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WE FOUND THE ELEPHANT IN OUR MIDST!

EVALUATING PRACTICAL SKILLS TEACHING IN THE C21 CURRICULUM


Williams S.E , Hellier T , Milsom A , Cann C , Kinnersley P and the Clinical Skills and Simulation Team (ClinicalSkillsCentre@Cardiff.ac.uk) Clinical Skills and Simulation Centre, 3rd & 4th Floor Cochrane Building, Heath Park Campus, School of Medicine, Cardiff University, CF14 4YU

Background and Purpose


Practical procedure teaching is an important part of the new Cardiff University Medical School curriculum. Students are introduced to the clinical areas earlier in their course, and as a consequence, must be prepared in a range of clinical skills. The skills undertaken in Phase 1a of the new curriculum are listed within the General Medical Council guidance document Tomorrows Doctors (GMC, 2009)1. This stipulates that the undergraduate medical student is required to reach a satisfactory level of competency prior to graduation in a total of 32 procedural skills. The clinical skills and simulation team are committed to high quality, evidence based teaching that is reported by our students to be fun! We agree with others2, and present our evidence that (1) Encouraging Learning, (2) Entertaining People, and (3) Having a Nice Time are powerful adjuncts to medical education. These are, by acronym, the ELEPHANT criteria.

Methods
Ten practical skills were taught in the Clinical Skills and Simulation Centre to 298 Year 1 students. These were; Basic Life Support and the use of AEDs, hand hygiene and personal protective equipment, infection control, clinical waste management, vital signs, monitoring blood glucose and using NEWS charts, wound assessment, aseptic technique and dressing a simple wound. Tutors were multi-disciplinary, and two sessions (Basic Life Support and Vital Signs) were delivered in conjunction with the School of Pharmacy. In these sessions, students from each school learned together, bringing Interprofessional Education into our clinical skills programme for the first time. Peer Assisted Learning (PAL) tutors (senior medical students), also assisted in the teaching.

Results
Seven questions regarding learning needs, session pace, organisation, e-Learning, feedback, staff approachability and Interprofessional Education (IPE) produced overwhelmingly positive ratings in the evaluation. Free text comments provided supporting evidence to the quantitative data. Many of the free text comments noted the fun in teaching.

Clinical skills is always the highlight of the week!


Year 1 medical student

E - Encouraging L - Learning E - Entertaining P - People H - Having A-A N - Nice T - Time

The sessions themselves are really fun!


Year 1 medical student

I feel I have been learning a lot of useful techniques


Year 1 medical student

Discussion
The word fun may be difficult to define, but we suggest it may be used to describe challenges, new information gathering, and variety in our teaching. Using encouragement and being approachable helps find the point at which we can challenge students, whilst being ever mindful that ability and challenge must be perfectly balanced in order to avoid frustration3.

Take Home Message


By paying heed to the ELEPHANT criteria, we encourage and promote optimism and self-esteem in our students

References
1.General Medical Council. (2009). Tomorrows Doctors. London: GMC. 2. Gifford, H. & Varatharaj, A. (2010). The ELEPHANT criteria in medical education: Can medical education be fun? Medical Education. 32: 195197. 3. Bell.H. (2007). Encouragement: Giving Heart to Our Learners in a Competency-based Education Model. Family Medicine. 39(1):13-15.

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