Relevant Auckland MBChB Learning Outcomes

Health and Society: medical graduate as a health advocate
3.1: Accept responsibility to protect and advance the health and wellbeing of individuals, communities and populations.
MBChB Graduate Learning Outcomes
 Personal and Professional Skills
 •  Practise ethically and with regard to medicolegal obligations;
 •  Explain the influence of own culture and that of the health system on patient and population health outcomes;
 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
 Hauora Māori
7Describe the Māori concept of whakapapa and outline how this might impact on genetic research, diagnosis of genetic disorders and novel gene-based therapies.
Discuss considerations for Māori in modern genetic research and clinical practice.
 Population Health
8Identify genetic, environmental and lifestyle factors that contribute to disease in the New Zealand population.
MBChB 221: Respiratory System
 Hauora Māori
13Identify the prevalent respiratory conditions in the Māori population, and feasible strategies for their prevention.
MBChB 221: Cardiovascular System
 Population Health
12Describe the prevalence, distribution and trends in incidence of selected cardiovascular diseases in community subgroups and the population in New Zealand.
13List the main risk factors that contribute to the common cardiovascular diseases.
14List the main environmental risk factors that contribute to differing rates of cardiovascular diseases in different communities.
 Hauora Māori
15Identify the prevalent cardiovascular conditions in the Māori population, and feasible strategies for their prevention.
MBChB 321: Blood, Immunity and Infection
 Hauora Māori
9Establish reasons why selected infectious diseases are more prevalent in Māori and compare with other ethnic communities.
 Population Health
10Explain the reasons for population-based vaccination programmes targeted against selected infectious diseases.
11Identify factors that affect vaccine efficacy at both individual and population levels.
MBChB 321: Professional and Clinical Skills 2
 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
MBChB 401: General Practice
 Hauora Māori
6 •  Identify strategies to overcome barriers with a view to improving Māori health outcomes.
 •  Recognise the social, cultural, political and economic factors impacting on Māori health.
 Population Health
7Appraise the role of general practice within the wider health care network.
 •  Outline the New Zealand Health Strategy;
 •  Identify areas in which to use health promotion, prevention and screening techniques
MBChB 401: Musculoskeletal
 Hauora Māori
9 •  Identify strategies to overcome barriers to improve Māori health outcomes.
 Population Health
10Predict the likely future impact of musculoskeletal disorders on the New Zealand health system.
MBChB 401: General Surgery
 Hauora Māori
8 •  Identify strategies to overcome barriers with a view to improving Māori health outcomes.
 Population Health
9Suggest evidence-based population health approaches that would reduce the burden of diseases requiring surgery.
MBChB 401: Specialty Medicine
 Population Health
7 •  Suggest evidence based public health approaches that would reduce the burden of medical diseases.
MBChB 401: Geriatrics
 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;
 Hauora Māori
7 •  Identify strategies to overcome barriers with a view to improving Māori health outcomes, particularly for older Māori.
 Population Health
8Suggest 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.
 •  Identify the patients’ experienced episodes of care in the wider context of the community and the health system.
MBChB 401: Formal Learning Yr 4
 Maori Health
 •  Explain why health professionals in Aotearoa/New Zealand need to understand Māori health, inequalities and associated concepts such as colonisation and racism.
 •  Identify actions that health professionals can take to recognise our own biases and reduce their impact.
 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.
 •  Summarise the importance of key stakeholders and community leaders to clinician’s work for health interventions and heath research in communities and countries.
 •  Identify the key components to incorporate cultural self-reflective practice in clinical encounters to ensure safe clinical practice.
 •  Apply respectful behaviours, skills and knowledge when working with Patients families and communities.
 Ethics and Law
 •  Summarise the ethical and legal frameworks governing health information in New Zealand.
 •  Apply those frameworks to real clinical cases.
MBChB 501: General Practice
 Clinical and Communication Skills
3 •  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.
 Personal and Professional Skills
6 •  Understand the roles, responsibilities and linkages of those contributing to a primary health care team.
 Population Health
10 •  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.
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).
12Impart information about health promotion and healthy lifestyle choices.
MBChB 501: Psychiatry
 Population Health
11 •  Suggest improvement that may lead to better collaboration among mental health agencies.
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
 Clinical Challenges in Medical Practice
 •  Explain how failings of the biomedical model may relate to problems in the doctor-patient relationship, and how these may be recognised in clinical practice
 Infections and Immunisations in Children
 •  Explain how differences in access to healthcare and inequality lead to differing health outcomes
 •  Explain the importance of prevention of infection through primary healthcare and access
 Ethics Symposium: Primnum non tacere: “First, be not silent”
 •  Explain the importance of speaking up
 •  Summarise the ethical essentials to practice responsible medicine
 Professionalism in Practice and the PPS Portfolio Made Easy
 •  Apply ethical and legal principles to clinical situations and formal Codes that impact on the New Zealand health system
 Hauora Māori
 •  Describe ways in which social, cultural, political, economic and environmental determinants influence Māori health
 •  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
 •  Identify approaches to address the wider determinants of health including racism
 •  Develop a better understanding of own role in addressing Māori health
 Population Health Intensive
 •  Demonstrate the application of population health principles to specific health issues
 •  Describe how population health and personal health approaches complement each other
MBChB 551: General Practice
 Clinical and Communication Skills
 •  Skills in working with distressed patients of all ages and ethnicities are identified, along with those for family and whanau.
 Hauora Māori
 •  Key issues leading to health inequalities for Māori patient are identified and interventions proposed to address them.
 •  Social, cultural, political and economic factors are integrated into clinical practice.
 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.
MBChB 551: General Medicine
 Personal and Professional Skills
 •  Responsibility for decision making at appropriate levels is developed, while recognising the need for assistance.
 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: Paediatrics
 Personal and Professional Skills
 •  Key health issues for Māori children and adolescents are identified, and approaches explained to addressing the issues.
 Population Health
 •  Poverty, social and economic policies impacting on child health are identified.
MBChB 551: Psychiatry
 Population Health
 •  Improvements in public health mental services through reflection on current delivery models of mental health care.
MBChB 551: General Surgery
 Population Health
 •  Consider the following from a community and population level: traffic safety for trauma, alcohol for trauma, obesity for multiple diseases.