PGY1 FORMAL EDUCATION COURSE - 2017

TUESDAYS: 1.30 2.30pm

VENUES:
The Bryant Education Centre (BEC), Level 4 Waiora Room, L9 ERB; to be informed prior
Skills Laboratory sessions are held at the Waikato Clinical School (1.00 3pm)
This programme is subject to changes due to availability - NB: updated regularly on the intranet: RMOs / House Officer Training
Topic/facilitator to be confirmed by email on the Monday prior
Many of the sessions listed below are based on clinical scenarios. Consequently, many of these learning sessions incorporate the Patient Assessment
competencies and I have not listed these competencies in each of the sessions. These are:

Patient assessment
Evidence-based practice
Critically appraise evidence and information
Understand the principles of evidence-based practice and hierarchy of evidence
Use best available evidence in clinical decision-making
History and examination
Elicit symptoms and signs relevant to the presenting of problems or conditions
Recognise how patients present with common acute and chronic problems and conditions
Undertake and can justify clinically relevant patient assessments
Investigations
Follow up and interpret investigation results appropriately to guide patient management
Identify and provide relevant and succinct information when ordering investigations
Negotiate with patients the need for tests and explains results
Select, request and justify investigations in the course and context of particular patient presentation
Patient identification
Comply with the organisation's procedures for avoiding patient misidentification
Follow the stages of a verification process to ensure the correct identification of a patient
 Date Topic Competencies covered in the New Zealand Curriculum Tutor / facilitator
Framework for Prevocational Medical training
29.11.16 Tips on how to cope with the typical Cultural competence Dr Evy Shin
ward call: - Healthcare resources Dr Chelsea Fraser
An introduction to the characteristic, Medicine and the law (PGY-2 House Officer)
everyday ward problems including: Professional responsibility
Using SBARR (communication tool) Demonstrate accountability for their practice
How to prioritise your clinical tasks Demonstrate reliability and fulfil obligations
When and who to call for help Time management
A quick guide to prescribing on ward Demonstrate punctuality
calls (i.e. prescribing analgesia, Prioritise workload to maximise patient outcomes and health service
sedation, anti-emetics, sleeping functions
medications /hypnotics) Providing information
Respect
Working in teams
Communication in healthcare teams
Team structure
Working in health care teams
Managing information
Patient assessment

6.12.16 An approach to the deteriorating patient Working in teams Colleen Hartley

A focus on Early Warning Systems in Communication in healthcare teams (Nurse Manager Critical
the DHB including: Team structure Care)
the use of the Adult Deterioration Working in health care teams
Detection Scale (ADDS) Emergencies: Assessment Dr David Harris
Pathways for escalation when a Initiate resuscitation when clinically indicated
patient is deteriorating. Recognise and effectively assess potentially acutely ill, deteriorating
What exactly are the house officers or dying patients
responsibilities when called by Recognise the abnormal physiology and clinical manifestations of
nursing staff to review a changed critical illness
physiological status? Clinical problems and conditions
General
Recognition of the deteriorating patient

13.12.16 How do I prescribe safely and ensure Medicine and the law: Julie Vickers (Pharmacist)
medicine safety? Complete required medico-legal documentation appropriately Dr John Barnard (Clinical
Professional standards Director, Hospital Pharmacy)
 Adhere to professional standards and professional codes of conduct
Providing information
Apply the principles of good communication (verbal and non-verbal)
and communicate with patients and carers in ways they understand
Involve patients in discussions and decisions about their care
Use interpreters for non-English speaking backgrounds when
appropriate
Managing information
Electronic
Use electronic resources appropriately in patient care e.g.
referencing pharmacopoeia.
Health records:
Comply with legal / institutional requirements for health records.
Written
Accurately document drug prescription and administration
Medication safety
Document patient allergies in every case
Identify the medications most commonly involved in prescribing and
administration errors
Prescribe and administer medications safely
Provide adverse drug reaction reporting
Routinely report medication errors and near misses in accordance
with local requirements

