Curr 1 Curriculum Statement Being a GP

8/3/2019 Curr 1 Curriculum Statement Being a GP

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1 Being a General Practitioner

2 The General Practice Consultation

3 Personal and Proessional

Responsibilities

3.1 ov

3.2 fy

3.3 Eh d V-d

3.4 oog Eqy d Vg

Dvy

3.5 Evd-d

3.6 h d Ad Avy

3.7 Thg, Mog d

vo

4 Management

4.1 Mg y

4.2 foo Mg d

Thoogy

5 Healthy People: promoting health and

preventing disease

6 Genetics in Primary Care

7 Care o Acutely Ill People

8 Care o Children and Young People

9 Care o Older Adults

10 Gender-Specifc Health Issues

10.1 Wo Hh

10.2 M Hh

11 Sexual Health

12 Care o People with Cancer &

Palliative Care

13 Care o People with Mental HealthProblems

14 Care o People with Learning

Disabilities

15 Clinical Management

15.1 dov ob

15.2 Dgv ob

15.3 Dg d Aoho ob

15.4 ET d F ob

15.5 Ey ob

15.6 Mbo ob15.7 oog ob

15.8 oy ob

15.9 hoogy d odo

of h Mok y

(dg T)

15.10 k ob

Royal College of

General Practitioners

Curriculum Statement 1

Being a General Practitioner

O of

odd by h oy

og of o:

oy og of o, 2007

14 | Hyd k |Lodo sw7 1pu

Tho 020 7581 3232 | Fx 020 7225 3047

ISBN 978-0-85084-308-8


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R C G P C u r r i c u l u m S t a t e m e n t 1

2

Contents

Foreword 3

Acknowledgements 4

Introduction 5

o fo h 5

UK hh o 6

Th do of o d f 6

Learning Outcomes 8

Th do of o 8

Do 1 y g 8Do 2 o-d 10

Do 3 ob-ovg k 11

Do 4 A ohv oh 13

Do 5 oy oo 14

Do 6 A ho oh 15

E f of h d of g 16

E F 1 ox 16

E F 2 Ad 17

E F 3 17

Further Reading

Ex of v x d o 18

Appendix 1

Mg of o Good Medical Practice 22

Appendix 2

hg h d of g /fy d 26

Th y of g /fy d 27

Reerences 29


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Foreword

Th ogd Md Edo d Tg od (MET) bhd

2005 o v ogd d do d g o h UK.

oby fo vdg ogd g h UK d v of

g d o o h g ob o hvg

h hgh dd d qy of g. Th oy og of o() gv odo ov of by h MET b

2006 o of h o hv h ogo.

Ud h do of ofo v Fd, h of h Edo ok,

h okg go o d h fo y g fo

g . Th go dook b of ky k vg h -

; odg o vy of ho vovd g; vg xg

od; og o od d hod; d dvog

.Th do k hd ogd g fo g

. h o g fo g d gv

q ooy o h g fo o d. h fok

fo d do og, dgd o dd h d-gg

kodg, o, d ofo d odd o

fo doo dg o dk h ooy UK o Hh

v. Th fok d o h WOA Eo 2005 European Defnition o

General Practice/Family Medicin d h g oo dvod by EU AT

Edo Agd. d o Good Medical Practice, h Md

o gd o h d of doo.

Th hgg d ox do h hg d dvo d hg d dvo. v of h, v h o h h

ho do b bhd do d fo. d, vb o

h b (.g.og.k). Hov, o k h h of h ,

ddd h h o Being a General Practitioner hod b bhd

d fo h h of h oyg

D-OM fo.

Being a General Practitioner h o h oy og of

o Tg . db h g ofo o

y fo UK g d h ox fo oh . , q

y, dg fo yo h g .

D h | h

rcp pstrauate train in cmmittee

Jy 2007

C u r r i c u l u m S ta t e m e n t 1 | e i n a e n e r a l p r ac t i t i n e r

3


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4

Acknowledgements

Th bd o h WONCA Europe 2005 European Defnition o Gen-

eral Practice/Family Medicine, hod by ofo J A, L Dy L,

Ud Kgdo; ofo d y, Uvy of odx, F; ofo

Hy bod, Mh Uvy, Th hd; ofo J Hy,

ho Uvy of Lv, g; ofo go vb, Uvy of Ljbj,

ov; d D , Mh Uvy, Th hd. h o d

o The Educational Agenda o General Practice/Family Medicine ok o h o

y bg dk by EUAT o, oodd by ofo J Hy.

Th d fo do y d of d -

g o h UK, Eo d h od, oby h o, Exv

o d Edo ok g, y voo g h d

Fy od g, h Edo o of h o

o of h h Md Aoo, h g g 2003 d2004, h Aoo of o Og of 2004, 11h o O

of o Md Edo o 2004, h 33d A Mg

fo h oy fo Ad y go 2004, h WOA Wod -

Mg Fod, UA 2004, h Aoo fo Md Edo Eo

g 2003 d 2004, d y oh y ovd g

o d h Tg o h UK; h od k o

x hk o dvd d ogo vovd ho g.

