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

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G Genetics Communication The GP will demonstrate the ability to: • communicate genetic risk to patients and describe the difference between testing and screening, for example antenatal screening for genetic conditions • explore family relationships, including issues around adoption and paternity • explain the implications of common genetic conditions to an individual and their family/whānau • support family/whānau through clinical uncertainty in the process of diagnosis or when there is no diagnosis. • inform patients and their family/whānau about genetic risks, but encourage them to make their own choices and support their decision Clinical Expertise The GP will demonstrate the ability to: • describe how genetics underpin a variety of illnesses and conditions • understand the implications of genetic conditions on other family members • draw a genetic family tree • discuss with families the role of genetic screening in relation to developmental delay or disability • manage, monitor and screen for genetic disease in their community, taking into account particularly at-risk populations or families • work within their limits of competency • incorporate emerging genetic screening into their practice • understand and follow the standard genetic testing processes as detailed by national genetic services • describe the parameters of screening tests and what they mean, referring to regional services appropriately • maintain confidential records of genetic testing, genetic risk and potential familial conditions. 78 Curriculum for General Practice
Genetics G Professionalism The GP will demonstrate the ability to: • recognise when their own attitudes, values and beliefs might impact on patient care when discussing the implications of genetically inherited conditions and maintain a professional approach • advocate for patient and family/whānau access to allied health professional services and resources, including support groups • foster inter-professional relationships to enable them to deal with common genetic disorders in their communities • understand the emotional impact on patients and family/ whānau of genetic diagnosis. • understand the ethical issues surrounding disclosure of information in relation to genetic risk to other family members or other third parties Scholarship The GP will demonstrate the ability to: • discuss clinical knowledge of the pathology and clinical issues associated with common genetic diagnoses • describe the implications of genetic disease in different ethnic and religious cultures. Context of General Practice The GP will demonstrate the ability to: • recognise that genetic risk may be viewed differently in family/whānau-based cultures • engage with local genetic services and enable access to genetic counselling in isolated or rural areas. • explain how they use local and national support services and other members of the primary care team to care for patients and families with genetic disorders Management The GP will demonstrate the ability to: • educate their practice team about genetic diseases and their management with particular emphasis on ethical, legal and social implications • describe relevant genetic screening and implementation within the practice. This curriculum statement links with all others in the series. www.rnzcgp.org.nz Curriculum for General Practice 79
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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 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 and 78: Gastroenterology G Professionalism
Page 79: Genetics G Genetics With the mappin
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
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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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