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College of Medicine
2+2 Curriculum Renewal Proposal
May 16, 2013
Course Title:
Medicine and Society I
First year, full year, two terms, 6 credit units
Calendar Description:
Students will learn to determine and meet the diverse health needs of specific and significant
populations in Saskatchewan and Canada. These populations may be determined by
chronological age, gender, geography, ethnic and cultural background, and other criteria.
Students will explore the determinants of health and disease prevention, public policy,
environmental hazards, relevant ethical and legal issues, and culturally safe and modified care.
Objectives:
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Describe the determinants of health and apply to the health patients
Explain how age, life stage, geographic location, gender, and ethnic origin influence health
Utilize epidemiological information to critically appraise the health of populations
Describe the role of integrative medicine in the generation of a diagnosis and management plan
Describe how to give culturally safe care to an Aboriginal patient based on knowledge of historic
and current government practices and intergenerational outcomes
Describe the challenges faced by new immigrants and refugees
Apply ethical and legal principles to population and community health issues and decisions
Topics:
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Population Health, Patient & Family Centered Care
Healthcare Systems & Medical Practice: Past, Present, and Future
Health and Determinants of Health , Health Systems & Health Organizations
Chronic Illness: Implications for Healthcare Systems & Medical Practice
Organization of the Medical Profession, Legal Foundations of Medical Practice
Epidemiology: Basic Concepts, Health Status Assessment and Health Equity
Epidemiology: Critical Appraisal, Evidence-Based Decision-Making
Epidemiology: Screening and Diagnostic Tests, Outbreak Management
Health Promotion, Advocacy and Public Policy for Health
Aboriginal Health: Delivering Culturally Safe Care, Health Care Services
Aboriginal Health: Historical Aspects of Health and Intergenerational Aspects
Aboriginal Health: Health Practices, Culture, and Belief Systems
Ethics and law in Public Health
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Medicine and Society II
Second year, full year, two terms, 6 credit units
Calendar Description:
Students will learn to determine and meet the diverse health needs of specific and significant
populations in Saskatchewan and Canada. These populations may be determined by
chronological age, gender, geography, ethnic and cultural background, and other criteria.
Students will explore the determinants of health and disease prevention especially from a global
perspective, public policy with respect to Canada’s health care system in particular, and
environmental and occupational hazards. Students will engage in both classroom and
community-based learning experiences.
Objectives:
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Explain how to engage in preventive medicine and health promotion strategies to enhance the
health of individuals and communities
Describe the Canadian health care system
Identify the major causes of morbidity and mortality around the world
Explain how physicians are part of health care leadership and management teams
Explain how environmental health affects the health of individuals and populations
Describe how various occupations affect the health of individuals and do a workplace assessment
Topics:
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Public Health and Preventative Medicine
o population health interventions
o lifestyle medicine
Health care system:
o structure and values, Canada Health Act
o comparative systems
o public health system & public health-primary health care interface
o health economics & health equity
Community Service Learning
Integrative Medicine
o Health Leadership & Teamwork: complexity, stability and change
Environmental Health
Global Health: immigrant health and travel medicine
Occupational Health/Stress, Health, and Illness
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Integration Medical Problem-Solving I
First year, full year, both terms, 5 credit units
Calendar Description:
Working in small groups, students will learn to integrate their knowledge and clinical reasoning
skills from all courses over all terms to address issues raised in cases related to the care of
patients, families, communities and populations. Major vertical themes as well as legal and
ethical reasoning and medical infomatics will be emphasized.
Objectives: (these are the major program based objectives as they appear in the Comprehensive
Curricular Document)
The graduate, under appropriate supervision, will be able to:
 Diagnose and initiate management of patients in all age groups with common and urgent
conditions.
 Gather information and/or order investigations that contribute to the diagnosis and care of
patients.
 Promote health and prevent illness for patients, families, communities and populations.
 Especially in interprofessional teams, collaborate effectively within and outside of the health
care system.
 Explain the best use of resources when making patient-centred clinical and population health
decisions.
 Recognize, and advocate for addressing the needs of individuals, families, communities, and
populations in all areas that affect health and well-being.
