1. Patient Safety, Risk & the Undergraduate Curriculum A perspective from University of Nottingham Faculty of Health Sciences Andy Norris, Consultant Anaesthetist, NUH

2. What can I share with the already committed? Andy Norris, Consultant Anaesthetist, NUH  Our understanding of the imperative  Some concepts that may help to engage/influence curriculum decision makers  Educational impact  Course content  A vertical theme with spiral learning (Leeds)  Practicalities of delivery in early years  Learning from practice: tools for reflective learning  Public/Patient & Multi-professional model  Assessment

3. GMC recommendations Suitable attitudes and behaviour Core & options curriculum Integrated course Minimise factual information Self-directed learning Essential clinical skills Communication skills Health & safety of public Modern teaching & learning systems Appropriate schemes of assessment Andy Norris, Consultant Anaesthetist, NUH

4. GMC 2009WHO 2009 House of Commons Select Report 2009

5. Andy Norris, Consultant Anaesthetist, NUH

7. Educational impact: a personal story Usual curriculum concerns Story of an afternoon – Interpretation of data – Cognitive bias – Everyday communication errors – Task fixation – Pivotal data – Cognitive overload Andy Norris, Consultant Anaesthetist, NUH

8. What models are there? Leeds Andy Norris, Consultant Anaesthetist, NUH Communication, handover Self & situation awareness Communication, handover Self & situation awareness Reflective learning from incidents: a culture Feedback/decsion making, RCA, NPSA Safe care across boundaries: presribing Failure in organizations Understanding systems Observation, Reporting Reflection, Learning Failure in organizations Understanding systems Observation, Reporting Reflection, Learning Language/ Human Factors/ Causation Postgrad Foundatio n Yr 5 Yr 4 Yr 3 Yr 2 Yr 1 Postgrad Foundatio n Yr 5 Yr 4 Yr 3 Yr 2 Yr 1 Knowledge Skills: observation. listening

9. Proposal: a patient safety curriculum theme Andy Norris, Consultant Anaesthetist, NUH Patient safety education linking theory with practice Competency based outcomes (assessment methods) Explicit patient safety/performance links with existing generic and specific content Patient & public perspective - narrative learning Senior students demonstrate educational impact through improved clinical performance Multidisciplinary - Hospital & community / social care; Psychology, sociology,business, engineering Multi-professional IPL opportunities should be optimized and IPL experiences reinforced

10. Summary Andy Norris, Consultant Anaesthetist, NUH Logical, timely, professional imperative Feasibility: engagement, tools and resources, impact Curriculum models: knowledge base, skills, behaviours, theory and practice, vertical.