Students F1  Review admissions  Clerk patients  Make clinical management plans  Review acutely ill patients in the ward  Attend alert calls

Cardiac arrest calls and medical alerts are also sent to the F1 on call bleep.

Advantages of the Acute Block Exposure to enormous variety of clinical conditions Excitement of work in the front line Challenge of diagnosis and treatment plans Excellent opportunity for practical skills

Areas Acute medicine Intensive care unit (ITU) Emergency department (ED) Clinical skills Ambulance shift

Changes to the acute block Based on students feedback Reduced number of students per area Students attached to SHO level juniors Reduced number of sessions in ITU with formal teaching More case based discussions Increased number of simulation sessions MCQ feedback and Journal Club Optional : ECG

Logistics & Ground Rules ARRIVE ON TIME !!! INTRODUCE YOURSELF TO THE TEAM. REMEMBER THERE WILL BE NEW MEDICAL STUDENTS IN EACH AREA EVERY DAY IF YOU ARE ASKED TO REQUEST AN INVESTIGATION/PROCEDURE BE AWARE OF YOUR OWN LIMITATIONS AND HIGHLIGHT THAT YOU ARE A MEDICAL STUDENT.

Acute Medicine Lead Dr Viviana Elliott CDU/ Ward 12 (AMU ) Acute on call day/night shifts Ward 2 Logbook Teaching 1. Thursdays CSB 12:30-13:30 2. Friday X ray teaching opposite SpR room 12: hs 3. Acute medicine case based teaching 2-4 pm in the CSB 4. Coroner’s teaching sessions 2-4 pm in the CSB

Emergency Department Lead Dr Rob Simpson Minors/Majors/Resus Logbook IMPORTANT: You are not allowed to clerk on your own Y ou are encouraged to review patients on your own MEWS: 0 (zero) Do not remove notes from the tray Write on a continuation sheet Inform working team your location

Intensive care unit Lead Dr Richard Jackson Shifts Early Late Arrive on time 8 am/ 8 pm for handover Teaching session First Thursdays In CSB 2 Groups 18 Dr Richard Jackson

Clinical skills Simulation (Ground floor CSB room 00007) WILL NOT BE ON CSB SCREEN Suture workshop in the surgical skills centre by mortuary TDOC not for this block ignore it in the rota

Simulation sessions An interactive session using a simulator to cover Acute Scenarios More sessions as requested: Introduction and High Fidelity Based in room in the CSB: 9 am and 1:30pm. In order for you to get the most out of these sessions you should do some reading Please follow guidelines and BNF recommendations!!! Please remember to bring your stethoscope and DRESS APPROPRIATELY AS FOR THE WARD

Dress Code Surgical Centre Eating, drinking, smoking and chewing gum is not permitted in the Surgical Centre Long hair should be tied back prior to entering the lab Open-toed shoes and sandals are not permitted in the lab Coats, bags and laptops must be left on the pegs provided in the changing area Please dispose of gloves, towels and overshoes in the yellow bins provided and wash hands thoroughly before leaving the area.

Suture workshop Pig trotters 2 nd Wednesday of the block Surgical skill suite (next to the mortuary) 13:30 hs

TDOC NOT IN BLOCK 11 Update senior life support skills Clinical skill department 5 th and 6 th Wednesday of the block 2 pm to 4 pm.

Teaching sessions Tuesday Acute/Emergency block teaching 1. In CSB building 2. Tuesdays 08:30 to 17:00 hs 3. Whole group teaching 4. Peer observation 5. Arrive on time 6. Grand Round 12:45 to 13:30 hs 7. Afternoon teaching starts at 2 pm

Rota ?

Assessment Portfolio presentation: 1. PowerPoint minutes (10 minutes for presentation and 5 minutes for questions). 3. Complete cases 4. Dress professionally Formative assessment: Vivas: case discussion on one of 8 most important topics in the block/ MCQ 46 questions, formative assessment on topics taught- pre and post block papers.

Complete the block Attendance full time Exceptions: illness/exceptional circumstances Work with certificate Completion and return of Feed back sheet to Undergraduate office

Other Journal Club (new - feedback welcome!) In CSB Fridays 3 rd and 17 th February before SAHD Aims to improve Evidence Based Medicine Portfolio time table has been changed to accommodate the optional Psychiatry revision on 16 th February (Check your time tables) Viva sign up sheet CSB reception, Week 5 onwards

Finally……….. Work hard: “You get out what you put in". Seize opportunities Get involved in the teams Enjoy yourself!