Curriculum Outcomes for PfP
Main outcome
Second level outcome
from TD2009
Third level outcome from
TD2009
Year 4
Year 5
Dr as scholar and scientist
The graduate will be able
to apply to medical
practice biomedical
scientific principles,
method and knowledge
relating to: anatomy,
biochemistry, cell biology,
genetics, immunology,
microbiology, molecular
biology, nutrition,
pathology, pharmacology
and physiology. The
graduate will be able to:
Justify the selection of
appropriate investigations for
common clinical cases.
The student can identify the
investigations needed for
common presenting conditions.
They may be able to justify them
Select appropriate forms of
management for common
diseases, and ways of preventing
common diseases, and explain
their modes of action and their
risks from first principles.
Demonstrate knowledge of drug
actions: therapeutics and
pharmacokinetics; drug side
effects and interactions, including
for multiple treatments, longterm conditions and nonprescribed medication; and also
including effects on the
population, such as the spread of
antibiotic resistance.
The student can select
appropriate forms of
management and preventive
measures for common diseases
The student can justify
investigations for common
presenting conditions and
identify investigations for less
commonly presenting conditions
The student is aware or
appropriate alternative
management or preventative
strategies for common
conditions
Make accurate observations of
clinical phenomena and
appropriate critical analysis of
clinical data.
The student may be able to
recognise some clinical
phenomena. They are able to
discuss the phenomena and their
relevance as part of a patient
assessment
Identifies psychological factors in
a patient history that have
contributed to illness and the
course of the disease.
Apply psychological
principles, method and
knowledge to medical
practice
Explain psychological factors that
contribute to illness, the course
of the disease and the success of
treatment.
The student is aware of antibiotic
man and is able to use it
appropriately.
The student is aware of common
drug interactions and side
effects.
The student is able to discuss
side effects of drugs with the
patients.
The student understands how
pharmacokinetics effects dosing
and time for therapeutic effect in
a patient.
The student is aware of the
impact of pharmacokinetics in
the clinical situation (e.g. treating
a febrile child)
A student is able to identify
clinical phenomena through the
history and examination of a
patient. They are able to critically
analyse the information in most
patients
Is able to discuss how
psychological factors affects the
success of treatment
Discuss psychological aspects of
behavioural change and
treatment compliance.
Discuss adaptation to major life
changes, such as bereavement.
Compare and contrast the
abnormal adjustments that might
occur in these situations.
Identify appropriate strategies for
managing patients with
dependence issues and other
demonstrations of self-harm.
Dr as practitioner
The graduate will be able
to carry out a consultation
with a patient
Take and record a patient's
medical history, including family
and social history, talking to
relatives or other carers where
appropriate.
Is able to recognise the
psychological effect of
deprivation and its impact on a
patient’s health
Is able to take psychological
factors into account when
discussing behaviour change
with a patient.
Is able to recognise the impact of
deprivation on behaviour change
Recognises abnormal
adjustments in major life
changes
Is able to compare different
abnormal adjustment reactions
in major life events
Identifies appropriate strategies
for managing patients with
dependence issues and other
demonstrations of self-harm.
Applies the strategies to
individual patients
Takes and records a patient’s
medical history, including family
history and social history.
Perform a full physical
examination. Perform a mentalstate examination.
Determine the extent to which
patients want to be involved in
decision-making about their care
and treatment.
Is able to recognise when
psychological factors maybe
affecting treatment compliance
Is able to discuss the extent to
which a patient wants to be
involved in decision making with
them
Takes a history from a patient’s
relatives or carer and records it
Is able to perform a full physical
or mental examination
appropriate to the patient
history
Is able to assess the extent to
which patients want to be
involved in decision-making
about their care and treatment.
Diagnose and manage
clinical presentations
Provide explanation, advice,
reassurance and support.
Is able to provide explanations
and support to a patient
Is able to provide advice and
reassurance to a patient
Interpret findings from the
history, physical examination and
mental-state examination,
appreciating the importance of
clinical, psychological, spiritual,
religious, social and cultural
factors.
Is able to discuss findings from
the history, physical examination
and mental-state examination,
appreciating the importance of
clinical, psychological, spiritual,
religious, social and cultural
factors.
Interpret findings from the
history, physical examination and
mental-state examination,
appreciating the importance of
clinical, psychological, spiritual,
religious, social and cultural
factors.
Make an initial assessment of a
patient's problems and a
differential diagnosis. Understand
the processes by which doctors
make and test a differential
diagnosis.
Is able to develop a differential
diagnosis for common presenting
complaints
Is able to test the differential
diagnoses for common
presenting complaints
Formulate a plan of investigation
in partnership with the patient,
obtaining informed consent as an
essential part of this process.
Demonstrate an ability to
develop basic management plans
with patients
Start to demonstrate an ability to
manage time within the
consultation
Demonstrate an ability to
develop more complex
management plans with patients
Demonstrate an ability to
manage time within the
consultation
Demonstrate an ability to
manage common emergencies in
general practice
Synthesise a full assessment of
the patient's problems and define
the likely diagnosis or diagnoses.
Is able to assess common
problems presenting in general
practice
Is able to assess more complex
problems presenting in general
practice
Make clinical judgements and
decisions, based on the available
evidence, in conjunction with
colleagues and as appropriate for
the graduate’s level of training
Demonstrate an ability to
prioritise basic issues within the
consultation
Demonstrate an ability to
prioritise more complex issues
within the consultation
and experience. This may include
situations of uncertainty.
Communicate effectively
with patients and
colleagues in a medical
context
Provide immediate care in
medical emergencies.
