Tomorrows Doctors - General Medical Council UK Medical Education Outcomes (version 2 2002) TD0100000000 Introduction TD0200000000 The main recommendations TD0300000000 Curricular outcomes TD0301000000 The principles of professional practice TD0301010000 Good clinical care TD0301020000 Maintaining good medical practice  TD0301030000 Relationships with patients  TD0301040000 Working with colleagues  TD0301050000 Teaching and training  TD0301060000 Probity  TD0301070000 Health  TD0302000000 Outcomes TD0302010000 Graduates must be able to show that they can meet the following outcomes. TD0302020000 Good clinical care TD0302020100 Know about and understand the following. TD0302020101 Our guidance on the principles of good medical practice and the standards of competence, care and conduct expected of doctors in the UK. TD0302020102 The environment in which medicine is practised in the UK. TD0302020103 How errors can happen in practice and the principles of managing risks. TD0302020200 Know about, understand and be able to apply and integrate the clinical, basic, behavioural and social sciences on which medical practice is based. TD0302020300 Be able to perform clinical and practical skills safely. TD0302020400 Demonstrate the following attitudes and behaviour. TD0302020401 Recognise personal and professional limits, and be willing to ask for help when necessary. TD0302020402 Recognise the duty to protect patients and others by taking action if a colleague's health, performance or conduct is putting patients at risk. TD0302030000 Maintaining good medical practice TD0302030100 Be able to gain, assess, apply and integrate new knowledge and have the ability to adapt to changing circumstances throughout their professional life. TD0302030200 Be willing to take part in continuing professional development to make sure that they maintain high levels of clinical competence and knowledge. TD0302030300 Understand the principles of audit and the importance of using the results of audit to improve practice. TD0302030400 Be willing to respond constructively to the outcome of appraisal, performance review and assessment. TD0302040000 Relationships with patients TD0302040100 Know about and understand the rights of patients. TD0302040200 Be able to communicate effectively with individuals and groups. TD0302040300 Demonstrate the following attitudes and behaviour. TD0302040301 Accept the moral and ethical responsibilities involved in providing care to individual patients and communities. TD0302040302 Respect patients regardless of their lifestyle, culture, beliefs, race, colour, gender, sexuality, disability, age, or social or economic status. TD0302040303 Respect the right of patients to be fully involved in decisions about their care, including the right to refuse treatment or to refuse to take part in teaching or research. TD0302040304 Recognise their obligation to understand and deal with patients' healthcare needs by consulting them and, where appropriate, their relatives or carers. TD0302050000 Working with colleagues TD0302050100 Know about, understand and respect the roles and expertise of other health and social care professionals. TD0302050200 Be able to demonstrate effective teamworking and leadership skills. TD0302050300 Be willing to lead when faced with uncertainty and change. TD0302060000 Teaching and training TD0302060100 Be able to demonstrate appropriate teaching skills. TD0302060200 Be willing to teach colleagues and to develop their own teaching skills. TD0302070000 Probity - graduates must demonstrate honesty. TD0302080000 Health - graduates must be aware of the health hazards of medical practice, the importance of their own health and the effect that their health has on their ability to practise safely and effectively as a doctor. TD0400000000 Curricular content, structure and delivery TD0401000000 Content TD0401010000 The curriculum must be intellectually challenging and place greater demand on students as they progress. Students should have time for reflection and personal growth, to catch up on elements they have missed because of illness, or other good reasons, and TD0401020000 The following curricular themes set out the knowledge, skills, attitudes and behaviour expected of graduates. It is not a complete guide. Medical schools will need to add to them when they design curricula. TD0402000000 The scientific basis of practice TD0402010000 Graduates must have a knowledge and understanding of the clinical and basic sciences. They must also understand relevant parts of the behavioural and social sciences, and be able to integrate and critically evaluate evidence from all these sources to prov TD0402020000 They must know about and understand normal and abnormal structure and function, including the natural history of human diseases, the body's defence mechanisms, disease presentation and responses to illness. This will include an understanding of the geneti TD0402030000 Graduates must know about biological variation, and have an understanding of scientific methods, including both the technical and ethical principles used when designing experiments. TD0403000000 Treatment TD0403010000 Graduates must know about and understand the principles of treatment including the following. TD0403010100 How to evaluate effectiveness