This learning module will broaden your understanding of your health and the health of others in the medical profession.
GP Start is a comprehensive program for registrars working toward Fellowship of the Royal Australian College of General Practitioners (RACGP) and Australian College of Rural and Remote Medicine (ACRRM).
GP Start is based on BEACH data and mapped to RACGP and ACRRM curricula covering the core topics all registrars need in their first twelve months.
GP Start has been designed as a teaching tool and learning resource your registrars will find invaluable, as it provides supervisors with a teaching edge and takes the time and effort away from developing your own teaching resources.
This course is delivered via the GPEx learning platform
Program contentLearning outcomes
GP Start is designed for workplace-based learning
Introduction to General Practice
- understand the underlying professional culture of the practice, know the role of the doctors and support staff as well as the organisational structure of the practice
- use the information technology (IT) systems of the practice
acknowledge the importance of maintaining confidentiality
- understand patient boundaries in general practice
- develop strategies to deal with difficult patient situations
- develop strategies to deal with patient request.
The Business of General Practice
- know the rules behind the Medicare Benefit Schedule (MBS) and Pharmaceutical Benefit Scheme (PBS) and have a working knowledge of MBS item numbers and the common GP numbers, ‘bulk billing’ versus private billing, and Department of Veteran’s Affairs
and practice-specific billing procedures
- understand Practice Incentive Payments (PIP), Service Incentive Payments (SIP), General Practice Management Plans (GPMP) and other Chronic Disease Management (CDM) item numbers
- understand the workers compensation system and other medico-legal documentation and requirements
- understand the workplace, occupational health and safety (OH&S) requirements, clinical governance and specific workplace policies and procedures that may affect the working environment
- increase your understanding of the underlying business structure of the practice.
Consultation in General Practice
- develop a good doctor–patient relationship, be able to identify the patient’s and doctor’s agenda, and deal with uncertainty in the consultation
consult in a timely manner
- take time to explain thoughts/rationales behind planned investigations and treatments and satisfactorily wrap up challenging consultations
- organise your own time so that paperwork is completed with minimal fuss, take adequate consulting notes and balance the use computers in consultations
- use interpreters appropriately and adapt your consulting style to match the patient’s cultural and socioeconomic background.
- perform cardiovascular risk assessments and intervene according to your findings
- apply the diagnostic criteria for hypertension and its intervention options
- apply the diagnostic criteria for abnormal lipids and its intervention options
- apply secondary cardiovascular disease prevention and management principles in ischaemic heart disease
- manage atrial fibrillation in the general practice setting.
- tailor your approach to history and examination for children of different ages including being able to perform a 6 week check and developmental assessments
- be able to confidently assess a child with a fever and identify serious illness in children including knowing when to refer
- be able to assess children with upper respiratory tract infections, particularly bronchiolitis and croup and demonstrate good communication skills to promote ‘co-management’ with care-givers
- develop management plans for children with gastrointestinal complaints including gastroenteritis and constipation and develop clear plans for managing these children in the primary care setting
- develop management plans for children presenting with nutritional concerns including introduction of solids and allergies, as well as counsel parents on unsettled infants and common causes of colic.
- comprehensively assess an elderly patient
- diagnose and manage dementia, including performing the Mini Mental State Exam (MMSE) and screening for reversible causes of dementia, and recognise legal responsibilities and pitfalls in relation to memory loss
- demonstrate safe medication management in the elderly, in particular to drug sensitivity and polypharmacy
- demonstrate knowledge of available community resources for the continuing care of the elderly in their home (including care by the family)
- help patients develop an advanced care plan
- assess and minimise the frequency of falls in elderly patients
- have an understanding of asymptomatic bacteriuria and develop an approach for dealing with suspected urinary tract infections in the elderly.
- be able to identify individuals at risk of diabetes and provide preventative lifestyle advice and intervention strategies
- be able to diagnose diabetes by ordering and interpreting tests appropriately
- have an understanding of glycaemia targets in patients with diabetes and be aware of non-pharmacological and pharmacological strategies to achieve these
- be able to initiate and adjust insulin therapy in patients with type 2 diabetes
- be able to initiate chronic disease management plans in patients with diabetes covering lifestyle interventions, pharmacological treatments and co-morbidity intervention, with treatment targets
- recognise the importance of practice management in maintaining a diabetic register to formalise:
- recalls and annual cycles of care
- GP Management Plans, SIP and PIP
- collaborative arrangements with allied health staff
- monitoring for complications—eyes, kidneys, cardiovascular system, feet
- be able to manage diabetic emergencies in the primary care environment.
- diagnose and classify paediatric and adult asthma
interpret spirometry results
- prescribe and educate patients about asthma pharmacotherapies and devices
- identify and apply the essential review components for patients with asthma
- develop an adult and paediatric asthma action plan
manage patients with chronic obstructive pulmonary disorder (COPD).
- develop a GP Mental Health Treatment Plan and access care for patients with acute and chronic mental health conditions from the mental health services in your region
- identify patients with depression and/or anxiety, and treat such patients using psychological and pharmacological strategies
- assess suicide risk in patients and manage accordingly
- identify patients with substance abuse and problem gambling, and treat these patients using psychological and pharmacological strategies
- detect and manage patients with psychosis.
- understand normal physiology, including hormonal influences on women and the management of deviations from these throughout the lifecycle but particularly around menarche, peri- and post-menopause and during pregnancy
- take detailed histories and perform appropriate examinations, and understand the complex impact of women’s health issues on other aspects of their life and, in particular, on relationships and self-esteem
offer evidence based screening to female patients including current cervical cancer screening
- assess, investigate and manage breast symptoms
- manage common issues in contraception
- assess, investigate and manage common menstrual problems
- manage peri- and postmenopausal symptoms.
