Year 1: Tutorial 1 Flashcards
Name 3 roles of the GP ?
Caring for the whole person as well as their illness.
The promotion of a healthy lifestyle.
First point of contact - gatekeeper.
Which skills do GPs in the primary care utilize ?
Problem solving Risk management Evidence based medicine Clinical skills Holistic approach to care.
What are some of the personal qualities required to be a GP ?
Commitment to high quality care. Awareness of ones own limitations. Ability to seek help where appropriate. Commitment. Good interpersonal and communication skills. Clinical competence. Good team working skills. Ability to deal with uncertainty.
What are some of the uses of the IT systems in a GP practice ?
Book appointments Support prescribing. Use in audits. E-consultations. Public health information. Blood/other results.
Name 7 members of the practice team
Manager IT/Admin Staff Secretarial Staff Reception Staff Nurses – Junior/Senior Advanced Nurse Practitioners/Physicians Assistants Phlebotomists/Health Care Assistants
What 3 broad types of skills are needed for successful medical interviewing ?
Content skills - What doctors communicate.
Perceptual skills - What they are thinking/feelings.
Process skills - How they do it.
What are some physical factors which can affect a consultation?
Site and environment
Adequacy of medical records
Time constraints
Patient status
What are some personal factors which can influence the consultation ?
Age Sex Backgrounds and Origins Knowledge and skills. Beliefs The illness.
What is an authoritarian or paternalistic relationship between doctor and patient ?
The physician uses all of the authority inherent in his status and the patient feels no autonomy. He tries hard to please the doctor and does not actively participate in his own treatment.
What is a guidance/co-operation relationship between doctor and patient ?
The physician still exercises much authority and the patient is obedient, but has a greater feeling of autonomy and participates somewhat more actively in the relationship.
What is a mutual participation relationship between doctor and patient ?
This is the most desirable for the more complex diagnostic interview, as it is for the management of patients suffering from a chronic illness. Here the patient feels some responsibility for a successful outcome which involves both active participation and a feeling of relatively greater personal autonomy. This is created by appropriate moderation of the doctor’s use of his authority. In such a relationship, the widest range of relevant diagnostic information tends to emerge and the most successful outcome of treatment is likely to occur.
What are the 3 main interviewing techniques ?
Open-ended question
Listening and silence.
Facilitation.
What is the interviewing technique, listening and silence ?
Vital to the quality of communication are active listening skills. This means asking questions that follow on logically from what the patient has told you, encouraging them to talk by nodding, making eye contact, etc, plus picking up on the patient’s body language (ie, nervousness, eyes filling with tears).
What is the interviewing technique of facilitation ?
Facilitation encourages communication by using manner, gesture or words that do not specify the kind of information that is sought. It suggests that the doctor is interested, and encourages the patient to continue. Silence and facilitation tend to go hand in hand
- an interested, attentive manner is of course facilitating. Change of facial expression or posture displaying greater interest or attention is a facilitation.
What are the 5 types of question ?
Open-ended question Direct question Closed question Leading question Reflected question
