Year 1 Flashcards Preview

FoPC > Year 1 > Flashcards

Flashcards in Year 1 Deck (31)
Loading flashcards...
1

How often are GPs revalidated?

Every 5 years by colleague

2

What staff might make up a GP surgery?

Manager
IT/Admin staff
Secretarial Staff
Reception Staff
Nurses - Staff/Auxiliary
Nurse Practitioner/Physician Associates
Phlebotomist
Doctors

3

What are the aims of the Calgary-Cambridge type consultation?

Initiating the session
Gathering Information
Providing Structure
Building Relationship
Explanation and Planning
Closing the Session

4

What are the three types of doctor-patient relationship?

Authoritarian/Paternalistic
Guidance/Cooperative
Mutual Participation

5

Three broad communication skills needed for medical interviewing?

Content Skills - what doctors communicate
Perceptual Skills - clinical reasoning, internal decision making
Process Skills - technique, verbal/non-verbal skills

6

What are the three main interviewing techniques?

Talking
Examination
Procedures

7

What are the four points of body language?

Culture
Context
Gesture Clusters
Congruence

8

What are some different types of question?

Open-ended
Direct question
Closed
Leading
Reflected

9

What are the definitions of risk, uncertainty, and hazards?

Risk - chance of bad consequences
Hazard - something with potential to cause harm
Uncertainty - uncertainty

10

What are some types of hazard?

Physical - heat, radiation
Chemical
Mechanical - trips, slips
Biological - infections
Psychosocial - stress

11

What are the three principles that govern the perception of risk?

Feeling in control - voluntary vs involuntary
Size of the possible harm
Familiarity with the risk

12

What individual variables might affect risk perception?

Previous experience
Attitudes towards risk
Values
Beliefs
Socio economic factors
Personality
Demographic factors

13

Different systems of decision making protocols?

Algorithms
Pattern Recognition
Scenario/Option planning
Pathways

14

What three actions to take in 'safety netting'?

Advise expected course of duration
Advise symptoms indicating deterioration
Advise who to contact if deterioration occurs

15

What are some barriers to trans-cultural communication?

Lack of knowledge
Fear and distrust
Bias and ethnocentrism
Stereotyping
Language barriers
Differences in perception and expectations

16

What are the four principles of ethics?

Beneficence
Non-maleficence
Justice
Autonomy

17

What is the WHO definition of health?

A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity

18

What are the Seedhouse 5 major characteristics of health?

Health as an ideal state
Health as physical and mental fitness
Health as a commodity
Health as personal strength or ability
Health as the basis for personal potential

19

What are some possible lay beliefs of 'health'? What might affect these beliefs?

Absence of disease
Physical fitness
Functional ability, and relativity to age

Age
Gender
Social Class
Cultural differences

20

What is 'self-efficacy'?

One's belief in one's ability to succeed in specific situations or accomplish a task.

21

What aspects might you address in promoting a healthier lifestyle to a patient?

Diet
Exercise
Alcohol
Smoking
Recreational Drugs
Sexual Health

22

What makes a GP an appropriate person to address health and social concerns?

Aware of current and past medical history
Aware of social circumstances
GP has knowledge of many illnesses and diseases
Trusted health professional
GP has role in prevention in health
GP usually local

23

What factors may affect a person's motivations to change their lifestyle?

Advantages and disadvantages in terms of health
Positive response from peers
Social pressure (positive or negative)
Behaviour consistent with self-image?
Self-efficacy

24

What actions could the government take to affect health?

Health education
Tax on unhealthy foods
Legislation regarding labelling
Enforcement of legislation
Ban on advertising
Improve facilities
Subsidise healthy foods
Transport policies
Funding of NHS

25

What is 'cultural competence'?

The ongoing capacity of healthcare systems, organisations, and professionals to provide (for diverse patient populations) high quality care that is safe, patient and family centered, evidence-based and equitable.

26

What difficulties may arise in consulting patients from different cultures?

Lack of knowledge about NHS/UK healthcare system
Lack of knowledge about common health issues/different health beliefs
Fear and distrust
Racism
Bias/ethnocentrism
Stereotyping
Language barriers
Presence of third party e.g. family, interpretor
Differences in perceptions/expectations
Examination taboos
Gender differences
Religious beliefs
Difficulties using 'language line'
Patient may not have NHS entitlement

27

Name ways people can be exposed to hazards?

Blood
Sexual Contact
Inhalation
Ingestion
Skin

28

How can risk be minimised (Neighbour)?

Safety netting
Summarise and verbally check reasons for attendance
Hand over to patient to ensure all issues have been covered
Deal with housekeeping of recovery and reflection

29

What is meant by the GP as a 'gatekeeper'?

GP controls access to secondary care and beyond

30

Advantages of the GP as a gatekeeper?

Can identify patients who need secondary care
Personal advocacy
Patient might not know which specialty to go to
Increases likelihood of referral to appropriate department
Increases likelihood of appropriate referral/use of resources
Limits exposure to certain investigations e.g. X-rays
GP acts as coordinator of care
Puts GP in position to provide patient education