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Class of 2017
Session Information


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Session Title:
SURG: Peripheral Vascular Disease
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1203 Describe atherosclerosis, its etiology, prevention, and sites of predilection.
1204 Explain the intimal injury that characterizes the process and how that injury impacts therapy and prevention. (a) Describe the differential diagnosis of hip, thigh, buttock, and leg pain associated with exercise. (b) Discuss neurological vs. vascular etiologies of walking- induced leg pain. (c) Discuss musculoskeletal etiologies. (d) Explain the relationship of impotence to the diagnosis.
1205 Explain the pathophysiology of intermittent claudication. (a) Describe the diagnostic work-up of chronic arterial occlusive disease. (b) Outline the medical management of arterial occlusive disease. (c) Discuss risk factors associated with arterial occlusive disease.
1206 Describe the pathophysiology of ischemic rest pain. (a) Discuss evaluation and management of rest pain. (b) Explain the role of anticoagulation in peripheral vascular disease.
1207 Describe the etiologies and presentation of acute arterial occlusion. (a) Differentiate embolic vs. thrombotic occlusion. (b) Outline the signs and symptoms of acute arterial occlusion (the “P’s”). (c) Discuss the medical and surgical management. (d) Explain the complications associated with prolonged ischemia and revascularization. (e) Outline the diagnosis and treatment of compartment syndrome.
1208 Explain the differential diagnosis, location, appearance, and symptoms of leg ulcers due to the following: (a) arterial disease and venous stasis disease (b) neuropathy (c) infection and malignancy
1209 Describe the differential diagnosis of the swollen leg. (a) Explain how to differentiate lymphedema from venous stasis. (b) Differentiate painful vs. non-painful swelling.
1210 Explain the factors that lead to venous thrombosis and embolism. (a) Outline the usual locations for thrombosis. (b) Discuss differing implications of deep and superficial venous thrombophlebitis. (c) Describe the common invasive and non-invasive diagnostic tests for DVT. (d) Discuss methods for DVT prophylaxis and for identifying high-risk patients. (e) Outline the risks, benefits, and available options for anticoagulation and thrombolysis. (f) Describe the signs, symptoms, diagnostic evaluation, and treatment of pulmonary embolism.
1211 Explain the diagnosis, work-up, and management options for symptomatic varicose veins and venous ulcers. (a) Describe the physical exam and tests for venous valvular competence. (b) Explain the role of venography, ultrasound, and plethysmography. (c) Discuss medical vs. surgical management.
1212 Perform a complete physical examination of the vascular system, including pulse identification, auscultation, Doppler evaluation, and ankle-brachial index determination.
1213 Identify the physical signs of chronic and acute ischemia, including pallor, dependent rubor, delayed capillary refill, hair loss, thin and shiny skin, nail deformity, pallor on elevation, ulceration and gangrene.
1214 Complete a competent neurological examination of the lower extremities, including sensory, motor, and autonomic distribution.
1215 Explain the relationship of smoking cessation, hypertension control, and lipid control in the prevention of atherosclerotic diseases.
1216 Outline the principles and appropriate use of DVT prophylaxis.
1217 Identify patients who may benefit from antiplatelet therapy for full anticoagulation to prevent arterial thrombosis.

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
10390 EPA 4 (AAMC): Enter and discuss orders and prescriptions
Linked Program Competencies
To This Course Goal:
me-5 me-6 cm-3 cm-4 cm-5 cm-6 co-2 co-3 ld-2 ld-3 ha-3 sc-2 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
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
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-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
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-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
ld-1 Leader
Identify strategies to effectively manage practice and career.

Linked MCC Medical Expert Objectives
(015-2) PREVENTION OF VEMOUS THROMBOSIS
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(051) ABNORMAL, SERUM LIPIDS
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(066) NUMBNESS / TINGLING / ALTERED SENSATION
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