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]


Cardiovascular Direct link to the Cardiovascular reference material

Symptoms:

 

Chest pain (cardiac causes, e.g. ischaemic heart disease, pericarditis and aortic dissection, versus non-cardiac causes, e.g. chest wall/musculoskeletal, psychological, respiratory, gastrointestinal)

  Breathlessness (heart failure, respiratory problems, thromboembolism, anaemia, obesity, malignancy)
 

Ankle swelling (heart failure, thromboembolism, venous stasis, varicose veins, deep vein thrombosis (DVT), leg ulcers, lymphoedema, anaemia, obesity, malignancy, hypoproteinemia)

  Symptoms or signs thought to be due to peripheral vascular disease (arterial and venous)
  Palpitations and silent arrhythmias
 

Signs and symptoms of cerebrovascular disease

  Collapse.

Common and/or important conditions: 

 

Coronary heart disease (angina, acute coronary syndromes, cardiac arrest)

 

Heart failure

  Arrhythmias (ectopic beats, atrial fibrillation and flutter, narrow and broad complex tachycardias, bradyarrhythmias)
  Other heart disease (valve disease, cardiomyopathy, congenital)
  Peripheral vascular disease (arterial and venous)
  Cerebrovascular disease (stroke and TIA)
  lipids
  Hypertension
  Thromboembolic disease.

Investigations: 

  Blood pressure measurement
  Electrocardiogram (12-lead ECG)
  24-hour ambulatory blood pressure measurement
 

Venous dopplers and ankle brachial pressure index (ABPI) measurement

  Knowledge of secondary care investigations and treatment including echocardiography, 24-hour arrhythmia monitoring, venography, invasive procedures such as angioplasty, coronary artery bypass grafting.
Emergency care:
  Acute treatment of people presenting with cardiovascular problems or symptoms thought to be due to cardiovascular problems.

Prevention

    Blood pressure
   

Lipids

    Smoking
    Other modifiable risk factors (including alcohol, exercise, obesity and diet)
    Fixed factors: age, ethnicity, sex and family history
   

Co-morbidities especially diabetes (see also the Metabolic Problems curriculum statement)

    Combining risk factors – risk calculation and communicating risk.
Understanding of the other health team professional
    Nurse-led cardiovascular disease annual review assessments in practice and gain an understanding of the follow-up of hypertensive patients in the practice’s clinics that are often led and delivered by a prac­tice nurse.
    Nurses in the assessment and management of leg ulcers or ankle oedema by attending their clinics or home visits.
    Opportunity should also be taken to observe cardiovascular rehabilitation programmes led by physiotherapists.
    Chronic disease management including specific disease management, systems of care, multidisciplinary teamwork for people with established cardiovascular problems, rehabilitation and also palliative care for those with end stage cardiac failure