Key presentations and conditions
Basic Trainees will have a comprehensive depth of knowledge of these presentations and conditions.
Conditions
- Asthma
- Diabetes mellitus
- Epilepsy
- Gestational diabetes
- Gestational hypertension
- Hyperemesis gravidarum
- Infections, such as cytomegalovirus (CMV), Zika, HIV, hepatitis B and C, skin infections, and lower respiratory tract infections
- Irritable bowel disease
- Maternal obesity
- Pre-eclampsia and eclampsia
- Thyroid disorders in pregnancy
- Urinary tract infection
- Venous thromboembolism, such as pulmonary embolism
For each presentation and condition, Basic Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients1 and their quality of life
Manage
- provide evidence-based management
For less common or more complex presentations and conditions the trainee must also seek expert opinions - prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Less common or more complex presentations and conditions
Basic Trainees will understand these presentations and conditions. Basic Trainees will understand the resources that should be used to help manage patients with these presentations and conditions.
Conditions
- Amniotic fluid embolism
- Cardiac complications of pregnancy, such as peripartum cardiomyopathy
- Gestational liver disease
- Psychiatric complications, such as postpartum depression and psychosis
- Recurrent miscarriages
For each presentation and condition, Basic Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients1 and their quality of life
Manage
- provide evidence-based management
For less common or more complex presentations and conditions the trainee must also seek expert opinions - prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Epidemiology, pathophysiology and clinical sciences
Basic Trainees will describe the principles of the foundational sciences.
- Appropriate prescribing in pregnancy and lactation
- Factors of high-risk pregnancy
- Physiological changes of normal pregnancy
- Physiological impact of pregnancy on pre-existing medical conditions
Investigations, procedures and clinical assessment tools
Basic Trainees will know the indications for, and how to interpret the results of these investigations, procedures, and clinical assessments tools. Basic Trainees will know how to explain the investigation, procedure, or clinical assessment tool to patients, families, and carers.
Investigations
- Investigations for pre-eclampsia and eclampsia
- Liver function test
- Oral glucose tolerance test and polycose test
- Thyroid function tests
- Urine dipstick
- Urine protein: creatinine ratio
Important specific issues
Basic Trainees will identify important specialty-specific issues and the impact of these on diagnosis and management.
- Counselling women regarding healthy behaviour both before and during pregnancy
- Optimising the management of pre-existing medical conditions prior to conception
- Risks associated with various investigative procedures, particularly imaging, during pregnancy
- Risk factors for common pregnancy-associated diseases:
- diabetes
- hypertension
- thromboembolism
- References to patients in the remainder of this document may include their families or carers.