17.1.17 The breathless patient Patient assessment Dr Akshat Khurana

Part I: Screening for chest pain and Emergencies (Registrar Cardiology)
responding to changes in serum Management options
troponin levels Identify and justify the patient management options for common
problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately
Clinical problems and conditions
General
Recognition of the deteriorating patient
Abnormal investigation results
 Abnormal blood results
White cell abnormalities
Arterial blood gases
Abnormal imaging
Circulatory
Cardiac arrhythmias
Chest pain
Electrolyte disturbances
Heart failure
Hypertension
Ischaemic heart disease
Shock
Thrombo-embolic disease
Respiratory
Asthma
Breathlessness
Chronic Obstructive Pulmonary Disease
Cough
Obstructive sleep apnoea
Pneumonia / respiratory infection
Respiratory failure
Upper airway obstruction

24.1.17 The role of the house officer in the Pain management Luke Mercer
management of acute pain of both Evaluate the pain management plan to ensure it is clinically relevant (Specialist Anaesthetics)
known and unknown aetiology Prescribe pain therapies to match the patients analgesia
requirements
Specify and can justify the hierarchy of therapies and options for pain
control

31.1.17 Career options: Professional standards Dr Wayne de Beer

Why you should consider my speciality? Adhere to professional standards and professional codes of conduct (Director of Training/
Comply with the legal requirements of being a doctor, for example Specialist - Psychiatry)
5-minute only presentations by various maintaining registration Department representatives
department representatives about why Maintain professional boundaries
you should choose their speciality. Respect patient privacy and confidentiality
 Self-directed learning
Commit to continuous improvement of performance through lifelong
learning
Develop research skills
Establish and use current evidence based resources to support
learning
Identify and address personal learning objectives
Participate in clinical audit
Participate in quality improvement activities
Seek opportunities to reflect on and learn from clinical practice

7.2.17 Approaches for house officers for the Patient assessment Dr Ryan Paul
management of electrolyte disturbances Management options (Endocrinology)
in medical and surgical patients Clinical problems and conditions
A focus on calcium, sodium and Abnormal investigation results
potassium serum level abnormalities Abnormal blood results
and their management. Electrolyte abnormalities

14.2.17 The acute abdomen: Patient assessment Dr Aleisha Sutherland

Approach to the diagnosis and Referral and consultation (Registrar General Surgery)
management for the house officer Apply the criteria for referral or consultation relevant to a particular
problem or condition
Clinical problems and conditions
Gastrointestinal
Abdominal pain
Recognition of acute abdomen

21.2.17 Skills Lab: Procedures and interventions:

Venepuncture, IV fluids , nasogastric Intravenous / Intravascular (Paediatric Specialist)
intubation in children Arterial and venous blood gas sampling and interpretation
Blood transfusion
Intravenous cannulation
Intravenous electrolyte administration
Intravenous fluid and drug administration
Intravenous infusion set-up
Venepuncture
28.2.17 The workup and immediate care of the Patient assessment Dr Jules Schofield
patient with changed level of Clinical problems and conditions: (Specialist Emergency)
consciousness Neurological
Acute headache
Delirium
Falls, especially in the elderly
Loss of consciousness
Seizure disorders
Stroke/TIA
Subarachnoid haemorrhage
Syncope

7.3.17 Tips to the identification of delirium and Patient assessment Dr Paul Reeve
a practical treatment approach Management options (Physician Specialist/Training
Clinical problems and conditions Director General Medicine)
General
Cognitive or physical disability
Functional decline or impairment
Recognition of the deteriorating patient
Abnormal investigation results
Neurological
Delirium

14.3.17 An approach to the febrile patient Patient assessment Dr Ian Martin

Safe Patient care: (Specialist - Emergency)
Infection control
Practise correct hand-hygiene and aseptic techniques
Prescribe appropriate antibiotic/antiviral therapy for common
conditions
Use methods to minimise transmission of infection between patients
Medication safety:
Document patient allergies in every case
Identify the medications most commonly involved in prescribing and
administration errors
Prescribe and administer medications safely
Provide adverse drug reaction reporting
Routinely report medication errors and near misses in accordance
 with local requirements.

