Placement Information

Please find further detail on practice induction, core requirements, course overview and learning outcomes for the placements.

    Practice Induction

    Induction Checklist for GP placements

    Welcome to the surgery

    • Tour of the facilities at the practice
    • Advise student of the named clinical and administrative lead and the contact details of the person they should contact in the case of illness or lateness
    • Introduction to staff members. Consider providing a written list of staff and their role within the practice.
    • Familiarisation with the physical setting - Availability of local shops for food/drinks
    • Reminder of professional responsibilities including dress code, conduct, punctuality, name badge.
    • Ensure that students are informed of any car parking restrictions.

    Safety whilst on GP placement

    • Named GP and administrative lead contact details with whom the student should raise concerns whilst on placement – these may include patient safety, student safety, student wellbeing, staff safety, harassment, undermining or bullying.
    • The University raising concerns ALERT form link is now on the students e-portfolio to enable students and staff raise concerns directly with university.
    • Advice to be given to students to include safety advice regarding the local area, Home visit safety (students not to attend home visits with GP supervision), panic alarm system.
    • Ensure students have read “staying safe” section in GP student handbook.
    • Location of safe place to leave coats, bags, bicycles etc, signposting to policies as below
    • Health and Safety guidance and policies to include:
      • Panic alarm system
      • Infection Control
      • Raising concerns/whistleblowing/harassment/undermining/bullying policy
      • Confidentiality
      • Fire safety
      • Safeguarding
      • Chaperone policy
      • Complaints policy
      • Information adn data handling
      • Needle-stick/accident policy.
      • Please note - If a needle stick injury occurs, please manage as per local protocol and inform us via email: mbchb@liverpool.ac.uk.

    Timetabling and meeting with GP tutor

    • A timetable for the placement including expected times to arrive/ leave
    • Induction to computer systems and record keeping IT, data management and information governance, including access to and basic training on the practice patient record system.
    • Reminder about student obligations for confidentiality and consent for patients (Duties of a Doctor) including anonymising case histories.
    • Initial meeting within the first week (ideally on the first or second day) with the GP tutor to discuss learning outcomes and aims for the placement. This should include timetabling, tutorials, arrangement for feedback to and from students, e-portfolio requirements, student wellbeing and raising concerns.
    Year 2 Course Overview

    The information contained in this section related to pre-Covid Placements and supervision. For up to date information on changes to placement structure and Eportfolio requirements as a result of the Covid 19 pandemic please see the separate section titled 'Changes due to Covid 19'

    In 2019-20 academic year a pilot placement scheme was developed for one hundred of our Year 2 students to experience clinical placement in General Practice. This pilot ran for four out of a possible six Clinical Week blocks and provided Student Doctors with clinical experience in Primary Care in addition to their hospital based placements.  In the 2020 academic year we are planning to role this program out to 2/3rds of the Year for all six of the clinical weeks and the full year in 2021. Students are placed in pairs and attend for one clinical week in practice and the Clinical Weeks correspond to the Year 3 Academic Weeks making it possible for practices with Year 3 students to also host Year 2 student doctors if they wish.


    Further information on these placements will be provided in the coming months on this page.

    Year 3 and Year 4 Course Overview

    The information contained in this section related to pre-Covid Placements and supervision. For up to date information on changes to placement structure and Eportfolio requirements as a result of the Covid 19 pandemic please see the separate section titled 'Changes due to Covid 19'

    • Students attend the practice for 7 sessions a week for 4 weeks in Year 3 and 4.
    • They are released from the practice on the same day each week to attend CCT teaching.
    • The remaining half day away from practice is for the student’s personal learning and can be scheduled by the practice.
    • Students may ask for this to be Wednesday afternoon in-line with other university activities, but this is up to the practice to decide.
    • Students attend GP placement singly. If practices choose to have more than one student, the requirements given are for each student.
    Year 3 and Year 4 Course Requirements

    The information contained in this section related to pre-Covid Placements and supervision. For up to date information on changes to placement structure and Eportfolio requirements as a result of the Covid 19 pandemic please see the separate section titled 'Changes due to Covid 19'

    Consulting independently

    • 3-4 sessions should be spent consulting independently with patients, leading the consultation, either in their own room or under observation from the GP tutor.
    • Students should lead the consultation with a minimum of 12 patients per week on average over the placement, therefore seeing almost 50 patients over a 4 week block.

    Surgery observations

    • 2-3 sessions sitting inand observing a GP surgery with the opportunity to become involved in clinical examinations and engage in case discussion as appropriate.

    Experience of the primary health care team

    • 1 session with another health care professional – including Practice Nurses, GP trainees, Health Care Assistants, District Nurses, Community Midwife, Health Visitor, Community Physiotherapist or others as appropriate.

    Educational Supervision

    • The GP tutor will act as the student’s Educational Supervisor for their GP placement.
    • Please visit the Educational Supervisor page for more details.


    Year 3 & 4 Mandatory Student Experiences

    There is no longer a requirement for a formal weekly tutorial with the student. This has been replaced by mandatory experiences that the student MUST receive during the placement. These should be achievable within the 4 weeks of the placement as they are commonplace aspects of a practice’s daily and weekly activity.

