medportal CDB | Taxonomy | Discipline / Pulmonary Medicine

Taxonomies

Discipline

Pulmonary Medicine

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Activities

Luke Tomczak MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 1

Approach to Pulmonary Function Tests
Active Large Group Session

Part 1 / Medical Foundation 1 / Respirology / Week 1

Orientation and upper airway
Anatomy Demonstrations

Part 1 / Medical Foundation 1 / Respirology / Week 1

Introduction to Chest Imaging
Anatomy Demonstrations

Part 1 / Medical Foundation 1 / Respirology / Week 1

Thomas Gagnon MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 2

Sarah Rosenthal MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 2

John Fumer MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 2

Approach to the chest x-ray
Active Large Group Session

Part 1 / Medical Foundation 1 / Respirology / Week 2

Arthur N. MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 3

Teresa J. MF1 Respirology
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 3

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

Part 1 / Medical Foundation 1 / Respirology / Week 3

Integrated Radiology - Anatomy - Respiratory System
Large Group Session

Part 1 / Medical Foundation 1 / Respirology / Week 3

Pauli Emboli MF1 Cardiology
Tutorial

Part 1 / Medical Foundation 1 / Cardiology

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

Part 1 / Medical Foundation 1 / Respirology / Week 4

T. Petty MF1 Respirology
Tutorial

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

Rana Osman MF1 Respirology
Tutorial

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

Edwin McKenzie MF1 Respirology
Tutorial

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

Ron Chen MF1 Respirology
Tutorial

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

Intro to Oxygen Delivery
Active Large Group Session

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

Devi Gopal MF1 Respirology
Tutorial

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

Billy Elliot MF2 Hematology
Tutorial

Part 2 / Medical Foundation 2 / Hematology / Week 5

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

Part 3 / Medical Foundation 3

Adrian Scholtz Part 1
Tutorial

Part 5 / Integration Foundation

Dyspnea in Adult Palliative Care
Clinical Skills Sessions

Part 5 / Integration Foundation / Complexity and Chronicity / Week 2

Hannah Rosen Part 2 IF Chronicity and Complexity
Tutorial

Part 5 / Integration Foundation / Complexity and Chronicity / Week 4

Respiratory presentations
Tutorial

Clerkship / Family Medicine Rotation

Pediatric Issues - Respirology
Concept Integration and Review

Post-clerkship / Concept Integration and Review

Approach to Cough
Concept Integration and Review

Post-clerkship / Concept Integration and Review

Respirology theme, review of targeted respiratory examination
Clinical Skills Sessions

Assessments

MF 1 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 1 / Medical Foundation 1

MF1 Clinical Skills
End-Unit Clinical Skills Assessment

Part 1 / Medical Foundation 1

MF1 CAE 1
Concept Application Exercise (CAE)

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

MF 4 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 5 / Integration Foundation

Respiratory Presentations
Clerkship Key Feature Exam

Clerkship / Family Medicine Rotation

Pediatric Issues - Respirology
CIR Attendance

Post-clerkship / Concept Integration and Review

Objectives

The broad learning objective of MF1 is understanding how oxygen is acquired, transported and used by the body.
Block Objectives

