Curr 1 Curriculum Statement Being a GP
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Transcript of Curr 1 Curriculum Statement Being a GP
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1 Being a General Practitioner
2 The General Practice Consultation
3 Personal and Proessional
Responsibilities
3.1 ov
3.2 fy
3.3 Eh d V-d
3.4 oog Eqy d Vg
Dvy
3.5 Evd-d
3.6 h d Ad Avy
3.7 Thg, Mog d
vo
4 Management
4.1 Mg y
4.2 foo Mg d
Thoogy
5 Healthy People: promoting health and
preventing disease
6 Genetics in Primary Care
7 Care o Acutely Ill People
8 Care o Children and Young People
9 Care o Older Adults
10 Gender-Specifc Health Issues
10.1 Wo Hh
10.2 M Hh
11 Sexual Health
12 Care o People with Cancer &
Palliative Care
13 Care o People with Mental HealthProblems
14 Care o People with Learning
Disabilities
15 Clinical Management
15.1 dov ob
15.2 Dgv ob
15.3 Dg d Aoho ob
15.4 ET d F ob
15.5 Ey ob
15.6 Mbo ob15.7 oog ob
15.8 oy ob
15.9 hoogy d odo
of h Mok y
(dg T)
15.10 k ob
Royal College of
General Practitioners
Curriculum Statement 1
Being a General Practitioner
O of
odd by h oy
og of o:
oy og of o, 2007
14 | Hyd k |Lodo sw7 1pu
Tho 020 7581 3232 | Fx 020 7225 3047
ISBN 978-0-85084-308-8
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R C G P C u r r i c u l u m S t a t e m e n t 1
2
Contents
Foreword 3
Acknowledgements 4
Introduction 5
o fo h 5
UK hh o 6
Th do of o d f 6
Learning Outcomes 8
Th do of o 8
Do 1 y g 8Do 2 o-d 10
Do 3 ob-ovg k 11
Do 4 A ohv oh 13
Do 5 oy oo 14
Do 6 A ho oh 15
E f of h d of g 16
E F 1 ox 16
E F 2 Ad 17
E F 3 17
Further Reading
Ex of v x d o 18
Appendix 1
Mg of o Good Medical Practice 22
Appendix 2
hg h d of g /fy d 26
Th y of g /fy d 27
Reerences 29
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Foreword
Th ogd Md Edo d Tg od (MET) bhd
2005 o v ogd d do d g o h UK.
oby fo vdg ogd g h UK d v of
g d o o h g ob o hvg
h hgh dd d qy of g. Th oy og of o() gv odo ov of by h MET b
2006 o of h o hv h ogo.
Ud h do of ofo v Fd, h of h Edo ok,
h okg go o d h fo y g fo
g . Th go dook b of ky k vg h -
; odg o vy of ho vovd g; vg xg
od; og o od d hod; d dvog
.Th do k hd ogd g fo g
. h o g fo g d gv
q ooy o h g fo o d. h fok
fo d do og, dgd o dd h d-gg
kodg, o, d ofo d odd o
fo doo dg o dk h ooy UK o Hh
v. Th fok d o h WOA Eo 2005 European Defnition o
General Practice/Family Medicin d h g oo dvod by EU AT
Edo Agd. d o Good Medical Practice, h Md
o gd o h d of doo.
Th hgg d ox do h hg d dvo d hg d dvo. v of h, v h o h h
ho do b bhd do d fo. d, vb o
h b (.g.og.k). Hov, o k h h of h ,
ddd h h o Being a General Practitioner hod b bhd
d fo h h of h oyg
D-OM fo.
Being a General Practitioner h o h oy og of
o Tg . db h g ofo o
y fo UK g d h ox fo oh . , q
y, dg fo yo h g .
D h | h
rcp pstrauate train in cmmittee
Jy 2007
C u r r i c u l u m S ta t e m e n t 1 | e i n a e n e r a l p r ac t i t i n e r
3
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R C G P C u r r i c u l u m S t a t e m e n t 1
4
Acknowledgements
Th bd o h WONCA Europe 2005 European Defnition o Gen-
eral Practice/Family Medicine, hod by ofo J A, L Dy L,
Ud Kgdo; ofo d y, Uvy of odx, F; ofo
Hy bod, Mh Uvy, Th hd; ofo J Hy,
ho Uvy of Lv, g; ofo go vb, Uvy of Ljbj,
ov; d D , Mh Uvy, Th hd. h o d
o The Educational Agenda o General Practice/Family Medicine ok o h o
y bg dk by EUAT o, oodd by ofo J Hy.
Th d fo do y d of d -
g o h UK, Eo d h od, oby h o, Exv
o d Edo ok g, y voo g h d
Fy od g, h Edo o of h o
o of h h Md Aoo, h g g 2003 d2004, h Aoo of o Og of 2004, 11h o O
of o Md Edo o 2004, h 33d A Mg
fo h oy fo Ad y go 2004, h WOA Wod -
Mg Fod, UA 2004, h Aoo fo Md Edo Eo
g 2003 d 2004, d y oh y ovd g
o d h Tg o h UK; h od k o
x hk o dvd d ogo vovd ho g.
Authors ofo J A, ofo J Hy, ofo d y,
ofo Hy bod, ofo go vb, D , D Mk Dgh, o-
fo v Fd, D Ad F, ofo Hy Tho & D Ah Hbb.
