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Patient Safety, Risk & the Undergraduate Curriculum

Patient Safety, Risk & the Undergraduate Curriculum. A perspective f rom University of Nottingham Faculty of Health Sciences. What can I share with the already committed?. Our understanding of the imperative Some concepts that may help to engage/influence curriculum decision makers

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Patient Safety, Risk & the Undergraduate Curriculum

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  1. Patient Safety, Risk & the Undergraduate Curriculum A perspective from University of Nottingham Faculty of Health Sciences Andy Norris, Consultant Anaesthetist, NUH

  2. What can I share with the already committed? • Our understanding of the imperative • Some concepts that may help to engage/influence curriculum decision makers • Educational impact • Course content • A vertical theme with spiral learning (Leeds) • Practicalities of delivery in early years • Learning from practice: tools for reflective learning • Public/Patient & Multi-professional model • Assessment Andy Norris, Consultant Anaesthetist, NUH

  3. GMC recommendations • Suitable attitudes and behaviour • Core & options curriculum • Integrated course • Minimise factual information • Self-directed learning • Essential clinical skills • Communication skills • Health & safety of public • Modern teaching & learning systems • Appropriate schemes of assessment Andy Norris, Consultant Anaesthetist, NUH

  4. House of Commons Select Report 2009 WHO 2009 GMC 2009 Andy Norris, Consultant Anaesthetist, NUH

  5. ? Andy Norris, Consultant Anaesthetist, NUH

  6. Andy Norris, Consultant Anaesthetist, NUH

  7. Educational impact: a personal story • Usual curriculum concerns • Story of an afternoon • Interpretation of data • Cognitive bias • Everyday communication errors • Task fixation • Pivotal data • Cognitive overload Andy Norris, Consultant Anaesthetist, NUH

  8. What models are there? Leeds Postgrad Foundation Yr 5 Yr 4 Yr 3 Yr 2 Yr 1 Reflective learning from incidents: a culture Communication, handover Self & situation awareness Safe care across boundaries: presribing Feedback/decsion making, RCA, NPSA Failure in organizations Understanding systems Observation, Reporting Reflection, Learning Skills: observation. listening Language/ Human Factors/ Causation Knowledge Andy Norris, Consultant Anaesthetist, NUH

  9. Proposal: a patient safety curriculum theme • Patient safety education linking theory with practice • Competency based outcomes (assessment methods) • Explicit patient safety/performance links with existing generic and specific content • Patient & public perspective - narrative learning • Senior students demonstrate educational impact through improved clinical performance • Multidisciplinary - Hospital & community / social care; Psychology, sociology, business, engineering • Multi-professional IPL opportunities should be optimized and IPL experiences reinforced Andy Norris, Consultant Anaesthetist, NUH

  10. Summary • Logical, timely, professional imperative • Feasibility: engagement, tools and resources, impact • Curriculum models: knowledge base, skills, behaviours, theory and practice, vertical. Andy Norris, Consultant Anaesthetist, NUH

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