1. Year 3 GP Teaching Overview
QMUL/Barts and the London
Dr Jenny Blythe
Year 3 Module lead CBME

2. Previous GP Teaching Year 1 – Med Soc
Year 2 – Extending Patient Contact
Central Teaching with GP involvement

3. Overview of Year 3 Teaching
Three terms of nine weeks in Year 3.
One module per term:
(Met 3A) Surgery, Gastro & Oncology
(Met 3B) Renal & Endocrine (1 week Breast & 1 week Urology teaching during the term) ENT
(CR3) Cardiorespiratory and Haematology
Students rotate around-also end of term ICA.

4. Overview of Year 3 GP Teaching
Met 3A
4 days over 1 week allocated to GP
2 days GP (either Mon/Tues or Thurs/Fri)
1 day District Nurses, 1 day central teaching
GP3
1 day a week for 7-9 weeks in Met 3B term
Incorporates both CR3 and Met 3B themes

5. Rationale for Change Students asking for longer blocks in GP.
Move towards integrated learning across systems.
Opportunity for MDT experience & introduction to multimorbidity.
Parity of experience for students.
Overall increase in GP time in curriculum.

6. GP3 Teaching Themes Cardiovascular Respiratory Haematology Renal
Endocrine
Intro to Infection & ENT
Breast
Urology

7. Suggested Activities for GP3
Taking Histories
Examining Patients
Clinical Skills
Observing and Observed clinics
Specialist Nurse Clinics
Other MDT Working
Opportunities for Audit

8. GP3 Assessment Attendance and Professionalism
Logbook sign-offs of Hx, Ex, Clinical Skills
Logbook continuity exercise
Met 3B PBLs on haematuria & diabetes with logbook sign-off
SSC3a can be done in Primary Care
Note ICA for each term based on lecture week

9. MA3 Teaching Themes Surgery including vascular Gastroenterology Cancer
Palliative Care (note a half day in hospice)
All ‘inner’ placements are 2 days GP, 2DN 1 central. All resources on QMPlus for others.

10. Suggested Activities for MA3
Taking Histories
Examining Patients
Clinical Skills
Observing and Observed clinics
Specialist Nurse Clinics
Other MDT Working
Cases on QMPlus will be covered centrally

11. MA3 Assessment Attendance at all activities-GP, DN, central uni
Professionalism
Logbooks sign-off activities

12. What do students like doing?
Surveyed Student Preference (in order)
Direct Patient contact
Clinical skills practice
Home visits
Tutor/Peer observation
Case based discussions (on QMPlus)
Tutor/Student led tutorials

13. Student Feedback on ‘Good’ Teaching
Students allowed to see patients on their own, then go with patient to see GP and present their findings and suggest how to manage patient.
Students given logins to computer system and encouraged to use computer system to make notes and retrieve information when interviewing patients.
Students encouraged to carry out examinations and then doctors carried out same examination to confirm findings and help guide students in what to look and listen for.
Tutorials run by GP where diagnosis, investigation and management of important conditions is explored.
Going on home visits with GP.

14. Resources Student Resources Tutor Resources
QMPlus-module handbooks for each module
CBME handbook in Year 3 CBME area QMplus
Links to resources eg relevant NICE guidelines
Tutor Resources
Contact admin for access to student QMPlus site.

15. Contacts at CBME Administrators:
Esi Amankwe (Mon-Wed)
Jim Manzano (Thurs & Fri)
Year 3 GP Module Lead
Dr Jenny Blythe