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1.4 Care of Adults

1.4 Care of Adults			Core Rotation	Elective Rotation	Academic Program	Special Interest Elective
The family physician is a skilled clinician
The resident will be able to:
1.4.1	K/S	Manage common presentations/problems in allergy/immunology:
1.4.1.1	K/S	Reactive airways disease / asthma	FM, AEM	UC, FMH	X
1.4.1.2	K/S	Rhinitis	FM, AEM	UC	X
1.4.1.3	K/S	Anaphylaxis	FM, AEM	UC	X
1.4.1.4	K/S	Adverse reactions to foods, drugs and biologicals	FM, AEM	UC, FMH	X
1.4.1.5	K/S	Urticaria/angioedema	FM, AEM	UC, FMH	X
1.4.1.6	K/S	Immunodeficiency	FM, AEM
1.4.2	K/S	Manage common presentations/problems in cardiovascular medicine:
1.4.2.1	K/S	Coronary artery disease	FM, AEM, IM, GM	CW, FMH
1.4.2.2	K/S	Syncope	FM, AEM, IM, GM	CW, FMH
1.4.2.3	K/S	Dysrhythmias	FM, AEM, IM, GM	CW, FMH
1.4.2.4	K/S	Hypertension	FM, AEM, IM, GM	CW, FMH
1.4.2.5	K/S	Congestive heart failure	FM, AEM, IM, GM	CW, FMH
1.4.2.6	K/S	Valvular heart disease	FM, AEM, IM, GM	CW, FMH
1.4.2.7	K/S	Thromboembolic disease	FM, AEM, IM, GM	FMH
1.4.2.8	K/S	Peripheral vascular disease	FM, AEM, IM, GM	FMH
1.4.2.9	K/S	Cardiomyopathies	FM, AEM, IM, GM	FMH
1.4.2.10	K/S	Chest pain	FM, AEM, IM, GM	CW, FMH
1.4.2.11	K/S	Murmurs	FM, AEM, IM, GM	CW, FMH
1.4.2.12	K/S	Shortness of breath	FM, AEM, IM, GM	CW, FMH
1.4.3	K/S	Manage common presentations/problems in the eye:
1.4.3.1	K/S	Eyelid problems (e.g. styes, chalazion, entropion/extropion, ptosis, tumours, blepharitis)	FM, AEM, IM	UC, FMH	X
1.4.3.2	K/S	Conjunctivitis	FM, AEM, IM	UC, FMH	X
1.4.3.3	K/S	Corneal problems (e.g. abrasion, keratitis, ulcers)	FM, AEM	UC	X
1.4.3.4	K/S	Glaucoma	FM, AEM, IM	UC, FMH	X
1.4.3.6	K/S	Strabismus	FM, AEM	UC	X
1.4.3.7	K/S	Acute visual loss	FM, AEM, IM	UC, FMH	X
1.4.3.8	K/S	Chronic visual loss	FM, AEM, IM	UC, FMH	X
1.4.3.9	K/S	Red eye	FM, AEM, IM	UC, FMH	X
1.4.4	K/S	Manage common presentations/problems in the musculoskeletal system:
1.4.4.1	K/S	Common joint sprains (e.g. fingers, wrist, shoulder, knee, ankle)	FM, AEM	UC, SM	X
1.4.4.2	K/S	Common fractures (distal radial, ankle, proximal humerus, clavicle, rib, vertebral, calcaneal, patella)	FM, AEM	UC
1.4.4.3	K/S	Common strains (e.g. neck, back, hamstring, trapezius)	FM, AEM	UC	X
1.4.4.4	K/S	Bursitis	FM, AEM	UC
1.4.4.5	K/S	Epicondylitis	FM, AEM	UC
1.4.4.6	K/S	Entrapment (e.g. carpal tunnel, ulnar nerve)	FM, AEM	UC	X
1.4.4.7	K/S	Seropositive and seronegative arthritis	FM, AEM	UC	X
1.4.4.8	K/S	Osteoporosis	FM, AEM, IM	UC, FMH, RH
1.4.4.9	K/S	Acute and chronic back pain	FM, AEM, IM	UC, SM, FMH, RH	X
1.4.4.10	K/S	Osteomyelitis	FM, AEM, IM	UC, FMH
1.4.4.11	K/S	Overuse / repetitive strain injury	FM, AEM	UC, SM	X
1.4.4.12	K/S	Rotator cuff disorders (e.g. tendonitis, tear)	FM, AEM	UC, SM	X
1.4.4.13	K/S	Mono- and polyarthritis	FM, AEM	UC, SM, RH	X
1.4.4.14	K/S	Foot problems (e.g. bunions, plantar fasciitis, Mortons neuroma)	FM, AEM	UC, SM	X
1.4.4.15	K/S	Connective tissue diseases (e.g. Systemic lupus, scleroderma, vasculitis, myositis)	FM, AEM	UC, RH	X
1.4.4.16	K/S	Polymyalgia rheumatica and temporal arteritis	FM, AEM	UC, RH	X
1.4.4.17	K/S	Fibromyalgia	FM, AEM	UC, RH	X
