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3C1a_Biomedical-Science-UG_30Oct18.pdf, Study notes of Pathology

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ULSTER UNIVERSITY
REPORT OF A MEETING OF THE CONJOINT ULSTER UNIVERSITY REVALIDATION AND
ACADEMY OF CLINICAL SCIENCE AND LABORATORY MEDICINE (ACSLM) / INSTITUTE OF
BIOMEDICAL SCIENCE (IBMS) REACCREDITATION PANEL: REVALIDATION UNIT 3C1a
BIOMEDICAL SCIENCE (UNDERGRADUATE)
30 October 2018
ULSTER PANEL
Professor D Hazlett, Director of the Centre for Higher Education Research and Practice, Ulster University
(Chair)
Dr A Moorhead, School of Communication and Media, Ulster University
Ms C Cassidy, Students’ Union, VP Academic and Affairs, Magee Campus, Ulster University
Dr R Freeburn, School of Life and Health Sciences, University of the West of Scotland
Professor D Holmes, St George’s University International School of Medicine, Northumbria
University
ACADEMY OF CLINICAL SCIENCE AND LABORATORY MEDICINE (ACSLM) PANEL
Dr J Williams, Chairman of the ACSLM Course Validation Committee
Ms M Culliton, National Maternity Hospital, Dublin
INSTITUTE OF BIOMEDICAL SCIENCE (IBMS) PANEL
Dr S Jones, Director of Biomedical Science, School of Health Sciences, York St John
University
Ms W Leversuch, Head of Scientific Training, Health Services Laboratories, London
Mr A Wainwright, Executive Head of Education, Institute of Biomedical Science, London
REVALIDATION UNIT CO-ORDINATOR:
Mr D McKenna, School of Biomedical Sciences, Ulster University
IN ATTENDANCE
Mr B McArthur, Academic Office, Ulster University
1 INTRODUCTION
1.1 The Panel met to consider the following provision within Revalidation Unit 3C1a Biomedical
Science (Undergraduate).
BSc Hons Biomedical Science (FT/PT) with AB & CertHE exit awards (CE)
BSc Hons Biomedical Science* (FT) with DPP (Pathology) (CE)
BSc Hons Biomedical Science (FT) with AB & CertHE exit awards and DPP / DPP(I) / DIAS
(CE)
BSc Hons Biomedical Science (Level 6) (PT) (Distance Learning)
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ULSTER UNIVERSITY

REPORT OF A MEETING OF THE CONJOINT ULSTER UNIVERSITY REVALIDATION AND

ACADEMY OF CLINICAL SCIENCE AND LABORATORY MEDICINE (ACSLM) / INSTITUTE OF

BIOMEDICAL SCIENCE (IBMS) REACCREDITATION PANEL: REVALIDATION UNIT 3C1a BIOMEDICAL SCIENCE (UNDERGRADUATE) 30 October 2018 ULSTER PANEL Professor D Hazlett, Director of the Centre for Higher Education Research and Practice, Ulster University (Chair) Dr A Moorhead, School of Communication and Media, Ulster University Ms C Cassidy, Students’ Union, VP Academic and Affairs, Magee Campus, Ulster University Dr R Freeburn, School of Life and Health Sciences, University of the West of Scotland Professor D Holmes, St George’s University International School of Medicine, Northumbria University ACADEMY OF CLINICAL SCIENCE AND LABORATORY MEDICINE (ACSLM) PANEL Dr J Williams, Chairman of the ACSLM Course Validation Committee Ms M Culliton, National Maternity Hospital, Dublin INSTITUTE OF BIOMEDICAL SCIENCE (IBMS) PANEL Dr S Jones, Director of Biomedical Science, School of Health Sciences, York St John University Ms W Leversuch, Head of Scientific Training, Health Services Laboratories, London Mr A Wainwright, Executive Head of Education, Institute of Biomedical Science, London REVALIDATION UNIT CO-ORDINATOR: Mr D McKenna, School of Biomedical Sciences, Ulster University IN ATTENDANCE Mr B McArthur, Academic Office, Ulster University 1 INTRODUCTION 1.1 The Panel met to consider the following provision within Revalidation Unit 3C1a Biomedical Science (Undergraduate).  BSc Hons Biomedical Science (FT/PT) with AB & CertHE exit awards (CE)  BSc Hons Biomedical Science* (FT) with DPP (Pathology) (CE)  BSc Hons Biomedical Science (FT) with AB & CertHE exit awards and DPP / DPP(I) / DIAS (CE)  BSc Hons Biomedical Science (Level 6) (PT) (Distance Learning)

