Answer Plans for the MRCGP by Kilburn, J.

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By Kilburn, J.

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Alteration in social circumstances or relationships. Understand patient’s expectations. Ongoing need for contraception. Issues for or the doctor • Need for empathetic consultation skills. • Awareness of current evidence. g. maintenance of physical activity and adequate calcium intake, BP, smoking, lifestyle. • Time-consuming consultation. • Medical assessment. Issues for the practice • • • • Use of clinical nurse for education and monitoring/lifestyle risk factors. Use of written material, videos etc.

RELEVANT LITERATURE The management of urinary tract infection in children. DTB 35(9), 1997. Guidelines for the management of acute UTI in childhood. Royal College of Physicians, 1991. The struggle to diagnose UTI in under 2 years in general practice. , Family Practice 12(3):290–293, 1995. 27. List some ways in which GPs can identify patients who abuse alcohol. Mention any evidence which can illustrate how effective GPs are in reversing the problem. INTRODUCTION Alcohol causes 28000 excess deaths per year.

Statement of who is responsible for each component of care. • Describe monitoring and recording. • Describe standards and targets. Dissemination • Guidelines are useless unless distributed effectively. • Period of discussion, debate and adaptation. Audit and update • Assess for improvement in delivery of patient care.

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