Unit 1 - The ACP Role in Primary Care Chapter 1 Scope of Practice and the ACP role in primary care Josey Coaten Aim Learning outcomes Introduction Chapter 2 How to get the most from supervision in practice Sarah Pay Aim Learning Outcomes Introduction What is supervision? Competence and Capability Frameworks and Standards Tailored Supervision Planning Supervision in Primary care Overcoming barriers to supervision Demonstrating capability Self- Awareness Reflective Points References Chapter 3 Patient Centred Care Josey Coaten Aim Learning outcomes Introduction Chapter 4 Clinical Uncertainty Sarah Pay Aim Learning Outcomes Introduction Types of Uncertainty Managing uncertainty Information gathering The value of time as a tool Safety Netting Ethical Considerations and shared decision making Back to Basics Communicating uncertainty Uncertainty and Burnout Reflective point References Unit 2 - Leadership Chapter 5 Leadership Josey Coaten Aims Learning outcomes Introduction Chapter 6 Research Pillar in Primary Care Sarah Pay Aims Learning Outcomes Introduction The importance of the research pillar for ACPs Challenges of embedding research into primary care ACP roles Evidence Based Practice Research Opportunities and the National Institute for Health can Care Research (NIHR) Clinical Academic Roles Quality Improvement Audit Reflective Points References Chapter 7 Education and Teaching Josey Coaten Aims Learning Outcomes Introduction Unit 3 - Consultation skills Chapter 8 Consultation Models Sarah Pay Aims Learning Outcomes Introduction Consultation Models Introduction Overview of Models Using a model in practice The short or 15 minute consultation and agenda setting Remote Consultations Conclusion Reflective points References Chapter 9 Advanced Clinical Reasoning Josey Coaten Aims Learning Outcomes Introduction Unit 4 - Clinical Examination and Assessment Chapter 10 History Taking Sarah Pay Aims Learning outcomes Introduction Applying Structure to history taking Care study Preparation (Housekeeping) Introduction and Rapport Building Presenting Complaint Ideas, Concerns and expectations History of Presenting complaint Past Medical History Vaccination History Medication History Allergies Family History Social History Occupation Travel Sexual history Systematic enquiry Closing the encounter Difficult Consultations Collateral History Taking Communication considerations in history taking Managing time Digital tools in history taking Care study reflection References Chapter 11 Introduction to clinical examination in primary care Sarah Pay Aims Learning Outcomes Introduction Equipment Home Visits The acutely unwell patient Red Flags Chaperone Structured examination principles Preparation/Housekeeping Environment End of bed/chair Inspection Hands Face and Mouth Palpation Percussion Auscultation Lymph Node Assessment History considerations Inspection Palpation Red flag signs for lymphadenopathy Typical features of lymph nodes and associated pathology Decision making, referrals or admissions Case Study - Lymphadenopathy Closer Look- Lymphoma References Chapter 12 The Respiratory System Sarah Pay Aims Learning Outcomes Introduction History taking for the respiratory presentation Preparation Initiating the consultation Taking a respiratory history Common Presenting Symptoms Chest pain Cough Sputum Breathlessness Wheeze Stridor Haemoptysis Fever/Night sweats and Rigors Weight Changes Sleepiness Red Flags Clinical Examination of the respiratory system Environment End of the bed assessment Hands and arms Face, eyes and mouth Neck Inspection Palpation Percussion Auscultation Posterior Legs Common Presenting complaints in primary care Other investigations in primary care Pulse Oximetry Sputum Cultures Spirometry ECG Peak Flow Fractional exhaled nitric oxide Chest X-ray Blood tests Rapid point of care testing for C-Reactive Protein Pertussis testing Risk tools Case Study - Community Acquired Pneumonia References Chapter 13 The Cardiovascular System Josey Coaten Aims Learning outcomes Introduction Chapter 14 Abdomen/Urology and Gynaecology Josey Coaten Aims Learning outcomes Introduction Chapter 15 Neurological Assessment Josey Coaten Aims Learning Outcomes Introduction Chapter 16 Musculoskeletal and Rheumatology Sarah Pay Aims Learning Outcomes Introduction Chapter 17 Ear, Nose and Throat Josey Coaten Aims Learning Outcomes Introduction Chapter 18 Dermatology Sarah Pay Aims Learning Outcomes Introduction Taking a dermatological history Common presenting symptoms Itching Rash Lesions Pain Psychosocial factors Examination of skin Inspection Description Palpation Systematic Review Examination of moles Dermoscopy and photography