Authors ofo J A, ofo J Hy, ofo d y,

ofo Hy bod, ofo go vb, D , D Mk Dgh, o-

fo v Fd, D Ad F, ofo Hy Tho & D Ah Hbb.

Contributors D h Ky, D M o, D T k, D A

gh, D Dvd Wgy, D Ao k, D M k, D Ty o,

D h , D MDod, ofo L, D Dvd , ofo

V W, ofo Dvd H, D M Wko, D y Hogho, D

h, ofo Dvd W, D Joh Hod, D M, D Jy o,

EUAT o, o o of h h Md Ao-

o, o of ogd Edo Do (OED),

Exv o of h W Mdd Dy d b of h Mdd

Fy of h , Joy D, y W, A Doy & h

h o, oh d o, oh o,

o o, Edo ok, o Exvo & h o of h .

Editors ofo v Fd, Ady Dko & D Mk Dgh

Guardian ofo J A

Created Db 2004

Date o this update od d -d Jy 2010

Version number 1.2

Previous versions 1.1 d Jy 2009

Note: WOA Eo h Eo go ogo of h Wod Ogo of og dAd of Fy Md (.oo.og/). EUAT (Eo Ady of Th

) h Eo ogo of g h d h dook fo WOA Eo (..og).


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B e i n a G e n e r a l P r a c t i t i n e r | 1 . 2 , a n 1 0

5

Introduction

This is the core curriculum statement produced by the Royal College o General Prac-

titioners(RCGP) that defnes the learning outcomes or the discipline o general practice

and describes the skills required to practise medicine as a general practitioner in the

National Health Service (NHS) o the United Kingdom. Although primarily aimed

at the level o entry into independent work as a general practitioner (GP), it must also

prepare the doctor or a proessional lie o development and change.

Rationale or this curriculum statement

Th ov h o o qd o bo , d o h

of h d. of o d h h;

h o d h .

v do h dy vb. Th bo Good MedicalPractice (1998), odd by h Md o (M), ovd fok

g hh doo jdg h o fo d by hh hy o b

jdgd.1Good Medical Practice or General Practitioners (2002) dvod fo h

x by h d h o o of h MA, d dgd

y fo .2 Eh of h odd by h h

b d o h do o h ovg of h ofo

xo of h d o. A o of h o-fg o-

vdd Adx 1. Th H d o b vy vovd h g,

dvy d foo of hh v hogh h dy-o-dy

o, d d. Th d h Md Ldh oy

Fok odd by h Ady of Md oy og d H foovo d ov.3

Th bd o h fok fo h d of

g dvod by WOA Eo, d foy hd dg -

g Lodo 2002 d vd 2005.4 Th WOA fok bqy

dod by h d h Jo o o ogd Tg fo

(JT) h h UK. dvog b of od

odd by h , dg ho fod fo h Oxfod go, 5

d h od dvod by h oy A og of o.6 Th

do o h WOA Eo fok k b of o

by d by h o og d oo of fy d-

30 o Eo. Th Ud Kgdo , k oh Eo Uo dEEA o, bj o EU Dv 93/16,7 hh oo f ov of do-

o hogh ogo of g. Dv 93/16 oy d h gh d

of g, hov, d o h fy doo hod v -

g h b h o o Eo.

Th WOA Eo Do o do of 11 undamental characteristics of

g , o do of h fy d d h o

fok dvd fo h (hy Adx 2). Th 11 h of h

d o 11 b h vy fy doo hod . Thy

o o y y of hh y, o o y hoog odo.


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6

Fh ok d o by EUAT, h do ok ogo of

WOA Eo, h fh yd h x go of o o d h

h gy d dg of h .8

UK health priorities

ky of hh y Eo d ogd

by hh v ovd bg of v-g o.9 o v-

d d h hh y bd o ffv y , h hghy d

g hy (fy doo) g h oy, dv h

boh o o-ffv d o y ffv h y h

h o y .10

h Ud Kgdo, g h b fd of hh-

ovo h o of h o Hh v 1948. 1948

hv hd h gh o hoo h d y hh ovd. Th

gh o hoo o g h fd bdg bok of h H.

h UK d o 261 o oo 2001, o 741,000 h dy. O

vg, o h v y.

Th o of g h b fh hd by o of h

hg o h of h H, h h dvo of h y -

Ld H, h dvo of fdhodg, d o y h g of

y (T) d oh y ogo (O) jo o-

o of hh fo o oo o h UK.

oy h d ov h 30 y, d h h b g o fo

h dg fo hh d ovo. Th oo of h

o og gdd o d dog gg b

hh o d ovd. Th xo of , h of o-

d h d, h of foo y h h d hg o d oxy of hh dvy hv d of

o hg. Th f h o oy o b of h b o hv h

vo. Ldh ky fo of doo ofo ok d hy

hv oby o ob o h ffv g of h H ogo()

hh hy ok d o f do. Dvg dh hod b b

o h o of hd dh, h h hd of oby fo

h of h ogo. Fy doo h H hod ovd dh,

o o h dh of oh b of h oog h f

dvy of v o . Fy doo o o d

g, yg h 11 fd h, b hy o d o

b vovd h og dvo of h hh y. A dvdofo hy d d go od o h hg.

