GMC Domains

• THE DOCTOR AS A SCHOLAR
  • TD 8: APPLICATION OF BIOMEDICAL SCIENTIFIC PRINCIPLES, METHOD AND KNOWLEDGE
    • Medical knowledge: ANATOMY (TD 8.1)
    • Medical knowledge: PHYSIOLOGY (TD 8.2)
    • Medical knowledge: BIOCHEMISTRY (inc. Metabolism) (TD 8.3)
    • Medical knowledge: CELL BIOLOGY (TD 8.4)
    • Medical knowledge: MOLECULAR BIOLOGY and GENETICS (TD 8.5, 8.6)
    • Medical knowledge: PATHOLOGY (TD 8.7)
    • Medical knowledge: CANCER
    • Medical knowledge: IMMUNOLOGY and INFLAMMATION (TD 8.8)
    • Medical knowledge: MICROBIOLOGY and INFECTION (TD 8.9)
    • Medical knowledge: PHARMACOLOGY (TD 8.10)
    • Medical knowledge: NUTRITION (TD 8.11)
    • Medical knowledge: CLINICAL FEATURES of DISEASE (TD 8 b)
  • TD 9: APPLICATION OF PSYCHOLOGICAL PRINCIPLES, METHOD AND KNOWLEDGE
    • Medical knowledge: PSYCHOLOGY (TD 9 a-g)
  • TD 10: APPLICATION OF SOCIAL SCIENCE PRINCIPLES, METHOD AND KNOWLEDGE
    • Medical knowledge: SOCIOLOGY (TD 10 a-e)
  • TD 11. PRINCIPLES, METHODS AND KNOWLEDGE OF POPULATION HEALTH
    • Medical knowledge: PUBLIC HEALTH and GLOBAL HEALTH (TD 11 a-j)
  • TD 12; APPLICATION OF SCIENTIFIC METHOD AND APPROACHES TO MEDICAL RESEARCH
    • Medical knowledge: EPIDEMIOLOGY
    • Medical Knowledge: SCIENTIFIC METHOD & RESEARCH
• THE DOCTOR AS A PRACTITIONER
  • TD 13: CARRY OUT A CONSULTATION WITH A PATIENT
    • Clinical skills: HISTORY (TD 13 a-b)
    • Clinical skills: PHYSICAL EXAMINATION (TD 13 c)
    • Clinical skills: MENTAL STATE EXAMINATION (TD 13 d)
  • TD 14: DIAGNOSE AND MANAGE CLINICAL PRESENTATIONS
    • Clinical skills: INTERPRETING FINDINGS AND INITIAL ASSESSMENT (TD 14 a-b)
    • Clinical skills: PLANNING AND INTERPRETING INVESTIGATIONS (TD 14 c-d)
    • Clinical skills: MAKING A DIAGNOSIS and CLINICAL JUDGEMENT (TD 14 e-f)
    • Clinical skills: FORMULATING A TREATMENT PLAN (TD 14 g)
    • Clinical skills: SURGERY and ANAESTHETICS (TD 14 g)
    • Clinical skills: SUPPORTING PATIENTS and IDENTIFYING ABUSE and NEGLECT (TD 14 h-i)
    • Clinical Skills: CARE OF PATIENTS AND RELATIVES AT END OF LIFE (TD 14 j)
  • TD 15: COMMUNICATE EFFECTIVELY WITH PATIENTS AND COLLEAGUES
    • Clinical skills: INTERACTION WITH PATIENTS (TD 15 a-b)
    • Clinical skills: MANAGING INFORMATION (TD 15 c)
  • TD 16: PROVIDE IMMEDIATE CARE IN MEDICAL EMERGENCIES
    • Emergency Management of Patients (TD 16 b-e)
  • TD 17: PRESCRIBE DRUGS SAFELY, EFFECTIVELY AND ECONOMICALLY
    • Clinical skills: PRESCRIBING DRUGS SAFELY AND EFFECTIVELY (TD 17 a-h)
  • TD 18: CARRY OUT PRACTICAL PROCEDURES SAFELY AND EFFECTIVELY
    • Clinical skills: DIAGNOSTIC PROCEDURES (TD 18 a)
    • Clinical skills: THERAPEUTIC PROCEDURES (TD 18 b)
  • TD 19: USE INFORMATION EFFECTIVELY IN A MEDICAL CONTEXT
    • Clinical skills: EVIDENCE BASED MEDICINE
• THE DOCTOR AS A PROFESSIONAL
  • TD 20: BEHAVE ACCORDING TO ETHICAL AND LEGAL PRINCIPLES
    • Professional issues: ETHICS and LAW (TD 20 a-g)
  • TD 21: REFLECT, LEARN AND TEACH OTHERS
    • Professional Issues: PERSONAL LIMITS OF CARE (TD 21e)
    • Professional issues: LEARNING (TD 21 a-d)
    • Professional issues: TEACHING AND MENTORING (TD 21 f)
  • TD 22: LEARN AND WORK EFFECTIVELY WITHIN A MULT-PROFESSIONAL TEAM
    • Professional issues: WORKING IN TEAMS (TD 22 a-c)
  • TD 23: PROTECT PATIENTS AND IMPROVE CARE
    • Professional issues: DUTIES OF A DOCTOR (TD 23 a-b)
    • Professional issues: MEDICAL FRAMEWORK IN THE UK (TD 23 c)
    • Professional issues: RISK MANAGEMENT and PATIENT SAFETY (TD 23 d)
    • Professional issues: GOVERNANCE, QUALITY MATTERS and AUDIT (TD 23 e)
    • Professional issues: PERSONAL ATTITUDES and SELF CARE (TD 23 f-j)