against evidence. TD0403010200 How to take account of patients' own views and beliefs when suggesting treatment options. TD0403010300 The effective and safe use of medicines as a basis for prescribing, including side effects, harmful interactions, antibiotic resistance and genetic indicators of the appropriateness of drugs. TD0403010400 Providing surgical and perioperative care. TD0403010500 Recognising and managing acute illness. TD0403010600 The care of people with recurrent and chronic illnesses and people with mental or physical disabilities. TD0403010700 Rehabilitation, and care within institutions and the community. TD0403010800 Relieving pain and distress. TD0403010900 Palliative care, including care of the terminally ill. TD0403020000 They must also know about and understand the role that lifestyle, including diet and nutrition, can play in promoting health and preventing disease. TD0403030000 They must be aware that many patients are interested in and choose to use a range of alternative and complementary therapies. Graduates must be aware of the existence and range of such therapies, why some patients use them, and how these might affect othe TD0404000000 Clinical and practical skills TD0404010000 Graduates must be able to do the following safely and effectively. TD0404010100 Take and record a patient's history, including their family history. TD0404010200 Perform a full physical examination, and a mental-state examination. TD0404010300 Interpret the findings from the history, the physical examination, and the mental-state examination. TD0404010400 Interpret the results of commonly used investigations. TD0404010500 Make clinical decisions based on the evidence they have gathered. TD0404010600 Assess a patient's problems and form plans to investigate and manage these, involving patients in the planning process. TD0404010700 Work out drug dosage and record the outcome accurately. TD0404010800 Write safe prescriptions for different types of drugs. TD0404010900 Carry out the following procedures involving veins. TD0404010901 Venepuncture. TD0404010902 Inserting a cannula into peripheral veins. TD0404010903 Giving intravenous injections. TD0404011000 Give intramuscular and subcutaneous injections. TD0404011100 Carry out arterial blood sampling. TD0404011200 Perform suturing. TD0404011300 Demonstrate competence in cardiopulmonary resuscitation and advanced life-support skills. TD0404011400 Carry out basic respiratory function tests. TD0404011500 Administer oxygen therapy. TD0404011600 Use a nebuliser correctly. TD0404011700 Insert a nasogastric tube. TD0404011800 Perform bladder catheterisation. TD0405000000 Communication skills TD0405010000 Graduates must be able to communicate clearly, sensitively and effectively with patients and their relatives, and colleagues from a variety of health and social care professions. Clear communication will help them carry out their various roles, including TD0405020000 Graduates must know that some individuals use different methods of communication, for example, Deafblind Manual and British Sign Language. TD0405030000 Graduates must be able to do the following. TD0405030100 Communicate effectively with individuals regardless of their social, cultural or ethnic backgrounds, or their disabilities. TD0405030200 Communicate with individuals who cannot speak English, including working with interpreters. TD0405040000 Students must have opportunities to practise communicating in different ways, including spoken, written and electronic methods. There should also be guidance about how to cope in difficult circumstances. Some examples are listed below. TD0405040100 Breaking bad news. TD0405040200 Dealing with difficult and violent patients. TD0405040300 Communicating with people with mental illness, including cases where patients have special difficulties in sharing how they feel and think with doctors. TD0405040400 Communicating with and treating patients with severe mental or physical disabilities. TD0405040500 Helping vulnerable patients. TD0406000000 Teaching skills TD0406010000 Graduates must understand the principles of education as they are applied to medicine. They will be familiar with a range of teaching and learning techniques and must recognise their obligation to teach colleagues. They must understand the importance of a TD0406020000 Graduates must be able to do the following. TD0406020100 Identify their own learning needs. TD0406020200 Use different techniques to record, organise and present information, including computers and IT resources. TD0406020300 Use and evaluate a variety of teaching techniques to communicate information to colleagues. TD0407000000 General skills TD0407010000 Graduates must be able to do the following. TD0407010100 Manage their own time and that of others. TD0407010200 Prioritise tasks effectively. TD0407010300 Reflect on practice, be self-critical and carry out an audit of their own work and that of others. TD0407010400 Use research skills to develop greater understanding and to influence their practice. TD0407010500 Follow the principles of risk management when they practise. TD0407010600 Solve problems. TD0407010700 Analyse and use numerical data. TD0407010800 Take account of medical ethics when making decisions. TD0408000000 The working