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| Section | Chapter / Unit | Key Topics / Sub‑headings |
|-------------|-------------------|--------------------------------|
| Part I – Foundations of General Practice | 1. Introduction to General Practice | • Definition & scope
• Role of a general practitioner (GP)
• History & evolution of family medicine
• Differences between GP & specialist practice |
| | 2. The Doctor‑Patient Relationship | • Communication skills
• Building trust & rapport
• Confidentiality & consent
• Cultural competence & sensitivity |
| | 3. Clinical Skills & Examination | • Systematic approach to history‑taking
• General physical examination techniques
• Vital signs & basic investigations
• Bedside investigations (e.g., urine dip‑stick, ECG) |
| | 4. Medical Ethics & Professionalism | • Principles of medical ethics (autonomy, beneficence, non‑maleficence, justice)
• Informed consent & refusal
• End‑of‑life care & advance directives
• Professional boundaries & medico‑legal issues |
| | 5. Practice Management & Organization | • Setting up a clinic (infrastructure, equipment)
• Record‑keeping (paper vs electronic)
• Appointment systems & triage
• Billing, insurance & legal documentation |
| Part II – Common Adult Disorders | 6. Cardiovascular System | • Hypertension: diagnosis, work‑up & management
• Ischemic heart disease – stable angina & acute coronary syndrome
• Heart failure – classification, pharmacology & lifestyle advice
• Arrhythmias & anticoagulation |
| | 7. Respiratory System | • Acute upper & lower respiratory infections
• Chronic obstructive pulmonary disease (COPD) – GOLD classification, inhaler technique
• Asthma – stepwise management
• Tuberculosis: screening, DOTS & follow‑up |
| | 8. Gastro‑Intestinal System | • Dyspepsia & peptic ulcer disease
• Gastro‑oesophageal reflux disease (GERD)
• Irritable bowel syndrome (IBS) & functional disorders
• Hepatitis (viral, alcoholic, NAFLD) & liver cirrhos‑related care |
| | 9. Endocrine & Metabolic Disorders | • Diabetes mellitus (type 1 & type 2) – diagnosis, monitoring, drug regimens
• Thyroid disorders – hypothyroidism & hyperthyroidism
• Obesity – assessment, counseling & pharmacotherapy
• Metabolic syndrome & cardiovascular risk reduction |
| | 10. Musculoskeletal System | • Low back pain – red‑flag assessment, conservative therapy
• Osteoarthritis & rheumatoid arthritis – pharmacological & non‑pharmacological care
• Gout & calcium pyrophosphate disease
• Common soft‑tissue injuries (sprains, tendinitis) |
| | 11. Neurological Disorders | • Headache (tension, migraine, cluster) – evaluation & treatment
• Stroke – acute recognition, secondary prevention
• Peripheral neuropathies & diabetic foot
• Dementia screening & care planning |
| | 12. Dermatology | • Eczema, psoriasis & seborrheic dermatitis
• Acne & common adult skin infections
• Skin malignancies – basal cell, squamous cell & melanoma
• Common drug eruptions & allergic reactions |
| | 13. Hematology & Oncology | • Anemia – iron‑deficiency, B12/folate, hemolytic
• Screening & early detection of common cancers (breast, cervix, colon, prostate)
• Palliative care basics & symptom control |
| | 14. Infectious Diseases (Adult) | • Sexually transmitted infections (STIs) – diagnosis & partner management
• HIV/AIDS – testing, counseling & antiretroviral therapy basics
• Emerging infections & travel medicine
• Vaccination updates for adults |
| Part III – Women’s Health | 15. Antenatal Care (First Trimester) | • Confirmation of pregnancy, dating & early screening
• Nutrition, folic acid & lifestyle advice
• Common early pregnancy complications (threatened miscarriage, ectopic pregnancy) |
| | 16. Antenatal Care (Second & Third Trimester) | • Routine investigations, fetal growth monitoring
