Relevant Auckland MBChB Learning Outcomes
Health and Society: medical graduate as a health advocate
3.1: Accept responsibility to protect and advance the health and wellbeing of individuals, communities and populations.
3.1: Accept responsibility to protect and advance the health and wellbeing of individuals, communities and populations.
MBChB 1: Graduate Learning Outcomes
| Personal and Professional Skills | |
|---|---|
| • Practise ethically and with regard to medicolegal obligations; | |
| • Explain the influence of own culture and that of the health system on patient and population health outcomes; | |
| Population Health | |
| • Apply the principles of health promotion, population screening and disease management involving individuals and populations to a range of health care settings. |
MBChB 2: Principles of Medicine
| Hauora Māori | |
|---|---|
| 7 | Describe the Māori concept of whakapapa and outline how this might impact on genetic research, diagnosis of genetic disorders and novel gene-based therapies. |
| Discuss considerations for Māori in modern genetic research and clinical practice. | |
| Population Health | |
| 8 | Identify genetic, environmental and lifestyle factors that contribute to disease in the New Zealand population. |
MBChB 2: Respiratory System
| Hauora Māori | |
|---|---|
| 13 | Identify the prevalent respiratory conditions in the Māori population, and feasible strategies for their prevention. |
MBChB 2: Cardiovascular System
| Population Health | |
|---|---|
| 12 | Describe the prevalence, distribution and trends in incidence of selected cardiovascular diseases in community subgroups and the population in New Zealand. |
| 13 | List the main risk factors that contribute to the common cardiovascular diseases. |
| 14 | List the main environmental risk factors that contribute to differing rates of cardiovascular diseases in different communities. |
| Hauora Māori | |
| 15 | Identify the prevalent cardiovascular conditions in the Māori population, and feasible strategies for their prevention. |
MBChB 3: Blood, Immunity and Infection
| Hauora Māori | |
|---|---|
| 9 | Establish reasons why selected infectious diseases are more prevalent in Māori and compare with other ethnic communities. |
| Population Health | |
| 10 | Explain the reasons for population-based vaccination programmes targeted against selected infectious diseases. |
| 11 | Identify factors that affect vaccine efficacy at both individual and population levels. |
MBChB 3: Professional and Clinical Skills 2
| Population Health | |
|---|---|
| 16 | • Outline behaviours that adversely impact on health and describe interventions to alter behaviours at both the level of the population and the individual |
MBChB 4: General Practice
| Hauora Māori | |
|---|---|
| 6 | • Identify strategies to overcome barriers with a view to improving Māori health outcomes. |
| • Recognise the social, cultural, political and economic factors impacting on Māori health. | |
| Population Health | |
| 7 | Appraise the role of general practice within the wider health care network. |
| • Outline the New Zealand Health Strategy; | |
| • Identify areas in which to use health promotion, prevention and screening techniques |
MBChB 4: Musculoskeletal
| Hauora Māori | |
|---|---|
| 9 | • Identify strategies to overcome barriers to improve Māori health outcomes. |
| Population Health | |
| 10 | Predict the likely future impact of musculoskeletal disorders on the New Zealand health system. |
MBChB 4: General Surgery
| Hauora Māori | |
|---|---|
| 8 | • Identify strategies to overcome barriers with a view to improving Māori health outcomes. |
| Population Health | |
| 9 | Suggest evidence-based population health approaches that would reduce the burden of diseases requiring surgery. |
MBChB 4: Specialty Medicine
| Population Health | |
|---|---|
| 7 | • Suggest evidence based public health approaches that would reduce the burden of medical diseases. |
MBChB 4: Geriatrics
| 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; |
| Hauora Māori | |
| 7 | • Identify strategies to overcome barriers with a view to improving Māori health outcomes, particularly for older Māori. |
| Population Health | |
| 8 | Suggest evidence- based population health approaches that would reduce the burden of medical diseases in older people. |
| • Outline the medical conditions that significantly contribute to morbidity in the New Zealand context. | |
| • 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. | |
| 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. | |
| • Summarise the importance of key stakeholders and community leaders to clinician’s work for health interventions and heath research in communities and countries. | |
| • Identify the key components to incorporate cultural self-reflective practice in clinical encounters to ensure safe clinical practice. | |
| • Apply respectful behaviours, skills and knowledge when working with Patients families and communities. | |
| Ethics and Law | |
| • Summarise the ethical and legal frameworks governing health information in New Zealand. | |
| • Apply those frameworks to real clinical cases. |
MBChB 5: General Practice
| Clinical and Communication Skills | |
