Part II. The CCT in. Intensive Care Medicine. Assessment System. The Faculty of. Intensive Care Medicine

Size: px
Start display at page:

Download "Part II. The CCT in. Intensive Care Medicine. Assessment System. The Faculty of. Intensive Care Medicine"

Transcription

1 Part II The CCT in Intensive Care Medicine Assessment System The Faculty of Intensive Care Medicine

2 Contents 1. Principles of Assessment Training Stage Records How many workplace-based assessments? Additional Assessments Competency level descriptors ICM CCT Training Progression Grid... 6 Training Record Forms Stage 1 Training Record Stage 2 Training Record Stage 3 Training Record Special Skills Year Completion Form ARCP decision aids Core Training Dual CCTs training ICM Higher Specialist Training Training Requirement Checklists Stage Stage Stage Top 30 cases Blueprint of Workplace-based Assessments mapped against curriculum competencies Blueprint of Final FFICM examination mapped against curriculum competencies II - 2

3 1. Principles of Assessment This Assessment System should be read in tandem with and implemented as per the precepts of Part I, section 5 of this curriculum manual. The ICM CCT has an assessment system that in some ways differs from that used in some of its partner specialties. Anaesthetic assessment for example, samples from its curriculum and has an indicative minimum number of workplace-based assessments (WPBA) in each training module. The ICM CCT requires trainees to demonstrate increasing competency in all domains of the curriculum and each of its 97 competencies. Sub-domain competence progression is judged on a descriptive scale of 1 to 4 (novice to independent practitioner see section 2 below); competencies are revisited throughout each of the three ICM Stages of training with increasing target levels of achievement. 1.1 Training Stage Records This manual contains Training Records for each of the three Stages of ICM training. They are designed to provide outcome paperwork enabling trainees to demonstrate their acquisition of competencies against the levels required by Training Progression Grid. Trainees using the ICM eportfolio will find that it already serves this function, and so do not need to use the enclosed Training Records. However it is recognised that not all ICM trainees will immediately be using eportfolio for example, trainees who are halfway through a Stage of training may maintain a paper-based portfolio until they have completed that Stage before moving to the electronic system. These Training Records are also available separately on the FICM website ( in editable Word format. 1.2 How many workplace-based assessments? The purpose of the ICM WPBAs is not merely to tick off each individual competence but to provide a series of snapshots of work, from the general features of which it can be inferred whether the trainee is making the necessary progress, not only in the specific work observed, but in related areas of the application of knowledge and skill. The number of observations of work required will not be fixed but will depend on the individual trainee s performance. The Faculty s aim is always to maintain training standards and quality without developing undue assessment burden for trainers and trainees. As a minimum standard, trainees must have at least one piece of satisfactory assessment evidence for every competency required for sign-off at a particular Stage of training, though it is expected that trainees will ultimately have multiple assessment mapping to multiple competencies. Some sections of the curriculum (i.e. Practical Procedures) it is expected that more will be required, at the discretion of local trainers. Where a trainee performs unsatisfactorily more assessments will of course be needed. Each piece of evidence can potentially be used to support multiple competencies. A single patient encounter involving a history, examination, differential diagnosis and construction and implementation of a management plan could assess many of the competencies together. For example, a trainee may see a patient in the acute admission unit, assess them, start investigations, diagnose their pneumonia, start the patient on antibiotics and bring them to the ICU where they may need respiratory support. In such a scenario the trainee can, via the use of CBD, DOPS or CEX, bundle together assessment of competencies such as: Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology; Obtains a history and performs an accurate clinical examination; Undertakes timely and appropriate investigations; Obtains and interprets the results of blood gas samples; II - 3

4 Manages the care of the critically ill patient with specific acute medical conditions; Manages antimicrobial drug therapy; Administers oxygen using a variety of administration devices; Performs arterial catheterisation It is the responsibility of the trainee to provide sufficient evidence of satisfactory performance and satisfactory progress in their annual review. They will need evidence of performance in each block of training or section of the curriculum they have undertaken. This may increase the number of assessments they need. It is the Educational Supervisor s responsibility to help the trainee to understand what that evidence will be in their specific circumstances. The Educational Supervisor will then write a summary of the learner s performance for the ARCP. Once again it must be stressed that there is no single, valid, reliable test of competence and the ARCP will review all the evidence, triangulating performance measured by different instruments, before drawing conclusions about a trainee s progress Repetition of competencies It is recognised that due to the spiral learning principles (see 3.1.1) upon which the curriculum was constructed, competencies reoccur throughout all three Stages of training. In some cases, i.e. if the competency in question is a very basic one, trainees will reach level 4 very quickly (conversely whilst in some highly specialised areas such as Paediatric Intensive Care Medicine they will never reach level 4 at all). As such there are numerous cases where the expected 1-4 training level for a particular competence does not change from one Stage to the next these are clearly marked on the individual Stage Training Records below. In these instances to avoid the aforementioned assessment burden Educational Supervisors must still sign-off each competency but trainees need not provide additional WPBA or assessment evidence if they have demonstrated maintenance of their skills and knowledge in these specific competencies. Additional assessments in these competencies may be conducted if required, at the trainers discretion, if it is felt that the trainees maintenance of these competencies is uncertain or requires topping up. 1.3 Additional Assessments It is also recognised that trainees may use other methods than WPBAs to demonstrate their acquisition of competencies, such as logbook evidence and attendance at educational events. These can be recorded in the trainee s portfolio (a code system is provided on each Stage record; on eportfolio these can be scanned, uploaded, and assigned to the relevant curriculum competencies). II - 4

5 2. Competency level descriptors Both trainees and trainers need to ensure that training is both comprehensive and that progression of training is occurring at a satisfactory rate. The curriculum uses a Training Progression Grid, which includes the CoBaTrICE domains, to both define and measure progress. This is combined with a simple and intuitive measure of level of competence which uses the intensity of supervision required to identify achievement. The level descriptors are as follows: Task orientated Level competence 1 Performs task under direct supervision. 2 Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. 3 Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. 4 Independent (consultant) practice. Knowledge orientated competence Very limited knowledge; requires considerable guidance to solve a problem within the area. Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. Expert level of knowledge. Patient management competence Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. Specialist. By the completion of the ICM training programme all trainees will be expected to have achieved level 4 competency in the majority of the CoBaTrICE competences, as detailed on the grid. In order to provide both a measure of progress to trainees and trainers and also to provide an indication of where in the training programme individual competencies are best achieved we have produced an ARCP decision aid. This provides ARCP panels with guidance about the progress and evidence of progress expected for individual trainees. II - 5

6 3. ICM CCT Training Progression Grid The following grid demonstrates the progression of competency expected of trainees in each curriculum domain throughout the Stages of ICM training. The grid acknowledges that trainees will reach Level 4 in some fundamental competencies earlier in their training (e.g. infection control, aspects of professionalism), and will not reach Level 4 in some highly specialised areas of intensive care (e.g. Paediatric Intensive Care Medicine, burns). Domain and Competencies Stage of Training Stage 1 Domain 1: Resuscitation and management of the acutely ill patient ACCS CAT CMT ST Stage 2 Stage Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology Manages cardiopulmonary resuscitation - ALS recommended Manages the patient post resuscitation Triages and prioritises patients appropriately, including timely admission to ICU Assesses and provides initial management of the trauma patient Assesses and provides initial management of the patient with burns Describes the management of mass casualties Domain 2: Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation ACCS CAT CMT ST Stage 2 Stage Obtains a history and performs an accurate clinical examination Undertakes timely and appropriate investigations Performs electrocardiography (ECG / EKG) and interprets the results Obtains appropriate microbiological samples and interprets results Obtains and interprets the results from blood gas samples Interprets imaging studies Monitors and responds to trends in physiological variables Integrates clinical findings with laboratory investigations to form a differential diagnosis Domain 3: Disease Management ACCS CAT CMT ST Stage 2 Stage3 3.1 Manages the care of the critically ill patient with specific acute medical conditions Identifies the implications of chronic and co-morbid disease in the acutely ill patient Recognises and manages the patient with circulatory failure Recognises and manages the patient with, or at risk of, acute renal failure Recognises and manages the patient with, or at risk of, acute liver failure Recognises and manages the patient with neurological impairment Recognises and manages the patient with acute gastrointestinal failure Recognises and manages the patient with severe acute respiratory failure / acute lung injury syndromes (ALI / ARDS) Recognises and manages the septic patient II - 6

