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Samir Dawlatly

  • Forcing GPs to prescribe statins is the worst kind of medicine

    Samir Dawlatly's comment 03 Jun 2015 8:34pm

    Echo what Phil says, well said...

  • Is no one else talking about the elephant in the room?

    Samir Dawlatly's comment 21 Feb 2015 7:31am

    Well said and well written.

  • Most NICE guidance for GPs ‘of uncertain relevance’

    Samir Dawlatly's comment 20 Sep 2014 7:19pm

    And Sherlock has emptied his bowels completely as well...

  • NICE statin guidelines – Where’s the shared decision making?

    Samir Dawlatly's comment 25 Jul 2014 10:54pm

    Well said that man...

  • Naming and shaming GPs won't improve the NHS

    Samir Dawlatly's comment 30 Jun 2014 10:08pm

    Well said. No point in us just grumbling here though, suggest others copy and paste and send to Daily Mail, Daily Telegraph and Department of Health...

  • Turning people into patients

    Samir Dawlatly's comment 06 Feb 2014 1:21pm

    Great writing and valid points as ever Martin, but to play devil's advocate haven't I just read an email from NHS England to say influenza is here and we can use Tamiflu/Relenza for the early stages of flu-like illness in at risk groups? Another question altogether over whether these prevent secondary infection... but raises the issue that we have antivirals at our disposal now too, apparently, not just antibiotics...

    Wonder if Big Pharma had a hand in this latest campaign or is that too conspiracy theorist...?

  • A tale of two inductions

    Samir Dawlatly's comment 30 Oct 2013 9:32pm

    Great post Tim and reminds me why I am so glad to have finished the GP VTS (16 months ago). Keep up the writing...

  • The MRCGP row has left lasting damage

    Samir Dawlatly's comment 30 Oct 2013 9:18pm

    I find this an interesting debate, from the point of view of being an ethnic minority (educated in the UK from the age of 12) and also the son of doctor that lost a tribunal against the GMC 20 years ago for indirect racial discrimination about not being put on the Specialist Register, on a point of law (happy to expand if needed).

    I wonder if there would be such a fuss if the CSA didn't stand for a CLINICAL Skills Assessment, but a COMMUNICATION Skills Assessment?

    By way of explanation. Much of what a GP does depends on his/her ability to communicate, both verbally and non-verbally. Intuitively, this is inherently cultural. And perhaps what the CSA does (I passed first time) is examine the ability to communicate. If English is not one's first language then it follows that you may be at a disadvantage.

    To be controversial and stand up for the CSA, perhaps accusing it's test of language and communication skills of being racist, is like saying that the MRCS discriminates against blind surgeons, or surgeons with one hand, or with essential tremor.

    So I don't think the process, or the people who invented it are racist. I think it as well as examining clinical acumen it also examines linguistic and communication skills which puts candidates who's first language is not English at a disadvantage.

    The college response seems to have been to dig it's heels in, which is unfortunate. Would it not be better to say "If English is not your first language, you're going to find this harder - let's be honest."

    As for the home-grown doctors from ethnic backgrounds - that is harder to explain. I wonder if there is research about language and /or communication skills of these candidates. Are they bilingual or English-speakers? I don't know. Perhaps I am barking up the wrong tree.

    What are the alternatives? Going back to the robotic videos done with the check list of the stages of a particular consultation model sellotaped to the wall? I hope not.

    Perhaps the only alternative is to install a "fly on the wall" video camera, and consent every patient for a month (or a week or two?), video the whole lot to a hard drive and send it all to the college to assess at their leisure - that way they would really get to know how we worked - how we used the computer in the consultation, or not, how we asked for help, how we managed our time, how we dealt with emergencies and phone calls and staff. Feasible?