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Welcome to University Hospital Coventry & Warwickshire NHS Trust
Induction for • • • • Bedside Teaching Clinical Skills & T-Docs Clinical Learning Opportunities Student Directed Learning Occupational Health Infection Control Domestic Issues & Medical Education Office Hours Clinical Teaching Fellows Specialty Learning Material Confidentiality & Consent UHCW – Floor Maps Fire Alarm Library • • • Student Lockers Registration Forms and Support Process for Raising Concerns Student Identification Badges Car Parking
The four types of learning activity undertaken in the clinical learning environment on Monday’s: • • Bedside Teaching Clinical Procedural Skills Clinical Learning Opportunities Self-Directed ward based learning Reflections – present at MTC what you have learnt in your Monday sessions and receive structured feedback (Gibb’s model of reflection) Transition to Clinical Personal Tutors
Bedside Teaching Allocation of student groups with tutors Format for 5 teaching sessions = • Review and meet the tutors (5 – 30 minutes) • Ward and meet patients (up to 90 minutes) – observation of student taking clinical history, conducting clinical examination, presenting findings, receiving positive feedback. • Debrief (up to 30 minutes) – summarise learning Ensure broad cover of clinical cases
Clinical Skills Over the next 3 years you will complete 42 clinical skills within the clinical skills department – this is just the start. Student contact: Linda Crinigan linda. crinigan@uhcw. nhs. uk Telephone: 024 76968311 Location: 3 rd Floor East Wing UHCW site
Clinical Skills There are 3 taught and T-DOC assessed clinical skills in AC 1 1. Vital signs: Blood Pressure, Pulse, Temperature, Oxygen Saturations, National Early Warning Score 2. Venepuncture and blood cultures 3. In-hospital resuscitation with automated external defibrillation and basic airway management
Clinical Skills Facilities available in Clinical Skills Rooms: Student room, PC, kettle, tea, sugar, microwave, fridge (bring your own milk). Opportunity to practice clinical skills – just ask Linda – linda. crinigan@uhcw. nhs. uk
Clinical Learning Opportunities Experience and observe different aspects of the clinical environment and patient journey in Trust 2 Mandatory CLO sessions – Theatre & Outpatients 3 student selected CLOs You will be able to reflect and appreciate the broader factors that impacts on patient care.
Self-Directed Learning • Gain experience of learning opportunities on the wards. • Log onto https: //www. mededcoventry. com/My. Meded/login. aspx and register to attend a medical and surgical ward. • You are encouraged to see patients on your own. • Please ensure you adhere to conditions – See Medical Students in Hospitals & Student guidance on personal appearance and dress. Refer to Appendix 1 of the AC 1 workbook for patients’ rights, dress code, health & safety etc. • Please maintain high standards of professionalism. • Always obtain consent from patient, nursing staff and clinical team. • Allow normal clinical care of the patient to proceed.
Self-Directed Learning You are responsible for: Your own learning, including achieving all the outcomes set out by the General Medical Council in Promoting excellence: standards for medical education and training whatever the personal preferences or religious beliefs. Ensuring patient safety by working within the limits of competence, training and status as medical students. Raising any concerns about patient safety, or any aspect of the conduct of others which is inconsistent with good professional practice. Providing evaluations of education for quality management purposes. Keeping to the guidance Medical students: professional values and fitness to practise developed by the GMC and the Medical Schools Council.
Occupational Health The service is provided by a team of specialist nurses and health professionals who work closely with the Health and Safety, Infection Control and Human Resources departments. We have a commitment to promote and maintain the health, safety and welfare of all trust staff. This service provides advice in all aspects of the workplace. Location: 4 th Floor West Wing Reception: 02476 965420 Email: Occupationalhealth@uhcw. nhs. uk
Infection Control All staff across the Trust have a responsibility to ensure they comply with local Infection prevention and control policies and guidelines/procedures. They also have a duty to report all incidents including near misses according to Trust policy and to inform a member of the Infection Prevention and Control Team as soon as possible after an incident has occurred. Effective Infection Prevention is the personal responsibility of every member of staff, particularly those with patient contact. • All healthcare professionals are responsible for ensuring that they undertake relevant IP&C training available to them. • Hand Hygiene compliance is required by all individuals in the course of performing their duties. • Dress code according to Trust policy and adhering to Bare below the elbows will be observed. • All healthcare professionals are personally accountable for their actions and responsible for ensuring that they comply with IP&C policies. • All healthcare professionals are responsible for notifying the IP&C Nurse (IP&CN) of circumstances that may lead to outbreaks if infection or a breakdown of IP&C procedures. • Personal and professional codes of practice and responsibility will be adhered.