The RCGP domains o competence and essential eatures

Ug h x dd do of o o, d h h bkgod

f of h d dbd h WOA 2005 do d h g

oo dvod by EU AT, h fh dvod h do of o-

d bkgod (o d f) 2004. Th ovd h

fok fo h dvo of h fo g boh fo h o


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7

o of h fy doo, d o fo o g .

Th d bo:

The six domains o core competences

1. y g

2. o-d 3. ob-ovg k

4. A ohv oh

5. oy oo

6. A ho oh.

The essential eatures

A o-d d, h h f of doo hod

b odd fd. Th :

1. Contextual

g h ox of h o, h fy, h oyd h

2. Attitudinal bd o h doo ofo b, v d h

3. Scientifc dog d h-bd oh o , d

g h hogh og g d qy ov.


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8

Learning Outcomes

od o do o , h d o q kodg,

k d ofo d b of . Th o of h o o-

dbd bo.

Fo h d of b d do o h oo of g

vgd h dvo ogvy h o fo

of bg ov o h, o , of bog x.11 Fh dv-

o do o o o h f oo of g, d

hod b ookg o o o bd h ofo d x hogho

ofo f.

f oo of g b jdgd o hv od o h

b odd o by h ogd Md Edo d Tg od(MET), hh h dd fo ogd d g h UK.

o hy dd qg kodg od o dvo x-, kodg h gy oh, d, f d go-od.12

h do gh o (h f o od b d -

gh 1.3, 1.4 d 1.5, fo x) h o od h b dbd

oy o .

THE RCGP DOMAINS OF COMPETENCE

Domain 1 Primary care management

Th ok of h y fod o oo h o v of

o d, o h h hy dvo o of hh, f-o d qy of f od of d. Th d xo, , h

vv d hh ooo v of hy d k g.

o xd do d v d . Fy doo

o gy hgd by h d o b oo of hh o. A d-

dg of o-fy hfo ky g fo hy g.

g fo , ok h xdd of oh ofo

y , boh h h o d h o oy, d o

h ody , g h dgo d o v-

b ho. Th y do oo g h g

dff d h h ox of h H. b d o

ok b b o, h o, d ovg v dv-y. y g () h o of og d-

o bo h g of h hh ob d og ho h

b dvd by h H ho.


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This competence is concerned with the ability

1.1 To manage primary contact with patients, dealing with unselected problems.

Th q:

Kodg of h doogy of ob g y

Mg oh h o y fo h dob

A ogo oh o h g of ho odo

Kodg of odo od y d h .

1.2 To cover the ull range o health conditions.

Th q:

Kodg of vv v qd h of y

k , ho, vv, v d gy

k hoy-kg, hy xo d of y

o dgo odo d by y k h, dg dg d o-dg oh o of

h odo

Th by o o ob.

1.3 To coordinate care with other proessionals in primary care and with other

specialists.

Th q:

Kog ho H y ogd

Uddg h o of x oo h d

ff k ffv ok Th by o ok b d d ovdg d

ovg v o .

1.4 To master eective and appropriate care provision and health service

utilisation.

Th q:

Kodg of h of h hh y d h fo of y

h h d H

Uddg h o of f o ody d oh

hy k gg h f b y d ody dg

oo h oh ofo

Th by o v g d v ov.


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10

1.5 To make available to the patient the appropriate services within the healthcare

system.

Th q:

oo k fo og, hg d g d h

f/

Ogo k fo od-kg, foo g, ok,

g d dg h qy of .

1.6 To act as advocate or the patient.

Th q:

Dvog d g oh d y of oo h

h q d do o o h

k ffv dh, goo d oo.

Domain 2 Person-centred care

h of fy d, MWhy qod h b (o) :

og o h o h h o body of kodg; kg o

dd h ox of h ; d hg o o h bjv

of d.13 A o-d oh o h j y of g: y

of hkg. y g h q o q o-

x d kg o o f d xo vy

-d oo.14 hg h g of ob h h

d dg ov ho o d o f y h

h hg h doo: h by o ov h ho dggh doo oh o.

o-d g h o h oy of h oh o-

. oy g, do h d y dff ,

b b o h y: o oy (g h doo);

od oy (g h foo y vb h kg ov o

fg); d h oy ovdd by h d (hh g ogd

24-ho ).15 MWhy h h ky od oby, o o

vby .13


2.1 To adopt a person-centred approach in dealing with patients and their

problems, in the context o patients circumstances.

Th q:

Th b kodg d ddg of h dvd, ogh

h h o h d xo f

Th dvo of f of f o dd d d h h fy,

oy, o d do o d, v d

bf


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11

Mg d d o

Th k d d o y h .

2.2 To use the general practice consultation to bring about an eective doctor

patient relationship, with respect or the patients autonomy.

Th q:

Adog -d oo od h xo h d,

o d xo, g h doo gd, d oo god

d go fo h f

og dg ohb y, hg o o

h o o d dg oo god fo fh do-kg

Mkg do h h ooy

g of bjvy h d oh, fo boh h

d (fg, v d f) d fo h doo d (f-

of v, d d fg).

2.3 To communicate, to set priorities and to act in partnership.

Th q:

Th k d d o bh h

Th k d d o hv b b oo d d

oxy o h .

