UNIVERSITY OF NOTTINGHAM

PROGRAMME SPECIFICATION

SESSION 2017/2018

Section A. Basic Information

1 Title
 
 
Bachelor of Medical Sciences with Honours Medicine
 
2 Course code
 
 
A100
 
3 School(s) Responsible For Management Of The Course
 
 
Medical Education Centre 100%
 
4 Type of course
 
 
 
5 Mode of delivery
 
 
Full time
 
6 Course Accreditation
 
 
The General Medical Council : Type Not Recorded
 
7 Relevant QAA Subject Benchmark(s)
 
 
Medicine
 
Section B. General Information

Educational Aims
 
 
The University of Nottingham offers a five-year course to students wishing to become doctors which is accredited and mapped to the outcomes for graduates specified by the General Medical Council in Outcomes for Graduates (2015) [OfG]. Application must be made through UCAS.

Overall the course has two component:.

The first part of the course (A100) comprises learning and teaching in both core and advanced biomedical and social sciences, clinical skills, early clinical experience, and results in the award of the classified Honours degree of Bachelor of Medical Sciences at the end of the third year.

The learning and teaching in the second part of the course (A300) concentrates on full-time clinical training. At the end of this period successful students are awarded the Bachelor of Medicine and the Bachelor of Surgery degrees. Entry to the A300 programme is only through students successfully completing this 3-year A100 BMedSci programme.

The aims of the course are that on qualification, doctors receiving the Bachelor of Medicine and Bachelor of Surgery degrees from Nottingham University should:
  • 1. Be able to apply to medical practice biomedical scientific principles, method and knowledge relating to: anatomy, biochemistry, cell biology, genetics, immunology, microbiology, molecular biology, nutrition, pathology, pharmacology and physiology. Apply psychological principles, method and knowledge to medical practice. Apply social science principles, method and knowledge to medical practice. Apply to medical practice the principles, method and knowledge of population health and the improvement of health and health care. Apply scientific method and approaches to medical research [OfG 8-12] ;

    2. Be able to carry out a consultation with a patient; diagnose and manage clinical presentations; communicate effectively with patients and colleagues in a medical context; provide immediate care in medical emergencies; prescribe drugs safely, effectively and economically; carry out practical procedures safely and effectively; and use information effectively in a medical context. [OfG 13-19];

    3. Be able to behave according to ethical and legal principles; reflect, learn and teach others; learn and work effectively within a multi-professional team; and protect patients and improve care [OfG 20-23].

    In the first three years of study students are expected to undertake additional studies, a research project and patient based studies which lead to the award of a classified Bachelor of Medical Sciences Honours Degree. The aims of the BMedSci 3rd year are to:
  • develop the research skills and experience of the student through in-depth study of a scientific topic;
  • develop knowledge and understanding at level 3 of contemporary research and theory in chosen areas of medical science;
  • develop knowledge, understanding and skills in research and statistical processes;
  • develop knowledge and understanding of the treatment and prevention of infection, and therapeutics;
  • develop clinical skills in medicine, surgery and prepare a patient-based case study on health care.
  •  
    Outline Description of Course
     
     

    The three-year BMedSci course comprises two years (four semesters) covering early clinical experience, public health and epidemiology and basic medical sciences followed by an extended fifth semester occupied by Honours level taught courses, infections module and a research project. The sixth semester, Clinical Phase 1, comprises modules in Clinical Practice, Therapeutics and Community Follow-up Project which all contribute to the BMedSci degree.

    The overall strategy for education in this period is a transition from clinically contextualised lectures and practical-based teaching in Years 1 and 2, supplemented with early clinical experience and problem-based learning (PBL), to self-directed research-based learning. In Years 1 and 2 basic medical sciences are integrated with early clinical experience and an explicit basic skills curriculum is used.

    Integrated systems-based courses are intended to provide an understanding of human structure and function, health and disease, growth and development, behaviour and emotions, both on an individual level and within the context of the community.

    Clinical and pathological aspects are integrated where relevant, providing a progressive link with the clinical studies of later years. In addition the course includes teaching and learning opportunities aimed at the development of personal and professional skills.

    Early clinical experience is devoted to providing teaching and learning opportunities in a wide range of skills essential both to coping with the course and developing into a good doctor. These include study, inter-personal, communication and clinical skills. Through patient contact and experience on hospital wards and in general practices the students are also encouraged to reflect on the clinical governance, ethical, medico-legal, and managerial problems which are encountered there, and on issues such as health promotion, rehabilitation and palliative care.

    In years 1 and 2, through a series of visits to general practices and hospital settings supplemented by lectures and seminars, students get used to patient contact and learn the principles of clinical examination. The emphasis is on the learning and evaluation of clinical skills, an introduction to common medical problems, the importance of the doctor/patient relationship, and the taking of histories. Students are attached to a particular GP tutor and hospital firm.

    Students are prepared for the Honours level work by way of scientific research method classes and assignments in Semester 5.

