MEDIC ST 5014BRU - Anaesthesia, Pain Medicine & Intensive Care V Pt 2

Teaching Hospitals - Semester 2 - 2017

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 5014BRU
    Course Anaesthesia, Pain Medicine & Intensive Care V Pt 2
    Coordinating Unit Medicine
    Term Semester 2
    Level Undergraduate
    Location/s Teaching Hospitals
    Units 2
    Contact attachments, common program & research
    Available for Study Abroad and Exchange N
    Prerequisites MEDIC ST 4000AHO and 4000BHO
    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 - A/Prof David Mills
    Phone: +61 427 914137
    Email: pdavid.mills@adelaide.edu.au
    Location: Ceduna Medical Practice

    Year 5 Rural Program Coordinator: Bronwyn Herde
    Phone: +61 8 8313 4528
    Email: bronwyn.herde@adelaide.edu.au
    Location: Rural Clinical School, 122 Frome Street, University of Adelaide
    Course Timetable

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

    • Pain lecture and intensive care introduction O-week
    • Advanced life care support simulation workshop in O-week
    • PBLs with local anaesthetists throughout the year and PBL 1,2 and 4 tutorial during mid-year workshop
    • Virtual theatre simulation program mid-year workshop
    • Palliative Care Telehealth Simulation Sessions 1 and 2
  • Learning Outcomes
    Course Learning Outcomes
    The course objectives for the anaesthesia component are:
    1. Preoperative Assessment
    1.1. Rational ordering of Preoperative investigations
    1.2. Assessment Cardiorespiratory reserve
    1.3. Airway assessment
    1.4. Consent
    1.5. Management of peri-operative medications
    1.5.1. Hypoglycaemics
    1.5.2. Anticoagulants/Antiplatelet agents
    1.5.3. Herbal preparations
    1.5.4. Other
    1.6. Fasting Guidelines
    1.7. Pre-medication (bronchodilators, reflux prevention, etc.)

    2. Pharmacology (brief overview)
    2.1. iv induction agents
    2.2. inhalational agents
    2.3. muscle relaxants
    2.4. reversal agents
    2.5. local anaesthetics (safe doses, routes of administration, toxicity & its treatment)

    3. Monitoring (basic overview)
    3.1. Pulse oximetry
    3.2. Capnography
    3.3. ECG
    3.4. Blood pressure

    4. Emergency Anaesthesia
    4.1. EMST principles (primary survey)
    4.2. Rapid Sequence Induction

    5. Gas Exchange
    5.1. Oxygen therapy– routes and delivered concentrations
    5.2. Hypoxia – differential and management
    5.3. Hypercarbia – differential and management

    6. CVS crises
    6.1. BLS/ALS pricinples
    6.2. mangement of cardiac arrest
    6.3. management of anaphylaxis

    7. Co-morbidites (outline of principles and peri-operative implications)
    7.1. Gastro-oesphageal reflux
    7.2. Asthma
    7.3. Sleep Apnoea
    7.4. Diabetes
    7.5. Ischaemic heart disease
    7.6. Obesity

    8. Peri-operative Fluid Management
    8.1. Water, Na+, K+
    8.2. Blood transfusion and transfusion triggers

    9. Recovery
    9.1. Analgesia (see pain week)
    9.2. Confusion
    9.3. Hypo/hypertension
    9.4. Nausea and vomiting
    9.5. Airway/breathing issues

    10. Skills
    10.1. iv cannulation
    10.2. chin lift/jaw thrust
    10.3. oropharyngeal/nasopharyngeal airway insertion
    10.4. bag and mask ventilation.

    The objectives of the pain component are:
    1.    Assessment of pain in relation to clinical diagnosis, classification and response to therapy
    2.    Knowledge of the pharmacology of drugs commonly used in pain management
    3.    Develop a familiarity with drug and non-drug techniques commonly used in pain management
    4.    Develop pain management strategies required to competently fulfil the role of an intern.

    The objectives of the ICU component are:
    1.    Revision of physiology and pharmacology in a case-based, clinical setting
    2.    Approach to the management of critically ill patients
    a.    Essentials of identification, triage and management of critically ill patients
    b.    Principles of life-support and monitoring systems
    c.    Practical aspects of advanced life support
    3.    Understanding of the ethical issues involved in the care of critically ill patients
    4.    Revision of basic and advanced life support skills (BLS, ALS).
    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 (4)
    by Gwinnutt, Carl L. & Gwinnutt, Matthew
    http://site.ebrary.com.proxy.library.adelaide.edu.au/lib/adelaide/reader.action?docID=10657841

    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
    Online Learning
    MyUni Online 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
    Core teaching process for ICU includes:
    1. Lectures
    2. Skills sessions (simulator sessions)
    3. Online modules
    4. Self-directed study

    The pain component learning is delivered via:
    1. Lectures
    2. Skills sessions (simulator sessions)
    3. Online modules
    4. Self-directed study

    The anaesthetics teaching and learning modes include:
    1. PBL sessions
    2. Skills sessions (simulator sessions)
    3. Online modules
    4. Self-directed study

    In addition, students will spend time with either specialist anaesthetists or with GP anaesthetists.
    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. 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
    Assessment Related Requirements
    Please refer to MyUni.
    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:

    GS8 (Coursework Grade Scheme)
    Grade Description
    CN Continuing
    FNS Fail No Submission
    NFE No Formal Examination
    F Fail
    NGP Non Graded Pass
    P Pass
    C Credit
    D Distinction
    HD High Distinction
    RP Result Pending

    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.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.