7 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins Recognises life-threatening maternal peripartum complications and manages care Domain 4: Therapeutic interventions / Organ support in single or multiple organ failure ACCS CAT CMT ST Stage 2 Stage Prescribes drugs and therapies safely Manages antimicrobial drug therapy Administers blood and blood products safely Uses fluids and vasoactive / inotropic drugs to support the circulation Describes the use of mechanical assist devices to support the circulation Initiates, manages, and weans patients from invasive and non-invasive ventilatory support Initiates, manages and weans patients from renal replacement therapy Recognises and manages electrolyte, glucose and acid-base disturbances Co-ordinates and provides nutritional assessment and support Domain 5: Practical procedures ACCS CAT CMT ST Stage 2 Stage Administers oxygen using a variety of administration devices Performs emergency airway management Performs difficult and failed airway management according to local protocols Performs endotracheal suction Performs fibreoptic bronchoscopy and BAL in the intubated patient Performs percutaneous tracheostomy Performs chest drain insertion Performs arterial catheterisation Performs ultrasound techniques for vascular localisation Performs central venous catheterisation Performs defibrillation and cardioversion Performs transthoracic cardiac pacing, describes transvenous Describes how to perform pericardiocentesis Demonstrates a method for measuring cardiac output and derived haemodynamic variables Performs lumbar puncture (intradural / 'spinal') under supervision Manages the administration of analgesia via an epidural catheter Performs abdominal paracentesis Describes Sengstaken tube (or equivalent) placement Performs nasogastric tube placement Performs urinary catheterisation Domain 6: Perioperative care ACCS CAT CMT ST Stage2 Stage3 6.1 Manages the pre- and post-operative care of the high risk surgical patient Manages the care of the patient following cardiac surgery Manages the care of the patient following craniotomy II - 7

8 6.4 Manages the care of the patient following solid organ transplantation Manages the pre- and post-operative care of the trauma patient under supervision Domain 7: Comfort and recovery ACCS CAT CMT ST Stage 2 Stage Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families Manages the assessment, prevention and treatment of pain and delerium Manages sedation and neuromuscular blockade Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives Manages the safe and timely discharge of patients from the ICU Domain 8: End of life care ACCS CAT CMT ST Stage 2 Stage Manages the process of withholding or withdrawing treatment with the multi-disciplinary team Discusses end of life care with patients and their families / surrogates Manages palliative care of the critically ill patient Performs brain-stem death testing Manages the physiological support of the organ donor Manages donation following cardiac death Domain 9: Paediatric care ACCS CAT CMT ST Stage 2 Stage Describes the recognition of the acutely ill child and initial management of paediatric emergencies Describes national legislation and guidelines relating to child protection and their relevance to critical care Domain 10: Transport ACCS CAT CMT ST Stage 2 Stage Undertakes transport of the mechanically ventilated critically ill patient outside the ICU Domain 11: Patient safety and health systems management ACCS CAT CMT ST Stage 2 Stage Leads a daily multidisciplinary ward round Complies with local infection control measures Identifies environmental hazards and promotes safety for patients and staff Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness Organises a case conference Critically appraises and applies guidelines, protocols and care bundles Describes commonly used scoring systems for assessment of severity of illness, case mix and workload Demonstrates an understanding of the managerial and administrative responsibilities of the ICM specialist Domain 12: Professionalism ACCS CAT CMT ST Stage 2 Stage Communicates effectively with patients and relatives II - 8

9 12.2 Communicates effectively with members of the health care team Maintains accurate and legible records / documentation Involves patients (or their surrogates if applicable) in decisions about care and treatment Demonstrates respect of cultural and religious beliefs and an awareness of their impact on decision making Respects privacy, dignity, confidentiality and legal constraints on the use of patient data Collaborates and consults; promotes team-working Ensures continuity of care through effective hand-over of clinical information Supports clinical staff outside the ICU to enable the delivery of effective care Appropriately supervises, and delegates to others, the delivery of patient care Takes responsibility for safe patient care Formulates clinical decisions with respect for ethical and legal principles Seeks learning opportunities and integrates new knowledge into clinical practice Participates in multidisciplinary teaching Participates in research or audit under supervision II - 9

10 INTENSIVE CARE MEDICINE STAGE 1 TRAINING RECORD Name of Trainee: Hospital(s): GMC Number: Date of Stage 1 ST entry: (DD/MM/YYYY) Core programme completed: ACCS CAT CMT Instructions Number each assessment in your portfolio (e.g. for DOPS D1, D2 etc). Complete the table columns Trainee Evidence by identifying in the relevant item(s) of evidence in your portfolio by its code (D1, D2 etc). At least 1 piece of suitable evidence is required for each of the relevant competencies. One assessment can be used to cover multiple curriculum competencies. The WPBA column describes what type of workplacebased assessment is suitable for each competency, as defined by The CCT in Intensive Care Medicine. Other types of evidence may be used to demonstrate competencies, as described in Additional Assessment Tools Key below. Competencies may be signed off by Educational Supervisors throughout the training Stage. Please ensure that the numbering of evidence items in this table matches that in your portfolio. Stage 1 Target Level indicates the final competency level for this Stage of training. Trainees should not normally be marked higher than these levels at the end of the Stage unless in exceptional circumstances with accompanying evidence. Entry Level indicates the level at which the trainee entered the particular training year as dictated by the Core programme they have completed. Please see the full Syllabus for details of the knowledge, skills and behaviours which make up each competency. Achievement Levels for some competencies may not change between training grades these have been highlighted. In these instances Educational Supervisors must still sign-off each competency but trainees need not provide additional WPBA or assessment evidence if they have demonstrated maintenance of their skills and knowledge in these specific competencies. Additional assessments in these competencies may be conducted if required, at the trainers discretion. Competency Level Descriptors Level Task orientated competence Knowledge orientated competence Patient management competence 1 Performs task under direct supervision. 2 3 Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. Very limited knowledge; requires considerable guidance to solve a problem within the area. Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. 4 Independent (consultant) practice. Expert level of knowledge. Specialist. Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. Workplace-Based Assessment Tools Key D Direct Observation of Procedural Skills [DOPS] C Case-Based Discussion [CBD] T Acute Care Assessment Tool [ACAT] I ICM Mini-Clinical Evaluation Exercise [I-CEX] M Multi-source Feedback [MSF] S Simulation Additional Assessment Tools Key - These can be used in Trainee Evidence as appropriate for the competency being assessed L Anaesthetic List Management Tool [ALMAT] EE Educational Event G Logbook page [include page ref, i.e. G22] II - 10

11 Domain and Competencies Entry Levels Stage 1 Level Assessment Trainee Educational Supervisor Target ACCS CAT CMT Achieved Tools Evidence Level Sign-off Date Domain 1: Resuscitation and management of the acutely ill patient 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology I, C, M, T, S 1.2 Manages cardiopulmonary resuscitation ALS recommended I, M, T, S 1.3 Manages the patient post resuscitation I, M, T, S 1.4 Triages and prioritises patients appropriately, including timely admission to ICU C, M, T 1.5 Assesses and provides initial management of the trauma patient D, I, M, T, C, S 1.6 Assesses and provides initial management of the patient with burns D, I, M, T, C 1.7 Describes the management of mass casualties C Domain 2: Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation 2.1 Obtains a history and performs an accurate clinical examination I, M 2.2 Undertakes timely and appropriate investigations I, C, M 2.3 Performs electrocardiography (ECG / EKG) and interprets the results D, I, C 2.4 Obtains appropriate microbiological samples and interprets results D, C 2.5 Obtains and interprets the results from blood gas samples D, C 2.6 Interprets imaging studies I, C 2.7 Monitors and responds to trends in physiological variables I, T, S 2.8 Integrates clinical findings with laboratory investigations to form a differential diagnosis I, C, T, S Domain 3: Disease Management 3.1 Manages the care of the critically ill patient with specific acute medical conditions D, I, C, M, T, S 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient C 3.3 Recognises and manages the patient with circulatory failure I, C, T, S 3.4 Recognises and manages the patient with, or at risk of, acute renal failure I, C, T 3.5 Recognises and manages the patient with, or at risk of, acute liver failure I, C, T 3.6 Recognises and manages the patient with neurological impairment I, C, T, S 3.7 Recognises and manages the patient with acute gastrointestinal failure I, C, T 3.8 Recognises and manages the patient with severe acute respiratory failure / acute lung injury syndromes (ALI / ARDS) I, C, T 3.9 Recognises and manages the septic patient I, C, T 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins I, C, S 3.11 Recognises life-threatening maternal peripartum complications and manages care I, C, S Domain 4: Therapeutic interventions / Organ support in single or multiple organ failure 4. 1 Prescribes drugs and therapies safely D, C, M 4.2 Manages antimicrobial drug therapy I, C, M 4.3 Administers blood and blood products safely D, C, M 4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation I, C 4.5 Describes the use of mechanical assist devices to support the circulation C II - 11

