ࡱ> ikdefgh nbjbjVV k*<<>>$P bZ "!!!!!! x"!!""!!---"H!!-"--\X`!9'"q](20b]h&9'&P`&`+!""-&":"!!!=-X!!!b""""&!!!!!!!!!> G: AMSEC Musculoskeletal Competency Checklist BASIC SCIENCE AND SUPPORTING KNOWLEDGEBiomedical 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 Outcomes1106.4 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:  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50207,Apply%20anatomy%20physiology%20biochemistry%20rheumatology%20and%20endocrinology%20knowledge%20to%20the%20musculoskeletal%20system,50207,238,Normal%20Structure%20and%20Function,141,Scientific%20Basis%20of%20Medicine,30-NOV-2011" Apply anatomy, physiology, biochemistry, rheumatology and endocrinology knowledge to the musculoskeletal system  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50207,Apply%20anatomy%20physiology%20biochemistry%20rheumatology%20and%20endocrinology%20knowledge%20to%20the%20musculoskeletal%20system,50207,238,Normal%20Structure%20and%20Function,141,Scientific%20Basis%20of%20Medicine,30-NOV-2011" Describe the normal anatomy of the musculoskeletal systemLearning experiences1106: Lectures, Tutorials, Laboratories, Self directed learning 2202: Lectures, Tutorials, Laboratories, Clinical skills 3343: Lectures, Tutorials, Self directed learning 4491: anatomy lab sessionAssessment1106: 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 Outcomes2211.2 : Identify and discuss the causes of ill health considering both the national and international perspective 4491 -  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50207,Apply%20anatomy%20physiology%20biochemistry%20rheumatology%20and%20endocrinology%20knowledge%20to%20the%20musculoskeletal%20system,50207,238,Normal%20Structure%20and%20Function,141,Scientific%20Basis%20of%20Medicine,30-NOV-2011" Apply anatomy, physiology, biochemistry, rheumatology and endocrinology knowledge to the musculoskeletal system  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50210,Demonstrate%20effective%20clinical%20and%20interpersonal%20skills%20related%20to%20musculoskeletal%20disorders,50210,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 dementiaLearning experiences2211 Lectures, Tutorials, Clinical skills IMED 4491 ward work, attendance at outpatient clinicsAssessmentIMED 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 QuestionsProfessionalism: 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 HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50210,Demonstrate%20effective%20clinical%20and%20interpersonal%20skills%20related%20to%20musculoskeletal%20disorders,50210,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" Demonstrate effective clinical and interpersonal skills related to musculoskeletal disorders personal and professional development, 5th and 6th yearLearning experiencesIMED 4491 ward work, attendance at outpatient clinicsAssessmentIMED 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 Outcomes1106.4 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 biochemistryLearning experiences2202 lectures, tutorials, labs, clinical skills IMED 3343: Lectures, tutorials, SDL IMED4491 ortho case study (trauma), PBLs (OP, RA)AssessmentIMED 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 MCQImaging: 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 Outcomes2202.2 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 experiences2202: 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 experiencesAssessment4491: MSK online self-assessments, end-of-year OSCE exams, end of term MCQ, clinical structured exam, oral presentation CLINICAL SCIENCES AND SKILLSAttitude 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 concernsLocal Learning Outcomes HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50210,Demonstrate%20effective%20clinical%20and%20interpersonal%20skills%20related%20to%20musculoskeletal%20disorders,50210,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" Demonstrate effective clinical and interpersonal skills related to musculoskeletal disorders 3rd yr GP, 5th yr GP, personal and professional development, 5th and 6th yearLearning