Developments in Pres<strong>to</strong>nFor many years Pres<strong>to</strong>n and o<strong>the</strong>r hospitals across Central Lancashire and <strong>the</strong> Ribble Valleyhave hosted medical students from Manchester. Numbers have been small and arrangementsvariable, however. It is with great enthusiasm that <strong>the</strong> primary and secondary health caresec<strong>to</strong>rs <strong>of</strong> Lancashire look forward <strong>to</strong> providing <strong>the</strong> full clinical course for 30 students a yearfrom 2003. This initiative will provide a major impetus across a range <strong>of</strong> activities <strong>to</strong> include<strong>the</strong> development <strong>of</strong> teaching methods, research and development, closer links with academicmedicine, and <strong>the</strong> additional motivation that will come from meeting <strong>the</strong> demands <strong>of</strong> <strong>the</strong>modern medical student.Secondary care teaching will take place in <strong>the</strong> hospitals <strong>of</strong> Blackburn, Blackpool, Burnley,Chorley and Pres<strong>to</strong>n, with <strong>the</strong> hospitals <strong>of</strong> Morecambe Bay supporting <strong>the</strong> University <strong>of</strong>Liverpool. The population served is over a million, with some 3500 beds and 450consultants, and provides a full spectrum <strong>of</strong> social groups. An extensive range <strong>of</strong> specialistand tertiary services are provided, with <strong>the</strong> exception <strong>of</strong> organ transplantation, with mostbeing sited in Pres<strong>to</strong>n. Recent capital investment has taken account <strong>of</strong> <strong>the</strong> needs <strong>of</strong> medicalstudents with an Education Centre at Royal Pres<strong>to</strong>n Hospital costing over £3M being due forcompletion in late 2002. Preliminary discussions have already taken place with <strong>the</strong>University <strong>of</strong> Central Lancashire about providing a local ‘social’ environment, and <strong>the</strong> jobdescription for a Hospital Dean has been finalised. This is a key post as it is essential that<strong>the</strong>re is a senior and committed individual with <strong>the</strong> dedicated time <strong>to</strong> lead us in<strong>to</strong> <strong>the</strong> futureand ensure all arrangements are in place for 2003.Peter Morgan-CapnerMedical Direc<strong>to</strong>r
Web developments <strong>to</strong> support <strong>the</strong> curriculumInformation and communications technology (ICT) is assuming increasing importance inhigher education. The <strong>School</strong> <strong>of</strong> Medicine initially made it available as a resource for moreIT-literate students (hopefully for more than contacting <strong>the</strong>ir friends and lovers via Hotmail)and a means <strong>of</strong> communication between academic and administrative staff. Gradually, it ischanging from an essentially reactive resource <strong>to</strong> one that takes an active part in learning.Good examples have been Sue Andrew’s CD image bank, ‘Pathpics’, a sophisticated learningmanagement and timetabling system developed by Mark Foster, <strong>the</strong>n a Year 3 student, aproject <strong>to</strong> enhance communication between community and central sites, and various sources<strong>of</strong> material supporting PBL cases. But what else can ICT <strong>of</strong>fer? Chloe Baxter, now in her final year, was prominent in leading a move <strong>to</strong> enhance <strong>the</strong> studentexperience <strong>of</strong> PBL, and disseminating understanding <strong>of</strong> its rationale and process. Successfulinduction sessions <strong>to</strong> PBL in Y1 were run at <strong>the</strong> start <strong>of</strong> <strong>the</strong> present and last academic yearsbut no supporting materials for students and tu<strong>to</strong>rs were available. A students’ and tu<strong>to</strong>rs’guide <strong>to</strong> PBL was written, but it was hard for <strong>the</strong> ra<strong>the</strong>r sterile medium <strong>of</strong> <strong>the</strong> printed word <strong>to</strong>bring <strong>to</strong> life all that can be good about PBL. Earlier this year, courageous Y3 students, after15 minutes <strong>to</strong> read through a case <strong>the</strong>y had not seen before, went through <strong>the</strong> ‘8-step’ processin front <strong>of</strong> <strong>the</strong> Media Centre video cameras. More impressive still, <strong>the</strong>y came <strong>to</strong>ge<strong>the</strong>r at alater date <strong>to</strong> record a ‘report-back’ tu<strong>to</strong>rial. These completely unscripted sessions providedample illustrative material <strong>of</strong> <strong>the</strong> complex cognitive and social processes that go on in wellfunctioningPBL. In <strong>the</strong> hands <strong>of</strong> <strong>the</strong> Media Centre, who meticulously edited and digitised <strong>the</strong>material, and Ca<strong>the</strong>rine Lee, a Computing Science MSc student, ‘ParaBLe’ was born. Briefvideo clips were integrated in<strong>to</strong> an attractively-presented textual description <strong>of</strong> Y3-5 PBL,with separate ‘paths’ for prospective tu<strong>to</strong>rs, group chairs, scribes and group members <strong>to</strong>follow, and (hopefully) user-friendly descriptions <strong>of</strong> <strong>the</strong> principles and process. ParaBLe canbe accessed via www.hop.man.ac.uk, but don’t even think <strong>of</strong> downloading <strong>the</strong> video clipsunless your computer is connected <strong>to</strong> <strong>the</strong> fast university/hospital network (or you don’t mindgiving up your home telephone line for about 24 hours while 80 mebabytes <strong>of</strong> datadownload!). The next step will be <strong>to</strong> make <strong>the</strong> same material available on CD or DVD.…ParaBle graphic ? still shot from cdrom There is a strong emphasis on clinical skills in <strong>the</strong> Manchester curriculum but focus groupresearch conducted on students during an options project by Alistair Craig showed asurprising lack <strong>of</strong> awareness <strong>of</strong> clinical skills in <strong>the</strong> ‘curriculum in action’. Neil Maredia andLiam Hosie, while in <strong>the</strong>ir fourth year, worked with me <strong>to</strong> devise a ‘Skills Portfolio’ <strong>to</strong>increase awareness <strong>of</strong> skills but subsequent research showed it <strong>to</strong> be a complete failurebecause it gave students no guidance about <strong>the</strong> type <strong>of</strong> performance <strong>the</strong>y were aspiring <strong>to</strong>.SkillsBase (also accessible at <strong>the</strong> URL above, username ‘Andy’ Password ‘Andy’) has <strong>the</strong>same philosophy but tabulates <strong>the</strong> skills curriculum flexibly by module, type <strong>of</strong> skill, or level<strong>of</strong> competence attained. It provides a facility for keeping a reflective diary <strong>of</strong> progress inacquiring skills, and comparing ones’ self-, peer and tu<strong>to</strong>r assessments with those <strong>of</strong> youryear group. More important still, it is a gateway <strong>to</strong> a rich and fast-growing menu <strong>of</strong> resourceson skills. It <strong>of</strong>fers skills ‘recipes’, videos, web links, a self-assessment facility and even asmall number <strong>of</strong> OSCE checklists, until now jealously guarded from student view. Skillsexperts are being recruited <strong>to</strong> <strong>of</strong>fer students an e-mail question and answer facility <strong>to</strong> support<strong>the</strong>ir learning. It is <strong>to</strong>o soon <strong>to</strong> evaluate SkillsBase’s effectiveness, but we predict that usage