Professional Documents
Culture Documents
Describe the classification system for drugs in pregnancy. Describe the elements of pre-pregnancy counselling.
Briefly discuss how data used to develop cardiovascular risk assessment tools and guidelines for prevention of cardiovascular events originate from epidemiological studies.
Learning Objectives for PBL Case: Felipe Romano and Marcela Garcia
At the end of the case and associated sessions, students will be able to: The Doctor, Knowledge of Health and Illness Primary learning objective(s) Describe the structural and functional divisions of the nervous system and describe the effects of the sympathetic and parasympathetic divisions on body systems. Compare the somatic and autonomic nervous systems relative to effectors, efferent pathways and neurotransmitters. Describe neurons in terms of important structural components and how each relates to neuronal function Define resting membrane potential and describe its electrochemical basis Compare and contrast graded and action potentials and describe how action potentials are generated and propagated along neurons. Describe the factors that affect nerve conduction velocity, compare continuous and saltatory conduction and describe the formation and importance of the myelin sheath. Define adrenergic and cholinergic fibres, list their different types of receptors and the importance of drugs that mimic or inhibit their effects. Define and describe a typical synapse: (a) Distinguish between electrical and chemical synapses, structurally and functionally, and describe how synaptic events are integrated and modified. (b) Describe the events at synaptic terminals that result in the release of neurotransmitters. (c) Outline, using the common transmitters as examples, how receptors on the target cell bind the neurotransmitter and influence cell function. (d) Briefly describe the most common intracellular signal transduction mechanisms. (e) Describe the mechanisms that remove or destroy the neurotransmitter after its release, giving examples of the various mechanisms. Describe in outline the anatomy and innervation of striated and smooth muscle, and the function of the innervation. Describe the neuromuscular junction and the events that lead to the generation and propagation of an action potential in skeletal muscle. Describe the molecular mechanisms of skeletal and smooth muscle contraction including the process of excitation contraction coupling. Develop and maintain a 'P' list of drugs The Doctor, Law, Ethics and Professional Practice Primary learning objective(s) Explain the relationship between the ethical principle of autonomy and the legal concept of consent. Detail the components of informed consent/ capacity and apply them medical scenarios. Explain how the failure to obtain consent from a patient can result in action in battery or negligence. Demonstrate a clear understanding of the law espoused in Rogers v Whitaker and apply the decision in Rogers v Whitaker to new medical scenarios. Explain the law in relation to a competent adult's ability to refuse medical treatment. Explain the law in relation to a competent adult's ability to demand medical treatment that is not indicated. The Doctor and Patient Primary learning objective(s) Demonstrate competence in asking patients in an appropriate and systematic way about their personal past medical, surgical and psychiatric
history. Demonstrate competence in asking patients in an appropriate and systematic way about their family medical, surgical and psychiatric history. Demonstrate competence in asking patients in an appropriate and systematic way about the medications they take, including any over-the counter medicines and complementary therapies. Demonstrate competence in asking patients in an appropriate and systematic way about their history of any adverse reactions to drugs. Demonstrate competence in asking patients in an appropriate and systematic way about their social context. Demonstrate competence in asking patients in an appropriate and systematic way about their use of psychoactive substances including alcohol and tobacco. The Doctor and Health in the Community Primary learning objective(s) Discuss the medical implications of practicing in remote areas and be aware of the issues in providing medical services to remote communities Describe the roles of the different parts of the Australian Health Care System.
Describe the stages of adolescent development and how chronic disease may impact on fulfilment of these stages. Discuss how a range of biopsychosocial factors can lead to behaviour affecting the management of diabetes and other chronic illnesses. Describe the services provided by community agencies, allied health professionals and specialists, commonly used in the management of diabetes.
Demonstrate competence in effective infection control practices for clinical settings. The Doctor and Health in the Community Primary learning objective(s) Recognise the role of physical activity in maintaining health as a population health issue [Population health perspective] Discuss the role of physical activity in preventive medicine [Prevention perspective]. [REVIEW]
Demonstrate competence in asking parents or carers in an appropriate and systematic way about the medical problems of their child Demonstrate competence in asking the parents of young children in an appropriate and systematic way about the obstetric and neonatal history of their children The Doctor and Health in the Community Primary learning objective(s) Outline current practice in population screening for Down syndrome. Describe the principles and mechanisms of the child protection scheme. Discuss the impact of childhood experiences on health throughout life.
