GP

Question 1

9 steps to taking PHx (patient history)

Answer 1

1. Introduction and consent
2. Patient Demographics
3. Presenting Complaint (“What has brought you here today”)
4. History of PC using SOCRATES method
5. Past medical history
6. Drug and Allergy history
7. Family history for genetic factors
8. Social history eg alcohol use/smoking
9. ICE (ask for patient’s ideas, concerns and expectations from this appointment)

Question 2

SOCRATES for finding presenting complaint history

Answer 2

Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbating or relieving factors
Severity

Question 3

GP roles

Answer 3

1. Referrals and tests
2. Health promotion (attending conferences or handing out leaflets)
3. Supervising med students on placement in general practice
4. Home visits when the patient is too unwell to leave the house
5. Academic Research

Question 4

What do nurses do in a GP surgery

Answer 4

Nurses for doing important clinical activities not done by doctors eg taking blood and giving vaccinations or specialist ones with clinics for managements of a chronic illness eg asthma or diabetes

Question 5

What do PAs do in a GP surgery

Answer 5

Take PHx, examine patients and analyse test results while under Dr supervision

Question 6

What do midwives do in a GP surgery

Answer 6

They monitor the health of the mother and baby throughout the pregnancy and mothers usually see the same midwife in all subsequent pregnancies

Question 7

What do HCAs do in a GP surgery

Answer 7

Provide assisance to nurses in phlebotomy and taking blood pressure/weight measurements in clinics

Question 8

What do pharmacists do in a GP surgery

Answer 8

They are responsible for dispensing medication to patients safely.
They check if it is safe and appropriate and dispense the required amount
They also may need to give advice about taking the medication

Question 9

What do admin staff do in a GP surgery?

Answer 9

Book appointments, answering patient queries and organising patient notes

Question 10

3 Challenges of GP

Answer 10

Too many patients, too few appts, many are heading to A&E with problems that a GP can manage
Increase in number of elderly patients, many with comorbidities that are difficult to treat
Difficult to train GPs as the GP training programmes are usually undersubscribed, so there are not enough to fill all the GP jobs available

Question 11

6 types of staff working in a GP

Answer 11

Nurses
PA
Midwives
Pharmacists
HAs
Admin staff