General Medicine

158 written of 158 topics · 37 curriculum entries

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Presentations

Tier 1comprehensive depth

abdominal pain acute red eye 🔒 anaemia 🔒 confusion 🔒 delirium 🔒 diarrhoea 🔒 fatigue 🔒 fever and sepsis 🔒 pain and swelling 🔒 reduced level of consciousness 🔒 seizure 🔒 shortness of breath 🔒 syncope or pre-syncope 🔒 visual disturbance 🔒 vomiting 🔒 weakness 🔒 weight loss

Conditions

Tier 1comprehensive depth

Autonomic dysfunction

🔒 diabetes 🔒 erectile dysfunction1 🔒 gastroparesis1 🔒 neurogenic bladder1 🔒 Parkinson disease1 🔒 postural hypotension1

Cellulitis🔒

Family dysfunction

🔒 abuse 🔒 neglect

Hypertension, acute and chronic🔒

Hypotension or shock

🔒 anaphylactic 🔒 cardiogenic 🔒 hypovolaemic 🔒 neurogenic 🔒 septic

Metabolic emergencies

🔒 acidosis 🔒 alkalosis 🔒 hypo- and hyperglycaemia 🔒 hypo- and hyperkalaemia1 🔒 hyponatraemia

Obesity🔒3 exam

Ophthalmology

🔒 infections 🔒 ophthalmological manifestations of chronic and systemic diseases

Peripheral vascular disease🔒1 exam

Psychiatry

🔒 anxiety disorders 🔒 mood disorders5 🔒 overdose or toxic effects of illicit drug use 🔒 psychotic disorders 🔒 self-harm and suicidal behaviour 🔒 substance use disorders, such as overdose and withdrawal

Significant behavioural issues, such as aggressive, challenging, non-compliant, or violent behaviours🔒Urinary tract infection, urosepsis or pyelonephritis🔒Venous thromboembolism🔒2 exam

Tier 2understand these

Psychiatry

🔒 eating disorders1 🔒 gender dysphoria 🔒 personality disorders 🔒 somatoform disorder 🔒 trauma and stressor-related disorders1

Basic statistical tests

🔒 inter-quartile range 🔒 mean 🔒 median1 🔒 normal distribution 🔒 parametric versus non-parametric tests 🔒 standard deviation 🔒 standard error of the mean 🔒 summary measures

Diagnostic and screening tests

🔒 likelihood ratios 🔒 negative predictive value 🔒 positive predictive value 🔒 sensitivity 🔒 specificity

Epidemiology of disease – concepts used in describing the disease effects on a population

🔒 case fatality 🔒 crude versus specific rates 🔒 direct and indirect standardisation of incidence and mortality rates 🔒 incidence 🔒 population attributable risk 🔒 prevalence 🔒 attack rate

Measures of effect

🔒 absolute and relative risk reduction 🔒 absolute and relative risk 🔒 confidence intervals 🔒 hazard ratio 🔒 number needed to harm 🔒 number needed to treat1 🔒 odds ratio 🔒 p-values 🔒 type 1 and type 2 errors1

Basic statistical concepts

🔒 bias1 🔒 confounding1 🔒 precision 🔒 validity

Key features of clinical trial design

🔒 blinding versus concealment1 🔒 clinical relevance 🔒 crossover and factorial design 🔒 power and sample size calculation 🔒 randomisation 🔒 statistical significance 🔒 trial endpoints and the role of composite endpoints

Strengths and weaknesses of different epidemiological study designs

🔒 case control 🔒 cohort, prospective, and retrospective 🔒 cross sectional 🔒 ecological 🔒 randomised controlled trial1 🔒 systematic review and meta-analyses

Family violence and trauma

🔒 screening tools for domestic violence

Psychiatry

🔒 mental state examination 🔒 tests of cognitive function

Approaches to clinical problem solving

🔒 effect of cognitive biases on decision making 🔒 formulation of differential diagnoses 🔒 intuition and pattern recognition

Chronic and complex care

🔒 access to care and cost 🔒 coordination of care 🔒 health system resourcing and patient insurance status 🔒 impact of physical, cognitive, and intellectual disabilities in management of chronic disorders 🔒 management of complex or multiple comorbidities 🔒 primary, emergency, and after hours care

Collaborative goal setting and decision making when working as part of a multidisciplinary team, and respect for the professional skills of all team members🔒

Determinants of health

🔒 environmental factors 🔒 individual characteristics and behaviours 🔒 prevalent medical conditions 🔒 socioeconomic impacts

Holistic nature of care🔒

Psychological and social factors

🔒 impact of physical health on psychological conditions 🔒 impact of psychological and social factors on physical health and health behaviours, such as management of chronic medical illness 🔒 role of social services in providing community support

Patient-centred care

🔒 impact of patients’ background on their health or health behaviours 🔒 principles of patient-centred care

Prevalence and impact of obesity across the life course and associated prevention measures

🔒 Awareness of potential obesity prejudice and weight bias amongst health professionals and methods for reducing bias 🔒 Clinical practice guidelines and management options for adult obesity 🔒 Education, support, health promotion, and advocacy options for working with patients to manage obesity 🔒 Health impacts of obesity 🔒 Sociocultural factors and their impact on obesity, including incidence, outcome, and management

Psychiatry

🔒 basic suicide risk assessment and its limitations 🔒 drug and alcohol services 🔒 indications for use of the Mental Health Act 🔒 medical complications relating to mental health 🔒 mental health manifestations of systemic disease 🔒 protocols for liaison with psychiatric services 🔒 signs of drug use and abuse on general history and examination, and impact on presentation

Services available to patients experiencing family violence and trauma🔒

Transitions in care

🔒 transitions between practitioners 🔒 transitions between settings 🔒 transitions from paediatric and adolescent services to adult medicine 🔒 transitions throughout the lifespan, such as paediatric to adult medicine services and adult medicine to geriatric medicine services

Use of risk registers and identification of complications that need to be remediated at a health system level🔒