experiencesMentor discussions, ward work and outpatient clinicsAssessmentPPD portfolioAssessment: 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 injuriesLocal Learning Outcomes3345.42.2 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  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50231,Describe%20and%20discuss%20disordered%20human%20structure%20function%20and%20behaviour%20and%20it" 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 experiences3345 tutorials, case based learning 4491 ward work and outpatient clinics, PBLs for rheumatology, ortho case studies, general fracture and polytrauma lecturesAssessment4491 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 findingsLocal Learning Outcomes2211.13.4  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50079,Describe%20and%20demonstrate%20regional%20physical%20examinations%20of%20the%20normal%20body%20systems,50079,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 headacheLearning experiences2211 tutorials, clinical skills 4491: physical examination tutorials week 1, ward work and outpatient clinics 5531: Tutorials, Problem based learning, Lectures, Clinical skills, PlacementAssessment2211: 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 BookInvestigations 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 modalitiesLocal Learning Outcomes2202.2: 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  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 headacheLearning experiences2202: Lectures, Tutorials, Laboratories, Clinical skills 4491 lectures (OA joint aspiration), (laboratory tests), ortho case study 5531: Tutorials, Problem based learning, Lectures, Clinical skills, PlacementAssessment2202: 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 diagnosisLocal Learning OutcomesIMED 4491 4.4.1.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal related health conditions IMED 5531  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 headacheLearning experiencesIMED 4491 lectures, including intro lecture, ward and outpatient clinic attendance 5531: Tutorials, Problem based learning, Lectures, Clinical skills, PlacementAssessmentIMED 4491 MCQ, IMED 4491 workbook 5531: Practical/Clinical-Simulation, Written Assignment-Log BookRelated Management Issues: Understands the key broader community, legal, environmental and technical issues that may impact on the management of individual patient.Local Learning Outcomes4491.2.3 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 osteoporosisLearning experiences4491 lectures, PBLsAssessment4491 end-of-term MCQProcedural 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 Outcomes4491.4.3 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 slingLearning experiences4491 lectures (gout, OP), PBL (OP)Assessment4491 end of term MCQPrioritization: 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 OutcomesLearning experiencesAssessment 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 Outcomes4491.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal related health conditions 5531.5.4  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 headacheLearning experiencesIMED 4491 lectures, PBLs, case studies, ward and outpatient clinics 5531: Tutorials, Problem based learning, Lectures, Clinical skills, PlacementAssessmentIMED 4491 end-of-term MCQ, MEQ, OSCE 5531: Practical/Clinical-Simulation, Written Assignment-Log BookManagement: 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 Outcomes4491.5.1 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 experiences4491: t-OSCE, ward and outpatient clinicsAssessmentManagement: 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 Outcomes4491.