General Practice Flashcards
List three aims of general practice.
- caring for the whole person as well as their illness
- the promotion of healthy lifestyles
- providing the first point of contact and out of hospital care for patients
List personal qualities required to be a good GP.
- Ability to care about patients and their relatives
- A commitment to providing high quality care
- An awareness of one’s own limitations
- An ability to seek help when appropriate
- Commitment to keeping up to date and improving the quality of one’s performance
- Appreciation of the value of team work
- Good interpersonal skills
- Clinical competence
- Organisational ability
- Ability to manage oneself
- Ability to work with others
- Maintaining good practice
- Relation to the public ability to deal with uncertainty
Who might own a practice or building?
- might be owned by GP’s themselves
- or the local NHS organisation
Which two main computer systems are used locally?
- Vison
- EMIS
List some uses of practice IT systems.
- Storing appointments
- Booking appointments
- Keeping patient records
- Supporting prescribing
- Managing hospital letters
- Managing result of tests such as blood or urine
- Use in audits
- E-consultations
- Chronic disease management and recall
- Patient leaflets/resources
- Public health information
- Identify patients for screening programmes.
Explain how a GP and practice manages appraisals.
- appraisals are conducted on a five year cycle
- the GP prepares for appraisal by reading literature, attending course and performing audits
- Salaried GP contracts have time negotiated as protected for appraisal
- most partnerships also accommodate GP partners learning needs with allocated study leave
List some roles that would be employed by the practice.
- practice manager
- administration team
- nurses - student to advanced nurse practitioner
- health care assistants
- phlebotomist
Name and Describe the three skills needed for successful medical interviewing.
Content skills - what doctors communicate Perceptual skills - what they are thinking and feeling Process skills - the ways doctors communicate with patients
List the physical factors which can influence the consultation.
- site and environment
- adequacy of medical records
- time constraints
- patient status (old or new patient/problem)
List some personal factors which can influence a consultation.
- age
- sex
- backgrounds and origins
- knowledge and skills
- beliefs
- the illness
What are the three styles of doctor/patient relationships in medical interviewing were described by Szasz and Hollender in 1956?
- Authoritarian or Paternalistic Relationship
- Guidance/co-operation
- Mutual Participation Relationships
Describe the authoritarian or paternalistic relationship.
- the physician uses all of the authority inherent in his status
- patient feels no autonomy
- patient tries hard to please the doctor
- patient does not actively participate in his own treatment
Describe the guidance/co-operation style of doctor/patient relationship.
- the physician exercises much authority and the patient is obedient
- patient does have a greater feeling of autonomy
- patient participates more actively than in the authoritarian relationship
Describe the mutual participation relationship.
- most desirable for complex diagnostic interview
- patient feels more responsibility and a relatively greater autonomy
- appropriate moderation of the doctor’s authority
Name the two types of different interview styles.
Closed
- interrogation type of interview
Open
- doctor listens and facilitates, then discusses the possible ways forwards with the patient acting in partnership