Contributors D h Ky, D M o, D T k, D A
gh, D Dvd Wgy, D Ao k, D M k, D Ty o,
D h , D MDod, ofo L, D Dvd , ofo
V W, ofo Dvd H, D M Wko, D y Hogho, D
h, ofo Dvd W, D Joh Hod, D M, D Jy o,
EUAT o, o o of h h Md Ao-
o, o of ogd Edo Do (OED),
Exv o of h W Mdd Dy d b of h Mdd
Fy of h , Joy D, y W, A Doy & h
h o, oh d o, oh o,
o o, Edo ok, o Exvo & h o of h .
Editors ofo v Fd, Ady Dko & D Mk Dgh
Guardian ofo J A
Created Db 2004
Date o this update od d -d Jy 2010
Version number 1.2
Previous versions 1.1 d Jy 2009
Note: WOA Eo h Eo go ogo of h Wod Ogo of og dAd of Fy Md (.oo.og/). EUAT (Eo Ady of Th
) h Eo ogo of g h d h dook fo WOA Eo (..og).
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B e i n a G e n e r a l P r a c t i t i n e r | 1 . 2 , a n 1 0
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Introduction
This is the core curriculum statement produced by the Royal College o General Prac-
titioners(RCGP) that defnes the learning outcomes or the discipline o general practice
and describes the skills required to practise medicine as a general practitioner in the
National Health Service (NHS) o the United Kingdom. Although primarily aimed
at the level o entry into independent work as a general practitioner (GP), it must also
prepare the doctor or a proessional lie o development and change.
Rationale or this curriculum statement
Th ov h o o qd o bo , d o h
of h d. of o d h h;
h o d h .
v do h dy vb. Th bo Good MedicalPractice (1998), odd by h Md o (M), ovd fok
g hh doo jdg h o fo d by hh hy o b
jdgd.1Good Medical Practice or General Practitioners (2002) dvod fo h
x by h d h o o of h MA, d dgd
y fo .2 Eh of h odd by h h
b d o h do o h ovg of h ofo
xo of h d o. A o of h o-fg o-
vdd Adx 1. Th H d o b vy vovd h g,
dvy d foo of hh v hogh h dy-o-dy
o, d d. Th d h Md Ldh oy
Fok odd by h Ady of Md oy og d H foovo d ov.3
Th bd o h fok fo h d of
g dvod by WOA Eo, d foy hd dg -
g Lodo 2002 d vd 2005.4 Th WOA fok bqy
dod by h d h Jo o o ogd Tg fo
(JT) h h UK. dvog b of od
odd by h , dg ho fod fo h Oxfod go, 5
d h od dvod by h oy A og of o.6 Th
do o h WOA Eo fok k b of o
by d by h o og d oo of fy d-
30 o Eo. Th Ud Kgdo , k oh Eo Uo dEEA o, bj o EU Dv 93/16,7 hh oo f ov of do-
o hogh ogo of g. Dv 93/16 oy d h gh d
of g, hov, d o h fy doo hod v -
g h b h o o Eo.
Th WOA Eo Do o do of 11 undamental characteristics of
g , o do of h fy d d h o
fok dvd fo h (hy Adx 2). Th 11 h of h
d o 11 b h vy fy doo hod . Thy
o o y y of hh y, o o y hoog odo.
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R C G P C u r r i c u l u m S t a t e m e n t 1
6
Fh ok d o by EUAT, h do ok ogo of
WOA Eo, h fh yd h x go of o o d h
h gy d dg of h .8
UK health priorities
ky of hh y Eo d ogd
by hh v ovd bg of v-g o.9 o v-
d d h hh y bd o ffv y , h hghy d
g hy (fy doo) g h oy, dv h
boh o o-ffv d o y ffv h y h
h o y .10
h Ud Kgdo, g h b fd of hh-
ovo h o of h o Hh v 1948. 1948
hv hd h gh o hoo h d y hh ovd. Th
gh o hoo o g h fd bdg bok of h H.
h UK d o 261 o oo 2001, o 741,000 h dy. O
vg, o h v y.
Th o of g h b fh hd by o of h
hg o h of h H, h h dvo of h y -
Ld H, h dvo of fdhodg, d o y h g of
y (T) d oh y ogo (O) jo o-
o of hh fo o oo o h UK.
oy h d ov h 30 y, d h h b g o fo
h dg fo hh d ovo. Th oo of h
o og gdd o d dog gg b
hh o d ovd. Th xo of , h of o-
d h d, h of foo y h h d hg o d oxy of hh dvy hv d of
o hg. Th f h o oy o b of h b o hv h
vo. Ldh ky fo of doo ofo ok d hy
hv oby o ob o h ffv g of h H ogo()
hh hy ok d o f do. Dvg dh hod b b
o h o of hd dh, h h hd of oby fo
h of h ogo. Fy doo h H hod ovd dh,
o o h dh of oh b of h oog h f
dvy of v o . Fy doo o o d
g, yg h 11 fd h, b hy o d o
b vovd h og dvo of h hh y. A dvdofo hy d d go od o h hg.
The RCGP domains o competence and essential eatures
Ug h x dd do of o o, d h h bkgod
f of h d dbd h WOA 2005 do d h g
oo dvod by EU AT, h fh dvod h do of o-
d bkgod (o d f) 2004. Th ovd h
fok fo h dvo of h fo g boh fo h o
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B e i n a G e n e r a l P r a c t i t i n e r | 1 . 2 , a n 1 0
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o of h fy doo, d o fo o g .
