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

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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 116 Curriculum for General Practice
Oncology O Professionalism The GP will demonstrate the ability to: • recognise the need for support of family/whānau, carers and colleagues and describe ways of enabling this • define confidentiality and personal boundaries for each situation, and re-evaluate them as necessary • discuss the ethical issues that may surround screening and early detection of asymptomatic disease • manage inter-professional relationships, including non-medical ones, such as tohunga • recognise and enable patient autonomy • understand and empathise with a patient on their journey through cancer (diagnosis, treatment and management) and take steps to support and enable this. • appraise and discuss alternative or integrative therapies, including traditional therapies, in an ethical manner while recognising the goals and needs of the patient Scholarship The GP will demonstrate the ability to: • record screening and risk factors for cancer • appraise the risks, benefits and evidence for complementary therapies • reflect on personal knowledge, attitudes and experiences, identifying areas to explore and develop • recognise the limitations of an evidence base, particularly in palliative care • develop awareness and knowledge of current cancer treatment trials any patients may be involved in • take part in ongoing education to up-skill in appropriate aspects of symptom management. Context of General Practice The GP will demonstrate the ability to: • become fully conversant with the National Screening Programmes and their implementation in practice • engage with other allied health providers in creating a team approach to support patients and their family/whānau • maintain professional relationships with the patient, their family/wha - nau, carers, other specialist and allied health providers and community support groups, such as the Cancer Society • develop and maintain knowledge of cancers that are particularly prevalent in New Zealand and the screening, treatments for and management of them. www.rnzcgp.org.nz Curriculum for General Practice 117
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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
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Endocrinology E Endocrinology A wid
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Endocrinology E Clinical Expertise
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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 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: Oncology O Oncology Cancer is one o
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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