Practice Managers
Information Pack
Undergraduate Medical
Education
Community Based Medical Education Team (CBMET)
The University of Manchester
Rusholme Health Centre, Walmer Street, Manchester, M14 5NP
CBMET
Prof. Val Wass
Professor of CBME
[email protected]
0161 275 1879
Margaret Bocking
[email protected]
PA to Prof. Wass &
0161 275 1854
Secretary to senior management
Philippa Lindsay
Manager of CBME
[email protected]
0161 275 1878
Caroline Connolly
Office Manager &
CBME coordinator
[email protected]
0161 275 1852
Anthony Crook
Quality Assurance &
Finance administrator
[email protected]
0161 275 1857
Years 1 & 2 (Early Experience)
Dr. Sarah Smithson
Clinical Teaching Fellow
Mandy Brownhill
Early Experience
Administrator
Years 3 - 5 (Phase 2 & 3)
Dr. Philip Burns
Senior Teaching Fellow
(Yr. 3 & 4)
[email protected]
0161 275 1873
[email protected]
0161 306 0522
[email protected]
0161 275 1867
Dr. Chris Harrison
Senior Teaching Fellow
(Yr. 5 & assessment)
[email protected]
0161 275 1865
Emma Lewis
Phase 2 & 3
Administrator
[email protected]
0161 275 1855
Jacqueline Harrop
Community Sign-Up
Project Manager
[email protected]
0161 275 1874
Ben Greenhalgh
Community Sign-Up
Administrator
[email protected]
0161 275 1856
SSC’s & Project Options
Dr. Mark Perry
Lecturer in Primary Care
& communication
[email protected]
0161 275 1875
Local Contacts by Health Education Zone
Health Education Zone (HEZ)
Base Hospital Contact
Associated GP Facilitators
Lancashire Teaching Hospitals HEZ
Caroline Penston
(01772) 524 820
[email protected]
Dr Sumantra Mukerji; Preston
[email protected]
Dr Steve Cottam; Blackpool, Fylde and Wyre
[email protected]
Dr Allison Rees; Blackpool, Fylde and Wyre
[email protected]
Dr Neil Smith; Blackburn with Darwen
[email protected]
Dr Paul Blake; Chorley and South Ribble
[email protected]
Dr Keith McLennan; Blackpool, Fylde and Wyre
[email protected]
Dr David Webborn; Burnley, Pendle and Rossendale
[email protected]
Dr Janine Riley; Blackpool Fylde and Wyre
[email protected]
South Manchester Teaching Hospital Foundation Trust (Wythenshawe) HEZ
Cathryn Bostock
(0161) 291 5785
[email protected]
Dr Judy Ream; South Manchester
[email protected]
Dr Elise Hymanson; South Trafford
[email protected]
Dr Chris Barratt; Central Cheshire
[email protected]
Dr David Riley; Stockport
[email protected]
Dr Hayley Willacy; East Cheshire
[email protected]
Salford Royal Hospitals NHS Trust HEZ
Julie Smith
0161 206 3179
[email protected]
Dr Rebecca Farrington; Salford
[email protected]
Dr Angus Kirby; Bolton
[email protected]
Dr Bill Russell; Ashton, Wigan and Leigh
[email protected]
Central Manchester Hospitals HEZ
Lisa Williams
0161 276 4964
[email protected]
Dr Sue Booth; Tameside and Glossop; Oldham
[email protected]
Dr Rachel Lindley; Central Manchester
[email protected]
Dr Peter Dixon; North Manchester
[email protected]
Dr Jeff Schryer; Bury
[email protected]
Dr Raj Khiroya; Rochdale, Middleton & Haywood
[email protected]
Current Fee Guide for Academic Year 2007/08
Years 1 and 2 (Early Experience)
Semester 1
Two half day visits per pair of students over an
eight week period
£80 per student, £160 per
pair, per visit
Semester 2
One half day visit per pair of students over an
eight week period
£80 per student, £160 per
pair, per visit
Semester 3
One half day visit per pair of students over an
eight week period
£80 per student, £160 per
pair, per visit
Semester 4
Two half day visits or one full day visit per pair
of students over an eight week period
£80 per student, £160 per
pair, per visit (half day) £160
per student, £320 per pair, per
visit (full day)
Year 3
One pair of students, one day a week for 7 or 14 weeks
£1600 per pair (14 weeks)
£800 per pair (7 weeks)
SSCs
A singe student over a 3 or 4 week period
£800
Year 4
One pair of students one day a week for 7 or 14 weeks
£1600 per pair (14 weeks)
£800 per pair (7 weeks)
Research Project Options
£1460
SSCs
£600
A single student over a 3 or 4 week period
Year 5
A single student everyday for 8 weeks
£2550
(Programme currently under review)
Examinations
OSCE Examinations
£200 per session
Example Invoice for Practice Managers:
Example Invoice
(Letter Head)
Practice Name
Practice Address
To Community Teaching Finance Officer
The University of Manchester
1st Floor Rusholme Health Centre
Walmer Street
Manchester
M14 5NP
Date:
Invoice Number:
Student’s Names:
Dates of placement: from – until
Module/Semester:
Academic Year: (1, 2, 3, 4, or 5)
Total Amount:
Payment Advice;
Please pay by BACs/Cheque
Name of account and account details/please make cheques payable to:
(your account details will go on file at the University and so they only need to
be included once)
Please try not to make the invoice more than 1 page in length
Example Availability Forms for Practice Managers:
Practice ID
Dr
And/or the Practice Manager
Address Line 1
Address Line 2
Address Line 3
Please ensure that we have up to date
contact information for the lead GP /
Practice Manager / admin contact.
Please amend where applicable.
Tel:
Fax:
Email address:
(If your contact details are incorrect please amend as appropriate)
SEMESTER 1
Tuesday visits: 14.30 – 17.00
Wednesday visits: 09.30 – 12.00
Please delete as appropriate to
indicate your availability for BOTH
dates.