    In Semester 5 all students pursue a research project of their choice, learning to appraise scientific papers, using the research method and in so doing prepare themselves for the evaluation of future changes in medical practice. The project gives them an opportunity to express their capacity for critical and independent thought and their ability to construct a sustained argument. Courses in research design and analysis, current research interest and in the treatment and prevention of infection are also included.

    In Semester 6 students will complete a Community Follow-up Project, Clinical Practice and Therapeutics courses which all count towards the BMedSci degree.

    On successful completion of the BMedSci degree, students proceed to Clinical Phases 2 and 3, and thus complete the BMBS degrees to apply to become Foundation doctors at the end of the five-year course. See Programme Specification for A300.

    During all parts of the programmes students will continue to develop their clinical skills and knowledge to apply their learning to the management of disease. Ward and community-based clinical teaching will be supported by lectures, seminars and tutorials, and web-based e-learning resources. Integrated into each attachment is the teaching of personal and professional development, clinical pharmacology, pathology and public health medicine. Students experience a wide range of clinical settings across Nottinghamshire, Derbyshire and Lincolnshire.

     
    Distinguishing Features
     
     
    Nottingham Medical School unlike many others continues to use full cadaver dissection to teach anatomy. The award of the BMedSci degree is an integrated part of the five-year BMBS programme. Where available elsewhere, such degrees are taken as an intercalated degree. Integration of students from both full-time pre-clinical courses (the A100 BMedSci and the GEM part of A101 Graduate Entry Medicine) is a mutually enriching educational experience. Knowledge examinations use on-line methods developed and pioneered in Nottingham Medical School. Teaching and assessment of skills and attitudes uses methods modelled closely on those currently used in doctor appraisal.
     
    Section C. Supplementary Regulations

    1 Admission Requirements
     
     


    Applicants must meet the following requirements:

    A level offer: AAA

    Required subjects: A level chemistry and biology, grade A;

    third A level in any subject except general studies and critical thinking;

    at least six GCSEs at grade A including chemistry, physics and biology or double science or triple science;

    GCSE grade B in English and Maths;

    Graduates: 2:1 degree in a science related subject and;

    AAA at A level chemistry and biology, grade A;

    general studies and critical thinking are not accepted as a third A-level

    UKCAT: Candidates must sit the UKCAT test before applying through UCAS; For more information, please refer to the UKCAT website www.ukcat.ac.uk

    IB score: 36 (6, 6, 6 at Higher Level including biology and chemistry)

    IB score: 36 (6, 6, 6 at Higher Level including biology and chemistry) excluding core points,

    Alternative qualifications:

    See www.ucas.com

    No offers are made without interview

    Alternative English Language Qualifications:

  • British Council IELTS test: 7.5 overall with at least 7.0 in any element
  • Cambridge Certificate of Proficiency in English: Grade B
  • Cambridge Certificate in Advanced English: Grade A

    International Applicants: Contact the Student Recruitment Enquiries Centre for further information regarding other academic qualifications.

    Having completed the UKCAT test, all candidates apply through UCAS. Interviews are arranged once candidates academic and non-academic criteria have been assessed. Offers are only made after interview. We accept applications from students who wish to defer entry but constructive experience will be expected (i.e. travel or work in a medicine-related field).

    Health note

    All students are required to have their immunity status for Hepatitis B and C, tuberculosis, HIV and rubella checked on entry and offers are made subject to the results; see our website for further information.

    Students with disabilities

    The University of Nottingham welcomes students with disabilities. However, the School of Medicine has a special responsibility to ensure that all candidates admitted to the course will be eligible for registration by the GMC on graduation. If you have a disability, please seek advice from the School before applying.

    The University is required to use the Disclosure and Barring Service (DBS) to assess the suitability of applicants for medicine. Information held by the DBS will be considered on an individual basis and will be handled and disposed of securely in compliance with legislation; see our website for further information.

    Candidates should read the Admissions Policy document and Notes for Applicants prior to submitting an application, at http://www.nottingham.ac.uk/ugstudy/courses/medicine/bmbs-medicine.aspx

  •  
    2 Course Structure
     
     
    Modules Highlighted in Green will not be running in 2017/2018

    Year 1
     Compulsory
     Students must take all modules in this group
     
    CodeTitleCreditsCompensatableTaught
    A11CM1Clinical Medicine 110NFull Year
    A11IM1Integrated Medicine 130NFull Year
    A11BM1Biomedical skills 110NFull Year
    A11MD1Medicine 130NFull Year
    A11MD2Medicine 230NFull Year
     Credit Total110  
     Restricted
     Group:1 Semester 2 Options. Students must take 10 credits from the 10 credit optional courses available below:
     Students must take 10 credits from this group
     
    CodeTitleCreditsCompensatableTaught
    A12CCLCancer classification10NSpring
    A12TNOTranslational Neuro-Oncology10NSpring
    A12RBURisky Business: Understanding and Preventing Medical Error10NSpring
    A12NAHNarratives and Health10NSpring
    A12MMDMolecular Medicine: Diabetes and Obesity10NSpring
    A12LTILaboratory Testing in Infection10NSpring
    A12ITPIntroduction to Psychiatry10NSpring
    A12HOAHistory of Anatomy and Medicine10NSpring
    A12CTSClinical Toxicology Studies10NSpring
    A12SPSSpecial Senses10NSpring
     Credit Total100  
     

