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Class of 2023
Session Information

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Session Title:
RFM: Fatigue
Description:

Learning Objectives
Blueprint ID Learning Objectives
1403 Conduct a patient interview so as to: (a) Define what the patient means by “fatigue” and distinguish from other concerns eg. mood concerns, muscle weakness, decreased exercise tolerance +/- SOB, ( b) Identify clinical symptoms/red flags that suggest a secondary etiology, e.g. depression, anemia, hypothyroidism, malignancy, sleep apnea, cardiac disease, and (c) Identify context red flags that may suggest psychosocial concerns and impact differential diagnosis and/or management, eg. homelessness, isolation, single parent, addiction, recent losses, sleep quality/shift work
1404 Conduct a relevant physical exam to refine DDx.
1405 Include “watchful waiting” when appropriate as a diagnostic and/or management tool.
1406 Propose and act on initial investigations based upon DDx and avoid over-investigation/”shot-gun” approach.

Linked Course Goal(s) to Session
Blueprint ID Course Goals
11632 EPA 1 (AFMC): Obtain a history and perform a physical examination adapted to the patient''s clinical situation.
Linked Program Competencies
To This Course Goal:
me-1 me-2 cm-1 cm-2 ld-3 ha-1 sc-1 sc-2 pr-1
11633 EPA 2 (AFMC): Formulate and justify a prioritized differential diagnosis.
Linked Program Competencies
To This Course Goal:
me-4 me-6 cm-1 cm-2 cm-3 co-3 ld-3 ha-1 ha-2 sc-2 pr-1
11634 EPA 3 (AFMC): Formulate an initial plan of investigation based on the diagnostic hypotheses.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 pr-1
11635 EPA 4 (AFMC): Interpret and communicate results of common diagnostic and screening tests.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11636 EPA 5 (AFMC): Formulate, communicate and implement management plans.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11637 EPA 6 (AFMC): Present oral and written reports that document a clinical encounter.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11640 EPA 9 (AFMC): Communicate in difficult situations.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11642 EPA 11 (AFMC): Perform general procedures of a physician.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11643 EPA 12 (AFMC): Educate patients on disease management, health promotion and preventative medicine.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 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.
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.
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.
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.
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.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
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).
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.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
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.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
sc-3 Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
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
(033) FATIGUE
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