The Critical Illness Attachment (CIA) is a 4 week rotation as part of the Clinical Phase 3 (CP3) rotations at the University of Nottingham Medical School

 

The rotation at the Queens Medical Centre consists of time with our Anaesthetic, Critical Care and Emergency Medicine teams and includes clinical exposure, practical skills, small group teaching and simulation

Overview

Timetable for Rotation 1

This is a DRAFT timetable. You will have received your personal timetable. If not please contact Amy.Gibson@nuh.nhs.uk

Teaching Sessions

During your rotation in the Emergency Department ( see draft timetable), you will have bedside teaching with clinical fellows, registrar classroom small group teaching and consultant teaching sessions. Most of the learning objectives have contents on your CP3 Moodle page and here you will find links to further reading for the topics stated. 

Where it says 'Login to Moodle', it will direct you to the university page and signpost you to the further reading materials on there. We avoid duplication of content across the pages but help you organize your study better while on this rotation. 

The 4 sessions are:

  • Trauma I  (ABC)  -   Primary Survey
  • Trauma II (DE)     -   Head/Spine/Limbs
  • The Unconscious Patient
  • Mental Health in the ED

For your preparation for the bedside teaching session, please review the CHAMPS History pages of your CIA handbook. 

Trauma: ABC


Pre-Reading:


Major Trauma- 2-part video

The Unconscious Patient


Consultant's small group teaching: 

Login to Moodle: (Sign-in required) 

DashboardModules > Clinical Phase 3 - Advanced Clinical Experience (MEDS4021 UNUK) (FYR1 21-22) >Critical Illness  > Critical Illness Case 3 - Unconscious on Arrival

Topics Include: ( and the Link to follow when you login to your Moodle Pages). Check under the following headlines. Sample of some resources can be downloaded here (pdf)

 

Stroke : Medicine > Neurology > Stroke for CP3

Meningitis : Medicine > Neurology > CNS Infections

Seizures:Medicine> Neurology  > Status Epilepticus

Diabetic Emergencies: Medicine > Endocrine > Diabetes

Concept Maps

Concept maps has helped the students:

·      To develop a good list of differentials when approaching a symptom in a patient

·      To identify critical pieces of information in the patient's presentation and use them as branch points to distinguish between groups of diagnoses

·      To shape a more targeted approach in history 

·      To serve as a brief guide in reading up on various conditions with overlapping features 

·      To translate the basic medical sciences they learnt in pre-clinical years into clinical context

·      To form conceptual links between topics covered in different modules/rotations in medical school

·      To complement the knowledge of individual disease conditions

·      To develop a systematic and functional way to approach patients

·      To use as revision tool

·      To improve Clinical reasoning 

 

It is not recommended that students to memorise these concept maps because none of them could be perfect and different clinician can create their concept maps differently. 

Concept maps presentations links is attached.

Sample of  youtube video also available  and presentation is uploaded per week so please keep an eye on the YouTube channel of Dr Swe Khin-Htun.