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

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A Addictions<br />

Professionalism<br />

<strong>The</strong> GP will demonstrate the ability to:<br />

• understand their practice policy and process <strong>for</strong> accessing<br />

immediate support if needed to ensure their safety and<br />

the mechanism to debrief after difficult consultations<br />

• pay attention to their own self-care; doctors are not<br />

exempt from addictions either<br />

• reflect on ways to manage a consultation when they and<br />

the patient have conflicting values<br />

• describe the process by which they can raise<br />

concerns about a colleague<br />

• recognise which prescription medicines have street<br />

value and be alert <strong>for</strong> potential misuse<br />

• be aware of the circumstances under which GP<br />

per<strong>for</strong>mance and competence can decrease.<br />

Scholarship<br />

<strong>The</strong> GP will demonstrate the ability to:<br />

• document all discussions accurately and carefully<br />

• safely treat patients, colleagues, family/whānau and self<br />

according to Medical Council of <strong>New</strong> <strong>Zealand</strong> guidelines<br />

• evaluate prescribing of potentially misused<br />

prescription drugs and compare with colleagues<br />

• use opportunities to up-skill and maintain awareness<br />

of the issues surrounding addiction.<br />

Context of <strong>General</strong> <strong>Practice</strong><br />

<strong>The</strong> GP will demonstrate the ability to:<br />

• familiarise themselves with local agencies who treat<br />

and support patients and their family/whānau living<br />

with addictions, recognising the particular challenges<br />

in small or rural communities<br />

• use the principles of Te Whare Tapa Whā, exploring<br />

the impact of addiction on patient, family/whānau,<br />

workplace and community<br />

• consider the role of culture in addiction<br />

• outline the medico-legal issues in relation to alcohol<br />

and drug use, <strong>for</strong> example when driving.<br />

• describe the local process <strong>for</strong> relaying in<strong>for</strong>mation<br />

about drug-seekers to other practitioners<br />

36<br />

<strong>Curriculum</strong> <strong>for</strong> <strong>General</strong> <strong>Practice</strong>

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