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

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W Women’s Curriculum Health for General Practice Clinical Expertise The GP will demonstrate the ability to: • understand the pathology, clinical management and epidemiology of illnesses relating to women • discuss fertility issues as they relate to women • perform examinations and gynaecological procedures relating specifically to women’s health that are safe to perform in the primary care setting, recognising that using a chaperone is a safe practice for the patient and GP • discuss strategies to reduce the inequalities in health between Māori and non-Māori women • manage and prescribe medication relating to women’s health issues • recognise obstetric or gynaecological emergencies and treat or refer appropriately • discuss all aspects of menstruation throughout the life of the woman • explain local options in unintended pregnancy and negotiate a timely plan, recognising that not all unintended pregnancies are unwanted • recognise and be willing to discuss signs of abuse in a non-judgemental manner and refer appropriately, understanding the importance of proactive enquiry • undertake an antenatal consultation, taking into account all the screening, management and lifestyle issues that require full discussions, and referring for ongoing care as required. Professionalism The GP will demonstrate the ability to: • describe the use of chaperones and introduce them appropriately to the patient • up-skill in areas relating to women’s health to meet the needs of their practice population, such as ultrasound scanning skills in rural areas • acknowledge professional boundaries that are likely to impact on the doctor–patient relationship, particularly in relation to power, culture, gender and sexuality • provide advocacy for women patients, especially in relation to those suffering from family violence. Scholarship The GP will demonstrate the ability to: • audit their practice to ensure best practice for their female patients is being achieved • promote and encourage staff training of increase service provision to women. • undertake ongoing training to enhance skills in women’s health 152 Curriculum for General Practice
Women’s Health W Context of General Practice The GP will demonstrate the ability to: • refer to local and national community and allied primary care organisations, such as women’s refuge, to enable management of conditions relating to women’s health • undertake self-care, especially for women balancing work and family/whānau • ensure adequate screening programmes are run for the practice population • consider privacy issues that may arise with electronic notes that all staff have access to. • establish relationships with providers of obstetric care if they are not available in the practice Management The GP will demonstrate the ability to: • follow practice policy on following up tests • describe protocols or policies in the practice for other staff performing tests, for example nurses doing smear tests. • educate their practice team about conditions relating to the health of women This curriculum statement links with: • Family Violence - Page 69 • Mental Health - Page 97 • Oncology - Page 115 • Sexual Health - Page 144 www.rnzcgp.org.nz Curriculum for General Practice 153
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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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Māori Health M Clinical Expertise
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Māori Health M Context of General
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Men’s Health M However, in the sa
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Mental Health M Mental Health In 20
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Mental Health M The following subto
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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
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 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: Women’s Health W Before 2007, gen
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