nMRCGP Curriculum

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

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"

Aspects of clinical governance:

Describe the elements of clinical governance:

quality improvement (including clinical audit)

leadership

evidence-based practice

dissemination of good practice, ideas and innovation

Clinical Risk Reduction

detection of adverse events

learning lessons from complaints

addressing poor clinical performance

professional development programmes

high-quality data and record keeping

Describe the relationship between clinical governance, continuing professional development, appraisal and revalidation Describe the key aspects of NHS quality improvement systems, at national and local levels Describe the General Medical Council’s Good Medical Practice and the RCGP’s Good Medical Practice for General Practitioners

Describe the codes and standards that apply to GPs and primary care - professional, regulatory, NHS, legal and other [e.g. local] standards, clinical and professional conduct

Describe a definition of clinical guidelines, their development, knowing how to assess the quality of a clin-ical guideline, kite-marking, differences between a CG and a protocol, the method for development in the UK

Demonstrate a working knowledge of performance indicators, their uses and abuses Describe the system of underperformance, methods of diagnosis and management, and local procedures

Describe when it is appropriate to raise concerns and how to access local complaints systems – to know what action to take when a colleague gives cause for concern, whether a fellow doctor in primary or secondary care or other healthcare professional, and the support available

Describe the accountability of a GP

Describe how the performance of a GP and a practice might be defined and assessed

Describe the requirements for a practice-level clinical governance lead and their key relationships internally and externally

Person centred care: 

Describe techniques for ascertaining the views of patients, e.g. quantitative methods including surveys or qualitative interview techniques including focus groups

Discuss the benefits of involving lay people in the improvement of health services and setting up patient fora and groups

Demonstrate that they share the decision-making process with patients in their consultations

Describe the benefits of allowing patients access to their records

Describe the benefits of engaging patients in the care of others, e.g. the Expert Patient Programme

Describe the NHS complaints systems and optimal methods for learning from complaints and dealing with patients

Use the essential components of clinical governance: 

Conduct a clinical audit

Conduct a significant event audit

Demonstrate skills in giving colleagues feedback about critical incidents

Develop and organise practice information systems about performance Locate information about standards, clinical guidelines, critical appraisal and databases

Appraise critically data about performance indicators (e.g. prescribing, referrals, chronic disease management) their determinants and variation

Describe the variation in GP and practice performance and the determinants of this

Undertake a change management project in introducing a clinical development or guideline

Conduct a PDSA cycle (plan–do–study–act)

Personal attitude:

Discuss awareness of his or her own capabilities and values

Discuss awareness of self: an understanding that his or her own attitudes and feelings are important deter-minants of how he or she practises

Discuss, justify and clarify personal ethics

Describe the interaction of work and the doctor’s own private life, and striving for a good balance between them