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]


Ophthalmology Direct link to the Ophthalmology reference material

Common and/or important conditions: 

 

Disorders of the lids and lacrimal drainage apparatus:

   

Blepharitis

   

Stye and chalazion

   

Entropion and ectropion

   

Basal-cell carcinoma

   

Naso-lacrimal obstruction and dacryocystitis

 

Sclera, cornea and anterior uvea:

   

Conjunctivitis (infective and allergic)

   

Dry eye syndrome

   

Episcleritis and scleritis

   

Corneal ulcers and keratitis

   

Iritis and uveitis

 

Disorders of refraction:

   

Cataract

   

Myopia, hypermetropia, astigmatism

   

Principles of refractive surgery

   

Problems associated with contact lenses.

 

Disorders of aqueous drainage:

   

Acute angle closure glaucoma

   

Primary open angle glaucoma

   

Secondary glaucomas

 

Vitreo-retinal disorders:

   

Flashes and floaters

   

Vitreous detachment

   

Vitreous haemorrhage

   

Retinal detachment

 

Disorders of the optic disc and visual pathways:

   

Swollen optic disc: recognition and differential diagnosis

   

Atrophic optic disc: recognition and differential diagnosis

   

Pathological cupping of the optic disc

   

Migraine

   

Transient ischaemic attacks (TIAs)

 

Eye movement disorders and problems of amblyopic binocularity:

   

Diplopia

   

Non-paralytic and paralytic strabismus

Investigations: 

 

Know the secondary care investigations and treatment including slit lamp, eye pressure measurement

Emergency care:

 

Superficial ocular trauma, including assessment of foreign bodies, abrasions and minor lid lacerations

 

Arc eye

 

Severe blunt injury, including hyphaema

 

Severe orbital injury, including blow-out fracture

 

Penetrating ocular injury and tissue prolapse

 

Retained intra-ocular foreign body

 

Sudden painless loss of vision

 

Severe intra-ocular infection

 

Acute angle closure glaucoma.

Treatment:

 

Understand and be able to explain to the patient about the use of medications including mydriatics, topical anaesthetics, corticosteroids, antibiotics, glaucoma agents

 

Removal of superficial foreign bodies from the eye

Prevention:

 

Genetics – family history

 

Co-morbidities especially diabetes and hypertension

Understanding of the other health team professional

   

Understand the organisation of screening for eye problems in primary and secondary care and how to access it, e.g. diabetic retinopathy, glaucoma, visual acuity testing, squint

   

Describe the services offered by the health promotion agencies, school health service, community eye clinics, orthoptist, optometrist, secondary care, social services and voluntary agencies, and know when referral is appropriate.