Bromley GPTP

"Doc it's my tooth"

03.02.2010

Curriculum headings: Being a GP, Consultation skills, Clinical governance, Community orientation, Ethics

To consider whether GPs are asked to do things that are outside their ‘terms of engagement’?

To be aware of our own capabilities and values.

Smaller objectives

(Observes the accepted codes of practice in order to minimise the risk of disciplinary action or litigation)

(Coordinate care with other specialties)

(Know how NHS care is organised)

(Master effective and appropriate case provision and health service utilisation)

(Act as patient advocate)

Did the format of the session work for you?  Either way please say why?

Yes, engaged group discussion and listening to others point of view.  Was able to participate.

Small group with lots of feedback sessions to bigger group was good.

Yes excellent.

Yes, it was interesting and interactive.

Yes, I really enjoyed it, especially as I feel groups of 3 worked.  I feel the group dynamics were better today and there was less ? behaviour.

Yes, interactive and group work - sharing ideas.

Yes, it was the first Wednesday afternoon session I have been able to attend and I found it really useful.  It brought up things I would never ever have thought of as being duties of a GP and made me think outside the box.

Yes, Good group discussion, very relevant, Excellent.

Yes, interactive, fun, lots of opportunity for discussion.

Yes good opportunity to discuss idea with the group.

Similar scenario as able to apply ethical principles to these.  Yes, MRSA screening.  Yes, MRSA swabs.  No.  Yes, toothache, advertising agency.  Yes, toothache!  Yes.  Yes, dental and forms for acting and we briefly discussed meds from abroad.  No.

Will today’s session help you deal with these types of scenarios?

Yes, learnt about private prescribing and also the "remit" of GPs.

Yes.  Yes.  Yes.  Yes.  Yes.  Yes.  Yes - consolidated.  Yes.  Yes useful to discuss the different arguements.

Can you describe any similar scenarios to the ones discussed today?

Asked to sign a form to say a pt was fit for fire service.  Unfortunately a new pt so did not have notes so unable to do.

Yes, lots of housing association letters.

being bullied at work, wanted letter to say she could not go back to work because of the harassment.

Letter for an exit seat on an aeroplane.

N/A, I haven't done GP.

Yes.

Yes.

Which objectives were met?

Main training on ethical approach.  Yes but could explore other services a bit more and our limitations.  All of them.  The ones outlined at the start!  Ethical dilemmas, probity, justice.  Both major objectives met.  All.  Yes.  Yes.