Relevant Auckland MBChB Learning Outcomes
Clinical Practice: medical graduate as practitioner
2.4: Integrate and interpret findings from the history and examination, to arrive at an initial assessment including a relevant differential diagnosis. Discriminate between possible differential diagnoses, justify the decisions taken and describe the processes for evaluating these.
2.4: Integrate and interpret findings from the history and examination, to arrive at an initial assessment including a relevant differential diagnosis. Discriminate between possible differential diagnoses, justify the decisions taken and describe the processes for evaluating these.
MBChB 1: Graduate Learning Outcomes
| Clinical and Communication Skills | |
|---|---|
| • Competently synthesise and integrate information to formulate differential diagnoses; |
MBChB 2: Digestive System
| Clinical and Communication Skills | |
|---|---|
| 5 | • Describe and interpret findings of normal clinical examinations. |
| • Describe and justify a systematic approach to clinical examinations. | |
| 7 | Develop hypotheses of the underlying pathophysiology of selected gastrointestinal diseases from appropriate laboratory data. |
MBChB 2: Cardiovascular System
| Clinical and Communication Skills | |
|---|---|
| 7 | • Describe and interpret findings of normal clinical examinations. |
| 8 | Summarise the symptoms, main physical findings and imaging results to describe common and important abnormalities of the cardiovascular system. |
| 10 | Interpret physiological data including from ECGs, echocardiograms in the clinical context. |
MBChB 2: Genitourinary System
| Clinical and Communication Skills | |
|---|---|
| 3 | • Describe and interpret findings of normal clinical examinations. |
| • Describe and justify a systematic approach to clinical examinations. | |
| Personal and Professional Skills | |
| 7 | Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy. |
MBChB 3: Nervous System
| Clinical and Communication Skills | |
|---|---|
| 7 | Use the problem solving approach of “where is the lesion” and “what is the lesion” to study selected neurological disorders. |
MBChB 3: Sensory Systems
| Applied Science for Medicine | |
|---|---|
| 1 | • Relate clinical presentations to pathological processes in local structures. |
| • Correlate appearances on selected imaging modalities with the underlying structures and pathology, both in situ and in sectional planes. |
MBChB 3: Blood, Immunity and Infection
| Clinical and Communication Skills | |
|---|---|
| 7 | Solve clinically-based problems using integrated knowledge of haematology, immunology and microbiology, both independently and in groups. |
MBChB 3: Regulation of Body Function
| Clinical and Communication Skills | |
|---|---|
| 4 | Interpret and solve clinical problems using an integrated knowledge of the mechanisms of organ system control. |
MBChB 3: Professional and Clinical Skills 2
| Applied Science for Medicine | |
|---|---|
| 3 | • Describe a range of approaches to gathering medical information (‘hypothetico-deductive’ approach, algorithms, pattern recognition) |
| • Explain the concepts of clinical reasoning | |
| • Explain the probabilistic approach to clinical medicine | |
| • Demonstrate the importance of problem lists and key findings in formulating differential diagnoses | |
| Clinical and Communication Skills | |
| 6 | • Describe strategies for dealing with uncertainty |
MBChB 4: General Practice
| Clinical and Communication Skills | |
|---|---|
| 2 | • Recognise key warning signs of serious illness in patients treated in primary care; |
| • Demonstrate skills for dealing with uncertainty (in a low prevalence environment) in clinical diagnosis in general practice; | |
| • Use an evidence-based approach to diagnosis formulation; |
MBChB 4: Musculoskeletal
| Clinical and Communication Skills | |
|---|---|
| 5 | Formulate logical problem lists for a range of patients. |
| • Develop differential diagnosis list for the major problem(s) of the patient; | |
| • Determine the most likely working diagnosis; |
MBChB 4: General Surgery
| Clinical and Communication Skills | |
|---|---|
| 6 | Formulate logical problem lists for a range of patients. |
| • Develop a differential diagnosis list for the major problem(s) of the patients; | |
| • Determine the most likely working diagnosis; |
MBChB 4: General Medicine
| Clinical and Communication Skills | |
|---|---|
| 3 | Formulate logical problem lists for a range of patients. |
| • Develop a differential diagnosis list for the major problem(s) of the patients; | |
| • Determine the most likely working diagnosis; |
MBChB 4: Specialty Medicine
| Clinical and Communication Skills | |
|---|---|
| 4 | Formulate logical problem lists for a range of patients. |
| • Develop a differential diagnosis list for the major problem(s) of the patients; | |
| • Determine the most likely working diagnosis; |
MBChB 4: Geriatrics
| Clinical and Communication Skills | |
|---|---|
| 2 | Evaluate older patients presenting with a range of common conditions and problems. |
| 5 | Formulate logical problem lists for a range of older patients. |
| • Develop a differential diagnosis list that encompasses the multiple medical issues of a patient; | |
| • Determine the most likely working diagnosis; |
MBChB 4: Formal Learning Yr 4
| Pneumonia | |
|---|---|
| • Identify the clinical features used to diagnose pneumonia and decide on the most appropriate treatment. | |
