The Curriculum of the Clinic

[livrose 1594]

The Curriculum Of The Clinic

For Burgeoning Medics Within the Hospital of Saint Amyas

Written upon her ascension to the role of Surgeon General, by Lady Emma Kortrevich

 

 

 

These lessons are not necessarily in any particular order - it is up to the medics themselves to decide which they want to partake in, or feel they lack knowledge of. Any physician in training can ask for one of these topics to be covered in the next lesson. Nor are classes simply limited to these topics! Teaching physicians can decide for themselves, as long as their students are capable medics by the end of their apprenticeship. 

 

Once an apprentice is deemed ready by the Surgeon General themselves, they will undergo a final written test. If successful in this endeavour, the new physician may swear their oath and join the clinic as a fully-fledged member of staff.  

 

 

---

 

I. The Foundational Basics

 

For medics at the very start of their journey, these basic skills are set to be practiced countless times over their career. It is important to understand all aspects of patient and clinic care in order to run an efficient and clean space. In this lesson, students will go over the pointers of patient care, how to maintain professionalism in stressful situations, and develop good bedside manners. 

 

Not only that, but students will also learn of clinic ethos - how to write up patient reports, keep equipment sterilised, and maintain a clean working environment. The clinic should be available and open at all times, as to be able to treat all they can. Aftercare will be another focus, evaluating treatment throughout time and recommending courses of action for the betterment of the patient in question. Not only that, but the basic equipment and tools medics use on a daily basis will be covered! 

 

II. Treatment of Cuts and Wounds

 

Students will be taught how to treat cuts of wounds of varying sizes - staunching blood-flow, sterilising and cleaning the wounds, extracting debris, then dressing them to promote healthy recovery. Teachers will go over the basic performance of suturing, as well as cauterisation - once these classes are concluded, the students may perform these tasks independently, without supervision. 

 

III. Herbs and Botany

 

In everyday life at the clinic, physicians use various herbs and remedies in salves, soups, teas, to aid in patient recovery. It’s essential for students to recognise the herbs, understand their uses and dangers, and how to give them to a patient. Students will learn how to prepare the plants and make various salves. However, a more entertaining aspect of botany is the opportunity to go herb hunting! Field trips through Almaris will take groups of medics to gather herbs of their own - promoting independence in their studies and an opportunity to learn in the physical environment. 

 

IV. Additional Core Knowledge: Burns, Frostbite, and Head Trauma

 

A medic must be able to call upon their artillery of first aid knowledge at a moment’s notice throughout their career. Thus, aspects like burns, head trauma, bruising, or other cases which might be prone to stumbling into the clinic on a daily basis will be covered. Students will learn how to assess and diagnose the patient, how to treat burn victims of varying intensity, how to treat frostbite cases, and how head injuries might impact the patient.

 

V. Broken Bones

 

Being one of the more common injuries a young physician might encounter, students will be taught how to reset breaks and fractures, how to apply a splint around a limb, dislocated joints, and the healing process of bones. Every medic should be comfortable with the familiar sound of cracking bones by the end of this class!

 

VI. Emergency Procedures: Stab Wounds, Resuscitation, and Poisoning

 

Critical emergency procedures such as stab wounds, from weapons or arrowheads, will be covered in this lesson. Students will be taught the difference between styles of arrowheads, the impact of the shape upon damage to the patient, and therefore the method of extraction. Students will learn to remove the arrows, then treating the injury as one would a normal wound. Another aspect of emergency procedures covered will be resuscitation, as well as how to detect the symptoms of a poisoning, the types of poison possible and how to treat such. After the lesson has been taught, apprentices are trusted, as always, to perform these procedures independently and learn for themselves.

 

VII. Pregnancy 

 

Students will be taught how to advise and aid the pregnant couple, with a variety of soothing teas and concoctions to ease discomfort. They will learn how to examine the child’s health, as well as the mother’s, in early months. Midwifery will be covered. Then, once the child is born - post-examinations will be taught. All in the aim to ensure a healthy and safe delivery. It is recommended that apprentices work as an aid to a main Surgeon in their first delivery, before trying their own hand. 

