You will be based at the University of St Andrews and NHS Fife, where your learning will be focused around patient scenarios using an approach known as case-based learning. For example, a case of a ‘student with a sore throat’ might lead into examination of the throat and neck, related anatomy, microbiology, pharmacology and the public health issues.
The complexity and challenge of the cases builds as you and your peers become more effective learners. During this year, for one day a week, you will be engaged in small-group, work-based learning. You will be supported by dedicated generalist clinical mentors (GCMs).
Semester 1 will use cases that focus on foundational medical sciences; this knowledge will subsequently underpin more challenging scenarios. Consultation skills will be introduced alongside topics such as biochemistry, pharmacology and anatomy. You will also have weekly clinical experience in the community.
Semester 2 concentrates on the body systems; where examination skills can be learnt in conjunction with the relevant anatomy.
This year is largely structured around the lifecycle, but will be delivered in different regions. There will be placements away from Fife, with opportunities to study in Tayside, the Highlands, and Dumfries and Galloway. NHS Boards will provide accommodation when required.
You will continue to work for a day each week with a generalist clinical mentor and also spend half a day in a specialist clinical environment. Year 2 closes by providing experience of unscheduled care (GP, emergency department, ambulance etc.) and project work related to the course's main themes.
During third year, you will undertake a 'longitudinal integrated clerkship' where you will join a general practice and follow patients through their illness journey over the course of a year, rather than taking part in ‘traditional’ clinical rotations. This approach works especially well for graduates and has been shown to develop more patient-centred doctors with improved decision-making skills.
As a competent generalist student, you will now be immersed in the hospital environment and prepare yourself for work as a junior doctor. You will complete two month-long foundation apprenticeships and other hospital-based clinical attachments in final preparation for practice as a foundation doctor.
You may choose clinical areas of particular interest which you can experience in greater depth. You will also arrange an eight-week period of clinical practice which can take place anywhere in the world and will be focused on your own objectives.