1. The right of competent adults to make informed decisions about their own medical care
2. Compassion
2.1. Medical ethics
2.1.1. Autonomy
2.1.2. Beneficence
2.1.2.1. Allowing a decision to benefit an individual
2.1.3. Non maleficence
2.1.3.1. Obligation to not inflict harm on a patient
2.1.4. Justice
2.1.4.1. Every decision is fair in regards to the patient
2.2. Understanding the patients emotions
3. Ability to teach
3.1. Promoting public health advice/healthy lifestyles
3.1.1. Substance misuse
3.1.1.1. The use of cannabis can result in psychosis and can act as a gateway drug
3.1.1.2. Cocaine can disrupt sleep patterns and addiction can result in heart attacks
3.1.2. Screening awareness
3.1.2.1. Breast cancer
3.1.2.2. Smear Tests
3.2. Educating medical students
3.3. Educating patients about their illness
3.3.1. Knowledgeable
3.3.2. Clear communication
4. Knowledge
4.1. Continuous learning
4.1.1. Medical school
4.1.1.1. 5/6 years as a medical student
4.1.1.2. Two years undergoing Foundation Programme (FY1/FY2)
4.1.2. Speciality
4.1.3. GP
4.1.3.1. Three years GP speciality training
4.1.3.1.1. Join GMC GP register
4.1.4. Surgeon
4.1.4.1. 6 years speciality training
4.1.4.1.1. Fellowship of Royal college of Surgeons
4.2. Knowledge of a wide variety of illnesses
4.2.1. Life long learning
5. Teamwork
5.1. Working with a multidisciplinary team
5.1.1. GP surgery
5.1.1.1. Practice Nurses
5.1.1.1.1. Responsible for blood tests and providing vaccinations
5.1.1.2. District Nurses
5.1.1.2.1. Work within the community to provide basic care to patients at home
5.1.1.3. Physician Associates
5.1.1.3.1. Take medical history's and analyse some clinical test results and are involved in health promotion
5.1.1.4. Community Midwives
5.1.1.4.1. Look after women and baby during pregnancy
5.1.1.5. General Practitioners
5.1.1.5.1. Treat all common medical conditions and are involved in referrals to secondary and tertiary care facilities
5.1.1.6. Healthcare Assistants
5.1.1.6.1. Support nurses with taking blood samples and taking key observations (temp,BP)
5.1.1.7. Pharmacists
5.1.1.7.1. Safely dispense medication
5.1.1.7.2. Ensure smooth day to day running of the surgery
5.1.1.8. Administration staff
5.1.2. Mental Health
5.1.3. Secondary Care Facilities
6. Communication
6.1. Breaking bad news
6.1.1. Surgery
6.1.1.1. SPIKES = framework for breaking bad news
6.1.2. Palliative Care
6.1.2.1. Recognise
6.1.2.1.1. Recognise that treatment is no longer available and the patients care is now palliative
6.1.2.2. Communication
6.1.2.2.1. Ensure sensitivity and display empathy
6.1.2.3. Involve
6.1.2.3.1. The patient must be involved in their care plan and final wishes
6.1.2.4. Support
6.1.2.4.1. Ensure that the needs of the patients and their party are met
6.1.2.5. Plan and Do
6.1.2.5.1. A personalised care plan is drawn up
6.1.3. Providing patients with a realistic expectation
6.1.3.1. Provide realistic prognosis of a patients illness without providing false hope
6.2. Communicating within a multidisciplinary team
6.3. Gaining trust from patient
6.4. Preventing loneliness
6.4.1. Prevalent in elderly medicine
6.4.1.1. Three quarters of elderly state they experience loneliness
6.4.1.1.1. Can lead to suicidal ideation
6.4.1.1.2. Cardiovascular disease
6.4.1.1.3. Physical inactivity
6.4.2. Costs the NHS £6,000 per patient/per decade
7. Ability to manage challenge
7.1. Increased demand on NHS
7.1.1. Increased number of admissions
7.1.1.1. Increase in number of elderly patients due to our ageing population
7.2. Time constraints
7.3. Mental Challenge
7.3.1. Stress
7.3.1.1. Pressure
7.4. Lack of funding
7.5. Evolving healthcare needs
7.5.1. Increase in antibiotic resistance
7.5.2. Obesity is more prevalent