“The GMC aims to encourage a culture where the patient and public perspective is sought and recognised across the spectrum of medical education” Paragraph 14.

Patients and the public “When referring to ‘patients’, ‘lay individuals’ or ‘patients and public’ the GMC means a wide variety of individuals and groups. Each could bring.. Different perspectives and expertise.” Patients and current patients Expert patients Carers, advocates and support workers Simulated and virtual patients Lay people or “the public” Patient groups or representatives – service or location Voluntary or community sector or national patient advocacy bodies

Key points  Clear purpose and framework  Variety of innovative approaches  Appropriate preparation  Support framework 1. (i) Student selection 2. (ii) Teaching and feedback 3. (iii) Assessment 4. (iv) Curriculum and assessment development 5. (v) Governance and quality management

Standards for the delivery of teaching, learning and assessment. (TD 2009) Domain 2 – Quality assurance, review and evaluation. …. requires systematic monitoring … including feedback from patients …. Detailed requirements are: Patients should be involved in quality management and control processes The quality of teaching learning and assessment must be monitored through a number of different systems including patient feedback

Standards for the delivery of teaching, learning and assessment. (TD 2009) Domain 5 – Design and delivery of the curriculum, including assessment Feedback and assessment: All doctors, other health and social care workers, patients and carers who come into contact with the student should have an opportunity to provide constructive feedback about their performance. Feedback about performance in assessments helps to identify strengths and weaknesses, both in students and in the curriculum, and this allows changes to be made.

Patient Involvement Focused on the student Focused on the institution Teaching Feedback Assessment Selection of students (process) Mentoring Pastoral care Governance Quality management & feedback Developing & enhancing standards - curriculum - assessment - Student Support Selection of students & staff (policy & procedure) Provide Information Create materials

Changing role of patients in medical education Changed doctor-patient relationship requires greater partnership and shared decision making which should be modeled in education Political will to involve patients in all aspects of healthcare – delivery, planning, education and evaluation; patients have a right to influence the attributes of newly qualified doctors Not yet reached its full potential but growing

Common areas of involvement Communication skills Mental health Physical examination skills Diagnostic skills Developing an holistic understanding of health Long-term conditions Patient safety

“Also, knowledge and experience of the medical education environment and curriculum comes with continuous or repeated involvement of patients or lay individuals over a period of time. But this should be balanced with the need to ensure independence of their perspective from the institution itself.”

Benefits Helps learners acquire skills; a different perspective for feedback – valuable insights & experience Giving back and personal satisfaction for those involved; personal empowerment and employability Recognising diversity and different perspectives BUT It requires investment and cultural change