MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.10: Integrate prevention, early detection, health maintenance and chronic condition management where relevant into clinical practice.

MBChB Graduate Learning Outcomes

	Applied Science for Medicine
	• Apply scientific principles, research methodologies and evidence to improve practice and the health of individuals and communities.
	Clinical and Communication Skills
	• Competently develop and implement a clinical management plan;
	Population Health
	• Apply the principles of health promotion, population screening and disease management involving individuals and populations to a range of health care settings.

MBChB 221: Principles of Medicine

	Clinical and Communication Skills
5	• Explain how pathological science is placed into the context of patient care, assessment and treatment.
	Population Health
8	Identify genetic, environmental and lifestyle factors that contribute to disease in the New Zealand population.
9	Explain how basic principles of medicine contribute to general practice.

MBChB 221: Digestive System

	Applied Science for Medicine
2	• Describe the macro and micronutrients required by the human body and how these can be obtained from common foods.
4	Outline the relationship between under- and over-nutrition of specific macro and micronutrients and nutritional disorders.
	• Explain the role of recommended daily intake (RDI) for macro and micro nutrients in health and compare with those for acute and chronic disease states.
	Hauora Māori
8	• Discuss the cultural and social significance of nutrition among Māori.
	• Compare the different epidemiology of common gastrointestinal diseases among Māori with other New Zealand sub-populations.
	Population Health
9	Describe the prevalence of selected gastrointestinal diseases in the community at large. Outline key strategies to reduce this burden.

MBChB 221: Cardiovascular System

	Applied Science for Medicine
1	• Identify the factors that change at different stages of life.
	Population Health
12	Describe the prevalence, distribution and trends in incidence of selected cardiovascular diseases in community subgroups and the population in New Zealand.
13	List the main risk factors that contribute to the common cardiovascular diseases.
14	List the main environmental risk factors that contribute to differing rates of cardiovascular diseases in different communities.
	Hauora Māori
15	Identify the prevalent cardiovascular conditions in the Māori population, and feasible strategies for their prevention.

MBChB 221: Genitourinary System

	Applied Science for Medicine
1	• Identify the factors that change at different stages of life.
2	• Describe the epidemiology, microbial causes and the preventive measures of the common genitourinary tract infections.
	Hauora Māori
8	Identify the factors that affect the incidence of the genitourinary diseases in Māori and compare with those of other populations.
	Population Health
9	Identify the factors that affect the incidence of sexually transmitted diseases in the population and community groups in New Zealand.

MBChB 321: Blood, Immunity and Infection

	Hauora Māori
9	Establish reasons why selected infectious diseases are more prevalent in Māori and compare with other ethnic communities.
	Population Health
10	Explain the reasons for population-based vaccination programmes targeted against selected infectious diseases.
11	Identify factors that affect vaccine efficacy at both individual and population levels.

MBChB 321: Professional and Clinical Skills 2

	Applied Science for Medicine
1	• Outline strategies used to motivate patients in regard to specific lifestyle modifications
2	• Describe effective strategies for improving patient adherence
	Population Health
16	• Outline behaviours that adversely impact on health and describe interventions to alter behaviours at both the level of the population and the individual
	• Describe the factors that influence the effectiveness of patient education
	• Describe the patterns of alcohol, drug use and gambling in New Zealand
	• Outline the role of various community-based health agencies with interests in the health needs of different communities

MBChB 401: General Practice

	Clinical and Communication Skills
2	• Analyse the different types of general practice consultations (range: first contact, acute care, episodic care, continuity of care, diagnosis).
	Population Health
7	• Identify areas in which to use health promotion, prevention and screening techniques

MBChB 401: Musculoskeletal

	Population Health
10	Predict the likely future impact of musculoskeletal disorders on the New Zealand health system.
	• Outline the orthopaedic and rheumatologic disorders that significantly contribute to morbidity in the New Zealand context;
	• Analyse population and demographic trends to predict the future impact.

MBChB 401: General Surgery

	Clinical and Communication Skills
5	Recognise common postoperative complications.
	Hauora Māori
8	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.
	Population Health
9	Suggest evidence-based population health approaches that would reduce the burden of diseases requiring surgery.

MBChB 401: General Medicine

	Population Health
8	• Outline the medical conditions that significantly contribute to morbidity in the New Zealand context.
	• Suggest evidence based public health approaches that would reduce the burden of medical diseases.

MBChB 401: Geriatrics

	Population Health
8	Suggest evidence- based population health approaches that would reduce the burden of medical diseases in older people.
	• Outline the medical conditions that significantly contribute to morbidity in the New Zealand context.

MBChB 401: Formal Learning Yr 4

	Obesity
	• Discuss barriers to behaviour changes in patients and how to work around them
	Respiratory
	• Extend the principles of care for patients with long term conditions and multiple morbidities.
	Venous Thromboembolism
	• Discuss anticoagulation options for both the prevention and treatment of VTE
	Geriatrics
	• Summarise the key issues to consider in the process of a patient journey through rehabilitation from a traumatic illness/ injury.
	Gout Symposium
	• Explain the role of health literacy in improving outcomes for people with gout
	Gastroenterology
	• Explain the impact of selected GI conditions on population health, the role of population screening in GI cancers and the importance of advocating for health promotion to reduce the risk of disease.

MBChB 401: Synchronous Learning Yr 4

	Clinical and Communication Skills
	• Address broader issues such as risk factors, primary and secondary prevention for common and important medical and surgical conditions.