 Demonstrate skills of and disposition towards self-directed and life-long learning for physician
roles.
 Apply evidence in clinical decision-making.
 Teach effectively.
 Consistently act responsibly, respectfully, and ethically and encourage others to do the same.
 Explain and internalize the evolving social contract between physicians and society.
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Integration Medical Problem-Solving II
Terms 1 and 2, second year, 5 credit units
Calendar Description:
Working in small groups, students will learn to integrate their knowledge and clinical reasoning
skills from all courses over all terms to address issues raised in cases related to the care of
patients, families, communities and populations. Major vertical themes as well as legal and
ethical reasoning and medical infomatics will be emphasized.
Objectives: (these are the major program based objectives as they appear in the Comprehensive
Curricular Document)
The graduate, under appropriate supervision, will be able to:
 Diagnose and initiate management of patients in all age groups with common and urgent
conditions.
 Gather information and/or order investigations that contribute to the diagnosis and care of
patients.
 Promote health and prevent illness for patients, families, communities and populations.
 Especially in interprofessional teams, collaborate effectively within and outside of the health
care system.
 Explain the best use of resources when making patient-centred clinical and population health
decisions.
 Recognize, and advocate for addressing the needs of individuals, families, communities, and
populations in all areas that affect health and well-being.
 Demonstrate skills of and disposition towards self-directed and life-long learning for physician
roles.
 Apply evidence in clinical decision-making.
 Teach effectively.
 Consistently act responsibly, respectfully, and ethically and encourage others to do the same.
 Explain and internalize the evolving social contract between physicians and society.
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Principles of Medical Science
Term 1, first year, 17 credit units
Calendar Description:
This course will provide an introduction to Anatomy, Physiology, Histology, Embryology,
Medical Genetics, Nutrition, Pharmacology, Pathology, Immunology, and Microbiology over
five integrated modules. It will provide the requisite scientific knowledge framework for the
Clinical Foundations of Medicine Course.
Objectives:
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Explain the normal form and function of the human body with some introductory application to
human health and disease
Explain the basics of human nutrition and its role in supporting optimum health and to be able to
advise patients on appropriate up-to-date dietary strategies
Apply, at an introductory level, principles of genetics to the diagnosis and management of
common genetic disorders and have an approach to basic genetic counseling
Describe the basic principles of pharmacology, how various agents alter homeostasis and, the
pharmacological basis of therapeutics
Explain the basic principles of general pathology, immunology and microbiology with
introductory application to human health and disease
Topics:
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Physiology
 Physical and chemical principles of living systems (cause and effect relationships); Intro
to organ systems; Homeostasis (control systems and feedback loops, predictive vs.
reactive responses, failed homeostasis = disease); Molecular and cellular interactions;
Fluid and ion balance; Membrane structure and function; Cellular/molecular basis of
movement); Organization of neural and endocrine systems (information flow, stress
responses); Mass and Energy balance; Temporal aspects of living systems (biologic
rhythms, aging, evolutionary aspects)
Anatomy
 Head to Toe introduction to gross anatomy using dissection, prosection, models, virtual
resources
Histology
 Introduction to the 5 basic tissues (epithelium, connective tissue, blood, nervous, muscle)
Embryology
 Introduction to the first 4 weeks of development
Medical genetics
 FmHx/Pedigrees; Traditional/Non-Traditional patterns of inheritance;
Cyto/Molecular genetics; DNA Testing/Screening; Population genetics; Metabolic
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diseases; Teratology; Dysmorphology; Chromosomal syndromes; Common
Mendelian disorders
Nutrition and Metabolism
 Diet and Disease; Macro/Micronutrients; Fibre; Liquids and Whole foods; Diets and
Dietary Strategies to support health; Obesity and Weight loss; Healthy eating/meal plans;
Diet through the life cycle; nutrient-nutrient/nutrient-drug interactions; nutritional
supplements; Food allergies/sensitivities.
