Professor Hilary Neve

I graduated in medicine from Bristol University in 1983. I worked as a doctor on Pemba Island, Tanzania from 1987-89 and qualified as a GP in UK in 1991. I subsequently trained health workers in Southern Sudan, worked for UNICEF in NE Kenya and gained an MEd in Primary Health Care. Since 1995 I have worked both in general practice and medical education in Plymouth. I worked as a GP Tutor and GP Appraisal Lead before joining the Peninsula Medical School in 2002, where I worked initially as a small group facilitator. Since 2012 my roles included Associate Head of School (Medical Education), Director of Professionalism, Small Group Learning and Social Engagement. I have recently stood back from these roles and remain an Honorary Professor, continuing to contribute to teaching and education research.

I am a National Teaching Fellow, Principal Fellow of the Higher Education Academy and a GP at the Adelaide and St Levan DeepEnd Surgeries in Plymouth.

My research and publications have focused on using Threshold Concepts to understand the learner experience, the hidden curriculum, capability, shared decision making, multi-morbidity consultations and Problem Based Learning. I have particular interests in professionalism learning and assessment, leadership, global health, inequalities in health, gender equality and addressing the climate crisis

Qualifications

2016           HEA National Teaching Fellowship

2013           Principal Fellow of Higher Education Academy

1993           MEd. in Primary Health Care (Bristol University)

1990           MRCGP (distinction)

Professional membership

International Association for Medical Education

Association for the Study of Medical Education    

British Medical Association                           

Royal College of General Practitioners                         

Full Registration with General Medical Council (since 1984)

Roles on external bodies

Member of Faculty of Medical Leadership and Management MSC/HEE Tomorrow’s Leaders, Today undergraduate working group: curriculum development workstream and contributions to Undergraduate curriculum

Established and Co-Lead International Threshold Concepts in Health Special Interest Group

Clinical Director, Plymouth and Bristol Universities Professional and Generic Skills Programme

Trustee of Plymouth charity, Well Connected https://wellconnecteduk.org/

Teaching interests

Curriculum development

At the Peninsula Medical School:

• I have previoulsy led evidence-based reviews of our 5 year professionalism curriculum, our Enquiry-based Learning programme and cases and, most recently, our Year 1 and 2 undergraduate curriculum. This has involved consultation with staff and reviews of the literature to establish underpinning pedagogic principles, ordering of core concepts and a more detailed curriculum, as well as designing and delivering training for staff. I led the development of a new social engagement programme and have established innovative five year motivational interviewing and clinical reasoning pathways as well as reviewing and updating our medical student biannual reflective ‘portfolio analysis’. I recently led our successful application for FMLM Leadership accreditation of our undergraduate programme

My teaching work has included:

• Undergraduate: Working as an Academic Tutor and delivering induction sessions, small group EBL, professionalism and clinical reasoning sessions and plenaries and workshops (e.g. on clinical reasoning, reflection and motivational interviewing) as well as teaching students in my general practice. I lead regular workshops on reflective practice and "thinking like a doctor"

• Faculty development: I led annual Small Group Facilitator Induction days and annual conference, training of Academic Tutors and Reflective Writing Assessors, Workshops at Clinical Teacher events and School Away days

• Postgraduate: Professionalism: Assessment Opportunities and Challenges day on UoP FoH CertEd Programme; The Principles of Primary Health Care and global anaemia session on UoP FoH Global Health MSc

• National and international: I have run workshops and seminars at other medical schools and at a range of education-related conferences. I run an annual session on Social Accountability for Cardiff School of Medicine IBSc in Medical Education

Staff serving as external examiners

2017-2020: External Examiner, George’s Medical School, for MBBS Doctor as Professional Domain

2013-2016: External Examiner, University College London, MSc in Global Health and Development

Research interests

Over the last 4 years my research projects have included:

1. Education lead: developing educational approaches for promoting the SHERPA  model for managing multimorbidity in practice, working with Dr Edmind Jack and Prof Richard Byng

2. Team member: “Reflecting on past reflections, challenges and personal change: reflective practice in Year 5” PUPSMD study