Describe the harm minimisation principle of prevention [Prevention]. Describe some of the differences between medical practice in rural or regional settings and practice in a larger city [Primary Health Care].
Describe the burden of illness on the patient and family, especially carers, and list some of the benefits of respite care for carers [Primary health care]. Discuss the screening guidelines for early detection of prostate cancer [Public health].
myalgia), including: the cardinal characteristics of the symptom and its time course relevant associated symptoms patient's understanding of, and concerns about, what they are experiencing. The Doctor and Health in the Community Primary learning objective(s) Describe the different health issues and needs of refugees in the context of their life experiences.[Primary Health Care]. Compare the spectrum of disease in the refugee population with that in Australian citizens.[Primary Health Care]. Outline the epidemiology of Mycobacterium tuberculosis MTB at a local and global level [Population Health] Outline the public health control of MTB (including DOT, contact tracing and screening, vaccination, transmission based precautions) [Public health]. Describe the key aspects of health screening of refugees arriving in Australia [Public health]. Describe the main global health challenges and identify the key players [Public health].
The Doctor and Patient Primary learning objective(s) Demonstrate competence in ensuring that a patient has been able to inform the clinician about all of their relevant symptoms through undertaking a 'review of systems'. Document and summarise a patient's history in appropriate style as a comprehensive written case report Demonstrate competence in summarising and communicating a patient's presenting history as a concise precis that will facilitate timely and effective communication about the person's problems and needs to colleagues. Describe their expectations and anxieties in relation to forthcoming placement in clinical settings. Articulate their awareness of how the perspective of a person with no clinical exposure differs from that of a clinician or clinician in training. Describe how and why that perspective may change as clinical experience increases.
Discuss obesity management strategies and approaches to changing behaviour in patients. [Primary health care perspective] Describe the lifestyle measures which may modify hyperlipidaemia.[Primary health care perspective] Explain the difference between population-wide public health interventions and interventions aimed at high risk populations, and the benefits and disadvantages of each approach. Explain primary, secondary and tertiary prevention and how they inform the public health response to disease
At the end of the case and associated sessions, students will be able to: The Doctor, Knowledge of Health and Illness Primary learning objective(s) Describe the steps in red cell production, maturation and destruction. Explain the factors that influence red cell production and half-life, describe the role of erythropoietin and briefly mention the action of colony stimulating factors. Describe the structure of fetal and adult haemoglobin and how differences in structure affect oxygen carrying capacity. Explain the importance of iron for red cell production and the processes involved in iron absorption, transport, storage and excretion. Explain the importance of vitamin B12 and folate to red cell production and the mechanism of their involvement. Discuss the dietary requirements of iron, folate and B12 and explain how requirements change with age and pregnancy. Describe the ABO and Rh blood groups and explain the basis of transfusion reactions. List the broad categories of anaemia and mechanisms of each. Describe the compensatory mechanisms in chronic anaemia involving: (a) Erythropoietin production (b) Cardiovascular changes including signs and symptoms of chronic anaemia, and (c) Role of 2-3-Diphosphoglycerate Describe the common abnormalities in full blood examination reports of patients with anaemia including: (a) The use of red cell indices (MCV, MCHC), and (b) Significance of reticulocyte number. Describe the major types of thalassaemia. Describe the broad aspects of the genetics of thalassaemia. Describe the ethnic groups at risk for thalassaemia. The Doctor, Law, Ethics and Professional Practice Primary learning objective(s) Discuss whether genetic information is 'different' to other types of knowledge a patient may have concerning their health. Discuss how issues of patient confidentiality can be approached when dealing with genetic information that may have relevance beyond the individual patient. Describe the subjective nature of risk interpretations in interpreting genetic information. Critique the professional ability to provide "non-directive" counselling. Review the components of informed consent and apply them in this scenario. The Doctor and Patient Primary learning objective(s) Discuss the importance of cultural sensitivity, culturally safe health services and culturally appropriate health care. [REVISION] Describe the processes for providing effective care to people whose first language and culture are different from theirs. [REVISION] Discuss the circumstances in which professional interpretation services should be used and the process for accessing them. [REVISION] Demonstrate competence in cross-cultural communication in the clinical setting. [REVISION] Discuss aspects of cultural diversity that may bear on medical interactions with Indigenous people, including patterns of non-verbal communication, 'showing respect'.
