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

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G Gastroenterology Management The GP will demonstrate the ability to: • use their knowledge of local resources available to manage critical conditions and establish relationships in conjunction with the practice team • discuss the reporting requirements and protocols around notifiable gastrointestinal diseases and how this is managed in the practice. • work with practice and allied health professionals to up-skill in areas of community need in relation to gastrointestinal conditions This curriculum statement links with: • Adolescence/Rangatahi/Youth Health - Page 38 • Men’s Health - Page 94 • Paediatrics and Immunisations - Page 119 • Women’s Health - Page 150 76 Curriculum for General Practice
Genetics G Genetics With the mapping of the human genome, advances in genetic medicine have been significant and it is likely that the role of the general practitioner will expand to detecting and managing genetic conditions. 1 Knowledge of the various genetic causes of conditions, such as cystic fibrosis, and stem cell treatments for various cancers have raised public awareness of genetics. The relevance of genetics to disease is an expanding field that the general practitioner is required to know about. Genetics in general practice involves managing diseases that run in families/whānau. Essentially all diseases and conditions are said to have a genetic component. For every 10 patients that we see, one of them will have a genetic component to their illness. 2 The management of genetic diseases and conditions involves both the individual and their family/whānau members. Many of the common cancers have a genetic component. Colorectal cancer, one of the most common cancers in New Zealand, is currently being examined to determine the clinical behaviour of the cancer. 3 Recent studies suggest that genetic factors are involved with developing diabetes, with first-degree relatives having a higher risk than unrelated individuals from the general population. 4 Using family history as a way of recognising risk factors for Māori is a way that the health inequalities between Māori and non-Māori may be improved. While not specifically genetically predetermined, families can have a history of congenital conditions and the general practitioner needs to be able to provide support and appropriate care. For example, in New Zealand congenital birth defects, including common problems such as cleft palate, heart defects and dislocation of the hips, affect about one in every 30 children. 5 The impact of genetics in the context of general practice is determining the allocation of the health dollar in New Zealand and across the world. It is also having an impact on individual consultations in the primary care setting. The general practitioner requires skills in all domains to be able to help patients deal with the vast array of information that is available publicly and advise on what is best practice for their particular situation. 1 Royal College of General Practitioners. 1998. Genetics in Primary Care: a report from the RCGP North West England Faculty Genetics Group. Occasional Paper 77. London: RCGP 2 Hopkinson I. Clinical context of genetics in primary care. 2004. Presentation at: Reality not Hype: the new genetics in primary care. www.londonideas.org 3 http://www.hrc.govt.nz 4 http://www.who.int/genomics/about/Diabetis-fin.pdf 5 http://www.hrc.govt.nz/sites/default/files/HRC59%20(Robertson)%20(2).pdf www.rnzcgp.org.nz Curriculum for General Practice 77
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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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Further competencies As further exp
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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 and 74: Family Violence F Professionalism T
Page 75 and 76: Gastroenterology G Gastroenterology
Page 77: Gastroenterology G Professionalism
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
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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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