Y1 GP Practice Flashcards
What personal qualities are needed to be a good GP?
Ability to care about patients
Commitment to providing high quality of care
Awareness of own limitations
Clinical competence
Value team work
Good interpersonal and communication skills
Organisational ability
What are the uses of practice IT systems?
Store appointments Book appointment Assist in consultations (patient records) Support prescribing Use in audit Management of hospital letters, blood/other results E-consultations Chronic disease management and recall Patient leaflets/resources
Members of the practice team
Manager IT/admin staff Secretarial staff Reception staff Nures Advanced nurse practitioner Phlebotomists / health care assistants
What is the role of reception staff?
Assists with appointments
Phoning out blood results
Scanning to keep computer records up to date etc
Roles of nurses?
Blood taking
Dressings
Senior nurses.- long term condition clinics
What are the four essential components of clinical competence?
Knowledge
Communication skills
Physical examination
Problem solving
What are the 3 broad types of skills needed for successful medical interviewing?
Content skills - what doctors communicate, substance of questions and response, information and treatments given
Perceptual skills - what they are thinking and feeling, internal decision making, clinical reasoning
Process skills - ways doctors communicate with patients, verbal and non-verbal skills, structure and organisation of communication
What are physical factors influencing a consultation?
Site and environment
Adequacy of medical records
Time constraints
Patient status (new or old patient / problem)
What are personal factors, of GP or patient, influencing a consultation?
Age (of patients or doctors) Sex Backgrounds and origins (social class, ethnic factors) Knowledge and skills Beliefs The illness
What are the 3 styles of doctor/patient relationships?
Authoritarian or paternalistic relationship (physician uses authority and patient feels no autonomy)
Guidance/co-operation (greater sense of autonomy, physician still exercises much authority)
Mutual participation relationship (most desirable, active participation of both parties)
What are the types of questions that can be asked in a consultation?
Open-ended question Direct Closed Leading Reflected
What are the different types of non-verbal communication?
Instinctive (e.g. crying, laughing)
Learned (from life experiences, from training)
Clinical observation (e.g. pain, abnormal movement)
What are 4 points to consider when interpreting body language?
Culture
Context (e.g. posture may be because of back pain, not attitude)
Gesture clusters
Congruence (may differ from verbal communication so can imply omission, inaccuracy, suppression of information)
What are the types of body language to look at?
Gaze behaviour
Posture
Specific gestures