Public health
Inform authorities of each case of a 'notifiable disease'
Know which diseases are notifiable
Management options
Identify and justify the patient management options for common
problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately

21.3.17 Blood products and fluid management Procedures and interventions Dr Scott Robinson
What products
How to reverse Warfarin
Deciding whether to transfuse
Resources available
Basic fluid management

28.3.17 Skills Lab: Procedures and interventions (Basic Suturing techniques and
Basic suturing techniques and practice)
practice / Intraosseous IV access and Preparation
Use of EZI Arrange appropriate equipment and describe its use
(N.B. THIS IS A CONCURRENT Prepare and positon the patient appropriately
SESSION RUN OVER TWO WEEKS Recognise the indications for local, regional or general anaesthesia
(second week 11.4.17) WITH PGY1S Procedures
ALLOCATED TO ONE OF TWO Arrange appropriate support staff and define their roles
STREAMS Provide appropriate analgesia
Post-procedure
Identify and manage common complications
Interpret results and evaluate outcomes of treatment
Monitor the patient and provide appropriate aftercare
Surgical
Administration of local anaesthesia
Scrub, gown and glove
Simple skin lesion excision
 Surgical knots and simple wound suturing
Suture removal
4.4.17 An approach to identifying blood glucose Patient assessment Dr Shekhar Sehgal
abnormalities and starting a diabetic Investigations (Specialist Endocrinology)
patient on oral hypoglycaemic and Follow up and interpret investigation results appropriately to guide
insulin medications. patient management
Referral and consultation
Apply the criteria for referral or consultation relevant to a particular
problem or condition
Medication safety
Identify the medications most commonly involved in prescribing and
administration errors
Prescribe and administer medications safely
Management options
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately
Therapeutics
Evaluate the outcomes of medication therapy
Clinical problems and conditions
Endocrine
General management of diabetes and its complications
Post-operative diabetic management

11.4.17 ECGs in heart attacks Patient assessment Dr Aidan Murray

Emergencies (Registrar
Management options Emergency Medicine)
Identify and justify the patient management options for common
problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately
Clinical problems and conditions
General
Recognition of the deteriorating patient
Abnormal investigation results
 Abnormal blood results
White cell abnormalities
Arterial blood gases
Abnormal imaging
Circulatory
Cardiac arrhythmias
Chest pain
Electrolyte disturbances
Heart failure
Hypertension
Ischaemic heart disease
Shock
Thrombo-embolic disease
Respiratory
Asthma
Breathlessness
Chronic Obstructive Pulmonary Disease
Cough
Obstructive sleep apnoea
Pneumonia / respiratory infection
Respiratory failure
Upper airway obstruction

18.4.17 Approach to mild, moderate and severe Patient assessment Dr John Bonning
head injury in the acute setting. Emergencies (Specialist Emergency)
Pain management
Systems
Advocate for the improvement of systems
Identify and understand concept of system errors
Participate in continuous quality improvement, for example clinical
audit
Use mechanisms that minimise error, for example checklists, clinical
pathways
Clinical problems and conditions
Neurological
Acute headache
Delirium
 Falls, especially in the elderly
Procedures and interventions
Trauma
Applying splints and slings
Cervical collar application
Inline immobilisation of cervical spine
Pressure haemostasis

25.4.17
ANZAC DAY

2.5.17 Skills Lab: Procedures and interventions (Basic Suturing techniques and
Basic suturing techniques and practice)
practice / Intraosseous IV access and Preparation
Use of EZI Arrange appropriate equipment and describe its use
(N.B. THIS IS A CONCURRENT Prepare and positon the patient appropriately
SESSION RUN OVER TWO WEEKS Recognise the indications for local, regional or general anaesthesia
(second week 28/3/17) WITH PGY1S Procedures
ALLOCATED TO ONE OF TWO Arrange appropriate support staff and define their roles
STREAMS Provide appropriate analgesia
Post-procedure
Identify and manage common complications
Interpret results and evaluate outcomes of treatment
Monitor the patient and provide appropriate aftercare
Surgical
Administration of local anaesthesia
Scrub, gown and glove
Simple skin lesion excision
Surgical knots and simple wound suturing
Suture removal

