Year 5 GP5: Community Care

SDL & CE: Cardiovascular Disease

General Practice Outcomes: History and Examination

1. Can take a detailed and comprehensive history from a patient in a community setting (click here for list )
2. Can undertake a number of specialist examinations in a community care setting (click here for list)

General Practice Outcomes: Practical Procedures

1. Is able to perform common diagnostic proceedures or techniques (click here to see list)

General Practice Outcomes: Prescribing and Therapeutics

1. Has an in depth understanding of how to manage conditions commonly encountered in community practice (click here to see list)
2. Identify the clinical risks associated with poly-pharmacy and drug interactions
3. Illustrate the requirements for prescribing in general practice
4. Understands the role of community pharmacy in care for patients; medicine usage and understanding, concordance, dispensing rules and regulations including Controlled Drugs
5. Explain common problems and solutions around pain control, drug use and administration

General Practice Outcomes: Preventative Care and Health Promotion

1. Identify the benefits and problems of early or pre-symptomatic diagnosis

General Practice Outcomes: General

1. Analyse the nature of the doctor-patient relationship and how this relationship is used in contacts with patients
2. Value and practise good communication skills
3. Demonstrate professional behaviour when undertaking independent tasks
4. Has an in depth knowledge of disease mechanisms underlying conditions commonly encountered in community practice (click here to see list)
5. Appreciate the potential clinical risk in unsupported settings and in the undifferentiated presentation of illness out of hours.
6. Demonstrate the importance of making decisions in partnership with colleagues and patients
7. Can explain common proceedures encounterd in community settings and communicate appropriately with collegues (click here to see list)
8. Appreciate how the doctor's own views, feelings and life experiences influence patient care
9. Appreciate that uncertainty exists and how to minimise risk to the patient, doctor or carer
10. Understands the importance of the family as well as the cultural, socio-economic and psychological background in the management of patients and how they present in general practice
11. Knows the natural history of common acute, chronic and self limiting conditions as seen in general practice (click here for list)
12. Understand the role of informal carers in the community
13. Recognition and management of sudden and undifferentiated illness in the community (click to see list)
14. Demonstrate the importance and problems in patients' adherence to therapy
15. Understands the importance of teamwork in primary care and the skills and responsibilities of individual members both in the surgery and in continuing care at home
16. Has an appreciation of the varying roles of different health professionals working in primary care
17. Understand the role of the multidisciplinary healthcare team in the care of patients and their families
18. Understand special concerns and considerations around sub-fertility and referral opportunities
19. Demonstrate counselling for different contraception type and termination of pregnancy
20. Understand the effect of illness on the community
21. Understand the relationship between primary care and community services, secondary care, social services and the “voluntary sector
22. Understands the difference between general practice/community based practice and hospital based practice
23. Understand why patients access health care in an urgent manner
24. Experience out of hours attachments; Walk-in centre/polyclinics/primary care centres/Emergency and Urgent Care Centre
25. Understands the difference in doctor-patient relationships in the OOH setting
26. Understand the need to identify high risk groups in general practice
27. Describe Health Education practice in primary care
28. Discuss the methods of prevention and health education within the Community including screening
29. Describe team working in end-of-life care
30. Know about the role of funeral directors and support for bereaved families
31. Describe relevant details regarding rituals for death management, and legal aspects of certification and cremation
32. Is able to identify examples of end of life decision making