Visit Dates
th
Tuesday 16
th
October & Tuesday 13 November
th
th
Wednesday 17 October & Wednesday 14 November
rd
th
Tuesday 23 October & Tuesday 20 November
th
st
Wednesday 24 October & Wednesday 21 November
th
th
Tuesday 30 October & Tuesday 27 November
st
th
Wednesday 31 October & Wednesday 28 November
th
th
Tuesday 6 November & Tuesday 11 December
th
th
Wednesday 7 November & Wednesday 12 December
Please return to:
Miss Mandy Brownhill
Manchester Medical School
Please ensure all
The University of Manchester
forms are returned
Rusholme Academic Unit
by this date
1st Floor, Rusholme Health Centre
Walmer Street
Manchester
M14 5NP
by: DD/MM/YY
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
Please delete either YES or NO to indicate
whether you are available to take students
on BOTH dates
Please write in the box along side your chosen
the days that you are available. If you
Practice Availability for Academicmodule(s)
Year 2007/2008
are flexible as to the days you are available please
Year 3/4 students write your preferred days in the relevant box(es)
and then tick the maximum number of days in
the table below.
Please tick the dates your
students:
Thispractice
example CAN
showstake
you have
chosen Module 2,
Dates
Module
ModuleYear
Description
3 and Module 4, Year 4Days
and areAvailable
available on
(i.e. students
Mon, Tues
Mon, Wed and Thur but only want
on 2
out of the 3 days.
etc)
1 October 2007 – 18 January 2008
Module 1 1A
Nutrition, Metabolism and Excretion
14 weeks in total
Year 3
1B
(Vacation time:
Heart, Lungs and Blood
17 December 2007 –1 January 2008)
25 February – 6 June 2008
14 weeks in total
Module 2
14 weeks in total
Monday, Wednesday,
Thursday
2B
Nutrition, Metabolism and Excretion
Monday, Wednesday,
Thursday
Year 3
(Vacation time:
21 March 2008 -28 March 2008)
28 August – 30 November 2007
2A
Heart, Lungs and Blood
Module 3
3A
Mind and Movement
Year 4
3B
Families and Children
7 January – 18 April 2007
14 weeks in total
Module 4
4A
Families and Children
Monday, Wednesday,
Thursday
4B
Mind and Movement
Monday, Wednesday,
Thursday
Year 4
(Vacation time:
21 March – 28 March 2008)
Please confirm the total number of days per week you can take
students:
Number of Days
Tick the relevant box to
1
indicate the maximum
number of days per
2
week you can take
3
students.
4
5
Please return to:
Please ensure that we have
up to date contact
information for the lead GP
/ Practice Manager / admin
contact. Please amend
where applicable.
Miss Emma Lewis
Manchester Medical School
The University of Manchester
Rusholme Academic Unit
1st Floor, Rusholme Health Centre
Walmer Street
Manchester
M14 5NP
by: DD/MM/YY
Please ensure all
forms are returned
by this date
Practice ID
Dr
Practice Manager
Direct contact no.
Address Line 1
Address Line 2
Address Line 3
Email address
*Are your details correct details? (please amend where applicable)
Faculty of Medical and Human Sciences
Manchester Medical School
The University of Manchester
Rusholme Academic Unit
st
1 Floor, Rusholme Health Centre
Walmer Street
Manchester
M14 5NP
Telephone: 0161 275 1851 Fax: 0161 256 1070
Website: www.manchester.ac.uk/cbme
SERVICE SPECIFICATION
This specification relates to medical undergraduates registered with the University of
Manchester to study for the degree of M.B. Ch.B within the Faculty of Medical and Human
Sciences (the Faculty) and defines the responsibilities of practice name and address (the
Practice) and the said Faculty in relation to such studies.
1.
The Practice agrees:a. To comply with standards set by the General Medical Council (GMC).
Likewise all our colleagues in Primary Care will comply with the standards of
their own regulatory bodies.
b. To provide facilities for learning for students allocated by the Faculty. The
Practice will ensure that there is adequate teaching space to meet student
needs and will ensure that basic equipment is available in the normal course
of their clinical work.
c. To ensure that the attachments in general practice include a wide range of
clinical experiences for students.
d. To ensure that students on attachments to the practice shall be supervised
and guided on appropriate ways to achieve the course objectives as set out
in the appropriate Module Course Book.
e. To provide such assessments of student progress as are required by the
Faculty.
f. To ensure that the students are made aware of the principle of respect for the
dignity of patients and the confidentiality of medical information. The practice
must ensure that information is made available to patients that medical
students are trained at the practice. Patients must be given the opportunity to
indicate if they do not wish to have contact with medical students and must
be assured that this decision will not affect their quality of care.
g. That a safe location will be provided for students personal belongings.
h. That one member of the practice will attend a staff development and support
session provided by the Faculty for every four students attached to the
practice for a full module or special study module.
i. That contact details, such as name, address, telephone number and e-mail
address, may be included in the Medical School website and databases.
j. To inform the Faculty should a Tutor within the practice be the subject of a
referral to the General Medical Council or legal prosecution with respect to
medical care.
2.
The Faculty agrees:
a. To pay the Practice for providing these facilities and tuition at the end of each
placement. Such payment to be made on presentation of a numbered invoice
made out to “The University of Manchester” and submitted to the Manager,
Community Based Medical Education (address is given in the covering letter)
b. To provide details of the academic programme for each year with provision of
appropriate handbooks and materials.
c. To provide regular feedback to the Practice on student experience.
d. To provide opportunities for appropriate training of members of the Practice in
relation to undergraduate education.
e. To ensure that the students are made aware of desirable standards of
conduct, dress and attitude in their contact with the Practice and its patients.
f. To provide advice, assistance and appropriate channels for counselling or
disciplining of medical students when required.
3.
