1 / 20

MRCGP Orals

MRCGP Orals. M Ather. RCGP. Setting. RCGP Make sure you arrive at least an hour early Knightsbridge - nearest tube station Usually in two big rooms Screens between tables Plenty of noise. Format. 2 tables 2 examiners per table 20 minutes each table, 5 min break

onofre
Télécharger la présentation

MRCGP Orals

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MRCGP Orals M Ather

  2. RCGP

  3. Setting • RCGP • Make sure you arrive at least an hour early • Knightsbridge - nearest tube station • Usually in two big rooms • Screens between tables • Plenty of noise

  4. Format • 2 tables • 2 examiners per table • 20 minutes each table, 5 min break • 5 questions per table, 4 min / question • Alternate questions

  5. Questions Grid

  6. Example of questions

  7. What to demonstrate • Decision making skills • Not dangerous • Can see both sides of an argument • Make a decision • Justification of your answer

  8. Marking • O outstanding • E excellent • G good • S satisfactory • B borderline (aggregated >4Bs to pass) • N not adequate • U unsatisfactory • P poor • D dreadful

  9. Tips on technique • Before answering, pause briefly to digest • Ask for clarification if you don’t understand • Be patient-centred in reaching decisions • Flexible…………You…………..Rigid

  10. Must know • Ethical framework • Fraser / Gillick competence • Confidentiality • GMC Good Medical Practice • Underperformance – how to handle? • CPD • Leadership skills • Consultation models • End of Life decisions- AD, Euthanasia, Death certification • Bodies: PCT, LMC, GPC, NPSA, MDU, GMC

  11. Handling Underperformance

  12. Structure your answer Patient Doctor (duties of a doctor GMP) Practice PCT Wider: NHS, politics, society, media Ethical Medicolegal EBM

  13. Reasons for failing • Slow response, needing lot of prompting and leading • Shallow & superficial answer, decision making lacking justification • Inability to consider range of options in order to justify rational approach to decision making • Difficulty in recognising the dilemmas posed by the question • Difficulty / inability to make a decision

  14. Summary • Pause / digest question • Apply framework • Demonstrate awareness of both sides of an argument • Make a decision • Justify your answer • Not too rigid / flexible • Practice……..

  15. Consultation Models • Know a few • Know them well • Salient features • Why you like this the most? Justify

  16. Pendelton’s“Seven tasks of consultation” • Define the reason for patient’s attendance: the nature and history of the problem; patient’s ICE • To consider other problems: continuing problems • With the patient choose an appropriate action for each problem • To achieve a shared understanding of the problem with the patient. • To involve the patient in the management and encourage him to accept appropriate responsibility. • To use time and resources appropriately: in consultation and long term • To establish or maintain a relationship with the patient which helps to achieve the other tasks.

  17. Helman’s “Folk Model” • Helman developed a simple model to emphasise the patient’s perspective even further. The ordinary questions which a non medical person would want to know include: • What has happened? • Why has it happened? • Why to me? • Why now? • What would happen if nothing was done about it? • What should I do about it or whom should I consult for further help?

  18. Neighbour’s “The Inner Consultation” • Neighbour describes the consultation as a journey with five checkpoints. • Connecting: getting on the same wavelength as patient. Gaining information about illness • Summarising: a counselling skill which shows you’ve listened and clarified what the patient has said and have understood the reason for consulting you.

  19. Neighbour’s “The Inner Consultation” • Handing over: giving the patient responsibility in the management plan and making sure he’s happy with the outcome of the consultation. • Safety netting: planning for the unexpected. Helps to deal with uncertainty • If I am right what I expect to happen? • How will I know if I am wrong? • What would I do then? • Housekeeping: being aware of your own emotions, how they have influenced this consultation and how they may influence subsequent ones.

  20. Good luck

More Related