PM4ES7-Integrated Patient Care

Module Provider: Pharmacy, School of Chemistry
Number of credits: 20 [10 ECTS credits]
Terms in which taught: Autumn and Spring
Non-modular pre-requisites: All compulsory modules in Pharmacy to date
Co-requisites: All concurrent modules in Pharmacy
Modules excluded:
Module version for: 2012/3

Module Convenor: Catherine Langran


Summary module description:
The course will explore specific care required for patient groups throughout life. This will be achieved through lectures, problem based learning, on-site clinical placements and workshops. This course will provide essential preparation for clinical pharmacy practice.

The course builds on many previous elements of the Pharmacy course, particularly therapeutics, law, ethics and policy and aims to show how they inter-relate for integrated patient care. Counselling and communication skills, which have already formed an important component of all Pharmacy Practice modules, will be further developed.

Assessable learning outcomes:
By the end of the module, it is expected that students will be able:
•to critically appraise and review the provision of care plans for several types of patient, including those on complex drug regimens and with difficult or unusual case histories
•to describe, evaluate and prioritise the issues involved, and devise appropriate care plans for:
i.Specific patient groups with particular medical requirements or restrictions
ii.Patients with chronic conditions where treatment may be required for a different disorder but which may be complicated by, or affect, the long-standing condition
iii.Iatrogenic disease and poisoning
•to demonstrate a knowledge and critical appraisal skills relating to decision making in ethical circumstances
•to use their own knowledge and experience, research-based evidence and practice models to plan more advanced treatment plans
•through problem-based learning (PBL), to demonstrate originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to inform understanding
•to counsel and communicate with patients effectively, using knowledge drawn from lectures and PBL workshops together with their work experience in a clinical environment.

Additional outcomes:
By the end of the module, it is expected that students will:
•have brought all the principles learned throughout their programme of study into practice in a clinical-style setting
•have developed confidence to cope with pharmaceutical situations which they encounter, whether the problem is of medical, lifestyle or ethical origin
•have reflected and evaluated the contribution of their own experience during work experience in a clinical environment to their competence in providing pharmaceutical care.
•have critically assessed their own strengths and weaknesses, understand how to approach a complex problem, and know where to find reliable advice and information
•have acquired skills that will help them prepare for their pre-registration training.

Outline content:
The course will explore specific care required for patient groups throughout life, beginning at paediatric management through to “end-of-life” and palliative care.
1. Specific groups of patients and medical issues: drug treatment in paediatrics; critical care, including ITU, CCU, SCBU; dose adjustments in renal failure and liver impairment; drug treatment in older people; palliative care.
2. Treatment of poisoning: poisoning - the most likely causes and how to manage or treat.

Global context:
Integrated learning will be encouraged by students applying knowledge of law, ethics, scientific, clinical and practice skills from all 4 years in the workshops and coursework.

Brief description of teaching and learning methods:
This module is to be taught mainly by PBL, with each topic introduced by a single lecture, consolidated by workshops.
Work experience in a clinical environment: students will undertake a one week placement (35 hours) in the summer term of Part 3. The students will also receive training and then undertake health checks on other students and staff throughout the autumn term.

The spring term will be taught through workshops to prepare the students for the OSCE assessment and their pre-registration training.
Attendance at all lectures and workshops is required and poor attendance will be recorded in the student’s personal file.

Contact hours:
  Autumn Spring Summer
Lectures 10
Practicals classes and workshops 40 40
Guided independent study 40 35
Placement 35
Total hours by term 125.00 75.00
Total hours for module 200.00

Summative Assessment Methods:

Method Percentage
Report 10
Practical skills assessment 65
Class test administered by School 25

Other information on summative assessment:
Coursework will contribute 35% of the total module mark. 10% of which is awarded for the continuing professional development (CPD) record of the one clinical week placement. 25% of which is awarded for a blackboard test based on all the PBL exercises and health checks.
An OSCE (Objective Structured Clinical Examination) will be the examination format for this module. OSCEs will take place during the examination period in the summer term and will contribute 65% of the final module mark. A series of scenarios will be presented, which will be assessed against a list of required criteria with a member of staff. This will assess the clinical and counselling skills acquired from all Pharmacy Practice and Therapeutics modules.

Formative assessment methods:

Penalties for late submission:
In accordance with University policy, 10% of marks will be deducted from coursework which is submitted up to one week late. Coursework submitted later than this will receive no credit unless there are extenuating circumstances and the relevant form is completed.
Deductions to individual student marks may be made as a result of peer review, if a student has failed to contribute fairly to the PBL task/s.
A student giving dangerous advice at any OSCE station will be given a zero mark for that station. If a student is awarded 2 zero marks they will automatically be deemed to fail the whole OSCE.
Academic misconduct will be dealt with in accordance with University policy.

Length of examination:
Total length of OSCE examination is 1 hour.

Requirements for a pass:
A mark of 40% overall and a mark of at least 40% in the OSCE (40% average over all stations); if two OSCE stations are given zero marks, the student will fail the entire OSCE even if the remaining station marks provide an overall average of 40%.

Reassessment arrangements:
Reassessment in July/August
For students who have achieved a pass in the coursework or OSCE at the first attempt, the respective mark will be carried forward to the reassessment.

Last updated: 16 August 2012

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