Colchester Specialty Training Programme for GP

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 12/05/2010

Timetable for this session

9.00 Ethical dilemmas

10.30 Coffee

11.00 CSA practice- Praveen, Withya, Sam

12.30 Lunch

1.30 PD session

2.00 Dr Sharief- Headaches.

Preparatory work

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Ethical dilemmas CSA practice- Praveen, Withya, Sam Dr Sharief- Headaches  
How useful? Has it changed your thinking? Something you've learned? How useful? Has it changed your thinking? Something you've learned? How useful? Has it changed your thinking? Something you've learned? Can you suggest any other improvements?
4 3 A very useful presentation on ethics ,I appreciated the delineation of ethical theories, principles of ethics and especially the group discussion of ethical dilemmas 4 3 Good opportunity to practice consultation skills. 5 4 A very well packaged presentation on headaches which I believe was very informative for trainees.The case of the headache pattern in cardiac cephalgia is something I found quite interesting. More sessions in groups as was done in this session would be quite useful for trainees.
4 3 Interesting to get other perspectives on a dilemman and see various outcomes despite all aiming to act in patients best interest and do no harm. There is no right answer in ethics. 3 3 Nice variety of cases. Discussions afterwards are useful. 4 4 SUNCT, cerebral cephalgia, reversible vasoconstriction syndrome.
4 3 Ethical dilemmas from real consultation scenario,very useful. 3 2 Good CSA, but a bit confusing as we discussed. 4 4 To complicated, not sure how useful for primary care. No clear view about management in primary care. More ethical dilemmas & discuss solution.
4 4 structured approach to ethical dilemmas 4 3 5 4 Regular sessions discussing ehtical dilemmas in a group
3 2 very useful as group discussion gives you different view points of dealing with such scenarios. There is never one right or wrong answer. 2 1 CSA cases were not bundled together appropriately 3 2 I keenly await the copy of his presentation on a CD The CSA cases should be shown to the PDs before bresenting them to the trainees.
5 4 We discussed three ethical cases which included topics like breaking bad or difficult news, mental health act and capacity which were core issues and therefore useful to discuss. It was useful to go through the four parts of capacity and the relevants parts of the MHA in order to section a patient. 4 4 The PSA case was useful to help us assess red flags of prostate ca and when it would be appropriate to refer to secondary care.The second case was perhaps overloaded but aimed to show how difficult it is to bring up social services for child care to a parent.It did emphasise how important social history is to patient's health. 5 4 Very interesting cases and very well presented. Today's sessions was really useful and I really liked the variety and mix of exercises today.
3 3 Learnt about the BMA & GMC ethical guidelines 4 3 good constructive feedback 5 5 different types & presentations of headache more of Dr. Sharief's talks please
4 4 5 5 useful feedback
4 4 When faced with an ethical dilemma to think about it in terms of the four principles (beneficence, non-maleficence etc) 4 4 When writing CSA scenarios, to provide more of a structured marksheet with points that should be covered. 4 4 I have learnt to always examine the fundi. Could we have a session on ophthalmology relevant to GP please?
4 4 We discussed 2 useful scenarious which touched on various aspects including autonomy ,mental health capacity assesment and dealing with difficult patients 3 3 To be able top prioritise in a consultation with many domains and have a safety netting 5 5 To consider and be aware that there are many other vascular causes of headache in the elderly apart from GCA Could we do more of problem cases including ethical and medical dilemmas in future please
4 4 learnt about principles of Ethics and mental capacity act. 4 4 both the cases were absoltuley relevant to GP. I learnt how to give constructive feedback to the colleagues 5 5 I have learnt a lot from this talk today 1) SUNCT and Diff diagnosis 2) Importance of fundii in migraine 3) transverse sinus stenosis in patients with migraine with aura 4) clinical features of sphnoid sinusitis and how it presents and differential diagnosis. More Dr Sharief Lectures WOuld be possible for a Rheumatology talk on osteoporosis.
4 4 Ethical cases were very good in understanding the difficult areas in GP practice 4 3 Cases were good but had difficulty in understanding the content as we disscussed. 5 4 Very good in understanding the uncommon presentations but if we had a way of dealing with headache in primary care (which will incude managing the common ones too) will be a good idea. As mentioned before can we have ophthalmology/ENT relevent too GP
3 4 Group discussion was good so you could see what others had to say about a particular topic or something you felt was difficut 3 3 good session 5 5 very good session.
5 4 how to apply the principlism concept in solving ethical dilemas.Applying the four criteria beneficience, non-maleficience,patient autonomy,justice helps to solve dilemmas 3 2 useful ongoing CSA practice 5 3 a useful differrent awy of looking at headaches presentations the sessions on clinical dilemas discussed in large groups could be done monthly
4 4 Both the lecture and subsequent discussions were very useful and relevant 4 4 2 good CSA cases 4 4 very through but would have liked to know about common conditions as well continue CSA cases, really useful
4 4 excellent session 4 4 both cases are very common CSA cases, nicely selected 4 4 very useful session
4 3 Excellent topic and liked the small group approach to this session, made it easy to discuss the issues. 4 3 Good cases, always good to practice. 4 4 Very good talk, interesting cases. Good succinct take home "pearls" e.g "Always examine the fundi" "GCA is not the only vascular headache in elderly" As it is difficult to attend dermatology clinics, how about asking a dermatologist to present on a couple of topics?