Specialties

• WHOLE PERSON
  • The Whole Person
  • The Medical Patient
  • The Surgical Patient
  • The Community Patient
• CARDIORESPIRATORY
  • Cardiovascular System
  • Respiratory System
  • Haematology
• METABOLISM
  • Gastrointestinal System
  • Renal and Urinary System
  • Endocrine System
• HUMAN DEVELOPMENT
  • Obstetrics and Gynaecology
  • Child Health
  • Sexual Health and HIV
• BRAIN AND BEHAVIOUR
  • Neuroscience
  • Psychiatry
  • Ophthalmology
  • Head and Neck (ENT)
• LOCOMOTOR
  • Musculoskeletal System
  • Health Care of the Elderly
  • Dermatology

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WHOLE PERSON: The Community Patient

Index

• General Outcomes for Community Care

• General Outcomes for Community Care
  • Medical knowledge: PATHOLOGY (TD 8.7)
    • General Pathology
      1. Has an in depth knowledge of disease mechanisms underlying conditions commonly encountered in community practice (click here to see list) (GP5)
      2. Knows the natural history of common acute, chronic and self limiting conditions as seen in general practice (click here for list) (GP5)
  • Medical knowledge: CLINICAL FEATURES of DISEASE (TD 8 b)
    • General Outcomes for Neurological Disorders
      1. Able to describe how neurological disease presents within the community (NEURO4)
    • Cancer
      1. Compare the presentation of malignancy in primary care and secondary care and palliative care in the community and hospice. (GPCC3)
  • Medical knowledge: SOCIOLOGY (TD 10 a-e)
    • Community Health
      1. Describe some of the reasons why patients present in general practice
      2. Describe some differences in relationships between patients and different members of the primary care team, and how these are expressed
      3. Interpret information gathered through observation of the local area and reflect upon what your observations tell you about the area and the community
      4. Understand the effect of illness on the community (CC4, GP5)
    • Health Inequality
      1. Identify social determinants of health (FM1)
      2. Consider the importance of social determinant of health on individuals and communities (FM1)
    • Older People, Illness and Society
      1. To appreciate the social impact of an increasing elderly population both on the individual but also for families and wider society (CC4)
      2. Explain some of the implications for the health and social services of an ageing population
  • Medical knowledge: EPIDEMIOLOGY
    • Prevalence of Disease
      1. To appreciate the prevalence of skin disease seen by GPs in the community (CC4)
  • Medical knowledge: PSYCHOLOGY (TD 9 a-g)
    • General Issues
      1. To understand how acute conditions impact on work and how chronic conditions influence mental health and social well being (CC4)
    • Bio-Psycho-Social Issues
      1. To understand the bio-psycho-social aspects of living with chronic neurological disease in the community (CC4)
      2. To be able to evaluate the bio-psycho-social impact of musculoskeletal conditions on patients. (CC4)
      3. To develop an understanding of the psycho-social issues that can occur as a result of chronic skin conditions (CC4)
  • Clinical skills: HISTORY (TD 13 a-b)
    • Taking a History
      1. Can take a detailed and comprehensive history from a patient in a community setting (click here for list ) (GP5)
      2. Be able to take and record a patient's medical history, and recognize the role of taking a focussed history (GPCC3)
      3. To be able to take a history from a person with poor memory/communication skills (CC4)
      4. Be able to present a coherent summary of a patient's medical history (GPCC3)
      5. To be able to take a collateral history where appropriate- and understand how and where to get additional information from with regards to community patients with poor communication skills (CC4)
      6. Demonstrate how to obtain consent from a patient for history taking
      7. Explain the ethical and practical guidelines for interviewing patients
    • History from Older People
      1. To be able to take a history and examine a patient over the age of 75yrs (CC4)
    • History from children
      1. Knows the specific items required for a paediatric history in a community setting (CC4)
    • Examination of Children
      1. Be able to perform a full examination of a child in a community setting (CC4)
      2. Be able to describe child health surveillance (6-8 week check) and developmental examinations, in particular up to 12 months (CC4)
    • Musculosketal History
      1. To obtain an appropriate musculoskeletal history from a patient presenting with either arthralgia, mylagia, back pain or chronic widespread disease (CC4)
    • Examination of the Skin
      1. To take a history and examine patients with common skin diseases seen in general practice(click to see list) (CC4)
    • O&G Examination
      1. Understand the basics of presentation, diagnosis and management of early pregnancy problems (click to see list) (CC4)
      2. Be able to perform competently an obstetric examination in a community setting (CC4)
  • Clinical skills: PHYSICAL EXAMINATION (TD 13 c)
    • Examining the Patient
      1. Attain competence in the general examination and key systems examinations, namely cardiovascular, respiratory, abdominal and basic neurological examinations (GPCC3)
      2. Can undertake a number of specialist examinations in a community care setting (click here for list) (GP5)
      3. Be introduced to ENT in primary care and begin to carry out ENT examinations (GPCC3)
