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

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F Family Violence Context of General Practice The GP will demonstrate the ability to: • collate a list of local and national agencies, including Māori agencies, that can help manage a family violence case • describe the advocacy role of the practice team and doctor for victims of family violence • collaborate with local services and undertake training on managing family violence • describe and understand the function of local Sexual Assault Assessment and Treatment Services (SAATS), including police and Doctors for Sexual Abuse Caretrained doctors • understand medico-legal issues relating to abuse and the need for clear documentation for use in court proceedings • recognise and identify resources and techniques to help patients experiencing family violence. Management The GP will demonstrate the ability to: • help members of the practice team deal with domestic violence • implement well-researched and practical policies within their organisation or practice for family violence issues and the inequalities in relation to Māori and other high-risk groups • understand the function of local and national specialist family violence services that can help deal with and manage family violence • collaborate with the multidisciplinary team and community services in ensuring optimal care of the patient, including appropriate management and follow-up. • understand the local clinical pathways and key personnel who deal with domestic violence in the region This curriculum statement links with: • Adolescent/Rangatahi/Youth Health - Page 38 • Men’s Health - Page 94 • Paediatrics and Immunisations - Page 119 • Women’s Health - Page 150 72 Curriculum for General Practice
Gastroenterology G Gastroenterology A general practitioner should have a broad knowledge of conditions of the gastrointestinal tract – mouth to anus – and manage these competently. They should not only demonstrate an in-depth knowledge of the common conditions but also have an awareness of the more rare presentations so that they can correctly place them in their differential diagnosis. Bowel cancer is the second highest cause of cancer death in New Zealand, 1 but it can be treated successfully if it is detected and treated early. The general practitioner has an essential role in this early detection. The Ministry of Health is currently undertaking a four-year pilot that started in 2011 to look at models of screening for bowel cancer and how this would work on a population basis. 2 Until the evaluation of this pilot is completed, a national programme will continue to be on the horizon, but general practitioners still need to be vigilant about detecting and referring as early as possible. It is essential that general practitioners are aware of the risk factors 3,4 and know the best evidence behind investigation and referral. Despite a reduction in the overall excess in mortality rates with colorectal cancer over the period 1991 to 2004, Māori continue to have higher mortality rates than non-Māori. Patients presenting with acute abdominal pain, which may be caused by appendicitis, cholecystitis, pancreatitis or other conditions, requires experience in recognition of symptoms, targeted investigation and often immediate referral by the general practitioner. When working in a rural setting, the general practitioner needs to be able to work more independently in an extended general practice role. They need to provide safe and effective management of acute presentations and timely transfer for those patients who require referrals to specialist services or admission to base hospital. 1 http://www.health.govt.nz/our-work/diseases-and-conditions/cancer-programme/bowel-cancer-programme/about-bowel-cancer 2 http://www.health.govt.nz/our-work/diseases-and-conditions/cancer-programme/bowel-cancer-programme/bowel-screening-pilot 3 http://ebooks.nzgg.org.nz/suspected_cancer_guideline/ 4 http://crct.org.nz/downloads/NZ_CRC_report.pdf www.rnzcgp.org.nz Curriculum for General Practice 73
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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 25 and 26: Core competencies Fellows of The Ro
Page 27 and 28: Core competencies Fellows of The Ro
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 and 72: Family Violence F Family Violence F
Page 73: Family Violence F Professionalism T
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
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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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