- recognise that men have different approaches to health compared to women
engage male patients in their own healthcare
- perform digital rectal and testicular examinations
- appropriately assess and manage men presenting with symptoms of testicular cancer
- assess and manage common conditions affecting the penis and foreskin
recognise and manage androgen disorders
- counsel asymptomatic men about the role of prostate-specific antigen (PSA) testing
- assess and manage benign prostatic hypertrophy and prostatitis
manage erectile dysfunction, ejaculatory disorders and haematospermia.
- describe the key features of the history and systems review for the assessment of lethargy
- identify the key features of physical examination of a patient presenting with lethargy
- choose and appropriately interpret investigations for lethargy
- develop a follow-up strategy for lethargy
- manage common reversible causes of lethargy.
- recognise different types of headaches and the red flags of headache presentations, and manage primary and secondary headaches
- assess and manage patients presenting with dizziness
- diagnose transient ischaemic attacks or cerebrovascular accidents, and
- manage patients acutely, including appropriate referral, and in the medium to long term
- assess and manage a patient presenting with the first seizure, and advise on safety issues
- assess and manage a patient presenting with closed head injury and concussion.
- conduct a travel risk assessment
- demonstrate a good knowledge of common travel vaccines, including their benefits and side effects, and advise on these according to the travel risk assessment
- provide patients with information on malaria preventative measures, including chemoprophylaxis and personal protective measures
- provide preventive advice and treat traveller’s diarrhoea
- manage fever in the returned traveller.
- have a good knowledge of bowel cancer screening, targeted surveillance and diagnostic testing and understand the general practitioner’s role in the National Bowel Cancer Screening Program
- know how to diagnose and treat irritable bowel syndrome
- have a good knowledge of coeliac disease
- know how to test for H. pylori in peptic ulcer disease and the uncommon side effects of proton pump inhibitors
be able to interpret abnormal liver function tests.
- demonstrate a good understanding of the health determinants of Aboriginal and Torres Strait Islander populations and the Close the Gap initiative
describe Aboriginal and Torres Strait Islander peoples’ concepts of health and wellbeing
- recognise the cultural factors that might affect consulting with an Aboriginal and/or Torres Strait Islander patient and how your own practice impacts on the delivery of culturally safe services
- explain the Practice Incentive Program Indigenous Health Incentive, Aboriginal and Torres Strait Islander Health Assessment, the PBS co-payment measure and the process of identifying Aboriginal and Torres Strait Islander patients
- deliver preventive healthcare to Aboriginal and Torres Strait Islander patients.
- appropriately examine the ear to diagnose the common causes of otalgia and manage the condition accordingly
- safely remove impacted cerumen and foreign bodies in the ear canal
- assess and manage patients presenting with hearing loss and tinnitus
- assess and manage patients presenting with vertigo
- diagnose and treat patients with allergic rhinitis and chronic rhinosinusitis.
Sexually Transmitted Infections
- conduct sexually transmitted infection screening using a risk management approach
- develop an appropriate consultation style and skills for managing sexually transmitted infections
- interpret clinical tests and provide appropriate clinical treatment options for sexually transmitted infections
- tailor screening, assessment and management of sexually transmitted infection according to the patient – Aboriginal and Torres Strait Islander peoples, adolescents and men who have sex with men (MSM)
- implement the process of contact tracing for patients with sexually transmitted infections.
- conduct a systematic eye history and examination
- assess and manage patients presenting with red eye
- assess a patient with eye foreign body and remove corneal foreign bodies
- assess and manage common eyelid and lacrimal disorders
- assess a patient presenting with visual loss.
- demonstrate good knowledge of the diagnostic and management approach to skin problems, including common therapeutic modalities such as topical corticosteroid therapy, cryotherapy and lesion excision
- perform skin checks and recognise common benign, premalignant and malignant skin lesions, and appropriately investigate and manage these lesions
- diagnose and manage tinea
- diagnose and manage the different types of dermatitis
- diagnose and manage psoriasis and its associated conditions.
- assess and manage presentations of shoulder pain
- assess and manage presentations of knee pain
- assess and manage presentations of low back pain
- identify the causes of polyarthritis and appropriately manage the common
- causes including osteoarthritis and rheumatoid arthritis
- prevent, diagnose and treat osteoporosis.
Renal and Urology
- be aware of the prevalence, aetiology and screening recommendations for chronic kidney disease in Australia
- gain an understanding of how to diagnose and manage chronic kidney disease in the primary care setting
- develop an approach for patients presenting with haematuria
- have a clear approach to investigation and management for patients presenting with renal stones/urolithiasis
- be able to identify patients at risk of urinary incontinence and be confident making an assessment of any symptomatic patients in order to determine what type of continence they are experiencing and what their treatment options are.
- Knowledge base – Learning modules provide foundation knowledge and competencies across the critical topics required for general practice.
- Work based program – Incorporates learning around daily practice, and applied knowledge to the clinical context.
- Online Platform – Convenient online platform – access on your smartphone, tablet or computer, anytime, anywhere.
- Learning modules – provide foundation knowledge and competencies across the critical topics required for general practice.
- Exam focussed – Content mapped to RACGP and ACRRM curricula and competencies.
- Expert guidance – Orientation and ongoing support for your supervisors and registrars with an experienced medical educator.
- Supervisor resource – Complete teaching resource for supervisors, as well as the opportunity for CPD.
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