9.5.17 Preparing to start the night call: Communication Dr Aleisha Sutherland

Orientation to night duty and on-call Context (Registrar General Surgery)
AMU/Ward Arrange an appropriate environment for communication, for example,
private, no interruptions
Use principles of good communication to ensure effective healthcare
 relationships
Working in teams
Communication in healthcare teams
Communicate effectively with team members in a variety of situations,
including acute settings, team meetings, ward rounds, telephone
consultations
Concisely present cases to senior medical staff and other healthcare
professionals in a range of contexts
Perform effective written and verbal handover at different stages of
medical care for patient safety and continuity of care (for example
team member to team member, service to service, hospital to general
practice)
Professional responsibility
Demonstrate accountability for their practice
Demonstrate reliability and fulfil obligations
Time management
Demonstrate punctuality
Prioritise workload to maximise patient outcomes and health service
functions

16.5.17 What house officers should know about Patient assessment Dr Maiko Smith
post-operative complications and care; - Infection control (Registrar Gen Surgery)
e.g. wound care, hypotension, sepsis Practise correct hand-hygiene and aseptic techniques
management etc. Prescribe appropriate antibiotic/antiviral therapy for common
conditions
Use methods to minimise transmission of infection between patients
Discharge planning / transfer of care
Follow organisational guidelines to ensure smooth discharge and
transfer
Liaise with appropriate health professionals, family and other support
personnel to ensure proper discharge or transfer of care
Undertake effective discharge planning
Pain management
Evaluate the pain management plan to ensure it is clinically relevant
Prescribe pain therapies to match the patients analgesia
requirements
Specify and can justify the hierarchy of therapies and options for pain
control
23.5.17 A case-based, interactive session on the Patient assessment Dr Lara Hoskins
role of Palliative care in the patient with Patient interaction (Specialist Palliative Care)
a terminal condition. Breaking bad news
This includes what the house officer Participate in breaking potentially distressing news to patients and
should know about the Resuscitation carers
plan (NFR status) Recognise and manage potentially distressing communications with
patients and carers
Show empathy and compassion
End of life care
Contribute to effective initiation and coordination of palliative care
Manage the confirmation and certification of death and complete
death certificates under supervision
Recognise cases that may need to be referred to the Coroner
Show awareness of the Coroners procedures
30.5.17 An approach to the patient presenting Patient assessment Dr Graeme Dickson
with gastrointestinal bleeding Investigations (Specialist
Follow up and interpret investigation results appropriately to guide Gastroenterology)
patient management
Clinical Problems and conditions:
Gastrointestinal
Abdominal pain
Gastrointestinal bleeding

6.6.17 How does the house officer decide on Patient assessment Dr Katie Walland
which antibiotics to use in infectious Safe Patient care: (Registrar Gen Medicine)
conditions? Infection control
Practise correct hand-hygiene and aseptic techniques ?Pharmacist
Prescribe appropriate antibiotic/antiviral therapy for common
conditions
Use methods to minimise transmission of infection between patients
Medication safety:
Document patient allergies in every case
Identify the medications most commonly involved in prescribing and
administration errors
Prescribe and administer medications safely
Provide adverse drug reaction reporting
 Routinely report medication errors and near misses in accordance
with local requirements.
Therapeutics
Evaluate the outcomes of medication therapy
Involve nurses and pharmacists, and other allied health professionals
appropriately in medication management
When prescribing, take account of the interactions and actions,
indications and contraindications, monitoring requirements, and
potential adverse effects of each medication used

Public health
Inform authorities of each case of a 'notifiable disease'
Know which diseases are notifiable
Management options
Identify and justify the patient management options for common
problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately

