Biomedical sciences



AMSEC Musculoskeletal Competency Checklist

|BASIC SCIENCE AND SUPPORTING KNOWLEDGE |

|Biomedical sciences |

|Understands the key basic biomedical science concepts and principles (including anatomy, physiology, pathology, pharmacology, microbiology, genetics |

|and biostatistics), relates them to fundamental normal and abnormal processes in medicine throughout life, and applies them to the clinical sciences |

|underlying current and emerging medical practice. |

| |

|Local Learning Outcomes |1106.4 Predict the speed of locomotion of any terrestrial vertebrate on the basis of its limb morphology |

| |Identify and name the bones of the skeleton in any vertebrate |

| |Describe, using correct anatomical terminology, the movements at joints of the body in terrestrial |

| |vertebrate |

| |Identify, name and describe the action of major muscle groups in humans |

| |2202.1 Identify the surface landmarks and major bone points used in clinical examination |

| |2202.3 Define and discuss normal structure and function of the major joints in the body |

| |2202.6 Compare and contrast the structure, function and innervation of the upper and lower limbs |

| |2202.7 Identify and describe the anatomy of the head and neck |

| |2202.11 Describe physiological processing in motor and sensory pathways and the relationship to perceptual |

| |performance and motor sensory deficits and correlate with clinical testing, diagnosis and location of |

| |pathological processes |

| |2202.15 Describe and identify the macroscopic anatomy of the nervous system |

| |3343.12: Describe the pathogenesis, morphological and clinical manifestations of basic pathological |

| |processes and a range of specific diseases of the musculoskeletal system |

| |Discuss normal joint function. |

| |Discuss normal bone physiology, structure and histology. |

| |Describe the normal structure, function and metabolism of bones and joints. |

| |Discuss fracture healing and repair. |

| |4491: Apply anatomy, physiology, biochemistry, rheumatology and endocrinology knowledge to the |

| |musculoskeletal system |

| |Describe the normal anatomy of the musculoskeletal system |

|Learning experiences |1106: Lectures, Tutorials, Laboratories, Self directed learning |

| |2202: Lectures, Tutorials, Laboratories, Clinical skills |

| |3343: Lectures, Tutorials, Self directed learning |

| |4491: anatomy lab session |

|Assessment |1106: Practical/Clinical-Practical task, Written Assignment-Essay, Written Exam-Objective test items, |

| |Written Exam-Short Answer Questions |

| |2202: Oral-Presentation,  Practical/Clinical-Structured exam |

| |3343: Written Exam-Objective test items, Written Exam-Short Answer Questions |

| |4491: MCQ questions |

|Behavioural and Social Science |

|Understands key concepts and principles of psychosocial development throughout life, the multitude of psychological and social factors influencing |

|patient and professional behaviour and interactions, and applies these to the multiple domains of “professionalism” and the effective care of |

|patients. |

| |

|Local Learning Outcomes |2211.2 : Identify and discuss the causes of ill health considering both the national and international |

| |perspective |

| |4491 - Apply anatomy, physiology, biochemistry, rheumatology and endocrinology knowledge to the |

| |musculoskeletal system |

| |Demonstrate effective clinical and interpersonal skills related to musculoskeletal disorders |

| |Identify musculoskeletal somatisation as a manifestation of psychiatric disorders |

| |Describe the progressive nature of deforming arthropathies |

| |Describe the psycho-social impact of deforming arthropathies on patients and their carers |

| |Demonstrate sensitivity to patients with problems of the musculoskeletal system who must frequently present|

| |with pain and disability |

| |Demonstrate awareness and sensitivity of patients with skeletal failure fractures and particularly proximal|

| |femoral fractures who often have associated dementia |

|Learning experiences |2211 Lectures, Tutorials, Clinical skills |

| |IMED 4491 ward work, attendance at outpatient clinics |

|Assessment |IMED 4491 workbook? |

| |2212 : Participation-Tutorials,  Written Assignment-Literature Review,  Written Assignment-Portfolio,  |

| |Written Assignment-Report, Written Assignment-Report,  Written Exam-Essay,  Written Exam-Short Answer |

| |Questions |

|Professionalism: |

|Understands the core concepts and principles underlying the key non-technical” professional” roles in health including communicator, advocate, |

|scholar, manager, leader, educator, collaborator, legal and ethical and relates these to the lifelong advancement of professional practice in health |

|care. |

| |

|Local Learning Outcomes |Demonstrate effective clinical and interpersonal skills related to musculoskeletal disorders |

| |personal and professional development, 5th and 6th year |

|Learning experiences |IMED 4491 ward work, attendance at outpatient clinics |

|Assessment |IMED 4491 workbook? |

|Specialized MSK: Understands the anatomical and basic science processes that underlie the normal form and function of specific MSK tissues throughout|

|life including formation, maintenance and repair, calcium and phosphate metabolism and biomechanics as the basis for understanding and interpreting |

|changes due to normal variation, ageing, abnormal forces and pathological conditions. Understands how the spectrum of pathological processes may |

|affect MSK tissue; the specific reactions of MSK to disorders and injury; and how these may lead to deformity and dysfunction of bone and joints. |

