applied pathophysiology for advanced practice – 7knim777€¦ · e-learning will incorporate...
TRANSCRIPT
1
Applied Pathophysiology for Advanced
Practice – 7KNIM777 Level: 7
Credits: 30 (Term 3 occurrence)
Module leader: Dr Gerry Lee
Tel: 020 7848 3201
Email: [email protected]
Module deputy: Carolyne Stewart
Tel: 020 7848 3201
Email: [email protected]
____________________________________________________________________
This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
2
Contents
Module overview .............................................................................................................. 3
Module aim ................................................................................................................... 3
Learning outcomes ....................................................................................................... 3
Teaching arrangements ............................................................................................... 4
Submitting coursework .................................................................................................... 5
Assessment criteria ...................................................................................................... 5
Summative assessment ................................................................................................ 5
Results and resubmissions for coursework ................................................................ 5
Learning resources ........................................................................................................... 7
All sessions – Learning outcomes & indicative reading ............................................ 7
Module evaluation ........................................................................................................... 10
Actions from previous evaluations ................................................................................. 10
Timetable .......................................................................................................................... 11
3
Module overview
This module forms part of the MSc Advanced Clinical Practice. The module contributes to your programme of study by providing healthcare professionals with an opportunity to develop their knowledge and skills in assessing, diagnosing and managing patients with common pathologies and conditions. This module will allow the student to apply their acquired pathophysiological knowledge to the presenting patients’ signs and symptoms and apply their advanced health assessment and diagnostic skills within their clinical practice. The module will enable students to consolidate their advanced assessment knowledge and skills to manage patients with common comorbid conditions in their care at an advanced level of practice and be able to apply the relevant NICE guidelines and assessment tools.
The module can also be taken as a freestanding module.
Module aim
This module aims to provide students working towards an advanced level of practice, with the opportunity to gain knowledge and skills in assessing, formulating and providing a rationale for a diagnosis, as well as initiating and managing care of patients with common pathophysiological presentations.
The module is an adjunct to the advanced assessment skills for non-medical practitioners so that students can apply the relevant pathophysiology to their patients and develop their assessment and diagnostic skills. Students will be able to provide clear rationale for the presenting signs and symptoms to the specific pathophysiological conditions.
The module will allow students to integrate, synthesize and demonstrate their assessments skills and pathophysiological knowledge so that they are competent in recognising and managing complex comorbidities. This module will focus on common conditions relating to the following systems: circulatory, respiratory, neurological, musculoskeletal, endocrine and gastrointestinal as well as mental health and include using various evidence-based assessment tools.
Learning outcomes
Students will be able to:
Demonstrate in-depth knowledge of the underlying pathophysiology in commonly seen conditions with clear decision-making and a sound rationale for assessment findings and treatment.
Demonstrate in-depth knowledge and systematic understanding of the various common pathophysiological conditions from a cellular to system level.
Synthesize information in a manner that is logical and evidenced-based and provides an application of this knowledge as applied to patient care.
Undertake critical analysis of complex, incomplete or contradictory areas of knowledge with comorbidities including end-of-life issues and withdrawal of treatment where appropriate.
Integrate discipline specific knowledge and relevant NICE guidelines with knowledge primarily derived from other clinical specialties.
Demonstrate an advanced level of conceptual understanding that will allow you to critically evaluate and reflect on your clinical practice.
Demonstrate ability to relate patients' clinical signs and symptoms to the relevant underlying pathophysiology
4
Teaching arrangements
A variety of teaching strategies will be used throughout the module. This module uses a blended learning approach, a mixture of e-learning with patient educator sessions.
E-learning will incorporate videos on pathophysiology and there will be links to the latest research related to various diseases. The taught sessions will include a systematic and structured approach to pathophysiology, the aetiology, its clinical manifestations and diagnosis and treatment and reference to the relevant NICE guidelines.
Throughout the module, lecturers will provide an overview of the relevant pathophysiology and for each system, there will some patient educator sessions.
For the student-led case studies on the study days, students are expected to bring in cases from their clinical practice and to present these in small groups. These case studies are clearly outlined in the timetable.
5
Submitting coursework
For this module, you are assessed by Gerry Lee and Carolyne Stewart and the 2,000-word case study will be submitted via TurnItIn.
