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Respiratory Medicine
New Curriculum
Clare Ramsey
June 10, 2013
Current Respiratory Course

Strengths
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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
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◦ Need integration and collaboration between
courses
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Integration of longitudinal themes
M1

Shared with CV and ENT
◦ 5 weeks long
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Major focus
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Anatomy and histology
Physiology
Radiology
? Pathology
? Genetics
 vs. integration into specific disease topics
◦ ? Immunology
M1
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Anatomic approach
◦ Upper respiratory tract
 Nose, pharynx, vocal cords
 Trachea
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Lower respiratory tract
Lung parenchyma
Pleura
Chest wall and neuromuscular
MI
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Integrate anatomy, histology and radiology
◦ Normal cross sectional anatomy
◦ Normal radiology
◦ Incorporate bronchoscopic imaging as well
M1-Physiology
Lung mechanics
 Gas exchange and transport
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◦ Some overlap here with hematology
Exercise
 Pulmonary function testing

◦ Practical session
◦ Could be integrated in to clinical skills
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Neonatology
◦ First breath physiology
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? Immunologic mechanisms
M2
Combined with ENT
 4 weeks long
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Respiratory M2:Proposed Topics
Introduction
 Obstructive lung diseases
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◦ COPD, Asthma, Bronchiectasis
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Restrictive lung disease
◦ Interstitial lung disease, chest wall disease,
neuromuscular disorders
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Pulmonary vascular disease
◦ Pulmonary hypertension , PE
Respiratory M2:Proposed Topics

Pediatrics
◦ CF, respiratory distress syndrome, TTN,
congenital diseases
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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
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◦ Lung cancer
◦ Mesothelioma
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Occupational lung disease
Respiratory M2:Proposed Topics
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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
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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
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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
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Oncology
◦ Lung cancers
◦ Pleural cancers
Specific topics
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Smoking cessation and burden
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