Quality Standards & Monitoring.
a. Renewal of appointments shall be dependent upon the Practice’s wish to continue
teaching students, regular review of the Practice’s teaching activities and funding
being available to the Faculty.
b. The Professor of Teaching Medicine in the Community shall be responsible, on behalf
of the Faculty, for review of the Practice’s teaching activities. Practice Tutors are
expected to ensure that they are conversant with educational developments and to
provide the tutorial time and resources as agreed with the Faculty. If upon review of
the Practice’s teaching activities the Faculty does not wish to renew this agreement
for a further period the following procedure shall apply:
i.
The Faculty will notify the Practice in writing and the Professor of
Teaching Medicine in the Community or a representative will organise a
mutually convenient time to meet with members of the Practice.
ii.
The representative and the Practice will endeavour to negotiate a
mutually agreed solution and, if appropriate, extra training and/or support
may be arranged for members of the Practice involved in the teaching
programme.
iii.
If no solution can be agreed upon the matter will be placed before the
Associate Dean for Medical Undergraduate Studies who will endeavour
to arrive at a compromise solution.
iv.
If no compromise is reached renewal will be at the absolute discretion of
the Faculty.
c.
If the practice encounters problems in fulfilling its teaching responsibilities it should
notify the Faculty as soon as possible and paragraphs 3 b (i-iv) of this specification
shall apply.
4.
Liability.
Liability for medical students is a matter to be determined between the university and
the Practice or relevant Trusts. The GP Tutors or Trusts should clarify mutual
liabilities with the University and ensure that appropriate insurance and indemnities
are in place and up-to-date
5.
Financial Reporting
This arrangement is financed from training funds from the Strategic Health Authority
that must be accounted for separately and applied to support the excess service
costs of providing teaching. A brief report using a standard form supplied by the
Faculty may be required from the Practice at the end of a financial year.
6.
Variation to Contract
This Contract may be varied only where mutually agreed in writing between the
parties. In such circumstances there will be discussion between the Faculty and the
Provider to reach a clear understanding of the revised situation and the impact on the
Contract.
7.
Agreement
This agreement covers the period from 21 August 2007 to 20 August 2008. Any party
may terminate this Agreement by one month’s written notice without prejudice to the
GP Tutor’s right to payment of that portion of the price due for clinical placement
sessions undertaken under this Specification up to the date of termination.
Signed____________________________________
(On behalf of the Provider )
Date
Signed______________________________________ Date
(Manager, Community Based Medical Education for and on behalf of the University)
Statement of Understanding on Liabilities and Indemnities
between the University and General Practitioners Teaching
Undergraduate Medical Students.
This statement determines liability for medical students on clinical placement
with GP Practices as required by Paragraph 4 of the Service Specification
attached to the Letter of Agreement between the Faculty of Medical and
Human Sciences of the University of Manchester and individual practices.
It is understood as follows:
1.
The University shall hold Public Liability, Employer’s Liability and Professional
Indemnity insurance with limits of liability of not less than £10,000,000 for
Public and Employers’ Liability and £5,000,000 for Professional Indemnity.
2.
If any claim for injury, including death or loss of damage to property is made
arising out of the clinical placement of a medical student with the GP Tutor(s)
and is contributed to by any act, neglect or default of the University, its
employees, servants or agents, then the University will indemnify the GP
Tutor(s) against any such claim to the extent to which such injury, loss or
damage is contributed to by the act, neglect or default.
3.
The GP Tutor(s) shall hold Public Liability and Employers’ Liability insurance
providing Limits of Indemnity of not less than £1,000,000 for Public Liability
and not less than £5,000,000 for Employers Liability and giving indemnity
against legal liability for damages, costs and expenses for injury, including
death, or loss of or damage to property arising out of the business of the GP
Practice.
4.
The GP Tutor(s) shall notify insurers of the student placement and ensure that
whilst the medical student is participating in the placement:
a)
b)
c)
the Employers’ Liability insurance will cover against accident or injury
caused to the Student by any act, neglect or default of the GP Tutor(s)
or another partner or another employee of the practice.
the Employers’ Liability and Public Liability insurance will provide cover
against claims arising out of any act, neglect or default of the student
in the same way that any act, neglect or default of paid employees is
covered by these insurance.
property owned by, or the responsibility of, the GP Tutor(s) is insured
against, or the GP Tutor(s) accept responsibility for, loss or damage
caused by any act, neglect or default of the student.
5.
The GP Tutor(s) shall be members of an appropriate medical defence
organisation that provides discretionary indemnity to its membership.
6.
The GP Tutor(s) shall notify the medical defence organisation of their
involvement in student placements and ensure that they are entitled to seek
indemnity as a GP Tutor for their vicarious liability for the actions of students
whilst under their direction and/or supervision.
7.
With respect to the above statement it is also understood that the following
guidelines apply:
I. The Medical School has a responsibility not to allow a student to be sent
on an attachment if the School is aware of serious problems raised in
relation to the student’s professional competence and/or behaviour. If the
School is aware that a student’s professional competence and/or
behaviour might be affected by personal or health problems whilst
attached to a general practitioner, then the School will advise the practice
accordingly.
II. The Medical School recommends medical students to become student
members of a defence society which will entitle them to advice and
assistance whilst on a work placement and cover whilst on elective
abroad.
III. In view of the complexity surrounding indemnity arrangements for practice
employed staff, GP tutors would be advised to clarify their indemnity
arrangements with respect to such staff but be aware that it is most likely
that they would be vicariously liable for students working under the
supervision of such staff. The GP tutor should give clear instructions of
the content of the session and be aware of the tasks involved.
IV. If a student is supervised by NHS employees such as district nurses,
midwives and health visitors, NHS indemnity applies but GP tutors should
still give clear instructions of the content of the session and be aware of
the tasks involved.
