MEDIC ST 5014AHO - Anaesthesia, Pain Medicine & Intensive Care V Pt1
Teaching Hospitals - Semester 1 - 2020
General Course Information
Course Code MEDIC ST 5014AHO Course Anaesthesia, Pain Medicine & Intensive Care V Pt1 Coordinating Unit Medicine Term Semester 1 Level Undergraduate Location/s Teaching Hospitals Contact Attachments, common program & research Available for Study Abroad and Exchange N Prerequisites MEDIC ST 4000AHO/BHO, MEDIC ST 4013AHO/BHO, MEDIC ST 4014 AHO/BHO, MEDIC ST 4015 AHO/BHO, MEDIC ST 4016 AHO/BHO, MEDIC ST 4017 AHO/BHO, MEDIC ST 4018 AHO/BHO, or by approval of the Dean of Medicine Restrictions Available to MBBS students only Course Description The clinical attachments are a program of clinical education through a selection of placements so that students will be competent in history-taking, patient examination and management. This includes problem formulation, investigations, treatment (pharmacological and non-pharmacological), counselling, good communication skills, the practice of empathetic medicine, and a sound knowledge base that allows diagnosis and management of common disorders to be carried out under appropriate supervision. Some students will have the opportunity to undertake their training for an extended period of time in a rural or remote setting.
Course Coordinator: Jeremy BrammerCourse Co-ordinator
Dr Julia Coldrey
Joint course co-ordinator (ICU)
A/Prof Mary White
RAH Anaesthetics contact:
Dr Julia Coldrey
RAH ICU Contact:
A/Prof Mary White
The Queen Elizabeth Hospital contact:
Dr Thava Visvanathan
Lyell McEwin Hospital contact:
Dr Lynda D’Souza
The full timetable of all activities for this course can be accessed from Course Planner.The course timetable for the APIC rotation is made available to students on the first day of the rotation.
Course Learning OutcomesCompetencies expected of a fifth-year medical student
- Conduct a preoperative assessment
- Identify significant co-morbidities and outline strategies for perioperative investigation, optimisation and management
- Understand the principles of perioperative patient monitoring and recognition of early deterioration
- Overview of anaesthesia principles, including emergency anaesthesia
- Application of clinical pharmacology to safely deliver local anaesthesia to patients.
- Utilise difficult airway algorithm that incorporates professional boundaries
- Perform advanced life support skills, with effective use of airway aids
- Use a framework to diagnose and manage common post-surgical problems
- Develop an approach to the management of critically ill patients including
a. Essentials of identification, triage and management of critically ill patients
b. Principles of life-support and monitoring systems
- Assessment of pain in relation to clinical diagnosis, classification and response to therapy
- Knowledge of the pharmacology of drugs commonly used in pain management
- Familiarity with drug and non-drug techniques commonly used in pain management
- Develop pain management strategies required to competently fulfil the role of an intern.
- Outline principles and professional medical responsibilities in patient palliative care
- Learn effective interaction with multi-professional teams involved in the APIC disciplines
- Practice the APIC disciplines according to ethical principles.
- Utilise advanced communication techniques in difficult and challenging staff and patient encounters
University Graduate Attributes
This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:
University Graduate Attribute Course Learning Outcome(s) Deep discipline knowledge
- informed and infused by cutting edge research, scaffolded throughout their program of studies
- acquired from personal interaction with research active educators, from year 1
- accredited or validated against national or international standards (for relevant programs)
All of the above Critical thinking and problem solving
- steeped in research methods and rigor
- based on empirical evidence and the scientific approach to knowledge development
- demonstrated through appropriate and relevant assessment
All of the above Teamwork and communication skills
- developed from, with, and via the SGDE
- honed through assessment and practice throughout the program of studies
- encouraged and valued in all aspects of learning
All of the above Career and leadership readiness
- technology savvy
- professional and, where relevant, fully accredited
- forward thinking and well informed
- tested and validated by work based experiences
All of the above Intercultural and ethical competency
- adept at operating in other cultures
- comfortable with different nationalities and social contexts
- able to determine and contribute to desirable social outcomes
- demonstrated by study abroad or with an understanding of indigenous knowledges
All of the above Self-awareness and emotional intelligence
- a capacity for self-reflection and a willingness to engage in self-appraisal
- open to objective and constructive feedback from supervisors and peers
- able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
All of the above
Recommended ResourcesPain:• Acute Pain Management: Scientific Evidence 3rd edition, 2010: see http://www.anzca.edu.au/fpm/resources/books-and-publications• Macintyre and Schug, Acute Pain Management: a practical guide, WB Saunders, 3rd edition 2007• Therapeutic Guidelines: Palliative Care: available via the University of Adelaide library• Australian Medicines Handbook: available via the University of Adelaide library
Anaesthesia:• Introductory anaesthetics textbook such as:o Gwinnutt, Lecture Notes: Clinical Anaesthesia, 5th edition, 2016
Online LearningStudents are recommended to review the SMTS pain and palliative care content available on MyUni as well as the relevant lectures on pain and analgesia from the MLTU website.