1.4.5	K/S	Manage common presentations/problems in the neurologic system:
1.4.5.1	K/S	Headache	FM, AEM, IM, GM	UC, FMH	X
1.4.5.2	K/S	Dizziness/Vertigo/Unsteadiness	FM, AEM, IM, GM	UC, FMH	X
1.4.5.3	K/S	TIA/CVA	FM, AEM, IM, GM	UC, FMH	X
1.4.5.4	K/S	Head Injury	FM, AEM, IM, GM	UC, FMH
1.4.5.5	K/S	Multiple sclerosis	FM, AEM, IM, GM	UC, FMH
1.4.5.6	K/S	Delirium and dementia	FM, AEM, IM, GM	UC, FMH
1.4.5.7	K/S	Altered level of consciousness, confusion	FM, AEM, IM, GM	UC, FMH
1.4.5.8	K/S	Seizure	FM, AEM, IM, GM	UC, FMH
1.4.5.9	K/S	Syncope	FM, AEM, IM, GM	UC, FMH
1.4.5.10	K/S	Meningitis and encephalitis	FM, AEM, IM, GM	UC, FMH
1.4.5.11	K/S	Neuropathy	FM, AEM, IM, GM	UC, FMH
1.4.5.12	K/S	Myasthenia gravis	FM, AEM, IM, GM	UC, FMH
1.4.5.13	K/S	Paresthesias and altered sensations	FM, AEM, IM, GM	UC, FMH
1.4.6	K/S	Manage common presentations/problems in the skin:			X
1.4.6.1	K/S	Rash	FM, AEM, IM, GM	UC, FMH	X
1.4.6.2	K/S	Itchiness	FM, AEM, IM, GM	UC, FMH	X
1.4.6.3	K/S	Atopic dermatitis	FM, AEM, IM, GM	UC, FMH	X
1.4.6.4	K/S	Psoriasis	FM, AEM, IM, GM	UC, FMH, RH	X
1.4.6.5	K/S	Dandruff/Seborrheic dermatitis	FM, AEM, IM, GM	UC, FMH	X
1.4.6.6	K/S	Athletes' foot	FM, AEM, IM, GM	UC, FMH	X
1.4.6.7	K/S	Nail problems (e.g. fungal infections)	FM, AEM, IM, GM	UC, FMH	X
1.4.6.8	K/S	Thermal injury	FM, AEM, IM, GM	UC, FMH	X
1.4.6.9	K/S	Allergic contact dermatitis	FM, AEM, IM, GM	UC, FMH	X
1.4.6.10	K/S	Tinea infections	FM, AEM, IM, GM	UC, FMH	X
1.4.6.11	K/S	Hair loss	FM, AEM, IM, GM	UC, FMH	X
1.4.6.12	K/S	Wound care	FM, AEM, IM, GM	UC, FMH	X
1.4.6.13	K/S	Common malignancies	FM, AEM, IM, GM	UC, FMH	X
1.4.6.14	K/S	Acne vulgaris / rosacea	FM, AEM, IM, GM	UC, FMH	X
1.4.7	K/S	Manage common presentations/problems in obstetrics:
1.4.7.1	K/S	Prenatal assessments	FM, OBG	UC	X
1.4.7.2	K/S	Postpartum care	FM, OBG	UC	X
1.4.7.3	K/S	Lactation	FM, OBG	UC	X
1.4.7.4	K/S	Gestational diabetes	FM, OBG	UC	X
1.4.7.5	K/S	Pregnancy-induced hypertension	FM, OBG	UC	X
1.4.7.6	K/S	Nausea and vomiting / Hyperemesis gravidarum	FM, OBG	UC	X
1.4.7.7	K/S	Third-trimester bleeding	FM, OBG	UC	X
1.4.7.8	K/S	Intrapartum care	FM, OBG		X
1.4.7.9	K/S	Medications and drugs in pregnancy	FM, OBG	UC	X
1.4.8	K/S	Manage common presentations/problems in women's health:
1.4.8.1	K/S	Family planning and contraception	FM	WH	X
1.4.8.2	K/S	Pregnancy termination	FM, AEM	UC	X
1.4.8.3	K/S	First and second trimester bleeding	FM, AEM, OBG	UC	X
1.4.8.4	K/S	Abnormal uterine bleeding, postmenopausal bleeding	FM, AEM, OBG	UC	X
1.4.8.5	K/S	Vaginitis	FM, AEM, OBG	UC, WH
1.4.8.6	K/S	Menstrual disorders	FM, AEM, OBG	UC, WH
1.4.8.7	K/S	Sexually transmitted infections	FM, AEM, OBG	UC, WH
1.4.8.8	K/S	Domestic violence and sexual abuse	FM, AEM	UC
1.4.8.9	K/S	Pelvic pain	FM, AEM, OBG	UC, WH
1.4.8.10	K/S	Menopause	FM, AEM, OBG	UC, WH	X
1.4.8.11	K/S	Cervical lesions and abnormal cytology	FM, OBG	WH
1.4.8.12	K/S	Breast disorders (e.g. nipple discharge, pain, mass)	FM, AEM, GS	UC, WH
1.4.8.13	K/S	Urinary incontinence	FM, IM, GM	UC, WH, FMH	X
1.4.8.14	K/S	Infertility	FM, OBG	WH
1.4.9	K/S	Manage common presentations/problems in nephrologic/urinary system:
1.4.9.1	K/S	Hematuria	FM, AEM, IM, GM	UC, FMH	X
