Return to Scenario ListShow Learning Points most relevant to Phase 1:

AAA screening

Clinical Discipline(s)/Organ System(s)
Population Health, Cardiovascular System, General Practice
Progress Test Topic(s)
General duties
Your Primary Healthcare Organization (PHO) is debating the pros and cons of screening for abdominal aortic aneurysm (AAA). You are asked to prepare a position paper for the Board.
Progress Test-Type Questions:   Question 1
Applied Science for Medicine 
   - Anatomy of the abdominal aorta, its branches and relations
   - Microanatomy of the vasculature including elastic and muscular arteries
   - Pathogenesis of aortic aneurysms
   - Imaging modalities for assessment of vasculature
   - Physiology of fluid dynamics and vascular mechanics
   - Understand the importance of using evidence-based medicine
   - Understand the principles of cost-effectiveness
   - Understand sensitivity, specificity, positive predictive value and negative predictive value
Clinical and Communication Skills 
   - Be able to carry out a comprehensive literature review in relation to a health topic
   - Be able to critically evaluate data
   - Be able to evaluate a screening tool
Personal and Professional Skills 
   - Be able to work with other health care professionals to collectively decide on a recommendation
   - Understand the role of the doctor as health advocate for the population they serve, and appreciate the tensions that may arise between advocating for the population and treating individual patients
   - Communication skills - writing and oral presentation
Population Health 
   - The epidemiology of abdominal aortic aneurysm - who is most likely to be affected, what is the natural history of this condition, what the modifiable risk factors are for the condition
   - Screening - the difference between opportunistic and organised screening, what is required for screening to be effective, factors influencing cost-effectiveness, the advantages and disadvantages of locating screening in primary health care
   - Organisation of primary health care in New Zealand - what is a PHO, how it is funded and governed
Conditions to be considered relating to this scenario
aortic aneurysm