medportal CDB | Taxonomy | CanMEDS Roles / Medical Expert

Taxonomies

CanMEDS Roles

Medical Expert

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Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient-centered medical care;

Establish and maintain clinical knowledge, skills and attitudes appropriate to their practice;

Perform a complete and appropriate assessment of a patient;

Use preventive and therapeutic interventions effectively;

Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic;

Seek appropriate consultation from other health professionals, recognizing the limits of their expertise.

Activities

Introduction to Evidence Based Medicine at Point of Care: Part 1
PC Session

Part 2 / Professional Competencies 2 / Week 1

Narrative in Medicine
PC Session

Part 2 / Professional Competencies 2 / Week 5

Using Evidence-Based Medicine at Point of Care Part 2
PC Session

Part 3 / Professional Competencies 3 / Week 6

Susanna Green Part 1 MF3 Endocrinology
Tutorial

Part 3 / Medical Foundation 3 / Endocrinology / Week 1

Integrated Pain and Opioid Curriculum Course 3 - Opioid Use Disorder: Principles of Assessment and Management
e-Learning Module

Part 4 / Medical Foundation 4

Autism and Attention Deficit Disorder
Active Large Group Session

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

Ryan Smith MF4 MSK
Tutorial

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

Ronnie Olchuk MF4 MSK
Tutorial

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

Ann Green MF4 MSK
Tutorial

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

Yaser Kallas IF Host Defence and Neoplasia
Tutorial

Part 5 / Integration Foundation / Host Defense and Neoplasia / Week 1

Susanna Green Part 2 IF Chronicity and Complexity
Tutorial

Part 5 / Integration Foundation / Complexity and Chronicity / Week 3

EM Medical Expert (presenting problems)
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Diagnosis in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Interpretive skills in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Managing Acute Illness in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Shock and Sepsis in the Emergency Department
Large Group Session

Clerkship / Emergency Medicine Rotation

Neurology
Clerkship Teaching Session

Clerkship / Emergency Medicine Rotation

Airway workshop
Simulations

Clerkship / Emergency Medicine Rotation

Family Medicine Clinical Placement
Preceptor

Clerkship / Family Medicine Rotation

Patient History
Large Group Session

Clerkship / Geriatrics Rotation

Functional Assessment
Large Group Session

Clerkship / Geriatrics Rotation

Examination
Large Group Session

Clerkship / Geriatrics Rotation

Patient History
Clinical Exposure

Clerkship / Geriatrics Rotation

Functional Assessment
Clinical Exposure

Clerkship / Geriatrics Rotation

Examination
Clinical Exposure

Clerkship / Geriatrics Rotation

Diagnosis
Clinical Exposure

Clerkship / Geriatrics Rotation

Management Plan
Clinical Exposure

Clerkship / Internal Medicine Rotation

Management Plan
e-Learning Module

Clerkship / Internal Medicine Rotation

Knot tying and Perineal Trauma
Large Group Session

Clerkship / Obstetrics and Gynecology Rotation

Pediatric Diagnosis and Management Plans
Clinical Exposure

Clerkship / Pediatrics Rotation

Psychiatric Clinical Skills
Clinical Exposure

Clerkship / Psychiatry Rotation

Mental Health Law & Consent and Capacity
Clerkship Teaching Session

Clerkship / Psychiatry Rotation

Ear, Nose and Throat
Large Group Session

Clerkship / Surgery Rotation

Assessments

Pain Management
Clerkship Multiple Choice Question Exam

Clerkship / Anesthesia Rotation

EM Medical Expert (technical skills interpretation)
Clerkship Multiple Choice Question Exam

Clerkship / Emergency Medicine Rotation

Continuity of care/chronic disease management
Clerkship Key Feature Exam

Clerkship / Family Medicine Rotation

Continuity of care/chronic disease management
Final Rotation Assessment

Clerkship / Family Medicine Rotation

Family Medicine Clinical Placement
Preceptor Evaluation

Clerkship / Family Medicine Rotation

Management Plan
e-Learning Module Completion

Clerkship / Internal Medicine Rotation

Pediatrics Core Rotation
Final Rotation Assessment

Clerkship / Pediatrics Rotation

Primary Presentations (Surgery Clerkship)
Clerkship Structured Oral Examination

Clerkship / Surgery Rotation

Primary Presenations (Surgery Clerkship)
Clerkship Multiple Choice Question Exam

Clerkship / Surgery Rotation

Objectives

Develop a mechanism-based approach to the management of congestive heart failure, cardiomyopathy and valvular lesions.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Upon completion of this problem, the student should be able to discuss the assessment and management of the complications of chronic kidney disease and to illustrate the constraints faced by these patients recognizing the need to modify medication regimens in the face of declining renal function. Students should be able to assess the risk to relatives of a person with an autosomal dominant condition.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Diagnose pregnancy
Framework Objectives

Medical Foundation 3

Assess Gestational Age
Framework Objectives

Medical Foundation 3

Describe endocrinology and physiology of the normal menstrual cycle
Framework Objectives

Medical Foundation 3

Upon completion of this problem, students will be able to define metabolic syndrome and examine the consequences of insulin resistance including polycystic ovarian syndrome. Students will also be able to explain the effect of hyperinsulinemia and hyperandrogenism on female sexual function.
Global Objectives

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy

To practice nutrition in medicine, it is essential to have a basic understanding of the biochemistry, physiology and pathophysiology of nutrients, the derivation and sources of recommended daily nutrient intakes (called Dietary Reference Intakes in Canada and the USA) and approaches to nutritional assessment. Many nutrients may have adverse effects if overconsumed – thus “more is not always better” - so there recommended upper intake levels of some nutrients have been set to prevent adverse health effects. The recommended ranges of intakes of essential nutrients are part of the Dietary Reference Intakes.
General Objectives

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition

By the end of the gastrointestinal and nutrition subunit you should have covered the following areas and be able to perform the tasks outlined in this list:
General Objectives

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition

The Gastroenterology concepts include the physiology and pathophysiology of digestion, absorption and metabolism of macronutrients and micronutrients, the structure and function of the hepatobiliary system, gastrointestinal tract integrity and gastrointestinal autoimmunity. Additionally, these concepts provide an introduction to understanding the common disorders of the gastrointestinal tract and the hepatobiliary system. During this Foundation you will develop an understanding of the important elements of the structure and functional relationships in the gastrointestinal tract. By the end of the Foundation, you should have an understanding of the significance of the cardinal manifestations of gastrointestinal disorders.
General Objectives

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition

Describe the structure and function of the endocrine pancreas, the role of glucose as a fuel, and the physiology of plasma glucose regulation, insulin synthesis and release.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Explain the classification, epidemiology, diagnosis and pathophysiology of diabetes mellitus.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

List and describe treatment options for diabetes mellitus.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Upon completion of this problem, students will be able to describe the role of insulin in lipid, carbohydrate and protein metabolism in normal homeostasis and and appreciate the consequences of the pathophysiological condition of absolute insulin deficiency.
Global Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Upon completion of this problem, students will be able to describe the regulation and function of the hypothalamic-pituitary-adrenal axis.
Global Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Upon completion of this problem, students will identify genetic and environmental risk factors for childhood obesity and discuss prevention and treatment strategies at the individual and population level.
Global Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Upon completion of this problem, students will be able to describe normal pituitary structure and function and compare with the pathologic state of growth hormone excess.
Global Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Develop a basic approach to low back pain and explain its common causes and its investigation and management.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe musculoskeletal embryology and normal limb development, and explain the assessment and management of congenital foot abnormalities in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will be able to describe spinal deformities and their implications in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will understand vitamin D physiology, consequences of deficiency, and osteomalacia.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe an approach to osteoporosis.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe a basic approach to low back pain and identify its common causes and its investigation and management.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will be able to describe Giant Cell Arteritis as one type of vasculitis.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will be able to describe gout.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe the assessment and management of fractures in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, the student will have become familiar with septic arthritis and osteomyelitis, and understand differences between pediatric and adult disease.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the principles of pain and symptom management in cancer.
General Objectives

Part 5 / Integration Foundation / Host Defense and Neoplasia

At the completion of this problem, students should be able to define sepsis and describe the pathophysiology of septic shock. They should be able to identify the diagnostic work up and management of someone with sepsis and articulate the process of antimicrobial selection in such cases.
Global Objectives

Part 5 / Integration Foundation / Host Defense and Neoplasia

Consider economic and psychosocial issues
Framework Objectives

Professional Competencies 1 / Professional Competencies 2 / Professional Competencies 3 / Professional Competencies IF / Professional Competencies 4

Demonstrate application of subjective and objective patient information to support decision making and critical thinking in urgent care situations.
General Objectives

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Modify treatment plans and clinical decision making skills when required with review of rationale for each scenario encountered.
General Objectives

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Discuss the diagnosis and treatment of compartment syndrome.
Clerkship Objectives

Clerkship

To perform a history of gynaecologic problems presenting to the emergency room.
Clerkship Objectives

Clerkship

Describe the role of the preoperative anesthetic assessment with regards to optimizing patient risk.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Assess a patient who has an ASA class 1 or 2 classification with regards to their readiness for anesthesia by taking an appropriate history and performing a relevant physical examination.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Assess the patient's airway for ease of mask ventilation, LMA insertion or endotracheal intubation.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe how you would assess a patient's volume status
Clerkship Objectives

Clerkship / Anesthesia Rotation

Assess a patient's fluid/volume status (using history, physical exam, available monitors and laboratory investigations)
Clerkship Objectives

Clerkship / Medical Foundation 1 / Anesthesia Rotation

Describe common side effects of the commonly-used analgesic techniques.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain how epidurals and patient controlled analgesia is used in perioperative analgesia.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Provide compassionate and reassuring care to patients in the perioperative setting
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe systematic mechanisms to increase safety in the delivery of inhalation and intravenous drugs including labeling of syringes, needle recapping, use of needleless systems, preventing hypoxic anesthetic mixtures, etc.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the concept of balanced anesthesia and its role in modern general anesthetics
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe the anatomy relevant to epidural or spinal anesthetic techniques. Explain the role of regional anesthesia in modern anesthetic practice.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the presentation and management of malignant hyperthermia as an example of the hypermetabolic state
Clerkship Objectives

Clerkship / Anesthesia Rotation

Place appropriate monitoring devices prior to induction of anesthesia (EKG, NIBP, SpO2)
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the goals and phases of general anesthesia
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the following concepts as they relate to drugs administered via intravenous: half-life, therapeutic range, metabolism, redistribution, elimination and target organ
Clerkship Objectives

Clerkship / Anesthesia Rotation

Identify intravenous drugs used in the induction, maintenance and emergence of general anesthesia, including indications for use, mechanism of action, and common side effects
Clerkship Objectives

Clerkship / Anesthesia Rotation

Identify inhalation anesthetic agents used in the induction and maintenance of general anesthesia including mode of delivery, indications of use, mechanism of action, concept of minimum alveolar concentration and common side effects
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe modalities used to control pain in the perioperative period: opioids, NSAIDs (including Acetaminophen), steroids, regional techniques and local anesthesia. Explain how analgesics are used in a mulitmodal fashion.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the presentation and management of pseudocholinesterase (plasma cholinesterase) deficiency as an example of a pharmacogenetic disease.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe airway anatomy relevant to bag-mask ventilation and endotracheal intubation
Clerkship Objectives

