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 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
  • General Practice
  • Cancer
    1. Compare the presentation of malignancy in primary care and secondary care and palliative care in the community and hospice. (GPCC3)
• Cardiovascular Disease
  • General Outcomes for Cardiovascular Disorders
    1. Identify a patient with ischaemic heart disease (CR3)
    2. Prescribe for a patient with ischaemic heart disease with a view to improving prognosis
  • Hypertension
    1. Describe symptoms and signs of hypertension (CR3)
    2. Learn secondary causes of hypertension and give symptoms and signs that may be found in each condition (CR3)
    3. Advise patients with hypertension on the risks and benefits of drugs and non-therapeutic treatment options. (CR3)
  • Angina
    1. Describe symptoms and signs of angina (CR3)
    2. Describe symptoms and signs of unstable angina (CR3)
    3. Learn the indications for urgent cardiological intervention (CR3)
  • Acute Coronary Syndrome and Myocardial Infarction
    1. Learn the coronary circulation, particularly the vascular supply to various myocardial regions
    2. Learn the basic anatomy of the heart (CR3)
    3. Identify a patient with ischaemic heart disease (CR3)
    4. Explain how and why complications may differ between anterior and inferior myocardial infarction (CR3)
    5. Describe symptoms and signs of complications of MI including a) arrhythmias and b) cardiac failure (CR3)
    6. Organise the long term care of a patient with ischaemic heart disease (CR3)
    7. Advise patients with ischaemic heart disease on non therapeutic methods of improving their condition (CR3)
    8. Prescribe for a patient with ischaemic heart disease with a view to improving prognosis (CR3)
    9. Evaluate the most appropriate treatment for patients with ischaemic heart disease (CR3)
    10. Advise patients with ischaemic heart disease on the risks and benefits of drugs and non therapeutic treatment options. (CR3)
    11. Describe the symptoms and signs of acute MI (CR3)
  • Arrhythmias and Conduction Defects
    1. Describe the symptoms of a patient experiencing cardiac arrhythmias (CR3)
    2. Learn how to distinguish between neurological and cardiological causes of collapse
    3. Learn cardiological causes of collapse (CR3)
  • Cardiac Failure and Pulmonary Oedema
    1. Describe the signs and symptoms of of left, right and bi-ventricular cardiac failure
  • Acute Circulatory Failure and Shock
  • Cardiorespiratory Arrest
    1. Learn about the reversible causes of a cardiorespiratory arrest and explain how you would look for and correct these rapidly (CR3)
  • Cerebro-Vascular Disease
    1. Describe the symptoms and signs associated with stroke and its complications (CR3)
  • Renal Artery Stenosis
    1. Describe symptoms and signs of renal artery stenosis (CR3)
  • Mesenteric Ischaemia
    1. Explain how blood supply to the bowel may be compromised and how this might present acutely/chronically (CR3)
  • Carotid Stenosis
    1. Describe symptoms and signs of carotid stenosis (CR3)
  • Infective Endocarditis
    1. Describe the signs and symptoms of infective endocarditis (CR3)
  • Valvular Heart Disease
    1. Discuss the causes and symptoms of mitral stenosis and regurgitation
