The training in Foundation is highly variable and often not ring
fenced.
The GMC are reeping the consequences of removing sound
teaching/training of underlying science specialities from the medical
undergraduate curriculum
Peter Galloway
Glasgow
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 04 December 2017 21:41
To: [log in to unmask]
Subject: [BlockedURL][ExternaltoGGC]Acid-base teaching
I’ll come back to the responsibility bit.
On the educational aspects: today I have two small group
sessions in Oxford which will be the last of 7 on Clinical Biochemistry alone.
Our first year clinical students have nearly a whole term on Laboratory
Medicine composed of lectures, SGTs, practicals, a mid-term assessment and an
end of term assessment which is part of the FInal Examinations. On acid-base
problems there’s a lecture, post-lecture self-learning work and a one hour SGT.
Recently many Colleges have also introduced tutorials for
final year clinical students, and tonight I’ll have my fifth session with mine.
A few years ago Liz Trimble and I tried to survey the
teaching of Laboratory Medicine across medical schools. This failed because of
the number that didn’t have explicit sessions, and couldn’t answer the
questions because of using “Problem Based Learning”.
On the opportunities front, and believing that we’re
unlikely get more time in the undergraduate curriculum:
1 They all have shadow time before starting F1.
2 F1s and F2s have dedicated teaching time.
Let’s all make the best of those, and share experiences.
In addition there are SSMs and intercalated years, but of
course they’re unlikely to include everyone.
On 4 Dec 2017, at 11:31, OCONNOR, John (ROYAL DEVON AND EXETER
NHS FOUNDATION TRUST) <[log in to unmask]>
wrote:
On a similar theme, I am not sure where medical undergrads get
their training on acid base / blood gases?
We teach the 4th years
the following topics (1hr each)
Pathology of deliberate self harm
And that is the sum total of pathology they get in the teaching
programme.
I cover some aspects of acid base with the 5th years with a complex case of Ethylene
Glycol poisoning and Alcoholic keto acidosis also just 1 hour.
There is often a lack of basic understanding of fundamental acid
base physiology with many students at this stage. It is of concern that before
most labs have now divested themselves of blood gas analysers in favour of POCT
on the wards, so the days of the lab phoning abnormal results with a hope they
might discuss the implications of those with F1 doctors are now just history.
This is a truly tragic
case
1. Are Medical students
getting adequate training in Acid/Base ?.
2. do we need to teach
Acid/ Base to Consultants, as well as junior doctors and Medical students….? "
Dr Danielle B. Freedman
MB BS, FRCPath,EuSpLM
Luton and Dunstable
University Hospital NHS FT
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