Physician Associate Studies Postgraduate Diploma

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The University of Birmingham's College of Medical and Dental Sciences, is delighted to announce the re-opening of the Physician Associate Studies (was Physician Assistant) programme from January 2014.

The programme is being re-opened in partnership with the Queen Elizabeth Hospital (University Hospital Birmingham NHS Foundation Trust) and with other hospitals and practices in the Midlands.

Physician Associate (formerly known as Physician Assistant) is a rapidly growing healthcare role in the UK, working alongside doctors in hospitals and in GP surgeries. Physician Associates will support doctors in the diagnosis and management of patients. They are trained to perform a number of roles including: taking medical histories, performing examinations, analysing test results, and diagnosing illnesses under the direct supervision of a doctor.

News - Due to extremely high demand from both applicants and the NHS, we have decided to introduce a May intake as well as a January intake (i.e. each year there will be two intakes). Applicants will be considered on a first-come, first-served basis. 

We are pleased to announce that applications for January and May 2015 entry are now open.  We recommend that you apply early, as in the likely event of a large amount of interest, applications may close early.

Please note, the British Physician Associate programme does not qualify you to work in the USA.

News – 13th September - see news release - Physician associates set to graduate – “A new breed of health professionals are about to graduate in Aberdeen - and the venture is already attracting interest from other Scottish health boards.”

 

 

News - 12th September 2013 - see news release and Future Hospitals Commissions Report by the Royal College of Physicians, that calls for the development of the Physician Associate role in acute medical settings.

Course fact file

Type of Course: , taught

Study Options: Full time

Duration: This course is two, full time, calendar years in duration, each lasting approximately 48 weeks, plus an additional month. You can expect to be studying 50+ hours per week.

Typical Offer: 2:1 in a Life Sciences Degree (eg. Biology, Biochemistry, Medical Science, Nursing, Physiotherapy) or equivalent qualification (More detailed entry requirements and the international qualifications accepted can be found in the course details)

Start date: January 2014, May 2014

Details

The University of Birmingham (in partnership with University Hospitals Birmingham NHS Foundation Trust and in collaboration many other Trusts across the Midlands) is delighted to offer this opportunity to graduates to make a valuable contribution to the nation’s health.

The development of the profession has been led by the Department of Health and has involved the Royal Colleges of Physicians and of General Practitioners as well as the profession itself through the UK Association of Physician Associates (UKAPA). University of Birmingham staff have taken a key role in the development of the programme at a national as well as a regional level in response to need identified by local healthcare providers.

Successful completion of the programme will qualify you to practise as Physician Associates (PAs) in the UK (NB: the UK PA training programme does not qualify you to work in the USA).

Course content

The course leaders regard integration of theory and practice as fundamental to clinical learning. Theory is learned mostly through problem-based learning and you will experience medicine in both hospital and community attachments. The rich ethnic and socio-economic diversity of the 5.5 million strong West Midlands population offers unrivalled opportunities for clinical learning, and placements seek to optimise this.

From the first semester, you will have contact with patients as you are attached for 5 days of clinical experience to a General Practice in the West Midlands. The second year continues the problem-based learning approach and integrates mental health in community medicine, Reproductive and Child Health, Surgery, GP, Emergency Medicine A&E and Acute Admissions. Throughout the course, you will receive teaching in a variety of forms; lectures, seminars, tutorials, laboratory work, and bedside demonstrations. Simulation is fundamental to this course, using simulated patients (who will teach you communication and examination skills, including gynaecological and urological examination) and, when appropriate, high tech simulation methodologies such as Harvey and SimMan. Simulation aims both to prepare you for the clinical world and to train you in a safe, non-threatening environment.

You will sit a national exam at the end of the second year, including a Multiple Choice Question (MCQ) paper and an Objective Structured Clinical Examination (OSCE).

Regulation

Some health professions are registered with a dedicated professional body (e.g. GMC and NMC) or with the Health and Care Professions Council. Many others exist for many years before registered status is achieved, being employed by the NHS and others and providing a valuable healthcare service.

This is not yet a regulated profession and whilst national moves towards protected registration are underway and much progress is being made with the support of Trusts and Royal Colleges, the University cannot guarantee their successful completion. For the time being graduates join a Managed Voluntary Register (see http://pamvr.org.uk/).

Disability

We welcome applications from people with disabilities.  However, the requirements of the Physician Associate role and of the training mean that candidates must be able to demonstrate certain capacities.  It is not possible to omit any part of the curriculum and all students must therefore, have adequate vision, hearing, mobility and manual dexterity, and dyslexia must not impair the rapid and accurate reading required in clinical practice.  The requirements are explained in more detail in the Code of Conduct.

Health Requirements

The UK Government Health Authorities require that students working in the clinical area must be screened to ensure that they are not carriers of the Hepatitis B virus.

