The Tuning Learning Outcomes/competences for Primary Medical Degrees in Europe
Level 2 (the relevant Level 1 outcomes are shown in bold parenthesis)
Graduates in medicine will have the ability to:
'Carry out a consultation with a patient'
- take a history
- carry out physical examination
- make clinical judgements and decisions
- provide explanation and advice
- provide reassurance and support
- assess the patient's mental state
'Assess clinical presentations, order investigations, make differential diagnoses, and negotiate a management plan'
- recognise and assess the severity of clinical presentations
- order appropriate investigations and interpret the results
- make differential diagnoses
- negotiate an appropriate management plan with patients and carers
'Provide immediate care of medical emergencies, including First Aid and resuscitation'
- recognise and assess acute medical emergencies
- provide basic First Aid
- provide Basic Life Support and Cardio-Pulmonary Resuscitation according to current European guidelines
- treat acute medical emergencies
- provide Advanced Life Support according to current European guidelines
- provide trauma care according to current European (ATLS) guidelines
'Prescribe drugs'
- prescribe clearly and accurately
- match appropriate drugs to the clinical context
- review the appropriateness of medication and evaluate the potential benefits and risks
- prescribe drugs to treat pain and distress
'Carry out practical procedures (e.g. venepuncture)'
- measure blood pressure
- venepuncture
- cannulation of veins
- administer IV therapy and use infusion devices
- subcutaneous and intramuscular injection
- administer oxygen
- move and handle patients
- suturing
- blood transfusion
- bladder catheterisation
- urinalysis
- electrocardiography
- basic respiratory function tests
'Communicate effectively in a medical context'
- communicate with patients
- communicate with colleagues
- communicate in breaking bad news
- communicate with relatives
- communicate with disabled people
- communicate in seeking informed consent
- communicate in writing (including medical records)
- communicate in dealing with aggression
- communicate by telephone
- communicate with those who require an interpreter
'Apply ethical and legal principles in medical practice'
- maintain confidentiality
- apply ethical principles and analysis to clinical care
- obtain and record informed consent
- certify death
- request autopsy
- apply national and European law to clinical care
'Assess psychological and social aspects of a patient's illness'
- assess psychological factors in presentations and impact of illness
- assess social factors in presentations and impact of illness
- detect stress in relation to illness
- detect alcohol and substance abuse, dependency
'Apply the principles, skills and knowledge of evidence-based medicine'
- apply evidence to practice
- define and carry out an appropriate literature search
- critically appraise published medical literature
'Use information and information technology effectively in a medical context'
- keep accurate and complete clinical records
- use computers
- access information sources
- store and retrieve information
'Ability to apply scientific principles, method and knowledge to medical practice and research'
- no specified level 2 outcomes
'Promote health, engage with population health issues and work effectively in a health care system.'
- provide patient care which minimises the risk of harm to patients
- apply measures to prevent the spread of infection
- recognise own health needs and ensure own health does not interfere with professional responsibilities
- conform with professional regulation and certification to practise
- receive and provide professional appraisal
- make informed career choices
Outcomes for Medical Professionalism
Professional Attributes
- probity, honesty, ethical commitment
- commitment to maintaining good practice, concern for quality
- critical and self-critical abilities, reflective practice
- empathy
- creativity
- initiative, will to succeed
- interpersonal skills
Professional working
- ability to recognise limits and ask for help
- ability to work autonomously when necessary
- ability to solve problems
- ability to make decisions
- ability to work in a multidisciplinary team
- ability to communicate with experts in other disciplines
- ability to lead others
- capacity to adapt to new situations
- capacity for organisation and planning (including time management)
The doctor as expert
- capacity for analysis and synthesis
- capacity to learn (including lifelong self-directed learning)
- capacity for applying knowledge in practice
- ability to teach others
- research skills
The global doctor
- appreciation of diversity and multiculturality
- understanding of cultures and customs of other countries
- ability to work in an international context
- knowledge of a second language
- general knowledge outside medicine
