Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.5: Select and justify common investigations, with regard to the pathological basis of disease, utility, safety and cost effectiveness, and interpret their results.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently select and interpret appropriate diagnostic investigations;
 Personal and Professional Skills
 •  Make appropriate decisions in situations of incomplete knowledge, complexity/ambiguity, or resource constraint.
MBChB 221: Principles of Medicine
 Applied Science for Medicine
3 •  Describe modern technologies including gene sequencing and bioinformatics. used to unravel the genetic basis of disease.
 Clinical and Communication Skills
5 •  Describe clinically-relevant genetic laboratory techniques.
MBChB 221: Digestive System
 Applied Science for Medicine
1 •  Describe the principles associated with the interpretation of physiological data from tests related to gastrointestinal function.
 •  Link the abnormalities of structure and function to their clinical and radiological presentations.
MBChB 221: Respiratory System
 Applied Science for Medicine
2 •  Explain static and dynamic lung volumes and flows, and the common physiological tests of pulmonary function.
MBChB 221: Genitourinary System
 Applied Science for Medicine
1 •  Correlate anatomical knowledge in situ and in sectional planes with common images from a range of modalities (Range: Plain radiological films; MRI median sagittal and axial planes; CT scan; Ultrasonography).
 Clinical and Communication Skills
4Diagnose common clinical presentations by interpreting radiological images.
5Interpret kidney function using laboratory data, especially the glomerular filtration rate and excretion rate.
MBChB 321: Nervous System
 Applied Science for Medicine
6Explain how the EEG may assist in the diagnosis of brain disorders.
 Clinical and Communication Skills
8For selected neurological presentations and clinical findings, select the most appropriate initial investigations, including imaging modality.
MBChB 321: Sensory Systems
 Applied Science for Medicine
1 •  Correlate appearances on selected imaging modalities with the underlying structures and pathology, both in situ and in sectional planes.
 Clinical and Communication Skills
3Indicate the most appropriate investigations for assessing symptoms and signs in the head and neck.
 •  Interpret radiological images of normal structures and detect main changes seen in important clinical conditions.
MBChB 321: Reproduction, Development and Aging
 Clinical and Communication Skills
5 •  Determine likely underlying endocrine abnormalities and initial investigations
 •  Interpret laboratory results
6Use postnatal growth curves in order to propose underlying causes for abnormal growth
MBChB 401: Emergency Medicine
 Applied Science for Medicine
1 •  Interpret common abnormalities of arterial blood gas analysis, and basic diagnostic tests, ECGs and CXRs.
MBChB 401: Musculoskeletal
 Clinical and Communication Skills
5 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret simple laboratory and radiology tests.
MBChB 401: General Surgery
 Clinical and Communication Skills
6 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret simple laboratory and radiology tests.
MBChB 401: General Medicine
 Clinical and Communication Skills
3 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret simple laboratory and radiology tests.
MBChB 401: Specialty Medicine
 Clinical and Communication Skills
4 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret laboratory and radiology tests.
MBChB 401: Geriatrics
 Clinical and Communication Skills
5 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret simple laboratory and radiology tests.
MBChB 401: Formal Learning Yr 4
 Pneumonia
 •  Recognise the chest X Ray features most commonly used to diagnose pneumonia radiologically.
 Evidence Based Medicine
 •  Explain the need to integrate the evidence with patients’ values and other relevant clinical to make good decisions.
 Cardiovascular
 •  Explain the strengths and shortcomings of the respective tests used for assessing patients presenting with these conditions.
 •  Explain how to detect and differentiate common heart valve diseases and aortic diseases.
 •  Apply learning to accurately and rapidly interpret ECGs.
 Medical Imaging
 •  Explain how Medical Imaging is used in guiding diagnosis and treatment.
 Venous Thromboembolism
 •  Summarise the risk factors for VTE, and how these are incorporated into algorithms for hospitalised patients to prevent VTE which balance risk of VTE and bleeding risk
 •  Explain the diagnosis of PE including risk scores, d-dimer and diagnostic tests
 •  Explain the stratification of risk of mortality in PE and thrombolysis in patients with shock
 Endocrinology and Diabetes
 •  Explain the strengths and shortcomings of the respective tests used for assessing patients presenting with these conditions, using best evidence.
 Clinical Pathology
 •  Use the results of a laboratory test to confirm or refute clinical differential diagnoses for a clinical case
 •  Summarise the importance of sample collection and sample limitations on a test result
 •  Explain the importance of sensitivity, specificity, positive and negative predictive value when interpreting a laboratory test.
MBChB 401: Synchronous Learning Yr 4
 Clinical and Communication Skills
 •  Propose appropriate further diagnostic testing for common and important medical and surgical conditions.
MBChB 501: Obstetrics & Gynaecology
 Applied Science for Medicine
1 •  Describe the types of and need for fetal monitoring.
 Clinical and Communication Skills
3 •  Determine the investigations, including prenatal diagnosis and ultrasound, required for effective pregnancy care at various stages of pregnancy;
5 •  Outline the differential diagnosis, investigations and treatment options.
MBChB 501: Paediatrics
 Clinical and Communication Skills
3 •  Select appropriate tests that will confirm or alter the working diagnosis.
 •  Interpret simple laboratory and radiology tests.
MBChB 501: Specialty Surgery
 Clinical and Communication Skills
3 •  Evaluate and select tests that will confirm or alter the working diagnosis;
 •  Interpret simple laboratory and radiology tests.
MBChB 501: Formal Learning Yr 5
 Women’s Health
 •  Perform a clinical breast exam; select appropriate investigations for a woman presenting with a breast lump; explain the importance of correlating results of clinical assessment with radiological and histological findings
MBChB 551: General Practice
 Applied Science for Medicine
 •  Basic principles are used to detect cancer in early stages.
MBChB 551: General Medicine
 Clinical and Communication Skills
 •  Diagnostic tests/investigations are selected and evaluated to confirm or alter a working diagnosis.
 •  Common investigations are interpreted (ECGs, plain radiology, pulmonary function tests and general laboratory tests)
 Personal and Professional Skills
 •  Familiarity with local hospital practices relevant to the practice of medicine is demonstrated.
MBChB 551: Obstetrics and Gynaecology
 Clinical and Communication Skills
 •  Special emphasis on the importance of the diagnosis and management of preeclampsia and ectopic pregnancy
MBChB 551: Emergency Medicine
 Clinical and Communication Skills
 •  Appropriate investigations are determined and ordered under appropriate level of supervision and responsibility.
MBChB 551: Clinical Imaging
 Applied Science for Medicine
 •  Interpretation of normal and abnormal findings in a range of imaging modalities.