Liverpool Medical School – undergraduate entry

5 Year Undergraduate Entry 4 Year Graduate Entry

Factfile at a glance

How to apply: Applications for admission to Liverpool medical school undergraduate entry course should be submitted through UCAS (code A100)
Applications for admission to Lancaster University undergraduate entry course should be submitted through UCAS (code A105)
Duration: 5 years
Entry requirements: A levels – AAAb
Scottish Highers – AAABB-AAAAA
IB – 36 points
Entrance exam: None
Place available for 2011: 292 (UK) 24 (International) at Liverpool University
50 at Lancaster University
Applications: Approximately 2,500
Applicants per place: 8:1
Interview: November onwards.  Panel of 2 interviewers.  Interview lasts 15-30 minutes
Degree awarded: MBChB
Contact: For full details go to our Medical School Contact Details page
Open days: 15 December 2010

Entry requirements

A levels
AAA to include Chemistry and Biology plus grade B at AS level. General Studies and Critical Thinking only considered as a 4th subject. Liverpool does consider re-sit candidates. They must have achieved at least a CCC in the first sitting and AAA in the second and show evidence of reflection in their personal statement into why they did not achieve the required standard in the first sitting.

Scottish Highers
AA in Biology and Chemistry at Advanced Highers, plus As in Biology and Chemistry at Highers plus three others at grade B.

International Baccalaureate
36 points overall, to include at least a 6 in Biology, Chemistry and one other subject at Higher Level and 3 at Standard Level with a minimum of 5 points each.


The application process

Applications for Liverpool medical school are screen to ensure they meet the minimum entry requirements. The personal statement plays a crucial role in all applications as there are no other entry exams. Applicants should be clear why they are choosing medicine and what knowledge and insight they have into a career in medicine. They should:

  • Give an accurate account of their work experience - what was involved, how long it was for and how frequently it was done
  • Describe how a balance was struck between work and study
  • Reflect on why the work experience was relevant to a career in medicine

The admissions tutors will also be looking to see evidence that applicants have a realistic understanding and insight into the advantages and disadvantages of a medical career. That they are able to strike a good work-life balance and handle stress, perhaps through personal interests and hobbies. They are also interested in seeing how each applicant has contributed to school life and to the local community through leadership and teamworking roles, as well as evidence of effective written and oral communication skills.

Liverpool are said to have a more relaxed approach to their interviews. The panel normally consists of two doctors who will ask fairly standard questions such as ‘why medicine?’, ‘why Liverpool?’ and ‘have you always wanted to study medicine?’. They will have copies of candidates’ personal statements and will ask further questions based on the content and seek further clarification or explanation. They are also likely to be questions on recent ethical issues and well as personal interests, hobbies and extra-curricular activities.

As the programme at Liverpool involves PBL, with a large amount of self-directed learning and self-motivation required, candidates are expected to demonstrate that they are suited to this kind of approach and roughly a third of the interview is spent on PBL with candidates explaining the strengths and weaknesses of this approach and the aspects about it which they feel will suit them.


Why Liverpool?

The campus is just ½ mile away from the city centre, so very accessible. Liverpool is a lively, friendly and inexpensive city to live, work and study in – and was awarded the European City of Culture in 2008.

Liverpool medical school was the first in the UK to adopt a PBL approach to the curriculum and this is now well established into the modern, integrated medicine programme.

£72m is being invested in state of the art facilities for research in the Old Liverpool Royal Infirmary, including the establishment of a Centre for Personalised Medicines to develop treatments tailored to a patient’s individual genetic make-up.

The 5 year MBChB is now also available in the Centre for Medical Education at Lancaster University which is a programme offered by the Cumbria and Lancashire Medical and Dental Consortium, which comprises the University of Liverpool, Lancaster University, the University of Central Lancashire and the University of Cumbria. This programme follows the Liverpool curriculum and the degree will be awarded by the University of Liverpool.


Course overview

Liverpool medical school undergraduate course is 5 years duration and consists of the following:

Years 1 & 2 (pre-clinical)

The objectives of years 1 & 2 are to provide a broad overview of medical science for medical practice. The focus is on normal structure and function, but includes some elements of disease for illustrative purposes and in the context of psychosocial influences, population health and professionalism.

Students will be introduced to clinical practice taking part in history-taking, examination techniques and the application of clinical and communication skills.

Topics covered in Year 1:
Year 1 is an introduction to the science and practice of medicine. Students will, in their PBL groups, study 11 clinical scenarios designed to integrate learning in different disciplines. Each PBL scenario is supported by a daily 50 minute plenary which provides a guide to the level of details which should be covered in the PBL.

In the 2nd Semester students will work in pairs on a project that follows the development of the normal child and how family and social factors affect their up-bringing in the ‘Learning medicine in a community setting’ module.

Topics covered in Year 2:
Year 2 introduces the normal adult lifecycle and revision of the basic functions of the body and introduces pathology, clinical features of disease and the basic management and treatment of common problems and diseases. It comprises 15 PBL scenarios, clinical practice sessions and communication skills.

In Semester 1, students will spend 14 weeks studying clinical practice, with 3 days a week on attachments in hospitals and in the community, learning to take histories from patients, and again in Semester 2 attached to clinical and specialist firms in hospitals and the community.

Years 3 to 5 (clinical)

In Years 3 to 5 students will move from studying normality to the recognition of abnormality, then on to diagnosing disease and planning patient management. Students will refine and apply communication skills, data handling, critical appraisal skills and evidence-based medicine and learn clinical methods and apply these in the community and in hospital.

