General Practise Flashcards
Name 3 primary care specialties.
General practise
Occupational and environmental medicine
Public health
State some other aspects of general practise.
Out of hours responsibilities
GP’s with special interests
Events coverage i.e. concerts and car rallies
Portfolio careers
British association for immediate care (BASICS) - pre hospital
State some of the skills which GP’s utilise.
Managing risk and uncertainty Problem solving - hypothetical deductive reasoning Evidence based medicine Wide range clinical skills A holistic approach
What are the personal qualities that make a good GP?
Ability to deal with risk and uncertainty
Ability to provide care for the patient and their families
Relate to the public
Good organisation and time keeping skills
Problem solving skills
Be able to appreciate the use of team work
Commitment to keeping up to date and improving ones performance
The ability to seek help when appropriate
Clinical competence
Maintaining good practise
An awareness of ones own limitations
Who is all involved in the GP practise team?
GP Locus doctors Nurses Advanced nurse practitioner Physician associate Secretaries Receptionist Manager Phlebotomist Health care assistant IT/admin staff
In a consultation, what 3 types of skills are needed for successful medical interviewing?
Content skills - what doctors communicate, the substance of their questions and responses, the information they gather and give
Perceptual skills - what they are thinking and feeling, internal decision making, clinical reasoning, awareness of ones own bias, attitudes and distractions
Process skills - they ways in which doctors communicate with patients, how they go about providing information, verbal and non verbal skills they use.
What are the different types of non verbal communication?
Instinctive - crying, laughing, pain
Learned - from experience (depends on cultural and family experience) or from training (non verbal communication training)
Clinical observation - from a doctors medical training and experience they may be able to identify some non verbal communication, and non verbal symptoms of disease i.e. Parkinson’s disease, Cushing disease etc.
What factors determine body language?
Culture (different cultures have different views on certain body language)
Context (are they in pain or is it in response to the consultation)
Congruence (agreement)
What factors influence the consultation?
Physical
- timing constraints
- site and environment
- adequacy of medical records
- patient status - known patient or new patient
Personal
- age
- sex
- beliefs
- origin/background
- knowledge and skills
- the illness
What are the 3 types of doctor patient relationships?
Authoritarian or paternalistic relationships
Guidance/coordination
Mutual participation relationship
what advantages are there of GP’s being gate keepers?
patient advocacy
limits exposures to unnecessary procedures i.e. Xray/MRI
increases likelihood of referral to appropriate specialty
puts GP in position to provide patient education
increases likelihood of appropriate use of resources
approximately what percentage of patient presenting with illnesses in the community are admitted to hospital each month?
3%
