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Class of 2017
Session Information


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Session Title:
SURG: Back Pain Assessment
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1063 Identify common causes of cervical and low back pain, including acute injuries and chronic degenerative causes (spinal stenosis and disc herniation in the cervical or lumbar regions).
1064 Outline (other) causal conditions of spine/low back pain: (a) no nerve involvement (non-radicular): (i) mechanical low back or leg pain, (ii) non-mechanical spinal conditions, (b) nerve root involvement (radicular): (i) disc herniation/stenosis, (ii) compression fracture, traumatic feature, (iii) spinal cord tumor/peripheral nerve neuropathy, and (c) referred pain (visceral disease): (i) pelvic organs, (ii) renal, (iii) aortic aneurysm, retroperitoneal neoplasm/infection, (iv) gastrointestinal
1065 Determine the following: (a) whether there is neurologic deficit; abnormal bladder, bowel, or sexual function; an exciting event exists; pain location; radiation; and effect of rest or leg motion and (b) whether psychosocial distress is amplifying the pain
1066 Perform examination of the back and proximate anatomic areas that could lead to back pain.
1067 Determine whether there is a loss of sphincter tone or urinary retention and state that the presence of such signs represent a surgical emergency; are hips or legs affected, any pseudo- claudication.
1068 Interpret critical clinical and laboratory findings which were key in the processes of exclusion, differentiation, and diagnosis.
1069 Conduct an effective initial plan of management for a patient with lower back pain.
1070 Effectively document an encounter of a patient with back pain and neurologic defect.
1071 Present findings to surgeon of a patient with back pain and neurologic findings

Linked Course Goal(s) to Session
Blueprint ID Course Goals
10387 EPA 1 (AAMC): Gather a history and perform a physical examination
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-6 cm-1 cm-2 ha-1 pr-1
10388 EPA 2 (AAMC): Prioritize a differential diagnosis following a clinical encounter
Linked Program Competencies
To This Course Goal:
me-4 me-6 cm-1 cm-2 cm-6 co-2 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
10391 EPA 5 (AAMC): Document a clinical encounter in the patient record
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-5 cm-6 co-1 co-3 ld-3 pr-1
10392 EPA 6 (AAMC): Provide an oral presentation of a clinical encounter
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-3 cm-5 cm-6 co-1 ld-3 sc-3 pr-1
10393 EPA 7 (AAMC): Form clinical questions and retrieve evidence to advance patient care
Linked Program Competencies
To This Course Goal:
me-6 cm-3 cm-5 cm-6 ld-2 ld-3 sc-1 sc-2 sc-3 pr-1
10394 EPA 8 (AAMC): Give or receive a patient handover to transition care responsibility
Linked Program Competencies
To This Course Goal:
me-6 cm-3 cm-5 co-2 co-3 ld-3 pr-1
10396 EPA 10 (AAMC): Recognize a patient requiring urgent or emergent care and initiate evaluation
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 cm-6 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-3 sc-1 sc-2 pr-1
10397 EPA 11 (AAMC): Obtain informed consent for tests and/or procedures
Linked Program Competencies
To This Course Goal:
me-3 me-5 me-6 cm-1 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-3 sc-2 sc-3 pr-1
10398 EPA 12 (AAMC): Perform general procedures of a physician
Linked Program Competencies
To This Course Goal:
me-3 me-5 me-6 cm-1 cm-3 cm-4 cm-5 cm-6 co-1 co-3 ld-2 sc-1 sc-2 pr-1
Linked Program Competencies To Course Goal(s)
me-1 Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation.
me-2 Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.
cm-1 Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families.
cm-2 Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals.
ha-1 Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes.
pr-1 Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards.
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
cm-6 Communicator
Discuss effective strategies for communicating with third parties other than health care professionals.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
ha-2 Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized.
sc-1 Scholar
Develop a plan for personal continued education.
sc-2 Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice.
sc-3 Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
co-3 Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role).
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
ld-1 Leader
Identify strategies to effectively manage practice and career.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.



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