Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.12: Recognise and assess deteriorating and critically unwell patients who require immediate care. Perform common emergency and life support procedures, including caring for the unconscious patient and performing CPR.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently synthesise and integrate information to formulate differential diagnoses;
 •  Competently develop and implement a clinical management plan;
 Personal and Professional Skills
 •  Make appropriate decisions in situations of incomplete knowledge, complexity/ambiguity, or resource constraint.
MBChB 221: Cardiovascular System
 Clinical and Communication Skills
10Interpret physiological data including from ECGs, echocardiograms in the clinical context.
MBChB 321: Blood, Immunity and Infection
 Applied Science for Medicine
2Outline the complications that may arise from transfusion and how they may be prevented.
MBChB 321: Professional and Clinical Skills 2
 Clinical and Communication Skills
9Emergency procedures
 •  Demonstrate basic emergency skills in a simulated setting
 •  Demonstrate safe practice in relation to venesection and cannulation in a simulated setting
MBChB 401: Anaesthesiology
 Applied Science for Medicine
1Summarise the major concepts in anaesthesia in the care of unconscious or seriously ill patients, including:
 •  changes to the airway in the unconscious patient;
 •  initial steps in managing an unconscious patient;
 •  reasons for admitting a patient to intensive care;
 •  patient factors which influence anaesthesia risks and management options;
MBChB 401: Emergency Medicine
 Clinical and Communication Skills
2 •  Recognise the signs and symptoms of potentially life-threatening illnesses and injuries;
 •  Recognise the dangers and toxidromes of common and important poisons;
MBChB 401: General Practice
 Clinical and Communication Skills
2 •  Recognise key warning signs of serious illness in patients treated in primary care;
 •  Demonstrate skills for dealing with uncertainty (in a low prevalence environment) in clinical diagnosis in general practice;
 •  Analyse the different types of general practice consultations (range: first contact, acute care, episodic care, continuity of care, diagnosis).
3 •  Make referrals for specialist advice appropriately for a range of conditions;
 Personal and Professional Skills
4 •  Admitting to others when you have made a mistake or when you have incomplete knowledge on certain topics;
MBChB 401: Musculoskeletal
 Clinical and Communication Skills
3 •  Recognise clinical situations that require early expert care.
MBChB 401: General Surgery
 Clinical and Communication Skills
5Recognise common postoperative complications.
 •  Summarise the essential vital signs and systems to be monitored;
 •  Analyse and interpret common changes in TPR charts.
MBChB 401: Formal Learning Yr 4
 Cardiovascular
 •  Apply learning to accurately and rapidly interpret ECGs.
MBChB 401: Palliative Medicine
 Clinical and Communication Skills
 •  Explain common ethical dilemmas related to decision-making in an acutely unwell patient with known chronic illness, including those relating to the advantages and disadvantages of investigations, treatment and non-intervention.
MBChB 501: General Practice
 Clinical and Communication Skills
2 •  Recognise key warning signs of serious illness in patients treated in primary care;
 •  Demonstrate skills for dealing with uncertainty in clinical diagnosis in general practice;
 Personal and Professional Skills
6 •  Contribute to the initiation of referrals for specialist advice appropriately for a range of conditions.
MBChB 501: Obstetrics & Gynaecology
 Clinical and Communication Skills
3 •  Describe the major obstetric emergencies and basic principles for their management;
MBChB 501: Paediatrics
 Clinical and Communication Skills
2 •  Recognise, giving reasons, patients with serious acute illness.
MBChB 501: Psychiatry
 Clinical and Communication Skills
2 •  Evaluate patients presenting with a range of high prevalence psychiatric disorders and those with low prevalence conditions associated with high risk, across different development stages (childhood, adolescence, adulthood, old age).
3 •  Assess and properly manage safety issues.
 •  Identify the risk issues to be managed and include these in a plan.
MBChB 501: Formal Learning Yr 5
 Toxicology
 •  Describe the common approach of the early resuscitation and supportive care for a patient presenting with drug ingestion and/or overdose and apply in clinical settings
 Transfusion Essentials
 •  Describe how oral anticoagulants can be reversed in emergency situations
MBChB 551: General Practice
 Clinical and Communication Skills
 •  Key warning signs of serious illness are recognised and acted upon.
 •  Skills for dealing with medical uncertainty are demonstrated.
 •  Competence is demonstrated in a range of consultations, especially for acute care, long-term conditions, episodic care and palliative care.
 •  Specialist advice is integrated appropriately for a range of conditions.
MBChB 551: General Medicine
 Clinical and Communication Skills
 •  Problems that arise on general medical wards after hours are prioritised.
MBChB 551: Paediatrics
 Clinical and Communication Skills
 •  Exposure to acute patients is used to reliably and rapidly identify the sick child.
MBChB 551: General Surgery
 Clinical and Communication Skills
 •  Problems that arise after hours in surgical wards are prioritised.
MBChB 551: Emergency Medicine
 Clinical and Communication Skills
 •  Recognition and signs of an unstable patient and recommended action are applied.
 Applied Science for Medicine
 •  The ABCD procotol is applied to all ED patients.