Rotation Specific Objectives - Intensive Care

 

 

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Introduction:

 

The rotation through the Intensive Care Unit has always been a valuable part in the training of Orthopaedic Residents. It allows trainees to learn resuscitation skills and the procedures required for resuscitation. It also emphasizes several other areas important both for the MCCQE Part II and for the Objectives of Core Training in Surgery. The resident is also introduced to the assessment and management of complex areas (polytrauma, severe medical complications etc.)

 

 

Rotation Specific Objectives:

 

1. Medical Expert:


a. Assessment and initial management of:

i. Fever emphasizing fever of unknown origin

ii. Multiple trauma

iii. Poisoning emphasizing

iv. Drug overdose

b. Fluid Electrolyte Disorders

c. Clinical pharmacology

d. Perioperative surgical nutrition

e. Diabetes mellitus emphasizing: diabetic coma

f. Cardiopulmonary problems emphasizing:

i. Chest Pain

ii. Dyspnea

iii. Shock

iv. Hemoptysis

v. Pleural Effusion

g. Urinary Tract Problems emphasizing:

i. Decreased urinary output

ii. Hematuria

iii. Urinary tract infection

h. Haematology and Oncology emphasizing:

i. Bleeding tendencies

ii. Blood transfusion reactions

i. Sepsis

j. Trauma, Burns emphasizing:

i. Management of tension pneumothorax

ii. Massive coagulation

iii. Flail chest

iv. Cardiac tamponade

k. Fluid and electrolyte disorders in the surgical patient

l. Shock

m. Medical problems in surgery

n. Pharmacological basis of surgery

 

 

2. Communicator:


a. establish therapeutic relationships with patients and families

b. obtain and synthesize a relevant history from patient, families and communities

c. listen effectively

d. discuss appropriate information with patients and families and the health care team

 

 

3. Collaborator:


a. consult effectively with other physicians and health care professionals

b. entry effectively to other interdisciplinary team activities

 

 

4. Manager:


a. Utilize resources effectively to balance patient care, learning needs, and outside activitiesw

b. Work effectively and efficiently in the healthcare organization

c. allocate finite health-care resources wisely

 

 

5. Health Advocate:


a. Identify the important determinants of health affecting patients particularly those with spinal cord injuries, amputations, chronic debilitating diseases

b. Have knowledge of community services available for these patients

 

 

6. Scholar:


a. critically appraise sources of medical information

b. contribute to the development of new knowledge

 

 

7. Professional:


a. deliver highest-quality care with integrity, honesty and compassion

b. exhibit appropriate personal and interpersonal professional behaviors

c. Practice medicine ethically consistent with obligations of the physician

 

 

Conditions of Learning:

 

a. Junior level – two-month rotation in ICU

 

 

Method of Instruction/Learning

 

a. Ward rounds/management of patients

b. Hospital/ER assessment of consultation

c. Running code team

d. Cognitive apprenticeship

 

 

Evaluation

 

a. Group ITER of ICU preceptors