1.4.9.2	K/S	Benign prostatic hypertrophy	FM, AEM, IM, GM	UC, FMH	X
1.4.9.3	K/S	Prostate cancer	FM, AEM, IM, PC	UC, FMH	X
1.4.9.4	K/S	Testicular pain, mass	FM, AEM	UC	X
1.4.9.5	K/S	Urinary stones	FM, AEM, IM, GM	UC, FMH	X
1.4.9.6	K/S	Erectile dysfunction	FM		X
1.4.9.7	K/S	Andropause	FM		X
1.4.9.8	K/S	Urinary tract infections	FM, AEM, IM, GM	UC, FMH	X
1.4.9.9	K/S	Renal failure	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.9.10	K/S	Proteinuria	FM, AEM, IM, GM	UC, FMH	X
1.4.9.11	K/S	Electrolyte disturbances	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.9.12	K/S	Other malignancies of the urinary tract	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.10	K/S	Manage common presentations/problems in respiratory medicine:
1.4.10.1	K/S	Acute and chronic cough	FM, AEM, IM, GM	UC, FMH
1.4.10.2	K/S	Hemoptysis	FM, AEM, IM, GM, PC	UC, FMH
1.4.10.3	K/S	Shortness of breath	FM, AEM, IM, GM, PC	UC, FMH
1.4.10.4	K/S	Asthma	FM, AEM, IM, GM	UC, FMH	X
1.4.10.5	K/S	COPD	FM, AEM, IM, GM	UC, FMH	X
1.4.10.6	K/S	Pulmonary nodule	FM, AEM, IM, GM	UC, FMH
1.4.10.7	K/S	Tuberculosis	FM, AEM, IM, GM	UC, FMH
1.4.10.8	K/S	Pleural effusion	FM, AEM, IM, GM, PC	UC, FMH
1.4.11	K/S	Manage common presentations/problems in gastroenterology:
1.4.11.1	K/S	Acute and chronic abdominal pain	FM, AEM, IM, GM, OBG	UC, FMH	X
1.4.11.2	K/S	Acute and chronic diarrhea	FM, AEM, IM, GM	UC, FMH	X
1.4.11.3	K/S	Constipation	FM, AEM, IM, GM	UC, FMH	X
1.4.11.4	K/S	Rectal bleeding	FM, AEM, IM, GM, GS, PC	UC, FMH	X
1.4.11.5	K/S	Hemorrhoids	FM, AEM, IM, GM, GS	UC, FMH	X
1.4.11.6	K/S	Malabsorption	FM, AEM, IM, GM, GS	UC, FMH	X
1.4.11.7	K/S	Non-alcoholic steatohepatitis	FM, AEM, IM, GM	UC, FMH	X
1.4.11.8	K/S	Hepatitis	FM, AEM, IM, GM	UC, FMH	X
1.4.11.9	K/S	Irritable bowel syndrome	FM, AEM, IM, GM, GS	UC, FMH	X
1.4.11.10	K/S	Dyspepsia	FM, AEM, IM, GM, GS	UC, FMH	X
1.4.11.11	K/S	Gastroesophageal reflux disease	FM, AEM, IM, GM	UC, FMH	X
1.4.11.12	K/S	Odynophagia/dysphagia	FM, AEM, IM, GM, GS, PC	UC, FMH	X
1.4.11.13	K/S	Common gastroenterology malignancies	FM, AEM, IM, GM, GS, PC	UC, FMH	X
1.4.12	K/S	Manage common presentations/problems in ears/nose/throat:
1.4.12.1	K/S	Epistaxis	FM, AEM, IM	UC, FMH
1.4.12.2	K/S	Hearing loss	FM, AEM, IM, GM	UC, FMH
1.4.12.3	K/S	Tinnitus	FM, AEM, IM, GM	UC, FMH
1.4.12.4	K/S	Hoarseness	FM, AEM, IM, GM	UC, FMH
1.4.12.5	K/S	Enlarged cervical nodes	FM, AEM, IM, GM	UC, FMH
1.4.12.6	K/S	Sinusitis	FM, AEM, IM, GM	UC, FMH
1.4.12.7	K/S	Vertigo	FM, AEM, IM, GM	UC, FMH
1.4.12.8	K/S	Sore throat	FM, AEM, IM, GM	UC, FMH
1.4.13	K/S	Manage common presentations/problems in endocrinology:
1.4.13.1	K/S	Diabetes	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.13.2	K/S	Hypercalcemia	FM, AEM, IM, GM, PC	UC, FMH
1.4.13.3	K/S	Hyper/hypothyroidism	FM, AEM, IM, GM	UC, FMH
1.4.13.4	K/S	Thyroid nodules/mass	FM, AEM, IM, GM	UC, FMH
1.4.13.5	K/S	Hyperlipidemia	FM, AEM, IM, GM	UC, FMH
1.4.14	K/S	Manage common presentations/problems in hematology:
1.4.14.1	K/S	Anemia	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.14.2	K/S	Leukopenia	FM, AEM, IM, GM	UC, FMH	X
1.4.14.3	K/S	Thrombocytopenia	FM, AEM, IM, GM	UC, FMH	X
1.4.14.4	K/S	Blood product transfusions	FM, AEM, IM, GM, PC	UC, FMH	X