Pharmacology
 Introduction/Key terms; Pharmacokinetics; Pharmacodynamics; Age-dependent aspects
of drug action; Pharmacogenetics/genomics; Principles of drug interactions; Pain
management; Toxicology; Basic Introduction to development/Evaluation/Control of
Drugs; Chemotherapy (Anti-Bacterial/viral/cancer)
Immunology
 Innate and Adaptive Immunity (including role of immune response in allergies, cancer,
autoimmunity, transplant, infectious disease)
Pathology
 Cell Injury/Death; Acute/Chronic inflammation; Tissue repair; Hemodynamic disorders;
Neoplasia; Lab medicine; Integrated path (in environment, nutrition, ID, patient
management)
Microbiology
 Introduction to basic principles of microbiology
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title: Foundations of Clinical Medicine
Term 2, first year, 19 credit units
Terms 1 and 2, second year, 34 credit units
Calendar Description:
This course is an integration of eleven human body systems modules running over Terms 2, 3,
and 4. Students will learn to care for patients with common and/or urgent medical conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized. Students will be prepared to enter their clerkship where they will expand and
deepen their knowledge and skills in these areas.
Objective:
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Students will be able to care for patients with common/urgent conditions by applying their
knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
Topics:
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This course contains eleven modules organized around the systems of the human body (in the
order in which they appear in the schedule):
Term 2, first year:
o Hematological
o Respiratory
o Cardiovascular
o Gastrointestinal
Term 1, second year:
o Endocrine
o Reproductive
o Renal and Urinary Tract
Term 2, second year:
o Musculoskeletal
o Neurological
o Mental Health
o Skin
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Hematological System
Term 2, first year
Calendar Description:
Students will learn to care for patients with common and urgent hematological conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent hematological conditions by
applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations including hematologic laboratory tests
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
and apply basic principles of transfusion medicine
Topics:
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Basic approach to CBC (blood laboratory tests)
Hematologic terminology
Broad overview of hematologic lab tests
Review of hemostasis/hematopoiesis
Classification, diagnosis, and management of anemias and thrombotic Conditions
Hemostasis
Consultative Hematology: thrombocytopenia, pediatric hematology, transfusion
Hematologic Malignancies
Integrative Medicine
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Respiratory System
Term 2, first year
Calendar Description:
Students will learn to care for patients with common and urgent respiratory conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent respiratory conditions by applying
their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following presentations and topics:
Presentations:
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Hemoptysis
Dyspnea
Cough
Cyanosis/Hypoxemia/Hypoxia
Ear pain
Mediastinal mass/hilar lymphadenopathy
Mouth Problems
Bronchiectasis
Topics: (relating to the above presentations)
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Upper respiratory tract infections (Otitis media, sinusitis and pharyngitis, croup)
Pneumonias
Asthma
COPD
Lung cancers
Upper airway emergencies
Chest traumas, acute management (blood gases, ventilator support)
Pleural diseases, interstitial lung diseases, cystic fibrosis
Thrombo-embolic disease
Allergic rhinitis
Tuberculosis
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Sleep apnea
Congestive Heart Failure
Bacterial Tracheitis
Retro-pharyngeal abscess
Epiglottitis
Otitis Externa
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Cardiovascular System
Term 2, first year
Calendar Description:
Students will learn to care for patients with common and urgent cardiovascular conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent cardiovascular conditions by
applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
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Hypertension
Malignant Hypertension
Hypotension/Shock
Cardiac Arrest
Chest Discomfort/Angina Pectoris/Pain
Diastolic Murmur
Systolic Murmur
Abnormal ECG-Arrhythmia
Pathological Heart Sounds
Pulse Abnormalities
Loss of Consciousness
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Gastrointestinal System
Term 1, first year
Calendar Description:
Students will learn to care for patients with common and urgent gastrointestinal conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent gastrointestinal conditions by
applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
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Anatomy, histology, embryology, physiology, and microbiology of the gastrointestinal tract.
