Curriculum for General Practice - The Royal New Zealand College ...

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M Curriculum Mental Health for General Practice Context of General Practice The GP will demonstrate the ability to: • work towards reducing barriers to Māori and Pacific people seeking and receiving mental health care in primary care in the New Zealand • describe local resources and pathways to obtain help and support for patients with mental health problems • reflect on the demographics and other factors in their practice that affect prevalence of mental illness • build effective relationships and work as a team with community mental health services and other providers, such as Māori health providers. • be aware of and sensitive to the socioeconomic impact of serious mental illness Management The GP will demonstrate the ability to: • recognise the importance of building and leading a team approach to mental health in their practice • compile a shared management plan for particular patients who may use several mental health services • reflect how they might manage financial issues of extended consultations and time management relating to patients with mental health problems • discuss strategies to manage the potential increase in mental health conditions in the practice population. This curriculum statement links with: • Acute Care - Page 28 • Long-term Conditions - Page 85 102 Curriculum for General Practice
Musculoskeletal M Musculoskeletal Musculoskeletal symptoms are common presentations in general practice with 8.9 percent of consultations attributed to this patient group. 1 They affect all age groups, and range from acute to chronic, simple to complex. They may be injury-related or linked with a wide range of other conditions and factors, including normal ageing. Given the frequency of musculoskeletal presentations, early diagnosis, education and negotiation of a management plan are important, and may delay disease progression considerably. These are skills that a general practitioner is well placed to provide. Accurate and timely diagnosis and management of paediatric conditions is also important. The impact of long-term or progressive symptoms on an individual, their family/whānau and carers may be financial, but may also lead to mental health issues and other sequelae of chronic pain and increasing disability. Musculoskeletal conditions may be associated with significant costs for both individuals and employers, and may be implicated in time off work, limited work capacity and early retirement. For those who are not in employment, the cost may be in terms of ability to perform daily activities, mobility and maintenance of independent living. Accidental injury is a frequent cause of musculoskeletal symptoms. Preventive strategies, maintaining function and early return to work or activity should be encouraged by general practitioners, where appropriate, supported by early diagnosis and relevant investigations. Māori are underrepresented in ACC claim figures, which suggests cultural barriers still need to be overcome. 2 The possibility of nonaccidental injury must always be borne in mind, along with a clear strategy for management. It is not unusual for patients to have sought treatment or advice from elsewhere before presenting to a general practitioner with musculoskeletal symptoms – hospital specialists, allied health professionals, complementary practitioners, sports coaches, the internet and so on. Interdisciplinary teamwork is a key feature in musculoskeletal medicine, and is essential in managing both acute and long-term effects. 1 http://www.health.govt.nz/publication/family-doctors-methodology-and-description-activity-private-gps 2 Accident Compensation Corporation. 2008. Te turoro Maori me a mahi. Wellington. 3 http://cnx.org/content/m13589/latest/ www.rnzcgp.org.nz Curriculum for General Practice 103
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Curriculum for General Practice www
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Mihi E ngā mana, e ngā reo, e ng
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Acknowledgements Acknowledgements A
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Overarching Curriculum Curriculum S
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Part 2 - General practice in New Ze
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Improving Māori access to primary
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Part 4 - Delivering the curriculum
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Part 5 - Curriculum domains Part 5
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Core competencies Fellows of The Ro
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Further competencies As further exp
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Curriculum statements Curriculum st
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Acute Care A Communication The GP w
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Acute Care A Clinical Expertise Neu
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Acute Care A Management The GP will
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Addictions A Communication The GP w
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Addictions A Management The GP will
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Adolescent/Rangatahi/Youth Health A
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Adolescent/Rangatahi/Youth Health A
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Cardiovascular C We know that after
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Cardiovascular C Specific to rural
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Dermatology D Dermatology The skin
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Dermatology D Professionalism The G
Page 53 and 54: e-health E e-health The World Healt
Page 55 and 56: e-health E Professionalism The GP w
Page 57 and 58: End-of-life Care E End-of-life Care
Page 59 and 60: End-of-life Care E Clinical Experti
Page 61 and 62: Endocrinology E Endocrinology A wid
Page 63 and 64: Endocrinology E Clinical Expertise
Page 65 and 66: Ear, Nose and Throat E Ear, Nose an
Page 67 and 68: Ear, Nose and Throat E Professional
Page 69 and 70: Eyes E Communication The GP will de
Page 71 and 72: Family Violence F Family Violence F
Page 73 and 74: Family Violence F Professionalism T
Page 75 and 76: Gastroenterology G Gastroenterology
Page 77 and 78: Gastroenterology G Professionalism
Page 79 and 80: Genetics G Genetics With the mappin
Page 81 and 82: Genetics G Professionalism The GP w
Page 83 and 84: Health and Work H Inequality persis
Page 85 and 86: Health and Work H Scholarship The G
Page 87 and 88: Long-term Conditions L Long-term Co
Page 89 and 90: Long-term Conditions L Clinical Exp
Page 91 and 92: Māori Health M Māori Health The T
Page 93 and 94: Māori Health M Clinical Expertise
Page 95 and 96: Māori Health M Context of General
Page 97 and 98: Men’s Health M However, in the sa
Page 99 and 100: Mental Health M Mental Health In 20
Page 101 and 102: Mental Health M The following subto
Page 103: Mental Health M Professionalism The
Page 107 and 108: Musculoskeletal M Professionalism T
Page 109 and 110: Neurology N Neurology Neurological
Page 111 and 112: Neurology N Professionalism The GP
Page 113 and 114: Older People O Older People General
Page 115 and 116: Older People O Professionalism The
Page 117 and 118: Oncology O Oncology Cancer is one o
Page 119 and 120: Oncology O Professionalism The GP w
Page 121 and 122: Paediatrics and Immunisations P Pae
Page 123 and 124: Paediatrics and Immunisations P Com
Page 125 and 126: Paediatrics and Immunisations P Man
Page 127 and 128: Population and Public Health P Comm
Page 129 and 130: Population and Public Health P Mana
Page 131 and 132: Renal and Urology R Communication T
Page 133 and 134: Respiratory Medicine R Respiratory
Page 135 and 136: Respiratory Medicine R Clinical Exp
Page 137 and 138: Rheumatology R Rheumatology Rheumat
Page 139 and 140: Rheumatology R Professionalism The
Page 141 and 142: Rural R Many rural general practiti
Page 143 and 144: Rural R Professionalism The GP will
Page 145 and 146: Sexual Health S Sexual Health ‘Se
Page 147 and 148: Sexual Health S Clinical Expertise
Page 149 and 150: Travel Medicine T Travel Medicine N
Page 151 and 152: Travel Medicine T Scholarship The G
Page 153 and 154: Women’s Health W Before 2007, gen
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Women’s Health W Context of Gener
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