What is the basic Medical career pathway?
Med school 5 years > FY1. FY2. > Specialty training 3-10 years
3 aims of General Practice
- Caring for whole person as well as their illnesses
- Promotion of healthy lifestyles
- First point of contact.
4 necessary GP Characteristics
- Problem solving and risk management
- Evidence based medicine
- Having wide ranging clinical skills
- Holistic approach.
Give an example day of a GP.
- Start morning clinic: see patients with varying medical problems
- Call patients
- Make referral notes and phone calls
- Carry out patient visits
- Lunch
- Similar again in the afternoon
- Some may be on call and have to visit patients out of hours.
Make sure to drink ample tea/coffee throughout the day, oh and don’t forget the jaffa cakes.
Make sure to wear a nice shirt and polished brogues.
Drive a fancy car, but not too fancy.
Name some personal qualities of a GP.
- Caring
- Empathetic
- Committed to providing high quality care
- Ample patience
- Hard working
- Appreciate value of teamwork in patient care
- Effective at time managing
What are GP practices responsible for?
Local health needs - but these can vary drastically depending of the affluence of the area.
Are GPs businessmen/women?
Yes they are often independent contractors, either owning or running the business in partnership or individually.
Describe technology within general practice.
- GPs are at the forefront of information tech within the NHS
- Use online booking and documentation
- Were the first to switch from paper to online documentation
How does this advancement in technology aid patient care?
- Patient data is easily accessibly to any approved staff member
- GPs can track healthcare and reduce mistakes and reduce important facts missed
What are two main systems used?
Vision and EMIS
Work/Life balance of a GP - expand.
Can pick and choose when they work.
Very flexible working hours.
How often do GPs need to be revalidated?
Every 5 years.
Longitudinal Care - expand.
GPs may see the same patient for 20 years.
Stronger relationships will be formed with patients long term.
May be beneficial if patient is helpful - may be detrimental if have to continually see a difficult patient.
Name the 4 essential components of clinical skills.
- Knowledge
- Communication
- Physical examination
- Problem solving
Name the three broad types of skills for successful medical interviewing.
Content skills
Perceptual skills
Process skills
Name the three styles of the Dr - Patient relationship.
- Authoritarian
- Guidance
- Mutual participation relationship
What needs to be considered in terms of Body language?
culture, context, gesture clusters and congruence
What are some common reasons young children are brought to their GP?
Feeding problems URTIs/Coughs Rashes Pyrexia Sore throat D and V Anxiety regarding milestones in growth/development
Hypothetico-deductive reasoning. Define.
Formulating multiple hypotheses to answer a problem then deducing the ones that are not useful until one single hypothesis is left.
List the 6 aims of the GP consultation.
- Initiate the consultation
- Gather Information
- Provide Structure
- Building relationship/rapport
- Explanation and Planning
- Closure of the session
