Recent updates to the curriculum

We review the GP curriculum each year to keep it current and to respond to user feedback. In February 2014 we submitted a number of changes to GMC for their approval. These were approved and were implemented in August 2014. All trainees in GP specialty training programmes should use the most up-to-date curriculum, which is available on the Curriculum statements page, in the online curriculum and in the Trainee ePortfolio.

What changed in August?

Changes to learning outcomes

  • Care of People who Misuse Drugs and Alcohol

We added two new learning outcomes to ensure the drug and alcohol misuse statement remains relevant to current practice:

1.9  Recognise the widespread use and associated health impacts of ‘Performance- and Image-Enhancing Drugs’ (PIEDs), such as anabolic steroids, and newly synthesized drugs, such as ‘legal highs’.

2.7 Recognise that each patient will interpret 'recovery' in relation to his or her unique context and that this interpretation may vary over time, using this understanding to tailor your approach accordingly.

  •  Musculoskeletal Problems

Osteoporosis is already included in the Women's Health section of the curriculum, but as it also applies to many men, we added it to the musculoskeletal problems statement as well:

1.6  Identify those patients at risk of bone disorders, such as osteoporosis, and understand the principles of primary and secondary prevention of fragility fractures.

  • Skin Problems

Patient feedback tells us that if healthcare professionals avoid touching patients with skin conditions during examinations this can create a sense of 'stigma' and 'shame'. We added a new example of an attitudinal feature as an example of how a GP could demonstrate their respect for patient dignity and help to reduce stigma in an appropriate way.

EF2.2  Whilst respecting dignity and observing appropriate hygiene measures, demonstrate that examining the skin and touching affected areas is acceptable

  • Other changes to learning outcomes

We made some small changes to learning outcomes to update out-of-date information and clarify meaning. These updates can be seen in the track-change copies of the statements (see below). They do not involve any changes to the expected outcomes of training or assessment.

New case illustration

  • Sexual Health

We replaced the case illustration in this statement with a new one. This was done on the advice of the RCGP's expert group for sexual health following updates to epidemiology and public health guidance.

Other changes

There are minor changes in the Key Messages, Case Illustration, Learning Strategies, and Learning Resources sections of many of the statements, but these do not affect the learning outcomes or MRCGP assessments.

We also corrected some textual errors and updated obsolete website links.

Good Medical Practice

The core curriculum statement Being a GP includes an appendix which maps the learning outcomes to Good Medical Practice. This has been updated so that it maps to the 2013 version of GMP. 

Amended statements

You can view the amended statements as tracked changes by clicking on the links below. Clean versions of these statements are available on the GP Curriculum: overview page and in the Trainee ePortfolio.

Contact us

For further information on the revision, or to provide feedback, email


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