The Wolverhampton Grid
The Consultation
 | Models of the consultation, Consultation Skills, Telephone |
Primary Health Care Team
| How a team functions, Roles of Primary Health Care Team members, Nurse
Practitioners. |
Health Promotion
| Current UK Screening programmes, Mental Health promotion, Motivating the
change to a healthy lifestyle. |
Prescribing
| Controlled Drugs, PACT, Generic and Repeat Prescribing, Interactions and
adverse reactions, Prescribing in special groups, Compliance, Antibiotic
resistance, Addiction |
Emergencies in G.P.
| Resuscitation, Emergency bag, Triage, Dealing with violence |
Chronic Disease Management
| Protocols, Patient literature, Specific diseases care models, Audit |
Complimentary Medicine
| The range available, The relationship with mainstream medicine, Registration
and Training |
Transcultural Medicine
| Cultural expectations of medicine, Body Language, Death |
Medicine and the Law
| Certification and the coroner, Fitness to drive or work, charging fees,
Medical Negligence and Discipline |
Medical Ethics
| The GMC and ‘The Duties of a doctor’ |
| Living Wills & Euthanasia |
| Confidentiality, Consent, |
| Ethical dilemmas |
Social Services & Benefits
| Med 3 & Med 5 regulations, Sick Pay, Benefits for disabled &
unemployed |
| Training and Roles of Social Workers |
Audit and Research
| Types of Audit and the Audit Cycle, |
| Research: Sources of help & support |
Evidence-based medicine
| What should a GP read? |
| Critical reading, Understanding statistics, Clinical effectiveness |
IT and the Internet
| "Medline", CD-ROM texts & Evidence Base, e-mail, The Internet |
Health Service Organisation
| Models of purchasing health care |
| Health Authorities & NHS trusts GMC, GMSC, NHSE, LMC, CHC, MAAG, Primary
Care Groups |
Business of General Practice
| Terms and Conditions of Service, GP remuneration and funding, Partnership,
the out of hours commitment, The Practice Manager, Staff Employment Law, NHS
Complaints. |
Personal Development
| MRCGP examination, The role of our College, DRCOG and other diplomas,
balancing personal & professional life |
Women’s Health
| Gynaecological examination and procedures, Menstruation problems, Vaginal
discharge, pain and bleeding |
| Menopause, Infertility, Gynaecological malignancies |
| Preconception and Maternity care, Postnatal Mental Health, Miscarriage |
| Family planning, Emergency contraception, Unwanted pregnancy |
| Well women screening, Psycho-sexual problems |
Paediatrics
| Examination and Developmental assessment of children and babies |
| Recognising the ill child, Paediatric resuscitation |
| Neonatal and Infant problems |
| Common diseases, Serious diseases of children in GP |
| Conditions not to be missed, Chronic disease in children |
| Accidental poisoning, Malignant disease |
| Psychological problems and Adolescence |
| The handicapped child, Cerebral palsy |
| The Children Act, The Abused Child, Death of a child |
Psychiatry
| Anxiety, Obsessive-compulsive disorders, Phobia |
| Post-traumatic, Bereavement, Psychosexual & Eating Disorders |
| Schizophrenia, Depression and suicide risk assessment |
| Learning disorders, Ethnic, cultural and social issues |
| Dementia, |
| Role of the C.P.N. and Community Mental Health Team |
| Substance Abuse, Notification, & prescribing addictive drugs |
| Mental Health Act and the psychiatric emergency |
The Heart and Circulation
| Managing: Chest Pain, Dyspnoea, Syncope, Palpitations |
| The ECG, Cardiopulmonary resuscitation |
| Myocardial infarction, IHD and Prevention, Hypertension |
| Heart failure, Cardiac arrhythmia, Cardiomyopathy |
| Aortic aneurism, Peripheral vascular disease, Carotid stenosis |
Respiratory Medicine
| Peak Flow Meter, Spirometry, Oxygen therapy in the home |
| Respiratory emergencies, Respiratory infections acute and chronic |