Clerkship / Anesthesia Rotation

List indications for endotracheal intubation, use of LMA, and indications for mechanical ventilation
Clerkship Objectives

Clerkship / Anesthesia Rotation

Provide a patent airway in an unconscious, adult patient, with or without the use of an airway device (oral or nasal airway), with minimal or no assistance.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Prepare airway management equipment: laryngoscope, suction, styletted endotracheal tube, laryngeal mask airway.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Position the unconscious, adult patient or appropriate simulation device for insertion of an LMA or for performance of laryngoscopy with minimal assistance.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Insert an LMA with minimal assistance in an unconscious, adult patient or appropriate simulation device. Demonstrate attention to patient care and safety during insertion. Assess appropriate positioning of the device.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Perform laryngoscopy and endotracheal intubation with minimal assistance in an unconscious, adult patient or appropriate simulation device. Demonstrate attention to patient care and safety. Assess appropriate positioning of endotracheal tube.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe criteria for extubation
Clerkship Objectives

Clerkship / Anesthesia Rotation

List the types of patients who are at highest risk of aspiration. Explain how we prevent aspiration and describe how aspiration is treated.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe at least 3 systems for delivering oxygen to patients
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe how we measure patient ventilation and oxygenation and how to determine if they are adequate.
Clerkship Objectives

Clerkship / Anesthesia Rotation

List the causes of hypoxemia. Describe appropriate treatment of hypoxemia in the perioperative setting.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain common mechanical ventilation parameters (volume control and pressure control ventilation, respiratory rate, tidal volume, pressure and PEEP)
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate adequate ventilation using the bag-mask valve technique with minimal assistance in the unconscious, adult patient.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate appropriate use of the anesthetic circuit and ventilator with minimal assistance.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain how euvolemia can be disturbed/altered in the perioperative period and how these alterations are managed.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain the fluid management issues of the pediatric patient.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe the determinants of cardiac output. Explain the relationship between myocardial oxygen supply and demand and how we can alter each aspect of the relationship perioperatively.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Define shock and explain how shock can be classified (types and degree). Describe potential treatments for the patient in shock, including the rational use of vasoactive and inotropic medications.
Clerkship Objectives

Clerkship / Anesthesia Rotation

List potential sites for vascular access and describe complications associated with each site.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Prepare the equipment and supplies needed to insert an intravenous in an adult patient.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Insert an intravenous in a conscious or unconscious adult patient or appropriate simulation device with minimal assistance. Demonstrate ability to determine the proper function of the intravenous line.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe appropriate uses for the following crystalloid solutions: normal saline, Ringer's lactate, D5W, D5W/NS. Describe appropriate uses of the colloid solutions albumin and Pentaspan. Explain the complications of using these fluids.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Replace crystalloid solutions demonstrating sterile techniques and ability to maintain line without air.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe the rational use of blood product therapy. Explain the complications of massive transfusions.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Chest pain
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Shortness of breath
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Abdominal pain
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Headache
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Abnormal behavior (psychosis, delirium, intoxication, violence).
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Minor trauma / MSK injuries (including fracture / dislocation/ sprain). Explain the ABCDE approach to major and minor trauma, identify resuscitative priorities and recognize injuries which require acute management.
Clerkship Objectives

Emergency Medicine Rotation

Dizziness / vertigo
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Poisoning
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Cardiac monitor lead placement and the use of a cardiac defibrillator for pacing / cardioversion / defibrillation.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Peripheral IV start
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Place patient on oxygen (nasal prongs, non rebreather mask)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Local anesthetic infiltration
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Place patient on pulse oximeter
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Apply an extremity plaster splint
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Suturing simple laceration
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

CPR (Cardiopulmonary resuscitation)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Perform basic airway maneuvers (head tilt, chin lift, jaw thrust, oral/nasal airway insertion, BMV)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

12-lead ECG — myocardial infarction.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Shock - Recognize shock and predict underlying etiology (distributive, cardiogenic, hypovolemic, obstructive).
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

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

Describe a basic differential diagnosis including the significant worst-case diagnosis for every patient assessed.
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 basic ability to distinguish seriously ill or injured patients from those with minor conditions.
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

Demonstrate the ability to evaluate and initiate treatment of the undifferentiated patient.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Describe the concept of triage and prioritization of care, including paraphrasing the use of Canadian Triage and Acuity Scale (CTAS). Recognize that certain groups of patients require a high index of suspicion for serious illness (e.g.,immunocompromised, chronic renal failure, transplant, extremes of age, intoxicated, and diabetes).
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Loss of consciousness (syncope)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Anaphylaxis / severe allergic reaction
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Altered level of consciousness - including the recognition and management of acute stroke
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Seizure
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Cardiorespiratory arrest
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Head injury - minor
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Fever
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Cardiac dysrhythmias. Synthesize ACLS (Advanced Cardiovascular Life Support) algorithms, recognize unstable ACLS states and use ACLS algorithms to guide treatment.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Vaginal bleeding - pregnant
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Burns - minor / major
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Urinary symptoms
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Neck and back pain
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Eye pain (including red eye)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Cardiac monitor rhythm analysis.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Chest radiograph interpretation.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Extremity radiograph interpretation.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

C- spine radiograph interpretation.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Pulse oximetry.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Urinalysis.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Perform wound cleansing and simple dressing.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

12 lead EKG (15 lead optional)
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Earache
Clerkship Objectives

Clerkship / Family Medicine Rotation

Nasal congestion
Clerkship Objectives

Clerkship / Family Medicine Rotation

Sore throat
Clerkship Objectives

Clerkship / Family Medicine Rotation

Rash/skin lesions
Clerkship Objectives

Clerkship / Family Medicine Rotation

Red eye
Clerkship Objectives

Clerkship / Family Medicine Rotation

Undifferentiated problem (unwell, fatigue, pain)
Clerkship Objectives

Clerkship / Family Medicine Rotation

Substance abuse
Clerkship Objectives

Clerkship / Family Medicine Rotation

Domestic abuse / family violence
Clerkship Objectives

Clerkship / Family Medicine Rotation

Smoking cessation
Clerkship Objectives

Clerkship / Family Medicine Rotation

Breast feeding support
Clerkship Objectives

Clerkship / Family Medicine Rotation

Contraception counseling
Clerkship Objectives

Clerkship / Family Medicine Rotation

Sexual health counseling
Clerkship Objectives

Clerkship / Family Medicine Rotation

Lifestyle counseling (exercise, dietary, etc.)
Clerkship Objectives

Clerkship / Family Medicine Rotation

Preventative health care male
Clerkship Objectives

Clerkship / Family Medicine Rotation

Preventative health care female
Clerkship Objectives

Clerkship / Family Medicine Rotation

Well baby / Well child
Clerkship Objectives

Clerkship / Family Medicine Rotation

Type 2 Diabetes Mellitus
Clerkship Objectives

Clerkship / Medical Foundation 2 / Family Medicine Rotation

Hypertension
Clerkship Objectives

Clerkship / Family Medicine Rotation

Ischemic Heart disease
Clerkship Objectives

Clerkship / Family Medicine Rotation

COPD
Clerkship Objectives

Clerkship / Family Medicine Rotation

Asthma
Clerkship Objectives

Clerkship / Family Medicine Rotation

Chronic pain
Clerkship Objectives

Clerkship / Family Medicine Rotation

Cryotherapy, i.e. of warts or other suitably treated benign skin lesion
Clerkship Objectives

Clerkship / Family Medicine Rotation

Ear syringing
Clerkship Objectives

Clerkship / Family Medicine Rotation

An understanding of the broad scope of family medicine
Clerkship Objectives

Clerkship / Family Medicine Rotation

Appreciate the challenges in addressing complex, diverse patient care issues longitudinally.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Appreciate the nature of some of the specific challenges in the provision of primary care to patients, such as addressing undifferentiated illness, chronic illnesses and preventive care issues.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Describe how illness presents differently through the life cycle and in the family medicine setting compared to other settings.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Take a history from a geriatric patient, with special emphasis on physical and mental functioning.
Clerkship Objectives

Geriatrics Rotation

Validate and obtain historical information from other relevant informants (e.g. partner, caregiver, community care access centre, family physician) when indicated.
Clerkship Objectives

Geriatrics Rotation

Communicate results of the direct and collateral history in well organized written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Collect accurate information regarding function in basic and instrumental activities of daily living.
Clerkship Objectives

Geriatrics Rotation

Communicate results of the functional assessment in well organized written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Perform a physical examination on an elderly patient, adapting it to possible conditions of frailty, immobility, hearing loss, memory loss and other impairments.
Clerkship Objectives

Geriatrics Rotation

Perform a mental status examination to evaluate confusion and/or memory loss in an elderly patient, including the use of appropriate tools (e.g. Mini Mental Status Examination)
Clerkship Objectives

Geriatrics Rotation

Communicate the relevant results of the physical and cognitive examination in well organized and written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Generate a problem list
Clerkship Objectives

Geriatrics Rotation

For a specific symptom, form an impression including differential diagnosis
Clerkship Objectives

Geriatrics Rotation

For a geriatric syndrome, generate a list of probable contributing factors.
Clerkship Objectives

Geriatrics Rotation

Develop a management plan including:
Clerkship Objectives

Geriatrics Rotation

Treatment
Clerkship Objectives

Geriatrics Rotation

Performs comprehensive geriatric assessment to evaluate the underlying etiologies of undifferentiated functional decline.
Clerkship Objectives

Geriatrics Rotation

Dementia
Clerkship Objectives

Geriatrics Rotation

Collects appropriate history
Clerkship Objectives

Geriatrics Rotation

Performs appropriate neurological exam
Clerkship Objectives

Geriatrics Rotation

Performs MMSE /- frontal testing as indicated
Clerkship Objectives

Geriatrics Rotation

Applies diagnostic criteria for dementia
Clerkship Objectives

Geriatrics Rotation

Orders appropriate work up based on Canadian Consensus guidelines
Clerkship Objectives

Geriatrics Rotation

Delirium
Clerkship Objectives

Geriatrics Rotation

Applies DSM or CAM criteria for diagnosis of delirium
Clerkship Objectives

Geriatrics Rotation

Identifies risk factors for delirium
Clerkship Objectives

Geriatrics Rotation

Searches for reversible etiologies
Clerkship Objectives

Geriatrics Rotation

Recommends appropriate supportive and symptomatic care
Clerkship Objectives

Geriatrics Rotation

Identifies strategies to prevent complications
Clerkship Objectives

Geriatrics Rotation

Depression
Clerkship Objectives

Geriatrics Rotation

Performs and interprets Geriatric Depression Scale
Clerkship Objectives

Geriatrics Rotation

Recognizes relationship between cognitive impairment and depression
Clerkship Objectives

Geriatrics Rotation

Recognizes how clinical presentation of depression differs in older adults
Clerkship Objectives

Geriatrics Rotation

Falls, Immobility and Gait Disturbances
Clerkship Objectives

Geriatrics Rotation

Identifies patients at high risk for falls
Clerkship Objectives

Geriatrics Rotation

Is familiar with screening tools for mobility and balance (e.g. Timed get and Go)
Clerkship Objectives

