Medicine at Lincoln BMedSci and BMBS

This module provides students with the background to anatomy, radiology and imaging, coupled with a basic understanding of clinical measurements (biochemical, physiological, pharmacological and numerical) that will be essential for progress in clinical medicine.

This module enables development and assessment of the student’s capacity to integrate knowledge across all body systems to assess patient and symptom presentation permitting differential diagnosis.

The module will include understanding of anatomy, physiology, biochemistry and pharmacology as well as clinical testing and patient communication and treatment and will build upon knowledge and skills obtained from the case studies that overarch each week.

This module contributes to developing an understanding of the scientific and professional basis of medicine.

In particular, the module aims to develop knowledge and understanding of fundamental biochemical, physiological and anatomical concepts and their relation to disease processes.

The theme-based content will include:

• Cells
• Biochemical Basics
• Tissues of the Body
• Muscle
• Nerves
• Pharmacology
• Blood and Infection
• Reproduction
• Inflammation
• Metabolism

You'll also be taught the basic knowledge, skills and attitudes required for the assessment and management of patients. As well as be introduced to the patient as a whole person. You'll be asked to consider challenging ethical scenarios and receive an introduction to ethical frameworks as well as considering issues such as information governance and confidentiality.

The module will provide you with some basic clinical skills and introduce them to theoretical and statistical approaches to understanding health. You'll also receive training in first aid for mental health. This is delivered by lectures, popular topics, directed reading, private study, workshops, e-learning, practical classes and hospital and general practice clinical visits to both primary and secondary care.

This module provides an introduction to the basic anatomy and physiology of the respiratory and cardiovascular systems, cancer biology and the musculoskeletal system, together with fundamentals in haematology.

The module teaches physiological control mechanisms, the pathophysiology and pharmacological approaches to treating common disease states. It also aims to develop knowledge and understanding of cancer biology and the anatomy of the neck shoulder and upper limbs.

In terms of professional development and communication, health beliefs and culture and communicating with people who are distressed are taught as well as how to interpret and communicate risks and screening and diagnostic testing. Students will be introduced to the concept of randomized controlled trials.

This module is delivered by lectures, seminars, practical classes, podcasts, directed reading, private study, workshops and clinical visits.

The global health module enables students to examine the social, cultural, and political boundaries placed upon global health and health promotion and the impact on health outcomes. The role of global governing bodies and policy are critically reviewed in the context of current topical public health and wellbeing issues.

The module will cover the following topics:

• The role of governing bodies in global health
• Health inequalities from a global perspective
• Health priorities for improving global health
• Communicable and non-communicable disease in the context of global health
• The influence of health care systems in addressing health needs

This module aims to develop knowledge and understanding of fundamental biochemical, physiological, pharmacological and anatomical concepts and their relation to gastrointestinal disease processes, endocrine physiology, the reproductive system and the kidney.

The module will provide an introduction to the alimentary system, and important aspects of nutrition and metabolism.

In addition, endocrine system teaching will provide the knowledge base for management of disease. This module will include the non-reproductive endocrine system with particular attention on pituitary, adrenal, thyroid and pancreatic function. As the endocrine system is a key system involved in whole body homeostasis, principles of control and integration of metabolism will be re-visited.

The reproductive system will cover the male and female reproductive system and pregnancy with particular attention on function of the ovary and testes, endometrial, cervical epithelial and prostate gland changes, placental physiology, problems in pregnancy and hormonal control of the reproductive system.

Renal teaching will provide descriptions of the intrarenal circulation and its relation to tubular elements, the processes located to the proximal tubule, loop of Henle, distal tubule and collecting duct, and the integration of these systems in the control of extracellular fluid volume and osmolality (including hormonal mechanisms) and in acid-base balance.