Th d bo:
The six domains o core competences
1. y g
2. o-d 3. ob-ovg k
4. A ohv oh
5. oy oo
6. A ho oh.
The essential eatures
A o-d d, h h f of doo hod
b odd fd. Th :
1. Contextual
g h ox of h o, h fy, h oyd h
2. Attitudinal bd o h doo ofo b, v d h
3. Scientifc dog d h-bd oh o , d
g h hogh og g d qy ov.
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R C G P C u r r i c u l u m S t a t e m e n t 1
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Learning Outcomes
od o do o , h d o q kodg,
k d ofo d b of . Th o of h o o-
dbd bo.
Fo h d of b d do o h oo of g
vgd h dvo ogvy h o fo
of bg ov o h, o , of bog x.11 Fh dv-
o do o o o h f oo of g, d
hod b ookg o o o bd h ofo d x hogho
ofo f.
f oo of g b jdgd o hv od o h
b odd o by h ogd Md Edo d Tg od(MET), hh h dd fo ogd d g h UK.
o hy dd qg kodg od o dvo x-, kodg h gy oh, d, f d go-od.12
h do gh o (h f o od b d -
gh 1.3, 1.4 d 1.5, fo x) h o od h b dbd
oy o .
THE RCGP DOMAINS OF COMPETENCE
Domain 1 Primary care management
Th ok of h y fod o oo h o v of
o d, o h h hy dvo o of hh, f-o d qy of f od of d. Th d xo, , h
vv d hh ooo v of hy d k g.
o xd do d v d . Fy doo
o gy hgd by h d o b oo of hh o. A d-
dg of o-fy hfo ky g fo hy g.
g fo , ok h xdd of oh ofo
y , boh h h o d h o oy, d o
h ody , g h dgo d o v-
b ho. Th y do oo g h g
dff d h h ox of h H. b d o
ok b b o, h o, d ovg v dv-y. y g () h o of og d-
o bo h g of h hh ob d og ho h
b dvd by h H ho.
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This competence is concerned with the ability
1.1 To manage primary contact with patients, dealing with unselected problems.
Th q:
Kodg of h doogy of ob g y
Mg oh h o y fo h dob
A ogo oh o h g of ho odo
Kodg of odo od y d h .
1.2 To cover the ull range o health conditions.
Th q:
Kodg of vv v qd h of y
k , ho, vv, v d gy
k hoy-kg, hy xo d of y
o dgo odo d by y k h, dg dg d o-dg oh o of
h odo
Th by o o ob.
1.3 To coordinate care with other proessionals in primary care and with other
specialists.
Th q:
Kog ho H y ogd
Uddg h o of x oo h d
ff k ffv ok Th by o ok b d d ovdg d
ovg v o .
1.4 To master eective and appropriate care provision and health service
utilisation.
Th q:
Kodg of h of h hh y d h fo of y
h h d H
Uddg h o of f o ody d oh
hy k gg h f b y d ody dg
oo h oh ofo
Th by o v g d v ov.
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1.5 To make available to the patient the appropriate services within the healthcare
system.
Th q:
oo k fo og, hg d g d h
f/
Ogo k fo od-kg, foo g, ok,
g d dg h qy of .
1.6 To act as advocate or the patient.
Th q:
Dvog d g oh d y of oo h
h q d do o o h
k ffv dh, goo d oo.
Domain 2 Person-centred care
h of fy d, MWhy qod h b (o) :
og o h o h h o body of kodg; kg o
dd h ox of h ; d hg o o h bjv
of d.13 A o-d oh o h j y of g: y
of hkg. y g h q o q o-
x d kg o o f d xo vy
-d oo.14 hg h g of ob h h
d dg ov ho o d o f y h
h hg h doo: h by o ov h ho dggh doo oh o.
o-d g h o h oy of h oh o-
. oy g, do h d y dff ,
b b o h y: o oy (g h doo);
od oy (g h foo y vb h kg ov o
fg); d h oy ovdd by h d (hh g ogd
24-ho ).15 MWhy h h ky od oby, o o
vby .13
This competence is concerned with the ability
2.1 To adopt a person-centred approach in dealing with patients and their
problems, in the context o patients circumstances.
Th q:
Th b kodg d ddg of h dvd, ogh
h h o h d xo f
Th dvo of f of f o dd d d h h fy,
oy, o d do o d, v d
bf
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Mg d d o
Th k d d o y h .
2.2 To use the general practice consultation to bring about an eective doctor
patient relationship, with respect or the patients autonomy.
Th q:
Adog -d oo od h xo h d,
o d xo, g h doo gd, d oo god
d go fo h f
og dg ohb y, hg o o
h o o d dg oo god fo fh do-kg
Mkg do h h ooy
g of bjvy h d oh, fo boh h
d (fg, v d f) d fo h doo d (f-
of v, d d fg).
2.3 To communicate, to set priorities and to act in partnership.
Th q:
Th k d d o bh h
Th k d d o hv b b oo d d
oxy o h .
2.4 To provide long-term continuity o care as determined by the needs o the
patient, reerring to continuing and coordinated care management.
Th q:
Uddg d g h h of oy: o
oy; od oy (kg h o d foo
vb fo h o); d oy of (24 ho dy d 365
dy y)
Th by o h h dd d hv o okf
b*
Ug d g d d-odg ffvy fo
oo d d oog of og- odo o
oy of b dff hh ovd.
