Fundamental Clinical Skills Programme IC3 2018 draft 1

Monday Tuesday Wednesday Thursday Friday

ENT Practical skills Practical Practical Skills Practical skills
Ophthalmology I skills IV III II
Ear examination
Eye examination
Radiology Using the Catheterisation Self-Care Venepuncture Breast Exam
using the otoscope Group A1 P Group B2 Group B1
Dermot ophthalmoscope
Morning Group A Fitzpatrick
Bowden Inter- Group B
Starting at Group A2
Professional Smoking Cessation
different Clinical Case Frank
time Workshop Doyle
depending Ophthalmology Practical skills Practical Practical skills Practical Skills
Muirne Spooner ENT Eye examination II skills I IV III
on the days Vascular Ear examination
programme using the Breast Exam Catheterisa Self-Care Venepuncture
Examination Using the ophthalmoscope Group A1 tion P Fitzpatrick Group B1
Patricia otoscope
Group A Group A2 Group B2
Fitzgerald Group B

1 hour lunch break at different time depending on the days programme

Monday Tuesday Wednesday Thursday Friday
Clinical Practical skills Practical Practical Practical skills
Clinical Consultation Smoking III skills II skills I IV
Examination Venepuncture Breast Catheterisati Self-Care
Examination Skills Cessation
Cranial nerves Group A1 Exam on P Fitzpatrick
Thyroid Group B Interview
Afternoon Group A Group A2 Group B2 Group B1
Group A Claire Group A
Starting at Guy C Condron
Ciaran Condron
different
time Active Listening Practical skills Practical Practical Practical skills I
depending Clinical Clinical Claire Condron IV skills III skills II Catheterisation
on the days Examination Examination Smoking Consultatio Self-Care Venepunctu Breast Exam Group B1
programme Cranial Thyroid Cessation n Skills P Fitzpatrick re Group B2
nerves Group B Interview Group A Group A1 Group A2
Group B Ciaran Group B Claire
Guy Condron

IC3 Learning Outcomes

Full group of 40 + students Group A 20 + students Group B 20 + students Group A1 Group A2 Group B1 Group B2
10+ students 10+ students 10+ students 10+ students
  Be able to take a detailed patient centred medical history
Take a thorough and structured history from patients with common medical and surgical conditions, focussing on features which will assist in
determining the aetiology and subsequent differential diagnosis
 Be able to perform an appropriate systems-based physical examination.
Perform a comprehensive and focused clinical examination in patients with common medical and surgical conditions, eliciting the relevant
clinical signs which indicate disease severity and aid development of the differential diagnosis.
 Be able to present findings.
Present a history, displaying summary skills and prioritisation of findings
 Be able to list differential diagnoses.
Form a reasoned differential diagnosis based on findings
 Be able to outline initial investigations
List the relevant initial clinical investigations for the patient based on finding
 Demonstrate knowledge of the current management of common human diseases
 Appreciate the roles and responsibilities of members of multi-disciplinary health care teams.
 Appreciate the strengths and limitations of current diagnostic tools and therapeutic interventions, and therefore the
necessity for research, audit and career-long continued medical education
 Demonstrate a commitment to lifelong personal and professional development

IC3 Fundamental Clinical Skills

This week long experiential learning programme, delivered the week immediately before the student’s core IC3 clinical clerkship, aims to
provide the student with the necessary skills to be successful in their clerkship. The programme aims to introduce the reflective practice concept
to students and a feed-forward approach is taken to ensure each student has self- directed learning plan for their clinical clerkships. Students
should possess a concept of the standard required to be successful at clerkship and compare their current level of performance with that standard.
Students are encouraged to engage in appropriate self-directed learning. Preparatory study incorporating stepwise methodologies and
instructional videos are provided prior to the course. Students are required to get their attendance card in their log book signed by a tutor at
each session.
Session 1 Radiology Dr Dermot Bowden
The radiology session focuses on the basic radiological anatomy as seen on plain radiographs and cross-sectional imaging
Be aware of radiological health and safety issues
Understand basic radiological anatomy on plain radiographs and cross-sectional imaging.
Identify typical pathologies of the thorax, abdomen and musculoskeletal systems.
Understand the advantages and limitations of different imaging modalities.
.
Session 2 Vascular Medicine Dr Patricia Fitzgerald patriciafitzgerald@beaumont.ie
The session focuses on role of non-invasive diagnostic techniques in the management of patients.
Understand the role of non-invasive diagnostic techniques in the management of patients with peripheral vascular
disease.
Be able to perform a vascular examination demonstrating the anatomical landmarks
Be able to perform a Doppler examination of peripheral pulses
Understand the full peripheral arterial Doppler assessment

Session 3 Clinical Examination Surgery Dr Ciaran Stanley ciaranstanley@rcsi.ie

This tutor facilitated session is a hands on tutorial with a Simulated patient to practice exam technique
Develop proficient technique for clinical examination of the Thyroid.
Please review revision content available on Moodle prior to session.

