SYDNEY MEDICAL SCHOOL Professional Medical Education Critical Care Webinar November 2014 Dr Peter Roberts Course Convener and Director of Emergency Medicine, Ryde Hospital Dr Annette Katelaris Director, Office of Postgraduate Education

HIV, STIs Sexual Health Metabolic Health Paediatric Medicine Pain Management Surgery Critical Care Psychiatry Vocational degrees 2 Ophthalmology

3 Taught by leading academics and clinicians Course delivery Photo source: Wikipedia

Educational model 4 WORKSHOPS VIVA Practice Questions

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Articulated courses 6 Unit of Study 6* Graduate Certificate 24* Graduate Diploma 36 * Master 48 * Advanced Master 60* * Credit points

Master of Medicine (Critical Care) 7 Grad Cert (Critical Care) Complete 4 of 6 specific units Pathology 6 credit points Evidence and Ethics in Practice 6 credit points Communication and Consent 6 credit points Grad Dip (Critical Care) 4 of 6 specific units 24 credit points Intro Epidemiology (compulsory) 6 credit points 1x Elective specific or general Master of Medicine (Critical Care) Evidence and Ethics in Practice (Capstone) (compulsory) 6 credit points Intro Epidemiology (compulsory) 6 credit points 3 x specific units 18 credit points 3 x elective units specific or general Physiology 6 credit points Pharmacology 6 credit points Anatomy 6 credit points Master of Medicine (Critical Care Advanced) > 75% in 4 stream-specific units Dissertation or project 12 credit points Pain (2 subjects) 6 credit points Retrieval Med Operational Environment 6 credit points Clinical Retrieval Medicine 6 credit points

Master course structure 8 Evidence and Ethics in Practice stream specific Evidence and Ethics in Practice stream specific Elective specific or general Elective specific or general Stream specific Elective specific or general Elective specific or general Elective specific or general Elective specific or general Introduction to Clinical Epidemiology

Core: Introduction to Clinical Epidemiology CEPI5100 Introduction to Clinical Epidemiology ›Core unit of vocational master programs ›Aimed at helping you interrogate and participate in the academic literature ›Approved for ACEM Trainee Research Requirement (4.10) -Offered face-to-face (daytime tutorials) or fully online -Weekly online lectures, readings, discussions and quizzes -Assessment: Weekly online quizzes (30%); end of semester 2500 word assignment (70%) ›Semester 1 and Semester 2 ›Prohibition: PUBH5010 Epidemiology methods and Uses 9

Stream specific: Evidence and Ethics in Practice CRIT5008 Evidence and Ethics in Practice ›Capstone -3 parts: -Ethics of research and practice -Key research and milestones in practice -Critical appraisal -Face to face: 2 days 9am-5pm (attendance compulsory - also available online remotely) -Weekly online lecture, tutorial and discussion (from week 5) -Assessment:1 x 1,500-2,000 word ethics assignment (20%) and 4 x ethics discussion board posts (10%) and 1 x 3-4,000 word critical appraisal written work (70%) 10

Stream specific subjects: basic sciences ›Mapped to Primary Examinations of College Curriculum: ACEM, CICM, ANZCA ›Not everything covered in course focusses on the most important and more difficult areas Semester 1: Anatomy/ Pathology integrated Semester 2: Physiology/ Pharmacology integrated 11

Stream specific subjects: basic sciences Subject-specific vivas occur during the unit of study. Combined vivas are offered as an optional extra session in the lead up to College exams. 12 Photo source: Wikipedia CRIT5001 Anatomy for critical care -Online activities and face to face workshops (x3) -Assessment: Multiple choice questions, extended matching questions, spot tests (70%); oral viva (30%)

Stream specific subjects: basic sciences CRIT5002 Pathology for critical care -Online lectures, videos, tutorials and formative assessment, face to face workshops -Assessment: Multiple choice questions, extended matching questions, spot tests (70%); oral viva (30%) CRIT5003 Pharmacology for critical care -Online lectures, videos, tutorials and formative assessment, face to face workshops -Assessment: Multiple choice questions & extended matching questions &/or short answer questions (70%) and oral viva (30%) CRIT5004 Physiology for critical care -Online lectures, tutorials and formative assessment, face to face workshops -Multiple choice questions, extended matching questions &/or short answer questions (70%) and oral viva (30%) 13

Stream specific: Retrieval Medicine CRIT5006 Retrieval Medicine Operational Environment (Semester 1): (Prerequisite for Clinical Retrieval Medicine) -Face to face: 1x 2 days plus self-directed online learning -Assessment: 1x1hr online exam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) CRIT5007 Code Clinical Retrieval Medicine (Semester 2): -Face to face: 1x2 days plus self-directed online learning -Assessment: 1x1hr online exam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) 14

