MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Professionalism and leadership: graduate as professional and leader
4.1: Provide care to all patients according to “Good Medical Practice: A Code of Conduct for Doctors in Australia” and “Good Medical Practice: A Guide for Doctors” in New Zealand.

MBChB 1: Graduate Learning Outcomes

	Applied Science for Medicine
	• Apply the scientific body of knowledge appropriately to common and important clinical problems and to the management of patients;
	• Apply scientific principles, research methodologies and evidence to improve practice and the health of individuals and communities.
	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 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;
	• Access, evaluate and use new knowledge and information sources to support clinical decision-making.
	Personal and Professional Skills
	• Practise ethically and with regard to medicolegal obligations;
	• Practise self-reflection in personal and professional settings;
	• Explain the influence of own culture and that of the health system on patient and population health outcomes;
	• Work as a constructive and collaborative health care team member and as a leader for elements of health care, with respect for complementary skills and competencies;
	Hauora Māori
	• Engage in a culturally safe manner with Māori individuals, whānau and communities;
	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: Genitourinary System

	Clinical and Communication Skills
3	Use experiential physical examinations in CSC to:
	• Describe and interpret findings of normal clinical examinations.
	• Describe and justify a systematic approach to clinical examinations.
	• Correctly use equipment and perform selected procedures.
	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.
6	Perform selected clinical and procedural skills.

MBChB 3: Professional and Clinical Skills 2

	Personal and Professional Skills
10	• Examine the criteria and desirable characteristics for a profession and how they relate to medical practice
	• Discuss professional practice issues relating to power, hierarchy, vulnerability and conflict of interest.

MBChB 4: Anaesthesiology

	Clinical and Communication Skills
4	Prepare basic management plans for patients:
	• presenting for surgery and anaesthesia (including local and regional anaesthesia):
	• with acute pain (including postoperative pain);
	• with nausea and vomiting.

MBChB 4: Emergency Medicine

	Personal and Professional Skills
9	Respect the dignity of all persons in the acute care setting, and demonstrate evidence of empathy and compassion towards patients and families.

MBChB 4: General Practice

	Applied Science for Medicine
1	Apply key basic science, behavioural and social science principles to the evaluation of patients presenting with problems in primary care.
	Clinical and Communication Skills
2	Evaluate and prepare appropriate management plans for patients with common and important problems in general practice environments.
	• Recognise key warning signs of serious illness in patients treated in primary care;
	• Develop an appropriate management plan for the Māori patient;
	• 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;
	• Demonstrate skills in negotiating life style changes for patients;
	• Demonstrate skills in rational prescribing;
3	• Make referrals for specialist advice appropriately for a range of conditions;
	Personal and Professional Skills
4	• Listening and talking with patients and colleagues;
	• Teaching and motivating patients and colleagues to improve health care;
	• Respecting the strengths and weaknesses of views different from your own while maintaining personal integrity;
	• Recognising learning opportunities during clinical work;
	• Being punctual in clinical work;
	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.

MBChB 4: General Surgery

	Personal and Professional Skills
7	• Demonstrate responsibility, commitment and a reflective attitude to clinical practice.
	• Provide appraisal and feedback on educational experiences.
	• Identify own limits and seek out additional support or learning opportunities.
	• Participate and actively contribute to patient care and other clinical team activities.
	• 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
4	• Communicate information to patients and families in a clear manner
5	Develop an appropriate management plan for the Māori patient.*

MBChB 4: Specialty Medicine

	Clinical and Communication Skills
2	Evaluate patients presenting with medical problems of the selected specialty.

MBChB 5: General Practice

	Applied Science for Medicine
1	Apply key basic science, behavioural and social science principles to the evaluation of patients presenting with problems in primary care.
	Clinical and Communication Skills
2	Evaluate and prepare appropriate management plans for patients with common and important problems in general practice environments.
	• 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;
	• Use an evidence-based approach to diagnosis formulation;
	• Demonstrate skills in rational prescribing;
	• Appreciate the impact of psychosocial stress on mental health;
	• Recognise different types of general practice consultations (range: first contact, acute care, episodic care, continuity of care, diagnosis).
	• Develop an appropriate management plan for the Māori patient and family that is consistent with whānau strengths and resources.
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 time management and punctuality in clinical work.
	• Identify own learning opportunities, ask questions and contribute in role to educate others.
	• Demonstrate responsibility, commitment and ability to reflect on your judgement and practice.
6	• Explain how and when other health professionals need to contribute to the care of a patient.
	• Contribute to the initiation of referrals for specialist advice appropriately for a range of conditions.
	• Understand the roles, responsibilities and linkages of those contributing to a primary health care team.
	• 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.
9	• Identify key Māori health issues and explain the approaches to addressing the issues.
	Population Health
10	• Identify areas where health promotion, prevention and screening techniques are appropriate.
	• 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.
	• Describe methods of defining practice population profiles and their specific needs.

