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University of Exeter Medical School

Advanced Skill Development

Module titleAdvanced Skill Development
Module codeHPDM132
Academic year2022/3
Credits45
Module staff

Mrs Sarah Bradley (Convenor)

Duration: Term123
Duration: Weeks

13

12

12

Module description

Advanced Clinical Practitioners are experienced clinicians who are able to manage defined episodes of care independently within their scope of practice. This module will develop your knowledge and skills to equip you for autonomous practice in areas such as patient assessment, clinical decision-making and exercising professional judgement in planning, delivering and evaluating routine and complex episodes of care based on contemporary and high-quality evidence.  Your workplace-based experience will be extended through supervised practice.You will develop the core knowledge and skills for providing End of Life Care for adults in the context of your advanced clinical practice.  

Entry to this module requires you to be an experienced, registered clinicianworking within a hospital, ? community or primary care setting.In addition, you will be expected to have identified an area of clinical practice in which to develop your clinical skills and have up-to-date clinical knowledge relevant to your intended area of practice. Applicants must identify an appropriately qualified clinical supervisor before commencing this module. You will also be required to demonstrate how you take responsibility for your own continuing professional development and reflect on your own performance..Your workplace-based experience will be extended through supervised practice. 

Successful completion of this module contributes towards fulfilling the NHS requirements for demonstrating capability in clinical practice, as described in the Multi-professional framework for Advanced Clinical Practice in England (NHS, 2017).  

Module aims - intentions of the module

This module allows you to explore an area of advanced clinical practice in which you wish to develop. Undertaking a mixture of university-based sessions,placement-based learning, and clinical experienceyou will identify an advanced clinical skill and work towards developing yourself in this area under the supervision of a clinical mentor in addition to writing reflectively on this within your summative portfolio. This module will further develop understanding of the complexities of introducing / advancing knowledge within practice whilst considering any relevant ethical issues and will enable students to explore strategies to improve the integration / translation of knowledge to improve healthcare. 

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Gain a variety of perspectives when working with patients and be able to reflect on and evaluate a variety of options for shared decision making
  • 2. Perform holistic clinical assessments with patients to support and justify treatment and management strategies using a biopsychosocial approach
  • 3. Work competently and autonomously within the legal and ethical frameworks.
  • 4. Critically evaluate the evidence base for End of Life Care and apply this within the scope of personal clinical practice.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 5. Evaluate the role of different types of evidence (e.g. publications, media, patient / staff experience), to inform public and professionals.
  • 6. Provide recommendations for your specific work area to improve integration of knowledge to improve practice / patient experience.

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 7. Contribute, collaborate and communicate accurately and effectively with peers, colleagues and service users.
  • 8. Critically reflect on personal practice to allow for personal development and change

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

 

  • Group discussion within the student's workplace or work-related clinical skill development
  • Identification of particular areas for study within the module relating to practice
  • Refining of ideas / discussion of techniques of critical analysis
  • Identifying different types of evidence relating to the topic area
  • Discussion of portfolio plan    
  • Student presentation to group of preliminary progress (formative assessment)

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
1123380

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled learning and teaching activities42Learning group discussion, seminars
Scheduled learning and teaching activities70Online learning using a variety of interactive learning resources to include video masterclasses.
Guided independent study338Engage in own clinical environment to form advance clinical skill in chosen area using Independent critical analysis/ evaluation developing recommendations / writing portfolio

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Presentation - Oral15 mins1,4,5,6Oral

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
70030

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Portfolio (pass/fail)05000 words: A collection of work-place based activities to evidence a specific competency or multiple competencies1-8Written
Presentation of portfolio competencies and how these map to the 4 pillars of advanced clinical practice3020-minute oral presentation1, 5-8Written
Infographic 201 powerpoint slide, poster format 1-7Written
Reflective essay 503000 words 1-8Written

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Portfolio (0%)5000 words: A collection of work-place based activities to evidence a specific competency or multiple competencies1-8Typically within 6 weeks of the result
Presentation of portfolio competencies and how these map to the 4 pillars of advanced clinical practice (30%)20-minute oral presentation1, 5-8Typically within 6 weeks of the result
Infographic (20%) 1 powerpoint slide, poster format 1, 5-8Typically?within?6?weeks of the result
Reflective essay (50%) 3000 words1-8Typically within 6 weeks of the result

Re-assessment notes

In the event of you failing either of the assessments, the module will be capped at 49 until the assessment is passed. 

