POM5003 - Organ dysfunction 1 - 2017

Students will gain knowledge of the pathogenesis and perioperative management of patients with endocrine, renal, hepatic, gastrointestinal and coagulation dysfunction. In addition, students will learn to apply basic analgesic principles to the management of patients with perioperative pain problems.

Upon successful completion of this unit, students will be able to:

1. Describe the pathogenesis and pathophysiology of endocrine disorders including diabetes, obesity and sleep apnoea, and their impact on the perioperative patient
2. Formulate an appropriate/effective/suitable/feasible perioperative management plan for patients with endocrine disorders and/or dysfunction
3. Explain the impact of renal, hepatic and gastrointestinal dysfunction on the patient during the perioperative period
4. Identify commonly used anticoagulant and antiplatelet agents, understand their pharmacology and justify their use in the perioperative period
5. Justify the use of thromboprophylaxis during the perioperative period.
6. Recognise the patient with acute, complex acute and chronic pain and correlate their condition to the underlying pathophysiology.
7. Critically evaluate the use of commonly used analgesics and apply these to a management plan.
8. Assess the relevance of the science of genomics to perioperative medicine.
9. Describe the perioperative management of patients undergoing lung resection and the particular problems relating to malignancies in the mediastinum.
10. Identify the key issues associated with Advanced Care Planning and develop a plan for discussing end of life care with patients and their families.

• 1 Essay (3,000 words) 26%
• 1 MCQ exam (1 hour) 10%
• 4 x Short clinical reflections (1,000 words each) 12% each (48% total) (hurdle)
• 2 x Group Case Discussions (2,500 words per group) 8% each (16% total)

20-24 hours per week of time commitment (on average).

See also Unit timetable information

Professor Paul Myles

Medicine and surgery

Perioperative medicine