| |

|Local Learning Outcomes |1106.4 Describe, using correct anatomical terminology, the movements at joints of the body in terrestrial |

| |vertebrate |

| |Identify, name and describe the action of major muscle groups in humans |

| |2202.2 Interpret radiographic (x-ray) images of the normal skeleton and CT and MRI images of the limbs, |

| |head and neck |

| |2202.3 Define and discuss normal structure and function of the major joints in the body |

| |3343.12: Describe the pathogenesis, morphological and clinical manifestations of basic pathological |

| |processes and a range of specific diseases of the musculoskeletal system |

| |Discuss normal joint function. |

| |Discuss normal bone physiology, structure and histology. |

| |Describe the normal structure, function and metabolism of bones and joints. |

| |Discuss fracture healing and repair. |

| |4491: Describe the pathophysiology of osteoporosis, osteomalacia, malignant bone disease and Paget's |

| |disease |

| |Describe mechanisms of fracture and fracture healing |

| |Describe mechanisms of tendon and ligament injury and healing |

| |Describe mechanisms of nerve injuries and healing |

| |Describe the pathophysiology of joint inflammation and joint degeneration and diffuse soft tissue pain |

| |Describe and explain calcium and phosphate related biochemistry |

|Learning experiences |2202 – lectures, tutorials, labs, clinical skills |

| |IMED 3343: Lectures, tutorials, SDL |

| |IMED4491 ortho case study (trauma), PBLs (OP, RA) |

|Assessment |IMED 3343: Summative and formative, written exam objective test items, short answer questions |

| |4491: self-assessment, oral presentation, practical skills, clinical structured exam, end of term MCQ |

|Imaging: Understands the fundamental concepts and principles associated with image production in the commonly used modalities; the resultant |

|appearance of anatomical structures from these modalities; and identifies key radiological features and signs of normality as the basis for |

|understanding and Interpreting changes due to normal variation, ageing, abnormal forces and pathological conditions. Understands how the spectrum of |

|pathological processes are manifested in imaging studies; identifies specific reactions related to MSK disorders and injury; knows and interprets |

|common signs of abnormality and deformity as well as commonly missed important fractures. |

| |

|Local Learning Outcomes |2202.2 Interpret radiographic (x-ray) images of the normal skeleton and CT and MRI images of the limbs, |

| |head and neck |

| |2202.3 Define and discuss normal structure and function of the major joints in the body |

|Learning experiences |2202: lectures, tutorials, labs, clinical skills |

| |4491: lecture on general fracture principle, tOSCE presentation on dx imaging, ortho case study (fracture),|

| |ortho case study (mets), ward and outpatient experiences |

|Assessment |4491: MSK online self-assessments, end-of-year OSCE exams, end of term MCQ, clinical structured exam, oral |

| |presentation |

|CLINICAL SCIENCES AND SKILLS |

|Attitude and Communication Skills: Incorporates key concepts and principles of “Behavioural and Social Science” and “Professionalism” as the basis for |

|effective communication (using both verbal and non-verbal techniques) with patients, their friends and families, health professionals and the general |

|public. This includes collecting and conveying information clearly, considerately and sensitively and listening and responding to patient concerns |

|Local Learning Outcomes |Demonstrate effective clinical and interpersonal skills related to musculoskeletal disorders |

| |3rd yr GP, 5th yr GP, personal and professional development, 5th and 6th year |

|Learning experiences |Mentor discussions, ward work and outpatient clinics |

|Assessment |PPD portfolio |

|Assessment: Able to communicate effectively with a patient and/or representative to construct an accurate and problem focussed MSK history, relate this|

|to abnormalities identified by appropriately targeted physical examination and investigations, and interpret using the principles of critical reasoning|

|and diagnostic formulation with consideration to any impairments, disabilities and/or functional limitations. |

| |History |

| |Demonstrates ability to perform accurate and organized MSK screening |

| |Demonstrates ability to take accurate and organized MSK problem-focussed history in the following presentations: |

| |Acute pain presentation |

| |Chronic pain presentation |

| |Traumatic injury presentation |

| |Functional disability presentation |

| |Demonstrates understanding of general pathological processes and specific reactions of MSK tissues to disorders and injuries |

|Local Learning Outcomes |3345.42.2 Discuss the general principles of pain management |

| |3345.42.3 Discuss the role of drugs in the overall management of chronic pain |

| |3345.2.4 Discuss the problems arising from drug use in patients with chronic pain |

| |3345.2.5 Be aware of the major practical issues in managing chronic pain |

| |4491.3.1 Describe the clinical assessment and management of complaints of musculoskeletal pain including myalgia, |

| |arthralgia, arthritis and back pain. |

| |4491.3.12Describe and explain the pathological features, clinical assessment and management of common orthopaedic injuries of|

| |wrist,ankle, femoral neck, soft tissue (knee and shoulder), elbow, clavicle, hand (including nerve, tendon, bone injury and |

| |loss of function) |

| |5531.5.4 Conduct a consultation including taking a history, requesting and interpreting appropriate investigations, |

| |formulating a diagnosis and a management plan with a patient presenting with low back pain, neck pain, knee pain and headache|

| |Identify common causes of low back pain, neck pain and knee pain, and of chronic headache in general practice |

