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OSCEs > GMC - Good Medical Practice > Flashcards

GMC - Good Medical Practice Flashcards

1
Q

Duties of Doctors
- Four domains

A

Duties of Doctors
- Four domains

  1. Knowledge, skills, and performance
  2. Safety and quality
  3. Communication, partnership, teamwork
  4. Maintaining trust
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2
Q

Good medical practice:
- You must
- You should

A

Good medical practice:

  • You must
    1. Overiding duty or principle
  • You should
    2. Explanation of meeting duty
    3. Not apply in all circumstances
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3
Q

Duties of doctors:
Domain 1 (K,S,P)

A

Duties of doctors:
Domain 1: Knowledge, skills, performance

  1. Competent in all aspects
    - incl. management, research, teaching
  2. Up to date
  3. Regularly maintain and develop skills
  4. Familiar with guidelines and developments
  5. Monitor and improve work
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4
Q

Dutys of doctors
Domain 1 (K,S,P)

  • Recording work
A

Dutys of doctors
Domain 1 (Knowledge, skills, performance)

  • Recording work
    1. Clear
  1. Accurate
    - Findings
    - Decisions
    - Information given
    - Drugs
    - Signature
  2. Legible
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5
Q

Duty of doctors
Domain 2 (S&Q)

  • Contributing and complying
A

Duty of doctors
Domain 2 (S&Q)

  • Contributing and complying
  • Quality
    1. Audits
    2. Reflections
    3. QIP
    4. Reviewing patient feedback
  • Safety
    1. Confidential inquiries
    2. Adverse event recognition
    3. Reporting incidents
    4. Reporting reactions
    5. Responding to public health requests
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6
Q

Duties of doctors
Domain 2 (S&Q)

  • Responding to risks
A

Duties of doctors
Domain 2 (S&Q)

  • Responding to risks
  1. Promote and encourage open culture
  2. Take prompt action
    - Basic care not met
    - Risk to patients
    - Colleague not fit to practise
  3. Offer help at emergencies in clinical or community settings
  4. Consider needs of the vulnerable
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7
Q

Duties of doctrs
Domain 2: Safety and quality

  • Risks posed by your health
A

Duties of doctrs
Domain 2: Safety and quality

  • Risks posed by your health
  1. If you suspect condition
    - can be passed on
    - effects judgement
  • consult a suitable colleague and follow advice
  1. Be immunised
  2. Register with GP
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8
Q

Duties of doctors
- Domain 4: C,P,T

  • Communication
A

Duties of doctors
- Domain 4: C,P,T

  • Communication
  1. Listen to patients and respond honestly
  2. Give all information and meet communication needs
  3. Be considerate to those close to patient
  4. Be readily accessible when on duty
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9
Q

Duties of doctors
- Domain 3 (C,P,T)

  • Teaching/training/supporting
A

Duties of doctors
- Domain 3 (C,P,T)

  • Teaching/training/supporting
  1. Contribute to teaching doctors and students
  2. All your staff appropriately supervised
  3. Honest and objective in appraising and writing references
  4. Willing to mentor
  5. Support colleagues with problems, but put patient safety first
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10
Q

Duties of doctors
- Domain 3 (C,P,T)

  • Partnership with patients
A

Duties of doctors
- Domain 3 (C,P,T)

  • Partnership with patients
  1. Treat fairly and respect life choices
  2. Share information about care decisions
    - condition and prognosis
    - risk and uncertainties
    - team responsibilities
  3. Confidentiality including after death
  4. Empower patients
    - lifestyle advice
    - lifestyle support
  5. Explain conscientious objection
    - do not imply disapproval
    - tell them about their right to see another doctor
    - if not possible, make sure suitable colleague can take over role
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11
Q

Duties of doctors
- Domain 4 (Trust)

  • Respect
A

Duties of doctors
- Domain 4 (Trust)

  • Respect
  1. No improper emotional relationship
    - patient
    - close person
  2. No exploitation or distress
    - through personal beliefs
    - eg. political, religious, moral
  3. Open and honest with problems
    - put matters right
    - offer apology
    - explain fully and promptly event
    - explain short-term and long-term effects
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12
Q

Duties of doctors
- Domain 4: Trust

  • No discrimination
A

Duties of doctors
- Domain 4: Trust

  • No discrimination
  1. Priority to patients based on clinical need
  2. Investigations and treatment based on clinical judgement
    - do not refuse or delay based on patient lifestyle
  3. Do not deny treatment for own safety
    - minimise risk
    - make suitable alternative arrangements
  4. Do not allow personal views to affect relationships or treatment
    - challenge colleagues who do this
  5. Make reasonable adjustments for disabled patients
  6. Do not allow complaints to affect care
  7. Only end relationship when trust breakdown prevents good care

8.

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