2.4 To provide long-term continuity o care as determined by the needs o the

patient, reerring to continuing and coordinated care management.

Th q:

Uddg d g h h of oy: o

oy; od oy (kg h o d foo

vb fo h o); d oy of (24 ho dy d 365

dy y)

Th by o h h dd d hv o okf

b*

Ug d g d d-odg ffvy fo

oo d d oog of og- odo o

oy of b dff hh ovd.

Domain 3 Specifc problem-solving skills

ob-ovg g hghy ox . Th k qd

o h ox hh h ob od, h hoy of h ob-

hv, h o h of , h o h of

h doo ho g h d h o hy hv h do.

Fog o ob-ovg of g b fy doo

d o do ob-bd oh h h d-bd oh.

o g o ody vo, y g ()

d hd o dj o h dff ob-ovg b g d

* fo ho oy


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ho ok. Th dff dbd by Mk h foog :

ovg ob hv o o y, xo obby d g-

dg, h ho hv o d y, xo oby

d g o.16 Ahogh h od o h o o, ovd

o f o, d h d o ok o ho dff o

ox.

Th od of g ob-ovg h hod b od-

d. Th o of h hyohddv od dbd by Mk

h x h dd y g g h UK.17 Aoh

oh o ogo o g , hh fy h ob-

ovg gy of h doo d b oyd hg bo .18

Ad h b of oh oo fok h y

ddg h o (do et al.,19 o d Dv,20 ghbo,21 bdg

gy22).

U of of h dgo o, vgo d og

h y of h k of g g . Th gog

body of o h o o o h ho o og o o h q of ob-ovg.23


3.1 To relate specifc decision-making processes to the prevalence and incidence

o illness in the community.

Th q:

Kodg of h v d d of d

Kodg of h oy (gx dbo, v

of ho d) Th k o y do-kg (g oo h

og d do ).

3.2 To selectively gather and interpret inormation rom history-taking, physical

examination and investigations, and apply it to an appropriate management

plan in collaboration with the patient.

Th q:

Kodg of v qo h hoy d h hy

xo v o h ob d

Kodg of h v ox, dg fy, o doo fo

Kodg of vb vgo d o

Hoy-kg d hy xo k, d k g d

A g o vov h h g .

3.3 To adopt appropriate working principles (e.g. incremental investigation,

using time as a tool) and to tolerate uncertainty.

Th q:


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13

Adg k d d o do oy, dg d g

Adg od d do-kg, g

dgo d h oo

Uddg d of h vby of y y

ob-ovg d h dvo of g h do h.

3.4 To intervene urgently when necessary.

Th q:

do-kg k fo gy o

k gy od h y o y

o.

3.5 To manage conditions that may present early and in an undierentiated way.

Th q:

Kodg of h o d , d h o ddodgo d h o.

3.6 To make eective and efcient use o diagnostic and therapeutic interventions.

Th q:

Kodg h yo d g vy h dv v, do

dg fo y

A ddg of h o-fy d ob of d .

Domain 4 A comprehensive approach

d o b b o dd multiple complaints d co-morbidity h fo

ho hy . Wh k d , hy hv bo -

o d y o b b o dff b dff d hy y hv. Th

hg of ddg h hh h dvd o d

q fy doo o dvo h k of g h d og

h oo h h .

Th fy doo hod o vd-bd oh o h of .

Th fy doo hod ho oh o h h h fo

od b oog h hh d g bg. dg k fo by

oog f- d og o k of h . Th f-

y doo hod o h of yo o h o hbg by kg o o h oy, fy, dy f, oo

d hy d o odg.

oodo of o h h kd o oy gg d

d vo, b o g fo h , ovdg hbo d ovd-

g v h d h of f. Th hy b b o

ood ovdd by oh hh ofo d ovdd

by oh g.


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4.1 To manage simultaneously multiple complaints and pathologies, both acute

and chronic health problems.

Th q:

A ddg of h o of o-obdy Th k o g h o hh ob xd by

hogh do, xoo, goo, d oo

k g h d od d oh foo

Th k o k, d h d o , h b vd .

4.2 To promote health and wellbeing by applying health promotion and disease

prevention strategies appropriately.

Th q:

Th by o dd h o of hh

Th by o oo hh o dvd b of h oo Th by o oo hh hogh hh ooo o d vo

og h h y g

Uddg h o of h hh ooo v h

oy

Uddg d ogg h o of h o b h

d of h dvd d h oy, d g oy.

4.3 To manage and coordinate health promotion, prevention, cure, care,

rehabilitation and palliation.

Th q: A ddg of h ox of hh ob g

A ddg of h vy of ob oh

Th by o dff oh fo dvd d o odfy

h odg o dvd d

Th by o ood ok y .

Domain 5 Community orientation

hv oby fo h oy hh hy ok, hh xd byod

h oo h dvd . Th ok of fy doo dd

by h k of h oy d hfo hy dd h od o of h oy hh hy ok d h of

oo-oo d hh f. Th oo o od y of h

d ho hy , d h o of h h h oy.

o hh y bg od, d doo bg vovd

h og do; hy hv h d o dy o hh oy

h oy.


