MRCP

MRCP Pt 1s & 2 Specialty Training Curriculum for General Internal Medicine

http://www.jrcptb.org.uk/specialties/ST3-SpR/Documents/2009%20GIM%20curriculum.PDF

Decision making and clinical reasoning

Knowledge

Recall methods and associated problems of quantifying risk e.g.

cohort studies

Outline the concepts and drawbacks of quantitative assessment of

risk or benefit e.g. numbers needed to treat

Describe commonly used statistical methodology

Know how relative and absolute risks are derived and the meaning

of the terms predictive value, sensitivity and specificity in relation to

diagnostic tests

Skills

Define the relevance of an estimated risk of a future event to an

individual patient

Use risk calculators appropriately

Apply quantitative data of risks and benefits of therapeutic

intervention to an individual patient

Search and comprehend medical literature to guide reasoning

Behaviours

Recognise the difficulties in predicting occurrence of future events

Show willingness to discuss intelligibly with a patient the notion and

difficulties of prediction of future events, and benefit/risk balance of

therapeutic intervention

Be willing to facilitate patient choice

Show willingness to search for evidence to support clinical decision

making

Demonstrate ability to identify one’s own biases and inconsistencies

in clinical reasoning

[…]

Ethical Research

Knowledge

Outline the differences between audit and research

Describe how clinical guidelines are produced

Demonstrate a knowledge of research principles

Outline the principles of formulating a research question and

designing a project

Comprehend principal qualitative, quantitative, bio-statistical and

epidemiological research methods

Skills

Develop critical appraisal skills and apply these when reading

literature

Demonstrate the ability to write a scientific paper

Apply for appropriate ethical research approval

Demonstrate the use of literature databases

Demonstrate good verbal and written presentations skills

Understand the difference between population-based assessment

and unit-based studies and be able to evaluate outcomes for

epidemiological work

Evidence and guidelines

Knowledge

Understands of the application of statistics in scientific medical

practice

Understand the advantages and disadvantages of different study

methodologies (randomised control trials, case controlled cohort

etc)

Understand the principles of critical appraisal

Understand levels of evidence and quality of evidence

Understand the role and limitations of evidence in the development

of clinical guidelines

Understand the advantages and disadvantages of guidelines

Understand the processes that result in nationally applicable

guidelines (e.g. NICE and SIGN)