Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.9: Provide information to patients, and family/carers where relevant, to enable them to make a fully informed choice among various diagnostic, therapeutic and management options.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently inform and educate patients and their families.
 •  Communicate sensitively and effectively with patients, their families and colleagues using a process of shared decision-making where appropriate;
MBChB 221: Principles of Medicine
 Clinical and Communication Skills
5 •  Discuss how cultural issues along with counselling and ethical principles guide patient care, using examples from clinical genetics.
 Personal and Professional Skills
6Be aware of ways in which to support a patient with cancer.
 Hauora Māori
7Discuss considerations for Māori in modern genetic research and clinical practice.
MBChB 321: Professional and Clinical Skills 2
 Applied Science for Medicine
4 •  Describe the hospice approach to palliative care for the terminally ill
 Clinical and Communication Skills
6 •  Describe and discuss the principles and benefits of effective communication
 •  Describe the components of patient-centred interactions
7 •  Describe the elements of effective communication with children
 •  Use effective communication skills in controlled settings with patients (real or simulated)
8 •  Explain the rationale for the planned assessment and seek their consent
 Personal and Professional Skills
10 •  Demonstrate an empathetic and professional approach to patients in a real or simulated setting
11 •  Discuss ethical and legal principles relating to families and decision-making for patients and to demands for unconventional treatment
13 •  Critically reflect on own and other cultural and religious norms and how they affect interactions with patients and team members
 Hauora Māori
15 •  Discuss cultural competency in regard to communicating with people from a culture other than one’s own
 •  Relate common cultural and spiritual practices of specific groups and discuss, with reference to specific examples, the effects of these practices on specific health care interventions
 •  Adapt communication approaches as and where appropriate to account for cultural differences in patients, families and in healthcare
MBChB 401: General Practice
 Clinical and Communication Skills
2 •  Demonstrate skills in negotiating life style changes for patients;
 Personal and Professional Skills
4 •  Listening and talking with patients and colleagues;
 Hauora Māori
6 •  Engage in a culturally safe manner with Māori patients, whānau and communities.
MBChB 401: Musculoskeletal
 Personal and Professional Skills
8 •  Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
MBChB 401: General Surgery
 Clinical and Communication Skills
4 •  Describe the principles for informed consent;
 Hauora Māori
8 •  Recognise particular issues for Māori with respect to tissue removal and general anaesthesia.
 •  Engage in a culturally safe manner with Māori patients, whānau and communities.
 •  Identify strategies to overcome barriers with a view to improving Māori health outcomes.
MBChB 401: General Medicine
 Clinical and Communication Skills
4 •  Communicate information to patients and families in a clear manner
 •  Identify and discuss areas of controversy in patient management;
 Personal and Professional Skills
6 •  Communicate with patients and other health professionals in a professional manner.
 •  Practise ethically and with regard to medico-legal obligations;
 •  Demonstrate responsibility, commitment and a reflective attitude to clinical practice;
 •  Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.*
MBChB 401: Geriatrics
 Clinical and Communication Skills
3 •  Identify issues specific to Māori patients;
 •  Identify and discuss areas of controversy in patient management.
 Personal and Professional Skills
6 •  Develop respect for patient autonomy and rights of the older patient, by acquisition/clarification of knowledge of legal and ethical aspects of care pertaining to older people;
 •  Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
 Hauora Māori
7 •  Engage in a culturally safe manner with Māori patients, whānau and communities.
 •  Identify strategies to overcome barriers with a view to improving Māori health outcomes, particularly for older Māori.
MBChB 401: Formal Learning Yr 4
 Pacific People’s Health
 •  Explain the key strategies to gain respect and an ability to respond to the cultural context and aspirations of Pacific patients; families and communities.
 ORL
 •  Describe the consequences and complications of the treatments of these conditions by listening to the patients' perspective.
 Palliative Care
 •  Summarise the key messages to use in practice when introducing palliative medicine to a new patient.
 •  Explain the key principles for discussing end-of-life matters with a dying patient.
 •  Summarise the key messages to convey when communicating with a patient/ whanau about decisions of ‘do not resuscitate’.
 Alcohol and Drugs
 •  Identify a range of services available and the appropriate time for a referral of a patient
MBChB 501: General Practice
 Clinical and Communication Skills
2 •  Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
3Develop skills for shared decision making with patients.
 •  Explain the importance of patient goals in achieving the best clinical outcome.
 •  Identify specific patient values with particular attention to practicing in a culturally diverse community.
4 •  Demonstrate skills in negotiating life style changes for patients.
 Hauora Māori
8 •  Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients and their whānau.
MBChB 501: Obstetrics & Gynaecology
 Clinical and Communication Skills
8 •  Communicate with patients and families with respect and cultural sensitivity
 Personal and Professional Skills
9 •  Demonstrate ethical decision making including obtaining appropriate consent from patients and families.
MBChB 501: Paediatrics
 Clinical and Communication Skills
4 •  Communicate information to families in a clear manner.
 •  Recognise and respect differences in parenting and family dynamics.
 Population Health
12Impart information about health promotion and healthy lifestyle choices.
MBChB 501: Psychiatry
 Clinical and Communication Skills
4 •  Inform and educate patients and their families.
 •  Communicate with patients and families using a clear and sensitive approach.
 Hauora Māori
10 •  Participate in and observe a whānau meeting while being mindful of health beliefs, customs and cultural practices.
 •  Engage appropriately with Māori individuals, whānau and communities, identifying their strengths.
MBChB 551: General Practice
 Clinical and Communication Skills
 •  Sensitivity discussing diagnoses is demonstrated.
 Hauora Māori
 •  Key issues leading to health inequalities for Māori patient are identified and interventions proposed to address them.
 •  Work to achieve correct pronunciation of names in te Reo Māori.
 Population Health
 •  Broader social and economic environment determinants are applied to patient wellbeing and outcomes.
MBChB 551: General Medicine
 Clinical and Communication Skills
 •  Patient centred management plans are prepared for common general medical problems.
 Hauora Māori
 •  Potential bias in working with Māori patients and whānau is identified and strategies are used to overcome biases.
MBChB 551: Obstetrics and Gynaecology
 Personal and Professional Skills
 •  Collaboration with patients and other team members and respect for each other’s skill set.
 Hauora Māori
 •  Consideration of Māori customary practices associated with pregnancy and childbirth in the context of patient- and whānau-centred approaches to care.
MBChB 551: Paediatrics
 Clinical and Communication Skills
 •  Communication with patients and families.
 •  Practice gaining consent from guardians and the patient.
MBChB 551: Psychiatry
 Clinical and Communication Skills
 •  Patient-centred management plans are developed, incorporate a biopsychosocial approach, and with emphasis on family.
 •  Empathetic explanations given in layman’s term.
MBChB 551: Clinical Imaging
 Clinical and Communication Skills
 •  Communication with patients (both benefits and risks) of what radiological procedures entail.