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

O Oncology Curriculum for General Practice
Communication
The GP will demonstrate the ability to:
• employ culturally safe communication skills, recognising
the impact of their own culture on the consultation
• deal with delayed or incorrect diagnosis and manage
this appropriately
• discuss and promote screening and risk management
regularly in the practice and consultations
• advocate for the patient as they negotiate the health
system and enable access to available services that relate
to cancer treatment and management
• provide competent pre-test discussion and counselling
• explain and help with advanced care planning,
acknowledging the potential emotional impact on
the patient and their family/whānau.
• communicate results or prognosis – good, bad or uncertain
news – while taking into consideration the health literacy
level of the patient and their family/whānau
Clinical Expertise
The GP will demonstrate the ability to:
• identify, assess and manage risk factors, such as lifestyle,
environmental, familial and dietary
• recognise and manage common symptoms and side
effects during or after treatment in conjunction with
the treating oncology team
• use their knowledge of screening programmes and early
detection tools, to identify barriers and possible solutions
• help clarify the benefits and risks of treatment options
to patients and their family/whānau – this may include the
option of no active treatment
• perform relevant screening tests
• know how and when to access more specialised
knowledge and advice
• identify and investigate significant symptoms, including
those of metastatic disease, and refer appropriately
• apply the principles of Te Whare Tapa Wha and understand
its implications for the patient, their family/whānau and
carers, especially in the context of cancer treatments
• identify common malignancies
• recognise when the transition to palliative care occurs
• identify red flags during medical and radiation oncology
treatment
• recognise the capabilities of the rural hospital and team
delivery for cancer treatment, if appropriate.
• manage malignancies that have guidelines for general
practitioner management, and refer and coordinate care
for others
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Curriculum for General Practice