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

Teaching Hospitals - Semester 1 - 2020

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.

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Course Details

Course Code	MEDIC ST 5014ARU
Course	Anaesthesia, Pain Medicine & Intensive Care V Pt1
Coordinating Unit	Medical Studies
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
Assessment	Details provided at start of year

Course Staff

Course Coordinator: Dr Katrina Morgan

Rural Apic Course Coordinator - to be appointed

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

Course Learning Outcomes

Competencies 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

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
This course is the first semester of the community based, integrated Adelaide Rural Clinical School Rural APIC course and assessment continues over the 36 week MBBS calendar year. Students who successfully complete this course will be awarded a CN (Continuing) grade awarded for the Part 1 course and a NGP (Non Graded Pass) grade for the Part 2 course.

Summative assessment:
1. Pain clinical case (20%)
2. Acute care clinical case (30%)
3. Midyear anaesthetic workshop assessment (30%)
4. MCQ test (20%)
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.
1. Pain clinical case (20%) - no change
2. Acute care clinical case (30%) - no change
3. Midyear anaesthetic workshop assessment - will now be REPLACED by: Recorded mock consults and reflection (30%)
4. MCQ test (20%) - no change

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 Requirements

It 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.

Assessment Detail

Please refer to MyUni for detailed descriptions of assessment and marking rubrics.

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
Students may access the University Health Practice, 61+ 08 83135050 http://www.adelaide.edu.au/student/health/

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
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.

NOG (No Grade Associated)
Grade	Description
CN	Continuing

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.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator