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The Clinical Competencies for the CCE

Competencies

4. Clinical management and therapeutic reasoning

Last revised: 19 Mar 2024

CS 2.1 General practitioners provide the primary contact for holistic and patient-centred care.
CS 2.2 General practitioners diagnose and manage the full range of health conditions in a diverse range of patients across the lifespan through a therapeutic relationship.
CS 2.3 General practitioners are informed and innovative.
CS 2.4 General practitioners collaborate and coordinate care.
CS 1.2 Through effective health education, general practitioners promote health and wellbeing to empower patients.

This competency concerns the management of common, serious, urgent and chronic medical conditions encountered in general practice. Aspects of care beyond managing simple consultations (including management of comorbidity and uncertainty) are incorporated. The management plan is patient-centred at all times. Therapeutic reasoning includes the steps taken based on the problem list, or likely diagnosis that has been developed and is a part of the clinical reasoning process.

Criteria

  1. Demonstrates knowledge of common therapeutic agents, uses, dosages, adverse effects and potential drug interactions, and the ability to prescribe safely
  2. Rational prescribing is undertaken
  3. Monitors for medication side effects and risks of polypharmacy
  4. Outlines and justifies the therapeutic options selected based on the patient’s needs and the problem list identified
  5. Safely prescribes restricted medications using appropriate permits
  6. Non-pharmacological therapies are offered and discussed
  7. A patient-centred and comprehensive management plan is developed
  8. Provides effective explanations, education and choices to the patient
Aboriginal and Torres Strait Islander health context
  1. Collaborates effectively with multidisciplinary teams to develop meaningful and holistic management plans
  2. Identifies and uses professional resources to assist with delivery of best-practice care to Aboriginal and Torres Strait Islander patients
  3. Identifies and incorporates social and cultural determinants of health into management plans
Rural health context
  1. Links into existing networks of health professionals in rural and remote settings

For the trainee

This focuses on how you develop appropriate and patient-centred management plans. Using an evidence base for prescribing pharmacological treatment and considering non-pharmacological options are included in the assessment. Your management plan should be appropriate for the working diagnosis and the problem list that you develop and should reflect a good understanding of accepted general practice. The conditions, their implications, and intervals for follow-up or review need to be discussed with the patient and agreed to.

This event attracts CPD points and can be self recorded

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