Topics

1.      The consultation and the doctor-patient relationship

2.      The consultation with sick children and their parents

3.      Ethical and legal issues in family practice

4.      Breaking bad news, palliative care, the dying patient, and bereavement

Questions

1.

1.1. State the potential of a primary care consultation.

1.2. Outline the outcomes of a consultation.

1.3. Describe the emotional and intellectual elements of the doctor-patient relationship.

2.

2.1. Outline the steps to establish rapport with the sick child and parents.

2.2. Describe how to communicate during the examination of the sick child.

3. Describe the ethical principles related to the following situations.

3.1. A 65-year-old man was diagnosed to have bowel carcinoma. The patient refused
surgery.

3.2. A newspaper reporter approaches you to know about an eminent actor who visits your
family practice.

4.
4.1. Outline the steps in the SPIKES protocol for breaking bad news.

4.2. List the stages gone through by a patient after hearing a piece of breaking bad news.

4.3. Describe the stages in the care of an incurable illness.