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.
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 1: 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 2: 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 2: 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 2: Respiratory System
| Applied Science for Medicine | |
|---|---|
| 2 | • Explain static and dynamic lung volumes and flows, and the common physiological tests of pulmonary function. |
MBChB 2: 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 | |
| 4 | Diagnose common clinical presentations by interpreting radiological images. |
| 5 | Interpret kidney function using laboratory data, especially the glomerular filtration rate and excretion rate. |
MBChB 3: Nervous System
| Applied Science for Medicine | |
|---|---|
| 6 | Explain how the EEG may assist in the diagnosis of brain disorders. |
| Clinical and Communication Skills | |
| 8 | For selected neurological presentations and clinical findings, select the most appropriate initial investigations, including imaging modality. |
MBChB 3: 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 | |
| 3 | Indicate 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 3: Reproduction, Development and Aging
| Clinical and Communication Skills | |
|---|---|
| 5 | • Determine likely underlying endocrine abnormalities and initial investigations |
| • Interpret laboratory results | |
| 6 | Use postnatal growth curves in order to propose underlying causes for abnormal growth |
MBChB 4: Emergency Medicine
| Applied Science for Medicine | |
|---|---|
| 1 | • Interpret common abnormalities of arterial blood gas analysis, and basic diagnostic tests, ECGs and CXRs. |
MBChB 4: 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 4: 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 4: 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 4: 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 4: 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 4: 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 4: Synchronous Learning Yr 4
| Clinical and Communication Skills | |
|---|---|
| • Propose appropriate further diagnostic testing for common and important medical and surgical conditions. |
MBChB 5: 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 5: Paediatrics
| Clinical and Communication Skills | |
|---|---|
| 3 | • Select appropriate tests that will confirm or alter the working diagnosis. |
| • Interpret simple laboratory and radiology tests. |
MBChB 5: 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 5: 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 6: General Practice
| Applied Science for Medicine | |
|---|---|
| • Basic principles are used to detect cancer in early stages. |
MBChB 6: 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 6: Obstetrics and Gynaecology
| Clinical and Communication Skills | |
|---|---|
| • Special emphasis on the importance of the diagnosis and management of preeclampsia and ectopic pregnancy |
MBChB 6: Emergency Medicine
| Clinical and Communication Skills | |
|---|---|
| • Appropriate investigations are determined and ordered under appropriate level of supervision and responsibility. |
MBChB 6: Clinical Imaging
| Applied Science for Medicine | |
|---|---|
| • Interpretation of normal and abnormal findings in a range of imaging modalities. |