| Cardiovascular | |
| • Identify the presenting symptoms and signs of the major cardiac conditions that commonly present in clinical practice. | |
| • Apply the main principles for diagnosing and managing patients with acute coronary syndromes in clinical settings. | |
| • Explain how to detect and differentiate common heart valve diseases and aortic diseases. | |
| Respiratory | |
| • Apply the main principles for diagnosing and managing patients with acute respiratory conditions in clinical settings. | |
| Medical Imaging | |
| • Explain the importance of the correlation of patient history, clinical findings, anatomy and Radiological imaging to arrive at a correct diagnosis. | |
| Blood Cancer | |
| • Differentiate the clinical presentations of lymphoma, myeloma and acute leukaemia | |
| Neurology | |
| • Summarise the procedural steps for an effective diagnosis of the common and important neurologic disorders. | |
| Endocrinology and Diabetes | |
| • Use knowledge gained to formulate appropriate problem lists and treatment plans for patients with a range of endocrinological diseases in clinical settings. | |
| • Apply the main principles for diagnosing and managing patients with acute diabetes in clinical settings. | |
| Geriatrics | |
| • Summarise the complexity of acute presentation of older patients and the practical challenges in the clinical assessment of older people. | |
| Gout Symposium | |
| • Outline the typical clinical presentation of gout | |
| Gastroenterology | |
| • Synthesise and integrate information to formulate differential diagnoses. |
MBChB 4: Synchronous Learning Yr 4
| Clinical and Communication Skills | |
|---|---|
| • Use clinical reasoning to establish a differential diagnosis for common and important medical and surgical conditions. | |
| • Propose appropriate further diagnostic testing for common and important medical and surgical conditions. |
MBChB 5: Obstetrics & Gynaecology
| Clinical and Communication Skills | |
|---|---|
| 5 | • Outline the differential diagnosis, investigations and treatment options. |
MBChB 5: Paediatrics
| Clinical and Communication Skills | |
|---|---|
| 3 | • Use an evidence based approach to formulate most likely diagnosis and differential diagnosis. |
| • Formulate logical problem lists for a range of paediatric patients. |
MBChB 5: Psychiatry
| Clinical and Communication Skills | |
|---|---|
| 2 | • Synthesise and integrate information to formulate differential diagnoses. |
| 3 | • Formulate a multi-axial diagnosis using DSM-IV. |
MBChB 5: Specialty Surgery
| Clinical and Communication Skills | |
|---|---|
| 3 | Formulate logical problem lists for a range of patients. |
| • Develop a differential diagnosis list for the major problem(s) of the patients; | |
| • Determine the most likely working diagnosis; |
MBChB 5: Formal Learning Yr 5
| Toxicology | |
|---|---|
| • Describe the common approach of the early resuscitation and supportive care for a patient presenting with drug ingestion and/or overdose and apply in clinical settings | |
| Infectious diseases | |
| • Explain the clinical features, diagnostic procedures and most effective treatment options for five important infections in travellers and apply these to future clinical practice | |
| • Explain the clinical features, diagnostic procedures and most effective treatment options for five important sexually transmitted infections and apply these to future clinical practice | |
| Women’s Health | |
| • Apply knowledge of the common causes of lower abdominal pain in women to common case presentations; integrate this knowledge and appreciate the diagnostic complexities; and develop an initial medical or surgical management plan | |
| Dilemmas in Palliative Medicine | |
| • Use clinical reasoning to problem-solve given case studies |
MBChB 6: General Medicine
| Clinical and Communication Skills | |
|---|---|
| • Comprehensive patient assessments are conducted for common general medical problems including relevant, logical and comprehensive histories. | |
| • Differential diagnoses are developed with a determination of the most likely working diagnosis. | |
| • Logical problem lists and clinical priorities are formulated for a range of patients and clinical conditions. | |
| • Principles of complex co-morbidities and their interactions in terms of diagnosis and management are recognised. | |
| Applied Science for Medicine | |
| • Relevant anatomy, physiology and pathophysiology are revised for the presentation, diagnosis and management of common and important clinical conditions as outlined in the clinical scenarios. |
MBChB 6: Paediatrics
| Clinical and Communication Skills | |
|---|---|
| • Exposure to acute patients is used to reliably and rapidly identify the sick child. |
MBChB 6: Psychiatry
| Clinical and Communication Skills | |
|---|---|
| • Preferred diagnosis and differentials are provided using current nomenclature. |
MBChB 6: General Surgery
| Clinical and Communication Skills | |
|---|---|
| • Problems that arise after hours in surgical wards are prioritised. |
MBChB 6: Emergency Medicine
| Clinical and Communication Skills | |
|---|---|
| • Succinct differentials are identified for a range of undifferentiated patients, along with proposed management plans. |
MBChB 6: Clinical Imaging
| Applied Science for Medicine | |
|---|---|
| • Interpretation of normal and abnormal findings in a range of imaging modalities. |