Support Staff for Medical Students The administration team for Undergraduates is located in: Room 00053 (behind the Main Reception Desk) Clinical Sciences Building (CSB) at University Hospital. Rowena Ahmed – Medical School Administrator Phase 1 & 2 Medical Education Department Clinical Sciences Building University Hospitals Coventry & Warwickshire NHS Trust Clifford Bridge Road Coventry CV 2 2 DX Tel: 024 7696 8793 Ext: 28793 email: rowena. ahmed@uhcw. nhs. uk
Medical Education Office Hours Monday – Thursday 08: 00 – 17: 00 Friday 08: 00 – 16: 30 Telephone: 024 76968793 or email: Rowena. ahmed@uhcw. nhs. uk
Clinical Teaching Fellows • • • Based on the second floor, CSB Contact number – 02476968727 (ext: 28727) Internal telephone on second floor by lifts Email: Teaching. Fellows@uhcw. nhs. uk CTFs at UHCW are: Laura Granshaw Corinne Hield Syba Sunny Leanne Osborne Jonathan Bennett
Specialty Learning Materials www. mededcoventry. com/Specialties/ Just click on the specialty for further learning materials and teaching presentations.
Confidentiality & Consent Keep patient information confidential Ask for consent for uses of patient information other than for direct care and treatment Only those directly involved in care and treatment to have access to health information UHCW documents 1. Confidentiality Policy (GOV-POL-003 -08) 2. Health Records Management Policy (GOV-POL-014 -08) 3. Consent for Examination or treatment Policy (GOV-POL-004 -06)
Key Locations at UHCW • Ground Floor – Surgical Training Centre, Lockers, Pharmacy, Outpatient Clinics, Rheumatology, Rehabilitation Unit • First Floor – Emergency Department, Operating Theatres, Cardiology, Critical care Unit, Anaesthetic Offices, Women’s and Children’s Unit • Second Floor – Obstetrics & Gynaecology, General Surgery, Gastroenterology & Endocrine, Dietetics • Third Floor – Clinical Skills & Student Learning, Cardiology, Respiratory, Oncology, Haematology, General Surgery and Urology, Head & Neck • Fourth Floor – Occupational Health, Pathology, Stroke & Age Related, Neurosciences, head and Neck, Infection Control • Fifth Floor – Orthopaedic Wards, Dialysis, Therapy Suite, Ward and Day Beds
Fire Alarm • Fire Alarm - tested every Tuesday Ignore unless the alarm is continuous • If Fire alarm is sounded in CSB all those in the building are to meet outside the front of CSB • When instructed by a CSB Fire Officer please leave by recommended exit
Clinical Sciences Library • Staffed Hours Monday-Thursday 08: 00 -18: 00, Friday 08: 00 -17: 00 • Library Reception: libraryw@uhcw. nhs. uk Tel: 02476 968829 (Ext: 28829) • 36 computers in the Library All have Microsoft Office and Internet access. They are independent of the Trust network, so you don't need to have a Trust ID to access the Internet. • A scanner is also available and there are 13 plug-in ports for personal laptops. • Free Wireless Internet is also available - point your software to Clinical_Sciences. • • Borrowing items - 8 items may be borrowed at any time for a period of four weeks. To borrow items you will need your library membership card. Items may be renewed twice if they are not required by another library member. Fines are 20 p per item per day.
Library Cards for Photocopies • Available from the Library • Provides free photocopying in the Library at UHCW to the value of £ 3. 00 • Top-up facility available for the Library cards
Student Lockers There a number of lockers available to Medical Students ONLY located on the 3 rd floor Clinical Skills area and in the male and female toilets, behind main reception in the CSB. The main set of lockers for students are located behind the main entrance of the hospital (The Mall). Enter the Mall and turn left before the entrance to the central restaurant. Follow the corridor through the double doors to room AEP 00002 on your left. Please use the sticky labels provided to identify your locker. Please note the changing facilities in the canteen area in the Mall are restricted for use by the local NHS staff only.
