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Professional Medical Education

Critical Care Webinar

November 2014

SYDNEY MEDICAL SCHOOL

Dr Annette Katelaris

Director, Office of Postgraduate Education

Dr Peter Roberts

Course Convener and Director of Emergency Medicine, Ryde Hospital

Vocational degrees

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

Course delivery

Taught by leading academics and clinicians

Photo source: Wikipedia 3

WORKSHOPS Educational model

VIVA Practice Questions

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CRITICAL CARE

MASTER OF MEDICINE Sydney Medical School is launching a new and exciting vocational degree in 2015. This f exible format course is designed for working doctors interested in emergency medicine, intensive care or anaesthetics.

SYDNEY MEDICAL SCHOOL NEW IN 2015 CRITICAL CARE MASTER OF MEDICINE The Master of Medicine (Crit ical Care) is unique in Aust ralasia. It has been developed in response to requests from critical care specialist s and t rainees to increase educat ional opport unities in t he specialties of emergency medicine, intensive care and anaest het ics. This degree is designed and will be delivered by leading clinicians and academics from our teaching hospit als and the Universit y. The f exible format combines intensive face-to-face with interact ive online delivery, and is perfect for clinicians whose continuing education is limited by t ime and dist ance. The degree is t ailored to produce well-rounded and analyt ical clinicians. The basic science curriculum of t he Colleges will be addressed, as well as a range of t argeted stream-specif c elect ives (eg Ret rieval Medicine, Pain Management, Communicat ion, Consent and Et hics) and general elect ive subject s such as medical educat ion, leadership and grant writ ing. This course provides t he opport unit y to advance clinical knowledge and pract ice in areas of interest, as well as develop expert ise in ot her areas import ant to career advancement. A great benef t of the course will be interact ing wit h similar people at a similar st age in their career, sharing knowledge and skills in a support ive environment, as well as making key cont act s with leading expert s in crit ical care. TAKE THE NEXT STEP IN YOUR CAREER requirement s chosen f eld clinical leadership and medical education with senior clinicians and your peers 5

Articulated courses

Articulated courses

Unit of Study

6*

Graduate Certificate

24*

Graduate Diploma

36 *

Master

48 *

Advanced Master

60* * Credit points 6

Grad Cert (Critical Care) Complete 4 of 6 specific units

Physiology

6 credit points

Pharmacology

6 credit points

Anatomy

6 credit points

Pathology

6 credit points

Evidence and Ethics in Practice

6 credit points

Communication and Consent

6 credit points

Pain (2 subjects)

6 credit points

Retrieval Med Operational Environment

6 credit points

Clinical Retrieval Medicine

6 credit points Grad Dip (Critical Care)

Intro Epidemiology

(compulsory) 6 credit points

4 of 6 specific units

24 credit points

1x Elective

specific or general

Master of Medicine (Critical Care)

Master of Medicine (Critical Care)

Intro Epidemiology

(compulsory) 6 credit points

Evidence and Ethics in Practice

(Capstone) (compulsory) 6 credit points

3 x specific units

18 credit points

3 x elective units

specific or general Master of Medicine (Critical Care Advanced) > 75% in 4 stream-specific units

Dissertation or project

12 credit points 7

Stream specific Stream specific Stream specific

Introduction to Clinical Epidemiology Evidence and Ethics in Practice stream specific

Master course structure

Elective

specific or general

Elective

specific or general

Elective

specific or general 8

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: Semester 2: Anatomy/ Pathology integrated Physiology/ Pharmacology integrated

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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.

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%) Photo source: Wikipedia 12

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 http://sydney.edu.au/handbooks/medicine/postgr aduate/coursework_pz/pain_management.shtml

Photo source: Shutterstock 15

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

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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).

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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.

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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

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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.

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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 http://sydney.edu.au/future-students/ ›

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.

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Face to face components and assessments

Unit of Study CRIT5001: Anatomy for critical care CRIT5002: Pathology for critical care CRIT5003 Pharmacology for critical care CRIT5004 Physiology for critical care CRIT5005 Critical care: communication, consent, ethics CRIT5006 Retrieval med operational environment CRIT5007 Clinical retrieval medicine PAIN5021 Acute Pain PAIN5002 Pain Mechanisms and Contributors PAIN 5003 Pain Treatment and Management Principles Face to Face/Online

Online activities and face to face workshops Online lectures, videos, tutorials and formative assessment; face to face workshops Online lectures, videos, tutorials and formative assessment; face to face workshops Online lectures, tutorials and formative assessment; face to face workshops Online lectures and learning activities; face to face workshops 2 x 2 days

Assessment

Multiple choice questions, extended matching questions, spot tests (70%); viva-voce style assessments (30%) Multiple choice questions, extended matching questions, spot tests (70%); viva-voce style assessments (30%) Multiple choice questions & extended matching questions &/or short answer questions (70%) and oral vivas (30%) Multiple choice questions, extended matching questions &/or short answer questions (70%) and oral vivas (30%) 3,500 word reflective written assignment (70%) and oral presentation (20%) and participation in online discussion (10%) block mode (1x2days) plus self-directed online learning block mode (1x2days) plus self-directed online learning Approximately 10 hours of study per week (equals 140 hours in total) Online, approximately 20 hours of study per week (equals 140 hours in total) 1x1hr online exam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) 1x1hr onlineexam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) Participation in online discussion and completion of multiple choice questions (20%) 3000-4000 written assignments of equivalent (80%) participation in online discussion (20%), 4000-5000 word written assignment/s or equivalent (80%) Online, approximately 10 hours of study per week (equals 140 hours in total) participation in online discussion (20%), 4000-5000 word written assignment/s or equivalent (80%) 25