Clinical Skills Course for 5th Year Medical Students
For the past many years we are holding Clinical Skills courses for the 5th year Medical students. These are held in The Training and Staff Development (TSD) center of the hospital. Courses involve hands on practice in the basic life support, intravenous techniques, aseptic techniques, monitoring patients, electrical therapy with manual and automated defibrillators. Different staff members from our department participate in these courses and they were periodically evaluated by the course director.
Emergency Medicine for the 6th Year Medical Students
Our department actively participates in the training and teaching of the 6th year Medical students. We receive 8 batches every year on monthly rotation in the department from August to May. Each batch is divided into 4 groups.
Teaching sessions were held by consultants and include lectures along with bed side teaching. The scope of areas of teaching includes basic life support, wound care, recognition and treatment of dynamic arrhythmias and use of defibrillators.
In addition to these, Problem based tutorials were also held regularly by consultants on important clinical emergencies like, chest pain, shortness of breath poly -trauma, poisoning etc.
Student’s performance is assessed at the end of the rotation by one hour multiple choice question exam based on the contents of core curriculum.
Addition of new tutorials:
During the last year we have completely updated our syllabus of tutorials and the following important new tutorials have been added in the teaching schedule.
· Bites and Anaphylaxis
· Approach to the sick child
· Altered mental status
POST GRADUATE TEACHING PROGRAMME
Teaching and Training of Interns:
Interns rotate through our department as one month elective rotation during General Surgery posting. Interns were given hand outs and one day tour to the department at the start of their rotation. During their rotation interns were exposed to real emergency cases like chest pain, poly trauma, poisoning etc. They were taught procedures like different types of suturing, foreign body removals, ABG’S, basic know how of intubations and central lines placement etc. Bed side teaching and regular CME’s were also held regularly. All interns were assessed by shift supervisor at the end of every call and final assessment is given on the basis of performance in all shifts. Apart from knowledge, punctuality, overall behavior as part of team facing busy shifts were also taken into account.
Teaching and Training of Residents /OMSB RESIDENCY PROGRAM
The Residents participating in OMSB (Oman Medial & Specialty Board) program of Emergency Medicine, Family and Community Medicine and Surgery rotate through our department at various stages of their training.
They are exposed to real emergencies and given full chance to handle patients independently as an active member under the supervision of shift supervisor. They were given chance to masteries their already learned skills like suturing other simple procedures and were taught new skills like, intubations, central line placements, basic bed side ultrasound etc. Senior residents handle more critical patients in the bay area under supervision of the shift in charge. Apart from clinical activities, academic activities of minimum 4hours per week are mandatory. These activities include case or topic presentations, Journal clubs, workshops etc.
The department welcomes international medical students doing electives in the department. This year we received 4 students from 4 different countries for electives.
Our department regularly receive foreign medical graduates for clinical attachments. This year graduates of 7 different countries joined us for clinical attachment.
· Clinical Electives - 4
· Clinical Attachment - 7
TRAINING COURSES AND CME ACTIVITIES
PARTICIPATION IN ACLS & BLS PROGRAMMES:
Our department holds different life support courses every year in collaboration with Anesthesia department. Courses were held regularly at TSD on BLS and ACLS. Participants include SQUH, MOH & ROYAL COURTS staff. Re-certification courses are conducted twice a year.
IN HOUSE CME ACTIVITIES:
This year our CME activities have been accredited by OMSB validating CPD points to the presenter and participants. Recently we have also upgraded our CME from fortnightly to weekly basis. They include case discussions, mortality and morbidity reviews, journal club sessions and presentation and discussion of various topics relevant to the practice of emergency medicine.
Formulation of protocols with regards to the treatment of various life threatening diseases presenting to the ED are also discussed. All doctors working in the department actively participates in these activities.
TRAUMA COURSE FOR NURSES
Department of Emergency Medicine is the heart of Sultan Qaboos University Hospital being a tertiary, referral and training hospital in the country staffed with the most efficient and effective team. Department of Emergency Medicine is regularly swooned by trauma cases in different scale and degree. To better equip our staff, the department had launched its Trauma Course tailored mainly for the nurses with the goal of enhancing staffs knowledge and refine trauma management skills thus improving patient care outcome .This course did not only educate nurses but it sustain the departments quality improvements initiative.
Having to deal with various crises ranging from trauma to disaster crisis situations, nurses are expected to act promptly and should use critical thinking on all crises that calls for it. The mastery of the standardized emergency protocol promotes timely action and ensures patients safety and prevents any delays in managing cases and its sequelae.
About 30-35 participants from Department of Emergency Medicine, wards, and other hospitals. This course had earned positive feedbacks and has the potential to be conducted again in the near future. It was not just an interactive 3 days but had been balanced workshop between theory and practical aspects. Trainers consist of high caliber nurses and physicians from Sultan Qaboos University and Armed Forces Hospital.
Accredited by the Oman Medical Specialty Board (OMSB) and was highlighted by the integration of three courses into one (ATLS, ITLS & ATCN) expected to boast the competencies of the nurses. Considering its success, this course became one of the Hallmarks of the department anticipated to bring about positive outcome.