V. If students examine patients of the opposite sex they
chaperoned. Students should not carry out examinations on
except in the presence of a third party. In all situations they
perform intimate examinations under the direct supervision
professional.
should be
home visits
should only
of a health
TOP TIPS TO IMPROVE COMMUNITY TEACHING. Neil Smith
12/5/06
Many thanks to all the tutors and students who took part in the workshops
at the Reebok and the teacher development day. I have attempted to
summarise all the positive suggestions and ideas which came from these
discussions. Here are the top ten tips.
1. Induction- this was seen as a key issue. The need to meet, greet,
orientate and share joint expectations with the students was recognised
as paramount to success.
2. Practice resources- one suggestion was to show the student a “menu”
of available learning opportunities within the practice.
3. Planning student surgeries- there was much discussion on this topic.
There is a need for the whole practice to be aware that a student is
present. The tutor needs protected time to fulfil their role and the
partners need to appreciate this and balance out workload.
One approach was to run normal 10 minute G.P. surgeries with the
student in an adjacent room. Approximately every 3rd patient would see
the student for 20 minutes. Then there would be a joint consultation
G.P./student/patient.
An alternative approach was to book students their own surgeries and
for the tutor to run a parallel surgery with slots blocked off to support
the student.
A novel suggestion was for the student to be part of an on the day
emergency team. In this model all acute appointments are pooled into
a single surgery. This surgery is jointly run by a doctor a practice nurse
and a student. The student sees the next available patient first alone
then presents the case to the G.P. when the tutor has finished seeing
his or her patient.
It was agree that there is a need to first assess the students
communication skills and confidence before “stepping up” to them
seeing patients alone.
4. Communication skills- one idea was to use video assessment.
Teaching skills used in G.P. registrar training could be transferred to
undergraduates. The concept of giving feedback there and then was
though to be important.
5. Expert patients- the value of a pool of patients with a range of disease
was seen as an advantage when trying to solve a student learning
needs. (e.g. I would like to find out more about multiple sclerosis) Not
only could the student arrange to see the patient in their own home but
also they could study the clinical records or audit a group of patients.
6. Home visits- some of the tutors recommended sending a student on a
visit then following them on later. This was thought to be suitable in a
care or nursing home. On tutor would drop the student off, go on other
visits and return later to assess what the student had discovered.
7. Delegation- it was recognised how difficult it could be to be solely
responsible for students. The importance of utilising practice and other
community recourses was discussed. This worked well with a keen
student with clear learning objectives. It was not as successful if the
student was not sure how and in what area they wanted to develop or
had previous negative experiences of time with other community staff.
8. Practical skills- one good idea was to encourage the student to
participate in performing investigations (taking blood, doing an e.c.g. or
spirometry on a patient themselves). This would lead onto a more
realistic discussion on data interpretation. Furthermore it was thought
to be advantageous, to both G.P. and student, to supervise the student
in using the computer records system or writing a referral or arranging
hospital admission
9. Minor specialities- students often asked for more experience in E.N.T,
dermatology and ophthalmology. G.P. tutors felt under pressure to help
students fulfil this learning need. This caused a degree of discomfort as
the G.P.s themselves had a lack of expertise in this field. One solution
was to utilise hospital or GPSI clinics and arrange a student placement
for a half day.
10. Exams- some tutors expressed concern that students were too exam
focused. However this focus could be used in G.P. by allowing the
student to practice relevant OSCE skills (history taking, presentation,
examination, data interpretation, practical skills, communication and
dealing with a dilemma) in surgery.
Many thanks to Broadway Surgery, Preston for letting us use this as an example
MEDICAL STUDENTS PACK
In this pack there should be:
•
Information sheet
•
Welcome to our practice
•
Agreement
•
Practice booklet/leaflet
•
Attendance record sheet
•
Surgery rota
•
Bus timetable
•
Feedback form
INFORMATION SHEET FOR
UNDERGRADUATE MEDICAL STUDENTS
BROADWAY TEL NO:
01772 - 645665
Ex Dir 01772 -645666
BROADWAY FAX NO:
01772 - 787652
INGOL HC TEL NO:
01772 - 401535
INGOL HC FAX NO:
01772 - 769773
PRACTICE MOBILE:
07798 732 060
PRACTICE MANAGER:
Anne Fairclough (based at both sites)
DEPUTY PRACTICE MANAGERS:
RECEPTION MANAGER:
Peter Ledder (based at Ingol)
Diane Bailey (based at Broadway)
PRACTICE NURSES:
Sister Judith Jamison (at Ingol)
Sister Sima Parekh (at both sites)
Sister Sam MacBride (at both sites)
DISTRICT NURSES:
DISTRICT NURSES TEL NO:
Sister Pat Dagger (based at Ingol)
01772 – 401522
01772 – 401523 Ansaphone – Messages
collected between hours of 1.30-2.30
daily
MIDWIFE:
Jane Stephenson (based at Ingol)
Antenatal clinic Monday 1.30-3.30pm
Heather Firth (at Broadway)
Antenatal clinic Friday 9.15-11.30am
COMMUNITY MIDWIFE:
TEL NO:
Jane Stephenson (based at Ingol)
01772 - 711495
HEALTH VISITORS:
TEL NO:
Louise Smith (based at Ingol)
01772 – 401520
WELCOME TO OUR PRACTICE
Welcome To – Drs Patel, White, Chaudhri & Walsh
We are a four partner training practice operating over two sites in the Preston area.
We have been teaching fourth and fifth year medical students now for several years
and in 2001 the practice became approved as a Training Practice for registrars.
The purpose of this note is to give you some key information about your attachment.