    2. Describe symptoms and signs of aortic stenosis, aortic sclerosis, mitral regurgitation, tricuspid regurgitation and pulmonary stenosis (CR3)
    3. Describe symptoms and signs of aortic/pulmonary regurgitation and mitral stenosis (CR3)
  • Rheumatic Fever and Rheumatic Heart Disease
    1. Describe symptoms and signs of rheumatic fever (CR3)
  • Atherosclerosis and Arteriosclerosis
  • Limb Ischaemia and Peripheral Vascular Disease (See also Gastroenterology)
    1. Describe the symptoms and signs of acute limb ischaemia (CR3)
  • Limb Ulceration and Gangrene (See also Gastroenterology)
    1. List the causes of chronic leg ulcers and describe the different appearances (CR3)
    2. Compare and contrast the presentation of venous and arterial leg ulcers (CR3)
    3. Describe the features of decubitus ulcers (pressure sores) (CR3)
    4. Explain how you would recognise gangrene clinically (CR3)
  • Arterial Aneurysms
    1. Explain the difference between true and false aneurysms (CR3)
    2. Describe symptoms and signs of an aortic aneurysm (CR3)
    3. Describe the symptoms and signs of a patient presenting with a leak or rupture of an aneurysm of : a) the abdominal aorta; b) the thoracic aorta (CR3, MET3A)
  • Pericardial Disease
    1. Describe the characteristics of pain caused by pericardial inflammation (CR3)
    2. Describe the clinical signs and causes of pericarditis, pericardial effusion and constrictive pericarditis/cardiac tamponade (CR3)
  • Myocardial Disease and Cardiomyopathy
    1. Describe symptoms and signs of myocarditis (CR3)
  • Congenital Cardiovascular Disease
    1. Describe symptoms and clinical signs of the cardiac malformations: atrial and ventricular septal defects, patent ductus arteriosus, Fallot’s tetralogy, coarctation of the aorta (CR3)
  • Varicose Veins (See also Gastroenterology)
    1. Describe the symptoms and signs associated with varicose veins and their complications (CR3)
• Respiratory Disease
  • General Outcomes for Respiratory Disorders
    1. Describe examples and causes of the common obstructive and restrictive lung diseases
    2. Describe clinical symptoms and signs that are associated with the obstructive and restrictive lung diseases
  • Asthma
    1. List the clinical features of bronchial asthma (CSP3)
    2. Describe symptoms and signs of poorly controlled asthma
    3. Describe the changes that occur in severe asthma and its danger to the patient. (CR2)
  • Chronic Obstructive Pulmonary Disease (COPD)
    1. Describe the clinical features (symptoms and signs) of an acute exacerbation of COPD (CR3)
    2. List symptoms experienced by people with COPD
    3. Describe the clinical signs found in people with COPD
  • Respiratory Failure
    1. Describe symptoms and signs of Type 1 respiratory failure (CR3)
    2. Describe symptoms and signs of Type 2 respiratory failure (CR3)
    3. Describe the clinical feature of hypoxia and hypercapnia, and the difference between patients who are pink and puffing and blue and bloated. (CR2)
  • Pneumonia
    1. Describe symptoms and signs of pneumonia (CR3)
    2. Describe clinical features that differentiate mild, moderate and severe pneumonia; know about the use of CURB 65 (CR3)
    3. Compare and contrast lobar pneumonia and bronchopneumonia with particular reference to clinical features, pathogenesis, macroscopic appearance and complications
