Relevant Auckland MBChB Learning Outcomes
Clinical Practice: medical graduate as practitioner
2.4: Integrate and interpret findings from the history and examination, to arrive at an initial assessment including a relevant differential diagnosis. Discriminate between possible differential diagnoses, justify the decisions taken and describe the processes for evaluating these.
2.4: Integrate and interpret findings from the history and examination, to arrive at an initial assessment including a relevant differential diagnosis. Discriminate between possible differential diagnoses, justify the decisions taken and describe the processes for evaluating these.
MBChB 1: Graduate Learning Outcomes
Clinical and Communication Skills | |
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• Competently synthesise and integrate information to formulate differential diagnoses; |
MBChB 2: Digestive System
Clinical and Communication Skills | |
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5 | • Describe and interpret findings of normal clinical examinations. |
• Describe and justify a systematic approach to clinical examinations. | |
7 | Develop hypotheses of the underlying pathophysiology of selected gastrointestinal diseases from appropriate laboratory data. |
MBChB 2: Cardiovascular System
Clinical and Communication Skills | |
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7 | • Describe and interpret findings of normal clinical examinations. |
8 | Summarise the symptoms, main physical findings and imaging results to describe common and important abnormalities of the cardiovascular system. |
10 | Interpret physiological data including from ECGs, echocardiograms in the clinical context. |
MBChB 2: Genitourinary System
Clinical and Communication Skills | |
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3 | • Describe and interpret findings of normal clinical examinations. |
• Describe and justify a systematic approach to clinical examinations. | |
Personal and Professional Skills | |
7 | Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy. |
MBChB 3: Nervous System
Clinical and Communication Skills | |
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7 | Use the problem solving approach of “where is the lesion” and “what is the lesion” to study selected neurological disorders. |
MBChB 3: Sensory Systems
Applied Science for Medicine | |
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1 | • Relate clinical presentations to pathological processes in local structures. |
• Correlate appearances on selected imaging modalities with the underlying structures and pathology, both in situ and in sectional planes. |
MBChB 3: Blood, Immunity and Infection
Clinical and Communication Skills | |
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7 | Solve clinically-based problems using integrated knowledge of haematology, immunology and microbiology, both independently and in groups. |
MBChB 3: Regulation of Body Function
Clinical and Communication Skills | |
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4 | Interpret and solve clinical problems using an integrated knowledge of the mechanisms of organ system control. |
MBChB 3: Professional and Clinical Skills 2
Applied Science for Medicine | |
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3 | • Describe a range of approaches to gathering medical information (‘hypothetico-deductive’ approach, algorithms, pattern recognition) |
• Explain the concepts of clinical reasoning | |
• Explain the probabilistic approach to clinical medicine | |
• Demonstrate the importance of problem lists and key findings in formulating differential diagnoses | |
Clinical and Communication Skills | |
6 | • Describe strategies for dealing with uncertainty |
MBChB 4: General Practice
Clinical and Communication Skills | |
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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; | |
• Use an evidence-based approach to diagnosis formulation; |
MBChB 4: Musculoskeletal
Clinical and Communication Skills | |
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5 | Formulate logical problem lists for a range of patients. |
• Develop differential diagnosis list for the major problem(s) of the patient; | |
• Determine the most likely working diagnosis; |
MBChB 4: General Surgery
Clinical and Communication Skills | |
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6 | Formulate logical problem lists for a range of patients. |
• Develop a differential diagnosis list for the major problem(s) of the patients; | |
• Determine the most likely working diagnosis; |
MBChB 4: General Medicine
Clinical and Communication Skills | |
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3 | Formulate logical problem lists for a range of patients. |
• Develop a differential diagnosis list for the major problem(s) of the patients; | |
• Determine the most likely working diagnosis; |
MBChB 4: Specialty Medicine
Clinical and Communication Skills | |
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4 | Formulate logical problem lists for a range of patients. |
• Develop a differential diagnosis list for the major problem(s) of the patients; | |
• Determine the most likely working diagnosis; |
MBChB 4: Geriatrics
Clinical and Communication Skills | |
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2 | Evaluate older patients presenting with a range of common conditions and problems. |
5 | Formulate logical problem lists for a range of older patients. |
• Develop a differential diagnosis list that encompasses the multiple medical issues of a patient; | |
• Determine the most likely working diagnosis; |
MBChB 4: Formal Learning Yr 4
Pneumonia | |