| |5531.5.16 – broad mgmt. of chronic pain |

|Learning experiences |3345 – tutorials, case based learning |

| |4491 ward work and outpatient clinics, PBLs for rheumatology, ortho case studies, general fracture and polytrauma lectures |

|Assessment |4491 workbook, end of term MCQ, |

| |3345 written exam short answer, MCQ |

| |Examination |

| |Applies physical examination principles to MSK physical examinations |

| |Able to perform general screening examinations (e.g. GALS) |

| |Able to perform systematic examination for inflammatory conditions |

| |Able to perform examinations in acute trauma settings |

| |Able to perform regional examinations of the spine and extremities |

| |Able to apply principles of critical reasoning to examination findings |

| |Understands effect of validity, sensitivity and specificity to interpretation of MSK examination findings |

| |Considers effect of acute pain on performance and interpretation of MSK examination findings |

| |Considers effect of chronic pain on performance and interpretation of MSK examination findings |

| |Considers effect of psychosocial “yellow flags” on performance and interpretation of MSK examination findings |

|Local Learning Outcomes |2211.13.4 Describe and demonstrate regional physical examinations of the musculoskeletal system with the use of appropriate |

| |tools and techniques |

| |4491. 3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal |

| |related health conditions |

| |4491.4.1: Perform examination of peripheral joints and the back/spine, hip, shoulder and neck accurately and efficiently |

| |4491.4.2: Perform examination of frequently problematic soft tissue structures accurately and efficiently |

| |4491 3.4.2.1 Demonstrate how clinical examination and functioning tests relate to the anatomy and physiology of the |

| |musculoskeletal system |

| |5531.5.4 Conduct a consultation including taking a history, requesting and interpreting appropriate investigations, |

| |formulating a diagnosis and a management plan with a patient presenting with low back pain, neck pain, knee pain and headache|

|Learning experiences |2211 – tutorials, clinical skills |

| |4491: physical examination tutorials week 1, ward work and outpatient clinics |

| |5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement |

|Assessment |2211: Practical/Clinical-Observed encounter, Portfolio, Workbook/lab book, Essay, Short Answer Questions |

| |4491: workbook, end of term MCQ, MEQ |

| |5531: Practical/Clinical-Simulation, Written Assignment-Log Book |

| |Investigations |

| |Demonstrates the appropriate selection of the following investigative modalities for MSK conditions, with consideration of |

| |risk/benefit ratio, accessibility, cost effectiveness, validity, sensitivity and specificity: |

| |Laboratory tests |

| |Imaging modalities |

| |Special diagnostic modalities |

|Local Learning Outcomes |2202.2: Interpret radiographic (x-ray) images of the normal skeleton and CT and MRI images of the limbs, head and neck |

| |4491.4.4.1.4 Describe how to order and accurately interpret synovial fluid laboratory studies |

| |Describe how to order and accurately interpret bone densitometry |

| |5531.5.4 Conduct a consultation including taking a history, requesting and interpreting appropriate investigations, |

| |formulating a diagnosis and a management plan with a patient presenting with low back pain, neck pain, knee pain and headache|

|Learning experiences |2202: Lectures, Tutorials, Laboratories, Clinical skills |

| |4491 lectures (OA – joint aspiration), (laboratory tests), ortho case study |

| |5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement |

|Assessment |2202: Oral-Presentation, Practical/Clinical-Structured exam |

| |4491 – MCQ |

| |5531: Practical/Clinical-Simulation, Written Assignment-Log Book |

|Critical Reasoning and Diagnostic Formulation: Relates MSK problem-based assessment findings to anatomical and pathological aetiologies; recognizes |

|features used to discriminate between specific MSK conditions (ie understands differential diagnosis of MSK conditions); and applies the principles of |

|critical reasoning and diagnostic formulation in the construction of appropriate differential diagnosis |

|Local Learning Outcomes |IMED 4491 4.4.1.3: Describe and explain the pathological features, clinical assessment and management of specific |

| |musculoskeletal related health conditions |

| |IMED 5531 Conduct a consultation including taking a history, requesting and interpreting appropriate investigations, |

| |formulating a diagnosis and a management plan with a patient presenting with low back pain, neck pain, knee pain and headache|

|Learning experiences |IMED 4491 lectures, including intro lecture, ward and outpatient clinic attendance |

| |5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement |

|Assessment |IMED 4491 MCQ, IMED 4491 workbook |

| |5531: Practical/Clinical-Simulation, Written Assignment-Log Book |

|Related Management Issues: Understands the key broader community, legal, environmental and technical issues that may impact on the management of |

|individual patient. |

|Local Learning Outcomes |4491.2.3 Describe the psycho-social impact of deforming arthropathies on patients and their carers |

| |4491.6.1 Identify and describe the high incidence and prevalence of low back pain in the community and the issues of |

| |continuing care for chronic disorder |

| |4491.6.2 Identify and describe the scope for prevention of musculoskeletal disorders such as gout, viral arthritis and |

| |osteoporosis |

|Learning experiences |4491 lectures, PBLs |

|Assessment |4491 end-of-term MCQ |

|Procedural Skills: Understands the general principles of safe procedural performance and equipment usage, and is able to perform procedures or use |

