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GP ASSISTANTSHIP STUDENT HANDBOOK 2020 - 21

SPECIFIC OUTCOMES

II) SKILLS

During the GP attachment you will have a chance to observe and learn from experienced Clinicians, and consider how they practice the science and art of medicine in a Primary Care context. 

You will also have the opportunity to develop yout own skills both in clinical areas, and in communication with patients and colleagues.

CLINICAL PROCEDURES

You should refer to the Year 5 Practical Procedures and Clinical Skills Logbook which includes many of the following common techniques. A number of these are listed below; 

  • Examining the Eyes including fundoscopy
  • Examining the Ears, Nose, and Throat including syringing ears
  • Measuring the Blood Pressure
  • Testing Urine - dipstick and pregnancy tests 
  • Measuring Blood Glucose on a meter
  • Performing a Vaginal examination and taking a Smear Test
  • Examining the Breasts
  • Performing a Rectal examination
  • Performing Intramuscular, Intra-dermal, and Subcutaneous injections
  • Examining the Musculoskeletal system - including the back, knees, and shoulder joints
  • Examining a child

You will need to manage their own risk with agreement with their GP tutors in taking part in these procedures and should wear appropriate PPE, in the light of the Covid-19 pandemic.

COMMUNICATION SKILLS

Skills and techniques should include some of the following; 

  • Develop communication skills in remote consulting, both telephone and video consultations
  • Explaining how to use devices for the treatment of Asthma
  • Advising and instructing on the use of Contraceptives
  • Taking an Alcohol and Smoking history
  • Communication between Doctors and other Health Professionals regarding Patient Care
  • Communication across the Primary and Secondary Care interface
  • Discussion of follow up management with Doctors, Patients, and Carers
  • Discussion of risk potential and expressing perceptions of risk
 

PRESCRIBING 

  • Illustrate the requirements for Prescribing in General Practice
  • Demonstrate the importance of, and problems with patient adherence to therapy
  • Identify the clinical risks associated with poly-pharmacy and drug interactions
  • Identify the role of Community Pharmacists in patient care including, medicine usage and understanding, concordance, dispensing rules, and regulations including Controlled Drugs