1. The consultation
Learning Outcomes
Context
Structure
Attitudes
Models of consultation
Communication Skills
2. Personal & Professional responsibilities
Clinical governance
Learning Outcomes
Primary Care Management
Person-centred Care
Problem-solving
Comprehensive Approach
Community Orientation
Holistic Approach
Context
Attitude
Science
Audit
Audit Process
GMC
Good Medical Practice
Consent
RCGP
Revalidation
Patient Safety
Learning Outcomes
Primary Care Management
Person-centred Care
Problem-solving
Comprehensive Approach
Community Orientation
Holistic Approach
Context
Attitude
Science
National Patient Safety Agency
7 Steps to Patient Safety
Fitness to Drive
Clinical Ethics & Values-based practice
Learning Outcomes
Primary Care Management
Person-centred Care
Problem-solving
Comprehensive Approach
Community Orientation
Holistic Approach
Context
Attitude
Science
Ethics
Adolescence
Consent, competence, and confidentiality -- Larcher 330 (7487): 353 -- BMJ
Ethical Frameworks
Promoting Equality & Valuing Diversity
Learning Outcomes
Benefits
Brainstorm
CAB
The Big Ones
SSP
Incapacity Benefit
Disability Living Allowance
Attendance Allowance
Carers Allowance
Housing Benefit
Untitled
Summary Sheet
How Much?
Blue Badge
Bereavement Payments & Crisis loans
Tax Credits
Evidence-based Practice
Information Finding
PPT
Information Appraisal
Tutorial
Critical Appraisal PPT
VTS Handout
Investigations
Understanding sensitivity and specificity with the right side of the brain -- Loong 327 (7417): 716 -- BMJ
Diagnositic Studies
EBM Tools
Measuring inconsistency in meta-analyses -- Higgins et al. 327 (7414): 557 -- BMJ
Systematic Reviews & Guidleines
Research & Academic activity
Teaching, Mentoring & Clinical supervision
3. Management
Management in Primary Care
Practice management Tutorial
Staff
Policies
Certification
DWP Guide
DWP Desk aid
Employing People
Foreign visitors
Policies
INFO4 Removing patients
Information Management & Technology
Medical Records Legislation
Access to medical reports act
4. Promoting Health & Preventing Disease
Screening
Primary Care Antenatal and Newborn Screening Resource
Tutorial Document
Breast Cancer PPT
Cervical Cancer PPT
Cervical Screening Policies
5. Genetics in Primary Care
Genetics Tutorial
1 Clinical examples
2 Family history - one in ten?
3 Genogram
4 Draw Genogram
5 Why General Practice?
6 Genetic Testing
Resources
Links
6. Patient Groups
Acute Illness
MED2 Anaphylaxis
Children
Paediatric Development & Behaviour
ADHD
MIND info sheet
Wikipedia
Clinical Evidence
Enuresis / Encopresis
Sleep Disorders
Temper Tantrums
Feeding Problems
Speech/Language Development
Developmental Milestones
Child Protection
Practice Policy CHS
Child Protection
MAN1 Child Protection
Deanery requirements of Child Protection Training
Older adults
Carers
Dementia
Women
Infertility
Urinary Incontinence
Contraception
CON1 Emergency Contraception
CON2 Pre-conceptual advice
MAT1 Ante-natal Care
Men
Prostate
Benign Prostatic Hyperplasia
BMJ Review
Part 1
Part 2
7. Themes
Sexual Health
Cancer & Palliative Care
Mental Health
Depression
PHQ-9
Drugs & Alcohol
Tutorial
UK Guidelines
FAST screening
SIGN Guidelines
Drug Addiction PPT
Mental Capacity Act
Psychotic illness
Schizophrenia
Counselling
CBT
Five Areas
Royal College of Psychs leaflet
CBT for Chronic Pain - Bandolier
CBT for Chronic Fatigue - Bandolier
Alan's Model of a Human Being
Fear Fighter
Calipso and NICE??
