Patient and Public Involvement

“The GMC aims to encourage a culture where the patient and public perspective is sought and recognised across the spectrum of medical education”Paragraph 14.

Patients and the public“When referring to ‘patients’, ‘lay individuals’ or ‘patients and public’ the GMC means a wide variety of individuals and groups. Each could bring .. Different perspectives and expertise.” Patients and current patients Expert patients Carers, advocates and support workers Simulated and virtual patients Lay people or “the public” Patient groups or representatives – service or location Voluntary or community sector or national patient advocacy bodies

Key points Clear purpose and framework Variety of innovative approaches Appropriate preparation Support framework1. (i) Student selection2. (ii) Teaching and feedback 3. (iii) Assessment4. (iv) Curriculum and assessment development5. (v) Governance and quality management

Standards for the delivery of teaching, learning and assessment. (TD 2009)Domain 2 – Quality assurance, review and evaluation.…. requires systematic monitoring … including feedback from patients …. Detailed requirements are:Patients should be involved in quality management and control processesThe quality of teaching learning and assessment must be monitored through a number of different systems including patient feedback

Standards for the delivery of teaching, learning and assessment. (TD 2009)Domain 5 – Design and delivery of the curriculum, including assessmentFeedback and assessment:All doctors, other health and social care workers, patients and carers who come into contact with the student should have an opportunity to provide constructive feedback about their performance. Feedback about performance in assessments helps to identify strengths and weaknesses, both in students and in the curriculum, and this allows changes to be made.

Patient Involvement

Focused on the student

Focused on the

institutionTeachingFeedbackAssessmentSelection of students (process)MentoringPastoral care

GovernanceQuality management & feedbackDeveloping & enhancing standards - curriculum - assessment - Student SupportSelection of students & staff (policy & procedure)

Provide Informatio

n

Create materials

Common areas of involvementCommunication skillsMental healthPhysical examination skillsDiagnostic skillsDeveloping an holistic understanding of healthLong-term conditionsPatient safety

“Also, knowledge and experience of the medical education environment and curriculum comes

with continuous or repeated involvement of patients or lay individuals over a period of time. But this should be balanced with the need to ensure independence of their perspective from the institution itself.”

BenefitsHelps learners acquire skills; a different perspective for feedback – valuable insights & experienceGiving back and personal satisfaction for those involved; personal empowerment and employabilityRecognising diversity and different perspectivesBUTIt requires investment and cultural change