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TD 22: LEARN AND WORK EFFECTIVELY WITHIN A MULT-PROFESSIONAL TEAM: Professional issues: WORKING IN TEAMS (TD 22 a-c)

Index

• Working in Teams

• Working in Teams
  • General Outcomes for Working in Teams
    1. Learn and work effectively within a multi-professional team (click to see list) (YR5intro)
    2. Develop effective communication skills between professionals, know how to refer a patient, and ask for advice or help from another professional; be able to make effective telephone communications; communication within a team during an emergency and give a
    3. To understand the role of the health care professional in managing / refer (CSP4a)
    4. Work with colleagues in ways that best serve the interests of patients, passing on information and handing over care
    5. Understand the roles and expertise of health and social care professionals including doctors in the context of working and learning as a team as well as in policy and practice development (Yr2intro)
    6. Effective handover (MET3A)
    7. Demonstrate effective communication skills (verbal, non verbal and written) with patients and with professionals within the primary care multidisciplinary team (GPCC3)
    8. Is able to describe the contributions of the following professions allied to medicine: Occupational therapy, Physiotherapy, Nurses, Dieticians, Speech & language therapists, Social workers. (HCOE4)
    9. Is able to explain how these professions can work together effectively as part of a multidisciplinary team. (HCOE4)
    10. Advocates against ageism and recognise that it can affect the optimal care of older patients. (HCOE4)
    11. Is able to define the interaction between health and social services in the provision of long-term care for older adults and describe the following services; NHS continuing care, residential home care, nursing home care, community care at home, community nursing care, community matron service, intermediate care at home, residential intermediate care, interim care. (HCOE4)
  • Multi-disciplinary Team Work (MDT)
    1. Know the multidiciplinary management of Behavioural problems of early childhood
    2. Understand the need for a multi-disciplinary approach to HIV and other infectious diseases encountered in the Immunology and GUM clinics (I&I 4)
    3. To understand the multidisciplinary team working in a GUM clinic (I&I 4)
    4. Appreciate the mutidisciplinary team approach to the treatment of IBD (MET3A)
    5. Understand the role of allied health professionals in the care of chronic neurological diseases (NEURO4)
    6. Understand the role of the primary care team in the palliative care of terminal gastrointestinal disease. (MET3A)
    7. Understand referral pathway for urgent management of ectopic pregnancy (I&I 4)
    8. Identify important members of the MDT in assessment and care of patients with impaired mobility (MedSoc1)
    9. Discuss the role of the multi-disciplinary team in the diagnosis, treatment and support of a patient diagnosed with lung cancer (CR3)
    10. Describe the role of the multidisciplinary team in the prevention and treatment of pressure sores (CR3)
    11. Be familiar with the role of the following professionals in the care of psychiatrically ill patients and be able to communicate effectively with each member of the multidisciplinary care team:- ward nurses, occupational therapists, social workers, genera (PSYCH4)
    12. Describe the role of primary care in the support and monitoring of patients requiring supplementary nutrition (MET3A)
