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Class of 2023
Session Information

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Session Title:
Liver PBL 1 and 2
Teaching Hours:
Teaching and Learning MethodsTotal Scheduled Hours = 4
Problem Based Learning = 4
Description:
This year we will have two PBL sessions focusing on a case of chronic liver disease. Unlike standard tutorials, the expectation of these PBL sessions is that learning will be student driven. Therefore, it is important for you to "review" the case in advance, read around the case, and come prepared to answer questions.You will have ‘facilitators’ (rather than ‘tutors’) with you whose purpose is to keep you on the right track and provide focus, not simply give you all the answers. It is expected that for the first session students should be prepared to discuss the tutorial up to and including the table that summarizes the blood work on page 6 of the tutorial.
Keywords:
Substance Abuse Detection, Preventive Care, illness prevention

Teaching and Learning Methods
Problem Based Learning 4 hour(s)

Learning Objectives
Blueprint ID Learning Objectives
8742 Differentiate between viral hepatitis and other causes of acute hepatitis.
8745 Select and interpret the serological and toxicological screening necessary to determine the cause of acute hepatitis.
8755 List the indications for abdominal ultrasound, ascitic fluid analysis, and liver biopsy.
8756 Describe an effective plan of management.
8757 List indications for active and passive prophylaxis against infective hepatitis.
8758 Select patients in need of specialized care.
8759 Choose which patients require counselling and education about prevention strategies for viral hepatitis.
8760 Apply Scientific Concepts
10034 List and classify the causes of abdominal distension according to the patient's age and gender.
10035 Differentiate on clinical grounds the causes of abdominal distension including ascites, gas, enlarged organ, mass, pregnancy and obesity.
10036 List the signs on physical examination of liver disease.
10037 List the clues on history and physical examination to support the diagnosis of alcoholism.
10038 State the importance of obtaining a collateral history in patients with suspected substance abuse or in patients who are, for any reason, unable to give a full history.
10039 Formulate a diagnostic approach to the problem of ascites.
10040 Formulate a diagnostic approach to the problem of chronic liver disease.
10041 List and classify the complications of chronic liver disease.
10042 Create the management plan of an alcoholic and his/her family.
10043 List and classify the complications of alcoholism.
10044 List and classify space-occupying lesions of the liver.
10045 List the major risk factors for hepatocellular carcinoma (hepatoma).

Linked Course Goal(s) to Session
Blueprint ID Course Goals
7426 Identify a strategy for monitoring health problems over time
Linked Program Competencies
To This Course Goal:
me-4 me-5 cm-1 cm-2 cm-3 cm-4 cm-5 cm-6 co-1 co-2 co-3 co-4 ld-3 ha-1
7427 Identify the ongoing supports needed by patients with chronic disease
Linked Program Competencies
To This Course Goal:
me-4 me-5 cm-2 cm-4 cm-5 cm-6 co-1 co-2 co-3 co-4 ha-1 ha-2 ha-3
7443 Develop a patient care plan in cooperation with other health care providers
Linked Program Competencies
To This Course Goal:
cm-4 cm-5 co-1 co-2 co-3 co-4
7452 Identify available health care resources in the investigation, treatment and ongoing management of the patient
Linked Program Competencies
To This Course Goal:
me-4 me-5 co-2 ld-2 ld-3 ha-3
9893 Identify and diagnose key clinical problems
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6
Linked Program Competencies To Course Goal(s)
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
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.
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.
cm-6 Communicator
Discuss effective strategies for communicating with third parties other than health care professionals.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
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).
co-4 Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
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.
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.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
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-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant 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.

Linked MCC Medical Expert Objectives
(029-1) GENERALIZED EDEMA
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(062) ABNORMAL HEART SOUNDS AND MURMURS
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(049) JAUNDICE
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(051) ABNORMAL, SERUM LIPIDS
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(052) ABNORMAL LIVER FUNCTION TESTS
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(103) SUBSTANCE-RELATED OR ADDICTIVE
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(001) ABDOMINAL DISTENSION
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(103-1) SUBSTANCE WITHDRAWAL
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