6.IMPACT RCPL College Tutors Magnus Garrioch
Transcript of 6.IMPACT RCPL College Tutors Magnus Garrioch
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
1/20
ILL MEDICAL PATIENTS:
ACUTE CARE AND TREATMENT
Magnus Garrioch, FRCA, FRCPIMPACT National Director,
Consultant in Critical Care,
Manchester Royal Infirmary
Royal College of Physicians of London, College Tutors Day
28th November 2012
https://twimg0-a.akamaihd.net/profile_images/824783578/RCPE_Logo_for_Twitter.JPGhttp://www.ics.ac.uk/http://www.rcoa.ac.uk/http://www.rcplondon.ac.uk/http://www.resus.org.uk/http://www.rcpsg.ac.uk/ -
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
2/20
l Describe the project and what it does
l Describe the successes of the project
l Describe the challenges ahead
l Take a straw pole of what RCPL Tutors think about IMPACT
l Encourage RCPL tutors to assist/nominate
IMPACT Project
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
3/20
l In 2000, courses for cardiac arrest (ALS), trauma (ATLS), surgicalcritical illness (CCrISP)... Nothing obvious for physicians
l IMPACT working party formed in 2003
l A 2 day course to improve the recognition and management of theacutely ill medical patient
l Sponsored by Federation of Medical Royal Colleges, Royal CollegeAnaesthetists and supported by Resuscitation Council andIntensive Care Society
l Approved by Royal College of Physicians Committee on CoreMedical Training for CT1/2 trainees in GIM, Acute Medicine andACCS
IMPACT what is it?
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
4/20
Comparing IMPACT with other courses
ALS
ALERT / AIM
CCrISP
ILS
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
5/20
l Teaches recognition and treatment of critical illness based on ABC(DE)
principles to enable management of the acutely unwell medical patient
ACS, asthma, COPD, Diabetes, Poisoning etc.
Skills of central venous cannulation, pleural drainage and NIV
Communication and referral skills
l The course provides the following:
Text book (manual)
Key point presentations (lectures)
Workshops/ hands on skills stations/ critically ill patient scenarioswith actors
Assessment: continuous and summative from scenario
l 16 medical candidates on each course with 4 nurse observers
IMPACT what does it do?
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
6/20
IMPACT Example of a scenario
https://twimg0-a.akamaihd.net/profile_images/824783578/RCPE_Logo_for_Twitter.JPGhttp://www.ics.ac.uk/http://www.rcoa.ac.uk/http://www.rcplondon.ac.uk/http://www.resus.org.uk/http://www.rcpsg.ac.uk/ -
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
7/20
IMPACT:SUCCESSES
https://twimg0-a.akamaihd.net/profile_images/824783578/RCPE_Logo_for_Twitter.JPGhttp://www.ics.ac.uk/http://www.rcoa.ac.uk/http://www.rcplondon.ac.uk/http://www.resus.org.uk/http://www.rcpsg.ac.uk/ -
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
8/20
Widespread uptake
l
New centres in 2008
Interest from
Northampton
Liverpool
Wrexham
Norwich
Stevenage
Lancaster
Inverness
Aberdeen
Glasgow
Edinburgh
Belfast
Dumfries
Sunderland
Middlesborough
Isle of Man
Harrogate
HullManchester
Wirral
Nottingham
Kings Lynn
Birmingham
Ipswich
Merthyr Tydfil
Bristol
Cardiff
Barnet
London (x3)
Guildford
TauntonPlymouth
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
9/20
Increasing course numbers
0
10
20
30
40
50
60
2004 2005 2006 2007 2008 2009 2010 2011 2012
Number
Year
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
10/20
IMPACT instructor days
0
2
4
6
8
10
12
2004 2005 2006 2007 2008 2009 2010 2011 2012
Number
Year
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
11/20
Candidate numbers
l Total number of doctor candidates who have done
IMPACT since inception - 4635
l This year (1st Nov 2011 - 25th Sept 2012)
589 candidates
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
12/20
Positive
Cant recommend it highly enough
Extremely useful for clinical practice has rekindled my interest in acutemedicine
I feel more confident about my knowledge and ability to deal with acutesituations
Excellent practical sessions and scenarios
The small group sessions discussion and practical were excellent andenhanced my knowledge
I found the IMPACT book very useful, to the point and easy to read. Iwould not hesitate to recommend the course to my colleagues
Post course feedback
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
13/20
Positive
Very informative lectures and hands on scenarios were brilliant
Feel more confident when approaching acutely unwell patient
Really excellent course faculty friendly and good quality teaching
I feel more calm and focussed in acute situationsSmall group teaching and scenario based learning is an excellent way of
teaching as it allows explanation without feeling intimidated by a largegroup
Good consolidation of existing knowledge with reinforcement of a robust
system of assessing patientI wish I had this course during FY2. I believe this course should be
mandatory like ALS for at least the people who are going to do medicineor related specialties
Post course survey feedback
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
14/20
NegativeI felt a lot of the course content wasnt particularly new and that it was
probably pitched at FY2 level
Course material too basic for CT1/2 level. I was expecting more advancedcontent than ALS in terms of ventilatory support, arrhythmia
recognition. Course probably more useful for medical students/foundation doctors
This course was not pitched at FY2/ST1 level in its delivery although thecontent set out by IMPACT would have been very useful for this stage oftraining
I would personally prefer a more formal assessment at the end or at leastsome faculty feedback on my performance
Post course survey feedback
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
15/20
NegativeNeed more simulated scenarios, more practice = better performance
For a CMT Trainee course too basic
Disappointed that some sessions taught by people out of their speciality it showed!
The course itself was very good, well conducted and useful. The coursemanual, however, is full of grammatical, spelling and even medical orcontent errors. It just needs better editing!
Lectures sometimes covered topic so superficially at such a basic level thatthey seemed almost pointless (e.g. lecture on AKI pitched at medicalstudent level)
Post course survey feedback
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
16/20
IMPACT future direction
l Keeping this a high quality course
Responding to feedback
l Keeping the course up to date
Curriculum development group (15 members)
Need to expand CDG
Plan to upgrade course over the next year
l Interaction with other teaching (simulators)
l Acute care scenario in PACESl The F2 CT1/2 debate
Should the course be used for F2 teaching?
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
17/20
IMPACT upgrade
l Basic subjects stay the same but some additionalmaterial
Acute arrhythmia management
Fluids and transfusion
Acute presentations of chronic kidney disease
l Compulsory on-line reading
l Face to face teaching
more emphasis on case based discussions
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
18/20
IMPACT challenges ahead
l Keeping the course up to date
Curriculum development group (15 members)
Need to expand CDG
Plan to upgrade course over the next year
l The F2 CT1/2 debate
Should the course be used for F2 teaching?
l
When upgraded should we work towards compulsoryfor acute specialties?
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
19/20
IMPACT Feedback - What do you think?
l The project?
l Should it be a Royal College thing?
l The F2 CT1/2 debate?
l Compulsory for acute specialties?
l Suggestions
l Questions?
-
8/22/2019 6.IMPACT RCPL College Tutors Magnus Garrioch
20/20
l Describe the project and what it does
l Describe the successes of the project
l Describe the challenges ahead
l Take a straw pole of what RCPL Tutors think about IMPACT
l Engage more closely with RCPL
l Do you want to get involved?
IMPACT Project