General Practice 2 Handbook 2021/22
3. GP2 Aims, outcomes and activities
Cohort 2021-22 – students prior experience
GP2 is the first onsite GP placement for this cohort of students. Their Year 1 MedSoc placement was virtual due to the COVID-19 pandemic. Therefore the 3 Practice-based days are a very precious opportunity for students to:
(1) meet patients
(2) interact with each other (formally and informally)
(3) receive support, feedback, and inspiration for GP tutors and their teams.
Getting started – it is crucial that there is time set aside on the first practice-based day for the GP tutor/s and the students to get to know one another, agree the group ground rules and complete an induction to the practice including the following:
Welcome – Resettling and Risk Reduction [See Appendix 5]
Placement Checklists [See Appendix 2]
Student Learning Agreement [See Appendix 4]
The online Central days will include role-play, reflective exercises and video analysis supported by discussions and feedback in Tutorials led by a GP facilitator. These days are opportunities to further hone skills and deepen understanding of how to respond to patients’ needs while gathering clinical information that help will them.
Year 2 students have limited experience of talking to patients – they are novices, beginning their transition to becoming clinicians. They may be anxious and unsure how to structure a conversation without taking control or getting lost. You might remember – listening to the patient while thinking about what to ask next – without interrupting or interrogating - takes a lot of practice! [See Appendix 7]
MODULE AIMS:
OVERALL AIMS of the GP2 placement are to support students to:
Develop and practise patient-centered clinical method (integrating communication & examination skills)
Link their knowledge of biological, medical, and social sciences with clinical experiences
Develop their clinical reasoning when seeing patients in primary care
Maintain their compassion, curiosity, and humanity – listen to the patient narrative while thinking clinically
Learn from patients and their carers/families (see everyone as a potential teacher)
LEARNING OUTCOMES:
By the end of this module, students can expect to be able to:
Show confidence in initiating conversations with peers, professionals, patients, and their families,
Seek consent from patients and their companions - and explain who they are (including how much experience they have)
Apply relevant knowledge of biological, medical, and social science to clinical situations as appropriate
Use a framework for a clinical conversations with patients that incorporate the patient’s agenda and basic history-taking / information gathering
Conduct a simple, focused examination of a patient under adequate supervision (such as the respiratory, cardiovascular, or abdominal system – but not limited to these)
Demonstrate ability to reflect on their own strengths and learning needs, and provide constructive feedback to their peers
GP PRACTICE BASED LEARNING ACTIVITIES:
GP Tutors are asked to ensure students have:
Observed their students initiating conversations with patients and undertaking focused examinations
Plenty of opportunities to practise talking to patients,
Ensure students are observed and receive feedback from their GP tutor and their peers
At least one opportunity to undertake a focused clinical examination, ideally the cardiovascular, respiratory, or abdominal system but not limited to these– depending on patients). This should include pulse and blood pressure measurement in a variety of patients
Completed their own learning needs assessment and reviewed their professional development, including using reflective practice
Experience of giving and receiving of feedback
RESOURCES FOR TUTORS
More information and resources will be available on the GP2 Tutor Team before each day
See also appendices 7 & 8
For the level of clinical skills expected please see Clinical Skills Handbook MBBS YEAR 1 AND YEAR 2
For teaching abut remote consulting please see the CBME Virtual teaching site
For other resources and information please see the CBME Tutor site