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

More documents

Recommendations

Info

F Family Violence In 2006 the Taskforce for Action on Violence within Families 2 stated, ‘All families and whānau should have healthy, respectful, stable relationships, free from violence.’ The Taskforce is taking action on four fronts to achieve its vision: • Leadership – we need leadership at all levels if we are going to transform our society into one that does not tolerate family violence • Changing attitudes and behaviour – we have to reduce society’s tolerance of violence and change people’s damaging behaviour within families • Safety and accountability – swift and unambiguous action by safe family members and the justice sector increases the chances of people being safe and of holding perpetrators to account • Effective support services – individuals and families affected by family violence need help and support from all of us so they can recover and thrive There are certain population groups in society who are more vulnerable than others, for example: • between 33 and 39 percent of New Zealand women experience physical or sexual violence from an intimate partner in their lifetime 3 • Māori are substantially over-represented as both victims and perpetrators of domestic violence 4 • 47,374 children aged 0–16 were present, or usually residing with the victim, at an incident of family violence reported to the police in 2010. There is a significant health and social cost to family violence – the cost of domestic violence in New Zealand has been estimated to be between $1.2 and $5.8 billion per annum. 6 Transforming and reducing domestic violence statistics in a community takes the whole community, and the general practitioner, as a leader in their practice population, has a vital role to play. Communication The GP will demonstrate the ability to: • use appropriate communication skills to safely screen for family violence in the context of a general practice consultation • acknowledge patient concerns when discussing removal of a child/children from a situation of family violence • use appropriate communication skills to clearly describe power and control aspects of family violence • adopt a non-judgemental approach when dealing with disclosure of family violence. Clinical Expertise The GP will demonstrate the ability to: • describe common injury patterns associated with family violence • understand the need for safety planning, and the risks and dangers associated with partner violence • recognise child abuse and help manage and prevent it • take a history and perform a physical examination relevant to the presenting problem with particular attention to accurate documentation • recognise the influence of the family/whānau on prevention, presentation and management of childhood and adult injury • make valid and timely decisions about treatment, referral and follow-up of child abuse and neglect, and options for management referral and follow-up of partner or family/whānau abuse. 70 Curriculum for General Practice
Family Violence F Professionalism The GP will demonstrate the ability to: • resist the temptation to investigate the abuse but demonstrate ease in asking, assessing and advising of support • assess family violence in a way that recognises the importance of involving the whole practice team, the level of confidentiality required, and the need to provide support to staff following a disclosure of abuse • understand clinician reporting requirements for suspected child abuse or neglect • consider their own beliefs and cultural issues when dealing with family violence • understand the value of sensitively and proactively raising the issue of abuse • discuss the ethical issues related to reporting family violence • understand how the practice policy for prevention and intervention in family violence operates • take into account that the presence of certain family/ whānau members in the consulting room may influence the likelihood of disclosure occurring. Scholarship The GP will demonstrate the ability to: • describe the burden of family violence in New Zealand in relation to the local region, the country as a whole and different ethnic groups • document verbatim the history and findings on the physical examination so that notes are reliable should they be needed for any legal purpose in the future • discuss the medical consequences and disabilities of all types caused as a direct result of family violence to individuals, families and communities • be able to access and understand the usefulness of body diagram sheets. • discuss the aspects of family violence relating to the inequalities of health suffered by Māori and the historical basis on which this is founded www.rnzcgp.org.nz Curriculum for General Practice 71
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 19 and 20:
Core competencies Fellows of The Ro
Page 21 and 22: Core competencies Fellows of The Ro
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
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: Family Violence F Family Violence F
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
Page 95 and 96: Māori Health M Context of General
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
Page 115 and 116: Older People O Professionalism The
Page 117 and 118: Oncology O Oncology Cancer is one o
Page 119 and 120: Oncology O Professionalism The GP w
Page 121 and 122: Paediatrics and Immunisations P Pae
Page 123 and 124:
Paediatrics and Immunisations P Com
Page 125 and 126:
Paediatrics and Immunisations P Man
Page 127 and 128:
Population and Public Health P Comm
Page 129 and 130:
Population and Public Health P Mana
Page 131 and 132:
Renal and Urology R Communication T
Page 133 and 134:
Respiratory Medicine R Respiratory
Page 135 and 136:
Respiratory Medicine R Clinical Exp
Page 137 and 138:
Rheumatology R Rheumatology Rheumat
Page 139 and 140:
Rheumatology R Professionalism The
Page 141 and 142:
Rural R Many rural general practiti
Page 143 and 144:
Rural R Professionalism The GP will
Page 145 and 146:
Sexual Health S Sexual Health ‘Se
Page 147 and 148:
Sexual Health S Clinical Expertise
Page 149 and 150:
Travel Medicine T Travel Medicine N
Page 151 and 152:
Travel Medicine T Scholarship The G
Page 153 and 154:
Women’s Health W Before 2007, gen
Page 155 and 156:
Women’s Health W Context of Gener
show all

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

Create successful ePaper yourself

Delete template?

Save as template?