In the development and delivery of our LIC, we are keenly
interested in exploring how such a medical education model can enhance patient-centred
care, provide a richer clinical placement experience and help generate interest
in working in under-doctored areas. Alongside the delivery of the LIC pilot, we
have some active research themes exploring these aspects.
I was very pleased to attend the Consortium of Longitudinal
Integrated Clerkships (CLIC) Conference 2019, hosted by the University of
British Columbia in Canada. CLIC is a worldwide network of medical schools who
are either planning or delivering LICs in a variety of different forms. Some of
these have been running for more than 15 years.
An LIC in Yorkshire
It was a fascinating conference and I was pleased to share a poster about the Hull York Medical School LIC, which we believe is the first ‘immersed dispersed’ LIC in England.
It was great to share ideas with colleagues from across the
world as well as hearing more about the increasing body of evidence
demonstrating the potential benefits of LICs as well as tips on how to avoid
some of the pitfalls.
Several UK medical schools were represented including
Dundee, Cardiff and Imperial who have also now established LICs.
It was also brilliant to see many LIC students (past and
present) at the conference, many of whom had undertaken LIC-related research as
part of their studies; hopefully we’ll be able to have some Hull York Medical
School students representing us at future events! There is a student arm of
CLIC – SLICC – hoping to encourage some of our own pioneering LIC students to
get involved with this too.
And coming across Vancouver’s founding father… from Hull!
Also managed to squeeze in some sight-seeing; pleased to see
that one of the founding fathers of Vancouver ‘Gassy Jack’ was born in Hull! It
must be something about Hull and the East Riding of Yorkshire that brings out a
Next month, Hull York Medical School will welcome Professor
David Hirsch for a visit, organised by our Health Professions Education Unit.
Based at Harvard University, he helped to establish the LIC model and will
deliver a seminar and host a discussion. There’ll be lots from this, combined
with my Vancouver experience, that we can take forward in the further development
of our LIC.
Wow! How have we been here for over a month already? Time is flying by. This first month has really been all about settling in and finding our feet here in Northallerton. Things have got off to a great start.
My GP is Mayford House based in Northallerton itself and it really didn’t take long to become part of their team. In the first month I spent a lot of time getting to know everyone both in the practice and in the community, with me spending a lot of afternoons with different teams such as the health visitors, palliative care nurses, district nurses, community midwife and the paramedics. This was a great way to fully integrate myself within the whole of the primary care and community setting right from the off. I am now doing 20 minutes appointments during the GP clinics with my GP alongside where I do the history taking and we both talk through the management plan and treatment options with the patients, followed by a short debrief after the patient has left which is time for me to get immediate feedback and to ask any questions. Within the next few weeks this will be changing. I will then be seeing the patients alone and the GP will join us after 15 minutes to talk through what I’ve done so far and then onto managements. As we progress through the year my knowledge will grow and I will hopefully be able to come up with a lot of the management plans and treatment options by myself. I look forward to seeing how this goes and improves through the year.
I have already had the chance to follow a few patients through to the Friarage Hospital and to some outpatient appointments at the clinics. I can already see the benefit from seeing the patients right through from primary to secondary care, and then back to primary care. I currently have 2 longitudinal patients, both have been very keen to have me follow their journey which feels great.
Life in Northallerton is very chilled. Lots of time to explore the area as Emily has mentioned a few weeks ago. As well as this I’ve started road cycling and jogging and I’ve found that to be a great way to see more of the area and meet some local people. We have tried a few of the restaurants Northallerton has to offer and some of us even given blood! And of course, I’m really enjoying spending time procrasti-baking lots of sweet treats!!
All in all the first month or so here has been both fantastic and tiring and we are all looking forward to what the rest of the year here has to bring!
We’ve just finished week 5 of the LIC. So far so good! I’m based at Masham Surgery which is just on the edge of the Yorkshire Dales. I’m really thrilled with my practice, everyone is so nice and welcoming. Everybody knew my name by day one and seemed genuinely thrilled to have me there for the year. I really do feel like I am a member of their team already.
Doing the LIC does feel very different from anything I’ve done at medical school before. It feels a little bit more like going to work (in a good way!) This might be partly due to the routine, but also perhaps because I feel I have my own role there. I’m left to follow up my own longitudinal patients alone and organise how I do this, yet I don’t feel overwhelmed or like I cannot ask for help or advice if I were to need it. On Tuesday, for example, I had organised to attend an obstetrics appointment with one of my patients in Harrogate Hospital in the morning, prior to a midday tutorial with my GP and an afternoon clinic in Masham. I’ve been pleasantly surprised by how easy it has been to follow up patients. The majority are thrilled that you’ve taken an interest in them, and are happy for you to attend appointments with them. The staff at the appointments have also been very welcoming and interested in what I’m doing. On Tuesday I ended up staying to see a few more patients with the consultant and got some really useful teaching.
