Physician Associate Yr2

MEDN60020 Physician Associate Yr2 60 Full year Postgraduate Taught Level 7 Holly Scotchburn Unit coordinator School of Medical Sciences 1 FHEQ level (Framework for Higher Education Qualifications) ' Masters/Integrated Masters P4 ' European Credit Transfer & Accumulation System Rating : 30.0 This unit is made up of one third on campus teaching, including the revision weeks, assessments and the elective, and two thirds clinical placement. As students progress through the unit, the curriculum places greater emphasis on the practical applications of the programme objectives, with heightened complexity in clinical reasoning and a gradual assumption of greater responsibility during clinical placement. All students participate in a compulsory option block or ‘elective placement’ of their choice to further develop specialist knowledge and skills relevant to their chosen career pathway. This unit is made up of one third on campus teaching, including the revision weeks, assessments and the elective, and two thirds clinical placement. As students progress through the unit, the curriculum places greater emphasis on the practical applications of the programme objectives, with heightened complexity in clinical reasoning and a gradual assumption of greater responsibility during clinical placement. All students participate in a compulsory option block or ‘elective placement’ of their choice to further develop specialist knowledge and skills relevant to their chosen career pathway. The unit aims to:• Produce highly skilled graduates through an integrated programme of medical education designed to meet the requirements of the Physician Associate and Anaesthesia Associate Generic and Shared Outcomes (GMC 2023), Good Medical Practice (Dec 2024) and Physician Associate Registration Assessment, to ensure safe and effective practitioners. • Enable students to develop their knowledge and understanding of relevant principles and practical approaches in the clinical, behavioural and social sciences. Including: Anatomy, biochemistry, communication sciences, developmental biology, ethics and law, healthcare policy, health education, histology, immunology, pathology, microbiology, physiology, pharmacology and therapeutics, psychology, public health, epidemiology, sexual health, and medical sociology. • Develop the intellectual skills of students in problem solving, critical analysis, logical thinking, clinical reasoning and reflection. • Develop a broad range of patient-centred clinical consultation skills and equip students to recognise the limitations of their scope of professional practice and individual capabilities. • Develop the professional behaviours necessary to ensure that graduates can provide high standards of medical practise  • Produce graduates who are well prepared for a career that will include significant amounts of continuous professional development and mandatory revalidation assessments. • Develop core skills in verbal, written and electronic communication. Students should/will be able to:1. Develop and demonstrate the sciences basic to medicine in terms of the normal structure and function of the major body systems; including core anatomical, physiological, cellular, and molecular mechanisms important in maintaining homeostasis 2. Recognise and be able to apply in all healthcare settings, behaviour and relationships between individuals and their families/partners, immediate social groups, and society at large, recognising diversity and cultural influences 3. For common pathologies (in neurology, mental health, infectious diseases, men’s health, sexual health medicine) a. processes (e.g. trauma, inflammation, immune response, degeneration, neoplasia, metabolic disturbance and genetic disorder) resulting in alterations to body structure and/or the operation of mental and physical function b. environmental and social determinants, genetic factors and natural history c. principles of disease surveillance, disease prevention and health promotion d. Causes and consequences of impairment and disability for the individual and their family 4. In relation to therapy apply to patient care: a. Management of acute illness (including elements of surgical treatment and peri-operative care) b. Actions of drugs; underlying pharmacological principles and their prescription and administration  c. Principles of non-pharmacological management of disease and disability d. Care of the chronically ill, the disabled and end of life care  5. Know and apply clinically how Individual lifestyles/preferences and responses to illness or illness related beliefs and how the impact of illness varies between diverse patient groups6. Develop and demonstrate the importance of communication in all its forms (with patients, relatives and other professionals) recognising diversity where it is encountered 7. Know the relevant ethical and legal issues to be able to practice medicine 8. Know the organisation, management and provision of healthcare in the community and in hospital including the economic and practical constraints within which it is delivered, and the clinical governance processes through which the safety, efficiency and effectiveness of delivery of care and patient focussed research is monitored 9. Recognise the underlying principles of scientific methodology in the context of clinical research,the importance of an evidenced approach to medicine and how this influences patient care 1a. Demonstrate an ability to integrate knowledge across a range of subjects and solve clinical problems by evaluation and review of evidence available.  