Curriculum Map 1

The GP Curriculum Clinical Topics
3.02 Genetics in Primary Care

3.03 Care of the Acutely Ill
3.04 Children & Young People
3.05 Care of Older Adults
3.06/8 Womens & Sexual Health
3.07 Mens Health
3.13
3.14
3.15
3.16
3.17
3.18
3.19
3.20
3.21
3.x
3.10 Mental Health Problems

3.11 Intellectual Disability
3.12 Cardiovascular Health
Resources: NICE = established NICE guideline
InnovAIT article
Genetics in Primary Care: Chapter
3.02
Knowledge Base:
Understanding of basic clinical genetics
Awareness of significant family histories
Able to draw & interpret a family tree
Common gene disorders in GP
Multi-factorial conditions in GP
Referral guidelines & services
Other Aspects:
Ethical, cultural & religious aspects
Care of the Acutely Ill Patient: Chapter

3.03
Knowledge Base:
Cardiovascular emergencies
ACS, CVA, limb ischaemia
Respiratory emergencies
SOB, wheeze, stridor
CNS emergencies
Fits, LOC, confusion
Mental health problems
Self-harm, delusions, violence
Dangerous diseases
See main curriculum for list
Collapse
Anaphylaxis, major bleed, simple faint
Abdominal pain
Major injuries
Minor injuries
Other Aspects:
Understand organisation of OOH Care
Appropriate use of other emergency
services
Awareness of appropriate drugs &
equipment for the doctors bag
Basic life support/ AED training
ECG interpretation
Control of bleeding & suturing
Digestive Health
Drug & Alcohol Misuse
ENT & Facial Problems
Eye Problems
Metabolic Problems
Neurological Problems
Respiratory Health
Rheumatology & Musculo-skeletal
Skin Problems
Other Topics
EKU = Essential Knowledge Update IVT =
Where is this most likely to

be covered?
Other Resources/Comments
ST12 Teaching, Self-directed, elearning
Three useful websites:

1) National Library for Health
ST12
GP)
ST12
GP)
ST12
ST12
GP)
Teaching, Daily work (Paeds,

www.library.nhs.uk/geneticconditi
ons
Teaching, Daily work (GP)

2) Australian Handbook for GPs

3) Cancer Backup/ MacMillan
Daily work (GP), reflection
IVT1;8:540 (detailed)
IVT3;12:743(CF)

be covered?
Daily work (ED, Medicine, GP)

Teaching (ED, Top 20)
Daily work (ED, Medicine, Paeds,
GP)
GP)
Daily work (ED, Medicine,
Psychiatry,
GP) Teaching (ED, psychiatry)
Daily work (ED, Medicine ,O&G,
Paeds, GP) Teaching (ED, Top 20,
Paeds, ST123)
GP)
Teaching (ED, Top 20, Paeds)
Daily work (ED, T&O)
Daily work (ED, Paeds, T&O GP)
IVT6;6:362
GP OOH sessions
psychiatry)
GP OOH sessions
Daily work (GP)
GP OOH sessions
ED, Medicine, ST3 teaching
Daily work (ED, T&O, O&G, GP)
-1-
IVT1;6: 417 IVT4;4:198

IVT2;5:307
IVT7;9:517
IVT3;9:518
IVT3;9:500
IVT1;5:344 IVT4;4:191
Emergency drugs - AKT
favourite!
IVT4;4:204 IVT6;6:355
IVT3;8:479
RCGP requirement for CCT
Remember DOPS
Urinary catheterisation
Use of a nebuliser
Children & Young People: Chapter 8
Daily work (ED, Medicine)


be covered?
Daily work (ED, Paeds, GP)

Teaching(ED, Paeds, GP)
Daily work (ED, Paeds & GP)
Teaching (ED, Paeds, GP)
Teaching (Paeds)
Teaching (Paeds, GPST12)
Daily work (ED, Paeds, GP),
asthma clinic
Daily work (Paeds, O&G, GP)
Grand round, M&M meetings
Ward work, clinics, neonatal
checks, community week, GP.
Paeds teaching
Daily work (ED, ENT, Paeds, GP)
Teaching (ENT, GPST123)
Daily work (Paeds ward & clinic,
GP)
Teaching (Paeds)
NICE
www.spottingthesickchild.com
IVT8:5;274 (feverish child)
Knowledge Base:
Recognising the unwell child
Major infections & sepsis
Febrile convulsions, epilepsy & seizures
Upper respiratory tract infections
Lower respiratory tract infections
Asthma
Neonatal problems
Child growth, development &delay
Ear infections, hearing loss & deafness
Abdominal problems esp. abdominal
pain,
food intolerance and constipation
Childhood nutrition & breast-feeding
Urinary problems
Orthopaedics (hip dysplasia, limp,
injuries)
Diabetes
Psychological problems (enuresis,
bullying,
school refusal, sleep disturbance)
Mental health disorders (depression,
ADHD, autistic spectrum)
Other Aspects:
Child protection
Prevention & health promotion (incl.
immunisations, teenage pregnancies)
Paediatric BLS
Paediatric examination skills
Care of Older Adults: Chapter 9
Daily work (Paeds, GP)

