medportal CDB | Taxonomy | Level Of Competence / Shows How - Clerkship

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Level Of Competence

Shows How - Clerkship

Objectives (216)

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Objectives

Consider economic and psychosocial issues
Framework Objectives

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

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

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

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

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

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

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

Provide clear discharge instructions for patients, including return to care instructions and ensure appropriate follow-up care.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate thorough, clear, and concise documentation and charting.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate an understanding of the concepts of evidence-based medicine and best practice guidelines and how they relate to patient care in the ED.
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

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

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

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

Clerkship / Family Medicine Rotation

Pelvic exam
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

An understanding of how virtual or same-site interprofessional teams function in the context of the primary care environment.
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

Gain skills and experience in meeting patients’ needs for prevention, problem identification and management, and complex disease management through episodic care of patients and their families in the community practice setting.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Understand the special needs of vulnerable groups related to disparities and inequities in seeking and receiving care. (e.g. Aboriginals, recent immigrants, same-sex relationships, transgendered, marginally housed, disabled, age extremes).
Clerkship Objectives

Clerkship / Family Medicine 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

Consider community and hospital resources available to assist in the management of the older patient.
Clerkship Objectives

Geriatrics Rotation

Respect the increased risk of iatrogenic complications among elderly patients.
Clerkship Objectives

Geriatrics Rotation

Consider economic and psychosocial issues.
Clerkship Objectives

Geriatrics Rotation

Consider ethical issues.
Clerkship Objectives

Geriatrics Rotation

Develop a management plan including:
Clerkship Objectives

Geriatrics Rotation

Laboratory and diagnostic studies
Clerkship Objectives

Geriatrics Rotation

Involvement of allied health professionals
Clerkship Objectives

Geriatrics Rotation

Treatment
Clerkship Objectives

Geriatrics Rotation

Patient and Family Education
Clerkship Objectives

Geriatrics Rotation

Follow-up plans
Clerkship Objectives

Geriatrics Rotation

Appreciate the role of team members such as family physician, occupational therapist, physiotherapist, recreation therapist, social worker, pharmacist, nurse and family members.
Clerkship Objectives

Geriatrics Rotation

Participate in an interdisciplinary approach to assessment, management and rehabilitation of elderly patients.
Clerkship Objectives

Geriatrics Rotation

Demonstrate respect to older patients and make efforts to preserve their dignity
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

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

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

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

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

Methods of monitoring the mother and fetus
Framework Objectives

Obstetrics and Gynecology Rotation

Immediate postpartum care of the mother
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Risk factors for postpartum hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Differential Diagnosis of postpartum hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Immediate management of the patient with postpartum hemorrhage including:
Framework Objectives

Obstetrics and Gynecology Rotation

Inspection for lacerations in the patient with postpartum hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Use of uterine contractile agents in the patient with postpartum hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Management of volume loss in the patient with postpartum hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Management of coagulopathy in the patient with postpartum hemorrhage
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

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

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

Consider economic and psychosocial issues in the management plan for pediatric illness
Clerkship Objectives

Pediatrics Rotation

Demonstrate an understanding of the health care provider’s role in patient advocacy
Clerkship Objectives

Pediatrics Rotation

consider ethical issues in Pediatrics
Clerkship Objectives

Pediatrics Rotation

Injections: subcutaneous, intradermal, intramuscular and intravenous
Clerkship Objectives

Clerkship / Family Medicine Rotation / Surgery Rotation

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

Demonstrate effective communication skills in conducting a patient centered interview, including exploring the patient’s illness experience as well as the family and social context.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Demonstrate an approach to health promotion and disease prevention during patient encounters that reflect best evidence and patient preferences and values.
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

Demonstrate effective oral and written communication skills in documenting clinical encounters, making oral case presentations, prescription writing and making referrals to other care providers through clear, concise, efficient communication strategies.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Demonstrate life long learning practices in providing care to patients.
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

Identify and/or communicate with other health care providers and community programs to support and/or optimize patient care.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Discuss common ethical issues in family medicine through the life cycle including topics such as confidentiality, consent and capacity.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

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

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

The learner will be able to carry out a patient-centred interview that will include the following:
Framework Objectives

