medportal CDB | Taxonomy | McMaster Professional Competency / Clinical Skills

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McMaster Professional Competency

Clinical Skills

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Activities

History Taking and Integration Week
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 1

Introduction to the Patient-Centred Physical Exam and Vital Signs
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 2

Respiratory Exam: Practice Case – Dyspnea & Wheeze
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 3

Introduction to the Cardiac Examination
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 1

Cardiac Exam: Practice Case - Chest Pain
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 2

Head and Neck Exam: Practice Case - Hearing Loss
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 3

Head and Neck Exam: Practice Case - Sore Throat
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 4

Respiratory Exam: Practice Case - Dyspnea and Cough
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 4

Communication Skills With Improvisation and Drama
Active Large Group Session

Part 1 / Medical Foundation 1 / Introduction to Medicine / Week 1

Introduction to History Taking
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Introduction to Medicine / Week 2

Introduction to Effective Physician-Patient Communication
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Introduction to Medicine / Week 3

Introduction and Overview of Volume Status Exam
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Week 1

Renal Exam Practice Case - Renal Colic
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Week 3

Introduction to Hematological Exam
Clinical Skills Practice Sessions

Part 2 / Medical Foundation 2 / Hematology

Renal Exam Practice Case - Hematuria
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Hematology / Week 1 / Week 4

Introduction and Overview of the Lymph Node Examination
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Hematology / Week 2

Lymph Node Exam: Practice Case – Lymphadenopathy
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Hematology / Week 3

Hematological Exam Practice Case - Fatigue
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Hematology / Week 4

Peripheral Vascular Exam – Practice Case: Peripheral Vascular Disease
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Hematology / Week 5

Shortness of Breath: renal, cardiac, respiratory
Clinical Skills Sessions

Part 3 / Medical Foundation 3

Edema
Clinical Skills Sessions

Part 3 / Medical Foundation 3

Dermatology Theme and Introduction to Rashes (Archived)
Clinical Skills Sessions

Part 3 / Medical Foundation 3

Adolescent History Practice Case - Behaviour Concerns
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 1

Gynecological / Sexual History
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 2

Obstetrical History: Practice Case – Intrapartum Care, Labour and Delivery Triage
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 3

Introduction and Overview of Abdominal Exam
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition / Week 1

Abdominal Exam Practice Case - Abdominal pain
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition / Week 2

Abdominal Exam Practice Case - Weight loss or diarrhea.
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition / Week 3

Abdominal Exam Practice Case - Jaundice/liver disease.
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition / Week 4

Thyroid Exam Practice Case - Thyroid disease
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Endocrinology / Week 2

Adrenal Exam Practice Case - Adrenocortical disorders
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Endocrinology / Week 3

Newborn History Practice Case - Failure to thrive
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Endocrinology / Week 4

Assessment of mood and anxiety
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 1

MSE part 1: Assessment of mood and anxiety
e-Learning Module

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 1

Suicide Risk Assessment
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 2

MSE part 3: Assessment of suicide and violence risk
e-Learning Module

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 2

Assessment of Psychosis & Delirium
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 3

MSE part 2: Assessment of psychosis
e-Learning Module

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 3

Teaching OSCE (Psychology)
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 4

GALS (Gait, Arms, Legs, Spine)
Watching a Video

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Hip and Knee Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Shoulder and Elbow Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Wrist, Hand and Ankle, Foot Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Back Pain, GALS Exam
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 4

Neurology Exam: Practice Case – Altered Level of Consciousness
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Neuroscience / Week 1

Neurology Exam: Practice Cases – Vertigo, Headache
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Neuroscience / Week 2

Palliative Care
Clinical Skills Sessions

Part 5 / Integration Foundation / Host Defense and Neoplasia / Week 4

First Prenatal Visit
Clinical Skills Sessions

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 1

Exertional Nausea and Dyspnea x 2 weeks
Clinical Skills Sessions

Transition to Clerkship / Week 1

Clerkship Hands-On Practical Skills
Clinical Skills Practice Sessions

Transition to Clerkship / Week 1

Headache and Cough in a Pregnant Patient x 3 days
Clinical Skills Sessions

Transition to Clerkship / Week 2

Fever x 24 hours in a Patient Living in Long-Term Care
Clinical Skills Sessions

Transition to Clerkship / Week 3

EM Medical Expert (presenting problems)
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Diagnosis in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Managing Acute Illness in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Chest pain
Clerkship Teaching Session

