MEDIC ST 5014ARU - Anaesthesia, Pain Medicine & Intensive Care V Pt1

Teaching Hospitals - Semester 1 - 2019

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.

  • General Course Information
    Course Details
    Course Code MEDIC ST 5014ARU
    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 on rural placement 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 Staff

    Course Coordinator: Dr Lawrence McArthur

    Course Coordinator - Dr Lawrie McArthur
    Phone:  +61 400 366 955
    Email: lawrie.mcarthur@adelaide.edu.au
    Location: Adelaide Helen Mayo Building

    Year 5 Rural Program Coordinator: Bronwyn Herde
    Phone: +61 8 8313 4528
    Email: bronwyn.herde@adelaide.edu.au
    Location: Adelaide Rural Clinical School, The University of Adelaide
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

    • Pain management during O-week
    • Advanced life care support (ALS) simulation workshop in O-week
    • Faciltitation of theatre sessions with local anaesthetists throughout the year (rural location dependant)
    • Anaesthetic and Pain (PBL) tutorials during mid-year workshop
    • Virtual theatre simulation program mid-year workshop
    • Palliative Care Telehealth Simulation Session and case discussions
    • Online training resources 
  • Learning Outcomes
    Course Learning Outcomes
    Competencies expected of a fifth-year medical student
    1. Conduct a preoperative assessment
    2. Identify significant co-morbidities and outline strategies for perioperative investigation, optimisation and management
    3. Understand the principles of perioperative patient monitoring and recognition of early deterioration
    4. Overview of anaesthesia principles, including emergency anaesthesia
    5. Application of clinical pharmacology to safely deliver local anaesthesia to patients.
    6. Utilise difficult airway algorithm that incorporates professional boundaries
    7. Perform advanced life support skills, with effective use of airway aids
    8. Use a framework to diagnose and manage common post-surgical problems
    9. 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
    10. Assessment of pain in relation to clinical diagnosis, classification and response to therapy
    11. Knowledge of the pharmacology of drugs commonly used in pain management
    12. Familiarity with drug and non-drug techniques commonly used in pain management
    13. Develop pain management strategies required to competently fulfil the role of an intern.
    14. Outline principles and professional medical responsibilities in patient palliative care
    15. Learn effective interaction with multi-professional teams involved in the APIC disciplines
    16. Practice the APIC disciplines according to ethical principles.
    17. 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
  • Learning Resources
    Recommended Resources

    Online Textbooks (note that you must be logged into the Library first for the link to work):

    Lecture Notes : Clinical Anaesthesia (5)
    by Gwinnutt, Carl L. & Gwinnutt, Matthew
    https://ebookcentral.proquest.com/lib/adelaide/detail.action?docID=4614605

    Acute Pain Management : A Practical Guide, Fourth Edition (4) by Macintyre, Pamela E., Schug, Stephan A.
    http://site.ebrary.com.proxy.library.adelaide.edu.au/lib/adelaide/reader.action?docID=11072163
    See chapters 3,4,6,7 and 16

    Other:
    Acute Pain Management: Scientific Evidence 3rd edition, 2010: https://search-informit-com-au.proxy.library.adelaide.edu.au/browsePublication;res=IELHEA;isbn=9780987323675

    Therapeutic Guidelines: Palliative Care: available via the University of Adelaide Library
    Australian Medicines Handbook: available via the University of Adelaide Library


    Online Learning
    See MyUni Rural APIC Course
    Content: Online Interactive Modules, PBL cases and online lectures delivered via MyUni.
    Communication: Announcements and discussion boards will be used for asynchronous communications.
    Assessment: Formative online assessments.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    Rural APIC syllabus and educational activities are integrated across the rural year, orientation and midyear workshops and are uniquely customised to the rural location.

    Educational activities include:-
    - Lectures - pain management
    - Advanced Life Support course - O week
    - Facilitation of operating theatre anaesthetic sessions with local anaesthetists (rural location dependant)
    - Online tutorials
    - PBL tutorials
    - Virtual anaesthetic theatre simulation sessions - mid-year workshop
    - Emergency simulation sessions throughout the year
    - Palliative care case-based discussions
    - Advanced Communication | Pain | End of Life Simulation Workshops
    - Online training resources
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Please refer to MyUni.
    Learning Activities Summary
    Please refer to MyUni.
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    1. Active participation in all teaching sessions (10%)
    2. Workshop group assessment (40%) 
    3. Mid year workshop - OSCE stations ( 30%)
    4. End of year (online) MCQ test (20%) 
    Assessment Related Requirements
    Students must attend 90% of the core structured learning activities to achieve a pass in this course. Exemptions to mandatory 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.
    Assessment Detail
    1. Attendance and participation in all teaching sessions
    2. Two summative OSCE stations during the mid-year workshop
    3. MCQ test
    4. Additionally, material covered during the course will be examined in the final examination
    Submission
    Please refer to MyUni.
    Course Grading

    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.

  • Student Feedback

    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.
  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

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