Daily work (ED, Paeds, T&O, GP)
Daily work (Paeds ward & clinic,
GP)
Teaching (Paeds)
Community week, CAMHS, GP
work, Health Visitor liaison
IVT7;8:479
PCT prescribing policies
BTS guidelines
IVT4;3:160 IVT7;8:464
IVT8;5:266
IVT1;1:62 IVT3;12:708-724
AKT favourite
NICE IVT4;3:154
IVT3;5:285
IVT5;2:69 (GORD, food allergy)
IVT8;5:261 (Cows milk protein
allergy)
IVT8;3:133-145
IVT8;3:146 IVT8;4:223
IVT 4;6:319 4;2:87 IVT7;12:744
IVT5;2:83
IVT3;2:91 (enuresis) IVT3;2:95
(crying baby)
IVT1;11:743 IVT3;4:209
Community week, CAMHS, GP

work
Paeds induction, GPST3
Daily work (Paeds & GP)
ED, delivery suite, Paeds
induction
Teaching (ST3)
IVT1;1:79 IVT4;3:145
National immunisation policy
IVT2;2:86
IVT6;6:371

be covered?
Daily work (Medicine, Psych, GP)

Teaching (ST123)
IVT4;6:347 IVT 3;4:199

IVT2;4:230 IVT6;12:754
IVT7;4:233
IVT1;4:299
Knowledge base:
Dementias & mental health problems
Strokes
Falls

Top 20 teaching, Elderly care
clinic
-2-
IVT1;12:802 IVT2;9:546
Prescribing in the Elderly

Other Aspects:
Coordinating care for the elderly:
Social Care Team & benefits
Intermediate care & related services
Advanced life directives, capacity, legal
aspects (Court of Protection)
clinic
Daily work (ED, Medicine, GP),
Clinics,
Ward Pharmacist, Teaching (ST3)
Daily work (Elderly care, GP)
MDT meetings
PHCT work
Induction, daily work (Elderly
care, GP),
case discussions, reflecting on
own
practice
-3-
IVT1;12:813
Age Concern
www.ageconcern.org.uk
EKU4 (carers)
IVT4;6: 339
GMC guidance
BMA guidance (available to nonmembers via BMA website)
Womens/ Sexual Health: Chapters 10.1

& 11
Obstetrics:
Low risk/ routine AN Care (incl. screening)
High risk AN care
Problems in early pregnancy
Ectopic pregnancy
Problems in later pregnancy (esp. BP)
Normal intrapartum care
Post-natal care & complications
Breast-feeding
Neonatal examinations
Gynaecology:
Infertility
Contraception COC
POP
LARC
Sterilisation
Menstrual disorders
Common STIs (excl. HIV)
HIV infection
PV discharge
Ovary problems (cysts/ PCOS, ovary
cancer)
Pelvic pain incl. endometriosis
Bladder, incontinence & prolapse
Menopause & HRT
Screening, smears & colposocopy
Gynaecological Cancers
Other Aspects:
Breast disease - benign, screening,
cancer
Specialist histories Gynae, Obs, Sexual
Female Pelvic examination
Breast examination
Catheterisation
Multidisciplinary team working (nurses,
continence advisor, midwives, physio.)
Mens Health: Chapter 10.2

Knowledge Base:
Benign prostate disease
Prostate cancer and PSA tests
Foreskin problems
Testicle/ scrotal pain & swellings
Erectile dysfunction
Infertility & vasectomy
Other Aspects:
Catheterisation
Male genital examination
Cancer & Palliative Care: Chapter 12

be covered?
Clinic, CDS, Teaching (O&G), GP

work
Clinic, CDS, Teaching (O&G)
EPU, Teaching (O&G), On-call, GP
work
EPU, Teaching (O&G), On-call, GP,
ED
CDS, Teaching (O&G), On-call, GP
work
CDS, Teaching (O&G)
Ward work, On-call, GP, ED
GP work
Ward work, Paeds, GP
NICE EKU2 IVT1;8:579 IVT3;9:528
GP work, Clinic, Teaching (O&G)

GP work, Teaching (ST123)
IVT3;2:76 IVT7;1:5
IVT1;7:496 IVT1;11:729
IVT4;3:130
IVT5;3:164
IVT 4;9:515
IVT5;3:159
GP work,
GP work,
GP work,
GP work,
ST12)
GP work,
Teaching (ST123)
Teaching (ST123)
Teaching (ST123)
Clinic, Teaching (O&G,
GUM
GP work, GUM
GP work, GUM
GP work, Clinic, Teaching (O&G)
GP work, ED, O&G, Teaching
(O&G)
GP work, Clinic, Theatre, Teaching
(O&G)
GP work, Clinic, Teaching (O&G,
ST123)
GP work, Clinic, Teaching (O&G,
ST123)
Clinic, Teaching (O&G), Theatre
GP work
IVT3;8:539 IVT2;5:277 IVT7;1:25
IVT2;5:284 IVT7;1:14
IVT3;12:714 IVT6;5:293
IVT8;3:133
NICE IVT3;2:66 IVT6;5:307

