المجلس العراقي للاختصاصات الطبية
Iraqi Board for Medical Specializations

الزمالة التخصصية في العناية المركزة للاطفال

الزمالة التخصصية في العناية المركزة للاطفال في المجلس العراقي للأختصاصات الطبية

 

الدراسة تكون تحت مظلة المجلس العلمي لاختصاص التخدير والعناية المركزة

 

 

شروط القبول:

 

يمكن للاطباء الحاصلين على زمالة المجلس العراقي او ما يعادلها من شهادات في فرعي التخدير والعناية المركزة  وطب الاطفال

 

 

مدة الدراسة: سنتان

 

المراكز التدريبية:

 

 مركز مدينة الطب التدريبي

 

منهاج الدراسة التدريبي:

 

السنة الأولى:                                                                                          

1.يتدرب الطالب في وحدات العناية المركزة للأطفال لمدة 7اشهر

2.يتدرب الطالب في الفروع الاتيه 

• العنايه المركزه لمرضى عمليات القلب ٢ اشهر
• العنايه المركزه للاطفال حديثي الولاده ٢ شهر
• تخدير عمليات الاطفال شهر واحد

 

السنة الثانية:

3.يتدرب الطالب في وحدات العناية للاطفال  لمدة ٨ اشهر

4. وحده الامراض العصبيه للأطفال : شهر واحد

5.امراض الكلية  ووحدات غسل الكلية للأطفال : شهر واحد

6. وحدة امراض القلب للاطفال وحديثي الولاده : شهرواحد

7. وحدة الامراض التنفسيه للاطفال: شهر واحد

 

يحصل الطالب على لقب  زمالة المجلس العراقي في العناية المركزة للأطفال / المجلس العراقي للاختصاصات الطبيةIraqi fellowship Pediatric Intensive Care  IFPIC

بعد ان يجتاز الامتحان النهائي (الكتابي والعملي) في العلوم السريرية بعد اتمامه السنة الثانية وكافة متطلبات الدراسة الاخرى وبنفس شروط النجاح وعدد المحاولات المعتمدة في المجلس العراقي للاختصاصات الطبية.

Module 1: Physiology   Excitable tissues: nerve & muscle

Respiratory physiology  Part:1

Respiratory physiology  Part:2

Cardiovascular physiology  Part:1

Cardiovascular physiology  Part:2

Renal  physiology

Neuro physiology  Part:1

Neuro physiology  Part:2

Physiology of the endocrine Part:1

Physiology of the endocrine Part:2

Physiological changes in pregnancy

Fluid :physiology&replacement

Blood transfusion  Part:1

Blood transfusion  Part:2   Module 2: Pharmacology

General pharmacology  Part:1

General pharmacology  Part:2

I.V anesthetic drugs

Inhalational anesthetic drugs

Analgesics

Muscle relaxants &neuro muscular junction

Local anesthetic drugs

Drugs affecting autonomic nervous system

Drugs affecting cardiovascular system   Module 3: Physics & instrument

Anesthetic breathing system

Anesthesia machine anatomy &check list

Vaporizer

Ventilators

Gas laws

Measurement of flow &volume

Heat & temperature

Humidity & Humidifier

O2 & Co2 measurement

Blood pressure measurement (IBPM + NIBPM)

Nerve stimulator & nerve locater

ECG

Gas supply [cylinder & central] & scavenging

 

 

السنة الثانية:

 

Organization and management

Scoring system in ICU

Clinical outcome & safety assessment

Infection control in ICU

Clinical imaging

Hemodynamic monitoring in ICU

Acid base disorders.

Electrolyte disorders..

Sepsis & MODs.

Antimicrobial agents in the ICU.

Nutrition in ICU.

Sedation in the ICU.

Scoring in the ICU.

Disorders of body temperature in ICU

Artificial ventilation

Sever and multiple trauma

Burn

Respiratory failure

Renal failure in ICU

Acute hepatic failure

Traumatic brain injury

Obstetric critical care

Acute coronary syndrome

Toxicology emergency in ICU

Coma & altered consciousness

 

المنهاج العملي:

 

The training domains

Domain 1: Resuscitation and initial management of the acutely ill patient

1.1-Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology

1.2-Manages cardiopulmonary resuscitation – ALS recommended

1.3-Manages the patient post--‐resuscitation

1.4-Triages and prioritises patients appropriately, including timely admission to ICU

1.5-Assesses and provides initial management of the trauma patient

1.6-Assesses and provides initial management of the patient with burns

1.7-Describes the management of mass casualties

 

Domain 2: Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation.

