wales deanery all-wales health information & library services friday 13 th may 2011, glamorgan...

Wales Deanery

All-Wales Health Information & Library ServicesFriday 13th May 2011, Glamorgan Council Chamber

C21 developing tomorrow’s doctors

C21: Developing Tomorrow’s Doctors Overview

http://www.youtube.com/watch?v=m_MaJDK3VNE


C21: Overview“I keep six honest serving-men

(They taught me all I knew);Their names are What and Why and When

And How and Where and Who.”

Rudyard Kipling

C21: Overview...

The Background


Increased student numbers and expectations:• 190 students in 1997 to 360 students in 2009• Free education in 1997 to £9,000 per year in 2013• Decline in overall student satisfaction (National Student Survey)

Increased regulatory pressures• GMC’s Tommorrow’s Doctors (2009)

Strategic necessity• Cardiff aspires to be a “world-leading university”• WAG’s For our Future Higher Education Strategy• WAG’s Setting the Direction policy

Research evidence“curriculum design and delivery must take into account modern educational theory and current research.” Tomorrow’s Doctors (2009)

C21: Overview...

The Purpose, Vision, and Values


The Purpose

to improve the quality of medical education delivered by Cardiff University

The Vision

to create a world-class educational environment incorporating evidence based best practice which will produce, attract and retain the best doctors

for Wales

The Values

Partnership, Quality and Innovation

The core Themes:

Teaching Excellence, Patient Safety, Scholarship, Science and Service

C21: Overview...

The Objectives


For Students and doctors in training1. To ensure teaching of the highest standards2. To provide an inspiring and rewarding learning experience3. To be well-regarded by the NHS and professional bodies4. To establish a culture of excellence, accountability and rewardFor clinical practice5. To be the location of choice for the best students and trainees6. To act as a magnet for high quality clinical specialists, family doctors and researchers7. To build on collaborative links between PGMDE, the university, the profession, and the NHS8. To be recognised internationally for the quality of our training and teachingFor the community9. To be recognised for the positive relationship between clinical outcomes, clinical care, and clinical teaching10. To act as a catalyst for the enhancement of clinical service in Wales11. To be recognised for the scientific and clinical quality of our graduates

C21: Overview...

The Principles: CARDIFF Curriculum


Cutting Edge

Assessment of Learning

Realistic

Deeper Approaches to Learning

Integrated

Future Proofed

Flexible

Elective Senior Hospital

Professional Practice

Junior Hospital

Professional Practice

Clinical Attachment

Primary Placement

Core Clinical

Teaching

Conception Feotal Life

1

Infancy Childhood

1

AdolescenceYoung Adult

1

Maturity1

Old Age1

Research Block

1

Adolescence YoungAdult

2

Conception Feotal Life

2

Infancy Childhood

2

Maturity2

Old Age2

Research Block

2

In Patient Care Out Patient Care Chronic Care

Oncology Acute Care Palliative Care

PHASE 1: Core Science and Clinical Practice Clinical Case led Systems based Chronological Life Cycle30 week duration

PHASE 2: Learning to Care Integrated contemporary clinical experience following patient pathways Extended clinical placements45 week duration

Harmonisation: Consolidated Preparation for Practice40 week duration

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C21: Overview...The Draft MB BCh Programme

Year 1

Year 2

Year 3

Year 4

Year 5


Learning outcomes

Learning Unit teams

Phase 1 & 2 Management

groups

Year by year‘editorial’groups

Discipline and speciality T&F

groups

What will students learn? / how will it be organised?


Learning outcomes

Learning Unit teams

Phase 1 & 2 Management

groups

Year by year‘editorial’groups

Discipline and speciality T&F

groups

What will students learn? / how will it be organised?

Structured small group

session:‘case

scenarios’


Structured small group

session:case

scenarios

Assessment

Seminars

Clinical skills

Plenaries

Practicals

Life sciences

Placements

e-Learning

Learning outcomes

C21: Overview...The Draft MB BCh Programme Timetable

Day Monday Tuesday Wednesday Thursday Friday

AM Clinical PlacementGroup work 1

Lecture 1 Lecture 2 Clinical PlacementGroup work 2

Lecture 4

‘Doctoring’

PM Clinical Skills LSRC Free Lecture 3 LSRC

Day Monday Tuesday Wednesday Thursday Friday

AM Class room based

Clinical Skills Lecture Clinical Placement

Consultant Led FeedbackDoctoring

PM Clinical Placement

Clinical Placement

Free Clinical Placement

Clinical Skills

Years 1 & 2

Years 3, 4 & 5

C21: Overview...Project Timeline


“Like a human being, a project has to have an effective

communication mechanism, a ‘nervous system’, to

coordinate its actions”Bill Gates

C21: Overview…


C21: Overview...Communication and Development


ConsultEngage

Engage

C21: Overview...Communication and Development


Engage

Engage

Review

Funding

Infrastructureand Facilities

Staff Development

E-Learning

Student Support

Quality andGovernance

ModularisationLindsey Jones

Recruitment & Admissions

Assessment and Feedback

Harmonisation

Doctoring

Phase 2Phase 1

DFLOGs

Leadershipand Service

CommunityBased Learning

Flexible Routes

Clinical Skillsand Simulation

Y Meddyg Cymreig

C21: Overview...Project Structure


Resources ProjectCurriculum ReviewProject

Quality and Governance Project

Year 1

Year 2

Year 3

Year 4

Year 5

Existing Programme Renewal Project

“If I had eight hours to cut down a tree, I’d spend the first six hours sharpening my axe”

Abraham Lincoln


C21: Overview…

C21: Overview...Progress So Far...


• developed the project initiation documentation • built relationships and established the Project Board• carried out the initial consultation exercise• hosted the inaugural curriculum conference• appointed several project leads• created 24 DFLOGs• produced SciGEM proposals• developing the ‘harmonised’ year 5• developed the task briefs and plans• continued to develop the existing programme

C21: Overview...The Next Steps...


• commencing work across 24 task groups• increasing communications with stakeholders• preparing the consultation response• appointing the final project leads• developing the learning outcomes for the programme• developing proposals for the curriculum structure and delivery• creating best practice guidelines• capacity mapping and identifying new opportunities for delivery• presenting the new ‘harmonised’ year 5 and revised year 4 curriculum• developing a student recruitment plan• considering the resource implications • planning the September Away Day

C21: Overview...Getting Involved


“Currently there is a very small number of people involved and a large number feeling excluded”

Response to the consultation from an academic member of staff from within the School of Medicine

“Surround yourself with the best people you can find, delegate, and don’t interfere as long as

the policy you’ve decided upon is being carried out”

Ronald Reagan

C21: Overview...



C21: Overview...“Ability is of little account without opportunity”

Napoleon

Change in learning style:• More self-directed learning• More reflective learning• More continuous learning

Change in location:• Extended placements• More distance learning and e-technologies


C21: Overview

[email protected]/C21

Wales Deanery

All-Wales Health Information & Library ServicesFriday 13th May 2011, Glamorgan Council Chamber

wales deanery all-wales health information & library services friday 13 th may 2011, glamorgan...

Documents

clinical quality

clinical care

clinical outcomes

service slide

clinical placement group

graduates slide

management groups year

learning experience