 Graduate Certificate in Biomedical Science (PT) (Distance Learning)  MBiomedSci Hons Biomedical Science (FT/Level 7 PT) with BSc Hons Biomedical Science exit award (CE & University of Indiana & Purdue University Indiana) (* Proposed new title, ‘Applied Biomedical Science’) 1.2 Although presented as six programmes, the placement / study abroad modules apart, four of the six comprise the same modules at levels 4 to 6 i.e.  BSc Hons Biomedical Science (FT/PT)  BSc Hons Biomedical Science (with DPP [Pathology]) (FT)  BSc Hons Biomedical Science (with DPP/DIAS) (PT)  Master of Biomedical Science (Hons) (MBiomedSci) Biomedical Science (FT/PT final year) 1.3 The two distance learning programmes comprise modules that differ from the above programmes with the Graduate Certificate sharing all of its modules with the Honours programme.  BSc Hons Biomedical Science (Level 6) (PT) (Distance Learning)  Graduate Certificate in Biomedical Science (PT) (Distance Learning) 1.4 Students undertaking the Pathology programme complete their placement year in an IBMS approved clinical pathology laboratory during which they complete the IBMS Registration Training Portfolio leading to the issue of the IBMS Certificate of Competence and eligibility to apply for HCPC registration as a biomedical scientist. It is the only programme that leads directly to HCPC registration as a biomedical scientist. It was proposed that the title of this programme be changed to, ‘ Applied Biomedical Science’. The Ulster and IBMS panels approved of the title change since it aligned with the convention in GB regarding similar programmes. The ACSLM panel would have preferred the use of ‘Professional’ as opposed ‘Applied’. 1.4 The 3-year programme is provided for those students who prefer not to commit to a yearlong placement or study abroad year until they have a clearer idea of the career path they wish to follow. Graduates of the 3-year and the DPP/DIAS programmes may pursue a career as a biomedical scientist following an appropriate period of additional training in an IBMS approved pathology laboratory and attainment of the IBMS Certificate of Competence. 1.5 The Integrated Master’s degree is a professional development route for professional bioscientists and provides an opportunity for graduates of the 3-year programme, following completion of a 12-month internship in a research laboratory, to complete the final stage of the MBiomedSci Hons. 1.6 The Honours and Graduate Certificate distance learning (level 6) programmes have different content to the other programmes. These programmes are aimed primarily at practitioners already working in pathology laboratories as a pathway towards professional development and HCPC registration. The Honours programme shares identical programme level learning outcomes with the other Honours programmes. Professional Accreditation 1.7 The BSc Hons Biomedical Science (with DPP [Pathology]) is accredited by the ACSLM while the IBMS accredit all programmes within the unit. At the end of the meeting, both professional body

all were traditional ‘wet’ laboratories. Also included were some innovative ‘dry’ (computer-based) facilities that were more suited to the interests of some students. Final Year Projects

