Full Description
How to Succeed on Primary Care and Community Placements offers practical advice on how to get the most from your time on community visits, within patient consultations, and with the practice team. It highlights the unique opportunities and challenges you will face on placement, from using clinical information systems, to home visits and long term patient relationships, and how to take advantage of new ways of learning with web-based tools, mobile devices and social networking.
Key features include:
• Learning outcomes at the start of each chapter with links to web-based learning, case examples, and tasks to undertake whilst on placement
• An evidence-based, practical approach to improving learning, teaching, assessment and feedback in community settings
Written by a team of experienced community-based medical education specialists, it is ideal for all medical students, whether on early clinical placements or later in training, and for tutors and preceptors looking for novel ways to engage their students.
Contents
Contributors x
Introduction xi
Acknowledgements xv
Chapter 1: What to learn in community settings 1
With Ann O'Brien
Introduction 1
Early years 3
What to learn during early patient contact 4
Professionalism and personal growth 5
Patient perspectives on health and healthcare 8
Social and psychological aspects of health 9
Learning clinical method (history taking and examination) 11
Clinical and procedural skills 13
Middle clinical years 14
Later clinical years 22
Learning in the community 'out of hours' 25
Further opportunities 26
Summary 29
References 29
Further resources 30
Chapter 2: Learning the public health aspects of medicine 32
With Ann O'Brien
Public health perspectives 32
Health promotion 35
Primary and secondary disease prevention 36
Behaviour change: health promotion and prevention for individuals 38
Public health and health education 39
Summary 41
References 41
Chapter 3: Preparing for and learning on primary care and community placements 42
With Maria Hayfron-Benjamin
Introduction 42
Preparing for your community placements 45
When you arrive on placements 47
Your responsibilities at the end of your placement 59
Summary 60
References 61
Chapter 4: Active learning in the consultation 62
With Catie Nagel
Introduction 62
Learning objectives learning plans 63
Learning consultation skills 64
Understanding the consultation 65
The art of consultation 66
Engaging with patients introductions information consent 67
Working with patients 68
Active learning in the consultation 71
Student-led consultations 76
Problems pitfalls and suggested solutions 77
Complex consultations for the later clinical years 79
Summary 82
References 83
Chapter 5: What to learn from the primary healthcare team 85
With Will Spiring and Ann O'Brien
Introduction 86
Professional behaviour in a team 87
What the PHCT does 90
Learning with and from the primary healthcare team 95
Learning from the practice nurses 98
Learning from the pharmacy team 100
Primary health team meetings 105
Learning from mistakes 106
Patients and public involvement in your education 107
Summary 109
References 109
Further resources 110
Chapter 6: Learning medicine in community settings 111
With Ann O'Brien and Will Spiring
Learning from community visits 112
Learning from doctor's home visits 113
Visiting residential care and nursing homes 115
Learning from community mental health teams 116
Long-term mental healthcare in the community 119
Community mental health for the elderly 120
Community maternity and child health services 121
Community sexual health services 122
Palliative and end of life care 123
Summary 126
References 126
Further resources 127
Contents vii
Chapter 7: Clinical information systems opportunities to learn 128
With Jane Kirby
What are clinical information systems? 128
Why learn about clinical information systems? 129
Clinical information systems in community practice 130
Making the most of the CIS in learning and teaching 130
What do clinical information systems offer in the diagnosis and management of acute illnesses? How do they support your learning of these conditions? 132
How do clinical information systems support the management of long-term conditions? How can they support your learning about this vital area of medicine? 134
Learning from clinical guidelines 138
How can clinical information systems support the learning of prescribing (and patient safety)? 139
Family medicine using clinical information systems to learn public health aspects - what do you need to know? 141
Clinical information systems: supporting learning about communication with patients and colleagues 143
Using clinical information systems in supporting assessment 144
Clinical information systems: problems and pitfalls 145
Clinical information systems: projects audit and research 148
Summary 149
References 150
Chapter 8: Supporting learning in primary care using social media and other technologies 151
With Jonathon Tomlinson
Social media in your primary care placements 152
When media becomes social media 153
Social media landscape 154
Your online profile and digital professionalism 155
Your digital footprint 155
Doctors and patients online 156
Digital literacy and information literacy 157
Social media sites: Facebook Twitter Blogs Wikis YouTube Slideshare/Prezi Scoop.it/Pinterest 159
Summary 164
References 165
Further resources 166
Chapter 9: Assessment feedback and quality assurance 167
With Mark Williamson
Assessment in your primary care placement 168
Assessments in medical courses what should you expect? 169
What types of assessment should you expect on your primary care placements? 171
Contents ix
How can you best use your time on primary care placements to survive (or even excel) in your medical school assessments? 174
Some potential strengths of assessment in primary care 177
Opportunities for self-assessment in primary care settings 181
Some final thoughts: why authenticity in assessment matters 181
Feedback within your primary care placement 182
Types of feedback in primary care placements 184
Giving and receiving feedback 187
Giving something back - your responsibility to offer feedback 188
Summary 191
References 192
Chapter 10: Conclusions: Looking to the future 194
Reference 197
Index 198