MBChB 5: Obstetrics & Gynaecology

	Personal and Professional Skills
9	• Demonstrate appropriate attitudes and skills in managing obstetric and gynaecologic patients and families.
	• Demonstrate time management and punctuality in clinical work.
	• Demonstrate ethical decision making including obtaining appropriate consent from patients and families.
	• Demonstrate responsibility, commitment and ability to reflect on your judgement and practice.
	• Maintain appropriate boundaries in the workplace with patients, families and colleagues.

MBChB 5: Formal Learning Yr 5

	Ethics Symposium: Primnum non tacere: “First, be not silent”
	• Distinguish potential ethical conflicts that may arise within professional relationships
	• Identify and engage with the ethical dimension of medicine across diverse settings
	• Summarise the ethical essentials to practice responsible medicine
	Professionalism in Practice and the PPS Portfolio Made Easy
	• Demonstrate the desirable attributes and characteristics of a professional
	• Apply ethical and legal principles to clinical situations and formal Codes that impact on the New Zealand health system
	Hauora Māori
	• Develop a better understanding of own role in addressing Māori health

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.
	• 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.
	• Documentation of medical information is accurate.
	• Skills in writing referral letters are demonstrated.
	• Specialist advice is integrated appropriately for a range of conditions.
	• Management plans are culturally appropriate.
	Personal and Professional Skills
	• Competency is developed in transfer of care to medical and other healthcare teams.
	• Collaborative skills with all health professionals are identified.
	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.
	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.
	Applied Science for Medicine
	• Medical, social and psychological principles are incorporated in the GP consultation.
	• Application of pharmacologic principles is demonstrated in disease management and safe prescribing practice.
	• Basic principles are used to detect cancer in early stages.
	• Medical literature is appraised and consolidated for the management of presenting patients in general practice.

MBChB 6: General Medicine

	Clinical and Communication Skills
	• Comprehensive patient assessments are conducted for common general medical problems including relevant, logical and comprehensive histories.
	• Organised and professional medical examinations of the relevant organ systems are performed.
	• Clinical reasoning and logic are demonstrated by:
	• 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.
	• Diagnostic tests/investigations are selected and evaluated to confirm or alter a working diagnosis.
	• Common investigations are interpreted (ECGs, plain radiology, pulmonary function tests and general laboratory tests)
	• Patient centred management plans are prepared for common general medical problems.
	• Principles of complex co-morbidities and their interactions in terms of diagnosis and management are recognised.
	• Elements of management plans are implemented under supervision.
	• Problems that arise on general medical wards after hours are prioritised.
	• Clinical information is presented in a concise and coherent fashion (written and oral).
	Personal and Professional Skills
	• Familiarity with local hospital practices relevant to the practice of medicine is demonstrated.
	• Limits in knowledge and skills are identified and action taken to correct these.
	• Responsibility for decision making at appropriate levels is developed, while recognising the need for assistance.
	• Skills around time management and reflective practice are strengthened.
	• Ability to work within a multidisciplinary environment is developed.
	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.
	Population Health
	• Relevant preventative medicine strategies are incorporated into daily practice – emphasis on vaccinations, smoking cessation, cardiovascular risk assessment and preventative strategies.
	Applied Science for Medicine
	• Key basic and clinical science principles are revised and applied to the management of patients presenting with a range of common acute and chronic medical conditions.
	• Relevant evidence bases are used to critically evaluate literature pertinent to clinical problems.

MBChB 6: Paediatrics

	Clinical and Communication Skills
	• Time on ward is used to practice taking a history from caregivers and, as appropriate for age, the child.
	• Communication with patients and families.
	• Practice gaining consent from guardians and the patient.
	• Participate in patient/carer education e.g. asthma action plans and immunisation.
	Personal and Professional Skills
	• Participation in handover and the use of structured tools for safe transfer of clinical cases.
	• Interaction with and understanding the roles of other medical, nursing and allied health staff, and appropriate community organisations.

MBChB 6: Psychiatry

	Clinical and Communication Skills
	• Patient-centred management plans are developed, incorporate a biopsychosocial approach, and with emphasis on family.
	• Empathetic explanations given in layman’s term.
	Personal and Professional Skills
	• Rapport with patients and approaches towards challenging patients are developed.
	• Appropriate boundaries with patients, families, team and colleagues are maintained.
	• Personal vulnerabilities and transference/ counter-transferential issues are reflected upon; techniques to enhance own wellbeing using positive psychology principles are practised.

MBChB 6: Emergency Medicine

	Clinical and Communication Skills
	• Succinct differentials are identified for a range of undifferentiated patients, along with proposed management plans.
	• Appropriate investigations are determined and ordered under appropriate level of supervision and responsibility.