|equipment at the prescribed level, (including limb realignment, splintage and injection use in MSK conditions). |

|Local Learning Outcomes |4491.4.3 Perform safe application and removal of a forearm plaster backslab |

| |4491.4.4 Perform safe application of a triangular broad arm sling, a collar and cuff shoulder sling |

| |4491.4.5 Describe how to order and accurately interpret synovial fluid laboratory studies |

| |4491.4.6 Describe how to order and accurately interpret bone densitometry |

| |4491.4.7 Describe the indications for use of a triangular broad arm sling, a collar and cuff shoulder sling |

|Learning experiences |4491 lectures (gout, OP), PBL (OP) |

|Assessment |4491 end of term MCQ |

|Prioritization: Understands the principles of prioritizing conditions in health and education (both professional and patient) based on urgency, |

|frequency and amenable to intervention. This incorporates factors such as the impact on the individual patient, the community and the population, |

|financial resources, incidence, prevalence, projected changes and emerging issues. |

|Local Learning Outcomes | |

|Learning experiences | |

|Assessment | |

|Management: |

|Understands the key principles of management of conditions that have a broad application across health including pain, wound management and general |

|trauma. |

|Local Learning Outcomes |4491.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal |

| |related health conditions |

| |5531.5.4 Conduct a consultation including taking a history, requesting and interpreting appropriate investigations, |

| |formulating a diagnosis and a management plan with a patient presenting with low back pain, neck pain, knee pain and headache|

|Learning experiences |IMED 4491 lectures, PBLs, case studies, ward and outpatient clinics |

| |5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement |

|Assessment |IMED 4491 end-of-term MCQ, MEQ, OSCE |

| |5531: Practical/Clinical-Simulation, Written Assignment-Log Book |

|Management: |

|Understands the general and related patient management modalities and describes their application in the holistic management of MSK conditions |

|including therapeutic (operative and non-operative); rehabilitiation; patient education and self-management, shared care and referral; prevention; and |

|complementary and alternative medicine modalities. |

|Local Learning Outcomes |4491.5.1 Describe and explain the role of ancillary health professionals, e.g. physiotherapists, occupational therapists, and|

| |podiatrists in the acute and chronic care of musculoskeletal disease. |

|Learning experiences |4491: t-OSCE, ward and outpatient clinics |

|Assessment | |

|Management: |

|Applies knowledge of general and MSK related basic and clinical science to describe the basic aetiology, pathogenesis, characteristics clinical |

|manifestations and general principles of assessment and management for patients suffering from the broad range of MSK-related conditions and disorders.|

|This includes the management of normal variation and special concern groups. Knowledge of specific conditions should be prioritized in detail towards |

|the management of the “MSK/red-flag emergencies” and the national priority and high burden MSK conditions. |

|Local Learning Outcomes |4491.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal |

| |related health conditions |

|Learning experiences |4491: lectures, PBLs, ortho case studies, ward and inpatient experience |

|Assessment |4491: end of term MCQ, MEQ |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Spine/Chest | | | |

|Vertebral fractures |IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical|IMED 4491 spinal fracture lecture, PBL OP |IMED 4491 MCQ |

| |assessment and management of spinal injury including soft tissue and bone | | |

|Non-specific pain/strain |5531.5.4 Conduct a consultation including taking a history, requesting |5531: Tutorials, Problem based learning, |5531: Practical/Clinical-Simulation, Written |

| |and interpreting appropriate investigations, formulating a diagnosis and a|Lectures, Clinical skills, Placement |Assignment-Log Book |

| |management plan with a patient presenting with low back pain, neck pain, | | |

| |knee pain and headache | | |

|Spinal pain : Localized, with somatic |5531.3 Describe and explain the epidemiology, natural history and |IMED 4491 online lecture back pain |5531: Practical/Clinical-Simulation, Written |

|referred pain, with radicular pain +/- |pathogenesis of vertebral dysfunction, with reference to facet joint pain |5531: Tutorials, Problem based learning, |Assignment-Log Book |

|radiculopathy (+) |and disc protrusion, to a patient in a consultation setting |Lectures, Clinical skills, Placement | |

|Degenerative spinal conditions |IMED 3343 - Discuss pathological and relevant clinical aspects of |IMED 4491 online lecture back pain | |

| |osteoarthritis. | | |

|IVD |IMED 3343- Demonstrate knowledge of spinal degenerative disc disease and |IMED 4491 online lecture back pain | |

| |spondylosis. | | |

|Facet joint |IMED 4491.3.10 Describe and explain the pathological features, clinical |IMED 4491 online lecture back pain |5531: Practical/Clinical-Simulation, Written |

| |assessment and management of osteoarthritis - both generalized and local |5531: Tutorials, Problem based learning, |Assignment-Log Book |

| |osteoarthritis, including facet joint dysfunction |Lectures, Clinical skills, Placement | |

| |5531.3 Describe and explain the epidemiology, natural history and | | |

| |pathogenesis of vertebral dysfunction, with reference to facet joint pain | | |