• Gestational diabetes & hypertension screening
• Pre‑term labour & maternal‑fetal monitoring |
| | 17. Labour & Delivery (Primary Care Perspective) | • Referral criteria for obstetric emergencies
• Post‑partum care – bleeding, infection, lactation support |
| | 18. Gynecological Problems | • Menstrual disorders (dysmenorrhoea, menorrhagia)
• Pelvic inflammatory disease (PID)
• Fibroids, ovarian cysts & benign pelvic masses
• Contraception counseling & methods |
| | 19. Menopause & Hormone Replacement Therapy (HRT) | • Symptom management
• Risks/benefits of HRT
• Bone health & osteoporosis prevention |
| Part IV – Pediatric & Adolescent Care | 20. Newborn Care & Immunizations | • Immediate newborn assessment (APGAR, vitals)
• Breast‑feeding support
• Routine immunization schedule (incl. catch‑up) |
| | 21. Common Infant & Toddler Illnesses | • Acute respiratory infections, bronchiolitis
• Diarrheal diseases & dehydration management
• Failure to thrive & nutritional counselling |
| | 22. Growth & Development Milestones | • Screening tools (e.g., Denver, ASQ)
• Developmental delays – early detection & referral |
| | 23. Adolescent Health | • Puberty & psychosocial issues
• Sexual health, STIs & contraception
• Substance abuse screening & counseling |
| Part V – Preventive & Community Medicine | 24. Screening & Health Checks | • Cancer screening guidelines (breast, cervical, colorectal, prostate)
• Cardiovascular risk assessment (FRS, QRISK)
• Vision, hearing & dental health |
| | 25. Immunization & Travel Medicine | • Updated adult vaccination schedule (influenza, pneumococcal, HPV, etc.)
• Pre‑travel advice – malaria prophylaxis, yellow fever, travel‑related vaccines |
| | 26. Lifestyle Medicine | • Tobacco cessation strategies
• Alcohol use disorders – brief interventions
• Physical activity, diet & weight management
• Stress reduction & mental health promotion |
| | 27. Geriatric Care | • Comprehensive Geriatric Assessment (CGA)
• Polypharmacy & deprescribing
• Falls risk assessment & prevention
• Dementia care pathways |
| | 28. Palliative & End‑of‑Life Care | • Symptom control (pain, dyspnoea, nausea)
• Advance care planning
• Family support & bereavement counseling |
| Part VI – Clinical Reasoning & Practice Tools | 29. Diagnostic Approach & Algorithms | • Pattern‑recognition vs. analytical reasoning
• Use of decision‑making flowcharts for common presentations (e.g., chest pain, abdominal pain) |
| | 30. Prescription Writing & Pharmacology Essentials | • Safe prescribing principles
• Common drug interactions & adverse effect monitoring
• Generic vs. brand prescribing |
| | 31. Emergency Management in the GP Setting | • Basic Life Support (BLS) & AED use
• Acute allergic reactions & anaphylaxis
• Management of acute asthma exacerbation, COPD flare‑up, hypertensive crisis |
| | 32. Documentation & Referral Letters | • Structured SOAP notes
• Writing clear, concise referral letters
• Follow‑up and feedback loops |
| Appendices | A. Drug Dosage Tables (adult & pediatric) | • Antihypertensives, antidiabetics, antibiotics, analgesics, psychotropics, etc. |
| | B. Investigations & Interpretation Guide | • Hematology, biochemistry, urinalysis, ECG, radiology basics |
| | C. Vaccination Charts | • Age‑wise schedule, contraindications, catch‑up |
| | D. Clinical Scoring Systems | • BMI, CHA₂DS₂‑VASc, GCS, APGAR, CURB‑65, etc. |
| | E. Patient Education Handouts (sample templates) | • Lifestyle advice, medication adherence, chronic disease self‑management |
| | F. Glossary of Common Terms | • Abbreviations, medical jargon, procedural names |
| | G. References & Suggested Further Reading | • Key textbooks, guidelines (WHO, NICE, ICMR, CDC), journal articles |
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