    Year 2
     Compulsory
     Students must take all modules in this group
     
    CodeTitleCreditsCompensatableTaught
    A12FBNFunctional & Behavioural Neuroscience15NSpring
    A12CS2Clinical Communication Skills (II)5NFull Year
    A12PH2Applied Public Health5YSpring
    A12GBPGeneral and Biochemical Pharmacology5YSpring
    A12CLSClinical Laboratory Sciences (II)20NFull Year
    A12PD2Early Clinical and Professional Development (II)10NFull Year
    A12SF2Human Development Structure and Function (II)20NAutumn
    A12RENRenal and Endocrine systems10YAutumn
    A12ASNAlimentary System & Nutrition10YAutumn
     Credit Total100  
     Restricted
     Group:1 Semester 4 Options. Students must take 20 credits from the list. Either A13MOM (20 cr) OR two of the 10 credit option modules on offer in fixed combination. Half of the year will have to take A13MOM. Students must take 20 credits from this group
     Students must take 20 credits from this group
     
    CodeTitleCreditsCompensatableTaught
    A13MIAMolecular Immunology and Autoimmunity10YSpring
    A13MOMMolecular Medicine20YSpring
    A13MDIMolecular Diagnostics10YSpring
    A13MMBMedical Microbiology10YSpring
    A13DIDDefects in Development10YSpring
    A13LYMLymphatic Organs and antigen presentation10YSpring
    A13DITDiagnostic Imaging and Interpretation10YSpring
    A13ITPIntroduction to Psychiatry10YSpring
     Credit Total90  
    Additional Module Choice Information for Year 2
     Additional module choice should total 20 credits
     (2016-17 cohort or earlier) Additional module choice should total 20 credits Students can now take the following options:
    • A13ITP and A13MMB
    • A13MDI and A13DIT
    • A13MIA and A13MMB
    • A13LYM and A13MMB
    • A13DID and A13MMB
    • A13MOM
     

    Year 3
     Compulsory
     Students must take all modules in this group
     
    CodeTitleCreditsCompensatableTaught
    A13CLPClinical Phase 1 - Clinical Practice15NSpring
    A13CFUClinical Phase 1 - Community Follow-up Project5NSpring
    A13AMCThe treatment and prevention of infection5YSpring
    A13THPClinical Phase 1 - Therapeutics5NSpring
     Credit Total30  
     Alternative
     Group:1 Students must take two 10-credit modules as offered by the homebase in which they are placed.
     Students must take either 20 credits from this group
     
    CodeTitleCreditsCompensatableTaught
    A13CNNCognitive Neuroscience of Neuropsychiatric Disorders10YAutumn
    A13PSIPrinciples of Surgical Infection10YAutumn
    A13ERPMethods in Public Health and Epidemiology10YAutumn
    A13CTSCritical Thinking Skills in Epidemiology and Public Health10YAutumn
    A13CANCancer10YAutumn
    A13DNSDevelopmental Neuroscience10YAutumn
    A13MPCThe Molecular Pathology of Cancer10YAutumn
    A13RESRespiratory Medicine10YAutumn
    A13IIIInnate Immunity and the Immunopathology of Inflammation10YAutumn
    A13CNRClinical Applications of Current Neuroglia Research10YAutumn
    A13ACVAnti-cancer therapies and cardiovascular disease10YAutumn
    A13CRPClinical Renal Physiology/Therapeutics10YAutumn
    A13EEEEthics, Economics and Empiricism10YAutumn
    A13GPDGPCR polymorphisms, disease and personalised medicine10YAutumn
    A13MALMalignant Haematology10YAutumn
    A13PATPatient safety, human error and avoiding harm in healthcare10YAutumn
    A13SCRScientific Basis of Clinical Reasoning10YAutumn
    A13QQMQuantitative and Qualitative Methods for Mental Health Research10YAutumn
     Credit Total180  
     Restricted
     Group:1 All students take the faculty-wide Research Methods module and the Honours Year Project module applicable to the school/homebase in which they are working.
     Students must take 70 credits from this group
     
    CodeTitleCreditsCompensatableTaught
    A13HPBHonours Year Project in School of Life Sciences60NFull Year
    A13HPSHonours Year Project in School of Medicine60NFull Year
    A13RMBResearch Methods in School of Life Sciences10YAutumn
    A13RMSResearch Methods in School of Medicine10YAutumn
     Credit Total140  
    Additional Module Choice Information for Year 3
     Additional module choice should total 20 credits
     All students allocated to a Homebase in the School of Life Sciences must take A13SCR Scientific Basis of Clinical Reasoning (10 credits) plus 10 credits from the following 10 credit modules:
    A13CRP Clinical Renal Physiology/Therapeutics
    A13GPD GPCR Polymorphisms, Disease and Personalised Medicine
    A13ACV Anti-cancer Therapies and Cardiovascular Disease
    A13CNR Clinical Applications of Current Neuroglia Research
    A13EEE Ethics, economics and Empiricism
    A13III Innate Immunity and the Immunopathology of Inflammation
     