Living Life to the Full
The Mental Health Act and Sectioning
MHA - The Sections
Learning Disabilities
8. Systems
Cardiovascular
Atrial Fibrillation
Antithrombotic therapy
Hypertension
Hypertension
Gastrointestinal
Nutrition
Vitamins
IBS
NICE Guidance 2008
BMJ article
Drug & Alcohol
ENT & Face
Ears
Tinnitus
Eye
The eye in GP
Metabolic
Diabetes
Protocol for diabetes care
Glycaemic control
Glycaemic control - evidence base
Hypertension management
Cholesterol Management
Proteinuria screening
Microalbumin screening
Tutorial: Management of Diabetes
Patient Information
Impaired glucose tolerance / IFG
Clinic recall policy
Clinic data entry
Obesity
Tutorial
Neurological
Headache
Headache -- Bal and Hollingworth 330 (7487): 346 -- BMJ
Headache Powerpoint
Respiratory
Allergy
Allergic Rhinitis / Hay Fever
Food Allergy
Peanut Allergy
Asthma
Buteyko Technique
BTS Guidelines
Pulse oximetry
Musculoskeletal
Polymyalgia Rheumatica
BMJ review
Plantar Fasciitis
Evidence review
Tutorial notes
Examining Joints
Skin
Excellent Web resource
Learning Outcomes
Primary Care management
Knowledge Base
Person-centered Care
Specific Problem-solving Skills
Comprehensive Approach
Community Orientation
Holistic Approach
Context
Attitude
Science
Psychomotor Skills
Melanoma PPT
Psoriasis
Acne
Eczema
OTHER CLINICAL
Haematology
Photoquiz - derms, eyes, ENT etc
9. Teaching & Learning the Curriculum
Domains of Competence
Domain 1: Primary care management
To manage primary care contacts with patients, dealing with unselected problems
Knowledge of epidemiology of primary care conditions
An approach that allows easy access for patients with unselected problems
An organisational approach to management of chronic conditions
Knowledge of primary care conditions & treatment
To cover the full range of health conditions
Knowledge of preventative activities in primary care
Skills in acute, chronic, emergency, preventative and palliative care
Diagnostic skills - history-taking, examination, investigation
Therapeutic skills - drug and non-drug
Ability to prioritise problems
To coordinate care with other professionals in primary care and with other specialists
Knowledge of organisation of primary care
Understanding of importance of good communications with patients and staff
Skills in effective teamwork
To master effective and appropriate care provision and health care utilisation
Knowledge of structure of healthcare system
Understanding the process of referral
Skills in managing the interface between primary and secondary care
To make available to the patient the appropriate services within the healthcare system
Communication Skills - counselling, teaching and treating patients families carers
Organisational skills for record-keeping, information management, teamwork, practice management and audit
To act as an advocate for the patient
Developing & maintaining a relationship and a style of communication that treats a patient as an equal
Skills in effective leadership, negotiation and compromise
Domain 2: Person-centred care
McWhinneys 3 core principles of patient-centred care
1. Comit to the person rather than to a body of knowledge
2. Seek to understand the context of the illness
3. Attach importance to the subjective aspects of medicine
Adopt a person-centred approach in dealing with patients and their problems
Basic knowledge and understanding of the individual, their aims and expectations in life
Develop a frame of reference to understand and deal with the family community social and cultural dimensions in a persons attitudes values and beliefs
Master patient illness and disease concepts
Skills and attitudes to apply these in practice
Use the consultation to bring about an effective doctor-patient relationship, respecting the patient's autonomy
Adopt a patient-centred consultation model, explore patient's ICE, integrate doctor's agenda, find common ground, negotiate plan
Communicate findings in a comprehensible way
Make decisions that respect patient autonomy
Be aware of subjectivity in the medical relationship: patient's feelings, values and preferences; doctor's feelings, values and attitudes.
Communicate, set priorities and act in partnership
Skills and attitude to establish a partnership
Skills and attitude to achieve a balance between emotional distance and proximity to the patient
Provide continuity of care as determined by the needs of the patient
Understand & master 3 aspects of continuity
Personal continuity
Episodic contnuity - making appropriate information available for each patient contact
Long-term continuity - 24 hours, 365 days a year
Domain 3: Specific Problem-solving skills
Problem-solving in general practice
To relate specific decision-making processes to the prevalence and incidence of illness in the community
K Knowledge of the prevalence and incidence of disease
K Knowledge of the practice community (age–sex distribution, prevalence of chronic diseases)
S Skills to apply specific decision-making (using tools such as clinical reasoning and decision rules).