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5.1 To reconcile the health needs o individual patients and the health needs o

the community in which they live, balancing these with available resources.

Th q:

A ddg of h hh d of o hogh hdoog h of h oo

A ddg of h oh b hh d o

A ddg of h of ovy, hy d o doogy o

o oy hh

A of q hh ovo

A ddg of h of h hh y d oo

o

A ddg of h o of h oh ofo vovd oy

oy g o hh

Th by o ob o v g d v ov

h o hh oy h o A ddg of h o of - d oy-bd

foo h qy of h doo

A ddg of ho h hh y b d by h d

h doo (f od, k v, g , .) h o ox

Th by o o h d of h dvd h h d of h

oy hh hy v

A ddg of o h oog of hh .

Domain 6 A holistic approach

Md, k y , bd o of hd bf d v, d of h d . Th do of holism dy d fo d-

, d hh b d h do, k fo h ok of K:

vov g fo h ho o h ox of h o v, h fy

bf, h fy y, d h h g oy, d odg

g of h bd o h vd of h b d o. 24 O, o

, ho vov g o d g of vo . . . h-

o o oy oh b doo d ; d

of h of h hh of h o o h .25

Ho d -d o v of g . Ho, dbd

by Ho et al.26 h go of hy, yhoog d o oo of

hh ob kg dgo d g g, bhd of good og .27,28 Th good vd h h

ood by og oo29, 30, 31 d by g oy of .32, 33, 34 Ho

d og od b o h vd o dvo h oo qy

dx (Q) fo g , hh h o v of g -

, g ox oo gh d ho ko h doo

o d b oo .35, 36

Ho oy b d o o dvd o of ho,

o f h ho y b dvd, h v h o -


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vo offd o h hv dff g o dff o. Th

h o hy o oy o g d fy d. Th ho

v kodg objv xo of hyoogy, b o d h

o hv x h bjv, y (d, fo o, go),

hh y ff h hh d hh bf.37

Th ogo h hv boh d hy oo, d

h h dy oh b h, h d o of h

y bod od d o h dvo of h bo-yho-o od of

od d.38 Th od o o y by Eg, ho gd h fo

yhy o g fy d v o of dod

y o dd h (o h d) o, gvg q o-

o boog, yhoog d o d fo hog, dgo

d hy oh od h ho oh.39, 40

o o o h b ddg of o o o

doo . g d h fd ooy of h , h

d ooy fo h o v, d h y o h dg of

h b hdd by o o h vo.


6.1 To use bio-psycho-social models, taking into account cultural and existential

dimensions.

Th q:

Kodg of h ho o d o fo h

Th by o dd bo-yho-o ho

Th k o fo ho ddg o

Kodg of h bkgod d bf of h , o f hy v o hh

To d ddg of x, bf, v d

xo, hy ff hh dvy.

ESSENTIAL FEATURES OF THE DISCIPLINE OF GENERAL PR ACTICE

Th f fo o-d d: context, attitude

d science.30, 31, 32, 33, 34 Thy od h f of doo d d h

by o y h o o f h ok g d h d

ox of hh ovo. g h y hv g

b of h o oh b h fy doo d h o h hohy ok b hy o doo d o o g .

Essential Feature 1 Contextual aspects

Uddg h ox of doo hv d h vo hh hy

ok, dg h okg odo, oy, o hh ooy, ,

d goy fok.

1. Hvg ddg of h of h o oy (dg oo-

oo d ok fo, goghy d ) o .


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2. g of h of ov okod o h gv o h dvd

d h f (.g. ff, q) vb o dv h .

3. Hvg ddg of h d g fok hh hh

gv v.

4. Hvg ddg of h of h doo o hog d

okg vo o h h h o h ovd.

Essential Feature 2 Attitudinal aspects

d o h doo ofo b, v, fg d h.

1. g of h o b d v.

2. dfyg h of (vo, dgo, hy,

fo h fy).

3. Hvg of f: ddg h h o d d

fg o d of ho hy .

4. Vg d ogg h obo of oh.

5. g d o v g d ov.

6. Jfyg d fyg o h.

7. g of h o of ok d doo o v f, d vg

fo good b b h.

Essential Feature 3 Scientifc aspects

Adog d h-bd oh o d g h

hogh og g d qy ov.

1. g f h h g , hod d o of

h d h fd of (d, v, dd

v, .).

2. Hvg hoogh kodg of: h bkgod of hoogy;

yo d dgo; hy d ogo; doogy; do hoy;

ho bo h fog of hyoh d ob-ovg; vv

hh .

3. Ag d , dg d g y d g ho fo h o .

4. Dvog d g og g d qy ov.


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18

Further Reading

Examples o relevant texts and resources

Primary care management

Jnes , ritten , ulpepper L, et al. (d). Oxord Textbook o Primary Medical Care

Oxfod: Oxfod Uvy , 2004

McWinne .A Textbook o Family Medicine (2nd edn) Oxfod: Oxfod Uvy

, 1997

ael E. Textbook o Family Practice (6th edn) Lodo: W d, 2001

Person-centred care

alint M. The Doctor, His Patient and the Illness Lodo: Md bhg,

1964Emanuel E J. Fo od of h hy ohJAMA 1992; 267: 22216

Fersen d Henest J. h of x. Exdg h -d

hod: h-g Fam Pract 1993; 10: 4954

Henest J d tewart M. -d h oo 2: do y

k dff? Fam Pract 1990; 7: 2833

Hwie J . Th Joh Fy Foh 1999 Patient-centredness and the Politics o Change.