Recognition of the difference between illness and disease and application of this distinction in assessment and management of patient problems.
Framework Objectives

Routine exploration of patients’ experiences of illness—their feelings, their ideas, effects of the illness on function, and expectations for care. (The acronym FIFE is often used as an aide-mémoire for these issues.)
Framework Objectives

Exploration of patients’ personal history and context (family, job, school, geography, environment, etc.).
Framework Objectives

Shared decision-making/finding common ground—supporting patients to have as active a role in all decisions affecting their health care as they desire.
Framework Objectives

Patient education.
Framework Objectives

Recognition of a range of approaches to collaborating with patients, and of when each approach (deliberative, interpretive, informative, and paternalistic) is most appropriate.
Framework Objectives

The learner will demonstrate effective communication skills in data gathering. The learner will be able to do the following:
Framework Objectives

Use appropriate open-ended questions.
Framework Objectives

Use appropriate closed-ended questions.
Framework Objectives

Demonstrate active listening.
Framework Objectives

Paraphrase.
Framework Objectives

Use non-verbal indicators of engagement with the patient.
Framework Objectives

Use appropriate time management.
Framework Objectives

The learner will demonstrate sensitivity when asking intimate questions of patients. The following are examples of intimate issues: Drug use, alcohol use, sexual practices, abuse history.
Framework Objectives

The learner will be able to take a history that includes the non-biological determinants of health. These include the following: housing, socioeconomic status, social network, education, work, culture, environment.
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 demonstrate the basic correct technique in common office procedural skills.
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 recognise that the patient-physician relationship is central to the practice of family medicine:
Framework Objectives

Communication with patients, family, communities, and colleagues (see skilled clinician).
Framework Objectives

Respect for differences in beliefs and backgrounds.
Framework Objectives

Establishment of professional relationships with patients, families, communities, and colleagues.
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 an understanding of the key components of a professional relationship:
Framework Objectives

Respect for patients and patient diversity (i.e., thought, belief, culture), including patients who make decisions at variance with the learner’s.
Framework Objectives

Respect for other health care providers, teachers, and learners.
Framework Objectives

Boundary issues that arise with patients.
Framework Objectives

Confidentiality.
Framework Objectives

Advocacy.
Framework Objectives

Consent.
Framework Objectives

Punctuality.
Framework Objectives

Fidelity/reliability.
Framework Objectives

Life-long learning.
Framework Objectives

Threats to professionalism (conflicts of interest, personal/ system limitations, etc.).
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

The learner will be able to demonstrate how to introduce health-promotion and disease-prevention activities into the clinical encounter:
Framework Objectives

Awareness of stages of change theory.
Framework Objectives

Awareness of systems for health-promotion and prevention activities in the office.
Framework Objectives

The learner will be able to describe some of the methodological and ethical issues related to screening healthy and at-risk populations:
Framework Objectives

Ethical issues including, for example, cost, benefit versus harm, opportunity cost, burden on the health care system).
Framework Objectives

Methodological issues (e.g., sensitivity, specificity, biases).
Framework Objectives

Potential conflicts between practice guidelines and patient autonomy and preference.
Framework Objectives

The learner will be able to demonstrate evidence-based decision making to aid patients and him- or herself with clinical decisions:
Framework Objectives

Identification of evidence-based resources.
Framework Objectives

Demonstrated ability to appraise a variety of resources critically.
Framework Objectives

Synthesis of relevant resources/information to help make a clinical decision.
Framework Objectives

Integration of evidence with clinical expertise and patient values.
Framework Objectives

The learner will understand the team approach in the care of ambulatory patients: (Note: The team is a group of individuals who work toward the resolution of a patient problem.)
Framework Objectives

Benefits of an interdisciplinary approach.
Framework Objectives

Challenges of an interdisciplinary approach.
Framework Objectives

Contributions of all health care team members.
Framework Objectives

Working with other health care providers within the team.
Framework Objectives

Seeking and applying appropriate resources within the hospital, the patient’s family, and the community to aid treatment and rehabilitation.
Framework Objectives

The learner will be able to formulate a written or verbal referral plan and to justify this plan with respect to the following characteristics: Clarity. Appropriateness. Succinctness.
Framework Objectives

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