Godlewski Family IF Host Defence and Neoplasia
Activity
Tutorial
Paula Godlewski is a 50 year old Jewish woman of east European descent. She comes to the appointment with her daughter Anna. She has come to be assessed by a medical oncologist for consideration of systemic therapy following the diagnosis of a node positive breast cancer. Anna, who is 25 years old, asks if this cancer is inherited and whether she will get breast or ovarian cancer. she asks whether she should have prophylactic mastectomies and oophorectomies if her tests were to be positive.

Curriculum Block

Host Defense and Neoplasia / Integration Foundation / Part 5 / Week 3
- Indicates most relevant

Objectives

General Objectives
Global Objectives

Assessments

Mid-Unit Tutorial Assessment
Concept Application Exercise (CAE)
End-Unit Tutorial Assessment

Tags

Basic Sciences
Diagnosis Genetics Histology Pathology Pharmacology Prevention and control
Cohort Year
2010
Curriculum Block
Host Defense and Neoplasia Integration Foundation Part 5 Week 3
Curriculum Week
IF Week 3
Discipline
Clinical pathology Genetics Medical Oncology Obstetrics and Gynecology
MCC Presentations
Breast Masses and Enlargement Genetic Concerns
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses 5.4 Demonstrate respect for patient confidentiality, privacy and autonomy 5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations 6.1 Understand the systems of healthcare, including federal, provincial, municipal and local, and the influences they have on the health of individuals and populations
MeSH
Neoplastic Syndromes, Hereditary [C04.700] Breast Neoplasms [C04.588.180] Chemoprevention [E02.319.162] Ethics, Medical [K01.752.566.479.171.132.750] Genes, BRCA1 [G05.360.340.024.340.375.249.100] Genes, BRCA2 [G05.360.340.024.340.375.249.105] Genetic Carrier Screening [E05.200.562.250] Genetic Counseling [H01.158.273.343.315.384] Genetic Diseases, Inborn [C16.320] Genetic Predisposition to Disease [G05.380.355] Genetic Techniques [E05.393] Genetic Testing [E01.370.225.562] Genetic Testing [E05.393.435] Histology [H01.158.100.656] Investigative Techniques [E05] Jews [M01.270.976] Mastectomy [E04.466] Ovarian Neoplasms [C04.588.322.455] Ovariectomy [E04.270.282.685] Pathology, Clinical [H02.403.650.500] Pedigree [E05.393.673] Primary Prevention [N02.421.726.758] Ultrasonography, Mammary [E01.370.350.850.860] Women's Health [N01.400.900]

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