MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.8: Elicit patients’ questions and their views, concerns and preferences, promote rapport, and ensure patients’ full understanding of their problem(s). Involve patients in decision-making and planning their treatment, including communicating risk and benefits of management options.

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 elicit clear, comprehensive and relevant case histories;
	• Competently inform and educate patients and their families.
	• Communicate sensitively and effectively with patients, their families and colleagues using a process of shared decision-making where appropriate;
	Hauora Māori
	• Engage in a culturally safe manner with Māori individuals, whānau and communities;

MBChB 2: Principles of Medicine

	Hauora Māori
7	Discuss considerations for Māori in modern genetic research and clinical practice.

MBChB 2: Professional and Clinical Skills 1

	Clinical and Communication Skills
3	• Use a supportive and empathic communication style throughout the assessment & establish rapport
	• Actively explore the patient’s illness experience (i.e. the impact of the illness, their ideas, concerns and expectations)

MBChB 2: Digestive System

	Clinical and Communication Skills
5	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.
6	Describe the principles relating to taking a dietary history and record an individual’s dietary intake.
	Hauora Māori
8	• Discuss the cultural and social significance of nutrition among Māori.

MBChB 2: Genitourinary System

	Clinical and Communication Skills
3	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.
	Personal and Professional Skills
7	Be aware of own views on having children, possible self-identification with patient, and professional boundaries.
	Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy.

MBChB 3: Sensory Systems

	Hauora Māori
4	Explain why the head is tapu (sacred) in Māori culture and identify similar values in other cultures.

MBChB 3: Professional and Clinical Skills 2

	Applied Science for Medicine
1	• Demonstrate an understanding of Medically Unexplained Symptoms and the challenges of treating patients with MUS
	• Describe the principles of influencing patient behaviour
	• Outline strategies used to motivate patients in regard to specific lifestyle modifications
2	• Describe the psychological processes that influence the recognition and interpretation of symptoms
	• Describe effective strategies for improving patient adherence
	• Describe factors that can influence the “placebo effect”
	Clinical and Communication Skills
6	• Describe the components of patient-centred interactions
	• Outline importance of setting boundaries in various situations
	• Describe issues in taking a sensitive history (e.g. sexual history)
7	• Use appropriate techniques to structure the interview
	• Use effective communication skills in controlled settings with patients (real or simulated)
	• Compare and contrast the use of a patient-centred or doctor-centred approach
8	• Explain the rationale for the planned assessment and seek their consent
	• Use a supportive and empathic communication style throughout the assessment & establish rapport
	• Actively explore the patient’s illness experience (i.e. the impact of the illness, their ideas, concerns and expectations)
	• Demonstrate an awareness of non-verbal communication
	Personal and Professional Skills
10	• Demonstrate an empathetic and professional approach to patients in a real or simulated setting
	• Discuss professional practice issues relating to power, hierarchy, vulnerability and conflict of interest.
13	• Critically reflect on own and other cultural and religious norms and how they affect interactions with patients and team members
	Hauora Māori
15	• Discuss cultural competency in regard to communicating with people from a culture other than one’s own
	• Adapt communication approaches as and where appropriate to account for cultural differences in patients, families and in healthcare
	Population Health
16	• Describe the factors that influence the effectiveness of patient education

MBChB 4: Emergency Medicine

	Clinical and Communication Skills
4	Communication with patients and families (Also Engagement in team)
5	Communicate compassionately and effectively with patients, families and caretakers – listening well, guarding confidences, and respecting their views and cultural differences.
	• Elicit appropriate, relevant, and focused historical information from patients, families, EMS, nurses and other sources where appropriate;
	• Use translators and translation services as appropriate.

MBChB 4: General Practice

	Clinical and Communication Skills
2	• Demonstrate skills in negotiating life style changes for patients;
	Personal and Professional Skills
4	• Listening and talking with patients and colleagues;
	• Respecting the strengths and weaknesses of views different from your own while maintaining personal integrity;
	Hauora Māori
6	• Engage in a culturally safe manner with Māori patients, whānau and communities.

MBChB 4: Musculoskeletal

	Personal and Professional Skills
8	• Demonstrate a compassionate approach to patients in clinical settings.
	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.

MBChB 4: General Surgery

	Clinical and Communication Skills
4	• Describe the principles for informed consent;
	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.

MBChB 4: General Medicine

	Clinical and Communication Skills
4	• Communicate information to patients and families in a clear manner
	• Identify and discuss areas of controversy in patient management;
	Personal and Professional Skills
6	• Communicate with patients and other health professionals in a professional manner.
	• Participate and actively contribute to patient care and other clinical team activities
	• Practise ethically and with regard to medico-legal obligations;
	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.*
	• Maintain appropriate boundaries with patients and other team members.
	Hauora Māori
7	• Engage in a culturally safe manner with Māori patients, whānau and communities.

MBChB 4: Geriatrics

	Clinical and Communication Skills
2	• Demonstrate respect for and confidence with older people and problems they may face.
3	• Identify issues specific to Māori patients;
	• Identify and discuss areas of controversy in patient management.
	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.
	Population Health
8	• Identify the patients’ experienced episodes of care in the wider context of the community and the health system.

