Longitudinal Clerkship A new approach to 4th year

Introduction Aims and objectives Ethos Student activities Supporting the learning Assessment Current student feedback Other evaluations

Aims and Objectives Increase recruitment of doctors in rural areas. Create a better understanding of healthcare in rural areas, including care that is delivered in local hospitals. To provide students with the opportunity to direct their own learning. Increase the students’ interest in General Practice as a career. Continuity of learning, patients (journey and individuals) and educators

Ethos A year of immersive learning in the community following patients. Students responsible for their own learning. Teaching students to be good doctors. Integrate learning from all specialities. Highlight not teaching GPs. Integrating new knowledge from across the specialties into the management of individual patients

Student activities Consulting alone Following patients Clerking patients on wards Attending outpatients Going to theatre Tutorials Community engagement Making decisions about patient management Continuous assessment Clinical skills

Supporting the learning VLE Guides Assessment tracker Learning logs PDP Tagging

Formative Assessment OSCE Online exam CAP test Feedback to tutors and students

Professional attributes QIP/ 4th year project Appraisals ROCE Assessment Mini CEX and CBD Professional attributes QIP/ 4th year project Appraisals ROCE Portfolio Community engagement Highlight assessment is informed by all parties including secondary care

Feedback

Feedback The students are getting access to clinics, wards and theatres. Being able to follow a patient is great. Covering a lot of the curriculum early in the year. Spending time in areas of interest e.g. acute medicine. Getting an insight into rural medicine and GP team.

Other Evaluations The website is a positive factor of the LIC supporting the students’ learning. Formative assessments indicate the students are able to perform at a good standard. Gaps in learning are being identified so they can be addressed. A bank of specialists in each region who support the LIC students is being developed. Developments to improve the ease of extracting data from the website needed. Highlight we have had useful input already but want to know form all specialities as we are training doctors