13.6.17 Skills Lab: Procedures and interventions: Dr Toral Kamdar

Gynae skills PV, speculum Womens health (Specialist Obs & Gynae)
Genital swabs/cervical smear
Urinary Catheterisation and Vaginal speculum exam
Pregnancy testing, dipstix
Procedures and interventions.
Urogenital - Bladder catheterisation Urogenital
(Male and Female) Bladder catheterisation (Male and Female)

20.6.17 What should the house officer know Medication safety Dr Hugh Goodman
about anticoagulation? Identify the medications most commonly involved in prescribing and (Specialist Haematology)
Warfarin and anticoagulation administration errors
monitoring Prescribe and administer medications safely
the use of hospital anticoagulation Provide adverse drug reaction reporting
guidelines Routinely report medication errors and near misses in accordance
with local requirements
 Patient assessment
Evidence-based practice
Investigations
Follow up and interpret investigation results appropriately to guide
patient management
Identify and provide relevant and succinct information when ordering
investigations
Negotiate with patients the need for tests and explain results
Select, request and justify investigations in the course and context of
particular patient presentation
Therapeutics
Evaluate the outcomes of medication therapy
Involve nurses and pharmacists, and other allied health professionals
appropriately in medication management
When prescribing, take account of the interactions and actions,
indications and contraindications, monitoring requirements, and
potential adverse effects of each medication used
27.6.17 How to deal with obesity in patients Health promotion Mark Leydon (Dietician)
Advocate for healthy lifestyles and discuss environmental and lifestyle Jill McClymont (Dietician)
risks to patient health
Evaluate the positive and negative aspects of health screening and
prevention when making healthcare decisions
Use a non-judgemental approach to patients lifestyle choices, for
example discuss options, offer choices
Working in health care teams
Contribute to teamwork by behaving in ways that maximise the teams
effectiveness
Demonstrate an ability to work with others
Demonstrate flexibility and ability to adapt to change
Lead when appropriate
Seek to prevent or resolve conflicts that may arise
Clinical problems and conditions
Nutrition / Metabolic
Weight gain

4.7.17 Indications for blood transfusions and an Fluid, electrolyte and blood product management Dr Helen Moore
approach to the management of adverse Develop, implement, evaluate and maintain an individualised patient (Specialist Pathology
reactions to blood products. management plan for fluid, electrolyte and blood product use Haematology)
 Identify the indications for and risks of fluid and electrolyte therapy
and use of blood
products
Manage blood transfusion reactions

11.7.17 Regional Anaesthesia at Waikato Decision making Dr Anthony Aho

Hospital Explain the indications and contraindications for common procedures (Registrar Anaesthetics)
Select appropriate procedures with the involvement of senior
clinicians and the patient
Informed consent
Apply the principles of informed consent in day-to-day practice
Identify the circumstances that require informed consent to be
obtained by a more senior clinician
Provide a full explanation of a procedure to a patient when
undertaking that procedure
Preparation
Arrange appropriate equipment and describe its use
Prepare and position the patient appropriately
Recognise the indications for local, regional or general anaesthesia
Procedures
Arrange appropriate staff and define their roles
Provide appropriate analgesia
Post-procedure
Identify and manage common complications
Interpret results and evaluate outcomes of treatment
Monitor the patient and provide appropriate aftercare

PGY1 Surgical
Administer local anaesthesia

PGY2 Anaesthetic techniques

Simple regional anaesthesia

18.7.17 How to complete a death certificate? Medicine and the law Dr Paul Reeve
Complete required medico-legal documentation appropriately (Physician Specialist/Training
Comply with the legal requirements in patient care, for example Director General Medicine)
Mental Health Act 1992, Privacy Act 1993, death certification, coronial
legislation
 Professional responsibility
Demonstrate accountability for their practice
Demonstrate reliability and fulfil obligations

