الممارسة السريرية العامة المتكاملة

The course will continue using the same model of weekly themes. For 12 weeks, a weekly announced theme that encompass several clinical situations will be opened to all students as online learning content that is defined by a week ILOs and a week syllabus (topic list). Students are expected to go through the online content on their own and approach staff responsible for the week if they encountered any difficulty. Students learning activities is managed through two types of activities: Centrally Defined Teaching and Learning Activities and Clinical Placements activities. Evidence of acquisition of skills should be collected by the student in a logbook.
A- Centrally Defined Teaching and Learning Activities
These will be delivered through a day and half of college-based activities every week, during which several structured sessions with predetermined content are provided.
1- Two 2-hours-sessions that link to the online content and weekly theme; the CBCL session during which the students in a team-based learning environment will be guided through a clinical reasoning discussion of a new case by an expert; and PCC session during which variable topics that relate to patient centeredness of clinical practice will be delivered either as a large interactive workshop or small groups activities.
2- Skill lab session for 2 hours and lead by a staff member in small groups with content that is predetermined to cover essential skills as listed in the skill list of the course.
3- Clinical debrief tutorial for 3 hours weekly and led by an experienced clinician. During this session students will bring the experiences gained from the field and discuss among themselves and with their tutor. Several activities are done with the aims to support clinical reasoning abilities of the students and to recognize and complete knowledge gaps.
B- Clinical Placements
Students will rotate through three clinical placements (two in medical environment and one in surgical environment). This course will work to immerse students more into broader range of general medical environments, some with more complex patient case mixes and team structures as much as feasible. Students will continue as previous course to be part of the clinical team and in order to integrate more fully into these, students will be required to spend the majority of their time on the wards clerking patients independently, supported by the junior medical staff. They will be required to present case histories on a business or teaching ward round at least once a week. Predetermined minimum standards are required to pass the placement successfully that will include predetermined attendance and activities in the field. During the course and mainly during the time spent in the field, students will be required to formulate appropriate differential diagnoses, develop their knowledge, application and use of investigations, understand the principles of a holistic approach to patient management and learn how to work within a multi-disciplinary team. Having become competent in clerking, students will be expected to develop clinical reasoning skills within the clinical environment. During the clinical placement, students will receive a staff led clinical teaching that includes:
1- Clerking skills teaching a weekly 2 hours session.
2- Clinical skills teaching a weekly 2 hours session.
3- Hospital supervision a weekly 2 hours session
4- Clinical attachment a weekly
C- Evidence of clinical skills acquisition (the Logbook)
Predetermined minimum requirement should be collected in every placement in a student logbook using certain forms. These requirements are distributed between the different skills that student should practice and provide evidence of going through them.