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

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Consultations are usually time-constrained, although longer consultations tend to be associated with better health outcomes, increased patient satisfaction and enablement scores. Balanced against this are the competing demands of limited appointment numbers and reduced access to GPs It is against the GMC's Good Medical Practice guidance to refuse or delay treatment because of our belief that a patient's actions or lifestyle have contributed to their condition. 5 Smite J. Building a safer NHS for patients: improving medication safety. London, Department of Health, 2004

Defining learning needs can be difficult, often because we have been educated in the system of always being right and justifying ourselves. The underlying philosophy of defining learning needs is that of the error model, where errors or omissions are not only permitted. but their recognition encouraged and celebrated. In this model, the teacher is the factor that enables the learner to recognise and act on the errors. In medicine, error equates to tragedy and even death. Whilst this can be the case, it is probably a failure to recognise small errors that results in a major error.Psychosocial, cultural, political, economic and other social determinants affecting evidence-based practice Equality law affects all staff of a healthcare or social care organisation that provides services to the public. Services must not treat someone worse than another individual because of having one or more protected characteristics (this is direct discrimination and unlawful), for example it must not be made more difficult for someone with a protected characteristic to access their services. With the introduction of yearly appraisals and revalidation every general practitioner needs to be armed with a good Personal Development Plan. This book provides the information needed to create just that. Guiding the reader through the consultation looking for Patient's Unmet Needs (PUNs) and the Doctor's Educational Needs (DENs), it focuses on those learning needs that help to provide competent care for patients. All general practitioners will find this book a straightforward, no nonsense, practical approach to help them incorporate their learning needs into the realities of everyday practice."--Provided by publisher Root Cause Analysis (RCA) is the standard risk tool used in secondary care and familiarity with its application can be best observed in this setting. Specialty trainees should be able to describe the particular role of risk managers in acute trusts and this is best appreciated while in this environment.

It is important to understand the boundaries between professionals and other services with regard to clinical responsibility and confidentiality, particularly when working in teams and in care pathways that span organisationsThis area includes gathering and interpreting the patient's information from their narrative, clinical record and biographical data. It also concerns the use of investigations and examination findings and requires proficiency in performing clinical examinations and procedures.

thinking critically about decision-making, reflecting on decision-making processes and explaining those decisions to others in an honest and transparent way It is an essential part of your professionalism as a doctor to regularly review the standards of practice and care that you and your team provide. Improving patient safety and quality are fundamental to reducing the risk of preventable injury, suffering, disability and death and are necessary to enhance the experience and outcomes of care. Decisions or interventions made in the interests of a community or population of patients (for example, immunisation) This is the exercise where the learner, initially with help from the mentor. will put the how to the what. Thus the need to write the list. Each learning need or objective can be allocated a method to achieve it. The method will depend upon the individuals learning style, the topic, resources and the time available. All complaints have to be listed and those who have missed appraisal during the pandemic will have to list all complaints at their next appraisal in 2021Has a positive attitude when dealing with problems, admits mistakes and shows commitment to improvement NHS Complaints procedure and principles, litigation and medical negligence and raising and acting on concerns about patient safety, whistleblowing. As a GP you have a role in sharing knowledge with others. This may include formal or informal teaching, mentoring, supervising colleagues and peers, and education in the wider community. Underpinning this is the need for better patient care. Important principles include: Our fundamental belief is to openly and freely share knowledge to help learn and develop with each other. Feel free to use the information – as long as it is not for a commercial purpose.

Focused history-taking, targeted questioning and examination to obtain sufficient relevant information to diagnose, manage and refer appropriately Effective communication about evidence-based interventions to help patients make decisions about their health, including methods of calculating, demonstrating and explaining risk to patients Start simply by using examples from everyday general practice. Examples from your own practice experience are appreciated. For example: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