Students will be continue their general practice clinical visits. They will also be taught the skills of history taking and examination for patients with abdominal/alimentary conditions and they will be taught how to clearly explain information to patients. They will also focus on patients with an endocrine condition and will be taught diversity in sexuality and how to challenge attitudes of prejudice. Students will examine eyes and ears using an otoscope and ophthalmoscope.

Students will revisit the concept of safety, considering foresight, hazard awareness and risk. Students will also be introduced to measures of disease frequency and its relevance in clinical medicine. Physical and psychological changes and health behaviours that occur during adolescence will be explored. They will also be introduced to the concepts of systems and basic quality improvement approaches in healthcare. Further epidemiological analysis and the basis of evidence-based medicine will be introduced.

Topic specific communication skills will be explored. Having previously considered why errors occur they will explore the steps and role of incident analysis in healthcare, including Duty of Candour. They will also explore the role of nontechnical skills in healthcare with a focus on teamwork, communication, decision making and situation monitoring.

Delivery will predominantly be via lectures, podcasts, workshops, anatomical dissection classes, clinical visits, e-microscope histology and directed private study.

This module provides an introduction to the basic anatomy, physiology, pharmacology and psychology of the central nervous system.

The module aims to develop knowledge of these fundamental principles within the context of relevant weekly themes. The theme-based content will begin with a focus on depression and anxiety.

Students will be provided with a general introduction to the relevant brain anatomy followed by an in depth examination of the system physiology and pharmacology. The depression and anxiety theme will include individual sessions on the limbic system, emotion and mood, and treatment strategies. Ultimately, this will provide the basis for understanding theme based functions and the production of behaviours.

Subsequent weekly themes include:

• pain (including sessions on neuropsychology of pain, the use of anaesthetics, and pain management)
• movement disorders (including sessions on the anatomy and pharmacology of movement, Parkinson’s and Huntington’s disease, multiple sclerosis, and executive function)
• dementia (including sessions on Alzheimer’s disease, neuropsychological assessment, and memory)
• sensory disorders (including sessions on the visual and auditory systems and epilepsy)
• and serious mental illness (including sessions on neurotransmission, attention, language, and schizophrenia).

Content will be delivered through lectures, podcasts, and practical classes on brain dissection, clinical neurological demonstrations and plenary lectures. Furthermore, the module also continues to consider the themes of patient safety and human factors as well as continuing with their primary care visits. Students will be expected to engage in directed reading and private study.

This module enables development and assessment of the student’s capacity to integrate knowledge across all body systems to assess patient and symptom presentation permitting differential diagnosis.

The module will include understanding of anatomy, physiology, biochemistry and pharmacology as well as clinical testing and patient communication and treatment and will build upon knowledge and skills obtained from the case studies that overarch each week.

This module provides students with further background to anatomy, radiology and imaging, coupled with a basic understanding of clinical measurements (biochemical, physiological, pharmacological and numerical) that will be essential for progress in clinical medicine.

This module contributes to further development of an understanding of the doctor as a professional. Students will be taught the basic knowledge, skills and attitudes required for the assessment and management of patients. Students will be introduced to the patient as a whole person.

They will be asked to consider challenging ethical scenarios and will be taught how to communicate sensitively and empathetically with different patients in various scenarios.

The module will provide students with some basic clinical skills (e.g. taking a patient history, assessing gastrointestinal function) and introduce them to theoretical and statistical approaches to understanding health.

This is delivered by lectures, popular topics, directed reading, private study, workshops, practical classes and hospital and general practice clinical visits to both primary and secondary care.

The global health module enables students to examine the social, cultural, and political boundaries placed upon global health and health promotion and the impact on health outcomes. The role of global governing bodies and policy are critically reviewed in the context of current topical public health and wellbeing issues.

The module will cover the following topics:

• The role of governing bodies in global health
• Health inequalities from a global perspective
• Health priorities for improving global health
• Communicable and non-communicable disease in the context of global health
• The influence of health care systems in addressing health needs

This module covers the aspects of primary care for young patients. It will see you undertake a two-week primary care attachment involving a placement in general practice and taught sessions or self-directed learning.

