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Class of 2017
Session Information


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Session Title:
IMED: Gastrointestinal
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1138 Interpret critical clinical and laboratory findings which were key in the processes of exclusion, differentiation, and diagnosis.
11001 Demonstrate appropriate attitudes of empathy, ethics, responsibility and cultural awareness in keeping with the role of a physician.
11076 Explain the causal conditions of acute abdominal pain: (a) diffuse (peritoneal signs and peritoneal signs absent), (b) localized (upper and lower)
11077 Outline the causal conditions of chronic abdominal pain: (a) upper (dyspepsia/epigastric and right upper quadrant), (b) lower (bowel disease, genitourinary disease, hernias), (c) diffuse or local pain (somatization, abdominal wall, lactose intolerance, lymphomas/neoplasms)
11078 Identify the causal conditions of anorectal abdominal pain: (a) anorectal disease (inflammatory bowel disease, fissures/hemorrhoids, chemotherapy, neuropathic/psychological, coccygeal pain), (b) dermatologic disease (psoriasis, contact/atopic dermatitis, malignancy/ulcer), (c) infections (sexually transmitted diseases, bacterial/fungal/parasitic
11079 Differentiate between the following: (a) intra-abdominal and extra-abdominal or metabolic causes for acute abdominal pain, (b) organic and non-organic causes of chronic abdominal pain, (c) causes of anal pain
11080 Determine the onset, frequency, duration, locale, radiation, quality and severity of pain; differentiate the dull, aching, poorly localized visceral pain from sharp, localized parietal pain; identify aggravating and alleviating factors.
11081 Examine abdominal, rectal, pelvic, and genitourinary areas in a patient with acute abdominal pain; obtain vital signs and determine volume status.
11082 Examine muscle wall, lungs, chest, and eyes for icterus in the patient presenting with acute abdominal pain.
11083 Conduct an effective plan of management for a patient with acute abdominal pain, chronic abdominal pain, or anorectal pain.
11084 Identify the causes of acute diarrhea: (a) infectious (diarrhea predominant and nausea/vomiting predominant) (b) ischemic (c) inflammatory (non-bloody and bloody)
11085 Describe the causal conditions of chronic diarrhea: (a) steatorrhea (luminal phase and mucosal phase) (b) large bowel (secretory, inflammatory, motility) (c) small bowel (osmotic, secretory, disordered motility)
11086 Differentiate the following: (a) infectious diarrhea from inflammatory bowel disease and other causes of acute diarrhea (b) osmotic from secretory diarrhea (c) maldigestion from malabsorption
11087 Determine whether motility problems might be present.
11088 Diagnose the presence of acute diarrhea, and determine severity of illness.
11089 Diagnose patients with irritable bowel syndrome and patients with inflammatory bowel disease.
11090 Conduct an appropriate management plan for the patient with acute or chronic diarrhea.
11091 List the causal conditions of bleeding from the gastrointestinal tract: (a) upper gastrointestinal bleeding (hematemesis) (b) lower gastrointestinal bleeding (left colon, right colon, diverticulosis, angiodysplasis, other) (c) ulcerative/erosive (peptic ulcer disease, esophagitis/gastritis (d) portal hypertension (e) trauma/post-surgery (f) tumours (g) vascular malformations
11092 Outline the diagnostic value/limitations of contrasting hematochezia and melena.
11093 Determine whether a bleeding diathesis may contribute to the bleeding.
11094 List indications for nasogastric tube aspiration.
11095 Diagnose the following (a) the most likely cause of blood in the stool (b) the likely cause of hematemesis (c) the most likely cause of hematochezia (d) the presence of associated drugs or medical conditions predisposing to the development of diverticulosis or colorectal cancer
11096 Perform rectal exam as part of the initial assessment if patient is experiencing hematochezia
11097 Conduct an appropriate management plan for the patient presenting with acute gastrointestinal bleeding.

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
10389 EPA 3 (AAMC): Recommend and interpret common diagnostic and screening tests
Linked Program Competencies
To This Course Goal:
me-3 me-6 cm-3 cm-4 ld-2 ha-1 ha-2 ha-3 sc-2 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
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
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.
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.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
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-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.
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
(006-2) LOWER GASTROINTESTINAL BLEEDING
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(016-1) ADULT CONSTIPATION
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(006-1) UPPER GASTROINTESTINAL BLEEDING
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(003-2) ACUTE ABDOMINAL PAIN
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(003-4) ANORECTAL PAIN
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(003-3) CHRONIC ABDOMINAL PAIN
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(022-2) CHRONIC DIARRHEA
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(022-3) PEDIATRIC DIARRHEA
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(116) VOMITING AND/OR NAUSEA
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