  • Pulmonary Embolism
    1. Describe symptoms and signs of pulmonary embolism (CR3)
    2. Describe the clinical features of massive pulmonary embolism (CR3)
    3. Describe the presentation and diagnosis of DVT and pulmonary embolism (CR2)
  • Deep Vein Thrombosis
    1. Describe the symptoms and signs of deep venous thrombosis (DVT) (CR3)
    2. Describe the presentation and diagnosis of DVT and pulmonary embolism (CR2)
  • Lung Cancer
    1. Describe specific clinical features and likelihood and common sites of metastasis of small cell lung cancer
    2. Describe the common presenting features of lung cancer and some of the difficulties of diagnosis.
    3. Describe clinical presentations of lung cancer
    4. Describe non-metastatic manifestations of lung cancer
    5. Describe specific clinical features and likelihood and common sites of metastasis of non-small cell cancer (CR3)
  • Pulmonary Tuberculosis
    1. Describe the symptoms of pulmonary tuberculosis
  • Pleural Effusion and Pleural Disease
    1. Describe symptoms and signs of a pleural effusion (CR3)
  • Pneumothorax
    1. Describe symptoms and signs of pneumothorax (CR3)
    2. Describe the clinical features of a tension pneumotherax (CR3)
  • Chest Trauma and Haemothorax
  • Bronchiectasis and Cystic Fibrosis
    1. Describe the symptoms and signs of bronchiectasis and Cystic fibrosis (CR3)
    2. List the signs and symptoms of cystic fibrosis
  • Sarcoidosis
    1. Describe symptoms and signs of sarcoidosis (CR3)
    2. Describe clinical conditions which closely resemble sarcoidosis (CR3)
  • Interstitial Lung Disease
    1. Describe the symptoms and signs of interstitial lung disease
    2. Describe the symptoms and signs characteristic of a restrictive lung defect including the changes in lung function
  • Obstructive Sleep Apnoea
    1. Describe the clinical features of sleep apnoea in a child (CR3)
    2. Describe symptoms experienced by a patient suspected of having sleep apnoea
  • Pulmonary Hypertension
  • Occupational Lung Disease
    1. Learn about the clinical symptoms and signs of mesothelioma (CR3)
• Haematological Disease
  • General Outcomes for Haematological Disorders
  • Anaemia (General)
    1. Describe the symptoms and signs of anaemia and the compensatory physiological responses to anaemia (CR3)
  • Haemolytic Anaemia
    1. Describe additional clinical signs in a patient with haemolytic anaemia and explain how these may differ from those of anaemia due to other causes
  • Microcytic Anaemia (Iron Deficiency)
    1. Describe the symptoms and signs of iron deficiency anaemia and diseases associated with this anaemia (CR3)
  • Macrocytic Anaemia (B12 and Folate Deficiency) and Macrocytosis
    1. Outline the clinical and laboratory features of vitamin B12 and folate deficiency.
  • Normocytic Anaemia
  • Tropical Haematological Disorders
    1. Know the common presentations of neglected tropical disease: viral, protozoal, helminth and bacterial
    2. Recognise the features of trypanosomal infection and Leishmaniasis
  • Haemoglobinopathies (Sickle Cell Thalassaemia)
    1. Recognise the symptoms and signs of the different types of sickle cell crisis (CR3)
    2. Describe how these genetic alterations affect the normal physiology of haemoglobin and the red cell; and the clinical consequences.
  • Benign White Cell Disorders
  • Platelet Disorders
    1. Describe the symptoms and signs of a patient with thrombocytopenia (CR3)
  • Disorders of Haemostasis
    1. Describe the symptoms and signs associated with bleeding disorders (CR3)
    2. Recognise the condition known as thrombophilia
  • Venous Thromboembolism
  • Leukaemias (Myeloproliferative Disorders and Myelodysplasia)
    1. Explain the clinical features of leukaemia
  • Myeloma
    1. Understand the pathology and clinical manifestations of myeloma
  • Lymphoma
    1. Outline the clinical manifestations and investigation of a patient with lymphoma
  • Polycythaemia
• Gastrointestinal Disease
  • General Outcomes for Gastrointestinal Disease
    1. Describe the impact of a chronic bowel disorder on a patient's life (MedSoc1)
    2. How to identify the common clinical signs that signal a patient with abdominal disease is unwell
    3. 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
    4. Enumerate the clinical signs which are relevant to the aetiology or complications of obesity
    5. How to perform a systematic examination of a patient with abdominal disease including some peripheral and central clinical signs