MBChB 4: 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.
	• Describe the stages of the Hui Process and use these elements in clinical practice.
	Motivational Interventions
	• Explain the principles of motivational interviewing and the applicability of these to everyday consultations and patient interactions.
	• Describe the key success factors for motivational interviewing.
	• Demonstrate the practical application of these principles in future patient communication.
	• Practice the use motivational interviews to elicit patients' questions and their views, concerns and preferences, promote rapport, and ensure patients' have a full understanding of their problem(s).
	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.
	• Apply respectful behaviours, skills and knowledge when working with Patients families and communities.
	ORL
	• Describe the consequences and complications of the treatments of these conditions by listening to the patients' perspective.
	Palliative Care
	• Summarise the key messages to use in practice when introducing palliative medicine to a new patient.
	Geriatrics
	• Apply applicable and practical knowledge of ethical issues (especially for patient autonomy) as they especially apply to older, vulnerable patients.
	• Explain the problems of communication with patients with cognitive and language (dysphasia) issues and some skills (including how to access help) to overcome these.
	Alcohol and Drugs
	• Describe how to clinically use the tools to deliver brief advice on alcohol and drug use without implied judgement of a patient.
	• Identify a range of services available and the appropriate time for a referral of a patient
	Patient Can’t Speak for Themselves
	• Summarise key points relevant to the respect of Māori patients in the operating room and more generally.

MBChB 5: General Practice

	Clinical and Communication Skills
2	• Appreciate the impact of psychosocial stress on mental health;
3	Develop skills for shared decision making with patients.
	• 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.
	Personal and Professional Skills
5	• Demonstrate appropriate attitudes and skills in managing patients and their families.
	• Demonstrate responsibility, commitment and ability to reflect on your judgement and practice.
6	• Share patient experiences with a group of colleagues, using self-reflective practice to improve professional skills.
7	• Recognise own limits in stressful situations and in regard to own knowledge.
	Hauora Māori
8	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients and their whānau.

MBChB 5: Obstetrics & Gynaecology

	Clinical and Communication Skills
4	• Select an effective approach to support a woman who wishes to breastfeed her infant.
8	• Communicate with patients and families with respect and cultural sensitivity
	Personal and Professional Skills
9	• Demonstrate ethical decision making including obtaining appropriate consent from patients and families.

MBChB 5: Paediatrics

	Clinical and Communication Skills
2	• Elicit from caregivers and, if appropriate, from the child or young person presenting, a relevant, logical comprehensive history of presenting problem(s).
	• Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
4	• Outline the requirements for gaining parental consent.
	• Communicate information to families in a clear manner.
	• Recognise and respect differences in parenting and family dynamics.

MBChB 5: Psychiatry

	Clinical and Communication Skills
2	• Develop an appropriate management plan for a Māori patient and family that is consistent with whānau strengths and resources.
4	• Inform and educate patients and their families.
	• Communicate with patients and families using a clear and sensitive approach.
	Hauora Māori
10	• Participate in and observe a whānau meeting while being mindful of health beliefs, customs and cultural practices.
	• Engage appropriately with Māori individuals, whānau and communities, identifying their strengths.

MBChB 5: Specialty Surgery

	Personal and Professional Skills
6	• Participate and actively contribute to patient care and other clinical team activities.

MBChB 5: 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
	• Include questions about non-orthodox treatment when consulting with patients
	• Describe an approach to discussing CAM with patients
	Women’s Health
	• Elicit a clear history from a woman with urinary incontinence; determine the mechanisms and types of incontinence based on anatomy and physiology of the urinary tract; outline available information sources to educate patients about conservative treatment options
	• Demonstrate respect the complementary knowledge and skills of other team members who together aim to improve the woman's quality of life
	• Observe the interactions between primary care practitioners and specialists, and identify the importance of the role of each in women's health care
	Interpersonal Violence
	• Explain how to apply IPV screening as part of health screening
	• Apply the tools for asking about violence and abuse during clinical assessment and for assessing for risk
	Dilemmas in Palliative Medicine
	• Apply best practice to respond to difficult questions from people nearing the end of life
	Effective interventions for young people
	• Summarise the key attributes for effective communication following a clinician demonstration of interviewing a young person and their whanau
	• Explain the importance of working in multidisciplinary teams
	Hauora Māori
	• Explain the importance of a whānau-centred approach to Māori health
	• Develop a better understanding of own role in addressing Māori health

MBChB 6: General Practice

	Clinical and Communication Skills
	• Skills for dealing with medical uncertainty are demonstrated.
	• Skills in working with distressed patients of all ages and ethnicities are identified, along with those for family and whanau.
	• Sensitivity discussing diagnoses is demonstrated.
	• Management plans are culturally appropriate.
	Applied Science for Medicine
	• Medical, social and psychological principles are incorporated in the GP consultation.

MBChB 6: General Medicine

	Clinical and Communication Skills
	• Patient centred management plans are prepared for common general medical problems.
	Hauora Māori
	• Potential bias in working with Māori patients and whānau is identified and strategies are used to overcome biases.

MBChB 6: Obstetrics and Gynaecology

	Personal and Professional Skills
	• Collaboration with patients and other team members and respect for each other’s skill set.
	Hauora Māori
	• Consideration of Māori customary practices associated with pregnancy and childbirth in the context of patient- and whānau-centred approaches to care.

MBChB 6: Paediatrics

	Clinical and Communication Skills
	• Communication with patients and families.
	• Practice gaining consent from guardians and the patient.

MBChB 6: Psychiatry

	Clinical and Communication Skills
	• Empathetic explanations given in layman’s term.

MBChB 6: Clinical Imaging

	Clinical and Communication Skills
	• Communication with patients (both benefits and risks) of what radiological procedures entail.