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
- TD 10: APPLICATION OF SOCIAL SCIENCE PRINCIPLES, METHOD AND KNOWLEDGE
- TD 11. PRINCIPLES, METHODS AND KNOWLEDGE OF POPULATION HEALTH
- TD 12; APPLICATION OF SCIENTIFIC METHOD AND APPROACHES TO MEDICAL RESEARCH
- TD 8: APPLICATION OF BIOMEDICAL SCIENTIFIC PRINCIPLES, METHOD AND KNOWLEDGE
- THE DOCTOR AS A PRACTITIONER
- TD 13: CARRY OUT A CONSULTATION WITH A PATIENT
- 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
- TD 16: PROVIDE IMMEDIATE CARE IN MEDICAL EMERGENCIES
- TD 17: PRESCRIBE DRUGS SAFELY, EFFECTIVELY AND ECONOMICALLY
- TD 18: CARRY OUT PRACTICAL PROCEDURES SAFELY AND EFFECTIVELY
- TD 19: USE INFORMATION EFFECTIVELY IN A MEDICAL CONTEXT
- THE DOCTOR AS A PROFESSIONAL
- TD 20: BEHAVE ACCORDING TO ETHICAL AND LEGAL PRINCIPLES
- TD 21: REFLECT, LEARN AND TEACH OTHERS
- TD 22: LEARN AND WORK EFFECTIVELY WITHIN A MULT-PROFESSIONAL TEAM
- 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)
TD 8: APPLICATION OF BIOMEDICAL SCIENTIFIC PRINCIPLES, METHOD AND KNOWLEDGE: Medical knowledge: CLINICAL FEATURES of DISEASE (TD 8 b)
Index
- General topics
- Cardiovascular Disease
- Respiratory Disease
- Haematological Disease
- Gastrointestinal Disease
- Renal and Urological Disease
- Endocrine and Breast Disease
- Childhood Diseases
- Sexually Transmitted Diseases
- Obstetric and Gynaecological Disorders
- Diseases of the Elderly
- Psychiatric Disorders
- Neurological Disease
- Ophthalmic Disease
- Musculoskeletal Disease
- Dermatological Disease
- General topics
- Cardiovascular Disease
- General Outcomes for Cardiovascular Disorders
- Hypertension
- Angina
- Acute Coronary Syndrome and Myocardial Infarction
- Learn the coronary circulation, particularly the vascular supply to various myocardial regions
- Learn the basic anatomy of the heart (CR3)
- Identify a patient with ischaemic heart disease (CR3)
- Explain how and why complications may differ between anterior and inferior myocardial infarction (CR3)
- Describe symptoms and signs of complications of MI including a) arrhythmias and b) cardiac failure (CR3)
- Organise the long term care of a patient with ischaemic heart disease (CR3)
- Advise patients with ischaemic heart disease on non therapeutic methods of improving their condition (CR3)
- Prescribe for a patient with ischaemic heart disease with a view to improving prognosis (CR3)
- Evaluate the most appropriate treatment for patients with ischaemic heart disease (CR3)
- Advise patients with ischaemic heart disease on the risks and benefits of drugs and non therapeutic treatment options. (CR3)
- Describe the symptoms and signs of acute MI (CR3)
- Arrhythmias and Conduction Defects
- Cardiac Failure and Pulmonary Oedema
- Acute Circulatory Failure and Shock
- Cardiorespiratory Arrest
- Cerebro-Vascular Disease
- Renal Artery Stenosis
- Mesenteric Ischaemia
- Carotid Stenosis
- Infective Endocarditis
- Valvular Heart Disease
- Rheumatic Fever and Rheumatic Heart Disease
- Atherosclerosis and Arteriosclerosis
- Limb Ischaemia and Peripheral Vascular Disease (See also Gastroenterology)
- Limb Ulceration and Gangrene (See also Gastroenterology)
- Arterial Aneurysms
- Pericardial Disease
- Myocardial Disease and Cardiomyopathy
- Congenital Cardiovascular Disease
- Varicose Veins (See also Gastroenterology)
- Respiratory Disease
- General Outcomes for Respiratory Disorders
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Respiratory Failure
- Pneumonia
- Describe symptoms and signs of pneumonia (CR3)
- Describe clinical features that differentiate mild, moderate and severe pneumonia; know about the use of CURB 65 (CR3)
- Compare and contrast lobar pneumonia and bronchopneumonia with particular reference to clinical features, pathogenesis, macroscopic appearance and complications
- Pulmonary Embolism
- Deep Vein Thrombosis
- Lung Cancer
- Describe specific clinical features and likelihood and common sites of metastasis of small cell lung cancer
- Describe the common presenting features of lung cancer and some of the difficulties of diagnosis.
