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

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Domain 5 – Context of General Practice Domain 5 Context of General Practice New Zealand is a country of diverse communities: socioeconomic, urban, provincial, rural, isolated. The particular needs of any community provide challenges for delivering high-quality primary health care, but also provide opportunities for developing creative, community-based solutions. General practitioners understand the determinants and differences in health care status among diverse groups in New Zealand and facilitate equitable access to health services and outcomes for all New Zealanders. They engage, where appropriate, in developing health care systems using the skills of advocacy in response to patients, their community and broader societal needs. General practitioners understand the history and role of the Treaty of Waitangi in New Zealand society and its relevance to health care. They are committed to reducing Māori and non-Māori disparities in health outcomes. Additionally, general practitioners support the Ministry of Health Māori Health Strategy He Korowai Oranga, which encourages whānau, hapū, iwi and Māori community aspirations to take ownership of their personal health and wellbeing. General practitioners are skilled at working inter-professionally, in a practice team, and across the continuum of primary and secondary care. They access and use resources to balance individual and population health needs and outcomes. In doing so, they understand the range of general practice models, their governance, operational systems, ethical frameworks, and other factors that influence the effectiveness and efficiency of primary health care delivery. General practitioners are able to observe, critically analyse, synthesise and modify their practice in response to changes and developments in health and health care systems nationally and internationally. 22 Curriculum for General Practice
Core competencies Fellows of The Royal New Zealand College of General Practitioners are able to: • understand and apply the principles of the Treaty of Waitangi to general practice • advocate on behalf of patients and the community when appropriate • identify the societal, cultural, economic, spiritual, gender, environmental, geographic, demographic, occupational and other factors that impact on health and illness • be aware of the range of integrative and complementary medicine in the community and acknowledge the attitudes and cultural factors, for example the use of traditional Chinese medicine and traditional Māori healing • identify a range of factors that can impact on accessing health services and resources and develop appropriate responses • provide population-based health care, as well as individual care • work effectively within an inter-professional practice team • use resources equitably and cost-effectively, balancing the needs of individuals and populations • acknowledge the skills and resources of others, lay and professional, in working collaboratively to deliver health care • respond appropriately to local and global changes that impact on general practice. www.rnzcgp.org.nz Curriculum for General Practice 23
Page 1 and 2: Curriculum for General Practice www
Page 3 and 4: Mihi E ngā mana, e ngā reo, e ng
Page 5 and 6: Acknowledgements Acknowledgements A
Page 7 and 8: Overarching Curriculum Curriculum S
Page 9 and 10: Part 2 - General practice in New Ze
Page 11 and 12: Improving Māori access to primary
Page 13 and 14: Part 4 - Delivering the curriculum
Page 15 and 16: Part 5 - Curriculum domains Part 5
Page 17 and 18: Core competencies Fellows of The Ro
Page 23: Further competencies As further exp
Page 29 and 30: Curriculum statements Curriculum st
Page 31 and 32: Acute Care A Communication The GP w
Page 33 and 34: Acute Care A Clinical Expertise Neu
Page 35 and 36: Acute Care A Management The GP will
Page 37 and 38: Addictions A Communication The GP w
Page 39 and 40: Addictions A Management The GP will
Page 41 and 42: Adolescent/Rangatahi/Youth Health A
Page 43 and 44: Adolescent/Rangatahi/Youth Health A
Page 45 and 46: Cardiovascular C We know that after
Page 47 and 48: Cardiovascular C Specific to rural
Page 49 and 50: Dermatology D Dermatology The skin
Page 51 and 52: Dermatology D Professionalism The G
Page 53 and 54: e-health E e-health The World Healt
Page 55 and 56: e-health E Professionalism The GP w
Page 57 and 58: End-of-life Care E End-of-life Care
Page 59 and 60: End-of-life Care E Clinical Experti
Page 61 and 62: Endocrinology E Endocrinology A wid
Page 63 and 64: Endocrinology E Clinical Expertise
Page 65 and 66: 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
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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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Mental Health M Professionalism The
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Musculoskeletal M Musculoskeletal M
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Musculoskeletal M Professionalism T
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Neurology N Neurology Neurological
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Neurology N Professionalism The GP
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Older People O Older People General
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Older People O Professionalism The
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Oncology O Oncology Cancer is one o
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Oncology O Professionalism The GP w
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Paediatrics and Immunisations P Pae
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Paediatrics and Immunisations P Com
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Paediatrics and Immunisations P Man
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Population and Public Health P Comm
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Population and Public Health P Mana
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Renal and Urology R Communication T
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Respiratory Medicine R Respiratory
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Respiratory Medicine R Clinical Exp
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Rheumatology R Rheumatology Rheumat
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Rheumatology R Professionalism The
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Rural R Many rural general practiti
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Rural R Professionalism The GP will
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Sexual Health S Sexual Health ‘Se
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Sexual Health S Clinical Expertise
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Travel Medicine T Travel Medicine N
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Travel Medicine T Scholarship The G
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Women’s Health W Before 2007, gen
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Women’s Health W Context of Gener
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