Relevant Auckland MBChB Learning Outcomes

Professionalism and leadership: graduate as professional and leader
4.4: Explain the main principles of ethical practice and apply these to learning scenarios in clinical practice. Communicate effectively about ethical issues with patients, family and other healthcare professionals.
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 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;
 Personal and Professional Skills
 •  Practise ethically and with regard to medicolegal obligations;
 •  Practise self-reflection in personal and professional settings;
 •  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;
MBChB 2: Principles of Medicine
 Clinical and Communication Skills
5 •  Discuss how cultural issues along with counselling and ethical principles guide patient care, using examples from clinical genetics.
MBChB 3: Professional and Clinical Skills 2
 Personal and Professional Skills
11 •  Demonstrate the ability for ethical reasoning about medical dilemmas
MBChB 4: Anaesthesiology
 Clinical and Communication Skills
5 •  gain informed consent for an anaesthetic;
MBChB 4: General Practice
 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;
 •  Admitting to others when you have made a mistake or when you have incomplete knowledge on certain topics;
MBChB 4: General Medicine
 Clinical and Communication Skills
4 •  Communicate information to patients and families in a clear manner
MBChB 4: Specialty Medicine
 Personal and Professional Skills
5 •  Practise ethically and with regard to medicolegal obligations;
 •  Maintain appropriate boundaries with patients and other team members.
MBChB 4: Geriatrics
 Clinical and Communication Skills
3 •  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;
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
3Develop 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.
 Personal and Professional Skills
6 •  Share patient experiences with a group of colleagues, using self-reflective practice to improve professional skills.
MBChB 5: Obstetrics & Gynaecology
 Personal and Professional Skills
9 •  Demonstrate ethical decision making including obtaining appropriate consent from patients and families.
MBChB 5: Paediatrics
 Personal and Professional Skills
5 •  Use ethical decision making including obtaining appropriate consent from families.
MBChB 5: Psychiatry
 Clinical and Communication Skills
4 •  Inform and educate patients and their families.
 •  Communicate with patients and families using a clear and sensitive approach.
 Personal and Professional Skills
5 •  Consider the ethical implications during decision making.
 •  Demonstrate capacity for critical thinking and constructive self-criticism.
MBChB 5: Formal Learning Yr 5
 Ethics Symposium: Primnum non tacere: “First, be not silent”
 •  Explain the importance of speaking up
 •  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 self-awareness, awareness of impact on others
 •  Identify appropriate help-seeking behaviours for self and others
 Hauora Māori
 •  Identify approaches to address the wider determinants of health including racism
MBChB 6: General Practice
 Applied Science for Medicine
 •  Medical, social and psychological principles are incorporated in the GP consultation.
MBChB 6: General Medicine
 Personal and Professional Skills
 •  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.
MBChB 6: Psychiatry
 Personal and Professional Skills
 •  Ethical implications of psychiatric decision-making and ramifications of use of Mental Health Act are considered.