All applicant who accept an offer will need to:

  • Undertake a screening blood test for Hepatitis B
  • If negative, start a course of immunisation
  • Thereafter provide certified evidence of immunity
  • Prospective students are strongly advised to take the blood test in good time.  Applicants who are Hepatitis B positive or refuse to have the blood test may be refused admission.

Please note: in response to guidelines published by the Department of Health, students on the University of Birmingham Physician Associate programme will not be expected to undertake, or be involved in, exposure prone procedures (EPPs).

Why study this course

  • Make a real difference to patient care and the NHS while typically earning a salary of £30,764 rising to £40,558 (with possible progression in exceptional cases to £47,088)… All UoB's graduates are currently being paid at least £30,000 p.a. Many Trusts offer a formal internship training year which would typically start on approximately £25,500
  • Be part of this new and rapidly growing UK profession and follow a career path which has already had proven success in the US (there are over 86,000 Physician Associates practising there)
  • Pursue a profession that is supported by the NHS and the Department of Health: over 30 hospitals employ PAs across the UK and the numbers are growing fast
  • 95% of our past graduates are now working as Physician Associates in almost every clinical area from specialist mental health to paediatric surgery to oncology to general practice.

Fees and funding

2014/2015

UK/EU

£9,000 per year

Non UK/EU

£16500

Applicants will need to pay a £500 non-refundable deposit at the point of accepting an offer to study on the Physician Associate PGDIP. The deposit is put towards payment of fees when students join the course.

University Fees Office

+44 (0)121 414 6074

studentfees@bham.ac.uk

Entry requirements

Typical offer: 2:1 in a Life Sciences Degree (eg. Biology, Biochemistry, Medical Science, Nursing, Physiotherapy) or equivalent qualification

  • 2:1 in a Life Sciences Degree (eg. Biology, Biochemistry, Biomedical Science, Medical Science, Nursing, Physiotherapy) or equivalent qualification
  • A Level Chemistry Grade C or equivalent
  • GCSE Maths and English Grade B or above

N.B. Extensive experience in the health service may contribute to your application if the above requirements are not fully met.

International students:

If English is not your first language, you will also need an English Language qualification such as IELTS – 7.0 with no less than 7.0 in any band or TOEFL – 600 (paper based)/250 (computer based) plus TWE 4.0 or 100 with no less than 23 in any band (internet based). Equivalent qualification can be accepted. If you have a UK degree or have lived in UK for some years we may require you to take IELTS to demonstrate you can achieve this standard.

The International Student Advisory Service offers help and advice to international students.

How to apply

We are pleased to announce that applications for January and May 2015 entry are now open.

January 2015 entry - Closing date for applications: Sunday 31st August 2014.

May 2015 entry - Closing date for applications: Friday 12th December 2014.

In the likely event of a large amount of interest, applications may close early. Please state clearly on the top of your personal statement if you wish to be considered for a specific month of entry.

Open Evenings

  • Tuesday 8th July 2014 - 7pm-9pm
  • Tuesday 5th August 2014 - 7pm-9pm
  • September 2014 – date to be confirmed - 7pm-9pm
  • Tuesday 4th November 2014 -7pm-9pm

To register your interest in attending an Open Evening please email physicianassociate@contacts.bham.ac.uk

Please bring to interview

In the event of your application being successful and you are invited to attend an interview please could we request that the following original documents are brought with you to interview
1. Original Undergraduate Degree(s) Certificate(s)
2. Original Transcript(s) showing a breakdown of your degree(s) module marks

(If you have any further graduate or post-graduate qualifications please also bring the original paperwork for all of these)

When clicking on the Apply Now button you will be directed to an application specifically designed for the programme you wish to apply for where you will create an account with the University application system and submit your application and supporting documents online. Further information regarding how to apply online can be found on the How to apply pages

Apply now

Learning and teaching

Overview

This is a very intense course as there is a huge amount of knowledge and skills to acquire in a relatively short time. You will need to dedicate at least 50 hours each week to learning, much of it by yourself and with your learning set. At the University of Birmingham we believe in very close integration between the theory learning (‘the hip is a ball and socket joints and the femur anatomy is as follows’ and clinical learning (‘when people fracture their hips it happens like this, they present like this, and your understanding of the hip anatomy enables you to understand why and how hips fracture’). You will also link theory and practice by learning, say, how to examine a hip on each other, on a simulated patient and (often) on a real patient before you see such a patient in a clinical environment.

We also place great emphasis on the acquisition of clinical competencies. The learning trajectory for clinical procedures such as taking blood is as follows:

  1. theory
  2. practice on ‘plastic arm’
  3. practice on each other
  4. supervised practice on real patients
  5. sign-off as competent to perform independently.

A similar process is followed for clinical examination skills:

  1. theory e.g. anatomy of the female breast including pictures, models, and a visit to the prosectorium (to see cadaver dissections which have been performed by experts)
  2. examining manikins
  3. examining simulated patients (i.e. real people who give you feedback on your examination skills)
  4. placements for all students in relevant specific outpatient or inpatient environments (e.g. breast cancer clinic to acquire skills of examining the female breast).

