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.
2.3: Perform a full and accurate physical examination, including a mental state examination, or a problem-focused examination as indicated.
MBChB 1: 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 2: Digestive System
| Clinical and Communication Skills | |
|---|---|
| 5 | Use 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 2: Respiratory System
| Clinical and Communication Skills | |
|---|---|
| 6 | Use experiential physical examinations in CSC to: |
| • Describe and interpret findings of normal clinical examinations. | |
| • Describe and justify a systematic approach to clinical examinations. |
MBChB 2: Cardiovascular System
| Clinical and Communication Skills | |
|---|---|
| 7 | Use 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. | |
| 8 | Summarise the symptoms, main physical findings and imaging results to describe common and important abnormalities of the cardiovascular system. |
MBChB 2: Genitourinary System
| Clinical and Communication Skills | |
|---|---|
| 3 | Use 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 3: Nervous System
| Clinical and Communication Skills | |
|---|---|
| 9 | Perform selected parts of a detailed neurological examination on healthy people. |
MBChB 3: Sensory Systems
| Clinical and Communication Skills | |
|---|---|
| 2 | Perform 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 3: Professional and Clinical Skills 2
| Applied Science for Medicine | |
|---|---|
| 1 | Mental 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 | |
| 8 | Clinical 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 4: Emergency Medicine
| Clinical and Communication Skills | |
|---|---|
| 2 | Evaluate 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 4: General Practice
| Clinical and Communication Skills | |
|---|---|
| 2 | • Recognise key warning signs of serious illness in patients treated in primary care; |
MBChB 4: 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 4: 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 4: 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 4: Specialty Medicine
| Clinical and Communication Skills | |
|---|---|
| 2 | • Perform an organised and professional medical examination of relevant organ systems; |
MBChB 4: Geriatrics
| Clinical and Communication Skills | |
|---|---|
| 2 | • Undertake a detailed multisystem examination with special emphasis on the cognitive, locomotor and neurological components; |
MBChB 4: 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 5: 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; |
| 6 | Perform 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 5: 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 5: Psychiatry
| Clinical and Communication Skills | |
|---|---|
| 2 | • Perform a formal psychiatric history and mental state examination. |
MBChB 5: 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 5: 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 6: General Medicine
| Clinical and Communication Skills | |
|---|---|
| • Organised and professional medical examinations of the relevant organ systems are performed. |
MBChB 6: 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 6: 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 6: Psychiatry
| Clinical and Communication Skills | |
|---|---|
| • Salient mental status examination findings are reported accurately. |
MBChB 6: Emergency Medicine
| Clinical and Communication Skills | |
|---|---|
| • Recognition and signs of an unstable patient and recommended action are applied. |