Learning from Clinical Placements: Learning from Clinical Placements: Vets, Occupational Therapists, Pharmacists & Vets, Occupational Therapists, Pharmacists &

Social WorkersSocial Workers

Roger Murphy, Liz Mossop, RuoLan Wang and Kirsty Magnier

Veterinary EducationVeterinary Education

RCVS defines “Day One

Competencies”

Heavy emphasis on work place

learning

Little postgraduate

support – “oven ready” graduates

Practical skills emphasis

Five year course

Reliance on private practices for placements

Omnicompetence across species

Veterinary work place learningVeterinary work place learning

• Extra mural studies– Private practice, 26 weeks in holiday time– Relatively unstructured

• Intra mural studies– University hospital vs. clinical associate model– Structured learning– Assessment

Percentage Time in PlacementsPercentage Time in Placements

Institution/Course Years

% Placement

School Teaching

UoN Postgraduate Certificate in Education

1 66

Nursing UoN B.Sc. in Nursing 3

50

Medicine UoN B.M.B.S. + B.Med.Sci. 5

50

Social Work UoN M.A. in Social Work 2

50

Occupational Therapy

University of Derby B.Sc. in Occupational Therapy

3

33

Veterinary Medicine

UoN B.V.Med.Sci. + B.V.M. + B.V.S.

5

30

Anglican Ministry

St John’s College, Nottingham, Degree/Master’s in Theology

3

20

Pharmacy UoN Master’s in Pharmacy 4

2

Provision of Learning Support and Provision of Learning Support and Assessment: People & ResourcesAssessment: People & Resources

People Doing It Resources

Pharmacy Not identified None

Nursing Qualified mentors NHS only

Medicine Placement Supervisors NHS + HEFCE

Social Work Practice Assessors HEFCE

Occupational Therapy Educators Social Services

Anglican Ministry Placement Supervisors None

Veterinary Medicine Placement Supervisors HEFCE

School Teaching School Based Mentors TDA

Specificity and Assessment of Placement Learning Specificity and Assessment of Placement Learning Detailed Learning

CompetencesFormative

AssessmentSummative

Assessment

Pharmacy X X None

Nursing √ √ Considerable (+OSCEs)

Medicine √ √ Considerable (+OSCEs)

Social Work √ √ Very High Stakes + Very Detailed Reports

Occupational Therapy

√ √ Very High Stakes

Anglican Ministry

X Limited Some

Veterinary Medicine

√ √ Some (+OSPEs)

School Teaching

√ √ Very High Stakes

Good Placement Learning: Key FactorsGood Placement Learning: Key Factors• Quality of Placements

• Integration Within Whole Course Learning

• Clear Specification of Learning Goals

• Opportunity to Personalise Learning

• Quality of Mentor Support

• Good Feedback, Reporting and Coaching

• Opportunities to Develop Reflective Practice

• Robust Assessment of Professional Practice