Department of Family & Community Medicine

Enhanced Skills Program: Global Health and Vulnerable Populations Goals and Objectives Tuberculosis

The tuberculosis rotation provides residents with the opportunity to develop familiarity with standards of care, as relevant to primary care, in screening, counselling, and assessment of TB. During this rotation they will also acquire the skills needed to utilize appropriate community resources and to provide supportive care to patients.

Medical Expert

The PGY3 resident will:

  • Cite the unique epidemiological, physiological, and social factors that impact tuberculosis incidence and prevalence
  • Demonstrate understanding of the tests and investigations used in the diagnosis of TB
  • Conduct a thorough and relevant focused clinical history and physical assessment of the patient presenting with possible active or latent TB
  • Identify and screen for other appropriate infectious diseases in a patient with risk factors for tuberculosis
  • Demonstrate familiarity with the pulmonary and extra-pulmonary manifestations of TB
  • Provide appropriate treatment for latent and active tuberculosis and demonstrate familiarity with first and second line regiments

Communicator

The PGY3 resident will:

  • Engage patients in care with attention to the provider’s role in minimizing stigma of diagnoses such as tuberculosis
  • Respond to patient’s concerns while recognizing the patient’s cultural context and belief systems
  • Exhibit effective communication skills, including verbal and written presentation of patient consultations with the respectful and culturally sensitive use of language
  • Find common ground in the identification of problems and priorities of intervention
  • Provide sufficient information regarding risks and benefits of TB treatment
  • Exhibit effective and timely documentation of pertinent aspects of the clinical encounter
  • Develop a basic plan for the patient that incorporates the input of the patient

Collaborator

The PGY3 resident will:

  • Actively involve appropriate members of a patient’s health care team, including allied health workers, in the assessment, planning, and provision of care
  • Integrate and liaise with public health staff and care recommendations as required
  • Share knowledge effectively to formulate a health care plan
  • Establish good relationships with peers and other health professionals
  • Effectively provide and receive information

Manager

The PGY3 resident will:

  • Demonstrate fiscally responsible allocation of government resources in support of patients’ needs
  • Demonstrate time management skills to reflect and balance priorities for patient care, sustainable practice, and personal life
  • Demonstrate understanding of the principles of practice management

Health Advocate

The PGY3 resident will:

  • Provide appropriate education and counselling regarding preventing the transmission of communicable diseases including tuberculosis
  • Identify opportunities to outreach to community resources and health partners to achieve better health outcomes for patients
  • Incorporate preventative and health promotion counselling into clinical encounters
  • Coordinate patient’s access to care through use of hospital and community resources in a timely fashion
  • Recognize special needs, impairments, and resource limitations of patients

Scholar

The PGY3 resident will:

  • Demonstrate the expertise to critically appraise levels of evidence, interpret the relevant evidence, and apply this appropriately to practice domains
  • Apply lifelong self-directed learning skills to keep up-to-date on TB care
  • Appropriately apply evidence-based approaches and knowledge of the current TB literature to inform clinical decision-making

Professional

The PGY3 resident will:

  • Exhibit professional behaviours in practice including reliability, compassion, respect, and commitment to patient well being
  • Identify and appropriately respond to unique ethical issues arising in the care of the TB patients
  • Respect personal/professional boundaries with patients, residents, and faculty
  • Demonstrate insight into his/her limitations and respond appropriately to constructive feedback
  • Complete all consults/paper work/dictations in a timely fashion
  • Be on time for all clinical duties