Registration Forms & Support Please use the registration form on the medical education website to amend your personal details. This information is used to contact you in an emergency. https: //www. mededcoventry. com/Undergraduates/Default. aspx# There is a wide supporting mechanism in place (please see course document) and it is worth emphasising the levels of support available at the Trust. • Undergraduate and Specialty Co-ordinators • The Consultants you are attached to on the block • The Associate Clinical Directors • The Specialty Leads • Pastoral Care is provided by Ms Deborah Markham d. h. markham@warwick. ac. uk 02476 150206
General Medical Council Misconduct Key areas of concern Cheating or plagiarism • Cheating in examinations • Signing peers into taught sessions from which they are absent • Passing off the work of others as your own • Sharing with fellow students or others details of tasks in questions from exams you have taken • Forging a supervisor’s signature or feedback on assessments, logbooks or portfolios • Falsifying feedback on assessments, logbooks or portfolios Dishonesty or fraud, including dishonesty outside the professional role • Falsifying research • Committing financial fraud • Creating fraudulent CVs or falsifying other documents • Misrepresentation of qualifications • Failure to declare relevant misconduct issues to medical school or university • Wilful withholding or misrepresentation of health issues (e. g. bloodborne viruses) Drug or alcohol misuse • Driving under the influence of alcohol or drugs • Abusing prescription medication • Alcohol consumption that affects clinical work, the work environment, or performance in the educational environment • Dealing, possessing, supplying or misusing drugs, even if there are no legal proceedings – this may include legal highs • A pattern of excessive misuse of alcohol Aggressive, violent or threatening behaviour • Assault • Physical violence • Bullying • Harassment • Stalking • Online bullying or trolling Failing to demonstrate good medical practice • Misuse of social media • Breach of confidentiality • Misleading patients about their care or treatment • Culpable involvement in a failure to obtain proper consent from a patient • Sexual, racial or other forms of harassment • Inappropriate examinations or failure to keep appropriate boundaries in behaviour • Unlawful discrimination Persistent inappropriate behaviour • Uncommitted to work or a lack of engagement with training, programme of study or clinical placements • Neglect of administrative tasks • Poor time management • Non-attendance • Poor communication skills • Failure to accept and follow educational advice and unwillingness to learn from feedback given by others • Being rude to patients, colleagues or others • Unwillingness to learn from constructive feedback given by others • Being disruptive in teaching sessions or the training environment • Challenging behaviour towards clinical teachers or not accepting criticism • Failing to answer or respond to communications
General Medical Council The duties of a doctor registered with the GMC Communication, partnership and teamwork • Treat patients as individuals and respect their dignity. • Treat patients politely and considerately. To justify that trust you must show respect for human life and Respect patients' right to confidentiality. make sure your practice meets the standards expected of you • • Work in partnership with patients. in four domains. • Listen to, and respond to, their concerns and preferences. • Give patients the information they want or need in a way they can understand. • Respect patients' right to reach decisions with you about Knowledge, skills and performance their treatment and care. • Make the care of your patient your first concern. • Support patients in caring for themselves to improve and • Provide a good standard of practice and care. maintain their health. • Keep your professional knowledge and skills up to date. • Work with colleagues in the ways that best serve patients' • Recognise and work within the limits of your competence. interests. Safety and quality Maintaining trust • Take prompt action if you think that patient safety, dignity • Be honest and open and act with integrity. or comfort is being compromised. • Never discriminate unfairly against patients or colleagues. • Protect and promote the health of patients and the public. • Never abuse your patients' trust in you or the public's trust in the profession. Patients must be able to trust doctors with their lives and health. • You are personally accountable for your professional practice and must always be prepared to justify your decisions and actions.
Process for Raising Concerns • If you have safety or other concerns don’t keep them to yourself • If in doubt, consult the GMC guidance (includes interactive quiz) • Discuss your concern before submitting a report • Level of concern varies from troublesome to possible safety issue e. g. serious breach of professional standards (rare occurrence).