    Year 4
     Compulsory
     Students must take all modules in this group
     
    CodeTitleCreditsCompensatableTaught
    A14CP2Clinical Phase 2200NFull Year
     Credit Total200  
     

    Year 5
     Compulsory
     Students must take all modules in this group
     
    CodeTitleCreditsCompensatableTaught
    A14ACEClinical Phase 3 - Advanced Clinical Experience180NFull Year
    A14TTPClinical Phase 3 - Transition To Practice20NSpring
     Credit Total200  
     
    Additional Components
     
    3 Assessment criteria
     
    All Supplementary or course Regulations should be read in the context of the relevant University Study Regulations .
     
    Please refer to this information on http://www.nottingham.ac.uk/regulations/ .
     


    Progression Information:

    Subject to the criteria set out in Regulation 19 of the University's Undergraduate Course Regulations, students eligible for a second reassessment attempt in year 1 or 2 must do so in attendance (i.e. the whole module must be retaken).

    Candidates who fail to progress from year one to year two or from year two to year three after resit examinations may, at the discretion of the Faculty, transfer from the BMedSci degree to an approved course of study leading to the award of the Bachelor of Science in Medical Sciences, providing they have satisfied the standard University Regulations for First Degrees. The award of Bachelor of Science in Medical Sciences does not confer eligibility to enter to the degrees of BMBS.

    Progression on to A300 depends on having a classified Bachelor of Medical Sciences (Hons) degree which includes a pass in Clinical Phase 1 in Semester 6 (i.e. the modules of A13THP, A13CLP and A13CFU) (see below 4. Other regulations, for further details on progression rules for A300).

    Degree Information:

    Award of BMedSci degree

    The Honours degree of Bachelor of Medical Sciences is awarded on successful completion of Parts I and II of the course:

    The degree is classified as follows:

    First Class - 70% and above

    Upper Second Class - 60% to 69%

    Lower Second Class - 50% to 59%

    Third Class - 40% to 49%

    Borderline Criteria: Borderline criteria will be applied as follows:
  • 2:1-1st / 68%, 69%
  • 2:2-2:1 / 58%, 59%
  • 3rd-2:2 / 48%, 49%
  • A student should be given the higher class if either of the following criteria are met:
  • Half or more of the final stage credits are in the higher class
  • Half or more of the final and penultimate stage credits are in the higher class

    Course Weightings %

    Part I: (year 2) 33%

    Part II (year 3) 67%

  • Course Weightings %
    Degree Calculation Model: Arithmetic Mean
     
    4 Other regulations
     
     

    Specific Criteria Relating to Entry to the BMBS (A300)


    (1) Students with failures in Clinical Phase 1 shall have further opportunities to satisfy the examiners as follows:
    (i) Students who have failures in Clinical Practice:


    (a) Knowledge only
    A student failing the knowledge assessment must resit the exam at the first available opportunity. They can enter Clinical Phase 2 pending the results of Resit 1. Once the results are published, if a student finds that they have failed Resit 1 knowledge exam they will have to suspend and retake the Clinical Practice attachment and associated in-course assessments before being eligible to take a final attempt (Resit 2). Failure to pass Resit 2 will result in termination of the course.


    (b) Skills Competencies (Mandatory Assessments of Core Clinical Skills: MACCS) All competencies must be passed before the end of the attachment. If not passed a student may not take the graded Skills examination and does not progress to Clinical Phase 2. The student must retrain by retaking the Clinical Practice module at the first available opportunity (February of the following session) and be reassessed in the competencies. If this attempt is failed the student's course is terminated.


    (c) Graded Skills only (Objective Structure Clinical Exam: OSCE) A student failing the graded skills assessment must resit the exam at the first available opportunity. They can enter Clinical Phase 2 pending the results of Resit 1. Once the results are published, if a student finds that they have failed Resit 1 graded skills assessment they will have to suspend and retake the Clinical Practice attachment and associated in-course assessments before being eligible to take a final attempt (Resit 2). Failure to pass Resit 2 will result in termination of the course.


    A student who has failed at the first attempt both Knowledge and the Graded Skills assessment does not enter Clinical Phase 2. The student must retrain by retaking the Clinical Practice module at the first available opportunity (February of the following session) and be reassessed in both Knowledge and Skills. If in this attempt both are again failed the student's course is terminated.
    (ii) Students who have failed Therapeutics:
    (a) Knowledge
    A Student failing the THP knowledge assessment must resit the exam at the first available opportunity. They can enter Clinical Phase 2 pending the results of Resit 1. Once the results are published, if a student finds that they have failed Resit 1 THP knowledge exam they will have to retake the attachment and associated in-course assessments before being eligible to take a final attempt (Resit 2). Failure to pass Resit 2 will result in termination of the course.


