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

Cardiovascular
C
Specific to rural general practice
The GP will demonstrate the ability to:
• perform advanced management of arrhythmias in
a rural setting
• diagnose, from history and ECG, with or without
point-of-care blood testing, acute coronary syndrome
and implement an appropriate course of action
• care for a patient with a more severe exacerbation
of congestive heart failure requiring admission to a
rural hospital
• manage cardiac arrest in children and adults,
demonstrating familiarity with a defibrillator and
appropriate airway management
• make considered, rational decisions when discussing
with the patient and their family/whānau whether
to transfer to a base hospital for investigation and
management, or to manage in the rural hospital
• manage rural hospital in-patient care, rehabilitation,
secondary prevention, discharge planning and
appropriate follow-up.
Professionalism
The GP will demonstrate the ability to:
• maintain accurate records, including information
relevant to cardiovascular risk assessment, results
and medications
• consider cardiovascular risk and disease in the context
of the whole person, and advise the patient accordingly
• ensure systems are in place to offer a cardiovascular
screening service in the practice, and endeavour to
meet targets set in the PHO Performance Programme
• recognise serious cardiovascular symptoms and
promptly initiate management and/or referral and ensure
the patient is seen and referred within a safe timeframe
• perform prompt interpretation and action on test results
• develop an understanding of the psychological and
social impact of cardiovascular disease on patients
and their families/whānau.
Scholarship
The GP will demonstrate the ability to:
• undertake an audit of practice performance in
detection and management of cardiovascular disease
• teach members of the primary care team about
cardiovascular disease, its significance and management
• maintain up-to-date knowledge of management of
acute and chronic cardiovascular conditions
• undertake further study appropriate to their work in
relation to CVD, such as long-term condition management.
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Curriculum for General Practice
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