MASLOW

Human needs

PHYSIOLOGICAL NEEDS

  • sex
  • sleep
  • normal physiological parameters
  • food and drink
  • oxygen

SAFETY NEEDS

  • boundaries
  • predictability
  • stability
  • warmth and shelter
  • security
  • roots
  • freedom from fear and anxiety

BELONGINGNESS NEEDS

  • love
  • intimacy
  • affection
  • someone to confide in
  • friendship
  • company
  • acknowledgement

ESTEEM NEEDS

  • esteem
  • status
  • approval
  • appreciation
  • recognition

SELF-ACTUALISATION NEEDS

  • realisation of innate potential
  • self-fulfilment
  • self-expression
  • self-esteem
  • self-respect
  • self-confidence

The inner curriculum: For the GP Registrar.

SURVIVAL

  • Timetable, protected time
  • Own room, desk, equipment
  • Working knowledge of prescriptions, certificates, forms
  • Local geography, medical facilities, services, telephone nos
  • Knowledge of surgery arrangements, names of staff
  • Free from non-professional worries eg money, health, personal

SAFETY

  • Availability of trainer's help and support
  • Able and willing to ask for help
  • Availability of books and information resources
  • Competent in dealing with urgent and straightforward physical
  • illness
  • Basic clinical knowledge and skills
  •  
  • CONFIDENCE
  • Accepted by and contributes to PHCT
  • Involves other team members appropriately
  • Willingness to take responsibility: can "hold" situations
  • Makes and manages psychological and social diagnoses
  • Recognises and rectifies clinical blind-spots
  • Deals competently with minor illness and atypical presentations
  • Bonding with trainer
  •  
  • RECOGNITION
  • Hungry for new ideas and experiences
  • Aware of and willing to address own needs and motivations
  • Intersted in "softer" topics eg hidden agendas, consultation
  • skills, doctor/patient relationship
  • Can accept criticism and praise
  • Attracts a personal following of patients
  • Confidence not dependent on trainer's approval
  •  
  • SELF-ESTEEM
  • Feels comfortable with, not oppressed by trainee role
  • Can use "self" in consultations - Balint-wise
  • Comfortable balance between private and professional life
  • Not addicted to an idealised "doctor" role
  • Tolerates inadequacy, uncertainty and occasional failure
  • Negotiates and organises own educational programme
  • Takes pride in keeping clinically well-informed and up-to-date
  • Knows own strengths and limitations
  • Can advise, challenge and constructively criticise trainer
  • Aware of transference issues in trainer/trainee relationship
  •  
  • AUTONOMY
  • Takes responsibility for own continuing education
  • Successfully negotiates transition from trainee to principal
  • Finds and maintains ways to enhance job satisfaction
  • Discovers, chooses and pursues own interests
  • Sense of overall purpose, worth and direction