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Class of 2017
Session Information

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Session Title:
RFM: Respiratory Symptoms
Description:

Learning Objectives
Blueprint ID Learning Objectives
10365 Establish an accurate diagnosis of asthma through a focused history and physical exam (a) Including family, occupational and environmental history and (b) Including differentiating non-asthma causes of wheezing
10366 Explain underlying pathophysiology of asthma to patients and/or family members (a) In relation to acute & recurrent episodes and prophylaxis principles, (b) In relation to mechanism of action for relevant meds, (c) In relation to red flags of impending asthma crisis
10367 Assess asthma control at follow-up. Identify modifiable triggers for patients.
10368 Describe the different medication delivery methods (and relevant compliance / educational issues).
10369 Describe major medication categories (a) Including mechanism of drug action, particularly SABA and ICS, (b) Benefits, risks, limitations, and (c) Use patterns, compliance, device use.
10370 Propose a management plan for patients with acute exacerbations.
10371 Conduct a patient interview and appropriate focused physical examination to identify the common and important causes of cough, particularly (a) Acute causes (Infectious (viral/bacterial), Exacerbation of Asthma, Exacerbation of COPD, Post-viral cough, Exacerbation of CHF) and (b) Chronic causes (including screening for red flags, eg. weight loss, hemoptysis) (Post-nasal drip, GERD, Asthma (refer to Asthma Objectives), COPD/Smoking, Infection (eg. tuberculosis), Medication (i.e. ACE Inhibitor), Congestive Heart Failure, Neoplasm.
10372 Include an appropriate environmental, occupational, and travel history as part of the patient interview.
10373 Propose a relevant initial investigation plan (e.g. chest xray, spirometry) for a patient with cough.
10374 Recognize a patient with respiratory distress (e.g. hypoxia, tachypnea, etc.) and seek immediate help.
10375 Suggest a preliminary/initial management plan for patients with cough, particularly for the acute and chronic causes listed above, avoiding unnecessary use of antibiotics.

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
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
10395 EPA 9 (AAMC): Collaborate as a member of an interprofessional team
Linked Program Competencies
To This Course Goal:
me-6 cm-5 co-1 co-2 co-3 co-4 ld-3 ha-1 ha-2 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.
co-4 Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration.
ld-1 Leader
Identify strategies to effectively manage practice and career.

Linked MCC Medical Expert Objectives
(018) COUGH
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(027) DYSPNEA
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