IVT6;11:709
www.bashh.org IVT1:11:737
IVT3;3:124 IVT2;9:517
IVT5;3:154 IVT6 ;2 :61
IVT6;10:652 IVT6;12:781
IVT4;9:520
IVT2;9:510 IVT6;10:643
NICE (cancer) IVT2;1:24
IVT3;2:71 (PCOS)
IVT6;11:701
NICE IVT4;1:23
IVT2;1:10 IVT7;5:295
IVT8;4:204
NHS Screening Website EKU1
Remember DOPS
NICE
NICE IVT2;1:17 IVT3;9:545
IVT6;4:214 IVT6;11:717
EPU, Ward work, CDS, On-call

Daily work (ED, O&G, GP)
GP work
Ward work, ED, On-call
Clinics, Ward work, CDS, On-call,
GP
work
DOPS, Chaperone policies

IVT4;6:371

be covered?
Daily work
Daily work
Daily work
Daily work
(ST123)
Daily work
Daily work
(GP), Teaching (ST123)

(GP, Paeds, ED)
(GP, ED), Teaching
IVT1;9:631 IVT6;2:88 IVT8;4:238

IVT1;9:642 IVT4;9:509
(GP), Teaching ST3

(GP), clinics (O&G)
IVT3;1:44 IVT7;5:287
IVT4;9:495 IVT6;2:93
Daily work (most posts)

Remember DOPS
be covered?
Cancer Care:
Cancer epidemiology, risk factors
Cancer referral guidelines
Common cancers presentations &
treatment
Palliative Care:
Breaking bad news
Daily work (Medicine, GP)

Daily work (GP)
Daily work (Medicine, GP), MDTs,
Clinics
Palliative care services
Daily work (most posts), Clinics,

Seniors
Pain & symptom management
Palliative care at home

OOH care & crisis management
Daily work (GP)

Daily work (Medicine, GP, OOH)
IVT1;5:364
NICE
IVT6;4:197-214
IVT1;4:250 IVT8;6 Whole

Issue
IVT1;4:257 3;7:402 3;4:225
IVT7;10:581
District Nurse Team
Local guidelines/ handbook
Mental Health Problems: Chapter 13

Knowledge Base:
Anxiety disorders: diagnosis &
appropriate Rx
GAD, PTSD, phobia
Depression & self-harm
Bipolar disorder
Psychosis
Personality disorders
Eating Disorders
Somatisation disorder & heart-sinks
Other Aspects:
Organisation of psychiatric services
Emergency psychiatric care (incl. MH Act)
Psychological therapies
Learning Disability: Chapter 14
Knowledge Base:
Common causes of learning disability:
Downs, Fragile X, CP, autistic spectrum
Common behavioural problems:
Withdrawal, aggression, agitation
Neuro-psychiatric: Epilepsy, dementia
Other Aspects:
Health promotion in PLD
Capacity & consent, autonomy
Resources & support for patients & carers
Prejudice, discrimination and abuse
Cardiovascular Problems: Chapter 15.1

be covered?
Daily work (GP), Teaching (ST123)
NICE IVT2;10:628
IVT2;6:358(ocd)
IVT6;9:586(PTSD)
IVT1;3:187 IVT4;5;257
Daily work (ED, Psych, GP)

Teaching (ED, Top 20, Psych,
ST123)
Daily work (Psych, GP), Teaching
(Psych)
(Psych)
(Psych)
(Psych)
Daily work (Psych, GP)
Teaching (ST123, Psych), TRG
Daily work (ED, Psych, GP), OOH
Daily work (ED, Psych, GP), OOH
Teaching (ED, Psych, Top 20,
ST12)
be covered?
IVT4;5:296 IVT7;12:723
IVT2;6:364
IVT3;4:192
IVT1;11:759
IVT1;5:351 IVT7;12:709

Daily work (ED, Medicine, Psych,
GP)
ST12)
Daily work (GP), Teaching (Top
20)
Daily
Daily
Daily
Daily
work
work
work
work
Complex curriculum area with

major overlap into other areas
Some trainees will work in a
CAMHS/ PLD post Most practice
have a community home for
people with learning disability
IVT4;2:91-98 IVT6 ;3 :133-140
IVT2;11:636(ADHD, autism)
(GP)
(GP)
(GP)
(GP)

be covered?

