Am I alone in my observation that those who can still hack 8 or 9 sessions paradoxically have higher morale? They are in everyday and keep on top of ‘stuff’ whereas on 4-6 sessions life is endlessly trying to catch up and ending days slightly more behind than when they started. Some of most stressed are those who cut down from full time and find themselves drowning with all their old patients saving their most complex and challenging problems for them .
Just remind me which bit of the bible says which pronouns doctors should use when addressing transgender patients.
to Decorum est- wow- I thought I would apply for Prof Fields old post for that salary, but (un)fortunately you are looking at the wrong column - that figure refers to the staff cost for his department, he was on between 175 and 180k, not worth losing sleep over
I have no conflict of interest....but as a locum who has used most systems ditching EMIS for MIcrotest is like getting rid of a top of the range Mercedes for a customised Reliant Robin. And don’t get me started on Vision...
to Helen - you can gain membership without an exam-see MAP on RCGP website
@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.