Gastroesophageal Reflux Disease, Peptic ulcer disease, gastritis, and motility disorders
Esophageal and gastric cancer
Diarrhea and Constipation
Diverticular disease
Inflammatory Bowel Disease
Colon Cancer
Pancreas, biliary and nutritional diseases/disorders
Liver diseases
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Endocrine System
Term 1, second year
Calendar Description:
Students will learn to care for patients with common and urgent endocrine conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent endocrine conditions by applying
their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
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Lipid and Fat Metabolism
 The pathophysiology and pathways of lipids and fat metabolism
 Genetics and screening of lipoprotein and fat metabolism
 Lipodystrophic state
Nutrition
 The impact of nutrition on the health of society
 The link between nutrition and disease
Diabetes
 Anatomy of the pancreas, its blood supply and relationship to liver and small intestine
 Histology of hormone producing cells and molecular signaling pathways
 Insulin and Glucagon
 The pathophysiology of pre diabetes, diabetes, Type I and Type II
 Clinical presentation, acute and chronic complications and the treatemnt of acute and
chronic complicatons of type 1 and type 2 diabetes
 Insulin Resistance
 The impact of diabetes on the health of society
Thyroid, Bone and Parathyroid
 Phosphocalcic metabolism and common bone disease
 Thryroid hormone physiology
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Thyroid diseases: Hypothyroidism, Goiters, Thyroid nodules, Thyroid cancers,
Parathyroid disease and hypercalcemia
Hypothalamic/Pituitary/Adrenal
 Hypothalamic-pituitary axis
 Diseases of pituitary gland
 Diseases of the adrenal gland: Hyperactive, Hypoactive, Tumours
 Puberty: Normal and abnormal growth, Normal and abnormal puberty
Maintenance of homeostasis
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Reproductive Systems
Term 1, second year
Calendar Description:
Students will learn to care for patients with common and urgent reproductive conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent reproductive conditions by
applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
use population health policy to inform the management of individual patients
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
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Physiology, abnormal and normal, of human reproduction
 Physiology and endocrinology of female and male reproductive systems
 From conception through: birth, puberty, menopause/andropause to senescence
 The pathological mechanisms which cause dysregulation of normal reproduction
Pregnancy
 Physiology of pregnancy from an embryonic, fetal, and maternal perspective
 Potential complications of pregnancy from fetal and maternal perspectives
 The potential effects of teratogens
 The normal process of parturition
 Various modalities for pain control in labour
 Intrapartum complications and their management
 Complications of the post-partum period
Pathology of Reproductive Organs
 Clinical presentation, appropriate investigations and treatment options for common pelvic
pathologies, including issues of:
 fertility,
 Incontinence,
 Prolapse,
 Abnormal menstruation,
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 Vaginitis,
 Pelvic pain and
 Neoplasms
The Breast and other topics
 Clinical presentation and appropriate investigations for diseases of the breast: mastitis,
nipple discharge, and masses
 Breast cancer: risks, preventative measures, organized screening, and treatment approach.
 Sexual function: normal, and abnormal
 Sexual orientation
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Renal and Urinary Tract
Term 1, second year
Calendar Description:
Students will learn to care for patients with common and urgent renal and urinary tract
conditions by acquiring and applying knowledge and clinical reasoning skills to generate
reasonable differential diagnoses and management plans, select and interpret appropriate
investigations, and explain the pathogenesis and pathophysiology of the subject conditions.
Major vertical themes will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent renal and urinary tract conditions
by applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
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Electrolyte and/or acid base abnormalities
Hematuria
Proteinuria
Dysuria
Elevated serum creatinine and/or urea
Approach to a patient with hyperentension
End stage renal failure
Lower urinary tract abnormalities
Upper UTA
Voiding abnormalities (enuresis/incont)
Scrotal abnormalities
Prostate
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Musculoskeletal System
Term 2, second year
Calendar Description:
Students will learn to care for patients with common and urgent musculoskeletal (MSK)
conditions by acquiring and applying knowledge and clinical reasoning skills to generate
reasonable differential diagnoses and management plans, select and interpret appropriate
investigations, and explain the pathogenesis and pathophysiology of the subject conditions.