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal related health conditionsLearning experiences4491: lectures, PBLs, ortho case studies, ward and inpatient experienceAssessment4491: end of term MCQ, MEQ AMSEC Priority Ambulatory Conditions Spine/Chest Local Learning OutcomesLearning ExperiencesAssessmentVertebral fractures IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical assessment and management of spinal injury including soft tissue and boneIMED 4491 spinal fracture lecture, PBL OPIMED 4491 MCQNon-specific pain/strain 5531.5.4  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50233,Provide%20safe%20and%20effective%20Patient%20Management%20including%20primary%20assessment%20investigation%20patient%20education%20and%20subsequent%20management,50233,242,Patient%20Assessment%20and%20Management,142,Doctor%20and%20Patient,30-NOV-2011" 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 headache5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement5531: Practical/Clinical-Simulation, Written Assignment-Log BookSpinal pain : Localized, with somatic referred pain, with radicular pain +/- radiculopathy (+)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 settingIMED 4491 online lecture back pain 5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement5531: Practical/Clinical-Simulation, Written Assignment-Log BookDegenerative spinal conditionsIMED 3343 - Discuss pathological and relevant clinical aspects of osteoarthritis.IMED 4491 online lecture back painIVDIMED 3343- Demonstrate knowledge of spinal degenerative disc disease and spondylosis. IMED 4491 online lecture back painFacet joint IMED 4491.3.10  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50209,Describe%20and%20explain%20the%20pathological%20features%20clinical%20assessment%20and%20management%20of%20specific%20musculoskeletal%20related%20health%20conditions,50209,240,Pathological%20and%20Clinical%20Features,141,Scientific%20Basis%20of%20Medicine,30-NOV-2011" Describe and explain the pathological features, clinical assessment and management of osteoarthritis - both generalized and local osteoarthritis, including facet joint dysfunction 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 settingIMED 4491 online lecture back pain 5531: Tutorials, Problem based learning, Lectures, Clinical skills, Placement5531: Practical/Clinical-Simulation, Written Assignment-Log BookSpinal stenosis IMED 4491 online lecture back painIMED 4491 MCQCauda equina syndrome (*)Failed back syndrome Metastatic disease IMED 3343 - Demonstrate a basic understanding of pathological aspects of bony metastasis and multiple myeloma.3343: Lectures, Tutorials, Self directed learning 4491: ortho case study3343: Written Exam-Objective test items, Written Exam-Short Answer QuestionsSpondylolysis/ spondylolisthesis IMED 3343- Demonstrate knowledge of spinal degenerative disc disease and spondylosis.3343: Lectures, Tutorials, Self directed learning IMED 4491 online lecture back pain3343: Written Exam-Objective test items, Written Exam-Short Answer QuestionsDiffuse idiopathic skeletal hyperostosis (DISH)  AMSEC Priority Ambulatory Conditions Spine/Chest Local Learning OutcomesLearning ExperiencesAssessmentRA neck manifestations (+) 3343 - Demonstrate knowledge of pathological and relevant clinical aspects of rheumatoid arthritis and rheumatoid disease. 5531.3.19 -  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50231,Describe%20and%20discuss%20disordered%20human%20structure%20function%20and%20behaviour%20and%20it" Describe the epidemiology, natural history and pathogenesis of 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 arthritis3343: Lectures, Tutorials, Self directed learning 4491: RA self assessments3343: Written Exam-Objective test items, Written Exam-Short Answer QuestionsCostochondritisSternoclavicular joint pain Scoliosis 4491: low back lectureKyphosis 4491: low back lectureTorticollis Discitis (*)  AMSEC Priority Ambulatory Conditions Hip/Pelvis Local Learning OutcomesLearning ExperiencesAssessmentHip and Pelvic ring fractures (*? injury w/ visceral)IMED 4491 hip lectureIMED 4491 MCQDegenerative joint disease (DJD)/OA (+) IMED3343 - Demonstrate knowledge of osteo-arthritis and septic arthritis including diagnosis and principles of management3343: Lectures, Tutorials, Self directed learning IMED 4491 online lecture back pain3343: Written Exam-Objective test items, Written Exam-Short Answer Questions IMED 4491 MCQSacroiliac (SI) joint dysfunction/arthropathy 