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The systematic development of a novel integrated spiral undergraduate course in general practice.

Keele University School of Medicine opened in 
2002, initially delivering the Manchester MB ChB 
curriculum, with the aim that from 2007 it would 
deliver a 'distinctive Keele curriculum' which would 
'graduate excellent clinicians'. This curriculum would 
be spiral and integrated in design, and delivered by 
a 'hybrid' model of learning methods, from small 
group interactive (including problem-based learning) 
through to large group and more didactic methods. 
It would be student-centred and include a strong 
focus on community and primary care contexts, the 
latter reflecting the origins of the university which 
grew out of the Workers' Education Alliance after the 
Second World War as the University College of North 
Staffordshire, becoming the University of Keele in 
1962. The university has always had strong links with 
the Potteries and North Staffordshire, communities 
with long-standing problems of poor health status 
and recruitment of the necessary health workforce. 
While there are strong local drivers for medical 
students learning in and with the community, this 
is in a broader context of primary care becoming 
an increasingly important resource for medical 
undergraduate education arising from policy, health 
service and andragogy. We were charged with the responsibility of 
developing the community element of the curriculum. 
This paper describes the systematic development 
of our general practice curriculum from 2007 to 
the present. We describe the decisions we made 
and general practice's current contribution to the 
curriculum. We will present our evaluation of the 
curriculum in a separate paper.