    (iii) Students who have failed the Community Follow-up Project Module:
    (a) Knowledge
    A student failing the CFU knowledge assessment must resit the exam at the first available opportunity (usually in September). They can enter Clinical Phase 2 before taking the Knowledge resit. If this assessment is failed they will have to suspend and retake the Clinical Practice attachment and associated in-course assessments before being eligible to take a final attempt (Resit 2). Failure to pass Resit 2 will result in termination of the course.


    (iv) Attitudes and Behaviour (log-book/portfolio sign-off) - Candidates must have satisfactory sign-off for professionalism, including matters related to engagement, attitude, conduct and behaviour.
    In this respect assessments are made at points defined in clinical attachments, and not only at summative assessment points. Unsatisfactory sign-off for attendance during an attachment will be deemed a fail. Other aspects of professionalism remain an essential requirement. Unsatisfactory sign-off in professionalism will lead to a referral to the Professionalism and Academic Competency Committee (PACC) for review and consideration of actions including remediation. This remediation can be longitudinal across existing attachments. Where there is unsatisfactory sign-off for professionalism close to the point of graduation, PACC may suggest that the student uses the elective period for remediation to address the issue and prevent a fitness to practice referral.


    Fitness to Practise Award of BM, BS (and progression in the BMedSci course) is also dependent on fitness to practise. If a student is judged unfit to practise by reason of health or conduct, their course may be terminated and the degree award refused. More details about the fitness to practise procedures are available at: http://www.nottingham.ac.uk/academicservices/qualitymanual/studyregulations/index.aspx

     
     IMPORTANT INFORMATION – REGULATION CHANGES FROM SEPTEMBER 2015/16
     Notwithstanding the criteria set out in the Assessment section above, the following arrangements will apply to all students entering their Qualifying Year or Part I in, or after, the 2015/16 academic session.
     Degree classification will be determined by the Arithmetic Mean model.
     The final degree mark will be determined by a standardised weighting for a Bachelor’s degree of 33/67 for Parts I and II respectively, and for an Integrated Master’s degree (undergraduate) of 20/40/40 for Parts I, II and III respectively.
     Borderline criteria will be applied as follows:
     
  • 2:1-1st / 68%, 69%
  •  
  • 2:2-2:1 / 58%, 59%
  •  
  • 3rd-2:2 / 48%, 49%
  •  A student should be given the higher class if either of the following criteria are met:
     
  • Half or more of the final stage credits are in the higher class
  •  
  • Half or more of the final and penultimate stage credits are in the higher class
  •  Transfer to an Ordinary Degree pathway will not be permitted on any of the University’s campuses and the award of an Ordinary Degree on exit will only be permitted at UNUK and UNNC, but not at UNMC.
     Should a programme have different arrangements due to professional body requirements, details will be available at http://www.nottingham.ac.uk/regulations.
     A programme specification may state that students are required to meet an enhanced progression standard in order to remain on an Integrated Masters Programme. The standard enhanced progression requirement is 55% in Part I of the programme at the first attempt unless there is a specific named PSRB requirement stated above in the programme specification.
      
    Section D. Learning Outcomes
     
     
    Learning Outcomes are mapped to the GMC document Outcomes for Graduates (OfG) (2015) [Paragraph numbers cited as OfG from that document]
    Knowledge and Understanding
    Knowledge and understanding is divided into three sets of outcomes for the graduate:
    1. Scholar and Scientist
    2. Practitioner
    3. Professional

  • Outcomes 1: Scholar & Scientist
    OfG 8. The graduate will be able to apply to medical practice biomedical scientific principles, method and knowledge relating to: anatomy, biochemistry, cell biology, genetics, immunology, microbiology, molecular biology, nutrition, pathology, pharmacology and physiology. The graduate will be able to:
    (a) Explain normal human structure and functions.
    (b) Explain the scientific bases for common disease presentations.
    (c) Justify the selection of appropriate investigations for common clinical cases.
    (d) Explain the fundamental principles underlying such investigative techniques.
    (e) Select appropriate forms of management for common diseases, and ways of preventing common diseases, and explain their modes of action and their risks from first principles.
    (f) Demonstrate knowledge of drug actions: therapeutics and pharmacokinetics; drug side effects and interactions, including for multiple treatments, long-term conditions and non-prescribed medication; and also including effects on the population, such as the spread of antibiotic resistance.
    (g) Make accurate observations of clinical phenomena and appropriate critical analysis of clinical data.

  • OfG 9. Apply psychological principles, method and knowledge to medical practice. The graduate will be able to:
    (a) Explain normal human behaviour at an individual level.
    (b) Discuss psychological concepts of health, illness and disease.
    (c) Apply theoretical frameworks of psychology to explain the varied responses of individuals, groups and societies to disease.
    (d) Explain psychological factors that contribute to illness, the course of the disease and the success of treatment.
    (e) Discuss psychological aspects of behavioural change and treatment compliance.
    (f) Discuss adaptation to major life changes, such as bereavement. Compare and contrast the abnormal adjustments that might occur in these situations.
    (g) Identify appropriate strategies for managing patients with dependence issues and other demonstrations of self-harm.

