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

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

3. 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

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

5. 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

6. 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

7. 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)

8. 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” uk.org/Patient_and_public_web.pdf_40939

9. 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

10. 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.”

11. 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 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.