What makes a good paediatrician? A focused review of Good Medical Practice 2024

Rebecca Jeyaraj, Deirdre Kelly
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Abstract

Modern healthcare is complex. Expectations of care and the responsibilities of medical professionals are evolving. New challenges include, among other things, disease outbreaks, novel technologies, health misinformation and workforce shortages. Despite this changing medical scene, doctors and patients continue to want to provide and receive the best possible care. In difficult situations, doctors may thus find professional guidance, ethical codes and legal advice or precedents helpful. ### Information about the current guidance The General Medical Council (GMC) regulates doctors in the UK. Its Good Medical Practice guidance describes professional standards for registered doctors.1 The 2024 guidance (published August 2023) was effective from 30 January 2024. It will apply to physician associates and anaesthesia associates once they are regulated by the GMC. A version of Good Medical Practice was first published in 1995, with updates every 3–10 years thereafter.2 The last major update was in 2013. The 2024 guidance was developed using (1) evidence from public inquiries, published reports and commissioned research, (2) advice from an external forum of 11 medical and non-medical experts, and (3) consultation with medical professionals, patients and the public. It is considered a shared agreement of good practice. While its core principles remain largely similar, Good Medical Practice 2024 incorporates several updates to reflect the needs and values of the profession and wider society (box 1). In this review, we focus on aspects of the guidance with particular implications or nuances in paediatric practice. Box 1 ### What do I need to know: key updates highlighted by the General Medical Council16
怎样才能成为一名优秀的儿科医生?对《2024 年良好医疗规范》的重点审查
现代医疗保健非常复杂。对医疗服务的期望和医疗专业人员的责任都在不断变化。新的挑战包括疾病爆发、新技术、健康误导和劳动力短缺等。尽管医疗环境在不断变化,但医生和患者仍然希望提供并接受最好的医疗服务。因此,在遇到困难时,医生可能会发现专业指导、道德规范和法律建议或先例很有帮助。### 有关现行指南的信息 英国医学总会(GMC)负责管理英国的医生。1 2024 年指南(2023 年 8 月发布)自 2024 年 1 月 30 日起生效。2024 年指南(2023 年 8 月发布)自 2024 年 1 月 30 日起生效。该指南将适用于由 GMC 监管的助理医师和助理麻醉师。良好医疗规范》的版本于 1995 年首次发布,此后每 3-10 年更新一次。2024 年指南的制定参考了:(1)来自公众调查、出版报告和委托研究的证据;(2)由 11 位医学和非医学专家组成的外部论坛的建议;(3)对医学专业人员、患者和公众的咨询。它被认为是良好做法的共同协议。虽然《2024 年良好医疗规范》的核心原则大体相同,但其中包含了若干更新内容,以反映医疗行业和更广泛社会的需求和价值观(方框 1)。在本评论中,我们将重点关注指南中对儿科实践有特殊影响或细微差别的方面。方框 1 ### 我需要知道什么:医学总会强调的主要更新内容16
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