Læknablaðið

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Læknablaðið - 01.06.1977, Side 76

Læknablaðið - 01.06.1977, Side 76
124 LÆKNABLAÐIÐ A DESCRIPTION OF THE WORK OF THE GENERAL PRACTITIONER The general practitioner is a licensed medical graduate who gives personal, primary and continuing care to individuals, families and practice population, irrespec- tive of age, sex and illness. It is the synthesis of these functions which is uni- que. iHe will attend 'his patients in his con- sulting room and in their homes and some- times in a clinic or a hospital. His aim is to make early diagnosis. He will include and integrate physical, psychological and social factors in his considerations about health and illness. This will be expressed in the care of his patients. He will make an initial decision about every problem wihich is presented to him as a doctor. He will undertake the continuing manage- ment of his patients with chronic, recur- rent or terminal illnesses. Prolonged con- tact means that he can use repeated oppor- tunities to gather information and a pace appropriate to each patient and build up a relationship of trust which he can use professionally. He will practice in co-ope- ration with other colleagues, medical and non-medical. He will know how and when to intervene through treatment, preven- tion and education to promote the health of his patients and their families. He will recognise that he also has a professional responsibility to the community. EDUCATIONAL AIMS From this broad description of the gene- ral practitioner are derived the following educational aims which should be attained by the time a doctor enters independent practice. Many of them are s'hared with other doctors. They are arranged in three groups; those mainly involving: 1. knowledge 2. skills 3. attitudes All three groups are equally important. At the conclusion of the training pro- granune, the doctor should be able to demonstrate: 1. Knowledge a. that íhe has sufficient knowledge of disease processes, particularly of common diseases, chronic diseases and those which endanger life or have serious complications or consoquences. b. that 'he understands the opportunities, methods and ' limitations of prevention, early diagnosis and management in the setting of general practise. c. his understanding of the way in which interpersonal relationships within the family can cause health problems or alter their presentation, course and manage- ment, just as illness can influence family relationships. d. an understanding of the social and environmental circumstances of his pa- tients and how they may affect a relation- ship between health and illness. e. his knowledge and appropriate use of the wide range of interventions available to him. f. that he understands the ethics of ;his profession and their importance for the patient. g. that he understands the basic methods of research as applied to general practice. h. an understanding of medico-social legislation and of the impact of this on his patient. 2. Skills a. how to form diagnoses which take account of physical, psychological and social factors. b. t'hat he understands the use of epi- demiology and probability in his every day-work. c. understanding and use of the factor „time“ as a diagnostic, therapeutic and organisational tool. d. that he can identify p>ersons at risk and take appropriate action. e. that he can make relevant initial de- cisions about every problem presented to him as a doctor. f. the capacity to co-operate with medi- cal and non-medical professionals. g. knowledge and appropriate use of the skills of practice management.

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