MBChB Curriculum Mapping - Showpage Amcoutcome

Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.1: Demonstrate by listening, sharing and responding, the ability to communicate clearly, sensitively and effectively with patients, their family/carers, doctors and other health 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:
	• Communicate sensitively and effectively with patients, their families and colleagues using a process of shared decision-making where appropriate;

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.
	Personal and Professional Skills
6	Demonstrate the ability to write reflectively on personal and learning experiences.
	Be aware of ways in which to support a patient with cancer.
	Hauora Māori
7	Discuss considerations for Māori in modern genetic research and clinical practice.
	Population Health
9	In a General Practice setting, identify elements of the consultations observed that have relevance to other Learning Outcomes for this course.

MBChB 2: Professional and Clinical Skills 1

	Clinical and Communication Skills
2	• Describe and discuss the principles and benefits of effective communication
	• Describe the components of patient-centred interactions
	• Use appropriate techniques to structure the interview
	• Use effective communication skills in controlled settings with patients (real or simulated)
3	• Use a supportive and empathic communication style throughout the assessment & establish rapport
	• Demonstrate an awareness of non-verbal communication
	Hauora Māori
10	• Appropriately acknowledge cultural and religious norms during interactions with patients, families and team members

MBChB 2: Digestive System

	Clinical and Communication Skills
5	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.
6	Describe the principles relating to taking a dietary history and record an individual’s dietary intake.

MBChB 2: Cardiovascular System

	Clinical and Communication Skills
7	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.

MBChB 2: Genitourinary System

	Clinical and Communication Skills
3	• Take a history of a presenting complaint with some medical and social context.
	• Identify cultural factors and beliefs that influence physical examinations.
	Personal and Professional Skills
7	Be aware of own views on having children, possible self-identification with patient, and professional boundaries.
	Demonstrate awareness of the possibility of sexual and/or domestic abuse in teenage pregnancy.

MBChB 3: Sensory Systems

	Hauora Māori
4	Explain why the head is tapu (sacred) in Māori culture and identify similar values in other cultures.

MBChB 3: Professional and Clinical Skills 2

	Applied Science for Medicine
1	• Describe the principles of influencing patient behaviour
	• Outline strategies used to motivate patients in regard to specific lifestyle modifications
2	• Describe effective strategies for improving patient adherence
	Clinical and Communication Skills
6	The Clinical Relationship
	• Describe and discuss the principles and benefits of effective communication
	• Describe the components of patient-centred interactions
	• Outline importance of setting boundaries in various situations
	• Discuss issues around death and dying and communication techniques used in this context
	• Describe the principles of delivering bad news
	• Describe issues in taking a sensitive history (e.g. sexual history)
	• Describe strategies for dealing with uncertainty
7	Principles of Doctor-Patient Communication
	• Use appropriate techniques to structure the interview
	• Describe the elements of a complete clinical history
	• Describe the elements of effective communication with children
	• Compare and contrast different models of consultation
	• Outline principles of using an interpreter
	• Use effective communication skills in controlled settings with patients (real or simulated)
	• Compare and contrast the use of a patient-centred or doctor-centred approach
8	Clinical Assessment: The History and the Physical Examination
	• Use a supportive and empathic communication style throughout the assessment & establish rapport
	• Actively explore the patient’s illness experience (i.e. the impact of the illness, their ideas, concerns and expectations)
	• Demonstrate an awareness of non-verbal communication
	• Develop strategies to close consultations with patients
	Personal and Professional Skills
10	• Demonstrate an empathetic and professional approach to patients in a real or simulated setting
	Hauora Māori
15	• Adapt communication approaches as and where appropriate to account for cultural differences in patients, families and in healthcare
	Population Health
16	• Describe the factors that influence the effectiveness of patient education

MBChB 4: Anaesthesiology

	Personal and Professional Skills
9	• Demonstrate the ability to recognise and appreciate the patient’s perspective in clinical situations.
	• Demonstrate a compassionate approach to patients in clinical settings.
	• Participate and actively contribute to patient care and other clinical team activities.