A day in the lie o academic practice Lodo: Th fd T, 1999

Lepl . d h y J Fam Pract 1996; 42: 12937

Leenstein J H (d.). Th -d hod 1: od fo h doo

o fy d. Fam Pract 1986; 3: 24

McWinne . Th d fo fod hod. : M d

o D (d). Communicating with Medical Patients by k, ca: g, 1989,

. 2540

Mea d wer . -d: o fok d v of

h Soc Sci Med 2000; 51: 1087110

Ml J W. o-od d Fam Med 1991; 23: 4651

eiur . The Inner Consultation L: mtp, 1987tewart M, rwn J , Westn W W, McWinne , McWilliam L,

Freeman T . Patient-Centered Medicine: transorming the clinical method Oxfod:

dff Md , 2003

Tn D. What is Good General Practice? Oo 65. Lodo: oy og

of o, 1994


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19

Specifc problem-solving skills

Allen T, rae , ae . Ky f: ffv gd fo of

g k. : International Conerence Proceedings: approaches to the

assessment o clinical competence, Part IIDd: Ho d Md

hoo, 1992, . 47883

rae . Ebod kodg: ky o f dgo hkgAcadMed

1994; 69: 8835

rae d Zacs . Th of d kodg h o of

d d d g o: go d ooyMed Educ 1984;

18: 40616

ase M , wansn D , Wliscrt J O. A of dgo

ogo k d kh g . : International Conerence

Proceedings: approaches to the assessment o clinical competence, Part IIDd:

Ho d Md hoo, 1992, . 4528

Dwie J d Elstein A (d). Proessional Judgement: a reader in clinical decision-making bdg: bdg Uvy , 1991

Hannar , mit H, Ellitt A M. y doogy: o

d o Fam Pract 2006; 23 (1): 17

Kassirer J d Kpelman . Learning Clinical Reasoning o: W &

Wk, 1991

Kntnerus J A. Md do-kg by g o d

Fam Pract 1991; 8: 3057

rcini J J d ea J A. Th ff of v of x o ky dvo

Acad Med 1990; 65: 51516

acett D L, Haes , uatt H, Tuwell Clinical Epidemiology: a basic

science or clinical medicine (2nd edn) oo: L, o, 1991

Tistletwaite J E. Mkg d hg do bo g h

: h v d x of -go ho of g

d hoMed Educ 2002; 36: 4955

A comprehensive approach

Kauman D M. A of g d hg d: yg do

hoy BMJ2003; 326: 21316

Van er Vleuten M. Th of ofo o: dvo,

h d oAdv Health Sciences Educ Theory Pract 1996; 1: 4167

Community orientation

Feacem A. ovy d qy: o fo fo h y Bull World

Health Organ 2000; 78: 1


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ulransen , Fuelli , Hrtal . o kodg of h

yhoo ob: qo vy BMJ1997; 314:

101418

ulransen , Fuelli , ani L, Hrtal . of o ob

o g g : qo vy BMJ1998;

317: 2832

Lnlett K, Kruse J E, Wesle M. oy-od y :

d o fo d doJ Am Board Fam Pract 2001; 14: 1417

Marmt M. ov of o vo o ov hh Lancet 1998; 352:

5760

Oanasan F, s , rne , air M . Mg oy-od

d od d Fam Pract 2000; 17: 2437

earce , Fliai , prle A, unninam . , , hy, d

hh BMJ2004; 328: 10702

llc A M d Maee F A. oy od y BMJ1995; 310:

4812

meet L d Heat . Tkg hh q y BMJ1999; 318:

10201

A holistic approach

Freeman d Hrtal . Wh f fo oy of g ?

BMJ1997; 314: 18703

reenal T d Eersle J. Quality in General Practice: towards a holistic approachLodo: Kg Fd, 1999

Hrtal . d oy of : ogo Fam

Pract 1989; 6: 2928

Hrtal d Laerum E. oy of g : ff o

fo BMJ1992; 304: 128790

Hwie J , rter A M D, Heane D J, Hptn J L. Log o ho oo

o: oxy of qy of fo g Br J Gen Pract 1991; 41:

4854

Klcaa . Th y ho gJ Adv Nurs 1997; 25: 2906McWinne . yod dgo: oh o go of bhvo

d d N Engl J Med 1972; 287: 3847

attersn E. Th hoohy d hy of ho hh : hg

okb o J Adv Nurs 1998; 27 (2): 28793

ttt H d Dais H. Th xo o h y

ooJ R Coll Gen Pract 1979; 29: 2015


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Wartn M. g h oy: ho oh BMJ1995; 310:

407

Wilsn A. oo gh g : v Br J Gen Pract 1991; 41:

11922

Wilsn A, McDnal , Haes L, ne J. Hh ooo g :

k dff BMJ1992; 304: 22730


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Appendix 1

Mapping o curriculum to Good Medical Practice

Good Medical Practice Corresponding paragraphs in this core curriculum statement

Good Clinical Care

1

Domain 1: Primary care management

1.1 To g y o h , dg hd ob.

1.2 To ov h f g of hh odo.

1.3 To ood h oh ofo y d h oh .

1.4 To ffv d o ovo dhh v o.

1.5 To k vb o h h o v

h h hh y.