environment TD0408010000 Graduates must understand the working, organisational and economic framework in which medicine is practised in the UK, including: TD0408010100 the organisation, management, provision and regulation of healthcare; and TD0408010200 the structures and functions of the NHS. TD0408020000 Graduates must be aware of current developments and guiding principles in the NHS, for example: TD0408020100 patient-centred care; TD0408020200 systems of quality assurance such as clinical governance; TD0408020300 clinical audit; TD0408020400 the significance of health and safety issues in the healthcare setting; TD0408020500 risk assessment and management strategies for healthcare professionals; and TD0408020600 the importance of working as a team within a multi-professional environment. TD0409000000 Medico-legal and ethical issues TD0409010000 Graduates must know about and understand the main ethical and legal issues they will come across. For example, how to: TD0409010100 make sure that patients' rights are protected; TD0409010200 maintain confidentiality ; TD0409010300 deal with issues such as withholding or withdrawing life-prolonging treatment; TD0409010400 provide appropriate care for vulnerable patients; TD0409010500 respond to patients' complaints about their care; TD0409010600 deal appropriately, effectively, and in patients' interests, with problems in the performance, conduct or health of colleagues ; and TD0409010700 consider the practice of medicine within the context of limited financial resources. TD0409020000 Graduates must understand the principles of good practice set out in our publication Seeking patients' consent: the ethical considerations . These include: TD0409020100 providing enough information about conditions and possible treatments to allow patients to make informed decisions about their care; TD0409020200 responding to questions; TD0409020300 knowing who is the most appropriate person to ask for consent; TD0409020400 finding out about a patient's ability to make their own decisions and to give their consent; and TD0409020500 statutory requirements that may need to be taken into account. TD0410000000 Disability and rehabilitation TD0410010000 Graduates must know about the following. TD0410010100 The rights of people with mental or physical disabilities. TD0410010200 How the opportunities available to disabled people can be affected by society's view of them. TD0410010300 The potential strengths and contribution of such individuals. TD0410020000 They must also recognise the importance of responses to illness and providing help towards recovery, as well as managing chronic disease and relapse, and reducing or managing impairments, disabilities and handicaps. They must be aware of issues surroundin TD0411000000 The health of the public TD0411010000 Graduates must understand the issues and techniques involved in studying the effect of diseases on communities and individuals, including: TD0411010100 assessing community needs in relation to how services are provided; TD0411010200 genetic, environmental and social causes of, and influences on the prevention of, illness and disease; and TD0411010300 the principles of promoting health and preventing disease, including surveillance and screening. TD0412000000 The individual in society TD0412010000 Graduates must understand the social and cultural environment in which medicine is practised in the UK. They must understand human development and areas of psychology and sociology relevant to medicine, including: reproduction; child, adolescent and adult TD0412020000 They must understand a range of social and cultural values, and differing views about healthcare and illness. They must be aware of issues such as alcohol and drug abuse, domestic violence and abuse of the vulnerable patient. They must recognise the need TD0412030000 Graduates must take account of patients' understanding and experience of their condition, and be aware of the psychological effect that this can have on them and their families. This is particularly important when dealing with vulnerable patients, such as TD0412040000 Exploring patients' fears and concerns can help them understand their condition and to take an active part in decisions about their treatment. TD0413000000 Structure TD0413010000 The curriculum must have a core and student-selected components (SSCs). The core curriculum must take up most curricular time. We expect that in a standard five-year curriculum between 25% and 33% would normally be available for SSCs. TD0413020000 Together the core curriculum and SSCs must allow students to meet the curricular outcomes. This will make sure that graduates have the necessary knowledge, skills and attitudes to practise as a PRHO. Medical schools must determine the way in which the cur TD0413030000 SSCs support the core curriculum and must allow students to do the following. TD0413030100 Learn about and begin to develop and use research skills. TD0413030200 Have greater control over their own learning and develop their self-directed learning skills. TD0413030300 Study, in depth, topics of particular interest outside the core curriculum. TD0413030400 Develop greater confidence in their own skills and abilities. TD0413030500 Present the results of their work