PMEDPRA20 Clinical Studies B, Placement in Primary- and Specialist Health Care Services Course description

The course comprises clinical studies in relevant locations in the primary and specialist health services and aims to provide students with both breadth and in-depth competence. The students’ role will be to observe and participate in diagnostic work and therapeutic interventions. Knowledge, skills and methods acquired must be adapted to patients with issues of different complexity and degree of seriousness.

The learning outcomes build on earlier courses. The learning outcomes are actualised, integrated and acquired in clinical situations and form the basis for the development of clinical competence. The student must acquire knowledge, skills and attitudes that are necessary to solve tasks and challenges in clinical practice placement.

Ingen forkunnskapskrav

After completing the course, the student should have the following learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

The student

• can describe the organisation of and interaction between the primary and specialist health services and explain the most important functions of the municipal emergency medical centres, emergency department and municipal emergency inpatient units
• can describe how the primary and specialist health services attend to the needs of particular groups, such as children, elderly people, pregnant/women in labour, persons with disabilities, people who are victims of violence and/or sexual abuse, persons with substance abuse problems and mental illness
• can describe how emergency medical centres, emergency department, emergency psychiatric service and maternity wards interact with other parts of the health service
• can explain patients’ rights in connection with assessment and the responsibility of the primary and specialist health services for handling acutely ill and injured patients
• can explain typical patient care pathways from arrival to the emergency medical centre/emergency department to discharge/arrival to ward
• can explain the principles for triage (prioritised levels of urgency) for patients who contact a municipal emergency medical centre or an emergency department
• can discuss how the different practice placement locations apply the principle of necessity, self-defence, the duty of disclosure and reporting to the police and the child welfare service
• can describe the most important observations, complications and interventions in connection with childbirth
• can explain the principles for sterile and non-sterile procedures and is familiar with the practice placements standard operating procedures for handling clean and unclean equipment
• is familiar with the most important principles of blood sampling and common diagnostic tests
• can explain how the practice placement uses digital solutions and medical-technical equipment, and how that impacts patient safety
• can describe how paramedics contribute to preventive and health promoting work
• can describe important principles for good inter-professional teamwork and a good working environment
• can describe relevant clinical guidelines for walk-in clinics and emergency departments
• knows the use and usefulness of a blood gas analysis

Skills

The student

• can perform basic wound care and assist in suturing
• can place, manage and remove a permanent transurethral catheter, and perform sterile intermittent catherisation and clean intermittent catherisation
• can maintain relevant precautions for contact and droplet infection and is familiar with precautions for airborne infection
• can carry out basic patient reception routines in accordance with updated knowledge, applicable laws and ethical principles
• can assist in a systematic primary and secondary survey of patients, establish monitoring, and contribute to diagnostic and therapeutic interventions
• can carry out systematic primary and secondary survey of patients, start necessary monitoring and recommend actions for further treatment
• can hand over patients to partners in a satisfactory manner in accordance with requirements for information and documentation
• can assist health care workers´ in receiving patients at risk of suicide, in mental health crisis and/or with substance abuse issues
• can communicate their own assessments to cooperating staff in a clear and structured manner
• can take care of patient and their next of kin, and give advice and information adapted to their needs
• can administer medication in accordance with local guidelines
• masters bag-mask ventilation and ables to contribute in a multidisciplinary team in the delivery of advanced airway interventions
• can recognise and handle a normal birth

General competence

The student

• can disseminate knowledge about primary and specialist health services
• can identify and handle professional and ethical dilemmas that arise in the paramedic’s work at the interface between health services´
• can discuss safeguarding of patients’ rights independently of gender, age, culture, language and ethnicity when working in the primary and specialist health services
• can reflect on how health care workers assess and treat patients with complex issues
• can deliver medical help in accordance with their own competence and limitations
• can reflect on how stress and crisis reactions in patients and next of kin influence communication and interaction in emergency medical situations

Work and teaching methods consist of clinical training, simulation and skills training, preparatory teaching for clinical training, seminars, work on the clinical training document, writing of reflection notes, and participation in reflection groups.

The course is taught over approx. 14 weeks and comprises clinical studies in different parts of the primary and specialist health services. The training establishments are:

• emergency medical centres
• emergency departments
• substance abuse and psychiatric services
• maternity wards
• anaesthesia departments

The content of the placement periods will vary with the activities at the practice placement locations and will therefore offer varied arenas for clinical exposure in terms of scenarios and complexity. Parts of the clinical studies can be replaced by simulation and skills training, if this provides a better learning outcome.

