General practice (1)

Question 1

Give 4 roles of the GP

Answer 1

• Caring for the whole person as well as their illnesses
• Promoting healthy lifestyles
• First point of contact
• Main interface between NHS and community

Question 2

What IT systems are used in primary care?

Answer 2

• Vision

- EMIS

Question 3

How can a GP have a flexible career and good work/life balance?

Answer 3

• Can decide their pattern of work ie take on other roles like teaching or sports medicine
• Can choose the number of sessions they work in a week
• Can choose if they want to be involved in out of hours care or not

Question 4

How are GPs revalidated?

Answer 4

All GPs undertake a 5yr cycle to be revalidated - prepare for appraisal every year

Question 5

How can GPs prepare for an appraisal?

Answer 5

• Reading literature
• Attending courses
• Performing audits

Question 6

Give some members of the practice team

Answer 6

• Manager
• IT/admin staff
• Secretarial staff
• Reception staff
• Nurses
• Advanced nurse practitioners
• PAs
• Phlebotomists
• Health care assistants

Question 7

What might longitudinal care involve

Answer 7

• Have patients for many yrs so gain trust and get to know families
• Looking after patients with long term conditions so see them improve and/or deteriorate

Question 8

What are the 4 essentials of clinical competence

Answer 8

• Knowledge
• Communication skills
• Physical examination
• Problem solving

Question 9

What 3 skill types are needed for successful medical interviewing

Answer 9

• Content skills
• Perceptual skills
• Process skills

Question 10

3 different styles of doctor patient relationship

Answer 10

• Authoritarian
• Guidance/cooperation
• Mutual participation

Question 11

Give 5 types of questions

Answer 11

• Open ended
• Direct
• Closed
• Leading
• Reflected

Question 12

Give some ideas of a GP’s typical workload

Answer 12

• Morning and afternoon surgeries
• Paperwork
• House calls
• Duty doctor/emergencies
• Events coverage
• Special interests

Question 13

What is the gatekeeper function of a GP?

Answer 13

The role in authorising access to specialty care, hospital care and diagnostic tests

Question 14

What difficulties might be faced in an urban setting?

Answer 14

• Language difficulties
• Very mobile populations
• High levels of illnesses associated with poverty