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Applying Clinical Knowledge and Skill

With much of General Practice  training taking place in secondary care environments, Applying Clinical Knowledge and Skill covers the broad range of generalist clinical knowledge trainees will acquire – such as the assessment, diagnosis, and treatment of the acutely unwell. Trainee GPs will also gain experience managing less urgent long-term conditions such as common mental health issues, and cardiovascular problems.

The early exposure to a general practice setting should encourage trainees to inhabit the mindset of a community-based doctor, and acknowledge how a multifaceted approach to healthcare, utilising a wide range of social and health care resources, can improve the quality of practice, as well as the health of patients.


Applying Clinical Knowledge and Skill – Core Capabilities

The Core Capabilities within Applying Clinical Knowledge and Skill are:

Data Gathering and Interpretation

GPs should be able to interpret the patient’s narrative, and also their clinical record. They should also be able to understand their biographical data, and the results of investigations and examinations. It is also vital that trainee GPs demonstrate a proficient approach to clinical examination, and possess sufficient procedural skills.

The Competences within Data Gathering and Interpretation are:

Applying a Structured Approach to Data Gathering and Investigation

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, CSR). For more information see our Assessment Tools page.

Accurate Interpretation of Information and Making a Diagnosis

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, CSR). For more information see our Assessment Tools page.

Showing a Proficient Approach to Clinical Examination

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: CSA, WPBA (COT, CSR). For more information see our Assessment Tools page.

Demonstrating a Proficient Performance of Procedures

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: CSA, WPBA (COT, CSR). For more information see our Assessment Tools page.

Making Decisions

Trainees should ensure they make decisions in a structured manner, always keeping the context in mind. The personal characteristics of patients, the personality of the trainee, and the resources available all impact the decision-making process. The majority of a GP’s time is spent in secondary care locations, and trainees must therefore adapt to a different learning environment – tolerating uncertainty, exploring probability during diagnosis, and marginalising danger to patients.

The Competences within Making Decisions are:

Adopting Appropriate Decision-Making Principles

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, CSR). For more information see our Assessment Tools page.

Applying a Scientific and Evidence-Based Approach

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, CSR). For more information see our Assessment Tools page.

Clinical Management

Trainees should recognise and then manage the medical conditions commonly encountered through general practice. Patients presenting with multi-morbidity or chronic disease must be properly managed, while some patients and carers may require educating on how to use NHS services. Over 90% of chronic disease sufferers enter NHS healthcare through a GP.

The Competences within Clinical Management are:

Providing Clinical Care to Patients of all Ages and Backgrounds

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Adopting a Structured Approach to Clinical Management

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Making Appropriate Use of Other Professionals and Services

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CSR). For more information see our Assessment Tools page.

Provide Urgent Care When Needed

As part of Applying Clinical Knowledge and Skill, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, CEX, MSF, CSR). For more information see our Assessment Tools page.

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