Purpose: 

The Learning Agreement lays out the responsibilities that students, their supervisors, host GP practices and the medical school have to each other. It emphasises the mutual roles of learners and teachers for a successful clinical placement; that maintains safety for all.   

The Supervising GP Tutor will have overall responsibility for the quality and organisation of the placement ensuring the student (s), have: 

• An induction 

• A named supervising GP Tutor for each day  

• A way to contact the practice in case of problems  

• An initial learning needs assessment and a final meeting where we will discuss performance and feedback from others and plan for further development  

• A safe, active, open leaning environment with opportunity to discuss any problems  

In addition, where students can physically attend placement  

• PPE for all F2F patient encounters 

• Implemented current guidance for COVID-19 Risk Reduction (see attached checklist) including protecting shielding colleagues  

• Appropriate access to patient records and access to the internet 

As a Medical Student my responsibilities are to:  

• Complete any assessments and upload them in good time 

• Adhere to all student professionalism guidance, codes of conduct & Good Medical Practice  

• Prioritise patient safety by assessing and minimising any risk to patients and staff  

• Strictly follow national guidance on PPE, face coverings, and all COVID-19 risk mitigations at all times (both on placement and in my private time)  

• Follow local COVID-19 advice and Test, Track and Trace requirements 

• Be honest and open with my supervisors about my prior performance, strengths, and areas to improve and any special requirements 

• Seek and respond to my feedback to hone capabilities in clinical supervision 

• Cease clinical work if I find myself in a situation where I do not have a qualified healthcare professional to supervise me until the situation is remedied  

• Always identify myself to patients, relatives and staff and in medical records as a Medical Student  

• Advise my GP Tutor of any absences as soon as possible and agree how my duties will be carried out in my absence 

• Complete feedback and Student Evaluation Questions (JISC) at the end of the placement 

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REMOTE CONSULTATIONS & VIRTUAL TEACHING 

The Supervising GP tutors will ensure: 

• Oversight of all remote patient contacts 

• Patient consent is recorded in notes prior to starting consultation 

As a Student I will: 

• Respect confidentiality, dignity and the patient’s right to decline or withdraw consent to be seen by a Medical Student  

• Never personally record any patient teaching or consultations  

• Never take screenshots of patients, tutors or colleagues  

• Always use headphones and the QMUL screen background if joining patient consultation or tutorials away from the GP practice.  

I confirm that I:  

• am a member of a defence organisation (MDU or MPS) 

• have completed the Preparation for Placements online learning module 

• understand that if I fail to comply with any of the above or act unprofessionally this may result in referral to a Senior Tutor or the Professional Capability Committee 

Resettling and Risk Reduction Checklist 

1. WELCOME & WELLBEING - Start by adapting GPs placement to your student(s) 

The last 18 months – in particular the pandemic and events triggering the Black Lives Matter movement - have had a complex, and unique, impacts on us all. For our students this meant a sudden switch to online learning, a reduction in direct patient contact and tutor and peer support. Some have cared for or lost loved ones to COVID-19, others have been ill themselves – all have become more aware of health disparities. These factors coupled with lockdowns have affected their learning experience and wellbeing and, in some cases, has led to demotivation and poorer exam results. Students are so looking forward to restarting GP placements but will need help with hybrid and virtual learning or patient contact. Attendance is expected to be 100% (face to face or online as appropriate), less than 90% will require remediation. 

• Please set aside early time to talk to each student about their experiences, expectations and needs. 

• Please also use the opportunity to share your experiences over the past year – to build rapport ad compassion 

• Support students to SPEAK UP if they experience or observe situations that worry them (please see e-Learning for Health online module for supervisors: LISTEN UP  

2. RISK REDUCTION – local arrangements 

We have all learned much about reducing COVID 19 transmission and risk of serious illness over the last year. The Medical School has assessed students’ individual risk and introduced a daily rapid Lateral Flow Test before coming to campus. We know each GP practice has developed a local approach based on specific context. 

Please a make your practice’s local risk reduction policy is clear to students before they start their placement  in person detailing: 

• LFT Testing requirements 

• PPE & mask wearing 

• Ventilation and flow arrangements  

• Adjustments for the very few students with specifics risks 

3. VACCINATIONS  

COVID-19 vaccinations remain voluntary in the UK. The medical school, in line with other institutions, is not compelling students to be vaccinated – but we know the vast majority have had two doses. A very small number may have personal or clinical reasons for not being fully vaccinated. We ask you to accommodate these learners. All students must undertake an online Vaccine Confidence module focusing on individual narratives, and fact verification skills rather than assumed informational deficit. 

• You can ask students about their vaccination status (we cannot inform you of this)   

• Accommodate learners who have not completed their vaccination as you would a member of staff – this may mean reducing patient contact 

• Discuss anxieties and hesitancy without taking a coercive approach  

• Tell students it is part of their role to support vaccination (regardless of their own status or views)  

• Please Offer Flu Vaccine (if students are with you in person) - Students are designated essential workers should be treated as staff 

• Any concerns or questions - Please contact the CBME Module Lead or Administrator. 

 EACH ONE IS MARKED USING ONCE OF 4 OPTIONS:  

• Satisfactory /Cause for Concern/Unsatisfactory/Unable to observe 

1. Honesty and Integrity SATISFACTORY CRITERIA: Always honest with patients, peers, staff and in professional work (presentations, documentation, communication) * 

2. Reliability and Responsibility SATISFACTORY CRITERIA: Reliable and conscientious. Punctual. Completes assigned tasks. Accepts responsibility for errors. * 

3. Respect for Patients SATISFACTORY CRITERIA: Consistently demonstrates respect for patients’ autonomy and dignity. Maintains confidentiality at all times. Always appropriately dressed for clinical setting. * 

4. Respect for Others SATISFACTORY CRITERIA: Shows respect for patients' relatives, other healthcare team professionals and members of staff. * 

5. Attendance and Approach to Learning SATISFACTORY CRITERIA: Full attendance, participation at seminars and other learning opportunities. * 

6. Compassion and Empathy SATISFACTORY CRITERIA: Listens attentively and responds humanely to patients' and relatives' concerns. * 

7. Communication and Collaboration SATISFACTORY CRITERIA: Works cooperatively and communicates effectively with patients and healthcare team members. * 

8. Self-Awareness and Knowledge of Limits SATISFACTORY CRITERIA: Recognises need for guidance and supervision, aware of appropriate professional boundaries. Personal beliefs do not prejudice approach to patients. * 

9. Altruism and Advocacy SATISFACTORY CRITERIA: Adheres to the best interests of patients. * 

10. Health SATISFACTORY CRITERIA: Does not allow his/her health or condition to put patients and others at risk. * 

11. Overall Professional Assessment *             

•  Satisfactory         

•  Unsatisfactory  

12. Please indicate if this assessment has been discussed with the student *          This field is required. 

•  Yes   / No  

13. GP TUTOR COMMENTS This field is required. 

• Comments...(free text) Please give FULL reasons for any "Cause for Concern" or "Unsatisfactory" assessments here, you may also make other comments. Please inform the Head of Year and/or Administrative Lead if there are concerns regarding professionalism. 

14. STUDENT COMMENTS 

Comments... (free text) 

15. To be signed and dated by both student and tutor