| |and disc protrusion, to a patient in a consultation setting | | |

|Spinal stenosis | |IMED 4491 online lecture back pain |IMED 4491 MCQ |

|Cauda equina syndrome (*) | | | |

|Failed back syndrome | | | |

|Metastatic disease |IMED 3343 - Demonstrate a basic understanding of pathological aspects of |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |bony metastasis and multiple myeloma. |learning |Exam-Short Answer Questions |

| | |4491: ortho case study | |

|Spondylolysis/ spondylolisthesis |IMED 3343- Demonstrate knowledge of spinal degenerative disc disease and |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |spondylosis. |learning |Exam-Short Answer Questions |

| | |IMED 4491 online lecture back pain | |

|Diffuse idiopathic skeletal hyperostosis | | | |

|(DISH) | | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Spine/Chest | | | |

|RA neck manifestations (+) |3343 - Demonstrate knowledge of pathological and relevant clinical aspects|3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |of rheumatoid arthritis and rheumatoid disease. |learning |Exam-Short Answer Questions |

| |5531.3.19 - Describe the epidemiology, natural history and pathogenesis of|4491: RA self assessments | |

| |arthritis (osteoarthritis and rheumatoid arthritis) to a patient in a | | |

| |consultation setting | | |

| |4491.4.4.1.3 Describe and explain the pathological features, clinical | | |

| |assessment and management of early rheumatoid arthritis | | |

| |Describe and explain the pathological features, clinical assessment and | | |

| |management of late rheumatoid arthritis | | |

|Costochondritis | | | |

|Sternoclavicular joint pain | | | |

|Scoliosis | |4491: low back lecture | |

|Kyphosis | |4491: low back lecture | |

|Torticollis | | | |

|Discitis (*) | | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Hip/Pelvis | | | |

|Hip and Pelvic ring fractures | |IMED 4491 hip lecture |IMED 4491 MCQ |

|(*? – injury w/ visceral) | | | |

|Degenerative joint disease (DJD)/OA (+) |IMED3343 - Demonstrate knowledge of osteo-arthritis and septic arthritis |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |including diagnosis and principles of management |learning |Exam-Short Answer Questions |

| | |IMED 4491 online lecture back pain |IMED 4491 MCQ |

|Sacroiliac (SI) joint | |4491 seronegative spondyloarthropaty lecture | |

|dysfunction/arthropathy | | | |

|Greater trochanteric bursitis | |IMED 4491 hip lecture | |

|Hip insertional tendinopathies (gluteal, | |IMED 4491 hip lecture | |

|adductor) | | | |

|Piriformis syndrome | | | |

|Avascular necrosis (AVN) |IMED 3343- Discuss avascular/aseptic necrosis. |IMED 4491 hip lecture | |

|Snapping hip | | | |

|Transient synovitis of the hips | |IMED 4491 paediatric ortho lecture |IMED 4491 MCQ |

|Slipped capital femoral epiphysis (SCFE) | |IMED 4491 paediatric ortho lecture |IMED 4491 MCQ |

|Perthes disease | |IMED 4491 paediatric ortho lecture |IMED 4491 MCQ |

|Developmental dysplasia of the hip (DDH) | |IMED 4491 paediatric ortho lecture |IMED 4491 MCQ |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Knee/Leg | | | |

|Tibial plateau fractures | | | |

|Patellofemoral pain syndrome | |4491: knee lecture | |

|Degenerative joint disease/osteoarthritis | |IMED 4491 knee lecture |IMED 4491 MCQ |

|(+) | | | |

|Cruciate ligament (ACL/PCL) tear | |IMED 4491 knee lecture |IMED 4491 MCQ |

| | |IMED 4491 week 1 phys exam review sessions | |

|Collateral ligament (LCL/MCL) tear | |IMED 4491 knee lecture |IMED 4491 MCQ |

| | |IMED 4491 week 1 phys exam review sessions | |

|Mensicus tears | |IMED 4491 knee lecture |IMED 4491 MCQ |

| | |IMED 4491 week 1 phys exam review sessions | |

|Popliteal cyst | |IMED 4491 knee lecture | |

|Iliotibial band syndrome (ITBS) | | | |

|Osgood-Schlatter’s disease | |4491: paeds rheumatology session | |

|Patellofemoral dislocation/instability | |IMED 4491 knee lecture | |

| | |IMED 4491 week 1 phys exam review sessions | |

|Tendinopathies (patellar/quadriceps) | |IMED 4491 knee lecture | |

|Medial tibial stress syndrome (shin | | | |

|splints) | | | |

|Tibial stress fracture | | | |

|Compartment syndrome of leg (*) | |4491 – general fracture lecture, ortho case | |

| | |study, sef-assessments | |

|Genu valgum | |IMED 4491 knee lecture |IMED 4491 MCQ |

|Genu varum | |IMED 4491 knee lecture |IMED 4491 MCQ |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Ankle/Foot | | | |

|Ankle fractures | | | |

|Stress fractures | | | |

|Ankle sprains | | | |

|TMT ligament injuries | | | |

|Achilles tendon rupture | | | |

|Ankle and subtalar arthritis | | | |

|Plantar fasciitis |4491: Describe and explain the pathological features, clinical assessment | | |

| |and management of common soft tissue disorder e.g. rotator cuff | | |

| |tendonitis, epicondylitis, carpal tunnel syndrome, plantar fasciitis, | | |

| |tenosynovitis, Dupuytrens contracture, Ganglia | | |

|Achilles tendinosis/posterior heel pain | | | |

|Bruised heel pad | | | |

|Posterior tibial tendon dysfunction | | | |

|Corns and calluses | | | |

|Metatarsalgia | | | |

|Hallux valgus (bunion) | | | |

|Hallux rigidus | | | |

|Interdigital neuroma | | | |

|Diabetic foot |5531.5 Conduct a consultation including taking a history, requesting and |5531: Tutorials, Problem based learning, |5531: Oral-Presentation, |

| |interpreting appropriate investigations, formulating a diagnosis and a |Lectures, Clinical skills |Practical/Clinical-Observed encounter |

| |management plan with a patient presenting with diabetes |Placement |4481: Participation-Attachment Rating, |

| |4481.5.8 List and describe the principles for diagnosing and managing |5561: PBL diabetes |Participation-Problem Based Learning, |

| |chronic wounds especially venous ulcers, diabetic foot ulcers, arterial |4481: Self directed learning, Placement, |Written Assignment-Short Answer Questions, |

| |ulcers and pressure ulcers |Discussions, Clinical assessment of a patient |Written Assignment-Workbook/lab book |

| |6681.5.8 Integrate knowledge of the principles for diagnosing and managing|6681: Self directed learning, Placement, |6681: Participation-Attachment Rating, |

| |chronic wounds especially venous ulcers, diabetic foot |Discussions, Clinical assessment of a patient |Participation-Problem Based Learning, |

| | | |Written Assignment-Short Answer Questions, |

| | | |Written Assignment-Workbook/lab book |

|Toe deformities | | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Ankle/Foot | | | |

|Plantar warts | | | |

|Ingrown toenail | | | |

|Intoeing/Outtoeing | | | |

|Flat foot | | | |

|Calcaneal aphophysitis | | | |

|Cavus foot | | | |

|Toewalking | | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Shoulder | | | |

|Proximal humeral fracture | |4491: ortho case study, shoulder lecture, upper| |

| | |and lower limb injuries, self-assessments | |

|Clavicle fracture | |4491: ortho case study, shoulder lecture, upper| |

| | |and lower limb injuries, self-assessments | |

|ACJ injuries | |4491: ortho case study, shoulder lecture, upper| |

| | |and lower limb injuries, self-assessments | |

|Rotator cuff pathology |Describe and explain the pathological features, clinical assessment and |4491: Shoulder lecture |4491: MCQ |

|(tear/strain/tendinopathy) |management of common soft tissue disorder e.g. rotator cuff tendonitis, | | |

| |epicondylitis, carpal tunnel syndrome, plantar fasciitis, tenosynovitis, | | |

| |Dupuytrens contracture, Ganglia | | |

|Impingement syndrome | |4491: Shoulder lecture | |

|Adhesive capsulitis/frozen shoulder | |4491: Shoulder lecture |4491: MCQ |

|Subacromial bursitis | |4491: Shoulder lecture | |

|Shoulder arthritis/OA (+) | |4491: Shoulder lecture |4491 MCQ |

|Proximal biceps rupture/tendinopathy | |4491: Shoulder lecture | |

|Shoulder instability/shoulder dislocation | |4491: ortho case study, shoulder lecture, upper|4491 MCQ |

|(*) | |and lower limb injuries | |

|Thoracic outlet syndrome | | | |

|SLAP lesions | | | |

|Brachial plexus injuries (*) | | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Wrist/hand/ elbow | | | |

|Distal radial fracture | |4491: upper and lower limb injuries lecture, | |

| | |ortho case study | |

|Radial head fracture | |4491: upper and lower limb injuries lecture, | |

| | |ortho case study | |

|Elbow dislocation | | | |

|Wrist sprain | | | |

|Scaphoid fracture | |4491: hand lecture | |

|Keinbock’s disesase | |4491: hand lecture | |

|Supracondylar fracture (children) (*) | |4491: paediatric ortho lecture |IMED 4491 MCQ |

|Nursemaid’s elbow (radial head | | | |

|subluxation) | | | |

|Metacarpal and finger fractures | |4491: hand lecture | |

|Hand/wrist lacerations | |4491: hand lecture | |

|Flexor tendon injuries | |4491: hand lecture | |

|Mallet finger | |4491: hand lecture | |

|Nail bed injuries | |4491: hand lecture | |

|Flexor tendon sheath infections | |4491: hand lecture | |

|Human bites | | | |

|Carpal tunnel syndrome |Describe and explain the pathological features, clinical assessment and |4491: hand lecture | |

| |management of common soft tissue disorder e.g. rotator cuff tendonitis, | | |

| |epicondylitis, carpal tunnel syndrome, plantar fasciitis, tenosynovitis, | | |

| |Dupuytrens contracture, Ganglia | | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Wrist/hand/ elbow | | | |

|Nerve entrapments (ulnar nerve) | |4491: hand lecture | |

|Wrist ganglions | |4491: hand lecture | |

|Epicondylitis (lateral and medial) |Describe and explain the pathological features, clinical assessment and |4491: self-assessments | |

