Part 1

Child & maternal health

	not competent	partially competent	competent	highly competent	expert
I have an ability to communicate effectively to patients the advantages of breastfeeding and thus encourage them to breastfeed their babies.
I have an ability to educate patients about the most effective contraceptive methods.
I have an ability to identify mental disorders during pregnancy and the postnatal period.

Lifestyle

	not competent	partially competent	competent	highly competent	expert
I have an ability to assess and advice on a lifestyle to patients who are at high levels of risk of developing CVD.
I have an ability to tailor the intervention to the patient's readiness to change.
I have an ability to provide an advice concerning prevention to patients who are at high levels of risk of developing cancers.

Environmental

	not competent	partially competent	competent	highly competent	expert
I have an ability to provide relevant advice to my patients about actions to prevent child home accidents.
I have an ability to advice to patients on employee rights in a work environment.
I have an ability to motivate a patient to take a responsibility of self-care and hygiene to prevent the occurrence of disease or, minimise its impact.

Screening

	not competent	partially competent	competent	highly competent	expert
I have an ability to assess an individual patient's risk factors.
I have an ability to encourage the participations in screening programmes.
I am competent in identifying individuals who should be screened for cancers.

Chronic disease management

	not competent	partially competent	competent	highly competent	expert
I understand and can describe the referral processes to secondary care and other care pathways.
I understand and master the three aspects of the continuity of patient care: personal continuity; episodic continuity and time continuity of care.
I understand the role of effective chronic disease management in the secondary diseases prevention.

Preventive interventions

	not competent	partially competent	competent	highly competent	expert
I have relevant communications skills for providing preventive care to patients and their families/carers.
I have an ability to manage the interface between primary and secondary care including communication with other professionals.
I am competent in tailoring preventive interventions to meet the specific health needs of the community.

Information

	not competent	partially competent	competent	highly competent	expert
I have effective organisational skills for record-keeping and information management.
I have an ability to utilise disease registers effectively for opportunistic and planned monitoring of long-term conditions in my practice.
I have an ability to combine verbal and written (leaflets) communication in order to convey information about preventive interventions.

Patient relationship

	not competent	partially competent	competent	highly competent	expert
I have an ability to use the context of the person, the family, the community and their culture in everyday practice.
I have an ability to work collaboratively with patients and to share with them the decision-making process in their consultations.
I have an ability to selectively gather and interpret information from history-taking, physical examination, and investigations and apply it to an appropriate management plan in collaboration with a patient.

Local communities

	not competent	partially competent	competent	highly competent	expert
I have a good understanding of the interrelationships between health and social care services.
I have a good understanding of the impact of poverty, ethnicity and local epidemiology on community health.
I have an ability to describe the benefits of involving lay people in the improvement of health care by setting up patient groups.

Part 2

Child & maternal health

Even low oestrogen, oral contraceptives are associated with increased risk of hypertension, stroke and myocardial infarction.	yes	no	I don't know
In hypertension during pregnancy, oral ACE inhibitors are drugs of choice.	yes	no	I don't know
Diptheria/tetanus/pertussis vaccinations (to protect the newborn from tenatus or pertussis) should be considered before conception.	yes	no	I don't know
The best time to start the promotion of breast feeding is the first 24 hours after birth.	yes	no	I don't know
The maximum safe limit of alcohol consumption during pregnancy is 10 grams of alcohol per day.	yes	no	I don't know
Women should take a 0.4-0.5 mg supplement of folic acid per day for at least 1 month before pregnancy and for the first 3 months after conception.	yes	no	I don't know
To reduce the microbiological risks in powdered infant and follow-on formulae I recommend to wash hands thoroughly before starting food preparation and sterilise the bottle before using it.	yes	no	I don't know
To reduce the microbiological risks in home preparation of powdered infant and follow-on formulae I recommend using the boiling water.	yes	no	I don't know
Worse perinatal outcomes correlates with inter pregnancy intervals <18 months or >59 months, namely pre-term birth, low weight and small for gestational age.	yes	no	I don't know
Infants should be tested for strabismus using cover and light reflect (Hirschberg) test.	yes	no	I don't know

Lifestyle

The low fat diet is considered as the standard approach to weight reduction and has a more favorable effect on LDL cholesterol.	yes	no	I don't know
Total fat intake should be kept between 15 and 20% of total energy intake.	yes	no	I don't know
Alcohol is a major source of calories and reducing alcohol consumption may be an important part of weight control.	yes	no	I don't know
Only individual but not group behavioral interventions are effective in helping smokers to quit.	yes	no	I don't know
Antidepressant medication in aiding long-term smoking cessation has been shown to be effective.	yes	no	I don't know
Among long-term smokers, treatment with buproprion is associated with a higher smoking cessation rate at 1 year as compared with the groups treated with varenicline.	yes	no	I don't know
Physical training has a wide variety of beneficial effects on the course of atherosclerosis, resulting in a 40–50% reduction in overall mortality.	yes	no	I don't know
A heart rate during peak exercise of 60–75% of the average maximum heart rate is preferred.	yes	no	I don't know
Daily limit of salt consumption is equal to 10 g NaCl.	yes	no	I don't know
Promoting healthy lifestyle and physical activity includes the recommendation to limit sedentary screen time <2 hours per day (includes watching TV, playing video games and use of computer).	yes	no	I don't know

