Attendance and successful examination in:

i. Integrative Systems Physiology

ii. Basic and Clinical Pharmacology: Introduction – Nervous System

GREEK with power point in English

English during tutoring lessons, as well as for foreign students who are taught the course as part of a student exchange in the Erasmus program and in a student exchange in the HELMSIC program

FACE TO FACE -LECTURES

Face to face and more specifically:

The teaching of the course ANAESTHESIOLOGY consists of lectures and clinical practice. The attendance of the lectures and the clinical practice is mandatory.

The lectures based on clinical scenario teaching, elaborate the content described above.

The clinical practice (in 4 student groups, 6 teachers per group) is the students’ clinical practice, is necessary supplement of the lectures and the aim is to familiarize the students with the use of different anaesthetic techniques, handling medical devices and running the appropriate tests, that are used during the conduct of anaesthesia.

Scenario teaching with simulation(in 4 student groups, 2 teachers per group) where the students recapitulate the course material based on clinical scenarios, using simulation methods. In the scenario teaching the students receive medical history, conduct physical examination, implement their clinical skills. The students prepare relative questions regarding the clinical scenarios to discuss them with their teachers.

Information and communication technology is being used for the preparation of the course material and the online communication with the students.

More specifically:

• Microsoft software (PowerPoint) is being used,for thecourse’s lectures.
• Simulation program for intraoperative crisis management
• The course study guide (all the course material and supplemental bibliography), the material of the clinical practice (clinical cases scenarios), the lectures after each lecture and supplemental current scientific articles relevant to the course are available on line through e-class
• The library has all the necessary books and reading material for the course. Additionally, the students have access to international databases (PubMed), through the library.
• Common software (e.g., excel) is being used for statistical processing the students’ performance.
• Information or announcements about he course will be posted to the websites of the medical department and the University of Thessaly with free access from the medical school students. Communication is established through email.

LANGUAGE OF EVALUATION:

GREEK

ENGLISH IN CASE OF ERASMUS STUDENTS PARTICIPATION

METHODS OF EVALUATION:

A. Clinical practice: Continuous assessment

The students’ involvement in clinical practice is under continuous assessment. The successful completion of the clinical practice is certified by the teacher’s signature.

B. Theory – Lectures: Written MCQs

The course exams are written, duration 2 hours, and consist of MCQs, judgement questions or short answers questions, regarding all the course material (examples have been given at the end of each lecture). Exam material is all the lectures listed above.

Entitlement to exams have the students that have successfully completed the clinical practice and have attended the necessary number of lectures.

The final grade comes out of the grade in the written exams considering the whole student’s performance during lectures and clinical practice.

Students are given in writing the evaluation criteria during the first lesson.

The course constitutes the fundamental study of anesthesiology and the anesthesia effects on patients with different comorbidities, while dealing with the basic principle of pain management and palliative care as well. Class material aims to the understanding and familiarization with fundamental values and techniques related to controlled and reversible loss of consciousness and analgesia, which are required as basic knowledge by every doctor regardless of his specialty. Furthermore it covers the basic principles of pain management and palliative care, two key issues in modern world medicine. Learning goals are accomplished by:

a. attendance of the Anaesthesiology Clinic΄s activities (operating rooms, Post-Anaesthesia Care Unit(PACU), Pain Clinic and preanesthetic evaluation clinic)

b. practicing BLS (Basic Life Support) and the use of AED (Automated External Defibrillator) according to current European Resuscitation Council (ERC) guidelines

c. practicing Advanced Life Support (ALS) according to current ERC guidelines

d. practicing airway management

e. simulation in Anaesthesiology

Additionally, aim of the course is the student’s understanding of the importance of the appropriate evaluation of the patient’s medical history and physical examination, for the necessary anesthetic management of the patient, since anesthesiology requires constant cooperation with different health care professionals in variable fields for the proper perioperative management of the patient with comorbidities.

Description of the level of Learning Goals according to the Qualifications Framework of the European Higher Education Area (EHEA): The students, after successful examination, have proven knowledge and understanding of topics of the subject of Anaesthesiology (level PPS). Skills and knowledge acquired are Level 6 (1st Cycle of Studies) of the European Qualifications Framework (EQF).