Topics covered in Year 3:
In Year 3, students develop the recognition of adult and child abnormality and patient care and management are introduced through 5 intensive clinical and community rotations of 6 weeks each in:

  • O&G
  • Paediatrics
  • Therapeutics and sexual health
  • Neurology and psychiatry
  • Disability & general practice

These placements are supported by PBL sessions for one day a week.

Students must submit a Critical Thinking module in Year 3. This is an ongoing 6 month project to produce a proposal for piece of original research and students must:

  • Submit an outline proposal
  • Submit a full proposal
  • Peer-review two other students’ proposals (while theirs is also being peer-reviewed by others in Year 3)
  • Submit a reworked final proposal taking into consideration suggestions for improvement from the peer review

The research project is never undertaken but the objective is for students to develop skills in self-criticism, evaluation and objective setting, including seeking and responding to feedback.

Year 3 ends with an elective placement.

Topics covered in Year 4:
This year develops the diagnosis of adult and child abnormality and patient care and management with three 12-week clinical and community rotations in:

  • Adult surgical specialities (8 weeks)
  • Palliative care (4 weeks)
  • Adult medical specialties (8 weeks)
  • Geriatric medicine (4 weeks)
  • Maternal health (4 weeks)
  • Child health (4 weeks)
  • Psychiatry (4 weeks)

Students will spend a minimum of 3 days a week in hospital placements and 1 day in community placements on each section of each rotation. PBL sessions 1 day a week support clinical practice during these attachments.

Topics covered in Year 5:
Students will gain intensive clinical experience in their final year, undertaking five 8-week clinical attachments on a rotational basis, which are:

  • Community
  • Acute care (A&E)
  • Selectives in Advanced Medical Practice x 2 (in a specialty of the student’s choice)
  • Ward attachments shadowing an FY1 doctor

Student Selected Modules (SSMs)

SSMs complement the curriculum at Liverpool and make up about 25% of the programme. Students must take 6 compulsory SSMs which are spread across the first 4 years. Five of them comprise a 4-week period of supervised and structured study. The remaining SSM comprises one day per week over a 19-week period plus an extra two days during week 13. Performance is assessed through a 3,000 word dissertation and these determine student’s final degree classification. SSMs cover a wide range of topics including:

  • Basic medical science
  • Clinical science
  • Behavioural science
  • Public health/epidemiology
  • History of medicine
  • Ethics
  • Pathology

Anatomy
 

There are no taught anatomy sessions at Liverpool, instead, students are allocated time in the Human Anatomy Resource Centre (HARC) where they can examine cadaveric prosections, anatomical models, microscopy stations and radiographs as well as computer-aided learning in dissection and embryology. Technicians are available to answer questions. Attendance at HARC is entirely optional but recommended in order to support PBL learning.


Exams

In the first two years, written exams consist of MCQs, true/false questions, EMQs, SAQs and a clinical exam OSCE. The pass mark for the written exams is 60% and 80% for the OSCE.

In the clinical years, students are required to complete a portfolio of all case histories that they present to doctors, their key clinical experiences and examinations and clinical skills which they have performed while on attachment. Students will sit further written papers – MCQs, SAQs and an OSCE. Finals are at the end of Year 4 and include a LOCAS which involves taking histories and examining real patients, then giving a differential diagnosis and management plan.

The 5th Year is assessed through portfolio work and meetings with academic supervisors.


Teaching

Problem-based learning (PBL) is a major component of the curriculum at Liverpool. Students work in small groups of 8-9 with a trained facilitator to study a series of 2-week modules based around a different clinical case scenario. In their groups, students will identify the most important issues to be researched to understand the scenario better. Students then use self-study periods to build their knowledge of the ideas and questions which the group raised, using core texts, recommended websites and journals. The group then meets again a week later, to revisit the case and share knowledge.

Each PBL scenario is supported by a daily 50 minute plenary to give students a guide to the level of detail they should be covering. Students also study in the Human Anatomy Resource Centre (HARC) and receive clinical skills training by qualified doctors, nurses and other healthcare professionals, ranging from hand washing to measuring blood pressure, using a stethoscope, performing examinations, injections and taking blood on models.


Electives

Students take a 5-week elective at the end of Year 3 in any subject of interest which is related to medicine. Students are encouraged to study medicine anywhere in the world providing it is safe to do so. The majority of students choose to experience a healthcare environment in an overseas setting. A report on their experiences must be submitted.


Erasmus programme

Liverpool participates in an Erasmus scheme where students have the opportunity to study at a partner University in the EU for a period of 16 weeks during Year 5 in place of one of the Selectives in Advanced Medical Practice, providing they have a sufficient knowledge of a second European language – usually the equivalent of a grade B at A level standard. This gives students the opportunity in clinical specialist subjects which they would not otherwise be studying in Liverpool and to further develop a European language skill. Partner Universities for medical students at Liverpool include:

  • Université D’Angers – France
  • Universitat Ulm – Germany
  • Universita degli Studi Di Pavia – Italy
  • Universidad de Salamanca – Spain
  • Linkoping Universitet, Karolinska Institute – Sweden
  • Democritus University of Thrace – Greece
  • Medical University of Vienna - Austria

Intercalation

Students can opt to study an intercalated degree at the end of Year 4. Some of the degree options available include:

  • Anatomy
  • Physiology
  • Human Biology
  • Biochemistry
  • Genetics
  • Humanitarian studies
  • Pharmacology
  • Microbiology
  • Tropical medicine

The pros & cons of studying medicine at Liverpool

Good points Not so good points
A modern curriculum and a focus on PBL with some traditional style lecture-based teaching Very little formal anatomy teaching compared with other Universities
Proximity to Liverpool City – a lively, friendly and inexpensive place to study and live Studying in PBL groups and large year groups so you don’t get to know everyone
The opportunity to study in the EU through the ERASMUS scheme  

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The information on this page is correct as of August 2010