1b. Recognise when information is incomplete and react accordingly in a safe and effective manner. 2. Demonstrate reflection and self-awareness, understanding the impact of their own value judgements and those of their patients on medical practice 3a. Demonstrate proficiency in clinical reasoning (including the recognition, definition and prioritisation of clinically relevant problems and information) 3b.  Recognise of the limitations of information and medical knowledge and the importance of professional judgement 4. Demonstrate the ability to recognise and cope with uncertainty using appropriate cognitive strategies 1. Taking a structured, patient centred history taking into consideration the differences in concerns, expectations, and levels of understanding between individual patients (including exploration of the presenting complaint, past medical/family/social history, allergies and review of systems in addition to the consideration of psychosocial and biomedical risk factors)  2. Undertake a systematic physical and mental state examination relevant to age, gender, ethnicity, culture and clinical condition. Including, as appropriate: cognitive, neurological, musculoskeletal, cardiovascular, urogenital, breast, ophthalmic, respiratory, abdominal, alimentary/gastrointestinal and dermatological examinations.  3. Defining problems, formulating a differential diagnosis, selecting and interpreting appropriate investigations, examinations or screening tests and making clinical decisions based on evidence.  4. Work as a member of a team of healthcare professionals, in formulating management plans and initiating treatment in collaboration with the patient (taking into account requirements for informed consent) handing over care to other professionals where appropriate.  Recognising and working within the limits of their competence whilst under appropriate supervision  5. Share information effectively and communicate with patients/relatives/carers/partners and other healthcare professionals taking into account patient diversity (psychological, spiritual, social, economic and cultural factors. their views, needs and values.) and legislation on the control and confidentiality of information.  6. Carry out clinical procedures including the determination, proposition and prescribing of appropriate therapy and administration of drugs (understanding that this is in preparation of PAs having prescribing rights  and this is in theory only, not to be applied clinically). 7. 7.Determine contraindications, complications and response to therapy, seeking support when necessary.  8. Manage patient records (to include making accurate, time, dated, signed and legible entries) for the delivery of healthcare and, where applicable for research/audit purposes  9. Recognising and performing initial treatment in emergency situations; including cardiac arrest, anaphylactic shock and unconsciousness  10. Recognising and taking action to reduce clinical risk (including diagnostic and management errors) or when a clinical situation has developed beyond their sphere of competence and support from other professionals is required  11. Prioritising time and resources whilst being aware of economic constraints and seeking to minimise waste   1. Retrieve, manage, manipulate and present information, (in electronic and oral formats) and communicate ideas, concepts and arguments effectively  2. Consistently behave with integrity and sensitivity. Act professionally by effective peer and inter-professional team membership, time management, teaching and mentoring others  3. Act as autonomous learners practising reflection, lifelong learning and willingness to participate in peer review processes  4. Behave in a non-judgemental manner in all aspects of work within the diversity of patients and colleagues  5. Show an awareness of the moral and ethical responsibilities involved in patient care and in the provision of care to populations of patients; applying confidentiality, consent, honesty and integrity  6. Recognise patients’ rights, in all respects, and particularly in regard to autonomy and, if appropriate, involving carers/partners in treatment decisions  7. Prioritise the care of the patients, whilst working within the limits of their own responsibility and capacity 8. Manage uncertainty and adapt to change within a working environment, be a good role model and behave as an ambassador for the role of Physician Associate, acting professionally and behaving considerately towards other professionals as well as patients    • Small group workshops and PBL • Clinical reasoning sessions • Clinical communication sessions • Clinical and procedural skills teaching and simulation • Anatomy dissection room  • Asynchronous activities, including videos, directed questions • Clinical placement 1 Written exam 50% 8 Practical skills assessment 50% The unit mark is determined by the MCQ and OSCE components. A student must also have passed the PPD and UPSA components to successfully pass the unit. <figure class="table"><table><tbody><tr><td>Assessment Task</td><td>Length </td><td>Weighting Within Unit </td></tr><tr><td>2x Formative MCQ</td><td>50 questions each </td><td>N/A</td></tr><tr><td>2x Formative OSCE</td><td>6 stations</td><td>N/A</td></tr><tr><td>Summative MCQ</td><td>2 x 100 question papers</td><td>50%</td></tr><tr><td>Objective Structured Clinical Observations (OSCE)</td><td>12 stations</td><td>50%</td></tr><tr><td>Personal and Professional Development Portfolio (PPD)</td><td> </td><td>Pass/Fail</td></tr><tr><td>Consultation, Clinical and Procedural Skills Assessment (UPSA's)</td><td> </td><td>Pass/Fail</td></tr></tbody></table></figure> N Lectures 600 0 0