25.7.17 Skills Lab: Procedures and interventions (Pleural aspiration): Janice Wong
Pleural aspiration/Lumbar Puncture Preparation Cat Chang
Arrange appropriate equipment and describe its use (Specialists Respiratory)
Prepare and position the patient appropriately
Recognise the indications for local, regional or general anaesthesia
Procedures
Arrange appropriate support staff and define their roles
Provide appropriate analgesia
Post-procedure
Identify and manage common complications
Interpret results and evaluate outcomes of treatment
Monitor the patient and provide appropriate aftercare
Procedures and interventions (Lumbar Puncture):
Intravenous / Intravascular
(Specialist - Neurology)
Arterial and venous blood gas sampling and interpretation
Invasive diagnostic techniques
for example joint aspiration, lumbar puncture, biopsies

1.8.17 How do I maintain my personal, physical Professional behaviour: Dr John Goldsmith

and emotional wellbeing during the Personal well-being (Specialist - Paediatrics)
House officer years Is it more than Balance availability to others with care for personal health, managing
mere survival? fatigue, stress and illness
Behave in ways which mitigate the potential risk to others from own
health status, for example infection
Have own GP
Show awareness of and optimise personal health and well-being

8.8.17 An approach to the Pacifica and Maori Doctor and society Dr Nina Scott
patients in the inpatient setting Access to healthcare (Public Health Physician and
Demonstrate a non-discriminatory approach to patient care Advisor Te Puna Oranga)
Identify how access to and use of healthcare is influenced by the
patients ethnicity and education
 Provide access to culturally appropriate healthcare
Cultural competence
Demonstrate an awareness of the general beliefs, values, behaviours
and health practices of particular cultural groups most often
encountered and demonstrate knowledge of how this can be applied
in the clinical situation
Demonstrate an awareness of the limitations of their knowledge and
an openness to ongoing learning and development in partnership with
patients
Demonstrate awareness that cultural factors influence health and
illness, including disease prevalence and response to treatment
Demonstrate respect for patients and an understanding of their
cultural beliefs, values and practices
Develop a rapport and communicate effectively with patients of other
cultures
Elicit the cultural issues which might impact on the doctor-patient
relationship
Seek appropriate cultural advice
Understand their own cultural values and the influence these may
have on their interactions with patients
Work with the patients cultural beliefs, values and practices in
developing a relevant management plan

15.8.17 A case-based, interactive session on Patient assessment Dr Andrew Wilde

the syndromes/clinical presentations of Emergencies (Specialist Emergency)
overdose (serotonin syndrome, opiate, Assessment
alcohol & TCA overdose) Initiate resuscitation when clinically indicated
Recognise and effectively assess potentially acutely ill, deteriorating
or dying patients
Recognise the abnormal physiology and clinical manifestations of
critical illness
Management options
Identify and justify the patient management options for common
problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
 appropriately
Clinical problems and conditions
Psychiatric / Drug and Alcohol
Addiction (smoking, alcohol, drug)
Deliberate self-harm

22.8.17 Skills Lab: Working in teams Dr Wei Tan

Communication in healthcare teams (Specialist Emergency)
Team structure
Update on: ECG Interpretation Working in health care teams
Emergencies: Assessment
Initiate resuscitation when clinically indicated
Recognise and effectively assess potentially acutely ill, deteriorating
or dying patients
Recognise the abnormal physiology and clinical manifestations of
critical illness
Clinical problems and conditions
General
Recognition of the deteriorating patient
Abnormal investigation results
Abnormal imaging
Circulatory
Cardiac arrhythmias
Chest pain
Electrolyte disturbances
Heart failure
Hypertension
Ischaemic heart disease
Shock
Thrombo-embolic disease

29.8.17 An approach to the use of TPN Therapeutics Wai Keat Chang

Evaluate the outcomes of medication therapy (Registrar General Surgery)
Involve nurses and pharmacists, and other allied health professionals
appropriately in medication management
When prescribing, take account of the interactions and actions,
indications and contraindications, monitoring requirements, and
 potential adverse effects of each medication used
Clinical problems and conditions
Nutrition / Metabolic
Weight gain
Weight loss

5.9.17 An approach to the management of Patient assessment (Specialist Gen Medicine)

abnormal liver function tests Investigations
Follow up and interpret investigation results appropriately to guide
patient management
Clinical Problems and conditions:
Gastrointestinal
Abdominal pain
Common liver disease for example alcoholic liver disease, hepatitis,
non-alcoholic fatty liver disease

