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
ObjectivesBy the end of the course, students will demonstrate understanding, skills and professional attitudes that will prepare them to function at the level of an intern in the areas of Anaesthesia, Intensive Care, Emergency Medicine, Oncology and Orthopaedic Surgery.

Demonstrate understanding of:
1. Aetiology, pathophysiology, presentation and prognosis of illnesses and conditions that commonly present within the environments of the Critical Care Course
2. Appropriate common diagnostic procedures, including their uses and limitations
3. Basic principles of delivery of care and management of common problems
4. Problems that require urgent assessment and treatment, including patients who are unconscious or suffering from acute, life-threatening illnesses
5. Psycho-social and cultural significance of disease and its treatment, including understanding cultural differences in response to illnesses
6. Systems of delivery of care and patient management, including pain control, symptom assessment and management
7. Public health impact of critical care and the potential benefits of related preventative health strategies
8. How the cost of care may affect choices made within the health care system, at both individual and community levels
9. The basis of clinical pharmacology and use of drugs in clinical practice
10. The application of basic anatomical pathology to clinical practice

Demonstrate skills by being able to:
1. Obtain an accurate, problem-oriented, tactful and organised medical history from presenting patients
2. Perform accurate, appropriate, problem-oriented, tactful and organised physical and mental state examinations
3. 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
4. Recognise serious illness and perform common emergency and life-saving procedures, such as caring for the unconscious patient and CPR
5. 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
6. 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
7. 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
8. 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
9. Communicate key features of a patient history with other health care professionals
10. Manage uncomplicated wounds and simple trauma
11. Recognise potential ‘risk situations’ and be able to respond appropriately

(The information relating to students demonstrating appropriate professional attitudes has been placed in the Course Description area)
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
Replacing Course(s)MEDI5013 - A/ICU / Oncology / Palliative Care and MEDI5014 - Surgery / Emergency Medicine
TransitionStudents who fail MEDI5013 or MEDI5014 must enrol in MEDI5016 in 2012.
Industrial Experience0
Assumed KnowledgeStudents must have successfully completed the first 4 years of the JMP
Modes of DeliveryInternal Mode
Teaching MethodsClinical
Lecture
Tutorial
Assessment Items
ClinicalCritical Care OSCE assessment will be held in week 19 of semester. This assessment item must be passed in order to pass the course.
Essays / Written AssignmentsQuality in Health Care Assignment - Group Assignment
Other: (please specify)Critical Care Logbooks - including Oncology, Orthopaedics and Emergency Medicine
Other: (please specify)Special Study Option - Supervisor Rating Form (including completion of SSO in-course assessment)
Other: (please specify)Full attendance at clinical placement is required to be eligible for clinical assessment
Other: (please specify)Assessment of Professional Skills and Behaviour - 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.
Compulsory Course ComponentOHS-First Aid Certificate
Compulsory Course ComponentOHS-Criminal Record Check
Compulsory Course ComponentOHS-Prohibited Employment Declaration
Compulsory Program ComponentMust have successfully completed MEDI1011, MEDI1012, MEDI1013, MEDI1014, MEDI1015, MEDI2011, MEDI2012, MEDI2013 and MEDI2014, MEDI3014, MEDI3017, MEDI3018, MEDI4015 and MEDI4016
Timetables2014 Course Timetables for MEDI5016