PARTNERS:
Dr Dinesh Patel
Dr Stephen White
Dr Kaiser Chaudhri
Dr Melanie Walsh
ASSISTANT GP:
Dr Siobhan Woods
REGISTRAR:
Dr Rafid Al-Sam
PRACTICE NAME & ADDRESS:
Ingol Health Centre
87 Village Green Lane
Ingol
Preston
PR2 7DS
01772 401535
01772 769733
TELEPHONE:
FAX:
PRACTICE NAME & ADDRESS:
TELEPHONE:
FAX:
Broadway Surgery
2 Broadway
Fulwood
Preston
PR2 9TH
01772 645665
01772 787652
PRACTICE MANAGER:
DEPUTY PRACTICE MANAGER:
RECEPTION MANAGER:
Mrs Anne Fairclough
Mr Peter Ledder – Ingol
Mrs Diane Bailey – Broadway
COMMUNITY TUTOR:
Dr Melanie Walsh – 5th year
Dr Kaiser Chaudhri – 4th year
DRESS CODE:
Clean and smart, shirt and tie for the lads
please. White coats are not required.
COURTESY CODE:
Please keep in touch with us and let us
know if you are going to be late or will
not be able to come in.
BUSES:
See enclosed timetable.
There are 3 buses an hour from the bus
station, nos 32 and 36. No 32 leaves
town at 5 and 25 minutes past the hour,
so gets to the Black Bull Pub (by
Broadway) about 10 minutes later, and
stops at the top of Village Green Lane
(Ingol). The 36 leaves town ¼ to the
hour and goes from the Black Bull to
Cottam, so for Ingol you have to get off
at the big roundabout at the top of Tag
Lane. The cost is £1.00 – no change
given.
TIME OF ATTANDANCE:
On you first day arrive at 08.45 am, after
that then the designated surgery at 08.50
am.
EQUIPMENT REQUIRED:
One brain, fully connected, appropriate
clothing, otherwise we can provide
almost everything else needed. You
might want to bring your own lunch but
there is an excellent butty shop, catering
for you needs, at both sites.
THE AGREEMENT
This sheet outlines what we expect from you, and what your can expect from us:
YOU CAN EXPECT FROM US:
•
To be welcomed and dealt with in a friendly way as part of our team
•
To have adequate facilities for work and breaks; i.e. room to work, common
room with brewing up facilities, a secure place to leave your belongings
•
Regular tutorials in protected time
•
To be dealt with as a fellow professional
•
Help in developing you confidence, clinical ability, knowledge and skills
•
A friendly environment and relationship with practice staff to encourage the
asking of a question whilst not feeling foolish or afraid
•
A commitment to making your education a priority
•
Access to our notes, patients, facilities and our experience
WE EXPECT FROM YOU:
•
Courtesy to the practice staff and patients
•
The highest professional standards in terms of respecting patients, their rights,
their records, and the sensitive and important nature of the work you will be
involved with
•
A smart appearance and good levels of personal hygiene
•
Punctuality, especially when committed to seeing patients. Unexplained
absences should be avoided if at all possible. Inform the relevant Deputy
Practice Manager if you expect to be late or unable to come in so that
alternative arrangements can be made if necessary, always phone to let us
know what is happening, whenever possible in advance of the commitment
•
A commitment to the practice. We want you to be part of things and not just
an observer. To help you develop clinical skills and responsibilities you need
to be committed to the practice
•
To tell us if there are any problems of if things aren’t going well
•
To ask for help if you are out of your depth, or in an uncertain clinical
situation
MEDICAL STUDENT ATTENDANCE
RECORD
DAY
WEEK
01
WEEK
02
WEEK
03
WEEK
04
WEEK
05
WEEK
06
WEEK
07
WEEK
08
MON
AM
MON
PM
TUES
AM
WED
AM
WED
PM
THURS
AM
FRIDAY
PM
NB: Please let the Practice have the completed form at the end of your attendance to
aid in completing you assessment.
SIGNA
TURE
INGOL HEALTH CENTRE/BROADWAY
SURGERY
CLINICS
BABY CLINIC:
Held each Friday afternoon at Ingol
1-3pm, run by one of the partners +
Sister Jamison
BLOOD CLINIC:
Held every Monday 1.45-3.45pm and
Thursday 8.30an-12 noon at Ingol
If you want to practice, you will need
consent form – speak to Tracey
DIETETIC CLINIC:
Held one Friday a month at Ingol, run by
Tracey Murdoch
WART CLINIC:
Held once a month at Ingol, run by either
Dr Patel or Dr Chaudhri
CHRONIC DISEASE MANAGEMENT:
All of the Practice Nurses do chronic
disease management including
asthma/diabetes/smears/swabs/COPD/
pill checks/ear syringing.
Just ask and you can join them
FEEDBACK FORM FINAL YEAR STUDENT’S ATTACHMENT
1
What have you enjoyed most about your GP attachment?
2
What have you least enjoyed?
3
How could we improve things for future students?
4
Have you achieved what you hoped to from the attachment?
If no, why not?
5
How do you feel the attachment has contributed to your education?
6
Any other comments
Many thanks to The Borchardt Medical Centre for letting us use this as an example
August 2005
PROBLEM BASED LEARNING AT THE BORCHARDT MEDICAL CENTRE
Welcome to Withington.
This brief encyclical contains some information and a few pointers that will hopefully help you get the
most out of your time at the BMC.
Our team consists of 6 partners, 2 practice nurses, a health care assistant, health visitors, district nurses,
counsellors, elderly care nurses, Macmillan nurses and last but not least, admin. staff.
Your main link partner is your correspondent (Bill Tamkin) with Janet Charnley as back up if I'm
away. Your link administrator is Sylvia. All the partners are happy to teach and be a resource for you.
Each student is linked to one of the partners who will act as first contact for you on a week-by-week
basis. To arrange teaching surgeries, to set up home visits for you with patients, to set up joint sessions
with other members of the team etc., contact your link partner in good time.... we need a bit of notice to
optimize your learning opportunities.
For SSM’s and 5th year attachments you will need to liaise more closely with the doctor you are
attached to with regular meetings to make sure your learning agenda is being met. It is helpful to bring
your ‘log diary’ when you come to the practice.
If you are unable to come on a certain day, always inform Sylvia, particularly if special arrangements
have been made for you to see patients individually.
