ࡱ> FCDE L\pBradnistrator Ba= =Kx<}(8@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1 Arial1Arial1Arial1Arial1$Arial1 Arial1Arial""#,##0;\-""#,##0""#,##0;[Red]\-""#,##0""#,##0.00;\-""#,##0.00#""#,##0.00;[Red]\-""#,##0.005*0_-""* #,##0_-;\-""* #,##0_-;_-""* "-"_-;_-@_-,)'_-* #,##0_-;\-* #,##0_-;_-* "-"_-;_-@_-=,8_-""* #,##0.00_-;\-""* #,##0.00_-;_-""* "-"??_-;_-@_-4+/_-* #,##0.00_-;\-* #,##0.00_-;_-* "-"??_-;_-@_-(#""#,##0.00000_);\(""#,##0.00000\) m/d/yy0.0 d\-mmm\-yy                + ) , *          @@  @   @  @   @   @   `""@ @ *   @@   @   `          l      !  #    L  D  d""@ @ * !   d""@ @ *  Q  Q     `A Introduction EStart Start summaryYMiddle"Middle summary 9End End summarylCurriculum links,> "ldH  /$b%e,R-Բҕnz%e,R-ԲҕPNG  IHDRZZv0PLTE =!M6^:aJngမ慝琦锩ꙭ랱쮾348?CHK4]HmVxZ{eft㇟璨霰롴쫼..1188LLhhX?tRNS&|bKGDH cmPPJCmp0712HsIDAThCZ0 F{PI[ _h-[m Wm,mIv&1?pHȑPwBnEa8.ɢy, gZ2/C,A96A9NM|mxdmEsq0/`R-9=[ffmOW^(8rv0G};7GLۨV'>p޶zB{Q49 eH519XHǡ!>: p-gO6m7z[ Ogl =`Fux5:0<&OȽhp [@noZ}}C͛l}=ƺ/T{(^}Cm3qQ]8m:G侙 4%ծYR-f]F覀nmz nl BtT5h_k1bhOy|xDF͒ 1| "Vx F>4#kT!A>+?ˀ. 1l;'IvF'hX %TKKN.ܚ7K,K-Yʆm';˴ҷdHK{tnCdf߾:a6pZL0ɔ> V:\f ݬI. *nY-9  ]BwxBnDz%s9ĥrIENDB`3  @@   Date of assessment: PATIENT CAREProblem DefinitionsHidden presentation of illnessPossibilities and probabilitiesWorking hypothesesProblem solvingProtocols of ManagementTheir formulation by agreementTheir applicationTheir performance reviewEmergency Care EquipmentProcedures and skills Drugs carried Communication PreventionMethods Case finding ScreeningHealth educationImmunisation etcPrimary/secondary/tertiaryOrganisation and delegation&Identifying sections of the populationUse of the computerChronic disease Protocols OrganisationRecall systems!Appropriate Use of InvestigationsEfficient Use of Time COMMUNICATION With patientsModels of the consultationConsultation tasks ListeningDifficult situationsBreaking bad newsTelephone consultationsPatient participation groupsPatient information leaflets With partnersPartnership meetingsDifficulties with PartnersMedical care of Partners Motivation Common aims With the teamPractice NursesDistrict NursesHealth VisitorsCommunity Psychiatric NursesPractice Managers Receptionists SecretariesOther Professional Colleagues&Relationships with hospital colleaguesDomiciliary visits1Contact by letter and phone, social and educationDentists OpticiansEnvironmental Health Officers With othersPoliceCoroner Employers ORGANISATIONPractice OrganisationIncome ExpenditureTaxationEmployment lawSuperannuationBook-keeping and accountsPartnership contractsPremisesEquipment - MedicalEquipment - OfficeAppointment systemsPatients recordsPractice meetings Statement of fees and allowancesComputers in general practiceTerms and conditions of serviceMaternity leave DispensingHealth and Safety at WorkEmployers liability insurancePersonalManagement of changeManagement theory and practice Use of time6Personal commitments outside the practice/leisure timeNHSFPC and AHA and RHALMCGMSCMPC&Regional and District Medical OfficersGMCAllied ProfessionsSocial ServicesProbation ServicesPROFESSIONAL VALUESInternational Code of EthicsRelationships with patientsRelationships with colleaguesReferral system DelegationConflicts of interestBeliefs, personal and patientsRespect for patients dignityRespect for the value of lifeFairnessPersonal integrity%Ability to give and receive criticism AdvertisingConfidentiality Data sharingResearch ethical committeesConsentOther areas of ethical problems EuthanasiaTermination of pregnacy ContraceptionAids Brain deathTransplantation of organsThe sick doctorPERSONAL/PROFESSIONAL GROWTHPerformance ReviewAuditStandard settingContinuing ResponsibilityDelegation and follow upReferral and follow up AvailabiltyRecognition of limitationsMethods of Continuing EducationPostgraduate CentreDistance learningReading Other courses Small groupsHospital attachment WorkshopsJoint consultingInteractive learningSelf-awarenessClinicalResearchSupportFinanceWriting