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

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R Rural Curriculum for General Practice Management The GP will demonstrate the ability to: • understand how a rural primary care team can function effectively and the leadership role of the doctor • understand and use different funding streams • manage the effective, safe and appropriate use of the team to meet the need of the rural population • identify contents of, source and maintain and own a complete doctor’s bag for home visiting and out-of-hours use • make efficient use of a limited pool of skilled health professionals in a rural area • consider and employ appropriately different business models in a rural environment. This curriculum statement links to all others in the series. Also see rural additions in other curriculum statements for further skills necessary for rural doctors. 142 Curriculum for General Practice
Sexual Health S Sexual Health ‘Sexual health encompasses a total sense of wellbeing in relation to one’s sexuality and sense of sexual self.’ 1 This sense of wellbeing is relevant to everyone, regardless of age, gender, ethnicity, sexual orientation, mental or physical ability, living circumstances or any other determinant of health. It is, however, an area often complicated by conflicting personal beliefs and values, and public or political controversy. Older age groups are not exempt from poor sexual health outcomes as life expectancy increases and people remain well for longer. Rates of sexually transmitted infections such as chlamydia, gonorrhoea, syphilis, herpes and warts, and HIV are increasing at a greater rate in those over 40 than under 40. 2 Patients over 50 are one-sixth as likely to use condoms, one-fifth as likely to have an HIV test and more likely to be misinformed about sexually transmitted infections. 3 The age of first sexual intercourse is lowering markedly in New Zealand 4 and sexual activity is increasingly beginning at a younger age for many New Zealanders. One study of 654 Hawkes Bay students found up to 40 percent of young people had engaged in intercourse by age 14. Of these, 20 percent had experienced more than five partners, with Māori girls three times more likely to be sexually active at 14 than their non- Māori counterparts. 5 Not surprisingly, New Zealand has high rates of teen pregnancy, unintended pregnancy and sexually transmitted infections, particularly chlamydia, gonorrhea and HIV. 6 Global travel and internet relationships bring new challenges, as does the changing structure of families. Sexual and reproductive health services are provided by a range of organisations throughout New Zealand, sometimes targeting particular demographic groups. Variations in funding arrangements and heightened concerns about confidentiality can affect access to these services. 1 The Collaborative for Research and Training in Youth Health and Development Trust. 2011. “Youth Health”. 2 Bodley-Tickell A T, Olowokure B, Bahaduri S, White D J, Ward D, Ross J D C, et al. 2008. Trends in sexually transmitted infections (other than HIV) in older people: analysis of data from an enhanced surveillance system. Sexually Transmitted Diseases, 84:312-317. 3 Levy B R, Ding L, Lakra D, Kosteas J, Niccolai L. 2007. Older persons’ exclusion from sexually transmitted disease risk-reduction clinical trials. Sexually Transmitted Diseases 34(8):541-544 4 Ministry of Health. 2001. Sexual and Reproductive Health Strategy. 5 Fenwick R, Purdie G. 2000. The sexual activity of 654 Hawkes Bay fourth form students. NZ Med J 460-3. 6 Ministry of Health. 2001. Sexual and Reproductive Health Strategy. www.rnzcgp.org.nz Curriculum for General Practice 143
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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
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Long-term Conditions L Long-term Co
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Long-term Conditions L Clinical Exp
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Māori Health M Māori Health The T
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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
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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: Rural R Professionalism The GP will
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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