Clinical Pharmacology for 3rd year medical students 20082009

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Clinical Pharmacology for 3rd year medical
students2008-2009

• Venue Auditorium
• at
• Victoria Rooms

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Clinical Pharmacology at Bristol

• Year 1 basic concepts and CVS drug use
• Year 2 use of drugs related to systems
• Year 3 plenary sessions plus
• learning in the clinical areas
• Academy based tutorials
• Year 4 learning in the clinical areas
• Year 5 Preparing for Practice

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Learning objectives of the 9 plenary sessions in
clinical pharmacology in the 3rd year

• To understand the concept of the risk to benefit
  ratio in prescribing drugs
• To understand the sources of risk
• To learn a framework for maintaining knowledge on
  drug prescribing
• To improve awareness, observation and
  appreciation of prescribing matters in the wards
  and clinics
• To provide the pharmacological basis which
  underpins prescribing
• To begin to formulate management plans for common
  medical conditions

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Friday 16th January 2009 -Venue Auditorium at
Victoria Rooms13.30 14.20 - THE DRUG HISTORY
Clive Roberts14.30 15.20 ACUTE POISONING IN
PATIENTS Sian Veysey15.30 16.20 ADVERSE
DRUG REACTIONS - Clive Roberts
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Monday 19th January 2009 -Venue Auditorium at
Victoria Rooms 9.30 10.20 - DRUGS FOR THE MAU
Clive Roberts10.30 11.20 PHARMACOKINETICS
FOR THE PRESCRIBER Eamon Kelly11.30 12.20
DRUG INTERACTIONS - Clive Roberts
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Friday 20th March 2009Venue Auditorium at
Victoria Rooms9.30 10.20 HOW TO AVOID
PRESCRIBING ERRORS Kevin Gibbs10.30 11.20
PRESCRIBING FOR DISEASE Clive Roberts 11.30
12.20 LEGAL ASPECTS OF PRESCRIBING Steve Brown
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Recent versions of all lectures are available
athttp//www.zyworld.com/clive_roberts/CPT.htmO
utlines of each session follow
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The Drug History - C Roberts

• You will hear
• the reasons it is so important to take an
  accurate drug history
• The questions you need to ask and techniques to
  employ to really find out about what a patient
  has been taking
• How to use the Aide Memoire to help you learn
  effectively
• Some dos and donts when presenting
• You will participate in solving some case studies
  in which the drug history provides the key to
  diagnosis

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Acute Poisoning in Patients S Veysey

• You will hear
• The spectrum of illness which presents to the AE
  department due to excessive intake of drugs
• The key aspects of assessment and early
  management
• The rationale for use of antidotes or special
  techniques when applicable to relieve the
  poisoning
• Practical aspects of management of poisoned
  patients

10
Adverse Drug Reactions C Roberts

• You will consider the balance of benefit to risk
  in prescribing
• You will hear about factors which increase risk
  and govern choice of drug therapy
• You will consider information sources on adverse
  drug reactions
• You will attempt to classify pharmacologically
  reported ADRs so that a template for recognising
  them is developed in your mind
• You will consider prescribing habits which reduce
  the risk
• You will hear about how ADRs are detected and the
  duty of doctors to report suspected instances

11
Drugs for the MAU C Roberts

• The key pharmacological features of drugs used in
  common medical emergencies encountered in the
  Medical Admissions Unit will be explored
• Each will be introduced by a short clinical
  scenario

12
Pharmacokinetics for the Prescriber E Kelly

• You will hear about factors which determine a
  drugs clearance and half life
• You will hear how pharmacokinetic indices
  determine the dosage regime which is used for
  individual drugs
• You will gain an appreciation of the need to
  adjust doses in certain circumstances

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Drug Interaction C Roberts

• You will hear true anecdotes about life
  threatening and fatal drug interactions which
  have occurred
• You will consider the importance of the subject
• You will be given a template based on mechanism
  of interaction
• The aim is to provide a basis for understanding
  the drug interactions which are documented in the
  table in the BNF as important in prescribing

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How to avoid prescribing errors K Gibbs

• You will be made aware of the pitfalls in
  prescription writing and administration of drugs
  which create error and morbidity
• Mistakes are often unintended human error
• It is illustrated by numerous examples
• This session is intended to increase your
  carefulness when you start to actually write
  prescriptions
• Useful sources of information are provided

15
Prescribing in Disease C Roberts

• Using the situation of chronic liver disease you
  will attempt to bring together all the principles
  of prescribing you have heard and advise on
  management of various symptoms
• This will illustrate the factors that need to be
  kept in mind and reinforce the concept of the
  risk to benefit balance.

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Legal Aspects of Prescribing S Brown

• You will be familiarised with the legislation
  governing the release and marketing of drugs
• You will learn about what is acceptable
  prescription writing and what is not
• You will learn about good practice in
  prescription writing