Table: Therapeutics Curriculum Map Year 4
| ICU | Learning outcomes | Method of teaching and content area | Specific examples of drugs used | Assessment | Tomorrow’s doctors mapping |
|---|---|---|---|---|---|
| GOSH (Year 4) | • An understanding of female reproductive physiology and how commonly used drugs act on these systems • Management of menstrual problems • The principles and problems of prescribing in obstetrics • Drugs used in for prematurity • Drugs used in labour and delivery • An understanding of the principles and methods of contraception • An ability to describe the principles of further management including appropriate therapeutic options • An understanding of the epidemiology of sexually transmitted infections and of the diagnosis and treatment of such infections • A knowledge of the management of HIV infection |
Lectures and seminars Small group tutorials Clinical sessions |
- Progestogens - GnRH Analogues - HRT - Tranexamic Acid - Mefanamic Acid - IM Steroids - Tocolytics - Syntocinon Ergometrine - Oral Contraception - Long Acting Progestogenic Contraceptives - Barrier Methods - Intra-Uterine Devices - Doxycycline - Azithromyscin Penicllins - Cephalosporins - Metronidazole - Anti-Retrovirals |
Self directed proforma, small group teaching feedback, written papers, OSCE | TD 8b-e, 14g, 17b-g |
| Paediatrics (Year 4) | A core knowledge of the epidemiology of common childhood illnesses, the management of these and knowledge of the pharmacology of medications used in treatments including drug safety in children. | |
Self directed proforma, written papers, OSCE | TD 8b-e, 14g, 17b-g | |
| Psychiatry (Year 4) | • Discuss with patients and relatives the nature of their illness, management options and prognosis • Knowledge of synaptic transmission, neuro-transmitter systems and relationship to psychopharmacology • Use of psychotropic medicines in older people. • Use of illicit drugs • Negotiation of medication with patients • Medication concordance and compliance • Role of NICE guidelines • Use of shared care arrangements • Modes of delivery • Prescribing psychotropic medication safely • Prescribing for patients with no capacity • Management of interactions and overdoses |
Lectures including illicit drugs Formative OSCE sessions On-line interactive psychiatric case: management of dementia and delirium, and BPSD |
- Antidepressants - Antipsychotics - Lithium (see formulary for details of drugs) |
Self directed proforma, written papers, OSCE (for learning and for progression) | TD 14g, 17f TD 8a,f TD 8d, 14g, 16b,17a-d TD 8f, 14g, 16b, TD 17e TD 18b TD 8d, 14g, 16b,17a-d TD 17c TD 16b |
| Cancer and continuing care (Year 4) | • Therapeutics and prescribing in acute and chronic disease and at the end of life • acute exacerbations of chronic disease • prescribing in chronic disease in terms of the complexity and co-morbidity • prescribing in cancer and palliative care • Recognise the WHO analgesic ladder and drugs commonly required for palliative care • the role of other professionals and pharmacists in prescribing • have an understanding of how clinical information systems support, therapeutics and prescribing in acute and chronic disease and at the end of life • Prescribe appropriate drug treatment for patients with a range of problems and Long Term Conditions • Principles of systemic cancer treatment and its delivery • To recognise toxicities of cancer treatment • Identify and use reference resources for prescribing • How to prescribe cancer treatments safely – patient identification, poly-pharmacy, inter-current morbidity, previous toxicity • The value of clinical research trials to current and future practice |
Core lectures Small group interactive work including practice prescribing Elearning packages Placement teaching |
- Analagsics (Paracetamol, co-codamol, MST, Oramorph) - Antiemetics (Metoclopramide, Cyclizine, Haloperidol, Levomepromazine, Domperidone, Dexamethasone) - Laxatives (Lactulose, Senna, Movicol, Co-danthramer) - Drugs used in the last days of life (hyoscine, midazolam, diamorphine, levomepromazine) - anticancer treatments with cytotoxic, hormonal, immunological and cell signalling mechanisms |
Self directed proforma, written papers, OSCE | TD 8d, 14g, 14j,16b,17a-h TD 8f, 17g , 12a-b |
| Acute and critical care (Year 4) | Acute/Emergency Care • An understanding of commonly used drugs in the ED by clinical presentation • Initial treatment and/or management plan for a wide range of clinical presentations as details in the ACC handbook Anaesthetics/Critical Care Knowledge: • Peri-operative care of a surgical patient • Acute pain management • Fluid management • Recognition and management of medical emergencies. Skills: • Prescribing intravenous fluids • Setting up of intravenous infusions • Preparation and safe administration of drugs including antibiotics • Safe use of local anaesthetic agents and other anaesthetic drugs |
Cardiac/arrhythmia Breathing problems Bleeding and clotting problems Pain Severe Poisoning Shock Agitation & sedation Infections (UTI, cellulitis, pneumonia, meningitis, encephalitis) |
- Morphine - Oxygen - Nitrate (Buccal & IV) - Aspirin - Ticagrelor - LMWH - Atropine - Adrenaline - Adenosine - Amiodarone - Metoprolol - Calcium chloride - Salbutamol - Ipratropium - Oxygen - Prednisiolone - Alteplase - Vitamin K - Octaplex - Warfarin - Aspirin - Clopidogrel - Tranexamic acid (TXA) - LMWH - Opiates - Paracetamol - NSAIDs - Ketamine - Entonox - Local anaesthetics - Propofol - Oxygen - N-Acetylcysteine - Diazepam - Naloxone - Sodium bicarbonate - Insulin/dextrose - Iv fluids - Blood & transfusion products - TXA - Inotropes - Diazepam - Lorazepam - Haloperidol - Propofol - Ketamine Common antibiotics Anaesthetic drugs: - Intravenous Induction agents - Inhalational anaesthetics - Neuromuscular blockers - Inotropic agents - Local anaesthetics - Antiemetics and antacids - Reversal agents - Analgesic agents Insulin (DKA) |
Self directed proforma, written papers, OSCE | TD 8b-e, 14g, 17b-g |
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