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

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M Curriculum Musculoskeletal for General Practice Management The GP will demonstrate the ability to: • evaluate the wise use of resources in their own practice, including ordering relevant and useful investigations • contribute to develop safe handling and movement practices in workplaces, including their own • maintain current knowledge of ACC protocols and those of other workplace injury programmes • identify and manage issues associated with acute medical care and elective procedures, such as joint replacement surgery. This curriculum statement links with: • Addictions - Page 34 • Health and Work - Page 80 • Long-term Conditions - Page 85 • Mental Health - Page 97 • Neurology - Page 107 • Older People - Page 111 • Paediatrics and Immunisations - Page 119 • Rheumatology - Page 135 106 Curriculum for General Practice
Neurology N Neurology Neurological disorders are common. They may be a single diagnosis or part of a complex disease pattern. Many conditions have no cure and so health care is based on alleviating symptoms. Neurological problems lead to significant disability even if their origin is benign, such as migraine. For many, the disabling effects result in lost working days. The effects on families and communities can be life-changing. Parkinson’s, Alzheimer’s, multiple sclerosis, Huntington’s, and motor neurone diseases, stroke, migraine, epilepsy and traumatic brain injury are just a few of the wide spectrum of disorders that general practitioners consult on. By 2051, it is estimated almost a third of New Zealanders will be aged 65 and over and 2.7 percent of the population will have dementia, and new cases will comprise 0.8 percent of the population each year after. Dementia cases are expected to increase unless a cause, effective treatments or, ultimately, a cure can be found. This has major implications for the New Zealand health care system, as well as economic and social impacts. 1 Additionally, the incidence of stroke is rising and, while it is currently the third leading cause of death after cancer and heart disease, it is predicted in time to become the primary cause of death and disability in New Zealand. Stroke is a preventable disease, but it is estimated that over 7,000 New Zealanders experience a stroke every year, and at least three-quarters of these people will die or be dependent on others for care a year later, which again has significant implications for the nation as a whole. 2 Health inequities are apparent in stroke statistics, with the average age of stroke onset for Māori at 61 years, compared to 64 years for Pacific people and over 75 years for Europeans, 3 with some evidence suggesting that the chance of being dependent at 12 months following a stroke is three times higher for Māori compared to Europeans. 4 1 http://www.alzheimers.org.nz/assets/Reports/AnnualReports/Dementia_Economic_Impact_Report2008.pdf 2 http://www.msd.govt.nz/about-msd-and-our-work/publications-resources/journals-and-magazines/social-policy-journal/spj33/33-stroke-a-picture-of-health-disparitiesin-new-zealand-p178-191.html 3 Feigin V, K. Carter K et al. (2006) “Ethnic disparities incidence of stroke subtypes: Auckland Regional Community Study” Neurology: The Lancet, 5(1):130-139. 4 McNaughton H, Weatherall M et al. (2002) “The comparability of community outcomes for European and non-European survivors of stroke in New Zealand” New Zealand Medical Journal, 115(1149):98-100. 5 http://www.brain-injury.org.nz/index.html www.rnzcgp.org.nz Curriculum for General Practice 107
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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
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e-health E e-health The World Healt
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e-health E Professionalism The GP w
Page 57 and 58: End-of-life Care E End-of-life Care
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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 and 104: Mental Health M Professionalism The
Page 105 and 106: Musculoskeletal M Musculoskeletal M
Page 107: Musculoskeletal M Professionalism T
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
Page 155 and 156: Women’s Health W Context of Gener
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