Geriatrics Rotation

Performs appropriate assessment and recommendations
Clerkship Objectives

Geriatrics Rotation

Incontinence
Clerkship Objectives

Geriatrics Rotation

Evaluates acute urinary incontinence
Clerkship Objectives

Geriatrics Rotation

Evaluates chronic urinary incontinence
Clerkship Objectives

Geriatrics Rotation

Iatrogenesis
Clerkship Objectives

Geriatrics Rotation

Demonstrates awareness of why the elderly are more vulnerable to aggressive efforts at diagnosis and treatment as well as recognizes an example of iatrogenesis
Clerkship Objectives

Geriatrics Rotation

Failure to Thrive/Weight Loss
Clerkship Objectives

Geriatrics Rotation

Identifies physical, medical and psychosocial factors that contribute to malnutrition and weight loss in an elderly person
Clerkship Objectives

Geriatrics Rotation

Polypharmacy and Appropriate/Inappropriate Prescribing of Medications
Clerkship Objectives

Geriatrics Rotation

Accurately performs a medication review with recommendations
Clerkship Objectives

Geriatrics Rotation

Identifies drugs that have a high frequency of adverse effects in the elderly
Clerkship Objectives

Geriatrics Rotation

Identifies drugs that require adjustment for renal insufficiency
Clerkship Objectives

Geriatrics Rotation

Calculates CrCl
Clerkship Objectives

Geriatrics Rotation

Can identify methods of improving compliance
Clerkship Objectives

Geriatrics Rotation

Demonstrate the ability to operate electronic patient information systems.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Demonstrate the ability to write physician orders under supervision.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Understand how to complete a death certificate.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Write prescriptions accurately (under supervision).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Demonstrate awareness of hospital policies affecting patient care (e.g., use of restraints, infection control practices).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Demonstrate awareness of regulations concerning psychiatric confinement of medical patients.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Venipuncture
Clerkship Objectives

Internal Medicine Rotation

Arterial blood gas
Clerkship Objectives

Internal Medicine Rotation

EKG
Clerkship Objectives

Internal Medicine Rotation

Thoracentesis
Clerkship Objectives

Internal Medicine Rotation

Abdominal paracentesis
Clerkship Objectives

Internal Medicine Rotation

Lumbar puncture
Clerkship Objectives

Internal Medicine Rotation

NG (Nasogastric) insertion
Clerkship Objectives

Internal Medicine Rotation

Validate and obtain historical information from other relevant informants (eg. partner, caregiver, Community Care Access Centre, family physician) where indicated.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Document the patient interview in a concise, organized written and verbal report.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Collect accurate information regarding function in basic and instrumental activities of daily living.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Communicate results of the functional assessment in well-organized written & oral reports.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Document the findings of the physical exam in a concise, organized written or oral report.
Clerkship Objectives

Internal Medicine Rotation

Interpret an electrocardiogram and a chest X-ray
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess for risk of drug interactions (including an approach to polypharmacy in the elderly)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess for risk of iatrogenic complications (including increased risk among the elderly).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Participate in a care plan discussion with a patient understanding the role of shared-decision making.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess a patient’s competence to make decisions regarding therapy.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Consider the concepts of resource stewardship and high value care in making treatment decisions.
Clerkship Objectives

Internal Medicine Rotation

Monitor for response to therapy including compliance and potential adverse effects.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Consider legal and/or ethical issues as well as psychosocial aspects in deciding on an appropriate treatment.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Cardiac arrest
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Anemia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Acid-base disorders
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hypo/hypernatremia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hypo/hyperkalemia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Acute renal failure
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Syncope
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Delirium
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Upper GI bleeding
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Lower GI bleeding
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Jaundice
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Diarrhea
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Fever
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Dehydration
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Substance abuse (specifically: cocaine and other non-opioid street drugs)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Adverse drug reactions/drug allergies
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Shock
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Acute coronary syndrome
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Congestive heart failure
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hypertension
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Pneumonia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Chronic obstructive pulmonary disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Asthma
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Venous thromboembolism (specifically: deep vein thrombosis and pulmonary embolism)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Urinary tract infection
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Cerebrovascular disease (including stroke)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Dementia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Types I and II diabetes mellitus
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Peptic ulcer disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Cellulitis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Pleural effusion
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Respiratory failure
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Lung nodule
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Bleeding disorders (specifically: TTP/HUS, DIC)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Thrombocytopenia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hypo/hypercalcemia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Coma
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Seizures
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Headache
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Obesity
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hyperlipidemia
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Lung cancer
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Recurrent falls
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Unintended weight loss
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Valvular heart disease (specifically: mitral stenosis and regurgitation and aortic stenosis)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Peripheral vascular disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Supraventricular tachycardias (other than atrial fibrillation)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Sleep apnea
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Tuberculosis infection
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Bronchiectasis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Connective tissue diseases (other than systemic lupus erythematosus and rheumatoid arthritis).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Meningitis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Spinal cord compression
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Parkinson's disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Ventricular arrhythmias (other than ventricular tachycardia)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Osteoporosis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hypo/hyperthyroidism
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Osteoarthritis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Septic arthritis/osteomyelitis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Connective tissue diseases (specifically: systemic lupus erythematosus and rheumatoid arthritis)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Joint pain
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Cirrhosis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Hepatitis : acute and chronic
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Inflammatory bowel disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Sexually transmitted diseases including HIV infection.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Mononucleosis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Anaphylaxis/angioedema
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Back pain - Acute
Clerkship Objectives

Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Joint pain
Clerkship Objectives

Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Soft tissue injury
Clerkship Objectives

Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Cough
Clerkship Objectives

Medical Foundation 1 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Shortness of breath
Clerkship Objectives

Medical Foundation 1 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Wheezing
Clerkship Objectives

Medical Foundation 1 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Back pain - Chronic
Clerkship Objectives

Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Chest pain
Clerkship Objectives

Clerkship / Medical Foundation 1 / Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Palpitations
Clerkship Objectives

Clerkship / Medical Foundation 1 / Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Syncope
Clerkship Objectives

Clerkship / Medical Foundation 1 / Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Dizziness
Clerkship Objectives

Clerkship / Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Numbness
Clerkship Objectives

Clerkship / Medical Foundation 4 / Family Medicine Rotation / Internal Medicine Rotation

Headache
Clerkship Objectives

Clerkship / Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Falls
Clerkship Objectives

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation

Perform patient interview in a patient centered manner, using verbal and non-verbal means to create an empathetic and respectful environment for a variety of patients (including the frail elderly).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Take a history from a geriatric patient with special emphasis on physical and mental functioning.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Shortness of breath
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Empyema
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Pericarditis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Endocarditis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Toxidromes (specifically: aspirin, acetaminophen, opioids, cocaine)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Gout /pseudo-gout
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Multiple myeloma
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Lymphoma (Hodgkin’s and non-Hodgkin’s)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Thyroid nodule
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Valvular heart disease (other than mitral stenosis and regurgitation and aortic stenosis).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Interstitial lung disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Demyelinating disease
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Substance abuse (other than alcohol, opioids, benzodiazepines and cocaine)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Leukemia (AML, ALL, CML, CLL)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Renal stones
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Chronic pancreatitis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Sarcoidosis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Encephalitis
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Bone marrow failure
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Vasculitis syndromes
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Describe modalities of analgesia used in labour and delivery
Clerkship Objectives

Clerkship / Anesthesia Rotation / Obstetrics and Gynecology Rotation

Describe the physiologic changes associated with pregnancy and explain their implication on anesthetic management
Clerkship Objectives

Clerkship / Anesthesia Rotation / Obstetrics and Gynecology Rotation

Describe the anesthetic management of the patient undergoing Cesarean section
Clerkship Objectives

Clerkship / Anesthesia Rotation / Obstetrics and Gynecology Rotation

Perform an ob/gyn history as part of the general medical history, including: chief complaint, present illness, menstrual history, obstetrical history, gynecologic history, contraceptive history, sexual history, family history, and social history.
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Interact with patient in order to gain her confidence and cooperation to assure comfort and modesty, and to develop an understanding of age, race culture and SES on her health.
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Communicate results of the ob/gyn and general medical history in a well-organized written and oral report.
Framework Objectives

Obstetrics and Gynecology Rotation

Complete Pelvic Examination
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Communicate the relevant results of the examination in well organized written and oral reports
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Share the results (of Obs-Gyn Exam)
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Perform an adequate Pap smear
Framework Objectives

Obstetrics and Gynecology Rotation

Obtain Specimens to detect STDs (Pap Smear and Culture)
Framework Objectives

Obstetrics and Gynecology Rotation

Handle specimens properly to improve diagnostic accuracy (Pap Smear and Culture)
Framework Objectives

Obstetrics and Gynecology Rotation

Provide an explanation to the patient regarding the purpose of these tests (of Pap Smear and Culture)
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Guideline results (of Pap Smear and Culture)
Framework Objectives

Obstetrics and Gynecology Rotation

Generate a problem list
Framework Objectives

Medical Foundation 1 / Obstetrics and Gynecology Rotation

Form a diagnostic impression including Differential Diagnosis
Framework Objectives

Medical Foundation 1 / Obstetrics and Gynecology Rotation

Develop a management plan including:
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Laboratory and Diagnostic Studies
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Treatment
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Patient Education
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Continuing Care Plans
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Evaluate the costs and benefits of routine health surveillance
Framework Objectives

Obstetrics and Gynecology Rotation

Cervix
Framework Objectives

Obstetrics and Gynecology Rotation

Distinguish an at-risk pregnancy
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Assess fetal growth, well-being and maturity
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Perform a physical exam to obstetrical patients
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Answer commonly asked questions regarding pregnancy, labour and delivery
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Characteristics of false labour
Framework Objectives

Obstetrics and Gynecology Rotation

Initial assessment of the labouring patient
Framework Objectives

Obstetrics and Gynecology Rotation

Techniques to evaluate the progress of labour
Framework Objectives

Obstetrics and Gynecology Rotation

Methods of monitoring the mother and fetus
Framework Objectives

Obstetrics and Gynecology Rotation

Management of normal delivery
Framework Objectives

Obstetrics and Gynecology Rotation

Immediate postpartum care of the mother
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Normal postpartum care
Framework Objectives

Obstetrics and Gynecology Rotation

Appropriate postpartum patient counseling
Framework Objectives

Obstetrics and Gynecology Rotation

Strategies for management of abnormal fetal presentation
Framework Objectives

Obstetrics and Gynecology Rotation

History, physical findings, and diagnostic method to confirm ROM
Framework Objectives

Obstetrics and Gynecology Rotation

Factors predisposing PROM
Framework Objectives

Obstetrics and Gynecology Rotation

Risk and benefit of expectant management versus immediate delivery
Framework Objectives

Obstetrics and Gynecology Rotation

Methods to monitor maternal and fetal status during expectant management
Framework Objectives

Obstetrics and Gynecology Rotation

Auscultation
Framework Objectives

Obstetrics and Gynecology Rotation

Electric Fetal Monitoring
Framework Objectives

Obstetrics and Gynecology Rotation

Fetal Scalp Sampling
Framework Objectives

Obstetrics and Gynecology Rotation

Describe the management of prolonged gestation
Framework Objectives

Obstetrics and Gynecology Rotation

Evaluation methods for amenorrhea
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Treatment options for amenorrhea
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Distinguish abnormal uterine bleeding from dysfunctional uterine bleeding
Framework Objectives