Clerkship / Emergency Medicine Rotation

Patient History & Physical Examination in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Emergency Medicine: Aids to Clinical Decision Making
e-Learning Module

Clerkship / Emergency Medicine Rotation

The Psychiatric Interview and mental status exam
Clerkship Teaching Session

Clerkship / Psychiatry Rotation

Distal neurovascular examination of the lower extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Distal neurovascular examination of the upper extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Vomiting and Diarrhea
Clinical Skills Sessions

Cardiac theme, review of targeted cardiac exam
Clinical Skills Sessions

Respirology theme, review of targeted respiratory examination
Clinical Skills Sessions

Abdominal theme, review of targeted abdominal exam
Clinical Skills Sessions

Review of diabetic exam
Clinical Skills Sessions

Assessments

MF 1 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 1 / Medical Foundation 1

MF1 Clinical Skills
End-Unit Clinical Skills Assessment

Part 1 / Medical Foundation 1

MF 2 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 2 / Medical Foundation 2

MF2 Clinical Skills
End-Unit Clinical Skills Assessment

Part 2 / Medical Foundation 2

MF 3 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 3 / Medical Foundation 3

MF3 Clinical Skills
End-Unit Clinical Skills Assessment

Part 3 / Medical Foundation 3

OSCE #1
Objectives Structured Clinical Examination

Part 4 / Medical Foundation 4

MF4 Brain and Behaviour Mental Status Examination
End-Unit Clinical Skills Assessment

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 4

MF4 MSK Clinical Skills
End-Unit Clinical Skills Assessment

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

MF4 Neurology Clinical Skills
End-Unit Clinical Skills Assessment

Part 4 / Medical Foundation 4 / Neuroscience

OSCE #2
Objectives Structured Clinical Examination

Part 5 / Integration Foundation

MF 4 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 5 / Integration Foundation

Integration Foundation Clinical Skills
End-Unit Clinical Skills Assessment

Part 5 / Integration Foundation

Integration Foundation Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 5 / Integration Foundation

Emergency Medicine: Aids to Clinical Decision Making
e-Learning Module Completion