a paperSUBJECTS OF IMPORTANCEInfectious diseases%Cold and other respiratory infections-Incubation complications and immunization of:Diarrhoea and vomiting'Tropical diseases seen in Great BritainGlandular feverInfectious hepatitis Herpes zosterFood poisoningTravellers diarrhoeaENTCatarrhal child Otitis mediaGlue earTonsillitis, sore throatTonsillectiomyRhinitis SinusitisDeafnessUse of audiometer Hay feverMenieres syndromeVertigo Epistaxis HoarsenessEyesInjury and foreign bodyPainful red eyeCorneal ulcersCataractSquint AmblyopiaField of visionGlaucoma RetinoscopyRegistration of the Blind"Services for the partially sighted Chest disease Chronic bronchitis and emphysemaAcute chest infectionAsthmaPeak flow meter and vitalograph Tuberculosis Ca bronchusHeart and circulation HypertensionECG use and interpretationPeripheral vascular disease ChilblainsCerebral atherosclerosis*Management of basilar artery insufficiencyVenous thrombosis ObstetricsAnte-natal careGP management of labourHome v hospital deliveryResuscitation of newbornUse of flying squadRole of District MidwifeHealth VisitorSocial Security BenefitsPost-natal careMaternity feesFamily Planning Withdrawal Safe periodSheathsCapsIUCDOral contraception Sterilisation TeenagersPsychosexual problemsReligious difficulties Gynaecology Dysmenorrhoea MenorrhagiaVaginal dischargePost menopausal bleedingInfertility - maleInfertility - female Abortion lawVeneral diseasesCancer of cervix and uterusScreening (cytology)PubertyBreast feedingInverted nipplesLumps Hysterectomy PaediatricsInfant feedingWorried mothersThe child as a symptomDevelopment and assessment Management of congenital defects Heart diseaseCDHHare lipNeural tube defectsFibrocystic disease Minor symptoms of a normal childSleep disorders"Disorders of behaviour in childrenSchool problemsChild guidanceBrain damaged childrenEnuresisMeningitis in infantsCancerEarly recognition Terminal careCare of relativesRelief of symptomsUse of radiotherapy Cytoxic drugsTelling the patientAbdomenIndigestion and peptic ulcer Hiatus herniaDiverticulosisGall bladder diseasePiles and fissure Acute abdomenRecurrent abdominal pain DiarrhoeaHerniasAbnormal bowel actionCNSStrokesEpilepsy HeadachesMigraineTumour of brainMS presentation and management ParkinsonismRheumatology/OrthopaedicsRheumatoid arthritisDrugsSteroidsOsteo-arthrosisBackachePain in neck and shoulderGout OsteoporosisInjury management Physiotherapy Joint surgeryPostural problems Tenosynovitis Psychiatry DepressionAnxietyAcute psychiatric emergenciesSuicideMental subnormalityCommunity ServicesPsychiatric Social WorkersClubs and SamaritansMental Health ActNocturnal confusionInsomnia AlcoholismDrug dependenceMarital problemsSexual problems(Awareness of doctor-patient relationshipFamily dynamicsEndocrine/metabolicDiabetesThyroid diseaseObesity Skin diseaseEczemaWartsInfestations - Scabies and Lice Urticaria,Yeast and fungal infections (skin and nails)Arteriopathic ulcersVaricose ulcersMalignant skin disorders PityriasisInfected rashesGenito-urinaryCystitisUrethral syndromeProstatic disorders Nephritis Haematuria"Urinary retention and incontinence Renal colic Renal failure Minor surgery Septic fingerBoilsMinor injuriesRepair of lacerationIngrowing toenailsSebaceous cystsSports injuries,Organisation and equipment of treatment roomCSSDAnalgesics and anaestheticsInvestigationsLaboratory servicesX-ray servicesUltrasound services TherapeuticsPrinciple of managmentSupervision of therapy Limited listScheduled drugsDispensary managementDrug reactions Drug costing AnalgesicsAntacidsAnti-inflammatory Antibiotics PsychotropicsOral contraceptives DiureticsBronchiodilatorsSkin preparationsAnticonvulsantsVaccinesHypotensive agentsDiabetic controlAntihistaminesAnticoagulants Angina drugsAnti-arrythmia drugsSupporting servicesWelfare and special equipmentChild care and adoptionHome Help and Meals-on-Wheels Mental illness and certificationHomes