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Rajiv Sethi MBBS 4 @therajivsethi
Supervisor: Prof. Stuart Carney
GKT School of Medical Education
KCL MBBS CURRICULUM 2020 REVIEW
SIR JOHN ELLIS STUDENT PRIZE PRESENTATION
17TH JULY 2015 #ASMEASM2015
BACKGROUND:
PREPARATION FOR PRACTICE
• Changing patient needs
• Timing of full registration
• UK Medical Licensing Exam
• KCL MBBS Curriculum 2020
• Self - designed Student Selected
Component
Aims
1) What are the benefits and risks of bringing
forward the timing of finals at KCL?
2) How should medical students be prepared
for practice?
@therajivsethi @carneyprof
#ASMEASM2015
Methods
•Literature review
•Data capture on current timing of finals and
practice
•Quantitative analysis of association between
timing and preparation for finals
•#UKMedEd Twitter Chat
@therajivsethi @carneyprof
#ASMEASM2015
• Has self reported Preparation for Practice improved since
2000? (Goldacre et al., 2014)
• Tomorrows Doctor’s (2009)  Inclusion of at least one
assistantship (Illing et al., 2008).
• Monrouxe et al. (2014). How Prepared are UK Medical
Graduates for Practice?
Goldacre, M. J., Lambert, T. W., & Svirko, E. (2014). Foundation doctors’ views on whether their medical school prepared them well for work: UK graduates of 2008 and
2009. Postgraduate medical journal, 90(1060), 63-68.
Illing, Jan, Gill Morrow, Charlotte Kergon, Bryan Burford, John Spencer, Ed Peile, Carol Davies et al. "How prepared are medical graduates to begin practice? A comparison of three
diverse UK medical schools." (2008)
Morrow, G., Johnson, N., Burford, B., Rothwell, C., Spencer, J., Peile, E., ... & Illing, J. (2012). Preparedness for practice: the perceptions of medical graduates and clinical
teams. Medical teacher, 34(2), 123-135.
Preparation for practice
@therajivsethi @carneyprof
#ASMEASM2015
Results: When are finals sat at UK medical
schools? (14/15)
@therajivsethi @carneyprof
#ASMEASM2015
Confidential
Please e-mail rajiv.sethi@kcl.ac.uk or
tweet @therajivsethi if you would like to
learn more / collaborate.
Results: Exam – free time vs. preparedness for practice
Confidential
Please e-mail rajiv.sethi@kcl.ac.uk or
tweet @therajivsethi if you would like to
learn more / collaborate.
@therajivsethi @carneyprof
#ASMEASM2015
Results: #UKMedEd Twitter chat– 6/11/2014
Conclusions: When should Finals be sat at King’s?
• Finals should be sat closer to January in the
final year
But why?
1. Opportunity for students to re-sit in year  enabling
students to continue to foundation posts.
2. Discrete preparation for practice module towards the end of
final year.
@therajivsethi @carneyprof
#ASMEASM2015
How has this work impacted MBBS Curriculum 2020?
• Finals will be sat in December/ January of final year
• A discrete preparation for practice module towards
the end of final year
• The Elective will take place Feb–April of final year
with re-sit opportunity after this period.
How does this affect UK Medical Education?
• There is no correlation between timing of finals
and self-reported preparation for practice.
• UK Medical Licensing Exam
• Further work required to assess preparation for
practice curricula at medical schools
@therajivsethi @carneyprof
#ASMEASM2015
Acknowledgements
• Supervisor: Professor Stuart Carney
• Curriculum Project Officer: Catherine Thickett
• SSC Project assessor: Dr Reginald Docherty
• Data Capture: All contributing UK medical students
• Data analysis: Dr Kun Liu, KCL Division of Health and
Social Care Research
• Twitter chat: Dr Anne-Marie Cunningham, Cardiff
University, Mrs Natalie Lafferty, Dundee University and
all twitter chat participants
• GKT School of Medical Education Faculty
• GKT School of Medical Education students and alumni
• Education Research Group Presenters Workshop
THANK YOU
ANY QUESTIONS?
@therajivsethi @carneyprof
#ASMEASM2015
Rajiv Sethi MBBS 4 @therajivsethi
Supervisor: Prof Stuart Carney
GKT School of Medical Education