Domain 2: Person-centred care

2.1 To do o-d oh dg h d ob, h ox of .

2.2 To h g oo o bg bo ffv doo oh, h fo h ooy.

2.3 To o, o o d o h.

Domain 3: Specifc problem-solving skills

3.1 To do-kg o o hv d d of h oy.

3.2 To vy gh d foo fohoy-kg, hy xo d vgo,d y o o g oboo h h .

3.3 To do o okg (.g. vgo, g oo) d o oy.

3.4 To v gy h y.

3.5 To g odo h y y d

dffd y.

Domain 4: A comprehensive approach

4.1 To g oy o dhoog, boh d ho hh ob.

4.2 To oo hh d bg by yghh ooo d d vo goy.


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Domain 5: Community orientation

5.1 To o h hh d of dvd d h hh d of h oy hh hy

v, bg h h vb o.

Domain 6: A holistic approach

6.1 To bo-yho-o od, kg o o d x do.

Good Clinical Care

2 Kg od,g od kg yoog fod



Domain 2: Person-centred care2.3 To o, o o d o h.

Good Clinical Care

3 A, vbyd ovdg o of ho


2.4 To ovd og- oy of ddby h d of h , fg o og doodd g.

Good Clinical Care

4 T g


3.4 To v gy h y.

Good Clinical Care

5 Mkg ffv of o


3.3 To do o okg (.g. vgo, g oo) d o oy.

3.6 To k ffv d f of dgo dh vo.


4.3 To g d ood hh ooo, vo,, , hbo d o.

Domain 5: Community orientation5.1 To o h hh d of dvd

d h hh d of h oy hh hyv, bg h h vb o.

Maintaining Good MedicalPractice

6 Kg o dd gyo fo

Essential eature 3: Scientifc aspects

4 g b o dvo d og gd qy ov.


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Relationships with Patients

7 ovdg foobo yo v




8 Mg


2.1 To do o-d oh dg h d h ob, h ox of .

2.2 To h g oo o bg bo ffv doo oh, h fo h ooy.


Essential eature 2: Attitudinal aspects

1 g of o o b d v.

2 dfyg h of (vo,dgo, hy, fo h fy).

3 Jfyg d fyg o h.


9 Avodg d-o d jdg

Domain 6: A holistic approach

6.1 To bo-yho-o od, kg o o d x do.


10 f hg go og

Essential eature 1: Contextual aspects

1 Hvg ddg of h of h o

oy (dg oo-oo d okfo, goghy d ) o .

2 g of h of ov okod o h gv o h dvd d h f(.g. ff, q) vb o dv h .

3 Hvg ddg of h d gfok hh hh gv v.

4 Hvg ddg of h of h dooo hog d okg vo o h h h o h ovd.


1 g of h o b d v.


3 Hvg of f: ddg h ho d d fg o dof ho hy .

4 Jfyg d fyg o h.


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Working with Colleagues

11 Wokg hog d

okg



1.5 To k vb o h h o vh h hh y.


4.3 To g d ood hh ooo, vo,, , hbo d o.


12 fg



1.5 To k vb o h h o vh h hh y.


13 Ag o


1 g of h o b d v.

4 Jfyg d fyg o h.

Teaching and Training,Appraising and Assessing

14 Thg d g,g dg

o xy ovd h b ovd oh

Probity15 h

16 F do dg

17 ovdg f

Essential eature 2: Attitudinal aspects1 g of h o b d v.


3 Jfyg d fyg o h.

Health and thePerormance oOther Doctors

18 og h yo o hho h hh, od

o fo ofoh doo k


1 g of h o b d v.

3 Hvg of f: ddg h ho d d fg o dof ho hy .

5 g of h o of ok d doo ov f, d vg fo good b bh.


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Appendix 2

Characterising the discipline o general practice/amily medicine

/fy d d d d, h o

do o, h, vd b d vy, d -

y od o y .

Th 11 h of h d o 11 b h vy fy doo

hod d hod b h b fo dvog h fo g

g .4

General practice

1. oy h o of d o h h hh y,*

ovdg o d d o , dg h hh ob

gd of h g, x o y oh h of h o od2. Mk f of hh o hogh oodg , okg

h oh ofo h y g d by gg h

f h oh . o kg o dvoy o fo

h h dd

3. Dvo o-d oh, od o dvd, h fy d

h oy

4. H q oo o, hh bh oh ov ,

hogh ffv oo b doo d

5. ob fo h ovo of ogd oy of ddby h d of h

6. H do-kg o dd by h v d

d of h oy

7. Mg oy boh h d ho hh ob of

dvd

8. Mg h dffd y y g

dvo, o of hh y q g vo

9. oo hh d bg boh by o d ffv vo

10. H oby fo h hh of h oy

11. D h hh ob h hy, yhoog, o, d

x do.