    13. Evaluate the role of Nurse Counsellors, pain control and terminal care; appreciate the role of a multi-disciplinary team approach to breast cancer
    14. Be aware of the importance of multi disciplinary teams in the management of colorectal cancer (MET3A)
    15. Describe the roles of specialist nursing, physiotherapy and pulmonary rehabilitation in the management of COPD (CR3)
    16. Discuss the role of the primary care team in the management of CCF and in the avoidance of re-admissions
    17. Be able to explain why liaison between the microbiologist, cardiologist and cardiac surgeon is important (CR3)
    18. Understand the importance of a continuum of care for the injured patient by a multi-disciplinary team in which responsibility is actively shared
    19. Describe the role of physiotherapy in the management of cystic fibrosis
  • Trauma / Cardiac Arrest Team
    1. Explain the role and details about the cardiac arrest team and describe how to contact them (CR3)
    2. Know the importance of an overall team co-ordinator in the management of trauma.
  • Specialist Roles
    1. Develop a general understanding of the role of the anaesthetist and the multiple roles they perform (MET3A)
    2. Identify problems in using non-professional interpreters in consultations ()
    3. Develop a general understanding of the role of the anaesthetist and the multiple roles they perform
    4. Know the role of the anaesthetist includes: pre-operative assessment of patient (MET3A)
    5. Understand the role of the acute pain team. (MET3A)
    6. Know the role of the anaesthetist includes: peri-operative management of patients (MET3A)
    7. Know the role of the anaesthetist includes: all aspects of post-operative care; intensive therapy care; pain management (acute & chronic); obstetric anaesthesia and analgesia (MET3A)
    8. Explain the role of specialist nurse practitioners and self management plans in the management of asthma (CR3)
    9. Understand the role of the colorectal nurse specialist / colorectal stoma nurse (MET3A)
  • Palliative Care Team
    1. Describe the role of the primary care team in the palliative care of terminal respiratory disease.
    2. Understand the role of the primary care team in the palliative care of terminal haematological disease.
    3. Describe the role of community teams in the support of patients with terminal liver disease
    4. Understand the role of palliative care in the management of colorectal cancer (MET3A)
  • Primary Care Team / Community Medicine
    1. Interview a member of staff about their role and responsibilities within the primary care team (MedSoc1)
    2. 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.
    3. Consider how patients relate differently to different members of the primary health care team (MedSoc1)
    4. 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
    5. Identify some of the skills the doctor uses in his/her relationship with a patient
    6. Describe the roles of different members of the primary health care team (MedSoc1)
    7. 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)
    8. Reflect on your strengths and weaknesses in communicating with patients, health professionals and your peers (MedSoc1)
    9. Identify what consultation skills are being used in the consultations you observe (verbal, non-verbal) (MedSoc1)
    10. Has an appreciation of the varying roles of different health professionals working in primary care (GP5)
    11. Understand the role of the multidisciplinary healthcare team in the care of patients and their families (GP5)

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