- Describe clinical presentations of lung cancer
- Describe non-metastatic manifestations of lung cancer
- Describe specific clinical features and likelihood and common sites of metastasis of non-small cell cancer (CR3)
- Pulmonary Tuberculosis
- Pleural Effusion and Pleural Disease
- Pneumothorax
- Chest Trauma and Haemothorax
- Bronchiectasis and Cystic Fibrosis
- Sarcoidosis
- Interstitial Lung Disease
- Obstructive Sleep Apnoea
- Pulmonary Hypertension
- Occupational Lung Disease
- Haematological Disease
- General Outcomes for Haematological Disorders
- Anaemia (General)
- Haemolytic Anaemia
- Microcytic Anaemia (Iron Deficiency)
- Macrocytic Anaemia (B12 and Folate Deficiency) and Macrocytosis
- Normocytic Anaemia
- Tropical Haematological Disorders
- Haemoglobinopathies (Sickle Cell Thalassaemia)
- Benign White Cell Disorders
- Platelet Disorders
- Disorders of Haemostasis
- Venous Thromboembolism
- Leukaemias (Myeloproliferative Disorders and Myelodysplasia)
- Myeloma
- Lymphoma
- Polycythaemia
- Gastrointestinal Disease
- General Outcomes for Gastrointestinal Disease
- Describe the impact of a chronic bowel disorder on a patient's life (MedSoc1)
- How to identify the common clinical signs that signal a patient with abdominal disease is unwell
- How to systematically observe a patient from the end of the bed using the 'feet to face' principle, identifying some common abnormalities of abdominal disease
- Enumerate the clinical signs which are relevant to the aetiology or complications of obesity
- How to perform a systematic examination of a patient with abdominal disease including some peripheral and central clinical signs
- Abdominal Aortic Aneurysm
- Herniae - General
- The Acute Abdomen (General)
- Acute Appendicitis
- Acute Cholecystitis
- Acute Pancreatitis
- Colorectal Cancer
- Diverticulitis
- Large Bowel Obstruction
- Small Bowel Obstruction
- Obstructive Jaundice
- Oesophageal Cancer
- Abdominal Trauma
- Acute and Chronic Limb Ischaemia (See also Cardiovascular)
- Limb Ulceration and Gangrene (See also Cardiorespiratory)
- Varicose Veins (See also Cardiorespiratory)
- Acute and Chronic Liver Disease
- Diarrhoea
- Gastrointestinal Bleeding
- Gastrointestinal Cancer
- Gastro-oesophageal Reflux Disease (GORD)
- Inflammatory Bowel Disease
- Nutrition (see also Nutrition under
- Peptic Ulcer DIsease
- Define peptic ulcer and describe the symptoms of ulceration
- Know the common anatomical sites of duodenal ulcer perforation (MET3A)
- Know the classical presentation of a patient with a perforated peptic ulcer (MET3A)
- Understand the variable clinical presentations of a patient with a perforated peptic ulcer (MET3A)
- General Outcomes for Gastrointestinal Disease
- Renal and Urological Disease
- Endocrine and Breast Disease
- General Outcomes for Endocrinological Disorders
- Diabetes Insipidus and Hypopnatraemia
- Diabetes and Insulin Resistance
- Complications of Diabetes
- Diabetic Emergencies
- Metabolic Syndrome
- Endocrine Hypertension
- Pituitary Disorders
- To relate anatomy to specific tumoral secretory syndromes
- Principles of diagnostic endocrine and radiological tests for Acromegaly
- Signs and symptoms of acromegaly (consequences of growth hormone over-secretion)
- Effect of a pituitary mass on normal pituitary physiology
- Origin and natural history of pituitary adenomas
- Describe the clinical features of hypopituitarism, outline the treatment required.
