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 18: CARRY OUT PRACTICAL PROCEDURES SAFELY AND EFFECTIVELY : Clinical skills: DIAGNOSTIC PROCEDURES (TD 18 a)

Index

• General Procedures
• Haematological Procedures
• Cardiorespiratory Procedures
• Urological Procedures
• Swabbing for Microbiology
• Measuring

• General Procedures
  • General Procedures
    1. Is able to perform common diagnostic proceedures or techniques (click here to see list) (GP5)
    2. Can perform 12 important medical procedures as listed in the Foundation Year curriculum (click outcome to see list)
    3. Is competent to perform key diagnostic procedures (click here for list)
    4. perform insertion of urinary catheter (MET3A)
• Haematological Procedures
  • Venepuncture, Blood Sampling and Culture
    1. Be able to interpret the results of 10 blood tests (click here for list)
  • Measuring Blood Glucose
    1. Describe the components of a "healthy diet". (MedSoc1)
• Cardiorespiratory Procedures
  • Oxygen Saturation
    1. Be able to use and understand the limitations of monitoring
  • Pulse and Respiration Measurements
    1. Be able to describe the rate and rhythm of the radial and carotid pulses (CR2)
    2. You should be able to accurately locate the normal apex beat, and report on its location by standard anatomical landmarks. (CR2)
    3. You should be able to auscultate the normal heart, and time the heart sounds with the pulse in your assessment of the cardiac cycle. (CR2)
    4. You should be aware of the four main areas to auscultate, and the use of the bell and diaphragm of the stethoscope. (CR2)
  • Blood Pressure
    1. Be able to use and understand the limitations of monitoring
    2. You should be able to take blood pressure competently on a normal person by first estimating the systolic pressure by palpation and then accurately measuring by auscultation. (CR2)
    3. You should be able to recognise the pulsation of the normal JVP and assess its vertical height above the manubrio-sternal angle. (CR2)
    4. Practise blood pressure monitoring and height and weight measurement (MedSoc1)
    5. Practise blood pressure measurement (MedSoc1)
    6. Practise blood pressure measurement and examination of central and peripheral pulses (MedSoc1)
  • ECG Monitoring and Interpretation
    1. Describe or demonstrate the recording of a 6 lead ECG using standard and augmented limb leads.
    2. Be able to use and understand the limitations of monitoring
    3. Relate the P-wave, QRS complex and T-wave of the lead II ECG to the sequence of depolarization and repolarization of the atria and ventricles of the heart.
    4. Explain why the shape of the ECG varies between the 6 leads.
    5. Describe the relationship between the heart sounds and the ECG and relate both the mechanical events of the cardiac cycle.
  • Respiratory Function Tests
    1. Be able to interpret (with normal ranges provided) simple bedside lung function tests e.g. PEFR, Spirometry
    2. Describe and demonstrate the use of a spirometer, to measure tidal volume, respiratory rate, inspiratory reserve volume, expiratory reserve volume and vital capacity.
    3. Name those lung volumes which cannot be measured using a spirometer and describe one method for their measurement.
    4. Describe and demonstrate the use of the Vitalograph to measure the FVC and FEV1. Define the terms forced vital capacity (FVC), Forced Expiratory Volume 1 (FEV1) and the ratio FEV1/FVC expressed as a percentage (FEV1 %).
    5. Describe how the Vitalograph may be used to distinguish between restrictive and obstructive types of lung function disorders.
    6. Demonstrate the measurement of peak expiratory flow rate (MedSoc1)
    7. Describe and demonstrate the use of a Peak Flow Meter to a patient. Be able to interpret the values obtained using charts and tables for normal values with respect to age, gender and height. (CR2)
• Urological Procedures
  • Urinalysis using Multistix
    1. Be able to interpret correctly the results of 4 urinary investigations (click here for list)
    2. Practice urinalysis (MedSoc1)
  • Mid-Stream Specimen of Urine (MSU)
  • Pregnancy Test
    1. Be able to perform and interpret near patient pregnancy testing
• Swabbing for Microbiology
  • Ear, Nose and Throat Swabs
  • Skin Swabs
• Measuring
  • Measuring Body Temperature
    1. Demonstrate how to measure body temperature in children
  • Growth Charts
    1. Explain the techniques of measuring children of all ages, and be able to plot and interpret measurements on growth charts
  • Height and Weight
    1. Observe blood glucose testing (MedSoc1)

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