The practice has a small library and you are welcome to borrow books. If you do, please sign your
name and book details in the notebook adjacent to the shelves... and make sure you return it when
you've finished!
We also teach post-graduates, and we currently have one SHO (Vish) and one registrar (Chris) attached
to the practice. We have other students from various disciplines plus those involved in different aspects
of the PBL course as well, so when negotiating your learning agenda from week to week give your link
partner as much notice as possible so that individual timetables can be arranged accordingly.
For the longer (14 week) attachments you are advised to attend about 8 consulting sessions with your
link doctor, and the aims of these are...
Observation
Practice clinical skills
Understand problem definition & management
Understand relevant epidemiology
See one or two patients by yourself for history taking and examination
These 8 sessions will require appropriate timetabling and should also be led by your agenda whenever
possible. The clinician you are working with will need your input to best achieve this goal. A list of
Index Clinical Situations covered by each module can be found in your handbook.
The practice runs special sessions such as a Diabetic Clinic, Child Health Surveillance, Antenatal
Clinics, Community drug team clinic, Minor Surgery etc. Utilize these if they fit with your learning
agenda.
Similarly, individual partners have special interests which you can tap into if appropriate...
Malcolm Brook... General Surgery
Lyn Norbury... O & G
Nick Smith... Dermatology, CDT
Chris Martin... Diabetes, IT
Bill Tamkin... CHS, GP trainer
Janet Charnley.... Asthma, Diabetes, GP Trainer
When you attend clinical sessions you will not need white coats but do bring your own stethoscope.
Always wear your name badge in the practice building. You can leave coats, bags etc. in the doctors’
common room on the first floor. This room is reasonably secure, but if you have anything valuable with
you this is best locked in the manager's office. If you have been seeing patients on your own, always
inform a member of staff when you leave the consulting room so that it can be locked.
Parking is available in the adjacent car park. If you cycle, your bike can be locked in the paved area
behind the surgery so ask Sheila (cleaner) or Dr.'s Charnley or Tamkin for the padlock key.
I hope you enjoy your sojourn in the community, and if you have any questions or problems, let me
know.
Bill Tamkin
BMC: Tel. 445 7475; 434 7562: Fax - 448 0466
Confidential contact numbers are all supplied to students – all partners home and mobile numbers and
e-mail addresses
Many thanks to Stonehill Medical Centre for letting us use this as an example
Induction Pack for Medical Students on
placement at Stonehill Medical Centre
Useful Contact Numbers
About us
General Information
Our contract with you
Clinics held at Stonehill Medical
Centre
Feedback form
Confidentiality agreement
Practice Leaflet
Feedback form
Map of the area
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
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Page 11
'I am always doing that which I can not do, in order that I may learn how to do it."
- Pablo Picasso
Useful Contact Numbers
Stonehill Medical Centre:
01204 573445
Ex Dir
01204 799952
(GP Training Manager)
Sandra Faulkner
01204 799948
Sandra’s e-mail address
[email protected]
Practice Manager
Mrs Natalie Kakoullis
01204 5799952
Stonehill Medical Centre
About us
Drs Silvert, Healey, Hawkridge, White, Robbie, Best, Stafford,
Jesudas & Harris
We are a well established training practice in South East Bolton . Since 2004 we have
taught Year 1 to Year 4 Medical Students & are open to applications from students
wishing to do the SSC Module. We are also a GP Training Practice for ST3 (GP
Registrars) studying for their nMRCGP & also for F2 Doctors
The information below is to give you an idea of who’s who.
Dr B D Silvert
GP Partners
Dr H Healey
Dr A D Hawkridge
Dr D A White
Dr N Robbie
Salaried GPs
GP Registrars
Educational Supervisors
GP Trainers
Our Address
Telephone Number
Branch Surgery
Branch Telephone Number
Dr A Best
Dr A Stafford
Dr R Jesudas
Dr B Harris
Dr Jas Manku
Dr Helen Mercer
Dr Nicky Robbie
Dr Alison Best
Dr Donna White
Dr Amanda Stafford
Dr Ben Harris
Dr Anne Hawkridge
Dr Donna White
Stonehill Medical Centre
Piggott Street
Farnworth
Bolton BL4 OJR
01204 799948 (Sandra)
01204 799952
235 Highfield Road
Farnworth
Bolton BL4 ONX
Same as Main Surgery
General information
What to wear
Timekeeping
What time to arrive
What to bring with you
Lunchtimes
Our facilities
Communication
Please be clean and smart. Male students
are expected to wear a shirt and tie. No
white coats required
We block appointments in the surgery for
teaching of Medical Students. If you are
going to be late or are unable to attend the
session for any reason, we expect you to
let us know in good time so that the
blocked appointments may be offered to
patients who need them.
Please be here at 8 45
An alert & inquiring mind. Conversation.
Stethoscope. Notebook & pen
We have a nice staffroom with
microwaves, fridge and freezer, toaster &
lots of chairs. Tea, coffee and juice is
provided free of charge We are a very
sociable practice and lunchtimes are often
lively. You are welcome to join us….
We have a library area with spare
computer terminals. You are welcome to
do work on these in your spare time at the
surgery. The library has many books in
for educational purposes and you can use
these whilst working at Stonehill. The
Internet is available for your use when
doing University work, & you can also
use it to do your sign ups.
The Internet must not be used for
accessing MSN, Facebook, booking
concert tickets or arranging nights out.