- Thyroid and Parathyroid Disorders
- Cushing's Syndrome
- Adrenal Disorders - General
- Breast Cancer
- Benign Breast Disease
- Childhood Diseases
- General Outcomes for Childhood Diseases
- Describe how children with a disability may present (GEP/HD, HD2)
- Trauma and other Emergencies
- Congenital Heart Disorders
- Respiratory Disease
- Haematological Disorders
- Gastro-intestinal Disorders
- Nutritional Problems
- Renal and Urological Disorders
- Surgical Disorders
- Endocrine Disorders
- Premature Birth
- Psychiatric Disorders
- Neurological Disorders
- Neuro-developmental Disorders
- Genetic Disorders
- Childhood Infections and Rashes
- Childhood Malignancy
- Child Abuse
- General Outcomes for Childhood Diseases
- Sexually Transmitted Diseases
- General Outcomes for Sexually Transmitted Diseases
- Understand the pathogenesis, diagnosis and management of Herpes Simplex Virus, Syphilis, Lymphogranuloma Venereum (I&I 4)
- Recognise the clinical presentations of Bechetís disease
- Understand the pathogenesis, diagnosis and management of Human Papilloma Virus, Molluscum contagiosum and Sarcoptes scabiei (I&I 4)
- Recognise common presentations of patients with psychosexual factors affecting sexual function and / or relationships and know where to refer them. (I&I 4)
- Understand the pathogenesis, diagnosis, management and prevention of the following in the context of HIV: Pneumocystis jiroveci, Cryptococcus neoformans, Candidia albicans, Toxoplasma gondii, Cryptosporidium parvum, Mycobacterium tuberculosis (I&I 4)
- Understand the pathogenesis, diagnosis and management of Chlamydia trachomatis, Neisseria gonorrhoea, Candida albicans, Trichomonas Vaginalis, Bacterial Vaginosis and Non-Specific Urethritis (I&I 4)
- Recognise the clinical presentations of primary HIV infection (seroconversion) and describe the management of a suspected case (I&I 4)
- HIV Infection
- List the fungi and protozoa that commonly cause clinical disease in the context of HIV infection (I&I 4)
- Recognise the major clinical presentations of neurological complications of HIV (I&I 4)
- To recognise medical presentations of primary or established HIV infection
- Understand the pathogenesis, diagnosis and management of the following in the context of HIV: Kaposi’s sarcoma, Non-Hodgkin’s B cell Lymphoma, Primary cerebral lymphoma, Burkitt’s lymphoma and squamous cell carcinoma
- Describe factors affecting rates of transmission following exposure to HIV-infected materials (I&I 4)
- Recognise the clinical presentations of primary HIV infection (seroconversion)\and describe the management of a suspected case (I&I 4)
- Assess risk of HIV transmission in individual presenting after occupational and non-occupational potential exposure to HIV (I&I 4)
- List the bacteria and viruses that commonly cause clinical disease in the context of HIV infection (I&I 4)
- Understand the changing significance neurological complications of HIV, in particular, HIV-associated neurocognitive disease (I&I 4)
- Correlate the degree of immunosuppression of an individual patient with the likely clinical problems (I&I 4)
- Explain the rationale for risk assessment and the use of antiretroviral agents for prophylaxis following sexual intercourse with a known or suspected HIV positive person (I&I 4)
- Identify neurological clinical presentations that may indicate undiagnosed HIV infection (I&I 4)
- Recognise the major clinical presentations of: Pneumocystis jiroveci; Cryptococcus; Candidiasis; Toxoplasmosis; Cryptosporidium; Herpes viruses (Herpes Simplex, Herpes Zoster, Cytomegalovirus); Human papilloma virus; Papovavirus; Salmonella; Mycobacteria; Haemophilus; Pneumococcus (I&I 4)
- Describe the spectrum of renal disease in HIV (I&I 4)
- Chlamydia
- Sexual Assault
- Understand the management of male and female victims of sexual assault (I&I 4)
- To know where to refer patients who have been possible survivors of sexual assault (I&I 4)
