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Advanced Clinical Practice MSc

The NHS Five Year forward view published in October 2014 sets out a vision for the future based on new models of care. Health Education England (HEE) in the East Midlands is supporting this as are other institutional bodies across the region and nationally.

Overview

One of the major changes envisaged in the Five Year view was the changing roles of Nurses, Midwives and Allied health professionals, essentially taking on roles that previously were the domain of medical staff. This has actually been happening for many years but numbers have increased significantly over recent times, and with it a burgeoning desire to see standards set and the role clearly defined.

There is unfortunately no clear definition of what ‘advanced practice’ is and therefore the education and roles that the practitioner might be required to perform or undertake is also open to question. There is however clear support from all parties involved (across the UK) that the educational provision should be at Masters level, with a Post graduate Diploma being generally accepted as the minimum requirement for practice. The full MSc enhances the practitioner’s ability to appraise research, think critically, and prepares them to develop further beyond simply the role of an expert clinician. Scotland and Wales each have a single framework for advanced Practice, and Northern Ireland is following suit.

There is no fully defined curriculum for MSc ACP, however both the East and West Midlands have agreed a standardised programme in liaison with local clinical stakeholders and the Association of Advanced Practice Educators. Our Course is based along similar lines. We seek to develop practitioners who are:

“registered practitioners with an expert knowledge base, complex decision-making skills and clinical competencies for expanded autonomous scope of practice, the characteristics of which are shaped by the context in which the individual practices. Demonstrable at Masters level and meets the education, training and CPD requirements for Advanced Clinical Practice” (HEEM, 2014).

The advanced practitioner is characterised by high levels of skill, competence and autonomous decision making, at a perhaps higher level than the specialist, though of course a practitioner may well specialise at an advanced level. A more simplistic explanation might be that the specialist operates at a high level in their specialism, but returns to novice when outside it; the advanced practitioner operates at a higher level in their speciality, but can also bring advanced practice to other areas as well. The department of Health (2010) suggested that it was a level of practice, rather than specific role.

Nationally, due to the extremely varied nature of ACP roles, it has proved impossible to define a set list of ‘competencies’, beyond very broad strictures such as the ability to physically examine a patient. There is however broad agreement on some aspects that should be common to all. Those have been identified as the ‘four pillars’ of advanced practice:

  • Clinical
  • Education
  • Research
  • Leadership

The MSc ACP at De Montfort University draws these together and produces an able graduate who is highly employable. This course will not make you competent - no course will - but it will give you the educational grounding in order to develop competence and in turn become expert, with a strong clinical focus.

The curriculum has been designed with expert advice from clinicians, academics and local strategic partners to address both the academic and clinical demands of the role. Regular meetings are held between faculty and clinical staff to ensure good exchange of information. Student opinion and feedback is also incorporated.

If you don’t want to do the full MSc and have a primary care employment, then you might also consider the PGDip Advanced Practice in Urgent / Primary Care.

 

  • UK/EU
  • International

Key facts for UK/EU students

Institution code: D26

Course code: PN097T

Most modules run over a full day for the taught elements, usually one day per week though not necessarily sequential weeks. Please see details of individual modules for more information.

There is a programme induction event, usually held in mid-September. Details of this are available once enrolled on the programme.

Duration:
Students are able to complete the programme part time in 2-6 years. There is no full time option.

Attendance: 
The university requires a minimum of 80% attendance at taught sessions. Students should also be aware that if they are seconded from an employing organisation, or funded by same, then details of their attendance will be passed to that organisation.

Location of study: 
De Montfort University Leicester UK

Find out more about course fees and available funding.

Find out more about additional costs and optional extras associated with this course.

How to apply: Students can apply to study at DMU directly using our online portal.

 


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International students who do not currently have employment rights in the UK are not eligible for this course.

Entry criteria

Standard entry requirements:

  • Holds a professional qualification as a health care practitioner and is currently registered with the relevant health care professional body.
  • Is able to supply two references, one giving emphasis to academic and clinical ability.
  • Has an honours degree (2:2 or above) awarded by a British University or other equivalent approved degree awarding college/body.
  • Successful academic study within 5 years.

Minimum entry requirements

In exceptional circumstances, consideration may be given to a student who:

  • Holds a professional qualification as a health care practitioner and is currently registered with the relevant health care professional body.
  • Is able to supply two references, giving emphasis to academic and clinical ability.
  • Demonstrates expertise through publication, change management and/or leadership as well as successful study at third level or above through Professional Portfolio.

Some organisations may wish to impose other criteria / restrictions upon students. For example, UHL interview staff members who they wish to develop as ACP and as a result of this process either selects or rejects them for the programme. The prospective student must still satisfy DMU entry requirements. These processes fall outside of the DMU admissions process and are not subject to DMU control. The students are then seconded by the employing organisation to enable them to undertake the course.

English language requirements:

If English is not your first language an IELTS score of 7 or equivalent when you start the course is essential. English language tuition, delivered by our British Council accredited Centre for English Language Learning (CELL), is available both before and during the course.

Please visit dmu.ac.uk/international for more information.