  • Clinical skills: MAKING A DIAGNOSIS and CLINICAL JUDGEMENT (TD 14 e-f)
    • Diagnosis and Reasoning
      1. Identify the benefits and problems of early or pre-symptomatic diagnosis (GP5)
    • Diagnosis of Skin Disorders
      1. Be able to recognise common skin diseases seen in general practice (eczema, dermatoses, psoriasis) (CC4)
      2. Be able to identify suspicious cutaneous lesions that require further investigations (Pre-malignant and malignant skin tumours and other skin lesions that are not obviously benign. Skin signs of systemic disease e.g. excoriation in liver disease) (CC4)
    • Diagnosis in Older People
      1. To understand how capacity is assessed (CC4)
    • General Outcomes for Neurological Diagnosis
      1. Describe the presentation, examination and management of patients with headaches in primary care (NEURO4)
    • Diagnosis of Obstetric and Gynaecological Disorders
      1. Understands the basics of : presentation, diagnosis and management of common and important gynaecological problems seen in the community (click to see list) (CC4)
    • Diagnosis in Children
      1. Be able to identify common infectious diseases in children (chicken pox, measles, viral rashes, acne) (CC4)
  • Clinical skills: DIAGNOSTIC PROCEDURES (TD 18 a)
    • General Procedures
      1. Is able to perform common diagnostic proceedures or techniques (click here to see list) (GP5)
  • Clinical skills: FORMULATING A TREATMENT PLAN (TD 14 g)
    • Management of Neurological Disorders
      1. Understand the basics of presentation, diagnosis and management of common neurological problems seen in the community (click to see the list) (CC4)
      2. Awareness of chronic neurological diseases in the community recognising how these patients are managed in the community (NEURO4)
      3. Describe the presentation, examination and management of patients with headaches in primary care (NEURO4)
    • Management of Psychiatric Disorders
      1. Understand the basics of presentation, diagnosis and management of common psychiatric problems seen in the community (click to see the list) (CC4)
      2. To understand the two-way links between Medical diseases and Psychiatric disorders (CC4)
    • General Principles of Patient Management
      1. Has an in depth understanding of how to manage conditions commonly encountered in community practice (click here to see list) (GP5)
      2. Recognition and management of sudden and undifferentiated illness in the community (click to see list) (GP5)
      3. Demonstrate the importance and problems in patients' adherence to therapy (GP5)
      4. Learn to apply theoretical knowledge to clinical practice in cardio-respiratory, gastrointestinal, metabolic and some neurology areas (GPCC3)
      5. Recognize the importance of a holistic approach, with particular reference to chronic disease management and palliative care (GPCC3)
      6. Examine the interface between primary and secondary care and the integration of community and hospital services (GPCC3)
    • Disease Management in the Community
      1. Has an in depth understanding of how to manage conditions commonly encountered in community practice (click here to see list) (GP5)
      2. Understand the role of informal carers in the community (GP5)
      3. Understands the importance of the family as well as the cultural, socio-economic and psychological background in the management of patients and how they present in general practice (GP5)
      4. Understand the relationship between primary care and community services, secondary care, social services and the “voluntary sector (GP5)
      5. Understands the difference between general practice/community based practice and hospital based practice (GP5)
    • Out of hours care
      1. Experience out of hours attachments; Walk-in centre/polyclinics/primary care centres/Emergency and Urgent Care Centre (GP5)
      2. Understand why patients access health care in an urgent manner (GP5)
      3. Understands the difference in doctor-patient relationships in the OOH setting (GP5)
    • Health promotion and disease prevention
      1. Understand the need to identify high risk groups in general practice (GP5)
      2. Describe Health Education practice in primary care (GP5)
      3. Discuss the methods of prevention and health education within the Community including screening (GP5)
    • Management of Musculoskeletal Disorders
      1. To understand the treatment options available in primary care for common Musculoskeletal problems (CC4)
      2. To have an understanding how a GP decides when to refer patients into secondary care services. (CC4)
      3. To understand how fit notes are used in General Practice (CC4)
    • Management of Skin Disorders
      1. Know how to manage common skin conditions in general practice (click to see list) (CC4)
    • Management of Disorders in Children
      1. Understand the presentation, diagnosis and management of common child health problems seen in the community such as (click to see checklist) (CC4)
    • Management of the Normal Pregnancy
      1. Understand the basics of management of early pregnancy (e.g. Antenatal booking) and recognise the symptoms of normal early pregnancy (CC4)
      2. Understand the basics of postpartum care (e.g. Normal changes and common problems) in the community (CC4)
      3. Understand the rationale of routine post natal care in a community setting (CC4)
      4. Understand the rationale of routine post natal care (CC4)
    • Management of contraception
