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Learning Outcomes
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On completion of Psychological and Addiction Medicine students should be able to discuss and/or demonstrate: - The assessment of a patient's mood and mental status in routine clinical practice
- How to take a full history of mental illness
- How to assess and manage the drug or alcohol intoxication patient and associated withdrawal syndromes
- The Psychological aspects of chronic disease
- The Psychological aspects of trauma and major stressful events
- The Psychological aspects of eating disorders
- Emotional and behavioural problems in childhood and adolescence, including:
- Attention deficit disorders
- School refusal
- Learning difficulties
- Child abuse
- Teenage suicide
- Family dysfunction
- How to recognise and assess common and/or important psychiatric presentations including:
- Anxiety
- Mania
- Psychosis
- Depression
- The assessment of mood and mental status in older people, with emphasis on:
- Depression
- Dementia
- Delirium
- How to work with patients, families and carers to optimise
- Personal and social strengths
- Motivation
- Compliance
- Problem solving strategies
- Prevention of self harm
- The basic pharmacology of commonly used psychotherapeutic agents, including antipsychotics, mood stabilisers, antidepressants, and anxiolytics
- The basic principles and practice of psychotherapy
On completion of Senior Medicine component of Senior Medicine and Surgery students should be able to discuss and/or demonstrate: - All MEDI3001 and MEDI3002 FIMS Medicine skills
- How to take a comprehensive history and undertake a full physical examination from any patient (including interviews with carers and relatives)
- An ability to engage and counsel distressed patients, carers and families
- An ability to undertake a functional assessment of patients across all ages
- How to write clinical notes that are contemporaneous, legible, succinct, structured, and effective
- Accurate and safe writing of prescriptions
- The ability to effectively discuss medications with patients and their carers and relatives, including dosing routines, potential side effects, self-management of side effects, adherence strategies, potential drug-drug interactions, ways to find further information if required.
- How to write a referral letter, expressing necessary information clearly, accurately and in an orderly way; presenting problem(s), examination, investigation, and treatment to date, past history, current medications, relevant social and family history, together with a clear indication to what is expected of the referral.
- How to formulate a comprehensive management plan that covers acute care, chronic disease management, symptomatic treatment, patient education, self-care strategies, risk management, communication, and follow-up & review.
On completion of Senior Surgery component of Senior Medicine and Surgery students should be able to discuss and/or demonstrate: - All MEDI3001 and MEDI3002 FIMS Surgery skills
- The assessment of the acute abdomen
- The assessment of a neck mass
- The assessment of a suspected inguinal hernia
- The assessment of a scrotal mass and scrotal pain
- The assessment of a breast lump
- The assessment of haematuria
- The assessment of burns
- The assessment of prostatism and prostatomegaly
- Management of the perioperative patient, including:
- Preoperative assessment
- Consent
- Prevention of venous thrombosis
- Diabetes mellitus
- Fluid balance
- Pain management
- Antibiotic prophylaxis
- Wound management
- Antiemetics
- Postoperative complications
- Imaging techniques used in the investigation of liver, biliary tract, and pancreatic disease
- The investigation of obstructive jaundice
- The investigation of the arterial supply and venous drainage of the lower limb
- The clinical anatomy of the following surgical and endoscopic procedures:
- Cholecystectomy
- Appendicectomy
- Colectomy
- Upper GI endoscopy
- Colonoscopy
- Inguinal herniorrhaphy
- Transurethral prostatectomy
- Thyroidectomy
- Craniotomy
- Abdominal aortic aneurysm repair
- Femoral-popliteal bypass
- ORIF fractured neck of femur
- Arthroscopy
- Tonsillectomy
Rotation: Acute Care Topic: Intensive Care Medicine On completion of Intensive Care Medicine students should be able to discuss and/or demonstrate: - How to interpret arterial blood gas measurement results
- Appropriate withdrawal of acute & intensive care
- The indications for and management of oxygen therapy
- The assessment of the shocked patient, including
- Intravenous fluid therapy - fluid types and management
- Inotropic agents - types and management
- Assessment of brain death
Topic: Emergency Medicine On completion of Emergency Medicine students should be able to discuss and/or demonstrate: - The assessment of the patient with acute chest pain
- The assessment of the patient with acute dyspnoea
- The assessment of the patient with acute abdominal pain
- The assessment of the patient with reduced conscious state
- The assessment of the confused patient
- The assessment of the shocked patient
- Basic Life Support techniques
- Advanced Life Support techniques
- The physical examination of eyes
- The physical examination of the ears, nose and throat
- The management of common and/or important causes of intoxication
- Suturing techniques for simple wounds
- Splinting techniques for simple fractures
- Insertion of a peripheral intravenous catheter
- Electrocardiography and interpretation of common and important ECG abnormalities
Topic: Anaesthetic Medicine On completion of Anaesthetic Medicine students should be able to discuss and/or demonstrate: - Insertion of a peripheral intravenous catheter
- The clinical anatomy of the upper and lower respiratory tract
- The assessment of a patient's airway and breathing
- Assisted ventilation using a ‘bag & mask'
- Insertion of an endotracheal tube
- The basic pharmacology of commonly used local anaesthetic agents
- The basic pharmacology of commonly used general anaesthetic agents
Rotation: Women's Health On completion of Women's Health students should be able to discuss and/or demonstrate: - The clinical anatomy of the female pelvis and gravid uterus
- How to take a gynaecologic and sexual history
- How to take an antenatal history
- How to undertake a physical examination in the third trimester of pregnancy
- How to assist a woman experiencing a normal vaginal birth
- The preparation of a woman for pelvic examination
- A safe and effective technique for vaginal examination and pap smear
- How to examine a newborn baby
- How to advise a woman on methods of contraception
Additionally, on completion of MEDI4001 and MEDI4002 students should be able to: - Engage in population health activities as a student doctor
- Appreciate the role of the doctor in policy development, preventive action and evaluation of health care from the individual to national scale
- Apply skills in accessing and critically assessing the literature for clinical and population health practice
- Have knowledge of the population burden and risk factors for diseases in patients met during the clinical term
- Apply knowledge of mulitfactorial and mulit-level determinants of health to individual patients and groups. This includes prevention strategies for proximal 'lifestyle' factors and more distal determinants of health
- Be aware of the processes, priorities and the role of the doctor in the control of outbreaks of communicable diseases and bioterrorism
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