 

Structure and assessment

 

Course modules

Teaching and assessment

Teaching contact hours

 

Students must complete either:

MPHE 5208 (45 credits) or MPHE 5801 (30 credits). These are the physical examination / history taking modules. Both incorporate elements of pathophysiology and diagnostic reasoning, with MPHE 5208 having a more general medical slant and including more pathophysiology. The modules are delivered together, with MPHE 5208 having a further 4 days once MPHE 5801 finishes. Both are assessed with a combination of OSCEs, case study and practice portfolio.

If you do not work in an environment where you will have the opportunity to see / examine all systems, then you will need to be able to take time to access such an environment.

These modules will enable the student to critically appraise the underlying principles of consultation and physical examination. The module will enable the student to make informed judgements, problem solve and identify complex health needs and issues specific to an advanced clinical role.

Allied issues such as requesting investigations, inter-professional team working, patient referral mechanisms and professional accountability in an advanced role are also addressed. It is aimed at those health care practitioners who will be professionally supported in this active interventionist role.  It is relevant to Registered Paramedics, Nurses and Allied Health Professionals working within a variety of primary and secondary care settings.

Prescribing.

If the student is from a profession that is legislatively able to prescribe, then they MUST undertake the non-medical prescribing course (PG cert) as part of this programme. Please see the non-medical prescribing course web page for further information. This is 60 credits (45 for pharmacists).

This course cannot be undertaken until the successful completion of a physical examination course.

If the student is not legislatively able to prescribe currently (e.g. paramedics) then they must make up the 60 credits from the wider DMU M level portfolio, using modules with a clinical / advanced practice focus.

Research Module

Students can chose from a variety of research modules, the completion of any one of which is compulsory. The choice will depend on the student’s requirements in terms of number of credits, and their potential research interests. See individual module webpages for more information:

HEST 5001 research designs in health (30) – this module has a more qualitative focus.

SPEC 5602 Using evidence to develop service and advance nursing practice (15) A generalist perspective.

HEST 5016 Making sense of quantitative and qualitative data (30) If you want to know more about quantitative this is a good choice.

Dissertation:

All students must complete the dissertation (MPHE 5007). This is a 60 credit 20,000 word assignment, which can take many forms including empirical research, audit, literature review or service development; or a combination of these.

To summarise, most students must undertake:

A clinical examination module

A research module

The prescribing course

The dissertation 

It is possible to exit the course without doing the dissertation (if the other modules are completed) and gain the award of PG Dip in Advanced clinical practice. A PG cert is also available if a student completes a physical examination module and a research module, but please note; this is NOT a PG cert Advanced Clinical Practice.

Teaching and assessment

Teaching is a mix of lectures, tutorials, practical sessions and self-directed learning. As this is a Masters level programme, it is expected that you will take responsibility for devising your own learning plan, and accessing support where you require it.

Assessments are designed to test the module and programme learning outcomes and are a combination of assignments, case studies, exams, OSCEs and the final dissertation. Some modules will also have a practice portfolio element.

Any educational course in advanced practice that claims to make the student ‘competent’ should be avoided; this is just the start. The real learning occurs in practice and as such you should be able to access time away from your clinical role to consolidate your learning and address areas of learning need – perhaps examining systems that you don’t see regularly, or observing how services have developed in other areas.

Teaching contact hours

Contact hours in a typical week will depend to some extent on the optional modules you choose to study. However, typically you will have up to 7. contact hours of teaching and this will break down as:

Personal tutorial/small group teaching:3  hours of tutorials (or later, project supervision) over the course of a module (1 hour as a group, up to 2 hours individually)

Medium group teaching: 7 hours of practical classes, workshops or seminars each week

Personal study: …8.hours studying and revising in your own time each week, including some guided study using hand-outs, online activities.

Facilities and features

Health and Life Sciences facilties

Investment of £12 million in Health and Life Sciences has developed our first-class teaching and learning facilities to help you develop your practical experience and theoretical knowledge beyond the classroom.

Learn more about DMU’s first-class study facilities.

Library services

We have 1,500 study places and 650 computer workstations across four sites on campus. These give access to more than half a million publications, an extensive range of DVDs, e-resources and thousands of electronic journals. 

The main Kimberlin Library is open 24 hours a day, 365 days of the year (other than in exceptional circumstances).

Award-winning staff are on hand to help and there is a café for study breaks. We offer a range of workshops, drop-in and one-to-one sessions, and our Just Ask service provides email and telephone support.

Learning zones

Our comfortable and well-equipped study areas provide a range of environments to suit your needs.

Originally set up in our main Kimberlin Library, the learning zones proved so popular that more were created in the Eric Wood Building and Greenhouse. These flexible spaces are ideal whether you are working as a group, practising a presentation or working quietly on your own.

They feature workstations with power supplies for laptops, plus bookable syndicate rooms with interactive whiteboards and DVD players. Eduroam wi-fi is available across all campus locations.

Opportunities and careers

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Graduate careers

On completion of this course, students will fulfil the academic requirements in order to practice as an Advanced Clinical Practitioner. This anticipates possible future NMC regulation, and complies with standards across all the different nations of the UK.

DMU Open Evenings

Our next postgraduate open evening takes place on Wednesday 14 March 2018, 4pm - 6.30pm. Book your place today. 

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How to apply

We welcome applications from UK and international students with a wide range of qualifications and experience.

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