ICU Rotation - 4 Weeks
Given the large number of potential medical and surgical clinical problems that a resident may be exposed to in the intensive care unit, educational efforts are focused on ten of the most common and life-threatening clinical presentations. This is by no means an exhaustive list, and therefore, it is the responsibility of the resident to demonstrate effective adult learning strategies when faced with a patient presenting with a clinical problem not directly covered by this curriculum.
Ten Clinical Presentations
- Acute Respiratory failure
- Cardiac dysrhythmias
- Cardiac arrest
- Derangements of serum electrolytes and osmolality
- Acid/base disorders
- Decreased level of consciousness and seizures
- Drug intoxication and withdrawel
- Traumatic Injury
- Recognize and describe the above clinical presentations
- Describe, and in the relevant clinical setting demonstrate, the appropriate initial and ongoing investigations pertinent to the presentation.
- Demonstrate successful completion of any of the skills listed in Part 2 that may be applicable to the presentation. In addition, the resident will need to demonstrate effective interpretation of any relevant results that are obtained from these procedures.
- Describe, and in the relevant clinical setting demonstrate, the appropriate initial and ongoing management required for the presentation. In addition, interpret and act on the patient's response to these therapeutic interventions
- Describe the potential complications associated both with the clinical presentations and with the therapies that are typically used in each setting.
- Describe prognosis, taking into consideration patient co-morbidities.
Demonstrate clinical decisions and professional attitudes that are consistent with the patient's best interests.
- Demonstrate the ability to succinctly, coherently and accurately communicate information to the members of the entire health care team, patients and their families via both written (chart/consult notes) and verbal (daily rounds, patient presentations and family meetings) methods.
- During interactions with the patient and their families, create a relationship based on trust, honesty and openness through effective listening and communication skills.
- Develop an appreciation for different methods of obtaining code level status, withdrawal of care and end-of-life issues by attending and participating in family conferences with different critical care medicine attending physicians.
Demonstrate respect for and interact effectively with all members of the health care team.
- Effectively cares for and manages appropriate clinical workload
- Manages and utilizes resources effectively where appropriate (e.g. appropriate investigations)
- Displays appropriate time management skills (e.g. prioritizing tasks, performing interventions in a timely manner, work at a pace appropriate for level of training.)
- Demonstrates the ability to use their time effectively by appropriately prioritizing tasks, delegating as required
- Recognize the finite nature of health care resources and, in the setting of patient-centered care, will prioritize investigations and treatments appropriately.
- Demonstrates ability to lead health care team (eg. code/resuscitation scenario.)
- Demonstrates ability to use point of care resources in order to optimize clinical decision making.
- Demonstrates appropriate evidence based medicine skills to start the practice of family medicine.
- Demonstrate the principles of life-long learning by actively reading around patients' clinical issues, attending all scheduled educational activities and participating actively in daily bedside rounds.
- Incorporate the principles of evidence-based medicine into their patient management strategy.
- Exhibits appropriate professional behaviours in practice (honesty, integrity, commitment, compassion, respect, and altruism)
- Is punctual for work related activities and show enthusiasm for learning
- Follows through on assigned tasks, transfer of patient care, and informs supervisors of errors or concerns.
- Demonstrates a willingness and openness to receiving feedback
- Demonstrates a recognition of own limitations.
- Demonstrates early life/work balance.
- Demonstrates a professional demeanor in all interactions with patients, their families and members of the health care team.