Rhedir gan School of Medical and Health Sciences

20.000 Credyd neu 10.000 Credyd ECTS

Semester 1

Trefnydd: Mrs Gillian Roberts

The module aims to develop the student advanced clinical practitioner with the knowledge and skills required to take an effective, systematic and comprehensive clinical history. The practitioner will develop a deep understanding of the consultation process and will by the end of the module understand the importance of effective communication techniques and using a systematic approach. The module is aimed at any practitioner who is working at an advanced level and needs to develop their consultation skills.

PLEASE NOTE: Due to the Covid 19 crisis, the module will be delivered on line for all students through Blackboard Ultra. Students will be required to have access to IT and up to date computer and software.

Topics may include:

• Illness behaviour and consulting behaviour
• Explanatory models and folk illness
• Asking the right questions concerning the patient’s presenting complaint i.e. the patient presenting with chest pain.
• Setting Ambience
• Building rapport
• Information gathering
• Determining the patient’s goal for consultation and achieving concordance with management plan
• Patient education/counselling
• Discussion of the management/treatment of illness
• Closing the interview
• Documentation
• Ethical and legal factors affecting clinical decision making e.g. patient’s right to information

ardderchog

Excellent understanding of the facts and principles specific to the topics covered in this module and evidence of additional evidence gained by the student. Very good understanding of professional accountability issues. This equates to a minimum mark of Grade A- in the Grading Criteria

trothwy

Basic understanding of the facts and principles specific to the topics covered in this module. Basic understanding of professional accountability issues. Students will be required to achieve a minimum of C- grade in the assignment to in order to pass the theory component of the module.

da

Very good understanding of the facts and principles specific to the topics covered in this module. Good understanding of professional accountability issues. This equates to a minimum mark of Grade B- in the Grading Criteria.

1. Use clinical judgement in the formation of management decisions in acute and chronic disease

2. Analyse the professional accountability of the practitioner when making clinical judgements

3. Explore ethical principles within the context of clinical decision making

4. Critically analyse and apply methods of communication

5. Demonstrate an integrated approach to care through presentation of concise case histories of specific patients

6. Demonstrate competence in history taking

7. Demonstrate the skills required to make effective clinical judgements

8. Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making

9. Demonstrate effective communication skills within the context of the consultation and within the practice setting

10. Develop and demonstrate skills in empathic and therapeutic communication

11. Demonstrate a thorough understanding of the wider issues of psychological and sociological aspects of health

Math	Enw	Disgrifiad	Pwysau
TRAETHAWD	Reflective Essay	Students will examine and reflect upon an aspect of taking a clinical history providing an example of anonymous patient documentation.	80.00
INDIVIDUAL BLOG	Clinical blog	Students will provide a weekly blog on issues relating to taking a clinical history and comment at least once on a colleagues posting.	20.00
ARDDANGOSIAD/YMARFER	Clinical Log	The student provides a summary of their clinical hours (60 minimum) signed by a clinical supervisor.	0.00
ASESIAD YMARFEROL CLINIGOL	Clinical Competencies	Successfully complete all clinical outcomes signed off by the clinical supervior including the final clinical assessment on three areas of history taking.	0.00

		Oriau
Lecture	Lectures & skills demonstrations 72 hours On line provision via on line units which will include On line tutorials Webinars Formative assessments Panoptos and self assessment.	72
Private study	Private study including e-learning and contribution to a clinical blog	68
Fieldwork	Clinical hours/practice 60 hours	60

• Llythrennedd - Medrusrwydd mewn darllen ac ysgrifennu drwy amrywiaeth o gyfryngau
• Defnyddio cyfrifiaduron - Medrusrwydd wrth ddefnyddio ystod o feddalwedd cyfrifiadurol
• Hunanreolaeth - Gallu gweithio mewn ffordd effeithlon, prydlon a threfnus. Gallu edrych ar ganlyniadau tasgau a digwyddiadau, a barnu lefelau o ansawdd a phwysigrwydd
• Archwilio - Gallu ymchwilio ac ystyried dewisiadau eraill
• Adalw gwybodaeth - Gallu mynd at wahanol ac amrywiol ffynonellau gwybodaeth
• Sgiliau Rhyngbersonol - Gallu gofyn cwestiynau, gwrando'n astud ar atebion a'u harchwilio
• Dadansoddi Beirniadol & Datrys Problem - Gallu dadelfennu a dadansoddi problemau neu sefyllfaoedd cymhleth. Gallu canfod atebion i broblemau drwy ddadansoddiadau ac archwilio posibiliadau
• Ymwybyddiaeth o ddiogelwch - Bod yn ymwybodol o'ch amgylchedd a hyder o ran cadw at reoliadau iechyd a diogelwch
• Cyflwyniad - Gallu cyflwyno gwybodaeth ac esboniadau yn glir i gynulleidfa. Trwy gyfryngau ysgrifenedig neu ar lafar yn glir a hyderus.
• Gwaith Tîm - Gallu cydweithio'n adeiladol ag eraill ar dasg gyffredin, ac/neu fod yn rhan o dîm gweithio o ddydd i ddydd
• Mentora - Gallu cefnogi, helpu, arwain, ysbrydoli ac/neu hyfforddi eraill
• Gofalu - Dangos consyrn am eraill; gofalu am blant, pobl ag anableddau ac/neu'r henoed
• Rheloaeth - Gallu defnyddio, cydlynu a rheoli adnoddau (dynol, ffisegol ac/neu ariannol)
• Dadl - Gallu cyflwyno, trafod a chyfiawnhau barn neu lwybr gweithredu, naill ai gydag unigolyn neu mewn grwˆp ehangach
• Hunanymwybyddiaeth & Ystyried - Bod yn ymwybodol o'ch cryfderau, gwendidau, nodau ac amcanion eich hun. Gallu adolygu ,cloriannu a myfyrio'n rheolaidd ar eich perfformiad eich hun ac eraill.
• Arweinyddiaeth - Gallu arwain a rheoli, datblygu cynlluniau gweithredu ac amcanion, cynnig arweiniad a chyfarwyddyd i eraill, ac ymdopi â'r pwysau sy'n gysylltiedig ag awdurdod o'r fath

Goblygiadau o ran adnoddau ar gyfer myfyrwyr

Students are advised to buy Macleods clinical examination book as a core read across the ACP programme.

Rhestrau Darllen Bangor (Talis)

http://readinglists.bangor.ac.uk/modules/nhs-4227.html

Rhestr ddarllen

Innes, A. Dover, A. Fairhurst, K. Macleod's Clinical Examination, 14e (2019) Elsivier

Hopcroft, K. Forte, V. (2014) Symptom Sorter, Fifth Edition. Radcliff Publishing

Japp, A. Macleod's Clinical Diagnosis. Elsivier

Llewelyn, H. Hock, A, Ceir, L. (2014).Oxford Handbook of Clinical Diagnosis.Oxford Medical .

Munson, E. Wilson, A.(2007). Applying the Calgary-Cambridge model. Practice Nursing: Vol 9.

Moulton, L (2016)The Naked Consultation: A Practical Guide to Primary Care Consultation Skills, Second Edition

Silverman, J. Kurtz. (2013) Skills for Communicating with Patients, 3rd Edition