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PGD Cardiology for Practitioners with a Special Interest

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  • 1. University of Bradford Bradford and Airedale teaching Primary Care Trust Awarding institution: University of Bradford Teaching institution: Bradford and Airedale teaching Primary Care Trust Final award: Post Graduate Diploma Post Graduate Certificate Programme title: Cardiology for Primary Care Practitioners with a Special Interest Duration: Normally 18 months part-time, but up to five years Programme approved by: Royal College of General Practitioners; Royal College of Physicians (September 2003) Recommendation by: The Primary Care Cardio-Vascular Society Original: November 2003 Last updated: March 2005 This part-time diploma is an interprofessional course, comprising a large element of work-based learning. Students therefore need not be Bradford-based in order to undertake the programme. This course enables General Practitioners (GPs) and other registered health professionals, in particular primary care practitioners, to gain a formally recognised standard of competence in the area of cardiology as a special interest. It is the first course of its kind run from within the NHS to offer national accreditation in cardiology. In this regard, the course has been well received by key professional medical bodies. The programme has gained the approval in its structure and clinical components of the Chair of the Cardiology Committee of the Royal College of Physicians, Dr Peter Mills. The Primary Care Cardio-Vascular Society recommends the diploma for cardiology as a special interest. It has been approved by the RCGP in line with national guidance for GPs in higher professional education. The course structure is specifically designed to encourage the development of this specialist practitioner role, by encouraging collaborative clinical work-based training between the Practitioner and the consultant. Additionally, the course links the Practitioner's training with their host Primary Care Trust (PCT) service, in order to attempt to ensure that newly acquired skills are put to appropriate use within the PCT post- qualification. Your learning will be channelled through the Bradford Primary Care Trusts, which have seen sustained national achievements for innovation in practice and excellence in training. Bradford Primary Care Trusts have been instrumental in moving the General Practitioner with a Special Interest (GPwSI) agenda forward nationally. In 1999, Bradford South and West Primary Care Group was awarded the Service Development Award of the National Association of Primary Care for its work on the role of the GPwSI and in 2001 achieved "Beacon" status for this aspect of its work. Equally the Commission for Health Improvement Reports on Clinical Governance gave the Bradford PCTs involved in the development of this course a commendation for their work with GPwSIs. A. Programme Aims The programme is intended to: A.1 Enable GPs and other Practitioners to work confidently at a ‘special interest’ level in Cardiology. A.2 Contribute to the extension of the role of the PwSI in Cardiology. A.3 Provide a nationally recognised standard in the training of PwSI’s in Cardiology. A.4 Establish and/or extend professional collaboration within cardiac care, in order to develop the most appropriate care pathways for the patient. B. Programme Learning Outcomes These learning outcomes are compatible with the Framework for Higher Education Qualifications. On successful completion of this award, you will be able to: B1 Subject knowledge and understanding B1.1 Use current and emerging knowledge to differentiate between the pathophysiologies and epidemiologies of cardiological disease. ___________________________________________ CARD prog spec lu 27/6/06 1
  • 2. B2 Discipline skills B2.1 Triage and refer appropriately, patients whose symptoms may be due to cardiological disease. B2.2 Undertake appropriate investigations for patients presenting with cardiological symptoms and interpret the results accurately. B2.3 Diagnose and manage patients who present with cardiological symptoms, by means of appropriate lifestyle and clinical interventions. B2.4 Evaluate the PwSI role, and its implications for the whole patient pathway and current techniques for improving the delivery of patient care. B3 Personal Transferable Skills B3.1 Work autonomously and collaboratively with consultants and a range of hospital staff or primary care staff. B3.2 Critically appraise and update their clinical knowledge. B3.3 Apply information technology as a medium for communication and presentation of data. C The Curriculum The Postgraduate Diploma in Cardiology for Primary Care Practitioners with a Special Interest is a modular programme which can be completed in 18 months if modules are taken sequentially, or may be staggered over a period not exceeding three years, other than in exceptional circumstances, where study is proved viable over five years. Exceptional circumstances may include illness, pregnancy or long-term family crises, although each application will be taken on its merits. Each of the three clinical modules lasts six months. The fourth module is the Applied Methodologies Module (AM) which can be taken alongside one or more of the other modules, over a maximum period of 18 months. Each module is worth 30 credits, amounting to a total of 120 credits. For the Postgraduate Diploma, all 30- credit modules are core modules. For the Postgraduate Certificate, the only core module is the Applied Methodologies (AM) module. One or two options may be chosen from the clinical modules to form your programme of study. Any 30-credit module can be studied independently, outside of a Postgraduate award. However, you are recommended to study for the diploma in order to gain the value of a broad education, and the course provides flexibility to enable this. The curriculum is summarised in the following table: Code Module title C or O Credits Level Semester* HH-8000T Applied Methodologies C 30 M 18 months HH-8002T Hypertension, arrhythmias and conduction disorder C (O) 30 M 6 months HH-8003T Ischaemic heart disease C (O) 30 M 6 months HH-8001T Heart failure and valvular disease C (O) 30 M 6 months C = Core O = Optional for certificate *This programme is outside the normal semester timetable D Teaching Learning and Assessment Strategies This postgraduate diploma is run by Bradford and Airedale teaching Primary Care Trust. The award is