12.9.17 Breaking bad news to patients and their Patient interaction Dr Michael Jameson
families and caregivers (incorporating Breaking bad news (Specialist Oncology)
the deteriorating patient about to Participate in breaking potentially distressing news to patients and
die/with a bad diagnosis and family carers
members asking for news after the Recognise and manage potentially distressing communications with
consultant has already advised the patients and carers
patient). Show empathy and compassion
Context
Arrange an appropriate environment for communication, for example,
private, no interruptions
Use effective strategies to deal with difficult situations or vulnerable
patients
Use principles of good communication to ensure effective healthcare
relationships
Meetings with families and whnau, or carers
Ensure relevant family/whnau/carers are included appropriately in
meetings and decision making
Identify the impact of family dynamics on effective communication
Respect the role of families/whnau in patient health care

19.9.17 Recognising the alcoholic patient in the Health promotion Louise Leonard (Nurse
 ward; Advocate for healthy lifestyles and discuss environmental and lifestyle Practitioner - CADS)
Alcohol & Drug Addiction Act (ADA risks to patient health
Act) Healthcare resources
Taking an alcohol and drug history Identify the impact of resource constraint on patient care
Preventing withdrawal symptoms in Use healthcare resources wisely to achieve the best outcomes
a patient whilst in the medical wards Patient assessment
Detoxification and pathways in Investigations
Waikato Follow up and interpret investigation results appropriately to guide
Accessing detoxification treatment patient management
options for alcoholism. Medicine and the law
Community care of the patient with Comply with the legal requirements in patient care, for example
alcohol dependence. Alcohol & Drug Addiction Act (ADA Act)
Therapeutics
Evaluate the outcomes of medication therapy
Involve nurses and pharmacists, and other allied health professionals
appropriately in medication management
When prescribing, take account of the interactions and actions,
indications and contraindications, monitoring requirements and
potential adverse effects of each medication used
Clinical problems and conditions:
Psychiatric / Drug and Alcohol
Addiction (smoking, alcohol, drug)
Substance abuse

26.9.17 What the house officer should know Medicine and the law Dr Tom Watson
about Informed Consent? Complete required medico-legal documentation appropriately (Chief Medical
An approach for house officers Comply with the legal requirements in patient care, for example Advisor/Specialist -
about taking informed consent for Mental Health Act 1992, Privacy Act 1993, death certification, coronial Anaesthetics)
patients. legislation
When can I take informed consent Professional responsibility
for a procedure? Demonstrate accountability for their practice
What is my responsibility when Demonstrate reliability and fulfil obligations
taking informed consent? Providing information
Can I refuse to take informed Apply the principles of good communication (verbal and non-verbal)
consent? Under what conditions and communicate with patients and carers in ways they understand
can I refuse? Involve patients in discussions and decisions about their care
Use interpreters for non-English speaking backgrounds when
appropriate
 Informed consent
Apply the principles of informed consent in day to day clinical practice
Identify the circumstances that require informed consent to be
obtained by a more senior clinician
Provide a full explanation of a procedure to patients when undertaking
that procedure

3.10.17 Prescribing for the pregnant and Medication safety Dr Alison Barrett
breastfeeding patient on the Document patient allergies in every case (Specialist Obs & Gynae)
medical,surgical and psychiatric wards Identify the medications most commonly involved in prescribing and
(including radiation exposure, the use of administration errors
contrast agents and psychotropic Prescribe and administer medications safely
medications in pregnant patients). Provide adverse drug reaction reporting
Routinely report medication errors and near misses in accordance
with local requirements
Risk and prevention
Explain and report potential risks to patients and staff
Therapeutics
Evaluate the outcomes of medication therapy
Involve nurses and pharmacists, and other allied health professionals
appropriately in medication management
When prescribing, take account of the interactions and actions,
indications and contraindications, monitoring requirements, and
potential adverse effects of each medication used