  • Abdominal Aortic Aneurysm
  • Herniae - General
    1. Know the difference between direct, indirect and pantaloon inguinal hernias.
    2. Know and be able to describe the clinical features and presentation of: direct and indirect inguinal hernias; femoral hernias; strangulated hernias
  • The Acute Abdomen (General)
    1. Recognise the presentation of a patient with an acute abdomen (MET3A)
  • Acute Appendicitis
    1. Know the classical and alternative presentations of appendicitis (MET3A)
    2. Know the different clinical picture of acute and perforated appendicitis (MET3A)
    3. Understand the significance of McBurney's point (MET3A)
  • Acute Cholecystitis
    1. Know the clinical signs and symptoms of acute cholecystitis (MET3A)
  • Acute Pancreatitis
    1. Understand the difference between mild and severe pancreatitis
    2. Be able to describe the early and late complications of acute pancreatitis
    3. Know the classical clinical presentation of acute pancreatitis
    4. Know the Atlanta criteria for severity scoring
  • Colorectal Cancer
    1. Know the symptoms and signs of colorectal cancer (MET3A)
  • Diverticulitis
    1. Know the common presentation of a patient with acute diverticulitis (MET3A)
  • Large Bowel Obstruction
    1. Know the clinical features and cardinal signs associated with large bowel obstruction (MET3A)
    2. Understand the importance of large bowel obstruction as an acute surgical presentation (MET3A)
  • Small Bowel Obstruction
    1. Know the clinical features of small bowel obstruction (MET3A)
    2. Know the cardinal signs of small bowel obstruction (MET3A)
    3. Understand the importance of small bowel obstruction as an acute surgical presentation. (MET3A)
  • Obstructive Jaundice
    1. Know the presentation of a patient with obstructive jaundice (MET3A)
  • Oesophageal Cancer
    1. Know the common presentation of a patient with oesophageal cancer (MET3A)
  • 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
    1. Give an account of the viral hepatides; describe the epidemiology, clinical features, pathology and complications
  • Diarrhoea
    1. Be able to understand the different methods of presentation of infectious diarrhoea and inflammatory bowel disease (MET3A)
  • Gastrointestinal Bleeding
  • Gastrointestinal Cancer
    1. Know the common presentation of a patient with gastric cancer (MET3A)
  • Gastro-oesophageal Reflux Disease (GORD)
  • Inflammatory Bowel Disease
    1. Compare and contrast the clinical and pathological features of the idiopathic types of Ulcerative Colitis and Crohn's Disease (MET3A)
    2. Describe the clinical features of Crohn's Disease and Ulcerative Colitis; know the main features of other common types of IBD (MET3A)
  • Nutrition (see also Nutrition under
  • Peptic Ulcer DIsease
    1. Define peptic ulcer and describe the symptoms of ulceration
    2. Know the common anatomical sites of duodenal ulcer perforation (MET3A)
    3. Know the classical presentation of a patient with a perforated peptic ulcer (MET3A)
    4. Understand the variable clinical presentations of a patient with a perforated peptic ulcer (MET3A)
• Renal and Urological Disease
  • General Outcomes for Renal and Urological Disorders
    1. Describe the spectrum of renal disease in HIV (I&I 4)
  • Nephrotic Syndrome and Glomerulonephritis
    1. Know the clinical signs of patients with nephrotic syndrome
    2. Understand the importance of proteinuria, how it is measured and its clinical significance
    3. Describe the clinical syndromes associated with glomerulonephritis
    4. Outline the clinico-pathological features of the common types of glomerulonephritis
  • Acute Renal Failure
  • Renal Replacement Therapy and Transplantation
  • Renal Malignancies
    1. Describe the clinical features of patients with renal tract tumours
  • Renal Stone Disease and Renal Tract Calcification
    1. Describe the clinical features of patients with renal calculi
  • Bladder Dysfunction and Urinary Tract Infection
• Endocrine and Breast Disease
  • General Outcomes for Endocrinological Disorders
  • Diabetes Insipidus and Hypopnatraemia
    1. Distinguish between the terms water diuresis, osmotic diuresis, diabetes insipidus and diabetes mellitus. State typical values (and normal ranges) for the osmolality and of urine and daily urine production
  • Diabetes and Insulin Resistance
    1. Describe the acute effects of insulin deficiency or glucagon excess
    2. Know the presentation and management of Diabetes
  • Complications of Diabetes
    1. List the long-term complications of diabetes mellitus
    2. List the long-term complications of diabetes mellitus
    3. Outline the macrovascular complications of diabetes mellitus
  • Diabetic Emergencies
    1. Outline the consequences of ketoacidosis
    2. Be able to distinguish between the following terms and conditions: hypoglycaemia; diabetic ketoacidosis; hyperglycaemia; hyperosmolar hyperglycaemic state