  • OfG 10. Apply social science principles, method and knowledge to medical practice. The graduate will be able to:
    (a) Explain normal human behaviour at a societal level.
    (b) Discuss sociological concepts of health, illness and disease.
    (c) Apply theoretical frameworks of sociology to explain the varied responses of individuals, groups and societies to disease.
    (d) Explain sociological factors that contribute to illness, the course of the disease and the success of treatment including issues relating to health inequalities, the links between occupation and health and the effects of poverty and affluence.
    (e) Discuss sociological aspects of behavioural change and treatment compliance.

  • OfG 11. Apply to medical practice the principles, method and knowledge of population health and the improvement of health and health care. The graduate will be able to:
    (a) Discuss basic principles of health improvement, including the wider determinants of health, health inequalities, health risks and disease surveillance.
    (b) Assess how health behaviours and outcomes are affected by the diversity of the patient population.
    (c) Describe measurement methods relevant to the improvement of clinical effectiveness and care.
    (d) Discuss the principles underlying the development of health and health service policy, including issues relating to health economics and equity, and clinical guidelines.
    (e) Explain and apply the basic principles of communicable disease control in hospital and community settings.
    (f) Evaluate and apply epidemiological data in managing healthcare for the individual and the community.
    (g) Recognise the role of environmental and occupational hazards in ill-health and discuss ways to mitigate their effects.
    (h) Discuss the role of nutrition in health.
    (i) Discuss the principles and application of primary, secondary and tertiary prevention of disease.4
    (j) Discuss from a global perspective the determinants of health and disease and variations in health care delivery and medical practice.

  • OfG 12. Apply scientific method and approaches to medical research. The graduate will be able to:
    (a) Critically appraise the results of relevant diagnostic, prognostic and treatment trials and other qualitative and quantitative studies as reported in the medical and scientific literature.
    (b) Formulate simple relevant research questions in biomedical science, psychosocial science or population science, and design appropriate studies or experiments to address the questions.
    (c) Apply findings from the literature to answer questions raised by specific clinical problems.
    (d) Understand the ethical and governance issues involved in medical research.

  • Outcomes 2: Practitioner
    OfG 13. The graduate will be able to carry out a consultation with a patient:
    (a) Take and record a patient's medical history, including family and social history, talking to relatives or other carers where appropriate.
    (b) Elicit patients' questions, their understanding of their condition and treatment options, and their views, concerns, values and preferences.
    (c) Perform a full physical examination.
    (d) Perform a mental-state examination.
    (e) Assess a patient's capacity to make a particular decision in accordance with legal requirements and the GMC's guidance (in Consent: Patients and doctors making decisions together).
    (f) Determine the extent to which patients want to be involved in decision-making about their care and treatment.
    (g) Provide explanation, advice, reassurance and support.

  • OfG 14. Diagnose and manage clinical presentations.
    (a) Interpret findings from the history, physical examination and mental-state examination, appreciating the importance of clinical, psychological, spiritual, religious, social and cultural factors.
    (b) Make an initial assessment of a patient's problems and a differential diagnosis. Understand the processes by which doctors make and test a differential diagnosis.
    (c) Formulate a plan of investigation in partnership with the patient, obtaining informed consent as an essential part of this process.
    (d) Interpret the results of investigations, including growth charts, x-rays and the results of the diagnostic procedures in Appendix 1.
    (e) Synthesise a full assessment of the patient's problems and define the likely diagnosis or diagnoses.
    (f) Make clinical judgements and decisions, based on the available evidence, in conjunction with colleagues and as appropriate for the graduate's level of training and experience. This may include situations of uncertainty.

  • (g) Formulate a plan for treatment, management and discharge, according to established principles and best evidence, in partnership with the patient, their carers, and other health professionals as appropriate. Respond to patients' concerns and preferences, obtain informed consent, and respect the rights of patients to reach decisions with their doctor about their treatment and care and to refuse or limit treatment.
    (h) Support patients in caring for themselves.
    (i) Identify the signs that suggest children or other vulnerable people may be suffering from abuse or neglect and know what action to take to safeguard their welfare.
    (j) Contribute to the care of patients and their families at the end of life, including management of symptoms, practical issues of law and certification, and effective communication and team-working.

  • OfG 15. Communicate effectively with patients and colleagues in a medical context.
    (a) Communicate clearly, sensitively and effectively with patients, their relatives or other carers, and colleagues from the medical and other professions, by listening, sharing and responding.
    (b) Communicate clearly, sensitively and effectively with individuals and groups regardless of their age, social, cultural or ethnic backgrounds or their disabilities, including when English is not the patient's first language.
    (c) Communicate by spoken, written and electronic methods (including medical records), and be aware of other methods of communication used by patients. Appreciate the significance of non-verbal communication in the medical consultation.
    (d) Communicate appropriately in difficult circumstances, such as breaking bad news, and when discussing sensitive issues, such as alcohol consumption, smoking or obesity.
    (e) Communicate appropriately with difficult or violent patients.
    (f) Communicate appropriately with people with mental illness.
    (g) Communicate appropriately with vulnerable patients.
    (h) Communicate effectively in various roles, for example as patient advocate, teacher, manager or improvement leader.