made through the University of Bradford, and this award articulates with the Postgraduate requirements of the University of Bradford. A variety of teaching methods is employed in the programme, to enable you to fulfil the varied modular learning outcomes. Your programme of study will start with two teaching days in Bradford (one for the AM module, one for your first clinical module), followed by your clinical placement and directed study for at least 14 weeks (clinical modules). Alongside this, your directed study for the AM module will begin, for up to 18 months. For your clinical modules only, you will return to Bradford after placement for an assessment day, which will be followed by the next clinical module teaching day. A large portion of your study will be work-based learning, i.e. those elements of your programme, which take place in your locality: 1 The clinical components of the programme centre around work-based learning, i.e. practical learning in a work environment. This learning is undertaken on placement in your locality, under the supervision of a clinical mentor. Mentors are GMC registered consultant cardiologists whose names appear on a national ___________________________________________ CARD prog spec lu 27/6/06 2
  • 3. register of practitioners. Your clinical mentor will receive a specific Mentor Guide including advice and support from the course management team in the role of mentor. 2 a. The tasks for your directed study on placement are as follows: the development and completion of a programme of activities with your mentor, to fulfil clinical competence-based learning outcomes; recording your placement cases using a learning diary, to reveal your learning progress and learning needs; through guided reading, which underpins your knowledge base for the course (in the form of lists and website references), obtaining essential background information to the module studied to inform your practice and the preparation of assessed work; through scheduled meetings with your mentor, discussions concerning your learning needs and possible solutions (e.g. advice, further reading, alteration of elements of your programme). b. The AM module involves working within your healthcare community to apply 3 different methodologies. Directed study comprises researching and reading information, planning, preparation and application of these. 3 It is anticipated that you will continue to work in your normal practitioner setting during the period of study, and it is expected that ongoing learning will be applied in this context. 4 Peer learning is encouraged through peer contact in Bradford, and through participation in the online group learning environment. Students will receive tuition in the use of this medium as part of their introduction to the course. Outcome B1.1 will be developed through: lectures, seminars and workshops on the teaching/assessment days; a course manual; guided study via websites, journals and books; and mentor-led discussion of cases. Outcome B1.1 will be assessed through clinical case studies. Outcomes B2.1 - B2.3 will be developed through practical engagement with patients in the hospital setting under the supervision and mentorship of the consultant; reflective discussion with the mentor; reflective learning through case study preparation and clinical learning diary recording; the application of learning with patients in general practice; and will be supported by guided reading. These outcomes will be assessed principally by the mentor and other clinicians, who will observe and sign off the participant as competent. Additionally, the learning diary provides a comprehensive record of cases experienced, and the case studies indicate your ability to demonstrate skills coherently. Outcome B2.4 will be developed through lectures, seminar and workshop-style sessions, interviews of professionals within the service and with patients, guided study especially of current NHS websites. Outcome B3.1 is intrinsic to the nature of the placement, and will be tested through continual mentor observation. Outcome B3.2 will be developed through lectures, guided study and the preparation of critical appraisal papers, both written and for presentation. Assessment for outcomes B2.4-B3.2 will be made through submission of a critical appraisal paper, a patient pathway paper and a portfolio of evidence showing patient involvement methodologies. Outcome B3.3 will be developed and assessed through the submission of documentation for the course, especially within the AM module, and participation in the online group learning environment. All written clinical assessments will be submitted by hand in Bradford on the assessment day following each modular placement. Submissions of assessed work are made electronically in the AM module. Assessments will be marked in accordance with the University of Bradford, School of Health Studies, Masters level marking criteria. E Admission Requirements The application process is divided into two parts: 1. Submission of an application form indicating that you meet the professional/educational criteria. 2. Submission of letters of support showing suitability for you to undertake this course of study. To be accepted onto the Diploma or Certificate, and to benefit from this course of study, you must meet the admission requirements for Masters level, as outlined by the University of Bradford, in addition to those required by Bradford and Airedale teaching Primary Care Trust. You should be a registered practitioner (GMC, NMC or HPC as appropriate) who falls within the following groups: General practitioner; specialist cardiac nurse; nurse practitioner; nurse consultant; clinical assistant; other suitably qualified registered primary care practitioner. GPs are additionally required to provide their GP Qualification details and GMC registration number, and to show an interest or a background in cardiology. It is desirable, but not essential, for GPs to be Members of the Royal College of General Practitioners. If you are not a GP, you must provide evidence of a Cardiology-related Diploma or equivalent; several years' experience in cardiac care; and 2-3 years post-qualifying practitioner experience. It is desirable for candidates to have experience in postgraduate education. All applications will be judged on their own merit and prior learning experience. ___________________________________________ CARD prog spec lu 27/6/06 3