  1. 3 The system for allocating final year projects was as follows. Students would choose from a list of project titles. They would discuss their options with staff and then select up to ten titles. The projects would then be allocated using an electronic algorithm. The majority of students would opt for wet laboratory projects for which, with the introduction of the new facilities, there was sufficient space. Some students however, who felt that they had built up sufficient wet laboratory skills during their placement year, would opt for a ‘dry’ project. Demand 3.4 Recruitment of international students was a University priority and was incorporated in the School’s marketing strategy particularly relating to the two distance learning programmes. The Graduate Certificate was very strong in attracting international students. The School works through the International Office which has a clear mandate to target prospective students across the globe. Through the International Office, the School employs specialist recruiting agents in various regions, for example, Hong Kong, and other areas of South East Asia. Locally, the School targets schools in both Northern Ireland and the Republic of Ireland (RoI) and “a good number” of students were recruited from Britain. Flexibility of provision through the availability of various delivery modes was a helpful marketing tool. Placement 3.5 Two types of placement were available, a pathology placement within an IBMS approved hospital training laboratory and an industry placement in, for example, a recognised research institution, a university or a pharmaceutical company. The local hospital trusts retain 25 placement places per year, allocation to which is through competition. A number of industry employers accept placement students every year. Students were also able to identify their own placement and an overseas placement was also a possibility. The Placement Co-ordinator and teaching staff support students as much as possible in securing a placement. Normally, a placement is found for all students. Those students who are more proactive usually secure a placement earlier; others find it more difficult. It is rare however for a student to be unable to secure a placement. Where a student is unable to find one or decides that they no longer wish to go on placement, they can transfer into final year of the 3-year non-placement programme. It was pointed out the Careers Office provided tremendous support to the School in this area. Dr Williams (ACSLM) pointed out that in respect of the Pathology programme, eligibility to work in the RoI was predicated on graduates having been exposed to all five disciplines during their placement year, namely, Biochemistry, Haematology, Blood Transfusion, Microbiology and Cellular Pathology. Marketing 3.6 Prospective students can access information regarding individual programmes in a number of ways. An abundance of information is available on the University’s online prospectus where there is a link to each programme and associated careers. Direct communication with staff via email was another option. In addition, marketing events were held in the University and staff also visited local schools.

4 MEETING WITH STUDENTS

4.1 The Panel met with a group of students from the existing provision including four currently on placement. A wide-ranging discussion took place in areas including induction, assessment and feedback, support and placement. The students were generally complimentary of the provision highlighting a number of positive areas. There were however a number of negative issues raised although these were not the experience of all the students present. Positives  Support provided by the Students’ Union  Support provided by academic staff and placement supervisors  Level of assessment and timeliness (in most cases) of feedback  Preparation for written examinations  Placement preparation particularly the early provision of the training portfolio for the pathology placement  Well-structured training on placement Negatives  Timetable issued too late and, at the outset, was difficult to negotiate  Library induction, while useful, would be better left until second week because students were overburdened with information at the outset  No consistency in provision of lecture notes in advance of lectures or in the manner provided (email; BBL)  Wednesday afternoons not kept free for sporting activities (as agreed with Students’ Union)  More experience of presentations required in the early stages of a programme  Quality of feedback varies – on some occasions only a mark is provided  In the allocation of final year projects, no understanding of the process and although able to choose project titles, no ranking permitted  Apparent harshness in the marking of module, Molecular Biology  No opportunity to meet with external examiner Placement  One student unable to secure a placement – progressed directly into final year  A student did not meet her mentor until 2 months into placement  Placement site unprepared for the arrival of a student  No structured training programme – required to set own goals These issues were discussed with the subject team – see paragraphs 5.6, 6.2 and 6.13 to 6. below. 5 MEETING WITH EMPLOYERS 5.1 The Panel met with an employer representative from two of the local Health and Social Care Trusts, the South Eastern and Southern Trusts, which provide placements for students on the Pathology programme.