- Identify symptoms and presentations that may indicate that patients have been survivors of sexual assault (I&I 4)
- Recognise presentations of Domestic Abuse and be able to refer appropriately (I&I 4)
- Identify and understand Female Genital Mutilation and be able to refer appropriately (I&I 4)
- Be aware of non-consensual sexual intercourse in male and females and appropriate referral pathways for further management and support (I&I 4)
- General Outcomes for Sexually Transmitted Diseases
- Obstetric and Gynaecological Disorders
- General Outcomes for Obstetric and Gynaecological Disorders
- Commonly presenting Vulval symptoms e.g. itching, pain, soarness, dyspareunia and their causes
- Discuss the management of these complications (GEP/HD, HD2)
- Discuss the main features of sexually transmitted infections including aetiology, clinical presentation and treatment of: HIV; genital warts; chlamydia; gonorrhoea; herpes; syphilis (GEP/HD)
- STIs and PID
- Gynaecological Oncology
- Puberty and Pubertal Problems
- Infertility
- Disorders of Pregnancy (General)
- Miscarriage
- Complications of Labour (General)
- Discuss the complications of Stage 1 - failed induction, primary and secondary arrest, fetal distress (GEP/HD, HD2)
- Discuss the complications of Stage 2 - failure to progress, maternal and fetal distress, operative delivery and uterine rupture (GEP/HD, HD2)
- Discuss the complications of Stage 3: post-partum haemorrhage, uterine inversion, amniotic fluid embolism (GEP/HD, HD2)
- Disorders of the Puerperium
- Disorders of Breast Feeding
- Menstrual Disorders (General)
- Polycystic Ovary Syndrome (PCOS)
- Disorders of the Endometrium (Endnometritis / Endometriosis)
- Menopausal Disorders (General)
- Pelvic Floor Dysfunction
- General Outcomes for Obstetric and Gynaecological Disorders
- Diseases of the Elderly
- Psychiatric Disorders
- Anorexia Nervosa
- Bulimia Nervosa
- General Outcomes for Psychiatric Disorders
- Understand the common disorders seen in child mental health clinics, in particular: a) autism b) attention deficit hyperactivity disorder (ADHD) c) anxiety and depression d) psychosis e) behavioural problems (GEP/HD, HD2)
- To have an overview of the major types of psychiatric emergencies (PSYCH4)
- Describe the main mechanisms through which stress and illness might be linked.
- Personality Disorder
- Explain the basics of how personality traits and disorders are defined and classified. (PSYCH4)
- Outline the clinical features common to all personality disorders and the features which distinguish them. (PSYCH4)
- Know how to elicit psychiatric symptoms and signs of a patient with a personality disorder. (PSYCH4)
- Mood Disorders
- To understand the classification of mood disorders and distinguish between unipolar depression and bipolar disorder (PSYCH4, PSYCH4)
- To summarise the signs and symptoms, differential diagnosis, course of illness, co-morbidity, prognosis and complications of mood disorders (PSYCH4, PSYCH4)
- To understand the differences between depressive symptoms and depressive disorders and why the distinction is important (PSYCH4, PSYCH4)
- To understand the differences between sadness and grief associated with life events and depressive disorders (PSYCH4, PSYCH4)
- Somatoform and Factitious Disorders
- Schizophrenia
- Delirium and Confusion (See also Healthcare of the Elderly)
- Dementia (See also Healthcare of the Elderly)
- Alcohol and Substance Abuse
- Anxiety Disorders
- Depression
- Psychosexual Disorders
- Neurological Disease
- Motor Neuron Disease
- General Outcomes for Neurological Disorders
- Demonstrate an awareness of the fundamental mechanisms of genetic disorder, drawing on neurological examples (NEURO4)
- Able to describe how neurological disease presents within the community (NEURO4)
- Be able to describe the Kluver - Bucy syndrome, temporal lobe epilepsy and Wernicke-Korsakoff syndrome.