  • OfG 16. Provide immediate care in medical emergencies.
    (a) Assess and recognise the severity of a clinical presentation and a need for immediate emergency care.
    (b) Diagnose and manage acute medical emergencies.
    (c) Provide basic first aid.
    (d) Provide immediate life support.
    (e) Provide cardio-pulmonary resuscitation or direct other team members to carry out resuscitation.

  • OfG 17. Prescribe drugs safely, effectively and economically.
    (a) Establish an accurate drug history, covering both prescribed and other medication.
    (b) Plan appropriate drug therapy for common indications, including pain and distress.
    (c) Provide a safe and legal prescription.
    (d) Calculate appropriate drug doses and record the outcome accurately.
    (e) Provide patients with appropriate information about their medicines.
    (f) Access reliable information about medicines.
    (g) Detect and report adverse drug reactions.
    (h) Demonstrate awareness that many patients use complementary and alternative therapies, and awareness of the existence and range of these therapies, why patients use them, and how this might affect other types of treatment that patients are receiving.

  • OfG 18. Carry out practical procedures safely and effectively.
    (a) Be able to perform a range of diagnostic procedures, as required by the GMC and measure and record the findings.
    (b) Be able to perform a range of therapeutic procedures, as required by the GMC.
    (c) Be able to demonstrate correct practice in general aspects of practical procedures, as required by the GMC

  • OfG 19. Use information effectively in a medical context.
    (a) Keep accurate, legible and complete clinical records.
    (b) Make effective use of computers and other information systems, including storing and retrieving information.
    (c) Keep to the requirements of confidentiality and data protection legislation and codes of practice in all dealings with information.
    (d) Access information sources and use the information in relation to patient care, health promotion, advice and information to patients, and research and education.
    (e) Apply the principles, method and knowledge of health informatics to medical practice.

  • Intellectual Skills
    Skills - 1 Intellectual Attributes [QAA 5.1, 2, 3, 5]
  • 1. Graduates must demonstrate their ability to think critically by adopting reflective and inquisitive attitudes and applying rational processes and recognising the impact of their own value judgements and those of patients.
  • 2. Graduates must demonstrate proficiency in clinical reasoning through their ability to recognise, define and prioritise problems, analyse, interpret, objectively evaluate and prioritise information, recognising its limitations and recognise the limitations of knowledge in medicine and the importance of professional judgement.
  • 3. Graduates must demonstrate insight into research and scientific method through understanding and critical appreciation of methodology, formulating research questions that are pertinent to medicine, choice and application of appropriate quantitative and qualitative methodologies, recognition of the importance of rigour in collecting, analysing and interpreting data, recognition of the relationship between evidence, audit, and observed variation in clinical practice and the use research skills to develop greater understanding and to influence their practice.
  • 4. Graduates must demonstrate their ability to recognise and cope with uncertainty by accepting that uncertainty is unavoidable in the practice of medicine and using appropriate cognitive and intellectual strategies to deal with uncertainty when it arises.
  • Professional/Practical Skills
    Outcomes 3 Professional
  • OfG 20. The graduate will be able to behave according to ethical and legal principles. The graduate will be able to:
    (a) Know about and keep to the GMC's ethical guidance and standards including Good Medical Practice, the 'Duties of a doctor registered with the GMC' and supplementary ethical guidance which describe what is expected of all doctors registered with the GMC.
    (b) Demonstrate awareness of the clinical responsibilities and role of the doctor, making the care of the patient the first concern. Recognise the principles of patient-centered care, including self-care, and deal with patients' healthcare needs in consultation with them and, where appropriate, their relatives or carers.
    (c) Be polite, considerate, trustworthy and honest, act with integrity, maintain confidentiality, respect patients' dignity and privacy, and understand the importance of appropriate consent.
    (d) Respect all patients, colleagues and others regardless of their age, colour, culture, disability, ethnic or national origin, gender, lifestyle, marital or parental status, race, religion or beliefs, sex, sexual orientation, or social or economic status. Respect patients' right to hold religious or other beliefs, and take these into account when relevant to treatment options.
  • (e) Recognise the rights and the equal value of all people and how opportunities for some people may be restricted by others' perceptions.
    (f) Understand and accept the legal, moral and ethical responsibilities involved in protecting and promoting the health of individual patients, their dependants and the public including vulnerable groups such as children, older people, people with learning disabilities and people with mental illnesses.
    (g) Demonstrate knowledge of laws, and systems of professional regulation through the GMC and others, relevant to medical practice, including the ability to complete relevant certificates and legal documents and liaise with the coroner or procurator fiscal where appropriate.
  • OfG 21. Reflect, learn and teach others.
    (a) Acquire, assess, apply and integrate new knowledge, learn to adapt to changing circumstances and ensure that patients receive the highest level of professional care.
    (b) Establish the foundations for lifelong learning and continuing professional development, including a professional development portfolio containing reflections, achievements and learning needs.
    (c) Continually and systematically reflect on practice and, whenever necessary, translate that reflection into action, using improvement techniques and audit appropriately for example, by critically appraising the prescribing of others.
    (d) Manage time and prioritise tasks, and work autonomously when necessary and appropriate.
    (e) Recognise own personal and professional limits and seek help from colleagues and supervisors when necessary.
    (f) Function effectively as a mentor and teacher including contributing to the appraisal, assessment and review of colleagues, giving effective feedback, and taking advantage of opportunities to develop these skills.
  • OfG 22. Learn and work effectively within a multi-professional team.
    (a) Understand and respect the roles and expertise of health and social care professionals in the context of working and learning as a multi-professional team.
    (b) Understand the contribution that effective interdisciplinary teamworking makes to the delivery of safe and high quality care.
    (c) Work with colleagues in ways that best serve the interests of patients, passing on information and handing over care, demonstrating flexibility, adaptability and a problem-solving approach.
    (d) Demonstrate ability to build team capacity and positive working relationships and undertake various team roles including leadership and the ability to accept leadership by others.
  • OfG 23. Protect patients and improve care.
    (a) Place patients' needs and safety at the centre of the care process.
    (b) Deal effectively with uncertainty and change.
    (c) Understand the framework in which medicine is practised in the UK, including: the organisation, management and regulation of healthcare provision; the structures, functions and priorities of the NHS; and the roles of, and relationships between, the agencies and services involved in protecting and promoting individual and population health.
    (d) Promote, monitor and maintain health and safety in the clinical setting, understanding how errors can happen in practice, applying the principles of quality assurance, clinical governance and risk management to medical practice, and understanding responsibilities within the current systems for raising concerns about safety and quality.
  • (e) Understand and have experience of the principles and methods of improvement, including audit, adverse incident reporting and quality improvement, and how to use the results of audit to improve practice.
    (f) Respond constructively to the outcomes of appraisals, performance reviews and assessments.
    (g) Demonstrate awareness of the role of doctors as managers, including seeking ways to continually improve the use and prioritisation of resources.
    (h) Understand the importance of, and the need to keep to, measures to prevent the spread of infection, and apply the principles of infection prevention and control.
    (i) Recognise own personal health needs, consult and follow the advice of a suitably qualified professional, and protect patients from any risk posed by own health.
    (j) Recognise the duty to take action if a colleague's health, performance or conduct is putting patients at risk.
  • Additional Competancies for the BMedSci:

