Austere Critical Care is the specialised and comprehensive care of acutely unwell casualties located in remote, austere and resource-limited environments whose conditions are life-threatening. This Masters programme will explore the assessment and management of critically unwell casualties and is designed for the experienced doctor, nurse or paramedic that will be working in intensive care medicine in remote or austere conditions.

It is intended to provide you with the skills to advance your knowledge in this specialty. You will learn the necessary skills in order to provide advanced critical care in urban as well as in remote, and rural environments.

The  programme taught and modular components will introduce the complex nature of caring for a critically ill casualty, the evaluation of the acute or critically unwell patient from an evidence-based perspective from the point of injury through the discharge of the casualty.

The programme assessment is structured to allow you to evaluate the topic in relation to your personal practice and professional experience.  You will also be encouraged to spend time in the ICU located at the base of Mount Kilimanjaro with KCMC hospital.

Programme Name  Postgraduate Certificate  in Austere Critical Care 
Accreditation:  Approved Higher Education Qualification
Credits:  30 ECTS
Programme duration:  12-24 months FT
Target Audience:  25-65+
Entry Requirements:  A relevant MQF/EQF L6 degree at minimum second class and registration in a relevant regulated professional body. Your application to the programme will be considered  if you have a relevant MQF/EQF L5 qualification plus a portfolio evidencing relevant work experience for at least 3 years, supporting evidence from 2 referees, registration in a relevant regulated professional body  and an interview with the course coordinator.  
Target Group:  Health care professionals with independent practice qualifications (medical doctors, registered nurses, registered paramedics, advanced clinical practitioners, physician associates) who would like to work in critical care (intensive care) in austere environments and/or provide critical care and aeromedical transport in areas with limited resources.
Language of instruction:

English. If English is not your first language you must have an International

English Language Testing System (IELTS) score of 7 or more.

MQF/EQF Level Level 7 
Delivery Address:  Online & Pretty Bay Malta
Mode of delivery:  Blended, Full time & Part time
Hours of Total Learning:  750
Total contact hours:  100 of which 96% are delivered online
Supervised practice & placement hours:  50
Self Study hours:  98
Assessment hours: 2
Tuition Fees: Euro  2700

Programme Modules

Title of the Module / Unit ACC701 Critical Care Basics: Concepts, Interventions
Module / Unit DescriptionProvide a brief description of the module. This module provides the knowledge of complex pathophysiology which the assessment and management of the critically ill patients are based on. Content areas include: concepts of tissue oxygenation; organ perfusion; breathing and oxygenation; circulation; regulation of metabolic status and homeostasis; regulated and dysregulated immune responses. The module will build a strong foundation for further clinical studies in critical care.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will understand the pathophysiological processes in the background of critical illness, the common pathways which deteriorate to death unless appropriate critical care interventions 

b. The delegate will be able to predict the clinical module of a critically ill patient with and without interventions by understanding the interactions of various physiological systems and their malfunction. 

c. The delegate will be able to create a plan and prioritise the goals for necessary critical care interventions which targets the malfunctioning physiological processes with a degree of autonomy

d. The delegate will acquire the theoretic knowledge which serves as a solid background to undertake further critical care studies with confidence.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the cellular, tissue and organ level physiology and their interactions

b. The delegate will develop a thorough understanding of the interactions of physiological systems and their common pathway leading to cellular and organ dysfunction.

c. The delegate will learn to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

d. The delegate will build up confidence in further critical care studies to deal with the rapidly deteriorating critically ill patients by understanding the background physiology and by being able to predict the clinical module.

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate ability to prioritise the needs of critical care interventions based on physiological needs

b. The delegate will demonstrate the ability to assess the critical casualty using the skills and knowledge found in this module. 

c. The delegate will demonstrate the ability to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Understand the metabolic needs and pathways in the cellular, tissue and organ level

b. Understand the components of tissue oxygenation and able to interpret it within the clinical concepts

c. Understand the concepts of gas exchange, oxygen transport, oxygen demand and extraction

d. Understand the physiological regulatory mechanisms which maintain the homeostasis

e. Understand the concept of organ perfusion, organ function and dysfunction; including organ-specific considerations for the heart, brain, kidneys and the intestines.

f. Understand the normal and dysregulated immune response and systemic immune response syndrome

g. Understand the interactions which leads to a common pathway or organ damage and cell death  

Module-Specific Communication Skills (Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours

Supervised Placement And Practice Hours

(During these hours the learner is supervised, coached or
mentored.)

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught 

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Reading List 

Core Reading List

Critical Care Manual of Clinical Procedures and Competencies, 2013    ISBN 978-1405122528

Supplementary Reading List

Mechanical Ventilation: Physiology and Practice 2018

ISBN:9780190670085

 

Module / Unit Description This module aims to introduce the concepts of the practice of intensive care medicine specifically for tropical medicine ailments and diseases as well as providing critical care in remote and austere conditions. It begins with the top ten infectious diseases found in tropical regions and expands to cover various treatments and procedures that are needed whilst working in tropical environments. 
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage tropical infectious diseases independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show creativity in managing tropical diseases, managing the medical team and reviewing performance of self and others; and train others to assist him during medical emergencies.

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have practiced the structured and systematic clinical assessment of a critically ill patient who has a disease modality found in tropical disease areas. 

b. The delegate will develop knowledge to interpret clinical diagnostic test results and be able to diagnose the particular tropical disease using this outcome.

c. The delegate will learn to work in a team with technical and non-technical skills and utilise resources effectively  

d. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding tropical diseases including the treatments for infectious diseases found in resource poor environments.   

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring as it pertains to tropical diseases and limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise emergencies found in tropical areas and formulate a plan to respond in an appropriately prioritised order

c. The delegate will demonstrate the skill to assess tropical diseases in an unwell casualty specifically focusing on the five top mortality tropical diseases and the top five morbidity tropical diseases. 

d. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

The learner will be able to:  

a. The delegate will be able to assess and treat Tropical Diseases using Rapid Diagnostic Testing (RDT), basic microscope usage including blood smears and complete blood count, and recognise the signs and symptoms of the top ten tropical diseases found worldwide.

b. The delegate will be able to assess and treat expedition emergencies, infectious diseases and Tropical Diseases found in resource poor environments.

c. The delegate will demonstrate understanding of the top ten infectious diseases found in tropical areas.

d. The delegate will demonstrate a fundamental understanding of how to assess and treat casualties presenting with tropical ailments and diseases.

e. The delegate will demonstrate a fundamental understanding of public health, epidemiology and how to conduct scientific research of tropical diseases.

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

N/A

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement And Practice Hours

Self-Study 

Hours

(Estimated workload of research 

and study.)

Assessment 

Hours

(Examinations/ presentations/
group work/ projects etc.)

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this particular module will be assessed 

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

Programme Name  Postgraduate Diploma  in Austere Critical Care 
Accreditation:  Approved Higher Education Qualification
Credits:  60 ECTS
Programme duration:  18-24 months FT
Target Audience:  25-65+
Entry Requirements:  A relevant MQF/EQF L6 degree at minimum second class and registration in a relevant regulated professional body. Your application to the programme will be considered  if you have a relevant MQF/EQF L5 qualification plus a portfolio evidencing relevant work experience for at least 3 years, supporting evidence from 2 referees, registration in a relevant regulated professional body  and an interview with the course coordinator.  
Target Group:  Health care professionals with independent practice qualifications (medical doctors, registered nurses, registered paramedics, advanced clinical practitioners, physician associates) who would like to work in critical care (intensive care) in austere environments and/or provide critical care and aeromedical transport in areas with limited resources.
Language of instruction:

English. If English is not your first language you must have an International

English Language Testing System (IELTS) score of 7 or more.

