medportal CDB | Taxonomy | Level Of Competence / Does - Clerkship

Taxonomies

Level Of Competence

Does - Clerkship

Activities (4)
Objectives (275)

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Activities

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

Accessing Community Resources
Clinical Exposure

Clerkship / Family Medicine Rotation

Objectives

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

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

Clerkship / Medical Foundation 1 / Anesthesia Rotation

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

Clerkship / Anesthesia Rotation

Demonstrate appropriate care of unconscious patients (i.e. protecting patient head and limbs)
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate ability to work in the perioperative environment including appropriate communication and teamwork.
Clerkship Objectives

Clerkship / Anesthesia Rotation

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

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

Clerkship / Anesthesia Rotation

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

Clerkship / Anesthesia Rotation

Demonstrate ethical decision making.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Recognize and accept one’s limitations and know when to ask for help.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Protect information provided by or about patients, keeping it confidential, and divulge it only with the patient’s permission except when otherwise required by law.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate sensitivity to cultural issues (e.g., age, sex, culture, disability).
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Be reliable and responsible in fulfilling obligations.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Maintain a professional appearance.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate honesty and integrity in patient care.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Take the appropriate measures to protect oneself from illness and injury.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate the ability to present a patient case in a clear, concise, and complete manner.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Practice effective communication including the use of empathy, non-verbal communication and respectful counseling with patients and their families.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Establish and maintain effective working relationships with colleagues and other health care professionals.
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

12-lead ECG — myocardial infarction.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate an ability to access various educational resources available to enhance patient care.
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

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

Demonstrate a basic ability to self-guide professional development, including identifying and addressing learning needs.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate compassion and nonjudgmental approach to all patients.
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

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

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

Chronic pain
Clerkship Objectives

Clerkship / Family Medicine Rotation

End of Life Management
Clerkship Objectives

Clerkship / Integration Foundation / Family Medicine Rotation

Referral to a specialist
Clerkship Objectives

Clerkship / Family Medicine Rotation

Integration of care with allied health professional
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

Awareness of Poverty Tool and application to patient's health.
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

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

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

Clerkship / Internal Medicine Rotation

Venipuncture
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

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

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

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

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

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

Initial assessment of the labouring patient
Framework Objectives

Obstetrics and Gynecology Rotation

Normal postpartum care
Framework Objectives

Obstetrics and Gynecology Rotation

Appropriate postpartum patient counseling
Framework Objectives

Obstetrics and Gynecology Rotation

History, physical findings, and diagnostic method to confirm ROM
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

Dysuria
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

Menopause symptoms
Clerkship Objectives

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

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

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

Pediatrics Rotation

Generate a problem list
Clerkship Objectives

Pediatrics Rotation

Formulate a differential diagnosis
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

Establish rapport with children and adolescents
Clerkship Objectives

Pediatrics Rotation

Demonstrate effective oral communication with the patient, family and all members of the health care team
Clerkship Objectives

Pediatrics Rotation

Demonstrate awareness of own strengths and weaknesses with regard to personal interactions and seek advice when necessary
Clerkship Objectives

Pediatrics Rotation

Demonstrate a commitment to continuous learning. Identify and access information/resources on evidence based pediatric practice
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

Understand preventative and management strategies to address childhood obesity.
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

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

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

Abdominal 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

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

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

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

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

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

Demonstrate psychoeducation skills with respect to diagnoses, medications, prognosis, family education.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness in demonstrating:
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

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

Communicate the relevant results of the examination in well organized written & oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Share results of the physical 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

Consistently fulfill the clerkship expectations of professional behaviour.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Deepen their understanding of Informed Consent and Disclosure of Adverse Events.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Broaden their Procomp experience by observing a discussion obtaining consent for surgery with a patient, an explanation of an adverse event or ‘bad news’ to a patient, and/or positive examples by mentors dealing with challenges to ethics, communication or professionalism.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

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 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 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 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 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 reflect on his or her development as a physician:
Framework Objectives

Respect for self/self care, with recognition of the importance of personal health on one’s ability to care for others.
Framework Objectives

Appreciation of personal development/self reflection.
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 student will demonstrate self-directed life-long learning:
Framework Objectives

Identification of personal learning needs.
Framework Objectives

Identification of appropriate learning resources.
Framework Objectives

Demonstration of efficient and appropriate information searching, using a wide range of resources.
Framework Objectives

Taking a reflective and mindful approach to learning.
Framework Objectives

Assisting/facilitating the teaching and learning of others in all aspects of medical care.
Framework Objectives

Appreciation of the role research has in posing and solving questions in family medicine.
Framework Objectives

Acknowledgement of the role of patients as teachers.
Framework Objectives

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