PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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analysis of variance, multiple regression, t-tests and non-parametric data (for example, chi squared, Mann-Whitney U); and Information technology to facilitate clinical and business practice (for example, chronic disease surveillance, audit, financial management) A patient is seen with a peptic ulcer, has heard of triple therapy and wants it. You prescribe but wonder if you have given the best prescription — there seem to be several different regimens promoted and should you have insisted on gastroscopy first, or is there a reliable test for the presence of Helicobacter. Here is a Clinical Knowledge PUN and the corresponding DEN is to learn more about triple therapy. You can find an e-Learning module(s) relevant to this topic guide at e-Learning for Healthcare Learning with other healthcare professionals Recognising that poverty is a common cause of ill health and consider this when interpreting research. For example, a health outcome attributed to a certain characteristic (for example, ethnicity) may be due to an underlying environment of disadvantage

The following three areas have a strong influence on person-centred consulting: Attitudes, feelings and biases Equality and diversity encourages the promotion of inclusion as well as protects employment rights. It is important to be able to raise issues and challenge colleagues should any behaviour lead to discrimination.

Applicability of population-level studies to individuals and certain groups (for example, groups commonly excluded from clinical trials, disadvantaged groups) Assessment and evaluation are words that present difficulty both in meaning as well as content. They carry with them highly charged feelings which need to be defused. In the context of portfolio, or planned learning, they represent the learners own evaluation of both the method chosen, as well as the effectiveness. An important part of the process of understanding assessment is the expression of the persons understanding of the word(s) and the feelings attached to it. Effectiveness: providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those not likely to benefit

Persistent tennis elbow /rotator cuff/plantar fasciitis presents which would benefit from injection. You don’t feel confident to do it and have to temporise/refer/use less effective NSAID. Skill PUN may be met by delegation to partner who does injections for the practice or by fulfilling your own DEN by arranging appropriate training. Epidemiology concepts(see also Topic Guides on Population Health and Infectious Disease and Travel Health) The restart of appraisals will, as explained above, bring with it changes to the appraisal format. These will be applicable for approximately 12 months from the 1 October 2020. It is also unacceptable to allow discrimination from a patient to go unchallenged, should they refuse treatment because of sex, race, religion, sexual orientation or any other protected characteristic. The patientJoin NASGP’s free three-month trial for access to all your essential appraisal resources. Doctors’ Educational Needs