MQF/EQF Level Level 7 
Delivery Address:  Online & Pretty Bay Malta
Mode of delivery:  Blended, Full time & Part time
Hours of Total Learning: 2250 250
Total contact hours:  100 of which 96% are delivered online
Supervised practice & placement hours:  50
Self Study hours:  98
Assessment hours: 14 2
Tuition Fees: Euro 

Programme Modules

Modules ACC 701,702,703,705,706 are compulsory. Candidates must choose one elective module from ACC704,707,708

Title of the Module / Unit ACC701 Critical Care Basics: Concepts, Interventions
Module / Unit DescriptionProvide a brief description of the module. This module provides the knowledge of complex pathophysiology which the assessment and management of the critically ill patients are based on. Content areas include: concepts of tissue oxygenation; organ perfusion; breathing and oxygenation; circulation; regulation of metabolic status and homeostasis; regulated and dysregulated immune responses. The module will build a strong foundation for further clinical studies in critical care.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will understand the pathophysiological processes in the background of critical illness, the common pathways which deteriorate to death unless appropriate critical care interventions 

b. The delegate will be able to predict the clinical module of a critically ill patient with and without interventions by understanding the interactions of various physiological systems and their malfunction. 

c. The delegate will be able to create a plan and prioritise the goals for necessary critical care interventions which targets the malfunctioning physiological processes with a degree of autonomy

d. The delegate will acquire the theoretic knowledge which serves as a solid background to undertake further critical care studies with confidence.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the cellular, tissue and organ level physiology and their interactions

b. The delegate will develop a thorough understanding of the interactions of physiological systems and their common pathway leading to cellular and organ dysfunction.

c. The delegate will learn to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

d. The delegate will build up confidence in further critical care studies to deal with the rapidly deteriorating critically ill patients by understanding the background physiology and by being able to predict the clinical module.

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate ability to prioritise the needs of critical care interventions based on physiological needs

b. The delegate will demonstrate the ability to assess the critical casualty using the skills and knowledge found in this module. 

c. The delegate will demonstrate the ability to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Understand the metabolic needs and pathways in the cellular, tissue and organ level

b. Understand the components of tissue oxygenation and able to interpret it within the clinical concepts

c. Understand the concepts of gas exchange, oxygen transport, oxygen demand and extraction

d. Understand the physiological regulatory mechanisms which maintain the homeostasis

e. Understand the concept of organ perfusion, organ function and dysfunction; including organ-specific considerations for the heart, brain, kidneys and the intestines.

f. Understand the normal and dysregulated immune response and systemic immune response syndrome

g. Understand the interactions which leads to a common pathway or organ damage and cell death  

Module-Specific Communication Skills (Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours

Supervised Placement And Practice Hours

(During these hours the learner is supervised, coached or
mentored.)

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught 

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Grades are set from the EU grading scheme:

Scale     Grade Description Grade

80 – 100% Distinction

70 – 79% Merit

55 – 69% Pass

45- 54% Compensated Pass

0 – 34%               Lower Fail

Reading List 

Core Reading List

Critical Care Manual of Clinical Procedures and Competencies, 2013    ISBN 978-1405122528

Supplementary Reading List

Mechanical Ventilation: Physiology and Practice 2018

ISBN:9780190670085

 

Title of the Module / Unit ACC702 Intensive Care for Resource-limited Environments 
Module / Unit Description

This module discusses the knowledge and competencies needed to provide intensive care for the critical casualty located in remote, austere and resource-limited environments. 

Content areas include: early assessment and management of the critical casualty, sepsis, acute kidney injury, airway and respiratory emergencies, advanced techniques for physical examination of the acute casualty, clinical decision making, communications, pharmacological options for the critical casualty, documentation and assessment-based management.

Additional topics will include managing resource limitations, resource allocation, triage, and ethical implications.

Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage medical emergencies independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show competencies in managing the critical casualty with limited equipment and resources. 

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the assessment and management of the critical casualty and develop advanced concepts in medical treatment for acute casualties found in remote and austere environments. 

b. The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.

c. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments for medical emergencies found in resource-limited environments.  

d. The delegate will understand advanced textbooks that will lead to further academic medical learning and will research solutions to abstract medical problems.

e. The delegate will discuss the assessment skills needed for the treatment of the burned casualty, sepsis, fever in the tropics, diarrhoeal emergencies and other aspects of treating the critical casualty. 

f. The delegate will formulate practical and theoretical responses to abstract and concrete medical problems and makes judgements on social and ethical issues pertaining to the medical casualty.

g. The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes. 

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the assessment and management of the critical casualty located in resource-limited environments.

b. The delegate will demonstrate the ability to improvise locally procured equipment into usable medical supplies.

c. The delegate will demonstrate the use of intensive care equipment that can be used in a resource-limited environment.

d. The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Discuss the assessment and treatment of the respiratory, cardiovascular and neurological acute patient specifically for the casualty located in remote, austere and resource-limited environments

b. Discuss the use of the medical equipment found in a resource-limited Intensive Care Unit.

c. Discuss the advanced concepts of blood gas analysis.  

d. Perform ventilator setup and management for the critical casualty. 

e. Demonstration the use of all airway adjuncts specifically for the casualty located in remote, austere and resource-limited environments

f. Discuss the concepts found in the assessment and management of the critical casualty in resource-limited environments. 

g. Discuss how to stop catastrophic and non-catastrophic bleeding

h. Discuss the knowledge and use of the pulse oximeter, bedside point-of-care testing, capnograph and other haemodynamic monitoring equipment specifically for the casualty located in remote, austere and resource-limited environments

i. Discuss the knowledge and administration of vasoactive and other critical care drugs specifically for the casualty located in remote, austere and resource-limited environments

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours

Self-Study 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment.  There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.
How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%,  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Care of the Critically Ill Patient in the Tropics and Sub-Tropics

    ISBN 0333537998

3. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC706 Intensive Care in Tropical Environments
Module / Unit Description This module aims to introduce the concepts of the practice of intensive care medicine specifically for tropical medicine ailments and diseases as well as providing critical care in remote and austere conditions. It begins with the top ten infectious diseases found in tropical regions and expands to cover various treatments and procedures that are needed whilst working in tropical environments. 
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage tropical infectious diseases independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show creativity in managing tropical diseases, managing the medical team and reviewing performance of self and others; and train others to assist him during medical emergencies.

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have practiced the structured and systematic clinical assessment of a critically ill patient who has a disease modality found in tropical disease areas. 

b. The delegate will develop knowledge to interpret clinical diagnostic test results and be able to diagnose the particular tropical disease using this outcome.

c. The delegate will learn to work in a team with technical and non-technical skills and utilise resources effectively  

d. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding tropical diseases including the treatments for infectious diseases found in resource poor environments.   

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring as it pertains to tropical diseases and limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise emergencies found in tropical areas and formulate a plan to respond in an appropriately prioritised order

c. The delegate will demonstrate the skill to assess tropical diseases in an unwell casualty specifically focusing on the five top mortality tropical diseases and the top five morbidity tropical diseases. 

d. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

The learner will be able to:  

a. The delegate will be able to assess and treat Tropical Diseases using Rapid Diagnostic Testing (RDT), basic microscope usage including blood smears and complete blood count, and recognise the signs and symptoms of the top ten tropical diseases found worldwide.

b. The delegate will be able to assess and treat expedition emergencies, infectious diseases and Tropical Diseases found in resource poor environments.

c. The delegate will demonstrate understanding of the top ten infectious diseases found in tropical areas.

d. The delegate will demonstrate a fundamental understanding of how to assess and treat casualties presenting with tropical ailments and diseases.

e. The delegate will demonstrate a fundamental understanding of public health, epidemiology and how to conduct scientific research of tropical diseases.

