MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Health and Society: medical graduate as a health advocate
3.4: Understand and describe the factors that contribute to the health and wellbeing of Aboriginal and Torres Strait Islander peoples and/or Māori, including history, spirituality and relationship to land, diversity of cultures and communities, epidemiology, social and political determinants of health and health experiences. Demonstrate effective and culturally competent communication and care for Aboriginal and Torres Strait Islander peoples and/or Māori.

MBChB 1: Graduate Learning Outcomes

	Hauora Māori
	Graduates will, with a critical understanding of the social, cultural, political, economic and environmental determinants impacting on Māori health:
	• Engage in a culturally safe manner with Māori individuals, whānau and communities;
	• Identify approaches to reducing and eliminating health inequities including actively challenging racism;
	• Engage in a process of reflection on own practice, as it relates to obligations under the Treaty of Waitangi.

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.
	Hauora Māori
15	Identify the prevalent cardiovascular conditions in the Māori population, and feasible strategies for their prevention.

MBChB 2: Genitourinary System

	Hauora Māori
8	Identify the factors that affect the incidence of the genitourinary diseases in Māori and compare with those of other populations.

MBChB 3: Reproduction, Development and Aging

	Population Health
7	Describe NZ population demographics and outline some of the major impacts of its changing distribution on society and the health care system.

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

	Hauora Māori
15	Identify cultural factors and beliefs that influence the assessment
	• Outline the cultural differences that affect grief, death and dying
	• Discuss cultural competency in regard to communicating with people from a culture other than one’s own
	• Define the terms culture, ethnicity and spirituality
	• Relate common cultural and spiritual practices of specific groups and discuss, with reference to specific examples, the effects of these practices on specific health care interventions
	• Adapt communication approaches as and where appropriate to account for cultural differences in patients, families and in healthcare
	Population Health
16	• Evaluate the impact of historical, political and social processes with respect to people’s health

MBChB 4: Anaesthesiology

	Clinical and Communication Skills
6	Extrapolate the general principles applicable to Māori patients to clinical situations involving patients from other cultures.
	Personal and Professional Skills
9	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
	Hauora Māori
10	• Identify key health issues for Māori patients undergoing anaesthesia and explain the approaches to addressing the issues.
	• Discuss the specific, practical, cultural issues related to anaesthesia for Māori patients so as to engage in a culturally safe manner with the patient, whānau and communities.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.

MBChB 4: Emergency Medicine

	Hauora Māori
10	Identify key features in patient care of Māori, drawing on your observations and experiences.
	• Engage in a culturally safe manner with Māori patients, whānau and communities;
	• Reflect on own practice and systemic factors in relation to ethnic inequalities;
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.

MBChB 4: General Practice

	Clinical and Communication Skills
2	• Develop an appropriate management plan for the Māori patient;
	Hauora Māori
6	• Engage in a culturally safe manner with Māori patients, whānau and communities.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• 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.

MBChB 4: General Surgery

	Clinical and Communication Skills
2	• Develop an appropriate management plan for the Māori patient.
	Personal and Professional Skills
7	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
	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.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.

MBChB 4: General Medicine

	Clinical and Communication Skills
5	Develop an appropriate management plan for the Māori patient.*
	Personal and Professional Skills
6	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.*
	Hauora Māori
7	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Engage in a culturally safe manner with Māori patients, whānau and communities.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes

MBChB 4: Specialty Medicine

	Hauora Māori
6	• Engage in a culturally safe manner with Māori patients, whānau and communities.
	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.

MBChB 4: Geriatrics

	Clinical and Communication Skills
3	• Identify issues specific to Māori patients;
	Personal and Professional Skills
6	• 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.
	• Identify strategies to overcome barriers with a view to improving Māori health outcomes, particularly for older Māori.

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.
	• Examine differences in quality of care for Māori and non-Māori and explain how inequities can be reduced.
	• Describe the stages of the Hui Process and use these elements in clinical practice.
	• Identify common stereotypes relating to Māori health and discuss the implications for clinical practice.
	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.
	Patient Can’t Speak for Themselves
	• Summarise key points relevant to the respect of Māori patients in the operating room and more generally.
	• Extrapolate from respect for Māori patients to more generic principles of cultural competence in the operating room and on the wards.

MBChB 5: General Practice

	Clinical and Communication Skills
2	• Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
3	• Identify specific patient values with particular attention to practicing in a culturally diverse community.
	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.
9	• Identify key Māori health issues and explain the approaches to addressing the issues.

MBChB 5: Obstetrics & Gynaecology

	Hauora Māori
11	• Identify key Māori health issues and explain the approaches to addressing the issues.
12	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.

MBChB 5: Paediatrics

	Clinical and Communication Skills
2	• Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
	Hauora Māori
8	• Reflect on own practice and systemic factors in relation to ethnic inequalities.
	• Identify areas for improvement in communication and clinical skills when dealing with Māori families.
9	• Identify key health issues for Māori children and adolescents, and explain the approaches to addressing the issues.
	• Propose strategies to address issues of ethnic inequality.
10	• Engage appropriately in interactions with Māori individuals, whānau and communities identifying strengths.

MBChB 5: Psychiatry

	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	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
	Hauora Māori
7	• Identify strategies to overcome barriers with a view to improving Māori health outcomes.

MBChB 5: Formal Learning Yr 5

	Infections and Immunisations in Children
	• Explain how differences in access to healthcare and inequality lead to differing health outcomes
	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

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.
	• Work to achieve correct pronunciation of names in te Reo Māori.
	• Social, cultural, political and economic factors are integrated into clinical practice.

MBChB 6: General Medicine

	Hauora Māori
	• Factors contributing to poorer health outcomes for Māori are identified and strategies applied to address these.
	• Potential bias in working with Māori patients and whānau is identified and strategies are used to overcome biases.

MBChB 6: Obstetrics and Gynaecology

	Hauora Māori
	• Factors contributing to poorer health outcomes for Māori women, including access to and quality of care, and the application of strategies to address these factors.
	• Consideration of Māori customary practices associated with pregnancy and childbirth in the context of patient- and whānau-centred approaches to care.

MBChB 6: Paediatrics

	Personal and Professional Skills
	• Key health issues for Māori children and adolescents are identified, and approaches explained to addressing the issues.

MBChB 6: Psychiatry

	Hauora Māori
	• Elimination of mental health inequities through better access to psychiatric care and challenging racism in diagnosis.

MBChB 6: General Surgery

	Hauora Māori
	• Inequities in the incidence and outcomes of surgical conditions for Māori are understood and strategies identified to reduce and eliminate these inequities.
	• Potential bias in clinical decision making is identified, with a particular focus on how to minimise bias in the informed consent process.

MBChB 6: Emergency Medicine

	Hauora Māori
	• Involvement of whānau and patients is incorporated in decisions about recommended management plans.

MBChB 6: Clinical Imaging

	Hauora Māori
	• Strategies identified to overcome barriers to imaging procedures to improve Māori health outcomes.