Home » Auckland MBChB Learning Outcomes associated with AMC Graduate Statements

Relevant Auckland MBChB Learning Outcomes

Clinical Practice: medical graduate as practitioner
2.2: Elicit an accurate, organised and problem-focused medical history, including family and social occupational and lifestyle features, from the patient, and other sources.
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 elicit clear, comprehensive and relevant case histories;
MBChB 2: Professional and Clinical Skills 1
 Clinical and Communication Skills
3 •  Demonstrate a systematic approach to obtaining and recording a clinical history
 •  Actively explore the patient’s illness experience (i.e. the impact of the illness, their ideas, concerns and expectations)
MBChB 2: Digestive System
 Clinical and Communication Skills
5 •  Take a history of a presenting complaint with some medical and social context.
6Describe the principles relating to taking a dietary history and record an individual’s dietary intake.
MBChB 2: Respiratory System
 Clinical and Communication Skills
6 •  Take a history of a presenting complaint with some medical & social context.
MBChB 2: Cardiovascular System
 Clinical and Communication Skills
7 •  Take a history of a presenting complaint with some medical and social context.
MBChB 2: Genitourinary System
 Clinical and Communication Skills
3 •  Take a history of a presenting complaint with some medical and social context.
MBChB 3: Professional and Clinical Skills 2
 Applied Science for Medicine
3 •  Demonstrate the importance of problem lists and key findings in formulating differential diagnoses
 Clinical and Communication Skills
7Principles of Doctor-Patient Communication
 •  Use appropriate techniques to structure the interview
 •  Describe the elements of a complete clinical history
 •  Compare and contrast different models of consultation
 •  Outline principles of using an interpreter
 •  Compare and contrast the use of a patient-centred or doctor-centred approach
8Clinical Assessment: The History and the Physical Examination
 •  Demonstrate a systematic approach to obtaining and recording a clinical history
 •  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
 Hauora Māori
15 •  Adapt communication approaches as and where appropriate to account for cultural differences in patients, families and in healthcare
MBChB 4: Anaesthesiology
 Clinical and Communication Skills
5 •  obtain aspects of clinical history and examination relevant to anaesthesia;
MBChB 4: Emergency Medicine
 Clinical and Communication Skills
2Evaluate patients presenting to the Emergency Department with a range of common, undifferentiated, acute illnesses and injuries.
 •  Recognise the signs and symptoms of potentially life-threatening illnesses and injuries;
 •  Develop problem lists and differential diagnoses for a range of patients, including Māori patients.
5 •  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 •  Describe the principles of the general practice consultations;
 Personal and Professional Skills
4 •  Listening and talking with patients and colleagues;
5Identify the strengths and areas for improvement in both your communication and clinical skills when dealing with Māori patients.
 Hauora Māori
6 •  Engage in a culturally safe manner with Māori patients, whānau and communities.
MBChB 4: Musculoskeletal
 Clinical and Communication Skills
3 •  Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history, including a functional history for patients with rheumatic diseases;
MBChB 4: General Surgery
 Clinical and Communication Skills
2 •  Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
 Hauora Māori
8 •  Engage in a culturally safe manner with Māori patients, whānau and communities.
MBChB 4: General Medicine
 Clinical and Communication Skills
2 •  Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
MBChB 4: Specialty Medicine
 Clinical and Communication Skills
2 •  Elicit from patients presenting with a given problem, a relevant, logical and comprehensive history;
MBChB 4: Formal Learning Yr 4
 Evidence Based Medicine
 •  Apply focussed clinical questions to acquire relevant clinical evidence
 Motivational Interventions
 •  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).
 Endocrinology and Diabetes
 •  Identify the presenting symptoms and signs of patients with endocrinological diseases that commonly present in clinical practice.
 Renal Disease
 •  Apply the lessons learned to elicit an appropriate clinical history from a patient presenting with assess fluid overload and dehydration, oedema and hypertension.
 Gastroenterology
 •  Explain how to elicit relevant information from history-taking to aid in the diagnosis of GI conditions.
MBChB 4: Synchronous Learning Yr 4
 Clinical and Communication Skills
 •  Describe key features on history, examination and initial testing for common and important medical and surgical conditions.
MBChB 5: Obstetrics & Gynaecology
 Clinical and Communication Skills
3 •  Elicit an obstetric history for patients booked for antenatal care;
5 •  Elicit a gynaecology history for patients attending clinic;
MBChB 5: Paediatrics
 Clinical and Communication Skills
2 •  Evaluate paediatric patients presenting with a range of clinical problems.
 •  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.
 •  Perform appropriate developmental assessment for age.
MBChB 5: Psychiatry
 Clinical and Communication Skills
2 •  Evaluate patients presenting with a range of high prevalence psychiatric disorders and those with low prevalence conditions associated with high risk, across different development stages (childhood, adolescence, adulthood, old age).
 •  Perform a formal psychiatric history and mental state examination.
MBChB 5: Formal Learning Yr 5
 Complementary Medicine (CAM)
 •  Include questions about non-orthodox treatment when consulting with patients
 Women’s Health
 •  Elicit a clear history from a woman with urinary incontinence; determine the mechanisms and types of incontinence based on anatomy and physiology of the urinary tract; outline available information sources to educate patients about conservative treatment options
 Interpersonal Violence
 •  Apply the tools for asking about violence and abuse during clinical assessment and for assessing for risk
MBChB 6: General Medicine
 Clinical and Communication Skills
 •  Comprehensive patient assessments are conducted for common general medical problems including relevant, logical and comprehensive histories.
 •  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.
MBChB 6: Obstetrics and Gynaecology
 Clinical and Communication Skills
 •  Specifically concentrate on taking histories and performing sensitive examinations, using correct techniques and appropriate communication.
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.
 •  An appropriate developmental assessment for age is performed.
 •  Communication with patients and families.
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.
MBChB 6: Emergency Medicine
 Clinical and Communication Skills
 •  Succinct differentials are identified for a range of undifferentiated patients, along with proposed management plans.