Internal Medicine — Old Senior Academic Day Lectures (Until Sep 2023)

Case of the Month

Teaching

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
1.1. Demonstrate a commitment to high-quality care of their patients
1.2. Integrate the CanMEDS Intrinsic Roles into their practice of Internal Medicine
1.3. Apply knowledge of the clinical and biomedical sciences relevant to Internal Medicine
1.3.1. Anatomy of the internal organs and neuro-musculoskeletal system, including surface anatomy and sonoanatomy, to guide diagnostic and therapeutic procedures
1.3.2. Physiology as it applies to the cardiac, vascular, pulmonary, gastrointestinal and hepatobiliary, renal, endocrine, neurological, musculoskeletal, hematologic and immunologic systems throughout the life course, including pregnancy and aging
1.3.3. Pathophysiology of the cardiac, vascular, pulmonary, gastrointestinal and hepatobiliary, renal, endocrine, neurological, musculoskeletal, hematologic and immunologic systems, as well as of infection and shock
1.3.4. Epidemiology of common acute and chronic medical conditions
1.3.5. Microbiology of community and hospital acquired infections
1.3.6. Principles of antimicrobial prophylaxis, antibiotic stewardship, and infection prevention and control
1.3.7. Principles of immunology and immune dysfunction in autoimmune disease and the immunocompromised host
1.3.8. Pharmacology as it relates to pharmacokinetics, pharmacodynamics, mechanism of action, routes of delivery and elimination, and adverse effects of medications
1.3.8.1. Analgesics
1.3.8.2. Antimicrobials
1.3.8.3. Cardiovascular medications
1.3.8.4. Endocrine medications
1.3.8.5. Immune modulating therapies
1.3.8.6. Neuropsychiatric medications
1.3.8.7. Respiratory medications
1.3.8.8. Systemic therapies for cancer
1.3.8.9. Drugs commonly used recreationally
1.3.8.10. Supplementary and complementary medications
1.3.9. Toxicology of drugs of abuse: prescription and recreational
1.3.10. Principles of screening, as well as of primary and secondary prevention
2. Perform a patient-centred clinical assessment and establish a management plan
2.1. Prioritize issues to be addressed in a patient encounter
2.1.1. Recognize medical instability and address the priorities of resuscitation
2.1.2. Identify relevant clinical issues in a consultation request
2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion
2.2.1. Elicit information relevant to the risk profile for disease
2.2.2. Assess risk factors for disease progression, as well as a patient’s need for health promotion and/or health surveillance
2.2.3. Obtain relevant information from the family history
2.2.4. Elicit an accurate occupational history, as appropriate, with documentation of the patient’s exposure to occupational health hazards, safety risks, and job demands
2.2.5. Perform a complete and appropriate assessment of complex medical presentations, including consideration of competing treatment needs
2.2.6. Assess the patient’s capacity to make decisions about his/her medical care
2.2.7. Perform a functional assessment of basic and instrumental activities of daily living, mental status examination, and assessment of gait and balance
2.2.8. Perform a quantitative measure of performance status for patients with malignancy
2.2.9. Select investigation strategies, demonstrating awareness of the availability and access to resources in various clinical settings
2.2.10. Apply criteria for use of diagnostic imaging and nuclear medicine examinations, including their risks and contraindications
2.2.11. Interpret cardio-pulmonary diagnostic testing, including electrocardiograms, and related reports
2.2.12. Interpret reports of medical imaging and pathology in the context of the patient
2.2.13. Integrate, synthesize and summarize information gathered through the clinical assessment and investigations