Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.12: Recognise and assess deteriorating and critically unwell patients who require immediate care. Perform common emergency and life support procedures, including caring for the unconscious patient and performing CPR.
MBChB 1: Graduate Learning Outcomes
 Clinical and Communication Skills
 •  Competently synthesise and integrate information to formulate differential diagnoses;
 •  Competently develop and implement a clinical management plan;
 Personal and Professional Skills
 •  Make appropriate decisions in situations of incomplete knowledge, complexity/ambiguity, or resource constraint.
MBChB 2: Cardiovascular System
 Clinical and Communication Skills
10Interpret physiological data including from ECGs, echocardiograms in the clinical context.
MBChB 3: Blood, Immunity and Infection
 Applied Science for Medicine
2Outline the complications that may arise from transfusion and how they may be prevented.
MBChB 3: Professional and Clinical Skills 2
 Clinical and Communication Skills
9Emergency procedures
 •  Demonstrate basic emergency skills in a simulated setting
 •  Demonstrate safe practice in relation to venesection and cannulation in a simulated setting
MBChB 4: Anaesthesiology
 Applied Science for Medicine
1Summarise the major concepts in anaesthesia in the care of unconscious or seriously ill patients, including:
 •  changes to the airway in the unconscious patient;
 •  initial steps in managing an unconscious patient;
 •  reasons for admitting a patient to intensive care;
 •  patient factors which influence anaesthesia risks and management options;
MBChB 4: Emergency Medicine
 Clinical and Communication Skills
2 •  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;
 •  Demonstrate skills for dealing with uncertainty (in a low prevalence environment) in clinical diagnosis in general practice;
 •  Analyse the different types of general practice consultations (range: first contact, acute care, episodic care, continuity of care, diagnosis).
3 •  Make referrals for specialist advice appropriately for a range of conditions;
 Personal and Professional Skills
4 •  Admitting to others when you have made a mistake or when you have incomplete knowledge on certain topics;
MBChB 4: Musculoskeletal
 Clinical and Communication Skills
3 •  Recognise clinical situations that require early expert care.
MBChB 4: General Surgery
 Clinical and Communication Skills
5Recognise common postoperative complications.
 •  Summarise the essential vital signs and systems to be monitored;
 •  Analyse and interpret common changes in TPR charts.
MBChB 4: Formal Learning Yr 4
 Cardiovascular
 •  Apply learning to accurately and rapidly interpret ECGs.
MBChB 4: Palliative Medicine
 Clinical and Communication Skills
 •  Explain common ethical dilemmas related to decision-making in an acutely unwell patient with known chronic illness, including those relating to the advantages and disadvantages of investigations, treatment and non-intervention.
MBChB 5: General Practice
 Clinical and Communication Skills
2 •  Recognise key warning signs of serious illness in patients treated in primary care;
 •  Demonstrate skills for dealing with uncertainty in clinical diagnosis in general practice;
 Personal and Professional Skills
6 •  Contribute to the initiation of referrals for specialist advice appropriately for a range of conditions.
MBChB 5: Obstetrics & Gynaecology
 Clinical and Communication Skills
3 •  Describe the major obstetric emergencies and basic principles for their management;
MBChB 5: Paediatrics
 Clinical and Communication Skills
2 •  Recognise, giving reasons, patients with serious acute illness.
MBChB 5: Psychiatry
 Clinical and Communication Skills
2 •  Evaluate patients presenting with a range of high prevalence psychiatric disorders and those with low prevalence conditions associated with high risk, across different development stages (childhood, adolescence, adulthood, old age).
3 •  Assess and properly manage safety issues.
 •  Identify the risk issues to be managed and include these in a plan.
MBChB 5: Formal Learning Yr 5
 Toxicology
 •  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
 Transfusion Essentials
 •  Describe how oral anticoagulants can be reversed in emergency situations
MBChB 6: General Practice
 Clinical and Communication Skills
 •  Key warning signs of serious illness are recognised and acted upon.
 •  Skills for dealing with medical uncertainty are demonstrated.
 •  Competence is demonstrated in a range of consultations, especially for acute care, long-term conditions, episodic care and palliative care.
 •  Specialist advice is integrated appropriately for a range of conditions.
MBChB 6: General Medicine
 Clinical and Communication Skills
 •  Problems that arise on general medical wards after hours are prioritised.
MBChB 6: Paediatrics
 Clinical and Communication Skills
 •  Exposure to acute patients is used to reliably and rapidly identify the sick child.
MBChB 6: General Surgery
 Clinical and Communication Skills
 •  Problems that arise after hours in surgical wards are prioritised.
MBChB 6: Emergency Medicine
 Clinical and Communication Skills
 •  Recognition and signs of an unstable patient and recommended action are applied.
 Applied Science for Medicine
 •  The ABCD procotol is applied to all ED patients.