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Perfection in an imperfect world


Ummmmm. Contrast the first paragraph of the article with the last-on the one hand trainers espouse being "good enough" and then in the last it is stated that the pursuit of perfection is the goal.It cannot be both. Christopher Ho and his reflexive raising of the prism of free-market capitalism to his eye to survey all problems through makes me chuckle, but he is right about unrealistic expectations but not solely due to the explanation he gives. In part we as doctors have over-empowered clueless patients about the merit of their own evaluations through exploring their expectations thereby adding to the notion they have of their own importance, in tandem with the "efforts" of social media. We have also devalued ourselves in the patients eyes ("If I knew WTF was wrong with me I wouldn't be coming to see you!") to the point where AI or an app will soon have us applying for ESA, and this is before you consider the paucity of GP hands to deal with the workload. When everybody is right, why shouldn't they complain? This is how our beloved patients see it, and we have reached a sorry nexus of interweaving factors where we must expect complaints and no consideration of how we are affected. Bacause we get paid loads, our well-being is prostituted to the wage in the eyes of many. Consider the following - you have just completed your only 6 month medical job post and are then expected to carry the hospital registrars bleep. Or it could be O+G, or paeds or any other discipline you care to choose which forms part of the GPs work. You are expected to evaluate whatever is presented to you accurately. Using Shabas example, the foreign language school is ones secondary care experience where "the lingo" is heard before being parachuted into primary care.Only by getting sufficient experience of the appropriate quality in secondary care can some of the primary care demons be properly slayed. As I see it, this is far from the case at present. Perfection is not a human attribute, and good enough means different things to different people.It is a case of having a sufficiently robust foundation which can be built on to produce work of a thorough nature, which can withstand scrutiny. Because this scrutiny is here to stay for the foreseeable future.

Posted date

12 Nov 2018

Posted time