To selectively gather and interpret information from history-taking, physical examination and investigations, and apply it to an appropriate management plan in collaboration with the patient
K Knowledge of relevant questions in the history and items in the physical examination relevant to the problem presented
K Knowledge of the patient’s relevant context, including family and social factors
K Knowledge of available investigations and treatment resources
S History-taking and physical examination skills, and skills in interpreting data
A A willingness to involve the patient in the management plan.
To adopt appropriate working principles (e.g. incremental investigation, using time as a tool), and to tolerate uncertainty
A Adopting skills and attitudes to demonstrate curiosity, diligence and caring
S Adopting stepwise procedures in medical decision-making, using time as a diagnostic and therapeutic tool
A Understanding and acceptance of the inevitability of uncertainty in primary care problem-solving and development of strategies that demonstrate this.
To intervene urgently when necessary
S Specific decision-making skills for emergency situations
S Specific skills in emergency procedures that may occur in primary care situations.
To manage conditions that may present early and in an undifferentiated way
S Knowledge of when to wait and reassure, and when to initiate additional diagnostic and therapeutic action.
To make effective and efficient use of diagnostic and therapeutic interventions.
K Knowledge that symptoms and signs vary in their predictive value, as do findings from ancillary tests
K An understanding of the cost-efficiency and cost–benefit of tests and treatments.
Domain 4: A comprehensive approach
To simultaneously manage multiple complaints and pathologies, both acute and chronic health problems
K An understanding of the concept of co-morbidity in a patient
S The skill to manage the concurrent health problems experienced by a patient through identification, exploration, negotiation, acceptance and prioritisation
S Skill in using the medical record and other information
S The skill to seek, and the attitude to use, the best evidence in practice.
To promote health and wellbeing by applying health promotion and disease prevention strategies appropriately
K The ability to understand the concept of health
S The ability to promote health on an individual basis as part of the consultation
S The ability to promote health through a health promotion or disease prevention programme within the primary care setting
A Understanding and recognising the importance of ethical tensions between the needs of the individual and the community, and acting appropriately.
To manage and coordinate health promotion, prevention, cure, care, rehabilitation and palliation.
K Understanding the complex nature of health problems in general practice
K Understanding the variety of possible approaches
S The ability to use different approaches in an individual patient and to modify these according to an individual’s needs
S The ability to coordinate teamwork in primary care.
Domain 5: Community orientation
To reconcile the health needs of individual patients and the health needs of the community in which they live, balancing these with available resources.
K An understanding of the health needs of communities through the epidemiological characteristics of their population
K An understanding of the interrelationships between health and social care
K An understanding of the impact of poverty, ethnicity and local epidemiology on a local community’s health
K An awareness of inequalities in healthcare provision
K An understanding of the structure of the healthcare system and its economic limitations
K An understanding of the roles of the other professionals involved in community policy relating to health
K An understanding of the importance of practice- and community-based information in the quality assurance of each doctor’s practice
K An understanding of how the healthcare system can be used by the patient and the doctor (referral procedure, co-payments, sick leave, legal issues, etc.) in their own context
S The ability to reconcile the needs of the individual with the needs of the community in which they live
K An understanding of the GP’s role in the commissioning of health care.
Domain 6: A holistic approach
To use bio-psycho-social models, taking into account cultural and existential dimensions.
K Knowledge of the holistic concept and its implications for the patient’s care
A The ability to understand a patient as a bio-psycho-social ‘whole’
S The skills to transform holistic understanding into practical measures
K Knowledge of the cultural background and beliefs of the patient, in so far as they are relevant to health care
A Tolerance and understanding towards patients’ experiences, beliefs, values and expectations, as they affect healthcare delivery.
Essential Features of GP
Context
Attitude
Science
11 Characteristics of General Practice
A definition of General Practice
Adult Learning
Self-direction.
Experiential.
Needs-based.
Problem-centred.
Untitled
TEACHING LOG
Rogers VTS Presentation on the Curriculum
Reflective Practice
e-GP - E-learning modules
10. The Registrar Year
Year Plan
e-Portfolio
Guide for Trainers
Year Plan
Core Tutorials
Orientation
Confidence Rating Scale
MRCGP
CSA
Basics
Overview of MRCGP
WPBA
Audley Mills Registrar Induction
ePortfolio
Out of Hours
About SystmOne
Contract (Blank)
About
Title
GP Curriculum
Subject
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Company
-
Author
-
Version
89
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