PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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Equality and diversity encourages the promotion of inclusion as well as protects employment rights. It is important to be able to raise issues and challenge colleagues should any behaviour lead to discrimination. The National Health Service (NHS) is designed to improve, prevent, diagnose and treat both physical and mental health problems for every individual it serves with equal regard. This is irrespective of gender, race, disability, age, sexual orientation, religion, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The NHS also has a wider social duty to promote equality through the services it provides, especially to groups or sections of society where health and life expectancy could be improved. 1 There is no need to produce any evidence and it doesn’t matter whether or not you’ve worked during the pandemic or not. There will be lot of flexibility, with great emphasis being put on how we all coped during this time Skills to respond flexibly to the needs and expectations of different individuals, including identifying and understanding the values that influence a patient's approach to healthcare and sharing information with patients in an honest, transparent and unbiased manner It is essential that GP trainees gain a good understanding of quality improvement, prescribing and patient safety before completing training. Primary care settings, both inside and outside the practice, are ideal environments to learn and apply the key principles.

The GMC's Good Medical Practice states 'You must not unfairly discriminate against patients or colleagues by allowing your personal views to affect your professional relationships or the treatment you provide or arrange'. Should this occur, it is important to inform them about their right to see another doctor and to ensure they have enough information to exercise that right without implying or expressing disapproval of the patient's lifestyle, choices or beliefs. 7 The fundamental purpose of clinical leadership is to improve health outcomes and quality of care for your patients, so it is an essential part of being a doctor. Person-centredness: providing care that is respectful of and responsive to individual patient preferences, needs, and values 3.Take into account prescribing in special conditions such as with patients who are pregnant, breastfeeding, have renal or hepatic impairment or palliative care needs Learning is a characteristic of our species. We all learn, some better than others, some faster than others. The way in which we learn can vary. Kolb defined four main styles of learning: (Experiential Learning Prentice Hall 1984) Other organisations such as The National Institute for Health and Care Excellence (NICE) and the Scottish Intercollegiate Guidelines Network (SIGN) play an important role in the safety and quality of clinical interventions and patient pathways. Prescribing Start simply by using examples from everyday general practice. Examples from your own practice experience are appreciated. For example: Access-restricted-item true Addeddate 2022-07-07 21:04:50 Associated-names Grant, Janet, writer of preface Autocrop_version 0.0.14_books-20220331-0.2 Bookplateleaf 0004 Boxid IA40593904 Camera Sony Alpha-A6300 (Control) Collection_set printdisabled External-identifier

This topic overlaps with others and, in particular, should be considered in conjunction with the following RCGP Topic Guides: Patients' views and perspectives may change during the course of their lives and even during the course of an illness There are many opportunities for more formal (structured) learning, such as courses on evidence-based practice. These include research and clinical update study days, which could be offered through RCGP or other hosts, such as university departments. Your local training programme will offer updates and workshops tailored for trainees. Academic work in general practiceAt different positions in the health organisation (for example, junior doctor, salaried or partners) And recognition of deficiencies leads to the discovery of Doctors’ Educational Needs DENs. When you discover Patients’ Unmet Needs you have found your first PUN, leading you on to then construct your DEN. World Health Organization. International drug monitoring-the role of the hospital. A WHO report. Drug Intelligence and Clinical Pharmacy, 1970, 4:101-110 Timeliness: reducing waits and sometimes harmful delays for both those who receive and those who give care

Drug switching may be externally recommended (for example, by specialists or Clinical Commissioning Groups) for quality reasons such as efficacy or efficiency. Consider the impact of drug switching in the patient's best interest and the impact of cost saving on the wider system Feelings and intuition strongly affect the consultation behaviour of both the doctor and the patient. These less transparent thinking processes bring benefits and risks to the consultation. For example, while they can help you to establish rapport, it is also important to be aware of the potential impact of conscious and unconscious biases on shared decision-making Learning is a life long process that has several phases. Most notably a childhood phase. where the teacher’s agenda dominates and the adult phase, where the learner is more actively involved. In professional education, the new recruit has often to submit to another phase of teacher dominated education, and this can affect their learning pattern for the rest of the professional life. One of the roles of the postgraduate teacher is to help the learner to assume a more active and responsible role in his or her learning. These are the sort of questions that arise from a single common incident in practice. Here are examples of need. some of which can be easily solved, others will take more effort. When using instruments or conducting physical examinations, performs actions in a rational sequence

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As a GP, you are expected to know some basic statistical terminology, including the terms listed in the table below, and be able to conduct simple calculations for evidence-based practice. A man, newly diagnosed with essential hypertension, asks why the drug he has been prescribed is not recommended as the first line choice in the current guidelines



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