• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content

Loading…

Flash Player 9 (or above) is needed to view presentations.
We have detected that you do not have it on your computer. To install it, go here.

Like this presentation? Why not share!

General physicians and the adf Heddle

on

  • 489 views

 

Statistics

Views

Total Views
489
Views on SlideShare
489
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    General physicians and the adf Heddle General physicians and the adf Heddle Presentation Transcript

    • General physicians and the ADF CMDR W HEDDLE RANR RFD MD FRACP FCSANZ FAMA MAICD Chair, General Physician Consultative Group ADF Consultant Cardiologist to RAN
    • PHYSICIANS IN ADF - OUTLINE • BACKGROUND INFORMATION ON ROLE AND TRAINING OF GENERAL PHYSICIAN • CURRENT AND POTENTIAL ROLES IN ADF • POTENTIAL TRAINING PATHWAYS
    • ROLE IN ADF • A BRIEF DISCUSSION OF TRAINING WILL HELP CLARIFY THE POTENTIAL ROLES IN ADF • NOTE PAST CROSSOVER WITH INTENSIVE CARE MEDICINE
    • GENERAL PHYSICIANS AND ADF • WHAT IS A GENERAL / CONSULTANT PHYSICIAN / PAEDIATRICIAN (CPP) – QUALIFIED AS PHYSICIAN BY ROYAL AUSTRALASIAN COLLEGE OF PHYSICIANS (FRACP) – REGISTERED WITH MEDICARE FOR ONLY SEEING REEFERRED PATIENTS FOR CONSULTATION
    • TRAINING OF CPP • ADULT OR PAEDIATRIC PROGRAMME • BASIC PHYSICIAN TRAINING OF MINIMUM 3 YEARS VOCATIONAL TRAINING (CAN START PGY 2) • ASSESSED FOR BOTH CLINICAL SKILLS AND PROFESSIONAL BEHAVIOURS • SUCCESSFULLY PASS “PART 1” EXAMINATION
    • SCHEMA OF RACP TRAINING
    • TRAINING OF CPP (2) • ADVANCED TRAINING (CAN BE GENERAL MEDICINE OR SUBSPECIALTY TRAINING e.g. CARDIOLOGY) OVER MINMUM OF 3 YEARS, PREDOMINANTLY DONE ON “MASTER- APPRENTICE” MODEL • MANY DO FURTHER TRAINING AFTER THIS AS FELLOWS EITHER IN CLINICAL MEDICINE OR RESEARCH ( THIS OFTEN LEADS TO SUB-SUB SPECIALISATION e.g. Myself as “Cardiac Electrophysiologist”)
    • TRAINING OF CPP • RIGOROUS CONTINUING MEDICAL EDUCATION REQUIRED • DUE TO VARIED TRAINING PATHWAYS, LARGE VARIATION IN EXPERTISE, BUT COMMON UNDERLYING BASIC TRAINING AS CPP WITH CONCENTRATION ON DIAGNOSTIC AND MANAGEMENT OF COMPLEX MEDICAL CONDITIONS; SOME ARE HIGHLY TRAINED IN INTERVENTIONAL TECHNIQUES
    • CPP • TRAINED IN BOTH ACUTE / EMERGENCY CARE AND CHRONIC CARE, WITH PROPORTIONS DIFFERING AS TO SUBSPECIALTY
    • CONFUSION AS TO CAPABILITY AND ROLES OF CPPs IN ADF
    • INTERNIST VS INTENSIVIST • UNITED NATIONS IN 1980s DESCRIBED THE HIGHER LEVEL ADVANCED MILITARY FACILITY AS HAVING SURGEON, ANAESTHETIST, AND INTERNIST • WHEN AUSTRALIA DEPLOYED MEDICAL FORCES TO RWANDA, THE TEAM COMPRISED SURGEON, ANESTHETIST, AND INTENSIVIST
    • SUPPORT ROLES • CONSULTATION – INDIVIDUAL SERVING MEMBER WITH SERIOUS OR COMPLEX MEDICAL PROBLEMS – ON HEALTH POLICY e.g. INFECTIOUS DISEASE
    • OPERATIONAL ROLE • IN LEVEL 3 HEALTH FACILITY • IN ‘SUBSTITUTE” ROLE IN LEVEL 2E – E.g. As “INTENSIVIST” or as “GDMO” • IN “SUBSTITUTE” ROLE e.g. IN MAJOR FLEET UNITS OF RAN AS GDMO • IN HUMANITARIAN AID OPERATIONS WHEN USEFUL OR NECESSARY FOR FACILITY TO HAVE MORE THAN GDMO
    • OPERATIONAL ROLES • VERY USEFUL IN TREATMENT OF NON-BATTLE INJURY AND IN POST-OPERATIVE CARE OF BATTLE INJURY (NB MANY HOSPITALS DO NOT PERMIT SURGERY UNLESS GENERAL PHYSICIANS AVAILABLE TO HELP WITH POST- OPERATIVE COMPLICATIONS) • ENHANCED SKILLS IN FEBRILE ILLNESS INCLUDING INFECTIOUS DISEASE, AND IN PAEDIATRICS
    • TRAINING • PRINCIPLE – CPPs WELL TRAINED IN DIAGNOSTIC AND THERAPEUTIC SKILLS – MAY FACE AREAS WITH WHICH THEY ARE NOT CURRENTLY PRACTISING – A SHORT MODULARISED TRAINING SCHEME OF 5- 7 DAYS TO UPDATE IN SUCH AREAS
    • EXAMPLE • EMST ( 2-3 DAYS) • “BASIC “ COURSE (2-3 DAYS) • INFECTIOUS DISEASE, ESPECIALLY TROPICAL ID (ONE DAY) • PAEDIATRICS - PRINCIPLES AND COMMON DISEASES (ONE DAY) • MEDICAL EMERGENCIES NOT ALREADY COVERED
    • EXAMPLE
    • SUMMARY • TRAINING AND POTENTIAL ROLES AND TRAINING OF PHYSICIANS • FOR DISCUSSION AND HOPEFULLY ACTION