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

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N Curriculum Neurology for General Practice Another significant neurological presentation is brain injury. This can be anything from an internal trauma to a traumatic brain injury (TBI). The major causes of TBI are motor vehicle crashes, followed by sports injuries, assaults and falls. The highest-risk groups for sustaining TBI are children under 5 years of age, men aged 15-30 years, and the elderly. 5 Significant accidents leading to neurological consequences commonly happen on rural roads. A general practitioner needs to be vigilant when assessing both acute and chronic neurological conditions, and be able to manage them competently and recognise the long-term nature of some of these conditions. Communication The GP will demonstrate the ability to: • take a comprehensive history of the neurological symptoms while establishing the relationship and maintaining a rapport • communicate restrictions on activities that chronic neurological conditions might require, such as restrictions on driving for patients with epilepsy. • explain common neurological diagnoses and their implications to their patients and family/whānau in a manner understandable to the patient Clinical Expertise The GP will demonstrate the ability to: • identify red flags relating to neurological conditions and refer accordingly, for example temporal arteritis • manage head injury, including acute assessment, transfer from a rural area as necessary, and postconcussion issues • diagnose common neurological disorders and treat and prescribe appropriately • initiate palliative care when required for chronic or inoperable neurological conditions • conduct a full neurological examination, taking into consideration history and time constraints • investigate for risk of developing neurological conditions • treat acute neurological emergencies, such as status epilepticus • provide ongoing management for patients with paraplegia or tetraplegia while supporting independence as much as possible and encourage a team approach • discuss sequelae of chronic neurological conditions and the impact on other health care, such as migraine with aura and oral contraception • recognise the impact of chronic neurological conditions on a patient’s relationships, occupations, social status and everyday function. 108 Curriculum for General Practice
Neurology N Professionalism The GP will demonstrate the ability to: • discuss the inter-professional relationships they have developed to enable them to care for people with common neurological disorders in their community • recognise the impact of neurological conditions on everyday living and be able to provide support and advocacy for patients. Scholarship The GP will demonstrate the ability to: • discuss clinical knowledge of the pathology, epidemiology and clinical issues associated with common neurological disorders • show how they might use the process of audit to ensure the care of their patients with neurological diseases is optimum. • acquire knowledge of rare conditions that may present in their patient case loads Context of General Practice The GP will demonstrate the ability to: • explain how they work with support services in the community to enhance the care of people with neurological conditions • understand the impact of disabling neurological conditions when living in rural and remote areas. • understand the differences in health care provision and outcomes for Māori patients with neurological conditions, such as stroke www.rnzcgp.org.nz Curriculum for General Practice 109
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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
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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 and 108: Musculoskeletal M Professionalism T
Page 109: Neurology N Neurology Neurological
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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Curriculum for General Practice - The Royal New Zealand College ...

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