Teaching (ED, Top 20, ST12)
IVT1;1:8 IVT3;10:570 IVT6;6:362

IVT7;6:330
Q-Risk NICE EKU1 IVT1;1:14
IVT5;4:195
IVT7;6:325
NICE
IVT 2;12:714 IVT5;4:204
IVT2;7:423
NICE IVT1;1:25 IVT3;10:578
IVT5;4:210 (pacemakers)
IVT2;7:430 (AAA)
Knowledge Base:
Coronary heart disease
Primary/ secondary prevention, risk
scores
Hypertension
Heart failure
Arrhythmias esp. atrial fibrillation
Other heart disease (esp. valve disease)
Peripheral vascular disease
Cerebrovascular disease
Thromboembolic disease
Varicose veins
Leg ulcers & peripheral vascular disease
Other Aspects:
Health promotion activities (including
local
& national resources & initiatives)
Basic life support/ AED training
ECG interpretation

Teaching (GPST12)
Teaching (ED, Top 20, ST12
Teaching (Top 20, ST12)
Daily work (Most posts)
Daily work (GP)
Fast-track GP referral pathways

Trust policies EKU1
PCT guidelines IVT3;10:562
IVT2;7:415 IVT7;2:122
Daily work (GP)
Smoking cessation, weight

management, exercise
ED , Medicine, Paeds, GPST3

teaching
RCGP requirement for CCT
Doppler assessments/ ABPI
Daily work (GP)
Digestive Problems: Chapter 15.2

Knowledge Base:
Acute abdominal pain
GI bleeding, PR bleeding
Dysphagia & GORD
Dyspepsia & ulcer-disease

be covered?

Daily work (ED, ENT, Medicine,
GP)
Teaching (Top 20, GP ST12)
IVT4;4:204 IVT6;6:355
IVT2;5:300 IVT7;1:36
IVY7;7:398
Jaundice , liver disease & gallstones
Daily work (ED, Medicine, GP),

clinics
Pancreatic disease

GP)
Teaching (Paeds, Top 20, GP
ST12)
Daily work (Medicine, Paeds, GP)
GP)
Teaching (Paeds, GP ST12)
Gastroenteritis & diarrhoea

Coeliac disease
Irritable bowel syndrome
Constipation & obstruction
Inflammatory bowel disease
Diverticular Disease
Colorectal cancer
Abdominal hernia
Perianal disease piles, pain & bleeding
Other Aspects:
Prevention & health promotion (diet
advice)
Investigations (blood results to scans)
Rectal examination
Drug & Alcohol Problems: Chapter 15.3
Knowledge Base:
Epidemiology: patterns of use and misuse
Presentations of alcohol & drug misuse
Complications of alcohol & drug misuse
Emergency treatment of misuse
Prescribing issues: Controlled drug
regulations
prescribing to addicts, for withdrawal
Other Aspects:
Screening & assessment tools
Support & harm reduction, brief
intervention
Rehabilitation & working with other
agencies
ENT & Facial Problems: Chapter 15.4
Daily work (GP)
IVT1;9:608 IVT2;8:486
IVT4;4:218
IVT7;7:389 IVT7;7:404
IVT2;:11:674 IVT3;3:137
IVT2;8:479 IVT2;3:140
IVT6;12:790
IVT2;11:662IVT3;3:166
Notification of infectious diseases
IVT2;2:80 IVT4;4:212
IVT2;8:471
IVT1;9:611
IVT3;5:290 IVT3;5:279
IVT1;9:615 IVT7;1:43
IVT4;4:223
IVT7;11:675
IVT7;11:668
Daily work (ED, GP)

Daily work (GP)
be covered?
Daily work (ED, Medicine, Psych
GP)
ST123)
Daily work (ED, Medicine, Psych,
GP)
Teaching (induction, ST123)
ST12
ST123
Simple advice through to

Dietetics
DOPS. Chaperone policies
Complex curriculum area that
overlaps into virtually every post
that you work.
Useful websites:
DoH Orange Book
www.smmgp.org.uk
www.talkktofrank.com
IVT1;2:141 IVT3;3:147
IVT4;11much useful material
on alcohol
IVT8:1 focus more on drugs

be covered?

Teaching ST123
Daily work, Teaching (ENT,
ST123)
ST123)
ST123)
Daily work (ED, ENT, GP)
Daily work, Clinic, Teaching (ENT,
ST123)

IVT2;1:50 IVT6;5:275
IVT2;3:167 IVT7;4:198
Knowledge Base:
Upper Respiratory Tract Infections
Other infections otitis externa, quinsy
Allergies simple rhinitis to anaphylaxis
Chronic rhinosinusitis
Epistaxis & nose infections
Hearing loss & deafness
Dizziness, vertigo & tinnitus
IVT2;3:158 IVT4;4:191
IVT5;4:220
IVT1;6:412 IVT6;12:774
IVT2;3:178 IVT6;5:269
IVT3;11:646 IVT6;5:283
IVT7;4:204
IVT8;2:90
IVT3;11:638 IVT8;2:98
Snoring and sleep apnoea

