Patients as Educators Mr Martin Hague Patients as

Patients as Educators Mr. Martin Hague Patients as Educators and Clinical Skills Manager Miss Emma Hudson Patients as Educators Assistant Manager Dr Amir Burney Academic Lead for Clinical Skills

Drivers for Change • Changes within the NHS • Implementation of the outcome focused curriculum • Patients’ perspective of their condition

Staffing structure • 774 Patients as Educators • Manager • Administrator • Clerical Support 10/26/2020 © The University of Sheffield

Centre for Patient Involvement Clinical Skills Centre Vickers Corridor Northern General Hospital Sheffield 10/26/2020 © The University of Sheffield

Recruitment • Identify the type of patient • Target patient support groups • Forge links with relevant departments • Hospital clinics, outpatient departments and primary care • Word of mouth 10/26/2020 © The University of Sheffield

Interview To identify • Why? • How? • Are they ready? • Patient consent 10/26/2020 © The University of Sheffield

Training • All patients undergo standardised training • Specific training tailored to a particular opportunity • How to interact with students • Giving feedback on history / physical examination skills/ communication skills 10/26/2020 © The University of Sheffield

Implementation • Health and safety • Risk assessment • Ongoing support throughout events 10/26/2020 © The University of Sheffield

Delivering and administering the programme • Data protection • Managing the costs • Organisation

Storing of information • Data Protection Act • University and NHS Trust guidelines • Secure • Training records 10/26/2020 © The University of Sheffield

Expenditure • • Staff Private transport Travelling expenses Refreshments (inc. lunch for whole day events) • Postage 10/26/2020 © The University of Sheffield

Monthly cost over 6 months Monthly average = approx. £ 2800 10/26/2020 © The University of Sheffield

Monthly cost (May) - breakdown 10/26/2020 © The University of Sheffield

Administration • Contacting • Maintaining relationships • Handling of expenses • Transport • Hospitality 10/26/2020 © The University of Sheffield

Examples of patient involvement 10/26/2020 © The University of Sheffield

Community attachment scheme • Students make the initial contact • Visit patient at home • Follow up visit • Year 1 10/26/2020 © The University of Sheffield

Patient Encounters 1 st year – Cardiovascular and respiratory 2 nd year – Diabetes, renal & oncology 10/26/2020 © The University of Sheffield

Complimenting clinical skills teaching • Vital signs • ECG • Respiratory function tests 10/26/2020 © The University of Sheffield

Teaching & Assessment • Foundation Clinical Skills Course • Basic physical examination skills • DOCSS (assessments in simulation) • OSCEs 10/26/2020 © The University of Sheffield

Renal and rheumatology ward rounds (4 th yr) History Physical examination Patient feedback 10/26/2020 © The University of Sheffield

General ward round • Revision • History • Physical examination • Patient feedback 10/26/2020 © The University of Sheffield

External agencies • AFOM • MRCS • MRCP 10/26/2020 © The University of Sheffield

Involvement from 2005 - 2011 10/26/2020 © The University of Sheffield

A Patient’s Perspective…… Tony Mallinder Patients as Educators Volunteer 10/26/2020 © The University of Sheffield

A Tutor’s Perspective…. . Mr Amir Burney Academic Lead for Clinical Skills 10/26/2020 © The University of Sheffield

A tutor’s perspective • Safe and effective involvement of patients • Opportunity to see a wide range of patients • Helps foster a partnership between the medical school and patients • Promotes an active role for patients in the process of medical education. 10/26/2020 © The University of Sheffield

Media coverage Link to BBC Look North website: http: //www. bbc. co. uk/mediasele ctor/check/player/nol/newsid_73 20000/newsid_7326800? redirec t=7326869. stm&news=1&nbram =1&bbram=1&nbwm=1&bbwm= 1 10/26/2020 © The University of Sheffield

Thank you party - Pa. E group 10/26/2020 © The University of Sheffield

Comments from patients “All the students I spoke with were very polite, respectful and grateful for the patients’ perspective/contribution. An excellent group of young people whom I felt had been well briefed about the session. ” “Enjoyed the sessions immensely. Very polite students and they were very easy to talk to. Good to feel I can ‘give something back’ for the help and treatment I have received. ” “I found the experience very enlightening and enjoyable. The students were really considerate” 10/26/2020 © The University of Sheffield

Comments from students “Direct patient contact. I got to apply what was learned in lectures/books to real life practise. Taught me how important it is and how much a Dr can learn by listening carefully”. “Meeting real patients instead of looking at textbook cases shows the whole patient not just the symptoms. Meeting patients who were so knowledgeable about their condition – learnt a lot!” “Meeting patients, getting their opinions on their conditions and seeing how the way doctors treat patients can have an impact on their lives”. 10/26/2020 © The University of Sheffield

Future Developments • Faculty wide resource • Enhanced training for patients • Involving Pa. E’s in the development of teaching resources • Introducing general ward rounds in other year groups • Continued recruitment 10/26/2020 © The University of Sheffield

Challenges Funding Space – Move to Samuel Fox House, Northern General Hospital, Sept 2012 10/26/2020 © The University of Sheffield

Questions? 10/26/2020 © The University of Sheffield

Thank You Mr Martin Hague : 0114 226 6474 : m. g. hague@sheffield. ac. uk Miss Emma Hudson : 0114 271 5453 : e. hudson@sheffield. ac. uk 10/26/2020 © The University of Sheffield