Unit information: Psychiatry, Perioperative Medicine and Critical Care in 2020/21

Unit name	Psychiatry, Perioperative Medicine and Critical Care
Unit code	MEDI30017
Credit points	0
Level of study	H/6
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. Potokar
Open unit status	Not open
Pre-requisites	Must have progressed from previous year of the MB ChB programme.
Co-requisites	None.
School/department	Bristol Medical School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Psychiatry

History taking and clinical skills development are key aims of this element; access to patients is provided to develop these. Outside of timetabled slots students work with an Educational Supervisor and his/her team to maximize their clinical learning.

Perioperative Medicine and Critical Care element allows students to learn about what goes on around the time of operations, and to become comfortable in the intensive care environment.

Intended Learning Outcomes

Psychiatry: the principal aims are:

• To provide students with knowledge and understanding of the main psychiatric disorders, the principles underlying modern psychiatric theory and commonly used treatments
• To assist students to develop the necessary skills to apply this knowledge in clinical situations
• To encourage students to develop the appropriate attitudes necessary to respond empathically to mental illness and psychological distress in all medical and broader settings
• Students to refer to the Year 4 Psychiatry Unit Handbook for table of Learning Outcomes, which align with the RCPsych Undergraduate curriculum.

Perioperative Medicine and Critical Care

Aims & objectives:

• Understanding the perioperative care of patients
• Assessment and management of the seriously unwell patient
• Career opportunity reflection

Learning outcomes:

• Improve relevant practical skills defined in CAPS logbook, especially iv cannulation and basic airway
• Prescribe analgesics for post-operative pain
• Follow patient journeys through surgery and critical care, producing case based discussions
• Manage a simulated sick patient
• Engage in patient safety activities
• Reflection on experiences

Teaching Information

Psychiatry: There are ‘core’ introductory lectures, on-Line tutorials with supplementary materials supplied on Hippocrates. Students are loaned an up to date textbook “Psychiatry PRN” which supplies core knowledge and discusses clinical and practical skills and also includes some on-line supplementary material. The clinical attachments are supported by online tutorials. The psychopharmacology lecture on Hippocrates that features Professor David Nutt has been broken down into six sections and provides the foundations for the clinical pharmacology teaching. Students have access to a film that takes them through History taking and the Mental State Examination

Perioperative Medicine and Critical Care: Teaching and learning methods include: attachments to clinical areas such as operating theatres, recovery areas, intensive care wards, clinics, ward rounds, investigations. There are also classroom based tutorials, electronic learning modules and simulation workshops.

Assessment Information

Summative Assessment – All Year 4 Units have:

1. An Objective Structured Clinical Examination (OSCE) with stations on neonatal health, child health, reproductive health, psychiatry, primary care, dermatology, medicine for older people, peri-operative medicine and critical care.

2. Two written papers, each consisting of 100 best-of-5 multiple choice questions:

• Paper 1 will cover the learning outcomes from COMP1 and RCHN (ie neonatal and child health, reproductive health, evidence-based medicine and public health).
• Paper 2 will cover the learning outcomes from COMP2 and PsPC (primary care, medicine for older people, dermatology, psychiatry, peri-operative medicine and critical care)

Formative Assessment - During the course of the year each student will be given feedback to assist their learning.

Key vehicles for collecting and giving this feedback will include:

1) Performing two OSCE stations in each unit, run by the academies

2) Three internal students selected components:

• A presentation in Reproductive Health & Care of the Newborn
• A presentation in Psychiatry
• A critical appraisal and application of evidence from three key papers relating to a clinical scenario (COMP1)

3) Review of the logbooks and portfolios in each unit.

Reading and References

Library link

https://www.ole.bris.ac.uk/webapps/cmsmain/webui/_xy-136348_5-t_hYyAB8mF