Acute Medicine Home Page
Welcome to the Acute Medicine section of the ACCS Website.
During the two years of the ACCS programme you will normally spend between six and nine months in acute medicine depending on the deanery in which you are working and year of appointment. During this time all trainees should attend the specific acute medical tutorials and education sessions as required by your deanery. All trainees begining ACCS in 2010 should use the 2010 curriculum documents and relevant assessment requirements.
Acute Medicine: Curriculum and assessment requirements for ACCS (2010)
ACCS training is described under the headings of 'common competencies', 'major and acute clinical presentations' and 'practical procedures' which cover the syllabus for acute medicine, emergency medicine and ICM. During the acute medicine module of ACCS trainees should cover a range of presentations and areas of the syllabus
- Common Competencies: These are competencies that should be acquired by all doctors during their training period starting within the undergraduate career and developed throughout postgraduate training. For ACCS trainees competence to at least level 2 descriptors will be expected prior to progression into further specialty training.
- Major presentations: 2 formative assessments (Mini-CEX or CbD) covering 2 of the 6 major presentations are to be completed during the acute medicine section of ACCS. The major presentations are: anaphylaxis; cardio-respiratory arrest; major trauma; the septic patient; the shocked patient; and the unconscious Patient.
- Acute presentations: 10x formative assessments (mini-CEX, CbD, ACAT)
- Plus: 8-10 of the remaining acute presentations covered using ACATs, elearning, reflective entries, teaching and audit.
- Practical procedures: 5x DOPs covering 5 of the 44 listed practical procedures not covered elsewhere.
- These are: (i) Lumbar puncture; (ii) Pleural tap & aspiration; (iii) Intercostal drain insertion (seldinger); (iv) Intercostal drain insertion open); (v) Ascitic tap; (vi) Abdominal paracentesis; (vii) DC cardioversion; (viii) Knee aspiration; (ix) Temporary pacing (external / wire); (x) large joint examination.
- Minimum number of assessments per 6 months: 3 Mini-CEX, 5 DOPs, 3 Cbds, 3 ACATs plus 1 MSF.
| ACAT-AM | Mini-CEX AM | CbD AM |
| DOPs AM | Audit assessment tool AM | Teaching observation tool AM |