Head & neck lumps, suspected cancers
Facial pain & weakness
Speech & voice problems
Mouth problems incl. oral cancer
Other Aspects:
ENT examination incl. tuning fork tests
ENT surgery - guidance policies
ST123)
ST123)
ST123)
Daily work (GP)
ST123)
Daily work (GP)
Daily work (ENT, GP)
Daily work (GP), Teaching (ENT,
ST123)
IVT3;12:726
IVT2;8:452 IVT5;4:232
IVT7;9:542
IVT6;10:615
IVT3;7:415 IVT5;4:226
IVT4;1:6 IVT3;11:632
SIGN, local policies
Eye Problems: Chapter 15.5

Knowledge Base:
Eye emergencies recognition & referral
Gradual visual loss (cataract, macular
degen.)
Lid & lacrimal disorders:
Blepharitis, lumps, ectropion,
epiphora
Sticky eyes & conjunctivitis
The Red Eye recognising iritis etc
Corneal damage & ulcers (esp. contact
lens)
Eye movement disorders
Posterior vitreous detachment:
Floaters, flashing lights, retinal tears,
detach.
Other vitreo-retinal disease, esp. diabetic
Blindness disability, registration,
benefits
Other Aspects:
Eye examination in primary care
Driving regulations
Other eye services optician, orthoptist
Metabolic Problems: Chapter 15.6
Knowledge Base:
Obesity complications, interventions
Type 1 DM presentations &
emergencies
Diabetes in pregnancy
Lipid management (1 and 2 prevention)
Hypothyroidism
Hyperthyroidism & thyroid lumps
Gout
Other Aspects:
Health promotion
Type 2 DM team-working, engaging
patients
Prescription charge exemptions
Headaches & migraines

Dizziness, vertigo & tinnitus
Epilepsy, seizures & loss of
consciousness
Strokes
Parkinsons Disease & tremors
Neuropathies (entrapment &
Daily work (ED,GP), Teaching (ED,

ST123)
Daily work (GP)
IVT1;10: 699 IVT3;9:509

IVT7;9:526
IVT1;10:710 IVT6;9:555
IVT8;5:425

(Paeds, GP), Teaching
PCT referral guidelines

IVT5;3:133
School exclusion (HPA guidelines)
IVT8;5:418
(ED,GP), Teaching (ED,
IVT2;1:44 IVT7;5:267
(ED,GP), Teaching (ED,
IVT6;9:551
(GP), Clinic (Paeds)
IVT6;4:258
IVT7;5:261
Daily work
(ST123)
Daily work
ST123)
Daily work
ST123)
Daily work
Daily work (ED,GP), Teaching (ED,

ST123)
Daily work (GP)
Daily work (GP)
Daily work (GP), Teaching ST123
Daily work (GP)
Daily work (GP)
IVT6;9:563
RNIB website IVT5;3:147
DVLA website

be covered?
Daily work (GP)
NICE, PCT IVT1;5:387

IVT3;10:598
IVT7;2:99
IVT6;6:344
Daily work (ED, Paeds, Medicine,

GP)
Teaching (ED, Paeds, Top 20)
Type 2 DM in primary care
Neurological Problems: Chapter

15.7
Knowledge Base:

be covered?
Daily work
(O&G)
Daily work
Daily work
Daily work
Daily work
NICE EKU4 EKU5 IVT 2;12:702

IVT6;6:349 IVT7;3:168-180
(O&G, GP), Teaching

(GP)
(GP, ENT), Clinics
(ED, GP, T&O)
Daily work (GP)

IVT2;12:721
IVT8;2:75
IVT1;12:788
IVT6;11:681
Weight management referrals
Daily work (GP)
Where is this most likely

to be covered?

ENT, GP) Clinic, Teaching
(ENT, ST123)
Daily work (ED, Paeds,
Medicine, GP)
Teaching (ED, Top 20, ST123)
Daily work (Medicine, ED, GP)
clinic
Daily work (Medicine, GP),
Clinic
Daily work (T&O, GP)
IVT1;4:290
IVT3;11:638
IVT2;4:213
IVT8:5;283
IVT1;4:299
IVT2;4:222 IVT6;7:416 IVT6;9:600
IVT7;11:645
IVT2;9:538 IVT6;7:425
polyneuropathy)
Multiple Sclerosis
Chronic Fatigue Syndrome,
fibromyalgia
fatigue, tiredness, TATT
Sleep disturbance
Rare but important
Other Aspects:
Neurological examination (3 minute
neuro.)
Driving regulations

Daily work (GP)
Teaching (ST123)
IVT2;4:205 IVT7;11:651
IVT1;3:199
IVT 4;6:332(FM)
Daily work (GP)

Daily work (GP)
IVT6;12:745
IVT4;10:563 (MND)
Daily work (GP). Teaching

(ST123)
https://www.youtube.com/watch?
v=fgwN1P5PDaA
IVT6;7:405
DVLA website
Daily work (GP)
Respiratory Problems: Chapter 15.8

be covered?
Daily work (GP)

