Advanced Clinical Practice in Primary Care

Module title	Advanced Clinical Practice in Primary Care
Module code	HPDM184
Academic year	2024/5
Credits	15
Module staff	Miss Kirstie Brown (Convenor)

Duration: Term	1	2	3
Duration: Weeks	*See note below

Module description

This module focuses specifically on Primary Care in relation to the Four Pillars of Advanced Practice and how this can innovate and change future Primary Care.

This module provides all health care practitioners (HCPs) who work in primary care an opportunity to examine the core ideas that underpin daily practice. You will develop a comprehensive understanding of the core principles of primary care in relation to advanced clinical practice and reflect on the importance of cross discipline working and its impact on the patient journey.

The module uses a flipped approach (the course content is online allowing you to prepare much of the material before the contact days). The contact days therefore focus on applying ideas to practice using a combination of small groups, masterclasses and interactive sessions.

Module aims - intentions of the module

This module aims to provide a knowledge of why primary care systems are so effective in delivering healthcare and the principles of Primary Care that underpin this efficacy. It will provide an understanding of primary care systems and the underpinning knowledge necessary to support positive change within your workplace.

You will develop a comprehensive understanding of the core principles of primary care and its relationship with advanced clinical practice. You will also critically reflect on the importance of cross discipline team working and its impact on the patient journey. In addition, you will consider core management and leadership techniques and consider how HCPs can maintain wellbeing and resilience in primary care practice.

The module will also include the following areas within the teaching to improve understanding of:

Leadership and Management
Research
Education
Clinical Roles and Responsibilities

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

1. Critically evaluate the evidence underpinning the efficacy of advanced clinical practice within contemporary primary-care led health systems
2. Demonstrate a comprehensive understanding of the core principles of primary care and its relationship with advanced clinical practice.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

3. Critically reflect on the importance of cross discipline team working within Primary Care and its impact on the patient journey
4. Critically reflect on professional identity and sense of belongingness in primary care and the wider healthcare system
5. Critically analyse and apply clinical method and clinical reasoning in relation to advanced clinical practice within primary care

ILO: Personal and key skills

On successfully completing the module you will be able to...

6. Demonstrate a comprehensive understanding of maintaining wellbeing and resilience in primary care practice
7. Critically analyse core leadership and management techniques for primary care

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:
The evidence underpinning the efficiency of primary care and primary care-based healthcare systems with the purpose of enabling participants to have a critical awareness of current problems and new insights in their area of professional practice include:
- Understanding the different approaches to primary and secondary care, and in particular, clinical reasoning and clinical method in primary care
- What are the core principles that underpin efficacy of primary healthcare with a focus on the patient journey
Principles of self-management and management of others in primary care settings with a focus on multidisciplinary working
- Self-management; preserving health and wellbeing in practice / addressing imposter syndrome / career management
Management and leadership of others; influencing, time and task management, project management, consultation and presentation skills

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching Activities	Guided independent study	Placement / study abroad
21	129	0

Details of learning activities and teaching methods

Category	Hours of study time	Description
Scheduled Learning & Teaching activities	21	A combination of lectures, seminars and small group work
Guided Independent Study	30	E-learning. Action learning, participation in discussion forums and collaborative activities
Guided Independent Study	30	Workplace learning. Engaging and reflecting on clinical practice.
Guided Independent Study	29	Independent Study
Guided Independent Study	40	Reading and Preparation for assessment

Formative assessment

Form of assessment	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Peer reviewed digital education tool	300-500 words	1-7	Peer feedback

Summative assessment (% of credit)

Coursework	Written exams	Practical exams
100	0	0

Details of summative assessment

Form of assessment	% of credit	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Critical evaluation essay	100	2,000 words	1-7	Written feedback

Details of re-assessment (where required by referral or deferral)

Original form of assessment	Form of re-assessment	ILOs re-assessed	Timescale for re-assessment
Critical evaluation essay (100%)	Critical evaluation essay (2000 words)	1-7	Within 6 weeks of the mark release date

Re-assessment notes

In the event of you failing either of the assessments, the module will be capped at 49 until the assessment is passed.

All items of assessment must be passed in order to pass the module.

Resubmission of a revised written assignment should include response to the written feedback provided on first assessment.

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and your overall mark will not be capped.

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%.

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module.

Indicative learning resources - Basic reading

Cooper, N & Frain, J. (2017) ABC of Clinical Reasoning. West Sussex, John Wiley & Sons.
Ryle, C. (2019) Risk and Reasoning in Clinical Diagnosis. OUP
Trenoweth, S & Moone, N (2017) Psychosocial assessment in mental health. London, Sage.
Kumar & Clark’s Clinical Medicine [electronic resource]
Silverman, J et al (2013) Skills for communicating with patients, 3^rd edition. CRC Press
Panesa, S. (2014) Patient safety and healthcare improvement at a glance. Wiley Blackwell.
Primary care for paramedics – Class Professional Publishing – in press

Indicative learning resources - Web based and electronic resources

ELE – https://ele.exeter.ac.uk/

Key words search

Primary care, ACP, advanced clinical practice, advanced clinical practitioner

Credit value	15
Module ECTS	7.5
Module pre-requisites	None
Module co-requisites	None
NQF level (module)	7
Available as distance learning?	No
Origin date	27/09/2023