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

N/A

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement And Practice Hours

Self-Study 

Hours

(Estimated workload of research 

and study.)

Assessment 

Hours

(Examinations/ presentations/
group work/ projects etc.)

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this particular module will be assessed 

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC703 Core Critical Care Skills
Module / Unit Description This module provides the foundational knowledge and skills needed to conduct a structured clinical assessment for critically ill patients, practical skills to apply and interpret critical care monitoring, manage ongoing organ support,  and provide basic critical care interventions specifically for the casualty located in remote, austere and resource-limited environments. The module includes skill stations for structured patient assessment, clinical scenarios with organ support and complex monitoring, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration. Delegates will practice the management of simulated clinical scenarios in teams, learning technical and non-technical skills.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage medical emergencies independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show creativity in managing medical emergencies, manages people and reviews performance of self and others; trains others to assist him during medical emergencies.

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the patient assessment and develop advanced concepts in medical treatment for injuries found in remote and austere environments. 

b. The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.

c. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments for medical emergencies found in resource poor environments.  

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate correct and safe airway management, using a variety of simple and more advanced techniques up to surgical airway.

b. The delegate will demonstrate the ability to set up, monitor and operate a transport mechanical ventilator, troubleshoot and manage alarms and complications.

c. The delegate will demonstrate safe and efficient practice of establishing venous and intraosseous lines, set up invasive pressure measurement, monitor and troubleshoot complications. 

d. The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.

e. The delegate will learn to work in the team, communicate and formulate opinions, management plans and execute team objectives in order to manage a complex critically ill patient in an environment of limited resources.

f. The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.

g. The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes. 

Judgment Skills and Critical Abilities 

a. Demonstrate a critical understanding of the theories, concepts and principles of the basic clinical sciences found in the day to day management of patients in intensive care

b. Demonstrate the application of that knowledge to safe treatment decisions for patients being treated in an intensive care environment

c. Integrate and communicate complex clinical information using a structured clinical approach in the daily assessment and management of critically ill or acute casualty

d. Exercise autonomy within the limits of their professional practice and competence and be able to work effectively in multi-disciplinary critical care team

e. Be able to identify threats to patient safety and use critical judgement to apply systems which promote patient safety and strive towards continual improvement in standards of care

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours  Supervised Placement And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this  module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an entrance exam and a final written exam. Both are taken in the classroom whilst being proctored.

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%,  Summative Essay 50%

Reading List  Core Reading List
The beginners guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782

Supplementary Reading List

1. Intensive Care: A concise textbook  2019

    ISBN 1138093513

2. A bedside guide to mechanical ventilation, 2011

    ISBN 97814611902182

 

Title of the Module / Unit ACC705 Advanced Critical Care Skills for Austere Environments
Module / Unit Description This module provides the advanced knowledge and skills needed to conduct a structured clinical assessment for critically ill patients specifically for the casualty located in remote, austere and resource-limited environments. Practical hands-on skills will be taught that apply and interpret critical care assessment and advanced monitoring, manage ongoing organ support,  and provide critical care interventions specifically for the casualty located in remote, austere and resource-limited environments. The module includes advanced skill practice during structured patient assessments, clinical scenarios with organ support and complex monitoring, procedural ultrasound, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration. Delegates will practice the management of simulated clinical scenarios in teams, learning technical and non-technical skills.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to assess critically ill patients on complex organ support using all available resources and respond to unpredictable findings specifically for the casualty located in remote, austere and resource-limited environments.

b. The delegate will learn to assess the critical casualty and adjust organ support settings to changing needs during aeromedical transport using evidence-based medicine.

c. The delegate will show creativity in managing critical care emergencies, manages the team, utilise resources and reviews performance of self and others specifically for the casualty located in remote, austere and resource-limited environments.

d. The delegate will learn how to utilise the learned critical care skills within the resource-limited environment. 

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have 40 hours of practical skills learning, practice and examination. These advanced critical care skills will include non-invasive procedures that will provide haemodynamic monitoring, ultrasound assessments, and patient vital signs measurement and monitoring. They will be able to assess and manage the critical casualty using these parameters.  

b. The delegate will develop knowledge to interpret diagnostic laboratory test results within a given clinical context, and ability to predict clinical outcomes.

c. The delegate will learn to work in a team with technical and non-technical skills and utilize resources effectively  

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring, its limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise intensive care based emergencies and formulate a plan to respond in an appropriately prioritised and evidence-based manner. 

c. The delegate will demonstrate the skill to assess and haemodynamic monitoring as well as organ support settings and be able to adapt the casualties treatment to the actual clinical need

d. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

a. Conduct a structured and systematic assessment of a critically ill patient specifically for the casualty located in remote, austere and resource-limited environments

b. Utilise diagnostic resources and interpret diagnostic results in the clinical context specifically for the casualty located in remote, austere and resource-limited environments

c. Respond to deteriorating casualty in a structured and prioritised way

d. Assess and adjust organ support variables according to clinical requirements following evidence-based medicine.

e. Work in a team effectively, using both technical and non-technical skills specifically for the casualty located in remote, austere and resource-limited environments

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an entrance exam and a final written exam. Both are taken in the classroom whilst being proctored. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online and classroom exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC704 Aeromedical and Critical Care Transport
Module / Unit Description This module provides the knowledge and skills needed to provide safe transport for critically ill patients both via land and aeromedical retrieval service. The module content includes the knowledge and understanding of the principles of aeromedical transport, including its effects in physiology and the skills of preparing patients for transport as well as monitoring and managing critically ill patients within the confined space during transport.  The online module will give the theoretical background for further studies and learning technical and non-technical skills during subsequent classroom teaching and clinical placements.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to continue the care of critically ill patients during prolonged land or air transport.

b. The delegate will learn to interpret complex critical care monitoring with confidence and competently respond to changes as necessary to prevent deterioration

c. The delegate will learn to plan and prioritize interventions based on clinical signs and critical care monitoring data

d. The delegate will learn skills to communicate with other health care providers and other service providers (land and air traffic) in a focused and structured way

e. The delegate will have acquired competency to organize the care and the handover of critically ill patients during a prolonged transport with a degree of autonomy.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will develop a knowledge of the effects of prolonged land and air transport on  complex critical care monitoring, including ventilation, haemodynamics, metabolic, electro-physiologic, intracranial pressure and foetal monitoring.

b. The delegate will learn to assess and manage patients on continuous life support during transport (incl. mechanical ventilator, intra-aortic balloon counter pulsation, vasoactive treatments) 

c. The delegate will learn to interpret diagnostic results, including radiology (basic X-Ray, head CT scans and bedside ultrasound), blood test results, EKG and CTG in the context of planning, preparing and executing prolonged transport.

d. The delegate will acquire basic knowledge of the common emergencies and critical care scenarios for specific specialties, (neonatology, paediatrics, general medicine, neurology, cardiology, surgery, urology, ENT, ophthalmology, orthopaedics and trauma, obstetrics and gynaecology, toxicology and environmental medicine.) which might occur or need interventions during critical care transport.