Obstetrics and Gynecology Rotation

List causes of abnormal uterine bleeding
Framework Objectives

Obstetrics and Gynecology Rotation

Evaluate and diagnose abnormal uterine bleeding
Framework Objectives

Obstetrics and Gynecology Rotation

Describe therapeutic options for abnormal uterine bleeding.
Framework Objectives

Obstetrics and Gynecology Rotation

Management strategies for dysmenorrhea
Framework Objectives

Obstetrics and Gynecology Rotation

Management of climacteric including:
Framework Objectives

Obstetrics and Gynecology Rotation

Hormone therapy (HRT) (Management of climacteric)
Framework Objectives

Obstetrics and Gynecology Rotation

Nutrition and exercise (Management of climacteric)
Framework Objectives

Obstetrics and Gynecology Rotation

Non-hormonal therapeutic options during climacteric
Framework Objectives

Obstetrics and Gynecology Rotation

Describe the risks and benefits of HRT
Framework Objectives

Obstetrics and Gynecology Rotation

Evaluation and management of infertility
Framework Objectives

Obstetrics and Gynecology Rotation

Ethical considerations in infertility
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Evaluation and management of the patient with the abnormal pap smear
Framework Objectives

Obstetrics and Gynecology Rotation

Cite prevalence and incidence of violence against women, elder abuse, and child abuse
Framework Objectives

Obstetrics and Gynecology Rotation

Assess the involvement of any patient in domestic violence situations
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients for short term safety (in domestic violence situations).
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients regarding local support agencies for long term management and resources (in domestic violence situations).
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients requiring resources for batterers and perpetrators of domestic violence
Framework Objectives

Obstetrics and Gynecology Rotation

Risk factors for shoulder dystocia
Framework Objectives

Obstetrics and Gynecology Rotation

Demonstrate immediate management of shoulder dystocia
Framework Objectives

Obstetrics and Gynecology Rotation

Discuss options if immediate management of shoulder dystocia is not available
Framework Objectives

Obstetrics and Gynecology Rotation

Be able to identify a fetal bradicardia
Framework Objectives

Obstetrics and Gynecology Rotation

Demonstrate immediate management of fetal bradicardia
Framework Objectives

Obstetrics and Gynecology Rotation

Discuss options if immediate management of fetal bradicardia is not successful
Framework Objectives

Obstetrics and Gynecology Rotation

Including Depression
Framework Objectives

Obstetrics and Gynecology Rotation

Hematuria
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Dysuria
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Vaginal discharge/urethral discharge
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Menstrual irregularities, excessive vaginal bleeding and dysmenorrhea
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Breast abnormality
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Prenatal care
Clerkship Objectives

Clerkship / Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Post natal care
Clerkship Objectives

Clerkship / Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Management of early pregnancy loss
Clerkship Objectives

Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Menopause symptoms
Clerkship Objectives

Clerkship / Medical Foundation 3 / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Pap test
Clerkship Objectives

Clerkship / Family Medicine Rotation / Obstetrics and Gynecology Rotation

Sexually transmitted infections sampling.
Clerkship Objectives

Clerkship / Family Medicine Rotation / Obstetrics and Gynecology Rotation

To describe and perform normal prenatal care for an uncomplicated pregnancy.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To construct differential diagnoses for major obstetrical and gynaecological problems.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To formulate management plans for major obstetrical and gynaecological problems.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To recognize normal and abnormal pelvic surgical anatomy.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To develop an understanding of surgical principles as they relate to gynaecologic procedures.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To recognize the normal progress of labour and delivery.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To identify and demonstrate the management of abnormal labour.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To demonstrate an ability and approach to assessing: Normal labour; Rupture of membranes; Third Trimester Bleeding; Abdominal Pain in Pregnancy.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To state the indications for induction and augmentation of labour.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To select appropriate intrapartum analgesia and anaesthesia.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of a postpartum haemorrhage.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of shoulder dystocia.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of fetal bradycardia.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To explain intrapartum surveillance techniques and their interpretation.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To construct differential diagnoses and management plans (for gynaecologic problems presenting to the emergency room).
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To demonstrate skills required to assist at gynaecologic surgery.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To formulate a post-operative management plan.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the relationship between psychologic issues and obstetric and gynecologic events.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To recognize the principles and practice of prenatal diagnosis.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To explain the benefits and approach to breastfeeding.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the approach to the management of patients presenting with a history of domestic violence.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To recognize the utility of diagnostic imaging, particularly ultrasound, in Obstetrics and Gynaecology.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a complete obstetrical physical examination.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a complete gynecologic examination.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To communicate the results of history in a well-organized oral and written report.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a physical examination on a labouring patient.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To demonstrate proficiency in intrapartum cervical assessment to assess labour progress.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the mechanisms of both vaginal deliveries and caesarean sections.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Describe the main physiologic differences between pediatric and adult patients and explain their implication on anesthetic management
Clerkship Objectives

Clerkship / Anesthesia Rotation / Pediatrics Rotation

Calculate appropriate endotracheal tube size for pediatric patients.
Clerkship Objectives

Clerkship / Anesthesia Rotation / Pediatrics Rotation

Perform a complete pediatric history including chief complaint, present illness, review of systems, pregnancy and delivery, neonatal course, developmental milestones, past m edical history and surgical operations, immunizations, medications, allergies, family history, social history
Clerkship Objectives

Pediatrics Rotation

Perform an age appropriate focused interview of the affected part(s) or system when appropriate.
Clerkship Objectives

Pediatrics Rotation

Describe aspects of the maternal prenatal history and labor and delivery course that have implications for the health of the newborn.
Clerkship Objectives

Pediatrics Rotation

Interview an adolescent using the HEADDS method to ask questions about lifestyle choices that affect health and safety
Clerkship Objectives

Pediatrics Rotation

Communicate results of the pediatric history in a well organized written and oral report
Clerkship Objectives

Pediatrics Rotation

Perform a complete pediatric physical examination including head and neck, respiratory, cardiac, abdominal, musculoskeletal, neurologic, and skin
Clerkship Objectives

Pediatrics Rotation

Perform an age appropriate focused examination of the affected part(s) or system when appropriate
Clerkship Objectives

Pediatrics Rotation

Assess major developmental milestones (gross motor, fine motor, social, language)
Clerkship Objectives

Pediatrics Rotation

Assess the sexual maturity of male and female adolescents using the Tanner method.
Clerkship Objectives

Pediatrics Rotation

Identify growth that deviates from expected patterns based on the family growth history and the child’s previous growth
Clerkship Objectives

Pediatrics Rotation

Demonstrate the use of standard growth charts to track weight, height, head circumference, body mass index
Clerkship Objectives

Pediatrics Rotation

Communicate results of the pediatric physical examination in a well organized written and oral report
Clerkship Objectives

Pediatrics Rotation

Recognize an acutely ill child who requires immediate medical attention.
Clerkship Objectives

Pediatrics Rotation

Describe an approach to the Dysmorphic child
Clerkship Objectives

Pediatrics Rotation

Generate a problem list
Clerkship Objectives

Pediatrics Rotation

Formulate a differential diagnosis
Clerkship Objectives

Pediatrics Rotation

Select and interpret results of diagnostic tests
Clerkship Objectives

Pediatrics Rotation

Outline a treatment plan based on the history and physical findings
Clerkship Objectives

Pediatrics Rotation

Calculate drug doses based on body weight for an infant or young child
Clerkship Objectives

Pediatrics Rotation

Write admission orders for a pediatric patient
Clerkship Objectives

Pediatrics Rotation

Write Intravenous and oral fluid orders for an infant, including types of fluid and rate
Clerkship Objectives

Pediatrics Rotation

Write maintenance fluid orders for a child or adolescent, including type of fluid and rate
Clerkship Objectives

Pediatrics Rotation

Write intravenous and oral fluid orders for a dehydrated child including type of fluid and rate.
Clerkship Objectives

Pediatrics Rotation

List recommended immunizations from birth to adolescence
Clerkship Objectives

Pediatrics Rotation

List features of the history and physical exam that should trigger concern for possible child maltreatment.
Clerkship Objectives

Pediatrics Rotation

Outline the differential diagnosis and initial evaluation of a child with failure to thrive.
Clerkship Objectives

Pediatrics Rotation

Be familiar with the expanded Ontario newborn screening program and the rationale for screening
Clerkship Objectives

Pediatrics Rotation

Understand Canadian laws for mandatory reporting of suspected child abuse and procedures for reporting
Clerkship Objectives

Pediatrics Rotation

Recognize, describe the differential diagnosis and understand methods to manage common pediatric conditions including:
Clerkship Objectives

Pediatrics Rotation

Identify factors that determine whether each problem should be managed in the inpatient or outpatient setting.
Clerkship Objectives

Pediatrics Rotation

Heart murmurs - innocent and pathologic
Clerkship Objectives

Pediatrics Rotation

Cough
Clerkship Objectives

Pediatrics Rotation

Wheeze
Clerkship Objectives

Pediatrics Rotation

Respiratory distress
Clerkship Objectives

Pediatrics Rotation

Fever
Clerkship Objectives

Pediatrics Rotation

Sore throat/otalgia
Clerkship Objectives

Pediatrics Rotation

Abdominal pain
Clerkship Objectives

Pediatrics Rotation

Vomiting
Clerkship Objectives

Pediatrics Rotation

Diarrhea
Clerkship Objectives

Pediatrics Rotation

Dysuria
Clerkship Objectives

Pediatrics Rotation

Rash
Clerkship Objectives

Pediatrics Rotation

Altered level of consciousness
Clerkship Objectives

Pediatrics Rotation

seizure
Clerkship Objectives

Pediatrics Rotation

Describe the ABCD assessment of an acutely ill child
Clerkship Objectives

Pediatrics Rotation

Outline the initial steps in the assessment and stabilization of the child with critical and acute pediatric illness including:
Clerkship Objectives

Pediatrics Rotation

respiratory failure
Clerkship Objectives

Pediatrics Rotation

shock
Clerkship Objectives

Pediatrics Rotation

status epilepticus
Clerkship Objectives

Pediatrics Rotation

head injury
Clerkship Objectives

Pediatrics Rotation

diabetic ketoacidosis
Clerkship Objectives

Pediatrics Rotation

Describe the clinical features, complications and common management strategies of childhood chronic illnesses including:
Clerkship Objectives

Pediatrics Rotation

Asthma
Clerkship Objectives

Pediatrics Rotation

Cerebral palsy
Clerkship Objectives

Pediatrics Rotation

Cystic fibrosis
Clerkship Objectives

Pediatrics Rotation

Diabetes Mellitus
Clerkship Objectives

Pediatrics Rotation

Inflammatory Bowel Disease
Clerkship Objectives

Pediatrics Rotation

Juvenile idiopathic arthritis
Clerkship Objectives

Pediatrics Rotation

Seizure disorder
Clerkship Objectives

Pediatrics Rotation

Develop an initial approach to the assessment of the child with school difficulties.
Clerkship Objectives

Pediatrics Rotation

Discuss how chronic illness can influence a child’s growth, development, educational achievement, and psychosocial functioning.
Clerkship Objectives