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KCL MBBS Curriculum Review

  • 1. Rajiv Sethi MBBS 4 @therajivsethi Supervisor: Prof. Stuart Carney GKT School of Medical Education KCL MBBS CURRICULUM 2020 REVIEW SIR JOHN ELLIS STUDENT PRIZE PRESENTATION 17TH JULY 2015 #ASMEASM2015
  • 2. BACKGROUND: PREPARATION FOR PRACTICE • Changing patient needs • Timing of full registration • UK Medical Licensing Exam • KCL MBBS Curriculum 2020 • Self - designed Student Selected Component
  • 3. Aims 1) What are the benefits and risks of bringing forward the timing of finals at KCL? 2) How should medical students be prepared for practice? @therajivsethi @carneyprof #ASMEASM2015
  • 4. Methods •Literature review •Data capture on current timing of finals and practice •Quantitative analysis of association between timing and preparation for finals •#UKMedEd Twitter Chat @therajivsethi @carneyprof #ASMEASM2015
  • 5. • Has self reported Preparation for Practice improved since 2000? (Goldacre et al., 2014) • Tomorrows Doctor’s (2009)  Inclusion of at least one assistantship (Illing et al., 2008). • Monrouxe et al. (2014). How Prepared are UK Medical Graduates for Practice? Goldacre, M. J., Lambert, T. W., & Svirko, E. (2014). Foundation doctors’ views on whether their medical school prepared them well for work: UK graduates of 2008 and 2009. Postgraduate medical journal, 90(1060), 63-68. Illing, Jan, Gill Morrow, Charlotte Kergon, Bryan Burford, John Spencer, Ed Peile, Carol Davies et al. "How prepared are medical graduates to begin practice? A comparison of three diverse UK medical schools." (2008) Morrow, G., Johnson, N., Burford, B., Rothwell, C., Spencer, J., Peile, E., ... & Illing, J. (2012). Preparedness for practice: the perceptions of medical graduates and clinical teams. Medical teacher, 34(2), 123-135. Preparation for practice @therajivsethi @carneyprof #ASMEASM2015
  • 6. Results: When are finals sat at UK medical schools? (14/15) @therajivsethi @carneyprof #ASMEASM2015 Confidential Please e-mail rajiv.sethi@kcl.ac.uk or tweet @therajivsethi if you would like to learn more / collaborate.
  • 7. Results: Exam – free time vs. preparedness for practice Confidential Please e-mail rajiv.sethi@kcl.ac.uk or tweet @therajivsethi if you would like to learn more / collaborate. @therajivsethi @carneyprof #ASMEASM2015
  • 8. Results: #UKMedEd Twitter chat– 6/11/2014
  • 9. Conclusions: When should Finals be sat at King’s? • Finals should be sat closer to January in the final year But why? 1. Opportunity for students to re-sit in year  enabling students to continue to foundation posts. 2. Discrete preparation for practice module towards the end of final year. @therajivsethi @carneyprof #ASMEASM2015
  • 10. How has this work impacted MBBS Curriculum 2020? • Finals will be sat in December/ January of final year • A discrete preparation for practice module towards the end of final year • The Elective will take place Feb–April of final year with re-sit opportunity after this period.
  • 11. How does this affect UK Medical Education? • There is no correlation between timing of finals and self-reported preparation for practice. • UK Medical Licensing Exam • Further work required to assess preparation for practice curricula at medical schools @therajivsethi @carneyprof #ASMEASM2015
  • 12. Acknowledgements • Supervisor: Professor Stuart Carney • Curriculum Project Officer: Catherine Thickett • SSC Project assessor: Dr Reginald Docherty • Data Capture: All contributing UK medical students • Data analysis: Dr Kun Liu, KCL Division of Health and Social Care Research • Twitter chat: Dr Anne-Marie Cunningham, Cardiff University, Mrs Natalie Lafferty, Dundee University and all twitter chat participants • GKT School of Medical Education Faculty • GKT School of Medical Education students and alumni • Education Research Group Presenters Workshop
  • 13. THANK YOU ANY QUESTIONS? @therajivsethi @carneyprof #ASMEASM2015 Rajiv Sethi MBBS 4 @therajivsethi Supervisor: Prof Stuart Carney GKT School of Medical Education

Editor's Notes

  1. King’s College London are currently developing a new medical curriculum to be launched in the academic year 2016 – 2017. What are the drivers for this change? Students are currently learning within a curriculum which is over 17 years old, created in 1998. What has changed over this time? Health care has evolved, there are changing patient needs with an increase in the number of patients with long term conditions with more complex needs. From a student point of view, student satisfaction has remained relatively stagnant over recent years. Above all, King’s College London graduates should be safe, effective and capable practitioners. Why change the make up of final year in particular? Over recent years, 4 – 8 percent of final year medical students having to repeat final year due to no in year – resit opportunity. Also on the horizon are the UK medical licensing examination and change in point of registration. All medical schools will have to adapt to any future changes. So we might as well start now.
  2. Evidence of preparedness for specific tasks, skills and knowledge was contradictory: trainees are well prepared for some practical procedures but not others, reasonably well prepared for history taking and full physical examinations, but mostly unprepared for adopting an holistic understanding of the patient, involving patients in their care, safe and legal prescribing, diagnosing and managing complex clinical conditions and providing immediate care in medical emergencies. Unprepared time management Largest transition was from medical student to F1 but other notable transitions included: a. Moving to new wards; b. Changing rotation; c. On-call. Mention new Tomorrows doctors coming out Mention Morrow et al – looking at variation in school cohort
  3. Too early to say whether for Inevitably the timing of finals will have to take account UKMLE.