Teaching (GPST12)
Teaching (Top 20, GPST12)
Teaching (Top 20, GPST12)
PCT prescribing policies EBM
Knowledge Base:
Upper respiratory tract infections
Lower respiratory tract infections
Influenza
Asthma/ COPD
Lung fibrosis & asbestos disease
Occupational lung disease
Tuberculosis
Pulmonary embolism
Lung cancer
Other Aspects:
Health promotion activities esp. smoking
Radiology CXR requests
Home oxygen therapy
PEFR meters & diaries, Spirometry
Rheumatology Musculoskeletal:
Chapter 15.9
Knowledge Base:
Rheumatoid arthritis (includes RDMDs)
Other inflamm. diseases (SLE, ank spond
etc.)
Osteoarthritis
Gout
Polymyalgia and Giant Cell Arteritis
Osteoporosis
Neck pain
Back pain
Upper limb (shoulder, elbow, wrist, hand)

Lower limb (hip, knee, foot & ankle)
Pain management (acute and chronic)
Daily work (GP), Chest clinic

Daily work (ED, Medicine, T&O,
GP)
Palliative care team, MDTs
Daily
Daily
Daily
Daily
work
work
work
work
(GP)
(GP)
(Medicine, GP)
(ED, Medicine, GP)

IVT3;1:13
IVT1;5:380
BTS IVT1;3:222 IVT1;11:668
IVT1;6: 417 IVT6;4:223 240
IVT7;3:141 IVT7;10:609
IVT3;12:734 IVT7;3:133
IVT1;11:686
IVT3;1:20
NICE IVT1;3;233
IVT1;5:374
RCR Guidelines

be covered?
Daily work (GP, T&O), Teaching

ST123
Daily work (GP, T&O)
IVT2;10:585 IVT7;12:730, 738
Daily work (GP, T&O), Teaching

ST123
Daily work (ED, T&O, GP)
Daily work (T&O, GP), Teaching
ST123
Teaching (ED, ST123)
IVT3;11:671

IVT6;3:159
IVT6;11:681
IVT6;3:155
IVT6;3:148
NICE & RCGP Guidelines
IVT1;6:440 IVT4;2:114
IVT4;10:551
IVT2;7:402 IVT7;7:421(shoulder)
IVT4;6:325 (elbow)
IVT1;6: 417 IVT3;11:671 (hip)
IVT2;7:396 IVT7;7:428 (knee)
IVT3;11:657(foot)
Daily work (ED, Medicine, T&O,

GP)
Other Aspects:
Musculo-skeletal examination
Joint & soft tissue injections
Use of Radiology
Living with disability & sickness roles
Skin Problems: Chapter 15.10

Teaching ST123
Daily work (T&O, GP)
IVT2;7:408
RCR Guidelines

be covered?
Psoriasis
Daily work (Paeds, GP), Teaching

ST123
Acne & Rosacea

Hair & nail disorders
Benign skin lumps & lesions
Age-change in skin
Skin cancers
Daily
Daily
Daily
Daily
Daily
IVT1;6:423IVT2;6:336 IVT5;2:95
(Paeds)
IVT1;7:481 IVT5;2:102
IVT6;7:437
IVT1;7:470 IVT6;7:442
IVT4;2:63 IVT7;2:69 IVT7;3:160
Knowledge Base:
Eczema
work
work
work
work
work
(GP), Teaching ST123

(GP)
(GP)
IVT8;3:171 (AK)
IVT2;6:342 IVT3;4:215
IVT6;7:447
Skin infections
Daily work (ED, GP)
Itch & urticaria
Leg ulcers
Other Aspects:
Minor surgery skills
Health promotion & prevention
Daily work (GP), Nurses

Daily work (GP)
IVT3;7:388 IVT2;6:330
IVT8;3:154
IVT3;7:384 IVT7;2:83
IVT8;3:163
Other Topics: Chapter 15.x

Renal Disease:
Urinary Tract Infection
Renal impairment
Urinary incontinence
Haematuria (visible & non-visible)
Stone disease
Renal & bladder cancer
Pathology:
Haematology investigations normal
is
Anaemia, low counts & myelodysplasia
Polycythaemia & haemachromatosis
Lymphomas & leukaemias
Electrolyte disturbances
Other bloods
Other Topics:
Complimentary therapies

be covered?
Daily
Daily
GP)
Daily
Daily
Daily
Daily
work (all posts)

work (ED, Medicine, T&O,
PCT & Trust prescribing policies

IVT2;2:92 IVT 4;1:37
work
work
work
work
IVT4;1:23
NICE IVT3;1:30
IVT4;9:503
NICE IVT4;1:31
(O&G, GP)
(ED, GP)
(ED, GP)
(GP)

Daily
Daily
Daily
Daily
Daily
work
work
work
work
work
(ED, Medicine, GP)