  • Metabolic Syndrome
  • Endocrine Hypertension
    1. Describe the presenting clinical features of Conn's Syndrome and phaeochromocytoma
  • Pituitary Disorders
    1. To relate anatomy to specific tumoral secretory syndromes
    2. Principles of diagnostic endocrine and radiological tests for Acromegaly
    3. Signs and symptoms of acromegaly (consequences of growth hormone over-secretion)
    4. Effect of a pituitary mass on normal pituitary physiology
    5. Origin and natural history of pituitary adenomas
    6. Describe the clinical features of hypopituitarism, outline the treatment required.
  • Thyroid and Parathyroid Disorders
  • Cushing's Syndrome
    1. Discuss the clinical features, causes and pathology of Cushing's Syndrome
  • Adrenal Disorders - General
    1. Distinguish between adrenal failure and pituitary-adrenal failure by means of clinical features assissted by laboratory investigations
    2. Explain the effects of both excess and deficiency of adrenal hormones
  • Breast Cancer
    1. Be able to identify features of breast cancer, eg, skin attachment, peau d'orange, deep muscle attachment
    2. Recognise the rationale of follow-up, and identify the symptoms and signs of recurrent or metastatic disease
  • Benign Breast Disease
    1. Recognise the features of benign breast disease eg fibroadenoma, multi-duct nipple discharge, breast cysts, cyclical mastalgia
• Childhood Diseases
  • General Outcomes for Childhood Diseases
    1. 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
    1. Describe the important features of different disorders of child mental health (GEP/HD, HD2)
    2. Discuss the important features of different disorders of child mental health
  • Neurological Disorders
  • Neuro-developmental Disorders
  • Genetic Disorders
  • Childhood Infections and Rashes
    1. Discuss the signs and symptoms of infection in children
  • Childhood Malignancy
  • Child Abuse
• Sexually Transmitted Diseases
  • General Outcomes for Sexually Transmitted Diseases
    1. Understand the pathogenesis, diagnosis and management of Herpes Simplex Virus, Syphilis, Lymphogranuloma Venereum (I&I 4)
    2. Recognise the clinical presentations of Bechetís disease
    3. Understand the pathogenesis, diagnosis and management of Human Papilloma Virus, Molluscum contagiosum and Sarcoptes scabiei (I&I 4)
    4. Recognise common presentations of patients with psychosexual factors affecting sexual function and / or relationships and know where to refer them. (I&I 4)
    5. 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)
    6. Understand the pathogenesis, diagnosis and management of Chlamydia trachomatis, Neisseria gonorrhoea, Candida albicans, Trichomonas Vaginalis, Bacterial Vaginosis and Non-Specific Urethritis (I&I 4)
    7. Recognise the clinical presentations of primary HIV infection (seroconversion) and describe the management of a suspected case (I&I 4)
  • HIV Infection
    1. List the fungi and protozoa that commonly cause clinical disease in the context of HIV infection (I&I 4)
    2. Recognise the major clinical presentations of neurological complications of HIV (I&I 4)
    3. To recognise medical presentations of primary or established HIV infection
    4. 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
    5. Describe factors affecting rates of transmission following exposure to HIV-infected materials (I&I 4)
    6. Recognise the clinical presentations of primary HIV infection (seroconversion)\and describe the management of a suspected case (I&I 4)
    7. Assess risk of HIV transmission in individual presenting after occupational and non-occupational potential exposure to HIV (I&I 4)
    8. List the bacteria and viruses that commonly cause clinical disease in the context of HIV infection (I&I 4)
    9. Understand the changing significance neurological complications of HIV, in particular, HIV-associated neurocognitive disease (I&I 4)
    10. Correlate the degree of immunosuppression of an individual patient with the likely clinical problems (I&I 4)
    11. 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)
