Also never got an email...?
Frankly that's just rude.
If I have understood you correctly, your entire first paragraph amounts to "young GPs should not be teaching first prinicipals, and basic A&P" and the second and third amount to "first priniciples and A&P across general practice is poor.
With regard to your first point, I am glad that you agree that the "stuffy old GP" stereotype would be even worse. Therefore in the absecne of an alternative, I think we can agree that young GPs are the best suited working clinicians.
I would absolutely agree that a lot of these principles should be taught by academics whose primary focus is this. To be fair to Dr Tisi I don't think he ever said that students would be taught exclusively by doctors. They should be taught first principles in their first two years by people trained to do so, I agree, and I think they will be.
However in the current climate the flavour is for integrated courses whereby people get clinical exposure early, and as said above, young keen GPs seem an excellent way to do this. Whether you agree with that priniciple is a different matter, but certainly I think (and I know a lot of academics agree) that having a practical framework to hang your first principles off of engages students more and improves their happiness and one would hope ultimately improve them as clinicians.
You say about young GPs that they have their teaching qualifications at the expense of experience, well which do you want? You either get an anatomy expert with zero experience but incredibly knowledge, or a working GP with a mixture of the two. The older the GP, the more the experience, sadly the less fresh the knowledge. (and to be absolutely clear I say this not to denigrate my more experienced colleagues in any way at all). Can't have it both ways I am afraid.
What are some of these comments??
Frankly we need more doctors and I'm of the opinion that today's 18 year olds are adults who have worked incredibly hard to get a place and know what they're getting themselves in for.
As for the comment above "Great idea also to use young fresh GPs who have a vast number of years experience under their belt." - I'm sure many of these "inexperienced" young GPs have teaching qualifications and enthusiasm that far outweigh what experience may bring to the table. Particularly when you're talking about training first and second year medical students. I'm sure they would love stuffy old GP stories, but frankly I think people who have gone through medical school more recently are likely to be much more helpful when it comes to teaching history taking and examination...
All credit to you Roger I wish you all the best with it.
Any excuse to link to my favourite website.
Dear Government Minister,
Read the MHRA report, ran the searches, identified at risk patients and managed accordingly.
This was about a year ago.
Thanks for the heads up.
We have exactly this service, vague symptoms pathway. People were triaged and often would have a CT CAP and not seen. Was a smart service and well run.
It's being decommissioned of course.
As was written elsewhere in Pulse this week:
"All screening causes harms. Some also confers benefit"
Clearly this was just posted by Dylan above but it's such a great point I felt the need to repeat it.
Agree with Jo Smit - I have concerns about the MRCGP and particularly allegations of subconscious bias (DOI - I'm white and I passed it) but I also feel that at a time where the traditional GP role is being taken on by other clinicians (nurses, PAs) that we should be ensuring that a newly trained and qualified GP is at a sufficiently high standard to justify that role and salary.
I would have concerns about moving back to a purely workplace based assessment system, as it is too easy for struggling trainees to be pushed through as "that's the easy thing to do". This will only become a bigger problem as our workload increases and intensifies as we will have less capcity (time, mental etc) to tackle the difficult trainees.
Also as private providers increase their foothold in GP I wonder whether they will also take on any roles in training, and I would imagine that in that environment this could be an issue as well.
I'm glad they're looking at it at the very least but I worry that the pendulum may swing too far in the other direction.
Another "here's why you're all wrong" from Dr Heather Ryan, to add to "teaching time isn't a waste" (never said it was) and "we need to teach trainees to be partners" (already do).
You extrapolate far too much from your somewhat limited experience.
Funny how several FOI requests were denied due to "commercial sensitivity" on this exact question but now that time has moved on they are being allowed.
Witholding funding to "maximise benefit".
That's a new low point for alternative facts right there.
To be clear to 10:54, this rota was designed to be cost neutral and has a lot more safeguards and time off in lieu/extra pay clauses built in.
It will not save money and this was never the intention. I suspect if anything it will cost more, especially with the appointment of guardians etc.
Don't get me wrong, it looks like an absolute catastrophe but as usual for the NHS it also looks like an expensive one.
Schrödinger's GP: simultaneously the problem and the solution.
Is "swingeing" a type of cut?
Re above - they won't do that, they need the two to deflect from one another...
Brexit problematic? Quick, say something odious about GPs!
Health care in crisis? Better stir the Brexit pot...
The other place I find GPs are very helpful is in General Practice.
Work in Mid Essex, and so many of the "new" things I see on Pulse are things we have been doing for some time. Gluten free products for example have already been gone for a year.
@10:54 - spot on.
The problem is nobody has the bravery to admit that you need to pay people what they should be earning. You can't just throw money at general practice at a time of austerity!!
Instead every penny and dime has to come with multiple strings attached.
So much talk in my area of how everything is going to be revolutionised to solve all these problems. I'm sorry, but no end of reorganising will solve the fundamental issue of not enough appointments for people to get help.
Very much in keeping with my mantra:
Common sense - not as common as it used to be.