Y3 Realistic Medicine

Question 1

What are the aims of realistic medicine?

Answer 1

Build a personalised approach to care
Change our style to shared decision-making
Reduce unnecessary variation in practice and outcomes
Reduce harm and waste
Manage risk better
Become improvers and innovators

Question 2

How is variation in practice reduced?

Answer 2

With the development and use of guidelines

May not always be suitable in multi-morbidity

Question 3

How can you personalise care?

Answer 3

Estimate risk of a condition based on present risk factors
Take into account patient’s wishes
Provide all information the patient may need

Question 4

What makes a ‘good doctor’?

Answer 4

Knowledge/qualifications
Good listener
Friendly/approachable

Question 5

What are the most important elements of a ‘good consultation’ with a doctor?

Answer 5

Feeling listened to / not being rushed
Clear communication
Resolution / diagnosis / outcome

Question 6

How may harm and waste be reduced?

Answer 6

Preventing overdiagnosis

Question 7

How can doctors become improvers and innovators?

Answer 7

By monitoring quality of work through systems such as the Scottish Intensive Care Society Audit Group
Can be used to inform and design systems that can be used to monitor quality and improvement