Major vertical themes will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent MSK conditions by applying their
knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
identify medical and surgical complications of MSK diseases and their therapies
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following presentations and topics:
Topics:
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Monoarthritis and polyarthritis
Connective Tissue Diseases (Systemic lupus erythematosus (SLE), Scleroderma, Myopathy)
Osteoporosis
Vasculitis
Pediatric Rheumatologic and Orthopaedic Conditions
Upper and Lower extremities
Back and Neck Pain
Spinal Injuries
Sports Injuries
Musculoskeletal trauma
Infections of bones and joints
Musculoskeletal tumors/tumor-like conditions
Ordering and interpretation of musculoskeletal imaging
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Neurological System
Term 2, second year
Calendar Description:
Students will learn to care for patients with common and urgent neurological conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent neurological conditions by
applying their knowledge and clinical reasoning skills to:
use principles of anatomic localization to the diagnosis and management of neurological
conditions
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics: (based on presentation)
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diplopia
dizziness/vertigo
delirium/confusion
eye redness/pupil abnormalities/neurologic and ocular causes of visual loss
gait disturbance/ataxia
headache
hearing loss/deafness
hemiplegia/hemisensory loss +/- aphasia
hoarseness/dysphonia/speech and language abnormalities
altered levels of consciousness
dementia
movement disorders, involuntary/tic disorders
numbness/tingling/altered sensation
local pain
o spinal compression/osteoporosis
o spine/neck/thoracic
o spine/low back pain
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sympathetic/complex regional pain syndrome/reflex sympathetic dystrophy
central/peripheral neuropathic pain
seizure/epilepsy
sleep and circadian rhythm disorders/sleep apnea syndrome/insomnia
smell/taste dysfunction
synocope/pre-synocope/loss of consciousness (fainting)
head trauma/brain death/transplant donations
nerve injury
spinal trauma
weakness/paralysis/paresis/loss of motion
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Medical Practice: Mental Health
Term 2, second year
Calendar Description:
Students will learn to care for patients with common and urgent mental health conditions by
acquiring and applying knowledge and clinical reasoning skills to generate reasonable
differential diagnoses and management plans, select and interpret appropriate investigations, and
explain the pathogenesis and pathophysiology of the subject conditions. Major vertical themes
will be emphasized.
Objectives:
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Students will be able to care for patients with common/urgent mental health conditions by
applying their knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis using the DSM-IV-TR/V
select then interpret appropriate medical investigations
propose an appropriate management plan that may include pharmacological, psychotherapeutic,
and social interventions
explain the pathogenesis and pathophysiology from a biopsychosocial model at a level suitable
for a graduating medical student for each of the following topics:
Topics:
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Attention Deficit/ Hyperactivity Disorder (ADHD)/ Learning Disorders
Developmental Disorders
Child Abuse: Physical/ Emotional/ Sexual/ Neglect/ Self-Induced
Failure to Thrive, Elderly/Elder Abuse
Delirium and Dementia
Mood, Anxiety, Psychotic, Personality, Substance Use, and Eating Disorders
Suicide
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Foundations of Clinical Medicine: Skin
Term 2, second year
Calendar Description:
Students will learn to care for patients with common and urgent skin conditions by acquiring and
applying knowledge and clinical reasoning skills to generate reasonable differential diagnoses
and management plans, select and interpret appropriate investigations, and explain the
pathogenesis and pathophysiology of the subject conditions. Major vertical themes will be
emphasized.
Objectives:
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Students will be able to care for patients with common/urgent skin conditions by applying their
knowledge and clinical reasoning skills to:
generate a reasonable differential diagnosis
select then interpret appropriate medical investigations
propose an appropriate management plan
explain the pathogenesis and pathophysiology at a level suitable for a graduating medical student
for each of the following topics:
Topics:
Dermatites
Acne, rosacea, perioral dermatitis
Psoriasis and other papular squamous disorders
Drug eruptions
Skin infections- bacterial, viral, fungal
Hair cycle and loss; Nail growth changes/diseases
Infantile (diaper dermatitis, hemangiomas, vascular malformations, epidermolysis, erythema
toxicum, miliaria, milia, and neonatal pustular melanosis)
Infestations – scabies, lice, insect bites
Urticaria and reactive erythema
Moles and melanoma
Disorders of pigmentation
Bullous diseases
Skin and systemic disease
Photodermatoses
Wounds and wound care
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title: Clinical Skills I
Term 1, first year, 6 credit units
Calendar Description:
Learning in Professional Skills I (Term 1) is designed to assist the student in developing
fundamental clinical skills upon which they will build throughout their professional lives.