Demonstrate comfort and competence in engaging with patients and approaching the discussion of their emotional life and psychological status. Demonstrate competence in exploring a patient's experience of altered mood, anxiety, and psychotic symptoms, including: the cardinal characteristics of the symptoms and their time course; relevant associated symptoms; the patient's understanding of, and concerns about, what they are experiencing. The Doctor and Health in the Community Primary learning objective(s) Discuss the diversity that exists amongst different racial and ethnic groups and how this will influence the delivery of effective patient care. [Primary Health Care]
Primary learning objective(s) Outline the public health response to sexually transmitted infections (contact tracing, treatment and prevention). [Public Health] Describe the services offered by Queensland Health sexual health clinics.[Primary Health Care] Describe effective strategies for improving adherence with medical therapy and lifestyle advice. [Primary Health Care] Outline the epidemiology of sexually transmitted infections in Australia. [Public Health]
The Doctor and Patient Primary learning objective(s) Demonstrate competence in the interpretation of postero-anterior and lateral chest radiographs through the application of a systematic technique for differentiating normal from abnormal appearances and recognising common and 'red flag' pathological signs. The Doctor and Health in the Community Primary learning objective(s) Discuss the psychosocial impact of cancer on the adult patient, and the benefits of psychosocial support in the care of adults with cancer [Primary Health Care]. Discuss the role of palliative care services in the community [Primary Health Care].
Identify a range of strategies that promote a doctor's well-being and self-care. Demonstrate knowledge of where impaired doctors can seek professional support Identify the potential outcomes of poor practitioner self-care on patient safety. The Doctor and Patient Primary learning objective(s) Demonstrate competence in exploring a patient's experience of headache including: - the cardinal characteristics of the symptom and its time course; - relevant associated symptoms; - the patient's understanding of, and concerns about, what they are experiencing Demonstrate competence in exploring a patient's experience of important gastrointestinal presentations (abdominal pain, changed appetite, unintentional weight change, nausea, vomiting, heartburn, reflux, dyspepsia, dysphagia, odynophagia, haematemesis, melaena or rectal bleeding) including: the cardinal characteristics of the symptom and its time course relevant associated symptoms the patient's understanding of, and concerns about, what they are experiencing.
List the types of medical mistakes which may lead to an action in negligence. [Review] Apply your knowledge of the law with respect to negligence and duty of care to this case. The Doctor and Patient Primary learning objective(s) Demonstrate competence in the examination of a patient's vital signs (pulse rate and rhythm, respiratory rate, temperature, blood pressure and oxygen saturation) for the assessment of a range of presentations. Demonstrate competence in the physical examination of a patient for the assessment of presentations suggesting cardiac, respiratory or systemic renal pathology. Recognise the common and the 'red flag' conditions giving rise to cardiorespiratory signs, then discuss the historical and examination features characteristic of each. Demonstrate competence in performing a standard 12-lead electrocardiograph, analysing an electrocardiographic trace accurately, identifying correctly and discussing the significance of common electrocardiograph abnormalities. Recognise interpret and discuss the significance of common 'red flag' electrocardiograph abnormalities. The Doctor and Health in the Community Primary learning objective(s) Discuss the epidemiology of rheumatic fever in Australia. [Public Health] Explain that Indigenous Australians have a variety of lifestyles, living conditions, health issues. [Primary Health Care] Briefly describe the major inequalities in physical and mental health status between Indigenous Australians and non-Indigenous Australians. [Public Health]
or client and their significant others, to reach consensus on optimal treatment, care and support and how it should be provided; while for community level health activity synthesise the input of multiple professional colleagues, together with the values and priorities of the community concerned, to reach consensus on optimal interventions and how they should be implemented. Describe the roles, practices and expertise of effective members of each of the other major health professions, in this case focusing on the role of the paramedic. Explain how to detect important differences in summary statistics between two study groups. [Evidence Based Medicine] Distinguish between clinically important and statistically significant effects. [Evidence Based Medicine] Explain the meaning of the commonly used measures of variation around mean and median values, including standard deviation, standard error, confidence intervals and interquartile range. [Evidence Based Medicine] Define inter-rater / interobserver reliability, know how it is measured and interpret results. [Evidence-Based Medicine]
