Þessi námsþáttur er frábrugðinn öðrum að nokkru leyti. Hann er talsvert viðameiri og stærri en hinir og samanstendur af innihaldsmiklum atriðum sem tengja má æfingablöð við. Mælt er með að vinna í þessum námsþætti í gegnum árin tvö sérnáminu og ekki að vænta að honum sé lokið fyrr en undir lok tveggja ára.
Intensive care medicine – core learning outcomes
At least one piece of suitable evidence is required for each of the relevant competencies. One assessment can be used to cover multiple curriculum competencies. The ‘Assessment Tools’ column describes what type of workplace-based assessment is suitable for each competency. Other types of evidence may be used to demonstrate competencies, as described in ‘Additional Assessment Tools Key’ below. Please ensure that the numbering of evidence items in this table matches that in your portfolio.’CAT 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 CAT unless in exceptional circumstances with accompanying evidence. Please see the full ICM Syllabus for details of the knowledge, skills and behaviours which make up each competency. Those competencies which must be achieved in the 3/12 Basic ICM block are delineated below. ICM curriculum competencies which have been cross-mapped as achievable either within the 3/12 Basic ICM module or elsewhere in Core Anaesthesia Training are shown separately in the second section of the Grid. These competencies are not mandatorily assessed in the 3/12 Basic ICM module but Core Anaesthesia trainees are encouraged to map their cross-specialty competency achievement. This will enable easy demonstration of competency acquisition should they later wish to Dual accredit in ICM. Please note that all competencies listed below is mandatory for ICM Intermediate sign off
Knowledge
I1_BK_011.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
I1_BK_021.4 Triages and prioritises patients appropriately, including timely admission to ICU
I1_BK_031.5 Assesses and provides initial management of the trauma patient
I1_BK_042.1 Obtains a history and performs an accurate clinical examination
I1_BK_052.2 Undertakes timely and appropriate investigations
I1_BK_062.4 Obtains appropriate microbiological samples and interprets results
I1_BK_072.8 Integrates clinical findings with laboratory investigations to form a differential diagnosis
I1_BK_083.1 Manages the care of the critically ill patient with specific acute medical conditions
I1_BK_093.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
I1_BK_103.3 Recognises and manages the patient with circulatory failure
I1_BK_113.4 Manages the patient with, or at risk of, acute renal failure
I1_BK_123.6 Recognises and manages the patient with neurological impairment
I1_BK_133.9 Recognises and manages the septic patient
I1_BK_144.2 Manages antimicrobial drug therapy
I1_BK_154.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
I1_BK_164.8 Recognises and manages electrolyte, glucose and acid-base disturbances
I1_BK_176.1 Manages the pre- and post-operative care of the high risk surgical patient
I1_BK_187.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
I1_BK_197.2 Manages the assessment, prevention and treatment of pain and delirium
I1_BK_207.4 Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives
I1_BK_217.5 Manages the safe and timely discharge of patients from the ICU
I1_BK_228.1 Manages the process of withholding or withdrawing treatment with the multi-disciplinary team
I1_BK_239.2 Describes national legislation and guidelines relating to child protection and their relevance to critical care
I1_BK_2410.1 Undertakes transport of the mechanically ventilated critically ill patient outside the ICU
I1_BK_2511.2 Complies with local infection control measures