1.4.15	K/S	Manage common general presentations/problems:
1.4.15.1	K/S	Fatigue	FM, AEM, IM, GM, PC	UC, FMH, RH
1.4.15.2	K/S	Unwell	FM, AEM, IM, GM, PC	UC, FMH
1.4.15.3	K/S	Weight gain/loss	FM, AEM, IM, GM, PC	UC, FMH
1.4.15.4	K/S	Iatrogenic illness (e.g. adverse drug effects, reporting/monitoring adverse drug effects)	FM, AEM, IM, GM	UC, FMH
1.4.16	K	Have knowledge in general nutritional issues:
1.4.16.1	K	Describe the principles of nutritional assessment	FM		X
1.4.16.2	K	Describe nutritional needs/issues at different stages of life	FM		X
1.4.16.3	K	Describe nutritional strategies in the prevention and management of specific diseases/illnesses	FM		X
1.4.17	K	Have general knowledge in occupational medicine:
1.4.17.1	K	Describe a family physician's responsibilities towards WSIB and work-related health issues	FM, AEM	UC	X
1.4.17.2	K	Describe common occupational hazards in the Canadian context	FM, AEM	UC	X

Family medicine is a community-based discipline
The resident will be able to:
1.4.17	A	Describe how to make an effective referral to a specialist and community agencies and recognize the importance of an effecive referral	FM, AEM, PEM	UC, FMH

The family physician is a resource to a defined practice population
The resident will be able to:
1.4.18	K/S	Identify local resources that can support adult patients	FM, AEM, PEM, IM	UC, FMH

The patient-physician relationship is central to the role of the family physician
The resident will be able to:
1.4.19.1	A	Describe and recognize the importance of continuity of care in the management of chronic diseases and illnesses	FM, AEM, IM	UC, FMH
1.4.19.2	A	Describe and recognize the illness experience and the psychosocial and mental impact from the diseases/conditions in this section	FM, AEM, IM, GM, OBG, GS	UC

References
Allergy and Immunology. Recommended Curriculum Guidelines for Family Medicine Residents.
Cardiovascular Medicine. Recommended Curriculum Guidelines for Family Medicine Residents.
Conditions of the Eye. Recommended Curriculum Guidelines for Family Medicine Residents.
Conditions of the Musculoskeletal System. Recommended Curriculum Guidelines for Family Medicine Residents.
Conditions of the Nervous System. Recommended Curriculum Guidelines for Family Medicine Residents.
Conditions of the Skin. Recommended Curriculum Guidelines for Family Medicine Residents.
Maternity and Gynecologic Care. Recommended Curriculum Guidelines for Family Medicine Residents.
Men's Health. Recommended Curriculum Guidelines for Family Medicine Residents.
Rheumatic Conditions. Recommended Curriculum Guidelines for Family Medicine Residents.
Sport and Recreational Medicine. Recommended Curriculum Guidelines for Family Medicine Residents.
Women's Health. Recommended Curriculum Guidelines for Family Medicine Residents.
Nutrition. Recommended Curriculum Guidelines for Family Medicine Residents.
Occupational Medicine. Recommended Curriculum Guidelines for Family Medicine Residents.
Evaluation objectives in family medicine: topics, key features and procedural skills.
Standards for Accreditation of Residency Training Programs. The College of Family Physicians of Canada. 2006.