Domain 3 Specifc problem-solving skills
ob-ovg g hghy ox . Th k qd
o h ox hh h ob od, h hoy of h ob-
hv, h o h of , h o h of
h doo ho g h d h o hy hv h do.
Fog o ob-ovg of g b fy doo
d o do ob-bd oh h h d-bd oh.
o g o ody vo, y g ()
d hd o dj o h dff ob-ovg b g d
* fo ho oy
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R C G P C u r r i c u l u m S t a t e m e n t 1
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ho ok. Th dff dbd by Mk h foog :
ovg ob hv o o y, xo obby d g-
dg, h ho hv o d y, xo oby
d g o.16 Ahogh h od o h o o, ovd
o f o, d h d o ok o ho dff o
ox.
Th od of g ob-ovg h hod b od-
d. Th o of h hyohddv od dbd by Mk
h x h dd y g g h UK.17 Aoh
oh o ogo o g , hh fy h ob-
ovg gy of h doo d b oyd hg bo .18
Ad h b of oh oo fok h y
ddg h o (do et al.,19 o d Dv,20 ghbo,21 bdg
gy22).
U of of h dgo o, vgo d og
h y of h k of g g . Th gog
body of o h o o o h ho o og o o h q of ob-ovg.23
This competence is concerned with the ability
3.1 To relate specifc decision-making processes to the prevalence and incidence
o illness in the community.
Th q:
Kodg of h v d d of d
Kodg of h oy (gx dbo, v
of ho d) Th k o y do-kg (g oo h
og d do ).
3.2 To selectively gather and interpret inormation rom history-taking, physical
examination and investigations, and apply it to an appropriate management
plan in collaboration with the patient.
Th q:
Kodg of v qo h hoy d h hy
xo v o h ob d
Kodg of h v ox, dg fy, o doo fo
Kodg of vb vgo d o
Hoy-kg d hy xo k, d k g d
A g o vov h h g .
3.3 To adopt appropriate working principles (e.g. incremental investigation,
using time as a tool) and to tolerate uncertainty.
Th q:
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B e i n a G e n e r a l P r a c t i t i n e r | 1 . 2 , a n 1 0
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Adg k d d o do oy, dg d g
Adg od d do-kg, g
dgo d h oo
Uddg d of h vby of y y
ob-ovg d h dvo of g h do h.
3.4 To intervene urgently when necessary.
Th q:
do-kg k fo gy o
k gy od h y o y
o.
3.5 To manage conditions that may present early and in an undierentiated way.
Th q:
Kodg of h o d , d h o ddodgo d h o.
3.6 To make eective and efcient use o diagnostic and therapeutic interventions.
Th q:
Kodg h yo d g vy h dv v, do
dg fo y
A ddg of h o-fy d ob of d .
Domain 4 A comprehensive approach
d o b b o dd multiple complaints d co-morbidity h fo
ho hy . Wh k d , hy hv bo -
o d y o b b o dff b dff d hy y hv. Th
hg of ddg h hh h dvd o d
q fy doo o dvo h k of g h d og
h oo h h .
Th fy doo hod o vd-bd oh o h of .
Th fy doo hod ho oh o h h h fo
od b oog h hh d g bg. dg k fo by
oog f- d og o k of h . Th f-
y doo hod o h of yo o h o hbg by kg o o h oy, fy, dy f, oo
d hy d o odg.
oodo of o h h kd o oy gg d
d vo, b o g fo h , ovdg hbo d ovd-
g v h d h of f. Th hy b b o
ood ovdd by oh hh ofo d ovdd
by oh g.
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R C G P C u r r i c u l u m S t a t e m e n t 1
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This competence is concerned with the ability
4.1 To manage simultaneously multiple complaints and pathologies, both acute
and chronic health problems.
Th q:
A ddg of h o of o-obdy Th k o g h o hh ob xd by
hogh do, xoo, goo, d oo
k g h d od d oh foo
Th k o k, d h d o , h b vd .
4.2 To promote health and wellbeing by applying health promotion and disease
prevention strategies appropriately.
Th q:
Th by o dd h o of hh
Th by o oo hh o dvd b of h oo Th by o oo hh hogh hh ooo o d vo
og h h y g
Uddg h o of h hh ooo v h
oy
Uddg d ogg h o of h o b h
d of h dvd d h oy, d g oy.
4.3 To manage and coordinate health promotion, prevention, cure, care,
rehabilitation and palliation.
Th q: A ddg of h ox of hh ob g
A ddg of h vy of ob oh
Th by o dff oh fo dvd d o odfy
h odg o dvd d
Th by o ood ok y .
Domain 5 Community orientation
hv oby fo h oy hh hy ok, hh xd byod
h oo h dvd . Th ok of fy doo dd
by h k of h oy d hfo hy dd h od o of h oy hh hy ok d h of
oo-oo d hh f. Th oo o od y of h
d ho hy , d h o of h h h oy.
o hh y bg od, d doo bg vovd
h og do; hy hv h d o dy o hh oy
h oy.
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This competence is concerned with the ability
5.1 To reconcile the health needs o individual patients and the health needs o
the community in which they live, balancing these with available resources.
