The role of the physician in the community
General Medicine · Topic 29
Source: NMC CBME Curriculum 2024 · Volume II · General Medicine · Topic 29 · combined PDF page 325
Practice questions
- In a heart-failure community pharmacy pilot, which description best captures the physician's role in collaborative community care?
- A community pharmacist identifies a medication concern in a patient with heart failure during a medication review. Which response best reflects the collaborative model described in the pilot?
- In the heart-failure pilot, 80 pharmacist interventions were recorded and 30 were accepted. What proportion of interventions was accepted?
- Which statement about the heart-failure pharmacy pilot is best supported by its reported results?
- Which set of activities was included in the community pharmacists' heart-failure intervention portfolio?
- All three pharmacists in a community heart-failure pilot passed a certificate examination above 80% on their first attempt. What does this finding most directly support?
- A hospital plans to introduce community pharmacist support for heart failure based on the cited pilot. Which limitation should most temper claims of effectiveness?
- A community program wants to raise colorectal cancer screening completion. Which implementation approach is most consistent with the scoping review's reported uptake patterns?
- Which interpretation of the 93.5% FIT kit return rate reported in a Spanish pharmacy initiative is most defensible?
- The scoping review reported a 59.3% completion example in a US bundled-vaccination model and a 93.5% kit return example in Spain. Which conclusion is appropriate?
- A pharmacy distributes FIT kits but has no process to communicate positive results to primary care. Which barrier identified by the scoping review is most directly relevant?
- Which combination of factors did the scoping review identify as barriers to scaling pharmacy-based colorectal cancer screening?
- A primary-care network wants to improve the sustainability of pharmacy-based colorectal screening rather than run isolated short-term pilots. Which policy priority most directly follows the review's recommendations?
- In the review's account of pharmacy-based colorectal screening, which factor was identified as a motivator for implementation?
- A patient returns a positive FIT kit distributed at a community pharmacy. Which next step best reflects an integrated screening pathway?
- In the Hungarian survey, what proportion of respondents reported cervical cancer screening within the past year?
- In the Hungarian survey, women who reported discussing cervical cancer screening in their social environment were more likely to report recent and regular attendance. What is the strongest inference?
- A physician is planning community outreach after learning that women report time constraints, access limitations, cost, fear, and negative healthcare experiences as barriers to cervical screening. Which approach best addresses the range of reported barriers?
- Which limitation most affects generalizing the Hungarian cervical screening survey percentages to all women in Hungary?
- Which combination of motivations and barriers most closely matches the Hungarian survey findings?
- The survey reported 17.3% screened more than two years earlier and 3.5% never screened. Which statement correctly distinguishes these categories?
- In the professional-community study, how many of the 16 survey respondents scored high-risk on the traditional Maslach Burnout Inventory screen?
- The study found three high-risk respondents on the traditional burnout screen but none with high symptom levels on adapted education-context questions. How should this be interpreted?
- Focus-group themes in the PUPDOC study included a sense of community, meaning in work, opportunities, and legitimacy associated with belonging. Which conclusion is best supported?
- Which study feature most directly supports the description of the PUPDOC research as mixed-methods?
- A medical college proposes supporting inter-institutional educator networks after reading the PUPDOC study. Which rationale is most consistent with the evidence?
- Sixteen of 23 PUPDOC members completed the survey. What was the approximate survey participation rate?
- Which feature most limits treating the PUPDOC findings as proof that professional community membership reduces physician burnout?