All assessments for this module are non-condonable. 

In any assessment, a failure to identify a serious problem or an answer which would cause the patient harm will result in overall failure of the module. 

To pass the Portfolio assessment you are required to obtain your clinical supervisors signed approval for the Statement of Competence.  

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%. 

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module. 

In addition, all assessments are required to be passed for successful completion of the whole module.

Indicative learning resources - Basic reading

Textbook based resources 

Macleod's Clinical Examination: With STUDENT CONSULT Online Access, 13e Paperback – 21 Jun 2013 by Graham Douglas BSc(Hons) MBChB FRCP(Ed) (Author) 

Primary Care for Paramedics – Class Professional Publishing – in press 

Hopcroft & Forte (2014). Symptom sorter, 5th Ed. London, Radcliffe. 

Clinical Skills by T.A. Roper – 2nd Edition 

Cooper, N. & Frain, J (2017) ABC of Clinical Reasoning. West Sussex, John Wiley & Sons 

Trenoweth, S & Moone, N (2017) Psychosocial assessment in Mental Health. London, Sage

 

Indicative learning resources - Web based and electronic resources

Virtual Learning Resources:

The Exeter Online Learning Environment (ELE) – College to provide hyperlink to appropriate pages

 

Video Masterclasses on clinical decision making and physical assessment – Exeter Medical School

 

Web based and electronic resources:

 

There are numerous Free Online Access to Medical Education (FOAMEd) resources. Whilst many of these resources may not be peer reviewed, there are some that have excellent peer review and are making their way into mainstream education. Examples include:

Emergency Medicine Case - https://emergencymedicinecases.com/

 

Geeky Medics - https://geekymedics.com/

 

East Midlands Emergency Medicine Educational Media - https://em3.org.uk/

 

Stat Dose Podcast - http://statdosepodcast.co.uk/

 

Life in the Fast Lane - https://litfl.com/ 

 

RCEM - https://www.rcemlearning.co.uk/foamed/

 

EMCrit - https://emcrit.org/

 

Other e-Resources

 

Kumar & Clark's clinical medicine [electronic resource] / edited by Parveen Kumar, Michael Clark

 

Oxford handbook of clinical examination and practical skills / edited by James Thomas and Tanya Monaghan

 

Stockley's drug interactions pocket companion 2016 [electronic resource] / edited by Claire L. Preston

 

Primary Care and Urgent Care RAP Podcast

 

NICE Core Knowledge Summaries

 

British National formulary - https://bnf.nice.org.uk/

 

Acute GP - https://www.acutegpcornwall.com/

Indicative learning resources - Other resources

Other e-Resources

 

Kumar & Clark's clinical medicine [electronic resource] / edited by Parveen Kumar, Michael Clark

 

Oxford handbook of clinical examination and practical skills / edited by James Thomas and Tanya Monaghan

 

Stockley's drug interactions pocket companion 2016 [electronic resource] / edited by Claire L. Preston

 

Primary Care and Urgent Care RAP Podcast

 

NICE Core Knowledge Summaries

 

British National formulary - https://bnf.nice.org.uk/

 

Acute GP - https://www.acutegpcornwall.com/

 

Key words search

Advanced practice, clinical skills, clinical development, evidence, research, advanced clinical practice, physical examination, diagnostics, communication, end of life care

Credit value45
Module ECTS

22.5

Module pre-requisites

N/A

Module co-requisites

N/A

NQF level (module)

7

Available as distance learning?

No

Origin date

03/02/2020

Last revision date

11/07/2022