3. Co-lead: Researching threshold concepts and the development of self regulated learning during PBL in two medical schools (working with Dr Sarah Meek, Glasgow)

4. Team member: Evaluating the Impact of PostGraduate Clinical Education Programmes in the South West working with 3 partner medical schools         

5. Team member: Exploring Professional Touch as a Threshold Concept. Collaborative project with Colleagues in Coventry, UK; Auckland, NZ; Australia

6. Academic Lead for medical education: Education and facilitation to improve clinical decisions and multidisciplinary team-working with older adults with multimorbidity, Multi-site NIHR funded project 

7. Co-lead  Evaluation of a new approach to teaching Shared Decision Making Collaborative project 

8. Lead: Exploring troublesome moments for medical and dental students during social engagement pathways. Working across PUPSMD dental and medical schools

Journals

·    Hanks S, Neve H, Gale T. Preparing health profession students for practice in complex real world settings: how do educators respond to a model of capability? International Journal of Practice-based Learning in Health and Social Care. In press.     

Swancutt DR, Jack E, Neve HA, Tredinnick-Rowe J, Axford N, Byng R. GP trainee responses to using SHERPA for multimorbidity consultations. Education for Primary Care. Published online March 2021 DOI: 10.1080/14739879.2021.1888662 https://www.tandfonline.com/doi/full/10.1080/14739879.2021.1888662     

      Neve H, Leyland R, Drake E, Collett T. How have I changed?’, ‘Am I ready?’: the value of looking back at past reflections in the final year of Medical School. Clinical Teacher. 17 (S1):120

·    Neve H, Hanks S, Heath M, Smith W. 2020. “Today’s shook me up a lot inside…it’s definitely changed me”: emotional responses and transformative learning through working with disadvantaged communities. Education for Primary Care.  https://www.tandfonline.com/loi/tepc20  doi: 10.1080/14739879.2020.1819170

·    Leyland R, Heath M, Neve H, Maynard V. Structured Refection on Shared Decision Making. Clinical Teacher, Published early view August 2020 https://onlinelibrary.wiley.com/doi/10.1111/tct.13233

·    Neve H, Hothersall EJ, Rodrigues V. Exploring Threshold Concepts in Population Health. Clinical Teacher. 2020;17:292-297 doi: 10.1111/tct.13087

·    Wearn A, Clouder L, Barradell S & Neve H. 2020. A qualitative research synthesis exploring professional touch in healthcare practice using the threshold concept framework. Advances in Health Sciences Education 25, pages731–754 https://doi.org/10.1007/s10459-019-09901-9

·    Hardy LJ and Neve H. Professionalism and leadership in medical education: how do they differ and how are they related? BMJ Leader 2019. 3:67-68 doi: leader-2019-000184

·    Neve, H. Learning to become a primary care professional: insights from threshold concept theory. Leading article. 2019. Education for Primary Care, 30(1):5-8. 1-4. doi:10.1080/14739879.2018.1533390

·    Martindale L, Barradell S, Neve H and Land R. 2018. Editorial: Special issue on threshold concepts in health and social care. International Journal of Practice-based Learning in Health and Social Care 6 (1), ii–iv

·    Land R, Neve H, Martindale L. 2018. Threshold Concepts, Action Poetry and the Health Professions: An Interview with Ray Land. International Journal of Practice-based Learning in Health and Social Care Vol. 6 No 1 Special Issue: 45-52

·    Neve H, Collett T. 2018. Empowering students with the hidden curriculum. Clinical Teacher. 15(6):494-9. DOI: 10.1111/tct.12736

·    Collett T, Stephen N, Neve H. 2017. Using audio diaries to identify threshold concepts in “softer” disciplines: a focus on medical education. Practice and Evidence of the Scholarship of Teaching and Learning in Higher Education, 12(2) Special Issue: Threshold Concepts and Conceptual Difficulty. 12(2): 97-115.

·    Neve H, Bull S, Lloyd H, Gilbert K, Mattick K. 2017. Evaluation of an innovative evidence-guided PBL approach. Clinical Teacher 14: 1-7.

