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Consultation skills: The initial approach

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Graduate Entry MBSS at Imperial Dr Tanya Tierney t.tierney_at_imperial.ac.uk Overview Structure of the course Admissions process Our cohorts 1 2 3 4 (BSc) 5 6 GE GE 3 (5 ... – PowerPoint PPT presentation

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Title: Consultation skills: The initial approach


1
Graduate Entry MBSS at Imperial
Dr Tanya Tierney t.tierney_at_imperial.ac.uk
2
Overview
  • Structure of the course
  • Admissions process

3
Our cohorts
6 Year (UG)
1
2
3
4 (BSc)
5
6
300
50
4
Year 1 (GE Year)
  • Based at The Hammersmith Hospital Campus
  • - some sessions at other campuses
  • Two years work in one!
  • Busy timetable
  • BUT prior experiences and knowledge
  • Tailored to your needs
  • Access to UG materials

5
Year 1 4 Themes
  • Cellular and Molecular Science (CMS)
  • Regional and Systems Anatomy
  • Physiology, Pharmacology General Pathology
    (PPP)
  • Introduction to Clinical Practice (ICP)

6
Cellular and Molecular Science
  • Review and build upon your prior knowledge
  • Mix of lectures and tutorials
  • Some tutorials voluntary attendance based on
    prior experience
  • Introduction to cells
  • Nucleic acids gene expression
  • Metabolism
  • Genetics
  • Microbiology
  • Cellular organisation of tissues Haematology
  • Cell pathology
  • Carcinogenesis
  • Cell Cycle
  • Cell behaviour
  • Cancer as a disease

7
Regional and systems anatomy
  • At Charing Cross Hospital
  • One day per week
  • Living anatomy
  • Cadaveric specimens
  • Medical Imaging
  • Thorax,
  • Abdomen,
  • Pelvis and perineum,
  • Head, neck and spine
  • Limbs

8
Physiology, Pharmacology and General Pathology
  • Largest theme
  • Pharmacology through the year
  • Term 1 Cardiovascular, Respiratory, Alimentary
    Medicine
  • Term 2 Genetics, Endocrinology, Dermatology,
    Renal Medicine, Haematology, Microbiology,
    Musculoskeletal Physiology, Reproductive Medicine
  • Term 3 Immunology, Gerontology, Neurosciences

9
Introduction to Clinical Practice
  • Problem-Based learning
  • Clinical Communication
  • First Clinical Attachment
  • Medical Sociology
  • Epidemiology and Public Health
  • Personal and Professional Development
  • Transferable professional skills
  • Real patient contact from the beginning

10
Year 1 - Assessment
  • Formative exam February
  • - also ongoing feedback built into course
  • Summative exams (mostly SBA / EMQ)
  • - Paper 1 April, CMS and ICP
  • - Paper 2 June, Anatomy
  • - Paper 3 June, PPP
  • - ICP elements of coursework. Partly examined
    in Year 2.
  • Retakes in August

11
Year 2 (well 3!)
  • Introductory fortnight
  • - History Taking
  • - Ethics
  • - PBL
  • Three clinical attachments
  • - Medicine and Surgery
  • - Selection of hospital campuses
  • Introduction to Clinical Specialties
  • - Lecture theatre based taster sessions
  • eLecture and lecture series

Central Middlesex Chelsea Westminster Charing
Cross Ealing The Hammersmith Hillingdon Northwick
Park St Marys St Peters West Middlesex
12
Year 2 - Assessment
  • Ethics, Law, PPD, Clinical Communication
  • - Case based, open book, MEQ
  • OSCE (Objective Structure Clinical Examination)
  • - 12 x 10 minute stations
  • - History taking
  • - Explaining procedures / exploring concerns
  • - Examinations
  • - Procedure
  • - MDT
  • Written paper (EMQ)

13
Year 3 (Well 5!)
  • Specialty Rotations
  • - Paediatrics
  • - OG
  • - Psychiatry
  • - Dermatology
  • - Rheumatology
  • - Orthopaedics
  • - Radiology
  • - Musculoskeletal
  • - Neurology
  • - Infectious diseases
  • - Oncology
  • - General Practice
  • - Teaching Skills

14
Year 3 - Assessment
  • PACES (Finals in these subjects)
  • - 6 x 15 minute stations
  • - Paeds/OG/psychiatry/GP
  • - integrated approach
  • - domain marking
  • Written papers
  • - Pathology
  • - Paeds/OG/psychiatry/GP

15
Year 4 (Well 6!)
  • More specialty Rotations
  • - ENT
  • - Ophthalmology
  • - Renal Medicine
  • - Radiology
  • - Cardiology
  • - Emergency Medicine
  • Clinical Pharmacology and Therapeutics
  • Practical Medicine
  • Professional work experience (Ward and GP)
  • Electives

16
Year 6 - Assessment
  • PACES
  • - Medicine
  • - Surgery
  • Written exams
  • - 2 papers multiple choice (Medicine and
    Surgery)
  • - Practical Prescribing

17
Vertical Themes
  • Improving the Student Experience
  • Technical and Clinical Competencies,
  • Preparation for Practise and Patient Safety
  • Ethics, Professionalism, Leadership and
    Management
  • Patient Centred Education and Communication
  • Scientific Method and Evidence Based Medicine for
    Clinical Practice

18
Admissions
  • Highly competitive
  • last year, 960 applicants for 50 places
  • Required degree
  • Biological/ Biomedical sciences
  • Checklist
  • Entrance test
  • UKCAT
  • Interview

19
Degree requirements
  • The minimum entry requirements are
  • an upper second class honours degree or a PhD
  • The degree or PhD must be in a biological subject
    so that you will have significant knowledge of
    the basic physiology and biochemistry of
    mammalian cells and organs. Examples of such
    degrees
  • Biochemistry
  • Cell Biology
  • Physiology
  • Bioengineering
  • Biomedical Science
  • Pharmacology and Translational Medical Science

20
Checklist
21
UKCAT
  • The test assesses a wide range of mental
    abilities and behavioural attributes identified
    by university Medical and Dental Schools as
    important.

22
Content of the UKCAT test

  • Verbal reasoning - assesses candidates' ability
    to think logically about written information and
    to arrive at a reasoned conclusion
  • Quantitative reasoning - assesses candidates'
    ability to solve numerical problems.
  • Abstract reasoning - assesses candidates' ability
    to infer relationships from information by
    convergent and divergent thinking.
  • Decision analysis - assesses candidates' ability
    to deal with various forms of information, to
    infer relationships, to make informed judgements,
    and to decide on an appropriate response, in
    situations of complexity and ambiguity.
  • Non-cognitive analysis - identifies the
    attributes and characteristics of robustness,
    empathy and integrity that may contribute to
    successful health professional practice.

23
Interviews
  • Interviews last about 30 minutes
  • Chair, 2 other academics, a student/layperson
    observer
  • Motivation and realistic approach to medicine and
    the role of a clinician scientist as a career
  • Capacity to deal with stress
  • Evidence of working as both a leader and a team
    member
  • Ability to multi-task
  • Likely contribution to university life
  • Communication skills, and maturity of character
  • Understanding of mammalian cell biology
  • An ability to think logically and draw
    conclusions from data 

24
http//www1.imperial.ac.uk/medicine/teaching/under
graduate/ge/
25
Want to see more?
  • Open day 28th April 2011 (register from
    January)

26
Thank you
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