Clerkship / Emergency Medicine Rotation

Family Medicine Procedures/physical examination skills
Logbook/Portfolio

Clerkship / Family Medicine Rotation

Procedures/physical examination skills
Final Rotation Assessment

Clerkship / Family Medicine Rotation

OSCE #3
Objectives Structured Clinical Examination

Post-clerkship / Concept Integration and Review / Week 6

Objectives

General Survey
General Objectives

Part 1 / Medical Foundation 1

Assessing vital signs
General Objectives

Part 1 / Medical Foundation 1

Cardiac Examination
General Objectives

Part 1 / Medical Foundation 1

Respiratory Examination
General Objectives

Part 1 / Medical Foundation 1

Blood Examination
General Objectives

Part 1 / Medical Foundation 1

Apparent state of health
General Objectives

Part 1 / Medical Foundation 1

Level of consciousness (patient is alert and oriented)
General Objectives

Part 1 / Medical Foundation 1

Signs of distress
General Objectives

Part 1 / Medical Foundation 1

Ht/Wt and BMI, WHR (waist/hip ratio)
General Objectives

Part 1 / Medical Foundation 1

Skin colour and obvious lesions
General Objectives

Part 1 / Medical Foundation 1

General grooming and hygiene
General Objectives

Part 1 / Medical Foundation 1

Affect, behaviour (how the patient presents)
General Objectives

Part 1 / Medical Foundation 1

Odours
General Objectives

Part 1 / Medical Foundation 1

Posture/gait/mobility
General Objectives

Part 1 / Medical Foundation 1

Behaviour/speech
General Objectives

Part 1 / Medical Foundation 1

New patient admitted to practice:
General Objectives

Part 1 / Medical Foundation 1

Age, civil status, children, profession
General Objectives

Part 1 / Medical Foundation 1

Present complaint if any
General Objectives

Part 1 / Medical Foundation 1

Family history: parents, siblings, 2nd degree relatives
General Objectives

Part 1 / Medical Foundation 1

Past medical history
General Objectives

Part 1 / Medical Foundation 1

Immunization status
General Objectives

Part 1 / Medical Foundation 1

Allergy/medications
General Objectives

Part 1 / Medical Foundation 1

Risk factors: smoking, alcohol, recreational drugs, behaviour
General Objectives

Part 1 / Medical Foundation 1

Life habits: diet, exercise, sexual preferences
General Objectives

Part 1 / Medical Foundation 1

Life stressors: job, financial, family, social
General Objectives

Part 1 / Medical Foundation 1

Support systems: relationships, spiritual
General Objectives

Part 1 / Medical Foundation 1

General physical examination
General Objectives

Part 1 / Medical Foundation 1

Heart rate
General Objectives

Part 1 / Medical Foundation 1

Peripheral pulse
General Objectives

Part 1 / Medical Foundation 1

Blood pressure measurement using correct technique
General Objectives

Part 1 / Medical Foundation 1

Respiratory rate
General Objectives

Part 1 / Medical Foundation 1

Temperature
General Objectives

Part 1 / Medical Foundation 1

Blood pressure – use of the sphygmomanometer
General Objectives

Part 1 / Medical Foundation 1

The “normal” range
General Objectives

Part 1 / Medical Foundation 1

Sensitivity/specificity
General Objectives

Part 1 / Medical Foundation 1

Positive/negative predictive value
General Objectives

Part 1 / Medical Foundation 1

Likelihood ratio
General Objectives

Part 1 / Medical Foundation 1

Odds ratio
General Objectives

Part 1 / Medical Foundation 1

Basic principles of EKG interpretation
General Objectives

Part 1 / Medical Foundation 1

Chest x-ray
General Objectives

Part 1 / Medical Foundation 1

Hematological profile
General Objectives

Part 1 / Medical Foundation 1

Basic CT and MRI anatomy of the thorax
General Objectives

Part 1 / Medical Foundation 1

Basic Patient-Doctor Encounter
General Objectives

Part 1 / Medical Foundation 1

The medical interview
General Objectives

Part 1 / Medical Foundation 1

Diagnostc strategies based on history taking
General Objectives

Part 1 / Medical Foundation 1

Introduction to measurement
General Objectives

Part 1 / Medical Foundation 1

Interpretation of clinical disagreement
General Objectives

Part 1 / Medical Foundation 1

Recording clinical histories and observations
General Objectives

Part 1 / Medical Foundation 1

Assess respiratory rate
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest inspection
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest palpation
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest percussion
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest auscultation
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Upper airway examination (ear, nose, throat)
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Assessment for evidence of airflow obstruction and lung restrictive diseases
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Consolidation vs. pleural effusion
General Objectives

Part 1 / Medical Foundation 1 / Respirology

How to correlate clinical findings with imaging and spirometry
General Objectives

Part 1 / Medical Foundation 1 / Respirology

General inspection: cyanosis (central vs peripheral), peripheral edema, pallor, clubbing
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Assess central and peripheral pulses
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Auscultate for arterial bruits
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Blood pressure measurement using correct technique
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Assess JVP using correct technique
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Precordial examination: inspection: scars; palpation: apex (diameter, location, amplitude), look for thrills and heaves; auscultation: with the emphasis on examination and differentiation of S1, S2 and additional sounds such as S3 and S4. Auscultate for the presence of murmurs.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Assess evidence of cardiac failure
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Understand basic principles of EKG interpretation
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Conduct an appropriate cardiology history.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Abdominal Examination
General Objectives

Part 2 / Medical Foundation 2

Endocrine Examination
General Objectives

Part 2 / Medical Foundation 2

Preparation for abdominal examination: draping, position, instruction to patient, communication during examination, washing hands.
General Objectives

Part 2 / Medical Foundation 2

Height / Weight and Body Mass Index (BMI), WHR (waist/hip ratio)
General Objectives

Part 2 / Medical Foundation 2

Inspection (abdominal): signs of distress, contour, symmetry, masses, umbilicus, skin/scars/ostomy appliances, dilated veins, movement, pulsation
General Objectives

Part 2 / Medical Foundation 2

Auscultation (abdominal): (following inspection) bowel sounds, recognize bowel sounds vs. bruits, surface markings for aortic, renal, iliac artery bruits.
General Objectives

Part 2 / Medical Foundation 2

Percussion (abdominal): tympany, dullness, shifting dullness, organ size, fluid (fluid wave, shifting dullness)
General Objectives