12 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support D, C, T 4.7 Initiates, manages and weans patients from renal replacement therapy D, I, C, T 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances I, C, T, S 4.9 Co-ordinates and provides nutritional assessment and support I, C, T Domain 5: Practical procedures 5.1 Administers oxygen using a variety of administration devices D, S 5.2 Performs emergency airway management D, S 5.3 Performs difficult and failed airway management according to local protocols D, S 5.4 Performs endotracheal suction D 5.5 Performs fibreoptic bronchoscopy and BAL in the intubated patient D, M 5.6 Performs percutaneous tracheostomy D, M, S 5.7 Performs chest drain insertion D 5.8 Performs arterial catheterisation D, C 5.9 Performs ultrasound techniques for vascular localisation C 5.10 Performs central venous catheterisation D, C 5.11 Performs defibrillation and cardioversion D, C, S 5.12 Performs transthoracic cardiac pacing, describes transvenous D, C 5.13 Describes how to perform pericardiocentesis C 5.14 Demonstrates a method for measuring cardiac output and derived haemodynamic variables D, C 5.15 Performs lumbar puncture (intradural / 'spinal') under supervision D, S 5.16 Manages the administration of analgesia via an epidural catheter I 5.17 Performs abdominal paracentesis D 5.18 Describes Sengstaken tube (or equivalent) placement C 5.19 Performs nasogastric tube placement D 5.20 Performs urinary catheterisation D Domain 6: Perioperative care 6.1 Manages the pre- and post-operative care of the high risk surgical patient C, M, T 6.2 Manages the care of the patient following cardiac surgery C 6.3 Manages the care of the patient following craniotomy C, T 6.4 Manages the care of the patient following solid organ transplantation C 6.5 Manages the pre- and post-operative care of the trauma patient under supervision C. T Domain 7: Comfort and recovery 7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families M, C 7.2 Manages the assessment, prevention and treatment of pain and delirium D, I, C, M, T 7.3 Manages sedation and neuromuscular blockade D, I, C, M, T 7.4 Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives M, T, S 7.5 Manages the safe and timely discharge of patients from the ICU M, T Domain 8: End of life care II - 12

13 8.1 Manages the process of withholding or withdrawing treatment with the multidisciplinary team C, M 8.2 Discusses end of life care with patients and their families / surrogates C, M, D 8.3 Manages palliative care of the critically ill patient C, M, T 8.4 Performs brain-stem death testing D, S 8.5 Manages the physiological support of the organ donor I, C 8.6 Manages donation following cardiac death C, T, S Domain 9: Paediatric care 9.1 Describes the recognition of the acutely ill child and initial management of paediatric emergencies I, C, S 9.2 Describes national legislation and guidelines relating to child protection and their relevance to critical care C Domain 10: Transport 10.1 Undertakes transport of the mechanically ventilated critically ill patient outside the ICU D, I, C, M Domain 11: Patient safety and health systems management 11.1 Leads a daily multidisciplinary ward round M 11.2 Complies with local infection control measures C, M 11.3 Identifies environmental hazards and promotes safety for patients and staff C, M 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness C, M 11.5 Organises a case conference C, M 11.6 Critically appraises and applies guidelines, protocols and care bundles C 11.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload C 11.8 Demonstrates an understanding of the managerial and administrative responsibilities of the ICM specialist C, M Domain 12: Professionalism 12.1 Communicates effectively with patients and relatives D, M, T, S 12.2 Communicates effectively with members of the health care team D, M, S 12.3 Maintains accurate and legible records / documentation D, M, T 12.4 Involves patients (or their surrogates if applicable) in decisions about care and treatment C, M, T 12.5 Demonstrates respect of cultural and religious beliefs and an awareness of their impact on decision making C, M, T 12.6 Respects privacy, dignity, confidentiality and legal constraints on the use of patient data C, M 12.7 Collaborates and consults; promotes team-working M 12.8 Ensures continuity of care through effective hand- over of clinical information C, M, T, S 12.9 Supports clinical staff outside the ICU to enable the delivery of effective care C, M, T Appropriately supervises, and delegates to others, the delivery of patient care C, M, T Takes responsibility for safe patient care D, C, M, T II - 13

14 12.12 Formulates clinical decisions with respect for ethical and legal principles C, M, T Seeks learning opportunities and integrates new knowledge into clinical practice M Participates in multidisciplinary teaching M Participates in research or audit under supervision M End of Year Meeting sign-off: (complete as applicable for number of years required in Stage 1 ST training copy and paste additional years if necessary) 1 Trainer Signature: Trainer Name (Print): Trainer GMC Number: Date (DD/MM/YYYY) (ICM Clinical Supervisor, ICM Educational Supervisor or FICM Tutor) Trainee Signature: Trainee Name (Print): Trainee GMC Number: Date (DD/MM/YYYY) Comments: 2 Trainer Signature: Trainer Name (Print): Trainer GMC Number: Date (DD/MM/YYYY) (ICM Clinical Supervisor, ICM Educational Supervisor or FICM Tutor) Trainee Signature: Trainee Name (Print): Trainee GMC Number: Date (DD/MM/YYYY) Comments: II - 14

15 INTENSIVE CARE MEDICINE STAGE 2 TRAINING RECORD Name of Trainee: Hospital(s): GMC Number: Date of Stage 2 entry: (DD/MM/YYYY) Instructions Number each assessment in your portfolio (e.g. for DOPS D1, D2 etc). Complete the table columns Trainee Evidence by identifying in the relevant item(s) of evidence in your portfolio by its code (D1, D2 etc). At least 1 piece of suitable evidence is required for each of the relevant competencies. One assessment can be used to cover multiple curriculum competencies. The WPBA column describes what type of workplacebased assessment is suitable for each competency, as defined by The CCT in Intensive Care Medicine. Other types of evidence may be used to demonstrate competencies, as described in Additional Assessment Tools Key below. Competencies may be signed off by Educational Supervisors throughout the training Stage. Please ensure that the numbering of evidence items in this table matches that in your portfolio. Stage 2 Target Level indicates the final competency level for this Stage of training. Trainees should not normally be marked higher than these levels at the end of this Stage unless in exceptional circumstances or if they have developed these competencies through additional training (for example a Special Skills year in Paediatric or Cardiac ICM). Entry from Stage 1 indicates the level at which the trainee entered Stage 2 from Stage 1. Please see the full Syllabus for details of the knowledge, skills and behaviours which make up each competency. Achievement Levels for some competencies may not change between training Stages these have been highlighted. In these instances Educational Supervisors must still sign-off each competency but trainees need not provide additional WPBA or assessment evidence if trainers are satisfied they have demonstrated maintenance of their skills and knowledge in these specific competencies. Further assessments in these competencies may be conducted if required, at the trainers discretion. Competency Level Descriptors Level Task orientated competence Knowledge orientated competence Patient management competence 1 Performs task under direct supervision. 2 3 Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. Very limited knowledge; requires considerable guidance to solve a problem within the area. Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. 4 Independent (consultant) practice. Expert level of knowledge. Specialist. Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. Workplace-Based Assessment Tools Key D Direct Observation of Procedural Skills [DOPS] C Case-Based Discussion [CBD] T Acute Care Assessment Tool [ACAT] I ICM Mini-Clinical Evaluation Exercise [I-CEX] M Multi-source Feedback [MSF] S Simulation Additional Assessment Tools Key - These can be used in Trainee Evidence as appropriate for the competency being assessed L Anaesthetic List Management Tool [ALMAT] EE Educational Event G Logbook page [include page ref, i.e. G22] II - 15

