hospital posts on the bradford scheme
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Hospital Posts on the Bradford Scheme. how to make the most of them. Hospital Posts. You will gain useful clinical knowledge But how else can you make your experience useful for your future in GP? What could you reflect on and put in your eportfolio?. - PowerPoint PPT PresentationTRANSCRIPT
Hospital Posts on the Bradford Scheme
how to make the most of them
Hospital Posts
You will gain useful clinical knowledge But how else can you make your
experience useful for your future in GP? What could you reflect on and put in
your eportfolio?
Generic Aspects of Hospital Practice Useful for your Future
as a GP Medical teamwork Safe prescribing Multidisciplinary teamwork Communication skills How families behave Significant event analysis Ethical issues The hospital-GP interface
Medical Teamwork
Support for colleagues Allocation of work Effective handover of important
information – essential in hospital shift system, especially useful in GP if you work LTFT
Safe Prescribing
Hospital ‘zero tolerance’ policy for prescribing in allergic patients
Easier in GP when prescribing on computer
Sounds obvious but - look it up if its an unfamiliar drug
Be extra careful when prescribing for children
Multidisciplinary Teamwork
Understand the roles of team members Especially other health professionals Respect their skills and contribution to
patient care Ensure effective communication with
other team members
Communication Skills
With patients With relatives With colleagues With other team member Record keeping
How Families Behave
Many family interactions visible in hospital specialties especially A&E, Paediatrics, Medicine for the Elderly and Palliative Care
In GP family are generally in the background – but in hospital they’re often there for you to observe
Exceptions in GP – patients with dementia, children
Significant Event Analysis
Looking at what’s happened when something went wrong or nearly did so
Looking at the feelings of everyone involved
Reviewing the organisational systems involved
Working out how to prevent a recurrence
Ethical Issues
Capacity to consent Informed consent Confidentiality End of life issues Reproductive health issues (in O&G) Take responsibility – if you have
misgivings about a practice, even if it is well established, talk to your supervisor or TPD advisor
The GP-Secondary Care Interface
Understanding what secondary care has to offer
Communication between GPs and hospital doctors
Understanding referral pathways, and what you’ll be referring patients for, when you’re a GP
What Previous Registrars Say
“It's important to realise, even though you’re doing a hospital rotation, you really need to get out what GP's actually need to know”
“For instance, in Obs and Gynae instead of being in theatres a lot, spend more times in Gynae outpatient clinics - see what GPs refer, learn acute assessments in MAC, learn how to insert a speculum etc"
What Previous Registrars Say
“HDR attendance - whilst in hospital it is possible if you really try and registrars have managed to attend a good number even when doing A&E and Medicine”
“Try and sit in on lots of outpatient clinics”
“Get all your DOPs done before finishing hospital posts (much easier getting a reg in A&E watching you do a PR then trying to do it in GP-land)”
What Previous Registrars Say
“In A&E - spend as much times as possible in minors”
“In Paeds - take heart that PAR is really useful for seeing lots of sick kids as you rarely see any in GP-land”
“In Gynae - do lots of clinics and get good at gynae examinations.”
And Finally . . . If you haven’t already – become a member
of the BMA while in training
Employment issues – holidays, maternity pay etc – can be a minefield so worth having proper representation
Good luck and keep up the good work!