MBChB 501: General Practice

	Clinical and Communication Skills
2	• Recognise key warning signs of serious illness in patients treated in primary care;
	• Recognise different types of general practice consultations (range: first contact, acute care, episodic care, continuity of care, diagnosis).
	• Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
	Personal and Professional Skills
6	• Contribute to the initiation of referrals for specialist advice appropriately for a range of conditions.
	• Understand the roles, responsibilities and linkages of those contributing to a primary health care team.
	Population Health
10	• Identify areas where health promotion, prevention and screening techniques are appropriate.
	• Identify benefits and challenges associated with managing chronic disease in the general practice setting and within the wider healthcare network through the use of clinical audit.
	• Identify the impact of regional variation in health care provision.
	• Describe methods of defining practice population profiles and their specific needs.

MBChB 501: Obstetrics & Gynaecology

	Applied Science for Medicine
1	• Describe the types of and need for fetal monitoring.
	Population Health
13	• Communicate understanding of the Cervical Screening Programme in NZ.
	• Outline the guidelines for management of women with abnormal cervical smears.

MBChB 501: Paediatrics

	Population Health
11	• Outline paediatric conditions that significantly contribute to morbidity and mortality in New Zealand.
	• Determine how access to health professionals are achieved – special complexities of adolescent health services, non accidental injury and roles of referral networks including governmental agencies (Child, Youth and Family (CYF) and hospital teams).
	• Identify and advise on disease prevention (understands key risk factors, the benefits and harm of screening for risks and early disease, continuity of care and management in community).

MBChB 501: Psychiatry

	Population Health
12	• Apply the principles of mental health promotion, population screening and disease management involving individuals and populations to a range of healthcare settings.

MBChB 501: Formal Learning Yr 5

	Infections and Immunisations in Children
	• Explain the importance of prevention of infection through primary healthcare and access
	Women’s Health
	• Apply the principles of health promotion and population screening to breast cancer and mammography
	Interpersonal Violence
	• Explain how to apply IPV screening as part of health screening
	• Apply the tools for asking about violence and abuse during clinical assessment and for assessing for risk
	• Explain the referral process for those affected appropriately
	Dilemmas in Palliative Medicine
	• Identify the key skills for triaging referrals in palliative medicine
	Effective interventions for young people
	• Explain the main health and wellbeing issues for young people
	Hauora Māori
	• Explain the importance of a whānau-centred approach to Māori health
	• Discuss the role of support services in improving health care and outcomes for Maori whānau

MBChB 551: General Practice

	Clinical and Communication Skills
	• Key warning signs of serious illness are recognised and acted upon.
	• Competence is demonstrated in a range of consultations, especially for acute care, long-term conditions, episodic care and palliative care.
	• Skills in writing referral letters are demonstrated.
	• Specialist advice is integrated appropriately for a range of conditions.
	Personal and Professional Skills
	• Competency is developed in transfer of care to medical and other healthcare teams.
	• Collaborative skills with all health professionals are identified.
	Population Health
	• The role of general practice and its integration with the wider health care network is articulated, including regional variations in healthcare provision; health promotion and prevention appropriate for the community; major primary health care targets.
	• Broader social and economic environment determinants are applied to patient wellbeing and outcomes.
	Applied Science for Medicine
	• Basic principles are used to detect cancer in early stages.

MBChB 551: General Medicine

	Personal and Professional Skills
	• Familiarity with local hospital practices relevant to the practice of medicine is demonstrated.
	Hauora Māori
	• Factors contributing to poorer health outcomes for Māori are identified and strategies applied to address these.
	Population Health
	• Relevant preventative medicine strategies are incorporated into daily practice – emphasis on vaccinations, smoking cessation, cardiovascular risk assessment and preventative strategies.

MBChB 551: Obstetrics and Gynaecology

	Hauora Māori
	• Factors contributing to poorer health outcomes for Māori women, including access to and quality of care, and the application of strategies to address these factors.
	Population Health
	• Techniques, uses and limitations of screening within O&G, including cervical screening and screening for fetal abnormality.
	• Influence of obesity, smoking, drugs and alcohol, intimate partner violence and STIs on pregnancy outcomes.

MBChB 551: Paediatrics

	Clinical and Communication Skills
	• Participate in patient/carer education e.g. asthma action plans and immunisation.
	Personal and Professional Skills
	• Key health issues for Māori children and adolescents are identified, and approaches explained to addressing the issues.
	• Appropriate management plans are developed for Māori children and whānau consistent with the whānau context, including addressing barriers to care.
	Population Health
	• Poverty, social and economic policies impacting on child health are identified.
	• Factors contributing to risk taking behaviour, drug abuse and suicide in the child and adolescent population are summarised.
	• Special complexities and specific concerns for adolescent health services are outlined.

MBChB 551: Psychiatry

	Population Health
	• Threats to mental health from childhood trauma/ abuse, poverty, substance abuse) and potential population-level interventions.
	• Principles of population screening for depression, anxiety, psychosis and substance abuse and their health promotion at a national level.

MBChB 551: General Surgery

	Population Health
	• Preventative strategies relevant to surgical patients are applied.

MBChB 551: Emergency Medicine

	Population Health
	• The Ministry of Health screening guidelines are applied for patients in ED settings who may present with domestic violence, elder abuse and neglect, child abuse and neglect, smoking and drug and alcohol abuse.

MBChB 551: Clinical Imaging

	Clinical and Communication Skills
	• Processes for use and interpretation of imaging modalities in urban, regional and rural settings.
	Hauora Māori
	• Strategies identified to overcome barriers to imaging procedures to improve Māori health outcomes.
	Population Health
	• Role of imaging in screening and epidemiology.