Dr Louise Younie Acting Lead for Community Based Medical Education Business meeting Post-it notes: Anything you would like addressed Key challenges organising placements Dr Louise Younie Acting Lead for Community Based Medical Education

Team members ACADEMIC ADMIN Year 1 & Year 2 MedSoc Ms Maria Hayfron-Benjamin Ms Lorane Smith Year 2 EPC Mrs Ayse Biseem Mrs Esi Amankwah Year 3 Dr Jenny Blythe Year 4 Dr Siobhan Cooke Dr Dev Gadhvi Ms Kate Scurr Year 5 Dr Sabir Zaman http://qmplus.qmul.ac.uk/course/view.php?id=2605

Review of community based learning The art of General Practice by Anna Brown www.outofourheads.net

Student feedback and satisfaction rate Unit Response Rate Satisfaction Rate   14/15 15/16 16/17¹ MedSoc 1 28% 26% - 96% 86% MedSoc GEP 70% 33% 77% 100% EPC 45% 38% 92% 93% CR3 32% 47% 41% 89% 90% 95% Met3A 53% 55% Met3B 34% 48% 88% Met3B CC 38%* 50%** 65% 65%* 94%** 73% HD 43% 52% 50% 81% Loco 40% 42% 94% 85% 91% B&B 63% 54% 79% CC 69% ¹ 2016/17 figures for Term 1 only * Met3B CC pilot ** Terms 1&2 only

Comparison with hospital

Student feedback – learning from the team Nursing team is very strong, and I would like to say how much I enjoyed my time and learned from being with [them] I was with nurse practitioner H who let me take the lead after observing a few diabetes clinic check ups. We went through the blood results before each patient, she let me lead the consultation, examination, and management plan, and intervened as required / if I was unsure. Still too much time is spent with the practice nurses watching immunisations and smears.

Student-centred learning All doctors and nurses involved us in taking histories, examining, formulating management plans…When there were signs or symptoms, we'd often be asked (with patient permission) what I think it was… …one of the GPs … allowed us to lead the initial consultation before stepping in when necessary …getting an office and clerking patients. After the clerking of the patients we would discuss the patients with the GP who had already seen them and would get feedback on what we got right, wrong and stuff that we missed

Good learning environment She is kind, patient and knowledgeable. One of the great things about the sessions was that our tutor created a positive learning environment where I was not afraid to ask questions or get questions wrong.

BOS Encouraging student feedback Accessing student feedback Acting on student feedback

Enhancing value of feedback process How do you make time available for students to feedback? How do you use assessment form to feed back to students? How can you ensure individual teachers receive the appropriate module feedback? How do you use feedback to inform changes? How do you involve the team in teaching developments? What Is realistic in practice and what are the challenges?

Planning for 2017-18

Curriculum changes 2017-18 GEP MedSoc Year 3 Increased from 12 to 14 alternative Thursdays  Doctor-patient relationship and Professionalism. Year 3 CR3 & MET3B change to 1 day per week over 7-9 weeks Met3A no change (4 days in one week block)

Finances SIFT 2017-18 GEP MedSoc Year 3 CR3 & Met3B Year 4 Locomotor has increased from 24 session to 28 sessions Year 3 CR3 & Met3B reimbursed as 100% teaching time i.e. 1 day per week over 9 weeks = 18 sessions for 4 students halved for 2 students Year 4 Locomotor 6 sessions (3 days teaching)

Preference forms On-line form, circulated 23rd Feb Receipt via email https://qmul.wufoo.com/forms/q1eqnqhv0b1l4cw/

QA processes Contact with GPs Asked from GPs FB to GP QA New practice visit, visit/phone if issues, GP tutor training Asked from GPs SLA, GP tutor review*, Lesson plan/timetable FB to GP Individual BOS, end of year FB overview, GP prize and poster of comments QA Negative log, engagement with BOS, return SLA, return GP tutor review, attendance tutor training

Admin processes SLA and practice data check New GP tutor review Sent out July Expected return within 4 weeks New GP tutor review Sent out on WUFOO in October To be completed within 4 weeks, prior to teaching

SLA current agreement The practice will: provide a role model of clinical and professional excellence provide support for students in line with current School practice maintain the commitment and safety of its patients whilst working with students. appoint a Lead Tutor who will ensure that GP Tutors have appropriate training and teaching skills. ensure that all teachers undertake a peer review of their teaching at least once in three years and ensure that notification of reviews are forwarded to CBME. ensure appropriate and robust administrative support for teaching and learning meet the mandatory commitment that a representative will attend the Annual Business meeting and the GP Tutor Summer Education Day

SLA changes Indemnity Requirement to engage with BOS feedback New paragraph Student educational agreement Requirement to engage with BOS feedback Requirement to engage with GP tutor review and lesson planning

GP tutor review Years of teaching Teacher qualifications in the practice Tick box Peer review last 3 years Patient consent/complaints policy Learning needs assessment Course documentation/website Text response Provide example of BOS feedback Lesson planning Areas of challenge and suggestions for improvement, greater central support

Placement planning SLA GP tutor review Lesson planning Practice induction of students Learning needs assessment

Excellent placements …every week was so carefully organised ...she clearly spent a lot of time preparing each session, even when we were with other doctors. Dr G stuck to the template timetable provided by the university and I feel that our teaching really supplemented what we were learning in lectures, PBLs and clinical skills” http://qmplus.qmul.ac.uk/mod/book/view.php?id=225249&chapterid=21197

Small group dialogue How do you induct students coming to the practice? How much/what is carried out by GP tutor/admin team? What specific areas are addressed? How is the whole practice team involved? How do you use your lesson plan/timetables? How do you engage in student learning needs assessment?