- Myastenia Gravis
- Peripheral Neuropathy
- Spondylosis
- Hydrocephalus
- Multiple Sclerosis
- Parkinson's Disease
- Brain Tumours
- Epilepsy
- Headache and Migraine
- Describe the pathology, presentation, investigation and management of headache (NEURO4)
- Understand the difference between primary and secondary headaches (BB2)
- Understand the distinguishing symptoms of the primary headaches
- Understand the role of genetic and environmental factors in headache (thresholds and triggering / precipitating factors) (BB2)
- Dizziness
- Cerebrovascular Accident (CVA / Stroke)
- Dementia (See also Psychiatry and HCoE)
- Meningitis
- Head Injury (General)
- Coma
- Sub-arachnoid Haemorrhage
- Spinal Injury
- Ophthalmic Disease
- Musculoskeletal Disease
- General Outcomes for Musculoskeletal Diseases
- Soft tissue injuries and the musculoskeletal system
- Types of inflammatory joint diseases (LOC2)
- Discuss the clinical features, pathology and systemic manifestations of systemic lupus erythematosus (MusSkel4)
- Can describe the clinical features and treatment of the anti-phospholipid syndrome (MusSkel4)
- Can describe the clinical features and treatment of reactive arthritis (MusSkel4)
- Can list the clinical features and basic management of the major vasculitides (MusSkel4)
- Monoarthritis
- Polyarthritis
- Rheumatoid Arthritis
- Osteoarthritis
- Regional Pain
- Back Pain
- To describe and be aware of the common problems associated with the back
- Understands the concept of red and yellow flags (MusSkel4)
- Can describe the clinical features and complications of the cauda equina syndrome (MusSkel4)
- Can describe the difference between referred and radicular symptoms (MusSkel4)
- Myalgia
- Infections and Malignancy
- Metabolic Bone Disease
- Describe the pathogenesis and mainfeatures of renal osteodystrophy and its management
- Describe the clinical features of acute hypercalcaemia and its initial management
- Describe the clinical features and initial management of hypocalcaemia
- Can describe the pathogenesis, clinical features, treatment and complications of osteoporosis (MusSkel4)
- Understand the aetiology, clinical features, pathology and complications of Paget's disease of bone (MusSkel4)
- Paediatric Joint Disease
- Trauma
- Can describe cfeatures and managment of ankle fractures, metatarsal stress fractures, Lisfranc injury and Achilles tendon rupture (MusSkel4)
- Can describe the features and treatment of recurrent shoulder dislocation, AC joint separation, clavicle fracture and biceps tendon rupture (MusSkel4)
- Can describe a classification scheme for fractures (MusSkel4)
- General Outcomes for Musculoskeletal Diseases
- Dermatological Disease
- General Outcomes for Dermatological Diseases
- Understand the clinical significance of losing the skin barrier for health and disease (LOC2)
- Can describe the clinical features of common skin disorders, using appropriate terminology, and to relate the signs to the underlying pathology eg eczema, urticaria, psoriasis, benign and malignant skin lumps (DERM4)
- Blistering Dermatosis
- Inflammatory Skin Disorders
- Skin Infections
- To describe how the structure/function of skin provides an important contribution to natural defence against micro-organisms. (LOC2)
- To consider the range of different organisms that cause infection in skin: bacteria, viruses, yeast/fungi, and parasites. (LOC2)
- To be familiar with common skin infections including impetigo, cellulitis, herpes simplex, herpes zoster, tinea and scabies. (LOC2)
- Lumps and Bumps
- Hair Loss and Hair Gain
- Systemic Disease in Dermatology
- Skin Cancer
- Dermatological Emergencies
- General Outcomes for Dermatological Diseases