Consultation skills

Question 1

What should be included in consultation notes?

Answer 1

Physical examination
Comment
Follow up
Medication

Question 2

What are the two main domains for the prescribing competency framework?

Answer 2

The consultation

Prescribing governance

Question 3

What are the 6 competencies under ‘the consultation’ domain for the prescribing competency framework?

Answer 3

1. Assess the patient
2. Consider the options
3. Reach a shared decision
4. Prescribe
5. Provide information
6. Monitor and review

Question 4

What are the 4 competencies under the ‘prescribing governance’ domain for the prescribing competency framework?

Answer 4

7. Prescribe safely
8. Prescribe professionally
9. Improve prescribing practice
10. Prescribe as part of a team

Question 5

What are the 5 Fraser guidelines?

Answer 5

1. that the girl (although under the age of 16 years of age) will understand his advice
2. that he cannot persuade her to inform her parents or to allow him to inform the parents that she is seeking contraceptive advice
3. that she is very likely to continue having sexual intercourse with or without contraceptive treatment
4. that unless she receives contraceptive advice or treatment her physical or mental health or both are likely to suffer
5. that her best interests require him to give her contraceptive advice, treatment or both without the parental consent

Question 6

The fraser guidelines specifically relate only to what?

Answer 6

contraception and sexual health

Question 7

Those under what age are not legally able to consent to any sexual activity?

Answer 7

13 years

Question 8

Can 16-17 year old refusal of medical treatment be overridden by their parents?

Answer 8

Yes