    For further details on these mandatory experiences please see the Year 3 GP Handbook 2020-21 or Year 4 GP Handbook 2020-21. Please be aware the experiences are different for each year group.

    Each should be followed by a debrief or discussion with a GP. The discussion should help a student to reflect on the experience and direct their future learning. Their reflection will be documented in their eportfolio.


    Home Visit Policy

    Home visits are a fundamental part of General Practice. They provide excellent learning opportunities for students to see how medical problems can affect the functionality and quality of life of a patient.

    Incidents of violence or aggression are rare in the community.  However, visiting patients in their own homes as a lone student exposes them to the potential risk of injury due to a violent patient or relative/pet, or of injury whilst travelling in the community. Therefore we request that students do not attend home visits on their own and are supervised by a GP tutor when attending a home visit.

    Please consider whether the visit is suitable for a medical student. A number of factors increase the risk of home visits, including type of accommodation, locality, history of alcohol misuse, drug misuse or violence. Before every visit, the GP tutor/supervisor should ascertain the level of risk the medical student would be exposed to during the visit when deciding if the visit is appropriate for the student. The risk could be physical or psychological. High risk visits are not suitable for medical students.

    Home Visits during COVID-19 Pandemic

    Home visits will NOT be appropriate for students initially. The group of patients requiring visits are generally at greater risk from COVID-19 and therefore should not be exposed to increased risk of transmission of COVID-19 from students. As time goes on and the risk level changes this may be possible to change. We will issue guidance if this is the case.

    Year 5 SAMP Course Overview

    The information contained in this section related to pre-Covid Placements and supervision. For up to date information on changes to placement structure and Eportfolio requirements as a result of the Covid 19 pandemic please see the separate section titled 'Changes due to Covid 19'

    The Year 5 Community SAMP (Selective Advanced Medical Practice) is an optional placement in General Practice, Medical Education and University Based discussion groups. This offers students the opportunity to fully understand the role of a GP. They will also participate in teaching and discussion groups focussing on topical General Practice issues and have the opportunity to gain understanding of Medical Education principles and practice.

    Students in the Community SAMP:

    • Attend the practice for 6 sessions a week for 8 weeks.
    • Are released from the practice on a Thursday each week to attend University based Community SAMP group sessions.
    • Spend half a day per week in medical education. This will take the form of attendance at CCT teaching sessions every other week.
    • The remaining half day is for the student’s personal learning and preparation for medical education sessions. This time should also be used to prepare their SAMP project and their Patient Journey project.
    Year 5 SAMP Course Requirements

    The information contained in this section related to pre-Covid Placements and supervision. For up to date information on changes to placement structure and Eportfolio requirements as a result of the Covid 19 pandemic please see the separate section titled 'Changes due to Covid 19'

    Consulting independently

    • The majority of sessions should be spent consulting independently with patients, leading the consultation, either in their own room or under observation/supervision from the GP tutor.
    • Students are required to document a number of cases, adverse events and prepare a SAMP report and Patient Journey Project.
    • For further information on the above requirements please see the Year 5 GP Handbook .

    Surgery observations

    Sitting in and observing a GP surgery with the opportunity to become involved in clinical examinations and engage in case discussion as appropriate.

    Experience of the primary health care team

    • 1 session with another health care professionalincluding Practice Nurses, GP trainees, Health Care Assistants, District Nurses, Community Midwife, Health Visitor, Community Physiotherapist or others as appropriate.

    Home Visit Policy

    Home visits are a fundamental part of General Practice. They provide excellent learning opportunities for students to see how medical problems can affect the functionality and quality of life of a patient.

    Incidents of violence or aggression are rare in the community.  However, visiting patients in their own homes as a lone student exposes them to the potential risk of injury due to a violent patient or relative/pet, or of injury whilst travelling in the community. Therefore we request that students do not attend home visits on their own and are supervised by a GP tutor when attending a home visit.

    Please consider whether the visit is suitable for a medical student. A number of factors increase the risk of home visits, including type of accommodation, locality, history of alcohol misuse, drug misuse or violence. Before every visit, the GP tutor/supervisor should ascertain the level of risk the medical student would be exposed to during the visit when deciding if the visit is appropriate for the student. The risk could be physical or psychological. High risk visits are not suitable for medical students.

     

    Learning Outcomes

    The GP Curriculum Learning Outcomes are over-arching and are to be achieved fully during the clinical years.  They will be attained both through experiences in Community Placements and during CCT sessions.

    The attached documents details the current Year 3, 4 and Year 5 SAMP learning outcomes. The information contained is only for use with Univeristy of Liverpool, School of Medicine Students and must not be shared outside of this purpose.

     

    Student Absence Reporting

    We would ask that tutors report all student absences from their placements to the GP and Disability Placement Attendance MBChB Programme via email: csuabsence.mbchb@liverpool.ac.uk.

    Information to include when reporting an absence:

    • Name of Student
    • Date of Absence
    • Duration of Absence
    • Reason for Absence (if known)
    • Year of Study
    • Reporter of Absence
    • Position
    • Practice Name