Th q:
A ddg of h hh d of o hogh hdoog h of h oo
A ddg of h oh b hh d o
A ddg of h of ovy, hy d o doogy o
o oy hh
A of q hh ovo
A ddg of h of h hh y d oo
o
A ddg of h o of h oh ofo vovd oy
oy g o hh
Th by o ob o v g d v ov
h o hh oy h o A ddg of h o of - d oy-bd
foo h qy of h doo
A ddg of ho h hh y b d by h d
h doo (f od, k v, g , .) h o ox
Th by o o h d of h dvd h h d of h
oy hh hy v
A ddg of o h oog of hh .
Domain 6 A holistic approach
Md, k y , bd o of hd bf d v, d of h d . Th do of holism dy d fo d-
, d hh b d h do, k fo h ok of K:
vov g fo h ho o h ox of h o v, h fy
bf, h fy y, d h h g oy, d odg
g of h bd o h vd of h b d o. 24 O, o
, ho vov g o d g of vo . . . h-
o o oy oh b doo d ; d
of h of h hh of h o o h .25
Ho d -d o v of g . Ho, dbd
by Ho et al.26 h go of hy, yhoog d o oo of
hh ob kg dgo d g g, bhd of good og .27,28 Th good vd h h
ood by og oo29, 30, 31 d by g oy of .32, 33, 34 Ho
d og od b o h vd o dvo h oo qy
dx (Q) fo g , hh h o v of g -
, g ox oo gh d ho ko h doo
o d b oo .35, 36
Ho oy b d o o dvd o of ho,
o f h ho y b dvd, h v h o -
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vo offd o h hv dff g o dff o. Th
h o hy o oy o g d fy d. Th ho
v kodg objv xo of hyoogy, b o d h
o hv x h bjv, y (d, fo o, go),
hh y ff h hh d hh bf.37
Th ogo h hv boh d hy oo, d
h h dy oh b h, h d o of h
y bod od d o h dvo of h bo-yho-o od of
od d.38 Th od o o y by Eg, ho gd h fo
yhy o g fy d v o of dod
y o dd h (o h d) o, gvg q o-
o boog, yhoog d o d fo hog, dgo
d hy oh od h ho oh.39, 40
o o o h b ddg of o o o
doo . g d h fd ooy of h , h
d ooy fo h o v, d h y o h dg of
h b hdd by o o h vo.
This competence is concerned with the ability
6.1 To use bio-psycho-social models, taking into account cultural and existential
dimensions.
Th q:
Kodg of h ho o d o fo h
Th by o dd bo-yho-o ho
Th k o fo ho ddg o
Kodg of h bkgod d bf of h , o f hy v o hh
To d ddg of x, bf, v d
xo, hy ff hh dvy.
ESSENTIAL FEATURES OF THE DISCIPLINE OF GENERAL PR ACTICE
Th f fo o-d d: context, attitude
d science.30, 31, 32, 33, 34 Thy od h f of doo d d h
by o y h o o f h ok g d h d
ox of hh ovo. g h y hv g
b of h o oh b h fy doo d h o h hohy ok b hy o doo d o o g .
Essential Feature 1 Contextual aspects
Uddg h ox of doo hv d h vo hh hy
ok, dg h okg odo, oy, o hh ooy, ,
d goy fok.
1. Hvg ddg of h of h o oy (dg oo-
oo d ok fo, goghy d ) o .
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17
2. g of h of ov okod o h gv o h dvd
d h f (.g. ff, q) vb o dv h .
3. Hvg ddg of h d g fok hh hh
gv v.
4. Hvg ddg of h of h doo o hog d
okg vo o h h h o h ovd.
Essential Feature 2 Attitudinal aspects
d o h doo ofo b, v, fg d h.
1. g of h o b d v.
2. dfyg h of (vo, dgo, hy,
fo h fy).
3. Hvg of f: ddg h h o d d
fg o d of ho hy .
4. Vg d ogg h obo of oh.
5. g d o v g d ov.
6. Jfyg d fyg o h.
7. g of h o of ok d doo o v f, d vg
fo good b b h.
Essential Feature 3 Scientifc aspects
Adog d h-bd oh o d g h
hogh og g d qy ov.
1. g f h h g , hod d o of
h d h fd of (d, v, dd
v, .).
2. Hvg hoogh kodg of: h bkgod of hoogy;
yo d dgo; hy d ogo; doogy; do hoy;
ho bo h fog of hyoh d ob-ovg; vv
hh .
3. Ag d , dg d g y d g ho fo h o .
4. Dvog d g og g d qy ov.
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Further Reading
Examples o relevant texts and resources
Primary care management
Jnes , ritten , ulpepper L, et al. (d). Oxord Textbook o Primary Medical Care
Oxfod: Oxfod Uvy , 2004
McWinne .A Textbook o Family Medicine (2nd edn) Oxfod: Oxfod Uvy
, 1997
ael E. Textbook o Family Practice (6th edn) Lodo: W d, 2001
Person-centred care
alint M. The Doctor, His Patient and the Illness Lodo: Md bhg,
1964Emanuel E J. Fo od of h hy ohJAMA 1992; 267: 22216
Fersen d Henest J. h of x. Exdg h -d
hod: h-g Fam Pract 1993; 10: 4954
Henest J d tewart M. -d h oo 2: do y
k dff? Fam Pract 1990; 7: 2833
Hwie J . Th Joh Fy Foh 1999 Patient-centredness and the Politics o Change.