Our usage of the internet is monitored by
the PCT
Sandra will provide you with the plan for
each session, usually by e mail. Please
check your e mails regularly to see if
anything has been changed and also to
check which surgery you are working at
Our Contract with you
:
YOU CAN EXPECT FROM US:
•
To be welcomed and dealt with in a friendly way
•
To receive clear communication from us regarding the plan for the sessions
via e mail and in person
•
To have adequate facilities for work and breaks; library area with access to
computers, staff room for lunch breaks
•
Regular tutorials in protected time
•
A debrief at the end of each session
•
To be dealt with as a part of the team
•
To be able to examine patients when appropriate
•
Help in developing your confidence, clinical ability, knowledge and skills
•
To be able to ask any questions without feeling foolish or afraid
•
A commitment to making your experience at our surgery valuable to your
learning needs
WE EXPECT FROM YOU:
•
For you to access your e mails regularly; to check the plan for the day and note
any unavoidable changes
•
Good timekeeping. Punctuality is particularly important when committed to
seeing patients. Absences should be avoided if at all possible. Inform Sandra
if you expect to be late or unable to come in so that alternative arrangements
can be made if necessary. Always phone to let us know what is happening,
whenever possible in advance of the commitment
•
Good manners to the practice staff and patients
•
The highest professional standards in terms of respecting patients, their rights,
their records, and the sensitive and important nature of the work you will be
involved with
•
To observe the confidentiality agreement whilst on and off the premises
•
A smart appearance
•
A commitment to the practice. We want you to be part of the team whilst you
are with us and not just an observer. To help you develop clinical skills and
responsibilities you need to ask questions & show interest in all we do
•
To tell Sandra if there are any problems, or if things aren’t going well
•
To ask for help if you are out of your depth, or in an uncertain clinical
situation
'Wisdom is not a product of schooling but of the lifelong attempt to acquire it.'
- Albert Einstein
Clinics held at Stonehill Medical Centre
Baby/Post-Natal Clinic
Friday afternoons c/o GP and Nurse
Phlebotomy sessions
Variable, at the beginning of some Nurse
Surgeries. If you wish get experience of
blood taking, please ask Sandra. You
will need patient consent form to be
signed to be able to do this
Dietetic Clinic
Held monthly. Variable dates. Please
ask
Held twice monthly. Includes incisions,
excisions, removal of warts, skin tags,
toenail removal, joint injections &
Implanon implants and removals
Asthma, diabetic, CHD, COPD, epilepsy,
hypertension checks done on regular
basis. Please ask the practice nurses if
you wish to join them on a session
Wednesday afternoons 4 – 5.50pm. Full
range of contraceptive
advice/prescriptions including IUD/IUS
insertion, Implanon insertion/removal.
Sexual health screening/advice
Minor Surgery
Chronic Disease Management
Family Planning Clinic
It is in fact nothing short of a miracle that the modern methods of instruction have not yet
entirely strangled the holy curiosity of inquiry; for this delicate little plant, aside from
stimulation, stands mainly in need of freedom; without this it goes to wrack and ruin
without fail. Albert Einstein
FEEDBACK
(Please complete at the end of the placement)
1. What have you enjoyed most about your GP attachment?
2. What have you least enjoyed?
3. How could we improve things for future students
4. Have you achieved what you hoped to from the attachment? , if not,
please say why
5. Our communication with you
6. How do you feel the attachment has contributed to your education?
7. Any other comments
Date of your placement:
Module:
Thank-you
CONFIDENTIALTIY
In order to carry out Stonehill Medical Centre’s function as a provider of
patient services most staff will in the course of their duties, receive/have
access to personal data relating to individual patients and employees.
The Practice holds personal data about patients on both computer and
manual systems and whilst the terms and conditions of employment of all staff
imply a responsibility to ensure confidentiality it is important that you are made
fully aware of the need to treat any such information in a discreet and
confidential manner.
When handling personal data, there are a number of essential steps that
should be taken to safeguard confidentiality.
1.
Any data which is delivered by hand or by post that is marked ‘Private
and Confidential’ should be given to the Secretarial department to be
distributed to the named addressee.
2.
Records and correspondence should be kept securely at all times,
whether in use or filed. Work in progress should not be left on desktops
and computer terminals should be switched off if left unsupervised.
3.
Access to computer files should be strictly controlled by password.
Passwords are unique to the person to whom they are issued and
should never be ‘lent’ to another user.
4.
No
information
relating
to
patients/employees
or
former
patients/employees should be disclosed either orally or in writing to
unauthorised persons. If in doubt, check the person’s right of access.
Care should be taken to ensure that personal information is not
disclosed inadvertently or casually.
5.
Only information sufficient to enable the user to carry out their duties
and responsibilities should be held/used. Excessive amounts of
information should not be held/used on a ‘nice to know’ basis.
6.
Personal information, including any reports/printouts produced, should
be retained no longer than necessary to meet the purpose for which
they were originally held.
Disposal of paper records should be by shredding.
7.
Appropriate security measures should be taken against unauthorised
access, alteration or destruction of personal information, and against
accidental loss or damage.
If you disclose or misuse information during the course of your
placement/attachment the Practice will terminate this agreement immediately.
In order to ensure that you have read and understood your responsibilities in
relation to the General Conditions and the Security and Confidentiality of
Personal Patient Data, you are asked to sign both copies of the declaration
below, retain one and return the other to:
Mrs Kakoullis – Practice Manager
Stonehill Medical Centre
Piggott Street
Farnworth
Bolton
BL4 9QZ
Please remember that any breach of confidentiality will be regarded as a
disciplinary matter and may be pursued in accordance with the agreed
procedures.
UNDERTAKING
I confirm that I have read, understood and
accept my responsibilities in respect of the terms
and conditions as stated and referred to above
and set out in the various relevant reference
documents.
Signed:
...............................................................
Name:
...............................................................
Job Title:
...............................................................
Department:
...............................................................
Date Signed:
...............................................................
WORK PLACEMENTS AND HONORARY ATTACHMENTS
Please complete the information below and forward to the HR
Department, 3rd Floor, Acresfield House.
Name of Individual
Purpose of placement/attachment
(insert job title or brief description of
purpose)
Professional Registration Body (if
applicable)
Base (where will the individual be
working from?)
Commencement Date
End Date
Placement/attachment Supervisor
(name, job title& base)
Managers Name (print)
………………………………………
Date
……………………………………….