The course uses a variety of methods of teaching and learning as follows:

Term 1 - 14 weeks

PBL (Problem Based Learning) is the main way in which you will learn the anatomy, physiology, biochemistry, behavioural science, ethics, law and pharmacology you will need to understand what is happening in the clinical environment. Each week your PBL group will be given a problem to work with. This is not a diagnostic problem but an 'understanding' problem. So, a case might be ‘A 55 year-old single obese man of Irish background who works as a bus driver has poorly controlled diabetes and seems unable to give up smoking. His vision has deteriorated significantly due to the diabetes.’ The group’s task is to identify the key learning issues:

  • What is diabetes?
  • How does it develop?
  • How is it managed?
  • Why is smoking important?
  • How does the man’s gender, age, occupation, family situation and ethnic background fit in, it if at all
  • Are there any legal issues?

PBL is supported by the following:

  • Traditional lectures, to provide some background (e.g. on the basic principles of pharmacology)
  • Clinical skills sessions with simulation (e.g. working with role players on mental illness scenarios; Inter-professional learning scenarios with nursing and medical students on a cardiac arrest)
  • Anatomy seminars using each other and life models for surface anatomy and 3 visits a year to the prosectorium where you will see demonstrated dissections of human cadavers
  • 5 days will be spent in General Practices specially selected for teaching, where you will see patients with relevant histories and physical signs (e.g. patients with asthma when studying respiratory medicine)

Term 2 - 14 weeks

After an intensive simulation week to ensure your clinical examination and communication skills are sufficient (note that we will offer particularly intensive teaching to those who have found it more difficult to acquire these skills), you will spend most of the time in one hospital seeing ‘acute medicine’, such as strokes, heart attacks, asthma, abdominal pain and bleeding, pneumonia. You will be practicing your clinical skills on a daily basis and will be mentored (and monitored) to ensure you are progressing. You will return to the medical school for 5 days through these weeks to review relevant theory, report back and present cases you have seen and, together, to apply PBL principles acquired in term 1 to the cases you are seeing.

Term 3

The first 12 weeks of term 2 are theory weeks similar to term 1, but using the many cases you will have seen in term 2. You will be expected to have acquired a very substantial portfolio of cases across general medicine (at least 50 cases in detail and many more in outline; NB you will have seen these patients, taken histories and examined them personally).

Term 3, 4 and 5

The last 6 weeks of term 3 and most of terms 4 and 5 will consist of 6-week rotations in core specialties (GP, mental health, obstetrics, surgery, paediatrics). Each 6 week block will consist of 3 weeks of theory twinned with 3 weeks of practice (for example in paediatrics the theory 3 weeks will cover child development, immunisations, common diseases, relevant anatomy, communication issues and child safety, followed by 3 weeks on a general paediatric unit seeing patients with common paediatric problems.

Term 6

Starts with 2 weeks of ‘general theory’ revisiting areas of weakness, and including more sophisticated theory, for example how to avoid common diagnostic mistakes. Some simulation will be used to challenge students with more difficult scenarios and diagnostic challenges and get you ready for the ‘final run-in’.

The remaining 15 weeks will be spent in medicine with students rotating out for two weeks of A&E-focussed theory and 2 weeks placement in A&E. Some flexibility will allow students, after discussion with core faculty, to arrange ‘attachments of interest’, usually in their base hospital, for example in cardiology or oncology. We will also encourage students who wish to try areas not included within the course, such as palliative care, again after discussion.

Term 7

The formal teaching and learning curriculum finishes at the end of 6 terms. However, a further 4 weeks is allocated to preparation for and taking the national examinations, which are currently 200 multiple choice knowledge questions and 16 Objective Structured Examination stations.

Our facilities

The College of Medical and Dental Sciences houses state-of-the art facilities to support a range of teaching, learning and research activity. 

Our facilities ensure that students receive the best possible learning experience by working in a modern environment. Among our most recent developments include a refurbishment of the Medical School foyer, Barnes library and Wolfson Centre for Medical Education.

Explore our facilities and take a tour by moving around our 360-degree panoramas:

 

Employability

PAs who have qualified from the University of Birmingham have been very successful in the NHS jobs market. Our graduates are working all across the UK (although about half have stayed in the West Midlands) and in a wide range of specialties including: general medicine, acute medicine, cardiology, paediatrics, breast surgery, trauma and orthopaedics, mental health, Emergency medicine and General Practice. Two are involved in teaching and research. All our graduates are being paid at least £30,000 p.a.

 

Click here to see a map of where our graduates are working now 

Click on the image to see a map of where our graduates are working now



 

What do our alumni say?

So you can get an idea of what some of our students have to say about the programme we have been in touch with them and put some of their comments below for you to have a look at:

Karen Murch

Penny Matuska

Shane Apperley

Rachel Mail

Pete Gorman

Teresa Dowsing

Find out more about where our postgraduate students go