Applied Science for Medicine Anatomy and physiology of the liver, pancreas, adrenal glands and upper airway Physiology and distribution of adipose tissue Glucose and cholesterol homeostasis Definition and pathophysiology of 'metabolic syndrome'; role in the development of atherosclerosis Pathophysiology of hypertension Physiology of the hypothalamic-pituitary-gonadal axis, including the menstrual cycle Pathophysiology of polycystic ovarian syndrome (PCOS); recognise the relationship between metabolic syndrome and PCOS Understand the steroidogenesis pathway; pathophysiology of androgen excess; pathophysiology of steroid excess Pharmacology of metformin, antihypertensives
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Clinical and Communication Skills History from a patient with obesity including use of the Epworth Sleepiness Scale Perform a general examination; recognise the signs of cortisol excess and of androgen excess Differential diagnosis of obesity Indications for ultrasound abdomen, transvaginal ultrasound (recognise the implications of obesity as a risk factor for endometrial hyperplasia/cancer), sleep studies Interpret investigations for causes of obesity (overnight dexamethasone suppression test, 24 hour urinary cortisol, thyroid function tests); interpret investigations for complications of obesity (liver function tests, HbA1c, urine albumin:creatinine ratio, lipid profile, serum testosterone) Use of appropriate communication skills for discussing obesity with patient; screening for depression Management of obesity, non-alcoholic fatty liver disease, metabolic syndrome, PCOS including life-style factors and role of the dietitian Role of bariatric surgery for treatment of obesity Outline the management of obesity-related sleep disorders Outline the management of Cushing's syndrome Complications and prognosis of obesity
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Hauora Māori Awareness of differing risk profiles for Māori (and other disadvantaged populations) compared with non-Māori in NZ presenting with abnormal liver function tests Understanding of inequities in access to health services and quality of medical care for Māori, and application of this to clinical decision making and management Awareness of disproportionate impact of socioeconomic deprivation on Māori, particularly for health-related behaviours, and appropriate response
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Population Health Obesity epidemic, obesigenic environment and relationship to broader determinants of health Describe the global burden of obesity, risk factors and lifestyle associated with obesity Strategies to reduce obesity and strategies to reduce impact of obesity Epidemiology of non-alcoholic fatty liver disease, metabolic syndrome, PCOS Screening for diabetes, hypertension, dyslipidaemia
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