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Curriculum Objective

Objective
Activity Objectives

IF Clinical skills sessions

- Indicates most relevant

Related Objectives

Parent Objective

Clinical Skills Session Objectives

Child Objectives

To practice a history and physical exam for acute mono-arthritis, with focus on knee joint examination.
To review can’t miss diagnoses for acute inflammatory monoarthritis.
To practice motivational interviewing for a patient in a pre-contemplative stage of change with a focus on smoking cessation.
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does This Adult Patient Have Septic Arthritis to formulate a post-test probability of septic arthritis in this case.
To discuss initial next steps in management including investigations in workup for acute inflammatory monoarthritis, and empiric antibiotics for septic arthritis.
To practice a history and physical exam for headache, with focus on screening neurological exam and meningismus signs.
To review primary versus secondary headache disorders, and important red flags for headache (using SNNOOP10 mnemonic).
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does This Adult Patient Have Acute Meningitis to formulate a post-test probability of acute meningitis in this case.
To review clinical factors which would prompt a CT Scan before Lumbar Puncture (using FAILS mnemonic).
To discuss initial next steps in management including investigations in workup for acute meningitis, and empiric antibiotics.
To review confidentiality as it pertains to mandatory reportable communicable diseases in this case.
To practice a history and physical exam for GI bleed and abdominal pain, with focus on abdominal and volume status exams.
To review important causes of upper and lower GI bleed in adult patients.
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Is This Adult Patient Hypovolemic to formulate a post-test probability of hypovolemia in this case.
To review the different kinds of shock (hypovolemic, cardiogenic, obstructive and distributive).
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does this patient have a severe upper gastrointestinal bleed to formulate a post-test probability of upper GI bleed and its severity in this case.
To discuss initial next steps including investigations for acute GI bleed, and initial resuscitative measures.
To practice disclosing a serious acute illness and need for admission to hospital.
To practice an inclusive and detailed sexual history using the 5P’s of Harm Reduction Approach.
To practice a lymph node exam on an SP, and discuss an approach to a female pelvic exam in the context of concern for STI.
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does this adult patient have early HIV? to formulate a post-test probability of early HIV in this case.
To discuss an approach to initial screening for Sexually Transmitted and Blood Borne Infections (STBBI), including obtaining consent for HIV testing.
To discuss a differential diagnosis for generalized lymphadenopathy.
To discuss initial next steps for an HIV diagnosis, including contact tracing for past partners, the criminalization of HIV non-disclosure in Canada, and referral for treatment.
To practice the peripheral vascular examination, with a focus on lower extremity peripheral arterial disease.
To discuss red flags of claudication, including recognition of acute limb ischemia and critical limb ischemia.
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does the clinical examination predict lower extremity peripheral arterial disease? to formulate a post-test probability of peripheral arterial disease in this case.
To discuss initial investigations for suspected peripheral arterial disease, and when to refer for urgent management.
To practice a history and physical exam for low back pain including a focus on red flags and yellow flags (re. CORE Back tool)
To recognize symptoms and signs of opioid withdrawal using the Clinical Opioid Withdrawal Scale (COWS)
To discuss non-pharmacologic approaches for treatment of chronic non-cancer pain.
To discuss the watchful dose for opioids in chronic non-cancer pain, and practice an opioid conversion to determine morphine equivalent daily dose (MEDD)
To review risk factors for opioid use disorder using the Opioid Risk Tool (ORT)
To review core principles of diagnosis and initial management of opioid use disorder in primary care.
To practice a focused respiratory history, focusing on assessing chronic obstructive pulmonary disease.
To introduce and practice an Anesthesia Pre-Operative Physical Exam; and to practice a respiratory examination.
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article "Will this patient be difficult to intubate?" to formulate a post-test probability of difficult intubation in this case.
To practice motivational interviewing for a patient in a preparation stage of change with a focus on smoking cessation.
To practice a history and physical exam for a First Prenatal Visit.
To review an approach to discussing confirmation of pregnancy with patients.
To discuss screening for Intimate Partner Violence (IPV) in pregnant patients, and screening tools to do so.
To discuss Nausea and vomiting and Pelvic pain in early pregnancy (<20 weeks gestation) including can’t miss diagnoses.
To discuss recommendations for exercise in low-risk pregnancy.
To review bottom-line professional obligations with respect to patient requests for healthcare services to which certain providers may feel morally opposed in the context of therapeutic abortion.
To practice motivational interviewing for a patient in an action stage of change with a focus on smoking cessation.
To practice a newborn history, including antenatal and perinatal history.
To practice a postpartum visit history, including a focus on the “B-Questions”.
To discuss differentiation of postpartum blues and peripartum depression.
To practice assessment of peripartum depression including a focus on risk assessment of harm to self and to others.
To practice a Mental Status Examination.
To discuss screening recommendations and tools for peripartum depression and the general adult population.
To discuss psychiatric problem formulation - 4P’s framework (Predisposing, Precipitating, Perpetuating, Protective Factors).
To discuss components of management of peripartum depression, including medication safety.
To practice motivational interviewing for a patient in a maintenance stage of change with a focus on smoking cessation.
To practice a history and physical exam for Parkinson Disease, with a focus on Screening Neuro Exam and Orthostatic Vitals.
To review distinction between Parkinsonism and Parkinson Disease, and key non-Parkinson Disease causes of Parkinsonism
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does this patient have Parkinson Disease to formulate a post-test probability of Parkinson Disease in this case.
To discuss initial next steps once a diagnosis of Parkinson Disease is made clinically.
To discuss the natural progression of Parkinson Disease, and practice disclosure of a serious, incurable illness to a patient.
To practice a history and physical exam for Falls assessment, including visual acuity, neuro exam, GALS screening MSK exam, cardiovascular exam, orthostatic vitals, and diabetes foot exam.
To review the 5Ms of Geriatric Care (Mind, Mobility, Medications, Multi-Complexity, and Matters Most).
To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Will my patient fall? to formulate a post-test probability of falls in the next 12 months in this case.
To identify clinical risk factors for falls in the clinical case, and opportunities for intervention to reduce falls risk.
To discuss the diagnosis of clinical frailty and stage according to the Clinical Frailty Scale.
To discuss how clinical frailty can inform discussions around goals of care and managing multimorbidity.