A day in the lie o academic practice Lodo: Th fd T, 1999
Lepl . d h y J Fam Pract 1996; 42: 12937
Leenstein J H (d.). Th -d hod 1: od fo h doo
o fy d. Fam Pract 1986; 3: 24
McWinne . Th d fo fod hod. : M d
o D (d). Communicating with Medical Patients by k, ca: g, 1989,
. 2540
Mea d wer . -d: o fok d v of
h Soc Sci Med 2000; 51: 1087110
Ml J W. o-od d Fam Med 1991; 23: 4651
eiur . The Inner Consultation L: mtp, 1987tewart M, rwn J , Westn W W, McWinne , McWilliam L,
Freeman T . Patient-Centered Medicine: transorming the clinical method Oxfod:
dff Md , 2003
Tn D. What is Good General Practice? Oo 65. Lodo: oy og
of o, 1994
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Specifc problem-solving skills
Allen T, rae , ae . Ky f: ffv gd fo of
g k. : International Conerence Proceedings: approaches to the
assessment o clinical competence, Part IIDd: Ho d Md
hoo, 1992, . 47883
rae . Ebod kodg: ky o f dgo hkgAcadMed
1994; 69: 8835
rae d Zacs . Th of d kodg h o of
d d d g o: go d ooyMed Educ 1984;
18: 40616
ase M , wansn D , Wliscrt J O. A of dgo
ogo k d kh g . : International Conerence
Proceedings: approaches to the assessment o clinical competence, Part IIDd:
Ho d Md hoo, 1992, . 4528
Dwie J d Elstein A (d). Proessional Judgement: a reader in clinical decision-making bdg: bdg Uvy , 1991
Hannar , mit H, Ellitt A M. y doogy: o
d o Fam Pract 2006; 23 (1): 17
Kassirer J d Kpelman . Learning Clinical Reasoning o: W &
Wk, 1991
Kntnerus J A. Md do-kg by g o d
Fam Pract 1991; 8: 3057
rcini J J d ea J A. Th ff of v of x o ky dvo
Acad Med 1990; 65: 51516
acett D L, Haes , uatt H, Tuwell Clinical Epidemiology: a basic
science or clinical medicine (2nd edn) oo: L, o, 1991
Tistletwaite J E. Mkg d hg do bo g h
: h v d x of -go ho of g
d hoMed Educ 2002; 36: 4955
A comprehensive approach
Kauman D M. A of g d hg d: yg do
hoy BMJ2003; 326: 21316
Van er Vleuten M. Th of ofo o: dvo,
h d oAdv Health Sciences Educ Theory Pract 1996; 1: 4167
Community orientation
Feacem A. ovy d qy: o fo fo h y Bull World
Health Organ 2000; 78: 1
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ulransen , Fuelli , Hrtal . o kodg of h
yhoo ob: qo vy BMJ1997; 314:
101418
ulransen , Fuelli , ani L, Hrtal . of o ob
o g g : qo vy BMJ1998;
317: 2832
Lnlett K, Kruse J E, Wesle M. oy-od y :
d o fo d doJ Am Board Fam Pract 2001; 14: 1417
Marmt M. ov of o vo o ov hh Lancet 1998; 352:
5760
Oanasan F, s , rne , air M . Mg oy-od
d od d Fam Pract 2000; 17: 2437
earce , Fliai , prle A, unninam . , , hy, d
hh BMJ2004; 328: 10702
llc A M d Maee F A. oy od y BMJ1995; 310:
4812
meet L d Heat . Tkg hh q y BMJ1999; 318:
10201
A holistic approach
Freeman d Hrtal . Wh f fo oy of g ?
BMJ1997; 314: 18703
reenal T d Eersle J. Quality in General Practice: towards a holistic approachLodo: Kg Fd, 1999
Hrtal . d oy of : ogo Fam
Pract 1989; 6: 2928
Hrtal d Laerum E. oy of g : ff o
fo BMJ1992; 304: 128790
Hwie J , rter A M D, Heane D J, Hptn J L. Log o ho oo
o: oxy of qy of fo g Br J Gen Pract 1991; 41:
4854
Klcaa . Th y ho gJ Adv Nurs 1997; 25: 2906McWinne . yod dgo: oh o go of bhvo
d d N Engl J Med 1972; 287: 3847
attersn E. Th hoohy d hy of ho hh : hg
okb o J Adv Nurs 1998; 27 (2): 28793
ttt H d Dais H. Th xo o h y
ooJ R Coll Gen Pract 1979; 29: 2015
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Wartn M. g h oy: ho oh BMJ1995; 310:
407
Wilsn A. oo gh g : v Br J Gen Pract 1991; 41:
11922
Wilsn A, McDnal , Haes L, ne J. Hh ooo g :
k dff BMJ1992; 304: 22730
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Appendix 1
Mapping o curriculum to Good Medical Practice
Good Medical Practice Corresponding paragraphs in this core curriculum statement
Good Clinical Care
1
Domain 1: Primary care management
1.1 To g y o h , dg hd ob.
1.2 To ov h f g of hh odo.
1.3 To ood h oh ofo y d h oh .
1.4 To ffv d o ovo dhh v o.
1.5 To k vb o h h o v
h h hh y.
