MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Health and Society: medical graduate as a health advocate
3.2: Explain factors that contribute to the health, illness, disease and success of treatment of populations, including issues relating to health inequities and inequalities, diversity of cultural, spiritual and community values, and socio-economic and physical environment factors.

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.
	Hauora Māori
	• Identify approaches to reducing and eliminating health inequities including actively challenging racism;
	Population Health
	• Identify feasible strategies to improve health that incorporate the broader determinants of health at community and population level;
	• Identify major threats to health and critique trends in health care delivery in New Zealand and internationally;

MBChB 221: Principles of Medicine

	Hauora Māori
7	Describe 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
8	Identify genetic, environmental and lifestyle factors that contribute to disease in the New Zealand population.

MBChB 221: Respiratory System

	Population Health
10	Describe the prevalence, distribution and trends in incidence of selected respiratory diseases in community subgroups and the population in New Zealand.
11	List the main risk factors that contribute to the common respiratory diseases.
12	List the main environmental risk factors that contribute to differing rates of respiratory diseases in different communities.
	Hauora Māori
13	Identify the prevalent respiratory conditions in the Māori population, and feasible strategies for their prevention.

MBChB 221: Cardiovascular System

	Clinical and Communication Skills
7	• Identify cultural factors and beliefs that influence physical examinations.
	Population Health
12	Describe the prevalence, distribution and trends in incidence of selected cardiovascular diseases in community subgroups and the population in New Zealand.
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

	Personal and Professional Skills
7	Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy.
	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: Nervous System

	Population Health
11	Identify risk factors, including social determinants, for selected neurological and psychiatric disorders.

MBChB 321: Blood, Immunity and Infection

	Applied Science for Medicine
4	Outline the principles of how infectious diseases may be diagnosed, treated and prevented, using appropriate examples of medically-important pathogens.
	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	• Demonstrate an understanding of the prevalence of abuse across the lifespan, infancy, childhood, older adults
	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
	• Evaluate the impact of historical, political and social processes with respect to people’s health

MBChB 401: Anaesthesiology

	Clinical and Communication Skills
6	Extrapolate the general principles applicable to Māori patients to clinical situations involving patients from other cultures.

MBChB 401: General Practice

	Clinical and Communication Skills
2	• Demonstrate skills in negotiating life style changes for patients;
	• Appraise the impact of psychosocial stress on mental health;
	Hauora Māori
6	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• 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.

MBChB 401: General Surgery

	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.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• 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

	Hauora Māori
7	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• 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
	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: Specialty Medicine

	Population Health
7	• Outline the medical conditions that significantly contribute to morbidity in the New Zealand context.

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;
	• 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.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes, particularly for older Māori.
	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

	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.
	• Examine differences in quality of care for Māori and non-Māori and explain how inequities can be reduced.
	• Describe the stages of the Hui Process and use these elements in clinical practice.
	• Identify common stereotypes relating to Māori health and discuss the implications for clinical practice.
	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.
	Global Health
	• Outline why health is global and the major challenges to health are globally distributed.
	• Explain the major global health challenges of the 21st century (via the global burden of disease project), with an emphasis on the Asia Pacific region specifically.
	• Illustrate the contribution that NZ medical professionals can make can on the national and international stage to make a difference to global health.
	• Identify the specific knowledge, attitudes and skills that are currently required by global health agencies to be effective in improving health outcomes a global or regional level.

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	• Appreciate the impact of psychosocial stress on mental health;
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.
4	• Demonstrate skills in negotiating life style changes for patients.
	Hauora Māori
9	• Identify key Māori health issues and explain the approaches to addressing the issues.
	Population Health
10	• Identify areas where health promotion, prevention and screening techniques are appropriate.
	• Identify the impact of regional variation in health care provision.

MBChB 501: Obstetrics & Gynaecology

	Hauora Māori
11	• Identify key Māori health issues and explain the approaches to addressing the issues.

MBChB 501: Paediatrics

	Hauora Māori
8	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
9	• Propose strategies to address issues of ethnic inequality.
10	• Engage appropriately in interactions with Māori individuals, whānau and communities identifying strengths.
	Population Health
11	• 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

	Hauora Māori
8	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
9	• Propose strategies to address issues of ethnic inequality.

MBChB 501: Formal Learning Yr 5

	Complementary Medicine (CAM)
	• Discuss the place of CAM in the context of contemporary health care in relation to history, patient choice, available evidence and legislation
	• Compare and contrast contemporary and CAM approaches
	Clinical Challenges in Medical Practice
	• Review the strengths and shortcomings of the biomedical model as applied to contemporary medical practice in New Zealand
	Infections and Immunisations in Children
	• Explain how differences in access to healthcare and inequality lead to differing health outcomes
	Effective interventions for young people
	• Explain the main health and wellbeing issues for young people
	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.
	• Management plans are culturally appropriate.
	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.
	Applied Science for Medicine
	• Medical, social and psychological principles are incorporated in the GP consultation.

MBChB 551: General Medicine

	Hauora Māori
	• Factors contributing to poorer health outcomes for Māori are identified and strategies applied to address these.
	• Potential bias in working with Māori patients and whānau is identified and strategies are used to overcome biases.
	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
	• Influence of obesity, smoking, drugs and alcohol, intimate partner violence and STIs on pregnancy outcomes.

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.
	• 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
	• Principles of population screening for depression, anxiety, psychosis and substance abuse and their health promotion at a national level.
	• Improvements in public health mental services through reflection on current delivery models of mental health care.

MBChB 551: General Surgery

	Hauora Māori
	• Inequities in the incidence and outcomes of surgical conditions for Māori are understood and strategies identified to reduce and eliminate these inequities.
	Population Health
	• Consider the following from a community and population level: traffic safety for trauma, alcohol for trauma, obesity for multiple diseases.

MBChB 551: Clinical Imaging

	Hauora Māori
	• Strategies identified to overcome barriers to imaging procedures to improve Māori health outcomes.