GP Curriculum Colette McNally

Feelings? Thoughts? Learning Needs?

The Structure of the Curriculum Being a General Practitioner The Core Curriculum 31 Interpretative Statements

The Core Statement Being a General Practitioner: Published in January 2007 Does anyone know what inspired the content of the core curriculum?

World Organisation of (family Doctors) of National Colleges, Academics, Academic Associations of GPs/family physicians

The Three Essential Application Features The Core Curriculum Domains Primary Care Management Person-Centred Care Specific Problem-solving Skills A Comprehensive Approach Community Orientation A Holistic Approach The Three Essential Application Features Contextual Aspects of Care Attitudinal Aspects of Care Scientific Aspects of Care

The Structure of Each Interpretative Statement

Domain 1: Primary Care Management Consult effectively Have sufficient knowledge and skills to manage the patient Refer appropriately to all services Use IT effectively, engage in audit and practice management Act as an advocate for the patient

Domain 2: Person-Centred Care Person-centred RCGP consultation style Foster effective doctor-patient relations Work with the patent and respect their autonomy

Domain 3: Specific Problem-Solving Skills Consult in a patient centred manner as per guidance Use disease prevalence to guide decision making Use watch and wait appropriately Investigate appropriately Tolerate uncertainty

Domain 4: A Comprehensive Approach Manage acute and chronic conditions, sometimes simultaneously in a consultation Individualised care tailored to patient need and to their health beliefs Health promotion

Domain 5: Community Orientation Understand your local population with respect to health, social care, ethnicity, poverty etc Manage the patient with the community issues in mind Resource management

Domain 6: A Holistic Approach Use the bio-psycho-social model Consider cultural and existential dimensions

Essential Features: Contextual Aspects Impact of local community on patient care Understand the impact of GP workload and facilities on patient care Understand practice legal and financial frameworks Understand the impact of the doctor’s surroundings on the care they provide

Essential Features: Attitudinal Aspects Awareness of limits of expertise Identify ethical issues Awareness of own attitudes and beliefs in context Valuing and encouraging contribution of others Participate in service management and improvement Justify and clarify personal ethics Work-life balance

Essential Features: Scientific Aspects Research principals and statistics Thorough up-to-date knowledge of GP Critically appraise literature Effective CPD for lifelong learning

Two Useless Facts The curriculum includes about 1350 learning outcomes If printed out it weighs 3.5kg

Ownership Each statement has a ‘Curriculum Statement Guardian’ Anyone can apply to be a Guardian Guardians are responsible for the quality and content of the statement Guardians are not remunerated

E-GP All modules mapped to curriculum statements Completion of a module automatically creates a log entry (within 24 hr) The log entry is only partly constructed so the trainee can complete it and transport further learning needs to their PDP