General practice (1) Flashcards
Give 4 roles of the GP
- Caring for the whole person as well as their illnesses
- Promoting healthy lifestyles
- First point of contact
- Main interface between NHS and community
What IT systems are used in primary care?
- Vision
- EMIS
How can a GP have a flexible career and good work/life balance?
- 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
How are GPs revalidated?
All GPs undertake a 5yr cycle to be revalidated - prepare for appraisal every year
How can GPs prepare for an appraisal?
- Reading literature
- Attending courses
- Performing audits
Give some members of the practice team
- Manager
- IT/admin staff
- Secretarial staff
- Reception staff
- Nurses
- Advanced nurse practitioners
- PAs
- Phlebotomists
- Health care assistants
What might longitudinal care involve?
- 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
What are the 4 essentials of clinical competence?
- Knowledge
- Communication skills
- Physical examination
- Problem solving
What 3 skill types are needed for successful medical interviewing
- Content skills
- Perceptual skills
- Process skills
3 different styles of doctor patient relationship
- Authoritarian
- Guidance/cooperation
- Mutual participation
Give 5 types of questions
- Open ended
- Closed
- Difect
- Leading
- Reflected
Give some ideas of a GP’s typical workload
- Morning and afternoon surgeries
- Paperwork
- House calls
- Duty doctor/emergencies
- Events coverage
- Special interests
What is the gatekeeper function of a GP?
The role in authorising access to specialty care, hospital care and diagnostic tests.
What difficulties might be faced in an urban setting?
- Language difficulties
- Very mobile populations
- High levels of illnesses associated with poverty
