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]

Digestion Direct link to the Digestion reference material

Symptoms:

 

Dyspeptic symptoms (epigastric pain, heartburn, regurgitation, nausea, bloating)

 

Abdominal pain
 

Nausea, vomiting, anorexia, weight loss
 

Haematemesis and melaena
 

Rectal bleeding, tenesmus
 

Jaundice
 

Diarrhoea and constipation
 

Dysphagia

Common and/or important conditions: 

 

GORD
 

Non-ulcer dyspepsia, gastritis, peptic ulceration
 

Gallstones
 

Irritable bowel syndrome
 

Gastroenteritis
 

Constipation
 

Coeliac disease
 

GI cancers (oesophageal, gastric, hepatic, pancreatic, colonic)
 

Inflammatory bowel disease
 

Diverticulosis

 

Acute abdominal conditions, e.g. appendicitis, cholecystitis, pancreatitis Perianal disease (e.g. haemorrhoids, perianal haematoma, pilonidal sinus)

Investigations: 

 

Liver function tests
 

Amylase
 

H. pylori testing – serology, breath test, stool antigen testing
 

Coeliac antibody screening
 

Stool testing
 

Faecal occult bloods

 

Abdominal ultrasound
 

Knowledge of secondary care investigations including endoscopy (oesophago-gastro-duodenoscopy, sigmoidoscopy, colonoscopy), abdominal imaging techniques (barium swallow, barium enema, computed tomography), liver biopsy, endoscopic retrograde cholangio-pancreatography and jejunal biopsy

Emergency care:
 

Recognition of the acute abdomen
 

Acute management of haematemesis and melaena

Treatment:
 

Understand principles of treatment for common conditions managed largely in primary care
 

Be aware of secondary care management of digestive problems, including surgical options.

Prevention:
 

Dietary advice to include five portions of fruit or vegetables daily
 

Smoking cessation and alcohol reduction to prevent GI cancers