FOPC3 - Realistic medicine

Question 1

Define realistic.

Answer 1

Having or showing a sensible/practical idea of what can be achieved/expected
Representing things in a way that is accurate and true to life

Question 2

Discuss the concept of realistic medicine and the 6 main points.

Answer 2

Catherine Calderwood, annual report 2015

1. Build a personalised approach to care
2. Change our style to shared decision making
3. Reduce unnecessary variation in practice and outcomes
4. Reduce harm and waste
5. Manage risk better
6. Become improvers and innovators

*reduce overdiagnosis and over treatment, free up resources to address under-provision of care elsewhere

Question 3

According to realistic medicine, what are the 5 main questions patients should ask?

Answer 3

1. Is test/treatment/procedure really needed?
2. What are benefits and downsides?
3. What are possible side effects?
4. Are there simpler or safer options?
5. what would happen if I did nothing?

Question 4

What was highlighted in the second report - ‘realising realistic medicine’?

Answer 4

Communicate, collaborate, connect, culture

Question 5

What is the vision of realistic medicine?

Answer 5

By 2025, everyone who provides healthcare in Scotland will demonstrate professionalism through the approaches, behaviours and attitudes of realistic medicine

Question 6

What was highlighted in the third report - ‘practicing realistic medicine’?

Answer 6

Think about factors determining health
Embed prevention in clinical culture
ensure practice responsive to social determinants
Advocate for population-peel action on health and health inequalities
Create collaborations across health, social care and society
Empower people/communities for shared decision making

Question 7

What was highlighted in the fourth report - ‘personalising realistic medicine’?

Answer 7

Focus on building a personalised approach
Need to support workforce to deliver: culture of stewardship, compassionate leaders, supportive workforce
–> engage patients

Question 8

What was highlighted in the Citizens Panel Report?

Answer 8

People/patients desire a friendly, knowledgable doctor who is able to communicate accurate info well and with who they are comfortable sharing decisions