Curriculum for General Practice - The Royal New Zealand College ...
Curriculum for General Practice - The Royal New Zealand College ...
Curriculum for General Practice - The Royal New Zealand College ...
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M <strong>Curriculum</strong> Musculoskeletal <strong>for</strong> <strong>General</strong> <strong>Practice</strong><br />
Communication<br />
<strong>The</strong> GP will demonstrate the ability to:<br />
• obtain a relevant history that includes mechanism of injury,<br />
if any, and occupational factors<br />
• deal with conflict that may arise when expectations<br />
cannot be met<br />
• assess the impact of the condition on the patient and their<br />
family/whānau, immediately and in the long term<br />
• identify opportunities <strong>for</strong> screening, such as alcohol<br />
screening <strong>for</strong> patients who present with acute gout<br />
or recurrent falls.<br />
• explain the natural history of the condition and normalise<br />
without being dismissive<br />
Clinical Expertise<br />
<strong>The</strong> GP will demonstrate the ability to:<br />
• per<strong>for</strong>m a relevant, focused examination<br />
• explore options with the patient <strong>for</strong> chronic<br />
musculoskeletal pain management or disability, taking<br />
into account the principles of Te Whare Tapa Whā and/or<br />
the biopsychosocial model 3<br />
• consider an appropriate list of age-related differential<br />
diagnoses<br />
• discuss the implications of surgery and pre- and postoperative<br />
care<br />
• identify red and yellow flags when eliciting a history<br />
of injury<br />
• manage non-specific musculoskeletal pain syndromes,<br />
such as fibromyalgia<br />
• remain alert to the possibility of non-accidental injury<br />
• recognise acute orthopaedic conditions and undertake<br />
appropriate action<br />
• know what is available in their area <strong>for</strong> imaging and<br />
investigation services<br />
• practise safe and appropriate prescribing, avoiding drug<br />
interactions and polypharmacy where possible, and<br />
establish appropriate care plans<br />
• negotiate management plans <strong>for</strong> acute and/or chronic<br />
conditions that take into account the needs and beliefs<br />
of the patient, their family/whānau, carers and employer,<br />
and agencies, such as ACC and Work and Income<br />
• evaluate the initiation of narcotics or other drugs of<br />
dependency to treat long-term chronic pain and, if<br />
required, minimise their use.<br />
• explain how and where to access further care as required,<br />
such as plastering facilities and orthopaedic aids<br />
104<br />
<strong>Curriculum</strong> <strong>for</strong> <strong>General</strong> <strong>Practice</strong>
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