MB ChB Phase II by k2S4876


									      University Hospitals Coventry and

             Department of
         Medical student
      information pack

last updated:22.12.08 Cyprian Mendonca        1
Introduction                             3
Consultant Contact details               4

Teaching time table                      5

Learning objectives                      5

Consultant time table                    6

MCQ test                                 6

Bleep numbers                            7

Training Assessment form                 8

last updated:22.12.08 Cyprian Mendonca          2
MB ChB Phase II          Anaesthesia training module
Welcome to the department of Anaesthesia. I hope that you will enjoy your time in
our department, and find it useful part of your training.

This module will offer you a range of knowledge and clinical skills.
Knowledge: preoperative assessment, recognising increased risk of peri-operative
morbidity and mortality, cardiovascular physiology, pharmacology of basic
anaesthetic drugs, pharmacology of analgesics, physiology of postoperative nausea
and vomiting, common intra-operative problems, standard intra-operative monitoring
and basic principles of regional anaesthesia and pharmacology of local anaesthetic

Clinical skills: assessment and management of airway and breathing, performing bag
and mask ventilation, insertion of laryngeal mask airway and venous cannulations.

Your tutor will choose an appropriate and most convenient theatre list which is
suitable for teaching. Please meet your tutor during the first week of attachment and
find out the appropriate theatre list where you can join them for subsequent weeks (
(please refer consultant time table, page 4.). You have to spend at least two sessions a
week in anaesthesia. At the end of each session you must choose a topic for
discussion at next session and read about it. To make best use of this module you
must follow the given objectives. Try and make use of all available learning
opportunities in the theatre such as going through patients notes, medications,
investigations like ECG, Blood tests, chest X-ray, CT, MRI scans and any other
clinical material available.

Portfolio cases: You should choose at least one case presenting for a surgery where
you should describe preoperative assessment, briefly about the intra-operative and
post operative management, no need for detailed anaesthetic management. More
importance should be given to the relevance of co-existing medical problems,
postoperative pain control, fluid balance, prevention and management of
postoperative nausea & vomiting. In order to get maximum benefit you should discuss
the cases with your consultant rather than handing it over at last moment.

If you have any particular problems such as your allocated tutor is not available..etc.
please do not hesitate to contact me. On a scheduled list if your allocated tutor is not
available, you are welcome to join the same theatre session. Anaesthetist doing that
particular list would be happy to teach you, please request them.

Following information will be updated to you on the day of induction
1. Time table of tutors (theatre allocation)
2. Anaesthesia training assessment from (objectives are described)
3. Partnership student/tutor allocation and teaching programme.
4. Assessment: MCQ test at the end of this block (week 8, Wednesday am).

last updated:22.12.08 Cyprian Mendonca                                                     3
Consultant Contact details
Specialty lead, Teaching Co-ordinator: Dr Cyprian Mendonca
Department Extn: 25892, 25891, 25871, direct line: 02476965892
Department website: www.anaesthetics.uk.com.
Dr V. Susarla, Consultant Anaesthetist is the teaching co-ordinator for anaesthetics at
George Elliot Hospital and Dr M Sebastian Consultant Anaesthetist, is the teaching
co-ordinator for anaesthetics at Warwick general Hospital.

 CONSULTANT                        E. MAIL ADDRESS
 Dr Amutike                        daniel.amutike@uhcw.nhs.uk
 Dr Anne Scase                     anne.scase@uhcw.nhs.uk
 Dr Bhasin                         nikhil.bhasin@uhcw.nhs.uk
 Dr Danha                          Ratidzo.danha@uhcw.nhs.uk
 Dr Hillermann                     carl.hillerman@uhcw.nhs.uk
 Dr J Larosa                       john.larosa@uhcw.nhs.uk
 Dr Krishnamoorthy                 somasundaram.krishnamoorthy@uhcw.nhs.uk
 Dr Z Kazmi                        zahid.kazmi@uhcw.nhs.uk
 Dr P Joshi                        pradnya.joshi@uhcw.nhs.uk
 Dr Radhakrishna                   subrahmanyam.radhakrishna@uhcw.nhs.uk
 Dr Ramachandran                   krishna.ramachandran@uhcw.nhs.uk
 Dr Mendia                         Luis.mendia@uhcw.nhs.uk
 Dr Mendonca                       cyprian.mendonca@uhcw.nhs.uk
 Dr Murthy                         buddhavarapu.murthy@uhcw.nhs.uk
 Dr Ruhnke                         andreas.ruhnke@uhcw.nhs.uk
 Dr Tripathy                       ram.tripathy@uhcw.nhs.uk
 Dr Watson                         duncan.watson@uhcw.nhs.uk
 Dr Elton                          john.elton@uhcw.nhs.uk

last updated:22.12.08 Cyprian Mendonca                                                4
Teaching time table
Teaching: A part of the teaching is centralised in the form of lectures and practical
demonstration in addition that you will receive from your consultants. Airway
management is an important skill which will be taught to you at the beginning of the
attachment. Please refer the tutorial time table below.
Feed back: An evaluation form will be given to you during the final week of the
attachment. We value your suggestions and comments and they will help us to
improve the course.

