MBBS YEAR 3B CURRICULUM GUIDE (Theme III/IV) - 2012

GROUP A DOMAINS GROUP B DOMAINS GROUP C DOMAINS

Musculo-skeletal / Rheumatology / Clinical immunology Haematology

GROUP D DOMAINS

Cardio-vascular

Respiratory /Pulmonary

GIT/ Hepatobiliary disease

Renal/Urology

Endocrinology

Neurology

Perioperative care

Pathology

Infectious diseases

Dermatology

Emergency

Other

Abdominal aortic aneurysm/ Non cardiac aortic dissection Acute bronchitis

Abdominal hernias

Glomerulonephritis (GN) acute and chronic

Diabetes type 1 and type 2 (and vascular complications)

Cerebral haemorrhage

Airway and respiratory support

Handling biopsies and surgical specimens

Dislocation joints (shoulders, fingers, knees, elbows, wrist) DVT and PE

Immunisation

Melanoma

Fluid overload, underfilling

Breast cancer

Arrythmias -Tachyarrhythmias Asthma

Acute/Chronic Hepatitis

Acute renal failure

Goitre

Cerebral infarct

Atelectasis/pneumonia

Using routine laboratory Fractures (complete - simple, tests/investigations (Biochem, comminuted / incomplete Acquired bleeding disorders Cyto, Haem, Histo and Micro) greenstick, hairline) (ITP, DIC drug induced) Acute Leukaemia (AML and ALL) Anaemia - hereditary and acquired Bone Marrow Failure Syndromes

Meningitis

Pressure sores

Sepsis/Septic shock

Hernia

CONDITIONS

Cardiac arrest Cardiac failure / Congestive heart failure Cardiac valve disease / Valvular heart disease

Bronchial obstruction Chronic obstructive pulmonary disease / chronic airways disease

Acute cholecystitis

Benign prostatic hypertrophy Hyperthyroidism Chronic renal failure / chronic kidney disease Hypothyroidism Nodular thyroid disease/Thyroid Cancer

Coma

Bleeding and coagulation Blood transfusion/blood products Intravenous fluids and fluid balance

Role of autopsy Correlate clinical condition with pathology

Upper limb fracture

Pyrexia of unknown origin

Squamous cell carcinoma

Surgical complications

Incidents and adverse events Medicolegal risks (Correct patient, site, side, procedure & informed consent) Terminal illness/ Palliative care The dying patient / Bereavement Severely injured/ multi trauma patient

Acute liver failure Acute or chronic irritable bowel syndrome

Epilepsy

Lower limb fracture

HIV/HIV infection

Basal cell carcinoma

Adverse and sentinel events

Cor pulmonale

Diabetic nephropathy

Head injuries

Nomenclature in pathology

Gout

Infection in the immunocompromised patient Lipoma

Oncological emergencies

Carotid stenosis

Pneumonia

Alcoholic liver disease

Hypertension (asymptomatic, Obesity and essential, secondary) overweight/weight loss

Migraine

Line sepsis and septicaemia

Pathogenesis of disease

Osteoarthritis

Chronic Leukaemias

Infectious endocarditis

Pigmented skin lesions

Transfusion reactions

Deep venous thrombosis

Pneumothorax

Appendicitis

Post renal (obstruction)

Osteoporosis Adrenal hyperfunction (Conns, Cushings) Adrenal hypofunction (Addisons)

Multiple sclerosis

Pain relief /analgesia

Macroscopic and microscopic pathology of some diseases Osteomyelitis Prognostic indicators in pathology Cell Growth hypoplasia) (hypertrophy, Sprains

Cytopenias Inherited Bleeding Disorders (Haemophilia VWD Platelets etc)

Skin rash / ulcer

Sebaceous cysts

Ischaemic heart disease

Pulmonary embolus Upper respiratory tract infections

Carcinoma pancreas

Pyelonephritis

Peripheral vascular disease

Chronic liver disease

Urinary obstruction

TIAs/Stroke Brain tumours (eg astrocytoma, meningioma, metastases) Central nervous system infections

Postoperative chest

Polymyositis

Tuberculosis Viral epidemics SARS, Dengue) (H5N1,

Skin rash / ulcer

Postoperative fever

Inherited thrombophilias Lymphoma - Hodgkin's (Staging and Rx)

Dermoid cysts

Pulmonary embolus

Bronchiectasis Interstitial lung disease, including occupational lung disease

Cirrhosis

Urinary tract infection

Adrenal neoplasia

Pre-operative assessment

Cell differentiation (dysplasia, metaplasia) Connective tissue disease Benign and malignant neoplasia (features, behaviour, clinical consequence)

Tropical diseases (Dengue & DHF, Malaria, Filariasis) Fibromas

Bradyarrhythmias

Colorectal cancer

Urolithiasis

Hyper/ Hypocalcaemia, Pagets disease; Osteomalcia/ Common entrapment Ricketts syndromes Other neurodegenerative diseases incl dementia syndromes Parkinsons disease