16 Domain and Competencies Entry from Stage 1 Stage 2 Target Level Level Achieved Assessment Tools Domain 1: Resuscitation and management of the acutely ill patient 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology 3 4 I, C, M, T, S 1.2 Manages cardiopulmonary resuscitation ALS recommended 3 4 I, M, T, S 1.3 Manages the patient post resuscitation 2 4 I, M, T, S 1.4 Triages and prioritises patients appropriately, including timely admission to ICU 2 3 C, M, T 1.5 Assesses and provides initial management of the trauma patient 2 3 D, I, M, T, C, S 1.6 Assesses and provides initial management of the patient with burns 1 2 D, I, M, T, C 1.7 Describes the management of mass casualties 1 2 C Domain 2: Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation 2.1 Obtains a history and performs an accurate clinical examination 3 4 I, M 2.2 Undertakes timely and appropriate investigations 3 3 I, C, M 2.3 Performs electrocardiography (ECG / EKG) and interprets the results 3 4 D, I, C 2.4 Obtains appropriate microbiological samples and interprets results 3 4 D, C 2.5 Obtains and interprets the results from blood gas samples 3 4 D, C 2.6 Interprets imaging studies 3 4 I, C 2.7 Monitors and responds to trends in physiological variables 3 4 I, T, S 2.8 Integrates clinical findings with laboratory investigations to form a differential diagnosis 2 3 I, C, T, S Domain 3: Disease Management 3.1 Manages the care of the critically ill patient with specific acute medical conditions 2 3 D, I, C, M, T, S 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient 2 3 C 3.3 Recognises and manages the patient with circulatory failure 2 3 I, C, T, S 3.4 Recognises and manages the patient with, or at risk of, acute renal failure 2 3 I, C, T 3.5 Recognises and manages the patient with, or at risk of, acute liver failure 2 3 I, C, T 3.6 Recognises and manages the patient with neurological impairment 2 3 I, C, T, S 3.7 Recognises and manages the patient with acute gastrointestinal failure 2 3 I, C, T 3.8 Recognises and manages the patient with severe acute respiratory failure / acute lung injury syndromes (ALI / ARDS) 2 3 I, C, T 3.9 Recognises and manages the septic patient 2 3 I, C, T 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins 2 3 I, C, S 3.11 Recognises life-threatening maternal peripartum complications and manages care 2 3 I, C, S Domain 4: Therapeutic interventions / Organ support in single or multiple organ failure 4. 1 Prescribes drugs and therapies safely 3 3 D, C, M 4.2 Manages antimicrobial drug therapy 3 3 I, C, M 4.3 Administers blood and blood products safely 3 4 D, C, M 4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation 3 4 I, C 4.5 Describes the use of mechanical assist devices to support the circulation 1 2 C 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support 2 4 D, C, T 4.7 Initiates, manages and weans patients from renal replacement therapy 2 3 D, I, C, T Trainee Evidence Educational Supervisor Sign-off Date II - 16

17 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances 3 4 I, C, T, S 4.9 Co-ordinates and provides nutritional assessment and support 3 4 I, C, T Domain 5: Practical procedures 5.1 Administers oxygen using a variety of administration devices 3 4 D, S 5.2 Performs emergency airway management 2 3 D, S 5.3 Performs difficult and failed airway management according to local protocols 2 2 D, S 5.4 Performs endotracheal suction 3 4 D 5.5 Performs fibreoptic bronchoscopy and BAL in the intubated patient 2 3 D, M 5.6 Performs percutaneous tracheostomy 1 3 D, M, S 5.7 Performs chest drain insertion 2 3 D 5.8 Performs arterial catheterisation 3 4 D, C 5.9 Performs ultrasound techniques for vascular localisation 2 4 C 5.10 Performs central venous catheterisation 2 4 D, C 5.11 Performs defibrillation and cardioversion 3 4 D, C, S 5.12 Performs transthoracic cardiac pacing, describes transvenous 2 3 D, C 5.13 Describes how to perform pericardiocentesis 1 2 C 5.14 Demonstrates a method for measuring cardiac output and derived haemodynamic variables 3 4 D, C 5.15 Performs lumbar puncture (intradural / 'spinal') under supervision 3 4 D, S 5.16 Manages the administration of analgesia via an epidural catheter 3 4 I 5.17 Performs abdominal paracentesis 1 2 D 5.18 Describes Sengstaken tube (or equivalent) placement 2 2 C 5.19 Performs nasogastric tube placement 4 4 D 5.20 Performs urinary catheterisation 4 4 D Domain 6: Perioperative care 6.1 Manages the pre- and post-operative care of the high risk surgical patient 2 4 C, M, T 6.2 Manages the care of the patient following cardiac surgery 1 3 C 6.3 Manages the care of the patient following craniotomy 1 3 C, T 6.4 Manages the care of the patient following solid organ transplantation 1 3 C 6.5 Manages the pre- and post-operative care of the trauma patient under supervision 2 3 C. T Domain 7: Comfort and recovery 7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families 3 4 M, C 7.2 Manages the assessment, prevention and treatment of pain and delirium 3 4 D, I, C, M, T 7.3 Manages sedation and neuromuscular blockade 2 4 D, I, C, M, T 7.4 Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives 3 4 M, T, S 7.5 Manages the safe and timely discharge of patients from the ICU 2 3 M, T Domain 8: End of life care 8.1 Manages the process of withholding or withdrawing treatment with the multidisciplinary team 2 3 C, M 8.2 Discusses end of life care with patients and their families / surrogates 2 3 C, M, D 8.3 Manages palliative care of the critically ill patient 2 4 C, M, T II - 17

18 8.4 Performs brain-stem death testing 1 4 D, S 8.5 Manages the physiological support of the organ donor 1 3 I, C 8.6 Manages donation following cardiac death 1 3 C, T, S Domain 9: Paediatric care 9.1 Describes the recognition of the acutely ill child and initial management of paediatric emergencies 1 3 I, C, S 9.2 Describes national legislation and guidelines relating to child protection and their relevance to critical care 3 3 C Domain 10: Transport 10.1 Undertakes transport of the mechanically ventilated critically ill patient outside the ICU 2 4 D, I, C, M Domain 11: Patient safety and health systems management 11.1 Leads a daily multidisciplinary ward round 2 3 M 11.2 Complies with local infection control measures 3 4 C, M 11.3 Identifies environmental hazards and promotes safety for patients and staff 3 4 C, M 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness 2 3 C, M 11.5 Organises a case conference 2 3 C, M 11.6 Critically appraises and applies guidelines, protocols and care bundles 2 3 C 11.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload 3 4 C 11.8 Demonstrates an understanding of the managerial and administrative responsibilities of the ICM specialist 2 3 C, M Domain 12: Professionalism 12.1 Communicates effectively with patients and relatives 3 4 D, M, T, S 12.2 Communicates effectively with members of the health care team 3 4 D, M, S 12.3 Maintains accurate and legible records / documentation 4 4 D, M, T 12.4 Involves patients (or their surrogates if applicable) in decisions about care and treatment 3 4 C, M, T 12.5 Demonstrates respect of cultural and religious beliefs and an awareness of their impact on decision making 4 4 C, M, T 12.6 Respects privacy, dignity, confidentiality and legal constraints on the use of patient data 4 4 C, M 12.7 Collaborates and consults; promotes team-working 3 4 M 12.8 Ensures continuity of care through effective hand- over of clinical information 4 4 C, M, T, S 12.9 Supports clinical staff outside the ICU to enable the delivery of effective care 3 4 C, M, T Appropriately supervises, and delegates to others, the delivery of patient care 2 3 C, M, T Takes responsibility for safe patient care 4 4 D, C, M, T Formulates clinical decisions with respect for ethical and legal principles 2 3 C, M, T Seeks learning opportunities and integrates new knowledge into clinical practice 4 4 M Participates in multidisciplinary teaching 4 4 M Participates in research or audit under supervision 3 4 M II - 18

19 End of Year Meeting sign-off: (complete as applicable for number of years required in Stage 2 training copy and paste additional years if necessary) 1 Trainer Signature: Trainer Name (Print): Trainer GMC Number: Date (DD/MM/YYYY) (ICM Clinical Supervisor, ICM Educational Supervisor or FICM Tutor) Trainee Signature: Trainee Name (Print): Trainee GMC Number: Date (DD/MM/YYYY) Comments: 2 Trainer Signature: Trainer Name (Print): Trainer GMC Number: Date (DD/MM/YYYY) (ICM Clinical Supervisor, ICM Educational Supervisor or FICM Tutor) Trainee Signature: Trainee Name (Print): Trainee GMC Number: Date (DD/MM/YYYY) Comments: II - 19

