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

Teaching Hospitals - Semester 2 - 2018

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 5014BRU
Course	Anaesthesia, Pain Medicine & Intensive Care V Pt 2
Coordinating Unit	Medical Studies
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/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	Based on attendance, participation in discussions and knowledge

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: 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 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

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.

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 Summary

Attendance and participation in all teaching sessions
Two summative OSCE stations during the mid-year workshop
MCQ test
Additionally, material covered during the course will be examined in the final examination

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

Attendance and participation in all teaching sessions
Two summative OSCE stations during the mid-year workshop
MCQ test
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
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.

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