@Harry- are you confusing this with the entrance exam to GP training run by the deaneries?
All my trainees taking the AKT were told in no uncertain terms that NOTHING in paper form was allowed into the exam. Also all my IMG trainees had passed PLAB and the language tests before they could start working in UK, so their medial language skills had already been assessed. i think the data from the RCGP shows that exam failure in CSA is not because of poor communication skills but not being able to diagnose, manage etc. Delighted to say all my IMG trainees have passed first time.
Great story Harry @7.52pm, except its completely fake news.
To took easily retirement, yes ‘Always look on the bright side of life’ ( I’m sure you know the words which follow) and to curious- Australia sounds interesting but I don’t think I could cope with all the opera
Actually if the 47 miserable respondents represent our profession (which they don't) we are doomed. No one goes on a Pulse troll site to say anything positive, especially about the RCGP.
We need leaders who can lead and motivate, Prof Marshall is one such person.
Absolutely brilliant, especially the reference to the NHS, £350million on the bus pledge now forgotten
To Harry...yes it’s all a complete mystery....until you access the freely available guidance from the College https://www.rcgp.org.uk/training-exams/mrcgp-exams-overview/mrcgp-clinical-skills-assessment-csa.aspx
Roger, what a hero and role model you are. Judging by the above comment its not only hospital doctors who want to denigrate general practice which remains the best job in the world. Best of luck!
Your column used to be satire, now reflects reality
To 8:46 - you are wrong. VAMP (an ancestor of Vision) and Meditel were given free to GP s with a business model of selling data. EMIS came along a few years later and seemed to have a hopeless proposition in that most practices were already computerised and you had to pay for everything. (Absolutely no NHS subsidy) and yet with the brilliance of their product compared to the opposition are today the number one provider. Personally I think EMIS is great.
to AlanAlmond @ 10:09, no idea why I post these comments doesn't make me feel good, its not meant to be passive aggressive or unpleasant, just a reaction to all this awful wingeing dirge.
My new years resolution is to stop,
Many thanks for your feedback.
or may be the final straw was opening a tabloid free GP newspaper and finding yet another columnist writing yet another dire piece feeding the delusion that we are all now and for ever will be victims.
Well done!! Congratulations
at 9.02, mark your typo of £350 per week is probably spot on
to 1148 and 0727, completely agree with you but unfortunately I am just jobbing GP not one of the celebs you mention above- the point I trying to make is that the health service should offer appropriate care to everyone and there is nothing intrinsically wrong with Babylon's model (it may not work, just look what happened with Hitchbrooke Hospital) but our fight and resistance to it should focus on its destabilising potential on existing practices, the inability of the most needy to use it and consequent worsening of existing services for those most in need (remember the inverse care law)- otherwise we will just look like a bunch of Luddites.
Personally i think its a great idea for young busy metropolitan essentially wealthy and well patients- I think they could find great benefit from it. The mistake is to ignore this benefit to an important group of patients and focus on the effects on the rest of the service- it looks as if it will lead to almost the same clinical workload of ill, aged, young, disabled, housebound, demented, complex multi morbid patients which is now the bread and butter of GP but without the capitation fees for the rarely attending patients who sign up to Babylon and who we will have to take back when they get a real problem. Get that sorted seriously and properly and look on the bright side. Otherwise health inequalities will rise and normal GP work will become even less sustainable.
re ' a gp for 25 years' needs fine tuning, but I have been a GP for longer than you! and sepsis still terrifies me.
Presumably all the above respondents have always immediately spotted life threatening sepsis whenever they have seen it or have never been aware of someone develop sepsis and die very quickly. As a GP on the planet earth who is moderately competent I very much welcome the recent focus on sepsis. The rest of you must be brilliant clinicians or dinosaurs.
If there are 30000 WTE GPs all earning 40k less than the peak shown on the graph then this represents a cut of government spending of £1.2 billion each year..were does it go? Also puts all the recent £m initiatives into their true context.
Same experience on the south coast- small practices in crisis after partners leave, unable to recruit partners, commercial providers move in- poor working conditions for salaried- reliance on locums such as myself- who are not keen to work there as workload and organisation of practices unsafe- worsening of crisis - higher locum fees-practices fail. Personally I prefer to work in non coastal practices for £200+/day less and feel safe and supported. The inverse care law still applies.
Is this how dinosaurs became extinct?
What a bunch of Luddites! Presumably you never use any apps on your iphone to transact anything?