20 INTENSIVE CARE MEDICINE STAGE 3 TRAINING RECORD Name of Trainee: Hospital(s): GMC Number: Date of Stage 3 entry: (DD/MM/YYYY) Instructions Number each assessment in your portfolio (e.g. for DOPS D1, D2 etc). Complete the table columns Trainee Evidence by identifying in the relevant item(s) of evidence in your portfolio by its code (D1, D2 etc). At least 1 piece of suitable evidence is required for each of the relevant competencies. One assessment can be used to cover multiple curriculum competencies. The WPBA column describes what type of workplacebased assessment is suitable for each competency, as defined by The CCT in Intensive Care Medicine. Other types of evidence may be used to demonstrate competencies, as described in Additional Assessment Tools Key below. Competencies may be signed off by Educational Supervisors throughout the training Stage. Please ensure that the numbering of evidence items in this table matches that in your portfolio. Stage 2 Target Level indicates the final competency level for this Stage of training. Trainees should not normally be marked higher than these levels at the end of this Stage unless in exceptional circumstances or if they have developed these competencies through additional training (for example a Special Skills year in Paediatric or Cardiac ICM). Entry from Stage 2 indicates the level at which the trainee will have entered Stage 3 from Stage 2. Please see the full Syllabus for details of the knowledge, skills and behaviours which make up each competency. Achievement Levels for some competencies may not change between training Stages these have been highlighted. In these instances Educational Supervisors must still sign-off each competency but trainees need not provide additional WPBA or assessment evidence if trainers are satisfied they have demonstrated maintenance of their skills and knowledge in these specific competencies. Further assessments in these competencies may be conducted if required, at the trainers discretion. Competency Level Descriptors Level Task orientated competence Knowledge orientated competence Patient management competence 1 Performs task under direct supervision. 2 3 Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. Very limited knowledge; requires considerable guidance to solve a problem within the area. Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. 4 Independent (consultant) practice. Expert level of knowledge. Specialist. Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. Workplace-Based Assessment Tools Key D Direct Observation of Procedural Skills [DOPS] C Case-Based Discussion [CBD] T Acute Care Assessment Tool [ACAT] I ICM Mini-Clinical Evaluation Exercise [I-CEX] M Multi-source Feedback [MSF] S Simulation Additional Assessment Tools Key - These can be used in Trainee Evidence as appropriate for the competency being assessed L Anaesthetic List Management Tool [ALMAT] EE Educational Event G Logbook page [include page ref, i.e. G22] II - 20

COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE

COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE (2006) The CoBaTrICE Collaboration: 1 st September 2006. European Society of Intensive Care Medicine (ESICM) Avenue Joseph Wybran 40, B-1070,Brussels.

More information

CCT in Anaesthetics. Annex F Intensive Care Medicine. Edition 2 August 2010 Version 1.8

CCT in Anaesthetics. Annex F Intensive Care Medicine. Edition 2 August 2010 Version 1.8 CCT in Anaesthetics Annex F Intensive Care Medicine Edition 2 August 2010 Version 1.8 Contents 1. Principles of Assessment 3 2. Workplace Based Assessments 5 3. Competency Level Descriptors 6 4. Assessment

More information

Common Training Framework. Training Requirements for the Core Curriculum of Multidisciplinary Intensive Care Medicine

Common Training Framework. Training Requirements for the Core Curriculum of Multidisciplinary Intensive Care Medicine Common Training Framework Training Requirements for the Core Curriculum of Multidisciplinary Intensive Care Medicine European Standards of Postgraduate Medical Specialist Training Preamble The UEMS is

More information

Equivalence Guidance for GMP Domain 1

Equivalence Guidance for GMP Domain 1 Equivalence Guidance for GMP Domain 1 From 1 st August 2011 the new GMC approved curriculum in Intensive Care Medicine (ICM) came into effect. As a result of this new curriculum, all equivalence applications

More information

General Internal Medicine (GIM) ARCP Decision Aid AUGUST 2017

General Internal Medicine (GIM) ARCP Decision Aid AUGUST 2017 General Internal Medicine (GIM) ARCP Decision Aid AUGUST 2017 The ARCP decision aid documents the targets to be achieved for a satisfactory ARCP outcome at the end of each training level. This document

More information

Critical Care Medicine Clinical Privileges

Critical Care Medicine Clinical Privileges Name: Effective from / / to / / Initial privileges (initial appointment) Renewal of privileges (reappointment) All new applicants should meet the following requirements as approved by the governing body,

More information

The curriculum is based on achievement of the clinical competencies outlined below:

The curriculum is based on achievement of the clinical competencies outlined below: ANESTHESIOLOGY CRITICAL CARE MEDICINE FELLOWSHIP Program Goals and Objectives The curriculum is based on achievement of the clinical competencies outlined below: Patient Care Fellows will provide clinical

More information

Australian and New Zealand College of Anaesthetists (ANZCA)

Australian and New Zealand College of Anaesthetists (ANZCA) PS08 2016 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Assistant for the Anaesthetist 1. PURPOSE The purpose of this document is to recognise the importance of and to promote

More information

Palliative Medicine ARCP Decision Aid REVISED SEPTEMBER 2015

Palliative Medicine ARCP Decision Aid REVISED SEPTEMBER 2015 Palliative Medicine ARCP Decision Aid REVISED SEPTEMBER 2015 The guidance below documents the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. This decision

More information

Core Medical Training (CMT) ARCP Decision Aid revised November 2014

Core Medical Training (CMT) ARCP Decision Aid revised November 2014 Core Medical Training (CMT) ARCP Decision Aid revised November 2014 The table that follows includes a column for each training year within core medical training, documenting the targets that have to be

More information

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret

More information

CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY V1.0

CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY V1.0 Applicants applying for ST4 posts in paediatrics may use this certificate to successful, satisfactory completion of Level 1 paediatric competences, as defined in the RCPCH Level 1 Paediatrics and Child

More information

Paediatric Intensive Care Medicine

Paediatric Intensive Care Medicine RCPCH Progress Paediatric curriculum for excellence Paediatric Intensive Care Medicine Level 3 Paediatrics Sub-specialty Syllabus Version 1 Approved by the GMC for implementation from 1st August 2018 The

More information

Appendix One Training requirements for each training period

Appendix One Training requirements for each training period Appendix One Training requirements for each training period Introductory training (IT) Appendix one training requirements for each training period Introductory training By the end of introductory training

More information

Curriculum for Training for Advanced Critical Care Practitioners

Curriculum for Training for Advanced Critical Care Practitioners Edition 1 2015 Curriculum for Training for Advanced Critical Care Practitioners The Faculty of Intensive Care Medicine The Faculty of Intensive Care Medicine. This guidance may be reproduced for training

More information

East of England ACCS Programme Core Training Handbook

East of England ACCS Programme Core Training Handbook 2015/ 2016 East of England ACCS Programme Core Training Handbook Trainee s Name GMC number ACCS parent specialty College training number Base Hospital Overall educational supervisor Module 1 including

More information

Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units

Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units Background: In 2004, the CPSO adopted a model for a pilot project to institute limited

More information

NMHS National Foundation Module Critical Care Nursing. Module overview. Module leader: Katie Wedgeworth

NMHS National Foundation Module Critical Care Nursing. Module overview. Module leader: Katie Wedgeworth Module overview Module leader: Katie Wedgeworth Katie.wedgeworth@ucd.ie 017166447 Module web link Module Objectives and Learning Outcomes The objective of this module is that students will be able to safely

More information

Minimum Requirements for Assessments and Assessors of Foundation Doctors

Minimum Requirements for Assessments and Assessors of Foundation Doctors Minimum Requirements for Assessments and Assessors of Foundation Doctors Author: Foundation Programme Unit/Quality & Committee Services Version number: FP 01/03 Applicable to: All Foundation Schools and

More information

Pediatric Intensive Care Unit Rotation PL-2 Residents

Pediatric Intensive Care Unit Rotation PL-2 Residents PL-2 Residents Residents are required to have sufficient knowledge of their patients in order to present them to the team on rounds, and to construct a differential diagnosis and treatment plan. They are

