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

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R Rheumatology Curriculum for General Practice Communication The GP will demonstrate the ability to: • distinguish the different presentations of pain, obtain a detailed pain history from the patient and, where appropriate, from whānau/family members, carers and employers • communicate where appropriate, in conjunction with the patient, with whānau/family, carers and employers to promote accurate disease monitoring and to enable rehabilitation plans. • employ empathy and motivational interviewing skills to help develop a sound therapeutic partnership with the patient Clinical Expertise The GP will demonstrate the ability to: • take a comprehensive history, including identifying urgent and emergency symptoms, and important psychosocial stressors on rheumatological conditions • understand indications for and develop competency in joint aspiration and injection appropriate to general practice • distinguish specific rheumatological conditions across different populations to a high level • employ the principles of informed consent before embarking on any procedures • show awareness of the issue of somatisation (bodily stress syndrome), where musculoskeletal symptoms may have a psychological basis • enable the patient to realise self-help strategies, with the support of community resources • organise investigations, interpret the results and propose a rationale for further investigations to aid diagnosis of common rheumatological conditions • prescribe appropriately for treatment and pain management in rheumatological conditions, describing the risks and benefits of medications. • formulate a comprehensive management plan that may include more than one health care provider This curriculum statement links with: • Health and Work - Page 80 • Long-term Conditions - Page 85 • Musculoskeletal - Page 103 136 Curriculum for General Practice
Rheumatology R Professionalism The GP will demonstrate the ability to: • support patient self-determination, and a patient’s right to seek alternative and complementary therapies while advocating best practice and patient safety • maintain premises and equipment that comply with recognised codes of access and safety, particularly for invasive procedures • employ empathy and compassion towards patients with incurable, disabling or painful rheumatological conditions • evaluate the role that ethnicity has on disease prevalence and presentation, access to health services and clinical outcomes. Scholarship The GP will demonstrate the ability to: • use evidence-based clinical decision-making when managing patients with rheumatological problems • adopt an evidence-based approach to practice and quality improvement through research and audit • teach and train staff and trainees for the benefit of patients • undertake ongoing medical education including, where relevant, specific manual and injection techniques that are useful to control pain and improve function. Context of General Practice The GP will demonstrate the ability to: • describe indications for referral within a suitable timeframe to the most appropriate health care practitioner • examine the effect of increasing rurality of the community on disease presentation, access to health services and clinical outcomes, and seek to reconcile any significant differences • provide leadership in the ongoing coordination of multidisciplinary care for patients with rheumatological conditions when required • work collaboratively with rheumatologists to address the increased cardiovascular risk associated with some rheumatological conditions. Management The GP will demonstrate the ability to appraise effective and appropriate care provision and health service use and in so doing avoid investigations or treatments that are unlikely to alter outcomes. www.rnzcgp.org.nz Curriculum for General Practice 137
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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
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Health and Work H Inequality persis
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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 and 134: Respiratory Medicine R Respiratory
Page 135 and 136: Respiratory Medicine R Clinical Exp
Page 137: Rheumatology R Rheumatology Rheumat
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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