Formulate a plan for treatment,
management, according to
established principles and best
evidence, in partnership with the
patient, their carers, and other
health professionals as
appropriate. Respond to patients’
concerns and preferences, obtain
informed consent, and respect
the rights of patients to reach
decisions with their doctor about
their treatment and care and to
refuse or limit treatment.
Demonstrate an ability to
develop basic management plans
with patients
Start to demonstrate an ability to
manage time within the
consultation
Demonstrate an ability to
develop more complex
management plans with patients
Demonstrate an ability to
manage time within the
consultation
Support patients in caring for
themselves.
Is able to provide basic advice
about self care strategies to a
patient
Is able to advise patient’s on self
care strategies for common
problems e.g. risk reduction in
heart disease,
Contribute to the care of patients
and their families at the end of
life, including management of
symptoms, practical issues of law
and certification, and effective
communication and team
working
Communicate clearly, sensitively
and effectively with patients,
their relatives or other carers,
and colleagues from the medical
and other professions, by
listening, sharing and responding.
? covered in comm skills and
assessed in OSCE
Prescribe drugs safely,
effectively and
economically.
Communicate clearly, sensitively
and effectively with individuals
and groups regardless of their
age, social, cultural or ethnic
backgrounds or their disabilities,
including when English is not the
patient’s first language.
Able to communicate effectively
with patients with different
cultures, dialects and language
Communicate by spoken, written
and electronic methods (including
medical records), and be aware of
other methods of communication
used by patients. Appreciate the
significance of non-verbal
communication in the medical
consultation.
Is able to write referral letters
and record
Interface between Primary and
Secondary Care
Critique differences between
referral arrangements for urban
and rural practice the patients
history
Communicate appropriately in
difficult circumstances, such as
breaking bad news, and when
discussing sensitive issues, such
as alcohol consumption, smoking
or obesity.
Recognises the importance of
communicating appropriately
when discussing sensitive issues
Communicate appropriately in
difficult circumstances, such as
breaking bad news, and when
discussing sensitive issues, such
as alcohol consumption, smoking
or obesity
Communicate appropriately with
people with mental illness.
Is able to take a mental health
history
Is able to communicate
appropriately with someone who
has a mental health problem
Is able to communicate
appropriately with someone who
is vulnerable
Demonstrate an ability to
manage common emergencies in
general practice
Communicate appropriately with
vulnerable patients
Assess and recognise the severity
of a clinical presentation and a
need for immediate emergency
care.
Diagnose and manage acute
medical emergencies.
Demonstrate an ability to
manage common emergencies in
general practice
Provide immediate life support.
Is able to apply the ILS pathway
to multiple situations
Establish an accurate drug
history, covering both prescribed
and other medication.
Establish an accurate drug
history, covering both prescribed
and other medication
Plan appropriate drug therapy for
common indications, including
pain and distress.
Plan appropriate drug therapy
for common indications,
including pain and distress
Provide patients with appropriate
information about their
medicines.
Provide patients with
appropriate information about
their medicines
Access reliable information about
medicines.
Access reliable information
about medicines
Demonstrate awareness that
many patients use
complementary and alternative
therapies, and awareness of the
existence and range of these
therapies, why patients use them,
and how this might affect other
types of treatment that patients
are receiving.
Use information
effectively in a medical
context.
Demonstrate awareness that
many patients use
complementary and alternative
therapies, and awareness of the
existence and range of these
therapies, why patients use
them, and how this might affect
other types of treatment that
patients are receiving.
Keep accurate, legible and
complete clinical records.
Is able to record patient contacts
in the patient notes
Make effective use of computers
and other information systems,
including storing and retrieving
information.
Is able to retrieve patient
information from the practice’s
information system
Dr as professional
Access information sources and
use the information in relation to
patient care, health promotion,
advice and information to
patients, and research and
education.
Access information sources and
use the information in relation to
patient care, health promotion,
advice and information to
patients, and research and
education.
The graduate will be able
to behave according to
ethical and legal
principles. The graduate
will be able to:
Reflect, learn and teach
others.
Acquire, assess, apply and
integrate new knowledge, learn
to adapt to changing
circumstances and ensure that
patients receive the highest level
of professional care.
Reflect on practice
Reflect on differences between
urban and rural practice
Continually and systematically
reflect on practice and, whenever
necessary, translate that
reflection into action, using
improvement techniques and
audit appropriately for example,
by critically appraising the
prescribing of others.
Is able to do a significant event
analysis
Is able to reflect upon a patient
case and identify changes for
practice
Learn and work effectively
within a multiprofessional team.
Understand and respect the roles
and expertise of health and social
care professionals in the context
of working and learning as a
multi-professional team.
Understand and respect the roles
and expertise of members of the
primary healthcare team in the
context of working and learning
as a multi-professional team
Understand the contribution that
effective interdisciplinary
teamwork makes to the delivery
of safe and high quality care.
Critique differences between the
role of the primary care team in
rural and urban practice
Protect patients and
improve care
Deal effectively with uncertainty
and change
Is able to discuss the effect of
uncertainty
Understand the framework in
which medicine is practised in the
UK, including: the organisation,
management and regulation of
healthcare provision; the
structures, functions and
priorities of the NHS; and the
roles of, and relationships
between, the agencies and
services involved in protecting
and promoting individual and
population health.
General Practice
 Be aware of the business
side of running a General
Practice
Respond constructively to the
outcomes of appraisals,
performance reviews and
assessments.
Demonstrates learning from
previous appraisal