I discussed this with NHSE and was told that from the spiritually enlightened perspective time is an illusion. I thanked them for the reminder.
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Interviewer-"But what about PPE?"
Matt Hancock-"Ah yes- I fondly recall my carefree days at Exeter College studying PPE. Wonderful curriculum".
Interviewer is rendered dumbstruck.
"Being remote? How difficult can it be- just follow my example and you will see its not hard. You can't get much more remote than I am from the reality of the NHS frontline". Attributed to Matt Hancock, allegedly.
Dr Gin, 3 Mar 20 @11.11am.
Read Ninjadocs past again. Its written in English and is not a Rorschach chart.
But they are our critical friends.
"Listen, you piece of sh~t, this hurts me more than it hurts you".
In the 14th paragraph, should it not say 14 hours as opposed to 14 days? ( Or are those lazy bast@~d GPs exaggerating their woes again?).
So much wisdom in the comments, and commendable openness from contributors who have direct experience of such matters.
I would imagine that any support the GMC would offer would be somewhat analogous to the reported procedures used in certain prisons in post-revolution Iran where dialysis was provided to prisoners who had sustained rhabdomyolysis during their interrogations. Just to ensure they were well enough for more of the same.
And the paradox of it all is that the governmental approach allows this "assisted decrepitude" to flourish but withdraws the right to assistance to actually end ones sorry life at the very last.
Personally I would be glad to get a case of yellow nails after lacquer use- it would allow some catch up time and a pause in the relentless onslaught of the work. Tell the patient- "Look up resorcinol".Job done.
The other factor to bear in mind is that its easier for a qualified doctor to assess something as not serious than it is for someone in the position of not knowing; such uncertainty is anathema for most cognizing persons and raises the possibility that it implies something potentially bad, and berating them for their ignorance should merit a pause for a little self-reflection.
I don't think Ideas, Concerns, Expectations alone is enough, but can enhance ones clinical prowess if afforded the role it serves.
There are no easy answers.
The universe does not revolve around humans despite the strongly-held and self-serving delusion we hold that it does.
The whole of life is riddled with "assisting", from IVF,the event of birth, the avoidance of infections through vaccinations, "fighting illness" etc and this manipulation produces new existential distinctions such as old age and infirmity in massive quantities.
If this assistance is noble throughout life, is withholding it at the unavoidable conclusion of the process also noble?
A neutral stance seems entirely reasonable to me.
What exactly is a Primary Care researcher?
The level of dissociation from reality, as DrDeath notes, is ketamine-tastic!
talking of all things disso-ed, back in the day before the advent of the Novel Psychoactive Substances Act, when one could legally purchase ketamine analogues, the users/buyers of such compounds also referred to themselves as "researchers". Only they were independent and not affiliated with a university.
Still, the spirit it would appear lives on.
Heres a challenge for you- find a medically qualified journalist, allow them to scrutinise the notes with the patients permission, watch the consultation and let them decide how well/thoroughly the "nuts and bolts" of clinical practise are actually being performed.
This would be a better evaluation than achieved by a generically trained journalist attempting to appraise a complex field. The devil is in the details, something which is essential for quality clinical medicine, and can be not even on the radar of the "exposure" alluded to in the article.
Enhanced means better. The in-house psychologist at a CIA black site based in Morocco told me so.
Like sending out a red flare from a sinking ship whilst knowing the coastguard is colour-blind.
If one tries hard enough, the wail of the siren can fuse with the white noise of silence...
I think Dr Chands insightful piece had its title truncated by omitting the words "badly, in line with the current ethos of the NHS".
So a year to get secondary care experience of paediatrics, psychiatry, O+G? Or does this year also provide training in another field such as General Medicine too? Either way, the subsequent 2 years in GP land are to provide the fine-tuning (by GPs who are likely to have 6 months in these 3 or 4 areas in secondary care)in these areas?
"Just a GP" as it currently stands is going to be an unwarranted accolade for these 21st century Noctors, and requires the creation of a new-term to make a distinction between this breed and noctors as we currently understand it.
This also makes allowing pharmacists to get medically qualified in 3 years a reasonable approach, and quite probably a route to getting a modified version of MRCGP.
Secondary care scorn towards primary care can only increase, and will become even more warranted as they see all providers of primary care as equivalently inept.
I agree with all contributors.
For the GI cases which will get scopes first on a 2WW basis and no clear pointers on the bloods IDGAFs thus far successful policy is to write/type on the form "needs scope(s) and if NAD, CT".
Successful here means blame deflected by thinking a step ahead. I have had more than one apology letter from a consultant when their premature dismissal of a case has resulted in cancer being missed. IDGAF has also found increased traction with subsequent referrals.And probably some unexpressed hatred.
Its all a fu##king game folks.
So you admit not reading the notes properly (or at all) before a home visit? Even when IT has not failed?
There should be a difference between unavoidable circumstances (eg IT failure) and deeming sloppiness as being equivalent.
But Shaba- are you so disparaging towards your other "critical friends"?
Those who bleat will be given a sterilised scalpel from surgical appliances along with an anatomical depiction of the popliteal fossa outlining clearly where the cuts need to be made to hamstring ones own career.