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Activities that require reflection on feedback about your work
Direct Patient Care (with evidence of outcomes)
- Conduct a chart review or a case-based discussion:
Review a young person’s health assessment and outcomes following a consultation and discuss the management/outcomes with colleagues to optimise patient care or provide intervention/management/care options
- At a Practice Meeting:
Review the RAd website and other resources RAd provided for conducting a young person’s heath assessment. Potential discussion points: What are the GPs responsibilities? What challenges are encountered? What factsheets and resources are used to support patients with questions? How is the GP-patient discussion documented? Are there areas for improvement? Are there other resources you can use?
- Example audit:
Audit a sample of your patients aged 14-24. Compare your progress notes to your reading of YP guidelines and resources and identify areas for improvement. For example:
· Was a HEEADSSS assessment carried out and recorded in the notes?
· Did you diagnose the young person’s concerns according to guidelines? Consider mental and physical health.
· Did you discuss a referral and or follow-up appointment?
o Did follow up occur in recommended timeframes? What was the result of these appointments?
o Present your audit findings to a practice meeting. Are diagnosis rates as you expected? What about no-show rates?
o Facilitate a discussion with your colleagues about how they go about a young person’s health assessment in their rooms. What information do they provide their patients? How is a referral organised? What other options and work processes could be implemented to support a return visit?
Supporting Patient Care (with evidence of outcomes)
- Present a summary of a reading(s) to the evidence-based journal club and collect feedback from your colleagues about your presentation. Ask them to evaluate your speaking skills and ability to summarise academic/clinical writing. Did your presentation facilitate learning and understanding? Did the journal club influence and change your practice? If yes, in what way?
- Role Play: Reflect on the factors that would prompt you to have a discussion with a young person who has indicated that they do not feel safe at home. Refer to the HEEADSSS assessment guidelines. Discuss in a practice meeting or elsewhere with your colleagues about how to manage this discussion about safety in an unrelated consultation.