| |management of common soft tissue disorder e.g. rotator cuff tendonitis, | | |

| |epicondylitis, carpal tunnel syndrome, plantar fasciitis, tenosynovitis, | | |

| |Dupuytrens contracture, Ganglia | | |

|Olecranon bursitis | | | |

|Thumb CMC DJD | |4491: hand lecture | |

|DeQuervain’s tenosynovitis | | | |

|Dupuytren disease |Describe and explain the pathological features, clinical assessment and |4491: hand lecture | |

| |management of common soft tissue disorder e.g. rotator cuff tendonitis, | | |

| |epicondylitis, carpal tunnel syndrome, plantar fasciitis, tenosynovitis, | | |

| |Dupuytrens contracture, Ganglia | | |

|Trigger finger | |4491: hand lecture | |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|Rheumatologic conditions | | | |

|Osteoarthritis (+) |IMED3343 - Discuss pathological and relevant clinical aspects of |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |osteoarthritis |learning |Exam-Short Answer Questions |

| |IMED 4491.3.10 - Describe and explain the pathological features, clinical| | |

| |assessment and management of osteoarthritis - both generalized and local |IMED4491 OA lecture |IMED 4491 MCQ |

| |osteoarthritis, including facet joint dysfunction. |IMED 4491 hip lecture | |

| |IMED 5531.3.16 - Describe and explain the epidemiology, natural history |IMED 4491 knee lecture | |

| |and pathogenesis of osteoarthritis especially affecting the spine (lumbar |IMED 4491 tOSCE | |

| |+ cervical) and knee to a patient in a consultation setting | | |

|Rheumatoid arthritis (+) |IMED 3343 - Demonstrate knowledge of pathological and relevant clinical |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |aspects of rheumatoid arthritis and rheumatoid disease. |learning |Exam-Short Answer Questions |

| |IMED 5531.3.19 - Describe the epidemiology, natural history and | | |

| |pathogenesis of arthritis (osteoarthritis and rheumatoid arthritis) to a |IMED 4491 RA lecture |IMED 4491 MCQ |

| |patient in a consultation setting |IMED 4491 PBL | |

| |IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical| | |

| |assessment and management of early rheumatoid arthritis | | |

| |Describe and explain the pathological features, clinical assessment and | | |

| |management of late rheumatoid arthritis | | |

|Juvenile idiopathic arthritis (+) | |IMED 4491 tutorial session paediatric |IMED 4491 MCQ |

| | |rheumatology | |

|Reactive arthritis | |IMED 4491 seronegative spondyloarthropathy |IMED 4491 MCQ |

| | |lecture | |

|Crystal arthropathy (gout, pseudogout) |IMED 3343 - Demonstrate knowledge of pathological and relevant clinical |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |aspects of crystal arthropathies including gout and calcium pyrophosphate |learning |Exam-Short Answer Questions |

| |disease | | |

| |IMED 4491.4.4.1.3 - Describe and explain the pathological features, |IMED 4491 gout lecture |IMED 4491 MCQ |

| |clinical assessment and management of gout and other crystal arthropathies| | |

| |IMED 4491.11.4.1 Identify and describe the scope for prevention of | | |

| |musculoskeletal disorders such as gout, viral arthritis and osteoporosis | | |

|Idiopathic inflammatory myositis | | | |

|Psoriatic arthritis | |IMED 4491 seronegative spondyloarthropathy |IMED 4491 MCQ |

| | |lecture | |

|Spondyloarthropathies |4491.3: Describe and explain the pathological features, clinical |4491: seronegative spondyloarthropathy lecture |4491 MCQ |

| |assessment and management of specific musculoskeletal related health | | |

| |conditions | | |

|Polymyalgia rheumatica | |4491: autoimmune and CTD disease | |

|Temporal arteritis (*) | |4491: autoimmune and CTD disease | |

|Lupus | |4491: autoimmune and CTD disease |4491 MCQ |

|Scleroderma | |4491: autoimmune and CTD disease |4491 MCQ |

|Other autoimmune/CTD | |4491: autoimmune and CTD disease |4491 MCQ |

|AMSEC Priority Ambulatory Conditions – | Local Learning Outcomes |Learning Experiences |Assessment |

|General and other conditions | | | |

|Osteoporosis (+) |2211.2.3 Describe in detail the pathological and clinical features of |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |diseases/conditions including diabetes, osteoporosis, breast cancer, HRT, |learning |Exam-Short Answer Questions |

| |contraception, renal disease, arthritis, depression, vision and hearing |3345: lectures |3345: Objective test items, Short Answer Questions|

| |loss |4491 OP lecture, OP PBL, laboratory |4491: MCQ |

| |2211.10.4 Describe major stages of cognitive, social, and physical |tests/biochemistry | |

