welcome to the acute/emergency block dr viviana elliott acute block lead
TRANSCRIPT
Welcome to The Acute/Emergency Block
Dr Viviana Elliott
Acute Block Lead
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
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
Aim of this talk
• Understand how the acute block works
Outline
• Aim of the acute block
• Rotation Areas
• Teaching
• Clinical kills
• Assessments
• Requirements for end of block
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Acute Block Aims
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• 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
Challenges
Teaching High Acuity Patient Safety Bed Pressure Personal Limitations
Rotation AreasUHCW
Acute Medicine
ITU
Emergency Department
Clinical Skill Department
SWFT
Acute Medicine
Emergency Department
Clinical Skill Department8
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
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
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
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
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
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
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
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.
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
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.
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
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
Ethics
Tuesday tutorial 2
Location CSB
Dates (see timetable)
Time 08:00 – 12:00
Preparation needed
Clinical Skills
• Ophthalmology teaching
• Simulation
• T Doc ( according to needs)
Ophthalmology Teaching
Lead Dr Fiona Dean
CSB room
2nd Thursday 14:00 h
Practice Fundoscopy
T Doc coming soon!
Simulation
UHCW
Introduction to simulation
High fidelity simulation
SWFT
Simulation
Different approach to UHCW
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
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”
SWFT Simulation
SWFT Medical School
Leads Dr Rathinavel Shanmugam
Timetable Wednesday
Room E Medical School
Assessments
• Formative MCQ pre and post block
• Clinical Assessment
• Portfolio
• OSLER (Objective Structured Long Examination Record) two assessments for the block
Requirements for End of Block
• Attendance (clinical areas only)
• Portfolio x1
• Clinical Assessment
• Osler x 2
• MCQ formative
• Block feedback
Feedback
ANY QUESTIONS
Enjoy yourself!
“You get out what you put in”