More information

STROKE MEDICINE SUB SPECIALTY TRAINING

STROKE MEDICINE SUB SPECIALTY TRAINING STROKE MEDICINE SUB SPECIALTY TRAINING ENTRY CRITERIA ESSENTIAL CRITERIA Qualifications Applicants must have: MBBS or equivalent medical qualification MRCP (UK) full diploma or EEA eligibility ii at time

More information

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery Curriculum Penn State Milton S. Hershey Medical Center Division of Trauma, Acute Care & Critical Care Surgery Residency-SICU The Section Chief for the Emergency General Surgery section within the Division

More information

During the hospital medicine rotation, residents will focus on the following procedures as permitted by case mix:

During the hospital medicine rotation, residents will focus on the following procedures as permitted by case mix: Educational Goals & Objectives The Inpatient Family Medicine rotation will provide the resident with an opportunity to evaluate and manage patients with common acute medical conditions. Training will focus

More information

GENERAL PROGRAM GOALS AND OBJECTIVES

GENERAL PROGRAM GOALS AND OBJECTIVES BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation

More information

Teaching Methods. Responsibilities

Teaching Methods. Responsibilities Avera McKennan Critical Care Medicine Rotation Goals and Objectives Pulmonary/Critical Care Medicine Fellowship Program University of Nebraska Medical Center Written: May 2011 I) Rotation Goals A) To manage

More information

Information Brochure

Information Brochure MGM INSTITUTE OF HEALTH SCIENCES (Deemed University u/s 3 of UGC Act, 1956) Grade A Accredited by NAAC Sector-1, Kamothe, Navi Mumbai - 410209 Tel. No. 022-27432471, 022-27432994, Fax No. 022-27431094

More information

East of England ACCS Programme Core Training Handbook

East of England ACCS Programme Core Training Handbook 2016/ 2017 East of England ACCS Programme Core Training Handbook Trainee s Name GMC number ACCS parent specialty College training number Base Hospital Overall educational supervisor Module 1 including

More information

1. CRITICAL CARE. Preamble. Adult and Pediatric Critical Care

1. CRITICAL CARE. Preamble. Adult and Pediatric Critical Care 1. CRITICAL CARE Complete understanding of the following paragraphs is essential to appropriate billing of the critical care fees. Members of the team billing the Critical Care Payment Schedule can not

More information

Curriculum for Internal Medicine Stage 1 Training

Curriculum for Internal Medicine Stage 1 Training Curriculum for Internal Medicine Stage 1 Training Implementation August 2019 Contents 1. Introduction 3 2. Purpose 3 2.1 Purpose statement 3 2.2 Rationale 4 2.3 Development 7 2.4 Training Pathway 7 2.5

More information

UNM SRMC CRITICAL CARE PRIVILEGES

UNM SRMC CRITICAL CARE PRIVILEGES UNM SRMC INSTRUCTIONS All new applicants must meet the following requirements as approved by the UNM SRMC Board of Directors effective May 24, 2017 Applicant: Check off the "Requested" box for each privilege

More information

UNMH Critical Care Clinical Privileges. Name: Effective Dates: From To

UNMH Critical Care Clinical Privileges. Name: Effective Dates: From To All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective November 17, 2016: INSTRUCTIONS: Applicant: Check off the requested box for each privilege requested.

More information

Pediatric Intensive Care Unit (PICU) Elective PL-1 Residents

Pediatric Intensive Care Unit (PICU) Elective PL-1 Residents PL-1 Residents Interns are required to have sufficient knowledge of their patients in order to present them to the team on rounds, and to construct a differential diagnosis and treatment plan. They are

More information

RHEUMATOLOGY ST3 ESSENTIAL CRITERIA

RHEUMATOLOGY ST3 ESSENTIAL CRITERIA ENTRY CRITERIA RHEUMATOLOGY ST3 ESSENTIAL CRITERIA Applicants must have: MBBS or equivalent medical qualification Qualifications MRCP (UK) Part 1 or EEA eligibility ii at time of application MRCP (UK)

More information

anaesthetic services Chapter 15 Services for neuroanaesthesia and neurocritical care 2014 GUIDELINES FOR THE PROVISION OF ACSA REFERENCES

anaesthetic services Chapter 15 Services for neuroanaesthesia and neurocritical care 2014 GUIDELINES FOR THE PROVISION OF ACSA REFERENCES Chapter 15 GUIDELINES FOR THE PROVISION OF anaesthetic services ACSA REFERENCES 15.1.1 15.1.2 15.1.3 15.1.4 15.1.5 15.1.8 15.1.9 15.1.11 15.2.1 15.2.9 15.2.13 15.2.17 15.2.18 15.2.19 15.3.2 15.4.2 15.5.1

More information

Pediatric ICU Rotation

Pediatric ICU Rotation Pediatric Anesthesia Fellowship Program Department of Anesthesiology 800 Washington Street, Box 298 Boston, MA 02111 Tel: 617 636 6044 Fax: 617 636 8384 Pediatric ICU Rotation ROTATION DIRECTOR: RASHED

More information

HAEMATOLOGY ST3 ESSENTIAL CRITERIA

HAEMATOLOGY ST3 ESSENTIAL CRITERIA ENTRY CRITERIA HAEMATOLOGY ST3 ESSENTIAL CRITERIA Applicants must have: MBBS or equivalent medical qualification Qualifications MRCP (UK) Part 1 or MRCPCH Part 1 A and B or EEA eligibility ii at time of

More information

Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency

Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency DEPARTMENT OF ANESTHESIA Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency 1. An anesthesiology resident, during a two month rotation should gain exposure to the scope

More information

INTENSIVE CARE MEDICINE ST3

INTENSIVE CARE MEDICINE ST3 INTENSIVE CARE MEDICINE ST3 ENTRY CRITERIA ESSENTIAL CRITERIA Applicants must have: MBBS or equivalent medical qualification Qualifications WHEN EVALUATED i Applicants from an Anaesthetics training background,

More information

Intensive Care Medicine (ST3)

Intensive Care Medicine (ST3) Intensive Care Medicine (ST3) Entry Criteria Qualifications Eligibility Essential Criteria When Evaluated 1 AND MBBS or equivalent medical qualification Anaesthetics via CAT or ACCS (Anaesthetics) or equivalent:

More information

SUPERVISION POLICY. Pulmonary and Critical Care Medicine (PCCM)

SUPERVISION POLICY. Pulmonary and Critical Care Medicine (PCCM) Definitions Resident: Roles, Responsibilities and Patient Care Activities of Fellow Pulmonary and Critical Care Medicine (PCCM) University of Washington Medical Center Harborview Medical Center Seattle

More information

CVICU. Attending feedback in the course of patient care. Assessment of clinical decisions Observation on Rounds. Annual In-service evaluation

CVICU. Attending feedback in the course of patient care. Assessment of clinical decisions Observation on Rounds. Annual In-service evaluation ACGME Competency-based Goals and Objectives ROTATION Cardiovascular Critical Care Unit, PGY 4, 5, 6 CVICU Goal 1. Develop a comprehensive and physiology-based understanding of evolving illness in children

More information

PRACTICAL CARDIAC EXERCISE STRESS TESTING

PRACTICAL CARDIAC EXERCISE STRESS TESTING PRACTICAL CARDIAC EXERCISE STRESS TESTING AIM SCOPE The aim of this assessment is to ensure that the student develops his/her skills with respect to patient-centred care, assisting in cardiac exercise

More information

Regions Hospital Delineation of Privileges Critical Care

Regions Hospital Delineation of Privileges Critical Care Regions Hospital Delineation of Privileges Critical Care Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic

More information

Certificate of Eligibility of Specialist Registration (CESR) Portfolio. Name: GMC Number:

Certificate of Eligibility of Specialist Registration (CESR) Portfolio. Name: GMC Number: Certificate of Eligibility of Specialist Registration (CESR) Portfolio Name: GMC Number: Contents: Glossary Introduction Background Format of CESR Application Domain 1 Knowledge, Skills and Performance

More information

Advanced Training Skills Module - Labour Ward Lead August Labour Ward Lead

Advanced Training Skills Module - Labour Ward Lead August Labour Ward Lead Labour Ward Lead The labour ward is an area of complexity within any hospital. At any time there may be women experiencing normal childbirth, as well as others, fortunately fewer in number, who may be

More information

Emergency Department Student Elective Goals and Objectives

Emergency Department Student Elective Goals and Objectives Emergency Department Student Elective Goals and Objectives Goals: During the Emergency Department (ED) rotation, the student will develop his/her knowledge and skills associated with the evaluation, treatment

More information

CRITICAL CARE CLINICAL PRIVILEGES St. Dominic Jackson Memorial Hospital

CRITICAL CARE CLINICAL PRIVILEGES St. Dominic Jackson Memorial Hospital PRINTED NAME: DATE: All new applicants must meet the following requirements as approved by the governing body, effective: 02/25/2016 INSTRUCTIONS Applicant: Check the requested box for each privilege requested.