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate advanced critical care monitoring capabilities and will be able to analyse and interpret its data, predict clinical modules and formulate a management plan in response to changes.

b. The delegate will demonstrate the skills to assess critically ill patients, use diagnostic tools and interpret relevant diagnostic results

c. The delegate will demonstrate the skills to safely continue the management of critically ill patients who has complex organ support initiated

d. The delegate will have the skill to communicate efficiently with the team, patients, and carers.

e. The delegate will understand and acquire non-technical skills to work in the team efficiently and safely.

f. The delegate will interact with other medical team members to convey abstract and concrete medical solutions to emergencies.

g. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation during prolonged transport.

h. The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.

Judgment Skills and Critical Abilities 

The learner will be able to:  

a. Apply, analyse, and interpret invasive and non-invasive critical care monitoring

b. Assess the critically ill patient systematically in a structured way and interpreting the clinical findings to formulate further management plan

c. Interpret diagnostic results, including basic radiology imaging, blood results, urine and CSF test results, ECG and CTG.

d. Apply and continue managing critical care organ support, including advanced airway support, ventilation support, haemodynamic support, renal support, administration of blood products, and temperature control during prolonged land and air transport

e. Work in a team efficiently, using effective communication, technical and non-technical skills

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

The learner will be able to:  a. Communicate  the handover of a complex critically ill patient

b. Communicate with dispatch, pilots and crew members during transport

c. Rules of communication during flight procedures

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours  Supervised Placement And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online and classroom exams 50%

  Summative Essay 50%

Reading List  Core Reading List
Critical Care Transport (ACEP) 2018 

ISBN: 9781284040999

Supplementary Reading List

1. Critical Care Paramedic: a modern perspective 2005

    ISBN 9780131192713

2. Aeromedical transportation: a clinical guide, 2008,   

    ISBN: 9780754641483

 

Title of the Module / Unit ACC707 Leadership and Management in Critical Care
Module / Unit Description This module will introduce students to the concepts of effective leadership and management in health care. Students will be encouraged to (i) explore how self-leadership is a precursor for the effective leadership of others (ii) to develop the leadership skills to become clinical and academic leaders within their own departments. (iii) to develop the skills to lead innovation and change whilst understanding the challenges facing service delivery.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. Ability to critically evaluate the relationship between leadership and management roles in healthcare settings.

b. Ability to critically analyse theories and approaches to service improvement innovation and change within the health sector.

c. Ability to critically analyse and evaluate a range of theories and developments in leadership and management thinking in relation to the health and social care context.

d. Ability to critically examine the current environment and analyse the implications for management and leadership.

e. Understand and apply the principles of Emotional, Social Intelligence and inspiration to lead successful teams.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. Demonstrate comprehensive understanding of existing leadership theories and concepts involving change and ability to apply these to new problems and scenarios in healthcare service delivery.

b. A  high level of critical appraisal of differing perspectives on leadership theories and practice and how to apply these during transition and change in healthcare settings. 

c. Key leadership theories, appreciating their theoretical underpinnings and evaluating their practice implications.

d. Group decision theory and demonstrate greater insight into making effective decisions in group settings.

e. Knowledge of the theories of leadership and management and their application in the context of Critical Care

f. Knowledge of the literature on leadership within groups and how to develop strategies for effective team working within healthcare organisations.

g. Demonstrate a critical understanding of leadership theory and articulate how to build high performing inclusive teams that contribute to productive and efficient provision of  services.

h. Apply a systematic understanding of the diverse concepts guiding change management in leadership situations within healthcare settings. 

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. Demonstrate effective leadership skills as managers of change in complex and changing healthcare organisations and systems.

b. Demonstrate the ability to critically analyse current leadership issues within healthcare  environments 

c. Identify the work styles and values of themselves  and others, demonstrate how to utilise them effectively within a team.

d. Analyse current leadership issues within healthcare environments

e. Recognise and critically evaluate your personal strengths and articulate development needs necessary to maximise your potential as an effective leader

f. Apply extensive knowledge of leadership and managerial skills to their own practice.

Judgment Skills and Critical Abilities 

a. Identify and critically analyse your personal values, character and integrity to demonstrate personal accountability

b. Critically appraise leadership theory and assess, compare and contrast with your emotional competence and personal leadership style

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours  Supervised Placement And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught Delegates  are taught through a combination of online  interactive  tutorials, workshops, lectures, seminars, enquiry-based learning, self-directed and independent learning. Online tutorials and workshops are intended to enable the application of learning through discussion.  Online lectures  are focused on developing module subject specific skills.
How this module will be assessed

Summative 

Assignment;  A critical analysis of the role of the leader leading service improvement/change within critical care practice. (3.500 words) 

Assessment weighting 100%

Reading List  Core Reading List
1. Leading Self and Others 1st Edition, Venkatesh S, 2016

2. New Leadership for Today’s Health Care Professionals 2nd Edition, Rubino et al, 2020

3. Leadership in Healthcare: Essential Values and Skills, Third Edition (ACHE Management) Part of: ACHE Management (39 Books), Dye, 2017

4. Leadership and Nursing Care Management 6th Edition by Diane Huber PhD RN FAAN NEA-BC (Author), 2018 

 

Supplementary Reading List

1. Brewster DJ, Butt WW, Gordon LJ, Rees CE. Leadership in intensive care: A review. Anaesth Intensive Care. 2020 Jul;48(4):266-276. doi: 10.1177/0310057X20937319. Epub 2020 Aug 2. PMID: 32741196.

2. Reader T.W., Cuthbertson B.H. (2014) Teamwork and Leadership in the Critical Care Unit. In: Scales D., Rubenfeld G. (eds) The Organization of Critical Care. Respiratory Medicine, vol 18. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0811-0_9

3. Attributes of clinical leadership in contemporary nursing: an integrative review. Mannix J, Wilkes L, Daly J.

Contemp Nurse. 2013 Aug;45(1):10-21. doi: 10.5172/conu.2013.45.1.10. PMID: 24099222 Review.

4. Leadership. O’Keeffe DF. Curr Opin Obstet Gynecol. 2012 Dec;24(6):436-9. doi: 10.1097/GCO.0b013e328359b605. PMID: 23090618

5. Applying transformational leadership in nursing practice.

Collins E, Owen P, Digan J, Dunn F. Nurs Stand. 2020 Apr 29;35(5):59-66. doi: 10.7748/ns.2019.e11408. Epub 2019 Dec 16. PMID: 31840443

6. Leadership styles and theories. Giltinane CL. Nurs Stand. 2013 Jun 12-18;27(41):35-9. doi: 10.7748/ns2013.06.27.41.35.e7565. PMID: 23905259

7. Leadership’s Impact on Quality, Outcomes, and Costs. Roussel L. Crit Care Nurs Clin North Am. 2019 Jun;31(2):153-163. doi: 10.1016/j.cnc.2019.02.003. Epub 2019 Apr 8. PMID: 31047090

 

Title of the Module / Unit ACC708  Clinical Practicum for the Austere Critical Care Practice
Module / Unit Description This module will give the delegate hands-on experience with assessing and managing critical patients in austere environments whilst working under the direct supervision of physicians working at Kilimanjaro Christian Medical Centre located in Kilimanjaro, Tanzania. It will provide students with advanced knowledge, understanding and skills for the assessment and treatment for the critically unwell casualty. 
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to assess critically ill patients on complex organ support using all available resources and respond to unpredictable findings specifically for the casualty located in remote, austere and resource-limited environments.

b. The delegate will learn to adjust organ support settings to changing needs especially during aeromedical transport

c. The delegate will show creativity in managing critical care emergencies, manages the team, utilise resources and reviews performance of self and others specifically for the casualty located in remote, austere and resource-limited environments.

d. The delegate will learn how to utilise the learned critical care skills within the resource-limited environment. 