2.1-Obtains a history and performs an accurate clinical examination

2.2-Undertakes timely and appropriate investigations

2.3-Performs electrocardiography (ECG / EKG) and interprets the results

2.4-Obtains appropriate microbiological samples and interprets results

2.5-Obtains and interprets the results from blood gas samples

2.6-Interprets imaging studies

2.7-Monitors and responds to trends in physiological variables

2.8-Integrates clinical findings with laboratory investigations to form a differential diagnosis

 

Domain 3: Disease Management

3.1-Manages the care of the critically ill patient with specific acute medical conditions

3.2-Identifies the implications of chronic and co--‐morbid disease in the acutely ill patient

3.3-Recognises and manages the patient with circulatory failure

3.4-Recognises and manages the patient with, or at risk of, acute renal failure

3.5-Recognises and manages the patient with, or at risk of, acute liver failure

3.6-Recognises and manages the patient with neurological impairment

3.7-Recognises and manages the patient with acute gastrointestinal failure

3.8-Recognises and manages the patient with acute lung injury syndromes (ALI / ARDS)

3.9-Recognises and manages the septic patient

3.10-Recognises and manages the patient following intoxication with drugs or environmental toxins

3.11-Recognises life--‐threatening maternal peripartum complications and manages care under supervision

 

Domain 4: Therapeutic interventions / Organ support in single or multiple organ failure

4.1-Prescribes drugs and therapies safely

4.2-Manages antimicrobial drug therapy

4.3-Administers blood and blood products safely

4.4-Uses fluids and vasoactive / inotropic drugs to support the circulation

4.5-Describes the use of mechanical assist devices to support the circulation

4.6-Initiates, manages, and weans patients from invasive and non--‐invasive ventilator support

4.7-Initiates, manages, and weans patients from renal replacement therapy

4.8-Recognises and manages electrolyte, glucose and acid--‐base disturbances

4.9-Co--‐ordinates and provides nutritional assessment and support

 

Domain 5: Practical procedures

Respiratory System

5.1-Administers oxygen using a variety of administration devices

5.2-Performs emergency airway management

5.3-Performs difficult and failed airway management according to local protocols

5.4-Performs endotracheal suction

5.5-Performs fibreoptic bronchoscopy and BAL in the intubated patient

5.6-Performs percutaneous tracheostomy

5.7-Performs chest drain insertion

 

Cardiovascular System

5.8-Performs arterial catheterisation

5.9-Describes ultrasound techniques for vascular localisation

5.10-Performs central venous catheterisation

5.11-Performs defibrillation and cardioversion

5.12-Performs transthoracic cardiac pacing, describes transvenous

5.13-Describes how to perform pericardiocentesis

5.14-Demonstrates a method for measuring cardiac output and derived haemodynamic

Variables

 

 

Gastrointestinal System

5.17-Performs abdominal paracentesis

5.18-Describes Sengstaken tube (or equivalent) placement

5.19-Performs nasogastric tube placement

 

Genitourinary System

5.20-Performs urinary catheterisation

 

Domain 6: Perioperative care

6.1-Manages the pre--‐ and post--‐operative care of the high risk surgical patient

6.2-Manages the care of the patient following cardiac surgery under supervision

6.3-Manages the care of the patient following craniotomy under supervision

6.4-Manages the care of the patient following solid organ transplant under supervision

 

Domain 7: Comfort and recovery

7.1-Identifies and attempts to minimize the physical and psychosocial consequences of

critical illness for patients and families

7.2-Manages the assessment, prevention and treatment of pain and delirium

7.3-Manages sedation and neuromuscular blockade

7.4-Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives

7.5-Manages the safe and timely discharge of patients from the ICU

 

Domain 8: End of life care

8.1-Manages the process of withholding or withdrawing treatment with the multidisciplinary team

8.2-Discusses end of life care with patients and their families / surrogates

8.3-Manages palliative care of the critically ill patient

8.4-Performs brain--‐stem death testing

8.5-Manages the physiological support of the organ donor

          8.6-Manages donation following cardiac death

 

 

Domain 9: Transport

 10.1 Undertakes the transport of the mechanically ventilated critically ill patient outside the ICU

 

Domain 10: Patient safety and health systems management

10.1 Leads a daily multidisciplinary ward round

10.2 Complies with local infection control measures

        10.3 Identifies environmental hazards and promotes safety for patients and staff

       10.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness

      10.5 Organises a case conference

      10.6 Critically appraises and applies guidelines, protocols and care bundles

      10.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload

      10.8 Demonstrates an understanding of the managerial and administrative responsibilities of the ICM specialist

 

Domain 11: Professionalism

Communication

11.1 Communicates effectively with patients and relatives

        11.2 Communicates effectively with members of the health care team

        11.3 Maintains accurate and legible records / documentation

 

Professional relationships with patients and relatives

      11.4 Involves patients (or their surrogates if applicable) in decisions about care and treatment

      11.5 Demonstrates respect of cultural and religious beliefs and an awareness of their impact on decision making

      11.6 Respects privacy, dignity, confidentiality and legal constraints on the use of patient data

 

Professional relationships with members of the healthcare team

      11.7 Collaborates and consults; promotes team-working

      11.8 Ensures continuity of care through effective hand-over of clinical information

      11.9 Supports clinical staff outside the ICU to enable the delivery of effective care

      11.10 Appropriately supervises, and delegates to others, the delivery of patient care

 

Self governance

      11.11 Takes responsibility for safe patient care

     11.12 Formulates clinical decisions with respect for ethical and legal principles

     11.13 Seeks learning opportunities and integrates new knowledge into clinical practice

     11.14 Participates in multidisciplinary teaching

     11.15 Participates in research or audit under supervision