PATIENT INVOLVEMENT IN MEDICAL EDUCATION SOL MEAD – CHAIR OF THE ACADEMY PATIENT LAY GROUP (and lay member on the Academy Education Committees)

Patient Involvement Current & Future Wider patient involvement in safety Current patient involvement in medical education Why – what are the benefits? The way forward

Wider Patient Involvement in Safety On a personal basis Face to face with health professionals Involvement in policy bodies and committees within the wider Health Service infrastructure

Current Patient involvement in Medical Education Medical Schools Royal Colleges Academy Other bodies HEE & LETBs – still not decided

Patient Involvement in Medical Schools Selection of medical students Teaching Assessment and feedback Development of curricula and training materials Assessments and examinations Quality assurance processes Governance

Patient Involvement in Medical Education in the Royal Colleges Patient involvement includes:- Observers at exams Work on workplace place assessments The development of education resources, training modules and education events MCRP adjudicator Participant in simulation exercises Work on devising and reviewing curricula Contributing to quality assurance & accreditation activities Acting as a lay examiner at the Communications station The development of e-learning projects Observing microsurgical skills courses Questionnaire design ………and all the College Education Committees  

Patient Involvement in Medical Education in the Academy The Academy Education Strategy Committee Academy Speciality Training Committee Foundation Programme Committee Academy Assessment Committee JACTAG -Joint AoMRC and COPMED Training Advisory Group  The Trainee Doctors Committee (ATDG)

The Benefits of Patient Involvement in Medical Education Undergraduate Medical education – what the GMC said: “Involving patients in medical education can be beneficial to learners: not only does it facilitate acquisition of skills such as communication, but it can also change professional attitudes positively and develop empathy and clinical reasoning” “It provides context to the learning material and motivates learners”.   “Patient feedback on encounters with students, if carefully designed and used formatively, is largely welcomed by students and appears to improve their performance, as measured by exam results”. “Some learners prefer the teaching they receive from trained patients to that from doctors”. “Many students comment on gaining new insights and confidence when practising examination skills on patients who give constructive feedback, and claim that such training increases their respect for patients and deepens their understanding of the experience of disease”. SOURCE: GMC document “Patient and Public Involvement in undergraduate medical training” http://www.gmc- uk.org/Patient_and_public_web.pdf_40939

Benefit of Patient Involvement in Medical Education The NHS Futures Forum said: “The importance of patient and carer input to education and training was emphasised. There needs to be a more formal recognition of the positive and direct contribution patients and the public can make to education and training, promoting understanding of what people want from healthcare staff, in terms of the service and the quality of their care including empathy, compassion and to be treated with dignity”. “Input from patients in both the curriculum planning and in the delivery of education and training was seen as immensely positive. The NHS must engage more constructively with patients and the public, particularly in developing understanding of different cultures and non-discriminatory behaviours. This approach should be at the core of all curricula and training and has the potential to change how healthcare workers view their relationships with patients fundamentally.” Source: NHS Futures Forum Report on Education and Training 2012

The Future Forum recommended: “Education and training organisations, including higher education institutions, NHS foundation trusts and GP practices, should be able to demonstrate that patients and the public have been engaged in their training programmes, for example in their annual report.”

The Way Forward Maintenance and expansion of patient involvement in all aspects of safety, including within medical education. Educational Outcomes Framework proposals for 2013/4 and beyond, Domain 4 - NHS Values and Behaviours, should have built in a specific requirement to ensure there is maximum patient involvement in medical education relating to patient safety. NCB and the CCGs to place a specific requirement on every “qualified provider” to be able to demonstrate meaningful patient involvement in relation to patient safety and care.