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Respiratory Medicine New Curriculum Clare Ramsey June 10, 2013 Current Respiratory Course Strengths ◦ ◦ ◦ ◦ ◦ Physiology curriculum Clinical Skills sessions Unknown patient tutorial series Reasonable balance between lectures and tutorials Instructional tests added this year Weaknesses ◦ Need better integration of radiology, pathology and clinical diseases ◦ Some particularly sections need revision and new instructors ID Respiratory Course Committee Course Leader Clare Ramsey Education Coordinator Julianna van de Beuken Anatomy/Histology Sabine Hombach-Klonisch Pathology Paul Wawryko Physiology Zoheir Bshouty Radiology Rene Kreml Pediatrics Ruben Alvaro Infectious Disease ? In discussion with Dr Zhanel Sleep Medicine Stephen Corne Surgery ? Outline of Major Principals Integration of basic physiology with radiology, pathology, anatomy and clinical presentations of respiratory diseases and sleep disorders Important overlap with ENT and cardiology ◦ Need integration and collaboration between courses Integration of longitudinal themes M1 Shared with CV and ENT ◦ 5 weeks long Major focus ◦ ◦ ◦ ◦ ◦ Anatomy and histology Physiology Radiology ? Pathology ? Genetics vs. integration into specific disease topics ◦ ? Immunology M1 Anatomic approach ◦ Upper respiratory tract Nose, pharynx, vocal cords Trachea ◦ ◦ ◦ ◦ Lower respiratory tract Lung parenchyma Pleura Chest wall and neuromuscular MI Integrate anatomy, histology and radiology ◦ Normal cross sectional anatomy ◦ Normal radiology ◦ Incorporate bronchoscopic imaging as well M1-Physiology Lung mechanics Gas exchange and transport ◦ Some overlap here with hematology Exercise Pulmonary function testing ◦ Practical session ◦ Could be integrated in to clinical skills Neonatology ◦ First breath physiology ? Immunologic mechanisms M2 Combined with ENT 4 weeks long Respiratory M2:Proposed Topics Introduction Obstructive lung diseases ◦ COPD, Asthma, Bronchiectasis Restrictive lung disease ◦ Interstitial lung disease, chest wall disease, neuromuscular disorders Pulmonary vascular disease ◦ Pulmonary hypertension , PE Respiratory M2:Proposed Topics Pediatrics ◦ CF, respiratory distress syndrome, TTN, congenital diseases Infectious diseases ◦ Upper and lower respiratory tract infections ◦ TB Sleep ◦ Normal ◦ OSA, OHV, central sleep apnea, narcolepsy, RLS Respiratory M2:Proposed Topics Pleural diseases Oncology ◦ Lung cancer ◦ Mesothelioma Occupational lung disease Respiratory M2:Proposed Topics Topics currently taught separately but should be integrated as part of longitudinal themes or in each major disease category ◦ Ethics ◦ Role of surgery/interventional M3- Consolidation More symptom/multiorgan disease based problem solving approach ◦ Integration with other relevant systems ID CV ENT ◦ Integration with longitudinal themes M3-consolidation Common symptoms to build case based learning around ◦ ◦ ◦ ◦ ◦ Dyspnea Chronic cough Hemoptysis Chest pain Respiratory failure Hypoxemia Hypercapnia Respiratory M3:Consolidation Integrate longitudinal themes ◦ Palliative care End stage lung disease care ◦ Indigenous Health TB cases Bronchiectasis ◦ Geriatrics COPD case Many comorbidities Integration with other courses CVS ◦ Chest pain, dyspnea, pulmonary hypertension, right heart failure Hematology ◦ Oxygen transport, PE ID ◦ URIs, pneumonia, TB Reproduction ◦ Normal physiologic changes in pregnancy, respiratory disease in pregnancy Integration with other courses Oncology ◦ Lung cancers ◦ Pleural cancers Specific topics Smoking cessation and burden