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The GPR
should show the following attributes of a good Consulter |
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With regard to the Patient |
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Recognises
that patients are diverse: that their behaviour and attitudes vary, for
example, by age, gender, ethnicity, social background and as individuals |
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Has a flexible
approach |
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Understanding
the reasons why patients decide to consult, and how this can affect
consulting outcomes |
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Recognising
the GP’s roles and responsibilities towards the patient |
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Negotiates a
shared understanding of the problem and its management with the patient,
so that he or she is empowered to look after his or her own health
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Demonstrates
commitment to health promotion, while recognising the potential tension
between this role and the patient’s own agenda |
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Manages the
potential conflicts between personal health needs, evidence-based
practice and public health responsibilities |
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Is aware of
confidentiality, consent, resource allocation and truth telling |
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With regard to the patient’s relatives
and friends |
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Recognises that episodes of illness may affect more than
merely the patient |
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Understanding the patient’s right to confidentiality |
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Is able to negotiate how relatives and others may be
involved in the patients illness |
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Understands inter-professional boundaries
with regard to clinical responsibility and confidentiality |
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Members of the PHCT (District Nurses, practice nurses,
Health visitors, Midwives) |
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Secondary care colleagues |
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Social services |
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The GPR themselves
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shows respect for patients, colleagues and others |
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keeps accurate, legible and contemporaneous records |
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makes timely and appropriate referrals, using relevant
information has good time-keeping |
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recognises the limits of one’s own abilities and
expertise |
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undertakes self-appraisal through such things as
reflective logs and video recordings of consultations, and seeking out
opportunities for educational development based on this |
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recognises how personal emotions, lifestyle and
ill-health can affect consultation performance and the doctor–patient
relationship |
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The GPR should
understanding the
structure of the Consultation
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Understands the common models of the consultation |
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Demonstrate in the consultation: |
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an awareness that consultations have a clinical, a
psychological and a social component |
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an ability to deploy successfully the characteristics
represented by the MRCGP assessment criteria |
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an ability to use techniques to limit consultation length
when appropriate |
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uses the skills typically associated with good
doctor–patient communication |
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adapts communication skills to meet patient needs |
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the ability to formulate appropriate diagnoses, rule out
serious illness and manage clinical uncertainty |
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effective use of patient records (electronic or paper)
during the consultation to facilitate high-quality patient care. |
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effective use of time and resources during the
consultation |
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recognises how consultations conducted via remote media
(telephone and email) differ from face-to-face consultations, and
demonstrating skills that can compensate for these differences |
The Core Curriculum statement
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