Postoperative wounds and dressings

Repetitive strain injury Work-related upper limb disorders

Lymphoma - Non-Hodgkin's (Staging and Rx)

Hospital acquired infections

Immunologically mediated skin injury / disease

Cardiomyopathy Pericardial tamponade

Lung cancer Obstructive sleep apnoea

Constipation Diverticular disease

Nephritic syndrome (immune) Lipid disorders Nephrotic syndrome (noninflammatory) Nephropathy: IgA disease; RPGN; post infectious GN Polycystic kid P l ti kidney disease di Metabolic syndrome

Sepsis/Septic shock Thromboembolism prophylaxis

Paraneoplastic effects Neoplasia - nomenclature

Myelodysplasia Myeloproliferative disesases (PV, MF, ET and CML) Non-haematological lymphadopathy - (Infect / Non infect) Plasma cell disorders (MM, MGUS, amyloid) MGUS l id)

CONDITIONS

Pericarditis Rheumatic fever and Endocarditis E d diti Varicose veins / chronic venous insufficiency

Pleural effusion Pleurisy Pl i

Gastric neoplasia Gastritis G t iti

Impotence Parathyroid h P th id hyperplasia l i

Peripheral neuropathy Spinal S i l cord disease d di

Acute and Chronic Wound infection, dehiscence inflammation Coagulopathy, haematoma C l th h t Tissue organisation, repair and regeneration d ti

Pulmonary hypertension

Gastroenteritis Gastro-oesophageal reflux (GORD)

Pre-renal disease /ATN Renal failure (RPGN; AAIN; drugs rhabdo; contrast etc) Surgical pathologies (renal biopsy, kidney resection) Urological cancers renal, testis, bladder and prostate Amyloidosis

Phaeochromocytoma

Tension headache Cerebro-vascular diseases/ conditions

Tissue injury (thrombosis, Nutritional support in surgical embolism, ischaemia, patients infarction) Tissue ulceration and necrosis Tissue deposition (amyloidosis, haemochromatosis) Anatomical barriers to infection Cells of the immune system Students are also expected to develop the necessary knowledge, skills and attitudes covered in Themes I, II and IV to interact appropriately with patients. Many of the conditions listed on the map are pertinent to Occupational and Environmental Medicine covered in Theme II.

IMPORTANT NOTES
This matrix is a GUIDE to content for Year 3B and provides an overview of the breadth and depth of learning required by students to assist them with meeting the assessment standards of MBBS Year 3B. Students are expected to build upon previous learning and make use of all opportunities that occur during the year to learn the clinical skills and underlying knowledge relevant for the wide range of conditions that they encounterincluding any that are not specifically listed in the map. All content covered in Year 3B is assessable.

Congenital heart disease

Pulmonary tuberculosis

Pituitary hypofunction Primary and secondary hypogonadism Prolactinoma

Hypertrophic cardiomyopathy (HOCM) Respiratory failure Long QT syndrome Solitary pulmonary nodule Cystic fibrosis

Inflammatory bowel disease Intestinal obstruction Infarction of bowel

Cranial nerve palsies Motor neuron(e) disease Muscular dystrophy Neuromuscular disease (neuropathies/myopathies/NM J disorders) Neurotoxic disorders (eg OPs, Lead, methyl mercury)

Painful perianal conditions Pancreatitis Peptic ulcer/ Peptic ulcer disease

Interstitial cystitis Lupus nephritis Nephrotic syndrome - MCD, FGS, MN

Immunocompetence Immunosuppression Autoimmunity Immunologically mediated tissue injury

Nephropathy - ischaemic Peritonitis and abdo abscess nephropathy Cholelithiasis Coeliac disease Disorder bilirubin metabolism
CONDITIONS

The guide is arranged in broad domain areas and the key learning area disciplines in which the conditions would be expected to be encountered have been indicated. All conditions listed have been rated to indicate the level of learning expected. Colour Code for Ratings: g

GREEN: Both common and important conditions/ concepts for the practice of a starting intern, requires extensive knowledge including epidemiology, aetiology, pathophysiology (including genetic and environmental risks), clinical presentation, investigation and detailed management

Barrett's oesophagus Malabsorption Mallory-Weiss (M-W) tear Pancreatic insuffiency Portal hypertension Varices (oesophageal, gastric) Abdominal lymphoma Achalasia Angiodysplasia Eosinophilic oesophagitis Other motility disorders (spasms, degenerative disorders, disorders drugs) BLUE: Either moderately common or moderately important conditions for the practice of a starting intern, requiring some knowledge including clinical presentation, investigation and principles of management

IMPORTANT NOTE: Students are expected to develop the necessary skills to deal with patients presenting in a range of contexts including: Vulnerable patients/populations, Patients with intellectual disability Crisis/ Risk management Indigenous patients/populations International health Undifferentiated illness

BROWN: A condition for which students should have sufficient knowledge to consider in a differential diagnosis

J Lindley Jan 2012