below). Normally students would be based in one department for the duration and while the focus of their training would be on the discipline within that department, they would be exposed to other disciplines as well. In the Southern Trust, on arrival, students would undergo a 3 - day rotation through each discipline and would then choose the department in which they wished to undertake their training. In the Belfast Trust, staff would visit the University in advance and brief students on the discipline options available to them. Students would then be invited to a tour of a placement site within the Trust. This was designed to help students decide in advance the discipline in which they wished to train. 5.9 Pastoral care on a day-to-day basis was the primary responsibility of mentors and training officers. However, Trusts’ heads of departments and the School’s Placement Co-ordinator would also have a role. The Trusts’ own occupational health departments were available for support where required. Trusts would not be informed in advance of a student’s mental health problems, which would only come to the fore should an issue arise during training. 5.10 It was confirmed that some Trust staff contributed to teaching on the Pathology programme. 5.11 Mr Wainwright (IBMS) expressed disappointment on behalf of the IBMS panel that there were not more employer representatives present as this was an important part of the accreditation process and a wider view of employers would have been welcomed. The ACSLM panel agreed with this. 6 MEETING WITH SUBJECT TEAM Pathology Placement 6 .1 The Pathology course team assure themselves of the effectiveness of training during the placement year in a number of ways. The placement tutor remains in constant contact with the placement site and the academic tutor visits the site on at least two occasions. Both make themselves available throughout the placement year to both the student and placement staff. By this means, the academic staff ensure that quality training is being delivered. In addition, the University ensures that all supervisory staff on site are currently certified as trainers. Moreover, every two years, students complete questionnaires on their placement experience. 6.2 In response to student suggestions that on occasion, a mentor had not been identified at the outset of placement and no formal training plan had been in place, the team suggested that sometimes students did not realise that a supervisor was in fact their ‘mentor’. Moreover, some students found the transition from university to a workplace difficult, particularly those without previous real world experience. The academic tutor’s first visit would normally occur after two months. During that visit, the tutor would address any concerns raised by the student. The Team confirmed that students’ joining instructions included, inter alia, start date and time, identity of their mentor and provision of a training plan. The provision of same was the responsibility of the placement site. However, soon after arrival, students were required to return a completed checklist to the University to ensure that everything that should be, was in place. Mr Wainwright (IBMS) suggested that on sites where training was not a regular occurrence, the system might not be as robust or effective. It was therefore incumbent on the University to have standard written instructions for placement laboratories detailing requirements that the site must meet in relation to arrangements on arrival and support for students throughout the placement year. These were issues that should also be discussed during ELG meetings.

6.3 Dr Williams (ACSLM) expressed concern that students on placement were not exposed to all five disciplines (Biochemistry, Haematology, Blood Transfusion, Microbiology and Cellular Pathology), a requirement of the ACSLM. The team stated that in the bigger hospitals, exposure to all five disciplines was possible. Normally, while students would be located in a single department for the duration of the placement, in completing projects, they would be required to consult with other departments to collect data and by this means, they would have exposure to all disciplines. Teaching Staff (External/Internal) 6.4 The team confirmed that industry practitioners contributed to teaching on the programmes and were involved in placement preparation. For example, in the Graduate Diploma programme, three of the e-tutors were clinical scientists. Practitioners from the Trusts were also involved in delivery of some modules, particularly in relation to the presentation of case studies. The use of online/YouTube sources was also a consideration. As one means of ensuring their effectiveness, all external contributors were encouraged to undertake a teaching qualification, a suggestion “quite a number” had taken up. Academic staff also provided ongoing advice and mentoring. Feedback from students was an important additional measure of effectiveness and generally, student feedback was very positive. The quality of teaching was also reviewed annually through the module evaluation process. It was pointed out that external contributors marked only at Master’s level and their marking was moderated by internal academic staff. 6.5 The team stated that the first priority in recruitment was that a candidate be able to deliver the clinical aspects of a programme. Thereafter, where absent, new staff would be encouraged to complete a PhD in order to forge academic and clinical links. Standardisation of Provision 6.6 Programme curricula were designed in line with the relevant QAA benchmark statements and IBMS requirements. Each module team would design their own module and learning outcomes and, to ensure standardisation, team members would collaborate in areas such as the level and type of assessment, assessment criteria and marking schemes. External examiners represented a further safeguard through their review of modules across a programme and were thus able to identify inconsistency where apparent. Learning and Teaching Strategy 6.7 The University’s new Learning and Teaching Strategy 2018/19 – 2023/24 was designed to support the highest quality teaching, learning and student experience. It was learner-centred and was underpinned by, inter alia, curriculum design and student experience principles and prioritised areas such as active learning, collaborative staff/student partnerships and professional learning, employability and a quality learning environment, all supported by teaching and research and online and physical resources. It was tied to the continuing professional development of staff who were incentivised to engage with the Strategy. The development of more learning spaces, small group teaching and technology-based active learning were all part of the Strategy. An ‘Association of Learning Technology’ (ALT) was promoted centrally. Within the School, in an effort to enhance the technical expertise of staff, over the past year there had been a series of workshops on the latest developments in the use of technology in teaching.