verbally, visually or in writing. TD0413030600 Consider potential career paths. TD0413040000 At least two thirds of each student's SSCs must be in subjects related to medicine, whether laboratory-based or clinical, biological or behavioural, research-orientated or in humanities related to medicine. TD0500000000 Delivering the curriculum TD0501000000 Supervisory structures TD0501010000 Medical schools must set up supervisory structures that involve individuals with an appropriate range of expertise and knowledge. Clear lines of authority and responsibility must be set out. This will allow medical schools to plan curricula and associated TD0502000000 Teaching and learning TD0502010000 Modern educational theory and research must influence teaching and learning. Medical schools should take advantage of new technologies to deliver teaching. TD0502020000 Every doctor who comes into contact with medical students should recognise the importance of role models in developing appropriate attitudes and behaviour towards patients and colleagues. TD0502030000 Medical schools must make sure that every person involved in educating medical students has the necessary knowledge, skills and attitudes. Staff-development programmes should promote teaching and assessment skills. All staff should take part in such progr TD0502040000 The quality of teaching must be monitored through a number of different systems, including staff appraisals, student feedback and reviews of teaching by peers. TD0502050000 Students must have different teaching and learning opportunities that combine an appropriate balance of teaching in large groups with small groups, practical classes and opportunities for self-directed learning. Medical schools should explore and, where a TD0502060000 The clinical and basic sciences should be taught in an integrated way throughout the curriculum. TD0502070000 Clinical education must reflect the changing patterns of healthcare and provide experience in a variety of environments including hospitals, general practices and community medical services. TD0502080000 From the start, students must have opportunities to interact with people from a range of social, cultural and ethnic backgrounds. This might involve visiting families expecting a baby, visiting an elderly or disabled person, or taking part in community pr TD0502090000 Students must be properly prepared for their first day as a PRHO. As well as the induction provided for PRHOs, students should have opportunities to shadow the PRHO in the post that they will take up when they graduate. Such attachments allow students to TD0502100000 These attachments must include opportunities for students to refresh the practical and clinical skills that they will be expected to carry out on their first day as a PRHO. These include the ability to prescribe drugs under the supervision of a qualified TD0502110000 Such attachments should normally last at least one week. Students should gain this experience as close to the point of employment as possible. TD0503000000 Learning resources and facilities TD0503010000 Students must have access to appropriate learning resources and facilities including libraries, computers, lecture theatres and seminar rooms. The quality of facilities should be regularly reviewed to make sure they are still appropriate. Students must be TD0503020000 Students must have opportunities to develop and improve their clinical and practical skills in an appropriate environment (where they are supported by teachers) before they use these skills in clinical situations. Skills laboratories and centres provide a TD0504000000 Student selection TD0504010000 Although student selection is not our direct responsibility, we are interested in making sure that only those who are fit to become doctors are allowed to enter medical school. TD0504020000 Medical schools should put in place valid, open, objective and fair selection procedures. They should also publish information about the admission system, including guidance about the basis on which places at the medical school will be offered and the sel TD0505000000 Student support, guidance and feedback TD0505010000 Students must have appropriate support for their academic and general welfare needs at all stages. Medical schools must produce clear information about the support networks available, including named contacts for students with problems. Students taking SS TD0505020000 Medical schools must stress to students the importance of looking after their own health, and encourage them to register with a general practitioner. They must tell students about the occupational health services, including counselling, that are available TD0505030000 Medical schools must give students guidance about the core curriculum, SSCs and how their performance will be assessed. This should include information about practical arrangements for assessments and the medical school's policy on students who cheat in e TD0505040000 Students must receive regular and consistent information about their development and progress. Clinical logbooks and personal portfolios, which allow students to identify strengths and weaknesses and to focus their learning appropriately, can provide such TD0600000000 Assessing student performance and competence TD0601000000 The