Values and Attitudes Fully trained general practitioners are expected to be:
caring and understanding of patients and their families;
committed to providing high quality care;
aware of the need to be readily accessible and available to
patients;
aware of their own limitations and willing to seek help from others
when appropriate;
committed to keeping up to date with developments in practice - both
clinical and organisational;
committed to improving the quality of their professional performance
through active participation in audit and quality assurance;
aware of the ethical principles which govern the medical profession
and committed to observing them;
appreciative of the value of teamwork to patient care in general
practice;
willing to teach others, including colleagues and practice staff,
and willing to acquire the teaching skills necessary for this;
willing to contribute, when possible, to the advancement of medical
knowledge.
able to care for themselves and to balance the demands of a busy
professional life with the need for personal time.
Clinical Competence General practitioners are expected to be:
knowledgeable about clinical general practice. This will require an
appropriate level of understanding of the physical, behavioural,
epidemiological and clinical sciences of medicine, the aetiology and
natural history of diseases, the impact of psychological factors upon
illness, and of illness upon patients and their families, and of the
social, cultural and environmental factors that contribute to health and
illness;
skilled in recognising and making appropriate decisions about all
problems presented by their patients.
able to examine a patient's physical and mental state and to
investigate further as appropriate;
able to assess symptoms and physical signs, to establish a diagnosis
when possible, and to exercise sound clinical judgement in further
management;
skilled in communication and in the process of the consultation.
This will include the ability to listen carefully and to explain
effectively to patients, families, colleagues and others, and the
ability to involve patients in decisions about their health care;
able to contribute to the prevention of illness and the promotion of
health, and to understand a doctor's role and that of others in these;
able and willing to deal with common medical emergencies
appropriately;
able to prescribe effectively and with due thought to economy;
able to keep clear, coherent and up-to-date medical records for each
patient using a format that enables information to be easily identified
for clinical and auditing purposes.
Organisational Ability General practitioners are expected to be:
able to assess the health status, needs and expectations of the
practice population;
able to plan, organise and manage a practice to provide a broad
range of accessible services including the management of acute and
chronic illness, medical emergencies, health promotion and preventive
activities;
able to function as a member of a multidisciplinary, practice based
team and, when appropriate, able to assume the responsibilities of a
team leader. This will involve an understanding and appreciation of the
roles, responsibilities and skills of other health care workers such as
community nurses, practice nurses, health visitors and midwives;
able to make effective use of resources including, for example,
money, time, skills, both within and outwith the practice setting;
able to organise and carry out effective clinical audit; and have
the skills necessary to bring about change in the practice where audit
shows this to be necessary;
conversant with and willing to participate in the work of
organisations that advise, plan and assist in the development and
administration of health services, such as NHS authorities, medical
Royal Colleges, professional associations, local medical committees and
regional medical committees.
Joint Committee on Postgraduate Training for General Practice 1992