for the elderlyVoluntary servicesServices for the disabledMarriage GuidanceEmployment and rehabilitationThe Community Health ServicesThe School Health ServiceOther subjectsDeath and Cremation CertificatesPrivate certificates Notifications%NEW NORTH NORTHUMBERLAND RATING SCALEKScore each highlighted box 0-5: 0 = No confidence, 5 = Complete confidenceStatutory <.Sick Pay (strengths/weaknesses/attitudes) Influenza: Complications Special risk groups Immunization Rubella Whooping cough Diphtheria Tetanus Polio Mumps Chickenpox MeaslesAllergic alveollitis Risk factors Management of MI Management of dysrythmia" Pros and cons of anticoagulants Angina Problems of rehabilitation)Investigation/management of heart failureIschaemic heart disease:The menopause and HRTMastalgia and mastitisNon-accidental injuryJaundiceChondormalacia patellaeComplimentary medicine SchizophreniaAppetite disorders Psoriasis Seborrhoeic eczemaRepeat prescriptionsDrug companies and reps'Examinations (eg Insurance, Employment)1Use this sheet at the start of your GP attachment2Use this sheet half way through your GP attachment/Use this sheet at the end of your GP attachmentOThis rating scale is a summarised syllabus for GP training, designed for use byEThe GP registrar should score each highlighted box from 0 to 5 where:0 = no confidence in topic 5 = complete confidence in topicMGP registrars attachment, using the appropriate work sheets "start", "middle" and "end".MThe confidence ratings should be done at the beginning, middle and end of the%GP registrars as a confidence rating.FThe "start summary", "mid summary" and "end summary" work sheets will1automatically summarise the GP registrar's input.Name:Phase:7Scored 0-5: 0 = No confidence, 5 = Complete confidenceSummary of start worksheetAverage confidence scoreArea&Summary of start and middle worksheets Difference.Summary of start and middle and end worksheets start-endStage of training:F 1 The 'Core Statement' - Being a General Practitioner (283kb)4 2 The General Practice Consultation (176kb)& 3.1 Clinical Governance (199kb)! 3.2 Patient Safety (165kb)\ 3.3 Ethics and Values Based Medicine (1.2Mb) (draft - being edited post consultation); 3.4 Promoting Equality and Valuing Diversity (163kb)- 3.5 Evidence Based Health Care (192kb)1 3.6 Research and Academic Activity (153kb)? 3.7 Teaching, Mentoring and Clinical Supervision (192kb)- 4.1 Management in Primary Care (197kb)8 4.2 Information Management and Technology (193kb)J 5 Healthy People: promoting health and preventing disease (180kb)+ 6 Genetics in Primary Care (180kb)- 7 Care of Acutely Ill People (224kb)4 8 Care of Children and Young People (322kb)' 9 Care of Older Adults (208kb) 10.1 Women's health (267kb) 10.2 Men's health (193kb) 11 Sexual Health(194kb)? 12 Care of People with Cancer & Palliative Care(166kb)= 13 Care of People with Mental Health Problems(281kb)< 14 Care of People with Learning Disabilities(194kb)) 15.1 Cardiovascular problems (170kb)$ 15.2 Digestive problems (172kb)+ 15.3 Drug and alcohol problems (247kb)) 15.4 ENT and facial problems (181kb) 15.5 Eye problems (152kb)$ 15.6 Metabolic problems (195kb)'15.7 Neurological problems (167kb)& 15.8 Respiratory problems (152kb)\ 15.9 Rheumatology & conditions of the musculoskeletal system (including trauma) (177kb)15.10 Skin problems (174kb)6 3 Personal and Professional responsibilities: & 4 Management in Primary Care: ) 10 Gender-specific Health Issues:  15 Clinical Management:   ps_+jV0ye /  ye #  kW  v x d0!!"(##X$D$u%a,&&['G'^(J(i)U**K+7+`,L--6.".|/hX0DE1 1c2+J33w5? 77G9; <S = cc L AB[D  dMbP?_*+%"??U} }                   +$ +$ (  n  C &Agpt90a"`UY]&` >@7 L LGMJT[ah\oBv(}؟̦n  dMbP?_*+%MCanon Bubble-Jet BJC-4000@n yyhh@MSUDCanon Bubble-Jet BJC-4000d" dhh??U} } &                                *  7       $ !  $ !  $ !  $ !   $!  $!  $ !    $!  $! $! $!  $! $! $! $! $! $! $! $BX  &"""&""&"""&""""""  ! 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