  • 4. Once your application has been made for the programme, you must obtain support from your local NHS hospital trust cardiology consultant (GMC Registered) for mentorship and the provision of a placement. Support must also be obtained from your local Primary Care Trust, for approval and direct or indirect support for your training, as it relates to the local setting. Without this evidence of support, you cannot be admitted on to the programme. Applications are welcomed from candidates with disabilities, who will be considered on the same academic grounds as all other applicants. F Admissions Policy We can admit up to 12 participants per clinical module and up to 24 per research methodologies module. The diploma has entry points in January and July. If demand is high for certain modules, these will be offered on additional start dates to coincide with the entry points referred to above (a minimum of 6 participants is required per module). The AM module teaching day will be followed by the clinical module teaching day. Clinical modules take six months each to complete and are taken sequentially. The AM module begins with and runs alongside the clinical modules over a maximum period of 18 months. G Progression Verification of clinical competence must be indicated by your consultant-mentor's signature on assessment day. Failure to present the signed documents which evidence this signify failure of the module, irrespective of other work presented. All written work and the critical appraisal presentation must also be presented on assessment day, in order for you to progress to the next module. The results of your assessments will be made known in the weeks following assessment day. All assessment tasks must be passed by attaining 40% of the full marks. This also applies to the AM module. Masters level marking criteria will be made available to you to help you check your work. Clinical competence is a pass/fail element, with no assessment percentage attached to it. Should you be unsuccessful in this element, you will be able to complete a further 8 clinical sessions with the agreement of your consultant. A new study plan covering the areas of concern will be set up and signed off by the mentor. This should be returned within three weeks of the dispatch of the letter detailing the requirement to resit. You will normally have one opportunity to resit this element. Should you fail any other element of your assessments, one opportunity to resubmit work will be allowed. In accordance with the Ordinances and Regulations of the University of Bradford, the following applies: To be eligible for a Postgraduate Diploma you must study all four 30-credit modules, amounting to 120 credits. To be eligible for a Postgraduate Certificate, you must study units amounting to at least 60 credits i.e. at least two 30-credit modules, one of which must be the Applied Methodologies module. The standard thresholds of distinction (70% or more) and merit (60-69%) will apply for marked work of an exceptional nature for the award of the Postgraduate Diploma and Postgraduate Certificate. Participants who succeed in one module only, and who do not qualify for one of the above awards, shall be eligible for the award of a Certificate of Continuing Education. Exam boards will be scheduled as required to make completed awards. H Student support and guidance Your course manual will support you in all aspects of work-based learning and assessments. Tutor support during the placement period will be provided by a system of email queries, initially. Peer support is available to assist you with your clinical questions through participation in the online group learning environment. The course coordinator will handle enquiries of a general nature or allocate queries to tutors. It is anticipated that a significant amount of discussion relating to cases, working arrangements, progress, and approaches to study will result from this group. Support you can expect from your mentor is outlined within the mentor guide. The guide also enables mentors to understand the support they will receive automatically, and can gain if required from the course tutors. You are invited and encouraged to express your opinions about the course structure, materials, process etc throughout your training, and will have a formal feedback opportunity after each module is completed. Participants will be represented on a Course Management Committee and may feedback through this, in addition to paper-based evaluation processes for end of unit (module) and stage (course) evaluation from the University of Bradford. Whilst you are aware of support offered, you are also made aware of your responsibilities in the participant course manual: taking responsibility for organising your own learning, ensuring your placement arrangements are acceptable; returning course forms/assessment submissions on time; attendance at the first teaching day and the concluding assessment day for each clinical module and at the initial teaching day for the AM module; ___________________________________________ CARD prog spec lu 27/6/06 4
  • 5. patient confidentiality; working to a professional code of conduct; and alerting the course tutors to problems which will affect your training. Any complaints should be made to the course co-ordinator in the first place, who will then forward this to the course team. The team will review the case, involving the appropriate tutor and/or mentor at its discretion if necessary. Should the complaint not be solved satisfactorily at this stage, the University and/or members of the Bradford and Airedale teaching Primary Care Trust outside the course team will be involved as relevant. Any appeals against decisions made in the Assessment/Examination Board should be made to the Education Lead, who will then forward this via the appropriate channels to the University. I Further Information/Disclaimers For further details about the course including course dates, costs, and more detailed learning outcomes please email: psi@bradford.nhs.uk. Changes in the above specification may be made at any time by the Bradford and Airedale teaching Primary Care Trust, but notification will be made to you as appropriate. Elements of the programme are subject to University conditions including its status as an approved course. The University reserves the right to alter or withdraw these elements at any time, and you will be notified by the Bradford and Airedale teaching Primary Care Trust should this occur. ___________________________________________ CARD prog spec lu 27/6/06 5

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