Medway VTS

Cultivating General Practice in the Garden of England

General Medicine

This curriculum consists of the following areas.

Acutely Ill Patient

  • Chest pain, ACS
  • Breathlessness, asthma, stridor, PE
  • Confusion
  • WHO analgesia ladder, opioids & nsaids
  • BLS, defibrillation, nebulisers

Older Adults

  • Acute confusion
  • Stroke management
  • Falls in the elderly
  • Prescribing in older adults
  • Support services (organisation, coord.)
  • Liason - Planning a discharge
  • Legal & ethical issues

Urology & Renal Disease

  • Renal failure
  • Examination - DRE / PR

Sexual Health

  • Urinary tract infections (complicated)
  • HIV / AIDS & immunosuppression

Cancer & Palliative Care

  • Lung cancer
  • Cancer treatments
  • Breaking bad news
  • Pain management
  • Palliative care emergencies

Learning Disability

  • Recurrent chest infections
  • Aspiration pneumonia

Cardiovascular Problems

  • Acute management of CHD
  • Secondary care investigations
  • Cardiac rehabilitation
  • Hypertension
  • Heart failure
  • Atrial fibrillation & arrhythmias
  • ECG interpretation
  • Assessment of murmurs
  • TIA's & CVA's
  • DVT's & PE's

Digestive Problems

  • GORD & peptic ulcer disease
  • Abnormal liver function tests
  • Gastroenteritis
  • GI bleeding & anaemia
  • Constipation
  • GI cancers
  • Investigations - radiology & endoscopy
  • DRE (PR) and proctoscopy

Drugs & Alcohol Problems

  • Complications of alcohol abuse

ENT & Facial

  • Facial weakness
  • SALT in adults

Eye Problems

  • Eye problems with diabetes
  • Eye problems with hypertension

Metabolic Problems

  • T1DM - emergencies
  • T2DM - presentations, complications
  • Hyperlipidaemia
  • Hypothyroidism
  • Obesity - complications

Neurological Problems

  • Migraine & headaches
  • Epilepsy & seizures
  • Parkinsonism
  • Polyneuropathies
  • Meningitis
  • Fundoscopy

Respiratory Problems

  • Anaphylaxis
  • LRTI's - Bronchitis & pneumonia
  • Acute asthma
  • Acute exacerbations of COPD
  • Pulmonary embolism
  • Lung cancer
  • Tuberculosis
  • Pleural effusion
  • Home oxygen therapy
  • Spirometry & lung function tests

Rheumatology & Orthopaedics

  • Osteoarthritis
  • Physical therapies
  • Pain management
  • Investigations

Dermatology

  • Skin infections & infestations
  • Drug eruptions

Clinical Pathology

  • Electrolyte disturbance
  • Hypercalcaemia
  • Anaemias
  • Lymphopenia
  • Bleeding problems
  • Anticoagulation
  • Infection control

© 2009 Medway VTS | Last updated: 12/9/2009