The document discusses the roles and responsibilities of various types of physicians, emphasizing the significance of primary care and the patient-centered approach in healthcare. It outlines the characteristics and ethical considerations that define a competent general practitioner, including effective communication, continuity of care, and respect for patient autonomy. Additionally, it highlights the importance of proper record-keeping, emergency responsiveness, and the need to treat all patients fairly without bias.

1. DR. AVINASH BHONDWE
MBBS
PAST PRESIDENT IMA, PUNE

2.  Knows Nothing
 Just talks sweet
 Only for Cough
& Cold
 An demon to
scare a child
 Refers everything
to specialists
 Gives only tonics
and Antibiotics

5. A Medical Doctor who solves the medical problems
of the people using the KNOWLEDGE & SKILLS
he has acquired by hard training, updating,
reading, observations, discussions, experience

6. Primary care
physician
A physician from
working in a
primary care
setting.

7. Secondary care
physician
A physician who
has undergone a
period of higher
postgraduate
training in an
organ/disease
based discipline,
and who works
predominantly in
that discipline in
a hospital
setting

8. Super Specialist
A Doctor from
whatever
discipline, who
has undergone
a higher
postgraduate
training, in a
particular part
of a discipline

9. An Academic and Scientific discipline of Medicine with
Its own specialised educational content,
Research,
Evidence base
Clinical activity
A clinical speciality oriented to Primary Care.

10.  It is the point of first
medical contact
within the health
care system
 Providing open and
unlimited access to
its users
 Dealing with all
health problems
 Regardless of age,
sex, or any other
characteristic of the
person

11.  Makes efficient use
of health care
resources
 Through co-
ordinating care,
 works with other
professionals in the
primary care setting,
 The interface with
other specialities
 Taking an advocacy
role for the patients
when needed.

12. Develops a person-
centred approach,
oriented to the
individual, his/her
family, and their
community.

13.  Has a unique consultation process, which
establishes a relationship over time,
through the effective communication
between doctor and patient.

14. Is responsible for the provision of
longitudinal continuity of care as
determined by the needs of the patient.

15.  Has a specific decision-making process
determined by the prevalence and
incidence of illness in the community.

16. A GP Manages simultaneously both acute
and chronic health problems of individual
patients.

17.  Manages illness which presents in an
undifferentiated way at an early stage in
its development, which may require
urgent intervention.

18.  Promotes health and well being both by
appropriate and effective intervention

19. Has a specific responsibility for the
health of the community.

20. Deals with health problems in their
physical, social, cultural and existential
dimensions.

21. to manage primary contact with patients,
dealing with unselected problems
to cover the full range of health conditions
to co-ordinate care with other professionals
to master effective and appropriate care
provision and health service utilisation
to make available to the patient the
appropriate services within the health care
system
to act as advocate for the patient

22. To adopt a person-centred approach in
dealing with patients and problems in the
context of patient’s circumstances
To apply the GP consultation to bring about
an effective doctor-patient relationship with
respect for the patient’s autonomy
To communicate, set priorities and act in
partnership
To provide longitudinal continuity of care as
determined by the needs of the patient,
referring to continuing and co-ordinated
care management

23. To adopt appropriate working principles
investigation,
using time as a tool
to tolerate uncertainty
to intervene urgently when necessary
to manage conditions which may present
early and undifferentiated way
to make effective and efficient use of
diagnostic and therapeutic interventions

24.  Keep records which are complete or legible,
 contain accurate details or no gratuitously derogatory
remarks
keep records confidential
 Provide colleagues’ legitimate need for information
Keeps records that can readily be followed by another
doctor
Consistently consults with records
Never Omits important information from a report which he
or she has agreed to provide, or never includes untruthful
information in any report.

25. Does not have restricted opening hours
Has adequate arrangements for patients to contact
the by phone at odd hours
Provides opportunity for patients to talk on the
phone
Can be contacted when on duty, immediately
responds to calls, & takes rapid action in an
emergency situation
Out-of-hours consultations to the patient’s usual
doctor
Follows up relevant information about patients that
has been provided by another health professional.

26.  Gives Importance to the patient’s best interests
when deciding about the treatment or referral
Never ignores, interrupts, or contradicts his or
her patients during examination.
Gives utmost importance to the patient’s dignity,
and asks his or her willingness to examination
and getting treated
Always tries to ensure that patient has understood
his or her condition, its treatment, and prognosis
Cares for the Patient’s confidential information
Always obtains patients’ consent to treatment

27.  Never has any inappropriate financial or
personal relationships with patients
Never classifies the patients as some for
better care to and others ignorance, as a result
of his or her own prejudice
 Never Pressurises patients to act in line with
his or her own beliefs and values
Never Refuses to register certain categories of
patients, such as the homeless, the severely
mentally ill, or those with problems or
substance or alcohol misuse

28.  Competent in most of the disciplines and is
aware of his shortcomings
Never Fails to elicit important parts of the
history
Discusses the sensitive and personal matters
with patients
Never Fails to use the medical records as a
source of information about past events
Never Fails to examine patients when needed
Never Undertakes inappropriate, cursory, or
inadequate examinations

29.  Never fails to use appropriate diagnostic and
treatment equipment
 Never undertakes inappropriate investigations
 Uses a coherent or rational approach to diagnosis
 Never Draws illogical conclusions from the
information available
 Never Gives treatments that are inconsistent with
best practice or evidence
 Offers care for long-term problems or for
prevention

30.  How to
communicate
 How to develop long
term Doctor-Patient
Relationship
 Quick History- ODP
 Important- General
& Systemic Exam
 How to arrive at a
working diagnosis

31.  Differential
Diagnosis
 Which medicines to
be given and why?
 Injections?
 Investigations? Why
 How to interpret
and utilize
 Procedures- Which

32.  When to refer
 Where to refer
 Follow up
 Record Keeping
 Important
Documentations-
Certificates
 Financial and
Accounting

33.  Social Behavior
 Home Visits
 Keeping Relations
with fellow
doctors
 Medico Legal
Aspects