      1. Understand special concerns and considerations around sub-fertility and referral opportunities (GP5)
      2. Demonstrate counselling for different contraception type and termination of pregnancy (GP5)
  • Clinical skills: SUPPORTING PATIENTS and IDENTIFYING ABUSE and NEGLECT (TD 14 h-i)
    • Preventative care and Screening
      1. Understand community gynaecological screening e.g. cervical cytology (CC4)
      2. Be able to describe the current routine vaccination schedule (CC4)
      3. Describe a health promotion intervention you have observed eg, asthma check, new patient check, consultation for dietary advice
      4. Understand the basics of preconception counselling (e.g. lifestyle, folic acid) (CC4)
      5. Begin to demonstrate skills in promoting behaviour and lifestyle change (GPCC3)
      6. Understand the principles of antenatal care and screening for maternal problems in pregnancy. (CC4)
      7. Understand the rationale of routine maternal and fetal screening tests in antenatal care (CC4)
      8. Understand the basics of alcohol screening and health promotion (CC4)
  • Clinical Skills: CARE OF PATIENTS AND RELATIVES AT END OF LIFE (TD 14 j)
    • Palliative Care
      1. Describe team working in end-of-life care (GP5)
      2. Know about the role of funeral directors and support for bereaved families (GP5)
      3. Describe relevant details regarding rituals for death management, and legal aspects of certification and cremation (GP5)
      4. Explain common problems and solutions around pain control, drug use and administration (GP5)
      5. Is able to identify examples of end of life decision making (GP5)
  • Clinical skills: INTERACTION WITH PATIENTS (TD 15 a-b)
    • Interacting with Patients - General
      1. Value and practise good communication skills (GP5)
      2. Analyse the nature of the doctor-patient relationship and how this relationship is used in contacts with patients (GP5)
      3. Can explain common proceedures encounterd in community settings and communicate appropriately with collegues (click here to see list) (GP5)
      4. Be able to communicate with people with neurological problems and their carers (CC4)
      5. Communicate with patients who have psychiatric disorders: obtain information, provide reassurance and establish rapport (CC4)
    • Communicating with Children
      1. Understand the difficulties in establishing rapport with a child and how to overcome this (CC4)
  • Clinical skills: PRESCRIBING DRUGS SAFELY AND EFFECTIVELY (TD 17 a-h)
    • General Principles
      1. Identify the clinical risks associated with poly-pharmacy and drug interactions (GP5)
      2. Illustrate the requirements for prescribing in general practice (GP5)
      3. Understands the role of community pharmacy in care for patients; medicine usage and understanding, concordance, dispensing rules and regulations including Controlled Drugs (GP5)
    • Pharmacological Therapy for Elderly People
      1. To explore the issues around polypharmacy and compliance in the elderly population (CC4)
  • Professional issues: WORKING IN TEAMS (TD 22 a-c)
    • Primary Care Team / Community Medicine
      1. Demonstrate an ability to carry out an interview with a member of staff, in order to find out about that person's role and responsibilities within the primary care team.
      2. Report on findings from interviews and observation with each other to gain an overall idea of the constitution and functions of the primary care team
      3. Identify some of the skills the doctor uses in his/her relationship with a patient
      4. Understands the importance of teamwork in primary care and the skills and responsibilities of individual members both in the surgery and in continuing care at home (GP5)
      5. Has an appreciation of the varying roles of different health professionals working in primary care (GP5)
      6. Understand the role of the multidisciplinary healthcare team in the care of patients and their families (GP5)
    • Multi-disciplinary Team Work (MDT)
      1. Understand the role of allied health professionals in the care of chronic neurological diseases (NEURO4)
    • General Outcomes for Working in Teams
      1. Demonstrate effective communication skills (verbal, non verbal and written) with patients and with professionals within the primary care multidisciplinary team (GPCC3)
  • Professional issues: LEARNING (TD 21 a-d)
    • Reflection
      1. Reflect on their own learning in terms of personal and professional development (YR5intro)
  • Professional issues: ETHICS and LAW (TD 20 a-g)
    • Good Medical Practice: Ethico-Legal Responsibilities of Patient Care
      1. Demonstrate the importance of making decisions in partnership with colleagues and patients (GP5)
      2. Demonstrate professional behaviour when undertaking independent tasks (GP5)
      3. Debate ethical issues pertinent to primary care (GPCC3)
  • Professional issues: RISK MANAGEMENT and PATIENT SAFETY (TD 23 d)
    • Principles of Risk Management
      1. Appreciate that uncertainty exists and how to minimise risk to the patient, doctor or carer (GP5)
      2. Appreciate the potential clinical risk in unsupported settings and in the undifferentiated presentation of illness out of hours. (GP5)
  • Professional issues: PERSONAL ATTITUDES and SELF CARE (TD 23 f-j)
    • General Outcomes for Personal Attitudes and Self Care
      1. Appreciate how the doctor's own views, feelings and life experiences influence patient care (GP5)

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