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have practiced the structured and systematic clinical assessment of a critically ill patient, including complex critical care monitoring and organ support settings. 

b. The delegate will develop knowledge to interpret diagnostic test results within a given clinical context, and ability predict clinical module

c. The delegate will learn to work in a team with technical and non-technical skills and utilize resources effectively  

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring, its limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise critical care emergencies found in remote, austere and resource-limited environments and formulate a plan to respond in an appropriately prioritised order

c. The delegate will acquire the skills to assess the critical unwell casualty using haemodynamic monitoring, rapid diagnostic testing, blood gas analysis, and advanced vital signs. They will use these variables to create an evidence-based treatment plan that can be facilitated using resources found in remote and austere environments. 

d. The delegate will demonstrate effective and evidence-based design making processes and medical management skills using creativity and improvisation focused for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

a. Conduct a structured and systematic assessment of a critically ill patient specifically for the casualty located in remote, austere and resource-limited environments

b. Utilise diagnostic resources and interpret diagnostic results in the clinical context specifically for the casualty located in remote, austere and resource-limited environments

c. Respond to deteriorating casualty in a structured and prioritised way

d. Work in a team effectively, using both technical and non-technical skills specifically for the casualty located in remote, austere and resource-limited environments

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours  Supervised Placement And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module/unit will be taught

This module provides hands-on learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: delegates must submit their completed Practicum Handbooks with all signatures and competencies completed. 

Summative Essay   (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during their practicum.  

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Programme Name: Master of Science Austere Critical Care

Accreditation:  Approved Higher Education Qualification
Credits:  90 ECTS
Programme duration:  24-36  months FT
Target Audience:  25-65+
Entry Requirements:  A relevant MQF/EQF L6 degree at minimum second class and registration in a relevant regulated professional body. Your application to the programme will be considered  if you have a relevant MQF/EQF L5 qualification plus a portfolio evidencing relevant work experience for at least 3 years, supporting evidence from 2 referees, registration in a relevant regulated professional body  and an interview with the course coordinator.  
Target Group:  Health care professionals with independent practice qualifications (medical doctors, registered nurses, registered paramedics, advanced clinical practitioners, physician associates) who would like to work in critical care (intensive care) in austere environments and/or provide critical care and aeromedical transport in areas with limited resources.
Language of instruction:

English. If English is not your first language you must have an International

English Language Testing System (IELTS) score of 7 or more.

MQF/EQF Level Level 7 
Delivery Address:  Online & Pretty Bay Malta
Mode of delivery:  Blended, Full time & Part time
Hours of Total Learning: 2250 2250
Total contact hours:  800 of which 96% are delivered online
Supervised practice & placement hours:  848
Self Study hours:  588
Assessment hours: 14 14
Tuition Fees: Euro 8,100 8100

Modules

 

Module Name  ACC701 Critical Care Basics: Concepts, Interventions
Credits:  90 ECTS
Programme duration:  24-36  months FT
Target Audience:  25-65+
Entry Requirements:  A relevant MQF/EQF L6 degree at minimum second class and registration in a relevant regulated professional body. Your application to the programme will be considered  if you have a relevant MQF/EQF L5 qualification plus a portfolio evidencing relevant work experience for at least 3 years, supporting evidence from 2 referees, registration in a relevant regulated professional body  and an interview with the course coordinator.  
Target Group:  Health care professionals with independent practice qualifications (medical doctors, registered nurses, registered paramedics, advanced clinical practitioners, physician associates) who would like to work in critical care (intensive care) in austere environments and/or provide critical care and aeromedical transport in areas with limited resources.
Language of instruction:

English. If English is not your first language you must have an International

English Language Testing System (IELTS) score of 7 or more.

MQF/EQF Level Level 7 
Delivery Address:  Online & Pretty Bay Malta
Mode of delivery:  Blended, Full time & Part time
Hours of Total Learning: 2250 2250
Total contact hours:  800 of which 96% are delivered online
Supervised practice & placement hours:  848
Self Study hours:  588
Assessment hours: 14 14
Tuition Fees: Euro 8,100 8100

 

Title of the Module / Unit ACC701 Critical Care Basics: Concepts, Interventions
Module / Unit Description

Provide a brief description of the module.

This module provides the knowledge of complex pathophysiology which the assessment and management of the critically ill patients are based on. Content areas include: concepts of tissue oxygenation; organ perfusion; breathing and oxygenation; circulation; regulation of metabolic status and homeostasis; regulated and dysregulated immune responses. The module will build a strong foundation for further clinical studies in critical care.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will understand the pathophysiological processes in the background of critical illness, the common pathways which deteriorate to death unless appropriate critical care interventions 

b. The delegate will be able to predict the clinical module of a critically ill patient with and without interventions by understanding the interactions of various physiological systems and their malfunction. 

c. The delegate will be able to create a plan and prioritise the goals for necessary critical care interventions which targets the malfunctioning physiological processes with a degree of autonomy

d. The delegate will acquire the theoretic knowledge which serves as a solid background to undertake further critical care studies with confidence.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the cellular, tissue and organ level physiology and their interactions

b. The delegate will develop a thorough understanding of the interactions of physiological systems and their common pathway leading to cellular and organ dysfunction.

c. The delegate will learn to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

d. The delegate will build up confidence in further critical care studies to deal with the rapidly deteriorating critically ill patients by understanding the background physiology and by being able to predict the clinical module.

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate ability to prioritise the needs of critical care interventions based on physiological needs

b. The delegate will demonstrate the ability to assess the critical casualty using the skills and knowledge found in this module. 

c. The delegate will demonstrate the ability to create plans for critical care interventions and prioritise them based on the pathophysiology and understanding of the interacting processes.

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Understand the metabolic needs and pathways in the cellular, tissue and organ level

b. Understand the components of tissue oxygenation and able to interpret it within the clinical concepts

c. Understand the concepts of gas exchange, oxygen transport, oxygen demand and extraction

d. Understand the physiological regulatory mechanisms which maintain the homeostasis

e. Understand the concept of organ perfusion, organ function and dysfunction; including organ-specific considerations for the heart, brain, kidneys and the intestines.

f. Understand the normal and dysregulated immune response and systemic immune response syndrome

g. Understand the interactions which leads to a common pathway or organ damage and cell death  

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement 

And Practice Hours

(During these hours the learner is supervised, coached or
mentored.)

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught 

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Grades are set from the EU grading scheme:

Scale     Grade Description Grade

80 – 100% Distinction

70 – 79% Merit

55 – 69% Pass

45- 54% Compensated Pass

0 – 34%               Lower Fail

Reading List 

Core Reading List

Critical Care Manual of Clinical Procedures and Competencies, 2013    ISBN 978-1405122528

Supplementary Reading List

Mechanical Ventilation: Physiology and Practice 2018

ISBN:9780190670085

 

Title of the Module / Unit ACC702 Intensive Care for Resource-limited Environments 
Module / Unit Description

This module discusses the knowledge and competencies needed to provide intensive care for the critical casualty located in remote, austere and resource-limited environments. 

Content areas include: early assessment and management of the critical casualty, sepsis, acute kidney injury, airway and respiratory emergencies, advanced techniques for physical examination of the acute casualty, clinical decision making, communications, pharmacological options for the critical casualty, documentation and assessment-based management.