Assessment criteria
This is in two parts: a 5-minute case presentation and a 2,000-word case study.
Summative assessment
The 5-minute case presentation will be done on the last study day of the module. The 2,000-case study will be submitted following completion of the module.
Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Z for the academic year 2018/19 , will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information on “mitigating circumstances”. If you require further support in these circumstances you are advised to contact KCLSU. Submission date for coursework: 16 July 2019 Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is a hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is Dr Ruth Pierce. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section.
Results and resubmissions for coursework
Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Nightingale Student Hub. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to Nightingale Student Hub ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed.
6
Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full on KEATS. Please also refer to the section on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance or please use King’s Libguides site.
The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Dr Gerry Lee. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work. Resubmission date for coursework: 15 October 2019
7
Learning resources
All sessions – Learning outcomes & indicative reading Students will need to read the relevant chapters in preparation for the study days from the core online text: Pathophysiology Online for Pathophysiology, 7th ed. https://evolve.elsevier.com/cs/product/9780323187084?role=student The systems are: the cell, cardiovascular, respiratory, endocrine, musculoskeletal, neurological, gastro-intestinal and development of cancer. The objectives below apply to each system covered. During each session you will learn:
• Demonstrate in-depth knowledge of the structure and function of the system • Understand how altered physiology affects the body and the various manifestations of the
related conditions • Demonstrate in-depth knowledge of common conditions with clear decision making and a
sound rationale for your assessment findings and treatment • Articulate and be able to demonstrate use of validated diagnostic tools and predictive tools
used in assessing common conditions • Critique how main endocrine conditions are managed and treated in clinical practice • Integrate evidence-based guidelines into your assessment of patient with an related
condition • Be able to apply knowledge to patient care including assessment, treatment and
management of your patients
Online resources The Biomedical & Life Sciences Collection (hyperlinks to each session is the title of the session) Pathways regulating bone formation Dr. Michaela Kneissel – Novartis Institute for BioMedical Research, USA Pathways regulating bone resorption Prof. Tim Arnett – University College London, UK The osteocyte Prof. Lynda F. Bonewald – University of Missouri, USA Osteoporosis in men Prof. Peter R. Ebeling – Monash University, Australia Assessment of renal function Dr. Jochen Raimann – Renal Research Institute, USA What’s new for IgA nephropathy 1: epidemiology and pathogenesis Prof. Maurizio Salvadori – University of Florence, Italy What’s new for IgA nephropathy 2: clinical presentation, diagnosis, prognosis, treatment Prof. Maurizio Salvadori – University of Florence, Italy Isolated microhematuria and proteinuria in adults Dr. Eva Seiringer – Klinikum Wels-Grieskirchen, Austria
8
Physiology of asthma and involvement of small airways Prof. Charles G. Irvin – University of Vermont, USA The pathology of chronic obstructive pulmonary disease Prof. James Hogg – University of British Columbia, Canada COPD treatment case I: COPD with “bronchitis attacks” Dr. Janwillem Kocks – University Medical Center Groningen, Netherlands COPD treatment case II: COPD with asthma as child Dr. Janwillem Kocks – University Medical Center Groningen, Netherlands COPD treatment case III: COPD with pre-diabetes Dr. Janwillem Kocks – University Medical Center Groningen, Netherlands Tailoring care for advanced COPD Dr. Wissam Chatila – Temple University, Philadelphia, USA Pathogen discovery in the respiratory tract Dr. H. Rogier van Doorn – Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam Diagnosis and treatment of idiopathic pulmonary fibrosis Prof. Luca Richeldi – University Hospital Southampton, UK Ischemic heart disease Dr. Vivek Lal – King Faisal University, Saudi Arabia Post-resuscitation syndrome after cardiac arrest - Protecting the Brain Prof. David Seder – Tufts University School of Medicine, USA Post-resuscitation syndrome after cardiac arrest - Protecting