Dementia Teaching and training delivered to medical students

Juhi Sharma made this Freedom of Information request to University of Liverpool

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Dear University of Liverpool,

I would like to know some specific details about the Dementia
Teaching and Training delivered to medical students, in your
Medical University.
Specifically, I would like to know the format, the time spent and
where the placements are. I would like the data pertaining to the
current(or if you do not have these statistics yet, then the most
recent) intake.

I would appreciate it if this data was available in Word excel
sheet, if possible.

Yours faithfully,

Juhi Sharma

foi Uof Liverpool, University of Liverpool

Dear Mr/Ms Sharma,

Thank you for your email received 9th January 2013 requesting information about dementia teaching. I am writing to let you know that we have received your request and will process it as soon as possible, and in any case within 20 working days of the day we received the request. You will hear back from us by 6th February 2013 at the latest.

Yours sincerely

Lesley Jackson
FOI Co-ordinator
The University of Liverpool
Foundation Building
765 Brownlow Hill
Liverpool L69 7ZX

Fax: 0151 794 3272

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foi Uof Liverpool, University of Liverpool


Mrs Lesley Jackson

Freedom of Information



The Foundation Building
765 Brownlow Hill
L69 7ZX

F  0151 794 3272
E  [University of Liverpool request email]















4^th February 2013



Juhi Sharma



Via email to:- [2][FOI #144894 email]



Dear Mr./ Ms. Sharma,


Thank you for your email dated 8^th January 2013 requesting information
concerning dementia teaching and training delivered to medical students at
the University of Liverpool.   I am pleased to enclose the information you
requested as set below.


Teaching on Dementia in the Undergraduate course takes a number of forms:


1.         Year 1

The first year of the curriculum concentrates on normal physiology and
anatomy.   Students may have the opportunity to delve into the study of
dementia in the Special Study module provided there are convenors to offer
the subject.


2.       Year 2

Teaching:             The last module of year 2, module 2.15, is dedicated
to old age. Within this the pathology, pathomechanisms and clinical
manifestations of various forms of dementia are discussed extensively.
This module, called ‘Incontinence/Old age’, was renamed to ‘Frail but
feisty’ last year to project a more positive image. The content of the
module was also updated.  The current expected learning outcomes are
listed below:

·          Outline the effects of ageing on pharmacokinetics and
pharmacodynamics (comparing older and younger people), and explain the
implications for the doctor and patient in management of disease in later

·         Discuss neurodegeneration and other degenerative processes that
lead to, for example, vision, hearing, memory, and joint problems
(referring to the causes of dementia/cognitive impairment including

·         Consider the issues surrounding ‘polypharmacy’

·         Discuss the causes of acute deterioration in a patient with
cognitive impairment


The recommended reading list for the students contains several references
(book chapters) that cover the clinical diagnosis of dementia, the
manifestations of the disease, explanation about the mechanisms leading to
various forms of dementia and acute confusional states and the relevant
pharmacological interventions.

Examinations:    During the summative year 2 exams questions about
clinical discrimination between various forms of dementia, their
pathophysiology and management are almost invariably present either in
Paper 1 (Knowledge underpinning medical practice) or Paper 3 (Application
of clinical knowledge), sometimes both.  

3.         Year 3


“Brain and Mind” module:  This is an integrated psychiatry and neurology 7
week course.

Neurology delivers specific lectures on “examination of cognitive
function”, together with “gradual cognitive decline”; both provide a
background to identifying and diagnosing dementia.

The introductory lecture is opened with a talk from the “patient and carer
group”; this at times will involve a carer of someone with dementia.
Psychiatry also has a lecture on “dementia”, giving an overview of the
pathology, presentation and management options of someone with a dementia.

A full day is dedicated to patient contact, specifically for elderly
dementia patients in a hospital setting, presenting cases to appropriate
staff. These are then anonymised, “signed off” and collated through the
University logbook.

There are 3 senior psychiatry trainee-facilitated case-based discussion
sessions (2½ hours each), with one of these directly related to dementia.

We also offer 20 day “special study modules” in dementia services.

Dementia is included in both formative and summative assessments including
OSCE stations, and written questions.


4.      Year 4: 


This is a 4-week clinical attachment to named consultant.

One of the Key Clinical experiences through this rotation is “Old Age
Psychiatry”, (shadowing an old age consultant) involving predominantly
community clinical contact with dementia patients and carers. As well
there are recorded clerkings of patients with dementia.

As well as the written dementia assessments, “Finals” frequently have a
carer of someone with a dementia, looking at the progression of the
illness and the impact on the carer.


5.      Year 5:


SAMP (Selective in Advanced Medical Practice).  There are a number of
placement options for those with an interest in psychiatry to work closely
with a “dementia specialist” for 7 weeks. 

If you are not satisfied with the University’s response to your request,
you may ask the University to review it.  If you wish to do this, please
write to Mr. Michael Thorne, Solicitor, Legal, Risk & Compliance, The
University of Liverpool, The Foundation Building, 765 Brownlow Hill,
Liverpool, L69 7ZX, enclosing a copy of your original request and
explaining your complaint.  Please include an address for correspondence.

If you remain dissatisfied with the handling of your request, you have a
right to appeal to the Information Commissioner at:-


The Information Commissioner’s Office, Wycliffe House, Water Lane,
Wilmslow, Cheshire, SK9 5AF.

Telephone:         08456 30 60 60 or 01625 54 57 45

Website: [3]


Yours sincerely,


Lesley Jackson


Freedom of Information Co-ordinator



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