To document activity and achievement of the learning outcomes, the students must fill in a dedicated clinical training document together with staff at the practice placement location. The document is a tool to promote learning activities and to document attendance and achievement of different learning outcomes.

In addition to clinical activities, the students work on an individual reflection note. One written piece of feedback will be provided on the note, provided that the student submits it within the stipulated deadline.

I tillegg til forelesninger, vil det bli gjennomført gruppediskusjoner, gruppearbeid, seminarer, studentforedrag, øvelser og arbeid med case. Seminarbasert arbeid vil bli gjennomført for å belyse pedagogiske og spesialpedagogiske problemstillinger og forskningsmetoder. På seminarene vil studentene presentere og drøfte sitt arbeid med hverandre og faglærer. Studentene må bruke tid utover undervisningstiden til selvstudier, gruppe- og kollokviearbeid. Studentene kan få ansvar for å legge fram dagsaktuelle saker fra media, koblet til det faglige innholdet i fordypningen.

I løpet av studiet skal studentene (enkeltvis eller i mindre grupper) gjennomføre en observasjonspraksis på fire til fem dager i barnehager med ulik organisering av det pedagogiske tilbudet, og med fokus på inkluderende prosesser. Aktuelle problemstillinger skal belyses gjennom observasjonsmaterialet fra barnehagene og bearbeides i grupper med utgangspunkt i pensumlitteratur og selvvalgt litteratur.

IKT (Informasjonsteknologi) brukes aktivt i læringsprosessene.

Veiledet praksisopplæring

Praksisopplæringen i sjuende semester er veiledet og består av fem dager veiledet praksisopplæring i tilknytning til valgt fordypningsstudium.

Fravær fra praksisopplæringen i emnet må være tatt igjen innen utgangen av høstsemesteret. Praksislærer vurderer praksisopplæringen til bestått eller ikke bestått.

Mer informasjon om praksisstudier finnes i programplanen og i "Retningslinjer for praksis" og i heftet "Informasjon om praksisoppgaven", som publiseres på OsloMets digitale læringsplattform før oppstart av praksisperioden

Retten til å avlegge eksamen forutsetter at følgende arbeidskrav er godkjent:

• En skriftlig gruppeoppgave (4-6 studenter) på 1500 ord +/- 10%. Problemstilling skal knyttes til temaer og litteratur knyttet til bolken «overordnete perspektiver».
• Et muntlig gruppeframlegg (4-6 studenter) med utgangspunkt i den skriftlige gruppeoppgaven; framlegget presenteres og drøftes med studenter og faglærere, omfang omlag 30 min.
• Fagseminarer - individuelt muntlig framlegg med utgangspunkt i oppgitt tema som presenteres for og drøftes med studenter og faglærere, omfang om lag 20 min.
• Refleksjonsnotat i forbindelse med praksis i barnehage på 400 ord +/-10%

Utfyllende informasjon om arbeidskrav finnes i programplan for bachelorstudiet i barnehagelærerutdanning, deltid (180 studiepoeng).

Faglig aktivitet med krav om deltakelse

Retten til å avlegge eksamen forutsetter deltakelse i følgende faglige aktiviteter:

• To til tre ekskursjoner til ulike institusjoner.
• Deltakelse i seminar om praksis i barnehage
• Tre gruppearbeid med dokumentasjon knyttet til undervisning og forelesninger i hovedtemaene

Utfyllende informasjon om deltakelse finnes i programplan for bachelorstudiet i barnehagelærerutdanning, deltid (180 studiepoeng).

Avsluttende vurdering gjennomføres i vårsemesteret. Eksamen er 4 timer eksamen under tilsyn

Skikkethetsvurdering

Se programplanen for bachelorstudium i barnehagelærerutdanning (180 studiepoeng) deltid for nærmere informasjon.

Ny/utsatt eksamen

Ny og utsatt eksamen gjennomføres på samme måte som ved ordinær eksamen. Studentens rettigheter og plikter ved ny/utsatt eksamen framgår av forskrift om studier og eksamen ved OsloMet. Studenter er selv ansvarlige for å melde seg opp.

Pass/fail.

All answers are assessed by two examiners. An external examiner is used regularly, at a minimum of every third completion of the course. When selecting answers for external evaluation, a minimum of 10 percent of the answers shall be included, with no fewer than 5 answers. The external examiner’s assessment of the selected answers shall benefit all students.

A - F