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FOPC > FOPC > Flashcards

FOPC Flashcards

to not fail and have to com back in august

1
Q

Skills needed for successful medical interviewing

A

Content Skills - the substance of their questions and responses

Perceptual Skills - to understand what the patient is thinking and feeling

Process skills - they way they structure and organise communication

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2
Q

Role of General Practice

A

To care for the whole person.

Promotion of healthy lifestyles, to act as first point of contact for secondary care.

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3
Q

Personal Qualities required by general practitioners

A

-Ability to care about their patients.
- A commitment to high quality care.
-An awareness of one’s limitations
- Organisational ability
- Clinical competence.
-Good communication skills
-Ability to work well within a team
Ability to deal with uncertanity

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4
Q

How does a GP prepare for appraisal

A

Reading literature, attending courses and performing audits.

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5
Q

When are GP’s appraised

A

Every five years by a colleague .

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6
Q

Why is effective conversation important in general practice

A

essential to high quality care.

Improves patient satisfaction, recall, understanding, concordance, and outcomes of care

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7
Q

Components of clinical competence

A

Good Knowledge
Examination
Communication
Problem solving

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8
Q

Physical factors affecting consultation

A

Site environment
Adequacy of medical records
Time Constraints
Patient Status

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9
Q

Personal Factors affecting consultation

A 
Age
Sex
Backgrounds and Origins
Knowledge and Skills
The Illness
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10
Q

Patient Doctor relationships

A

Authoritarian
Guidance/Co-operation
Mutual Participation

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11
Q

Three components of interviewing in the consultation

A

Talking
Examination
Procedures.

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12
Q

Types of Questions

A

Open-ended - allows the patient to tell their story
Direct- ask about a specific item
Closed- yes/no
Leading presumes the answer
Reflective - allows the doctor to avoid answering a direct question

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13
Q

Type of Non-Verbal Commuinication

A

Instinctive - crying, laughing and expressions of pain.

Learned - from training and life experiences.

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14
Q

Points of Body Language

A

Culture
Context
Gesture Clusters
Congruence

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15
Q

Factors that influence the degree of risk

A

How amount of exposure
How the person is exposed
Conditions of exposure.

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16
Q

factors that govern the perception of risk

A

Feeling in control (involuntary vs voluntary)
Size of possible harm
Familiarity of risk

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17
Q

Individual Variables in risk receptions

A

Previous experience, attitudes towards risk, values and beliefs, socio-economic factors, personality, demographic factors

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18
Q

Environment Hazards

A

Physical- radiation, noise and vibration
Chemical - pesticides
Biological - infectious agents

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19
Q

Definition of Hazard, Risk, Risk Factor, protective factor and susceptibilty

A

Hazard - something with potential to cause right.
Risk - the likelihood of harm occuring.
Risk Factor - increases the risk of harm
Protective factor - decreases the risk of harm
Susceptibility - influences the liklihood that something will cause harm

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20
Q

Hazards

A 
Physical 
Chemical
Mechanical
Biological
Psycho-social
21
Q

Route of Exposure

A 
Skin
Blood
Sexual Contact
Inhalation
Ingestion
22
Q

Psychological Factors influences health

A

Psychological factors can directly have impact on physical health

Or psychological factors can impact health indirectly through health behaviours

23
Q

Health Behaviour

A

Behavior that may have implication for health

24
Q

Poor Health Behaviours

A

Smoking
Poor Diet and Exercise
Alcohol consumption

25
Q

Factors of Health Behaviour

A

Stable
Background
Social
Situational

26
Q

Stable Factors

A

Individual Differences. 1. Emotional dispositions (present)

  1. Generalised Expectancies (future
  2. Explanatory Styles (past)
27
Q

Emotional Dispositions

A

Negative affect - tendency towards negative affective states - depression

Emotional expression - low expression of negative emotional experience through repression

28
Q

Generalised Expectancies

A

Locus of control. Future depends on self.

Self-efficacy - belief in one’s own ability to organise and execute a course of action. Belief in ability to change

29
Q

Explanatory Styles

A

Optimism/Pessimism. Better health behaviour with positive outlook

Attribution Style - casual explanation of negative events. May be external or internal.

30
Q

Background Factors of Health Behaviours

A

Cultural Norms, Gender, race, chronic health status

31
Q

Social Factors

A

Perceived social support

32
Q

Situational Factors

A 
Situation-specific self efficacy. 
Perceived risk.
Emotional response.
Motivation
Outcome evaluation
33
Q

Reasons for socio-economic gradient of health

A 
Social Inequities
Institutional Power
Living Conditions
Risk Behaviours
Disease and Injury
Mortality
34
Q

Access to Health care is dependant on

A

Affordability
Accessibility
Acceptability

35
Q

Calgary and Cambridge Model

A 
initiating the session
gathering information
providing structure
building relationship
explanation and planning 
closing the session
36
Q

Neighbours Model of Tasks to be completed in a consultation

A

To connect with the patient.
To summarise and verbally check that the reasons for attendance are clear.
To handover and bring the consulation to a close.
To ensure a safety net is in place and that no serious possibilities have been missed
to deal with housekeeping of recovery and reflection

37
Q

Uncertainity

A

The state of being not completely confident or sure of something.

38
Q

Risk

A

chance of consequences

39
Q

The two different types of normaility

A

Statistical-based on normal distribution

Cultural-based on norms and values within a group or community.

40
Q

Definition of stress

A

pressure exceed’s ability to cope.

41
Q

Safety Netting

A

Know the worsening symptoms, know who to contact and the duration.

42
Q

how to manage risk

A

developing good relationship.
organisation, documentation of negative findings. Understanding of condition.
Apply reflective pracitce

43
Q

Components of a consultation

A

Talking
Examination
Procedures

44
Q

David Seedhouse wanker definitions of health

A 
Health is:
An ideal state
A commodity .
Personal Strength or ability 
Basis for personal potential
45
Q

Laymans Definition of Health

A

Absense of Disease
Physical fitness
functional ability

46
Q

What bridges the Gap between primary and secondary care

A

Public Health Specialists. Occupational Medicine. Mental Health. Palliative care. Management of long term conditions
Community hospitals

47
Q

Components of a typical GP day

A 
Consultations 
Paperwork
House Calls, Phone calls. Duty doctor emergencies.
Specialist clinics
Practice business
48
Q

Nicholas and Systke should

A

go the fuck to bed

FOPC (2 decks)

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