Primary care management

  • to manage primary contact with patients, dealing with unselected problems;
  • to cover the full range of health conditions;
  • to co-ordinate care with other professionals in primary care and with other specialists;
  • to master effective and appropriate care provision and health service utilisation;
  • to make available to the patient the appropriate services within the health care system;
  • to act as advocate for the patient

Person-centred care

  • to adopt a person-centred approach in dealing with patients and problems in the context of patient's circumstances;
  • to apply the general practice consultation to bring about an effective doctor-patient relationship, with respect for the patient's autonomy;
  • to communicate, set priorities and act in partnership;
  • to provide longitudinal continuity of care as determined by the needs of the patient, referring to continuing and coordinated care management.

Specific problem-solving skills

  • to relate specific decision making processes to the prevalence and incidence of illness in the community;
  • to selectively gather and interpret information from history-taking, physical examination, and investigations and apply it to an appropriate management plan in collaboration with the patient;
  • to adopt appropriate working principles. e.g. incremental investigation, using time as a tool and to tolerate uncertainty;
  • to intervene urgently when necessary;
  • to manage conditions which may present early and in an undifferentiated way;
  • to make effective and efficient use of diagnostic and therapeutic interventions;

Comprehensive approach

  • to manage simultaneously multiple complaints and pathologies, both acute and chronic health problems in the individual
  • to promote health and well being by applying health promotion and disease prevention strategies appropriately
  • to manage and co-ordinate health promotion, prevention, cure, care and palliation and rehabilitation

Community orientation

  • to reconcile the health needs of individual patients and the health needs of the community in which they live in balance with available resources.

Holistic approach

  • to use a bio-psycho-social model taking into account cultural and existential dimensions.

Three areas of implementation

To practice the specialty the competent practitioner implements these competencies in three important areas:

a. Clinical tasks

b. Communication with patients

c. Practice management

Background features of the discipline

Three features are essential for a person-centred scientific discipline:

The interrelation of core competencies, implementation areas and fundamental features characterises the discipline and underlines the complexity of the specialty.

Contextual Aspects

Attitudinal aspects

Scientific aspects

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