·    Neve H, Morris R. 2017. Twelve tips for promoting professionalism through reflective small group learning. MedEdPublish, 2017, 6, [1], 43, doi:https://doi.org/10.15694/mep.2017.00004 http://www.mededpublish.org/manuscripts/879

·    Burr S, Neve H, Leung Y. 2016. Evaluating your Professionalism. British Journal of Hospital Medicine 77(11): 634-637.

·    Neve H, Lloyd H, Collett T. 2016: Understanding students’ experiences of professionalism learning: a ‘threshold’ approach. Teaching in Higher Education. 22(1) 92-108. DOI: 10.1080/13562517.2016.1221810.

·    Neve H, Wearn A, Collett T. 2016. What are threshold concepts and how can they inform medical education? Medical Teacher 38(8): 850-853.

·    Neve H, Hanks S. “When I say…capability.” 2016. Medical Education; 50: 610-611.

Chapters

·    Neve H. Researching the informal and hidden curriculum In: A Practical Guide to Primary Care Educational Research Akman M, Wass V, Goodyear F (Eds) In Press

·    Meek S, Neve H, Wearn A. Threshold concepts and Troublesome Knowledge 2020. In: Clinical Education for the Health Professions: Theory and Practice Nestel D, Reedy G, McKenna L, Gough S (Eds). Springerlink https://link.springer.com/referencework/10.1007%2F978-981-13-6106-7

·    Neve H, Gilbert K, Lloyd H. 2018. Threshold Concept or Threshold Capability? Using audio-diaries to explore PBL in medical education. Threshold Concepts and Problem-based Learning Savin-Baden M, Tombs G (Eds)

·    Morris R, Neve H. 2017. Learning and teaching professionalism. In: The ABC of Learning and Teaching in Medicine, 3rd edition. BMJ Books: Wiley Blackwell.

Conference Papers

Most recent presentations (since 2018)

Threshold Concepts in Medical Education

Neve H, Meek S, Hothersall E, Randall V, Wearn A. Putting threshold concepts into practice in health professions education: changing the way we teach, research and design curricula. Workshop, AMEE2019, Vienna, Austria

Neve H. Threshold concepts and Troublesome Knowledge: implications for public health education. Workshop at PHEMS (Public Health Educators in Medical Schools) 2018, July 2018, London.

Neve H. Threshold concepts, troublesome knowledge, and their relevance for GP training. Plymouth Trainers Group 3rd Annual Symposium, Plymouth, May 2018

Neve H. 'Aha' Moments and Troublesome Learning. Invited lecture, Centre for Medical Education (C4ME), Cardiff, March 2018

Neve H. Desert Island Concepts. Professorial Inaugural Lecture. Plymouth University, February 2018

Professional Touch

Wearn A, Neve H. Lifting the lid on professional touch: incorporating insights from research 9.30 - 11.10 into practice. Roundtable discussion at 8th International Clinical Skills Conference, Prato, Italy, 2019.

Problem Based Learning

Meek S, Neve H. Is Self Regulated Learning a threshold concept? An audio-diary study of PBL in two UK Medical Schools. AMEE2019, Vienna, Austria

Meek S, Neve H. Is Self-Regulated Learning a threshold concept? Using audio-diaries to research Problem Based Learning in two UK Medical Schools. Threshold Concepts in Action conference, Dundee, June 2019

Meek S, Neve H & Gilbert K. Using the Threshold Concept Framework to explore student learning by PBL in two UK Medical Schools. ISSOTL 2018, Bergen, Norway, October 2018

Gilbert K, Neve H. How hybrid PBL can support students to manage cognitive load: findings from an audio-diary study. AMEE2018, Basel, Switzerland, August 2018

Capability

Hanks S, Neve H. "Moving from competence to capability: preparing learners for an unpredictable future" workshop at FoMD Education Conference, Plymouth University, July 2018

Neve H. Hanks S. Moving from Competence to Capability - preparing Learners for the complexities of practice Workshop at NACT Multi-Specialty Conference, January 2018, London