| |development in the different life stages and how this relates to health | | |

| |behaviour for examples such as childhood obesity, eating disorders, | | |

| |dementia, arthritis and osteoporosis | | |

| |3311.8.4 Describe major stages of cognitive, social, and physical | | |

| |development in the different life stages and how this relates to health | | |

| |behaviour for examples such as childhood obesity, eating disorders, | | |

| |dementia, arthritis and osteoporosis | | |

| |3343.12.20 Discuss the major types of metabolic bone disease, in | | |

| |particular, osteoporosis, osteomalacia/rickets, hyperparathyroidism and | | |

| |Paget's disease of bone. | | |

| |3345.33.3Drugs affecting bone and calcium metabolism: Describe the | | |

| |treatment options available in osteoporosis | | |

| |3345.33.5 Drugs affecting bone and calcium metabolism: Describe the | | |

| |potential roles of calcium, vitamin D analogues, bisphosphonates and other| | |

| |drugs in managing osteoporosis | | |

| |4491.4.4.1.3 Describe and explain the pathological features, clinical | | |

| |assessment and management of osteoporosis including hypogonadism, | | |

| |age-related, glucocorticoid and genetic | | |

| |List and select appropriate analgesics, anti-rheumatic drugs, drugs used | | |

| |in infection and metabolic bone disease, providing reasons for choices, | | |

| |under supervision | | |

| |List common adverse reactions to analgesics, anti-rheumatic drugs, drugs | | |

| |used in infection and metabolic bone disease | | |

| |4491.11.4.1 Identify and describe the scope for prevention of | | |

| |musculoskeletal disorders such as gout, viral arthritis and osteoporosis | | |

|Paget’s disease |3343.12.20 Discuss the major types of metabolic bone disease, in |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| |particular, osteoporosis, osteomalacia/rickets, hyperparathyroidism and |learning |Exam-Short Answer Questions |

| |Paget's disease of bone. | | |

| |4491.1.3 Describe the pathophysiology of osteoporosis, osteomalacia, |IMED 4491 biochemistry |IMED 4491 MCQ |

| |malignant bone disease and Paget's disease | | |

|Fibromyalgia | | | |

|Child abuse | |4491: paeds rheumatology session, paeds ortho | |

| | |lecture | |

|Complex regional pain syndrome | | | |

|Compartment syndrome (*) |IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical|IMED 4491 ortho case study | |

| |assessment and management of compartment syndrome and crush syndrome | | |

|Open fractures (*) |IMED 3343 - Discuss fracture healing and repair |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

| | |learning |Exam-Short Answer Questions |

| | | | |

| | |IMED 4491 ortho case study | |

|MSK mimickers/red flags (*) | | | |

|Infections of MSK tissues |IMED3343 |3343: Lectures, Tutorials, Self directed |3343: Written Exam-Objective test items, Written |

|(bone/joint/muscle, etc) (*) |Demonstrate knowledge of osteo-arthritis and septic arthritis including |learning |Exam-Short Answer Questions |

| |diagnosis and principles of management | | |

| |Demonstrate knowledge of pathological and relevant clinical aspects of |IMED 4491 case study | |

| |osteomyelitis. | | |

| |IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical| | |

| |assessment and management of septic arthritis | | |

| |Describe and explain the pathological features, clinical assessment and | | |

| |management of osteomyelitis | | |

|Tumours of MSK tissues (*) |3343.12.9 Give a classification of bone tumours. |3343: Lectures, Tutorials, |3343: Written Exam-Objective test items, |

| |3343.12.10 Describe general clinical aspects of bone tumours. |Self directed learning |Written Exam-Short Answer Questions |

| |3343.12.11 Demonstrate a basic understanding of pathological aspects of |4491 case study, self assessments | |

| |bony metastasis and multiple myeloma. | | |

| |3343.12.12 Describe osteochondroma. | | |

| |3343.12.13 Discuss pathological and relevant clinical features of | | |

| |osteosarcoma, chondrosarcoma, giant cell tumour of bone | | |

| |3343.12.16 Demonstrate an understanding of the nature and complexity of | | |

| |the neoplasms and pseudoneoplastic processes which can arise in soft | | |

| |tissue, with particular reference to their presentation, growth patterns | | |

| |and clinical course. | | |

| |3343.12.17 Demonstrate an understanding of the fundamentals of clinical | | |

| |staging and the approach to biopsy diagnosis as applied to musculoskeletal| | |

| |system tumours | | |

| |4491.4.4.1.3 Describe and explain the pathological features, clinical | | |

| |assessment and management of neoplastic bone disease | | |

Summary of Level of Integration between AMSEC Competencies and UWA MBBS Curriculum

| |Basic Science and Supporting Knowledge |Clinical Sciences and Skills Competencies |Priority Ambulatory Conditions |

| |Competencies |(n = 11) |(n = 130) |

| |(n = 5) | | |

| | | | |National Priority and High|MSK/Red Flag Conditions|

| | | | |Burden Conditions (n=9) |(n = 13) |

|Level of Coverage | | | | | |

|(# = number of levels – outcomes, | | | | | |

|learning experiences, assessment; | | | | | |

|v = vertical integration present) | | | | | |

|3 + V |4 |5 |11 |6 |1 |

|3 |0 |2 |4 |0 |0 |

|2 + V |1 |0 |5 |0 |1 |

|2 |0 |1 |28 |3 |5 |

|1 + V |0 |0 |0 |0 |0 |

|1 |0 |0 |35 |0 |2 |

|0 |0 |1 |47 |0 |4 |

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