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

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The GMC expects all doctors to take part in systems of quality improvement. Quality improvement projects should be led by trainees, supported by their educational supervisor and include working as a team with other members of the practice to create a sustainable change. Learning is a life long process that has several phases. Most notably a childhood phase. where the teacher’s agenda dominates and the adult phase, where the learner is more actively involved. In professional education, the new recruit has often to submit to another phase of teacher dominated education, and this can affect their learning pattern for the rest of the professional life. One of the roles of the postgraduate teacher is to help the learner to assume a more active and responsible role in his or her learning. The correct dose is prescribed (particularly if the dose has previously varied for example, in children)Psychosocial, cultural, political, economic and other social determinants affecting evidence-based practice 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. Access-restricted-item true Addeddate 2022-07-07 21:04:50 Associated-names Grant, Janet, writer of preface Autocrop_version 0.0.14_books-20220331-0.2 Bookplateleaf 0004 Boxid IA40593904 Camera Sony Alpha-A6300 (Control) Collection_set printdisabled External-identifier

If you consider that a requested prescription would not be of overall benefit, you should explore the reasons for the request with the patient or carer. If you still consider the prescription would not be of overall benefit, or is likely to be harmful, you should not prescribe it and should explain the reasons for your decision. You should also explain what other options are available (including the option for the patient to seek another opinion) In addition, you have many opportunities in primary care to discuss clinical governance with nurses, allied health professionals and managers, all of whom should be engaged in the practice's education and clinical governance programmes. The most important part of this document is the when column. This provides the internal discipline for the learning process. 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.Organisations must consider in advance - as well as respond to - present needs of disabled patients, so reasonable adjustments for the patient can be made. This could include: improving population health, through engagement in activities ranging from local healthcare commissioning and public health policy to global climate change and sustainability; and

Smite J. Building a safer NHS for patients: improving medication safety. London, Department of Health, 2004Whilst being able to adopt a non-judgmental, evidence-based approach, it is essential to adopt a collaborative approach to care. This requires taking into account the patient’s values, priorities and circumstances, the community, and the healthcare setting A Quality Improvement Project (QIP) on looking at the number of salbutamol inhalers prescribed to adults and reviewing patients who may need additional treatment Testing has indicated that the whole appraisal preparation should take just over 30 minutes to complete, which is a major reduction on the usual time we all dedicate to getting our appraisal up to scratch. The fundamental purpose of clinical leadership is to improve health outcomes and quality of care for your patients, so it is an essential part of being a doctor.