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NW Thames

Contents:

bulletHealth and disease
bulletDevelopmental
bulletHuman behaviour
bulletMedicine in society
bulletThe Practice

A. Health and Disease

1. Skills and use of equipment

Appropriate physical examination
Cardio-pulmonary resuscitation
Use and interpretation of ECG
Use of the nebuliser
Use of the PEFM
Suturing
Removal of foreign bodies:

bulletear
bulletnose
bulleteye

Packing and cautery of nose
Blood glucose monitoring
Urine testing and examination
Catheterisation
Tests of vision
Audiometry
Treatment of warts and verrucas
Treatment of ingrowing toenails
Taking a cervical smear
Proctoscopy
Injection of the joints
Treatment of ganglions
Immunisation

2. Prescribing

Writing prescriptions
Prescribing controlled drugs
Product liability
Prescribing for children
Prescribing for elderly patients
Prescribing in pregnancy
Prescribing in breast feeding
Notification of adverse drug reactions
Repeat prescribing

3. Emergencies

The unconscious patient
Acute abdominal pain
Internal bleeding
Haematemesis
Convulsions
Myocardial infarction
Acute dyspnoea
CVA
Poisoning
Acute injuries
The very sick child
Sudden death
Hypoglycaemia
The violent patient
The disturbed patient
First aid for trauma
The Mental Health Act
The abused child
Cot death
Miscarriage
Obstetric emergencies

4. Other complaints (adults)

The tired patient
The patient who cannot sleep
The anxious patient
The depressed patient
The confused patient
The patient with altered sensation
The patient with episodes of loss of consciousness
The patient who is clumsy or weak
The patient with speech difficulty

Headache
Facial pain

The patient with hearing difficulty
The patient with pain in the ear
The patient with a discharging ear
The patient with noises in the ear.
The dizzy patient

The patient with a stuffy or runny nose
The patient whose nose is bleeding

The patient with a sore throat
The patient who has hoarseness
The patient with a cough
Shortness of breath

Chest pain
Palpitations
Swollen ankles
Aching legs
Leg ulcers
Pain in the mouth
Dental problems
Difficulty swallowing
Pain passing urine
Incontinence

Scrotal swellings
Lumps in the groin
Period problems
Vaginal discharge and discomfort
Sexual difficulties
Infertility
Menopausal problems

Contraception
Care during pregnancy
Postnatal care

Lumps in the breast

Pain in the joints
Back pain
Neck pain

The patient with a red eye
Sudden loss of vision
Gradual loss of vision
Double vision
Pain in the eye

Rashes
Lumps in the skin
The malignant mole

5. Other conditions (children)

i. Babies

Advice on breast and bottle feeding
Feeding difficulties
Vomiting and possetting
Constipation
Nappy rashes
Advice regarding immunisation
Fever
Snuffles
Teething
Spots
Cradle cap

ii. Children

Acute rashes
Chronic skin problems
Warts and verrucas
Abdominal pain
Vomiting
Diarrhoea
Constipation
Rectal bleeding
Obesity
The child who will not eat
Bed wetting
Balanitis
Vaginal discharge
Parasites and infestations
Squint
Speech delay
Clumsiness
The child who is too short or tall
Problems with gait
Fever
Catarrh
Earache
Discharging ear
Nose bleeds
Hay fever
Sore throat
Cough
Wheezing
Glands in the neck
Lumps in the groin
Sleep problems
Headache
Behavioural difficulties

6. Chronic disease

Disease registers and their uses
Monitoring patients with chronic disease:
Diabetes
Hypertension
Asthma
Epilepsy
Deafness
Blindness
The blind register
Terminal care

7. Psychosocial

Alcoholism
Smoking
Drug dependency
Child abuse
Marital problems and divorce
Problems of single parent families
Ethnic groups
Special problems of the elderly

8. Preventive Medicine

Immunisation schedules:
Childhood
Adult
Foreign travel
Screening
New patient
Well woman
Well man
Developmental surveillance
Elderly
Preconception
Health promotion:
Leaflets
Smoking
Alcohol
Misuse of drugs
Diet
Exercise
Stress management
Use of the Practice Nurse

B. Developmental

Foetal development
Emotional reactions to pregnancy
Emotional reactions to child-bearing
Infant feeding
Toilet training
Sleep problems in children
Developmental assessment
Educational problems
School refusal
Puberty
Adolescence
Sexual development and orientation
Problems of retirement
Old age
Bereavement

C. Human Behaviour

Basic psychology
Perception
Learning mechanisms
Normal emotional behaviour
Psychoanalytical concepts of personality
Interpersonal behaviour
Behaviour in groups
Behaviour in the family
The family as a cause of illness
The family as a context of illness
Doctor-patient reactions
The sick role
Psychotherapy in general practice
Stress of general practice on the doctor
Reconciling professional and private life

D. Medicine in Society

Classification of social class
Disease vs. illness
Social causes of disease
Occupational causes of disease
Structure of the NHS
Community Health Councils
Role of the GP in hospitals
Morbidity in General Practice
Medical ethics
Medical Defence Societies
Social Service Department
Relate
Occupational Health Service
School Health Service
Self-help groups
Patients' Associations
DHSS certificates and allowances
Medical fitness to drive
Insurance
Relationship with pharmaceutical companies
The Coroner
The ambulance service

E. The Practice

1. Team work

Community nurse
Community midwife
Health visitors
Social workers
Receptionists
Practice managers
Other team members
Channels of communication
Decision making within the team
Decision making within the partnership

2. Practice Organisation

Appointment systems
Non-appointment systems
Home visiting
Out of hours cover
Deputising systems
Telephone systems

Employment of staff
Responsibilities as an employer
Staff training
Health and safety at work
Record keeping systems
Problem Oriented Records
Age-sex and disease registers
Computers in general practice
Preparing practice leaflets
Preparing annual reports
Role of specialised clinics
Organising special clinics
Terms and conditions of service
Role of the Family Practitioner Committee
The Red Book
Practice Agreements
Practice accounts
Practice tax

Premises:

bulletPrivately owned
bulletRented
bulletHealth Centres

Pensions and superannuation
Insurance against sickness
Partners with limited commitment
The Doctors' retainer scheme

The Doctor's Bag
Product liability

Methods of medical audit
Basic statistical methods
Continuing Medical Education
Young practitioner group
Postgraduate education allowance

 

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• Up • Gwent • Mersey • MRCGP • Manchester Rating Scales • Northumbria • NW Thames • Patient-centred • SE Scotland • Sheffield • Wolverhampton • Yorkshire •
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