Environmental

Child health surveillance at 2, 3 and 4 years of age should include surveillance of growth, hearing, vision and language development. Also to all those at average risk anticipatory advice regarding injury prevention should be provided.	yes	no	I don't know
Female students more often than male students have no one to consult in their environment in case of depressive disorders.	yes	no	I don't know
To maintain a healthy environment and avoid the occurrence cytomegalovirus, parvovirus B19, it is recommended to discuss with patients the importance of frequent hand washing.	yes	no	I don't know
Long working hours may have a positive effect on cognitive performance in middle age.	yes	no	I don't know
Construction workers exposed to fumes and mineral dust have not a significantly higher risk of death due to COPD than do unexposed construction workers.	yes	no	I don't know
Screening for Chlamydia trachomatis infection in all sexually active females under 25 years of age is recommended (because of their risk of complications), as well as possible screening for other STIs if indicated by risk assessment.	yes	no	I don't know
The association between high concentrations of outdoor air pollutants and COPD exacerbations and worsening of pre-existing COPD is supported by strong evidence, but the evidence to support an association with new cases of COPD is not yet available.	yes	no	I don't know
For good oral hygiene it is recommended to avoid high carbohydrate and acidic between meals snacks and drinks.	yes	no	I don't know
Preventive oral health interventions includes advice against the use of baby bottles with any fluid apart from warm water or milk at night.	yes	no	I don't know
Accident/injury prevention at 1-24 months includes home use of hot water not warmer than 70°C.	yes	no	I don't know

Screening

In adults, obesity is defined by BMI > 25 kg/m2.	yes	no	I don't know
The WHO's CVD risk assessment system uses simple indicators that are measurable in low-resource settings, including plasma cholesterol and creatinine concentration level.	yes	no	I don't know
In case of inexpert or inadequate assessment, early recall for repeat mammography either in screening or diagnostic settings is the only recommended procedure.	yes	no	I don't know
Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults at age 75 years or older is strongly recommended.	yes	no	I don't know
Organised screening by high sensitivity faecal occult blood testing (FOBT) is recommended for the asymptomatic average risk population from 50 years of age until 75 years of age with repeated negative findings.	yes	no	I don't know
Computer tomographic (CT) colonography (virtual colonoscopy) & fecal DNA testing is recommended as a screening method for colorectal cancer.	yes	no	I don't know
A quick screening tool for falls is the 'timed up and go test' (TUGT) which involves looking for unsteadiness as the older person gets up from a chair without using his or her arms, walks a few metres and returns.	yes	no	I don't know
Risk of sudden death in men is particularly associated with elevated resting heart rate.	yes	no	I don't know
Central obesity is most easily measured by waist circumference with cut points that are gender & ethic group specific.	yes	no	I don't know
The degree of reversibility in FEV1 which indicates a diagnosis of asthma is generally accepted as >20% and >400 ml from the pre-branchodilator value.	yes	no	I don't know

Chronic disease management

ß-blocker therapy in post-MI patients and in CHF have demonstrated their benefits in these patients.	yes	no	I don't know
The target level of total cholesterol in the treatment of dislipidemic patients with diabetes mellitus should be less than 5,0 mmol/l (190mg/dl).	yes	no	I don't know
Up to 28% of adults and 45% of children with asthma, suffer from asthma exacerbations in response to aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs). This syndrome is most common in severe asthma.	yes	no	I don't know
Body mass index and adult waist circumference should be measured every 3 years for those patients who appear to be overweight.	yes	no	I don't know
Aspirin reduces the risk of stroke in women but not the risk of an acute myocardial infarction.	yes	no	I don't know
Diuretics, beta blockers, calcium channel blockers, ACE inhibitors, angiotensin receptor blockers and alfa blockers are first line blood pressure lowering agents.	yes	no	I don't know
If fasting plasma glucose is 7,0 – 7,4 mmol/l (126 - 140mg/dl) then an oral glucose tolerance test (OGTT) is recommended.	yes	no	I don't know
If asthma is not controlled on the current treatment regiment, treatment should be stepped up until control is achieved. When control is maintained for at least 3 months, treatment can be stepped down.	yes	no	I don't know
An eGFR <90 mL/min (estimated glomerular filtration rate) is associated with significant CVD risk.	yes	no	I don't know
In heart failure patients or those with left ventricular dysfunction, ACE inhibitors have been shown to reduce risk of death, but not recurrent myocardial infarction or progression to persistent heart failure.	yes	no	I don't know

