Module title: Advanced Patient History taking and clinical examination

SCQF level: 11:
SCQF credit value: 40.00
ECTS credit value: 20

Module code: NMS11107
Module leader: Robin Hyde
School School of Health & Social Care
Subject area group: Enduring Conditions and Community Care
Prerequisites

n/a

2017/8, Trimester 3, Blended,
Occurrence: 007
Primary mode of delivery: Blended
Location of delivery: SIGHTHILL
Partner:
Member of staff responsible for delivering module: Jill Mundy
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
During this module, you will have a range of blended learning opportunities i.e. the VLE (Moodle), the clinical environment and face to face teaching. Throughout, you will be encouraged to attend masterclasses led by the programme team alongside clinical experts, allowing for development of field and speciality specific clinical competence. The student will be expected to immerse themselves in the clinical learning environment as well use the VLE (Moodle) to develop their competence in history taking and clinical examination, (Los 1,2,3, and 4). Learning will be self-directed and student led supported by senior clinicians and academics.



Formative Assessment:
You will have continuous assessment of clinical competence in practice. This will prepare you for the summative OSCEs and submission of the clinical learning and reflective log. A single station OSCE will be offered in week 22 and you will immediate feedback on clinical assessment skills.

Summative Assessment:
The summative assessment will comprise of two components. This measures
1) clinical and critical decision-making skills and 2) a critical reflection on your own practice. You must successfully complete BOTH components to achieve a PASS for this module. This assessment will occur in week 30.

Component 1 – Clinical Learning and Reflective Log

Clinical Learning Log; You will submit a clinical log in which you must provide evidence of five assessments per system (as appropriate for field of practice). These will be assessed by a senior practitioner i.e. an Advanced Practitioner and/or Senior Doctor (ST3 or above) with the appropriate knowledge and skills relevant to the area being assessed. (L0 1,2,3)

Reflective Log; You will submit a 1,500 word critical reflection related to your clinical learning experience. (LO 4)

Component 2- Objective Structured Clinical Examination
Objective Structured Clinical Examination – Three station OSCE focusing upon key components appropriate to field of practice i.e. consultation, history taking, examination and/or relevant skill. (LO1,2,3) You will be assessed using an agreed assessment criteria which assesses both process and content of the consultation and assessment. You must achieve the minimum level of competence to pass each station.


Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Face To Face Lecture 24
Face To Face Tutorial 40
Independent Learning Guided independent study 336
Total Study Hours400
Expected Total Study Hours for Module400


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Oral Structures Clinical Exam (OSCE) 50 1,2 & 3 30 HOURS= 0, WORDS= 0
Learning Log 25 1,2, & 3 30 HOURS= 0, WORDS= 0
Reflective Log 25 4 30 HOURS= 0, WORDS= 1500
Component 1 subtotal: 50
Component 2 subtotal: 50
Module subtotal: 100
2018/9, Trimester 1, BLENDED, Edinburgh Napier University
Occurrence: 008
Primary mode of delivery: BLENDED
Location of delivery: SIGHTHILL
Partner: Edinburgh Napier University
Member of staff responsible for delivering module: Caroline Nicholson
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
During this module, you will have a range of blended learning opportunities i.e. the VLE (Moodle), the clinical environment and face to face teaching. Throughout, you will be encouraged to attend masterclasses led by the programme team alongside clinical experts, allowing for development of field and speciality specific clinical competence. The student will be expected to immerse themselves in the clinical learning environment as well use the VLE (Moodle) to develop their competence in history taking and clinical examination, (LOs 1,2,3, and 4). Learning will be self-directed and student led supported by senior clinicians and academics.




Formative Assessment:
You will have continuous assessment of clinical competence in practice. This will prepare you for the summative OSCEs and submission of the clinical learning and reflective log. A single station OSCE will be offered in week 22 and you will immediate feedback on clinical assessment skills.

1) Clinical learning log providing evidence of engagement with clinical learning and development of clinical competence. (LOs 1, 2, 3)
2) Single station Objective Structured Clinical Examination (OSCE). The student will receive feedback on their history taking and clinical examination skills in preparation for the summative Objective Structured Clinical Examination. (OSCE) (LOs 1, 2, 3)


Summative Assessment:
The summative assessment will comprise of two components. This measures
1) clinical and critical decision-making skills and 2) a critical reflection on your own practice. You must successfully complete BOTH components to achieve a PASS for this module. This assessment will occur in week 30.

