Year 5 medicine placements supervisor information

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

Students will be given your name and practice in induction week. We encourage students to make contact with you. However students also appreciate GP practices making contact with students with reporting details and any preparatory material. For example practice student handbook, prior to the start of the placement.

The student should be made aware of their supervisor for each session. They should be supervised by an appropriately experienced clinician. The supervisor for a particular session might be different to their overall named supervisor.

Meeting Forms

Three formal meetings are required in the six week GP placement with the student’s named supervisor. These are the induction meeting, end of placement meeting, and a midpoint review.

The initial meeting should include:

  • any induction required
  • introduction to relevant staff
  • discussion of the timetable
  • a plan for the sessions and any specific agreed learning objectives

The end of placement meeting includes completion of the end of placement form. Wherever possible, feedback should be sought prior to the end of placement meeting from the wider Primary Care Team regarding the student’s performance. The midpoint review is a chance for students to identify any areas that they do not feel they have yet had adequate experience. Or feel that they may be weak in, and work with their supervisor to agree a plan for the final weeks.

All forms are completed as an e-form within the student’s E-portfolio - “My Progress”. The student will either bring a tablet PC to the meetings and will access the forms on that, or via any desktop PC. Forms are always accessed via the student’s account – supervisors do not need their own direct access to My Progress.

Students must undertake:

  • four Mini Clinical Evaluation Exercises (Mini-CEX)
  • 4 Case-Based Discussions (CBDs)
  • 9 DOPS

In total across the 3 blocks of the year. It is advised that one CBD and mini-CEX be in GP and therefore it is helpful if these assessments can be facilitated.

A Workplace-Based Skills Facilitator, Stephen Mahon, is available to assist students with this process. And to identify and train assessors in the clinical areas. Facilitators will also monitor students’ progression against their WBA requirements. They may liaise with you as a GP Supervisor if there are any concerns. This might enable some particular sessions to be run in the General Practice setting that addresses particular learning needs.

As a GP Supervisor, it is not a requirement to formally assess DOPs. Out of the DOPS in year five, it is likely that only phlebotomy could be reasonably achieved in GP. However, we know that many like to do so.

Students undertake a range of other assessments with the university, which include:

  • clinical logs
  • prescribing logs
  • SSC and elective reports
  • reflective reports
  • Multi-source feedback
  • OSCE examinations
  • portfolio review
  • exit reviews

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

If a student is unable to attend, they are expected to:

  • Email their phase one or two officer
  • Email the Medicine Placements team
  • Telephone the practice before the start time of their scheduled activities

If your student doesn't turn up and and you have not been informed of their absence inform the Medicine Placements team as soon as possible so we can make sure that they are safe.

If you have concerns about a student’s attendance, please issue a Professionalism Development Opportunity via completion of an Event Form. The Event Form system has options for Wellbeing and Safety, and Professionalism Lapses.

Choose whichever one you feel is most appropriate for the situation as you understand it. This will then be dealt with by the Professionalism, Wellbeing and Safety Tutor or Lead for Professionalism who will take appropriate action.

Please be assured that all students will have had a DBS (Disclosure and Barring Service) check by the University prior to being allowed to attend placement. The student will have a copy of this, and we ask they have this available if you need to check.

The students also must complete the E-Learning for Health module for their year group. This includes safeguarding adults and children level 2 and resuscitation.

Please send out an email to the student introducing them to the practice and include a timetable if possible.  Set out the expectations for the first day including expected time of arrival and the practice address (this is especially important if the practice has more than one site). Perhaps include some travel hints if necessary.