Code : 19497      Created Date : Wednesday, June 12, 2019   Update Date : Tuesday, June 18, 2019    Visit : 162

Critical Care Medicine

Type Of Program : Degree Programs
Academic Level for Degree Programs
Academic Level : Fellowship
If Other,Please Write Full Name :  
Program Semester : September
February
Intake Year : 2019
2020
2021
Form A: Program Suggestion Prerequisites
Basic Information
Full Name of Major : Critical Care Medicine
Name of School/Research Center/Hospital : School of Medicine
If Other, please specify: :  
Program Description : Adult intensive care course is a multidisciplinary course derived from anesthesiology and internal medicine and graduates of this course are working in the field of diagnosis, care and treatment of a wide range of clinical problems in patients with severe and life-threatening failure in one or multiple organs. Students are responsible to maintain and improve the health of critically ill patients with multi-organ dysfunction at the time of admission, discharge or transfer with therapeutic, supportive and managerial comprehensive care.
Program Duration : 18 months
Contact Person (Submitter)
Full Name : Zahed Hoseinkhan
Position : Professor of Ansestesiology, Tehran University of Medical Sciences
Affiliation : Department of Anestesiology and Critical Care
Email : khanzh51@yahoo.com
Telephone Number :  
Cellphone Number : +98-912-2370710
Form B: Complementary Information
Additional Information
Name of Department : Anesthesiology and Critical Care
Program Curriculum : http://gsia.tums.ac.ir/images/UserFiles/44557/Forms/1156/felo_criticalcaremedicine.pdf
Program Objectives : 1. To train knowledgeable, innovative, explorative experts with managerial ability, and with spiritual and professional ethics that with the acquisition of knowledge, skills 
2. To conduct researches in the field of health promotion and reduction of treatment complications and costs.
3. Reduction of mortality and duration of hospitalization in the ICU at the highest international 
standards 
4. Promotion of intensive care to the first rank of the region in terms of therapeutic, educational and research perspective.
At the end of the program learners will be competent in performing following procedures: 
• Arterial blood sampling
• Catheter insertion in peripheral veins
• Vascular cut-down 
• Catheterization of central veins through PICC
• Peripheral arterial catheter insertion
• Central venous catheter insertion
• Invasive blood pressure Measurement 
• Evaluation of central venous pressure
• Intracranial pressure monitor (optional)
• Perform cricothyroidotomy immediately
• Endotracheal intubation
• Laryngeal mask insertion
• Apply and commission types of ventilator
• Hemodialysis 
• Bronchoalveolar lavage (BAL)
• Chest tube insertion
• Percutaneous dilational tracheostomy (PDT)
• Replace tracheostomy tube
• Perform basic lung function tests
• Mouth - stomach – jejunal tube insertion
• Defibrillation and defibrillator
• Pericardiocentesis
• Pleural fluid aspiration (Pleural tap)
• Aspiration of ascites (Ascites tap)
• Pulmonary artery catheter insertion
• External pacemaker insertion
• Non-invasive measurement of cardiac output
• Fiber-optic bronchoscopy or laryngoscopy 
• Ultrasound for liquid detection
• Echo-Doppler for tamponade
• Percutaneous endoscopic gastrostomy (PEG) *
• Intra-aortic balloon pump (IABP)
Method(s) of Instruction : This program is based on the following strategies: 
· Task based learning
· A combination of student- and teacher-based learning 
· Problem-based learning 
· Hospital based learning 
· Subject-directed learning 
· Systematic learning
· Evidence-based learning 
· Disciplinary learning with some integration as required 
· Community-oriented learning 

Educational Methods and Techniques: During this course, various methods and techniques will be used:
• Various intra- and intersectoral, hospital, interdisciplinary and inter-university conferences as well as seminars
• Discussion in small groups, workshops, journal clubs and reading groups as well as Case Presentation
• Participation in training lower ranks
• Self-Education, Self-Study
• Other training methods and techniques according to the requirements and objectives

The overall structure of the course:

• In ICU Rotation: 
- Asthma emergency, respiratory failure, hypoxemic, airway management, hospital infections, infection control, chemical waste, chest trauma, oxygen therapy, artificial respiration, types and modes of respiratory ventilator, disconnect the patient from the ventilator, noninvasive techniques, conditioning,
complications of artificial ventilation, care after thoracic surgery, pulmonary function tests, respiratory
mechanics, interpretation of blood gas analysis, sedation in ICUs, invasive procedures to control acute
pain in ICUs, observation of ethical and legal aspects
in ICU, arterial catheter insertion, intravenous catheter insertion, pulmonary artery catheter insertion, retraining cardiopulmonary cerebral 
resuscitation (CPCR) techniques

• In surgery room Rotation:
- Airway maneuvers, bag-mask ventilation, tracheal 
intubation and laryngeal mask airway insertion, sedation, anesthesia, muscle relaxation, bronchoscopy, fiberoptic, familiarity with anesthesia equipment, invasive monitoring 

• In Cardiology ward and CCU Rotation:
- Shock, pulmonary edema, cardiac tamponade, rhythm disorders, coronary artery disease, invasive monitoring and inotropic treatments, anticoagulant treatments and thrombolytic therapy, cardiac emergencies, malignant hypertension and hypertensive crisis, echo training, pace maker, thromboembolism, valvular disorders

• In Lung department Rotation:
- Spirometry, bronchoscopy, fiberoptic, BAL, inflammatory obstructive and restrictive lung diseases 

• In Radiology department Rotation:
- Spiral CT scan (with contrast), vascular imaging
(perfusion), thoracic imaging and other organs
trauma, ultrasound, MRI

• In Department of Neurology Rotation:
- Types of coma, cerebral edema, cerebral vascular insufficiency, monitoring, central nervous system, convulsion and its control, brain death and medical ethics issues in relation to brain trauma 

• In Selected departments (Poisoning, Cardiology and ICU, Emergency, Burn) Rotation:
- Poisoning, diagnosis and treatment of patients after heart surgery, balloon pump insertion, dealing with trauma patient and the way of stabilizing hemodynamic in hemorrhagic shock, smoke inhalation, airways burns
Program Instructor(s) : All academic staff in Anestesiology and Critical care department in Shariati, Imama Khomeini and Sina Hospitals.
Attach CV of Instructor(s) :  
Tuition Fee : 5000$ Annually
A scholarship is available for top applicant or scholarship is available for applicant from developing countries.
Eligibility Criteria
Who Can Attend? : Graduate as:
- Anesthesiologist
- Internal medicine speciallist
- Emergency Medicine speciallist
- General surgeons
Eligibility : • The eligible candidate have successfully completed one of the above approved residency program: 
• Proficient in the English or Persian languages.

 

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