The United Kingdom general practitioner and palliative care model
Within the United Kingdom, general practitioners (GPs) will manage the care of the majority of patients with life-limiting and terminal disease, including those with complex problems requiring specialist palliative care involvement. The consultation is at the heart of general practice and communication skills, underpining the UK General Practitioner Vocational Training Scheme (GPVTS). To attain membership of the Royal College of General Practitioners, trainees are required to undertake learning methods during their training programme as outlined in the RCGP Curriculum, which include video analysis of consultations, random case analysis of a selection of consultations and patients' feedback on consultations using satisfaction questionnaires or tools. This chapter discusses the Cardiff University Post Graduate Course's specialist palliative care education designed to meet the needs of specialists and of GPs with a developing specialist interest, the Cardiff six-point toolkit (listening, reflection, summarising, question style, comfort, language), the use of role play for developing communication skills, and reflective practice/portfolio learning.
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