Year 5 medicine placements supervisor information

Medicine placements

In year five the focus for students is now on preparation for practice.

The students are preparing to become foundation year doctors. Experience in general practice will enable them to become more autonomous and confident in assessing and managing patients. 

What is the structure of year five?

The structure of clinical learning in year five follows a standard pattern. The students are spilt into three groups – A, B & C and each group rotates through 3 blocks:

  1. Community care
  2. Secondary care
  3. Mental health and choice block 

What are the aims of the year five GP placement?

Building on their experiences in general practice gained in Years one to three. The students are expected to develop their skills across the broad range of primary care presentations.

The primary focus should be on seeing patients in a student surgery, with patients booked in directly with the student. Due to the new ways in working in primary care, we understand that this may initially take the format of a supervised telephone or video consultation.

The student is expected to undertake:

  • history-taking
  • examination (where appropriate)
  • formulate differential diagnoses and a management plan. Then present this to their supervisor, who would then review the patient themselves.

We also encourage the students to document their findings.

What are the core capabilities and learning outcomes expected?

The year five programme is structured around 20 core capabilities and a series of learning outcomes. All are based closely on the foundation year one programme. This is to enable students to transition smoothly into postgraduate learning after graduation.

Students will have already spent considerable time in General Practice settings in Years 1-3. They should be familiar and comfortable with the concepts of comprehensive primary care and ways of working. By the end of year five, it is expected that they should be able to meet all of the core capabilities and learning outcomes below:

Core capabilities

Has worked effectively to establish him or herself in clinical practice in his or her role at the level of a final year medical student including:

  • Recognises, assesses and initiates management of the acutely ill patient
  • Recognises, assesses and manages patients with long term conditions
  • Obtains history, performs clinical examination, formulates differential diagnosis and management plan
  • Requests relevant investigations and acts upon results
  • Prescribes safely
  • Demonstrates understanding of the principles of health promotion and illness prevention
  • Manages palliative and end of life care

Learning outcomes

  • Recognise red flag symptoms for the community block Core Clinical Presentations and describe appropriate actions which should be taken
  • Describe the circumstances when home visits may be appropriate and appreciates the challenges that may be inherent in assessing a patient in a non-clinical setting and how these may be addressed
  • Describe the role of the primary healthcare team in a community setting and how this functions effectively to maximise patient care

Year five FAQs

Suggestions of timetables

Whilst we recognise that no two GP practices are the same, it can sometimes be helpful to have a starting point on which to base your student’s timetable. Please see the timetables below for some inspiration. 

Medicine placement FAQs