Anaesthesia & ICU/Oncology & Palliative Care

Course code MEDI5013Units 20Level 5000Faculty of Health and MedicineSchool of Medicine and Public Health

As part of a pre-internship year, this course develops the skills required in anaesthetics and intensive care for independent clinical practice by giving students the opportunity to review and apply previously learned topics. The course will encourage the development of practical and intellectual skills which are essential for the care of patients who are unconscious or suffering from acute life-threatening illnesses. Students will also develop clinical and administrative skills and knowledge required for internship.

The attachment to oncology/palliative care is intended to introduce students to the concept of the multidisciplinary management of cancer. It will focus specifically on the presentation and management of common cancers and their complications at all stages of the disease process, ie from the early/adjuvant setting through to the advanced and terminal stages. Students will develop the knowledge and skills necessary to deal with oncological problems commonly encountered at intern and junior resident level. Clinical teaching will be largely outpatient focussed. This course is offered in both Semester IX and Semester X, on a rotating basis. Full-time students who enrol in Anaesthesia & ICU/Oncology & Palliative Care must enrol concurrently in Surgery/Emergency Medicine. In exceptional circumstances, such as when a student fails one of the concurrent courses, enrolments outside of these concurrent arrangements may be approved by the Head of School.

This course is a Compulsory Program Component and students must pass in order to progress in the Bachelor of Medicine program.

Not available in 2014

Previously offered in 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005
ObjectivesBy the end of the course, the students will demonstrate the following attributes, to a level similar to that of an intern:

Understanding of:
1. the common problems in the community with respect to patients who are unconscious, suffering from acute life-threatening illnesses or malignant diseases, including their aetiology, pathology, symptoms and signs, natural history and prognosis
2. common diagnostic procedures in relation to acute or life-threatening illnesses and common oncological problems including their uses and limitations
3. the basic principles of management of acute or life-threatening conditions, oncological disorders and common conditions associated with them.
4. the psycho-social and cultural significance of acute illness or life-threatening disease and cancer, including understanding of cultural differences in response to these illnesses
5. the principles of the delivery of anaesthesia, intensive care, oncology and palliative care, including pain control, symptom assessment and management
6. the systems of delivery of care and patient management in relation to anaesthesia and intensive care
7. the public health impact in the community, including the epidemiology of common oncological disorders, risk factors and the benefits and harms of prevention, screening (including for genetic disorders) and early intervention strategies.

Skills:
1. the capacity to obtain an accurate, problem-oriented, tactful and organised medical history in relation to oncology ,palliative care, anaesthesia and intensive care
2. the capacity to perform an accurate, organised, problem oriented and tactful physical examination, with particular consideration of acute illness and cancer and associated conditions
3. the ability to recognise serious illness and to perform common emergency and life-saving procedures such as caring for the unconscious patient and CPR
4. the ability to choose from the repertoire of clinical skills, those that are appropriate and practical to apply in a given situation
5. the capacity to communicate appropriately with the patient and family, including communication regarding death and dying, counselling, education of patients and their families
6. the capacity to contribute appropriately as a member of the health care team, including referral to other disciplines, interaction with other health care professionals
7. the capacity to evaluate and interpret medical evidence in relation to oncology /palliative care and anaesthetics/intensive care, and apply this evidence in clinical practice.

Appropriate professional attitudes including:
1. understanding the ethics of health care in relation to anaesthetics and intensive care and of end of life decision-making
2. the capacity to respond appropriately to emotional stresses in professional environments related to management of the terminally ill and dying patient, including developing appropriate strategies for self-care
3. understanding the factors that affect the quality and safety of health care
4. understanding how the cost of care may affect the choices made within health care systems , at both the individual and community level.
5. an appreciation of the responsibility to maintain standards of medical practice at the highest possible level throughout a professional career.
ContentInteractional skills
Indigenous / Migrant health
Integrated basic science
Health, Law & Ethics
Population Health
Oral Health
Operating Theatre Suite, Delivery Suite and Wards
Management of patients in the Intensive Care Unit
Equipment in the Intensive Care Unit
Ethical considerations and decision making in the Intensive Care Unit
Multidisciplinary approach in the Intensive Care Unit
Practical skills in Intensive Care and Anaesthesia
Public health impact of cancer
Cancer patient management
Diagnosis of cancer
Treatment of cancer
Psychosocial impact of cancer
Ethical and cultural significance of cancer
Communication skills
Industrial Experience0
Assumed KnowledgeThis course is only available to students enrolled in the Bachelor of Medicine program. Students must have successfully completed the first four years of the Bachelor of Medicine program. Full time students enrolled in MEDI5013 must enrol concurrently in MEDI5014.
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Problem Based Learning
Practical
Tutorial
Assessment Items
Examination: FormalClinical OSCE appraisal of basic life support skills
Examination: Formal
Group/tutorial participation and contributionAssessment and Participation in tutorials
Laboratory ExercisesOncology Log Book
Other: (please specify)Oncology Case Write-Up
Other: (please specify)Palliative Care Student Pack
Other: (please specify)AICU Clinical Supervisors Report
Contact HoursPractical: for 4 hour(s) per Week for Full Term
Lecture: for 2 hour(s) per Week for Full Term
Self Directed Learning: for 2 hour(s) per Week for Full Term
Tutorial: for 2 hour(s) per Week for Full Term
Compulsory Components
Requisite by EnrolmentThe enrolment is limited by the program enrolment in B Med.

Students must have successfully completed
MEDI1011, MEDI1012, MEDI1013, MEDI1014,
MEDI1015, MEDI2011, MEDI2012,MEDI2013 AND MEDI2014.
MEDI3011, MEDI3012, MEDI3013 AND MEDI3014
MEDI4011, MEDI4012, MEDI413 AND MEDI4014.