4491 seronegative spondyloarthropaty lectureGreater trochanteric bursitis IMED 4491 hip lectureHip insertional tendinopathies (gluteal, adductor) IMED 4491 hip lecturePiriformis syndrome Avascular necrosis (AVN) IMED 3343- Discuss avascular/aseptic necrosis.IMED 4491 hip lectureSnapping hip Transient synovitis of the hips IMED 4491 paediatric ortho lectureIMED 4491 MCQSlipped capital femoral epiphysis (SCFE) IMED 4491 paediatric ortho lectureIMED 4491 MCQPerthes disease IMED 4491 paediatric ortho lectureIMED 4491 MCQDevelopmental dysplasia of the hip (DDH) IMED 4491 paediatric ortho lectureIMED 4491 MCQ AMSEC Priority Ambulatory Conditions Knee/Leg Local Learning OutcomesLearning ExperiencesAssessmentTibial plateau fractures Patellofemoral pain syndrome 4491: knee lectureDegenerative joint disease/osteoarthritis (+)IMED 4491 knee lectureIMED 4491 MCQCruciate ligament (ACL/PCL) tearIMED 4491 knee lecture IMED 4491 week 1 phys exam review sessionsIMED 4491 MCQCollateral ligament (LCL/MCL) tearIMED 4491 knee lecture IMED 4491 week 1 phys exam review sessionsIMED 4491 MCQMensicus tears IMED 4491 knee lecture IMED 4491 week 1 phys exam review sessionsIMED 4491 MCQPopliteal cyst IMED 4491 knee lectureIliotibial band syndrome (ITBS) Osgood-Schlatters disease 4491: paeds rheumatology sessionPatellofemoral dislocation/instability IMED 4491 knee lecture IMED 4491 week 1 phys exam review sessionsTendinopathies (patellar/quadriceps) IMED 4491 knee lectureMedial tibial stress syndrome (shin splints)Tibial stress fracture Compartment syndrome of leg (*) 4491 general fracture lecture, ortho case study, sef-assessmentsGenu valgum IMED 4491 knee lectureIMED 4491 MCQGenu varumIMED 4491 knee lectureIMED 4491 MCQ AMSEC Priority Ambulatory Conditions Ankle/Foot Local Learning OutcomesLearning ExperiencesAssessmentAnkle 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, GangliaAchilles 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 interpreting appropriate investigations, formulating a diagnosis and a management plan with a patient presenting with diabetes 4481.5.8 List and describe the principles for diagnosing and managing chronic wounds especially venous ulcers, diabetic foot ulcers, arterial ulcers and pressure ulcers 6681.5.8 Integrate knowledge of the principles for diagnosing and managing chronic wounds especially venous ulcers, diabetic foot5531: Tutorials, Problem based learning, Lectures, Clinical skills Placement 5561: PBL diabetes 4481: Self directed learning, Placement, Discussions, Clinical assessment of a patient 6681: Self directed learning, Placement, Discussions, Clinical assessment of a patient5531: Oral-Presentation, Practical/Clinical-Observed encounter 4481: Participation-Attachment Rating, Participation-Problem Based Learning, Written Assignment-Short Answer Questions, Written Assignment-Workbook/lab book 6681: Participation-Attachment Rating, Participation-Problem Based Learning, Written Assignment-Short Answer Questions, Written Assignment-Workbook/lab bookToe deformities  AMSEC Priority Ambulatory Conditions Ankle/Foot Local Learning OutcomesLearning ExperiencesAssessmentPlantar warts Ingrown toenail Intoeing/Outtoeing Flat foot Calcaneal aphophysitis Cavus foot Toewalking AMSEC Priority Ambulatory Conditions Shoulder Local Learning OutcomesLearning ExperiencesAssessmentProximal humeral fracture 4491: ortho case study, shoulder lecture, upper and lower limb injuries, self-assessmentsClavicle fracture 4491: ortho case study, shoulder lecture, upper and lower limb injuries, self-assessmentsACJ injuries 4491: ortho case study, shoulder lecture, upper and lower limb injuries, self-assessmentsRotator cuff pathology (tear/strain/tendinopathy) 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, Ganglia4491: Shoulder lecture4491: MCQImpingement syndrome 4491: Shoulder lectureAdhesive capsulitis/frozen shoulder 4491: Shoulder lecture4491: MCQSubacromial bursitis 4491: Shoulder lectureShoulder arthritis/OA (+) 4491: Shoulder lecture4491 MCQProximal biceps rupture/tendinopathy 4491: Shoulder lectureShoulder instability/shoulder