Welcome to The Acute/Emergency Block Dr Viviana Elliott Acute Block Lead.
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Transcript of Welcome to The Acute/Emergency Block Dr Viviana Elliott Acute Block Lead.
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Welcome to The Acute/Emergency Block
Dr Viviana Elliott
Acute Block Lead
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First day of the Acute Medicine BlockTuesday 15th September 2015
0800–
0845
Welcome and Acute Block inductionViviana Elliot & Teaching fellows
0845 –
1000MCQ Paper
1000-1020 Coffee Break
1020-
1100
ABCDE approach to the acutely unwell patientDr Hannah Blakey
1100-
1130
ABCDE DemonstrationTeaching fellows
1130-
1200Meet with teaching fellows
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Clinical Teaching Fellows
[email protected] Ext 28727
CSB 2nd floor
•Dr Hannah Blakey
•Dr Kavitkumar Dasari
•Dr Sarah Edwards
•Dr Christina Tourville
•Dr Hayder Hussein
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Aim of this talk
• Understand how the acute block works
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Outline
• Aim of the acute block
• Rotation Areas
• Teaching
• Clinical kills
• Assessments
• Requirements for end of block
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Acute Block Aims
6
• To gain confidence in the initial assessment of acutely ill patients
•To help you develop initial management plans for acutely ill patients
• To gain confidence in practical skills
• To have exposure to most common Emergency and Acute Medical presentations
Curriculum- Learning Objectives
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Challenges
Teaching High Acuity Patient Safety Bed Pressure Personal Limitations
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Rotation AreasUHCW
Acute Medicine
ITU
Emergency Department
Clinical Skill Department
SWFT
Acute Medicine
Emergency Department
Clinical Skill Department8
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UHCW-Acute Medicine
Lead: Dr Nihal Abosais
Areas:
1.AMU/CDU/Ward Morning ward round Medical on call
2.GP assessment area/ Acute clinic
3.Short stay ward
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What do I do?
• Introduce yourself
• Read a case to concentrate on
• Attach to doctors in area 1, 2 and 3
• Liaise with doctors in each area in the
morning and with the on call team in the
afternoon (registrar)
• Clerk only under senior supervision
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ITULocation 1st floor opposite CDU/Ward 12
Lead Dr Vadim Iakimov
Shift starts at 0800 h with the handover, don’t
be late! Go to the seminar room on the
General Critical Care Unit. The seminar room
is located at the end of the admin corridor.11
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ITU• The unit is divided into three bays and
eight side-rooms.
• The team will be divided between the areas, attach yourself to one of these teams
• Microbiology variable times
• Attach to nurses in the afternoon
• Read introduction to ITU in website
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Emergency Medicine
• Location: Emergency Department• Lead Dr Marius Holmes ( Scott Carrington)• Areas of rotation:
Minors
Majors
Resus
Obs ward• On arrival introduce to sister in charge and senior
doctor 13
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Emergency Medicine
• Attach to SHO/ staff grades in the area
• Before shift think about learning objectives
• Share cases, cases and interesting patients
• Obs ward alcohol, suicidal and mental health patients
• Allocated bedside teaching
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SWFT Acute Medicine
Lead Dr Viviana Eliott
Location Fairfax ward AMU
Areas for rotation
• AMU/Fairfax
• Ambulatory Emergency Care
• ED/Fairfax medical on call
• Frailty
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SWFT AMU/Fairfax
• Starts at 08:00 hs with a post take ward round with the night and day team
• There are 2 teams attach to one each
• 09:30 h night team leave and ward round continues until 12:00 hs
• 12:00 hs handover to nurse in charge
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What do I do in the Acute Medicine Unit?
• Join the ward round.
• Concentrate how the senior doctors make differential diagnosis, determine scores and make decision to admit or discharge.
• Look at the Care Bundles.
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What do I do in the Acute Medicine Unit?
• In the afternoon– Go to Ambulatory Emergency Care– Attach to the Medical Nurse Practitioner
(MNP) Paul or Abbey to see how to do a comprehensive geriatric assessment (CGA)
– Join the respiratory pull– Help with jobs
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What do I do when I am on call?
Morning team 09:00-21:30h
• Reg ( most clinical teaching fellows!)
• SHO
• FY1 in AEC
• FY1 in AMU
Twilight SHO 12:00-24:00h
Attach to one member of the team and review patients with them.
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SWFT Emergency MedicineLead Dr Martin Smyth
Location Major and See and Treat
Time Timetable
Introduce to senior staff in the area
Attach to SHO/ registrar in the area.
Teaching sessions on Wednesday morning 09:00-12:00 h (Burns, Allergies, Epistaxis
and Head Injury) IN ED SEMINAR ROOM
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Formal Teaching
• Lectures
• Tutorials (evidence based teaching)
• Ethics
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Lectures
Thursday morning
Location CSB
Time 9-13
Most common presentations
ATLS 1st week
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Tutorials: Evidence based teaching sessions
Tuesday (see timetable)
Location CSB
Time Tutorial 1 - See Timetable
Tutorial 2 - See Timetable
Tutorial 3 - See Timetable
Outstanding feedback
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Ethics
Tuesday tutorial 2
Location CSB
Dates (see timetable)
Time 08:00 – 12:00
Preparation needed
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Clinical Skills
• Ophthalmology teaching
• Simulation
• T Doc ( according to needs)
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Ophthalmology Teaching
Lead Dr Fiona Dean
CSB room
2nd Thursday 14:00 h
Practice Fundoscopy
T Doc coming soon!
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Simulation
UHCW
Introduction to simulation
High fidelity simulation
SWFT
Simulation
Different approach to UHCW
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UHCW SimulationHigh fidelity simulation
Timetable
CSB 0005
Time 09:00-12:30 or 01:30-17:00
Read before the session
Dress code
StethoscopeHttp://www.youtube.com/watch?v=u-Nryz7nPRESim Man Medical Students training-You tube
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Feedback
“Really good practical experience in a realistic but safe situation”“SimMan was excellent, good confidence builder”“Good learning experience and it is good to practice "team working”“Great experience I could do it all week! Fantastic and probably the most useful thing I have done this year”
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SWFT Simulation
SWFT Medical School
Leads Dr Rathinavel Shanmugam
Timetable Wednesday
Room E Medical School
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Assessments
• Formative MCQ pre and post block
• Clinical Assessment
• Portfolio
• OSLER (Objective Structured Long Examination Record) two assessments for the block
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Requirements for End of Block
• Attendance (clinical areas only)
• Portfolio x1
• Clinical Assessment
• Osler x 2
• MCQ formative
• Block feedback
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Feedback
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ANY QUESTIONS
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Enjoy yourself!
“You get out what you put in”