General practice

Question 1

What % of graduates go on to general practice?

Answer 1

47%

Question 2

When was out out hours care removed from the national GP contracts?

Answer 2

2004

Question 3

How often are GPs revalidated?

Answer 3

5 years

Question 4

What are the four essential components of clinical competence?

Answer 4

• Knowledge, communication skills, physical examination and problem solving are the four essential components of clinical competence

Question 5

What 3 skills are needed for successful medical interviewing?

Answer 5

o Content skills
o Perceptual skills
o Process skills.

Question 6

What are the 3 types of doctor/patient relationships?

Answer 6

o Authoritarian or paternalistic relationship
o Guidance/co-operation
o Mutual participation relationship

Question 7

Describe authoritarian/paternalistic relationships

Answer 7

Authoritarian or paternalistic relationship: the physician uses all of the authority inherent in his/her status and the patient has no autonomy. The patient tries hard to please the doctor and has does not actively participate in their own treatment.

Question 8

Describe guidance/cooperation

Answer 8

The physician still exercises much authority and the patient is obedient, but has a greater feeling of autonomy and participates somewhat more actively in the relationship.

Question 9

Describe a mutual participation relationship

Answer 9

Joint decision making between doctor ad patient, greater patient choice/autonomy

Question 10

Describe an open question

Answer 10

One that cannot be answered with yes or no, often expressed as a statement

Question 11

Describe a direct question

Answer 11

Simple and straight to the point

Question 12

Describe a closed question

Answer 12

One answered with just yes or no

Question 13

Describe a leading question

Answer 13

One that suggests the particular answer or contains the information the questioner is looking to have confirmed

Question 14

Describe a reflected question

Answer 14

take some information you have gathered and ask them a question about it to allow patient to reflect on it, show that you have been listening, and help you to focus on determining the exact needs of your patient

Question 15

What 4 points are important to consider in terms of body language?

Answer 15

o Culture

o Context

o Gesture Clusters
o Congruence

e.g. gaze behaviour, posture, specific gestures

Question 16

What difficulties can be faced in an urban setting?

Answer 16

o Language difficulties
o Very mobile populations
o High levels of illnesses associated with poverty

Question 17

What difficulties can be faced in rural settings?

Answer 17

o May have to travel considerable distances to visit patients (little traffic and nice scenery though)
o May have to provide more urgent procedures than GPs in cities
o More on-call duties
o Weather or environment may be challenging