10.10.17 An approach to the seriously unwell Patient assessment Rachel Howlett

child; Common problems in children that Meetings with families and whnau, or carers (Registrar Paediatrics)
house officers should know about Ensure relevant family/whnau/carers are included appropriately in
includes a brief guide to prescribing in meetings and decision making
children i.e. fluids, medications and Identify the impact of family dynamics on effective communication
analgesia. Respect the role of families/whnau in patient health care
Emergencies:
Assessment
Initiate resuscitation when clinically indicated
Recognise and effectively assess potentially acutely ill, deteriorating
or dying patients
Recognise the abnormal physiology and clinical manifestations of
critical illness
 Prioritisation
Identify patients requiring immediate resuscitation and when and how
to call for help
Clinical problems and conditions:
General
Recognition of the deteriorating patient

17.10.17 A case-based, interactive session on the Doctor and society Dr Wayne de Beer
role of professional boundaries in clinical Access to healthcare (Specialist Consultation-
practice Demonstrate a non-discriminatory approach to patient care Liaison Psychiatry)
Professional standards
Adhere to professional standards and professional codes of conduct
Maintain professional boundaries
Respect patient privacy and confidentiality
Personal well-being
Balance availability to others with care for personal health, managing
fatigue, stress and illness
Professional responsibility
Act as a role model of professional behaviour both within the
workplace and outside including the appropriate use of social media
Demonstrate accountability for their practice
Demonstrate reliability and fulfil obligations
Demonstrate respectful and effective interactions with others in the
health system
Maintain an appropriate standard of professional practice and work
within personal capabilities
Reflect on and learn from personal experiences, actions and decision-
making

24.10.17 Vaccines what house officers should Medication safety Cilla Wyllie-Schmidt
know about scheduled and unscheduled o Document patient allergies in every case National Immunisation
vaccine prescribing and their o Identify the medications most commonly involved in prescribing and
contraindications administration errors
o Prescribe and administer medications safely
o Provide adverse drug reaction reporting
o Routinely report medication errors and near misses in accordance
with local requirements
Public health
 Inform authorities of each case of a notifiable disease
Know which diseases are notifiable
Systems
Advocate for the improvement of systems
Identify and understand concept of system errors
Participate in continuous quality improvement, for example clinical
audit
Use mechanisms that minimise error, for example checklists, clinical
pathways

31.10.17 An approach to dealing with the Patient assessment Dr Wayne de Beer

aggressive patient or family member in Clinical problems and conditions (Director of Training/
the inpatient setting. Critical care/ Emergency Specialist Psychiatry)
De-escalation strategies Family violence
An approach to pharmacological Injury prevention
management of the disruptive patient Psychiatric / Drug and Alcohol
(including delirium, mania, psychosis) Addiction (smoking, alcohol, drug)
Disturbed or aggressive patient

7.11.17 End of year meeting Personal well-being Dr Wayne de Beer

Quiz and Prize giving Show awareness of and optimise personal health and well-being (Director of Training/
Specialist - Psychiatry)
11.4.17 The breathless patient Patient assessment Dr Harry Gallagher
(unable to Part II: A focus on recognising and Emergencies (Physician
fill) managing the patient with Pulmonary Management options Respiratory Medicine)
SPARE Embolus- (including a discussion on the Identify and justify the patient management options for common
use of hospital clinical guidelines). problems and conditions
Implement and evaluate the management plan in consultation with
the patient
Recognise complex or uncertain situations and seek advice
appropriately
Clinical problems and conditions
General
Recognition of the deteriorating patient
Abnormal investigation results
Abnormal blood results
White cell abnormalities
 Arterial blood gases
Abnormal imaging
Circulatory
Cardiac arrhythmias
Chest pain
Electrolyte disturbances
Heart failure
Hypertension
Ischaemic heart disease
Shock
Thrombo-embolic disease
Respiratory
Asthma
Breathlessness
Chronic Obstructive Pulmonary Disease
Cough
Obstructive sleep apnoea
Pneumonia / respiratory infection
Respiratory failure
Upper airway obstruction