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Mental health, mitigation and undergraduate medical education

Conference Workshop
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Conference Workshop

11:30 am

26 February 2024

M207

Supporting and engaging students

Presentation Description

Dominic Johnson1
Neil Henney2 and Deborah Collier2
1 Liverpool University
2 University of Liverpool




Background
Considering assessment mitigation or professionalism concern issues, educators are challenged to strike a balance between supporting their students on the journey to become the professionals they want to be and only graduating students who demonstrate they are safe to practise (General Medical Council, 2016). Institutions have a clear duty to welcome and support students with mental health issues (General Medical Council, 2019). If mental health considerations form part of the mitigation for assessment and professionalism concerns, this begs the question as to how educators are to consider mental health as mitigation and how to assess the importance and impact of the relationship between the mental health issue and the assessment concern. 

One of the workshop facilitators (DJ) is a forensic psychiatrist and brings a clinical perspective as to when mental health issues may be used in mitigation. They have also acted as an expert witness for medical schools when questions about mental health issues and mitigation have been raised. The other facilitators (BC and NH), in their roles as Director of Assessment and Degree Programme Director respectively, are directly involved in assessment and have significant experience of dealing with the challenges of mental health mitigations in undergraduate assessment. 

Using iterative exploration through case studies, our own experiences and relevant literature we will bring our complementary perspectives to help the audience explore the inherent challenges of striking the balance between supporting students with mental health difficulties and when and how to use mitigation of this in assessment. 


Why is the topic important for research and / or practice? 
Medical educators are having to consider mental health issues as part of mitigation more frequently than ever before. Individuals and institutions are mindful of the importance of compliance with equality legislation, but also the duty to only graduate students who are safe to practise. This session will help educators explore these tensions and started a debate about how to mitigate mental health issues in these circumstances. 

Workshop format
  • Short didactic talks setting the scene regarding current challenges in supporting students with mental health issues
  • Interactive case discussion exploring when mental health should mitigate and when it should not.
  • Co-creation with the audience regarding strategies and ideas in striking the right balance in this difficult area.


Who should participate?
Medical educators who are considering mental health as mitigation with regard to assessment or professionalism concerns


Level of workshop
Intermediate / advanced


Take-home messages / workshop outcomes / implications for further research or practice
  • Consider the nuance in how mental health may affect assessment of academic/clinical knowledge and skills and professionalism
  • Provide context about the reality of dealing with the above
  •  Highlight tensions between supporting students with their mental health and thedemands of providing assessment in a professionally accredited programme and support participants to develop ideas and strategies in finding that balance


Maximum number of participants
40


References (maximum three)
General Medical Council (2016) Professional behaviour and fitness to practise Available at: Professional behaviour and fitness to practise - GMC (gmc-uk.org) (Accessed: 28 July 2023).
General Medical Council (2019) Welcomed and valued Available at: Welcomed and valued - GMC (gmc-uk.org)) (Accessed: 28 July 2023).

Speakers