 

VIII. Amputations

 

Another emergency procedure... and not one for the faint-of-heart. Students will be taught how to properly perform amputations, using the proper equipment and method, in the effort to make the procedure as easy as possible - for both patient and medic. 

 

A further note: the clinic will try to organise further enrichment in VOCATIONAL OPPORTUNITIES whereupon our apprentices will try their hand working within other clinics, as a temporary resident, throughout Almaris. If a student would be interested in this scheme, they are to contact the Surgeon General.

---

 

A Further Specialisation: Combat Medics

There are further lessons available to all, combat medic or not, who wish to prepare for more emergent scenarios physicians face.

 

I. Battle Triage

 

A quote, taken from an old High Elven scroll regarding Battle Triage: ‘It is unethical for a physician to persist at all costs, at maintaining a life of a patient beyond hope, thereby wasting to no avail scarce resources elsewhere.’

 

This class will teach how to select between casualties, based upon a few factors. We begin Combat Medicine with this class, as it sets the tone of the main essence of the role - being that time and resources are limited, therefore you can not help everyone. It is hard to get to grips with. However, to make it fun we will give scenarios and act out situations for the students. 

 

II. Primary and Secondary Assessments

 

Primary and Secondary assessments such as these are methods used daily by many physicians upon treating a casualty, and diagnosing their injuries. They have been adapted, and made shorter and more efficient, for the purpose of the battlefield. They serve as a crucial way of assessing a casualty’s state, allowing physicians to triage the patient, as well as try and patch their injuries on the way. 

 

III. Transporting a Casualty

 

These lessons will evaluate different environments or conflicts medics might find themselves in the center of. Apprentices will learn how to approach a chosen casualty, then begin the task of transporting them away from the danger to somewhere treatable, using the holds and methods taught! Again, to make it fun, we will elect fellow physicians to play the casualties each time. 

 

IV. Military Training and Experience

 

Unlike other medics who wait in medic tents by the side of the battlefield, helping haul injured soldiers up and into the hospital after conflict, combat medics play a role in the center of the action. It is essential that a combat medic is a competent fighter, so it is recommended that they join the BSK to learn weaponry, collaboration, and discipline.

 

As for experience, although intimidating, the clinic encourages these young combat medics to seize advantage of every conflict or battle. After all, true experience is the most exciting way to learn. At first apprentices will stick beside a more experienced soldier, before branching out on their own - all the while under the watchful eye of a more experienced medic. It is a true test of capability of balancing the wounded, navigating a battlefield, whilst remaining alert.

---

SIGNED,

 

Her Ladyship, Emma Karenina Kortrevich, Surgeon General of Hanseti-Ruska

 

Her Serene Highness, Petra Emma Barbanov-Bihar, Deputy Surgeon General of Hanseti-Ruska

 

If you wish to enrol as an apprentice, or join the clinic as a physician, or have any questions - contact the Lady Kortrevich. Or the Deputy Surgeon General, Her Serene Highness, Petra Emma.

Spoiler

discords: livrose#0950 and sarahbarah#0007

 

[Zanthuz 1837]

Ser Nikolaus Kortrevich looked down fondly at the newest generation of House Kortrevich with his wife, former Surgeon General Lotte Kortrevich. "Ea'm pleased to see another Kortrevich follow in your footsteps, Lotte. She's reminds me of our youngest, Emaline." @Tigergiri

[sarahbarah 5021]

Prinzenas Petra Emma beams with pride, bustling about the clinic as she prepares for an upcoming lesson!

[erictafoya 2309]

Lord Robert Ludovar, Co-Founder of the Ludovar Foundation, smiled proudly at the progress the Clinic is going through. As the Clinic's primary beneficiary, he couldn't wait to see what was next for the revitalized institution.