Table: Therapeutics Curriculum Map Year 1
| ICU | Learning outcomes | Method of teaching and content area | Specific examples of drugs used | Assessment | Tomorrow’s doctors mapping |
|---|---|---|---|---|---|
| Campus to Clinic (Year 1) | The indications, interactions and contraindications and pharmacodynamics of 5 over-the-counter medications. | Placement based | - Paracetamol - Ibuprofen - Co-codamol - Chlorphenamine - Gaviscon |
Self-directed drug profile proforma, Written papers | |
| Introduction to Medical Science (Year 1) | • Understand the processes of drug absorption and metabolism, and appreciate how variations between individuals can influence the therapeutic effects of drugs. • Explain the principles of haemostasis with reference to disorders of blood clotting • Describe the properties of and interactions between receptors, hormones, neurotransmitters and drugs (agonists and antagonists), second messengers. • Describe the structure and function of excitable cells, the mechanism of the action potential and how this is affected by anaesthetics and drugs. • Describe the structure and function of the autonomic nervous system and its role in asthma and hypertension. • Appreciate the basic principles underlying delivery of drugs to the human body, and understand how the body distributes and ultimately metabolises and excretes drugs. • Appreciate where certain drugs act in nucleotide metabolism (chemotherapy, antibiotic action). |
Lectures and work sessions | - Aspirin - Paracetamol - Heparain - Warfarin - Factor Viii - Anti-Platelet Drugs (Eg Abciximab, Clopidogrel) - Thrombolytic Agents (Eg Streptokinase) - Sildenafil - Statins - Captopril - Monoamine Oxidase Inhibitors - Monoamine Reuptake Inhibitors - Kinase Inhibitors - Hormone Replacement Therapy - Ace Inhibitors - Local Anaesthetics Neostigmine - Penicillin - Rifampin Chloramphenicol - Asparaginase |
Written papers | TD 8a,f TD 8a,f TD 8a,f TD 8a,f TD 8a,f TD 8a,f |
| Body Systems (Year 1) | Demonstrate basic knowledge of the drugs and other therapies used to treat common conditions affecting these systems | Respiratory Pharmacological management of: - Asthma - COPD Cardiology Pharmacological management of: - DVT/PE - Stroke/Atrial fibrillation - Hypertension - MI/Angina - Heart failure - Heart block/VF Gastrointestinal + Metabolic Pharmacological treatment of: - Peptic ulcer disease/Dyspepsia - Inflammatory bowel disease - Diabetes Mellitus Renal Pharmacological treatment of: -Chronic Kidney Disease Reproductive: |
Cardiology pharmacology: - Calcium channel blockers - Beta blockers - Alpha blockers - Digoxin - ACE inhibitors - Statins - Aspirin - Warfarin - Loop diuretics - Aldosterone antagonists - Atropine Gastro + Metabolic pharmacology: - Proton pump inhibitors - H2 antagonists - NSAIDs - 5-ASA - Azathioprine - Methotrexate - Anti-TNF/biologics - Insulins - Sulphonylureas - Metformin - Other anti-diabetic agents Renal pharmacology: - ACE inhibitors - Angiotension II inhibitors - Diuretics - Vitamin D analogues - Erythropoetin - Renally excreted drugs Hormonal contraceptive drugs and devices |
Written papers | TD 8a, f |
| Body Systems : Nutrition and Energy (Year 1) | • Be aware of some common diseases affecting the GI tract, and the scientific basis for their treatment using surgery or drugs. • Understand (at an elementary level) how various chronic diseases cause disturbances of the energy balance, and how these respond to therapeutic intervention. |
Lectures, clinical sessions & and small group sessions - Causes and treatment of gastric ulceration - Anaphylaxis - Crohn’s disease - Cystic fibrosis - Alcohol addiction - Diabetes type 1 & 2 - Obesity - Addison’s disease - Graves disease |
- H¬2 antagonists - PPIs - Misoprostol - Ulceration/gastric bleeding as side effect of NSAIDs - Adrenaline - Corticosteroids Antihistamines - Corticosteroids - Immunosuppressants - Mesalazine - Infliximab - use of pancreatic enzyme replacement - Disulphiram - Naltrexone - Acamprosate - Insulin - Biguanides Sulphonylureas - Orlistat - Hydrocortisone - Carbimazole |
Written papers | TD 8b, 14g, TD 8b,f. |
| IDEALS (Year 1) | The skills to apply patient safety thinking to clinical activities and decision making | Small group Teaching Patient safety and clinical Governance | - Patient safety + error - Problem solving + decision making - Safety + risk awareness - Human factors in patient safety |
Formal Reflection | TD 23d |
| Individuals and Populations (Year 1) | • Explain the strategies people use to make sense of information when making (treatment) decisions • Describe the models that explain people’s health behaviours • Understand the psychological and social factors explaining adherence • Characterise mood and anxiety disorders and describe one approach to its treatment • Outline the treatments and services available to those with dementia |
Lecture Treatment decision making Lecture and small group work Illness cognitions and behaviours Lecture Social behaviour – obedience and compliance Lecture Consciousness Lecture Doctors’ decisions and behaviours Lecture Psychological disorder – mood Lecture Psychological disorder - dementia Lecture Self harm, anxiety depression |
- MAOIs - Tricyclics - SSRIs - Noradrenaline - Serotonin - Benzodiazepines - Acetylcholinesterase Inhibitors - NMDA Receptor antagonist (Glutamate) - Neuroleptics - Sedatives and Hypnotics - Stimulants - Opiates - Hallucinogens |
Written papers | TD 14g |
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