  • conduct an extended research, or educational, project;
  • show competence in technical, laboratory, recording, organisation, data handling, research appraisal or other skills appropriate to the student's project;
  • produce a coherent written report of the student's project;
  • demonstrate understanding of the treatment and prevention of infection, and therapeutics in the management of diseases;
  • apply clinical experience in the study of patient's care.
  • Transferable/Key Skills
  • Time management and independent working, or working in a small team
  • Take responsibility for their own learning
  • Research methodology skills
  • Using library and e-journal sources
  • Problem analysis and Experimental design
  • Scientific methodology
  • Hypothesis testing
  • Data analysis
  • Evaluate evidence critically in relation to competing ideas and be aware of and be able to use analyses that include quantitative and statistical methods
  • Communication skills including clear, coherent and fluent writing, IT and presentation techniques, verbal reasoning.
  • Teaching and Learning for all sections if summarised

    Different types of assessment are employed: unseen written exams (including essays, short answers and MCQs), posters and practical reports to test basic and clinical science knowledge-related outcomes, OSCEs (Objective Structured Clinical Examinations) and certification for clinical skills, reflective portfolios for professional behaviour and attitudes.

    In the first two years modules are assessed at the end of each year. At the end of years one and two overall student performance is considered and students who have failed one or more modules have an opportunity to resit the failed module(s) before the start of year 2 or 3 respectively. Normally students are expected to pass all modules in order to progress into the second or third year.

    At the end of semester 5 students submit their research project reports for assessment and have a viva voce with a member of academic staff to test their understanding of their project. Semester 5 taught modules are also assessed at this time using unseen written examinations.

    At the end of semester 6 students are required to undertake an MCQ paper and a clinical skills assessment covering Clinical Phase 1 (Community Follow-up Project and Clinical Practice Course; see below).

    Clinical elements in semester 6: Assessment in CP1 comprises satisfactory performance during each attachment, course work and examinations covering knowledge, skills and attitudes. OSCE exams in Clinical Phase 1 will observe the use of red cards. Red cards are used when an examiner has a serious concern relating to patient safety and/or professional conduct. A student who receives more than 2 red cards across all stations with the OSCE will fail the Skills assessment. (CP1 - OSCE 1 - more than 2 red cards will fail the assessment).

    Failure to demonstrate satisfactory attendance during a clinical attachment will require the student to repeat that attachment; failure to demonstrate satisfactory attitude during a clinical attachment will lead to PACC referral; failure in either knowledge or skills examinations will not normally require repeat of the attachment provided the failed examinations are passed on second attempt. Failure of both knowledge and skills examinations shall normally require repeat of the attachment. No student may take an attachment more than twice.