Part 2 / Medical Foundation 2

Palpation (abdominal): light and deep palpation, identify guarding and rebound.
General Objectives

Part 2 / Medical Foundation 2

Rectal examination: position of the patient, inspection, palpation.
General Objectives

Part 2 / Medical Foundation 2

Examination for jaundice.
General Objectives

Part 2 / Medical Foundation 2

Examination of the mouth/pharynx.
General Objectives

Part 2 / Medical Foundation 2

Basic introduction to inguinal canal exam.
General Objectives

Part 2 / Medical Foundation 2

Thyroid examination: inspection of the neck for masses (thyroid enlargement), palpation of the neck, auscultation for bruits.
General Objectives

Part 2 / Medical Foundation 2

Examination of a patient with diabetes.
General Objectives

Part 2 / Medical Foundation 2

Examination of a patient with cortisol excess.
General Objectives

Part 2 / Medical Foundation 2

History of impotence in a man.
General Objectives

Part 2 / Medical Foundation 2

Altered skin texture.
General Objectives

Part 2 / Medical Foundation 2

Abnormal hair growth.
General Objectives

Part 2 / Medical Foundation 2

Rectal examination
General Objectives

Part 2 / Medical Foundation 2

Basic CT and MRI anatomy of CNS/Thorax/Abdomen/Pelvis.
General Objectives

Part 2 / Medical Foundation 2

Plain abdomen.
General Objectives

Part 2 / Medical Foundation 2

Barium (swallow, enema), Barium follow-through.
General Objectives

Part 2 / Medical Foundation 2

ERCP (Endoscopic retrograde cholangiopancreatography).
General Objectives

Part 2 / Medical Foundation 2

Ultrasound.
General Objectives

Part 2 / Medical Foundation 2

Inspection: general appearance, skin, mucous membranes, nail beds, bruising/petechiae/ecchymosis/hemarthrosis
General Objectives

Part 1 / Medical Foundation 1 / Hematology

Examination for anemia
General Objectives

Part 1 / Medical Foundation 1 / Hematology

Examination for thrombosis (superficial/DVT)
General Objectives

Part 1 / Medical Foundation 1 / Hematology

Blood pressure measurement using correct technique.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Assess JVP using correct technique.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Assess volume status.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Kidney examination: abdominal exam (bimanual examination, costophrenic angle tenderness, auscultation for bruits).
General Objectives

Part 3 / Medical Foundation 3 / Renal

Bladder examination.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Rectal examination for the prostate.
General Objectives

Part 3 / Medical Foundation 3 / Renal

End organ damage from hypertension.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Secondary causes of hypertension.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Precordial exam.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Assessment of peripheral pulses and bruits.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Assess for evidence of cardiac failure.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Review of cardiac and respiratory exam.
General Objectives

Part 3 / Medical Foundation 3

Integration of cardiac, respiratory and renal exam and volume assessment into a general physical examination.
General Objectives

Part 3 / Medical Foundation 3

Basic CT and MRI anatomy of abdomen/pelvis.
General Objectives

Part 3 / Medical Foundation 3

Plain abdomen.
General Objectives

Part 3 / Medical Foundation 3

Ultrasound.
General Objectives

Part 3 / Medical Foundation 3

Biochemistry profile- e.g., electrolytes (blood and body fluids).
General Objectives

Part 3 / Medical Foundation 3

IVP (Intravenous Pyelogram).
General Objectives

Part 3 / Medical Foundation 3

Basic introduction to female pelvic exam (putting the patient at ease, explaining the nature of examination, draping, positioning and recognizing the sensitivity of the examination.
General Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

How to take a gynecologic history.
General Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

Inspection and palpation using a model.
General Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

How to take an obstetrical history.
General Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

Examination of a pregnant abdomen using a model, including: symphysis fundal height; Leopold manoeuvres; assessing fetal heart tones.
General Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

