Nottingham Vocational Training Scheme

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nMRCGP:

[ Guide to the nMRCGP and assessment ]

[ Curriculum ] [ Curriculum reference material ]

[ Workplaced Based Assessment (WBA) ] [ The CSA and AKT Examination ]

[ PMETB ] [ The RCGP website for nMRCGP ] [ nMRCGP examination dates and regulations ]

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nMRCGP Curriculum

The three year training program is based on the Royal College of General Practitioners Curriculum for General Practice

Curriculum

Reference material

Work Placed Based Assessment

The Examination: CSA&AKT

e-Portfolio

The full RCGP curriculum can be viewed  by clicking "RCGP Curriculum for General Practice"

The RCGP WPBA website can be viewed by clicking "RCGP WPBA"

Clinical psychomotor skills from the Curriculum statements have been collated into one document under the DOPS section of WBA. Click here to view

Locality based learning - the 12 Competencies The Core Curriculum statement  [Being a GP]

[Communication and Consultation Skills] [Practising Holistically] [Data Gathering and Interpretation] [Making a Diagnosis/Making Decisions] [Clinical Management]

[Managing Medical Complexity] [Primary Care Administration and Information Management and Technology] [Working with Colleagues and in Teams]

[Community Orientation] [Maintaining Performance, Learning and Teaching] [Maintaining an Ethical Approach to Practise] [Fitness to Practise]

Whole day learning - the Curriculum statements 

[Being a GP] [The GP consultation] [Clinical Ethics and Values] [Evidence based health care] [Clinical Governance] [Equality and diversity]

[Management in primary care] [Information technology] [Research and academic activity]     

[Patient Safety Management] [Healthy living] [Genetics] [Acutely ill People] [Children & Young People] [Older Adults] [Women's health] [Men's health]

[Sexual Health] [Cancer & Palliative Care] [Mental Health Problems] [Drugs and Alcohol] [Learning Disabilities] [Respiratory] [Cardiovascular] [Gastroenterology]

[Ophthalmology] [Neurology] [ENT & Facial] [Rheumatology and Trauma] [Dermatology] [Metabolic]

Trainers workshops

[Teaching, mentorship and clinical supervision]


Drugs and Alcohol Direct link to the Drugs and Alcohol reference material

Symptoms

 

Of opiate misuse – needle track marks, pinpoint pupils, runny nose, drowsiness

 

Of stimulant use – agitation, skin ulceration

 

Suggestive of cannabis use – red eyes, irritability, anxiety, panic disorder

 

Manifestation of alcohol problems:

 
  • physical: accidents, victim of violence, obesity, dyspepsia, erectile dysfunction, fits, foetal alcohol syndrome, liver damage, anaemia, neurological and central nervous system problems

 
  • psychological: anxiety, depression, attempted suicide

 
  • social: loss of employment, disorderly conduct, domestic violence, drink-driving, relationship problems or breakdown

Common and/or important conditions: 

 

The common complications of drug-using or misusing habit:

 
  • those related to the drug used (e.g. heroin, cocaine, alcohol, cannabis)

 
  • those related to the route of use (such as injecting, inhalation)

 
  • those related to the lifestyle related to a drug-using habit (poor nutrition, poor dentition, social problems)

 

Have an understanding of the aetiology, presenting symptoms, treatment and prevention of HIV infection, hepatitis A, hepatitis B, hepatitis C

 

The health and social burden of excess alcohol consumption

Investigations: 

 

Have an understanding of the nature and role of urine, and other tests in the management of drug treatment

 

The use of screening tools for alcohol such as Cut down Annoyed Guilty Eye-opener (CAGE) and Alcohol Use Disorders Identification Test (AUDIT)

Treatment:

 

The National Clinical Guidelines for the care and management of a drug-using patient

 

The principles and practice of appropriate safe prescribing for patients who use drugs

 

The principles and practice of dose induction and safe prescribing for the drug-using patient

 

The range of treatment interventions available including pharmacological interventions

 

The impact that health professionals can make by providing brief intervention for excess alcohol use.

Emergency care:

 

Have an understanding of the aetiology and prevention of drug-related deaths

 

Alcohol-related emergencies such as fits, delirium and psychosis

Prevention:

 

Have an understanding of the term harm reduction, the strategies that can be employed in harm reduction and the advantages and disadvantages of undertaking a harm reduction approach to treatment.