Training in Intensive Care
The ICU at University Hospital Geelong is heavily involved in training in intensive care. This includes;
University Hospital Geelong is affiliated with Deakin Medical School, and the ICU receives students rotating through their Anaesthetics, Intensive Care and Pain Medicine rotation.
The Intensive care component exposes students to critically ill patients, communication with patients and their families, and a deteriorating patient curriculum.
Resident Medical Officer
RMOs (PGY 3 and above) come from a wide variety of specialties, this includes trainees from General Medicine, Emergency Medicine, Surgery and Critical Care.
RMO training is focused on general ICU management, the deteriorating patient (as a member of the Rapid Response team) and exposure to basic ICU procedures.
We also provide formal training in i-Validate communication program and Medical Emergency Team Training.
Fellowship College of Intensive Care Medicine
We provide training to all levels of CICM trainees.
Trainees become exposed to variable case mix, including ECMO, Paediatrics and Cardiothoracic surgery.
In addition trainees become credentialled for basic ICU procedures such as intra-arteral line insertion and central venous access.
Trainees will gain exposure to more complicated procedures such as insertion of intercostal chest drains, percutaneous tracheostomies and ECMO peripheral cannulation.
Specific teaching includes:
a) Protected weekly teaching, covering basic and advanced ICU topics.
b) Inter-disciplinary simulation program.
c) I-Validate communication program.
d) PLS course.
e) PROMPT (PRactical Obstetric Multi-Professional Training) course.
f) Basic echocardiography as per the CICM Focused Cardiac Ultrasound syllabus.
Specific primary and fellowship exam teaching is offered dependent on having sitting candidates.
Junior doctors have opportunity to conduct Safety and Quality audits, as well as ample opporutunity to conduct research with the UHG ICU research group.
This innovative communication program has trained doctors and nurses to comfortably approach what have been traditionally difficult conversations around end-of-life care.
The iValidate program provides a structure that was developed by experts in communications, ethics, end-of-life care and clinical leaders from Barwon Health and Deakin University.
By participating in this course, doctors, nurses and allied health professionals will obtain the necessary communication skills to determine a patient’s goals, values and preferences, provide medical advice and ultimately help decision making regarding appropriate medical care. Sharing decisions between patients, family and health professionals leads to patient-centred care rather than the more traditional care directed toward disease focussed outcomes.
Initial data has shown that iValidate leads to significant improvements in patient-centred care, while not affecting access to critical care or outcomes in quality and longevity of life.
Going forward iValidate will continue to train doctors and nurses to create a broader base of expert communicators. When combined with the system to encourage shared decision-making, we believe we will continue to change the culture, and improve medical communication all around.
Resources are provided through:
- Barwon Health's intranet containing all relevant policies and guidelines.
UHG ICU Medical Handbook
Registrar Thursday Teaching
Special Guest presentations
Pods and Vods
The ICU provides access to podcasts and vodcasts through two mechanisms;
- UHG ICU bank
- Access to Crit-IQ podcasts, JC podcasts, and vodcasts
The ICU provides up-to-date review of the critical care literature through two mechanisms;
- UHG ICU journal review
- Access to Crit-IQ Journal Club