Component 1 – Clinical Learning and Reflective Log

Clinical Learning Log; You will submit a clinical log in which you must provide evidence of five assessments per system (as appropriate for field of practice). These will be assessed by a senior practitioner i.e. an Advanced Practitioner and/or Senior Doctor (ST3 or above) with the appropriate knowledge and skills relevant to the area being assessed. (L0 1,2,3)

Reflective Log; You will submit a 1,500 word critical reflection related to your clinical learning experience. (LO 4)

Component 2- Objective Structured Clinical Examination
Objective Structured Clinical Examination – Three station OSCE focusing upon key components appropriate to field of practice i.e. consultation, history taking, examination and/or relevant skill. (LO1,2,3) You will be assessed using an agreed assessment criteria which assesses both process and content of the consultation and assessment. You must achieve the minimum level of competence to pass each station.


Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Face To Face Lecture 24
Face To Face Tutorial 40
Independent Learning Guided independent study 336
Total Study Hours400
Expected Total Study Hours for Module400


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Oral Structures Clinical Exam (OSCE) 50 1,2 & 3 30 HOURS= 0, WORDS= 0
Learning Log 25 1, 2 & 3 30 HOURS= 0, WORDS= 0
Reflective Log 25 4 30 HOURS= 0, WORDS= 1500
Component 1 subtotal: 50
Component 2 subtotal: 50
Module subtotal: 100
2018/9, Trimester 2, Blended,
Occurrence: 002
Primary mode of delivery: Blended
Location of delivery: SIGHTHILL
Partner:
Member of staff responsible for delivering module: Caroline Nicholson
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
During this module, you will have a range of blended learning opportunities i.e. the VLE (Moodle), the clinical environment and face to face teaching. Throughout, you will be encouraged to attend masterclasses led by the programme team alongside clinical experts, allowing for development of field and speciality specific clinical competence. The student will be expected to immerse themselves in the clinical learning environment as well use the VLE (Moodle) to develop their competence in history taking and clinical examination, (LOs 1,2,3, and 4). Learning will be self-directed and student led supported by senior clinicians and academics.





Formative Assessment:
Formative assessment will be comprised of two elements. Students must participate and complete both elements to proceed to summative assessments.

1) Clinical learning log providing evidence of engagement with clinical learning and development of clinical competence. (LOs 1, 2, 3)
2) Single station Objective Structured Clinical Examination (OSCE). The student will receive feedback on their history taking and clinical examination skills in preparation for the summative Objective Structured Clinical Examination. (OSCE) (LOs 1, 2, 3)


Summative Assessment:
The Summative assessment is the development of a portfolio devised to reflect clinical learning and will be comprised of three elements.
1) Assessment of clinical competence – Five competencies for each system assessed by Senior Doctor (ST3 or above) (LOs 1, 2, 3,)

2) Objective Structured Clinical Examination – Five station OSCE focusing on history taking and clinical examination and interpretation of investigations. Each station must be passed to pass the OSCE (LOs 1, 2, 3,)

3) VIVA – Oral examination with module leaders and internal moderation to critically reflect on OSCE, clinical learning and future learning (LO 4)

All elements of this portfolio must be successfully completed to pass the module.


Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Face To Face Lecture 24
Independent Learning Guided independent study 336
Face To Face Tutorial 40
Total Study Hours400
Expected Total Study Hours for Module400


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Oral Structures Clinical Exam (OSCE) 50 1,2 & 3 30 HOURS= 0, WORDS= 0
Learning Log 25 1,2 & 3 30 HOURS= 0, WORDS= 0
Reflective Log 25 4 30 HOURS= 0, WORDS= 1500
Component 1 subtotal: 50
Component 2 subtotal: 50
Module subtotal: 100

Description of module content:

During this module you will review relevant anatomy and physiology specific to your field of practice and populations seen. In addition, you will review decision-making theory, consultation models and the structured approach to a systematic physical and psychological assessment across the lifespan (as appropriate). Examination of relevant common presentations using a systems based approach will include and are not limited to i.e. respiratory, cardiology, renal, gastrointestinal, neurological, and musculoskeletal, HEENT, (and mental health assessment).

Learning Outcomes for module:

Upon completion of this module you will be able to
LO1: Evaluate the relevant anatomy, physiology and pathophysiology required to develop competence in history taking and clinical examination.
LO2: Critically analyse and interpret, patient history and clinical examination findings and diagnostic information to develop differential diagnosis.
LO3: Interpret clinical findings to demonstrate critical thinking and decision making skills.
LO4: Critically reflect on the development of clinical competence and new knowledge gained through practice experience.

Indicative References and Reading List - URL:
NMS11107 Advanced Patient History taking and clinical examination