PCC Learning Objectives

The Learning Objectives constitute the PCC curriculum for which you may be tested. Collectively, they are the most frequent issues encountered in primary care.

For your learning convenience, we have also created a condensed version that can be printed/carried.

Symptomatic Conditions

1. Abdominal Pain
2. Back Pain
3. Chest Pain
4. Headache
5. Musculoskeletal
6. Respiratory Infections

Objective Where Taught Where Evaluated Sample Evaluation
Obtain history to generate a complete description of patient's symptoms, identifying any 'danger' symptoms
Preceptor
PBL
Preceptor
OSCE
Practice Exam #s: 1, 2, 14, 18, 19, 22
OSCE Scenario: A, B, D
Ascertain patient/family beliefs regarding symptom causes and home treatment efforts
Preceptor
PBL
Preceptor
OSCE
Practice Exam #s:5, 7
OSCE Scenario: B, D, E, G
Perform appropriately focused physical exam, noting any 'red flag' signs.

Preceptor Preceptor
OSCE
Practice Exam #s: 2, 4, 19
OSCE Scenario: C
Succinctly present patient case to Preceptor, applying knowledge of epidemiology to generate & defend weighted differential diagnosis
Preceptor Preceptor Practice Exam #s: 1, 2, 3, 4, 6, 7, 15, 18, 19,20, 21, 22
OSCE Scenario: A, B, C, G
Present assessment in patient-centered manner, integrating diagnostic probabilities and evidence-based treatment recommendations
Preceptor
DrPt
Preceptor
OSCE
Written
Practice Exam #s: 6, 7, 15, 20
OSCE Scenario: D, E, F, G
Appreciate process of negotiating management plan and incorporating patient preferences into care
Preceptor
PBL
DrPt
Preceptor
OSCE
Practice Exam #s: 3, 6, 7, 8, 10, 12. 15
OSCE Scenario: D, E, F , G
Educate patient and family regarding monitoring, danger signs, self-cares, & community resources
Preceptor
PBL
Preceptor
OSCE
Practice Exam #s: 1, 4, 5, 6, 7, 8, 18, 20
OSCE Scenario: D, E, F, G
Check for understanding of follow-up plan, including treatments, testing, referrals, & continuity of care
Preceptor
PBL
Preceptor
OSCE
Practice Exam #s: 11, 12
OSCE Scenario: D, E, F, G

Chronic Diseases

7. Asthma/COPD
8. Depression
9. Diabetes
10. Dyslipidemia
11. Hypertension
12. Obesity
13. Substance Abuse

Objective Where Taught Where Evaluated Sample Evaluation
Apply knowledge of prevalence, risk factors, and outcomes to make informed recommendations for screening of common chronic diseases
Preceptor
PBL
Preceptor
Write Up
PBL
Practice Exam #s: 18, 22,
OSCE Scenario: F
Differentiate among various levels, stages and complications of chronic disease, e.g. pre-hypertension, Stage 1, Stage 2, Malignant hypertension
Preceptor
PBL
Preceptor
Write Up
Practice Exam #s: 24, 27
OSCE Scenario: E
Generate list of conditions that might mimic or secondarily cause chronic diseases, and understand when to consider these
Preceptor
PBL
Preceptor
Write Up
Practice Exam #s: 17, 24
OSCE Scenario:
Assess patients' abilities to participate in treatment planning and integrate patient preferences into management
Preceptor
PBL
Preceptor
OSCE
PBL
Practice Exam #s: 16, 23, 25, 27
OSCE Scenario: D, E, F, G
Systematically monitor for disease control and complications
Preceptor
PBL
Preceptor
PBL
Practice Exam #s:16, 23, 25, 26, 27
OSCE Scenario: E,
Investigate barriers to chronic disease management and overall health and assist patients in recognizing and overcoming
Preceptor
PBL
Preceptor Practice Exam #s: 16, 25,
OSCE Scenario: E, F
Analyze public health impact of chronic disease, effectiveness of population-level interventions, and risk factor reduction programs
PBL Write up Practice Exam #s: 36
OSCE Scenario: F

Systems of Care & Learning

14. Doctor Patient Communication
15. Evidence-Based Medicine (EBM)
16. Preventive Services

Objective Where Taught Where Evaluated Sample Evaluation
Formulate answerable clinical questions from your patient interactions, and answer these questions in the exam room whenever possible
PBL
Preceptor
Preceptor Practice Exam #s: 28, 30
OSCE Scenario: F
Create your own learning goals; self-assess your own skills, behaviors; and seek and respond appropriately to feedback
CLP Preceptor
Mid
Incorporate understanding of patient's state of mind, beliefs, preferences and background into verbal and written communication
PBL
Preceptor
Preceptor Practice Exam #s: 29, 30
OSCE Scenario: D, E, F
Differentiate preventive service guidelines from various organizations and critique recommendations
PBL
Preceptor
PBL Practice Exam #s:30, 31
OSCE Scenario: F