Internal Medicine — Rotations

ICU

Teaching

Intensive Care Unit
Sites: Adan, Amiri, Jaber, MKH

EPAs mapped to this activity

For residents in F

C8. Caring for patients who have experienced a patient safety incident (adverse event)	When Possible
F1. Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings	Required
F2a. Managing patients admitted to acute care settings with common medical problems and advancing their care plans- Part A: Patient Assessment and Management	Required
F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover	Optional
F3. Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan	Optional
F4a. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part A: Discharge plan documentation	Required
F4b. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part B: Discharge plan communication	Required
F5. Assessing unstable patients, providing targeted treatment and consulting as needed	Priority
F7. Identifying personal learning needs while caring for patients, and addressing those needs	Required

For residents in C

C1. Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations	Optional
C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care	Priority
C4b. Assessing, resuscitating, and managing unstable and critically ill patients - Part B: Interprofessional Care	Priority
C5. Performing the procedures of Internal Medicine	When Possible
C6. Assessing capacity for medical decision-making	Optional
C7. Discussing serious and/or complex aspects of care with patients, families, and caregivers	Optional
C8. Caring for patients who have experienced a patient safety incident (adverse event)	When Possible
C9a. Caring for patients at the end of life - Part A: Symptom Management in End of Life	Priority
C9b. Caring for patients at the end of life - Part B: Discussion about transition away from disease modifying treatment	Priority

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
	1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management
		1.4.13. Medical aspects of specific situations
			1.4.13.1. Common medical emergencies
				1.4.13.1.1. Life-threatening cardiac, respiratory, gastrointestinal, metabolic, neurologic and other organ system dysfunction and abnormalities
				1.4.13.1.2. Hyperthermia / hypothermia
				1.4.13.1.3. Shock, including knowledge and identification of the different etiologies
				1.4.13.1.4. Cardio-respiratory arrest
				1.4.13.1.5. Poisoning
				1.4.13.1.6. Severe drug reactions including but not limited to anaphylaxis and toxic epidermal necrolysis
				1.4.13.1.7. Complications of chemotherapy
					1.4.13.1.7.1. Febrile neutropenia
					1.4.13.1.7.2. Tumour lysis syndrome
2. Perform a patient-centred clinical assessment and establish a management plan
	2.1. Prioritize issues to be addressed in a patient encounter
		2.1.1. Recognize medical instability and address the priorities of resuscitation
	2.3. Establish goals of care in collaboration with patients and their families1, which may include slowing disease progression, treating symptoms, achieving cure, improving function, and palliation
		2.3.3. Recognize when ongoing resuscitation efforts are no longer effective and should be discontinued
	2.4. Establish a patient-centred management plan
		2.4.1. Develop and implement plans for
			2.4.1.1. Critically ill patients, including provision of hemodynamic support, non-invasive ventilation and monitoring
3. Plan and perform procedures and therapies for the purpose of assessment and/or management
	3.4. Perform a procedure in a skillful and safe manner, adapting to unanticipated findings or changing clinical circumstances
		3.4.2. Perform the procedures of Internal Medicine
			3.4.2.2. Invasive and non-invasive mechanical ventilation
			3.4.2.5. Cardiopulmonary resuscitation
				3.4.2.5.1. Combined assisted ventilation and external cardiac compression in one-person and two-person rescue
				3.4.2.5.2. External cardiac defibrillation
				3.4.2.5.3. Endotracheal intubation
				3.4.2.5.4. Emergency trans-cutaneous pacing
				3.4.2.5.5. Diagnosis and management of life threatening cardiac arrhythmias

Training experiences included in this activity

Foundation of Discipline

Required
1.4. Acute care experience with patients presenting to emergency department
1.5. After-hours coverage for a broad spectrum of inpatients and internal medicine consultation to the emergency department

Recommended
3.1. Critical care (e.g., ICU, CCU)

Core of Discipline

Required
1.6. Experience with critically ill patients. This must include ICU, CCU, and internal medicine consultation to the emergency department

Transition to Practice

Required
1.5. Experience with critically ill patients, in the role of most responsible physician, which must include experience with patients requiring mechanical ventilation and hemodynamic support (e.g., a level 2 or level 1 critical care unit)