Critical Care

Course code MEDI5016
Not available in 2015

Description

As part of a pre-internship year, this course develops the skills required in anaesthetics, intensive care, oncology, emergency medicine and orthopaedic surgery for clinical practice, by giving students the opportunity to review and apply previously learned topics.

During the course, students will develop the practical and intellectual skills which are essential for the care of patients who are unconscious or suffering from acute life-threatening illnesses. Students will develop the knowledge and skills necessary to deal with oncologic problems commonly encountered at intern and junior resident level. Students will learn assessment, diagnosis and management of patients presenting with common orthopaedic conditions and will observe and participate in the assessment and management of patients presenting to the Emergency Department.

A schedule of Special Study Options will be offered across a wide range of basic and clinical sciences, clinical and laboratory investigation, public health and community care. Students will be encouraged to formulate a plan for their study in consultation with a supervisor. Their interest may be in any of three general directions: improving their capacity as clinicians and interns; to explore a possible career; and to explore a topic of personal interest relating to medicine. Students will develop clinical skills, administrative skills and knowledge required as an intern.

Availability

Not currently available.

This Course was last offered in Semester 2 - 2014.

Learning Outcomes

1. Demonstrate understanding of the aetiology, pathophysiology, presentation and prognosis of illnesses and conditions that commonly present within the environments of the Critical Care course;

2. Demonstrate understanding of appropriate common diagnostic procedures, including their uses and limitations;

3. Demonstrate understanding of basic principles of delivery of care and management of common problems;

4. Demonstrate understanding of problems that require urgent assessment and treatment, including patients who are unconscious or suffering from acute, life-threatening illnesses;

5. Demonstrate understanding of psycho-social and cultural significance of disease and its treatment, including understanding cultural differences in response to illnesses;

6. Demonstrate understanding of systems of delivery of care and patient management, including pain control, symptom assessment and management;

7. Demonstrate understanding of the public health impact of critical care and the potential benefits of related preventative health strategies;

8. Demonstrate understanding of how the cost of care may affect choices made within the healthcare system, at both individual and community levels;

9. Demonstrate understanding of the basis of clinical pharmacology and use of drugs in clinical practice;

10. Demonstrate understanding of the application of basic anatomical pathology in clinical practice;

11. Obtain an accurate, problem-oriented, tactful and organised medical history from presenting patients

12. Perform accurate, appropriate, problem-oriented, tactful and organised physical and mental state examinations.

13. Interpret and integrate the history and physical examination findings to arrive at an appropriate diagnosis and differential diagnosis, and to identify the personal and social problems to which the illness may contribute.

14. Recognise serious illness and perform common emergency and life-saving procedures, such as caring for the unconscious patient and CPR

15. Formulate a plan addressing the investigation and management of the patient's illness, and the personal and social problems to which the illness may contribute.

16. Demonstrate the capacity to communicate clearly and sensitively with patients, their families and other health professionals, including communication regarding critical and terminal illness and education and counseling for patients and their families

17. Show the capacity to contribute appropriately as a member of the health care team, including referral to other disciplines, interaction with other health care professionals and understanding of the role of other members of the health care team

18. Demonstrate capacity to evaluate and interpret medical evidence in a scientific manner at a level similar to an intern and use information sources to pursue independent inquiry.

19. Communicate key features of a patient history with other health care professionals

20. Manage uncomplicated wounds and simple trauma

21. Recognise potential 'risk situations' and be able to respond appropriately

22. The principles of ethics related to health care and end of life decision making and the capacity to apply those principles to the care of patients, including understanding of the legal responsibilities

23. Emotional stresses in professional environments, including those related to the management of the critically and/or the terminally ill patient, and develop appropriate strategies for self-care

24. Factors that affect quality and safety in health care

25. The need to maintain standards of medical practice at the highest possible level throughout a professional career.

26. Appropriate, professional attitude as a medical student, recognising that the primary professional responsibility is to patient care

27. The need to apply basic ethical and legal constraints that structure the interaction between health care professionals and patients

28. The need to interact safely with patients and professionals in the health care system, with due regard for hospital and system safety and OHS standards

29. Show an appreciation of the importance of taking into account the values and preferences of the patient when considering the investigation and management of illness and of the need, in all cases, to plan management in concert with the patient

Content

Interactional and communication skills
Indigenous / Migrant Health
Integrated basic sciences
Ethical considerations and decision making
Population Health
Oral Health
Multidisciplinary approach in critical care
Practical skills in critical care
Anaesthesia / ICU
Management of the unconscious patient
Management of patients in the ICU
Use of equipment in the Emergency Department and ICU
Oncology
Public Health impact of cancer
Cancer patient diagnosis, treatment and management
Psychosocial impact of cancer
Orthopaedics
Pathology, anatomy and mechanism of injury of common orthopaedic presentations
Emergency Medicine
Airway management, applying oxygen therapy, external cardiac massage, ventilation, defibrillation
Identification of conditions requiring urgent referral

Review of Progress

This course is a compulsory program requirement for students in the following program(s):

In addition to meeting the University's overall requirements for academic progression, students enrolled in these program(s) must satisfactorily complete this course in order to progress in their program.

Requisites

This course is only available to students enrolled in the Bachelor of Medicine degree programs. Pre-requisite - successful completion of all 4th year requirements

Assumed Knowledge

MEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013, MEDI2014, MEDI3014, MEDI3017, MEDI3018, MEDI4015, MEDI4016

Assessment Items

In Term Test: Clinical: Critical Care OSCE *

Professional Task: Clinical placement *

Log / Workbook: Critical Care Logbook including oncology, anaesthesia, orthopaedics and emergency medicine *

Report: Special Study Option - Supervisors Rating form

Report: Supervisors Rating form Orthopaedics

Online Learning Activity: Online Learning Activities: Hand hygiene Australia

Written Assignment: Essay/Written Assignment - Group task Quality in healthcare

* This assessment has a compulsory requirement.

Compulsory Requirements

In order to pass this course, each student must complete ALL of the following compulsory requirements:

General Course Requirements:

  • Clinical: Attendance Requirement - Students must attend a minimum number of these sessions. - Attendance at all sessions is compulsory

Course Assessment Requirements:

  • In Term Test: Pass Requirement - Students must pass this assessment item to pass the course.
  • Professional Task: Pass Requirement - Students must pass this assessment item to pass the course.
  • Log / Workbook: Pass Requirement - Students must pass this assessment item to pass the course.

Pre-Placement Requirements:

  • First Aid Certificate - students must complete a First Aid Certificate issued by an approved provider.
  • NSW Health Verification Requirements - Students must complete NSW Health Department requirements for students to attend placements in NSW Health facilities.
  • Working with Children and Young Adults Check - A national criminal history check and review of findings of workplace misconduct, required for any child-related work.

Contact Hours

Clinical

Face to Face Off Campus 35 hour(s) per Week for Full Term