Part 1 / Medical Foundation 1

Describe the factors that determine airway calibre (upper and lower), including autonomic control and chemical mediators of inflammation.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the basic pathophysiology of the diseases which result in airway obstruction (upper and lower airway).
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the effects of airflow obstruction on the respiratory tract, lung mechanics and gas exchange. Use this knowledge to explain the symptoms and signs with which the patient with lower or upper airway obstruction presents.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the assessment of airflow obstruction using diagnostic tests.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Develop a mechanism-based approach to management of airflow obstruction.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the acute response of the respiratory system to inhaled material.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the main respiratory pathogens in community and hospital-acquired lung infections along with their major distinguishing features.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Recognize the importance of occupational exposures leading to respiratory disease.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Discuss the concept underlying Adult Respiratory Distress Syndrome (ARDS) and some of its most common causes.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the relationship between alveolar ventilation, gas exchange and the acid-base balance in the blood.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the oxyhemoglobin and CO2 dissociation curves.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the effect of the distribution of ventilation and perfusion within the lungs on gas exchange, and what is meant by the terms "shunt" and "dead space"
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the basic pathophysiology of the diseases which result in disturbances in gas exchange.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the difference between extra-thoracic and intra-thoracic airway obstruction.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain the role of the neuromusculature in respiratory pump function.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to describe the mechanism of hypoxia in alveolar inflammation.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to describe the factors that influence airway luminal diameter, and the key aspects of allergic mediated inflammation.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain the impact of chronic hypoxia on the cardiopulmonary circulation.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain the mechanics of lower airway obstruction.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this case, students should understand how disruption of the alveolar capillary membrane affects gas transfer in the lung.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain how disruption of the alveolar capillary membrane affects gas transfer in the lung.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain the role of the alveolar-capillary membrane in gas exchange.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students should be able to explain the physiological responses of the body (heart, lungs and blood) to increased demand for oxygen during exercise.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the normal physiology and anatomy (where appropriate) as applied to each respirology theme (Drive to breathe; Respiratory pump and mechanics of breathing; Airflow obstruction; Lung defences, injury and inflammation; Gas exchange).
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the mechanism of disease (pathophysiology, pathology) as applied to each respirology theme (Drive to breathe; Respiratory pump and mechanics of breathing; Airflow obstruction; Lung defences, injury and inflammation; Gas exchange)
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the possible mechanisms responsible for the symptoms described by the patient: dyspnea, cough, wheeze, sputum production.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Conduct an appropriate respiratory history, including medication and occupation history.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Conduct an appropriate physical exam of the respiratory system.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Develop an approach to diagnostic tests as applied to the respiratory system: arterial blood gases, pulmonary function tests, chest x-rays, exercise testing.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Develop an approach to management of respiratory diseases: medications (including oxygen), behavioural modifications and population measures for prevention.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the factors that govern respiratory drive under normal circumstances, including central and peripheral controls.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the impact of hyper- or hypoventilation on arterial blood gas balance.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Recognize some of the common clinical situations where alteration in drive to breathe is manifested: altitude, intentional or anxiety driven hyperventilation, chronic CO2 retention in COPD, sleep apnea, and opiate use.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the assessment of respiratory pump failure using diagnostic tests.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the normal mechanics of lung inflation and deflation, including the role of intrapleural pressure in inflation of the lung and the role of tissue elasticity and surface tension in elastic recoil of the lung.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify the lung volumes that can be measured during spirometry and full pulmonary function.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the pathophysiology of some of the common disease processes affecting the respiratory pump (upper airway, neuromusculature, lower airways and lung parenchyma).
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Assess respiratory rate
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest inspection
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest palpation
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest percussion
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Chest auscultation
General Objectives

Part 1 / Medical Foundation 1 / Respirology

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

Part 1 / Medical Foundation 1 / Respirology

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

Part 1 / Medical Foundation 1 / Respirology

Consolidation vs. pleural effusion
General Objectives

Part 1 / Medical Foundation 1 / Respirology

How to correlate clinical findings with imaging and spirometry
General Objectives

