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

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R Respiratory Curriculum for Medicine General Practice Smoking is a significant contributor to respiratory disease in New Zealand and is a major contributor to developing COPD and lung cancer. 5 Studies in 2010 found approximately one in five adults (21.0 percent) were current smokers. 6 Smoking rates are the highest among Māori, at 44 percent – over double the rate of smoking for the non-Māori population (18 percent). 7 Almost half of Māori women smoke. 8 This highlights the importance of providing culturally appropriate intervention. The Government has set a target of having a smokefree New Zealand by 2025 by using policy tools, such as increased taxes on cigarettes, to encourage smoking cessation. General practitioners have a significant role to play in reducing our population smoking rates and positively influencing these figures. New Zealand public health strategies targeted at reducing the burden of respiratory disease are delivered through general practice. This includes childhood vaccination programmes and those for adults, including influenza and pneumococcal disease. Communication The GP will demonstrate the ability to: • use appropriate verbal and non-verbal communication skills to obtain a history from patients, carers and other members of the multidisciplinary team, especially about chronic disease and lifestyle • identify the patient’s attitudes and beliefs about smoking and modify or challenge these as appropriate • employ a non-judgemental attitude when assessing the patient’s knowledge and meaning of their illness and lifestyle choices • negotiate a self-management plan for obstructive airways disease in partnership with the patient. • employ empathy while managing acute illness, showing clear communication with the patient, family and carers, in times of crisis 5 Martin P, Glasgow H, Patterson J. 2005. Chronic obstructive pulmonary disease (COPD): smoking remains the most important cause. In. The New Zealand Medical Journal. Ed. 118/1213 http://journal.nzma.org.nz/journal/118-1213/1409/ 6 Ministry of Health. 2010. Tobacco Use in New Zealand: Key findings from the 2009 New Zealand Tobacco Use Survey. Wellington: Ministry of Health. 7 Ministry of Health. 2011. Māori Smoking and Tobacco Use 2011. Wellington: Ministry of Health. 8 Ibid. 132 Curriculum for General Practice
Respiratory Medicine R Clinical Expertise The GP will demonstrate the ability to: • discuss up-to-date knowledge of common and serious respiratory tract conditions and their management • apply guidelines for the emergency hospitalisation of patients with acute respiratory illness to help reduce preventable deaths • use apparatus and investigative tools associated with respiratory conditions and appropriately interpret results • recognise the indications for urgent referral to specialist services in cases of suspected lung cancer • manage primary contact with patients with respiratory conditions • apply up-to-date knowledge of disease prevention techniques • use an evidence-based approach to antibiotic prescribing for respiratory infections • assess, investigate and manage infective respiratory conditions • recognise and refer appropriately patients with interstitial diseases • undertake further training in procedural skills, such as chest drain insertion, where required based on population and geographical area. Professionalism The GP will demonstrate the ability to: • be empathetic and compassionate towards patients with incurable, disabling respiratory conditions • employ culturally safe practice when assessing patients of different ethnicities. • adhere to ethical principles Scholarship The GP will demonstrate the ability to: • monitor new technological advances that have demonstrated improved health outcomes for people with acute and chronic respiratory disease • plan a career involving ongoing professional development in respiratory conditions • evaluate prevention strategies and clinical outcomes using research and audit tools • provide in-practice education on respiratory conditions for the benefit of staff and trainees within the practice. www.rnzcgp.org.nz Curriculum for General Practice 133
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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
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Ear, Nose and Throat E Professional
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Eyes E Communication The GP will de
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Family Violence F Family Violence F
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Family Violence F Professionalism T
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Gastroenterology G Gastroenterology
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Gastroenterology G Professionalism
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Genetics G Genetics With the mappin
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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 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: Respiratory Medicine R Respiratory
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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