More information

Delineation of Privileges and Credentialing for Critical Care Procedures

Delineation of Privileges and Credentialing for Critical Care Procedures Delineation of Privileges and Credentialing for Critical Care Procedures Marialice Gulledge, DNP, ANP-BC Chief, Nurse Practitioner Trauma and Acute Care Surgery Disclosure Faculty/presenters/authors/content

More information

Guidance on Revalidation in Intensive Care Medicine

Guidance on Revalidation in Intensive Care Medicine Guidance on Revalidation in Intensive Care Medicine Edition 3 February 2014 Guidance on Revalidation in Intensive Care Medicine Edition 3 / 2014 CONTENTS CONTENTS Revalidation in Intensive Care Medicine

More information

CARDIOVASCULAR SURGERY PHYSICIAN ASSISTANT CLINICAL PRIVILEGES

CARDIOVASCULAR SURGERY PHYSICIAN ASSISTANT CLINICAL PRIVILEGES Notice to Applicant: Applicants have the burden of producing information deemed adequate by University of Mississippi Medical Center (UMMC) for a proper evaluation of current competence, current clinical

More information

East of England ACCS Programme Core Training Handbook

East of England ACCS Programme Core Training Handbook 2016/ 2017 East of England ACCS Programme Core Training Handbook Trainee s Name GMC number ACCS parent specialty College training number Base Hospital Overall educational supervisor Module 1 including

More information

CARDIOLOGY ST3 ESSENTIAL CRITERIA

CARDIOLOGY ST3 ESSENTIAL CRITERIA ENTRY CRITERIA CARDIOLOGY ST3 ESSENTIAL CRITERIA Applicants must have: MBBS or equivalent medical qualification Qualifications MRCP (UK) Part 1 or EEA eligibility ii at time of application MRCP (UK) full

More information

CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM

CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM Faculty representative: Venu Chennamaneni, MD Original document by: Davoren Chick, MD, Kelly Morgan, MD Resident Representative: None

More information

An Overview for F2 Doctors of Foundation Programme attachments to General Practice

An Overview for F2 Doctors of Foundation Programme attachments to General Practice An Overview for F2 Doctors of Foundation Programme attachments to General Practice July 2011 Contents Page GP Placements 2 Guidance on Educational Agreements 4 Key facts about F2 Placements 6 The Foundation

More information

NEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES

NEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for

More information

ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY)

ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY) July 2011 ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY) ROTATION DIRECTOR: Areti Tillou, M.D. CHIEF OF TRAUMA SURGERY: Henry G. Cryer, M.D. SITE: RRUMC GOALS AND OBJECTIVES: To provide trainees

More information

HOSPITAL MEDICAL OFFICER

HOSPITAL MEDICAL OFFICER Position Title: Classification: Reports To: Department: Award / Enterprise Agreement: Hospital Medical Officer Hospital Medical Officer HM13 Director of Emergency Services Emergency In accordance with

More information

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established

More information

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows)

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows) Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows) Definitions Pediatric Critical Care Medicine Fellowship Program Seattle Children s Hospital and Harborview Medical

More information

EMERGENCY MEDICINE CLINICAL ROTATION COMPETENCY BASED CURRICULUM

EMERGENCY MEDICINE CLINICAL ROTATION COMPETENCY BASED CURRICULUM CLINICAL ROTATION COMPETENCY BASED CURRICULUM EMERGENCY MEDICINE During the third year of the curriculum, students expand their knowledge of emergent conditions and gain the ability to apply the knowledge

More information

CA-1 CRITICAL CARE ROTATION University of Minnesota Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks

CA-1 CRITICAL CARE ROTATION University of Minnesota Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks CA-1 CRITICAL CARE ROTATION Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks Introduction: Critical Care is an integral aspect of anesthesiology training.

More information

SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow

SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow I. Clinical Mission of the North Carolina Jaycee Burn Center The clinical

More information

PEDIATRIC EMERGENCY MEDICINE CLINICAL PRIVILEGES

PEDIATRIC EMERGENCY MEDICINE CLINICAL PRIVILEGES Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 1/6/2016 Applicant: Check off the Requested box for each

More information

Fundamental Critical Care Support (FCCS)

Fundamental Critical Care Support (FCCS) Provided By: Fundamental Critical Care Support (FCCS) Center for Advanced Medical Learning and Simulation (CAMLS) 124 S. Franklin, Tampa, Florida 33602 Needs Statement and Educational Gap: Early identification

More information

South Central Neonatal Network

South Central Neonatal Network South Central Neonatal Network Education and training strategy: Continuing education and professional development Authored by Sue Turrill, School of Healthcare, University of Leeds, February 2012 Final

More information

CURRICULUM ON CRITICAL CARE MEDICINE Denver Health Internal Medicine Residency Program

CURRICULUM ON CRITICAL CARE MEDICINE Denver Health Internal Medicine Residency Program CURRICULUM ON CRITICAL CARE MEDICINE Denver Health Internal Medicine Residency Program Chief of Service: Richard K. Albert, MD DH Internal Medicine Residency Director: Ivor Douglas, MD Revision date: October

More information

General Internal Medicine Clinical Privileges REAPPOINTMENT Effective from July 1, 2015 to June 30, 2016

General Internal Medicine Clinical Privileges REAPPOINTMENT Effective from July 1, 2015 to June 30, 2016 Name: Initial privileges (initial appointment) Renewal of privileges (reappointment) All new applicants must meet the following requirements as approved by the governing body, effective: 04/Jun/2013. Applicant:

More information

Regions Hospital Delineation of Privileges Nurse Practitioner

Regions Hospital Delineation of Privileges Nurse Practitioner Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic

More information

Paediatric Allergy Immunology and Infectious Diseases Further Assessment Guidance for Level 3 Trainees (ST6-8)

Paediatric Allergy Immunology and Infectious Diseases Further Assessment Guidance for Level 3 Trainees (ST6-8) Page 1 of 6 Paediatric Allergy Immunology and Infectious Diseases Further Assessment Guidance for Level 3 Trainees (ST6-8) At level 3 the trainee is learning to work independently within their team and

More information

JOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach.

JOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach. JOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach. JOB TITLE: GRADE: BASE: MANAGED BY: Advanced Neonatal Nurse Practitioner Band 8a Homerton

More information

The Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations

The Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations The Ohio State University Department of Orthopaedics Residency Curriculum PGY1 Rotations Goals and Objectives Anesthesiology Rotation PGY1 Level I. Core Competency Areas By the end of the PGY1 rotation

More information

MODERNISING SCIENTIFIC CAREERS. Scientist Training Programme Work Based Training. Learning Guide CARDIAC, VASCULAR, RESPIRATORY AND SLEEP SCIENCES

MODERNISING SCIENTIFIC CAREERS. Scientist Training Programme Work Based Training. Learning Guide CARDIAC, VASCULAR, RESPIRATORY AND SLEEP SCIENCES MODERNISING SCIENTIFIC CAREERS Scientist Training Programme Work Based Training Learning Guide CARDIAC, VASCULAR, RESPIRATORY AND SLEEP SCIENCES 2012/13 Page 1 STP WORK BASED PROGRAMME IN CARDIAC, VASCULAR,

More information

Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland

Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland Program director: Thorunn Sch. Eliasdottir, CRNA, PhD Specialized Nursing Postgraduate Diploma Faculty

More information

@ncepod #tracheostomy

@ncepod #tracheostomy @ncepod #tracheostomy 1 Introduction Tracheostomy: Remedy upper airway obstruction Avoid complications of prolonged intubation Protection & maintenance of airway The number of temporary tracheostomies

More information

Training capacity and Rostering

Training capacity and Rostering GUIDANCE FOR TRAINING UNITS IN INTENSIVE CARE MEDICINE This guidance pertains to trainees undertaking blocks in Intensive Care Medicine while pursuing the 2011 standalone curriculum for a CCT in ICM either

