Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.3: Perform a full and accurate physical examination, including a mental state examination, or a problem-focused examination as indicated.
MBChB Graduate Learning Outcomes
 Clinical and Communication Skills
Graduates will, with a culturally competent, empathetic patient-centred approach and with skills appropriate for the stage and setting of practice:
 •  Competently perform routine clinical examinations;
MBChB 221: Digestive System
 Clinical and Communication Skills
5Use experiential physical examinations in CSC to:
 •  Describe and interpret findings of normal clinical examinations.
 •  Describe and justify a systematic approach to clinical examinations.
 •  Correctly use equipment and perform selected procedures.
 •  Identify cultural factors and beliefs that influence physical examinations.
MBChB 221: Respiratory System
 Clinical and Communication Skills
6Use experiential physical examinations in CSC to:
 •  Describe and interpret findings of normal clinical examinations.
 •  Describe and justify a systematic approach to clinical examinations.
MBChB 221: Cardiovascular System
 Clinical and Communication Skills
7Use experiential physical examinations in CSC to:
 •  Describe and interpret findings of normal clinical examinations.
 •  Describe and justify a systematic approach to clinical examinations.
 •  Correctly use equipment and perform selected procedures.
 •  Identify cultural factors and beliefs that influence physical examinations.
8Summarise the symptoms, main physical findings and imaging results to describe common and important abnormalities of the cardiovascular system.
MBChB 221: Genitourinary System
 Clinical and Communication Skills
3Use experiential physical examinations in CSC to:
 •  Describe and interpret findings of normal clinical examinations.
 •  Describe and justify a systematic approach to clinical examinations.
 •  Correctly use equipment and perform selected procedures.
 •  Identify cultural factors and beliefs that influence physical examinations.
MBChB 321: Nervous System
 Clinical and Communication Skills
9Perform selected parts of a detailed neurological examination on healthy people.
MBChB 321: Sensory Systems
 Clinical and Communication Skills
2Perform selected physical examinations.
 •  Verify the structural and functional integrity of the bones and joints of the head and neck.
 •  Examine visual and auditory pathways and describe major deficits.
 •  Describe the location of normal structures, and lesions, by using surface markings, and the ‘triangles’ of the neck.
MBChB 321: Professional and Clinical Skills 2
 Applied Science for Medicine
1Mental Health & Illness
3 •  Describe a range of approaches to gathering medical information (‘hypothetico-deductive’ approach, algorithms, pattern recognition)
 •  Demonstrate an awareness of objective versus subjective findings
 Clinical and Communication Skills
8Clinical Assessment: The History and the Physical Examination
 •  Explain the rationale for the planned assessment and seek their consent
 •  Use a supportive and empathic communication style throughout the assessment & establish rapport
 •  Describe and justify a systematic approach to clinical examination
 •  Perform a basic physical examination
MBChB 401: Emergency Medicine
 Clinical and Communication Skills
2Evaluate patients presenting to the Emergency Department with a range of common, undifferentiated, acute illnesses and injuries.
 •  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;
MBChB 401: Musculoskeletal
 Clinical and Communication Skills
3 •  Perform an organised and professional physical examination of the musculoskeletal system;
 •  Outline the features of the screening examination system used for rheumatologic problems;
MBChB 401: General Surgery
 Clinical and Communication Skills
2 •  Perform an organised and professional physical examination;
5 •  Summarise the essential vital signs and systems to be monitored;
 •  Analyse and interpret common changes in TPR charts.
MBChB 401: General Medicine
 Clinical and Communication Skills
2 •  Perform an organised and professional general medical examination and examinations of the cardiovascular, respiratory, gastrointestinal and neurological systems;
 •  Outline the basic approaches to the examination of the endocrine and locomotor systems and fundoscopy.
MBChB 401: Specialty Medicine
 Clinical and Communication Skills
2 •  Perform an organised and professional medical examination of relevant organ systems;
MBChB 401: Geriatrics
 Clinical and Communication Skills
2 •  Undertake a detailed multisystem examination with special emphasis on the cognitive, locomotor and neurological components;
MBChB 401: Formal Learning Yr 4
 Neurology
 •  Summarise the important symptoms for recognising a neurological dysfunction and apply to future clinical practice after, wherever possible, conducting a systematic neurological examination.
MBChB 501: Obstetrics & Gynaecology
 Clinical and Communication Skills
3 •  Perform appropriate and supervised obstetric examinations of pregnant women;
 •  Calculate gestational age and correlate this to uterine size;
4 •  Perform a competent physical examination of the term newborn baby;
6Perform supervised speculum and pelvic examinations.
 •  Decide, in consultation with clinical staff, situations for which an examination is appropriate;
 •  Demonstrate the correct technique for the examinations.
MBChB 501: Paediatrics
 Clinical and Communication Skills
2 •  Perform a competent structured physical examination of the newborn, preschooler, school aged child and adolescent.
 •  Perform appropriate developmental assessment for age.
MBChB 501: Psychiatry
 Clinical and Communication Skills
2 •  Perform a formal psychiatric history and mental state examination.
MBChB 501: Specialty Surgery
 Clinical and Communication Skills
2 •  Perform an organised and professional examination of relevant organ systems;
5 •  Decide, in conjunction with clinical staff, situations for which an examination is appropriate.
MBChB 501: Formal Learning Yr 5
 Women’s Health
 •  Perform a clinical breast exam; select appropriate investigations for a woman presenting with a breast lump; explain the importance of correlating results of clinical assessment with radiological and histological findings
MBChB 551: General Medicine
 Clinical and Communication Skills
 •  Organised and professional medical examinations of the relevant organ systems are performed.
MBChB 551: Obstetrics and Gynaecology
 Clinical and Communication Skills
 •  Specifically concentrate on taking histories and performing sensitive examinations, using correct techniques and appropriate communication.
 •  Supervised obstetric examinations for pregnant women are performed and evaluated for those attending for routine antenatal care, including determination of gestational age and antenatal risk factors.
MBChB 551: Paediatrics
 Clinical and Communication Skills
 •  Exposure to acute patients is used to reliably and rapidly identify the sick child.
 •  Focus on structuring examinations to be appropriate for the patient’s age for newborn, preschool and school aged children, and adolescents.
 •  An appropriate developmental assessment for age is performed.
MBChB 551: Psychiatry
 Clinical and Communication Skills
 •  Salient mental status examination findings are reported accurately.
MBChB 551: Emergency Medicine
 Clinical and Communication Skills
 •  Recognition and signs of an unstable patient and recommended action are applied.