Learning & Teaching Activities
Learning & Teaching ModesCore teaching process for ICU includes:
1. Small and large group teaching sessions ie. lectures and tutorials
2. Skills sessions (simulator sessions)
3. Case presentations
4. Clinical attachments with ward rounds
5. Self-directed study
6. Presentation of ICU related topics
The pain component learning is delivered via:
2. Clinical attachments to acute pain, chronic pain and palliative care
4. Group work and group presentation
5. Case based discussion of chronic pain and palliative care
6. Self-directed learning
The anaesthetics teaching and learning modes include:
2. Small group discussion sessions
3. Clinical attachments in theatre, OPD and recovery
4. Simulator sessions
5. Self-directed learning
The information below is provided as a guide to assist students in engaging appropriately with the course requirements.The information below is provided as a guide to assist students in engaging appropriately with the course requirements.
Workload for the individual students will vary from week to week but students can assume that on average they will work a 45 hour week which will include clinic sessions, lectures (both delivered and online), seminars, tutorials and private study but does not include after hours call.
Learning Activities SummaryFor all components, students are expected to attend all clinical rounds and rostered tutorials and participate actively in these.
All materials required for the course an be accessed via CANVAS
Students are expected to complete the recommended readings:
1. Revisit 4th year lectures on pain and analgesics
2. Macintyre and Schug – Acute Pain Managementa. Chapter 3 – Assessment of painb. Chapter 4 – pharmacology of opioidsc. Chapter 6 – non-opioid and adjuvant analgesic drugsd. Chapter 7 – routes of systemic opioid administratione. Chapter 8 – patient-controlled analgesiaf. Chapter 9 – epidural analgesiag. Chapter 12 – acute neuropathic painh. Chapter 14 – elderly, opioid-tolerant and substance abuse patients3. Therapeutic Guidelines – Palliative Carea. Chapter – Getting to know your drugsb. Chapter – Pain4. Macintyre PE, Loadsman JA, Scott DA. Opioids, ventilation and acute pain management. Anaesth Intensive Care. 2011 Jul;39(4):545-58
5. Coldrey JC, Upton RN, Macintyre PE. Advances in analgesia in the older patient. Best Pract Res Clin Anaesthiol. 2011 Sep; 25(3):367-78
6. Huxtable CA, Roberts LJ, Somogyi AA, Macintyre PE. Acute pain management in opiod-tolerant patients: a growing challenge. Anaesth Intensive Care. 2011 Sep;39(5):804-23
Specific Course RequirementsN/A
Small Group Discovery ExperienceThe predominant learning method for the MBBS Program is small group discovery learning.
The University's policy on Assessment for Coursework Programs is based on the following four principles:
- Assessment must encourage and reinforce learning.
- Assessment must enable robust and fair judgements about student performance.
- Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
- Assessment must maintain academic standards.
Assessment Task Assessment Type Weighting Learning Outcomes Assessed On-line quizzes during rotation Formative and Summative 20% All End of rotation anaesthesia project (wk 2) Summative 32% 1 - 8 ICU placement participation and project Formative and Summative 32% 3, 7, 9, 15 - 17 Pain case discussion end of week 3 Summative 16% 9 - 12, 15 - 17
Due to the current COVID-19 situation, modified arrangements have been made to assessments to facilitate remote learning and teaching. Assessment details provided here reflect recent updates.New Assessment Tasks:
ICU Assessment 25%
Anaesthesia Assessment: Written SAQs 30%
Pain Assessment: completion of FBM Better Pain Management Moduesl 1-6 and attendance at workshops 20%
Refer to MyUni for further detailed updates.