Demonstrate competence in exploring a patient's experience of cough, breathlessness or haemoptysis [REVISION]. Demonstrate competence in the physical examination of a patient for the assessment of presentations suggesting cardiac, respiratory or systemic renal pathology [REVISION]. Demonstrate competence in the administration and documentation of subcutaneous and intramuscular injections. The Doctor and Health in the Community Primary learning objective(s) Outline the common side effects of childhood immunisations and their management. [Primary Health Care/Public Health] Discuss the benefits of immunisation to the individual and to the population.[Public Health] Outline environmental and medical interventions that may reduce asthma severity. [Primary Health Care] Discuss the prevalence of asthma, the incidence of asthma mortality in Australia and risk factors of asthma mortality.[Public Health] Outline the resources available in the community to help manage asthma. [Primary Health Care] Discuss the factors associated with non-adherence with medical therapy including those specific to asthma therapy, and the types of nonadherence that can interfere with successful treatment outcomes.[Primary Health Care] Outline the stages of child development and how chronic disease may impact on fulfilment of these stages.
The Doctor and Health in the Community Primary learning objective(s) Describe the roles, practices and expertise of effective members of other major health professions, in this case focusing on the role of the nurse [IPL]
The Doctor and Health in the Community Primary learning objective(s) Describe the epidemiology and risk factors for heart failure.[Population Health]
bleeding) [REVISION] including: the cardinal characteristics of the symptom and its time course; relevant associated symptoms; the patient's understanding of, and concerns about, what they are experiencing.
Demonstrate competence in the examination of a patient for the assessment of gastrointestinal symptoms and other presentations that might be associated with abnormalities on abdominal examination. Recognise the common and the 'red flag' conditions giving rise to abdominal signs, then discuss the historical and examination features characteristic of each. The Doctor and Health in the Community Primary learning objective(s) Discuss the role of screening for relatives of patients with coeliac disease. Discuss the importance of food labelling to patients with coeliac disease and food allergies, and the regulatory bodies that play a public health role regarding food sold and imported into Australia. Describe the roles, practices and expertise of effective members of each of the other major health professions, in this case focusing on the role of the dietitian.[IPL]
Primary learning objective(s) Review the significance of a positive test for faecal occult blood (FOB) for the individual and the value of screening for FOB as a public health strategy. [Public Health]
Demonstrate competence in the examination of a patient for the assessment of gastrointestinal symptoms and other presentations that might be associated with abnormalities on abdominal examination. [REVISION] Recognise the common and the 'red flag' conditions giving rise to abdominal signs, then discuss the historical and examination features characteristic of each. [REVISION] Break health-related bad news to a patient or their significant other sensitively and effectively, in a manner that facilitates their understanding and coping with the information. The Doctor and Health in the Community Primary learning objective(s) Describe the medical and psychosocial risks associated with IV drug use and alcohol abuse.[Population health / Preventive medicine] Discuss strategies for addressing and assessing patients with suspected alcohol problems in general practice.[Primary health Care] Discuss the impact of hepatitis and chronic liver disease on both a patient and family.[Primary health Care]
Primary learning objective(s) Discuss the public health implications of sleep apnoea syndromes and sleep hypoventilation [Public health]. Discuss the factors affecting adherence with medical therapy, including patient education and behavioural change [Primary health care]. Discuss the association between smoking and respiratory disease [Public health]. Describe the roles, practices and expertise of effective members of each of the other major health professions, in this case focusing on the roles of the allied respiratory professionals [IPL].