principles of assessment TD0601010000 Schemes of assessment must support the curriculum and allow students to prove that they have achieved the curricular outcomes. This means assessments must allow students to demonstrate the breadth and depth of their knowledge, and to show what they can do TD0601020000 Student performance in both the core and SSC parts of the curriculum must be assessed and must contribute to their overall result. Students who have not satisfied the examiners in both parts of the curriculum must not be allowed to graduate. TD0601030000 Medical schools should use a range of assessment techniques that are appropriate for testing the curricular outcomes. Medical schools should determine the most appropriate scheme of assessment for their curriculum. However, schemes must meet best practice TD0601040000 When students get close to graduating, their knowledge, skills, attitudes and behaviour must be thoroughly assessed to determine their fitness to practise as PRHOs. TD0602000000 Assessment procedures TD0602010000 Schemes of assessment must be open, fair and meet appropriate standards. Medical schools must make sure that: TD0602010100 there is a clear indication of how the scheme of assessment deals with all the curricular outcomes; TD0602010200 there is a clear indication of how individual assessments and examinations contribute to the overall assessment of the curricular outcomes; TD0602010300 when they design individual examinations and assessments, there is a clear indication of how the targeted curricular outcomes have been met; TD0602010400 students have clear guidance about what is expected of them in any examination or assessment; TD0602010500 examiners are trained to carry out their role and to apply the medical school's assessment criteria consistently; TD0602010600 examiners have clear guidelines for marking assessments, which indicate how performance against targeted curricular outcomes should be rewarded; TD0602010700 systems are in place to determine the pass mark; and TD0602010800 external examiners are employed to make sure that standards are met. TD0603000000 Appraisal TD0603010000 Students must receive regular, structured and constructive appraisal from their teachers during the mainly clinical years of the curriculum. This allows the medical school to judge their clinical knowledge and competence against the principles set out in TD0603020000 It provides students with information about their progress and performance, allowing them to deal with any areas of concern. This will also help students prepare for the regular appraisal of their performance that will take place once they are qualified. TD0604000000 Student progress TD0604010000 A small number of students may discover that they have made a wrong career choice. Medical schools must make sure that these students, whose academic and non-academic performance is not in question, are able to gain an alternative degree at the end of thr TD0604020000 Only those students who are fit to practise as doctors should be allowed to complete the curriculum and gain provisional registration. Students who do not meet the necessary standards in terms of demonstrating appropriate knowledge, skills, attitudes and TD0604030000 Medical schools must have robust and fair procedures, including an appeals process, to deal with students who are causing concern on academic and non-academic grounds, such as ill health or poor conduct. The arrangements for dealing with students and PRHO TD0604040000 These procedures will vary depending on each medical school's statutes and individual circumstances. Medical schools themselves will have to determine the most appropriate form of these procedures. However, Universities UK and the Council of Heads of Medi TD0604050000 Medical schools should tell students about these procedures so that they understand their rights and obligations. TD0700000000 Student health and conduct TD0701000000 General principles TD0701010000 We, the universities and the NHS all have different roles in medical education. We have statutory responsibility for setting standards for protecting the public. Universities are responsible for selecting students into their medical schools and for provid TD0701020000 We have no direct statutory role in matters of student health and conduct. However, the award of a medical degree automatically entitles the graduate to be provisionally registered by us and to practise under supervision as a doctor. As a result, we have TD0701030000 As long as they meet a university's regulations, anyone can graduate provided that they meet all the outcomes and curriculum requirements in these recommendations. Our view is that students with a wide range of disabilities or health conditions can achiev TD0702000000 Confidentiality for medical students TD0702010000 It is important that medical students who have problems with physical or mental health, or drug or alcohol misuse, are encouraged to get appropriate help so that they might receive informed advice and support, including adapted training. Medical students TD0702020000 Doctors providing medical care for students should follow the guidance in Confidentiality: protecting and providing information. Passing on personal information without permission may be justified where