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 9: APPLICATION OF PSYCHOLOGICAL PRINCIPLES, METHOD AND KNOWLEDGE: Medical knowledge: PSYCHOLOGY (TD 9 a-g)

Index

• General Psychological Concepts
• Normal Development and Behaviour
• Learning and Conditioning
• Psychology of Pain
• Addiction

• General Psychological Concepts
  • General Issues
    1. Explain why psychological care is required for patients undergoing stressful medical procedures. (GEP/HSPH)
    2. To appreciate how sexual wellbeing and ill health, with reference to HIV and other STIs, impact on the individual and how that may impact on psychological and physical health and recognise and describe to patients the psychological interventions available
    3. To understand how acute conditions impact on work and how chronic conditions influence mental health and social well being (CC4)
    4. Define ‘stress’ and explain the nature of stress response and reactions.
    5. Outline the main factors that influence patient coping. (GEP/HSPH)
    6. Describe the impact of anxiety on post-surgical recovery. (GEP/HSPH)
    7. Evaluate evidence for mind/body interactions under stress.
    8. Discuss coping strategies used to deal with stress and syndromes such as post traumatic stress disorder.
    9. Demonstrate practical skills in preparing patients for unpleasant investigative and therapeutic procedures. (GEP/HSPH)
  • Bio-Psycho-Social Issues
    1. Explain how patients are affected by their condition (MedSoc1)
    2. Outline the biopsychosocial model of disease
    3. Explain how patients are affected by their condition
    4. To appreciate the concerns a patient may have attending a GUM clinic and list three ways you might put patients at ease (I&I 4)
    5. Reflect on the lived experience of being a new mother (MedSoc1)
    6. Explain how patients are affected by their condition
    7. To understand the bio-psycho-social aspects of living with chronic neurological disease in the community (CC4)
    8. Describe how patients / carers / family cope with stigma / social isolation (MedSoc1)
    9. Discuss the influence of smoking related disease on the doctor-patient relationship (MedSoc1)
    10. Describe how understanding a patient's experience of illness may aid diagnosis and care
    11. Discuss the role of voluntary agencies in providing support for families affected by stroke (MedSoc1)
    12. Describe the impact of diabetes on an individual (MedSoc1)
    13. Describe the role of support groups in the care of a patient with an illness that could be stigmatising (MedSoc1)
    14. Discuss the different factors that influence women's choices in pregnancy and childbirth (MedSoc1)
    15. Demonstrate an understanding of the effect of poor mobility on the individual (MedSoc1)
    16. Examine the influence of people's beliefs, attitudes and values on their ability to change their behaviour (MedSoc1)
    17. To be able to evaluate the bio-psycho-social impact of musculoskeletal conditions on patients. (CC4)
    18. Describe and reflect on the impact of chronic respiratory disease from a patient's perspective, focusing on the issues of loss of function, autonomy, and well-being and its impact on daily life. (MedSoc1)
    19. Discuss how embarrassing symptoms might influence people's decision to visit their doctor (MedSoc1)
    20. Describe the stresses and psychological reactions associated with actual or perceived HIV infection, Hepatitis B and C or STDs, and the buffering effects of adaptive coping skills and social support (I&I 4)
    21. Discuss the most significant changes parents have to deal with after the birth of a child (MedSoc1)
    22. To develop an understanding of the psycho-social issues that can occur as a result of chronic skin conditions (CC4)
  • Medical Decision Making
    1. Consider the psychology of clinical decision-making. (HSPH2)
    2. Understand how expert clinicians differ from students in the ways they make decisions. (HSPH2)
    3. Appreciate the role of cognitive bias in decision-making and understand some of the factors implicated in mistakes.
  • Stress and Illness
    1. Understand common frameworks for articulating complexity (HSPH2)
    2. The role of interaction between environment and genes.
    3. The contribution of psychological factors to specific disease groups/states: e.g cardiovascular disease.
    4. Psychoneuro-immunology: the interaction of behavioural, neural, and endocrine factors and the functioning of the immune system.
  • Preparing Patients for Unpleasant Medical Proceedures
    1. Identify the need to provide psychological care for patients undergoing stressful medical procedures.
    2. Outline factors that influence patient coping.
    3. Describe the impact of anxiety on post-surgical recovery times.
    4. Demonstrate practical skills in preparing patients for unpleasant investigative and therapeutic procedures.
  • Health Beliefs and Behaviour
  • Psychological Therapies
    1. Describe commonly used psychological therapies and how they are used in general medicine.
    2. Describe how psychological therapies may be used to help patients cope with acute and chronic stress.
    3. Review the evidence base for the use of psychological therapies in general medicine and primary care.
  • Improving Adherence to Medical Advice
• Normal Development and Behaviour
  • Normal Behaviour and Emotional Development
    1. Describe observed behaviours clearly
    2. Describe those characteristics of the infant, child and adolescent which can be considered as normal behaviour. (GEP/HD, HD1)
    3. Apply psychological principles, method and knowledge to medical practice (click to see list) (YR5intro)
    4. Explain how normal development and behaviour inform decisions about whether observed behaviours are inappropriate
    5. Understanding of the importance of distinguishing the different stages of development. (GEP/HD, HD1)
    6. Explain the influence of health beliefs upon adherence behaviour.
    7. Discuss the wider context which needs to be considered when assessing behaviour and mental health problems
    8. Understand psychological development during adolescence. (GEP/HD, HD1)
    9. Describe behavioural factors that contribute to patient non-adherence.
    10. Understand sexual behaviour during adolescence. (GEP/HD, HD1)
  • Development of Abilities in Children
    1. Understand the progress of motor and sensory development in childhood and its neurological basis. (GEP/HD, HD1)
    2. Describe the process of language development in infancy and childhood
    3. Describe the growth of cognitive abilities in children
• Learning and Conditioning
  • General Outcomes for Learning and Conditioning
    1. Distinguish different types of conditioning and learning. (BB2)
    2. Describe the role of learning in addictive behaviours.
    3. Illustrate the relevance of learning principles in medicine.
    4. Provide examples of psychological treatments based on theories of learning. (BB2)
• Psychology of Pain
  • General Principles of Psychology of Pain
    1. Consider explanations for unusual pain phenomena.
    2. Be able to describe and evaluate the Gate theory of pain
    3. Be able to describe psychological methods of pain assessment.
    4. Be able to describe psychological pain management techniques and evaluate evidence of their efficacy
    5. Discuss the psychosocial factors that modulate the perception of pain.
• Addiction
  • Addictive Behaviour
    1. Understand the concept of addiction in its social context. (BB2)
    2. Understand the principles of learning and conditioning as applied to addiction (BB2)
    3. Examine individual differences in vulnerability to addiction (BB2)
    4. Be able to discuss the main treatment approaches and their limitations (BB2)
    5. Substance Abuse and Dependence: Describe the impact of alcohol and drug misuse and dependence on the family and society (PSYCH4)
  • Drug Dependence
    1. Describe physical and psychological drug dependence. (BB2)
    2. Define drug dependence, drug tolerance and drug abuse.
    3. Be able to list the major classes of drugs that are subject to abuse.
    4. Give specific examples of central nervous system depressants, central nervous system stimulants and other types of drugs associated with dependence.
    5. Describe the major neuronal pathways involved in the effects of drugs with dependence potential.
    6. Have an overview of various treatments for addiction
  • Nicotine Dependence

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