Pediatrics Rotation

Discuss the impact of chronic illness on family dynamics, economics, and psychosocial functioning.
Clerkship Objectives

Pediatrics Rotation

Cold/flu
Clerkship Objectives

Clerkship / Integration Foundation / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation

Fever
Clerkship Objectives

Clerkship / Integration Foundation / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation

Describe differences between the medical management of paediatric patients versus adult patients.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Recognise an acutely ill child.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Abdominal Pain & Abdominal Mass: Appendicitis, Constipation, Functional, Neuroblastoma, Ovarian torsion, Pregnancy, Wilm’s tumor
Clerkship Objectives

Clerkship / Pediatrics Rotation

Acutely Ill Child: Acute abdomen, Burn, Diabetic ketoacidosis / Diabetes mellitus, Meningococcemia, Poisoning / intoxication, Shock, Trauma
Clerkship Objectives

Clerkship / Pediatrics Rotation

Adolescent Health Issues: Disordered eating, Psychosocial history (HEADDSS), Pubertal development, Sexual health, Sexually transmitted infections, Substance use and abuse
Clerkship Objectives

Clerkship / Pediatrics Rotation

Altered LOC: Encephalitis, Head Injury, Hypoglycemia, Metabolic disease
Clerkship Objectives

Clerkship / Pediatrics Rotation

Bruising / Bleeding: Hemophilia, Idiopathic thrombocytopenic purpura, Leukemia
Clerkship Objectives

Clerkship / Pediatrics Rotation

Dehydration: Hyponatremia / hypernatremia, Mild / moderate / severe dehydration
Clerkship Objectives

Clerkship / Pediatrics Rotation

Development / Behavioural / Learning Problems: Attention deficient disorders, Autism spectrum disorder, Cerebral palsy, Fetal alcohol spectrum disorder, Global delay, Gross motor delay, Learning disability, Speech / language delay
Clerkship Objectives

Clerkship / Pediatrics Rotation

Diarrhea: Celiac disease, Cow’s milk protein allergy, Gastroenteritis, Hemolytic uremic syndrome, Inflammatory bowel disease, Toddler’s diarrhea
Clerkship Objectives

Clerkship / Pediatrics Rotation

Edema : Nephritic syndrome, Nephrotic syndrome, Renal failure
Clerkship Objectives

Clerkship / Pediatrics Rotation

Eye Issues: Absent red reflex , Amblyopia, Conjunctivitis, Normal vision development, Periorbital / orbital cellulitis, Strabismus, Visual changes
Clerkship Objectives

Clerkship / Pediatrics Rotation

Fever: Different age groups (<1mo, 1-3 mo, >3 mo), Kawasaki disease, Meningitis, Occult bacteremia /sepsis, Urinary tract infection, Viral
Clerkship Objectives

Clerkship / Pediatrics Rotation

Genito-urinary Complaints (hematuria, dysuria, polyuria, frequency, pain): Balanitis, Enuresis, Phimosis, Testicular torsion, Vesicoureteral reflux, Vulvo-vaginitis
Clerkship Objectives

Clerkship / Pediatrics Rotation

Growth Problems: Constitutional delay, Failure to thrive, Familial short stature, Obesity, Turner syndrome
Clerkship Objectives

Clerkship / Pediatrics Rotation

Headache: Brain tumor, Concussion, Increased intracranial pressure, Migraine
Clerkship Objectives

Clerkship / Pediatrics Rotation

Inadequately explained injury (Child abuse): Abusive head trauma, Domestic violence, Neglect, Physical abuse, Sexual abuse
Clerkship Objectives

Clerkship / Pediatrics Rotation

Limp / Extremity Pain: Bone tumor, Growing pains, Juvenile idiopathic arthritis, Legg Calve Perthes disease, Osgood Schlatter disease, Osteomyelitis, Post-infectious, Reactive arthritis, Rheumatic fever, Septic arthritis, Slipped capital femoral epiphysis, Transient synovitis, Trauma / injury
Clerkship Objectives

Clerkship / Pediatrics Rotation

Lymphadenopathy: Cervical adenitis, Lymphoma, Mononucleosis, Reactive
Clerkship Objectives

Clerkship / Pediatrics Rotation

Mental Health Concerns: Anxiety, Depression, School refusal, Suicidality
Clerkship Objectives

Clerkship / Pediatrics Rotation

Murmur: Congenital heart disease, Innocent murmur
Clerkship Objectives

Clerkship / Pediatrics Rotation

Neonatal Jaundice: Biliary atresia, Breast feeding jaundice, Breast milk jaundice, Hemolytic anemia, Kernicterus, Physiologic
Clerkship Objectives

Clerkship / Pediatrics Rotation

Newborn: Abnormal newborn screen, Birth Trauma, Congenital infections, Cyanosis, Depressed newborn, Hypoglycemia, Hypothermia, Hypotonia / floppy newborn, Large for gestational age , Neonatal abstinence syndrome, Newborn physical exam (normal, abnormal), Prematurity, Respiratory distress, Sepsis, Small for gestational age, Trisomy 21, Vitamin K deficiency
Clerkship Objectives

Clerkship / Pediatrics Rotation

Pallor / Anemia: Hemoglobinopathies, Hemolysis, Iron deficiency
Clerkship Objectives

Clerkship / Pediatrics Rotation

Rash: Acne, Cellulitis, Diaper rashes, Drug eruption, Eczema, Henoch Scholein purpura, Impetigo, Scabies, Scarlet fever, Seborrhea dermatitis, Urticaria, Viral exanthems
Clerkship Objectives

Clerkship / Pediatrics Rotation

Respiratory distress / Cough: Anaphylaxis, Asthma, Bronchiolitis, Congestive heart failure, Croup, Cystic fibrosis, Epiglottitis, Foreign body, Pertussis, Pneumonia, Status asthmaticus, Tracheitis
Clerkship Objectives

Clerkship / Pediatrics Rotation

Seizure / Paroxysmal event: Arrhythmia, Breath-holding spell, Brief resolved unexplained event, Febrile vs. non-febrile seizure, General vs. focal seizure, Status epilepticus, Syncope
Clerkship Objectives

Clerkship / Pediatrics Rotation

Sore Ear: Otitis externa, Otitis media
Clerkship Objectives

Clerkship / Pediatrics Rotation

Sore Throat / Sore Mouth: Dental disease, Oral thrush, Peritonsillar abscess, Pharyngitis, Retropharyngeal abscess / cellulitis, Stomatitis
Clerkship Objectives

Clerkship / Pediatrics Rotation

Vomiting: Gastroeosphageal reflux / Gastroeosphageal reflux disease, Intestinal atresia, Intussusception, Malrotation/volvulus, Pyloric stenosis
Clerkship Objectives

Clerkship / Pediatrics Rotation

Well Child Care (newborn, infant, child) : Anticipatory guidance, Circumcision, Crying / colic, Dental health, Discipline / Parenting, Growth – Head circumference, Height, Weight, Body mass index, Health active living, Hearing, Hypertension, Immunizations Injury prevention, Normal development, Nutrition & Feeding, Sleep issues, Social-economic / cultural / home / environment, Sudden infant death syndrome
Clerkship Objectives

Clerkship / Pediatrics Rotation

Demonstrate competence with the following paediatric physical examination skills in addition to general physical examination skills:
Clerkship Objectives

Clerkship / Pediatrics Rotation

Position and immobilise patient for certain physical exam skills
Clerkship Objectives

Clerkship / Pediatrics Rotation

Measure and interpret height, weight, head circumference (including plotting on growth curve and calculation of body mass index)
Clerkship Objectives

Clerkship / Pediatrics Rotation

Measure and interpret vital signs
Clerkship Objectives

Clerkship / Pediatrics Rotation

Palpate for fontanelles and suture lines
Clerkship Objectives

Clerkship / Pediatrics Rotation

Perform red reflex and cover-uncover test
Clerkship Objectives

Clerkship / Pediatrics Rotation

Perform otoscopy
Clerkship Objectives

Clerkship / Pediatrics Rotation

Inspect for dysmorphic features
Clerkship Objectives

Clerkship / Pediatrics Rotation

Elicit primitive reflexes
Clerkship Objectives

Clerkship / Pediatrics Rotation

Perform infant hip examination
Clerkship Objectives

Clerkship / Pediatrics Rotation

Assess the lumbosacral spine for abnormalities
Clerkship Objectives

Clerkship / Pediatrics Rotation

Assess for scoliosis
Clerkship Objectives

Clerkship / Pediatrics Rotation

Palpate femoral pulses
Clerkship Objectives

Clerkship / Pediatrics Rotation

Examine external genitalia
Clerkship Objectives

Clerkship / Pediatrics Rotation

Assess for sexual maturity rating (Tanner staging)
Clerkship Objectives

Clerkship / Pediatrics Rotation

Anxiety
Clerkship Objectives

Clerkship / Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Psychiatry Rotation

Depression
Clerkship Objectives

Clerkship / Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Psychiatry Rotation

Grief
Clerkship Objectives

Clerkship / Medical Foundation 4 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Psychiatry Rotation

Psychotic Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Mood Disorders (including in post-partum, seasonal, GMC)
Clerkship Objectives

Clerkship / Psychiatry Rotation

Anxiety Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Personality Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Substance Use Disorders (including concurrent disorders, and screening assessment tools e.g. CAGE, AUDIT, MAST)
Clerkship Objectives

Clerkship / Psychiatry Rotation

Somatoform disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Medical Psychiatry
Clerkship Objectives

Clerkship / Psychiatry Rotation

Trauma- and stressor-related disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Other: Impulse control disorders, Factitious Disorder and Malingering
Clerkship Objectives

Clerkship / Psychiatry Rotation

Amnestic and Dissociative disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Conduct a general interview: learn specific skills that convey empathy. Take a psychiatric history in an empathic manner that enables the assessment of relevant psychological, medical and social factors. Adapt their interview techniques to deal with common sorts of "special" situations/patients (e.g., children, the elderly, those who don't speak English, those with communication or cognitive problems, use of interpreters, family members for collateral, etc.). Adapt their interview techniques to deal with common sorts of "challenging" styles (e.g., silent, over-talkative, angry, seductive, suspicious, passive, dependent, defensive, evasive patients, or those who deny they need help).
Clerkship Objectives

Clerkship / Psychiatry Rotation

Perform a mental status examination of a patient with psychiatric illness.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess (including relevant physical exam) and manage substance use.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess self-care.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess capacity.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess a sexual and trauma history.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess sleep history and provide counselling.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess child and family functioning.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assessment of cognitive deficits (and use of screening instruments e.g. MMSE, MOCA, etc.).
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess and manage acute psychosis.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess the appropriateness for and recommend ECT and TMS: indications for use, side effects.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Knowledge of indications for referral to psychiatry.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Abdominal pain - acute
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Pelvic pain - acute
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Rectal bleeding
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Surgery Rotation

Heartburn
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Nausea and vomiting
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Weight loss
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Abdominal pain - chronic
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Pelvic pain - chronic
Clerkship Objectives

Medical Foundation 2 / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Injections: subcutaneous, intradermal, intramuscular and intravenous
Clerkship Objectives