Part 1 / Medical Foundation 1 / Respirology

After completing this case, students will have explored mechanisms for the development of hypoxemia.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Utilize stepwise approach to the interpretation of pulmonary function tests.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify indications and contraindications to ABGs.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify the components of an ABG and describe normal values.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe primary disorders based on the pH of the ABG.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe derangements in each component of an ABG.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Utilize the 5 step approach to interpreting an ABG.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the nose (its walls , nasal septum, nasal lining, concha and meatus) , describe and identify paranasal sinuses (frontal, maxillary, ethmoidal and sphenoidal) , describe the nasoapharynx its walls and lymphoid tissues in the region.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the larynx its landmark and cartilages (thyroid, cricoid, arytenoid and epiglottis) , divisions (supra glotic, ventricle and infra glotic {subglotic}) , identify the vocal cords (true and false vocal cords), describe the innervation of the larynx (reccurent laryngeal nerve, superior laryngeal nerve)
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the trachea, its anatomic relations and surface markings, bifurcation and carina
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe and identify lobes of the lung, bronchopulmonary segments, fissures and surface anatomy of the lung and the fissure
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify and describe the pleura, pleural cavity, visceral & parietal pleura, innervation of both layers (intercostal , phrenic, and visceral nerves), surface anatomy of the pleura, Identify Costodiaphragmatic (costophrenic) and costomediastinal recesses and suprapleural membrane
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Understand and describe the blood supply (bronchial artery and vein, pulmonary artery and vein), lymph drainage and nerve supply of the lungs
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the principal bronchi (superior, middle and inferior lobar bronchus), bronchial tree
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Understand the intrapleural pressure and normal mechanics of lung inflation and deflation.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Understand how haemothorax, pneumothorax, pleural effusion, tension pneumothorax can occur.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe surface anatomy and structure of the thoracic wall (ribs, costal cartilages, joints), intercostal spaces and muscles of breathing (intercostal muscles, diaphragm). Describe blood supply and innervations (intercostal neurovascular bundle) of the thoracic wall.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe and understand mechanics of respiration: inspiration (quiet inspiration, vertical diameter, AP diameter, transverse diameter, forced inspiration, expiration (quiet expiration, forced expiration) and lung changes on inspiration and expiration.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Explain the physiological response of the body (heart, lungs and blood) to increased demand for oxygen during exercise and at high altitudes.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe how the mechanics of breathing are disturbed in examples of obstructive and non-obstructive (“restrictive”) diseases.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Develop a mechanism-based approach to management of respiratory pump failure.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the response of the respiratory system to chronic inflammation.
General Objectives

Part 1 / Medical Foundation 1 / Respirology

Upon completion of this problem, students will be able to describe the concept of V/Q mismatch and shunting and how it causes hypoxia.
Global Objectives

Part 1 / Medical Foundation 1 / Respirology

Describe the components of a Pulmonary Function Test.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify indications and contraindications to Pulmonary Function Tests.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Identify a differential for obstructive and restrictive patterns and gas transfer impairment.
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology

Review special considerations and calculations in approach for metabolic acidosis interpretation. (Plasma anion gap, osmolar gap and delta-delta).
Activity Objectives

Part 1 / Medical Foundation 1 / Respirology / Week 1

Understand the pathophysiology of pulmonary shunting and V/Q mismatch.
Global Objectives

Part 1 / Medical Foundation 1 / Cardiology

Describe how lung pathology leads to the development of cor pulmonale, and to cardiopulmonary shock.
Global Objectives

Part 1 / Medical Foundation 1 / Cardiology

Upon completion of this problem, students should be able to demonstrate integration of knowledge from across MF1.
Global Objectives

Part 1 / Medical Foundation 1 / Cardiology / Week 4

To review the complex route that oxygen needs to follow to gain access to cells within the body.
Activity Objectives

Part 1 / Medical Foundation 1 / Introduction to Medicine

To describe the different components of the respiratory system that make this possible.
Activity Objectives

Part 1 / Medical Foundation 1 / Introduction to Medicine

To explain the many levels at which diseases can interfere with the movement of oxygen, resulting in hypoxia and SOB that causes patients to seek medical attention.
Activity Objectives

Part 1 / Medical Foundation 1 / Introduction to Medicine

Review appropriate compensation and magnitude expected in a primary disorder.
Activity Objectives

Part 1 / Medical Foundation 1 / Introduction to Medicine

Described the respiratory centre, its role in regulating ventilation and the factors that control it.
Global Objectives

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

Explain the pathophysiology and consequences of upper airway obstruction.
Global Objectives

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

Review of cardiac and respiratory exam.
General Objectives

Part 3 / Medical Foundation 3

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

Part 3 / Medical Foundation 3

Upon completion of this problem, students will be able to demonstrate the integration of cardiac, respiratory, hematology and renal core concepts in critical management of a patient with complex sepsis including ethical issues with social issues and chronic drug use.
Global Objectives

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

Upon completion of this problem, students will be able to demonstrate the integration of cardiac, respiratory, hematology and renal core concepts in critical management of a patient with complex sepsis.
Global Objectives

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 3

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