Preparedness for practice

Leyland R, Neve H, Heath M, Collett T, Drake E. Preparedness for 2020 and beyond: final year students’ reflections on troublesome and important thresholds they have crossed. AMEE Sept 2020 Virtual Conference

Social Engagement

Neve H, Hanks S. Heath M, Smith W. “Today’s shook me up a lot inside…it’s definitely changed me”: Emotional responses and transformative learning through working with disadvantaged communities. AMEE Sept 2020 Virtual Conference

Smith W, Neve H. Understanding the needs of marginalised populations through community engagement pathways. Social Accountability in Medical Education Think Tank, Imperial College London, August 2018

Assessment

Neve H, Harris J. Developing the confidence to address underperformance in clinical skills and professionalism: reframing our conversations. Workshop at 8th International Clinical Skills Conference, Prato, Italy, 2019.

Harris J, Neve H. Rising to the Challenge of Objective assessment. Imperial Medical School, March 2019

Healthcare delivery and education

Neve H. & Hammond A. Threshold concepts in clinical reasoning. Workshop: Clinical Reasoning in Medical Education conference, National Science Learning Centre, University of York, Nov 2019

Leyland R, Maynard V, Heath M, Neve H. A different kind of conversation: supporting students to become shared decision makers through guided reflection on experience. 8th International Clinical Skills Conference, Prato, Italy, 2019.

Leyland R, Neve H, Maynard P. Supporting students to become shared decision makers through reflection. SW SAPC Meeting Building primary care for the future – research, education and practice, March 2018

Professionalism, leadership

Neve H. Unconscious bias, career stereotyping and leadership. Invited speaker at Next Generation GP programme, Buckfastleigh, Devon, April 2019

Neve H. Teaching professionalism Invited keynote address at NACT Multi-Specialty Conference, London., January 2018

Posters

Since 2019:

Multiple Morbidity & complexity

Swanicutt D, Jack E, Neve H, Tredinnick-Rowe, Axford N, Byng R. The SHERPA model develops clinicians skills in complex consultations. Poster accepted for British Geriatric Society SW Spring Meeting, March 2020

Social accountabiity

Smith W, Heath M, Neve H, Hanks S. Transformational Learning in Community Settings. British Association for the Study of Community Dentistry Spring Scientific Meeting Addressing inequalities: Celebrating improvement: Cardiff, April 2020

Reports & invited lectures

Harris J, Neve H. Rising to the Challenge of Objective assessment. Imperial Medical School, March 2019

Smith W, Neve H. Understanding the needs of marginalised populations through community engagement pathways. Social Accountability in Medical Education Think Tank, Imperial College London, August 2018

Neve H. Threshold concepts and Troublesome Knowledge: implications for public health education. Workshop at PHEMS (Public Health Educators in Medical Schools) 2018, July 2018, London.

Neve H. Threshold concepts, troublesome knowledge, and their relevance for GP training. Plymouth Trainers Group 3rd Annual Symposium, Plymouth, May 2018

Neve H. 'Aha' Moments and Troublesome Learning. Invited lecture, Centre for Medical Education (C4ME), Cardiff, March 2018

Neve H. Teaching professionalism Invited keynote address at NACT Multi-Specialty Conference, London., January 2018

Neve H. Hanks S. Moving from Competence to Capability - preparing Learners for the complexities of practice Workshop at NACT Multi-Specialty Conference, January 2018, London

Neve H, Perrett R. Empowering students with the hidden curriculum. Invited presentation, Newcastle Medical School, December 2017

Neve H. Thresholds, Struggles and Aha Moments: exploring the learner experience. Keynote address at Education Doctorate Research Summer School Conference, University of Exeter, July 2017.

Neve H. Revealing the ‘hidden curriculum’. Invited presentation, Centre for Medical Education (C4ME), Cardiff, Feb 2017

Neve H. What I have learnt about teaching professionalism. Keynote address, Cambridge Medical School Professionalism Facilitators’ Away Day, May 2016

Neve H. Revealing the Hidden Curriculum. Presentation to Higher Education England/Medical Schools Council national GP career Working Group, April 2016.