Reporting Concerns over patient safety or staff conduct: Medical Student Guide • • UHCW believes it is important for students to be able to raise concerns. We realise that this is not an easy decision. This document aims to make the process for doing so as clear as possible. If you are CERTAIN that you have a legitimate concern then consider if you feel able to have a conversation with the person involved in the first instance. If you do not feel this is possible then please take the following action: 1. You have a concern about a member of UHCW staff If the concern is about: a) Your paired consultant. Report and discuss with the block lead. S/He has responsibility for the education experience on the block. b) Someone delivering a session within a block. Report and discuss with the block lead. S/He has responsibility for the education experience on the block. c) Block lead. Report and discuss with the Associate Clinical Director (ACD) (Dr Sailesh Sankar Consultant - Endocrinology Sailesh. Sankaranarayanan@uhcw. nhs. uk ). He has overall responsibility for the undergraduate education experience. d) A health care professional on the ward. Report and discuss with the senior nurse on the ward. e) The senior nurse on the ward. Report and discuss with the Associate Clinical Director (ACD) (Dr Sailesh Sankar Consultant - Endocrinology Sailesh. Sankaranarayanan@uhcw. nhs. uk ). He has overall responsibility for the undergraduate education experience. f) Associate Clinical Director (ACD). Report and discuss with the Chief Medical Officer and Deputy Chair of the Training, Education and Research Committee (Dr M Pandit, Meghana. Pandit@uhcw. nhs. uk)
g) A member of the administration team. Report and discuss with the Manager Education and Training (Marie Midgley, Marie. midgley@uhcw. nhs. uk). She has responsibility for the administration of undergraduate education. h) The Manager Education and Training. Report and discuss with the Associate Clinical Director (ACD) (Dr Sailesh Sankar Consultant - Endocrinology Sailesh. Sankaranarayanan@uhcw. nhs. uk ). He has overall responsibility for the undergraduate education experience. 2. You have a concern about a fellow student. Report and discuss with the academic lead for the phase of learning you are in, or the deputy senior tutor for your year at WMS. • • Please Note: For all of the above examples the discussion will include information on what the next steps will be. The next steps will be in line with UHCW’s Trust Policy, Raising Concerns: a safe alternative to silence. This can be found in the e-Library and the ID Reference No is: GOV-POL-018 -06. What to do if you are NOT CERTAIN • You might see or hear something which you find alarming but not be sure if it is a concern you wish to take through the formal route. If you find yourself in such a position then you may wish to consider: • Discussing what you have seen/heard with that person in the first instance to explore what you thought you heard or saw and seek to understand the reasons for their actions. • Discussing what you have seen/heard with one of your peers to explore their reaction and determine whether to take your concern further. • Discussing with your clinical personal tutor, again to explore what you saw and/or heard, and his/her perception of the event. This may also determine the action to be taken. • If after discussion with the CPT you are not in agreement with the action they propose, then a discussion with the block lead, academic lead for the Phase or ACD at UHCW would be appropriate (as previously outlined). • The appropriate action will follow the Trust’s Policy, Raising Concerns: a safe alternative to silence.
Student Identification Badges Interpreted extract from Security Procedures document: Students that join the Trust will be issued with an access card to allow access to general areas and wards required by medical students during study periods. Additional access requirements will need to be authorised by one of the approved administrative staff or from the Undergraduate Co-ordinator. Photographs and issuing of badges are provided by Facilities Management staff in the FM building (Reception Desk entrance). Upgrades can be provided remotely by contacting Rowena Ahmed rowena. ahmed@uhcw. nhs. uk for authorisation. N. B. Lost cards will have to be paid for (£ 5) by the student.
Car Parking Although car parking is provided for patients, visitors and NHS staff, there is still a limited number of spaces available. However, we now have allocated spaces for Phase II students in Car Park 10. Car Park permits can be obtained from the Medical School and, as with all car parks at University Hospital, there are no guaranteed spaces. Good advice is to arrive early to ensure parking spaces are available.
© Medical Education Department University Hospitals Coventry & Warwickshire NHS Trust Coventry CV 2 2 DX Undergraduate Office Clinical Sciences Building Tel: 02476 968793 (internal ext. 28793)