Additional topics will include managing resource limitations, resource allocation, triage, and ethical implications.

Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage medical emergencies independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show competencies in managing the critical casualty with limited equipment and resources. 

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the assessment and management of the critical casualty and develop advanced concepts in medical treatment for acute casualties found in remote and austere environments. 

b. The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.

c. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments for medical emergencies found in resource-limited environments.  

d. The delegate will understand advanced textbooks that will lead to further academic medical learning and will research solutions to abstract medical problems.

e. The delegate will discuss the assessment skills needed for the treatment of the burned casualty, sepsis, fever in the tropics, diarrhoeal emergencies and other aspects of treating the critical casualty. 

f. The delegate will formulate practical and theoretical responses to abstract and concrete medical problems and makes judgements on social and ethical issues pertaining to the medical casualty.

g. The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes. 

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the assessment and management of the critical casualty located in resource-limited environments.

b. The delegate will demonstrate the ability to improvise locally procured equipment into usable medical supplies.

c. The delegate will demonstrate the use of intensive care equipment that can be used in a resource-limited environment.

d. The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Discuss the assessment and treatment of the respiratory, cardiovascular and neurological acute patient specifically for the casualty located in remote, austere and resource-limited environments

b. Discuss the use of the medical equipment found in a resource-limited Intensive Care Unit.

c. Discuss the advanced concepts of blood gas analysis.  

d. Perform ventilator setup and management for the critical casualty. 

e. Demonstration the use of all airway adjuncts specifically for the casualty located in remote, austere and resource-limited environments

f. Discuss the concepts found in the assessment and management of the critical casualty in resource-limited environments. 

g. Discuss how to stop catastrophic and non-catastrophic bleeding

h. Discuss the knowledge and use of the pulse oximeter, bedside point-of-care testing, capnograph and other haemodynamic monitoring equipment specifically for the casualty located in remote, austere and resource-limited environments

i. Discuss the knowledge and administration of vasoactive and other critical care drugs specifically for the casualty located in remote, austere and resource-limited environments

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours

Self-Study 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment.  There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.
How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%,  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Care of the Critically Ill Patient in the Tropics and Sub-Tropics

    ISBN 0333537998

3. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC706 Intensive Care in Tropical Environments
Module / Unit Description This module aims to introduce the concepts of the practice of intensive care medicine specifically for tropical medicine ailments and diseases as well as providing critical care in remote and austere conditions. It begins with the top ten infectious diseases found in tropical regions and expands to cover various treatments and procedures that are needed whilst working in tropical environments. 
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage tropical infectious diseases independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show creativity in managing tropical diseases, managing the medical team and reviewing performance of self and others; and train others to assist him during medical emergencies.

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have practiced the structured and systematic clinical assessment of a critically ill patient who has a disease modality found in tropical disease areas. 

b. The delegate will develop knowledge to interpret clinical diagnostic test results and be able to diagnose the particular tropical disease using this outcome.

c. The delegate will learn to work in a team with technical and non-technical skills and utilise resources effectively  

d. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding tropical diseases including the treatments for infectious diseases found in resource poor environments.   

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring as it pertains to tropical diseases and limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise emergencies found in tropical areas and formulate a plan to respond in an appropriately prioritised order

c. The delegate will demonstrate the skill to assess tropical diseases in an unwell casualty specifically focusing on the five top mortality tropical diseases and the top five morbidity tropical diseases. 

d. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

The learner will be able to:  

a. The delegate will be able to assess and treat Tropical Diseases using Rapid Diagnostic Testing (RDT), basic microscope usage including blood smears and complete blood count, and recognise the signs and symptoms of the top ten tropical diseases found worldwide.

b. The delegate will be able to assess and treat expedition emergencies, infectious diseases and Tropical Diseases found in resource poor environments.

c. The delegate will demonstrate understanding of the top ten infectious diseases found in tropical areas.

d. The delegate will demonstrate a fundamental understanding of how to assess and treat casualties presenting with tropical ailments and diseases.

e. The delegate will demonstrate a fundamental understanding of public health, epidemiology and how to conduct scientific research of tropical diseases.

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

N/A

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement 

And Practice Hours

Self-Study 

Hours

(Estimated workload of research 

and study.)

Assessment 

Hours

(Examinations/ presentations/
group work/ projects etc.)

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this particular module will be assessed 

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC703 Core Critical Care Skills
Module / Unit Description This module provides the foundational knowledge and skills needed to conduct a structured clinical assessment for critically ill patients, practical skills to apply and interpret critical care monitoring, manage ongoing organ support,  and provide basic critical care interventions specifically for the casualty located in remote, austere and resource-limited environments. The module includes skill stations for structured patient assessment, clinical scenarios with organ support and complex monitoring, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration. Delegates will practice the management of simulated clinical scenarios in teams, learning technical and non-technical skills.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to manage medical emergencies independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.

b. The delegate will show creativity in managing medical emergencies, manages people and reviews performance of self and others; trains others to assist him during medical emergencies.

c. The delegate will express a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.

d. The delegate will learn to determine the need for and undertake further emergency medical studies.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will build on their foundational knowledge of the patient assessment and develop advanced concepts in medical treatment for injuries found in remote and austere environments. 

b. The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.

c. The delegate will learn to make judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments for medical emergencies found in resource poor environments.  

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate correct and safe airway management, using a variety of simple and more advanced techniques up to surgical airway.

b. The delegate will demonstrate the ability to set up, monitor and operate a transport mechanical ventilator, troubleshoot and manage alarms and complications.

c. The delegate will demonstrate safe and efficient practice of establishing venous and intraosseous lines, set up invasive pressure measurement, monitor and troubleshoot complications. 

d. The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.

e. The delegate will learn to work in the team, communicate and formulate opinions, management plans and execute team objectives in order to manage a complex critically ill patient in an environment of limited resources.

f. The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.

g. The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes. 

Judgment Skills and Critical Abilities 

a. Demonstrate a critical understanding of the theories, concepts and principles of the basic clinical sciences found in the day to day management of patients in intensive care

b. Demonstrate the application of that knowledge to safe treatment decisions for patients being treated in an intensive care environment

c. Integrate and communicate complex clinical information using a structured clinical approach in the daily assessment and management of critically ill or acute casualty

d. Exercise autonomy within the limits of their professional practice and competence and be able to work effectively in multi-disciplinary critical care team

e. Be able to identify threats to patient safety and use critical judgement to apply systems which promote patient safety and strive towards continual improvement in standards of care

Module-Specific Communication Skills 

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours  Supervised Placement 

And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this  module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an entrance exam and a final written exam. Both are taken in the classroom whilst being proctored.

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online exams 50%,  Summative Essay 50%

Reading List  Core Reading List
The beginners guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782

Supplementary Reading List

1. Intensive Care: A concise textbook  2019

    ISBN 1138093513

2. A bedside guide to mechanical ventilation, 2011

    ISBN 97814611902182

 

Title of the Module / Unit ACC705 Advanced Critical Care Skills for Austere Environments
Module / Unit Description This module provides the advanced knowledge and skills needed to conduct a structured clinical assessment for critically ill patients specifically for the casualty located in remote, austere and resource-limited environments. Practical hands-on skills will be taught that apply and interpret critical care assessment and advanced monitoring, manage ongoing organ support,  and provide critical care interventions specifically for the casualty located in remote, austere and resource-limited environments. The module includes advanced skill practice during structured patient assessments, clinical scenarios with organ support and complex monitoring, procedural ultrasound, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration. Delegates will practice the management of simulated clinical scenarios in teams, learning technical and non-technical skills.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. The delegate will learn to assess critically ill patients on complex organ support using all available resources and respond to unpredictable findings specifically for the casualty located in remote, austere and resource-limited environments.

b. The delegate will learn to assess the critical casualty and adjust organ support settings to changing needs during aeromedical transport using evidence-based medicine.

c. The delegate will show creativity in managing critical care emergencies, manages the team, utilise resources and reviews performance of self and others specifically for the casualty located in remote, austere and resource-limited environments.

d. The delegate will learn how to utilise the learned critical care skills within the resource-limited environment. 

