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]

Women's health Direct link to the Women's health reference material

Symptoms:

 

Breast pain, breast lumps, nipple discharge
 

Pruritis vulvae, vaginal discharge
 

Dysparunia, pelvic pain, endometriosis

 

Amenorrhoea, menorrhagia, dysmenorrhoea, inter-menstrual bleeding, irregular bleeding patterns, post¬menopausal bleeding, pre-menstrual syndrome, menopause, menopausal problems
 

Infertility – primary and secondary
 

Urinary malfunction: dysuria, urinary incontinence
 

Faecal incontinence
 

Emotional problems, including low mood and symptoms of depression.

Common and/or important conditions: 

 

Abnormal cervical cytology
 

Vaginal and uterine prolapse
 

Fibroids
 

Gynaecological infections including Bartholin’s abscess and sexually transmitted infections

 

Gynaecological malignancies
 

Miscarriage and abortion
 

Ectopic pregnancy
 

Trophoblastic disease

 

Normal pregnancy and pregnancy problems including hyperemesis, back pain, symphysis pubis dysfunction, multiple pregnancy, growth retardation, pre-eclampsia, antepartum haemorrhage and abruption, premature labour, polyhydramnios, abnormal lies, placenta praevia, deep vein thrombosis and pulmonary embolism, post dates, reduced movements, intra-uterine infection, intra-uterine death, foetal abnormality

 

Sexual dysfunction including psychosexual conditions
 

Mental health issues including anxiety, depression, suicide, eating disordersiii and the relationship between these, pregnancy and the menopause

Investigations: 

 

Pregnancy testing
 

Urinalysis, MSU (mid-stream specimen of urine) and urine dipstick
 

Blood tests including renal function tests, hormone tests
 

Bacteriological and virology tests

 

Knowledge of secondary-care investigations including colposcopy and subfertility investigations

Emergency care:
 

Bleeding in pregnancy
 

Suspected ectopic pregnancy
 

Domestic violence

Treatment:
 

Menopause management including hormone replacement therapy
 

Knowledge of specialist treatments and surgical procedures including: laparoscopy, D&C, hysterectomy, oopherectomy, ovarian cystectomy, pelvic floor repair, medical and surgical termination of pregnancy, sterilisation z Understand the risks of prescribing during pregnancy

Prevention:
 

Outline screening strategies relevant to women (e.g. cervical, breast, other cancers, postnatal depression) and discuss their advantages/disadvantages

 

Pre-pregnancy issues discontinuing contraception, folic acid, family and genetic history and lifestyle advice
 

Pregnancy care including health promotion, social and cultural factors, smoking and alcohol, age factors, previous obstetric history, diabetes and obesity, rhesus problems and use of antidepressants, hypertension and other medical problems, anaemia, acid reflux, leg ache and varicose veins, haemorrhoids, rubella testing and immunisation
 

Risk assessment, screening and management of osteoporosis