(GP)
(GP)
(Medicine, GP)
(Medicine, GP)
IVT2;3:148
IVT2;8:458
IVT2;12:698 IVT6;6:334
IVT2;3:140(lft)
IVT6;7:453
The GP Curriculum: Non-Clinical Topics (Domains of

Competence)
1
2
3
4
5
6
Communication & Consultation Skills

Practising Holistically
Data Gathering & Interpretation
Making a Diagnosis & Decisions
Clinical Management
Managing Medical Complexity
Communication &
Consultation Skills:
Competency Domain 1
Explores the patients agenda
Explores the psychosocial context
Works in partnership to develop a
plan
Explores the patients understanding
Uses a variety of communication
techniques
and adapts these to suit the patient
Learns to use the consultation
flexibly to
achieve a variety of tasks
Practising Holistically:
Competency Domain 2
Explores the psychosocial context,
cultural
and socio-economic backgrounds
Recognises impact on patient, family,
carers
Uses support agencies appropriately
Aware of limits of Doctors ability to
intervene
7
8
9
10
11
12
Administration, IM&T Skills

Working in Teams
Community Orientation
Performance, Learning & Teaching
Practising Ethically
Fitness to Practice
Where is this most

likely to be covered?
Other
Resources/Comments
By seeing patients in General

Practice
Basic clerking skills are
established
throughout your clinical work
In your GP ST1 post you should
quickly
appreciate the differences
between
GP-based and hospital-based
patient
interactions
Observation: Watching
other GPs,
joint surgeries, use of
video
Teaching: key themes
explored in
ST1/2 teaching. Increases
in ST3
year, including use of
Sims, in
preparation for CSA exam
Books: The Naked
Consultation
is a great resource
IVT4;3:171
Where is this most

Other
Resources/Comments
By seeing patients in General

Practice
These are also key issues in
many
hospital posts (eg Care of
Elderly,
Psychiatry, Paediatrics) and all
work
experience is highly relevant
Please use your learning log

in the
e-portfolio to record
experiences
in this domain
Data Gathering &

Interpretation:
Competency Domain 3
Systematically gathers information
using
appropriately targeted questions,
examinations & investigations
Identifies implications of findings &
results
Develops an incremental approach
Where is this most

Newly-trained doctors are
unselective
in their approach. These are
core skills
required in every medical
specialty. General clinical
experience, observing
seniors, presenting cases,
receiving
feedback all help develop
these skills
Other
Resources/Comments
Making a Diagnosis/
Decisions:
Competency Domain 4
Develops pattern-recognition for
problems
early & undifferentiated
Uses probability, prevalence &
incidence,
natural history to aid decisionmaking
Uses time as a diagnostic tool and
reviews
decisions on light of new information
Thinks flexibly and generates
functional
solutions
Clinical Management:
Competency Domain 5
Uses natural history in management
plans
Learns to vary options appropriate to
circumstances, patient preference
Uses non-drug methods appropriately
including
complementary approaches
Safe and cost-effective prescribing
Appropriate and resource-effective
referrals
Continuity of care you are not
treating a
series of individual & unrelated
problems
Review and follow-up are appropriate
Managing Medical
Complexity:
Competency Domain 6
Simultaneously manages acute &
chronic
health problems
Is able to tolerate uncertainty
Learns how to communicate risk to
patients
and appropriately involves the
patient
Encourages a positive approach to
recovery
and rehabilitation
Encourages health promotion &
disease
prevention
Administration, IM&T Skills:

Competency Domain 7
Demonstrates ability to use the IT
Where is this most

Other
Resources/Comments
The spectrum of illness seen in

GP is
radically different from that
seen in
secondary care and a very
different
approach is required
These skills are acquired by
seeing
patients as a GP, discussing
cases with
your supervisor and being
receptive to
feedback
Where is this most

Other
Resources/Comments
Key GP skill - developing a

flexible
approach to management
plans that
suits a patients preference
Skills acquired by seeing
patients as a GP
Daily ward work. Tutorials in GP
ST1/2/3
Discussing prescribing &
referrals with
your supervisors
Skills acquired by seeing
patients as a GP
discussing cases with
supervisor,
reflecting on your use of
follow-up
Doing nothing may well be

the
most appropriate action!
Where is this most

Other
Resources/Comments
Basic skills acquired by seeing

patients
during course of daily work,
MDT
meetings, discharge planning
GP-specific elements developed
by
discussing cases with
supervisor,
reflecting on your
management
Where is this most

Induction training, use of hand-
Key issue in use of NHS

resources
(see Community
Orientation)
IVT6;7524
Over-use of follow-up is a
waste
of resource. Under-use is a
failing in continuity of
care.