To pass this course and the Fifth Year MBBS Examination Annual Examination Part 2 course, students must obtain:
• a satisfactory result in each of the components of the summative assessment in semesters 1 and 2; and
• a satisfactory performance in the examinations overall
If an overall borderline grade is achieved in the examinations, a student may be offered an opportunity to sit a Replacement/Additional Assessment examination.
Academic Progression Requirements
Progression from one year to the next in the MBBS is dependent on the student successfully completing a compulsory annual examination course in which a full year’s learning is assessed.
To successfully complete the MEDIC ST 5000AHO and MEDIC ST 5000BHO Fifth Year MBBS Examination Part 1 and Part 2 courses, the student must pass the end of year examinations and have successfully completed all year level component courses (24 units).
IF a student fails the compulsory examination course no passing grade will be received for any core medical studies courses.
IF a student has not completed all required MEDIC ST units of the year they must successfully complete an appropriate remedial course of the same or greater value as specified in Term 4 of the same academic year.
Assessment Related RequirementsIt is compulsory for students to attend clinical placements and their specific activities in line with the principles and guidelines outlined in the Medical Student Clinical Hours document.
Exemptions to mandatory clinical placement attendance requirements may be granted by the Program Coordinator in consultation with the relevant course coordinator and year level advisor if there are exceptional medical, compassionate or extenuating circumstances as defined by the Modified Arrangements for Coursework Assessment Policy.
1. Attendance at and participation in clinical rounds and tutorials
2. MCQ paper based on material covered in acute pain and pharmacology lectures in year 4. See chapters 3,4,6,7 in Macintyre and Schug.
3. Group pdiscussion of pain cases which will provided at the start of the rotation - students will be assessed on their contribution to these cases and are expected to have prepared appropriately. Additional questions may be asked by the facilitator. Anaesthesia
1. Attendance at and participation in all rostered clinical activities
2. Active participation in PBL sessions
3. Completion of all on line learning tasks on CANVAS
4. TQEH: in addition to above each student is required to research and present a 15-20 minute presentation on a preoperative scenario at the end of their second week.
5. LMH: in addition to above student are required to present a case.
6. RAH: in addition to above, will be required to submit a short report at the end of the rotation on a topic chosen by course co-ordinator
1. Professional behaviour
2. Participation in clinical activitiesa. Attendance, including out of hours (minimum 95% attendance required to pass rotation)b. Actively seeks learning opportunitiesc. Contributes to patient discussion3. Medical competencea. Thorough history and physical examination skillsb. Concise and accurate case presentations4. Theoretical knowledge
a. Good knowledge base with ability to apply to clinical situations
5. ICU presentation.
SubmissionAll submissions can be made via CANVAS.
Grades for your performance in this course will be awarded in accordance with the following scheme:
NOG (No Grade Associated) Grade Description CN Continuing
Further details of the grades/results can be obtained from Examinations.
Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.
Final results for this course will be made available through Access Adelaide.Submission details will be outlined at the beginning of the attachment.
The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.
SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.The MBBS Program has a regular program of evaluation. In addition, student representatives are appointed to MBBS committees and are encouraged to report on issues of importance to students.
Students may access the University Health Practice, 61+ 08 83135050 http://www.adelaide.edu.au/student/health/
- Academic Support with Maths
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- Student Life Counselling Support - Personal counselling for issues affecting study
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- Students with a Disability - Alternative academic arrangements
- Reasonable Adjustments to Teaching & Assessment for Students with a Disability Policy
- LinkedIn Learning
The MBBS Program website has details on Student Well-being resources which can be accessed.
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Please read the MBBS Program Code of Conduct
- Academic Credit Arrangement Policy
- Academic Honesty Policy
- Academic Progress by Coursework Students Policy
- Assessment for Coursework Programs
- Copyright Compliance Policy
- Coursework Academic Programs Policy
- Elder Conservatorium of Music Noise Management Plan
- Intellectual Property Policy
- IT Acceptable Use and Security Policy
- Modified Arrangements for Coursework Assessment
- Student Experience of Learning and Teaching Policy
- Student Grievance Resolution Process
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