failure to do so may result in death or serious harm TD0702030000 Doctors providing medical care for students should consult anexperienced colleague or get advice from a professional organisation if they are not sure whether passing on information without a medical student's permission is justified. TD0703000000 The responsibility of medical students to protect patients TD0703010000 Good medical practice requires doctors to take responsibility for their own health in the interests of public safety. Medical students should also follow this guidance. If a student knows that he or she has a serious condition which could be passed on to TD0703020000 Guidance on infectious risk is set out in more detail in our document Serious communicable diseases, which medical students and universities should also follow. TD0704000000 The responsibility of other doctors to protect patients TD0704010000 All those who teach, supervise, counsel, employ or work with medical students have a responsibility to protect patients if they have concerns about a student. Where there are serious concerns about a medical student's performance, health or conduct, it is TD0705000000 The responsibility of universities to protect patients TD0705010000 Universities have a duty to make sure that no member of the public is harmed as a result of taking part in the training of their medical students. Medical students cannot complete the undergraduate curriculum without coming into close, and sometimes intim TD0705020000 By awarding a medical degree, a university is confirming that the graduate is fit to practise as a Pre-Registration House Officer to the high standards that we have set in our guidance to the medical profession, Good medical practice . TD0705030000 Universities must have procedures to: TD0705030100 identify (as early as possible) medical students whose conduct gives serious cause for concern or whose health is affected to such a degree that it could harm the public; TD0705030200 provide those students with appropriate support; and TD0705030300 make sure that if students are still a risk to patients they are not allowed to graduate with a medical degree. TD0800000000 Putting the recommendations into practice TD0801000000 What the law says about undergraduate education TD0802000000 UK law TD0802010000 The powers and duties of our Education Committee under Part II of the Medical Act 1983 (as amended) are set out below. TD0802020000 Graduates who hold a UK PMQ are entitled to provisional registration.We have no say in this matter. TD0802030000 Provisional registration allows graduates to work under supervision as a PRHO. Our guidance in The New Doctor (published 1997) describes the requirements for this period of training, as well as the experience needed for full registration. TD0802040000 UK PMQs include degrees of Bachelor of Medicine and Bachelor of Surgery awarded by the universities listed in Section 4 of the Medical Act 1983, and the Licentiates in Medicine and Surgery awarded by the Royal Colleges of Physicians and Surgeons in the UK TD0803000000 European Union law TD0803010000 European Council Directive 93/16 allows European Union (EU) nationals who hold an EU PMQ or specialist qualification to practise as doctors anywhere in the EU. TD0803020000 Article 23 of the Directive says the period of basic medical training must be at least a six-year course or 5,500 hours of theoretical and practical instruction given in a university or under the supervision of a university. 'Basic medical training' is th TD0803030000 Before being awarded a PMQ that allows them to practise, the EU Medical Directive says a student must have the following. TD0803030100 "Adequate knowledge of the sciences on which medicine is based and a good understanding of the scientific methods including the principles of measuring biological functions, the evaluation of scientifically established facts and the analysis of data." TD0803030200 "Sufficient understanding of the structure, functions and behaviour of healthy and sick persons, as well as relations between the state of health and physical and social surroundings of the human being." TD0803030300 "Adequate knowledge of clinical disciplines and practices, providing the student with a coherent picture of mental and physical diseases, of medicine from the points of view of prophylaxis, diagnosis and therapy and human reproduction." TD0803030400 "Suitable clinical experience in hospitals under appropriate supervision." TD0803040000 These quotes have been taken from EU Directive 93/16 of April 1993, article 23, paragraph 1. TD0804000000 Responsibility for undergraduate education in the UK TD0805000000 The GMC TD0805010000 We are responsible for the following. TD0805010100 Deciding the knowledge, skills and attitudes graduates need. TD0805010200 Making sure (through written enquiries and on-site visits) that the teaching and learning opportunities provided allow students to meet our requirements. TD0805010300 Setting the standard of expertise that students need to achieve atqualifying examinations or assessments. TD0805010400 Making sure (through written enquiries and on-site inspections) that the standard of expertise we have set is maintained by the medical schools at qualifying examinations. TD0805010500 Appointing