dislocation (*) 4491: ortho case study, shoulder lecture, upper and lower limb injuries4491 MCQThoracic outlet syndrome SLAP lesions Brachial plexus injuries (*) AMSEC Priority Ambulatory Conditions Wrist/hand/ elbow Local Learning OutcomesLearning ExperiencesAssessmentDistal radial fracture 4491: upper and lower limb injuries lecture, ortho case studyRadial head fracture 4491: upper and lower limb injuries lecture, ortho case studyElbow dislocation Wrist sprain Scaphoid fracture 4491: hand lectureKeinbocks disesase 4491: hand lectureSupracondylar fracture (children) (*)4491: paediatric ortho lectureIMED 4491 MCQNursemaids elbow (radial head subluxation)Metacarpal and finger fractures4491: hand lectureHand/wrist lacerations 4491: hand lectureFlexor tendon injuries 4491: hand lectureMallet finger 4491: hand lectureNail bed injuries 4491: hand lectureFlexor tendon sheath infections 4491: hand lectureHuman bites Carpal tunnel syndrome 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, Ganglia4491: hand lecture AMSEC Priority Ambulatory Conditions Wrist/hand/ elbow Local Learning OutcomesLearning ExperiencesAssessmentNerve entrapments (ulnar nerve) 4491: hand lectureWrist ganglions 4491: hand lectureEpicondylitis (lateral and medial) 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, Ganglia4491: self-assessmentsOlecranon bursitis Thumb CMC DJD 4491: hand lectureDeQuervains tenosynovitis Dupuytren disease 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, Ganglia4491: hand lectureTrigger finger4491: hand lecture AMSEC Priority Ambulatory Conditions Rheumatologic conditions Local Learning OutcomesLearning ExperiencesAssessmentOsteoarthritis (+) IMED3343 - Discuss pathological and relevant clinical aspects of osteoarthritis IMED 4491.3.10 -  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50209,Describe%20and%20explain%20the%20pathological%20features%20clinical%20assessment%20and%20management%20of%20specific%20musculoskeletal%20related%20health%20conditions,50209,240,Pathological%20and%20Clinical%20Features,141,Scientific%20Basis%20of%20Medicine,30-NOV-2011" Describe and explain the pathological features, clinical assessment and management of osteoarthritis - both generalized and local osteoarthritis, including facet joint dysfunction. IMED 5531.3.16 -  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50231,Describe%20and%20discuss%20disordered%20human%20structure%20function%20and%20behaviour%20and%20it" Describe and explain the epidemiology, natural history and pathogenesis of osteoarthritis especially affecting the spine (lumbar + cervical) and knee to a patient in a consultation setting3343: Lectures, Tutorials, Self directed learning IMED4491 OA lecture IMED 4491 hip lecture IMED 4491 knee lecture IMED 4491 tOSCE3343: Written Exam-Objective test items, Written Exam-Short Answer Questions IMED 4491 MCQRheumatoid arthritis (+) IMED 3343 - Demonstrate knowledge of pathological and relevant clinical aspects of rheumatoid arthritis and rheumatoid disease. IMED 5531.3.19 -  HYPERLINK "https://mappedout.meddent.uwa.edu.au/oseprod/f?p=119:SUO:3381089780130598::::F_UO,F_UO_TEXT,P59_SEQ,F_STRAND,F_STRAND_NAME,F_THEME,F_THEME_NAME,P54_AS_AT_DATE:50231,Describe%20and%20discuss%20disordered%20human%20structure%20function%20and%20behaviour%20and%20it" Describe the epidemiology, natural history and pathogenesis of arthritis (osteoarthritis and rheumatoid arthritis) to a patient in a consultation setting 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 arthritis3343: Lectures, Tutorials, Self directed learning IMED 4491 RA lecture IMED 4491 PBL3343: Written Exam-Objective test items, Written Exam-Short Answer Questions IMED 4491 MCQJuvenile idiopathic arthritis (+) IMED 4491 tutorial session paediatric rheumatologyIMED 4491 MCQReactive arthritis IMED 4491 seronegative spondyloarthropathy lectureIMED 4491 MCQCrystal arthropathy (gout, pseudogout)IMED 3343 - Demonstrate knowledge of pathological and relevant clinical aspects of crystal arthropathies including gout and calcium pyrophosphate disease IMED 4491.4.4.1.3 - Describe and explain the pathological features, 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 osteoporosis3343: Lectures, Tutorials, Self directed learning IMED 4491 gout lecture3343: Written Exam-Objective test items, Written Exam-Short Answer Questions IMED 4491 MCQIdiopathic inflammatory myositis Psoriatic arthritisIMED 4491 seronegative spondyloarthropathy lectureIMED 4491 MCQSpondyloarthropathies 4491.3: Describe and explain the pathological features, clinical assessment and management of specific musculoskeletal related health conditions4491: seronegative spondyloarthropathy lecture4491 MCQPolymyalgia rheumatica 4491: autoimmune and CTD diseaseTemporal arteritis (*) 4491: autoimmune and CTD diseaseLupus 4491: autoimmune and CTD disease4491 MCQScleroderma 4491: autoimmune and CTD disease4491 MCQOther autoimmune/CTD4491: autoimmune and CTD disease4491 MCQ AMSEC Priority Ambulatory Conditions General and other conditions Local Learning OutcomesLearning ExperiencesAssessmentOsteoporosis (+) 2211.2.3 Describe in detail the pathological and clinical features of diseases/conditions including diabetes, osteoporosis, breast cancer, HRT, contraception, renal disease, arthritis, depression, vision and hearing loss 2211.10.4 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 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 osteoporosis3343: Lectures, Tutorials, Self directed learning 3345: lectures 4491 OP lecture, OP PBL, laboratory tests/biochemistry 3343: Written Exam-Objective test items, Written Exam-Short Answer Questions 3345: Objective test items, Short Answer Questions 4491: MCQPagets disease 3343.12.20 Discuss the major types of metabolic bone disease, in particular, osteoporosis, osteomalacia/rickets, hyperparathyroidism and Paget's disease of bone. 4491.1.3 Describe the pathophysiology of osteoporosis, osteomalacia, malignant bone disease and Paget's disease3343: Lectures, Tutorials, Self directed learning IMED 4491 biochemistry3343: Written Exam-Objective test items, Written Exam-Short Answer Questions IMED 4491 MCQFibromyalgia Child abuse 4491: paeds rheumatology session, paeds ortho lectureComplex regional pain syndromeCompartment syndrome (*) IMED 4491.4.4.1.3 Describe and explain the pathological features, clinical assessment and management of compartment syndrome and crush syndromeIMED 4491 ortho case studyOpen fractures (*) IMED 3343 - Discuss fracture healing and repair3343: Lectures, Tutorials, Self directed learning IMED 4491 ortho case study3343: Written Exam-Objective test items, Written Exam-Short Answer Questions MSK mimickers/red flags (*) Infections of MSK tissues (bone/joint/muscle, etc) (*)IMED3343 Demonstrate knowledge of osteo-arthritis and septic arthritis including diagnosis and principles of management Demonstrate knowledge of pathological and relevant clinical aspects of 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 osteomyelitis3343: Lectures, Tutorials, Self directed learning IMED 4491 case study3343: Written Exam-Objective test items, Written Exam-Short Answer Questions Tumours of MSK tissues (*)3343.12.9 Give a classification of bone tumours. 3343.12.10 Describe general clinical aspects of bone tumours. 3343.12.11 Demonstrate a basic understanding of pathological aspects of 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 disease3343: Lectures, Tutorials, Self directed learning 4491 case study, self assessments3343: Written Exam-Objective test items, Written Exam-Short Answer Questions Summary of Level of Integration between AMSEC Competencies and UWA MBBS Curriculum Basic Science and Supporting Knowledge Competencies (n = 5)Clinical Sciences and Skills Competencies (n = 11)Priority Ambulatory Conditions (n = 130)National Priority and High Burden Conditions (n=9)MSK/Red Flag Conditions (n = 13)Level of Coverage (# = number of levels outcomes, learning experiences, assessment; v = vertical integration present)3 + V4511613024002 + V1050120128351 + V0000010035020014704     PAGE  PAGE 24 AMSEC Musculoskeletal Competency 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