Objectives
Critical Care Medicine is a multidisciplinary field concerned with patients who have sustained, or are at risk of sustaining life threatening, single or multiple organ system failure due to disease or injury. Critical Care Medicine seeks to provide for the needs of these patients through immediate and continuous observation and intervention so as to restore health and prevent complications.
Program Organization
Training will be primarily based on encounters with patients presenting with a variety of medical and surgical illnesses to the two multidisciplinary intensive care units of the London Health Sciences Centre (LHSC), under the supervision of faculty and senior residents/fellows. Faculty and senior residents/fellows will provide teaching by role modeling, bedside teaching and provision of constructive feedback. Patient care rounds, teaching rounds and clinical conferences will supplement patient encounters.
Expectations
The Critical Care rotation is offered to residents of many different home programs and level of residency. In all cases, the goal of this limited experience is to provide an overview of the assessment and management of critically ill patients, and to promote the acquisition of the basic knowledge, skills and attitude related to Critical Care. Over the 1 to 3 block training period, it is expected that residents will demonstrate ongoing development in each of the CanMEDS roles (as outlined below).
The objectives are generic and will apply to all junior residents, from any home program (surgery, medicine, anesthesia, etc.) rotating in one of the two multidisciplinary intensive care units of the LHSC. The acquisition of competencies will be documented using a Critical Care specific in-training evaluation report (ITER) at the end of rotation. Feedback from faculty, senior residents/fellows, nursing and allied health (multisource feedback) will be considered in the final rotation evaluation.