Session 4 Prescribing Skills Dr Muirne Spooner mspooner@rcsi.ie

Outline the role of the multidisciplinary team in the management of a patient with stroke (collaborative
competency)
Demonstrate the ability to find, critically evaluate, manage and synthesise information to optimise the
management of a patient with stroke (common competency)
Communicate in writing, through kardices, medical notes, therapy notes, referral forms and discharge
prescriptions, with consideration of legal, professional and patient safety issues, in a manner that facilitates
positive interaction with other healthcare professionals (common competency)
Demonstrate the ability to work in a multidisciplinary team (collaborative competency)
Session 5 Clinical Examination Medicine Dr Alison Poff alisonpoff@rcsi.ie
This tutor facilitated session is a hands on tutorial with a Simulated patient to practice exam technique
Be competent, efficient and proficient in the skill of clinical examination of the cranial nerves

Please review revision content available on Moodle prior to session.

Session 6 Ophthalmology Dr Joan Ni Gabhann joannigabhann@rcsi.ie

Demonstrate correct use of the ophthalmoscope
Be able to competently perform a basic eye examination
Session 7 ENT Clinical Skills Dr Tonye Onye dr.tonye.o@gmail.com
Perform basic Otoscopy and recognise the features of a normal eardrum.
Perform Tuning Fork Test to distinguish conductive or sensory hearing loss.
Perform basic Otoscopy and recognise the features of a normal eardrum.
Perform competent clinical examination of the neck.

Session 8 Active Listening Skills Dr Claire Condron ccondron@rcsi.ie

This role play session facilitates practice of history taking and presentation skills
Demonstrate the ability to actively listen.
Determine one's own communication behaviours.
Understand the effect one's own behaviour and emotions have on the ability to listen & communicate
Understand the role of non-verbal signals in effective communication
Understand how to paraphrase and restate for clarification
Understand the use of 'minimal encouragers.

Session 9 Consultation Skills Dr Claire Condron ccondron@rcsi.ie

A simulated patient scenario where each student will take a patient history in groups of 4 students followed by a group discussion of the case.
Each student receives feedback from their fellow students and the patient.
Develop proficient technique in clinical history taking.
Practice history taking from a simulated patient at IC3 standard
Develop the necessary skills to formulate a differential diagnosis for clinical presentation.
Develop a feed-forward approach to self- directed learning
Understand the importance of reflective practice.
Session 10 Stress Management Ms Patricia Fitzpatrick pfitzpatrick2@rcsi.ie
Structured small group discussion in preparation for clinical attachments, including stress management education, stress resistance, training.
Recognise areas of medical student life which may cause stress
Understand the supports available to students within RCSI
Understand the importance of peer support as well as formal support mechanisms
Conduct a self-care assessment (Self Care)
Session 11 Smoking Cessation Dr Frank Doyle FDoyle4@rcsi.ie
Demonstrate interviewing techniques that enhance motivation to change health risk behaviours (eg quit smoking
Session 12 Smoking Cessation Pt Interview
Interview a patient with regard to health behaviour change and risk reduction
Reflect on this interaction (Effective Communication, Reflective Practice)

Session 13 Practical Skills 1 Dr Claire Condron ccondron@rcsi.ie

This session is simulated based training on a task trainer
Competently explain the procedure of male catherisation and gain informed consent.
Perform a competent catherisation on a simulated model.
Please review content available on Moodle prior to session.
Session 14 Practical Skills 2 Dr Claire Condron ccondron@rcsi.ie
This session is simulated based training on a task trainer
Competently explain the procedure of breast examination and gain informed consent.
Perform a competent breast examination on a simulated model

Please review content available on Moodle prior to session.

Session 15 Practical Skills 3 Dr Claire Condron ccondron@rcsi.ie
This session is simulated based training and practice on a task trainer
Competently explain the procedure of venopuncture and gain informed consent.
Perform a competent venopuncture on a simulated model.
Please review content available on Moodle prior to each session.

Assessment
Competency sign off for skills Full Attendance Mandatory

Contact us
Co-ordinator Dr Claire Condron ccondron@rcsi.ie
IC3 Administrator Ms Laura Collins lauracollins@rcsi.ie Tel: 01 8093734

8th Jan – 12th Jan

15th Jan – 19th Feb
19th Feb – 23rd Feb
26th Feb – 2nd Mar
9th Apr – 13th Apr
16th Apr – 20th Apr