Class of 2023
Go Back | Session Title: | SURG: Gastrointestinal Tract Malignancy | | | Description: | | | Keywords: |
Blueprint ID | Learning Objectives | 1093 | Gather a complete or problem-focused history with emphasis on the following: (a) characterization of pain (location, severity, character, pattern) (b) temporal sequence (onset, frequency, duration, progression) (c) alleviating/exacerbating factors (position, food, activity, medications) (d) associated signs/symptoms (nausea, vomiting, fever, chills, anorexia, weight loss, cough, dysphagia, dysuria/frequency), altered bowel function (diarrhea, constipation, obstipation, hematochezia, melena, etc.) (e) pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression) (f) medications: anticoagulation, steroids, etc. | 1094 | Demonstrate the components of a complete abdominal examination including rectal, genital, and pelvic examinations. Relate the significance of the various component examinations: observation, auscultation, percussion, and palpation as they apply to common abdominal pathologic processes. Examples: distention, visible peristalsis, high- pitched or absent bowel sounds, tympany, mass, localized vs. generalized guarding, and/or rebound tenderness. | 1095 | Characterize examination skills that may be utilized in pregnancy or in patients with altered neurologic status. | 1096 | Develop a differential diagnosis for various patients presenting with acute abdominal pain. Differentiate based on the following: (a) location: RUQ, epigastric, LUQ, RLQ, LLQ (b) symptom complex, e.g., periumbilical pain localizing to RLQ, acute onset left flank pain with radiation to the testicle, etc. (c) age: pediatric, adult, geriatric (d) associated conditions: pregnancy, immunosuppression (AIDS, transplant, chemotherapy/radiation therapy). | 1097 | Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain. (a) laboratory: CBC, amylase, electrolytes, BUN, creatinine, glucose, urinalysis, beta-HCG, liver profile (b) diagnostic imaging: flat and upright abdominal radiographs, upright chest X-ray, abdominal ultrasonography, CT scan of abdomen and pelvis, GI contrast radiography, angiography, IVP (c) special diagnostic/interventional techniques: upper endoscopy, procto-sigmoidoscopy, colonoscopy, laparoscopy | 1098 | Outline the initial management of a patient with an acute GI hemorrhage. Discuss indications for transfusion, fluid replacement, and choice of fluids. | 1099 | Differentiate upper vs. lower GI hemorrhage. | 1100 | Discuss the difference in evaluation and management of a patient presenting with the following: (a) hematemesis (b) melena (c) hematochezia (d) guaiac positive stool | 1101 | Discuss, in general, the differential diagnosis for a patient with emesis, including timing and character. | 1102 | Describe the clinical presentation and etiologies of gastric outlet obstruction. | 1103 | Describe the types of neoplasms that occur in the stomach, and discuss the diagnosis and prognosis for each. | 1104 | Describe the signs and symptoms of small bowel obstruction. | 1105 | Describe the common etiologies of mechanical small bowel obstruction, including less frequent causes, such as small bowel tumours. | 1106 | Obtain a focused history and physical examination including rectal/genital and pelvic examinations with emphasis on characterization of findings, differentiation of signs/symptoms of peritonitis and adjunctive maneuvers to enhance diagnostic abilities. | 1107 | Interpret laboratory findings and various imaging modalities that contribute to the diagnosis of common abdominal problems. Consider plain films of the abdomen, CT scans, ultrasound, etc. | 1108 | Demonstrate correct placement of the following: (a) nasogastric tubes (b) peripheral intravenous catheters (c) venipuncture and insertion of Foley catheters | | |
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 | 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 | 11644 | EPA 13 (MUN): Collaborate as a member of an interprofessional team. Linked Program Competencies To This Course Goal: 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 pr-1 | 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. |
(042-1) ANEMIA | (006-2) LOWER GASTROINTESTINAL BLEEDING | (016-1) ADULT CONSTIPATION | (006-1) UPPER GASTROINTESTINAL BLEEDING | (003-2) ACUTE ABDOMINAL PAIN | (003-4) ANORECTAL PAIN | (003-3) CHRONIC ABDOMINAL PAIN | (026) DYSPHAGIA | (031-1) FRAILTY IN THE ELDERLY | (002) ABDOMINAL / PELVIC MASS | (001) ABDOMINAL DISTENSION |
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