After successfully completing the course, the student will have knowledge and understanding of the following subjects:

 Knowledge and understanding of the basic principles of general anaesthesia, regional anaesthesia, the drugs used in anaesthesia, the potentials of the modern patient monitoring, fluid management, use of blood and blood products.

 Knowledge and understanding of the basic principles in pain management and palliative care

 Competence in ABCDE approach of the critically ill or deteriorating patient according to ERC

 Competence in cooperating with other students in the context of a clinical environment for the execution of basic and advanced clinical skills

The content of the course ANAESTHESIOLOGY has been shaped into:
A. The theoretical clinical knowledge and skills that the students must obtain to complete the course successfully.
B. The practical and clinical skills the students must obtainto complete the course successfully.
C. The knowledge of the course material that the students must acquire to complete the course successfully.
A. Theoretical clinical knowledge and skills
I. Clinical scenario based teaching in lectures
1. BLS to children and adults, airway obstruction management by a foreign object.
2. ALS.
3. How anaesthesia affects all the systems
4. Anaesthesia techniques, advantages, disadvantages.
5. Medications used by the anaesthesiologist.
6. Preanesthetic evaluation and preparation of the patient who will undergo surgery – Medical Behavior.
7. How does the anaesthesiologist monitor the patient in the perioperative period? (Monitoring)
8. Vascular access and management of fluids, blood and blood products.
9. Critical events during anaesthesia and patient recovery and how to manage them. Postoperative care.
10. The importance of teamwork
11. Management of a. acute and postoperative pain, b. chronic benign pain, c. cancer pain
12. Musicotherapy as complementary therapy in medicine
13. Palliative care.
14. Blood donation
15. Organ donation

II. In mandatory clinical practice – scenario teaching and simulation
Demonstration, analysis, discussion, and management of real clinical cases under the clinical circumstances:
Critically ill patient
Patient in cardiac arrest
Patient with allergic shock
Patient with acute coronary syndrome
Patient with cerebrovascular accident
Perioperative crisis management in:
Bronchoconstriction
Laryngospasm
Pulmonary embolism
Hemorrhage
Malignant hyperthermia
Chronic pain
Palliative care
Musicotherapy
Blood donation
Organ donation

B. Practical and clinical skills
During the mandatory clinical practice- clinical practice based learning
General and Specific clinical skills for the medical students acquired during the clinical practice and lectures:
1. General skills
Extract conclusions from data
Practical problem solving
Extracting information form curves
Handling basic equipment in operation room
Effective teamwork
Safe work environment
Compliance with instructions
Awareness of clinical mistakes and identification of their sources
2. Specific skills
Recognition and assessment of the critically ill patient
Implementation of ALS according to current ERC guidelines
Nasogastric tube placement
Peripheral vein access
Arterial Blood gas sampling
Establishment of the basic monitoring
Bag – mask ventilation
Placement of the appropriate airway adjunct
Placement of laryngeal mask
Airway suction
Prescribing pain medication
Implementation of the basic principles in palliative care
The teaching process includes a) scenario teaching combing theory and practice and b) simulation teaching in small groups. Meanwhile, students get involved in the operation room, in the PACU and in the pain clinic.
The content of the course involves:
1. Assessment of the deteriorating patient
2. Basic and Advanced Life Support, according to ERC and management of chocking
3. Preanaesthetic assessment and optimization of the surgical patient
4. Induction and maintenance of anaesthesia
5. Monitoring in PACU
6. Airway management
7. Basic principles in critically ill patient transportation
8. Mechanical Ventilation
9. Monitoring and interpretation of capnography
10. Acute postoperative pain
11. Chronic pain
12. Palliative care
13. Anaphyllaxis
14. Bronchoconstriction
15. Acute Coronary Syndrome
16. Drug reversal
17. Peripheral vein access
18. Basic steps in interpretation of arterial blood gasses
19. Blood donation
20. Organ doantion

C. Knowledge –course material
Clinical Anaesthesiology, code EVDOXOS: 122090169
Lecture Notes available to e-class

-Suggested Reading Material: Clinical Anaesthesiology, code EVDOXOS: 122090169