Action Points: Data Gathering and Interpretation

Action Points for the Competency Rating Scales

  • Choosing examination and investigation appropriately is a key descriptor for this competence. (DG)  Write 2-3 entries reflecting on the ways in which you did this when providing acute management of a patient
  • Work on the cues and on widening differentials if not shared in the consultation write down possible differentials for all new diagnosis consultations and share in debrief; reflecting on e-p on the discussions. You  could also look in particular at tests you order … or review your work on management of results and again reflect on this in e-P
  • You need to demonstrate with COTs and learning log entries that you can take a focused history and perform a focused examination.
  • The challenge now is to ensure that the history and examination are focused and succinct to ensure you allow enough time for sharing the diagnosis and management of patients within the constraints of a GP consultation. Record the time you spend on this part of the consultation on 10 successive new diagnosis consultations and reflect on these in e-P.
  • Continue to provide evidence in your learning log and WPBA that you have a structured and focused approach to gathering information and interpreting clinical signs and investigations appropriately. Think about the word pictures to help you cover this aspect on several e-P entries.
  • Continue to demonstrate evidence. Look at interpretation to enable your differentials, etc. Choosing not to do things will become more part of GP work as you push yourself to do shorter consultations; doing good enough, not everything but the things that are needed thinking all time about what to do and why? Cover each of these areas in a separate LLE that comes from a real consultation.
  • Use skills developed to consider appropriate level of investigation in GP.  Develop GP specific skills in your next post and get evidence of these on your e-p (CbD, COT, CSR, etc.).
  • To develop clinical knowledge in weaker areas Consider how to apply this learning to guide data gathering in the consultation and in interpretation of investigations.
  • Paediatrics often involves data gathering from a third party. Reflect on how these skills differ and the challenges this brings on at least 2 consultations.
  • Don’t lose sight of the GP orientated focus with data gathering. Some of the log entries are around weird and wonderful things. You need to look at how you use prevalence as well as risk in judging what you do. It will help to reflect specifically on this in your e-P.
  • Continue to integrate data gathering with a fluid patient centered consultation style.
  • Need to be able to know when to take short cuts and when not to, be aware of subtle cues and red flags. Don’t ask routine questions on each topic or you will run out of time Reflect on when this went well – or badly!
  • Always ask yourself what benefit is a test and what are the risks? (Radiation, etc.) Perhaps have a look at this and discuss CBD. Also consider sensitivity and specificity of at least 3 common tests (e.g. Haematinics) as a log entry).
  • Write up cases that show your skills in data collection, such as dealing with abnormal results or in deciding which investigations to use for a specific problem.

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