vital organs and individualizing treatment Prof. David Seder – Tufts University School of Medicine, USA The clinical features of amyotrophic lateral sclerosis: diagnosis, natural history and epidemiology Prof. Kevin Talbot – University of Oxford, UK Avoiding missed diagnosis of mild traumatic brain injury Prof. John Bedolla – University of Texas Dell Medical School, USA Pathophysiology of cerebral ischemia Prof. Wolf-Dieter Heiss – Max Planck Institute for Neurological Research, Germany The clinical diagnosis of stroke and stroke subtypes Prof. Louis Caplan – Beth Israel Deaconess Medical Center and Harvard University, USA Basic mechanisms of spinal cord injury (SCI) Prof. Edward D. Hall – University of Kentucky College of Medicine, Spinal Cord & Brain Injury Research Center, USA Acid-peptic diseases of the stomach and duodenum including Helicobacter pylori and NSAIDs Prof. Sheila Crowe – Division of Gastroenterology UC San Diego, School of Medicine
9
Inflammatory bowel disease Prof. Ole Haagen Nielsen – University of Copenhagen, Denmark Sjogren’s disease - epidemiology, etiology, pathogenesis & diagnosis Prof. Nancy Carteron – Sjogren's Syndrome Foundation, USA Coagulation in sepsis Prof. Marcel Levi – University of Amsterdam, Netherlands The epidermis and blistering disorders: pemphigus Prof. Sergei A. Grando – University of California-Irvine, USA Molecular and cellular regulation of wound healing; what goes wrong when wounds fail to heal or heal too much? Prof. Gregory Schultz – University of Florida, USA The molecular basis of bacterial pathogenicity: an overview Prof. B. Brett Finlay – University of British Columbia, Canada Assessing and managing thermoregulatory responses to heat loss: a research journey Dr. Barbara J. Holtzclaw – University of Oklahoma Health Sciences Center, USA All other learning resources are embedded within the lectures on KEATS.
10
Module evaluation As part of the University’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online. Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard. To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.
Actions from previous evaluations The module was previously 15 credits in 2017/18 and students believed the workload was more than this and so we changed to 30 credits.
The exam was stressful and students stated that a case presentation would be more beneficial so we have changed the exam to a 5-minute case presentation.
11
Timetable The most up-to-date timetable can be found online here: https://timetables.kcl.ac.uk/ Please login in using your k-number and password.
Teaching mode Date Title Time Lecturer Room
University based study
17 April 2019
Welcome & introduction to module & outline of student case presentations
10.00-10.30
Gerry Lee CSC G4 The cell- principles in physiology- importance of homeostasis
10.30-13.00
Cancer- pathophysiology, diagnosis and treatment
14.00-16.00
University based study
24 April 2019
Respiratory pathophysiology, diagnosis and treatment including use of peak flow meters and spirometers
10.00-12.00
Gerry Lee CSC G3 Student work on respiratory case study* 12.00-12.30
Cardiovascular pathophysiology, diagnosis and treatment
13.00-15.30
Student work on cardiovascular case study* 15.30-16.00
University based study
8 May 2019
Endocrine pathophysiology, diagnosis and treatment
10.00-12.30
Gerry Lee CSC 1.2 Student work on endocrine case study* 12.30-13.00
Musculoskeletal (MSK) pathophysiology, diagnosis and treatment
13.30-15.30
Assessing grip strength & frailty 15.30-16.00
12
University based study
15 May 2019
Neurological pathophysiology, diagnosis and treatment
10.00-12.00 Gerry Lee
Natasha Ascott
Gerry Lee CSC G3
Pain management –overview by pain expert 12.00-13.00
Renal pathophysiology, diagnosis and treatment 13.30-15.30
Renal patient educator session 15.30-16.00 Michael Scott, Patient Educator
University based study
29 May 2019
Gastro-intestinal (GI) pathophysiology, diagnosis and treatment
10.00-11.30 Gerry Lee
CSC 1.3
Managing major blood loss 11.30-12.30 Ed Baker, PhD Student
Mental health pathophysiology, diagnosis and treatment
13.00-15.00 Gerry Lee
Mental Health Patient educator session 15.00-16.00
Laura Sherlock; Patient Educator
13
University based study
12 June 2019
Student Case studies presentations 10.00-12.30
Gerry Lee CSC 1.3
Student Case studies presentations 13.00-15.00
Overview of all the systems & Applying the pathophysiology to cases- managing complex comorbidities & discussion on assignment
15.00-15.45
Discussion on module & any final questions 15.45-16.00
Location key:
All other study days are at Guy’s Campus:
CSC - Chandler Clinical Skills Centre, Guy’s Campus.
*Students are expected to bring in case studies for each study day for the student work (this will be done in small groups)