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

Acute Care
A
Communication
The GP will demonstrate the ability to:
• effectively assess acute illness in a telephone consultation,
eliciting appropriate details and history, and give
appropriate advice for home care or need for further
assessment
• communicate with and ask advice from colleagues in
the primary care team, including nursing staff and
specialist colleagues
• take a relevant and focused history appropriate to
a general practice environment from a patient
presenting acutely
• ensure systems are in place to inform other medical
practitioners involved in patient care of relevant
information to provide seamless continuity of care.
• understand the importance of communicating with
patients and family/whānau when obtaining informed
consent for management options, plans and treatments
Clinical Expertise
The basics
The GP will demonstrate:
• proficiency to a minimum Level 5 NZRC CORE, plus
further training in acute care as appropriate to location,
for example APLS, PRIME
• they have their patients’ welfare and safety as their first
priority (apply the litmus test of ‘What would I want to
happen if this was a member of my family?’)
• a clear, robust and systematic approach to acute care
that ensures safe practice for themselves and their staff
• awareness of their limitations and an ability to seek
advice (always seek advice or help if in doubt).
Cardiovascular
The GP will demonstrate the ability to:
• assess and manage chest pain, including differentiation,
initial or definitive treatment, and referral with or without
pre-hospital treatment appropriate to the practice location
• assess possible deep vein thrombosis and demonstrate
knowledge of diagnostic pathways, including local
protocols and initial management in the community
• assess and manage acute arrhythmias as above
• assess and manage acute peripheral arterial insufficiency.
• assess and manage an acute cerebrovascular event
Cardiorespiratory
The GP will demonstrate the ability to assess, differentiate and manage acute breathlessness, including rational clinical
decision-making for severity and the need for secondary assessment or hospitalisation versus management in the
community, and secondary prevention in all age groups, including children.
www.rnzcgp.org.nz
Curriculum for General Practice
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