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Personal and professional development in the early years of the medical curriculum. Vocational Studies in Glasgow The nature of PPD The next steps. Glasgow student-centred integrated problem based. Vocational studies complements the core acquisition of professional skills and attitudes
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Personal and professional development in the early years of the medical curriculum
Vocational Studies in Glasgow • The nature of PPD • The next steps
Glasgow student-centred integrated problem based Vocational studies complements the core acquisition of professional skills and attitudes Years 1, 2, 3, 4, 5 context
VS themes • communication skills • clinical skills • ‘Right Thing To Do’ • working with others • information skills • finding out, research and experiment • evidence based practice • systems of care/ clinical context • understanding people, patients and communities • personal and professional development
VS sessions • 8 students meet with the same tutor each week • 57/60 tutors are GPs • discrete activities: role play • links and overlap: clinical visits; chest examination • implicit: working with others
It works for VS… • Interconnectedness • Reciprocal code of conduct • Positive role model • Continuity of contact …but does it work for PPD?
“Principles of professional practice must underpin medical education” • Good clinical care • Maintaining good medical practice • Relationships with patients • Working with colleagues • Teaching and training • Probity • Health
Learning outcomes(GMC theme: preparing for professional practice) By the end of years 1 and 2 you should have some appreciation of: • the value of reflection in practice and of being self-aware • the importance of managing your own learning and what factors drive your learning • the importance of self-care and strategies to deal with the demands of busy professional life • the value of developing long and short term career aspirations • your own ability to recognise key personal motivating factors • how you demonstrate dedication and commitment through adherence to codes of conduct
Attributes essential to professionalism • Subordination of your self-interest • Working to high ethical and moral standards • Responsive to the needs of the society in which you work • Demonstration of core humanistic values
Year 1 sessions • introduction to PPD portfolio; professionalism and codes of practice • thought-provoking events and risk management • teamwork and peer review • completing PPD portfolio; core values and diversity
Professionalism • The nature of professions • Codes of practice • Role of the GMC • Public and private lives • How should we teach it? • Core values 14 slides to go
Year 2 sessions • preparing your portfolio • careers, stress and coping; and CV preparation • role models, peer review and audit. • ethics in extremes and at the edges; human rights and health; and accountability
Consider the attributes, attitudes and characteristics of role models: • Clinically competent • Effective communicators • Show respect for others
Involvement in community-based and social responsibility projects • Ethics and attitudes in bedside teaching • The implications of self-regulation of the profession • The power of clinical audit • Significant event reporting • Cheating • Peer evaluation
Generic skills • Presentation skills (and meeting skills) • Facilitation skills • Time management • Listening and negotiation • Written communication • Group development
Evaluation • Year 1: 70% of students rated it most highly • “objectives were well explained” • “dull and lacking in interaction” • “value hearing more of tutor’s experience of appraisal” 4 slides to go
Past, present and future • PPD is the 9th domain in VS and was introduced after 5 years of VS • Tension with clinical skills • Different leads for PPD in early years and later (clinical) years • Student-tutor dynamic changes • Currently PPD is formatively assessed
summative Year 1 Year 2 Coursework OSCE Written Coursework OSCE Written communication skills clinical context clinical skills finding out people, patients and communities EBM RTTD PPD
Should PPD be cast free from VS? • the group and shared understanding of purpose • variability in quality of experience • opportunistic • role of tutor – help or hindrance? • role of managers, nurses
And the rest… • VS themes dwindle though they do exist • How do we continue PPD into Years 3, 4 and 5? • We have pulled some later year activities forward into the early years (e.g. Ed Super Rat).