Innovation in clinical attachments

Smith, David, Hill, Faith, Timm, Anja, Shewry, Liz and Saunders, Joy (2008) Innovation in clinical attachments. AMEE. 31 Aug - 01 Sep 2008.

Abstract

Background: Medicine in Practice 3 (MiP3) represents a curriculum innovation at the beginning of the final year of the medical
undergraduate programme at Southampton. It consists of 3x2 week blocks in acute care, general practice and medicine and prepares
students specifically for critical care and some shorter rotations. It focuses on history and examination skills, perioperative care and
practical procedures and specifically addresses the needs of the very sick patients. Other aspects include handover, shift work and
preparation for clinical assessment and the completion of portfolios.
Summary of work: MiP3 ran for the first time in 2007 and was evaluated in terms of its feasibility and longer-term success using both
quantitative and qualitative methods.
Summary of results/Conclusions: Questionnaire data indicated high satisfaction ratings among students. Students’ own explanations
of what worked (and why) – collected through focus groups – showed how MiP3 could be improved and developed further. Placement
coordinators and clinicians attended a review day and were surveyed (with some follow-up interviews to follow). Full analysis and
results will be available at the conference.
Take-home messages: How to successfully introduce a new clinical attachment involving acute care, general medicine and general
practice. How to evaluate curricular innovations

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