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MRCGP Examination

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MRCGP Examination

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    1. MRCGP Examination Answer Structures & Grids

    2. Consultation Models Pendleton Neighbour Byrne & Long Stott & Davis

    3. Pendleton 7 Tasks 1 Define reason for attendance (patients ideas/concerns/expectations) Consider other problems Choose appropriate action for each problem Achieve shared understanding Involve patient/accept responsibility Use time/resources appropriately Establish/maintain relationship with patient

    4. Neighbour: 5 Checkpoints2 Connecting Summarising Handing Over Safety Netting Housekeeping

    5. Byrne & Long3 Doctor Patient Relationship Discover reason for attendance Verbal/Physical Examination Doctor/Patient consider condition Doctor/Patient consider Treatment/Investigation Terminate consultation

    6. Stott & Davis4

    7. Problem-Oriented Medical Records SOAP Subjective Objective Assessment Plan Pseudo-Latin Hx (History) Sx (Symptoms) Ix(Investigation) Mx (Management) Rx (Prescribe)

    8. 5 Areas of General Practice Clinical Practice Health & Disease Clinical Practice Human Development Clinical Practice Human Behaviour Medicine & Society The Practice

    9. Health & Disease Normal Range Patterns of Illness Natural History Prevention Early Diagnosis Diagnostic skills/techniques Management/Treatment

    10. Human Development Genetics Foetal Development Childhood Development Physical Intellectual Emotional Normal Range

    11. Human Behaviour Behaviour presenting to Doctor Behaviour in Relationships Behaviour in Family Behaviour in Doctor-Patient Relationship

    12. Medicine & Society Sociological aspects Uses of Epidemiology Organisation of Healthcare in UK comparison with abroad recent changes Relationship between Healthcare services and other institutions of society

    13. The Practice Practice Management The PHC Team Finance Premises & Equipment Medical Records Medico legal issues Research Lifelong Learning

    14. Question Maker Problem Definition Management Prevention Communication Organisation Professional Values Personal Development

    15. Situation Problems Advantages Disadvantages Applied to: Doctor Patient Practice PHC Team Relatives Community Healthcare General Public

    16. Clinical Problems HEIRS History Examination Investigation Referral See again? RAPRIO(P) Reassure Advice Prescribe Refer Investigate Observe (Preventative)

    17. Illness Always answer in terms of: Physical Psychological Social Family/Community

    18. Patients request Agree Disagree Negotiate

    19. Ethical problems Utilitarianism examines moral dilemmas seeks to make decisions based on outcomes applies to large populations e.g. the greatest good for the greatest number Deontological applies to individuals based on the duties of the doctor and the rights of the patient (and, of course, vice versa)

    20. Ethical solutions ABCDE Autonomy (Patient) Beneficence above all, do no harm do good where possible Confidentiality Do not lie (Truthfulness) Everybody else (Society)

    21. Doctors feelings Awareness Power Anger Guilt Stress Conflicts

    22. Breaking Bad News A KISS Anxiety: try to elicit anxieties Knowledge: try to elicit knowledge Information: give information simply re treatment, prognosis, follow up Sympathy: give human contact (touch) Support: give practical help

    23. Dealing with Anger AFVER Avoid Confrontation Facilitate Discussion Ventilate Feelings Explore Reasons Refer/Investigate

    24. Marking Schedules Model answer Areas of Competence Word Mapping

    25. Areas of Competence Problem Definition Management Prevention Practice Organisation Communication Professional Values Personal/Professional Development

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