inspectors of qualifying examinations and assessments, and visitors to medical schools and possible medical schools, to report on the standard of examinations and assessments and on the quality of teaching and learning. TD0805010600 In the light of the outcome of visits and inspections, recommending to the Privy Council to recognise, continue to recognise or no longer recognise individual UK PMQs. TD0805010700 Giving EU nationals with appropriate medical degrees provisional registration. This allows them to work as a PRHO in the UK and to gain the clinical experience needed for an EU PMQ. TD0805010800 Considering applications under Section 10 (4) of the Medical Act 1983 (see paragraph 85g below). TD0806000000 The medical schools TD0806010000 Medical schools must follow these recommendations, and the requirements of the EU Medical Directive, when designing and putting into practice curricula and associated assessments. TD0806020000 Medical schools have a responsibility to the public, to employers and to the profession to make sure that graduates are fit to practise. When a medical school awards a PMQ, it is confirming to us that each graduate has completed, in full, a curriculum tha TD0806030000 The particular duties of medical schools include the following. TD0806030100 Selecting students, taking account of the qualities needed in a doctor, as set out in Good Medical Practice , and getting advice from the UK Health Departments on matters that may affect a doctor's eligibility for professional practice. TD0806030200 Giving us information that we have asked for on their arrangements for educating and assessing students, and any other matters broadly relating to the curriculum or the qualifying examinations (or both). TD0806030300 Assisting the work of Education Committee inspectors or visitors appointed under Sections 6 and 7 of the Medical Act 1983. TD0806030400 Making sure that (under the European Primary Medical Qualifications Regulations) degree certificates or other evidence of award of a UK PMQ make it clear whether students have spent more than 12 months of their training outside the EU. TD0806030500 Making sure that teachers, trainers and clinical supervisors, as well as those who assess student performance, understand and put into practice the guidance contained in these recommendations and in our publication The doctor as teacher , and are provided TD0806030600 Setting up appropriate systems to plan, put into practice and continually review curricular changes. TD0806030700 Applying to us under Section 10 (4) of the Medical Act 1983 for approval of an alternative pattern of PRHO experience for any doctor who is prevented (by a lasting physical disability) from starting on, or completing, some of the experience needed for ful TD0807000000 The UK Health Departments TD0807010000 The Health Departments should make sure that NHS organisations work with medical schools so that students receive appropriate clinical training. TD0807020000 The Health Departments have a duty to make facilities in NHS hospitals and other premises available for students to receive clinical training. TD0807030000 The Health Departments are also responsible for deciding how students may have access to patients on NHS premises. TD0808000000 The responsibilities of doctors TD0808010000 All doctors must follow the principles of professional practice that are set out in Good Medical Practice . TD0808020000 All doctors should be willing to contribute to the education of students. TD0808030000 Doctors with particular responsibility for teaching students must develop the skills, attitudes and practices of a competent teacher. They must also make sure that students are properly supervised. TD0808040000 Doctors must be honest and objective when appraising or assessing the performance of students, including those they have supervised or trained. Patients may be put at risk if a doctor describes as competent any student who has not reached or maintained a TD0809000000 The responsibilities of students TD0809010000 Students must accept responsibility for their own learning, including achieving the curricular outcomes in this guidance. TD0809020000 As future doctors, students should follow the guidance in Good Medical Practice from their first day of study, and understand the consequences if they fail to do so. In particular, students must appreciate the importance of protecting patients, even if th TD0809030000 Students must follow the guidance issued by the UK Health Departments and other organisations about their access to patients in NHS hospitals and community settings. They should also be aware of any departmental guidance for healthcare workers, which may TD0809040000 Students must be aware that under Section 49 of the Medical Act 1983 it is an offence for anyone who is not a registered doctor to pretend to be a qualified doctor.  TD0900000000 Glossary TD0901000000 Appraisal TD0902000000 Biological variation TD0903000000 Curriculum TD0904000000 Integrated teaching TD0905000000 Medical school TD0906000000 Perioperative care TD0907000000 Primary medical qualification (PMQ) TD0908000000 Revalidation TD0909000000 Scheme of assessment TD0910000000 Scientific method TD0911000000 Self-directed learning TD0912000000 Student-selected components (SSCs)