MBChB 4: Emergency Medicine

	Clinical and Communication Skills
4	Communication with patients and families (Also Engagement in team)
5	Communicate compassionately and effectively with patients, families and caretakers – listening well, guarding confidences, and respecting their views and cultural differences.
	• Elicit appropriate, relevant, and focused historical information from patients, families, EMS, nurses and other sources where appropriate;
	• Use translators and translation services as appropriate.

MBChB 4: General Practice

	Clinical and Communication Skills
2	• Develop an appropriate management plan for the Māori patient;
	• Demonstrate skills in negotiating life style changes for patients;
3	Explain how and when other health professionals contribute to the care of a patient.
	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: Musculoskeletal

	Personal and Professional Skills
8	• Demonstrate a compassionate approach to patients in clinical settings.
	Engagement with the team
	• Participate and actively contribute to patient care and other clinical team activities.

MBChB 4: General Surgery

	Clinical and Communication Skills
2	Evaluate general surgical patients presenting with a range of clinical problems.
	• Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
	• Develop an appropriate management plan for the Māori patient.
3	• Examine the respective roles of a multidisciplinary team to provide optimal patient care;
4	• Examine the respective roles of a multidisciplinary team in peri-operative patient care.
	Personal and Professional Skills
7	• Demonstrate responsibility, commitment and a reflective attitude to clinical practice.
	• 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
2	Evaluate medical patients presenting with a range of clinical problems.
	• Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
4	• Communicate information to patients and families in a clear manner
	• Examine the respective roles of a multidisciplinary team to provide optimal patient care.
	Personal and Professional Skills
6	Work as a constructive and collaborative health care team member, with respect for complementary skills and competencies:
	• Communicate with patients and other health professionals in a professional manner.
	• Participate and actively contribute to patient care and other clinical team activities
	• Demonstrate responsibility, commitment and a reflective attitude to clinical practice;
	• Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.*
	• Maintain appropriate boundaries with patients and other team members.
	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

	Clinical and Communication Skills
2	Evaluate patients presenting with medical problems of the selected specialty.
	• Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
	Personal and Professional Skills
5	• Communicate with patients and other health professionals in a professional manner.
	• Participate and actively contribute to patient care and other clinical team activities

MBChB 4: Geriatrics

	Clinical and Communication Skills
2	Evaluate older patients presenting with a range of common conditions and problems.
	• Elicit from patients with multiple medical problems a logical and comprehensive history;
	• Assess the environmental and social issues that contribute to the medical issues;
	• Demonstrate respect for and confidence with older people and problems they may face.
3	• Identify issues specific to Māori patients;
4	Explain the multidisciplinary team approach that is used in medical and rehabilitation for the older patient.
	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;
	• 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.
	Population Health
8	• 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
	• Identify actions that health professionals can take to recognise our own biases and reduce their impact.
	Motivational Interventions
	• Explain the principles of motivational interviewing and the applicability of these to everyday consultations and patient interactions.
	• Describe the key success factors for motivational interviewing.
	• Demonstrate the practical application of these principles in future patient communication.
	• Practice the use motivational interviews to elicit patients' questions and their views, concerns and preferences, promote rapport, and ensure patients' have a full understanding of their problem(s).
	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.
	• Apply respectful behaviours, skills and knowledge when working with Patients families and communities.
	ORL
	• Describe the consequences and complications of the treatments of these conditions by listening to the patients' perspective.
	Palliative Care
	• Summarise the key messages to use in practice when introducing palliative medicine to a new patient.
	• Explain the key principles for discussing end-of-life matters with a dying patient.
	Geriatrics
	• Explain the problems of communication with patients with cognitive and language (dysphasia) issues and some skills (including how to access help) to overcome these.
	• Explain the value and contribution of multidisciplinary teams to patient care for older patients and those undergoing rehabilitation.
	Alcohol and Drugs
	• Describe how to clinically use the tools to deliver brief advice on alcohol and drug use without implied judgement of a patient.