Stream specific: Pain PAIN5021 Acute Pain PAIN5002 Pain Mechanisms and Contributors PAIN 5003 Pain Treatment and Management ›All online ›Detailed information available in handbook 15 aduate/coursework_pz/pain_management.shtml Photo source: Shutterstock

Stream specific: Communication, Consent, Ethics CRIT5005 Critical care: Communication, consent, ethics ›Aims to prepare you for the daily challenges you will face and to help you develop clinical leadership, management, ethical reasoning and coping skills to deal with challenges. -Online lectures and learning activities and face to face workshops 2 x 2 days -Assessment: - 3,500 word reflective written assignment (70%) - and oral presentation (20%) - and participation in online discussion (10%) 16

General elective General electives: ›Medical Education and Leadership; ›Critical Care stream specific units; or ›Other stream specific units, such as Diabetes Management from Metabolic Health 17

Position of Colleges: ACEM ACEM: CEPI5100: Introduction to Clinical Epidemiology has been approved for the purpose of fulfilling the Trainee Research Requirement. CRIT5008: Evidence and Ethics in Practice is currently under consideration for approval for the purpose of fulfilling the Trainee Research Requirement. (PUBH5018 Introductory Biostatistics is approved by ACEM for the purpose of fulfilling the Trainee Research Requirement. This subject can be undertaken as a general elective for the completion of the Graduate Diploma or Master of Medicine (Critical Care). 18

Position of Colleges: ANZCA / CICM ANZCA: The Graduate Diploma in Medicine (Critical Care) and the Master of Medicine (Critical Care) satisfy the requirements for Scholar Role B provided that: › the core unit, CEPI5100 Introductory Clinical Epidemiology; and ›the capstone unit, code CRIT5008 Evidence and Ethics in Practice have been completed. Pre-approval must be sought but will be granted automatically for this course. Successful completion of the Advanced Master of Medicine (Critical Care) option also satisfies the requirements, provided that the work produced is accepted for publication. CICM: The Advanced option of the Master of Medicine (Critical Care) may be undertaken to fulfill the requirements of the Formal Project. 19

Why do these degrees? ›Stand out from your peers ›Help meet College training requirements ›Prepare for College examinations ›Gain insight from leaders in your chosen field ›Acquire knowledge and skills in clinical leadership and medical education ›Establish a network of contacts with senior clinicians and your peers 20

Who will study this degree and why? ›If you are preparing for your primary examination for ACEM, ANZCA, CICM – complete basic sciences, then sit Primary, then complete Master degree ›If you have passed your Primary and want to develop your knowledge in specific areas – research, retrieval medicine, pain medicine ›If you want to improve your skills as a clinician and broaden your skill base – Communication, consent, ethics; Leadership; Medical Education; Diabetes; Paediatrics ›If you have an interest in pursuing research – learn methodology; opportunity with Advanced component to undertake research project. ›Unsure of what specialty you want to pursue but want to start studying – complete core unit and general electives and give yourself time to think before committing to stream. 21

Critical care: international students International students can study Critical Care outside Australia and may be able to attend face to face sessions depending on individual circumstances relating to visas. 22

FAQs ›Q: How many hours per week will I need for each unit of study? Up to 10 hours. Basic sciences in particular are content rich. A 6 credit point unit equates to about 130 hours per semester. This includes face to face, online, assessment and study time. Most working students will undertake 1-2 units per semester. ›Q. Is there any fee assistance? You can pay your fees up front for the units you study, or defer payments through the federal government’s FEE-HELP loan scheme so that you pay later through the taxation system. More information is available on the Future Student website at ›Q. What is the cost for domestic students? Each 6 credit point unit costs $3350 Master degree costs $26,800 (48 credit points) 23

›What is the difference between a Master of Science in Medicine and a Master of Medicine? ›Which degree you enrol in (and are later awarded), depends on your prior qualifications; some units of study are designed for medical doctors, other units are designed for doctors and other health professionals ›Master of Medicine – admission normally requires a Doctor of Medicine or Bachelor of Medicine/Bachelor of Surgery (MBBS). ›Master of Science in Medicine – admission normally requires a bachelor’s degree in a health discipline with first- or second-class honours. Applicants who do not meet this requirement may be admitted on the basis of having completed equivalent work experience. ›We are hoping to offer specific units to non-medical graduates in the future. 24

Face to face components and assessments 25