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.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently synthesise and integrate information to formulate differential diagnoses;
MBChB 221: Digestive System
 Clinical and Communication Skills
5 •  Describe and interpret findings of normal clinical examinations.
 •  Describe and justify a systematic approach to clinical examinations.
7Develop hypotheses of the underlying pathophysiology of selected gastrointestinal diseases from appropriate laboratory data.
MBChB 221: Cardiovascular System
 Clinical and Communication Skills
7 •  Describe and interpret findings of normal clinical examinations.
8Summarise the symptoms, main physical findings and imaging results to describe common and important abnormalities of the cardiovascular system.
10Interpret physiological data including from ECGs, echocardiograms in the clinical context.
MBChB 221: 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
7Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy.
MBChB 321: Nervous System
 Clinical and Communication Skills
7Use the problem solving approach of “where is the lesion” and “what is the lesion” to study selected neurological disorders.
MBChB 321: 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 321: Blood, Immunity and Infection
 Clinical and Communication Skills
7Solve clinically-based problems using integrated knowledge of haematology, immunology and microbiology, both independently and in groups.
MBChB 321: Regulation of Body Function
 Clinical and Communication Skills
4Interpret and solve clinical problems using an integrated knowledge of the mechanisms of organ system control.
MBChB 321: 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 401: 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 401: Musculoskeletal
 Clinical and Communication Skills
5Formulate 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 401: General Surgery
 Clinical and Communication Skills
6Formulate 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 401: General Medicine
 Clinical and Communication Skills
3Formulate 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 401: Specialty Medicine
 Clinical and Communication Skills
4Formulate 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 401: Geriatrics
 Clinical and Communication Skills
2Evaluate older patients presenting with a range of common conditions and problems.
5Formulate 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 401: 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 401: 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 501: Obstetrics & Gynaecology
 Clinical and Communication Skills
5 •  Outline the differential diagnosis, investigations and treatment options.
MBChB 501: 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 501: Psychiatry
 Clinical and Communication Skills
2 •  Synthesise and integrate information to formulate differential diagnoses.
3 •  Formulate a multi-axial diagnosis using DSM-IV.
MBChB 501: Specialty Surgery
 Clinical and Communication Skills
3Formulate 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 501: 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 551: 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 551: Paediatrics
 Clinical and Communication Skills
 •  Exposure to acute patients is used to reliably and rapidly identify the sick child.
MBChB 551: Psychiatry
 Clinical and Communication Skills
 •  Preferred diagnosis and differentials are provided using current nomenclature.
MBChB 551: General Surgery
 Clinical and Communication Skills
 •  Problems that arise after hours in surgical wards are prioritised.
MBChB 551: Emergency Medicine
 Clinical and Communication Skills
 •  Succinct differentials are identified for a range of undifferentiated patients, along with proposed management plans.
MBChB 551: Clinical Imaging
 Applied Science for Medicine
 •  Interpretation of normal and abnormal findings in a range of imaging modalities.