Clerkship / Family Medicine Rotation / Surgery Rotation

Discuss the most frequently encountered benign hepatic tumors and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most frequently encountered malignant hepatic tumors and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the causes of splenomegaly.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most common signs and symptoms associated with hypersplenism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the short and long term complications associated with surgical removal of the spleen.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a pancreatic mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the management of cystic lesions of the pancreas.
Clerkship Objectives

Clerkship / Surgery Rotation

How do you differentiate a pancreatic pseudocyst from a cystadenoma or true cyst?
Clerkship Objectives

Clerkship / Surgery Rotation

Which patients with a pancreatic cyst need surgery and when?
Clerkship Objectives

Clerkship / Surgery Rotation

Know the major complications of pancreatic necrosis and pseudocyst formation?
Clerkship Objectives

Clerkship / Surgery Rotation

Characterization of abdominal pain (location, severity, character, pattern).
Clerkship Objectives

Clerkship / Surgery Rotation

Temporal sequence of abdominal pain (onset, frequency, duration, progression).
Clerkship Objectives

Clerkship / Surgery Rotation

Alleviating and exacerbating factors of abdominal pain (position, food, activity, medications).
Clerkship Objectives

Clerkship / Surgery Rotation

Associated signs and symptoms of abdominal pain (nausea vomiting, fever, chills, anorexia, wt. loss, cough, dysphagia, dysuria/frequency, altered bowel function diarrhea, constipation, obstipation, hematochezia, melena, etc.).
Clerkship Objectives

Clerkship / Surgery Rotation

Pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression). Medications: anticoagulation, steroids etc. (for abdominal pain).
Clerkship Objectives

Clerkship / Surgery Rotation

Demonstrate the components of a complete abdominal examination including rectal, genital and pelvic examinations.
Clerkship Objectives

Clerkship / Surgery Rotation

Relate the significance of the various component examinations: observation, auscultation, percussion, palpation as they apply to common abdominal pathologic processes. Examples: distention, visible peristalsis, high pitched or absent bowel sounds, tympany, mass, localized vs. generalized guarding and/or rebound tenderness.
Clerkship Objectives

Clerkship / Surgery Rotation

Demonstrate and relate the significance of various maneuvers utilized in evaluating acute abdominal pain. Examples: iliopsoas sign, Rovsing's sign, obturator sign, Murphy's sign, cough tenderness, heel tap, cervical motion tenderness.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for various patients presenting with acute abdominal pain. Differentiate based on: Location (RUQ, epigastric, LUQ, RLQ, LLQ, Flank) and Symptom complex (examples: periumbilical pain localizing to RLQ, acute onset left flank pain with radiation to the testicle etc).
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Laboratory: CBC, amylase, electrolytes, BUN, creatinine, glucose, urinalysis, beta-HCG, liver profile.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Diagnostic imaging: Flat and upright abdominal radiographs, upright chest X-ray, ultrasound, CT scan abdomen and pelvis, GI contrast radiography, angiography.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Special diagnostic/Interventional techniques: upper endoscopy, procto-sigmoidoscopy, colonoscopy, laparoscopy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of inguinal pain, mass or bulge. consider hernia, adenopathy, muscular strain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the anatomic differences between indirect and direct hernias.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relative frequency of indirect, direct and femoral hernias by age and gender.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical conditions that may predispose to development of inguinal hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the potential sites for abdominal wall hernias. Consider incisional, umbilical, inguinal, femoral, Spigelian, and epigastric. Differentiate diastasis recti from abdominal hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the physiology of intracerebral pressure (ICP) and cerebral perfusion pressure (CPP), including the effects of blood pressure, ventilatory status, and fluid balance on ICP and CPP.
Clerkship Objectives

Clerkship / Surgery Rotation

Recognize the Cushing reflex and its clinical importance (brain herniation).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs, etiology and treatment of intracranial hemorrhage (subarachnoid hemorrhage and intracerebral hemorrhage).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the relative incidence and location of the most common brain tumors, their clinical manifestations, their diagnosis, and general treatment strategies.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate TIA, RIND, and CVA.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentation and management of hydrocephalus. Compare and contrast adult and pediatric hydrocephalus.
Clerkship Objectives

Clerkship / Surgery Rotation

Students will understand the importance of early diagnosis and treatment in subarachnoid hemorrhage and epidural hematomas.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the commonly used local anesthetics.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the advantages and disadvantages of epinephrine in the local anesthetic.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss special precautions needed on the digits.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss safe dosage ranges of the common anesthetics and the potential toxicities of these drugs.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common benign skin lesions and their treatment (papillomas, skin tags, subcutaneous cysts, lipomas).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the characteristics, typical location, etiology and incidence of basal cell and squamous skin cancers.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship (of benign and malignant skin lesions) to solar irradiation, ethnicity, previous tissue injury, and immunosuppression.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the characteristics of malignant skin lesions which distinguish them from benign lesions.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the characteristics, typical locations, etiology and incidence of malignant melanoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of melanoma to benign nevi and characteristics which help differentiate them.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss risk factors for melanoma.
Clerkship Objectives

Clerkship / Surgery Rotation

What are the lesions which have high potential for malignant transformation?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the various types of melanoma and prognosis for each type.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of size and thickness to prognosis. (melanoma)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the usual treatment for cutaneous melanoma including margins, depth and lymph node management including sentinel node mapping.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for a 20-year-old patient with breast mass and a 45- year-old patient with breast mass. Consider benign vs. malignant, abscess.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the diagnostic work-up and sequence: Discuss importance of the patient's history: estimated duration of illness, nipple discharge, breast cancer risk factor assessment. Discuss physical findings to look for.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis and management of the patient with an abnormal mammogram (consider microcalcifications).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the rationale for management with specific emphasis on: Staging of breast CA; The role of incision and drainage and antibiotics in breast abscess treatment; Current recommendations for screening mammography.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the causes, diagnosis, and treatment of spontaneous pneumothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the risks of pneumothorax which could prove life-threatening.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the underlying pulmonary pathology you might expect to find. (pneumothorax)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the role of: Observation; Tube thoracostomy; Chemical sclerosis; Surgical management of this condition (pneumothorax).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common etiologies for hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss an appropriate diagnostic evaluation for a patient with hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate management of blood in the pleural cavity.
Clerkship Objectives

Clerkship / Surgery Rotation

Which patients (with hemothorax) need an operation?
Clerkship Objectives

Clerkship / Surgery Rotation

What are the risks in leaving the blood diagnostic in the chest?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most common non-traumatic causes of hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentations, etiologies and management of pulmonary embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the predisposing factors which may lead to Pulmonary Embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the main points in the evaluation for pulmonary embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss management options for pulmonary embolus: Who needs anticoagulation with heparin? Who needs lytic therapy? Who needs vena caval filter protection? Discuss the indication for open thoracotomy and pulmonary embolectomy to treat massive embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of ear pain (otalgia). Consider infection, trauma, neoplasm, inflammation, vascular contrast etiologies in children versus adults.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis, treatment and complications of acute and chronic otitis media. Include indications for myringotomy tube placement.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the evaluation of a patient presenting with tinnitus. Describe the potential etiologies and management.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the risk factors, diagnosis and management of epistaxis. Describe the indications and techniques for nasal packing.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the indications for tonsillectomy.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the evaluation of a patient with a salivary gland mass. Describe the potential etiologies. Describe the common tumors of the salivary gland and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

List the normal range of Na+, K+, HCO3-, Cl- in serum and indicate how these ranges change in perspiration, gastric juice, bile and ileostomy contents.
Clerkship Objectives

Clerkship / Surgery Rotation

List least six symptoms or physical findings of dehydration.
Clerkship Objectives

Clerkship / Surgery Rotation

List and describe the objective ways of measuring fluid balance.
Clerkship Objectives

Clerkship / Surgery Rotation

List the electrolyte composition of the following solutions: normal (0.9%) saline; half normal saline; one third normal saline; 5 percent dextrose in water; Ringer's lactate.
Clerkship Objectives

Clerkship / Surgery Rotation

In the following situations, indicate whether serum Na, K, HCO3, Cl and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): excessive gastric losses; high volume pancreatic fistula; small intestine fistula; biliary fistula; diarrhea
Clerkship Objectives

Clerkship / Surgery Rotation

In the following situations, indicate whether serum and urine Na, K, HCO3, Cl and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): acute tubular necrosis; dehydration; secretion (SIADH); diabetes insipidus; congestive heart failure
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: hypernatremia; hyponatremia; hyperkalemia; hypokalemia; hypochloremia
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the concept of a “third space” and list those conditions that can cause fluid sequestration of this type.
Clerkship Objectives

Clerkship / Surgery Rotation

List the physiological limits of normal blood gases.
Clerkship Objectives

Clerkship / Surgery Rotation

List the factors that effect oxygen delivery and consumption.
Clerkship Objectives

Clerkship / Surgery Rotation

Indicate the mechanisms, methods of compensation, differential diagnosis, and treatment of the following acid base disorders: acute metabolic acidosis; acute respiratory acidosis; acute metabolic alkalosis; acute respiratory alkalosis.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the potential etiologies of hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider age and character of bleeding (hematuria): initial, terminal, total.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider microscopic vs. gross hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic modalities available for evaluation of hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider CT, cystoscopy, IVP, ultrasound, cystourethrogram, and retrograde pyleography (hematuria).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the staging and management of renal cell carcinoma, and transitional cell carcinoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss renal and ureteral calculi.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical presentation of renal and ureteral calculi.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the etiologies and diagnostic evaluation of a patient with UTI.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the etiologies and work-up of a patient with pneumaturia.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial evaluation of patients presenting with urinary frequency, nocturia, urgency or urinary retention.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with an acute GI hemorrhage. Discuss indications for transfusion, fluid replacement, and choice of fluids.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate upper vs. lower GI hemorrhage. Discuss history and physical exam abnormalities. Discuss diagnostic studies.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss management for: peptic ulcer, variceal hemorrhage, Mallory-Weiss tear gastric ulcer (benign vs. malignant), Meckel's diverticulum , intussusceptions, diverticulosis , ulcerative colitis, colon cancer, rectal cancer, hemorrhoids, AV malformation.
Clerkship Objectives

Clerkship / Surgery Rotation

Gallstones.
Clerkship Objectives

Clerkship / Surgery Rotation

Cholecystitis
Clerkship Objectives

Clerkship / Surgery Rotation

Biliary Colic
Clerkship Objectives

Clerkship / Surgery Rotation

Choledocolithiasis
Clerkship Objectives

Clerkship / Surgery Rotation

Colangitis
Clerkship Objectives

Clerkship / Surgery Rotation

Pancreatitis
Clerkship Objectives

Clerkship / Surgery Rotation

Pancreatic Pseudocyst
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma of the Pancreas
Clerkship Objectives