Training and Events
http://www.medicine.manchester.ac.uk/CBME/UsefulInformation/Tr
ainingandEvents/
Take a look at our web page to see the training and events for GP’s and practice
managers. Please note that in every contract, we require all GP tutors to attend
at least 2 sessions of training per year. This could be covered in our Reebok
conference held annually in November/December for a day, or alternatively split over
2 or more sessions of Nuts and Bolts.
Currently the following are advertised:
Practice Managers Forum, Thursday 28th February or Thursday 10th
April 2008, Rusholme Academic Unit (Seminar Room 1)
Nuts and Bolts, Bolton
Bolton Update Workshops for established Tutors
Staff Development Courses and Conference
Online Education
Once you have become an examiner...
Join the John Rylands Library for access to a wealth of resources.
For more information on the above, look at the website.
This year we intend to run Reebok on THURSDAY 6TH NOVEMBER 2008. More
information will be provided closer to the time.
Student’s
Guide
To
Community
Days
Written by Katie Porter with additions by Jenny Graham
Students at LTHTr 2003 - 2006
INTRODUCTION
This guide is designed to help you, the student, get
the most out of your GP placement. This booklet
has been put together by students, who want to
make your GP placement worthwhile from a
learning point of view, as well as enjoyable.
We have found it to be a valuable day if used
productively. Even if you do not want to be a GP
now or ever, there is a lot to learn about the diverse
areas that medicine covers.
Please read this document (before it fills the bottom
of your bin!) and you will hopefully find your
community day helpful from the first day at the
practice, rather than seven weeks into it like we
did!!
26/05/04
TIPS
1. Improve your history taking and communication skills
TIP
Ask GPs if you can talk to patients before their consultation. Take a history off
the patient and do appropriate examination if you can.
2. Practice introducing yourself as a Medical student
TIP
Have a phrase in your head and soon enough it will become automatic (trust
us!) It starts the conversation and makes the patient feel at ease, it also lets
them know that you are not qualified yet.
3. Don’t just be a passive observer in the consultation if you feel your time could
be utilized better
TIP
You may feel you are not learning much just sitting with the GP. However
sometimes you can learn a huge amount especially if you ask questions about
the patient before or after the consultation. If you know if there is another
consultation room free, ask if you could speak to the patient before the GP
does. Then present the case to your GP.
4. Listen to chest/heart sounds after your GP does if appropriate
TIP
It is important to listen to normal sounds as much as it is to hear the abnormal.
To gain as much experience in listening with your stethoscope is helpful.
5. Take bloods and give injections where possible
TIP
Ask if you can join the practice nurse/healthcare assistant/phlebotamist for
practicing these skills.
6. Ask about drugs treatments and explanations for management
TIP
When the consultation is over ask any appropriate questions, it will help you
remember diseases and drug names by associating them with a patient.
7. Experience as many procedures as possible
TIP
Spend time with other healthcare professionals i.e. nurses, health visitors,
phlebotomists and physiotherapists. They often have more time to explain
procedures to you.
8. GP days can help with your PBL cases
TIP
Discuss psycho-social aspects of your case with the GP (they are very good at
this!!)
Ask GP’s if they have any patients on their lists relevant to your case that
week.
• Go and visit the patient on you own, or ask if they would not mind coming
to the surgery
• Good for interviewing and practicing patient skills
9. Eye, ear and throat examination
TIP
This is the ideal place to examine these, as there are always children coming in
with ear/throat infections etc.
You will not directly get any ENT or Ophthalmology teaching in the modules
unless you do the appropriate sign-ups. So always ask to have a look, again,
even if the ear/eye is normal. These techniques do take some time to master.
10. Taking blood pressure
TIP
Offer to take this in the consultation where appropriate, even though a lot of
practices have the automatic machines nowadays!
11. Prescribing
TIP
Watch your GP do this. Ask questions if you need any explanations. (Make
sure you practice on prescription sheets in hospital, as it can come up on your
OSCE)
12. System examination
TIP
Practice your respiratory, cardiovascular and abdomen examinations on
appropriate patients. The more you practice the better, as these always come
up in OSCE’s and you need to look confident when doing them. Never do a
sensitive or embarrassing examination unless a doctor is present.
13. ECG’s
TIP
Whenever an ECG is available, have a quick look and try to interpret them.
Ask your GP if you get stuck.
14. Inhaler technique
TIP
Listen to how the GP or nurse explains how to use inhalers to the patient. It is
an important skill and it could also come up in your OSCE.
15. Using Nebulizers
TIP
Speak to the nurses about the setting up and use of nebulizers.
16. Peak flow measurement
TIP
As part of the respiratory examination, this is an important skill to be able to
explain to the patient.
17. Examine the neck and thyroid
TIP
Again this is an ENT skill, but examining patients’ necks is important for
community work. You will get plenty of opportunity in GPs.
18. Near-patient glucose measurement
TIP
Visit the diabetic clinic and get advice off the diabetic nurse. Some GPs will
specialize in diabetes.
19. Explore moral and ethical issues
TIP
Some of these subjects can be sensitive but if possible discuss the areas with
your GP.
Medicine involves medico-legal issues too, which can be assessed in your
OSCEs.
20. Clinical Audits
TIP
It may be worth understanding what this involves so talk to your GP or the
practice manager about them.
21. Timetables
TIP
Talk to your GP. Liaise with them to produce a timetable appropriate to your
learning needs.
Some final words of advice…
•
Do not expect to be spoon fed!
•
Be punctual. They have to be for their surgeries!
•
Be motivated and keen to learn.
•
Make sure the Practice Manager or GP knows you have attended on your
Placement day – if they don’t know you’re there, they can’t mark you in!
•
Remember you work under the same rules as doctors. You must bide by the
rules of confidentiality.
•
Be warm and helpful towards both doctors and patients. They are taking the
time to help you learn.
•
Always wear you identification badge.
…good luck!