What is Year 4 GP?
Y4 GP has a long history as the traditional ‘core’ GP module within the QUB curriculum. It remains the longest continuous block of time medical students spend in a GP setting throughout their medical course at QUB. The main purpose of the Y4 GP attachment remains enabling students to develop clinical skills, attitudes and behaviours fundamental to the competent and compassionate delivery of clinical care in General Practice. It builds on students’ earlier experiences and sets them up for the further time they will spend in GP across Y5. Students consistently rate this course highly and value the unique learning opportunities; in many cases it has also been a stimulus for students deciding to pursue a GP career.
What will it involve for me as a tutor?
The Y4 module runs 6 times per year, with each tutor hosting one or two students in their practice for a 3 week clinical attachment, which the students commence after a week of QUB facilitated core GP teaching activities. Fridays of weeks 1 and 3, and some further Wednesday PM sessions are also QUB delivered; so students have a maximum of 13 days attached to your practice. We recognise that opportunities and challenges vary across individual practice settings. During the 13 days we ask that each Y4 GP tutor supports their student(s) to experience and participate in as much GP work as possible.
A key aspect is learning about different members of the MDT; students are encouraged to spend some sessions alongside, for example, your practice based pharmacist, treatment room and administrative teams. Beyond that what students benefit from most is learning from observation and participation in clinical encounters. Towards the start of the attachments, students might observe GPs consulting, progressing to more independent ‘hotseating’ where the student might take the lead in elements of the consultation. We ask that you formally observe and feedback on two such encounters as ‘mini-CEX’ workplace based assessments (WBPAs). Students are also asked to share a 10 minute teaching presentation during their attachment time. There is comprehensive detail about these WBPAs within both the tutor guide and the students’ Elogbooks which are their responsibility for completing.
Students are well supported throughout their GP attachment by a range of online and self-directed learning activities; there is absolutely no expectation or requirement for any formal ‘teaching sessions’ while they are in practice. It is clinical experiences that students value and learn most from.
Recent tutor feedback
We're used to adapting to challenges. It was actually a real lift for the team to have students back. Everyone from the cleaner to the receptionists love to see and chat to them. And patients love it too. They love having a part to play in the development of a new generation of doctors.
We would like to advise you about a new exciting opportunity that is open to all GP Tutors for the new academic year.
What is CCTV?
CCTV has been a fantastic experience for our medical students to date. Active patient involvement allows students to develop and enhance effective consulting skills, interviewing skills and clinical reasoning skills. This rich learning opportunity allows students to appreciate and understand the principles of chronic disease management in the community setting. The student also gets to consider how the patient should be managed e.g. health promotion, investigations and the writing of prescriptions.
Scope of CCTV
Before the Covid pandemic began, students were allocated in groups of 2-3 to General Practitioners in the Greater Belfast Area. Due to advances and opportunities in technology, this has now been extended to include all GP Tutors across NI.
How will CCTV work this year?
Delivery of CCTV teaching can be done via the online platform Zoom or AccuRx.
SUMDE will support the purchase of a zoom licence, webcam and headset for any new tutors to be able to facilitate the session.
What does a CCTV Session look like?
Timing: Week 1 of Year 4 GP Attachment - Friday afternoon
Number of students for the session: 2-3 students
Patient Selection: Patients are informed ahead of time that they will be consulting with a student via a webcam. The patients can have a wide range of presenting complaints/symptoms. You know which patients will be appropriate for medical teaching.
New virtual CCTV consultations: CCTV GP Tutor introduces the patient to the student. The student proceeds with the virtual consultation. The student generally has 15 minutes to take a relevant history. CCTV GP tutor concludes the consultation with the patient and the student.
Suggested Mock Timetable:
2:00pm Introduction with your students and general housekeeping
2:30pm Student 1 and Patient 1 Consultation
2:50pm Student 2 and Patient 2 Consultation
3:10pm Student 3 and Patient 3 Consultation or you can allow a 2nd consultation with each student
3:30-4pm Discussion, Reflection and Feedback
The dates for CCTV over the next academic year will be carried out on;
· Friday 3rd September 2021
· Friday 15th October 2021
· Friday 26th November 2021
· Friday 21st January 2022
· Friday 4th March 2022
· Friday 29th April 2022
We would be delighted if you would like to be involved in one session or all of them.
We valued the feedback from CCTV tutors in 20-21. The link to the tutor feedback form is at the link below