Module Learning Outcomes
- Describe the key factors to cover when taking a comprehensive clinical history and why.
- To know how to take a full structured medical history including a review of systems.
- Discuss the tools and techniques that can be used to guide and inform the history taking process.
- Use evidence-based practice and relevant guidance to support clinical reasoning and engage the person in shared decision making, such as NICE Clinical Knowledge Summaries.
- Know how to conduct basic observations and clinical examination/assessment skills.
- Interpret clinical assessment test results and findings to aid clinical diagnosis and decisions.
- Identify presenting red flags in the consultation to enable safe, effective, clinical transfer.
- Describe how to close the consultation including follow-up, safety netting, signposting, and referral when necessary.
- Know how to complete an accurate and concise record to collaborative and coordinated care and transfer of care.
- Define common cardiovascular conditions, including their presentations, causes and treatments: hypertension, arrythmia, heart failure, myocardial infarction, and stroke (ischaemic and haemorrhagic).
- In the context of the cardiovascular conditions discussed, list common side-effects of frequently prescribed cardiovascular medicines and their role in condition management.
- Discuss the eligibility for the community pharmacy hypertension case finding service.
- Describe the components of the cardiovascular system examination to detect symptoms associated with cardiovascular conditions.
- List appropriate history taking tools in the context of cardiovascular symptom presentations (e.g., SOCRATES).
- Perform and interpret common, basic cardiovascular assessments.
- Describe how to manage acute chest pain in the community setting.
Dermatology: Wound Care
- Describe the pathophysiology of the wound healing process.
- Recognise a range of different wound types, including those caused by chronic conditions and due to acute trauma.
- Describe how to examine wounds.
- Describe the basic observations that can be conducted to identify presence of infection
- Advise on how to prevent wounds becoming infected.
- Discuss the management of infected wounds.
- Recognise leg ulcers and discuss their causes, treatment, and prevention.
- Provide advice on the management of wounds, including moist wound healing
- Discuss the management of acute epistaxis.
- Describe how burns should be managed in the community setting.
- Discuss the management of animal bites, including when tetanus vaccination may be indicated.
Dermatology: Skin Conditions and Changes
- Describe how to take an appropriate history, including examination, in a person presenting with a skin condition.
- Discuss terminology used to describe the characteristic features of skin conditions.
- Identify the features and manage common skin conditions that present in community pharmacy (including self-care advice),
- Identify potentially serious rashes.
- Discuss how to take a history in relation to skin changes that may be cancerous.
- Describe how to use a dermoscope to examine the skin.
- Describe known risk factors for skin cancer and how to reduce these.
- Describe the terminology used to describe moles and other potential cancerous skin changes
- Identify signs that skin changes may be cancerous.
- Identify solar keratoses.
Ear, Nose, and Throat
- Define common ear, nose, and throat conditions (including, but not limited to).
- Be able to spot potentially serious ENT conditions (red flags for ENT).
- Describe how to conduct a head and neck examination, including detection of lymphadenopathy.
- Describe how to use an otoscope.
- Describe the ear examination, inspect the external ear, ear canal and eardrum and interpretation of observations.
- Describe how to conduct a throat examination and be able to interpret observations.
- Describe how to conduct a nasal examination and be able to interpret observations.
- Advise on available treatments and self-care for conditions of the ear, nose, and throat.
- Discuss the three components of the Paediatric Assessment Triangle.
- Apply the paediatric assessment triangle when assessing the sick child in the community pharmacy.
- Identify signs of serious illness in babies and children relating to appearance, work of breathing and circulation.
- Discuss appropriate referral pathways based on your assessment of the sick child.
- Discuss conditions and presenting symptoms that can be managed in the community pharmacy, including conditions of the gastrointestinal system, ear, eye and throat, skin, and respiratory system.
- Provide self-care advice for parents/carers looking after a sick child.
- Provide safety netting advice so parents/carers can identify signs of deterioration and escalate care accordingly.