Conferences organised

Member of organising committees for:

·    Primary Care Conference: workforce sustainability and person-centred redesign, Plymouth University, Nov. 2017

·    SW SAPC Conference. Building primary care for the future: research, education and practice, Plymouth, March 18

Other academic activities

Member of Scientific Review Committee, 8th International Clinical Skills Conference

External Examiner, George’s Medical School, for MBBS Doctor as Professional Domain

Clinical Director, Plymouth and Bristol Universities Professional and Generic Skills Programme

Established and Co-Lead International Threshold Concepts in Health Special Interest Group

Member of Faculty of Medical Leadership and Management MSC/HEE Tomorrow’s Leaders, Today undergraduate working group: curriculum development workstream

Member of Judging Panel, GMC National Student Professionalism Competition, 2016

Co-Chair Medical Schools Council National Fitness to Practice Conference, 2016

CoChair UK COuncil for Teachers of Professionalism 2014-17

Recent conference presentations and workshops

Leyland R, Neve H, Heath M, Collett T, Drake E. Preparedness for 2020 and beyond: final year students’ reflections on troublesome and important thresholds they have crossed. AMEE Sept 2020 Virtual Conference

Neve H, Hanks S. Heath M, Smith W. “Today’s shook me up a lot inside…it’s definitely changed me”: Emotional responses and transformative learning through working with disadvantaged communities. AMEE Sept 2020 Virtual Conference

Neve H. & Hammond A. Threshold concepts in clinical reasoning. Workshop: Clinical Reasoning in Medical Education conference, National Science Learning Centre, University of York, Nov 2019

Neve H, Meek S, Hothersall E, Randall V, Wearn A. Putting threshold concepts into practice in health professions education: changing the way we teach, research and design curricula. Workshop, AMEE2019, Vienna, Austria

Wearn A, Neve H. Lifting the lid on professional touch: incorporating insights from research into practice. Roundtable discussion at 8th International Clinical Skills Conference, Prato, Italy, 2019.

Meek S, Neve H. Is Self Regulated Learning a threshold concept? An audio-diary study of PBL in two UK Medical Schools.on, AMEE2019, Vienna, Austria

Meek S, Neve H. Is Self-Regulated Learning a threshold concept? Using audio-diaries to research Problem Based Learning in two UK Medical Schools. Threshold Concepts in Action conference, Dundee, June 2019

Meek S, Neve H & Gilbert K. Using the Threshold Concept Framework to explore student learning by PBL in two UK Medical Schools. ISSOTL 2018, Bergen, Norway, October 2018

Gilbert K, Neve H. How hybrid PBL can support students to manage cognitive load: findings from an audio-diary study. AMEE2018, Basel, Switzerland, August 2018

Neve H, Harris J. Developing the confidence to address underperformance in clinical skills and professionalism: reframing our conversations. Workshop at 8th International Clinical Skills Conference, Prato, Italy, 2019.

Leyland R, Maynard V, Heath M, Neve H. A different kind of conversation: supporting students to become shared decision makers through guided reflection on experience. 8th International Clinical Skills Conference, Prato, Italy, 2019.

Additional information

• Trustee of Plymouth charity, Well Connected Communities

• WaterAid Ambassador/Speaker

• Worked with Plymouth Museum and Plymouth University to erect a blue plaque and name Peninsula Medical School lecture theatre in honour of the life of the pioneering Dr Rosa Bale, the first female GP in Plymouth

• I often present at student led and events for young doctors e.g.

         Neve H. Unconscious bias, career stereotyping and leadership. Invited speaker at Next Generation GP programme, Buckfastleigh, Devon,          April 2019

         Neve H. Clean water, sanitation and health. Invited presentation at Students for Global Health short course, Plymouth University, April 2018

         Neve H. Unconscious bias and the Imposter syndrome. Invited presentation at Leadership for Female GPs student meeting, April 2018

         Neve H, GPs Involved in Education. Invited presentation at RCGP South West and Wales Student Conference, Plymouth, March 2018