Musculoskeletal System
General Objectives

Part 4 / Medical Foundation 4

Nervous System
General Objectives

Part 4 / Medical Foundation 4

Psychiatry
General Objectives

Part 4 / Medical Foundation 4

Fundoscopy: use of the ophthalmoscope.
General Objectives

Part 4 / Medical Foundation 4

Joint range of mobility: use of the goniometer.
General Objectives

Part 4 / Medical Foundation 4

Biochemistry profile, e.g. markers of inflammatory diseases.
General Objectives

Part 4 / Medical Foundation 4

X-rays (especially normal and fractures).
General Objectives

Part 4 / Medical Foundation 4

CT/MRI; ultrasound.
General Objectives

Part 4 / Medical Foundation 4

Understand the components of the mental status exam and its place within a full patient history.
General Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Be able to identify and describe core psychiatric phenomenology.
General Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Understand the difference between process and content and the role that both play in informing the mental status exam and differential diagnosis.
General Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Be able to elicit core psychiatric symptomatology during a patient encounter (i.e. mood, anxiety, psychosis, suicide and homicide risk) and have developed a core set of screening questions.
General Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Be able to complete an accurate written mental status exam.
General Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Detect the difference between bony and soft tissue swelling.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Elicit tenderness around a joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Elicit temperature around a joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect synovitis.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Have an awareness of the difference between active and passive movements.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform passive and active movements at all relevant joints.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect a loss of full extension and a loss of full flexion.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess gait.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Correctly use the terms varus and valgus.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess limb reflexes routinely when examining the spine and in other relevant circumstances.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Have an understanding of the term subluxation.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Where appropriate examine neurological and vascular systems when assessing a problematic joint (check for intact sensation and peripheral pulses).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess leg length with a tape measure when assessing for a real leg length discrepancy.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make qualitative assessment of movement (not joint end feel but features such as cog-wheeling).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the median and ulnar nerves.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Be able to localize tenderness within the joints of the hand (palpate each small joint of the hand if necessary).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess power grip.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess pincer grip in the hand.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make a functional assessment of the hand such as holding a cup.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Correctly use the term "Heberden's nodes".
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Phalen's test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect a painful arc* and frozen shoulder*
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make a functional assessment of the shoulder (can they put their hands behind their head and back?).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform external/internal rotation of the shoulder with the elbow flexed to 90 degrees and held in against the patient's side.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine a patient's shoulder from behind for scapular movement.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the acromio-clavicular joint (by palpation alone).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate for tenderness over the epicondyles of the elbow.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate for tenderness over the greater trochanter of the hip.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform internal and external rotation of the hip with it flexed to 90 degrees.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Trendelenberg's test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Thomas' test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect an effusion at the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform a patellar tap.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Demonstrate cross fluctuation or the bulge sign when looking for a knee effusion.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Test for collateral ligament stability in the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Use the anterior draw test to assess anterior cruciate ligament stability in the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine the sole of a patient's feet.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Recognise hallux valgus, claw and hammer toes.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess a patient's feet with them standing.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess for flat feet (including the patient standing on tip toes).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Recognize hind foot/heel pathologies.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess plantar and dorsi-flexion of the ankle.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess movements of inversion and eversion of the foot.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the sub-talar joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform a lateral squeeze across the metatarsophalangeal joints.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess flexion/extension of the big toe.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine a patient's footwear.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate the spinous processes.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess lateral and forward flexion of the lumbar spine (using fingers not tape measure).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess thoracic rotation with the patient sitting.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Mental status: MMSE (if the patient is not in delirium) and aphasias, level of consciousness.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Cranial nerves examination.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Motor system: inspection, tone strength, coordination, power grading (1 to 5), reflexes (grading), Babinski response, gait and posture.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Cerebelar testing: Romberg, standing balance, pointing, tremor.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Sensory system: pain and temperature, position and vibration, light touch, discriminative sensations, common dermatomes abnormalities, temperature assessment, standard assessment of peripheral sensation (10gm filament), vibration, position (start with toes). Compare left and right for all of the above.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Ophthalmology examination.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Special tests: primitive reflexes, meningitis.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Correlate clinical findings with neurophysiology (EEG, EVP, EMG).
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Breast examination
General Objectives

Integration Foundation

Lymph node examination
General Objectives

Integration Foundation

Skin
General Objectives

Integration Foundation

Integration
General Objectives

Integration Foundation

Inspection: draping, position, proper lighting. Inspecting breast and axilla using a model.
General Objectives

Part 5 / Integration Foundation

Palpation: breast and axilla (for mass and lymph nodes) using a model.
General Objectives

