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

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N Curriculum Neurology for General Practice Management The GP will demonstrate the ability to: • educate their practice team and community about neurological disease • develop policies in their practice that ensure patients with neurological diseases are getting the very best health care • ensure there is a safe practice environment for patients who have neurological conditions, such as for those in wheelchairs • develop relationships with local services involved in acute treatment and transfer of patients with neurological conditions. This curriculum statement links with: • End-of-life Care - Page 55 • Endocrinology - Page 59 • Eyes - Page 66 • Long-term Conditions - Page 85 • Mental Health - Page 97 • Neurology - Page 107 • Older People - Page 111 • Paediatrics and Immunisations - Page 119 110 Curriculum for General Practice
Older People O Older People General practitioners are very often in a privileged position of being able to practise care of several generations of the same family. Older patients need relatively high levels of health care and disability support. Additionally, the carers of older people also require support from general practitioners to proactively manage the real problems of increasing dependency and loss of mental competence. The OECD defines ‘ageing in place’ as ‘The ability to live in one’s own home and community safely, independently, and comfortably, regardless of age, income, or ability level.’ This policy is a focus for supporting our ageing population in New Zealand. 1 General practitioners who are well grounded in their communities play a vital role in bringing this policy into effect. The number of New Zealanders over the age of 65 years is predicted to rise from 500,000 in 2005 to 1,330,000 by 2051. In 2005, 12 percent of the population was 65+ years old and it is projected that by the late 2030s over 25 percent of the population will be of that age. 2 Older people represent a diverse range of ethnicities, all of which will age. However, due to ethnic differences in migration, mortality and fertility, Māori, Asian and Pacific populations will remain slightly younger than the background European population. General practitioners require the skills to communicate effectively and sensitively with older people of different cultural groups and engage with family/whānau in a collaborative way that respects the rights of the older patient. Older people are fairly evenly distributed across the socioeconomic spectrum; however, older Māori are skewed towards the high deprivation end of the scale. Rural-dwelling elderly people in New Zealand are at risk of isolation from families, health and social agency support. General practice is a safety net for these elderly patients and needs to be sensitive to their needs and the characteristics of the local community. Older patients must have trust and confidence in their general practitioner to understand their clinical needs. This trust is built up over many years of longitudinal care and support. To be effective, members of the primary care team general practitioners need to be able to collaborate with and, on occasion, lead and coordinate family/whānau, carers and the interdisciplinary team. 1 Davey J. 2006. ‘“Ageing in place”: the views of older homeowners on maintenance, renovation and adaptation’ Social Policy Journal of New Zealand 27, 128–141. 2 Bryant J. 2003. “The Ageing of the New Zealand Population, 1881–2051”, New Zealand Treasury Working Paper 03/27, http://www.treasury.govt.nz/ workingpapers/2003/twp03-27.pdf www.rnzcgp.org.nz Curriculum for General Practice 111
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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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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 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 and 110: Neurology N Neurology Neurological
Page 111: Neurology N Professionalism The GP
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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