Tutorials and practical sessions at CSB.
The following is draft only, will be updated with each block. please refer to the
updated version of combined teaching time table (on the website, will be usually
emailed to you)

Week 1 ( induction day)           Airway management

Week 1                            Fluid balance
(Thursday, 13:00-16:00)           Pre-operative assessment
                                  Introduction to general anaesthesia

Week 1                            Regional Anaesthesia
(Friday , 13:00-16:00)            Management of shock
Tuesday, week 1 /Week 2           Simulator sessions
                                  In group of 8 students
Week 8                            Management of shock
Week 8
(Wednesday(8:30 9:30)             Anaesthesia MCQ test

Simulator session: Simulator sessions usually held on Tuesdays. On rotation six to
eight students are allocated to each session. During this session you will have
opportunity to practice airway management skills and learn common intra-operative

Learning objectives: Refer to WMS course document, chapter
5critical care: anaesthesia and Resuscitation
Pre-operative assessment for anaesthesia: You should be able to recognise patients
who have increased risk for surgery and anaesthesia, the need and interpret the pre-
operative blood tests, chest radiographs and ECGs, to recognise patients who have
an increased risk of peri-operative morbidity and mortality.
Pharmacology: You should have basic knowledge of commonly used anaesthetic
Intra-operative monitoring: to understand intra-operative monitoring such as ECG,
BP, pulseoximetry.
Intra-operative problems: Recognition and treatment of common intra-operative

last updated:22.12.08 Cyprian Mendonca                                                  5
              problems such as hypotension, hypertension, arrhythmias, tachycardia and
              Clinical skills: To learn basic resuscitation skills, airway management skills and
              intravenous cannulations.
              Postoperative problems: To understand the pathophysiology of postoperative
              nausea- vomiting, to understand the principles of various methods of managing
              postoperative pain.
              Consultant time table: Please refer to the time table below. Majority of consultants
              work flexibly, so if they are not available in the allocated theatre, please contact the
              anaesthetic department for update on the weekly rota. Weekly anaesthetic rota is
              available on internet, www.anaesthetics.uk.com You can also contact your tutor on
              their pager or mobile through switch board.

              Handbook of Anaesthesia: You would be able to access this from Junior Rotation
              page: http://www2.warwick.ac.uk/fac/med/meded/mbchb/phase_2/2004/junior_rotation/

                                                 Consultant time table

Consultant             Monday             Tuesday             Wednesday      Thursday            Friday
                       AM PM              AM      PM          AM     PM      AM      PM          AM PM
Dr Amutike                                TH16         TH16           TH 9   TH 9                DU
Dr Bhasin*             TH12    TH 12                                         Cardiac   Cardiac
Dr Hillermann                                                 TH15    TH15   RSC       RSC*      TH8         TH8
Dr Krishnamoorthy              DU         TH14         TH14                                      DU          TH9
Dr P Joshi
Dr Radhakrishna        TH 5    TH 5       TH9          TH10                  TH 16     TH16*     TH23
Dr Ramachandra                            TH5          TH6    TH12*          TH11      TH9

Dr Mendonca            RSC     RSC                            TH6     TH6    TH15      TH15*     TH5         TH5*
Dr Murthy**                               TH11         TH11                  CW        CW*
Dr Ruhnke                                                     TH2            RSC       RSC       RSC         RSC
Dr Tripathy**          TH15    TH15
Dr Watson**                                                   TH11    TH11
Dr Wyse                RSC     RSC        TH22         TH22
Dr Elton               TH14    TH14                           TH10    TH10
                                          Obst                                                   Obst
Dr J Larosa            TH4     TH4        TH9                 TH6     TH6*
Dr Kazmi               DU                 RSC          RSC                   TH4*
Dr A Scase                                TH8*         TH8*   DU             TH20

              DU: surgical day unit theatre at UHCW
              TH1-TH25: 1st floor theatre:UHCW
              RSC: Rugby St.Cross Hospital, main theatres.
                **: are also on ITU rota. During ITU week they are available in ITU.
                *: alternate weeks.

              MCQ test
              At the end of block there will be an MCQ test, usually conducted on the same day as
              orthopaedic exams. This test is designed to assess student’s knowledge on

              last updated:22.12.08 Cyprian Mendonca                                                     6
pharmacology on most commonly used drugs during surgery and anaesthesia, and
peri-operative management of patients presenting for surgery.

Bleep No        consultants
           1483 Amutike
           1847 Bhasin
           1484 Elton
           1855 Hillerman
           1861 Kazmi
           1862 Krishnamoorthy
           1863 Larosa
           1865 Mendonca
           1866 Murthy
           1871 Radhakrishna
           1872 Ramachandra
           1481 Ruhnke
           1874 Scase
           1886 Tripathy
           1857 Watson
           1877 P Joshi
           1850 R Danha
           1482 Ziauddin
           1683 Mendia

last updated:22.12.08 Cyprian Mendonca                                         7
    Training Assessment form

    This forms the part of your objectives during this module and also a guidance for you
    to read about the topics before attending the theatre session. Don’t keep everything to
    the last moment, try and complete at least one topic every week. It is very important
    that you read the topic before hand.

                     MBChB Phase II Anaesthesia Training Assessment


Activity                                        Yes     No      Date        Tutor’s
Able to obtain relevant pre-operative history

Understands the pre-operative
 Understands the factors that can increase
peri-operative morbidity and mortality.
Understands how to assess airway and
Able to maintain airway and to perform bag
and mask ventilation
Understands indications /contraindications
of spinal anaesthesia
Understands common intra-operative
problems such as hypertension,
hypotension, bradycardia, tachycardia and
blood loss.
Understands the treatment of post operative
nausea and vomiting.
Attended simulator session (SimMan)

Has gained basic knowledge of post
operative analgesia
Understands use of monitoring such as
ECG, NIBP, and pulse oximetry
Understands recognition of hypovolaemic
shock and its management.
Any comments:

    last updated:22.12.08 Cyprian Mendonca                                                8
last updated:22.12.08 Cyprian Mendonca   9

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