Before I entered VTS, I had extensive acute medical and general medical training- approx 6 years worth.
Paediatrics should be compulsory if not done previously
General medicine or Geriatrics necessary for a good foundation
Gunae, ENT, Derm, Psych all helpful.
Extended training recommended for inexperience doctors i.e. those straight from Foundation training.
Bring back the flexibility of the past.
Promotion of the posotoves of GPing!
V similar to BMA templates, but helpful nontheless.
I suepcted this would be a thorny topic.
In both cases an evidence based anti-emetic eg Prochlorperazine was prescribed as the primary option for their symptoms with the non-pharm option as a choice. In both cases the patients decided to go for the ginger and didn't take the medication. That was their choice.
Of course, there are many scenarios eg treatment of sickness due to chemo in cancer patients, where medications are first choice to avoid the risk of severe dehydration and giving something 'herbal' would be risky or simply negligent. I'm not advocating homeopathy but giving appropriate patients (those with mild symptoms) some choice might reduce the flood of minor ailments into GP surgeries each week.
Hi Kim. Post CCT locum life is going well for me. Do miss the VTS teaching sessions though- more the social aspect than the cheesy education bits. Our peer group has grand plans for a curry night- will be interesting if it comes to fruition!
I sported a mo' 2 years ago when doing Paeds. It was very itchy and I looked ridiculous. Thankfully several friends were doing it too- so we all looked ridiculous. But if it raises awareness- a month looking like Biggles is no bad thing!
Great blog Georgia. It's patients like these that make you feel good, but alas it tends to be the ones that kick up a fuss or complain that you tend to remember more.
Look forward to your next blog.
Both good advice!
Seems like there is lots of maternity cover locally.
Things are looking 'up' for ED sufferers...
Not an unexpected array of answers.
What with burnout, change in pensions, superannuation, paying for indemnity and battling through the locum wasteland, I aware of some of the pressures a new (junior) GP has to deal with.
I shall miss the camaraderie of my GP tutorials and hope to not get too lonely out there. But I'll make sure I keep tabs on the GP world by reading Pulse and other similar medical publications.
That is rubbish Anon. If you need any help with studies, I can give you my limited experience!
Wow! Well done Julie. I passed, but found it hard too. It was nothing like a regular surgery!
I'm glad it's over, although for a week post exam, I checked my tick just to make sure it didn't become a cross in case the examiners made a mistake.
Just have to get the assessments & OOH out the way and then our lives as GPs can begin!
111 or specifically the creators of this service have completely underestimated what OOH service does and how busy it truly is.
The fault lies in the fact that the lowest bidder was picked and money instead of care was the primary drive to create 111. That's why a computer programme + non medical call handlers have been deemed the best way to talk to complex and occasionally manipulative patients rather than a doctor.
We all knew the frequent flyer patients would put a strain on the service and that's why local policies were in place for these people, but alas the call handlers don't know this and in one weekend 111 received 6 calls from one of our demanding patients.
How long till 111 is classed as a disaster? When a genuinely ill person dies because they were waiting for a call back that took 12+ hrs to come?!
Alok- were you unsuccessful at this sitting? I hope you get the support you need. I'll happily help if you need any advice, but I was no high flyer and managed to keep my nerves on the day.
Cheers Julie. Glad you passed too.
Thanks Clare and the few anonymous well wishers.
Compared to the old system, I understand the CSA is the fairest and best exam for us. Feedback from previous cohorts say it's fair, with a few crazies saying they actually enjoyed it!
Good luck to everyone else about to sit it soon!
Penelope- I've just turned 36- so am I still classed as young.
I regularly suggest massage therapy to patients with back pain, as it worked for me. Of course I mention they will have to pay for it, but Edvard Ernst and Simon Singh's book suggests that not all massage therapies are good for MSK issues- the more Eastern sounding the therapy, the less likely it will clinically work, although it will likely improve ones well being and thus may be acting as a placebo?
My fiancee is a layman and swears by some of these alternative therapies. If I want to stay in her good books, I need to be more open minded, especially as some of the best cures and medications only have anecdotal evidence at best.
I very much doubt I could stomach (pun intended) a 24 hr fast, especially whilst working in a busy practice!