Domain 2: Person-centred care
2.1 To do o-d oh dg h d ob, h ox of .
2.2 To h g oo o bg bo ffv doo oh, h fo h ooy.
2.3 To o, o o d o h.
Domain 3: Specifc problem-solving skills
3.1 To do-kg o o hv d d of h oy.
3.2 To vy gh d foo fohoy-kg, hy xo d vgo,d y o o g oboo h h .
3.3 To do o okg (.g. vgo, g oo) d o oy.
3.4 To v gy h y.
3.5 To g odo h y y d
dffd y.
Domain 4: A comprehensive approach
4.1 To g oy o dhoog, boh d ho hh ob.
4.2 To oo hh d bg by yghh ooo d d vo goy.
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Good Medical Practice Corresponding paragraphs in this core curriculum statement
Domain 5: Community orientation
5.1 To o h hh d of dvd d h hh d of h oy hh hy
v, bg h h vb o.
Domain 6: A holistic approach
6.1 To bo-yho-o od, kg o o d x do.
Good Clinical Care
2 Kg od,g od kg yoog fod
Domain 1: Primary care management
1.3 To ood h oh ofo y d h oh .
Domain 2: Person-centred care2.3 To o, o o d o h.
Good Clinical Care
3 A, vbyd ovdg o of ho
Domain 2: Person-centred care
2.4 To ovd og- oy of ddby h d of h , fg o og doodd g.
Good Clinical Care
4 T g
Domain 3: Specifc problem-solving skills
3.4 To v gy h y.
Good Clinical Care
5 Mkg ffv of o
Domain 3: Specifc problem-solving skills
3.3 To do o okg (.g. vgo, g oo) d o oy.
3.6 To k ffv d f of dgo dh vo.
Domain 4: A comprehensive approach
4.3 To g d ood hh ooo, vo,, , hbo d o.
Domain 5: Community orientation5.1 To o h hh d of dvd
d h hh d of h oy hh hyv, bg h h vb o.
Maintaining Good MedicalPractice
6 Kg o dd gyo fo
Essential eature 3: Scientifc aspects
4 g b o dvo d og gd qy ov.
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Good Medical Practice Corresponding paragraphs in this core curriculum statement
Relationships with Patients
7 ovdg foobo yo v
Domain 2: Person-centred care
2.3 To o, o o d o h.
Relationships with Patients
8 Mg
Domain 2: Person-centred care
2.1 To do o-d oh dg h d h ob, h ox of .
2.2 To h g oo o bg bo ffv doo oh, h fo h ooy.
2.3 To o, o o d o h.
Essential eature 2: Attitudinal aspects
1 g of o o b d v.
2 dfyg h of (vo,dgo, hy, fo h fy).
3 Jfyg d fyg o h.
Relationships with Patients
9 Avodg d-o d jdg
Domain 6: A holistic approach
6.1 To bo-yho-o od, kg o o d x do.
Relationships with Patients
10 f hg go og
Essential eature 1: Contextual aspects
1 Hvg ddg of h of h o
oy (dg oo-oo d okfo, goghy d ) o .
2 g of h of ov okod o h gv o h dvd d h f(.g. ff, q) vb o dv h .
3 Hvg ddg of h d gfok hh hh gv v.
4 Hvg ddg of h of h dooo hog d okg vo o h h h o h ovd.
Essential eature 2: Attitudinal aspects
1 g of h o b d v.
2 dfyg h of (vo,dgo, hy, fo h fy).
3 Hvg of f: ddg h ho d d fg o dof ho hy .
4 Jfyg d fyg o h.
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Good Medical Practice Corresponding paragraphs in this core curriculum statement
Working with Colleagues
11 Wokg hog d
okg
Domain 1: Primary care management
1.3 To ood h oh ofo y d h oh .
1.5 To k vb o h h o vh h hh y.
Domain 4: A comprehensive approach
4.3 To g d ood hh ooo, vo,, , hbo d o.
Working with Colleagues
12 fg
Domain 1: Primary care management
1.3 To ood h oh ofo y d h oh .
1.5 To k vb o h h o vh h hh y.
Working with Colleagues
13 Ag o
Essential eature 2: Attitudinal aspects
1 g of h o b d v.
4 Jfyg d fyg o h.
Teaching and Training,Appraising and Assessing
14 Thg d g,g dg
o xy ovd h b ovd oh
Probity15 h
16 F do dg
17 ovdg f
Essential eature 2: Attitudinal aspects1 g of h o b d v.
2 dfyg h of (vo,dgo, hy, fo h fy).
3 Jfyg d fyg o h.
Health and thePerormance oOther Doctors
18 og h yo o hho h hh, od
o fo ofoh doo k
Essential eature 2: Attitudinal aspects
1 g of h o b d v.
3 Hvg of f: ddg h ho d d fg o dof ho hy .
5 g of h o of ok d doo ov f, d vg fo good b bh.
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Appendix 2
Characterising the discipline o general practice/amily medicine
/fy d d d d, h o
do o, h, vd b d vy, d -
y od o y .
Th 11 h of h d o 11 b h vy fy doo
hod d hod b h b fo dvog h fo g
g .4
General practice
1. oy h o of d o h h hh y,*
ovdg o d d o , dg h hh ob
gd of h g, x o y oh h of h o od2. Mk f of hh o hogh oodg , okg
h oh ofo h y g d by gg h
f h oh . o kg o dvoy o fo
h h dd
3. Dvo o-d oh, od o dvd, h fy d
h oy
4. H q oo o, hh bh oh ov ,
hogh ffv oo b doo d
5. ob fo h ovo of ogd oy of ddby h d of h
6. H do-kg o dd by h v d
d of h oy
7. Mg oy boh h d ho hh ob of
dvd
8. Mg h dffd y y g
dvo, o of hh y q g vo
9. oo hh d bg boh by o d ffv vo
10. H oby fo h hh of h oy
11. D h hh ob h hy, yhoog, o, d
x do.
