Home » Auckland MBChB Learning Outcomes associated with AMC Graduate Statements

Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.11: Prescribe medications safely, effectively and economically using objective evidence. Safely administer other therapeutic agents including fluid, electrolytes, blood products and selected inhalational agents.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently perform a range of procedures for diagnostic and therapeutic purposes;
MBChB 221: Cardiovascular System
 Applied Science for Medicine
4Discuss the mechanism of action and physiological effects of a small number of drugs used in common cardiovascular conditions.
MBChB 221: Genitourinary System
 Applied Science for Medicine
1 •  Outline the clinical pharmacology of drugs acting on the genitourinary system.
 Clinical and Communication Skills
5Interpret kidney function using laboratory data, especially the glomerular filtration rate and excretion rate.
MBChB 221: Clinical Pharmacology
 Clinical and Communication Skills
3Demonstrate foundation skills for safe and effective prescribing.
 •  Explain the information patients and medical practitioners need before prescribing a medicine.
 •  Show how to access sources of information about medicines.
 •  Show how to individualise dose requirements (including calculation of loading and maintenance doses) and how to monitor response to treatment.
 •  Write a prescription correctly.
MBChB 321: Nervous System
 Applied Science for Medicine
3Outline the principles of anaesthesia and the actions of the major classes of drugs used for sedation and anaesthesia.
MBChB 321: Blood, Immunity and Infection
 Applied Science for Medicine
1Explain the key haematological parameters used in the diagnosis and treatment of disease.
MBChB 321: Regulation of Body Function
 Applied Science for Medicine
1 •  Explain body fluid volumes and electrolyte content.
 •  Explain acid-base status.
3Examine the roles and actions of drugs for correcting disordered physiology and pathology.
Summarise the modes of action of drugs at cellular and organ levels.
For each drug class, explain the potential adverse effects, drug interactions and dose adjustments required in diseased states.
 Clinical and Communication Skills
5Determine the most appropriate drug to administer in selected cases.
MBChB 321: Professional and Clinical Skills 2
 Applied Science for Medicine
5 •  Explain the psychological precursors of error
 Clinical and Communication Skills
9 •  Demonstrate safe practice in relation to venesection and cannulation in a simulated setting
 Personal and Professional Skills
11 •  Discuss ethical and legal principles relating to families and decision-making for patients and to demands for unconventional treatment
MBChB 401: Anaesthesiology
 Applied Science for Medicine
3Summarise the essential pharmacology of drugs commonly used in the perioperative setting:
 •  sympathomimetic and parasympathomimetic drugs;
 •  anaesthetic agents;
 •  opioid analgesics (and antagonists);
 •  local anaesthetics;
 •  other non-opioid analgesics;
 •  neuromuscular blocking agents (and antagonists);
 •  common anti-emetic agents;
 •  short acting benzodiazepines (and antagonists).
 Population Health
11Discuss the key issues related to safety in anaesthetic practice, including:
 •  preoperative assessment;
 •  the safe provision of anaesthesia;
 •  postoperative care.
MBChB 401: General Practice
 Clinical and Communication Skills
2 •  Demonstrate skills in rational prescribing;
MBChB 401: Musculoskeletal
 Clinical and Communication Skills
7 •  Explain how intra-articular and soft tissue steroid injections are administered.
MBChB 401: General Surgery
 Applied Science for Medicine
1 •  Describe the nature of intravenous replacement fluids;
 •  Describe the nutritional and metabolic needs of the perioperative patient;
 Clinical and Communication Skills
3 •  Prescribe fluid replacement regimens.
MBChB 401: Geriatrics
 Clinical and Communication Skills
3 •  Identify issues of multiple medications;
MBChB 401: Formal Learning Yr 4
 Clinical Pharmacology
 •  Develop, through study and application of pharmacological principles, a framework of knowledge that forms the basis for the safe and effective use of medicines in clinical practice.
 •  Demonstrate foundation skills for safe and effective prescribing.
 Venous Thromboembolism
 •  Discuss anticoagulation options for both the prevention and treatment of VTE
 Neurology
 •  Describe the main indications for, and side effects of, drugs commonly used in the treatment of neurological conditions.
 Palliative Care
 •  Explain the major myths associated with the use of morphine for palliative medicine, and summarise the key messages associated with morphine prescribing.
 Renal Disease
 •  Recognise the common clinical features, complications and diagnosis for acute renal failure, chronic renal failure and nephrotic syndrome and outline how to start treatment in patients with these symptoms.
 •  Summarise and apply the clinical skills needed to assess and manage patients with fluid overload and dehydration, oedema and hypertension.
 •  Explain the classification of renal failure by GFR (grades I-V) and how the use of the K/DOQI evidence-base is used in clinical practice guidelines for diagnosing chronic kidney disease.
 •  Apply the lessons learned to elicit an appropriate clinical history from a patient presenting with assess fluid overload and dehydration, oedema and hypertension.
 •  Explain and apply the principles of clinical pharmacology to patients with renal dysfunction with special reference to:
MBChB 401: Synchronous Learning Yr 4
 Clinical and Communication Skills
 •  Develop an initial management plan, including use of pharmacological therapy for common and important medical and surgical conditions.
MBChB 501: General Practice
 Clinical and Communication Skills
2 •  Demonstrate skills in rational prescribing;
MBChB 501: Obstetrics & Gynaecology
 Applied Science for Medicine
1 •  Analyse the methods used, and their effectiveness, for pain relief in labour;
MBChB 501: Formal Learning Yr 5
 Transfusion Essentials
 •  Discuss the decision to transfuse red cells in the stable post-operative patient versus transfusion in trauma/massive bleeding events
 •  Discuss transfusion risks, the importance of patient identification and pre-transfusion sample collection
 Prescription Drug Abuse
 •  Explain the addictive potential of minor tranquilisers, particularly benzodiazepines
 Dilemmas in Palliative Medicine
 •  Improve prescribing practice using opioids, syringe driver medication and also converting oral medications to parenteral and practice
 •  Apply pain and symptom management in the last days of life
 Optimised Patient
 •  Explain an effective or optimal approach or pathway to prepare a patient for anaesthesia and surgery
 Clinical Pharmacology
 •  Develop, through study and application of pharmacological principles, a framework of knowledge that forms the basis for the safe and effective use of medicines in clinical practice
 •  Demonstrate foundation skills for safe and effective prescribing
MBChB 551: General Practice
 Applied Science for Medicine
 •  Application of pharmacologic principles is demonstrated in disease management and safe prescribing practice.
MBChB 551: General Medicine
 Clinical and Communication Skills
 •  Principles of complex co-morbidities and their interactions in terms of diagnosis and management are recognised.
 Applied Science for Medicine
 •  Application of pharmacologic principles is demonstrated in disease management and safe prescribing practice.
MBChB 551: Paediatrics
 Applied Science for Medicine
 •  Differences in therapeutics and prescribing between different ages and sizes are understood, safely prescribe and chart medication, fluids and enteral feeds for newborns, preschool and school aged children and adolescents.
MBChB 551: General Surgery
 Clinical and Communication Skills
 •  Specific emphasis on blood loss, sepsis, fluid and electrolyte disturbances and postoperative pain relief.