Interviewing, communication skills, basic physical examination skills, and foundations of
clinical reasoning are the focus of the course. The development of effective and caring
relationships with patients is fundamental to the success of this course and all future clinical
experiences.
Objectives:
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Establish ethical relationships with patients characterized by understanding, trust and empathy
Conduct patient-centred interviews that: explore and apply the four dimensions of illness –
“FIFE”(feelings, ideas, impact on function, expectations)
Explore the disease process and relevant past history
Explore social and family context with the patient
Attempt to reach agreement with patients on the nature of their problems, appropriate goals of
treatment, and roles of patient and doctor (and others, as appropriate) in management
Perform a screening physical examination in an orderly and efficient manner demonstrating
respect for the patient
Present a concise verbal summary of the patient’s disease and illness experience and provide a
brief assessment and management plan, and record the information obtained in an appropriate
format
Demonstrate competence in personal time management, such that competing demands are
prioritized, requirements are completed as described, and deadlines are met
Consistently exhibit professional behaviours, including but not limited to integrity; respect for
patients, faculty, staff and peers; and responsibility through punctual, regular attendance and
timely completion of assignments
Topics:
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Ethics (specifically confidentiality)
Principles of communication
Physical examination
o vital signs, hands and nails, head and neck
o cardiovascular, respiratory, neurological
o skin, musculoskeletal, lymphatic, abdominal
o breast, rectal, genitourinary
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Clinical Skills II
Term 2, first year, 7 credit units
Calendar Description:
Learning in Professional Skills II (Term 2) will enable students to improve their basic clinical
skills, including patient-centered communication and physical examination through a
combination of assessment of ‘real-life’ patients and structured learning sessions. Students will
further develop clinical reasoning skills including development of differential diagnoses. The
course will include the following components: Advanced Communication Skills, Clinical
Scenarios/Simulations, Emergency Medicine, Family Medicine, Internal Medicine, Pediatrics,
and Surgery. When appropriate and possible, sessions will be organized around content students
are learning in other courses. This course includes a two week rural clinical placement in May.
Objectives:
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Establish ethical relationships with patients characterized by understanding, trust and empathy
Perform a physical examination relevant to a patient’s presenting problems, in an orderly
efficient manner, demonstrating respect and sensitivity to patient comfort
Present a concise verbal summary of the patient’s disease and illness experience, potential
differential diagnoses, attempt to provide a brief assessment and management plan, and record
the information obtained in an appropriate format
Solve or suggest solutions to clinical problems, dilemmas, and challenges suitable for their level
of training
Demonstrate competence in personal time management, such that competing demands are
prioritized, requirements are completed as described, and deadlines are met
Exhibit professional behaviours consistently, including integrity; respect for patients, faculty,
staff and peers; and responsibility through punctual, regular attendance and timely completion of
assignments
Conduct patient-centred interviews that:
 explore and apply the four dimensions of illness – “FIFE”(feelings, ideas, impact
on function, expectations);
 explore the disease process and relevant past history
 explore relevant social and family context with the patient;
 reach agreement with patients on the nature of their problems, appropriate goals
of treatment, and roles of patient and doctor (and others, as appropriate) in
management.
Topics:
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Advanced communication skills
Pediatrics physical examinations
Patients presenting with various issues:
o hematological
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o respiratory
o cardiovascular
o gastrointestinal
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Clinical Skills III
Term 1, second year, 6 credit units
Calendar Description:
Learning in Professional Skills III (Term 3) will enable students to further refine their clinical
skills, including patient-centred communication and physical examination through a combination
of assessment of ‘real-life’ patients and structured learning sessions. Students will further
develop clinical reasoning skills including differential diagnosis and management planning. The
course will include the following components: Advanced Communication Skills, Clinical
Scenarios/Simulations, Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics
and Gynecology, Pediatrics, and Surgery, When appropriate and possible, sessions will be
organized around content students are learning in other courses.
