Tutorial 4: Risk and Uncertainty rtainty Flashcards
What are the aims of GP consultation?
Calgry Cambridge Model
Gathering Information Providing Structure Building Relationship Explanation and Planning Closing the Session
What are the definitions of risk, uncertain and uncertainty?
Risk - chance of (or of bad) consequences, loss etc.
Uncertain - not able to be relied on; not known or definite
Uncertainty - state of being not completely confident or sure of something
What is the Neighbours approach to a consultation (doctors point of view)
To Connect with the patient
To Summarise and Verbally Check that the reasons for attendance are clear
To Hand Over and bring the consultation to a close
To ensure that a Safety Net exists in that no serious possibilities have been missed
To deal with the Housekeeping of recovery and reflection.
What is safety netting?
If uncertainty remains, that should be communicated to the patient.
They should know exactly how to seek help if needed.
Resilience, and its application to medical careers.
Lack of skills for dealing with uncertainty can lead to burn out and depression.
How can uncertainty be dealt with?
Guidance or support from numerous sources
National Local Immediate Colleagues Peer group Reflection
Strategies for Managing Risk and Uncertainty
Developing a good doctor-patient relationship
Use external evidence
Consider the use of a checklist for diagnosis
Good organisation and note keeping, including documentation of negative findings and documentation
What is Hypothetico Deductive Reasoning?
You get into your car, turn the key and it does not start.
There are many possible reasons why.
There are a few probable reasons however.- no petrol, flat battery.
However if there was no petrol, at least the electrics would come on.
It’s probably the battery then.
This is hypothetico-deductive reasoning