    12. Identify neurological clinical presentations that may indicate undiagnosed HIV infection (I&I 4)
    13. 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)
    14. Describe the spectrum of renal disease in HIV (I&I 4)
  • Chlamydia
  • Sexual Assault
    1. Understand the management of male and female victims of sexual assault (I&I 4)
    2. To know where to refer patients who have been possible survivors of sexual assault (I&I 4)
    3. Identify symptoms and presentations that may indicate that patients have been survivors of sexual assault (I&I 4)
    4. Recognise presentations of Domestic Abuse and be able to refer appropriately (I&I 4)
    5. Identify and understand Female Genital Mutilation and be able to refer appropriately (I&I 4)
    6. Be aware of non-consensual sexual intercourse in male and females and appropriate referral pathways for further management and support (I&I 4)
• Obstetric and Gynaecological Disorders
  • General Outcomes for Obstetric and Gynaecological Disorders
    1. Commonly presenting Vulval symptoms e.g. itching, pain, soarness, dyspareunia and their causes
    2. Discuss the management of these complications (GEP/HD, HD2)
    3. 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
    1. Identify the main causes of infertility (GEP/HD)
  • Disorders of Pregnancy (General)
    1. Discuss the pathogenesis and presentation of diabetes, anaemia and non-viral infections in pregnancy (GEP/HD, HD2)
  • Miscarriage
  • Complications of Labour (General)
    1. Discuss the complications of Stage 1 - failed induction, primary and secondary arrest, fetal distress (GEP/HD, HD2)
    2. Discuss the complications of Stage 2 - failure to progress, maternal and fetal distress, operative delivery and uterine rupture (GEP/HD, HD2)
    3. 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)
    1. Be able to outline the pathology and management of polycystic ovary syndrome.
  • Disorders of the Endometrium (Endnometritis / Endometriosis)
  • Menopausal Disorders (General)
  • Pelvic Floor Dysfunction
• Diseases of the Elderly
  • General Outcomes for Diseases of the Elderly
    1. How to assess a patient’s level of ability / disability, including being able to asses previous and present level of activities of daily living (ADLs), their home circumstances and levels of support (formal and informal)
  • Sensory Impairment
  • Delirium and Dementia (See also Psychiatry)
  • Cerebrovascular Accident (CVA / Stroke)
  • Osteoporosis and Fractures
  • Bladder and Bowel Dysfunction
  • Death and Dying (inc. Terminal Care)
  • Elder Abuse
• Psychiatric Disorders
  • Anorexia Nervosa
    1. Summarise current knowledge of the aetiology, clinical features, epidemiology, course, co-morbidities, complications and treatment for anorexia nervosa
  • Bulimia Nervosa
    1. Summarise current knowledge of the aetiology, clinical features, epidemiology, course, co-morbid disorders, complications and treatment for bulimia nervosa
  • General Outcomes for Psychiatric Disorders
    1. 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)
    2. To have an overview of the major types of psychiatric emergencies (PSYCH4)
    3. Describe the main mechanisms through which stress and illness might be linked.
  • Personality Disorder
    1. Explain the basics of how personality traits and disorders are defined and classified. (PSYCH4)
    2. Outline the clinical features common to all personality disorders and the features which distinguish them. (PSYCH4)
    3. Know how to elicit psychiatric symptoms and signs of a patient with a personality disorder. (PSYCH4)
  • Mood Disorders
    1. To understand the classification of mood disorders and distinguish between unipolar depression and bipolar disorder (PSYCH4, PSYCH4)
    2. To summarise the signs and symptoms, differential diagnosis, course of illness, co-morbidity, prognosis and complications of mood disorders (PSYCH4, PSYCH4)
    3. To understand the differences between depressive symptoms and depressive disorders and why the distinction is important (PSYCH4, PSYCH4)
    4. To understand the differences between sadness and grief associated with life events and depressive disorders (PSYCH4, PSYCH4)