* d h f- gy, g y o b h o of o h h hhy
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The specialty o general practice/amily medicine
/fy doo hy d h of h d.
Thy o doo, y ob fo h ovo of ohv d
og o vy dvd kg d v of g, x d .
Thy fo dvd h ox of h fy, h oy d h
, y g h ooy of h . Thy og hy o hv ofo oby o h oy. gog g
h h hy g hy, yhoog, o, d x-
fo, g h kodg d gdd by d o.
/fy hy x h ofo o by oog hh, v-
g d d ovdg , o o. Th do h dy o hogh
h v of oh odg o hh d d h o vb h h
oy hy v, g h y g h v.
Thy k h oby fo dvog d g h k, o
b d v b fo ffv d f .
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Reerences
1 Md o. Good Medical Practice Lodo: Md o, 1998
2 o o of h MA d h oy og of o. Good
Medical Practice or General Practitioners Lodo: , 20023 H fo ovo d ovMedical Leadership Competency Framework ovy:
H , 2009
4 WOA Eo. The European Defnition o General Practice/Family Medicine Lodo: WOA Eo,
2005
5 Oxfod go o. Priority Objectives or General Practice Vocational Training Oo 30.Lodo: oy og of o, 1985
6 oy A og of o. General Practice Vocational Training Standards andRequirements Mbo: A, 2001
7 EE o. o Dv 93/16/EE o f h f ov of doo d h ogo of h do, d oh vd of fo qo Ofcial Journal o
the European Community 1993; 165
8 Herman J (d.). The EURACT Educational Agenda Lv: EU AT, 2006
9 WHO. Framework or Proessional and Administrative Development o General Practice/Family Medicine inEurope ohg: WHO Eo, 1998
10 tariel . Primary Care: balancing health needs, services and technology Oxfod: Oxfod Uvy ,1998
11 Dreus H d Dreus .Mind over Machine: the power o human intuition and expertise in the era o thecomputer Oxfod: k, 1986
12 laser . Tod od fo International Journal o Educational Research 1990; 14 (5): 477
13 McWinne .A Textbook o Family Medicine (2nd edn) Oxfod: Oxfod Uvy , 1997
14 tewart M, rwn J , Westn W W, McWinne , McWilliam L, Freeman T . Patient-Centered
Medicine: transorming the clinical method (2nd edn) Oxfod: dff, 200315 Haert JL. oy of BMJ2003; 327: 121921
16 Mariner M d ecam J (d). Clinical Futures Lodo: MJ ook, 1998
17 Hrer J. The Future General Practitioner Lodo: , 1972
18 cmit H , rman , suizen H A. A ogv v of d x: hoy doAcad Med 1990; 65: 61121
19 enletn D, ciel T, Tate , Haelc . The Consultation: an approach to learning and teachingOxfod: Oxfod Md , 1984
20 ttt H d Dais H. Th xo o h y ooJ Roy Coll GenPract 1979; 29: 2019
21 eiur . The Inner Consultation L: MT , 1987
22 ilerman J, Kurtz , Draper J. Skills or Communicating with Patients (2nd edn) Oxfod: dff Md, 2004
23 eln M, re J, ectr A (d). Decision-Making in General Practice Lodo: M , 1985
24 Kemper K J. Ho d = good d Pediatrics 2000; 105: 21418
25 ietrni . Ho d: o o b d Practitioner 1987; 231: 138690
26 Hwie J , Heane D J, Mawell M, Waler J J, Freeman K. Dvog oo qydx (Q) fo g Fam Pract 2000; 17 (6): 45561
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27 ttt H d Dais H. Th xo o h y oo J R CollGen Pract
1979; 29: 2015
28 reenal T d Eersle J. Quality in General Practice: towards a holistic approach Lodo:Kg Fd, 1999
29 Wilsn A. oo gh g : v Br J Gen Pract 1991; 41: 11922
30 Hwie J , rter A M D, Heane D J, Hptn J L. Log o ho oo o: oxy of qy of fo g Br J Gen Pract 1991; 41: 4854
31 Wilsn A, McDnal , Haes L, ne J. Hh ooo g : k dff BMJ1992; 304: 22730
32 Hrtal . d oy of : ogo Fam Pract 1989; 6:2928
33 Hrtal d Laerum E. oy of g : ff o foBMJ1992; 304: 128790
34 Freeman d Hrtal . Wh f fo oy of g ? BMJ1997;314: 18703
35 Hwie J . M 2000: qy g?Asia Pacifc Family Medicine 2002;
1: 89
36 Hwie J , Heane D J, Mawell M. Qy d o v d h g oo: of do, d dvy Fam Pract 2004; 21 (4): 45868
37 Elin d lant E.Health and Wellness: a holistic approach (4th edn) Lodo: Jo & oo,1992
38 utler , Eans M, reaes D, mpsn . Mdy xd yo: hboyhoo od fod gJ R Soc Med 2004; 97: 21922
39 Enel L. Th d fo d od: hg fo bod Science 1977; 196:12936
40 Enel L. Th o of h boyhoo odAm J Psychiatry 1980; 137:53544