Part 5 / Integration Foundation

Lymph Node survey/location (cervical, mental/submental/submandibular, tonsil/adenoid, supraclavicular, axillary, epitrochlear, inguinal, popliteal).
General Objectives

Part 5 / Integration Foundation

Description of lymph nodes.
General Objectives

Part 5 / Integration Foundation

Examination of the spleen: Abdominal examination [inspection for fullness, percussion: (Castell’s method, Traube’s space), palpation of the spleen].
General Objectives

Part 5 / Integration Foundation

Inspection of lesions, palpation of any mass on skin.
General Objectives

Part 5 / Integration Foundation

Review of cardiac, respiratory and blood exam.
General Objectives

Part 5 / Integration Foundation

Review of abdominal and endocrine examination.
General Objectives

Part 5 / Integration Foundation

Review of renal exam and volume assessment.
General Objectives

Part 5 / Integration Foundation

Integration of MF 1, 2 and 3 skills into a general physical examination.
General Objectives

Part 5 / Integration Foundation

Hematology profile.
General Objectives

Part 5 / Integration Foundation

Mammograms, breast ultrasound.
General Objectives

Part 5 / Integration Foundation

CT, MRI and ultrasound
General Objectives

Part 5 / Integration Foundation

Microbiology laboratory data (culture, antibiotic sensitivity, viral titres)
General Objectives

Part 5 / Integration Foundation

Practice a focused history and physical exam for a patient presenting with chest pain, dyspnea and nausea/vomiting, with a focus on the cardiac, respiratory and abdominal exam.
Activity Objectives

Transition to Clerkship / Week 1

Review the “can’t miss” diagnoses of chest pain.
Activity Objectives

Transition to Clerkship / Week 1

Practice 12-lead Electrocardiogram (ECG) Interpretation.
Activity Objectives

Transition to Clerkship / Week 1

Discuss initial in-office management for a patient with concern for a patient presenting with acute ST-Elevation Myocardial Infarction (STEMI) prior to transfer to hospital.
Activity Objectives

Transition to Clerkship / Week 1

Learn and practice the SBAR (Situation, Background, Assessment, Recommendation) tool for verbal handover of patient care.
Activity Objectives

Transition to Clerkship / Week 1

Practice holding a goals of care discussion with a capable patient using the Serious Illness Conversation Guide framework.
Activity Objectives

Transition to Clerkship / Week 1

Practice communicating serious illness news to a substitute decision maker over the phone.
Activity Objectives

Transition to Clerkship / Week 1

Review routine prenatal care visits, including questions to ask at each visit in the 3rd trimester.
Activity Objectives

Transition to Clerkship / Week 2

Practice a focused history and exam for a patient presenting with abnormal vital signs, with a focus on infection.
Activity Objectives

Transition to Clerkship / Week 2

Review intermittent auscultation as an in-office assessment of fetal well-being, including normal vs. abnormal findings.
Activity Objectives

Transition to Clerkship / Week 2

To discuss initial in-office management for a patient who is clinically unstable, including transfer to acute care.
Activity Objectives

Transition to Clerkship / Week 2

Review a differential diagnosis for fever.
Activity Objectives

Transition to Clerkship / Week 3

Practice a focused assessment of a patient over the telephone in coordination with a bedside nurse.
Activity Objectives

Transition to Clerkship / Week 3

Review non-verbal signs of pain for patients unable to communicate verbally (e.g. for patients with dementia).
Activity Objectives

Transition to Clerkship / Week 3

Review common medications used for control of symptoms in end-of-life care
Activity Objectives

Transition to Clerkship / Week 3

Practice holding a goals of care discussion with a substitute decision-maker for an incapable patient using the Serious Illness Conversation Guide framework.
Activity Objectives

Transition to Clerkship / Week 3

Demonstrate the ability to rapidly recognize and initiate basic management of acute life- or limb-threatening illness or injury
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate a basic systematic, prioritized approach to resuscitation and stabilization of emergencies.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate a focused history and physical examination.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Distinguish which conditions are life-threatening or emergent from those that are less urgent.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Ability to apply scientific knowledge and method to clinical problem solving
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to take a clinical history
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to record, present, research, critique and manage clinical information
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Renal examination
General Objectives

Integration
General Objectives

Female pelvic examination
General Objectives

Tag Info

Taxonomy

McMaster Professional Competency

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Use Count

331

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