|Module Name:||Clinical Assessment in Primary Care|
Assessment Specification: You will submit a 3,000 word essay in which you provide an evidence based and critical account of your in-class Observed Structured Clinical Examination (OSCE) performance.
Additional Information: As part of this module, you are required to take part in an in-class single station OSCE. The timing of the OSCE will take place on the date and at the time specified by the module leader. Attendance at the OSCE is mandatory. Please ensure that you arrive 30 minutes before your scheduled time. If you are more than 5 minutes late, entry will not be allowed. Non-negotiated non-attendance will result in an automatic fail in your summative assessment.
In the OSCE you will be presented with a patient specific scenario (relating to either the cardiovascular system, the respiratory system, the gastrointestinal system or urinary system). You will be given five minutes to familiarise yourself with the scenario and take notes if necessary. You will then be introduced to your patient and tested on the following skills:
- Communication and consultation (for example, your ability to develop a rapport with the patient and explore and respond to their agenda, health beliefs and preferences etc.).
- History taking (for example, your ability to take a history of the presenting problem, a medical and surgical history and family history etc.)
- Clinical examination and data interpretation (for example, your ability to undertake a systematic clinical examination and accurately interpret physical signs etc.)
- Diagnosis (for example, your ability to generate an adequate differential diagnosis based on the information available)
During the examination the examiner will provide you with the patient’s vital signs (blood pressure pulse, respirations, temperature, and oxygen saturation levels). Clinical equipment will be provided; however, you can use your own stethoscope if you prefer. The duration of your patient consultation will be 30 minutes.
Depending on the availability of camera recording systems, your OSCE may be videoed. A service user representation may be asked to view a selection of the video recordings and provide anonymised feedback on the interpersonal skills observed.
Whilst participation in the OSCE is mandatory, your performance is not graded. Instead, you will be given formative written feedback by the examiner. This feedback will be released on Moodle within five working days. The only occasion you will receive verbal feedback during/immediately following the OSCE is in the event that any unsafe practice is observed by the examiner.
You will probably begin to reflect on your performance the moment the OSCE is over, if not before. You are therefore encouraged to make some reflective notes as soon as possible. However, do not come to any fixed conclusions about your performance until you have received your examiners feedback. If a video recording of your OSCE has been made available, please consider adding to your reflective notes whilst watching your performance on film.
The summative assessment is a written assignment. You are required to write a 3,000 word essay (excluding appendices and references) in which you provide an evidence based and critical account of your OSCE performance. This should include details of (1) why you did what you did (2) how you did what you did and (3) what aspects of your performance should be improved upon. We recommend you draw on your examiner’s feedback and your reflective notes. Please include your examiner’s feedback as an appendix.
As this is a reflective piece of writing, use of the first person is acceptable. However, don’t fall into the trap of writing a chatty account of what happened. This is easy to do because you are writing a personal account and it is very easy to write about it informally. Make sure you avoid this and keep your writing academic and formal.
Pass Mark: THE PASS MARK FOR THIS ASSESSMENT IS 60%
Assessment Criteria: Please find the assessment criteria below. They are descriptions based on the module’s learning outcomes, of the skills, knowledge or attributes you need to demonstrate in order to complete an assessment successfully. Your feedback will be based on them. The assessment criteria have a proportion of marks allocated to them, which reflects the amount of effort that should be apportioned to each section. Your summative assessment will be marked anonymously but the linked formative assessment will not.
|In this piece of work you will be expected to:||Proportion of marks|
|Present the essay in a clear way, with the structure of the essay following a logical and coherent order. You will have:
· Structured and developed your essay in a logical manner including an introduction and summary or conclusion
· Used one font consistently throughout the essay
· Included your examiner’s feedback as an appendix
|Use correct citation practice throughout the essay. Present an accurate and completed reference list. You will have:
· Used the Harvard system correctly throughout the essay
· Accurately presented a completed reference list at the end of the essay
|Critically appraise your communication and consultation skills and provide in-depth and evidence based suggestions for how you will develop your practice at an advanced level and in a dynamic environment||10%|
|Demonstrate an overall appreciation of the evidence underpinning your subjective assessment of the patient and provide in-depth evidence based suggestions for how you will develop your practice at an advanced level and in a dynamic environment||25%|
|Demonstrated an overall appreciation of the evidence underpinning your objective assessment of the patient and provide in-depth evidence based suggestions for how you will develop your practice at an advanced level and in a dynamic environment||25%|
|Critically appraise three differential diagnoses||15%|
|Develop an evidenced based management plan for the patient, taking into account your own and others’ roles and responsibilities for carrying out and evaluating activities.
Please also consult the Grade Related Criteria for descriptions of the level of skills, knowledge or attributes you need to demonstrate to achieve a certain grade or mark in an assessment.
|Common Grade Related Criteria
|Distinction||85-100||Outstanding||Work that demonstrates a comprehensive knowledge of the subject area and addresses the learning outcomes/assessment criteria in full. Where relevant, it will show evidence of independent reading, thinking and analysis and strong critical ability. It will be well-constructed and demonstrate a professional approach to academic practice. It will be of a professional standard.|
|75-79||Very good||Work that demonstrates strong knowledge of the subject area and addresses the learning outcomes/assessment criteria well. Where relevant, it will show evidence of wide and comprehensive reading and critical ability. It will be clearly written and adhere to the principles of good academic practice.|
|Merit||67-69||Good||Work that demonstrates a sound level of knowledge of the subject area and makes a good attempt to address the learning outcomes/assessment criteria, realising all to some extent and some well. There will be evidence of thorough research of the topic(s) but some answers may not be complete or arguments sufficiently explored. It will be well-structured and logically written and will demonstrate good academic practice. Some critical ability will be evident.|
|Pass||57-59||Satisfactory||Work that demonstrates knowledge of the subject area and provides some level of response to the learning outcomes/assessment criteria but only realises these outcomes and criteria to some extent and may not include important elements or information that is fully accurate. Where relevant, development of ideas is limited but attempts will be made to analyse materials critically. Expression and structure may lack clarity and evidence of academic practice will be limited.|
|Fail||47-49||Poor||Unsatisfactory work that demonstrates very limited knowledge of the subject area and which does not succeed in grasping the key issues. Learning outcomes/assessment criteria will not be realised. There will be no real development of ideas and critical analysis will be very limited. Presentation is confused or lacks coherence.|
|40-43||Very poor||Work that demonstrates no real knowledge of the subject area and which demonstrates a totally inadequate attempt to address the learning outcomes/assessment criteria. No critical ability will be displayed.|
CM & SH
Version 1.0 (15/07/2016)
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