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. The delegate will have 40 hours of practical skills learning, practice and examination. These advanced critical care skills will include non-invasive procedures that will provide haemodynamic monitoring, ultrasound assessments, and patient vital signs measurement and monitoring. They will be able to assess and manage the critical casualty using these parameters.  

b. The delegate will develop knowledge to interpret diagnostic laboratory test results within a given clinical context, and ability to predict clinical outcomes.

c. The delegate will learn to work in a team with technical and non-technical skills and utilize resources effectively  

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will demonstrate the practical context of critical care monitoring, its limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments

b. The delegate will demonstrate the skills to recognise intensive care based emergencies and formulate a plan to respond in an appropriately prioritised and evidence-based manner. 

c. The delegate will demonstrate the skill to assess and haemodynamic monitoring as well as organ support settings and be able to adapt the casualties treatment to the actual clinical need

d. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.

Judgment Skills and Critical Abilities 

a. Conduct a structured and systematic assessment of a critically ill patient specifically for the casualty located in remote, austere and resource-limited environments

b. Utilise diagnostic resources and interpret diagnostic results in the clinical context specifically for the casualty located in remote, austere and resource-limited environments

c. Respond to deteriorating casualty in a structured and prioritised way

d. Assess and adjust organ support variables according to clinical requirements following evidence-based medicine.

e. Work in a team effectively, using both technical and non-technical skills specifically for the casualty located in remote, austere and resource-limited environments

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement 

And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
How this module will be taught

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. 

There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

How this module will be assessed

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an entrance exam and a final written exam. Both are taken in the classroom whilst being proctored. 

Summative Essay (3,000 words)  A critical reflection on the candidates developed understanding of the lessons learned during the online module.

Assessment Weighting:

  Formative online and classroom exams 50%

  Summative Essay 50%

Reading List  Core Reading List
1. Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

2. Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020

    ISBN 9789995791308

Supplementary Reading List

1. Critical Care Nursing in Resource Limited Environments, 2019

    ISBN 1138093513

2. Providing Care in Extreme Environments, 2016

    ISBN 9780071847629

 

Title of the Module / Unit ACC709 Research Methods for the Critical Care Practitioner
Module / Unit Description

Provide a brief description of the module.

This module is designed to engage the student in entry level research in an associated field. The purpose of this module is to introduce the student to research methodologies, including but not limited to sourcing of academic information, peer reviewing articles, assessing bias, impact factors, the applicability of the research to their academic research and the importance of referencing in relation to plagiarism.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. Review, consolidate and extend knowledge, skills, practices, and thinking to complete and report a substantial research project

b. Conduct a literature review and interpret to an advanced level

c. Appropriate use of citation, statistical analysis, and research methodology

d. Produce a piece of work that has an impact on the care of critically ill patients (through generation of new knowledge or by translation of clinical research into a clinical recommendation or guideline

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. Develop an understanding of the theories of science. methodological views and paradigms 

b. Critically appraise the philosophical, ontological and epistemological basis of research in healthcare practice and education.

c. Understand key methodologies including experimental design, survey research, action research, phenomenology and ethnography 

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. Appraise the relevance of coherence in research design for practice and education with due consideration of ethics

b. Critically appraise different research collection methods and approaches and determine how to choose methods

c. Demonstrate research and statistical knowledge and skills, being able to identify appropriate research methods in order to address clinically meaningful questions

d. Use the knowledge on research, statistics and evidence based medicine, to reflect on and synthesise the research findings, to their clinical practice

e. Undertake research, perform an extended literature review, which will then inform a research proposal, provide evidence based guidelines and clinical protocol for practice

Judgment Skills and Critical Abilities 

a. Critically appraise different research collection methods including quantitative, Qualitative (structured/ unstructured interviews, focus group interviews, survey, observation, participant observation, quasi experiment, questionnaires  and user involvement)

b. Critically appraise previous research in theoretical and clinical issues

c. Plan and conduct an independent, limited research or development project under supervision

c. Contribute to new thinking and innovation in the field of Austere Critical Care

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit

1 ECTS is equivalent to 25 total hours of learning, inclusive of contact hours, supervised placement and practice hours, self-study hours and assessment hours. At least 20% (5 hours for every ECTS) must be contact hours or as otherwise established from time to time by NCFHE.

Total Contact Hours

(Contact Hours are hours invested

In learning new content under the

Direction of a tutor/lecturer (e.g. lectures, participation in online forums, video-lectures).

Supervised Placement 

And Practice Hours

(During these hours the learner is supervised, coached or
mentored.)

Self-Study 

Hours

(Estimated workload of research 

and study.)

Assessment 

Hours

(Examinations/ presentations/
group work/ projects etc.)

Total Learning Hours of this Module 250 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 10 ECTS / ECVETs
Explain how this module/unit will be taught in line with Section B 

This module provides 250 hours of online learning under the tutelage of our doctoral level instructors.

The module is delivered via online learning, in addition to tutor led online tutorials. The delegate will give an online presentation of their written assignment to one of the doctoral level tutors. 

Students have full access to the module for the duration of their enrolment and as such can return to the module material as often as required.

Explain how this particular module/unit will be assessed in line with Section B

A research proposal of 5,000 words. Which will include; preliminary literature review, evidence of the need for the research activity, a critical discussion and rationale for the chosen research  approach, research questions, methods, data collection, analysis and research ethics

Assessment Weighting:

   Research Proposal: 100%

Grades are set from the EU grading scheme:

Scale     Grade Description Grade

80 – 100% Distinction

70 – 79% Merit

55 – 69% Pass

45- 54% Compensated Pass

0 – 34%               Lower Fail

Reading List  Core Reading List
1. Research Methods: A Practical Guide for Candidates And Researchers 1st Edition. Tan, 2017.

2. Research Methods for Critical Care: Empirical Tests of Commonly Used Clinical Research Instruments, 2020 ISBN 9463614087, 9789463614085

3. Health Promotion & Education Research Methods: Using the Five Chapter Thesis/ Dissertation Model 2nd Edition, Kindle Edition

4. Mixed Methods in Health Sciences Research: A Practical Primer (Mixed Methods Research Series) 1st Edition by Leslie Curry  (Author), Marcella Nunez-Smith  (Author)

Supplementary Reading List

1. Munro’s Statistical Methods for Health Care Research

by Stacey Plichta Kellar ScD CPH and Elizabeth Kelvin PhD MPH |2012

2. Qualitative Research in Nursing and Healthcare, Holloway and Galvin JOHN WILEY AND SONS INC, 2016

3. Doing a Literature Review in Nursing, Health and Social Care

by Michael Coughlan and Patricia Cronin | Sold by: Amazon.com Services LLC  | Nov 25, 2020

Description of minimum formal qualifications and experience required to teach this Module/Unit

All module designers must have a doctoral degree at MQF level 8. They must have experience or qualifications with using ICT for module creation. Additionally, all ICT faculty will be a registered healthcare provider.