in the
experiences
in this domain
Other
Resources/Comments
systems
in the current workplace
Good use of computer within the
consultation computer record & online resources
whilst maintaining good rapport
Produces comprehensive &
appropriate
clinical records
Develops general IMT skills to
facilitate
practice administration & clinical
governance
over
systems, general work
experience
Skills acquired working as a GP
Regular review of quality of
records
Watching self using computer in
videos
Audits, data analysis,
management
experience
Not just the GP IT systems
Working with Colleagues &

in Teams:
Competency Domain 8
Works co-operatively in the team,
values views
skills & contribution of others
Communicates effectively & shares
information
within the team
Contributes to development of the
team
Provides appropriate availability to
colleagues
and ensures patient care is not
compromised
Community Orientation:
Competency Domain 9
Understands health needs of local
community
Understands local health care
provision, uses,
and encourages patients to use,
appropriately
Awareness of limitations of local
resources and
optimises use of limited resources
Maintaining Performance,
Learning & Teaching
Competency Domain 10
Use of evidence-based medicine &
critical
appraisal skills. Medical statistics.
Commitment to self-directed learning
and use
learning cycles
Participation in audit
Engagement in significant event
reviews
Contributes to education of students
and
colleagues
Ethical Approach to
Practice:
Shows awareness of common ethical
dilemmas,
personal/ professional conflicts (eg
DNAR
end-of-life care, capacity & consent)
Recognising & taking action to
address,
prejudice & discrimation
Fitness to Practise:
Where is this most

Working within multi-disciplinary
teams
General team-working, handover
arrangements, MDT & PHCT
meetings
Other
Resources/Comments
in the
experiences
in this domain
Hand-over arrangements, cover

during
absences
Where is this most

Other
Resources/Comments
Experience in A&E, OOH

Case discussions with
supervisors
Tutorials in GP ST1/2/3
This domain is referring to

appropriate use of
available
resources
Where is this most

Other
Resources/Comments
Journal clubs, case discussions

Tutorials in ST1/2/3
Reading: How to Read a

Paper
by Trisha Greenhalgh
Content of PDP & learning log

Feedback from Educational
Supervisor
Audit meetings, ST3 GP audit
Departmental & PHCT meetings
Work with students, foundation
doctors
Study groups with peers
Where is this most

Induction, daily work, case
discussions,
reflecting on own practice
Where is this most

Other
Resources/Comments
GMC guidance
BMA guidance (available to
nonmembers via BMA
website)
EO&D training modules
Other
Resources/Comments
Observes accepted codes of practice

Balances professional & personal
demands
Awareness of issues with performance
of
colleagues and how to take action
Responds appropriately to feedback
and
complaints
Daily work, feedback from peers

&
supervisors, discussions with
supervisors
Trust & GP complaints policy
Reflecting on personal
experiences
Feedback from supervisors
GMC Good Medical

Practice

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The GP Curriculum Clinical Topics

3.02 Genetics in Primary Care

3.10 Mental Health Problems

Care of the Acutely Ill Patient: Chapter

EKU = Essential Knowledge Update IVT =

Where is this most likely to

ST12 Teaching, Self-directed, elearning

Three useful websites:

Teaching, Daily work (Paeds,

Teaching, Daily work (GP)

2) Australian Handbook for GPs

Daily work (GP), reflection

Where is this most likely to

Daily work (ED, Medicine, GP)

IVT1;6: 417 IVT4;4:198

Children & Young People: Chapter 8

Daily work (ED, Medicine)

Where is this most likely to

Daily work (ED, Paeds, GP)

Daily work (Paeds, GP)

Community week, CAMHS, GP

Where is this most likely to

Daily work (Medicine, Psych, GP)

IVT4;6:347 IVT 3;4:199

Daily work (ED, Medicine, GP)

Prescribing in the Elderly

Womens/ Sexual Health: Chapters 10.1

Mens Health: Chapter 10.2

Where is this most likely to

Clinic, CDS, Teaching (O&G), GP

NICE EKU2 IVT1;8:579 IVT3;9:528

GP work, Clinic, Teaching (O&G)

IVT3;8:539 IVT2;5:277 IVT7;1:25

NICE IVT3;2:66 IVT6;5:307

EPU, Ward work, CDS, On-call

DOPS, Chaperone policies

Where is this most likely to

(GP), Teaching (ST123)

IVT1;9:631 IVT6;2:88 IVT8;4:238

(GP), Teaching ST3

Daily work (most posts)

Where is this most likely to

Daily work (Medicine, GP)

Palliative care services

Daily work (most posts), Clinics,

Pain & symptom management

Daily work (most posts)

Palliative care at home

Daily work (GP)

IVT1;4:250 IVT8;6 Whole

Mental Health Problems: Chapter 13

Where is this most likely to

Daily work (GP), Teaching (ST123)

Daily work (ED, Psych, GP)

Daily work (GP), Teaching (ST123)

Complex curriculum area with

Where is this most likely to

Daily work (ED, Medicine, GP)

IVT1;1:8 IVT3;10:570 IVT6;6:362

Daily work (ED, Medicine, GP)

Fast-track GP referral pathways

Daily work (GP)

Smoking cessation, weight

ED , Medicine, Paeds, GPST3