Palliative Care in New Curriculum: Year 5(280 students: includes CGC + MB/PhD)

The Palliative Care teaching team plan to continue with the current approach of a spiral theme than runs throughout the course, linked in with other specialties.Clinical teaching will be in Regional Hubs indicated thus***.

RTCs:GP longitudinal chronic disease / dementia case

GP meet bereaved patient

Cambridge:One half day seminar with whole year in R&I week

Four seminars during threeR&I weeks

Two half-day seminars in cancer specialist surgery blocks

PC7(5). Bereavement symposium

Morbidity and mortality of bereavement. Models of grief

Caring for the bereaved in practice. Self-care.

Cambridge: whole year symposium August R&I week E.

PC8(5). Meet a bereaved patient ***

GP tutor arrange to meet bereaved patient

Present to GP tutor and discuss

GP Psychiatry / Neurologyfortnights.

PC9(5). Public Health and Palliative Care.

Inequalities in place of death across local CCG

Preferences for place of death and missing data

Services developed to address the issues

Cambridge: half day in Jan R&I week G.

PC10(5). Living with uncertainty in non-cancer long-term illness *** Case 2.

Longitudinal visits in 4 GP placements: dementia / chronic disease.

Formative assessment of reflective write-up by GP Tutor.

Optional submission of reflective essay forDorothy Knott prizes.

GP placements during whole year.

PC11(5). Year 5 Seminar 1: Paediatric & Adolescent Palliative Care.

Illnesses encountered: neonates, children, adolescents

Symptom management. Chronic life-limiting disease management

Cambridge:Rotations Oct / Jan / Mar R&I weeks F / G / H.

PC12(5). Year 5 Seminar 2: Confusion and Affective States in Palliative Care.

Confusion and delirium.

Anxiety / depression / appropriate sadness.

Cambridge: Rotations Oct / Jan / Mar R&I weeksF / G / H.

PC13(5). Year 5 Seminar 3: Care after death (1).

Conversations with relatives shortly after a death

Visit hospital mortuary. Religious and cultural issues.

Funeral Director interview

Cambridge: Rotations Oct / Jan / Mar R&I weeksF / G / H.

PC14(5). Year 5 Seminar 4: Care after death (2).

Death and cremation certificates.

Coroner’s Officer contributes to seminar

Cambridge: Rotations Oct / Jan / Mar R&I weeksF / G / H.

PC15(5). Year 5 Seminar 5: Symptom management (1): GI symptoms

Management of nausea, vomiting, constipation, bowel obstruction

Cambridge: half day in cancer fortnight.

PC16(5). Year 5 Seminar 6: Symptom management (2): Pain and emergencies

Management of pain: interactive case vignettes.

Common emergencies in palliative care: interactive vignettes

Cambridge: half day in Specialist Surgery 4 weeks.

PC17(5). Student Selected Placements in Specialist Medicine

Opportunities for 4 weeks in clinical Palliative Medicine services in hospitals and hospices across the region and in Cambridge

PC18(5). Religious and cultural issues

Joint session with Professional Practice team.

Cultural and religious issues in healthcare

Cambridge: half day in October R&I week F.

Seminar rotation between Professional Practice and Palliative CareR&I weeks Oct, Jan, March.

R&I week Oct / R&I week Jan / R&I week Mar
Group / Tues / Weds / Thurs / Tues / Weds / Thurs / Tues / Weds / Thurs
A / CAD 1 / CAD 2 / Psych / Extreme / SDL / Pr D / Pr C / Pr B / Pr A
B / Extreme / CAD 1 / CAD 2 / Psych / SDL / Pr A / Pr D / Pr C / Pr B
C / Psych / Extreme / CAD 1 / CAD 2 / SDL / Pr B / Pr A / Pr D / Pr C
D / SDL / Psych / Extreme / CAD 1 / CAD 2 / Pr C / Pr B / Pr A / Pr D
E / Pr A / Pr D / Pr C / Pr B / CAD 1 / CAD 2 / Psych / Extreme / SDL
F / Pr B / Pr A / Pr D / Pr C / Extreme / CAD 1 / CAD 2 / Psych / SDL
G / Pr C / Pr B / Pr A / Pr D / SDL / Extreme / CAD 1 / CAD 2 / Psych
H / Pr D / Pr C / Pr B / Pr A / SDL / Psych / Extreme / CAD 1 / CAD 2

Palliative Care 4 x afternoons

Professionalism 4 x afternoons

Stephen Barclay July 2017