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Phone: 9803195942 ORIGINAL ARTICLE

Butterworth, Pradhan, Katrina Butterworth
J Nepal Med Assoc   unpublished
This is a qualitative study, to generate a framework for a core curriculum in General Practice in the undergraduate setting, designed specifi cally for Nepal. Methods: A Delphi process was used to involve representatives from the GP faculty in Institute of Medicine, BP Koirala institute BPKIHS, Patan Hospital/National Academy Medical Sciences and Tansen mission hospital. The Delphi involves getting input from an identifi ed group of experts and progressively feeding back the results from each
more » ... results from each round of enquiry so that subsequent views are infl uenced until a point of convergence is reached. In effect the Delphi not only analyses problems and identifi es solutions, but can begin the process of commitment to change. Results: A prioritized list of the key outcomes for an undergraduate GP curriculum was developed and a broad list of knowledge, skills and attitudes were defi ned. A balance was observed between the need to train doctors who are skilled in communication, who have compassion for their patients, who are also required to be excellent rational clinicians able to respond to emergency situations. There was also the need for doctors to be competent not just in individual clinical care, but in the care of communities. Conclusions: General Practice, as a core component of primary care, should be an obligatory part of every undergraduate medical curriculum. This Delphi process has produced an important framework for a national undergraduate curriculum in General Practice, designed specifi cally for Nepal.