More information

ACCS CORE TRAINING PROGRAMME HANDBOOK

ACCS CORE TRAINING PROGRAMME HANDBOOK ACCS CORE TRAINING PROGRAMME HANDBOOK 2017-2018 Version 11 03 0ctober 2017 Trainee Name: GMC number: ACCS parent speciality: College training number: Base hospital: Overall educational supervisor: Emergency

More information

Respiratory Therapy Program Technical Standards

Respiratory Therapy Program Technical Standards Respiratory Therapy Program Technical Standards Technical Standards define the observational, communication, cognitive, affective, and physical capabilities deemed essential to complete this program and

More information

ICU. Rotation Goals & Objectives for Urology Residents

ICU. Rotation Goals & Objectives for Urology Residents THE UNIVERSITY OF BRITISH COLUMBIA Department of Urologic Sciences Faculty of Medicine Gordon & Leslie Diamond Health Care Centre Level 6, 2775 Laurel Street Vancouver, BC, Canada V5Z 1M9 Tel: (604) 875-4301

More information

Family Medicine Residency Surgery Rotation

Family Medicine Residency Surgery Rotation Family Medicine Residency Surgery Rotation Rotation Goal The overall goal for the educational experience provided in the areas of general surgery, trauma surgery, office orthopedic surgery and sports medicine,

More information

PAEDIATRIC HIGH DEPENDENCY CARE. Training In High Dependency for Post CCT Doctors in General Paediatrics

PAEDIATRIC HIGH DEPENDENCY CARE. Training In High Dependency for Post CCT Doctors in General Paediatrics PAEDIATRIC HIGH DEPENDENCY CARE Training In High Dependency for Post CCT Doctors in General Paediatrics ASSESSMENT OF COMPETENCE DURING PAEDIATRIC SPECIAL INTEREST MODULE IN HIGH DEPENDENCY STRUCTURED

More information

Course: Acute Trauma Care Course Number SUR 1905 (1615)

Course: Acute Trauma Care Course Number SUR 1905 (1615) Course: Acute Trauma Care Course Number SUR 1905 (1615) Department: Faculty Coordinator: Surgery Dr. Joseph P. Minei Hospital: Periods Offered: Length: Parkland Health & Hospital System All year 4 weeks

More information

CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY

CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY ROTATION SUPERVISOR: DR. CRAIG AINSWORTH OVERVIEW The Cardiac Care Unit (CCU) at the Hamilton General Hospital is a busy 14-bed, Level

More information

Anesthesia Elective Curriculum Outline

Anesthesia Elective Curriculum Outline Department of Internal Medicine Texas Tech University Health Sciences Center Odessa, Texas Anesthesia Elective Curriculum Outline Revision Date: July 10, 2006 Approved by Curriculum Meeting September 19,

More information

UNIVERSITY OF COLORADO HEALTH SCIENCES CENTER PULMONARY ELECTIVE HOUSESTAFF ROTATION CURRICULUM AND OBJECTIVES

UNIVERSITY OF COLORADO HEALTH SCIENCES CENTER PULMONARY ELECTIVE HOUSESTAFF ROTATION CURRICULUM AND OBJECTIVES January 2007 UNIVERSITY OF COLORADO HEALTH SCIENCES CENTER PULMONARY ELECTIVE HOUSESTAFF ROTATION CURRICULUM AND OBJECTIVES This paragraph only applies if you are rotating at the University of Colorado

More information

Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital

Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital PGY 1 Interns should have close supervision by a resident and/or attending and

More information

For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert

For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert www.buppert.com Describe the services in critical care that nurse practitioners perform that are billable Discuss what

More information

UNMH Anesthesiology Clinical Privileges

UNMH Anesthesiology Clinical Privileges For eligibility to request privileges in Anesthesiology, applicants must have appointment as a Faculty member of the UNM Department of Anesthesiology & Critical Care Medicine. All new applicants must meet

More information

Clinical Healthcare LEVEL 3

Clinical Healthcare LEVEL 3 Clinical Healthcare LEVEL www.atem.co.uk 00 00 666 WELCOME In this guide you will find everything you need to know regarding the Clinical Healthcare Level qualification, including the different elements

More information

COMPETENCY BASED CURRICULUM FOR SPECIALIST TRAINING IN PSYCHIATRY. Dr V M Aziz- Old Age Psychiatry Conference Bristol March 2017

COMPETENCY BASED CURRICULUM FOR SPECIALIST TRAINING IN PSYCHIATRY. Dr V M Aziz- Old Age Psychiatry Conference Bristol March 2017 COMPETENCY BASED CURRICULUM FOR SPECIALIST TRAINING IN PSYCHIATRY Dr V M Aziz- Old Age Psychiatry Conference Bristol March 2017 AIM To improve recruitment and workforce in old age psychiatry it is important

More information

Formative DOPS: Endoscopic ultrasound (EUS)

Formative DOPS: Endoscopic ultrasound (EUS) Date of procedure Trainee name Trainer name Membership no. (eg. GMC/NMC) Membership no. (eg. GMC/NMC) Outline of case Category Gastrointestinal HPB Other Please tick appropriate box Difficulty of case

More information

PATIENT RIGHTS, PRIVACY, AND PROTECTION

PATIENT RIGHTS, PRIVACY, AND PROTECTION REGIONAL POLICY Subject/Title: ADVANCE CARE PLANNING: GOALS OF CARE DESIGNATION (ADULT) Approving Authority: EXECUTIVE MANAGEMENT Classification: Category: CLINICAL PATIENT RIGHTS, PRIVACY, AND PROTECTION

More information

Introduction. Introduction Booklet. National Competency Framework for. Adult Critical Care Nurses

Introduction. Introduction Booklet. National Competency Framework for. Adult Critical Care Nurses Critical Care Networks- National Nurse Leads National Competency Framework for Introduction Adult Critical Care Nurses Introduction Booklet Providing Registered Nurses with essential Critical Care Skills

More information

Competencies in practice. A curriculum for internal medicine

Competencies in practice. A curriculum for internal medicine Competencies in practice A curriculum for internal medicine Drivers for Change Shape of Training Increased generalism Changing demography etc Published 2013 Generic Professional Capabilities (GMC) To be

More information

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery Penn State Milton S. Hershey Medical Center Division of Trauma, Acute Care & Critical Care Surgery Residency-Trauma Curriculum The Medical Director for the Penn State Shock Trauma Center is Dr. Heidi Frankel.

More information

Supervision of Trainee Doctors

Supervision of Trainee Doctors Appendix 13 Supervision of Trainee Doctors Good Medical Practice Supervision of Trainee Doctors Teaching, training, appraising and assessing doctors and students are important for the care of patients

More information

COMPETENCIES, LEARNING OPPORTUNITIES, TEACHING AND ASSESSMENTS FOR TRAINING IN GENERAL INTENSIVE CARE MEDICINE

COMPETENCIES, LEARNING OPPORTUNITIES, TEACHING AND ASSESSMENTS FOR TRAINING IN GENERAL INTENSIVE CARE MEDICINE Document type: Guide Document category: Training Date established: 2011 Date last reviewed: 2011 College of Intensive Care Medicine of Australia and New Zealand COMPETENCIES, LEARNING OPPORTUNITIES, TEACHING

More information

CCT in Anaesthetics Assessment Guidance 2017

CCT in Anaesthetics Assessment Guidance 2017 CCT in Anaesthetics Assessment Guidance 2017 Royal College of Anaesthetists Introduction This document describes the various assessment methods used in the anaesthetic training programme. Trainees are

More information

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

DIAGNOSTIC AND THERAPEUTIC PROCEDURES LIFE THREATENING CRITICAL CARE The service rendered when a physician provides critical care to a critically ill or critically injured patient. For the purpose of this service, a critical illness or critical

More information

Learning Goals and Objectives - Residents Medical Intensive Care Unit (MICU) Service Harborview Medical Center

Learning Goals and Objectives - Residents Medical Intensive Care Unit (MICU) Service Harborview Medical Center Learning Goals and Objectives - Residents Medical Intensive Care Unit (MICU) Service Harborview Medical Center MEDICAL INTENSIVE CARE UNIT Location: Harborview Medical Center Faculty Contact: Margaret

More information

ENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation

ENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT

More information