Gen Med deck 1 Flashcards
GP Definition
General Practice is clinical and academic discipline with its own educational content
and scientific research, based on evidence and clinical activities specifically oriented to
primary health care
what is Primary Healthcare
A fundamental medical care based on sci_entifically grounded and socially acceptable_
methods and te_chnologies universally accessible_ to for each individuals and families
with their full participation at a cost that the community and country can afford in a
spirit of self-reliance and self-determination.
6 competences of a GP
- Management of patient health problems at primary care level
- Community orientation- responsible for community
- Ability to solve specific problems (decision making and early detection)
- Comprehensive care (ability to apply to vast scope of activities)
- Provision of personality (centered care, create relationship)
- Application of holistic approach (consider health problems in all aspects)
4 Tasks of a GP
1, open consultation -2, elucidate health problems
3, negotiate actions for solution –4, close consultation
GP screeningBP, Peak flow (airflow of lungs), Urinalysis (diabetes and kidney), Glucose (diabetes), Smear test (cervical cancer), Digitial rectal exam (prostate), Blood count (anemia), Thyroid function test (over or under active thyroid), HDL/LDL/triglycerides levels (Cholesterol ), Ca125 blood test (ovarian cancer)
BP,
Peak flow (airflow of lungs),
Urinalysis (diabetes and kidney),
Glucose (diabetes), Smear test (cervical cancer),
Digitial rectal exam (prostate),
Blood count (anemia), Thyroid function test (over or under active thyroid),
HDL/LDL/triglycerides levels
(Cholesterol ),
Ca125 blood test (ovarian cancer)
basic approaches of a GP
Hollistic, pure biological, pure social, anthropological
types of GP consultations
1open consultation – 2, elucidate health problems – 3, negotiate actions for solution –
4, close consultation
???
communication
techniques of a GP consultation
1: Greeting
=>inviting=>Social contact=>orientation
2: active listening
observation=> open questions(tell me more) =>closed questions(when did it start) =>encouragement =>paraphrase (direct the pt ‘does
pain move?’)=>confrontation =>Interruption
3:general conclusion
explanation=>prioritization=>partnership=>motivation = >sense of humour
4:specifying (specific actions) & closing
Indicators of patient-physician
communication efficiency
Positive
cooperation, contentment of patient, contentment of physician
Negative
change of physician, grievances, physician’s mistakes
what is the Payment of GP practice
Capitation(fee depends on no of pts),
national insura fund,
visit tax,
GP extra activities
Non Verbal Communication
- Body language/kinesis (gestures, facial express, body position),
- touching,
- paralanguage(voice tone, speed, loudness),
- proxemics (distance between people as they interact)
- general appearance (physique, clothing, hairstyle), eye move/wink
Verbal Communication
- Vocal characteristics (voice type/ quality),
- melody (stress and key notes), \
- speech rate(tempo/rhythm),
- articulation (whispering, shouting),
- pronunciation,
- side sounds(laughter , coughs)
gp role in Paediatric consultation first visit
1, Umbilical care
umbilical residue dries off (3/4th day), falls off (7/8th day), small
moist wound heals by end of 2nd week–
2 Skin care=bathe baby every day—
3 Ensuring optimal environment= 20-22°C room temperature
Paediatric consultation first year
Every month- measure height weight, head+chest circum, assess neurological and mental development.
1 and 4 months-hip joints
6 and 12 months- FBC, urine test.
Paediatric consultation 1-2 years
4 times a year- every 3 months,
measure height weight, chest circum, assess neurological and mental development