|---|---|
| 3 | • 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. | |
| Personal and Professional Skills | |
| 6 | • Understand the roles, responsibilities and linkages of those contributing to a primary health care team. |
| Population Health | |
| 10 | • Identify benefits and challenges associated with managing chronic disease in the general practice setting and within the wider healthcare network through the use of clinical audit. |
| • Identify the impact of regional variation in health care provision. |
MBChB 5: Paediatrics
| Population Health | |
|---|---|
| 11 | • Outline paediatric conditions that significantly contribute to morbidity and mortality in New Zealand. |
| • Determine how access to health professionals are achieved – special complexities of adolescent health services, non accidental injury and roles of referral networks including governmental agencies (Child, Youth and Family (CYF) and hospital teams). | |
| • Identify and advise on disease prevention (understands key risk factors, the benefits and harm of screening for risks and early disease, continuity of care and management in community). | |
| 12 | Impart information about health promotion and healthy lifestyle choices. |
MBChB 5: Psychiatry
| Population Health | |
|---|---|
| 11 | • Suggest improvement that may lead to better collaboration among mental health agencies. |
| 12 | • Apply the principles of mental health promotion, population screening and disease management involving individuals and populations to a range of healthcare settings. |
MBChB 5: Formal Learning Yr 5
| Clinical Challenges in Medical Practice | |
|---|---|
| • Explain how failings of the biomedical model may relate to problems in the doctor-patient relationship, and how these may be recognised in clinical practice | |
| Infections and Immunisations in Children | |
| • Explain how differences in access to healthcare and inequality lead to differing health outcomes | |
| • Explain the importance of prevention of infection through primary healthcare and access | |
| Ethics Symposium: Primnum non tacere: “First, be not silent” | |
| • Explain the importance of speaking up | |
| • Summarise the ethical essentials to practice responsible medicine | |
| Professionalism in Practice and the PPS Portfolio Made Easy | |
| • Apply ethical and legal principles to clinical situations and formal Codes that impact on the New Zealand health system | |
| Hauora Māori | |
| • Describe ways in which social, cultural, political, economic and environmental determinants influence Māori health | |
| • Explain the importance of a whānau-centred approach to Māori health | |
| • Discuss the role of support services in improving health care and outcomes for Maori whānau | |
| • Identify approaches to address the wider determinants of health including racism | |
| • Develop a better understanding of own role in addressing Māori health | |
| Population Health Intensive | |
| • Demonstrate the application of population health principles to specific health issues | |
| • Describe how population health and personal health approaches complement each other |
MBChB 6: General Practice
| Clinical and Communication Skills | |
|---|---|
| • Skills in working with distressed patients of all ages and ethnicities are identified, along with those for family and whanau. | |
| Hauora Māori | |
| • Key issues leading to health inequalities for Māori patient are identified and interventions proposed to address them. | |
| • Social, cultural, political and economic factors are integrated into clinical practice. | |
| Population Health | |
| • The role of general practice and its integration with the wider health care network is articulated, including regional variations in healthcare provision; health promotion and prevention appropriate for the community; major primary health care targets. | |
| • Broader social and economic environment determinants are applied to patient wellbeing and outcomes. |
MBChB 6: General Medicine
| Personal and Professional Skills | |
|---|---|
| • Responsibility for decision making at appropriate levels is developed, while recognising the need for assistance. | |
| Hauora Māori | |
| • Factors contributing to poorer health outcomes for Māori are identified and strategies applied to address these. | |
| Population Health | |
| • Relevant preventative medicine strategies are incorporated into daily practice – emphasis on vaccinations, smoking cessation, cardiovascular risk assessment and preventative strategies. |
MBChB 6: Paediatrics
| Personal and Professional Skills | |
|---|---|
| • Key health issues for Māori children and adolescents are identified, and approaches explained to addressing the issues. | |
| Population Health | |
| • Poverty, social and economic policies impacting on child health are identified. |
MBChB 6: Psychiatry
| Population Health | |
|---|---|
| • Improvements in public health mental services through reflection on current delivery models of mental health care. |
MBChB 6: General Surgery
| Population Health | |
|---|---|
| • Consider the following from a community and population level: traffic safety for trauma, alcohol for trauma, obesity for multiple diseases. |