Professional Medical Education Critical Care Webinar November 2014 Dr Annette Katelaris SYDNEY MEDICAL SCHOOL Director, Office of Postgraduate Education Dr Peter Roberts Course Convener and Director of Emergency Medicine, Ryde Hospital Vocational degrees Pain Management Ophthalmology Paediatric Medicine Metabolic Health HIV, STIs Sexual Health Critical Care Surgery Psychiatry 2 Course delivery Taught by leading academics and clinicians Photo source: Wikipedia 3 Educational model VIVA Practice Questions WORKSHOPS 4 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 (Critical Care) is unique in Australasia. It has been developed in response to requests from critical care specialists and trainees to increase educat ional opport unities in the specialties of emergency medicine, intensive care and anaesthetics. 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 interactive online delivery, and is perfect for clinicians whose continuing education is limited by time and distance. The degree is tailored to produce well-rounded and analytical clinicians. The basic science curriculum of the Colleges will be addressed, as well as a range of targeted stream-specif c electives (eg Retrieval Medicine, Pain Management, Communication, Consent and Ethics) and general elective subjects such as medical education, leadership and grant writing. This course provides the opportunit y to advance clinical knowledge and practice in areas of interest, as well as develop expertise in other areas important to career advancement. A great benef t of the course will be interacting with similar people at a similar stage in their career, sharing knowledge and skills in a supportive environment, as well as making key contacts with leading experts in critical care. TAKE THE NEXT STEP IN YOUR CAREER - St and out from your peers - Help meet College training requirements - Prepare for College examinations - Gain insight from leaders in your chosen f eld - Acquire knowledge and skills in clinical leadership and medical education - Establish a net work of contacts with senior clinicians and your peers 5 Articulated courses Articulated courses Unit of Study 6* Graduate Certificate Graduate Diploma Master 24* 36 * 48 * Advanced Master 60* * Credit points 6 Master of Medicine (Critical Care) Grad Cert Grad Dip Master of Medicine Master of Medicine (Critical Care) Complete 4 of 6 specific units (Critical Care) (Critical Care) Physiology 6 credit points Intro Epidemiology (compulsory) 6 credit points Intro Epidemiology (compulsory) 6 credit points (Critical Care Advanced) > 75% in 4 stream-specific units 4 of 6 specific units 24 credit points Evidence and Ethics in Practice (Capstone) (compulsory) 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 1x Elective specific or general Dissertation or project 12 credit points 3 x specific units 18 credit points 3 x elective units specific or general Pain (2 subjects) 6 credit points Retrieval Med Operational Environment 6 credit points Clinical Retrieval Medicine 6 credit points 7 Master course structure Introduction to Clinical Epidemiology Evidence and Ethics in Practice stream specific Stream specific Stream specific Stream specific 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: Anatomy/ Pathology integrated Semester 2: Physiology/ Pharmacology integrated 11 Stream specific subjects: basic sciences Subject-specific vivas occur during the unit of study. Combined vivas are offered as an optional extra session in the lead up to College exams. 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 17 Position of Colleges: ACEM ACEM: CEPI5100: Introduction to Clinical Epidemiology has been approved for the purpose of fulfilling the Trainee Research Requirement. CRIT5008: Evidence and Ethics in Practice is currently under consideration for approval for the purpose of fulfilling the Trainee Research Requirement. (PUBH5018 Introductory Biostatistics is approved by ACEM for the purpose of fulfilling the Trainee Research Requirement. This subject can be undertaken as a general elective for the completion of the Graduate Diploma or Master of Medicine (Critical Care). 18 Position of Colleges: ANZCA / CICM ANZCA: The Graduate Diploma in Medicine (Critical Care) and the Master of Medicine (Critical Care) satisfy the requirements for Scholar Role B provided that: › the core unit, CEPI5100 Introductory Clinical Epidemiology; and › the capstone unit, code CRIT5008 Evidence and Ethics in Practice have been completed. Pre-approval must be sought but will be granted automatically for this course. Successful completion of the Advanced Master of Medicine (Critical Care) option also satisfies the requirements, provided that the work produced is accepted for publication. CICM: The Advanced option of the Master of Medicine (Critical Care) may be undertaken to fulfill the requirements of the Formal Project. 19 Why do these degrees? › Stand out from your peers › Help meet College training requirements › Prepare for College examinations › Gain insight from leaders in your chosen field › Acquire knowledge and skills in clinical leadership and medical education › Establish a network of contacts with senior clinicians and your peers 20 Who will study this degree and why? › If you are preparing for your primary examination for ACEM, ANZCA, CICM – complete basic sciences, then sit Primary, then complete Master degree › If you have passed your Primary and want to develop your knowledge in specific areas – research, retrieval medicine, pain medicine › If you want to improve your skills as a clinician and broaden your skill base – Communication, consent, ethics; Leadership; Medical Education; Diabetes; Paediatrics › If you have an interest in pursuing research – learn methodology; opportunity with Advanced component to undertake research project. › Unsure of what specialty you want to pursue but want to start studying – complete core unit and general electives and give yourself time to think before committing to stream. 21 Critical care: international students International students can study Critical Care outside Australia and may be able to attend face to face sessions depending on individual circumstances relating to visas. 22 FAQs › Q: How many hours per week will I need for each unit of study? Up to 10 hours. Basic sciences in particular are content rich. A 6 credit point unit equates to about 130 hours per semester. This includes face to face, online, assessment and study time. Most working students will undertake 1-2 units per semester. › Q. Is there any fee assistance? You can pay your fees up front for the units you study, or defer payments through the federal government’s FEE-HELP loan scheme so that you pay later through the taxation system. More information is available on the Future Student website at 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. 24 Face to face components and assessments Unit of Study CRIT5001: Anatomy for critical care Face to Face/Online Online activities and face to face workshops Assessment Multiple choice questions, extended matching questions, spot tests (70%); viva-voce style assessments (30%) CRIT5002: Pathology for critical care Online lectures, videos, tutorials and formative assessment; face to face workshops Multiple choice questions, extended matching questions, spot tests (70%); viva-voce style assessments (30%) CRIT5003 Pharmacology for critical care Online lectures, videos, tutorials and formative assessment; face to face workshops Multiple choice questions & extended matching questions &/or short answer questions (70%) and oral vivas (30%) CRIT5004 Physiology for critical care CRIT5005 Critical care: communication, consent, ethics Online lectures, tutorials and formative assessment; face to face workshops Online lectures and learning activities; face to face workshops 2 x 2 days 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%) CRIT5006 Retrieval med operational environment CRIT5007 Clinical retrieval medicine block mode (1x2days) plus self-directed online learning PAIN5021 Acute Pain PAIN5002 Pain Mechanisms and Contributors PAIN 5003 Pain Treatment and Management Principles 1x1hr online exam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) block mode (1x2days) plus self-directed online learning 1x1hr onlineexam (20%) 1 x 1,500 word essay (30%) participation in 2 x online discussions (30%) and quizzes (20%) Approximately 10 hours of study per week (equals 140 hours Participation in online discussion and completion of in total) multiple choice questions (20%) 3000-4000 written assignments of equivalent (80%) Online, approximately 20 hours of study per week (equals participation in online discussion (20%), 4000-5000 word 140 hours in total) 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