General Practice Flashcards
Give some examples of 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 quality of one’s own performance
Appreciation of the value of teamwork
Good interpersonal and communication skills
Clinical competence
Organisational ability
Ability to manage oneself
Ability to work with others
Maintaining good practice
Relating to the public
Ability to deal with uncertainty
Give some examples of practice IT systems
Store appointments Book appointments Assist in consultations (patient records) Support prescribing Electronic management of hospital letters Electronic management of blood/other results Use in audit E-consultations Chronic disease management and recall Patient leaflets/resources Public health information Identify patients for screening programs
How often are GPs required to undertake an appraisal?
every 5 years
What are the four essential components of clinical competence?
Knowledge
Communication skills
Physical examination
Problem solving
Which three broad types of skills are needed for successful medical interviewing?
Content skills
Perceptual skills
Process skills
What are some physical factors that may influence a consultation?
Site and environment
Adequacy of medical records
Time constraints
Patient status
Describe how site and environment may influence a consultation
Attendance at a roadside accident in the dark, cold and pouring rain, with bystanders milling around and sometimes offering advice is obviously a different scenario to the doctor managing this same problem in the emergency department of a major hospital.
Describe how adequacy of medical records may influence a consultation
Many patients have continuing health problems. An adequate record of the history of the illness, patient background, drugs in current use, etc. will avoid the need to waste time in reviewing such matters whenever the patient attends.
What are some personal factors that may influence a consultation?
Age Sex Backgrounds and origins Knowledge and skills Beliefs The illness
Give an example of how age may affect a consultation
As a general rule younger doctors are sought after by younger patients and vice versa.
What are the three styles of doctor-patient relationships described by Szasz and Hollender?
Authoritarian or paternalistic relationship
Guidance / cooperation
Mutual participation relationship
Give some examples of basic interviewing techniques which encourage communication
The open-ended question
Listening and silence
Facilitation
What are the five different types of question styles?
Open ended question Direct question Closed question Leading question Reflected question
Give some examples of factors which influence the interpretation of body language
Culture
Context
Gesture clusters
Congruence
Give some examples of specific gestures and body language
Gaze behaviour
Posture
Folded arms
Hand-to-face gestures