With packed timetables up here we’ve been making the most of our weekends to explore the area by going on country walks and meeting some locals (the mooing kind).
We climbed Roseberry Topping, North Yorkshire’s rival to the Matterhorn (apparently).
We wandered along the scenic Sutton Bank with a furry friend for company.
Don’t worry Hull York Medical School, we did some work as well.
Of course though, our Tuesday evenings are now very much dedicated to watching the Great British Bake Off.
Overall it’s been a very busy few weeks, but I’m really enjoying the time I spend at my GP surgery, which is based within Northallerton itself and is one of the largest in the area. I’ve met patients with some quite unusual conditions such as Myasthenia gravis, advanced Huntington’s disease and a little girl with mumps despite her vaccinations. Next week I’ll be set up in my own consultation room seeing patients alone, which should be a great learning experience.
To finish, a nice sight I had coming back from GP one afternoon – it made the rain a bit more bearable.
Not sure how it has been two weeks since we started, but here we are! These two weeks have mostly involved getting settled into our accommodation (navigating fridge and cupboard space in the kitchen), figuring out how long we can lie in bed before having to get up to get to our GP practices in time, meeting lots of lovely new people (everyone has been so friendly and helpful), and finding our way around the hospital.
My GP practice is split into two practices – Catterick and Colburn. So far, I have sat in and observed three different GPs in clinic and been on some home visits. I have seen a huge variety of people and different presentations already, with several potential longitudinal patients. My GP runs a “walk-in” type clinic in the morning and then appointments in the afternoon. I’m definitely getting a lot of exposure to topics studied last year as well as those we study this year, which will be useful for refreshing knowledge throughout the year in preparation for 4th year exams. In hospital, we have had some teaching, including going through some scenarios using the ABCDE approach, to prepare us for our acute week in James Cook.
Northallerton isn’t the biggest place, it’s a cute market town in North Yorkshire, which means you don’t have to go very far to be surrounded by beautiful countryside. Which I have been exploring during my runs around the area whilst the days are a bit longer – see photos below!
Tomorrow (weather permitting) we might go on a trip to Roseberry Topping, a famous hill in the area that provides a great view from the top! So stay tuned to see some photos from there🙂
Yesterday, together with Professor Martin Veysey, our MBBS Programme Director, I was really pleased to launch our exciting new LIC clinical placement at the Friarage Hospital in Northalleton. It felt like a really positive day and hopefully marks a milestone in the development and expansion of our medical programme. It also provided a chance to reflect on the journey leading up to the day; it has been a great team effort.
It was great to see the six Year 4 pioneering students who
are starting this new pilot clinical placement. We hope the year will provide a
great opportunity for them to be immersed in the whole patient journey on their
clinical placements and follow the same patients over time in a variety of
In the morning we outlined the curriculum and how the year will differ from a standard Year 4 placement. We also went through the specialist systems that will be used to support the students’ education and our dedicated student support services. Our Health Professions Education Unit is undertaking research on how an LIC may influence development of professional identify; Megan Brown, a PhD student, outlined this in more detail as well as the opportunities for students to become involved.
At lunch we welcomed our primary and secondary care tutors to celebrate our launch and meet the students. There was a buzz in the room with tutors and students chatting about the year ahead and reflecting on the journey of getting to this point. It was also great to welcome and thanks Lesley Pratt from Healthwatch who has provided a really useful patient voice as part of our LIC development team.
We also handed out scrubs for the students. In addition to spending more time in primary care than their peers, the students will be on ward rounds and in clinics in the Friarage Hospital, and occasionally up in Middlesbrough at James Cook Hospital. For these placements the students have their own Hull York Medical School sky blue scrubs. Keep an eye out for them in either hospital.
Over the coming weeks the students will be settling into
their GP clinical placements and starting their clinical procedural skills
training. We will work closely with
them as they get stuck in and I look forward to hearing more about their
experiences on this blog. Please check
back here soon.
It’s been an exciting few weeks as, after a year of development, we finally approach the start of the Hull York LIC pilot.
Our new LIC study guide is with the designer prior to printing and we’ve been having a variety of final meetings as well as running training sessions for our new batch of enthusiastic tutors.
It’s been a great a team effort and we are all looking forward to welcoming our first cohort of LIC students on their first induction on 19 August – Emily, Lucy, Rebecca, Jessica, Naomi and Ruth, I hope you are also excited about starting your LIC placement but enjoying your summer break in the meantime.
I’m off to the Outer Hebrides now but looking forward to seeing you all on the 19 August!