Consultation skills: The initial approach

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Graduate Entry MBSS at Imperial
Dr Tanya Tierney t.tierney_at_imperial.ac.uk
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Overview

• Structure of the course
• Admissions process

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Our cohorts
6 Year (UG)
1
2
3
4 (BSc)
5
6
300
50
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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

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Year 1 4 Themes

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

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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

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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

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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

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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

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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

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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
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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)

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Year 3 (Well 5!)

• Specialty Rotations
• - Paediatrics
• - OG
• - Psychiatry
• - Dermatology
• - Rheumatology
• - Orthopaedics
• - Radiology
• - Musculoskeletal
• - Neurology
• - Infectious diseases
• - Oncology
• - General Practice
• - Teaching Skills

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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

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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

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Year 6 - Assessment

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

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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

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Admissions

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

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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

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Checklist
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UKCAT

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

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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.

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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 

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http//www1.imperial.ac.uk/medicine/teaching/under
graduate/ge/
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Want to see more?

• Open day 28th April 2011 (register from
  January)

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Thank you