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DRPS : Course Catalogue : Deanery of Biomedical Sciences : Anaesthesia, Critical Care and Pain

Undergraduate Course: The Cardiovascular System Under Stress (ACCP10006)

Course Outline
SchoolDeanery of Biomedical Sciences CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 10 (Year 4 Undergraduate) AvailabilityNot available to visiting students
SCQF Credits20 ECTS Credits10
SummaryThe Cardiovascular System under Stress is a modular option in Semester 2 of the B.Med.Sci intercalated honours programme in Anaesthesia, Critical Care and Pain Medicine. It will consider cardiovascular stress in three clinical contexts: hypovolaemic, cardiogenic and septic shock. Students will gain understanding of current knowledge and clinical practice.
Course description Students will attend nine interactive tutorials. Each topic will be considered during a series of introductory, open and concluding tutorials lasting 1.5 hours each, and facilitated by course tutors. The introductory tutorial will provide a clinical case scenario. As the scenario develops, students will be asked questions to consider. These have two main purposes. First, to check that the student has a grasp of the core learning outcomes. Second, to highlight areas of uncertainty or controversy that the student will consider in greater depth through self-directed learning. Open tutorials will allow the students to discuss key questions identified during the introductory tutorials, clinical learning experiences and self-directed learning. The final case-based tutorial will lead to an understanding of the 'state-of-the art' for each shock-state.
Entry Requirements (not applicable to Visiting Students)
Pre-requisites Co-requisites
Prohibited Combinations Other requirements This course is available to 3rd Year Intercalated MBChB students only
Course Delivery Information
Academic year 2018/19, Not available to visiting students (SS1) Quota:  None
Course Start Semester 2
Timetable Timetable
Learning and Teaching activities (Further Info) Total Hours: 200 ( Seminar/Tutorial Hours 14, Supervised Practical/Workshop/Studio Hours 27, Programme Level Learning and Teaching Hours 4, Directed Learning and Independent Learning Hours 155 )
Assessment (Further Info) Written Exam 0 %, Coursework 100 %, Practical Exam 0 %
Additional Information (Assessment) There are two in-course assessments for this course:

Written assignment (80%): A 3000 word individual written assignment. Students will be expected to report on a clinical case based around one of the main themes of the module and demonstrate an ability to bring together basic research derived theory, basic evidence, and clinical evidence, to make recommendations for patient management.

Presentation (20%): Students will be asked to make an oral presentation of 20 minutes (followed by 10 minutes of questions) of their written assignments. Presentations will be given to faculty members, and peers. Students will be assessed on knowledge of subject matter, presentation, IT skills, critical thinking, and ability to participate in scientific discussion.
Feedback Students will receive individual feedback from tutors, reflecting performance in tutorials, engagement with course materials, and completion of assignments. Informal and formal feedback from supervising clinicians will also be expected.
No Exam Information
Learning Outcomes
On completion of this course, the student will be able to:
  1. Understand the applied physiology of the cardiovascular system in health and under stress
  2. Appreciate clinical features of cardiovascular shock-states
  3. Understand cardiovascular monitoring: echocardiography, cardiovascular pressures and flow in static and dynamic tests
  4. Understand application of tests of end-organ damage
  5. Understand treatments of the shock-state: fluid therapy, vasoactive drugs and mechanical devices
Reading List
Students need to have a thorough understanding of cardiovascular physiology. We recommend reading the relevant chapters 14-24 of this textbook, before starting the module:

Guyton & Hall. Textbook of Medical Physiology, John E Hall, 13th Edition, Saunders Elsevier, 2015. ISBN: 1455770051

We will also provide a reading list of key review articles before each introductory tutorial. The relevant papers ought to be read beforehand. Students will then be able to discuss the applied physiology and clinical management of the presented case scenarios. Students will also consider areas of uncertainty and controversy in shocked patients.
Additional Information
Graduate Attributes and Skills SCQF level 10 course
Category 1: Knowledge and understanding
- Graduates will develop an in-depth understanding (including up-to-date clinical perspectives) of three key, clinical conditions, and the context of the specialised knowledge that contributes to our current understanding of these conditions.
Students will also become familiar with the terminology and conventions used in everyday clinical practice.
- Graduates will be expected to build on their learning in Semester 1 to demonstrate an ability to critically appraise the evidence used to guide an aspect of current (or future) management of these conditions.

Category 2: Practice - Applied knowledge, skills & understanding
- By focussing on a small number of key clinical conditions, graduates should demonstrate an understanding of how advanced specialist skills are applied in clinical settings.
- Knowledge and experience gained from the clinical setting should prepare students for professional practice in this setting.

Category 3: Generic cognitive skills
- Graduates will have demonstrated an ability to critically identify, define, conceptualise and analyse complex clinical problems. Case-based tutorials will encourage students to demonstrate these skills.
- Graduates will be expected to critically review their knowledge, skills and thinking on the material covered, and apply this to evidence from the literature.

Category 4: Communication, ICT & numeracy skills
- Students will be expected to communicate professionally with peers, senior colleagues and specialists.
- Students may be asked to present (formally or informally) information about specialised topics to informed audiences, using appropriate ICT applications for this purpose.
- Graduates will demonstrate an ability to interpret, use and evaluate numerical and graphical data in their appraisal of the clinical environment and evidence from the literature.

Category 5: Autonomy, accountability & working with others
- Students will have the opportunity to demonstrate autonomy and initiative by planning their Clinical Learning Experiences to ensure appropriate clinical exposure.
- Students will need to practice in a manner that shows awareness of their own & others roles and responsibilities in the clinical environment.
- Students will need to work in a peer relationship with specialist practitioners in the clinical environment.
- Graduates will manage complex ethical & professional issues in accordance with current professional and/or ethical codes of practice. This module has ample scope for students to explore ethical dilemmas associated with the key clinical conditions.
- Students may come to recognise the limits of professional and/or ethical codes, and will need to seek appropriate guidance.
KeywordsAnaesthesia,Critical Care,Pain Medicine
Course organiserDr David Swann
Tel: (0131) 242 3207
Course secretaryMs Kimberley Bruce
Tel: (0131 6)51 4075
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