| COPD, Asthma, Sarcoidosis, Alveolitis |
| Malignancy, Pulmonary embolus, Occupational Lung disease. |
The Nervous System
| Examining the nervous system and assessing intellectual function |
| Headache, paraesthesia, "turns", |
| Epilepsy, Parkinson disease, Strokes and TIA, amaurosis fugax |
| Multiple Sclerosis, Motor Neuron Disease, Guillain Barré, Peripheral
neuropathy, |
| Neurological symptoms in systemic disease |
Gastrointestinal System
| Oral disease, Oesophageal disease, Stomach cancer |
| Dyspepsia, ulceration and Helicobacter Pylori |
| Jaundice, Gall bladder disease, Hepatitis, |
| Pancreatitis, Pancreatic neoplasia |
| Inflamatory Bowel diseases, Irritable Bowel, Diverticular disease |
| Ischaemic bowel, Colon Carcinoma |
| Rectal bleeding, Anal and peri-anal diseases |
Renal and GU Medicine
| Glomerulonephritis, Renal Calculi, Pyelonephritis, Renal failure |
| Cystitis, Urinary retention, Bladder tumours, Incontinence |
| Prostatic hypertrophy, Prostate cancer, Prostatitis |
| Phimosis, Painful testes, Torsion of the testis, Lumps in the scrotum, |
| Impotence |
| Sexually transmitted diseases. |
| Investigating blood and protein in the urine, the use of PSA. |
ENT Diseases
| ENT examination, Assessing hearing, Hearing aids |
| Deafness, Tinnitus, Vertigo |
| Middle ear infection and its sequelae, Glue ear, Otitis externa |
| Rhinitis, Epistaxis, Snoring |
| The acute sore throat, Hoarseness |
| Head and neck pain, Head and neck malignancy |
Diseases of the Skin
| How to diagnose skin disease, Dermatological pharmacology |
| Common skin diseases in GP, Diseases of scalp and hair |
| Allergic manifestations, Infection and infestations |
| Occupational skin disease, Skin signs of systemic disease |
| Benign and malignant skin lumps, Leg ulcers |
The Eye
| Examining vision and the eye |
| Diseases of the eyelid, Squint |
| The red eye, Corneal abrasions, Glaucoma, Lens opacities |
| Optic atrophy, Eye malignancies |
| Retinal vein thrombosis, Retinal artery occlusion |
| Retinal detachment, Senile macular degeneration |
| The eye in systemic disease |
Rheumatology and Orthopaedics
| Diagnosis of joint pain, injecting and aspirating Joints |
| Hip, Knee, Shoulder, Foot, Low back and Neck pain |
| Osteomyelitis, Osteochondritis, Bone tumours |
| Carpal tunnel syndrome |
| Rheumatoid Arthritis, Connective Tissue Disorders |
| Repetitive Strain Injury |
| Gout, Polymyalgia rheumatica |
Endocrine System Disease
| Diabetes: diagnosis, management of blood sugar, complications, Screening |
| Diabetes Emergencies |
| Thyroid: hypo- and hyperthyroidism, Goitre, Carcinoma |
| Addison’s disease, Cushing’s disease, Pituitary disease |
Haematology
| Anaemia, Leukaemias, Lymphoma, Myeloma |
| Sickle Cell Disease, Thalassaemia, Platlet disorders |
Palliative Care
| Symptom control, Syringe Drivers, issues, |
| The dying Child |
| Psychological, cultural, religious & ethnic issues in death |
Infections and Infestations
| Notification of Infectious Diseases |
| Childhood Infections |
| Bacterial, Viral, Parasitic infestations |
| Monilia, Gastro-enteritis, Leptospirosis, Lyme disease |
Travel Medicine
| Vaccinations, Schedules for travel, Advice for patients |
| Important imported infections |
Minor Surgery
| Getting on the Minor Surgery List, "Item of Service" fees |
| Local anaesthesia, Suturing, Histology |
| Aspirating, Injecting, Incision, Excision, Cryosurgery |
| Health and Safety and Medico-legal aspects of Minor Surgery |
Miscellaneous
| Genetic Counselling, Myalgic Encephalomyelitis |
| Sports Medicine, Occupational Medicine |
From: The Wolverhampton Grid, Version 3. Prepared for The Black
Country Trainers Annual Workshop, Bromsgrove. 1999.
Download whole
document from West Midlands GP Unit web site
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