Pre-Hospital Medicine is an interdisciplinary field dedicated to the treatment of injury and illness outside hospital. An innovative and growing field, it has recently been recognised as a sub-specialty by the GMC.
This programme will provide students contemplating a career in pre-hospital medicine with a strong foundation in the science and practical skills required for success in the sub speciality, which are also highly relevant to other acute care specialties. Further, it will provide students with significant grounding in inter-professional working, leadership and service governance.
The programme was created - and will be run in partnership - with London’s Air Ambulance; and will be delivered and supervised by staff from London’s Air Ambulance, and Barts and The London School of Medicine. Teaching will also be given by other experts in pre-hospital medicine and related disciplines.
The taught modules will cover Applied Sciences, Resuscitation Science and Trauma Science as related to pre-hospital medicine; as well as Integrated Topics regarding the fundamental principles for operating safely and effectively as part of a team in a pre-hospital environment. A Clinical Applications Module will enable students to learn through placements with pre-hospital medicine providers, and by otherwise engaging with clinicians and professionals concerned with the management and prevention of critical injury and illness. Finally, each student will undertake a substantial, supervised Research Project on a relevant science or social science topic.
Please note the Pre-Hospital Medicine BSc is only open to those students who have completed at least three years of their MBBS programme or equivalent. Second year medical students or students on a dental or veterinary programme should not apply for this course.
Dr Danë Goodsman (first point of contact). Reader in Medical Education
Dr Gareth Grier. Consultant in Emergency Medicine, The Royal London Hospital; Consultant and Flight Doctor, London’s Air Ambulance
In this module students will acquire a detailed understanding of pathophysiological processes in acutely ill patients and knowledge of anatomy related to case studies in pre-hospital medicine. Core topics include applied anatomy, pharmaco-toxicology, applied haematology and applied physiology. Students will learn about, and be able to demonstrate, a detailed knowledge of normal and abnormal physiology at the accident scene, and in the hyperacute stages of illness.
In this module students will develop a detailed understanding of key aspects of resuscitation science and the ability to describe and comment upon current research in the discipline. In addition, they will develop the qualities and transferable skills necessary to make decisions in complex and unpredictable contexts; and learn how to communicate information, ideas, problems and solutions in support of resuscitation strategies to a varied audience, including peers and subject specialists.
This module will cover the principles of disease surveillance and screening, and health promotion; epidemiological understandings of demography and biological variability; causes and mechanisms of disease, including normal structure and function of the major systems and how they interrelate; the molecular, biochemical and cellular mechanisms important in maintaining haemostasis; the alteration in structure and function of the body and its major systems consequent upon injury; and pharmacological principles of novel drug treatments in trauma patients.
This module covers the following topics as they relate to the pre-hospital environment: Human factors influencing medical practice, through consideration of the physiological and psychological aspects of human capability and the psychological impact of pre-hospital care on both service receivers and deliverers; effective inter-professional learning and working; leadership and team-building; service governance and quality management; and education practices and processes.
This module will enable students to reinforce and supplement their classroom learning by completing a required number of shifts with selected pre-hospital medicine providers; and by engaging with clinicians and professionals in other services routinely encountering critical injury and illness--for example hospital, ambulance, fire and rescue, and police services. Students will learn about special topics in prevention and management of critical injury, for instance through visits to automobile and medical equipment manufacturers, and/or by attending a large sporting event. Students will record their learnings from this module in a portfolio and deliver presentations on cases they have seen.
The research project will cover a science or social science topic related to the programme that is of special interest to the student. The final output will be an 8,000-word dissertation.
Over the course of the year students are expected to become, as a group, a 'community of learners', whereby, through sharing and collaboration you will all benefit from the efforts of each other. This process requires students to consider their interactions with colleagues and the team, to demonstrate respect for others, to engage in personal professional development which will include leadership, followership and team skills.
The processes of the course are to enable students to develop insights into their own strengths and weaknesses, to reflect on their own work and practices - and to improve these - to deal with uncertainty, and to enhance their academic and problem solving abilities. Alongside these specific personal attributes we expect you to also develop your understandings and skills as leaders and team members.
As an organising group for this programme we adhere to the following set of values and principles:
The programme will be open to post 3rd/4th year MBBS or GEP students who have passed all years to date on the MBBS or GEP programme (or equivalent undergraduate award in UK/EU countries). It is not open to those who have previously undertaken an intercalated degree. Normally, no referrals in any of the clinical firm grades where these have been undertaken. Students must have passed their current year in order to take up an offer of a place on an intercalated programme.
Students will submit an application and be interviewed, and will be selected on the basis of academic ranking and interview, in line with the procedure for all SMD intercalated degrees.
Applicants should be in good general health and able to carry out manual handling including lifting and manoeuvring of heavy patients and equipment.
A variety of teaching and learning methods will be used including lectures, seminars, PBLs, peer teaching, long-case discussions, placements, field trips, workshops, demonstrations, presentations and skills-based activities. The skills-based work will also include elements such as moulages and the practical management of teaching. Students will need to be self-directed learners and will be encouraged to be proactive in finding areas of interest that they can include in their learning.
The programme will be assessed using a variety of models and processes including; examinations, case presentations, peer teaching inputs, focussed write-ups, essays, portfolio and the project. Please note course structure and assessment methods are subject to change.