Critical Care

Course code MEDI5016Units 40Level 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, 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; to explore a topic of personal interest relating to medicine.

Students will develop clinical skills, administrative skills and knowledge required as an intern.

This course is offered in both Semesters 1 and 2, on a rotating basis.

Available in 2014

Central Coast Clinical SchoolSemester 1, Semester 2
Hunter Clinical SchoolSemester 1, Semester 2
Manning Base HospitalSemester 1, Semester 2
Tablelands Clinical SchoolSemester 1, Semester 2
Tamworth Base HospitalSemester 1, Semester 2
Previously offered in 2013, 2012
ObjectivesUpon completion of this course, the student will be able to:

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 patients 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 counselling for patients and their families;
17. show the capacity to contribute appropriately as a member of the healthcare team, including referral to other disciplines, interaction with other healthcare professionals and understanding of the role of other members of the healthcare 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 healthcare professionals;
20. manage uncomplicated wounds and simple trauma;
21. recognise potential ‘risk situations’ and be able to respond appropriately;
[refer to Course Rationale for Course Objectives 22-29]
ContentInteractional 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
Industrial Experience0
Assumed KnowledgeMEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013, MEDI2014, MEDI3014, MEDI3017, MEDI3018, MEDI4015, MEDI4016
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Lecture
Tutorial
Assessment Items
ClinicalCritical Care OSCE (scheduled during Week 19)
Essays / Written AssignmentsQuality in Health Care Group Assignment
Group/tutorial participation and contributionattendance, participation and professional behaviour during tutorials, skills sessions, presentations and seminars will be monitored throughout the course by tutors
Online Learning Activitiescompletion of Hand Hygiene Australia online module
Other: (please specify)Critical Care Logbooks and Tasks (including Oncology, Orthopaedics, AICU and Emergency Medicine)
Special Study Option Supervisor Rating Form (including completion of SSO in-course assessment)
Mandatory attendance at clinical placement for eligibility to undertake clinical assessment
Supervisor Rating Form - Orthopaedics
Contact HoursClinical: for 35 hour(s) per Week for Full Term
Compulsory Components
Requisite by EnrolmentThis course is only available to students enrolled in the Bachelor of Medicine program.

WorkCover approved First Aid Certificate
Working with Children and Young People Declaration
ClinConnect compliance
Timetables2014 Course Timetables for MEDI5016