Objectives:
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Students will:
Establish ethical relationships with patients characterized by understanding, trust and empathy
Conduct patient-centred interviews that explore:
 and apply the four dimensions of illness – “FIFE”(feelings, ideas, impact on
function, expectations)
 the disease process and relevant past history, and
 relevant social and family context with the patient
Reach agreement with patients on the nature of their problems, appropriate goals of treatment,
and roles of patient and doctor (and others, as appropriate) in management
Perform a physical examination relevant to a patient’s presenting problems, in an orderly
efficient manner, demonstrating respect and sensitivity to patient comfort
Develop a preliminary management plan based on the patient's needs, including investigations,
nonpharmacologic and pharmacologic management, involvement of other health care providers
and plans for follow-up
Present a concise verbal summary of the patient’s disease and illness experience, potential
differential diagnoses, assessment and management plan, and record the information obtained in
an appropriate format
Solve or suggest solutions to clinical problems, dilemmas, and challenges suitable for their level
of training
Demonstrate competence in personal time management, such that competing demands are
prioritized, requirements are completed as described, and deadlines are met
Exhibit professional behaviours consistently, including integrity; respect for patients, faculty,
staff and peers; and responsibility through punctual, regular attendance and timely completion of
assignments
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Topics:
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Advanced communication skills
Pediatric specific teaching
Endocrine examination
Male genito-urinary examination
Female breast and pelvic examinations
Patients presenting with a nephrology/urology issue or a reproductive health issue
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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Course Title:
Clinical Skills IV
Term2, second year, 6 credit units
Calendar Description:
Learning in Professional Skills IV (Term 4) will enable students to further refine their clinical
skills and to become increasingly proficient at establishing rational differential diagnoses and
developing appropriate patient-centred management plans. The course will include the following
components: Clinical Scenarios/Simulations, Structured Interviewing and Physical examination
sessions, Geriatrics, Neurology, Ophthalmology, Orthopedics, Physical Medicine and
Rehabilitation, and Psychiatry. When appropriate and possible, sessions will be organized around
content students are learning in other courses. This course may involve a rural clinical
placement at the end of the term.
Objectives:
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Students will:
Establish ethical relationships with patients characterized by understanding, trust and empathy
Conduct patient-centred interviews that:
 explore and apply the four dimensions of illness – “FIFE”(feelings, ideas, impact
on function, expectations)
 explore the disease process and relevant past history
 explore relevant social and family context with the patient
Reach agreement with patients on the nature of their problems, appropriate goals of treatment,
and roles of patient and doctor (and others, as appropriate) in management
Perform a physical examination relevant to a patient’s presenting problems, in an orderly
efficient manner, demonstrating respect and sensitivity to patient comfort
Develop a preliminary management plan based on the patient's needs, including investigations,
nonpharmacologic and pharmacologic management, involvement of other health care providers
and plans for follow-up
Present a concise verbal summary of the patient’s disease and illness experience, potential
differential diagnoses, assessment and management plan, and record the information obtained in
an appropriate format
Solve or suggest solutions to clinical problems, dilemmas, and challenges suitable for their level
of training
Demonstrate competence in personal time management, such that competing demands are
prioritized, requirements are completed as described, and deadlines are met
Exhibit professional behaviours consistently, including integrity; respect for patients, faculty,
staff and peers; and responsibility through punctual, regular attendance and timely completion of
assignments.
Topics:
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Orthopaedics
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Musculoskeletal physical examination
o temporomandibular, spine, upper extremities
o hips, lower extremities
Rehabilitation
o amputation/mobility
o stroke/ spinal cord injury
Neurological examination
Pediatric neurological examination
Eye examination
Geriatric Skills
Psychiatric interview
Teaching and Assessment Strategy:
All teaching methods and assessments for this course will be done in accordance with the
Comprehensive Curriculum Document.
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