  • Somatoform and Factitious Disorders
  • Schizophrenia
    1. Describe the symptoms of schizophrenia.
    2. To list the features that distinguish schizophrenia, delusional disorder, schizophreniform disorder, schizoaffective disorder and brief psychotic disorder from each other (PSYCH4)
    3. To summarise the clinical features and course of schizophrenia. (PSYCH4)
  • Delirium and Confusion (See also Healthcare of the Elderly)
  • Dementia (See also Healthcare of the Elderly)
  • Alcohol and Substance Abuse
    1. Substance Abuse and Dependence: Describe the psychological effects of the misuse of alcohol and other illicit drugs (PSYCH4)
    2. Substance Abuse and Dependence: List the social and behavioural associations of alcohol and drug misuse and dependence (PSYCH4)
  • Anxiety Disorders
    1. Define anxiety and list the main types of anxiety disorders.
    2. Anxiety Disorders: Be able to elicit psychiatric symptoms and signs of a patient with an anxiety disorder or obsessive compulsive disorder (PSYCH4, PSYCH4)
  • Depression
  • Psychosexual Disorders
• Neurological Disease
  • Motor Neuron Disease
    1. Describe the pathology, presentation, investigation and management of motor neuron disease
    2. Describe the pathology, presentation, investigation and management of motor neuron disease (NEURO4)
  • General Outcomes for Neurological Disorders
    1. Demonstrate an awareness of the fundamental mechanisms of genetic disorder, drawing on neurological examples (NEURO4)
    2. Able to describe how neurological disease presents within the community (NEURO4)
    3. Be able to describe the Kluver - Bucy syndrome, temporal lobe epilepsy and Wernicke-Korsakoff syndrome.
  • Myastenia Gravis
    1. Describe the pathology, presentation, investigation and management of myasthenia gravis (NEURO4)
  • Peripheral Neuropathy
    1. Describe the pathology, presentation, investigation and management of peripheral neuropathies
    2. Describe the pathology, presentation, investigation and management of peripheral neuropathy (NEURO4)
  • Spondylosis
    1. Describe the pathology, presentation, investigation and management of spondylosis (NEURO4)
  • Hydrocephalus
    1. Describe the pathology, presentation, investigation and management of hydrocephalus (NEURO4)
  • Multiple Sclerosis
    1. Describe the pathology, presentation, investigation and management of multiple sclerosis (NEURO4)
    2. Be able to explain the symptoms, the progression of multiple sclerosis and its prognosis
  • Parkinson's Disease
    1. Describe the pathology, presentation, investigation and management of parkinson's disease (NEURO4)
    2. Can describe the pathophysiology, clinical symptoms and basic treatments of movement disorders (BB2, BB2, BB2)
  • Brain Tumours
    1. Describe the pathology, presentation, investigation and management of brain tumours (NEURO4)
  • Epilepsy
    1. Describe the pathology, presentation, investigation and management of epilepsy (NEURO4)
    2. Be able to describe the main types of epileptic seizure.
  • Headache and Migraine
    1. Describe the pathology, presentation, investigation and management of headache (NEURO4)
    2. Understand the difference between primary and secondary headaches (BB2)
    3. Understand the distinguishing symptoms of the primary headaches
    4. Understand the role of genetic and environmental factors in headache (thresholds and triggering / precipitating factors) (BB2)
  • Dizziness
  • Cerebrovascular Accident (CVA / Stroke)
    1. Describe the pathology, presentation, investigation and management of stroke (NEURO4)
  • Dementia (See also Psychiatry and HCoE)
    1. Describe the pathology, presentation, investigation and management of dementia (NEURO4)
  • Meningitis
    1. Describe the pathology, presentation, investigation and management of infective meningitis (NEURO4)
  • Head Injury (General)
    1. Describe the pathology, presentation, investigation and management of head injury (NEURO4)
  • Coma
  • Sub-arachnoid Haemorrhage
