1. Welcome to The Acute/Emergency Block Dr Viviana Elliott Acute Block Lead

2. Outline Aim of the acute block Rotation Areas Teaching Clinical kills Assessments Requirements for end of block 2

3. Acute Block Aims 3 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

4. Challenges Teaching High Acuity Patient Safety Bed Pressure Personal Limitations

5. Rotation Areas UHCW Acute Medicine ITU Emergency Department Clinical Skill Department SWFT Acute Medicine Emergency Department Clinical Skill Department 5

6. UHCW-Acute Medicine Location: AMU/ CDU/ Ward 12 Lead: Dr Nihal Abosais Attach to doctors in area 1, 2 and 3 Liaise with registrar Clerk only under senior supervision Acute Medicine log book 6

7. ITU Location 1 st floor opposite CDU/Ward 12 LeadDr Vadim Iakimov Handovers at 08:00 hs sharp and 20:00hs seminar room Attach to SHO/ registrar in the area Mornings ward round 09:00-12:00 (two teams) Afternoon ward round starts 17:00 (one team) Microbiology review 11:30hs Nurses attachment in afternoon 7

8. Emergency Medicine Lead Dr Marius Holmes ( Scott Carrington) Minors and Majors shifts Take padlock for small locker in ED administrator corridor On arrival introduce to sister in charge and senior doctor 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 8

9. Feedback 9 399 students

10. SWFT Acute Medicine LeadDr Viviana Eliott LocationFairfax ward AMU Time09:00- 17:00 Attach to SHO/ registrar in the area. OSLERS in the afternoon with consultant in area C

11. SWFT On call LeadDr Viviana Eliott LocationMajors medical on call TimeTimetable Attach to SHO/ registrar in the area Early shift starts at 08:00 with handover in Fairfax ward

12. SWFT Emergency Medicine LeadDr Martin Smyth LocationMajor and See and Treat TimeTimetable Introduce to senior staff in the area Attach to SHO/ registrar in the area. Teaching sessions on Monday afternoon 13:30 to 16:30hs (Burns, Allergies, Epistaxis and Head Injury) IN ED SEMINAR ROOM

13. Formal Teaching Lectures Evidence based teaching sessions Tutorials Ethics ITU teaching 13

14. Lectures Thursday morning Location CSB Time 9-13 Most common presentations ATLS 1 st week 14

15. Evidence based teaching sessions Tuesday morning (see timetable) Location CSB Time 09:00-12:00 08:00-12:00 (Ethics) Outstanding feedback

16. Tutorials Tuesday morning (see timetable) Location CSB Time 09:00-12:00 08:00-12:00 (Ethics) Time to discuss log books and Minor Injury workbook

17. Ethics Tuesday morning after Tutorials Location CSB Dates(see timetable) Time 10:30-12:00 Preparation needed

18. ITU teaching Thursday afternoon CSB Dr Vadim Iakimov Aim to provide al students basic ITU training

19. Clinical Skills Ophthalmology teaching Simulation T Doc ( according to needs)

20. Ophthalmology Teaching CSB room Fridays timetable Lead Dr Fiona Dean Practice Fundoscopy T Doc coming soon!

21. Simulation UHCW Introduction to simulation High fidelity simulation SWFT Simulation ( Started in May 2014) Different approach to UHCW

22. UHCW Simulation Introduction to Simulation CSB room 0007 Timetable Time 09:00-12:30 or 01:30-17:00 Read before the session Dress code Stethoscope

23. UHCW Simulation High fidelity simulation Timetable CSB 0005 Time 09:00-12:30 or 01:30-17:00 Read before the session Dress code Stethoscope Http://www.youtube.com/watch?v=u-Nryz7nPRE Sim Man Medical Students training-You tube

24. 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”

25. SWFT teaching SWFT Medical School LeadsDr Rathinavel Shanmugam Timetable Wednesday am (pm) Room E Medical School

26. Assessments Formative MCQ pre and post block Clinical Assessment Portfolio OSLER (Objective Structured Long Examination Record) two assessments for the block

27. MCQ Pre course paper – today @ 16.30 End of course paper – Thursday 23 rd October @ 13.00 35 single best answer questions 3 extended matching questions each with 5 stems Formative assessments Feedback will be provided

28. Clinical Assessment Case based discussion CSB Timetable Formative If failed further discussion with Dr V. Elliott

29. Portfolio CSB Timetable Complete case Send Hospital number to your mentor 10 minutes for presentation and 5 minutes for questions Formal dress code

30. OSLER Objective Structured Long Examination Record Observed clinical case (does not have to be a whole case) with feedback Students should ask senior to complete these forms Need 2 completed forms before the end of the block (university requirement) Only consultants. Consultants Available in AMU at SWFT in area C each week

31. Requirements for End of Block Attendance (clinical areas only) Portfolio x1 Clinical Assessment Osler x2 MCQ formative Block feedback

32. Feedback Student Feedback Review of teaching activity Designing possible changes Implementation of changes Teaching Activity

33. ANY QUESTIONS

34. Enjoy yourself! “You get out what you put in”