summary notes on Brighton & Sussex virtual medicine work experience, highlighting NHS structure, core values and principles, challenges, specialties including surgery, emergency medicine, elderly medicine, palliative care, mental health.
BSMS virtual work exp.
Notes
GP
Expert medical generalist
understand the multiple conditions patients have as well as their wider mental health
and well-being: manage the challenges of our changing population
= healthcare designated around patient needs
a career as a GP will become more and more intellectually and medically challenging,
diverse, and fulfilling. GPs will have portfolio careers heading multidisciplinary teams,
leading work in areas from geriatrics to neurology, running 'in-reach' to hospitals and
'outreach' to patients' homes
, 2
The GP needs to take a holistic approach to treating disease.
This means treating the 'whole' patient, recognising their priorities and issues around
their health, rather than just the disease itself.
GPs with special interests: specialise and research in common health conditions
Eg. dermatology (⅓ have skin problems that should be treated)
rheumatology,
musculoskeletal medicine (⅕ consultations)
Ear-nose-throat (ENT) problems are treatable / self-limiting but big impact on health
Eg. Otitis media (OM) common ear infection in children that normally clears up by itself,
but unnecessary prescribing of antibiotics which is expensive and may lead to further
resistance to these treatments.
, 3
70% of NHS budget in managing chronic diseases
Chronic diseases are largely 'managed' by doctors. Their aim is to stop the disease
getting worse, and to reduce its impact on the patient's health and life.
Not all chronic diseases are incurable; for example, alcoholic liver failure can
theoretically be cured by a liver transplant, but this doesn't always happen
Older patients are particularly susceptible to suffering from two chronic diseases at the
same time = comorbidity
more than two = multimorbidity.
Some patients struggling to get appointments are turning to A&E...
...so minor problems that could be dealt with by a GP are being treated by a service
meant for managing emergencies
putting pressure on A&E departments already struggling to cope with high numbers of
patients and is a waste of valuable but limited resources...
As the number of elderly patients is rising, this means more patients will have diseases
that are difficult to treat...and more patients will have diseases occurring together,
making their management very complex and costly = on diff meds which are expensive,
diff to balance and side effects
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