Lawrence S. Bloomberg Faculty of Nursing

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Advanced Health Assessment and Clinical Reasoning in Primary Health Care: A Review for Nurse Practitioners

Date to be determined

7 week course

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Delivery Format: Online

OSAP Approved
Course Description
Course Format
Financial Assistance
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  • Course Description

    This course for Nurse Practitioners and/or Nurse Practitioner Program students offers a focused review of advanced health assessment. Emphasis will be placed on the clinical reasoning and decision-­making skills required to accurately assess and diagnose clients commonly seen in a primary health care setting across the lifespan. Participants will enhance their physical assessment skills; as well as improve their understanding and expertise in the collection of data and diagnostic formulation.  Aspects of clinical reasoning will be investigated and critically reviewed in application to pediatric and adult case studies. Clinical, theoretical and scientific knowledge will be synthesized through the identification and management of existing and potential client states of health and illness across the lifespan.

    Course Objectives

    The course objectives are based on select Entry-Level Competencies for Nurse Practitioners (CNO, 2018).

    Upon completion of the course, the learner will be able to:

    1. Perform initial observational assessment of the client’s condition.
    2. Ask pertinent questions to establish the context for client encounter and chief presenting issue.
    3. Identify urgent, emergent, and life-threatening situations.
    4. Collect health history information.
    5. Perform a relevant physical examination based on assessment findings and specific client characteristics.
    6. Integrate laboratory and diagnostic results with history and physical assessment findings.
    7. Analyze and interpret multiple sources of data.
    8. Generate differential diagnoses.
    9. Determine most likely diagnoses based on clinical reasoning and available evidence.


    Registered as Nurse Practitioner or currently a Nurse Practitioner Student.

  • Faculty

    Willi Kirenko NP-PHC, NP-Adult, MN
    Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing

    Susan Chernenko MN, RN(EC)
    Nurse Practitioner, Toronto Lung Transplant Program, Toronto General Hospital, University Health Network
    Adjunct Faculty, Lawrence S. Bloomberg Faculty of Nursing

  • Course Format

    This course is offered on-line course through the University of Toronto Quercus Learning Portal over a 7-week period. There are 5 weeks of course work, and two weeks for evaluation of participants. There is one virtual classroom session during week one at the start of the course to introduce the participants to the course format and expectations. (This session will also be available as a recording.)

    In order to successfully complete and pass the course, participants will be evaluated by 3 methods:

    1. Quality and consistency of participation in faculty led weekly case studies.
    2. Written submission of a case study from the participant’s practice; and participation in providing feedback on another participant’s submission (Week 6).
    3. Conducting a focused physical and health assessment on a volunteer client based on an assigned case (Week 7). This evaluation will be conducted by grading of a submitted recording.
  • Registration Information


    Early Bird price (ends September 24, 2021) $685 + HST
    Regular price (starts September 25, 2021) $755 + HST
    U of T Nursing Alumni save 15% $645 + HST
    U of T Nursing Adjunct and Status Faculty save 15% $645 + HST
    NPAO Member save 15% $645 + HST

    Site Groups

    A group discount rate is available for site groups of three or more people. For details please contact

    Please Note

    • Refund Policy – To withdraw from the course and receive a refund, your written request must be emailed to by September 17, 2021. No refunds will be given after this date. All refunds are subject to an administration fee of $100 + tax. As an alternative, a colleague may attend in your place. Please send your substitution request at least 7 days before the course.
    • Advanced registration is required. Registration deadline: October 8, 2021.
    • U of T Nursing Alumni discount is available to BScN, MN, PMNP Diploma, MScN or PhD graduates of the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
    • U of T Nursing Faculty discount is available to individuals with a faculty position, adjunct or status appointment, or are a Clinical Instructor (current academic year only) at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
    • NPAO (Nurse Practitioner Association of Ontario) members may register at the NPAO rate which is 15% off the regular rate. Please note, your name will be used to confirm that you are a member of the NPAO.
    • Applicable taxes (13% HST) will be added to the registration fees.
    • Course Cancellation Policy – The University reserves the right to cancel courses due to unavailability of instructors, facilities or insufficient enrolment. Decisions on course cancellations are made at least 15 calendar days prior to the course starting date, so early registration is recommended. If you enroll in a course that is subsequently cancelled, you may transfer to another section of that course if an alternative is available; or you may receive a full refund. We are not responsible for travel fees or any expenses incurred by you.
  • Financial AssistanceOSAP Approved

    OSAP Funding

    The Ontario Student Assistance Program now offers funding for micro-credentials (short training programs offered by post-secondary institutions), including a number of courses offered by the Centre for Professional Development. This funding initiative is part of Ontario’s micro-credentials strategy, helping learners access more opportunities to train or upskill for in-demand jobs through loans and grants.

    How to Apply for OSAP Funding

    This course is OSAP approved (more approved courses are listed below, and you can also verify on the Micro-credentials Portal). To apply for financial assistance through OSAP you will need to establish an OSAP account. You must apply before the course completion date. Visit

    Once you have registered for an eligible OSAP Micro-credential program, the University Registrar’s Office requires a Micro-Credential Program information form to be completed to process your OSAP application. Please fill out the top section of the form and send it to to get assistance in completing the form.

    Download the Micro-credential Program Information Form (PDF)

    For questions regarding the OSAP Micro-Credential funding, eligibility or application process, please contact UofT’s Enrolment Services directly at, or by phone at 416-978-2190 for assistance.

    Eligible courses offered by the Centre for Professional Development

    • Advanced Health Assessment and Clinical Reasoning in Primary Health Care: A Review for Nurse Practitioners
    • Advanced Ostomy Care and Management
    • Complex Symptom Management in Palliative Care for Nurse Practitioners
    • Controlled Drugs and Substances: Essential Management and Prescribing Practices
    • End of Life Care Management for Nurse Practitioners
    • Integrating a Palliative Approach to Care and Essential Communication Skills for Nurse Practitioners
    • Leadership & Management in Health Care: Managing Business
    • Leadership & Management in Health Care: Managing People
    • Leadership & Management in Health Care: Managing Practice, Quality Care & Operational Performance
    • Leadership & Management in Health Care: Role, Competencies, and Context
    • Mental Health 1 for Nurse Practitioners
    • Mental Health 2 for Nurse Practitioners
    • Mental Health 3 for Nurse Practitioners
    • Mental Health 4 for Nurse Practitioners
    • Nursing Education for the Practice Setting: Assessment and Evaluation
    • Nursing Education for the Practice Setting: Design, Delivery and Facilitation
    • Nursing Education for the Practice Setting: Theoretical Perspectives and Context
    • Point-of-Care Clinical Leadership for Managing Quality Care & Operations in Long-Term Care
    • Point-of-Care Clinical Leadership for Working With & Leading Long-Term Care Teams
    • Point-of-Care Clinical Leadership in the Context of Long-Term Care
    • Pressure Injuries and Complex Surgical Wounds: An Advanced Practice Course
    • Review of Health Assessment Across the Lifespan
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 1
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 2
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 3
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 4
    • Wound Management for Nurse Practitioners and Advanced Practice Nurses: A Best Practice Boot Camp on Lower Extremity Ulcers
  • Contact Us

    Phone: (416) 978-1784
    Address: Centre for Professional Development
    Lawrence S. Bloomberg Faculty of Nursing
    University of Toronto
    Suite 130
    155 College Street
    Toronto, ON
    Canada M5T 1P8

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