It provides an opportunity for you to return to and further enhance some of the key core skills of clinical medicine. History-taking and consultation skills will be refreshed and built upon to enable you to begin to process the content of a history and target questions they ask to aid diagnosis and clinical decision-making. This will be achieved through a combination of consulting with patients and facilitated teaching. You'll be encouraged to consider the psychological and social factors influencing patients’ health and individual patient priorities in managing illness. Time will be spent with GPs but also other members of the multidisciplinary team in primary care to allow you to become familiar with the roles of different professionals and their key contributions to managing patients. 

The aim of this module is to introduce the concept of evidence-based medicine and review in depth many of the research methodologies that underpin this. This will include ethical issues in animal and human research studies. You'll choose to take your research in either the School of Medicine (MEDS3103) or the School of Life Sciences (MEDS3102).

During the evidence-based medicine module, you'll build upon previous learning and acquire knowledge, skills and attitudes that link to aspects of the Outcomes for Graduates specified by the GMC.

You'll learn about the design of biomedical studies of various kinds, the collection, analysis and interpretation of data, how to search for scientific information and how to critique biomedical studies and research papers. You'll develop an understanding of the ethical considerations in medical research and the principles of academic integrity.

In your chosen area for your research, you’ll spend year three working on your Honours Year project in which you'll carry out your project to test the hypothesis formulated in the research methods module. The form of the project can vary and may be based on laboratory work, audit, patient studies or an extended literature review with proof of critical engagement. A submission of around 10,000 words is expected as your project write-up. A range of optional modules related to Research Projects are available and may change yearly. 

This module will help you develop your prescribing skills and understanding of therapeutics and treating infections to prepare you for the Clinical Phase.

This phase provides students with the opportunity to acquire and develop professional knowledge, skills, values and behaviours through experiential learning in primary care settings, outpatient clinics, operating theatres, the emergency room and patients’ homes. This is combined with seminars and simulation-based learning.

This phase will comprise of an introductory week followed by five sets of six-week placements in medicine, surgery, specialty skills, mental health and community-based medicine.

Placements are integrated to allow students to maximise their learning in each setting. After two placements there will be a formative assessment week, and at the end of the five placements students will have summative assessments. Students will progress to a 12-week block involving a two-week junior assistantship and 10 weeks of two or four-week Student Selected Modules (SSMs). Students will choose from a wide variety of SSMs from across Lincolnshire, Derbyshire and Nottinghamshire.

This final phase of the course is divided into two components: Advanced Practice 1 and Advanced Practice 2.

This part of the course is intended to prepare students for the transition to working as a Foundation doctor and enable appropriate preparation for the GMC Medical Licensing Assessment.

Advanced Practice will consist of an introductory week followed by a series of clinical placements including a formative assessment mid-way through between Advanced Practice 1 and 2. Topics covered will include: Health Care of Later Life; Leadership and Management training; Intermediate Medicine including Rheumatology; Cancer and Palliative Care; Child Health, Obstetrics and Gynaecology; Advanced Primary Care; Critical Illness; Advanced Medicine and Surgery. Upon completion of these clinical placements, a revision week will be held followed by the final summative examinations.

The Transition to Practice programme is embedded in within the Advanced Practice phase. This is completed with a final 12-week period incorporating a six-week elective and a six-week senior medical assistantship.

The elective period is an opportunity for you to gain insight into medical practice in a different setting within the UK or anywhere in the world. The elective holds an exciting opportunity that will provide you with a chance to expand your skill set and overcome new challenges.

During the medical assistantship you will apply previous learning to the practical assessment and management of patients by workplace based learning. You will be expected to attain the level of practice of an FY1 doctor at the start of their employment being assessed by portfolio and logbook review. It will include shadowing a Foundation Year 1 doctor, and provides an excellent preparation for your own Foundation Year training.