Preventive interventions

Physical training has a wide variety of beneficial effects on the course of atherosclerosis, resulting in a 20-25% reduction in overall mortality.	yes	no	I don't know
Antihypertensive and lipid lowering therapy should be used for all patients with stroke and TIA unless contraindicated.	yes	no	I don't know
A comprehensive preventive diabetes assessment should be provided yearly to all patients >20 years old.	yes	no	I don't know
A sedentary lifestyle is associated with a doubling of the risk of premature death and with an increased risk of CVD.	yes	no	I don't know
The low fat diet is considered the standard approach to weight reduction and has a more favourable effect on LDL cholesterol. Total fat intake should be kept between 25 and 35% of energy.	yes	no	I don't know
Mammography and ultrasound are the primary diagnostic breast imaging modalities of equal values under the age of 35.	yes	no	I don't know
Rapid - acting inhaled B2 - antagonists are the most effective bronchodilators available and therefore the preferred treatment for acute asthma in children of all ages.	yes	no	I don't know
Potential limitations of metformin’s use in the prevention of diabetes include GI side-effects in a minority of patients, which can often be reduced by building up the dose gradually.	yes	no	I don't know
For mild to moderate exacerbation of asthma, repeated administration of rapid-acting inhaled B2 antagonists is usually the best and most cost-effective method of achieving rapid reversal of airflow limitation.	yes	no	I don't know
All patients with increased risk of CVD should be treated with low dose of Aspirin.	yes	no	I don't know

Information

The protection of personal data is a basic right of every citizen in the EU and personal data can not be used for promotion of public health, even if appropriate precautions are taken.	yes	no	I don't know
The cost effectiveness of repeated mailing of short, simple newsletters might be higher than a single mailing of a more complex behaviour change kit.	yes	no	I don't know
Only a family physician is fully responsible for the provision of an accurate, up-to date information in the attractive and accessible way to all patients who smoke, use alcohol or drugs.	yes	no	I don't know
The crude incidence of cervical cancer in the European Union is 13.2/100 000 and the crude mortality rate is 5.9/100 000 women/year.	yes	no	I don't know
To reduce mistakes in drugs prescribing most electronic alerts and prompts demonstrated benefit.	yes	no	I don't know
An automated test results management system cannot improve patient satisfaction with communication of test results ordered by their primary care provider.	yes	no	I don't know
Individual feedback on quality of record keeping is an effective form of improvement in general practice.	yes	no	I don't know
Patients with well-developed reading skills prefer complex educational materials rather than simple ones.	yes	no	I don't know
Readability and comprehension of patient written educational materials have been shown to be inversely correlated - the higher the readability, the lower the comprehension.	yes	no	I don't know
Questions that are used as headings or summary points throughout the text in patients educational materials can encourage active learning.	yes	no	I don't know

Patient relationship

Interventions adding psychosocial and psycho educational components to standard cardiological care can significantly improve quality of life and diminish cardiovascular risk factors.	yes	no	I don't know
Several psychosocial interventions have been shown to have beneficial effects on distress and physiological risk factors.	yes	no	I don't know
Target BP should be at least <140/90mmHg in diabetics and in high or very high risk patients, such as those with associated clinical conditions (stroke, myocardial infarction, renal dysfunction, proteinuria).	yes	no	I don't know
An identification of the patient's health beliefs regarding cardiovascular problems is a crucial for the prevention of cardio-vascular disease.	yes	no	I don't know
Conditions that are asymptomatic and chronic in nature nad require a long-term therapy have been associated with patients nonadherence to therapy.	yes	no	I don't know
To convey information about an event (such as a possibility of having a stroke) rates and the reference class the natural frequency of an event should be used, rather than percentages.	yes	no	I don't know
Use of various visual aids to present risk to patients doesn’t influence the information assimilation process.	yes	no	I don't know
There is no need of medical supervision or patient training to perform home blood pressure measurement.	yes	no	I don't know
Group-based training for self-management strategies in people with type 2 diabetes is effective by improving fasting blood glucose levels and glycated haemoglobin.	yes	no	I don't know
Cognitive behavioral therapy but not patient education has a positive effect on commonly reported problems (depression, anxiety, pain, physical functioning, and quality of life) in adult with cancer.	yes	no	I don't know

Local communities

Increase of taxation on tobacco and alcohol is less effective than other actions addressed to individuals and local communities.	yes	no	I don't know
A computer-based interactive health communication applications appear to have largely positive effects on users, who feel better socially supported, and may have improved behavioral and clinical outcomes compared to non-users.	yes	no	I don't know
The community – based approach to CVD prevention is not cost-effective.	yes	no	I don't know
The specialist mental health nurse support is better than support from GPs for patients with anxiety, depression and reactions to life difficulties.	yes	no	I don't know
Home based medication review by pharmacists reduces hospital readmission rates among older people, reduce deaths and improve quality of life.	yes	no	I don't know
Community health workers can deliver interventions with positive outcomes, including the decrease of asthma attacks.	yes	no	I don't know
Features of the neighborhood environment are associated with self rated health for non-employed residents.	yes	no	I don't know
Personal poverty combined with an affluent neighbourhood has a negative impact on health.	yes	no	I don't know
The fewer goods and services are provided publicly by the community, the more important individual income is for health.	yes	no	I don't know
Evidence linking sickness absence to mortality indicates that data on medically certified absences could be used as a global measure of health.	yes	no	I don't know

The tool was developed during the realization of the European educational project - Bridging the gap of general practitioners' competence on European Market (Project no 2008-1-PL1-LEO05-02080, under the Leonardo da Vinci programme).