch Block C21: Phase 1

8. Clinical Case Led Chronological Life Cycle Small Group Facilitated Sessions Community based clinical placements Supporting programme of lectures, seminars, practicals and clinical skills Year 1: Basic Science applied to medicine and basic clinical consulting Normal Structure and Function Year 2: Consolidate knowledge and skills with application to more complex clinical presentations Abnormal Structure and Function Introduction to Medicine in Cardiff The Mature Family Old Age The Young Family Adolescence Young Adult Conception Foetal Life Infancy Childhood Maturity Old AgeResearch Block

9. Case Based Learning D-FLOGs Discipline based Work well under way Next step is synthesis What’s common and needs to be delivered up- front Which D-Flogs should work together How to fit LO’s into the cases

10. Introduction to Medicine in Cardiff The Mature Family Old Age Adolescence, young adulthood and the young family OncologyHospital Front DoorChronic Disease Women, Children and Family Neuroscience and Mental Health Complex Needs and Rehabilitation Science in Practice Adolescence Young Adult Conception Foetal Life Infancy Childhood Maturity Old AgeResearch Block ElectiveSenior Student Assistantship Primary Care Attachment Junior Student Assistantship Put yourself in their shoes...

11. Mr Pritchard a salesman with palpitations 40 year old IT salesman from Newport Attending an international conference in Paris Several episodes of palpitations each lasting a few minutes Lifestyle Information and Family History Although he and his wife are worried, he hasn’t been to see a doctor yet A film of the patient (may reappear later in the course)

12. Mr Pritchard a salesman with palpitations Case Paperwork Sub Headings: What you will need from the foundation platform What you will learn from the case Notes for facilitators Notes for students Review of the case Formative assessment and feedback Links with other learning sessions/cases

13. C21: Phase 1 Typical Week Day 1Day 2Day 3Day 4Day 5Day 1 AMAM Closing Small Group Session (Previous Case) Presentation 1 & 2 Physiology resource session Clinical Skills Lab Physiology resource session Closing Small Group Session Self Directed Learning PMPM Introductory Small Group Session Human Anatomy resource session Free Community Placement Clinical Demonstration Presentation 3 Self Directed Learning

14. Opening Small Group Session Students: general introductions introduction to the case review past learning develop questions review learning outcomes and allocate tasks Facilitators: guides question development signposts resources

15. Science Learning Small Group Sessions Presentations (talks, podcasts): Gross structure and function of the heart and conducting tissue Innervation of the heart conduction of impulses at cellular level Demonstrations, displays, practical work: Anatomy and Microanatomy : specimens and slides Fundamental principles of cardiac electrophysiology Measuring and explaining the electrical potentials during a cardiac cycle Clinical Demonstration: Applying the science to clinical situations

16. Clinical Learning Clinical Skills Lab: Introduction to basics of CVS examination Communication skills – active listening and professional discourse about palpitations Community Based Learning: Home visit to patient with history of palpitations Experiential Learning: how patients present; factors affecting that presentation How patients would be assessed

17. Closing small group session Students review their case base learning Linkage to previous learning Gaps in knowledge identified Formative Assessment and Feedback: e-portfolios reviewed Feedback from facilitators to students Introduction to the next case

18. Phase 1: Next Steps... 1.Finalise Learning outcomes and syllabus 2.Decide what is core and should be delivered in Foundation course 3.Develop the cases – central steer, devolved tasks 4.Which LO’s in which case – all covered, minimise duplication 5.Pilot case based learning 6.Plan transition between Phase 1 and 2 - The return of the case 7.Recruit and train small group facilitators 8.Establish community based placements 9.Design the assessment and feedback programme 10.Develop academic and administrative structures for chronological life- cycle block 11.Draft handbooks for students and facilitators

19. And finally……. Exemplar case worked up – Mr Pritchards palpitations Provisional list of cases being finalised – for discussion More details in the workshop………

20. C21: Modernising Medical Education in Cardiff Annual Curriculum Away Day Friday 16 th September 2011, All Nations’ Centre Introduction to Phase 1 Questions