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Time Management in GP

Time Management in GP. Dr Katherine Teare GP Educator Fellow. Time management. In consultations OOH For paperwork and admin Spending more time with patients….more stress?. Consultations. Patients with a list Doctors speed, patients problem and patients age all have an effect

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Time Management in GP

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  1. Time Management in GP Dr Katherine Teare GP Educator Fellow

  2. Time management • In consultations • OOH • For paperwork and admin • Spending more time with patients….more stress?

  3. Consultations • Patients with a list • Doctors speed, patients problem and patients age all have an effect • UK research shows trainees and new partners spend average 1minute less with each patient • Women seeing women = longer consultations • Significant practice to practice variation • Who your allied health care professionals are e.g. Nurse practitioners, specialist nurses etc

  4. The list… • 2 goals – keep patient and doctor ‘happy’ • Explore after the initial presenting complaint – avoid a surprise at the end • E.g. anything else you came to see me about today? • Prioritise red flags and acute problems, then try to get patient to prioritise with ICE

  5. Explaining yourself • Give it a positive spin • ‘The tummy pain is clearly quite upsetting to you. You have mentioned a sore wrist and an itchy ear as well but I wonder if it is okay if we spend today focussing on the tummy pain and then we arrange another appointment for us to discuss the other problems in order that we can make sure we have covered your tummy pain fully’

  6. Strategies • Double appointments when needed • Break in surgery • Consider how surgeries structured when applying for jobs – is there flexibility? • Start as you mean to go on • Ending the consultation

  7. Out of Hours • Time pressures vary according to role (telephone triage, visiting, centre based) • More awareness of targets • More isolated working

  8. Admin • Referrals – when do you do them? • Reviewing results • Dealing with letters • Medication reviews • Insurance reports, DWP reports • Extra bits – eportfolio, WPBA

  9. References • http://www.bradfordvts.co.uk/online-resources/0200-consultation/consultation-time/ • http://www.gponline.com/Education/article/972407/consultation-skills-control-length-consultation/

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