Year 1

Question 1

Notes on a GP Practice

Answer 1

Longitudinal Care - Patients will gain a relationship with their GP

The Practice will adapt to the needs of public health and therefore they vary widely from practice to practice

Digitisation - the practice will use technology such as digital records and appt booking

Some will be partner owned others owned by local NHS trust

Question 2

Work Life Balance of a GP

Answer 2

Flexibility for both partners and associate

GPs can opt into night/on-call shifts

Choice of how many sessions they work a week

optional Career paths - Commuity, Sports, GPSI etc.

Question 3

3 styles of consultation

Answer 3

authoritarian/paternalistic - Dr telling pt what to do
guidance/co-operation - The dr suggests a route to take and the pt cooperates
mutual participation - the Dr and pt work together to come up with the pland of management - this respects autonomy the most

Question 4

What is the calgary Cambridge model

Answer 4

initiating the session
Gathering the information 
Providing a structure
Building a relationship
Explaination and Planning 
Closing the session

Question 5

Roles of a consultation according to Neighbour

Answer 5

Connect with the pt
Verbal checking that reasons for attending are clear ad understood
Set up for hand over
Sign posting to ensure everything is covered
Housekeeping in order to ensure best possible reflection

Question 6

Common interview techniques used in GP

Answer 6

Questioning - using open, closed, direct, reflective and leading questions in order to gain information

Listening and silence - Active listening and allowing pt to open themselves up and let you knwo what is going on how they wish to

Facilitation - cooperating with the patient and giving them the tools they need

Question 7

important considerations in body language (7)

Answer 7

Content
Culture 
Congruence
Posture
Gaze behaviour
Gestures.

Question 8

Lay beliefs of health and social classes

Answer 8

People in more difficult socioeconomic classes regard health as function - the ability to carry out tasks and take care of others

Question 9

Differences in health beliefs in genders

Answer 9

Women find the concept of health more interesting as well as regarding the social aspect of health more so than men

Question 10

Differences in health beliefs in different cultures

Answer 10

The difference in the regards towards High BP - What Caucasians might consider High BP afro-carribeans may not and therefore are less likely to comply with meds