General Practice
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Generic job families |
Specialist areas |
Functional requirements |
Details |
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Out patient work |
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Multiple short appointments |
Face to face consultation Telephone consultation Variety of clinics e.g. immunisation
Ability to juggle patient expectation and length of consultation slots |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |
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Home visits |
May be routine or as emergency |
Able to drive, be driven or use public transport (walking and cycling may also be possible depending on distances) Personal safety assessment Manual handling patients Examine patients in difficult positions (e.g. lean across bed), get up stairs Finding houses in dark, examining people in poor light |
May present problems for doctors who are not fit to drive for a variety of medical problems e.g. epilepsy See DVLA recommendations http://www.dft.gov.uk/dvla/medical/aag.aspx May present problems for doctors with musculoskeletal conditions especially neck, lower back, upper limb disorders May present problems for doctors with poor night vision due to a variety of medical conditions |
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Out of hours work |
May be evenings, nights or weekends |
Phone triage using computer Face to face consultations Home visits |
May present problems for doctors with musculoskeletal problems especially neck, lower back, upper limb disorders
Shift work may present problems for doctors with a variety of medical conditions including diabetes, epilepsy, some types of cardiac and respiratory disease, recovery from psychiatric illness, and taking medication with strict timetable For information on advice in pregnancy see http://www.fom.ac.uk/wp-content/uploads/HWDU-Pregnancy-Guidelines-Feb-2013.pdf
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Specialty related issues |
Working with emotionally disturbed patients Personal responsibility for own patients |
Emotional resilience
Ability to cope with verbal abuse and risk of physical violence including biting, scratching and being hit |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |
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Management of complex risk including suicide and child abuse |
Emotional resilience |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |
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Obstetrics and gynaecology |
Vaginal examination Insertion coil Smears All involve bending and twisting movements with patient on examination couch |
May present problems for doctors with musculoskeletal conditions especially neck, lower back, upper limb disorders |
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Paediatrics |
Contact with children with range of infectious diseases
Examine children on floor |
May present problems for doctors who are immunosuppressed due to variety of causes including medication, radiotherapy, HIV etc Specific concerns during pregnancy (e.g. parvovirus, measles, whooping cough)
May present problems for doctors with musculoskeletal conditions especially neck, lower back, upper limb disorders |
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Minor surgery |
Good fine motor, hand eye coordination and vision |
May present problems for doctors with musculoskeletal conditions especially neck, lower back, upper limb disorders
See exposure prone procedures (however most minor surgery is NOT exposure prone) |
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Management/running business/Care Quality Commission assessment |
Management, business and medico legal knowledge Commissioning role Meetings |
Resilience |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |