Thursday 23 May 2013

How do GPs consult with patients?


#GPFUQ 34 How do GPs consult best with patients? The essentials are 1. Shut up and listen, 2. Care 3. Know something

#GPFUQ 35 What is the Art of GP Medicine? All of medicine minus anything that is evidence based

#GPFUQ 36 Are guidelines obligatory? No – just advice and not a guarantee of best outcome. But if you ignore good guidelines you need a good reason.

#GPFUQ 37 What's wrong with 'what’s the matter with you' medicine?  'What matters to you' medicine is more important.

#GPFUQ 38 Why do GPs need to be part of the community? In a community people know when you’re ill and they care if you die.

#GPFUQ 39 Do GPs have to be well rounded individuals? No, but they need to be part of a well rounded team.

#GPFUQ 40 Is continuity of GP care useful? The unique selling point (USP) of GP is longitudinal continuity of care that meets the needs of the patient

#GPFUQ 41 How long is a career in general practice? About 200,000 consultations. You can use them more quickly each day or more slowly over a 30 year career. You only have a finite capacity, use it well. When you have used up your supply, its time to change your job or retire

#GPFUQ 42 Are all General Practices dysfunctional? Possibly but some are much more dysfunctional than others.

#GPFUQ 43 What happens when you think it’s all going well in GP? It means that you havn’t been paying attention and havn't realised what’s gone wrong yet.

#GPFUQ 44 How do you recognise another bad idea in the NHS? The opposite idea seems just as reasonable and/or it's based on the ‘specific vagueness’ of a Govt policy.

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