Death and dyingVerification and certification of death, understanding when referral to the coroner is required, and completion of the Medical Certificate of Cause of Death (MCCD). Recognition of expec…
Death and dying
Verification and certification of death, understanding when referral to the coroner is required, and completion of the Medical Certificate of Cause of Death (MCCD). Recognition of expected versus unexpected death, legal requirements including cremation forms, and sensitive communication with bereaved families. Awareness of cultural and religious considerations around death.
Family history of possible genetic disorder
Taking and interpreting a three-generation family history, recognising inheritance patterns (autosomal dominant, autosomal recessive, X-linked, mitochondrial), and identifying individuals who may benefit from genetic counselling or testing. Understanding implications for screening and surveillance in at-risk relatives, principles of informed consent for genetic testing, and appropriate referral to clinical genetics services.
Incidental findings
Management of unexpected findings discovered during investigations performed for other reasons, including radiological incidentalomas and abnormal blood results. Understanding the duty to disclose, communicating uncertainty to patients, determining which findings require further investigation versus monitoring, and appropriate follow-up arrangements. Balancing potential harms of over-investigation against risks of missing significant pathology.
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