* d h f- gy, g y o b h o of o h h hhy


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The specialty o general practice/amily medicine

/fy doo hy d h of h d.

Thy o doo, y ob fo h ovo of ohv d

og o vy dvd kg d v of g, x d .

Thy fo dvd h ox of h fy, h oy d h

, y g h ooy of h . Thy og hy o hv ofo oby o h oy. gog g

h h hy g hy, yhoog, o, d x-

fo, g h kodg d gdd by d o.

/fy hy x h ofo o by oog hh, v-

g d d ovdg , o o. Th do h dy o hogh

h v of oh odg o hh d d h o vb h h

oy hy v, g h y g h v.

Thy k h oby fo dvog d g h k, o

b d v b fo ffv d f .


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Reerences

1 Md o. Good Medical Practice Lodo: Md o, 1998

2 o o of h MA d h oy og of o. Good

Medical Practice or General Practitioners Lodo: , 20023 H fo ovo d ovMedical Leadership Competency Framework ovy:

H , 2009

4 WOA Eo. The European Defnition o General Practice/Family Medicine Lodo: WOA Eo,

2005

5 Oxfod go o. Priority Objectives or General Practice Vocational Training Oo 30.Lodo: oy og of o, 1985

6 oy A og of o. General Practice Vocational Training Standards andRequirements Mbo: A, 2001

7 EE o. o Dv 93/16/EE o f h f ov of doo d h ogo of h do, d oh vd of fo qo Ofcial Journal o

the European Community 1993; 165

8 Herman J (d.). The EURACT Educational Agenda Lv: EU AT, 2006

9 WHO. Framework or Proessional and Administrative Development o General Practice/Family Medicine inEurope ohg: WHO Eo, 1998

10 tariel . Primary Care: balancing health needs, services and technology Oxfod: Oxfod Uvy ,1998

11 Dreus H d Dreus .Mind over Machine: the power o human intuition and expertise in the era o thecomputer Oxfod: k, 1986

12 laser . Tod od fo International Journal o Educational Research 1990; 14 (5): 477

13 McWinne .A Textbook o Family Medicine (2nd edn) Oxfod: Oxfod Uvy , 1997

14 tewart M, rwn J , Westn W W, McWinne , McWilliam L, Freeman T . Patient-Centered

Medicine: transorming the clinical method (2nd edn) Oxfod: dff, 200315 Haert JL. oy of BMJ2003; 327: 121921

16 Mariner M d ecam J (d). Clinical Futures Lodo: MJ ook, 1998

17 Hrer J. The Future General Practitioner Lodo: , 1972

18 cmit H , rman , suizen H A. A ogv v of d x: hoy doAcad Med 1990; 65: 61121

19 enletn D, ciel T, Tate , Haelc . The Consultation: an approach to learning and teachingOxfod: Oxfod Md , 1984

20 ttt H d Dais H. Th xo o h y ooJ Roy Coll GenPract 1979; 29: 2019

21 eiur . The Inner Consultation L: MT , 1987

22 ilerman J, Kurtz , Draper J. Skills or Communicating with Patients (2nd edn) Oxfod: dff Md, 2004

23 eln M, re J, ectr A (d). Decision-Making in General Practice Lodo: M , 1985

24 Kemper K J. Ho d = good d Pediatrics 2000; 105: 21418

25 ietrni . Ho d: o o b d Practitioner 1987; 231: 138690

26 Hwie J , Heane D J, Mawell M, Waler J J, Freeman K. Dvog oo qydx (Q) fo g Fam Pract 2000; 17 (6): 45561


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27 ttt H d Dais H. Th xo o h y oo J R CollGen Pract

1979; 29: 2015

28 reenal T d Eersle J. Quality in General Practice: towards a holistic approach Lodo:Kg Fd, 1999

29 Wilsn A. oo gh g : v Br J Gen Pract 1991; 41: 11922

30 Hwie J , rter A M D, Heane D J, Hptn J L. Log o ho oo o: oxy of qy of fo g Br J Gen Pract 1991; 41: 4854

31 Wilsn A, McDnal , Haes L, ne J. Hh ooo g : k dff BMJ1992; 304: 22730

32 Hrtal . d oy of : ogo Fam Pract 1989; 6:2928

33 Hrtal d Laerum E. oy of g : ff o foBMJ1992; 304: 128790

34 Freeman d Hrtal . Wh f fo oy of g ? BMJ1997;314: 18703

35 Hwie J . M 2000: qy g?Asia Pacifc Family Medicine 2002;

1: 89

36 Hwie J , Heane D J, Mawell M. Qy d o v d h g oo: of do, d dvy Fam Pract 2004; 21 (4): 45868

37 Elin d lant E.Health and Wellness: a holistic approach (4th edn) Lodo: Jo & oo,1992

38 utler , Eans M, reaes D, mpsn . Mdy xd yo: hboyhoo od fod gJ R Soc Med 2004; 97: 21922

39 Enel L. Th d fo d od: hg fo bod Science 1977; 196:12936

40 Enel L. Th o of h boyhoo odAm J Psychiatry 1980; 137:53544

Curr 1 Curriculum Statement Being a GP

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