Clinical Experience C: Acute and Critical Illness Patient Care

For a rotation to meet the requirements of Clinical Experience C, the prevocational doctor must be involved in the acute care management of patients. 

Term Descriptions will need to contain adequate evidence to support the clinical experience classification. 

AMC description of Clinical Experience C:

Prevocational doctors must have experience assessing and managing patients with acute illnesses, including participating in the care of the acutely unwell or deteriorating patient. Learning activities include to recognise, assess, escalate appropriately, and provide immediate management to deteriorating and acutely unwell patients. This experience could be gained working in a range of settings such as acute medical, surgical or emergency departments.

Examples of how a rotation may meet the requirements of Clinical Experience CExamples of how a rotation may not meet requirements of Clinical Experience C
The majority of admissions are unplanned.The majority of admitted patients are admitted electively.
Patient management usually has curative, recovery or stabilisation intent.Patient goals of care are symptom focused or palliative.
The unit has a critical care focus.The unit experience is predominantly outpatient focussed with attention to long term management of medical conditions.
Prevocational doctor is involved in the discussions and management of admitted patients (ward rounds, presentations, meetings).The model of care requires that patients are transferred to an alternate practitioner or unit when acute care management is required (eg. transfer to hospital or admission under an alternate unit).
Duties include active participation in ward rounds and completion of actions related to the patient’s acute illness.Clinical Unit does not admit under their unit to the health service.
The role of the prevocational doctor in management of deteriorating patients (MET calls and Code Blue) is clearly defined.
Prevocational doctor participates in the after-hours or cover roster.

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