6.14 Students had suggested inconsistency in the provision of online lecture notes in advance of lectures. The team responded that while there may be inconsistency in the timing, most tutors did provide notes in advance. There was however no onus on them to do so. One reason for not providing notes in advance was to encourage attendance. Where there was a special needs requirement, reasonable adjustments were made. This applied also to assessments. The Chair suggested that module co-ordinators had autonomy regarding provision of notes and while recognising the attendance issue, this was a balance to be struck by the teaching team. 6.15 The external examiner in each of the last three years had reported students’ concern that Molecular Biology appeared to be marked harder than other modules. The team responded that the assessment in this module included a component requiring critical analysis of a molecular pathology publication. While students had complained that they had found this component particularly difficult, a review of marks indicated that in fact this assessment had attracted the highest marks. It was also suggested that students had never met with the external examiner and that there appeared to be no response to external examiner comments. It was pointed out that students had met with the external examiner during the previous summer. Also, the external examiner had been asked to closely review the Molecular Biology module and had reported that he was content with module delivery, assessment and marking. It was emphasised that all issues raised by an external examiner were responded to; that this was a requirement of the University’s external examining process. 6.16 Students had suggested that the library induction would be better placed later in the first semester given the amount of information that they were required to assimilate during their first week. The team responded that while there was one during the first week, a second library induction took place during week 5 that was not simply passive, requiring students to complete a questionnaire. 6.17 Students had raised timetabling issues including being unable to avail of Wednesday afternoon sporting activities. The team acknowledged that timetabling was a difficult and complex issue. However, efforts were made to make it as simple as possible, to shorten the duration of lectures, to spread the attendance load across the week and, where possible, to free up Wednesday afternoons. 7 CONCLUSIONS 7 .1 The Panel commended the Subject Team on the following: Ulster Panel  Strong liaison between the University and employers  Robust processes for the dissemination of good practice  Innovative engagement with students using a wide range of digital and active learning pedagogy ACSLM Panel  Evident care and dedication of the staff members working as a cohesive and enthusiastic team. IBMS Panel

 Commitment of the university and academic team to provide a broad spectrum of degree programmes for graduate careers in biomedical science. 7 .2 The Panel agreed to recommend to the Academic Standards and Quality Enhancement Committee that the provision within Subject Unit 3C1a Biomedical Science be approved for a period of five years (intakes 2019/20 – 2023/24 inclusive) subject to the condition and recommendations of the Panel being addressed and a satisfactory response and a revised submission being forwarded to the Academic Office by 30 January 2019 for approval by the Chair of the Panel. 7 .3 Both professional bodies agreed to recommend to their respective approval authority reaccreditation of the provision from September 2018 for a period of five years subject to their conditions and recommendations being satisfactorily addressed. The ACSLM accreditation relates to the BSc Hons Biomedical Science with DPP (Pathology) only. ULSTER PANEL Condition

  1. that those issues detailed in the appendix to the panel report be addressed; Recommendations
  2. That steps be taken to enhance links with industry employers similar to those that currently exist for non-industry partners (as discussed with the Panel).
  3. In line with the University’s electronic management of assessment and feedback policy, that steps be taken to ensure that, where appropriate, assessment and feedback is delivered using online technology ensuring that a consistent approach is taken across the provision.
  4. That a review of the level of assessment in the 10-credit point modules be carried out in terms of the level of assessment in each taking account of the University’s ‘Assessment Workload Equivalence Guide’.
  5. That a review of the learning outcomes in the level 7 modules be carried out to ensure that they are appropriate for that level (see Approval Handbook, Appendices 4 & 5).
  6. That delivery of the curricula is supported by an adequate number of professionally qualified and accredited practitioners. ACSLM PANEL
  1. There needs to be some standardisation around provision of lecture material before taught sessions, this seemed quite ad hoc, or set expectations for each module then students know what will happen and if there is variety they are aware
  2. The team should consider the introduction of “Presentation Skills” in year one and two of the course for all students. 8 APPRECIATION 8 .1 The Chair thanked the Panel members and in particular, the external members and the professional body representatives, for their valuable contribution to the revalidation/reaccreditation process. Ref: BMcA/panelreport/2/11/