Clerkship / Surgery Rotation

Hepatomegaly/Splenomegaly
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient with jaundice.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss, prehepatic, intrahepatic (both non-obstructive) and posthepatic (obstructive) etiologies (for jaundice).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss importance of the patient's history: estimated duration of illness, associated symptoms (pain and its characteristics), and risk factors.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss important physical exam findings: hepatomegaly; palpable mass; Courvoisier's sign; Murphy's sign; scleral icterus; abdominal tenderness; lymphadenopathy; Charcot's triad; Reynold's pentad.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for using these diagnostic tests in the evaluation of a patient with jaundice: Liver function tests, including hepatitis profile, peripheral blood smear, Coombs tests, etc. Hepatobiliary imaging procedures (ultrasound, CT scan, ERCP, PTHC, HIDA).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe atherosclerosis, its etiology, prevention and sites of predilection.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss neurological vs. vascular etiologies of walking induced leg pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss musculoskeletal etiologies (of leg pain).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the pathophysiology of intermittent claudication.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic work-up of chronic arterial occlusive disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss risk factors associated with arterial occlusive disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the etiologies and presentation of acute arterial occlusion.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss embolic vs. thrombotic occlusion.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the signs and symptoms of acute arterial occlusion (the "P's").
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the medical and surgical management (of acute arterial occlusion).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the complications associated with prolonged ischemia and revascularization.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis, location, appearance and symptoms of leg ulcers due to: Arterial disease; Venous stasis disease; Neuropathy; Infection; Malignancy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss how to differentiate lymphedema from venous stasis.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the factors that lead to venous thrombosis and embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common invasive and noninvasive diagnostic tests for DVT.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss methods for DVT prophylaxis and identify high-risk patients.
Clerkship Objectives

Clerkship / Surgery Rotation

Create an algorithm for the evaluation of a patient with a lung nodule on chest x-ray.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common risk factors and clinical symptoms of lung cancer.
Clerkship Objectives

Clerkship / Surgery Rotation

List the most common sources of malignant metastases to the lungs.
Clerkship Objectives

Clerkship / Surgery Rotation

Compare and contrast the management and prognosis of metastatic vs. primary lung malignancies.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most common diagnostic procedures used to evaluate pulmonary and mediastinal lesions.
Clerkship Objectives

Clerkship / Surgery Rotation

List the common tumors of the anterior, posterior and superior mediastinum.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the embryologic origin of these lesions (neck mass) and the anatomic implications to consider when resecting them.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs, symptoms & etiologies of inflammatory neck masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss Ludwig's angina and why it may be life-threatening.
Clerkship Objectives

Clerkship / Surgery Rotation

What is appropriate treatment for cervical adenitis?
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most common neoplastic neck masses and their origin.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the role of fine-needle cytology, open biopsy, CT scan, MRI, thyroid scan, and nasopharyngeal endoscopy in the diagnostic work up of a neck mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the evaluation and differential diagnosis of a patient with a thyroid nodule.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common thyroid malignancies, their cell of origin and their management. Which has the best prognosis? The worst?
Clerkship Objectives

Clerkship / Surgery Rotation

Which (common thyroid malignancies) are associated with MEN syndrome?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of radiation exposure to thyroid malignancy.
Clerkship Objectives

Clerkship / Surgery Rotation

Which malignancies frequently metastasize to the neck?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common non-neoplastic thyroid diseases that could present as a mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the symptoms associated with hyperthyroidism and discuss treatment options.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss diagnosis and management of thyroiditis.
Clerkship Objectives

Clerkship / Surgery Rotation

Define "non-healing" wounds.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss a differential diagnosis, evaluation, and treatment of a patient with: non-healing lower extremity wound; non-healing wound of the torso; body area other than the lower extremity.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the pathophysiology involved for each of the diagnostic possibilities (for non-healing wounds). Consider: pressure; ischemia; infection; malignancy; foreign body.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss wound infection, seroma, hematoma, wound dehisance.
Clerkship Objectives

Clerkship / Surgery Rotation

Red eye: Traumatic; Infectious; Inflammatory; Chronic
Clerkship Objectives

Clerkship / Surgery Rotation

Common retinal problems
Clerkship Objectives

Clerkship / Surgery Rotation

Cataracts
Clerkship Objectives

Clerkship / Surgery Rotation

Pterygium
Clerkship Objectives

Clerkship / Surgery Rotation

Chalazion
Clerkship Objectives

Clerkship / Surgery Rotation

Hernias/Hydroceles
Clerkship Objectives

Clerkship / Surgery Rotation

Neck Masses
Clerkship Objectives

Clerkship / Surgery Rotation

Bowel obstruction: Adhesions, hernias, intussusception, Meckel's diverticulum, Volvulus, Hirschprung's disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for a patient with perianal pain. (Be sure to include benign, malignant and inflammatory causes.)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the characteristic history findings for each of the above (perianal pain) including: character and duration of complaint, presence or absence of associated bleeding, relationship of complaint to defecation.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe physical exam findings for each diagnosis of perianal pain. Indicate in which part of exam (external, digital, anoscopic or proctoscopic) these findings are identified.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss treatment plan for each diagnosis listed in objective one (for perianal pain), including non-operative interventions and role and timing of surgical interventions.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Within 24 hours: response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia); catheter related complications (IV-phlebitis, Foley-UTI). After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, parotitis); noninfectious (deep vein thrombosis).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the following wound complications in terms of predisposing risk factors (patient condition, type of operation, technique), as well as their recognition, treatment, and prevention: hematoma and seroma; wound infection; dehiscence; incisional hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the various causes of respiratory distress and respiratory insufficiency that may occur in the postoperative patient. For each complication, describe the etiology, clinical presentation, management, and methods of prevention: atelectasis; pneumonia; aspiration; pulmonary edema; pulmonary embolism (including deep venous thrombosis); fat embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic work-up and treatment of oliguria in the postoperative period. Include pre-renal, renal, and post-renal causes (including urinary retention).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the possible causes of hypotension which may occur in the postoperative period. For each etiology describe its pathophysiology and treatment: hypovolemia; sepsis; cardiogenic shock - including postoperative myocardial infarction; fluid overload; arrhythmias; pericardial tamponade; medication effects
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the management of postoperative chest pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe factors which can lead to abnormal bleeding postoperatively, and discuss its prevention and management: Surgical site - inherited and acquired factor deficiencies; DIC; transfusion reactions; operative technique; gastroduodenal (i.e. stress ulcerations)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss disorders of alimentary tract function following laparotomy which may produce nausea, vomiting, and/or abdominal distension: paralytic ileus; acute gastric dilatation; intestinal obstruction; fecal impaction
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the factors which can give rise to alterations in cognitive function postoperatively, as well as their evaluation and treatment. Alterations in cognitive function: hypoxia; metabolic; alcohol withdrawal; hyponatremia
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most frequently encountered retroperitoneal masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate imaging studies and work up for retroperitoneal masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the evaluation and management of abdominal aortic aneurysms.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss appropriate imaging studies for aneurysms.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss how to determine which patients need surgical repair of the aneurysm.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the risks of surgical treatment and the risks of the aneurysm left untreated.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the following: Testicular tumor; Testicular torsion; Epididymitis; Torsion of the appendix testis; Orchitis; Trauma; Hydrocele; Varicocele
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss emergent vs. non emergent causes of (scrotal pain and swelling).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss presentation and physical findings of each (loss of cremasteric reflex, high or transverse lie, blue dot sign etc.)
Clerkship Objectives

Clerkship / Surgery Rotation

Laboratory investigations of scrotal swelling and pain: normal urinalysis, normal or minimally elevated white blood cell count.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss role of scrotal ultrasound / transillumination.
Clerkship Objectives

Clerkship / Surgery Rotation

Define shock.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate the signs, symptoms, and hemodynamic features of shock: hemorrhagic; cardiogenic; septic; neurogenic; anaphylactic.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss priorities and specific goals of resuscitation for each form of shock: define goals of resuscitation; defend choice of fluids; discuss indications for transfusion; discuss management of acute coagulopathy; discuss indications for invasive monitoring; discuss use of inotropes; afterload reduction in management
Clerkship Objectives

Clerkship / Surgery Rotation

Inflammatory Bowel Disease (Crohn’s Disease/Ulcerative Colitis)
Clerkship Objectives

Clerkship / Surgery Rotation

Appendicitis
Clerkship Objectives

Clerkship / Surgery Rotation

Diverticulitis
Clerkship Objectives

Clerkship / Surgery Rotation

Enterocolitis
Clerkship Objectives

Clerkship / Surgery Rotation

Small Bowel Obstruction Partial/Complete
Clerkship Objectives

Clerkship / Surgery Rotation

Large Bowel Obstruction
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma Bowel
Clerkship Objectives

Clerkship / Surgery Rotation

Volvulus
Clerkship Objectives

Clerkship / Surgery Rotation

Fecal Impaction
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the priorities and sequence of a trauma patient evaluation (ABC's).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the four classes of hemorrhagic shock and how to recognize them.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the appropriate fluid resuscitation of a trauma victim.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss choice of IV access (of a trauma patient).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the choice of fluid and use of blood components (for a trauma patient).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences between adult and pediatric resuscitation.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the types, etiology and prevention of coagulopathies typically found in patients with massive hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the appropriate triage of a patient in a trauma system.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the diagnostic evaluation, differences between blunt and penetrating mechanisms of injury and the initial management of: Spine injury; Thoracic injury; Abdominal injury; Urinary injury.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the early management of a major burn.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss estimation of total body surface burn and burn depth.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss fluid resuscitation, choice of fluid and monitoring for adequacy of resuscitation (rule of 9's, differences in pediatric and adult management).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss options for topical antimicrobial therapy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss inhalation injury, CO poisoning and triage of patients to burn centers.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the basic principles of wound coverage, skin grafting, and timing.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the assessment and need for escharotomy.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common presenting symptoms associated with gastro-esophageal reflux.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of reflux to chronic asthma and aspiration.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate diagnostic work-up of a patient with suspect reflux. What is the role of: barium swallow; endoscopy; manometry; 24 hour pH testing.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the evaluation of dysphagia.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the treatment of esophageal stricture.
Clerkship Objectives

Clerkship / Surgery Rotation

What are the risks of dilation?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss Barrett’s esophagus and its implications. What are the risks of malignancy? Who needs surgical management?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the pathophysiology and treatment of achalasia and diffuse esophageal spasm. (Mallory-Weiss tear; Achalesia; Variceal Bleeding; Zenker’s Diverticulum; Perforation)
Clerkship Objectives

Clerkship / Surgery Rotation

Peptic Ulcer disease
Clerkship Objectives

Clerkship / Surgery Rotation

Perforation
Clerkship Objectives

Clerkship / Surgery Rotation

Gastritis
Clerkship Objectives

Clerkship / Surgery Rotation

Gastric outlet Obstruction
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma
Clerkship Objectives

Clerkship / Surgery Rotation

Upper and Lower GI hemorrage
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with an acute GI hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss indications for transfusion, fluid replacement, and choice of fluids.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate upper vs. lower GI hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss history and physical exam abnormalities (stomach).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss diagnostic studies (stomach).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss in general, the differential diagnosis for a patient with emesis. Consider timing and character of the emesis and associated abdominal pain. Contrast etiologies in infants, children and adults.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the clinical presentation and etiologies of gastric outlet obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis and management of obstructive ulcer disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs and symptoms of small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common etiologies of mechanical small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the potential complications and management of small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with mechanical small bowel obstruction, including laboratory tests and x-rays.
Clerkship Objectives

