The organisational domain is the area that candidates get the lowest average in the MRCGP AKT exam – it covers a wide range of subjects so can be difficult to prepare for. Test your knowledge with these 5 organisational questions – you can read the answers by clicking the link at the bottom of this post.
1. A 44 year old woman presents with a suspected breast lump. She accepts the offer of a chaperone during the examination, and a healthcare assistant is present throughout the examination. With regards to the medical record, which ONE of the following is correct?
A. The fact that a chaperone was present does not need to be noted.
B. The fact that a chaperone was present should be noted, along with their identity (including name and job role).
C. The fact that a chaperone was present should be noted, but no further details are necessary.
D. The fact that a chaperone was present should be noted, along with their job title only.
E. Details of the chaperone should be noted only with the chaperone’s permission.
2. One of your patients asks if her daughter has been prescribed the oral contraceptive pill. Her daughter is 14, and was seen on her own a week earlier, and prescribed the combined oral contraceptive pill by one of the other doctors in the practice. Which of the following is the most suitable action?
A. Provide information if the mother has parental responsibility.
B. Explain that you are unable to disclose information without the daughter’s permission.
C. Explain that her daughter is taking contraception but that you cannot divulge details of the exact prescription.
D. Advise the mother to put in a request to access the notes in writing.
E. Provide full details as the mother has a right to know.
3. Regarding sharing confidential information relating to knife wounds, which of the following statements is incorrect?
A. In some cases, the name and address of the patient need not be disclosed to the police when initially contacting them.
B. You should usually let the patient know if you are contacting the police.
C. Details of all patients that present with a knife wound should be reported to the police.
D. Where there is a risk of serious harm to others, you can disclose details to the police even if the patient refuses consent.
E. In some cases it is acceptable to disclose confidential details without first seeking the patient’s consent or letting them know you are contacting the police.
4. You receive a request for a medical report based on a patient’s notes from an insurance company. The request includes signed consent from the patient to allow you to provide this information. The patient contacts you asking to see a copy of the report before it is sent to the insurance company. The patient does not have any significant medical problems. What is the most appropriate way to deal with this request?
A. Contact the insurance company and request their permission to give the patient a copy of the report.
B. Tell the patient that he should request a copy from the insurance company.
C. Tell the patient that it is not possible for him to see the report, but that he can request access to his own records.
D. Provide a copy of the report to the patient before sending the original to the insurance company.
E. Provide a copy of the report to the patient after sending the original to the insurance company.
5. How long must a practice retain confidential electronic medical records after a patient registered at the practice dies?
A. 5 years
B. 10 years
C. 20 years
D. 25 years