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

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E Eyes Scholarship The GP will demonstrate the ability to: • document carefully eye-related accidents, especially foreign bodies, and consider possible morbidity associated with these • audit practice data on uptake of retinopathy screening and work on strategies to improve this and pursue continuous quality improvement. • undertake further training in eye-related presentations and examinations, such as skills in slit lamp use in the rural community Context of General Practice The GP will demonstrate the ability to: • develop awareness of at-risk groups in the community in relation to access to eye health resources and work towards reducing this inequality, such as in Māori and Pacific populations • establish effective working relationships with local ophthalmologists and optometrists • document and refer to providers who perform retinal screening in the local area • consider the impact of reduced access to screening and investigate ways to improve this in the practice population, especially for at-risk groups. Management The GP will demonstrate the ability to: • review management of practice policy on recalls and how to improve outcomes in retinal screening • ensure there is a safe practice environment for patients who are visually impaired. This curriculum statement links with: • Acute Care - Page 28 68 Curriculum for General Practice
Family Violence F Family Violence Family violence is common and is a serious social issue in New Zealand affecting all ages from children to older people, cultures, geographical areas and socioeconomic groups. It leads to significant health issues, both physical and psychological for the person being abused and the family/whānau around them. About half the homicides and 58 percent of reported crimes in New Zealand are family violence-related. However, although police attend a domestic violence callout every six minutes, it is estimated that only 20 percent of episodes are actually reported. 1 The general practitioner is often the key health professional associated with a family/whānau. Being alert to the risk of family violence and being willing to discuss this in a safe, confidential and open way may have a significant impact on the management and health outcomes of those affected. It may also impact on the general practitioner’s ability to offer help to those who perpetrate the abuse, should they disclose their activity or the general practitioner becomes aware of it. Recognising the various supportive and preventive factors that reduce the risk of family violence is essential to the general practitioner. 1 http://www.areyouok.org.nz/files/statistics/ItsnotOK_recent_family_violence_stats.pdf (accessed April 2012) 2 http://www.msd.govt.nz/documents/about-msd-and-our-work/work-programmes/initiatives/action-family-violence/taskforce-report-first-report-action-on-violence.pdf 3 Fanslow and Robinson E. 2004. Violence against Women in New Zealand: Prevalence and health consequences New Zealand Medical Journal 117 4 See Balzer R, Haimona D, Henare M, Matchitt V. 1997. Māori Family Violence In Aotearoa, A Report Prepared for Te Puni Kōkiri, Wellington; Lievore, Denise and Mayhew, Pat (with assistance from Elaine Mossman). 2007. The Scale and Nature of Family Violence in New Zealand: A Review and Evaluation of Knowledge: Crime and Justice Research Centre & Centre for Social Research and Evaluation, Victoria University of Wellington; Erai M, Pitama W, Allen E, Pou N. 2007. http://www.msd.govt.nz/about-msd-and-our-work/publications-resources/research/scale-nature-family-violence/ 5 Ministry of Social Development. 2011. Every Child Thrives, Belongs, Achieves. Wellington: Ministry of Social Development. 6 Snively. 1996. The New Zealand Economic Cost of Family Violence. www.rnzcgp.org.nz Curriculum for General Practice 69
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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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Page 23 and 24: 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
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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
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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: Eyes E Communication The GP will de
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Page 75 and 76: Gastroenterology G Gastroenterology
Page 77 and 78: Gastroenterology G Professionalism
Page 79 and 80: Genetics G Genetics With the mappin
Page 81 and 82: Genetics G Professionalism The GP w
Page 83 and 84: Health and Work H Inequality persis
Page 85 and 86: Health and Work H Scholarship The G
Page 87 and 88: Long-term Conditions L Long-term Co
Page 89 and 90: Long-term Conditions L Clinical Exp
Page 91 and 92: Māori Health M Māori Health The T
Page 93 and 94: Māori Health M Clinical Expertise
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Page 97 and 98: Men’s Health M However, in the sa
Page 99 and 100: Mental Health M Mental Health In 20
Page 101 and 102: Mental Health M The following subto
Page 103 and 104: Mental Health M Professionalism The
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
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Page 117 and 118: Oncology O Oncology Cancer is one o
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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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