MBChB 5: Obstetrics & Gynaecology

	Clinical and Communication Skills
6	• Use appropriate communication skills during all stages of the examination;
8	• Communicate with patients and families with respect and cultural sensitivity
	Personal and Professional Skills
9	• Demonstrate appropriate attitudes and skills in managing obstetric and gynaecologic patients and families.
	• Demonstrate ethical decision making including obtaining appropriate consent from patients and families.
	• Maintain appropriate boundaries in the workplace with patients, families and colleagues.
10	• Work as part of a team including with allied health, other health professionals and recognising the role of community organisations.

MBChB 5: Paediatrics

	Clinical and Communication Skills
2	• Elicit from caregivers and, if appropriate, from the child or young person presenting, a relevant, logical comprehensive history of presenting problem(s).
	• Obtain family, social, developmental and immunisation history.
4	• Outline the requirements for gaining parental consent.
	• Communicate information to families in a clear manner.
	Personal and Professional Skills
5	• Demonstrate appropriate attitudes and skills in managing newborns, children, adolescents and their families.
	• Use ethical decision making including obtaining appropriate consent from families.
6	• Work as part of a team including with allied health, other health professionals and recognising the role of community organisations.
	Hauora Māori
10	• Engage appropriately in interactions with Māori individuals, whānau and communities identifying strengths.

MBChB 5: Psychiatry

	Clinical and Communication Skills
4	• Communicate with patients and families using a clear and sensitive approach.
	Personal and Professional Skills
6	• Work as part of a team including with allied staff from the multidisciplinary team from the public, community and non-governmental sectors.
	• Demonstrate a constructive approach in collaborative working environments.
	Population Health
11	• Appraise the importance of the family and wider environment on the patient.

MBChB 5: Specialty Surgery

	Clinical and Communication Skills
2	• Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;

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
	• Apply the differences in communication with parents and caregivers in paediatric history
	Interpersonal Violence
	• Explain the steps needed to be a champion with colleagues and within practice settings
	Prescription Drug Abuse
	• Design a graduated withdrawal process for a selected patient
	Dilemmas in Palliative Medicine
	• Apply best practice to respond to difficult questions from people nearing the end of life
	Professionalism in Practice and the PPS Portfolio Made Easy
	• Demonstrate self-awareness, awareness of impact on others
	Effective interventions for young people
	• Outline the key features of effective interventions for young people
	• Summarise the key attributes for effective communication following a clinician demonstration of interviewing a young person and their whanau
	Hauora Māori
	• Explain the importance of a whānau-centred approach to Māori health
	• Develop a better understanding of own role in addressing Māori health

MBChB 6: General Medicine

	Clinical and Communication Skills
	• Comprehensive patient assessments are conducted for common general medical problems including relevant, logical and comprehensive histories.
	Personal and Professional Skills
	• Responsibility for decision making at appropriate levels is developed, while recognising the need for assistance.
	• Ability to work within a multidisciplinary environment is developed.
	Hauora Māori
	• Potential bias in working with Māori patients and whānau is identified and strategies are used to overcome biases.

MBChB 6: Obstetrics and Gynaecology

	Clinical and Communication Skills
	• Specifically concentrate on taking histories and performing sensitive examinations, using correct techniques and appropriate communication.
	Personal and Professional Skills
	• Collaboration with patients and other team members and respect for each other’s skill set.

MBChB 6: Paediatrics

	Clinical and Communication Skills
	• Communication with patients and families.
	• 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.

MBChB 6: Psychiatry

	Clinical and Communication Skills
	• Specific emphasis on thorough history taking, mental state examination and risk assessment for patients across the lifespan with various common psychiatric disorders.
	• Empathetic explanations given in layman’s term.

MBChB 6: General Surgery

	Personal and Professional Skills
	• Key factors in the continuity of patient care are demonstrated (preoperative, operative, postoperative and discharge).

MBChB 6: Emergency Medicine

	Personal and Professional Skills
	• Interactions with all healthcare professions occur effectively, especially with emergency ambulance officers.
	Hauora Māori
	• Involvement of whānau and patients is incorporated in decisions about recommended management plans.

MBChB 6: Clinical Imaging

	Personal and Professional Skills
	• Participate and actively contribute to multidisciplinary team discussions to improve patient care.