Sexual health

Nottingham Vocational Training Scheme
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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"

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

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]

[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]

[Teaching, mentorship and clinical supervision]

Sexual health Direct link to the Sexual health reference material

Symptoms:
	Genital skin conditions including rashes, ulcers and lichen sclerosis
	Ano-genital lumps
	Abnormal genital smell
	vaginal discharge and penile urethral discharge
	Pain on passing urine in men and women
	Lower abdominal pain in women
	Testicular pain and swelling
	Pain on intercourse
	Intermenstrual bleeding
	Vaginal bleeding after sex
Common and/or important conditions:
	Urinary tract infections in women
	Bacterial vaginosis
	Candidiasis
	Group B haemolytic streptococcus
	Chlamydial infections
	Gonorrhoea
	Trichomonas vaginalis
	Ano-genital ulcers – herpes simplex, syphilis, tropical infections, primary HIV infection
	Ano-genital warts
	Conditions suggestive of immunosuppression (e.g. pneumocystis, pneumonia, tuberculosis, lymphoma, seb¬orrhoeic dermatitis or oral thrush) or of primary HIV infection
	Syphilis
	Conjunctivitis (neonatal and adult)
	Reiter’s syndrome
	HIV/AIDS and the presentations/complications including pneumocystis pneumonia, candidiasis, cryptococcus, Kaposi’s sarcoma, toxoplasmosis, lymphoma, hepatitis, tuberculosis
	Sexual dysfunction
Investigations:
	Pregnancy testing
	Urinalysis
	Approaches to the diagnosis of bacterial vaginosis in primary care
	Blood tests for HIV and syphilis
	Blood tests for hepatitis B and their interpretation
	Microbiology and virology swabs – which to use, which samples to take, limitations of tests and interpretation of results
	Secondary care investigations, e.g. colposcopy
Emergency care:
	Emergency hormonal contraception
	Emergency intra-uterine contraception
	The role of post-exposure prophylaxis (PEP) in HIV prevention
	Referral for suspected Pneumocystis carinii pneumonia
	Responding to early presentation of rape and sexual assault
Treatment:
	Contraception – effectiveness rates, risks, benefits and appropriate selection of patients for all methods, including methods of emergency contraception
	Contraception – the safe provision of all methods of oral contraception (including emergency hormonal contraception) and also contraceptive patches and DMPA injections
	Contraception – knowledge and availability of intra-uterine methods of contraception (including as a method of emergency contraception), subdermal implants, sterilisation and natural family planning
	Abortion – methods and the legal procedures relating to referral for abortion
	Principles of treatment for common conditions diagnosed and/or managed in primary care (see above)
	Principles of antiretroviral combination therapy for HIV/AIDS, potential side effects and the role of the GP in their management in primary care
Prevention:
	Health education and prevention advice – safe sex and risk reduction
	Unplanned pregnancies
	National screening programmes – cervical screening, chlamydia, antenatal HIV testing Hepatitis B immunisation programme
	Occupational risks – exposure to needle stick injuries

Understanding of the other health team professional
		Principles of, and current guidance for, partner notification
		Access to local sexual health services, including services that provide: specialist contraceptive care; termination of pregnancy; STI diagnosis and management; HIV management; and services for relationship problems and sexual dysfunction.