    1. Describe the pathology, presentation, investigation and management of subarachnoid haemorrhage (NEURO4)
  • Spinal Injury
• Ophthalmic Disease
  • General Outcomes for Ophthalmological Disorders
  • Neonatal Conjunctivitis
  • Squints and Ambylopia
  • The Eye and Systemic Disease
  • Sudden Visual Loss
  • Ocular Trauma
  • Neuro-ophthalmological Conditions
  • Acute Red Eye
• Musculoskeletal Disease
  • General Outcomes for Musculoskeletal Diseases
    1. Soft tissue injuries and the musculoskeletal system
    2. Types of inflammatory joint diseases (LOC2)
    3. Discuss the clinical features, pathology and systemic manifestations of systemic lupus erythematosus (MusSkel4)
    4. Can describe the clinical features and treatment of the anti-phospholipid syndrome (MusSkel4)
    5. Can describe the clinical features and treatment of reactive arthritis (MusSkel4)
    6. Can list the clinical features and basic management of the major vasculitides (MusSkel4)
  • Monoarthritis
  • Polyarthritis
  • Rheumatoid Arthritis
    1. Has a basic understanding of the pathophysiology, diagnosis and treatment of rheumatoid arthritis
  • Osteoarthritis
    1. Knows the clinical features of osteoarthritis
    2. Can describe the pathology, clinical & radiological features and treatment of osteoarthritis (MusSkel4)
    3. Can describe the surgical approach to degenerative joint disease (MusSkel4)
  • Regional Pain
    1. Can describe the clinical features and treatment of lateral and medial epicondylitis, olecranon bursitis and ulnar berve entrapment (cubital tunnel syndrome) (MusSkel4)
  • Back Pain
    1. To describe and be aware of the common problems associated with the back
    2. Understands the concept of red and yellow flags (MusSkel4)
    3. Can describe the clinical features and complications of the cauda equina syndrome (MusSkel4)
    4. Can describe the difference between referred and radicular symptoms (MusSkel4)
  • Myalgia
    1. Appreciate the clinical features of fibromyalgia
    2. Can diagnose and treat a patient with chronic widespread pain / fibromyalgia (MusSkel4)
  • Infections and Malignancy
    1. Microbiological investigations (LOC2)
  • Metabolic Bone Disease
    1. Describe the pathogenesis and mainfeatures of renal osteodystrophy and its management
    2. Describe the clinical features of acute hypercalcaemia and its initial management
    3. Describe the clinical features and initial management of hypocalcaemia
    4. Can describe the pathogenesis, clinical features, treatment and complications of osteoporosis (MusSkel4)
    5. Understand the aetiology, clinical features, pathology and complications of Paget's disease of bone (MusSkel4)
  • Paediatric Joint Disease
    1. Can describe the clincal features and management of the common paediatric orthopaedic disorders (DDH, CTEV, Perthe's disease, SUFE) (MusSkel4)
    2. Understand the development and management of paediatric conditions and how to recognise them on radiographs. (LOC2)
  • Trauma
    1. Can describe cfeatures and managment of ankle fractures, metatarsal stress fractures, Lisfranc injury and Achilles tendon rupture (MusSkel4)
    2. Can describe the features and treatment of recurrent shoulder dislocation, AC joint separation, clavicle fracture and biceps tendon rupture (MusSkel4)
    3. Can describe a classification scheme for fractures (MusSkel4)
• Dermatological Disease
  • General Outcomes for Dermatological Diseases
    1. Understand the clinical significance of losing the skin barrier for health and disease (LOC2)
    2. 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
    1. To describe the cutaneous manifestations of vasculitis and appreciate the common causes. (LOC2)
  • Skin Infections
    1. To describe how the structure/function of skin provides an important contribution to natural defence against micro-organisms. (LOC2)
    2. To consider the range of different organisms that cause infection in skin: bacteria, viruses, yeast/fungi, and parasites. (LOC2)
    3. 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

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