Tutorial 1 - The GP

Question 1

What is the basic Medical career pathway?

Answer 1

Med school 5 years > FY1. FY2. > Specialty training 3-10 years

Question 2

3 aims of General Practice

Answer 2

• Caring for whole person as well as their illnesses
• Promotion of healthy lifestyles
• First point of contact.

Question 3

4 necessary GP Characteristics

Answer 3

• Problem solving and risk management
• Evidence based medicine
• Having wide ranging clinical skills
• Holistic approach.

Question 4

Give an example day of a GP.

Answer 4

• Start morning clinic: see patients with varying medical problems
• Call patients
• Make referral notes and phone calls
• Carry out patient visits
• Lunch
• Similar again in the afternoon
• Some may be on call and have to visit patients out of hours.
  Make sure to drink ample tea/coffee throughout the day, oh and don’t forget the jaffa cakes.
  Make sure to wear a nice shirt and polished brogues.
  Drive a fancy car, but not too fancy.

Question 5

Name some personal qualities of a GP.

Answer 5

• Caring
• Empathetic
• Committed to providing high quality care
• Ample patience
• Hard working
• Appreciate value of teamwork in patient care
• Effective at time managing

Question 6

What are GP practices responsible for?

Answer 6

Local health needs - but these can vary drastically depending of the affluence of the area.

Question 7

Are GPs businessmen/women?

Answer 7

Yes they are often independent contractors, either owning or running the business in partnership or individually.

Question 8

Describe technology within general practice.

Answer 8

• GPs are at the forefront of information tech within the NHS
• Use online booking and documentation
• Were the first to switch from paper to online documentation

Question 9

How does this advancement in technology aid patient care?

Answer 9

• Patient data is easily accessibly to any approved staff member
• GPs can track healthcare and reduce mistakes and reduce important facts missed

Question 10

What are two main systems used?

Answer 10

Vision and EMIS

Question 11

Work/Life balance of a GP - expand.

Answer 11

Can pick and choose when they work.

Very flexible working hours.

Question 12

How often do GPs need to be revalidated?

Answer 12

Every 5 years.

Question 13

Longitudinal Care - expand.

Answer 13

GPs may see the same patient for 20 years.
Stronger relationships will be formed with patients long term.
May be beneficial if patient is helpful - may be detrimental if have to continually see a difficult patient.

Question 14

Name the 4 essential components of clinical skills.

Answer 14

1. Knowledge
2. Communication
3. Physical examination
4. Problem solving

Question 15

Name the three broad types of skills for successful medical interviewing.

Answer 15

Content skills
Perceptual skills
Process skills

Question 16

Name the three styles of the Dr - Patient relationship.

Answer 16

• Authoritarian
• Guidance
• Mutual participation relationship

Question 17

What needs to be considered in terms of Body language?

Answer 17

culture, context, gesture clusters and congruence

Question 18

What are some common reasons young children are brought to their GP?

Answer 18

Feeding problems
URTIs/Coughs
Rashes
Pyrexia 
Sore throat 
D and V
Anxiety regarding milestones in growth/development

Question 19

Hypothetico-deductive reasoning. Define.

Answer 19

Formulating multiple hypotheses to answer a problem then deducing the ones that are not useful until one single hypothesis is left.

Question 20

List the 6 aims of the GP consultation.

Answer 20

1. Initiate the consultation
2. Gather Information
3. Provide Structure
4. Building relationship/rapport
5. Explanation and Planning
6. Closure of the session