All instructors must have at least a doctoral degree at MQF level 8 with preference for doctoral level of education at MQF level 8.

All instructors must be a registered doctor, nurse, paramedic or have an equivalent qualification.

All instructors will work for the College. We do not use a third party for tutoring. 

 

Title of the Module / Unit ACC710 Degree Project for the Austere Critical Care Practice
Module / Unit Description

Provide a brief description of the module.

This is a capstone project, which requires and enables candidates to produce a comprehensive integrative piece of work incorporating the developed knowledge and skills from the programme into a final dissertation (20,000 words). Focusing on blending  theory with practice in a specific professional context. An in-depth investigation of a research problem rooted in theoretical frameworks and concepts.
Learning Outcomes Competences: – at the end of the module/unit the learner will have acquired the responsibility and autonomy to:

a. Communicate complex professional & academic issues in Critical Care to both specialists & lay people in  a clear and unambiguous manner

b. Formulate & analyse complex scholarly issues in Critical Care independently, systematically and critically 

c.  Evaluate the appropriateness of various methods of analysis & complex issues in Critical Care science from an academic and advanced professional Critical Care perspective 

d.  Critically appraise and apply research evidence related to an identified area of practice.

e. Articulate and justify the need for change in service delivery or service development using established audit/evaluation methods.

f. Critically consider and address the potential ethical issues associated with developing the critical care practice.

g. Demonstrate a thorough, critical and systematic approach to the literature review in critical care, specific skills for development or acquisition and analysis/ evaluation methods.

h.  Formulate appropriate and balanced conclusions and recommendations to inform professional practice.

i. Demonstrate project and time management skills.

j. Demonstrate independent and autonomous learning and the ability to problem solve.

k. Communicate professionally with peers through development of an implementation and evaluation report.

Knowledge – at the end of the module/unit the learner will have been exposed to the following: 

a. Identify and reflect on different research methods (both qualitative and quantitative research), that are and can be used within acute and critical care;

b. Use this knowledge to evaluate literature critically and reflect on its implications for practice using appropriate methods for evaluating qualitative and quantitative research (summative assessment);

c. Integrate statistical principles in analysing data; being able to delineate the appropriate methods to use for differing data sets;

d. Demonstrate their research and statistical knowledge and skills, being able to identify appropriate research methods in order to address clinically meaningful questions;

e. To use the knowledge on research, statistics and evidence based medicine, to reflect on and synthesise the research findings, to their clinical practice (assessments).

f. Undertake research OR perform an extended literature review, which will then inform a research proposal OR provide evidence based guidelines OR clinical protocol for practice.

Skills – at the end of the module/unit the learner will have acquired the following skills:

a. The delegate will understand advanced textbooks that will lead to further academic medical learning and will research solutions to abstract medical problems.

b. The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation.

c. The delegate will interact with other medical team members to convey abstract and concrete medical solutions to emergencies.

d. The delegate will formulate practical and theoretical responses to abstract and concrete medical problems and makes judgements on social and ethical issues pertaining to the medical casualty.

e. The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.

f. The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes. 

Judgment Skills and Critical Abilities 

The learning will be able to:

a. Conduct an advanced literature review and write a critical and analytical review of relevant related research literature

b. Define and refine a research question appropriate to the award title and the literature

c. Identify and justify appropriate research design, methods and analysis techniques for your proposed research

d. outline and discuss critically ethical issues for the proposed research

e. Formulate and critically discuss a research proposal in line with the above outcomes.

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Module-Specific Digital Skills and Competences

(Over and above those mentioned in Section B)

NA

Module-Specific Learner Skills

(Over and above those mentioned in Section B)

NA

Hours of Total Learning for this Module / Unit Total Contact Hours Supervised Placement 

And Practice Hours

Self-Study 

Hours

Assessment 

Hours

Total Learning Hours of this Module 750 Hours
Percentage of Total Contact Hours delivered online. Contact Hours
Delivered Online
Contact Hours
Delivered Face-to-Face
Total Number of ECTS / ECVET of this Module / Unit 30 ECTS / ECVETs
How this module/unit will be taught The Project module learning and teaching strategy will support candidates through;  online tutorials, tutor led online group workshops and one to one academic support and guidance throughout the thesis writing stage.
How this particular module/unit will be assessed

Formative

Supervision sessions with research supervisor including feedback

Summative

Viva; 20 minutes in length a student is not required to defend the work but provide clear rationales for the research decisions and approaches  taken while also clarifying any examiner queries and questions. 

Thesis of 20,000 words

Assessment Weighting:

Thesis 90%

Viva 10% 

Grades are set from the EU grading scheme:

Scale     Grade Description Grade

80 – 100% Distinction

70 – 79% Merit

55 – 69% Pass

45- 54% Compensated Pass

0 – 34%               Lower Fail

Reading List  Core Reading List
1. Research Methods: A Practical Guide for Candidates And Researchers 1st Edition. Tan, 2017.

2. Research Methods for Critical Care: Empirical Tests of Commonly Used Clinical Research Instruments, 2020 ISBN 9463614087, 9789463614085

3. Health Promotion & Education Research Methods: Using the Five Chapter Thesis/ Dissertation Model 2nd Edition, Kindle Edition

4. Mixed Methods in Health Sciences Research: A Practical Primer (Mixed Methods Research Series) 1st Edition by Leslie Curry  (Author), Marcella Nunez-Smith  (Author)

5. Candidates will also be expected to read widely  around their chosen research topic / area particularly referencing current peer reviewed Journal articles 

Supplementary Reading List

1. Munro’s Statistical Methods for Health Care Research

by Stacey Plichta Kellar ScD CPH and Elizabeth Kelvin PhD MPH |2012

2. Qualitative Research in Nursing and Healthcare, Holloway and Galvin JOHN WILEY AND SONS INC, 2016

3. Doing a Literature Review in Nursing, Health and Social Care

by Michael Coughlan and Patricia Cronin | Sold by: Amazon.com Services LLC  | Nov 25, 2020

 

CoROM Covid-19 policy

October 2020

The Maltese Government continues to update its published guidelines on how we will be allowed to provide classroom-based training.  As lockdown measures slowly lift, CoROM will implement a phased return to campus-based courses.

We will focus on:

  • The safety and general wellbeing of all our students and staff.
  • Securing the confidence of staff, students, and their families, based on evidence and information so that they can plan for the session ahead.
  • Consistency with the Maltese Government’s framework for decision making and measures in place – such as distancing, managing attendance, and wider protective actions.
  • Alignment with the national effort to fight the spread of COVID-19.

Our 2020/2021 academic session will commence on 1 September 2020. We are preparing to start the new semester with a blended delivery of safe on-campus teaching and digital learning. This will mean that we will move the majority of our didactics into an online format with classroom training primarily focusing on hands-on clinical skills. There will be limited lectures during the classes held in Malta.

Please be aware: The Maltese Department of Education can close our College if there is a resurgence of the pandemic. If this happens, we will follow all guidelines given out by the EU and Maltese governments. We will support our students as best as we can.

There is a risk that your cohort may be required to defer until it is safe to return to the classroom. If this happens, our College will continue to run our online modules but will have to wait until the authorities allow us to run a classroom environment. We will extend your enrolment without cost until you are allowed to continue with your classroom and/or clinical training.

We will regularly issue updates with information and guidance as our planning progresses.

Stay safe and stay healthy. We look forward to seeing you again soon.