Clerkship / Surgery Rotation

Contrast the presentation and management of partial vs. complete small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate the signs, symptoms and radiographic patterns of paralytic ileus and small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of diarrhea in adults. Consider chronicity, absence or presence of blood and associated pain. Consider infectious causes.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentation and potential complications of ulcerative colitis and Crohn’s disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Contrast the pathology, anatomic location and pattern, cancer risk and diagnostic evaluation of ulcerative colitis and Crohn’s disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical manifestations, risk factors, diagnosis and management of pseudomembranous colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the risk factors, presentation, diagnosis and management of ischemic colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the potential etiologies of constipation in adults and children. Consider chronic vs. acute.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the clinical presentation and etiologies of large bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

List the diagnostic methods utilized in the evaluation of potential large bowel obstruction, including contraindications and cost effectiveness.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the diagnosis and management of colonic volvulus, diverticular stricture, fecal impaction and obstructing colon cancer.
Clerkship Objectives

Clerkship / Surgery Rotation

Indications for and methods of screening for colorectal carcinoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Use of surveillance endoscopy in ulcerative colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the importance of such breast imaging studies as ultrasound and mammography.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the evaluation of a patient presenting with hearing loss; differentiate between conductive and sensorineural hearing loss. Identify treatable causes.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the causes and mechanisms of chronic rhinitis/rhinorrhea. Outline the evaluation and management of chronic rhinitis.
Clerkship Objectives

Clerkship / Surgery Rotation

The student will build on their basic science, physiology, and clinical examination skills as it pertains to the structure and function the bones, joints, muscle, and connective tissues.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Professional behaviour
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Engagement and communication with a patient
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

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 perform a physical examination
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to select, justify and interpret clinical tests and imaging
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to perform basic procedures
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

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

Clerkship / Medical Subspecialty Selective

Ability to diagnose through clinical reasoning
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to intervene in the natural history of disease through preventative, curative and palliative strategies
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to formulate a prognosis of an individual’s health
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Ability to practically provide individualized care
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Demonstrate an approach to the diagnosis and management of undifferentiated patient problems that present to family physicians.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Demonstrate an approach to the diagnosis and management of common patient problems that present to family physicians (see Essential Clinical Encounter presenting problems for Family Medicine).
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Conduct a sensitive, focused physical exam relevant to the patient’s presenting problem.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Discuss evidence-based approaches to patient care and the challenges of applying guidelines to individual patients.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Conduct an effective patient interview to elicit appropriate information in patients presenting with the required presentations/conditions listed in the priority topics below.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Perform an appropriate physical examination relevant to the patient’s presentation, the history obtained, and the acuity of the encounter (includes mental status examination).
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Formulate an initial problem-oriented list of patient issues and a differential diagnosis for each issue.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Outline initial diagnostic investigations for the patient’s problem(s).
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Understand responsibility associated with ordering investigations including: resource stewardship and high value care, awareness of range of normal, responsibility to follow-up and review results.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Develop a management plan including: Pharmacologic treatment and non-pharmacologic treatment.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Understand the roles of and collaborate with allied health professionals in a patient’s care.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Undertake discharge planning including arranging and communicating follow-up plans.
Clerkship Objectives

Internal Medicine TTR / Internal Medicine Rotation

Demonstrate appropriate infection control practices and patient draping during physical examination to ensure patient safety and comfort.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

The student is able to demonstrate proficiency in acquiring a complete and accurate paediatric history with consideration of the child’s age, development, and the family’s cultural, socioeconomic and educational background.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Demonstrate an approach (the generation of a differential diagnoses, appropriate initial diagnostic investigations, and management plan) to the following core clinical paediatric presentations:
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Demonstrate physical examination skills that reflect consideration of the clinical presentation as well as the comfort, age, development, and cultural context of the infant, child, or adolescent.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Geriatric and Cognitive Disorders: geriatric age-related mood, psychosis, anxiety disorders; Delirium and Dementia
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Child and Adolescent Psych (pediatric manifestation of common disorders, pediatric tx issues and their controversies): Neurodevelopmental disorders: intellectual disabilities, autism spectrum disorder, genetic syndromes ( e.g. Down, Fragile X, Fetal Alcohol), learning and communication disorders, AD/HD and treatments. Disruptive behaviour disorders (ODD, CD) Mood and anxiety disorders (incl. separation and school anxiety, and DMDD), use of SSRI in pediatric population Eating disorders. Key points in assessment of child and family functioning.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Conduct a suicide risk assessment and management.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Assess and manage violence/agitation/homicidality
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Assess and manage other psychiatric emergencies/crises and acute presentations: toxidromes and withdrawal; overdoses: (e.g. TCA, acetaminophen); severe drug reactions: NMS, sertonin syndrome, dystonia; medical conditions with possible psychiatric presentation (e.g. catatonia, delirium)
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Propose a preliminary understanding of a patient in a biopsychosocial model including being able to: Reach reasonable hypotheses about a patient's pre-morbid personality, coping styles, and their link to the present predicament. Specify relevant medical considerations, including substance and medication misuse. Recognize relevant environmental and social stresses. Describe the level of everyday functioning and realistic goals for improvement.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Assess the appropriate use of psychotherapy
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Overview of psychotherapy (indications, efficacy, impact, types, etc.). Use of motivational interviewing across disciplines.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Recommend medication management, monitoring and counselling, including: Classes of psychiatric medications and their indications. Medication counselling: indications, choice, side effects, etc. Pre-medication work-up. Medication monitoring and work-up. Side effects (blood tests and physical e.g. AIMS). Metabolic syndromes and monitoring. Special populations (pediatric, geriatric, pregnancy). Acute syndromes/reactions (NMS, dystonia, serotonin syndrome, toxicity).
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Perform focused history as part of the general medical history, including: chief complaint, present illness, surgical history, family history, and social history
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Interact with patient in order to gain his & her confidence and cooperation, to assure comfort and modesty, and to develop an understanding of age, race, culture & SES on the patient's health.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Communicate results of the history in well organized written and oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Perform a general physical examination with emphasis on:
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Chest & breast examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Abdominal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Inguinal & scrotal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Rectal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Order appropriate laboratory investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Interpret laboratory investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Order appropriate imaging investigations
Clerkship Objectives

Surgery TTR / Transition to Clerkship / Clerkship / Surgery Rotation

Interpret imaging investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Demonstrate appropriate behaviours, habits, and skills required for referral and consultation.
General Objectives

Recognize personal strengths and limitations relevant to one’s practice of medicine.
General Objectives

Functional Decline
Clerkship Objectives

Educate the patient regarding breast self-examination
Framework Objectives

Blood Pressure Monitoring
Framework Objectives

Immunizations
Framework Objectives

Mammogram
Framework Objectives

Pap Smear
Framework Objectives

Blood lipid profiles
Framework Objectives

The learner will be able to describe how common illnesses present differently in the family practice environment than in the specialist setting:
Framework Objectives

Prevalence of diagnoses/illnesses in the community.
Framework Objectives

Ill-defined nature of early presentations.
Framework Objectives

Greater uncertainty because patients present at an early, undifferentiated stage of their illnesses — in up to 50% of visits, definitive diagnosis is not possible.
Framework Objectives

Time as a diagnostic tool.
Framework Objectives

Appropriate follow-up management.
Framework Objectives

Appropriate use of diagnostic tools. Because disease prevalence is usually lower in a family practice setting than in a specialty service, the predictive value of many investigations is poor; tests that are useful in a specialty discipline are of little or no value in a family practice.
Framework Objectives

Appropriate use of consultation with other health care providers.
Framework Objectives

Recognition of variants of normal that are not classified as illness.
Framework Objectives

The learner will use appropriate record keeping when caring for patients. For example:
Framework Objectives

The learner will construct structured notes (e.g., subjective, objective, assessment, plan [SOAP] structure).
Framework Objectives

The learner will construct well-organised and comprehensive problem lists.
Framework Objectives

The learner will construct well-organised summaries/consultations to another health care provider.
Framework Objectives

The learner will understand the issues around consent to treatment and substitute decision making:
Framework Objectives

Informing patients about options for management and consequences of each choice.
Framework Objectives

Advance directives.
Framework Objectives

Power of attorney.
Framework Objectives

Competency assessment.
Framework Objectives

Working with substitute decision makers.
Framework Objectives

The learner will use the patient-centred clinical method to conduct a supervised office visit (The supervised office visit should include culturally sensitive, age-appropriate history- taking and focused physical examination; use of appropriate investigations; formulation of a diagnosis; and development of a management plan that involves allied health professionals, community supports, drug therapy, patient education, and follow-up management at an appropriate level for the student’s training.) for common presentations, which may include both symptoms and diagnoses.
Framework Objectives

The learner will demonstrate the basic correct technique in common office procedural skills.
Framework Objectives

The learner will show a basic and appropriate level of understanding of a pharmacotherapeutic approach to treating primary care conditions, considering, at an appropriate level, pharmacodynamics, pharmacokinetics, side effects, important drug interactions, dosages, and costs.
Framework Objectives

The learner will demonstrate comfort in the use of non-pharmacologic modalities:
Framework Objectives

The physician-patient relationship.
Framework Objectives

Supportive therapy.
Framework Objectives

Specific approaches (e.g., cognitive-behavioural therapy, family approaches, other modalities).
Framework Objectives

Motivational interviewing (based on “stages of change” theory).
Framework Objectives

Lifestyle counselling (e.g., on nutrition, exercise).
Framework Objectives

The learner will demonstrate a general approach to palliative care issues:
Framework Objectives

Pain assessment.
Framework Objectives

Pain control.
Framework Objectives

Pain equivalency.
Framework Objectives

End-of-life issues.
Framework Objectives

Control of other symptoms (e.g., shortness of breath, anxiety, nausea and vomiting, anorexia, cough, diarrhoea, constipation, hiccups).
Framework Objectives

Providing comfort and support (to patients and families).
Framework Objectives

Supporting caregivers.
Framework Objectives

Assessing and providing support for spiritual issues.
Framework Objectives

The learner will appreciate the value of continuity of care for developing a deep knowledge of patients:
Framework Objectives

Ongoing patient care visits over time for chronic and episodic care.
Framework Objectives

Home visits.
Framework Objectives

Nursing home visits.
Framework Objectives

Chronic care.
Framework Objectives

The learner will demonstrate application of an ethical framework in the clinical decision-making process:
Framework Objectives

“Four principles” approach: beneficence, non-maleficence, autonomy, justice.
Framework Objectives

Special features of ethical decision making in family medicine.
Framework Objectives

The learner will be able to identify what health-promotion and disease-prevention activities are appropriate to particular populations, using the Canadian Task Force A and B recommendations. (The learner should know the A and B recommendations with a high burden of illness and the important/controversial C and I recommendations. See the Canadian Task Force Web site for the listing http://www.ctfphc.org/.)
Framework Objectives

Contrast a physician’s professional roles, responsibilities, and scope of practice with the respective professional roles, responsibilities, and scopes of practice of other health professionals.
General Objectives

Judge when and how to involve or consult other health professionals in patient care, as appropriate to a health professional’s roles, responsibilities, scope, and competence.
General Objectives

Demonstrate strategies for establishing common goals, continuity of care, and a climate for collaborative practice amongst all participating health professionals in the course of providing care to individuals and their caregivers.
General Objectives

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