Emergency Medicine 2020

speciality of emergency medicine

Prediction of length of stay in acute care

Prof Tim Coats tc61@le.ac.uk & Dr Damian Roland dr98@le.ac.uk

Digital records in emergency care are resulting in a large novel resource for research. This project will equip an ACF with the skills required to undertake a PhD focussed on Clinical Data Science in Adult or Paediatric Emergency Care, in order to develop an academic career based on the current rapid digitisation of Emergency Care data.

This project will link with the Leicester University Clinical Data Science Initiative and the SmartUHL informatics program within the University Hospitals of Leicester NHS Trust. It will be carried out in conjunction with the University Departments of Mathematics (Prof I Tyukin) and Informatics (Dr G Kefalidou).

The project will build on ongoing work in adult and paediatric emergency care, and will involve the linkage of Emergency Department data with patterns of change in physiology and socio-demographic data in order to identify and then predict segments of the ED population with either very short or very long lengths of stay. Data visualisations for dynamic presentation of the resulting predictive data in emergency care will also be explored using participatory design techniques.

The skills learned during this project will form the basis for an academic career focussed on clinical data science in emergency care.

Determining the clinically relevant anatomy to teach UG medical students

Dr Steven Jacques sjj22@le.ac.uk

Human Anatomy has been a core component of undergraduate (UG) medical education for many years, and while it continues to be a key theme, the depth of anatomy taught has seen a steady decline. The need for a solid foundation of anatomical knowledge, while more readily appreciated as essential for those pursuing surgical careers, is important for any practicing clinician. Clearly, which areas of anatomy are most relevant will vary depending on the postgraduate speciality. With ever increasing pressures on space within the UG curriculum, there is obvious priority to ensuring what is taught best enables students to meet the demands of the breadth of future clinical practice.

While the GMC do not currently stipulate specific outcomes for the level of anatomy within the UG medical curriculum, the future introduction of the UK Medical Licensing Assessment will likely lead to efforts to better establish ILOs for the basic sciences, as a whole.  In 2016, in response to the lack of consensus and guidance on the appropriate level of anatomy, the Anatomical Society defined a core regional anatomy syllabus of 156 ILOs, which were to help curriculum planners determine the clinically relevant anatomy to teach UG medical students. The proposed ILOs were determined by a Delphi panel of experts, which included surgeons, radiologists and anatomists.

The first step of the project will involve a series of focus groups and surveys with a variety of early clinical trainees from medicine, surgery and primary care. The purpose of this will be to identify whether there are elements of the 156 identified ILOs that represent a base of anatomical knowledge common across a breadth of specialities (surgical and non-surgical). The second step will be to explore how well they perceive (by self-report) to have retained knowledge of those areas of anatomy (identified in the first step of the project).

The findings from this project will help to better define areas of anatomy that are seen as most important, relevant and common to a breadth of clinical specialities. Further work/projects could explore how this anatomy could be prioritised or given greater attention within the UG medical curriculum, or early postgraduate period and whether there are any interventions that can be applied to improve retention of knowledge in those areas.

Education

If you are interested in progressing an educational research project within the specialty please contact Professor Bob Norman who is based in the Leicester Medical School, rin1@le.ac.uk

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