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• Identify the clinical features used to diagnose pneumonia and decide on the most appropriate treatment. | |
Cardiovascular | |
• Identify the presenting symptoms and signs of the major cardiac conditions that commonly present in clinical practice. | |
• Apply the main principles for diagnosing and managing patients with acute coronary syndromes in clinical settings. | |
• Explain how to detect and differentiate common heart valve diseases and aortic diseases. | |
Respiratory | |
• Apply the main principles for diagnosing and managing patients with acute respiratory conditions in clinical settings. | |
Medical Imaging | |
• Explain the importance of the correlation of patient history, clinical findings, anatomy and Radiological imaging to arrive at a correct diagnosis. | |
Blood Cancer | |
• Differentiate the clinical presentations of lymphoma, myeloma and acute leukaemia | |
Neurology | |
• Summarise the procedural steps for an effective diagnosis of the common and important neurologic disorders. | |
Endocrinology and Diabetes | |
• Use knowledge gained to formulate appropriate problem lists and treatment plans for patients with a range of endocrinological diseases in clinical settings. | |
• Apply the main principles for diagnosing and managing patients with acute diabetes in clinical settings. | |
Geriatrics | |
• Summarise the complexity of acute presentation of older patients and the practical challenges in the clinical assessment of older people. | |
Gout Symposium | |
• Outline the typical clinical presentation of gout | |
Gastroenterology | |
• Synthesise and integrate information to formulate differential diagnoses. |
MBChB 4: Synchronous Learning Yr 4
Clinical and Communication Skills | |
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• Use clinical reasoning to establish a differential diagnosis for common and important medical and surgical conditions. | |
• Propose appropriate further diagnostic testing for common and important medical and surgical conditions. |
MBChB 5: Obstetrics & Gynaecology
Clinical and Communication Skills | |
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5 | • Outline the differential diagnosis, investigations and treatment options. |
MBChB 5: Paediatrics
Clinical and Communication Skills | |
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3 | • Use an evidence based approach to formulate most likely diagnosis and differential diagnosis. |
• Formulate logical problem lists for a range of paediatric patients. |
MBChB 5: Psychiatry
Clinical and Communication Skills | |
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2 | • Synthesise and integrate information to formulate differential diagnoses. |
3 | • Formulate a multi-axial diagnosis using DSM-IV. |
MBChB 5: Specialty Surgery
Clinical and Communication Skills | |
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3 | Formulate logical problem lists for a range of patients. |
• Develop a differential diagnosis list for the major problem(s) of the patients; | |
• Determine the most likely working diagnosis; |
MBChB 5: Formal Learning Yr 5
Toxicology | |
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• 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 | |
Infectious diseases | |
• Explain the clinical features, diagnostic procedures and most effective treatment options for five important infections in travellers and apply these to future clinical practice | |
• Explain the clinical features, diagnostic procedures and most effective treatment options for five important sexually transmitted infections and apply these to future clinical practice | |
Women’s Health | |
• Apply knowledge of the common causes of lower abdominal pain in women to common case presentations; integrate this knowledge and appreciate the diagnostic complexities; and develop an initial medical or surgical management plan | |
Dilemmas in Palliative Medicine | |
• Use clinical reasoning to problem-solve given case studies |
MBChB 6: General Medicine
Clinical and Communication Skills | |
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• Comprehensive patient assessments are conducted for common general medical problems including relevant, logical and comprehensive histories. | |
• Differential diagnoses are developed with a determination of the most likely working diagnosis. | |
• Logical problem lists and clinical priorities are formulated for a range of patients and clinical conditions. | |
• Principles of complex co-morbidities and their interactions in terms of diagnosis and management are recognised. | |
Applied Science for Medicine | |
• Relevant anatomy, physiology and pathophysiology are revised for the presentation, diagnosis and management of common and important clinical conditions as outlined in the clinical scenarios. |
MBChB 6: Paediatrics
Clinical and Communication Skills | |
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• Exposure to acute patients is used to reliably and rapidly identify the sick child. |
MBChB 6: Psychiatry
Clinical and Communication Skills | |
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• Preferred diagnosis and differentials are provided using current nomenclature. |
MBChB 6: General Surgery
Clinical and Communication Skills | |
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• Problems that arise after hours in surgical wards are prioritised. |
MBChB 6: Emergency Medicine
Clinical and Communication Skills | |
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• Succinct differentials are identified for a range of undifferentiated patients, along with proposed management plans. |
MBChB 6: Clinical Imaging
Applied Science for Medicine | |
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• Interpretation of normal and abnormal findings in a range of imaging modalities. |